Previous Article 67 FR 125 pgs. 43846-44013 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2003
Type: PRORULEVolume: 67Number: 125Pages: 43846 - 44013
Docket number: [CMS-1204-P]
FR document: [FR Doc. 02-16146 Filed 6-27-02; 8:45 am]
Agency: Health and Human Services Department
Sub Agency: Centers for Medicare Medicaid Services
Official PDF Version: PDF Version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare Medicaid Services
42 CFR Parts 410 and 414
[CMS-1204-P]
RIN 0938-AL21
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2003
AGENCY:
Centers for Medicare Medicaid Services (CMS), HHS.
ACTION:
Proposed rule.
SUMMARY:
The proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, pricing of the technical component for positron emission tomography (PET) scans, Medicare qualifications for clinical nurse specialists, a process to add or delete services to the definition of telehealth, definition for ZZZ global periods, global period for surface radiation, and an endoscopic base for urology codes. We also discuss the refinement of anesthesia work values, clinical social worker services, and how drugs are accounted for in the sustainable growth rate.
We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on the proposed policy changes.
This proposed rule also clarifies the enrollment of physical and occupational therapists as therapists in private practice. In addition, this proposed rule discusses physical and occupational therapy payment caps and makes technical changes to outpatient rehabilitation services.
DATES:
We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on August 27, 2002.
ADDRESSES:
In commenting, please refer to file code CMS-1204-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. Mail written comments (one original and two copies) to the following address ONLY: Centers for Medicare Medicaid Services, Department of Health and Human Services,Attention: CMS-1204-P, P.O. Box 8013, Baltimore, MD 21244-8013.
Please allow sufficient time for us to receive mailed comments on time in the event of delivery delays.
If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) to one of the following addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-8013.
(Because access to the interior of the HHH Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available if you wish to retain proof of filing by stamping in and retaining an extra copy of the comments being filed.)
Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and could be considered late.
For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Carolyn Mullen, (410) 786-4589, Marc Hartstein, (410) 786-4539, or Stephanie Monroe (410) 786-6864 (for issues related to resource-based practice expense relative value units).
Jim Menas, (410) 786-4507 (for issues related to anesthesia).
Marc Hartstein, (410) 786-4539 (for issues related to sustainable growth rate).
Gail Addis, (410) 786-4522 (for issues related to PET scans and HCPCS codes).
Craig Dobyski, (410) 786-4584 (for issues related to telehealth).
Terri Harris, (410) 786-6830 (for issues related to physical and occupational therapy).
Latesha Walker, (410) 786-1101 (for all other issues).
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone (410) 786-7197.
Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-6498) or by faxing to (202) 512-2250. The cost for each copy is $9. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register .
This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. The web site address is: http://www.access.gpo.gov/nara/index.html.
Information on the physician fee schedule can be found on our homepage. You can access this data by using the following directions:
1. Go to the CMS homepage ( http://www.cms.hhs.gov ).
2. Click on "Medicare."
3. Click on "Professional/Technical Information."
4. Select Medicare Payment Systems.
5. Select Physician Fee Schedule.
Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.cms.hhs.gov/medicare/pfsmain.htm.
To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations. Information on the regulation's impact appears throughout the preamble and is not exclusively in section V.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
II. Provisions of the Proposed Regulations
A. Resource-Based Practice Expense Relative Value Units
B. Anesthesia Issues
C. Changes to the Physician Fee Schedule Update Calculation and the Sustainable Growth Rate (SGR)
D. Pricing of Technical Components (TC) for Positron Emissions Tomography (PET) Scans
E. Enrollment of Physical and Occupational Therapists as Therapists in Private Practice
F. Clinical Social Worker Services
G. Medicare Qualifications for Clinical Nurse Specialists
H. Process to Add or Delete Services to the Definition of Telehealth
I. Definition for ZZZ Global Periods
J. Change in Global Period for CPT Code 77789 (Surface Application of Radiation Source)
K. Technical Change: § 410.61(d)(iii) Outpatient Rehabilitation Services
L. New HCPCS G-Codes
M. Endoscopic Base for Urology Codes
N. Physical Therapy and Occupational Therapy Caps
III. Collection of Information Requirements
IV. Response to Comments
V. Regulatory Impact Analysis
Addendum A-Explanation and Use of Addendum B
Addendum B-2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003.
In addition, because of the many organizations and terms to which we refer by acronym in this proposed rule, we are listing these acronyms and their corresponding terms in alphabetical order below:
AMA-American Medical Association
BBA-Balanced Budget Act of 1997
BBRA-Balanced Budget Refinement Act of 1999
CF-Conversion factor
CFR-Code of Federal Regulations
CMS-Centers for Medicare Medicaid Services
CNS-Clinical Nurse Specialist
CPT-(Physicians') Current Procedural Terminology (4th Edition, 2002, copyrighted by the American Medical Association)
CPEP-Clinical Practice Expert Panel
CRNA-Certified Registered Nurse Anesthetist
E/M-Evaluation and management
FMR-Fair market rental
GAF-Geographic adjustment factor
GPCI-Geographic practice cost index
HCPCS-Healthcare Common Procedure Coding System
HHA-Home health agency
HHS-(Department of) Health and Human Services
IDTFs-Independent Diagnostic Testing Facilities
MCM-Medicare Carrier Manual
MedPAC-Medicare Payment Advisory Commission
MEI-Medicare Economic Index
MGMA-Medical Group Management Association
MSA-Metropolitan Statistical Area
NAMCS-National Ambulatory Medical Care Survey
PC-Professional component
PEAC-Practice Expense Advisory Committee
PET-Positron Emission Tomography
PPS-Prospective payment system
RUC-(AMA's Specialty Society) Relative (Value) Update Committee
RVU-Relative value unit
SGR-Sustainable growth rate
SMS-(AMA's) Socioeconomic Monitoring System
SNF-Skilled Nursing Facility
TC-Technical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), "Payment for Physicians" Services." This section provides for three major elements: (1) A fee schedule for the payment of physicians' services; (2) limits on the amounts that nonparticipating physicians can charge beneficiaries; and (3) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense. Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to preserve budget neutrality.
B. Published Changes to the Fee Schedule
In the July 2000 proposed rule (65 FR 44177), we listed all of the final rules published through November 1999. In the August 2001 proposed rule (66 FR 40372) we discussed the November 2000 final rule relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule.
In the November 2001 final rule with comment period (66 FR 55246), we revised the policy for resource-based practice expense RVUs; services and supplies incident to a physician's professional service; anesthesia base unit variations; recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. We also addressed comments received on the June 8, 2001 proposed notice (66 FR 31028) for the 5-year review of work RVUs and finalized these work RVUs. In addition, we acknowledged comments received in response to a discussion of modifier-62, which is used to report the work of co-surgeons. The November 2001 final rule also updated the list of services that are subject to the physician self-referral prohibitions in order to reflect CPT and Healthcare Common Procedure Coding System (HCPCS) code changes that were effective January 1, 2002. All these revisions ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services.
The Medicare, Medicaid, and State Child Health Insurance Program (SCHIP) Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554) (BIPA) modernized the mammography screening benefit and authorized payment under the physician fee schedule effective January 1, 2002. It provided for biennial screening pelvic examinations for certain beneficiaries and expanded coverage for screening colonoscopies to all beneficiaries effective July 1, 2001. It provided for annual glaucoma screenings for high-risk beneficiaries and established coverage for medical nutrition therapy services for certain beneficiaries effective January 1, 2002. It expanded payment for telehealth services effective October 1, 2001; required certain Indian Health Service providers to be paid for some services under the physician fee schedule effective July 1, 2001; and revised the payment for certain physician pathology services effective January 1, 2001. This final rule conformed our regulations to reflect these statutory provisions.
The final rule also announced the calendar year 2002 physician fee schedule conversion factor of $36.1992.
II. Provisions of the Proposed Regulations
This proposed rule would affect the regulations set forth at part 410, Supplementary medical insurance (SMI) benefits and part 414, Payment for Part B medical and other health services.
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.
Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, amended section 1848(c)(2)(ii) of the Act and delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs.
Further legislation affecting resource-based practice expense RVUs was included in the Medicare, Medicaid and State Child Health Insurance Program (SCHIP) Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113), enacted on November 29, 1999. Section 212 of the BBRA amended section 1848(c)(2)(ii) of the Act by directing us to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002. (In the 1999 final rule (64 FR 59380), we extended, for an additional 2 years, the period during which we would accept supplementary data.)
2. Current Methodology for Computing the Practice Expense Relative Value Unit System
Effective with services furnished on or after January 1, 1999, we established a new methodology for computing resource-based practice expense RVUs that used the two significant sources of actual practice expense data we have available-the Clinical Practice Expert Panel (CPEP) data and the American Medical Association's (AMA) Socioeconomic Monitoring System (SMS) data. The methodology was based on an assumption that current aggregate specialty practice costs are a reasonable way to establish initial estimates of relative resource costs for physicians' services across specialties. The methodology allocated these aggregate specialty practice costs to specific procedures and, thus, can be seen as a "top-down" approach.
a. Major Steps
A brief discussion of the major steps involved in the determination of the practice expense RVUs follows. (Please see the November 1, 2001 final rule (66 FR 55249) for a more detailed explanation of the top-down methodology.)
• Step 1 -Determine the specialty specific practice expenseper hour of physician direct patient care. We used the AMA's SMS survey of actual aggregate cost data by specialty to determine the practice expenses per hour for each specialty. We calculated the practice expenses per hour for the specialty by dividing the aggregate practice expenses for the specialty by the total number of hours spent in patient care activities.
• Step 2 -Create a specialty specific practice expense pool of practice expense costs for treating Medicare patients. To calculate the total number of hours spent treating Medicare patients for each specialty, we used the physician time assigned to each procedure code and the Medicare utilization data. We then calculated the specialty specific practice expense pools by multiplying the specialty practice expenses per hour by the total physician hours.
• Step 3 -Allocate the specialty specific practice expense pool to the specific services performed by each specialty. For each specialty, we divided the practice expense pool into two groups based on whether direct or indirect costs were involved and used a different allocation basis for each group.
(i) Direct costs-For direct costs (which include clinical labor, medical supplies, and medical equipment), we used the procedure specific CPEP data on the staff time, supplies, and equipment as the allocation basis.
(ii) Indirect costs-To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs combined with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars for consistency with the SMS survey years).
• Step 4 -For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.
b. Other Methodological Issues
(i) Zero Physician Work Pool-For services with physician work RVUs equal to zero (including those services with a technical and professional component), we created a separate practice expense pool using the average clinical staff time from the CPEP data and the "all physicians" practice expense per hour.
We then used the adjusted 1998 practice expense RVUs to allocate this pool to each service. Also, for all radiology services that are assigned physician work RVUs, we used the adjusted 1998 practice expense RVUs for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology.
(ii) Crosswalks for Specialties without Practice Expense Survey Data
Since many specialties identified in our claims data did not correspond exactly to the specialties included in the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty.
(iii) Because we believe that most physical therapy services furnished in physicians' offices are performed by physical therapists, we crosswalked all utilization for therapy services in the CPT 97000 series to the physical and occupational therapy practice expense pool.
B. Practice Expense Proposals for Calendar Year 2003
1. CPEP Data
a. Ophthalmology Services-Rank Order Anomalies
Rank order anomalies were created in three ophthalmology families of codes because only certain services in each family were brought to the Practice Expense Advisory Committee (PEAC) for refinement, while CPEP data for the other codes were left unchanged. The American Academy of Ophthalmology has requested that we make the following changes in the CPEP data to ensure that the more complex services in a family of codes are not paid less than the simpler services and we are proposing to do so.
CPT code 67820, Revise eyelashes-remove ophthane from the supply list.
CPT code 67825, Revise eyelashes-remove the bipolar handpiece from the supply list.
CPT code 65220, Removal foreign body from eye-use the supply list and clinical staff time assigned to CPT code 65222. The exam lane should be the only equipment assigned.
CPT codes 92081 and 92083, Visual field examination(s)-Assign the same supplies and equipment as CPT code 92082; assign 35 minutes of clinical staff time to 92081 and 70 minutes to 92083.
b. Practice Expense Inputs for Thermotherapy Procedures
There are three CPT codes for transurethral destruction of prostate tissue: CPT 53850, by microwave therapy, CPT 53852, by radiofrequency thermotherapy, and CPT 53853, by water-induced thermotherapy (WIT). A manufacturer of WIT equipment has expressed concern that the practice expense inputs currently assigned to CPT 53853 underestimate the costs associated with that procedure relative to the other two codes. We have compared the inputs of the three codes and agree that the WIT procedure has not been assigned many of the basic supply and equipment inputs that are included in the CPEP inputs for the other two procedures. Therefore, we are proposing to add, on an interim basis, the following inputs: Power table, ultrasound unit, mayo stand, endoscopy stretcher, light source, chux, sani-wipe, patient education book, sterile towel, sterile gloves, specimen cup, alcohol swab, gauze, tape, lidocaine, betadine, 10 cc syringe, 30 cc syringe, sterile water, leg bag. These inputs would be in addition to the thermotherapy unit, treatment catheter, drainage bag, cystopak (which contains drapes, syringe, irrigation tubing, surgical lubricant, sterile cup, gauze pad and cysto tubing) and minimum visit package for each visit (which contains patient gown, unsterile gloves, exam table paper, pillow case and thermometer probe cover) that are currently assigned as practice expense inputs for this procedure.
We are also proposing to change on an interim basis the staff type for CPT code 53853 from the RN/LPN/MTA blend to RN in order to make the staff type consistent among these three similar procedures. In addition, we have corrected for all three procedures the minutes assigned to each piece of equipment to reflect the intra- and post-clinical staff times only, rather than the total clinical staff times as we do for all services.
We will request that these three procedures be reexamined by the PEAC at the same time in order to ensure that there is a consistent approach to the assignment of direct cost inputs.
We have also received questions regarding the large disparity in prices that we have used for the three different thermotherapy machines. Currently, the thermotherapy equipment for CPT code 53850 is priced at $180,000, code 53852 at $42,995 and code 53853 at $18,500. The first two prices were given to us in 1999 and we have been sent documentation that indicates that the prices have fallen dramatically since that time. This documentation indicates that the current price for the thermotherapy equipment for CPT 53580 is somewhere between $55,000 and $100,000 and for code 53852 between $25,000 and $30,000. We are proposing to set the prices at $60,000 and $30,000, respectively and are also requesting that commenters furnish any additional available price documentation, particularly invoices for recently purchased equipment, so that we can ensure that any differences in assigned prices accurately reflect actual differences in costs.
c. Revision to Inputs for Iontophoresis
It has been brought to our attention that the electrodes assigned to the supply list for CPT code 97033, Iontophoresis, are not the type of electrodes required for this procedure. We are proposing to substitute two electrodes with a medication vesicle as the appropriate supply for iontophoresis.
d. Correction to Price for Sterile Water
The current price of $40.00 for 1000 ml of sterile water that is listed in our CPEP supply database is incorrect. We are proposing to change this to $3.00.
2. Zero Physician Work Pool for Practice Expense
a. Discussion of Alternatives to the Zero Physician Work Pool
Within the last year, there have been two reports that have addressed the zero physician work pool. The GAO released a report in October 2001 that recommended eliminating the zero physician work pool (GAO-02-53, page 25). The Lewin Group, under contract with us, provided a draft report on June 5, 2001 analyzing the zero physician work pool and provided several ideas that we could study as alternatives. As we indicated in the November 2, 1998 final rule (63 FR 58821), we created the zero physician work pool as an interim measure until we could further analyze the effect of the top-down methodology on the Medicare payment for services that do not have physician work RVUs. Given our interest in finding alternatives to the zero physician work pool, we have analyzed the following possible ideas:
• Eliminate the Zero Physician Work Pool.
The Lewin Group indicated that one idea could be to eliminate the zero physician work pool, as recommended by the GAO (the Lewin Group, page 19). We do not believe that the zero physician work pool should be eliminated at this time. In the absence of a change to the methodology or additional data, eliminating the zero physician work pool would result in large reductions in payments for some of the specialties whose services are included in the pool. The Lewin Group also indicated that this idea is not a "viable alternative to the current zero (physician) work pool approach." (The Lewin Group, pages 19-20).
• Develop Specialty-Specific Zero Physician Work Pools.
Under this approach, the Lewin Group report described an idea for maintaining the general zero physician work pool approach with specialty-specific zero physician work pools (the Lewin Group, page 20). Since the zero physician work pool is an exception to the basic methodology, we are not currently interested in developing another exception to replace it. We are interested in finding a single methodology that would apply to all physicians' services. While we are not adopting this suggestion, we do appreciate the Lewin Group's work in developing this and many other ideas for consideration as we make refinements to the practice expense methodology.
• Make Technical Component Equal Global Less Professional Component RVUs.
Many of the services that are affected by the zero physician work pool are services that have both professional and technical components. Under current policy, the technical component practice expense RVU is determined in the zero physician work pool. It is added to the practice expense RVUs for the professional component determined under the basic methodology to determine payment for the global service. This Lewin Group idea would change this to make the technical component RVUs equal the difference between the global and the professional component RVUs while other zero physician work services would be returned to the basic methodology (The Lewin Group, page 21).
If we were to adopt this approach, the zero physician work pool would no longer have any effect. The zero physician work pool would not have any effect on the professional and technical component services since the global service from the basic methodology would be used to derive the technical component value. The practice expense RVUs for other zero physician work services would be priced under the basic methodology. In the absence of a change to the methodology or additional data, this idea would result in large reductions in payments for some of the specialties whose services are included in the pool.
As we have indicated above, we are concerned about adopting this idea at this time. While we are not currently proposing to adopt this idea as an alternative to the zero physician work pool, we do believe there is merit in making the technical component value equal the difference between the global and professional component RVU for services that are unaffected by the zero physician work pool. We receive many more bills for the global than the technical component only. Since it is far more common to receive a global than a technical component only bill, it is far more likely that using the global to value the technical component service will result in a payment that is more typical of the relative actual practice expense associated with the service.
For this reason, we are proposing to make the technical component value equal to the difference between the global and the professional component for procedure codes that are not included in the zero physician work pool. We will continue to make the global value equal to the sum of the professional and the technical component values for procedure codes that remain in the zero physician work pool. However, we may revisit this decision in the future if we can address issues related to the zero physician work pool. We have provided more detail on the redistributive impact of this proposal among all physician specialties in the impact section of this proposed rule.
• Develop Proxy Physician Work RVUs for Zero Physician Work Services.
Finally, the Lewin Group described an idea that would retain work and direct expenses as the basic allocators of indirect costs but create proxy physician work values for services that have no physician work (the Lewin Group, pages 22-23). The GAO suggests that the basic method for allocating indirect expenses does not adequately account for the indirect costs associated with services that do not have physician work RVUs (GAO-02-53, page 22). We do not believe that the large payment reductions that would occur if some zero physician work services were priced under the basic methodology are necessarily associated with the indirect cost allocation methodology. While the zero physician work pool is of benefit to many of the services that were originally included, some specialties commented that this methodological change negatively affected the particular services they provide. As a result, we allowed specialties to request that their services be removed from the zero physician work pool (see July 22, 1999 proposed rule (64 FR 39620)). If there are shortcomings in the indirect cost allocation for services that have zero physician work, it seems likely that the values for all zero physician work services would be adversely affected. However, since many zero physician work services are not adversely affected under the top down methodology, it seems unlikely that the indirect cost allocation explains the adverse payment impact that would result for some services from elimination of the zero physician work pool. For this reason, we do not anticipate modifying the indirect cost allocation for zero physician work services.
Based on our analysis of the Lewin suggestions, we do not believe that allocation of either direct or indirect expenses explains the effect of the top down methodology on zero physician work services. Rather, we believe it is likely that a relatively low practice expense per hour for some of the specialties included in the zero physician work pool explains why their payments are adversely affected by its elimination.
The specialties whose services are affected by the zero physician work pool may want to conduct supplemental practice expense surveys if they believe there are shortcomings in the practice expense per hour information that we use as part of the basic methodology. We have published in this issue of the Federal Register, an interim final rule with comment that will modify the criteria for acceptance of supplemental data. This should make it easier for specialties to incorporate new practice expense survey information into the methodology. Further, as we indicated previously in the November 1, 2000 Federal Register (65 FR 65384), we believe that there are significant advantages to receiving practice cost information through multi-specialty surveys. For this reason, we would welcome a multi-specialty practice expense survey from all of the specialties that have payments affected by the zero physician work pool.
b. Other Proposals for Changes to the Zero Physician Work Pool
(i) Adjustment to Oncology Supplies Practice Expense Per Hour
In the June 5, 1998 proposed rule (63 FR 30832), we proposed an adjustment to the medical supplies practice expense per hour for oncology as a result of a concern that their inordinately high practice expense per hour included expenses associated with separately payable cancer drugs. We proposed to substitute the "all physician" average for the oncology-specific medical supplies practice expense per hour. We received public comments indicating that, even after excluding the effect of higher drug expenses, oncologists have higher medical supply expenses than the average physician because of high supply costs associated with the administration of chemotherapy. These commenters suggested alternatives to using the average physician rate. In our November 2, 1998 (63 FR 58825) final rule, we made an adjustment to the medical supplies practice expense per hour for oncology and indicated our belief that oncology medical supply expenses would not necessarily exceed those of the average physician. However, the adjustment has largely had no effect since the practice expense RVUs for chemotherapy administration services are determined in the zero physician work pool.
In its October 2001 report, the GAO recommended that we examine the effect of the adjustment made to oncologists' reported medical supplies expenses per hour. GAO did not suggest a specific alternative to the adjustment we made (GAO-02-53, pages 24-25). Consistent with the GAO recommendation, we have examined this adjustment and its impact on Medicare payments to oncologists. Upon further review, we believe that there is merit in reconsidering the adjustment that we made to the medical supply expenses for oncologists in combination with removing chemotherapy administration services from the zero physician work pool.
At this time, we have no specific information on oncology medical supply expenses net of separately payable drugs. However, we have established a process that would allow specialties to submit supplemental practice expense survey data to us. While the criteria for performing a survey require consistency with the SMS, we are amenable to modifications to the survey instrument so that it can address questions that are of concern to a specific medical specialty. For instance, we would allow an oncology survey to request that respondents distinguish between drug and other medical supply related expenses. We believe that using specific data on this question from a survey would be preferable to developing an alternative adjustment that requires us to make assumptions about oncology medical supply expenses. However, if further survey information is unavailable to us, we are considering information that could be used as a reasonable proxy to determine the portion of the supplies practice expense per hour that is attributable to medical supplies that are not separately payable. Such an idea was suggested in the public comments on the June 5, 1998 proposed rule. We are considering other alternatives as well. These approaches to the supplies practice expense per hour would apply if chemotherapy administration services were removed from the zero physician work pool.
(ii) Change to Staff Time Used To Create the Pool
In the November 2, 1998 final rule (63 FR 58841), we indicated that average clinical staff time was used in the creation of the zero physician work pool. Since the cost pools are created based on physician time and, by definition, zero physician work services have no physician time, we need to use staff time to create the cost pool. If our database indicates that multiple staff types are typically involved in the service, we have used an average of the different clinical staff times. We are proposing to create the cost pool using the highest staff time in place of average staff time. The impact of this proposal is shown in the impact section of this proposed rule.
(iii) Removal of Non-Invasive Vascular Diagnostic Study Codes From the Zero Physician Work Pool
We are proposing to remove the non-invasive vascular diagnostic study codes (CPT codes 93875-93990) from the zero physician work pool based on a request from the American Association for Vascular Surgery and the Society for Vascular Surgery. The impact of this proposal is also described further in the impact section.
(iv) Removal of Immunization CPT Codes 90471 and 90472 From the Zero Physician Work Pool
As discussed above, in the November 2, 1998 final rule (63 FR 58841), in response to the many commenters who were concerned about the proposed reductions for services with zero physician work RVUs, we created a separate practice expense pool for all services with zero physician work RVUs. The assignment of services to this zero physician work pool was of benefit to most services in this expense pool. However, some specialties were negatively affected by this methodology, and we have allowed specialties to indicate whether their services should be priced in this pool.
Immunization administration services do not have physician work RVUs and have been included in the zero physician work pool. So that the direct practice expense resource costs associated with the immunization administration services are recognized, we propose removing these services from the zero physician work pool methodology and treating them like the vast majority of services on the physician fee schedule. Using the direct cost practice expense inputs as recommended by the AMA's RUC, the proposed practice expense relative value units will be 0.22 for CPT code 90471 and 0.09 for CPT code 90472. This change will nearly double payment for CPT code 90471 and slightly reduce payment for CPT code 90472. Procedure CPT code 90471 is used for immunization administration and CPT code 90472 is used for each additional vaccine. Since CPT code 90472 must be billed in conjunction with CPT code 90471, the total payment for these procedures will increase when billed together.
We have not assigned immunization administration physician work RVUs because this service does not typically involve a physician. The nurse that administers the vaccine typically provides the necessary counseling to the patient and this time is accounted for in the practice expense RVU.
In addition, we would note that not all services represented by CPT codes 90471 and 90472 are covered by Medicare. For example, medically necessary administrations of tetanus toxoid (such as following a severe injury) would be covered whereas preventive administration of this vaccine would not be covered. Also, we will consider whether the amount of counseling of the patient and/or family may be different for childhood immunizations than for the typical Medicare service. Therefore, we are considering whether coding changes to reflect these differences would be appropriate.
3. Utilization Data
As indicated earlier, Medicare utilization is an important data source used in determining the practice expense RVUs. In our final rule published on November 2, 1998 (63 FR 58815), we used 1997 Medicare utilization data to create the original resource-based practice expense RVUs. Based on a public comment, we indicated in our November 2, 1999 final rule (64 FR 59405) that we would use 1998 Medicare utilization to develop the fully implemented RVUs that appear in that final rule. Because these data were unavailable to us for the proposed rule, the first time we could act on this public comment was in the final rule. We have continued our policy of using the latest utilization data to develop each successive year's fully implemented practice expense RVUs during each year of the transition (see 65 FR 65436, published on November 1, 2000, and 66 FR 55322, published on November 1, 2001).
While substituting the latest year's utilization data into the practice expense methodology generally made little difference on total Medicare payments per specialty, it had a larger impact on services that have values affected by the zero physician work pool. The practice expense values for the technical component and other services included in the zero physician work pool declined 4 percent in 2002 as a result of using the most recent Medicare utilization data. Since the technical component is used to derive the global practice expense RVUs for professional and technical component services, there was also a reduction in the practice expense RVU for the global service.
The specialties that provide many of the services that are included in the zero physician work pool have expressed concern about the impact of the most recent data on utilization on values for their services. They recently suggested that we use combined utilization data from 1997 to 2000 to determine the practice expense values. Alternatively, these commenters suggested using either the 1997 or 1999 utilization as a "base year" until an alternative to the zero physician work pool can be developed. These commenters further indicated that, once an option is chosen, we should not use more recent utilization data until comprehensive reform of the zero physician work methodology is adopted.
We believe the suggestion of using multiple years of utilization data in the practice expense methodology has merit. Using multiple years of data has the potential to minimize the effect of year to year case mix changes on practice expense RVUs and improves the stability of our payment systems. We are proposing to develop the practice expense RVUs using Medicare utilization data from 1997-2000. More information on the impact of this proposal can be found in the regulatory impact statement of this proposed rule.
We also agree with the suggestion that the utilization data not change annually until the zero physician work pool is eliminated. In fact, we are reconsidering whether to continue the practice of using the most recent utilization to develop each successive year's practice expense RVUs. As we have indicated elsewhere in this and earlier rules, we are continuing the refinement process beyond the 1998-2002 transition period mandated by the BBA. Once the refinement process is complete, we believe that the physician community has a reasonable expectation that the practice expense RVUs will not change from year to year unless further refinement is undertaken. Once the initial refinement of practice expense RVUs is complete, we expect to make additional refinements at least every 5 years as provided for in section 1848(c)(2)(B) of the Act. As the refinement process continues, there have been fewer widespread changes to Medicare payments and there has been increased year-to-year consistency in the practice expense RVUs. We believe this stability would improve if we incorpoated the most recent utilization data into the practice expense methodology only when we undertake substantial refinement as part of a 5-year review. For this reason, we are proposing to use the 1997-2000 utilization data to develop the CY 2003 practice expense RVUs and not further update the utilization data to incorporate the 2001 utilization data in this year's final rule. Further, we are proposing to continue using the 1997-2000 utilization data in the practice expense methodology until we undertake the 5-year review of practice expense RVUs. We invite comments on these issues.
4. Site of Service
As part of our resource-based practice expense methodology, we make a distinction between the practice expense RVUs for the non-facility and the facility setting.
This distinction is needed because of the higher resource costs to the physician in the non-facility setting when the practitioner typically bears the cost of the resources associated with the service. In addition, the distinction ensures that we do not make a duplicate payment for any of the practice expenses incurred in performing a service for a Medicare beneficiary. When the beneficiary is a facility patient, we pay the facility for the clinical staff, supplies, and equipment needed to care for the patient. A generally lower facility practice expense rate is paid to the practitioner. Currently, we have designated only hospitals, skilled nursing facilities (SNFs), and community mental health centers (CMHCs) as facilities for purposes of calculating practice expense. An ambulatory surgical center (ASC) is designated as a facility if it is the place of service for a procedure on the ASC list. All other places of service are currently considered non-facility.
Several new places of service are now in use for which we need to assign a site-of-service designation. Also, we are proposing revisions to the site-of-service designation for several existing places of service. We are proposing to assign a facility site of service where a facility or other payment will be made, in addition to the physician fee schedule payment to the practitioner, to reflect the practice expenses incurred in providing a service to a Medicare patient. We are proposing to designate all other places of service as non-facilities.
The following is a list of the new places of service, along with their place of service numerical codes and their proposed site of service designations using the above criteria:
04-Homeless Shelter-
We are proposing that this be considered a nonfacility setting.
05-Indian Health Service Free-Standing Facility-
We are proposing that this be considered a nonfacility setting.
06-Indian Health Service Provider-Based Facility-
We are proposing that this be considered a facility setting.
07-Tribal 638-Free-Standing Facility-
We are proposing that this be considered a nonfacility setting.
08-Tribal 638-Provider-Based Facility-
We are proposing that this be considered a facility setting.
15-Mobile Unit
We are proposing that this be considered a nonfacility setting.
If a mobile unit provides a service to a facility patient, the appropriate place-of-service code for the facility should be used. For instance, if a portable X-ray service is provided to a patient in a Part A skilled nursing facility stay, the place of service is 31, Skilled Nursing Facility. No payment is made under Part B for the technical component of a diagnostic test, portable x-ray transportation or portable x-ray set up. Payment is made to the SNF for Part A services and includes payment for diagnostic services that may be needed by the patient. This policy is consistent with recommendations made by the Inspector General in a recent report, Review of Improper Payments Made by Medicare Part B for Covered Services under the Part A Skilled Nursing Facility Prospective Payment System (A-01-00-00538).
20-Urgent Care Facility-
We are proposing that this be considered a nonfacility setting.
We are proposing changes in site of service to the following current designations:
26-Military Treatment Facility-
Currently this is designated as a nonfacility. We are proposing that this be considered a facility setting.
41-Ambulance-Land
42-Ambulance Air or Water-
Currently codes 41 and 42 are designated as nonfacility. We would propose to designate them as facilities because we make payments for ambulance services using the ambulance fee schedule that covers the direct practice expense.
52-Psychiatric Facility Partial Hospitalization-
Currently, this is designated as a nonfacility. We are proposing that this be considered a facility setting.
56-Psychiatric Residential Treatment Facility-
Currently, this is designated as a nonfacility. We are proposing that this be considered a facility setting.
In the chart below is a complete list of all the existing place-of-service codes along with the appropriate site-of-service designation and the descriptor for each. These codes are used on all professional claims to specify the entity where services are furnished.
| Facility vs nonfacility designation | Place of service code(s) | Place of service name | Place of service description |
|---|---|---|---|
| 01-02 | Unassigned | N/A. | |
| NF | 03 | School | A facility whose primary purpose is education. |
| NF | 04 | Homeless Shelter | A facility or location whose primary purpose is to provide temporary housing to homeless individuals (for example, emergency shelters, individual or family shelters). |
| NF | 05 | Indian Health Service Free-standing Facility | A facility or location, owned and operated by the Indian Health Service,which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services to American Indians and Alaska Natives who do not require hospitalization. |
| F | 06 | Indian Health Service Provider-based Facility | A facility or location, owned and operated by the Indian Health Service, which provides diagnostic, therapeutic (surgical and non-surgical), and rehabilitation services rendered by, or under the supervision of, physicians to American Indians and Alaska Natives admitted as inpatients or outpatients. |
| NF | 07 | Tribal 638 Free-standing Facility | A facility or location owned and operated by a Federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non- surgical), and rehabilitation services to tribal members who do not require hospitalization. |
| F | 08 | Tribal 638 Provider-based Facility | A facility or location owned and operated by a Federally recognized American Indian or Alaska Native tribe or tribal organization under a 638 agreement, which provides diagnostic, therapeutic (surgical and non- surgical), and rehabilitation services to tribal members admitted as inpatients or outpatients. |
| 09-10 | Unassigned | N/A. | |
| NF | 11 | Office | Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis. |
| NF | 12 | Home | Location, other than a hospital or other facility, where the patient receives care in a private residence. |
| 13-14 | Unassigned | N/A. | |
| NF (*See above explanation) | 15 | Mobile Unit | A facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic, and/or treatment services. |
| 16-19 | Unassigned | N/A. | |
| NF | 20 | Urgent Care Facility | Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention. |
| F | 21 | Inpatient Hospital | A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions. |
| F | 22 | Outpatient Hospital | A portion of a hospital which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization. |
| F | 23 | Emergency Room-Hospital | A portion of a hospital where emergency diagnosis and treatment of illness or injury is provided. |
| F when performing a service on the Medicare ASC list, otherwise a NF. | 24 | Ambulatory Surgical Center | A freestanding facility, other than a physician's office, where surgical and diagnostic services are provided on an ambulatory basis. |
| NF | 25 | Birthing Center | A facility, other than a hospital's maternity facilities or a physician's office, which provides a setting for labor, delivery, and immediate post-partum care as well as immediate care of newborn infants. |
| F | 26 | Military Treatment Facility | A medical facility operated by one or more of the Uniformed Services. Military Treatment Facility (MTF) also refers to certain former U.S. Public Health Service (USPHS) facilities now designated as Uniformed Service Treatment Facilities (USTF). |
| 27-30 | Unassigned | N/A. | |
| F | 31 | Skilled Nursing Facility | A facility which primarily provides inpatient skilled nursing care and related services to patients who require medical, nursing, or rehabilitative services but does not provide the level of care or treatment available in a hospital. |
| NF | 32 | Nursing Facility | A facility which primarily provides to residents skilled nursing care and related services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care services above the level of custodial care to other than mentally retarded individuals. |
| NF | 33 | Custodial Care Facility | A facility which provides room, board and other personal assistance services, generally on a long-term basis, and which does not include a medical component. |
| F | 34 | Hospice | A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families is provided. |
| 35-40 | Unassigned | N/A. | |
| F | 41 | Ambulance-Land | A land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured. |
| F | 42 | Ambulance-Air or Water | An air or water vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured. |
| 43-49 | Unassigned | N/A. | |
| NF | 50 | Federally Qualified Health Center | A facility located in a medically underserved area that provides Medicare beneficiaries preventive primary medical care under the general direction of a physician. |
| F | 51 | Inpatient Psychiatric Facility | A facility that provides inpatient psychiatric services for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician. |
| F | 52 | Psychiatric Facility-Partial Hospitalization | A facility for the diagnosis and treatment of mental illness that provides a planned therapeutic program for patients who do not require full time hospitalization, but who need broader programs than are possible from outpatient visits to a hospital-based or hospital-affiliated facility. |
| F | 53 | Community Mental Health Center | A facility that provides the following services: outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically ill, and residents of the CMHC's mental health services area who have been discharged from inpatient treatment at a mental health facility; 24-hour a day emergency care services; day treatment, other partial hospitalization services, or psychosocial rehabilitation services; screening for patients being considered for admission to State mental health facilities to determine the appropriateness of that admission; and consultation and education services. |
| NF | 54 | Intermediate Care Facility/Mentally Retarded | A facility which primarily provides health-related care and services above the level of custodial care to mentally retarded individuals but does not provide the level of care or treatment available in a hospital or SNF. |
| NF | 55 | Residential Substance-Abuse Treatment Facility | A facility which provides treatment for substance (alcohol and drug) abuse to live-in residents who do not require acute medical care. Services include individual and group therapy and counseling, family counseling, laboratory tests, drugs and supplies, psychological testing, and room and board. |
| NF | 56 | Psychiatric Residential Treatment Center | A facility or distinct part of a facility for psychiatric care which provides a total 24-hour therapeutically planned and professionally staffed group living and learning environment. |
| 57-59 | Unassigned | N/A. | |
| NF | 60 | Mass Immunization Center | A location where providers administer pneumococcal pneumonia and influenza virus vaccinations and submit these services as electronic media claims, paper claims, or using the roster billing method. This generally takes place in a mass immunization setting, such as a public health center, pharmacy, or mall, but may include a physician office setting. |
| NF | 61 | Comprehensive Inpatient Rehabilitation Facility | A facility that provides comprehensive rehabilitation services under the supervision of a physician to inpatients with physical disabilities. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services. |
| NF | 62 | Comprehensive Outpatient Rehabilitation Facility | A facility that provides comprehensive rehabilitation services under the supervision of a physician to outpatients with physical disabilities. Services include physical therapy, occupational therapy, and speech pathology services. |
| 63-64 | Unassigned | N/A. | |
| NF | 65 | End-Stage Renal Disease Treatment Facility | A facility other than a hospital, which provides dialysis treatment, maintenance, and/or training to patients or caregivers on an ambulatory or home-care basis. |
| 66-70 | Unassigned | N/A. | |
| NF | 71 | State or Local Public Health Clinic | A facility maintained by either State or local health departments which provides ambulatory primary medical care under the general direction of a physician. |
| NF | 72 | Rural Health Clinic | A certified facility which is located in a rural medically-underserved area that provides ambulatory primary medical care under the general direction of a physician. |
| 73-80 | Unassigned | N/A. | |
| NF | 81 | Independent Laboratory | A laboratory certified to perform diagnostic and/or clinical tests independent of an institution or a physician's office. |
| 82-98 | Unassigned | N/A. | |
| 99 | Other Place of Service | Other place of service not identified above. |
B. Anesthesia Issues
1. Five-Year Review of Anesthesia Work
Medical and surgical services paid under the physician fee schedule have three separate relative value components, a work RVU, a practice expense RVU and a malpractice RVU. Physician anesthesia services are paid under the physician fee schedule, but the payment method is different than the payment method for physician medical and surgical services. Payment for anesthesia services is based on the sum of base units and anesthesia time units multiplied by an anesthesia CF that is different from the physician fee schedule CF for medical and surgical services.
The law requires that we review RVUs no less than every 5 years. The first 5-year review of work RVUs was completed and the revised work RVUs were implemented in 1997. The second 5-year review (with the exception of anesthesia services) was completed and the revised work RVUs implemented in CY 2002.
In the first 5-year review of work RVUs, we accepted the American Medical Association's (AMA's) Relative Value Update Committee's (RUC's) recommendation that the work of anesthesia services was undervalued by approximately 23 percent. Since anesthesia services do not have individual work RVUs per code, the adjustment in anesthesia work was made to the anesthesia CF and not to the anesthesia codes themselves. This resulted in a 16-percent increase in the anesthesia CF. Budget neutrality was maintained by making an adjustment to the general physician fee schedule.
For the second 5-year review, the American Society of Anesthesiologists (ASA) submitted comments to us contending that the work of anesthesia services is still undervalued by almost 31 percent. The Society subsequently reduced this to a request for a 26-percent increase in work based on additional discussions with the RUC.
We can impute an anesthesia work value from the current allowed charge for an anesthesia service. This work value can be compared to the work value for anesthesia services that is derived from a building block approach. Under the building block approach, uniform individual components of the anesthesia service are identified and the work value of each component is estimated on the basis of a comparable physician medical or surgical service. The ASA derived a work value for an anesthesia code by dividing the anesthesia service into five uniform components and compared the work of each component to a comparable medical or surgical service. The five components are-preoperative evaluation, equipment and supply preparation, induction period, postinduction period, and postoperative care and visits. Using this method, the ASA proposed work values for 19 high volume anesthesia codes. The 19 codes represent a reasonable variety of surgical procedure types, including general surgery, vascular surgery, neurosurgery, urology, orthopedics, cardiac surgery, and ophthalmology. The base units of the 19 anesthesia codes reviewed range from three to twenty units.
During this second 5-year review of work, four RUC workgroups have reviewed the ASA comments and received supplemental information through presentations from the ASA. Most of these workgroups have expressed concerns about some of the intensity values that ASA assigned to the individual anesthesia components, most notably, the induction and postinduction time periods. Each of these workgroups expressed serious concern about extrapolating the imputed work undervaluation from the 19 survey codes to all anesthesia service codes, even though these 19 codes account for more than 40 percent of all anesthesia associated with surgical services.
Despite the efforts of its workgroups, the RUC furnished no recommendation to us on whether the work of anesthesia services is over-or undervalued. In the November 1, 2001 physician fee schedule final rule, we stated that:
The RUC has informed us that it will continue to look at anesthesia work beginning at its first meeting in CY 2002. We will review the RUC recommendation and address anesthesia work in next year's proposed physician fee schedule rule.
The RUC recently presented us with the analysis and findings of its April 2002 anesthesia workgroup. Despite its detailed analysis and laborious discussions of this issue, the RUC concluded that it was unable to make a recommendation regarding modification to the physician work valuation of anesthesia codes. Specifically, the RUC indicated the following:
"The RUC, having carefully considered the information presented, and having a reasonable level of confidence in the data which was presented and developed by the RUC, is unable to make a recommendation to CMS regarding modification to the physician work valuation of anesthesia codes."
At the April 2002 meeting, the RUC anesthesia workgroup reviewed the postinduction intensity values for the 19 anesthesia codes. The group also reviewed each anesthesia code, the benchmark surgical code, and the five codes mapped to that anesthesia code that accounted for the largest percentage of total volume. The group considered the extent to which the anesthesia work of the benchmark surgical code is representative of other surgical codes that would be covered by the anesthesia code.
We will review the information forwarded by the RUC and all comments we receive during the comment period to determine if an appropriate adjustment can be made to anesthesia work. We would note that any such adjustment would also require an adjustment to the conversion factor for all physicians' services, as required by section 1848(c)(2)(B)(ii) of the Act. For example, a 26 percent increase in anesthesia work, an amount which was requested last year, would require a reduction of about 0.4 percent in the conversion factor for all services. We welcome comments on these issues.
2. Add-on Anesthesia Codes
Current Policy
As we discuss above, payment for anesthesia services is based on the sum of an anesthesia code-specific base unit value plus anesthesia time units multiplied by an anesthesia CF. If the physician is involved in multiple anesthesia services for the same patient during the same operative session, payment is based on the base unit assigned to the anesthesia service having the highest base unit value and anesthesia time that encompasses the multiple services. This policy was adopted at the start of the physician fee schedule in 1992 and is incorporated in § 414.48(g).
Claims processing manuals instruct the carrier on the method for handling anesthesia associated with multiple or bilateral surgical procedures. Under Medicare Carrier Manual (MCM) 4830 D, the carrier instructs the physician to report the anesthesia procedure with the highest base unit value with the multiple procedures modifier, "51", and to report total time across all surgical procedures. Thus, the carrier is recognizing payment for one anesthesia code, despite the billing of multiple surgical codes by a surgeon.
Proposed Policy for Add-on Codes
In 2001 and 2002, the CPT has added new anesthesia codes, some of which are add-on codes. The objective is that the add-on code would be billed with a primary code and the base unit of each code would be allowed.
In the burn area, CPT code 01953 (1 base unit) is used in conjunction with CPT code 01952 (5 base units). In the obstetrical area, CPT code 01968 (2 base units) is used in conjunction with CPT code 01967 (5 base units) and CPT code 01969 (5 base units) is used in conjunction with CPT code 01967 (5 base units).
The application of the multiple anesthesia service policy means that the base units of the add-on codes would never be recognized. Only the base units of the primary code would be allowed. We believe that anesthesia add-on codes should be priced differently than other multiple anesthesia codes. As a result, we are proposing to revise the regulations in § 414.46(g) to include an exception to the usual multiple anesthesia services policy for add-on codes.
C. Changes to the Physician Fee Schedule Update Calculation and the Sustainable Growth Rate (SGR)
1. Medicare Economic Index Productivity Adjustment
In its March 2002 Report to Congress, MedPAC recommended that "The Secretary should revise the productivity adjustment for physicians' services and make it a multifactor instead of labor-only adjustment." In this section, we review the history of the Medicare Economic Index (MEI) productivity adjustment, describe the current MEI productivity adjustment, and identify and evaluate possible alternative MEI productivity adjustments based on the individual contributions we solicited from experts on this topic. We conclude by proposing that the MEI productivity adjustment be changed to reflect an economy-wide multifactor productivity adjustment.
a. History of MEI Productivity Adjustment
The MEI is based on the fourth sentence of section 1842(b)(3) of the Act that states that prevailing charge levels beginning after June 30, 1973 may not exceed the level from the previous year except to the extent that the Secretary finds, on the basis of appropriate economic index data, that such higher level is justified by year-to-year economic changes. S. Rept. No. 92-1230 at 191 (1972) provides slightly more detail on that index, stating that:
Initially, the Secretary would be expected to base the proposed economic indexes on presently available information on changes in expenses of practice and general earnings levels combined in a matter consistent with available data on the ratio of the expenses of practice to income from practice occurring among self-employed physicians as a group.
Based on this legislative intent, in 1975, we determined that the MEI would be based on a broad wage measure reflecting overall earnings growth, rather than direct inclusion of physicians' net income. We used average weekly earnings of nonagricultural production (nonsupervisory) workers, net of worker's productivity, as the wage proxy in the initial MEI. We included the productivity adjustment because it avoided double counting of gains in earnings resulting from growth in productivity and produced a MEI that approximated an economy-wide output price index like the Consumer Price Index (CPI). The productivity adjustment we used was the annual change in economy-wide private nonfarm business labor productivity, applied only to the physicians' earnings portion of the MEI (then 60 percent).
As noted, the productivity adjustment in the MEI serves to avoid the double counting of productivity gains. Absent the adjustment, productivity gains from producing additional outputs (procedures) with a given amount of inputs would be included in both the earnings component of the MEI (reflecting growth in overall economy-wide productivity) and in the additional procedures that are billed (reflecting physicians' own productivity gains). Therefore, general economic labor productivity growth is removed from the labor portion of the price update.
The basic structure of the MEI remained relatively unchanged from its effective date (July 1, 1975) to 1992, although its weights were updated periodically and a component was added for professional liability insurance. Section 9331 of the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509) (OBRA) mandated a study of the MEI and a notice and opportunity for public comment before revision of the methodology for calculating the MEI. Based on this requirement, we held a workshop with experts on the MEI in March 1987 to discuss topics ranging from the specific type of index to use (Laspeyres versus Paasche) to revising the method of reflecting productivity changes. Participants in the meeting included the Federal government, the Physician Payment Review Commission (PPRC), the Congressional Budget Office, the American Medical Association (AMA), and several consulting firms. The meeting participants concluded that a productivity adjustment was appropriate and that an acceptable measure of physician-specific productivity did not exist. Many alternative approaches were discussed, including the use of a policy-based "target" measure and several existing economic productivity measures.
Using recommendations from the meeting participants, we revised the MEI and the productivity adjustment with the implementation of the physician fee schedule as discussed in the November 1992 final rule (57 FR 55896). While we retained an adjustment for economy-wide labor productivity, it was applied to all of the direct labor categories of the MEI (70.448 percent), not just physicians' earnings, and was based on the 10-year moving average percent change (instead of annual percent changes). This form of the index has been used since that time, and was most recently discussed in the November 1998 final rule (63 FR 58845) when the MEI weights were rebased to a 1996 base year.
The Balanced Budget Act replaced the Medicare Volume Performance Standard (MVPS) with a Sustainable Growth Rate (SGR). Section 1848(f) of the Act specifies the formula for establishing yearly SGR target for physicians' services under Medicare. The use of SGR targets is intended to control the actual growth in aggregate Medicare expenditures for physicians' services. The SGR targets are not limits on expenditures. Payments for services are not withheld if the SGR target is exceeded by actual expenditures. Rather, the appropriate fee schedule update, as specified in section 1848(d)(3) of the Act, is adjusted to reflect the success or failure in meeting the SGR target. If expenditures are less than the target, the update is increased. If expenditures exceed the target, the update is reduced. Specifically, expenditures are allowed to increase by fee-for-service Medicare enrollment growth, physician fee increases, increases in real per capita Gross Domestic Product (GDP), and changes in laws or regulations. Consequently, the statute links allowable increases in the volume of services resulting from physician productivity gains-together with volume and intensity increases due to technology and other factors-to the real per capita GDP.
When the SGR was enacted, the Congress specified continued use of the MEI. By 1997, this index, including its productivity adjustment, had been used in updating Medicare payments to physicians for over twenty years. We did not propose any changes to the productivity adjustment used in the MEI because its continued use was consistent with the newly mandated SGR. If we did not make the adjustment in the MEI, general economic productivity gains would be reflected in two of the SGR factors, the MEI and real per-capita GDP (which reflects real GDP per hour worked, or labor productivity, and hours worked per person). We believe it is reasonable to remove the effect of general economic productivity from one of these factors (the MEI) to avoid double counting.
b. Current MEI Productivity Adjustment
The current MEI productivity adjustment is based on the 10-year moving average percent change in private nonfarm business (referred to hereafter as "economy-wide") labor productivity, published by the Bureau of Labor Statistics (BLS) on a quarterly basis. A 10-year moving average is used to limit the impact of cyclical fluctuations in productivity. The productivity adjustment is applied only to the direct labor portions of the MEI (currently estimated at 71.272 percent). Therefore, the MEI is not reduced by the full change in labor productivity, but instead by only a portion of the change.
In addition, the most recently available historical data are used for the update for the upcoming calendar year (for example, data available through the second quarter of CY 2001 was used for the CY 2002 update).
Under this method, the current estimate of the existing MEI for the CY 2003 fee schedule update would be 2.3 percent. The 10-year moving average percent change in economy-wide labor productivity for the CY 2003 update is estimated to be 2.1 percent. However, since this adjustment is applied only to the direct labor portion of the MEI, the actual adjustment would be 1.5 percent. By comparison, the most recent forecast by DRI-WEFA, a Global Insight Company, of the CPI for all items for this same period is 1.6 percent.
As noted previously, since its original development, the MEI productivity adjustment has been based on economy-wide productivity changes. This practice arose from the fact that the physicians' compensation portion of the MEI is proxied to grow at the same rate as general earnings in the overall economy, which reflect growth in overall economy-wide productivity. Removing labor productivity growth reflected in general earnings from the labor portion of the MEI produces an index that is consistent with other economy-wide output price indexes, like the CPI. Although some commenters have argued that use of a physician-specific productivity measure would be more appropriate, no such published measure existed at the time of the MEI's development; nor does one exist today.
c. Research on Alternative MEI Productivity Adjustments
We conducted a number of research activities to evaluate whether the current productivity adjustment is still the most appropriate adjustment to use in the MEI. First, we evaluated the currently available productivity estimates that are produced by the BLS to develop a better understanding of the strengths and weaknesses of these measures. We also reviewed the theoretical foundation of the MEI to understand how labor and multifactor productivity relate to the current physician payment system. Then we studied the limited publicly available data to begin to develop preliminary estimates of trends in physician-specific productivity to better understand the current market conditions facing physicians. Finally, we solicited the individual contributions of academic and other professional economic experts on prices and productivity. They included experts from MedPAC, AMA, OMB, Dr. Uwe Reinhardt from Princeton University, Dr. Joe Newhouse from Harvard University, Dr. Ernst Berndt from MIT, and Dr. Joel Popkin from Joel Popkin and Company (former Assistant Commissioner of Prices at BLS). Based on the information we gathered during these research efforts, we evaluated six possible options for a productivity adjustment to the MEI. Our findings on each of the options we investigated are summarized below:
• Option 1-Using a physician-specific productivity adjustment.
This option would entail using an estimate of physician-specific productivity to adjust the MEI. This option may have some theoretical attractiveness, but there are major problems obtaining accurate measures of physician-specific productivity. First, no published measure of physician-specific productivity is available. The Federal agency that produces the official government statistics on productivity, BLS, does not calculate or publish productivity measures for any health sector. Nor are there alternative measures of physician-specific productivity that incorporate the BLS methodology of measuring productivity and that would meet the BLS standard of publication. Second, it is not clear that using physician-specific productivity within the current structure of the MEI would be appropriate. Because we believe the MEI appropriately uses an economy-wide wage measure as the proxy for physician wages, using physician specific productivity could overstate or understate the appropriate wage increase in the MEI.
We do believe, however, that it is important to understand the rate of change in physician-specific productivity. Toward this end, we have performed our own preliminary analysis of physician-specific productivity, using the limited publicly available data on physician outputs and inputs. Our analysis attempted to simulate the methodology the BLS would use to measure productivity. While this information cannot be interpreted as an official measure of productivity, we do believe it is a rough indication of the current market conditions facing physicians. We used this information to help form our determination of the most appropriate productivity adjustment to incorporate in the MEI, fully recognizing its preliminary nature and other limitations. The results of our preliminary analysis suggest that long-run physician-specific productivity growth is currently at approximately the same level as economy-wide multifactor productivity growth. Prior to the recent period, however, our preliminary estimates suggested that physician productivity gains were generally significantly greater than general economy-wide multifactor productivity gains.
As we have emphasized, our rough estimates are inadequate for establishing a formal basis for the productivity adjustment to the MEI. Nor is the underlying economic theory sufficiently compelling, at this time, to adopt a physician-specific productivity measure, even if a suitable one were available. We conclude, however, that economy-wide multifactor productivity growth appears to be roughly comparable to current physician-specific productivity growth.
• Option 2-Retaining the current productivity adjustment.
We investigated retaining the current productivity adjustment, that is, applying the 10-year moving average percent change in economy-wide labor productivity to the labor portion of the MEI. We have applied economy-wide labor productivity to a portion of the index in some form since the inception of the MEI in 1975. This current form has been used since the last major revision to the index in 1992 and was developed from the contributions of the 1987 expert panel. That panel concluded that using labor productivity applied to the labor portion of the index was a technically sound way to account for productivity in the physician update. This method makes optimal use of the available data since labor productivity data were, and are, available on a more timely basis than economy-wide multifactor productivity. By applying this measure to the labor portion of the index, the mix of physician-specific labor and nonlabor inputs is reflected. Also, the use of a 10-year moving average percentage change reduces the volatility of annual labor productivity changes.
Our research, however, has indicated that using multifactor productivity applied to the entire index is superior to using an economy-wide labor productivity measure applied only to the labor portion of the index. The experts with whom we consulted believed it was more appropriate to reflect the explicit contribution to output from all inputs. The current measure explicitly reflects the changes in economy-wide labor inputs but does not reflect the actual change in nonlabor inputs. Instead, it implicitly assumes that nonlabor inputs would grow at the rate necessary to produce an economy-wide multifactor measure that is equivalent to the current MEI productivity adjustment. That implicit assumption is less precise than a direct, explicit calculation.
In addition, while the implicit approach produced an MEI productivity adjustment in most years that was reasonably consistent with overall multifactor productivity growth, it now appears less consistent with the actual change in nonlabor inputs in the economy. In recent years, economy-wide labor productivity has grown very rapidly. This acceleration is partly the result of major investments in computers (a nonlabor input) that have helped create a more productive work force. Also, the Bureau of Economic Analysis (BEA) has adopted methodological changes in accounting for computer software purchases in measuring GDP. These changes have significantly increased the measured historical growth rates in real GDP and labor productivity. As a result of these developments, the MEI productivity adjustment based on labor productivity applied only to the labor portion of the MEI has increased very rapidly. Since the multifactor definition is an explicit calculation of the change in economic output relative to the change in both labor and nonlabor inputs, it better reflects the trend changes.
Finally, as noted previously, our preliminary estimates of physician-specific productivity suggest a current growth pattern that is similar to growth in multifactor productivity in the economy overall. In consideration of the economic theory underlying productivity measurement, especially in view of the recent developments in labor versus nonlabor economic input growth trends, we concluded that using a multifactor productivity adjustment is superior to the current methodology for adjustment for productivity in the MEI.
• Option 3-Changing to using economy-wide multifactor productivity.
One option for adjusting for productivity gains in the MEI would be to continue to use an economy-wide productivity measure, but to use multifactor productivity applied to the entire index, instead of labor productivity applied to the labor portion of the MEI. As noted previously, this approach was recommended by MedPAC in its March 2002 Report to the Congress. This option would better satisfy the theoretical requirements of an output price, in this case the MEI, by explicitly reflecting the productivity gains from all inputs. In addition, the use of economy-wide multifactor productivity would still be consistent with the MEI's use of economy-wide wages as a proxy for physician earnings. While annual multifactor productivity can fluctuate considerably, though usually less than labor productivity, using a moving-average would produce a relatively stable and predictable adjustment.
Each expert with whom we consulted believed that using a multifactor productivity measure was theoretically superior to the existing method because it reflected the actual changes in nonlabor inputs instead of reflecting an implicit assumption. They also believed that the lack of timely data on multifactor productivity was not as important as would have appeared initially. Instead, the experts believed it was more appropriate that the adjustment be based on a long-run average that was stable and predictable rather than on annual changes in productivity. Thus, if a long-run average were used, the increased lag time associated with the availability of published data on multifactor productivity would become less significant. Finally, one expert believed that changing to economy-wide multifactor productivity applied to the entire MEI would make it easier to understand the magnitude of the productivity adjustment.
Use of multifactor productivity to adjust the MEI poses two concerns. First, multifactor productivity is much harder to measure than labor productivity. Economic inputs other than labor hours can be very difficult to identify and calculate properly. The experts at BLS, however, have adequately overcome these difficulties, and we are satisfied that their official published measurements are sound for the purpose at hand. Moreover, use of a 10-year moving average increase helps to mitigate any remaining measurement variation from year to year.
The second concern relates to the timeliness of the data. BLS publishes multifactor productivity levels and changes only annually (as opposed to the quarterly release of labor productivity data) and with an extended time lag (about 1 1⁄2 years). These timeframes arise unavoidably from the difficulties of measurement mentioned above, but imply that the timeframe of data used to adjust the MEI would not match that of the historical data on wages and prices underlying the MEI. For the CY 2003 physician payment update, for example, we would use data on wages and prices through the second quarter of CY 2002, but would have to use multifactor productivity data only through CY 2000. Although the misalignment of data periods is a concern, we believe it is a reasonable trade-off in view of the improvement offered by the explicit measurement of nonlabor inputs. Also, since use of a 10-year moving average is intended to reduce fluctuations and provide a more stable level of the productivity adjustment, availability of the most recent data is of less importance.
The 10-year moving average percent change in economy-wide multifactor productivity that would be used for the CY 2003 update (historical data through CY 2000) is currently estimated at 0.8 percent. Our preliminary internal analysis of physician-specific productivity gains suggests that these economy-wide multifactor measures are somewhat consistent with those trends. Thus, using economy-wide multifactor productivity for MEI productivity adjustment theoretically would be superior to using labor productivity growth applied to the labor portion of the MEI. In addition, the use of a 10-year moving average would help alleviate the lag in the availability of the data. Lastly, the current 10-year moving average growth in economy-wide multifactor productivity appears to be within the range we have estimated for physician-specific multifactor productivity. One possible weakness of using economy-wide multifactor productivity is that it does not reflect physician-specific measures, whereas the existing methodology reflects the distribution of labor and nonlabor inputs used in the production of physician services. In practice, however, the balance between these factors of production is not substantially different for physician practices versus the overall economy.
• Option 4-Changing to using economy-wide multifactor productivity with physician-specific input weights.
Another option we explored was using economy-wide labor and capital productivity measures (which, when weighted together, produce multifactor productivity), but with physician-specific input weights. This method would better reflect the proportion of labor and capital inputs used by physicians, yet still reflect the explicit contribution to productivity of labor and nonlabor inputs. The experts with whom we discussed this option thought it was theoretically consistent with a measure of multifactor productivity, even though different productivity measures would be applied to different components of the MEI.
As noted above, the labor and capital shares for the overall economy do not appear to vary enough from the physician-specific shares in the MEI to result in a significantly different measure. A weakness of this method is that the BLS capital productivity series is not widely used or cited; therefore, we are unsure of the accuracy and reliability of this measure. This method also adds another layer of complexity to the formula, however, making it more difficult to understand the adjustment. We would prefer that any method we choose be straightforward so that everyone can readily understand the adjustment. Overall, we believe that this method does not provide enough of a technical improvement to justify the added complexity that would be required to implement it.
• Option 5-Adjusting productivity using a "Policy Standard".
In its March 2002 Report to the Congress, MedPAC suggested establishing a policy target for the productivity adjustment. Under this methodology, the level of the policy target would be based on the productivity gains that we believe physicians could attain. This level would be set through policy and would likely be based on a long-run average of either economy-wide labor or multifactor productivity (but could reflect other, possibly judgmental, factors). Generally, the level of the policy standard would remain constant for several years; periodically, the policy target would be reviewed, and possibly adjusted.
Some of the experts we consulted believed that a policy target would lessen the volatility of the adjustment since the target would not be changed often. Conversely, others noted the large, abrupt changes that could result if actual economic performance deviated from the policy standard requiring subsequent adjustments to the standard. Some believed that this method adjusts for the problem of precisely measuring productivity. If we used a policy standard we could avoid having to develop an exact measure. Using a policy target, however, may appear arbitrary without a theoretical basis to support its use.
The policy target recommended by MedPAC was 0.5 percentage points per year. Its justification for this number was the fact that the long-run average of economy-wide multifactor productivity was close to 0.5 percent (the most recent 10-year average is now 0.8 percent). We do not believe this is a preferred option for adjusting the MEI for productivity improvements. Our preference is to use a long-term data-based approach that will produce results that are not inconsistent with a policy standard and that will automatically reflect changes in actual economic performance over time, and not through abrupt periodic large adjustments. Thus, we conclude that a policy target does not provide an improvement over any of the data-based methodologies.
• Option 6-Eliminate Productivity Adjustment from the MEI.
Questions are raised occasionally as to the possibility of eliminating the productivity adjustment from the MEI. We did not consider this to be a viable option. Our research concluded that adjusting for productivity in the MEI is necessary to have a technically correct measure of an output price increase, free of double-counting the impact of productivity. Every expert with whom we consulted agreed that a productivity adjustment was appropriate. They believed that the important question is which adjustment is the most appropriate. Therefore, we conclude, again, that it is not acceptable for the productivity adjustment to be removed from the MEI.
d. Use of a Forecasted MEI and Productivity Adjustment
MedPAC, in its March 2002 Report to the Congress, recommended the use of a forecasted MEI value, rather than the current historical increase. However, implementation of this option raises several legal as well as practical issues. The 1972 Senate Finance Committee report language reflects Congress' intent that the MEI should "follow rather than lead" overall inflation. Because of this, updates to the physician fee schedule have always been based on historical, rather than forecasted, MEI data. In this way, increases in the MEI do not lead the current measures of inflation but follow them based on historical trends. Furthermore, at the time of implementation of the SGR system, the Congress specified that the SGR system should use the MEI that existed at that time, which was based on historical data measures. The law did not recommend or specify a change in the MEI methodology; the assumption is that the Congress was satisfied that the MEI was functioning as designed.
If we were to change to a forecasted MEI and productivity adjustment, there are also several practical issues that would need to be addressed. One is that changing from a historical-based MEI to a projected MEI would cause transitional problems because there would be a period of data that would not be accounted for in the year of implementation. For example, the CY 2002 MEI update was based on historical data through the second quarter of 2001. If we were to use a forecasted MEI in the update for CY 2003, the changes between the second quarter of 2001 and the first quarter of 2003 would not be accounted for in the update. Finally, changing to a forecasted MEI and productivity adjustment raises additional questions about correcting for forecast errors. Based on these problems, we will continue to use historical data to make updates under the physician fee schedule.
e. Proposed Productivity Adjustment to the MEI
Based on the research we conducted on this issue, we are proposing to change the methodology for adjusting for productivity in the MEI. We propose that the MEI used for the CY 2003 physician payment update reflect changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index. The current method accounts for productivity by adjusting the labor portion of the MEI by the 10-year moving average change in private nonfarm business (economy-wide) labor productivity.
We propose to make this change because: (1) It is theoretically more appropriate to explicitly reflect the productivity gains associated with all inputs (both labor and nonlabor); (2) the recent growth rate in economy-wide multifactor productivity appears more consistent with the current market conditions facing physicians; and (3) the MEI still uses economy-wide wage changes as a proxy for physician wage changes. We believe that using a 10-year moving average change in economy-wide multifactor productivity produces a stable and predictable adjustment and is consistent with the moving-average methodology used in the existing MEI. We propose that the adjustment be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS. Based on these proposed changes, we currently estimate the MEI to increase 3.0 percent for CY 2003. This is the result of a 3.8-percent increase in the price portion of the MEI, adjusted downward by a 0.8-percent increase in the 10-year moving average change in economy-wide multifactor productivity. Table 1 shows the detailed cost categories of the proposed MEI update for CY 2003. Since the current estimate of the MEI increase for CY 2003 is based on incomplete historical data, it may change slightly before we announce the final MEI no later than November 1, 2002.
| Cost categories and price measures | 1996 weights2 | CY 2003 percent changes |
|---|---|---|
| Medicare Economic Index Total, productivity adjusted | n/a | 3.0 |
| Productivity: 10-year moving average of Multifactor productivity, private nonfarm business sector | n/a | 0.8 |
| Medicare Economic Index Total, without productivity adjustment | 100.0 | 3.8 |
| 1. Physician's Own Time3 | 54.5 | 4.1 |
| a. Wages and Salaries: Average hourly earnings Private nonfarm | 44.2 | 3.9 |
| b. Fringe Benefits: Employment Cost Index, benefits, private nonfarm | 10.3 | 4.8 |
| 2. Physician's Practice Expense3 | 45.5 | 3.6 |
| a. Nonphysician Employee Compensation | 16.8 | 4.1 |
| 1. Wages and Salaries: Employment Cost Index, wages and salaries, weighted by occupation | 12.4 | 3.7 |
| 2. Fringe Benefits: Employment Cost Index, fringe benefits, white collar | 4.4 | 5.4 |
| b. Office Expense: Consumer Price Index for Urban Consumers (CPI-U), housing | 11.6 | 2.6 |
| c. Medical Materials and Supplies: Producer Price Index (PPI), ethical drugs/PPI, surgical appliances and supplies/CPI-U, medical equipment and supplies (equally weighted) | 4.5 | 2.1 |
| d. Professional Liability Insurance: CMS professional liability insurance survey4 | 3.2 | 11.3 |
| e. Medical Equipment: PPI, medical instruments and equipment | 1.9 | 1.6 |
| f. Other Professional Expense | 7.6 | 1.6 |
| 1. Professional Car: CPI-U, private transportation | 1.3 | -2.9 |
| 2. Other: CPI-U, all items less food and energy | 6.3 | 2.5 |
| 1 The rates of historical change are estimated for the 12-month period ending June 30, 2002, which is the period used for computing the calendar year 2003 update. The price proxy values are based upon the latest available Bureau of Labor Statistics data as of April 2002. | ||
| 2 The weights shown for the MEI components are the 1996 base-year weights, which may not sum to subtotals or totals because of rounding. The MEI is a fixed-weight, Laspeyres-type input price index whose category weights indicate the distribution of expenditures among the inputs to physicians' services for calendar year 1996. To determine the MEI level for a given year, the price proxy level for each component is multiplied by its 1996 weight. The sum of these products (weights multiplied by the price index levels) over all cost categories yields the composite MEI level for a given year. The annual percent change in the MEI levels is an estimate of price change over time for a fixed market basket of inputs to physicians' services. | ||
| 3 The measures of productivity, average hourly earnings,Employment Cost Indexes, as well as the various Producer and Consumer Price Indexes can be found on the Bureau of Labor Statistics website- http://stats.bls.gov. | ||
| 4 Derived from a CMS survey of several major insurers (the latest available historical percent change data are for the period ending second quarter of 2002). | ||
| n/a Productivity is factored into the MEI compensation categories as an adjustment to the price variables; therefore, no explicit weight exists for productivity in the MEI. | ||
2. Sustainable Growth Rate (SGR)
Section 1848(f)(2) of the Act specifies a formula for calculating annual SGR targets for Medicare physicians' services. The formula includes four factors. Section 1848(f)(2)(A) of the Act specifies that the first factor is the Secretary's estimate of weighted average percentage increase in fees for all physicians' services. We have calculated this factor as a weighted average of the CY 2002 fee increases that apply for the different types of services included in the definition of physicians' services for the SGR. (For a complete list of these services see the November 1, 2001 Federal Register (66 FR 55316).) Drugs furnished in a physician's office that are not usually self-administered are generally covered "incident to" a physician's service under section 1861(s)(2)(A) of the Act and included in the SGR. In the past, we have used the MEI as an approximation of the drug price increase. In the final revisions we make to the CY 2001 SGR later this year, we will account for drug price growth using a refined methodology that uses growth in drug prices instead of the MEI as a proxy. In addition, we will account for drug price growth using this refined methodology in the SGRs for CY 2002 and subsequent years.
Under section 1848(d) of the Act, the update for any year is equal to the MEI increased or decreased by an update adjustment factor determined using a statutory formula. The statute limits the update adjustment factor to +3.0 and -7.0 percentage points. On March 1, 2002, we provided our estimate of the CY 2003 physician fee schedule update to the Medicare Payment Advisory Committee (MedPAC) and made this information available to the public. We estimated the update adjustment factor would be -13.1 percent. If the only change to our March 2002 estimate was accounting for drug price growth in the SGR, we estimate the update adjustment factor would be -12.8 percent. Since the statute limits the update adjustment factor to -7.0 percent, we expect the CY 2002 physician fee schedule update to equal the MEI reduced by 7.0 percentage points.
D. Pricing of Technical Components (TC) for Positron Emission Tomography (PET) Scans
Currently all components of HCPCS code G0125, Lung image PET scan, are nationally priced. However, the technical component (TC) and global value for all other PET scans are carrier priced. To keep pricing consistent with other PET scans, we propose to have the carriers price the TC and global values of HCPCS code G0125.
E. Enrollment of Physical and Occupational Therapists as Therapists in Private Practice
In the November 2, 1998 final rule (63 FR 58814), we defined private practice for physical therapists (PTs) or occupational therapists (OTs) to include a therapist whose practice is in an-
• Unincorporated solo practice;
• Unincorporated partnership; or
• Unincorporated group practice.
Private practice also includes an individual who is furnishing therapy as an employee of one of the above, a professional corporation, or other incorporated therapy practice. Some carriers and fiscal intermediaries have interpreted the regulation to mean that occupational and physical therapists employed by physicians cannot be enrolled as therapists in private practice. In these carrier areas, therapy services provided in a physician's office must instead be billed as incident to a physician's service.
A specialty society representing occupational therapists has requested that carriers be able to enroll OTs in physician-directed groups as occupational therapists in private practice. A group representing PTs believes that provider numbers should be issued only to PTs working as employees in practices owned and operated by therapists.
We are proposing to clarify national policy-we would allow carriers to enroll therapists as physical or occupational therapists in private practice when they are employed by physician groups. We believe that this would reflect actual practice patterns and would permit more flexible employment opportunities for therapists. We also believe that this would increase beneficiaries' access to therapy services, particularly in rural areas. Therefore, we would revise §§ 410.59 and 410.60 to reflect this change.
F. Clinical Social Worker Services
Currently, § 410.73(b)(2)(ii) states that, for purposes of billing Medicare Part B, clinical social worker (CSW) services do not include services furnished by a CSW to an inpatient of a Medicare-participating skilled nursing facility (SNF). Under this rule, CSWs cannot receive Medicare Part B payment for diagnostic and therapeutic mental health services when the services are furnished to patients in participating SNFs, but they can receive payment for these same mental health services when furnished in most other settings. Additionally, clinical psychologists (CPs) may receive Medicare Part B payment for these same diagnostic and therapeutic mental health services when furnished to patients in participating SNFs. The effective date of the rule that precluded Medicare Part B payment to CSWs for services furnished to patients in participating SNFs was June 22, 1998. However, the provisions under this rule were suspended for two years beyond the effective date. Accordingly, these provisions that terminated payment for CSW services in the SNF setting were delayed until June 22, 2000. Announcement of the two-year suspension of the provisions was made in a letter signed by the Administrator to the National Association of Social Workers rather than publishing it in the Federal Register .
In order to redress this issue, on October 19, 2000, we published a notice of proposed rulemaking in the Federal Register (65 FR 62681), in which we proposed to pay CSWs for CPT psychiatry codes 90801, 90802, 90816, 90818, 90821, 90823, 90826, 90828, 90846, 90847, 90853, and 90857 when furnished to patients in participating SNFs who are not in a covered Part A stay. At this time, we are reprinting our proposal to allow CSWs to bill for the listed CPT psychiatry codes when furnished to patients in participating SNFs who are not under a covered Part A stay. Since we have already received comments on our previously published proposed rule both supporting and opposing our proposal, we are not now seeking comments in this proposed rule. However, we will respond to the comments already received on the issue of CSW services provided to beneficiaries in SNFs when we publish this year's physician fee schedule final rule.
G. Medicare Qualifications For Clinical Nurse Specialists
Section 4511(d)(3)(B) of the Balanced Budget Act of 1997 (Pub. L. 105-33) (BBA) defined a clinical nurse specialist as an individual who-
(i) Is a registered nurse and is licensed to practice nursing in the State in which the clinical nurse specialist services are performed; and
(ii) Holds a master's degree in a defined clinical area of nursing from an accredited educational institution.
When implementing the regulation for this benefit, we added a provision requiring that a CNS must be certified by the American Nurses Credentialing Center (ANCC). It has recently been pointed out to us that the ANCC does not provide certification for CNSs who specialize in fields such as oncology, critical care, or rehabilitation.
We are proposing to revise § 410.76(b)(3) to read as follows: "Be certified as a clinical nurse specialist by a national certifying body that has established standards for clinical nurse specialists and that is approved by the Secretary." This revision would be consistent with certification criteria for nurse practitioners.
H. Process to Add or Delete Services to the Definition of Telehealth
1. Background
Effective October 1, 2001, section 1834(m) of the Act provides for an expansion of the definition of a Medicare telehealth service. The law defines telehealth services as professional consultations, office and other outpatient visits, and office psychiatry services (identified as of July 1, 2000, by HCPCS codes 99241-99275, 99201-99215, 90804-90809 and 90862) and any additional service specified by the Secretary. In addition, the law requires the Secretary to establish a process for adding or deleting services to the list of telehealth services on an annual basis.
In this proposed rule, we are proposing (1) to establish a process for adding or deleting services from the list of telehealth services, and (2) to add specific services to the list of telehealth services for CY 2003.
To evaluate services that may be appropriate for Medicare telehealth, we would accept requests for adding services to, or deleting services from, the list of Medicare telehealth services. We would accept proposals from any interested individuals or organizations from either the public or the private sectors, for example, from medical specialty societies, individual physicians or practitioners, hospitals, and State or Federal agencies. (We may also generate additions or deletions of services internally.) We would post instructions on our website outlining the steps necessary to submit a proposal. Information on applying for a new HCPCS code may be found on our website at www.hcfa.gov/Medicare/hcpcs.htm, then select "HCPCS Coding Request Information."
Each proposal would have to address the items outlined below.
• Name(s), address(es) and contact information of the requestor.
• The HCPCS code(s) that describes the service(s) proposed for addition or deletion to the list of Medicare telehealth services. If the requestor does not know the applicable HCPCS code, the request should include a description of services furnished during the telehealth session.
• A description of the type(s) of medical professional(s) providing the telehealth service at the distant site.
• A detailed discussion of the reasons the proposed service should be added to the definition of Medicare telehealth.
• An explanation as to why the requested service cannot be billed under the current scope of telehealth services, for example, the reason why the HCPCS codes currently on the list of Medicare telehealth services would not be appropriate for billing the service requested.
• An application for a new HCPCS code if the requestor believes that neither the HCPCS codes currently on the list of telehealth services nor any other HCPCS code would be adequate for describing the service requested.
• If available, data showing that the use of a telecommunications system does not change the diagnosis or treatment plan as compared to the face-to-face delivery of the service.
• If available, data showing that patients who receive this service via a telecommunications system are satisfied with the service that is delivered.
2. Categories for Additions
We would assign any request to add a service to the definition of Medicare telehealth services to one of the following categories:
• Category #1: Services similar to office and other outpatient visits, consultation, and office psychiatry services. We would review these requests to ensure that the services proposed for addition to the list of Medicare telehealth services are similar to the current telehealth services. For example, we would look for similarities between the proposed and existing telehealth services in terms of the roles of, and interactions among, the beneficiary, the physician (or other practitioner) at the distant site and, if necessary, the telepresenter. We would also look for similarities in the telecommunications system used to deliver the proposed service, for example, the use of interactive audio and video equipment. If a proposed service meets the criteria set forth above, we would add it to the list of Medicare telehealth services.
• Category #2: Services that are not similar to the current list of telehealth services, for example, physical therapy services, endoscopy services, and distant monitoring of patients in intensive care units. Our review of these requests would include an assessment of whether the use of a telecommunications system to deliver the service produces similar diagnostic findings or therapeutic interventions as compared with a face-to-face "hands on" delivery of the same service. In other words, the discrete outcome of the interaction between the clinician and patient facilitated by a telecommunications system should correlate well with the discrete outcome of the clinician-patient interaction when performed face-to-face.
Requestors should submit evidence indicating that the use of a telecommunications system does not affect the diagnosis or treatment plan as compared to a face-to-face delivery of the service. If the evidence shows that the proposed telehealth service is equivalent to the face-to-face delivery of the service, we would add it to the list of telehealth services. However, if we determine that the use of a telecommunications system changes the nature or outcome of the service, for example, the nature of clinical intervention, as compared with the face-to-face delivery of the service, we would view the request as a request for a new service, rather than a different method of delivering an existing Medicare service. Under Medicare, new services: (1) Must fall into a benefit category; (2) must be reasonable and necessary in accordance with section 1862(a)(1)(A) of the Act; and (3) must not be specifically excluded from coverage. The requestor would have the option of applying for a national coverage determination. Information on applying for a national coverage determination may be found on our website at http://www.hcfa.gov; then select "Coverage Policies," then "Process."
3. Our Review of Requests to Add Services
Our review of submitted requests to add services may result in the following outcomes:
• Adding an existing HCPCS code to the list of Medicare telehealth services.
• Determining that the requested service is already described by an existing telehealth service.
• Creating a new HCPCS code to describe the requested service and adding it to the list of Medicare telehealth services.
• Requesting further information.
• Notifying the requestor that a national coverage determination is necessary before a decision to accept or reject a proposal can be made.
• Rejecting the request.
4. Deletion of Services
We may choose to remove a service currently on the list of Medicare telehealth services. We would remove a service from that list if, upon review of the available evidence, we determine that a Medicare telehealth service is not safe, effective, or medically beneficial.
5. Implementation
We propose to make additions or deletions to the list of Medicare telehealth services effective on a CY basis. We would use the annual physician fee schedule proposed rule published in the summer and the final rule published by November 1 each year as the vehicle for making these changes.
We will accept requests for adding services to the list of Medicare telehealth services on an ongoing basis; requests must be received no later than December 31 of each CY to be considered for the next proposed rule.
We are requesting specific comments on this approach to adding or deleting services and HCPCS codes to the definition of telehealth services.
6. Proposed Addition to the Definition of Medicare Telehealth for Calendar Year 2003
Section 1834(m) of the Act defines Medicare telehealth services as office and other outpatient visits, consultation, and office psychiatry services as described by the following HCPCS codes: 99201-99215; 99241-99275; 90804-90809; and 90862. We stated in the CY 2002 final rule (66 FR 55283) that we believed it would be inappropriate to expand the definition of Medicare telehealth services beyond the services explicitly listed in the Act until we have developed a process for adding or deleting services.
However, after further review of the comments submitted in response to the proposed rule for CY 2002, we believe that the psychiatric diagnostic interview is similar to the Medicare telehealth services listed in the statute. Specifically, we believe this service would meet the criteria set forth in Category 1 of the proposed process for adding services.
As defined by CPT 2002, a psychiatric diagnostic interview includes "a history, mental status, and a disposition, and may include communication with family or other sources, ordering and medical interpretation of laboratory or other medical diagnostic studies." These components would be comparable to an initial office visit, or consultation services, which are currently Medicare telehealth services. Additionally, an initial psychiatric diagnostic interview is typically the first step in treating mental illness and is required before psychotherapy can begin. Therefore, we propose to add psychiatric diagnostic interview examination as represented by HCPCS code 90801 to the list of Medicare telehealth services.
We would revise § 410.78 and § 414.65 to reflect this proposed addition to the list of Medicare telehealth services.
I. Definition for ZZZ Global Periods
Services with ZZZ global periods are add-on services, which can only be billed along with another service. The current policy associated with a code with a global indicator of ZZZ recognizes only the incremental intra-service work and practice expense associated with the add-on service. Any pre-service or post-service work associated with a service with a global indicator of ZZZ is considered accounted for in the base procedure with which these add-on services must be billed.
Several specialties, as well as the RUC, have stated that some add-on services contain separately identifiable postservice work and practice expense. The RUC has recommended that we revise our current definition of the global indicator ZZZ to clarify that there may be postservice work associated with a limited number of ZZZ global services.
Consistent with this recommendation, we propose to revise the current definition of a ZZZ global period."ZZZ = Code related to another service and is always included in the global period of the other service (Note: Physician work is associated with intra-service time and in some instances the post-service time)."
We plan to work with the RUC to identify those services with a global period of ZZZ that also have separately identifiable postservice work.
J. Change in Global Period for CPT code 77789 (Surface Application of Radiation Source)
The RUC has suggested a change in the global period for CPT code 77789 (surface application of radiation source) from a 90-day global period to a 000-day global period. We agree that all work is provided on the day of the procedure and no other visits for pre- and post-care are necessary. Therefore, we are proposing to assign a 000-day global period to this service. We have examined this code and believe that the current work value accurately reflects a 000-day global period and, therefore, needs no adjustment. We would adjust the clinical staff practice expense inputs to reflect that there is no post-procedure visit. The supplies and equipment inputs are appropriate for a 000-day global and need no revision.
K. Technical Change for § 410.61(d)(1)(iii) Outpatient Rehabilitation Services
The occupational therapists have pointed out that § 410.61(d)(1)(iii) incorrectly references "physical" therapy when it should reference "occupational" therapy. Therefore, we are proposing to revise § 410.61(d)(1)(iii) to correct this error.
L. New HCPCS G-Codes
1. Codes for Treatment of Peripheral Neuropathy
Effective for services furnished on or after July 1, 2002, Medicare will cover an evaluation (examination and treatment) of the feet every six months for individuals with a documented diagnosis.
G0245: Initial physician evaluation of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include the procedure used to diagnose LOPS; a patient history; and a physical examination that consists of at least the following elements-
(a) Visual inspection of the forefoot, hindfoot and toeweb spaces;
(b) Evaluation of protective sensation;
(c) Evaluation of foot structure and biomechanics;
(d) Evaluation of vascular status and skin integrity;
(e) Evaluation and recommendation of footwear; and
(f) Patient education.
We are proposing to crosswalk the work, practice expense, and malpractice RVUs from CPT code 99202, a level two, new patient office visit code. We are proposing to crosswalk the practice expense inputs from CPT code 99202 and revalue the practice expense RVU using the practice expense methodology once we have utilization for these codes.
G0246: Follow-up evaluation of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following, a patient history and physical examination that includes-
(a) Visual inspection of the forefoot, hindfoot and toeweb spaces;
(b) Evaluation of protective sensation;
(c) Evaluation of foot structure and biomechanics;
(d) Evaluation of vascular status and skin integrity;
(e) Evaluation and recommendation of footwear; and
(f) Patient education.
We are proposing to crosswalk the work, practice expense, and malpractice RVUs from CPT code 99212, a level two, established patient office visit code. We are proposing to crosswalk the practice expense inputs from CPT code 99212 and revalue the practice expense RVU using the practice expense methodology once we have utilization for these codes.
G0247: Routine foot care of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include if present, at least the following-
(a) Local care of superficial wounds;
(b) Debridement of corns and calluses; and
(c) Trimming and debridement of nails.
We are proposing to crosswalk the work, practice expense, and malpractice RVUs from CPT code 11040, Debridement; skin; partial thickness. We are proposing to crosswalk the practice expense inputs from CPT code 11040 and will revalue the practice expense RVUs using the practice expense methodology once we have utilization for this code.
2. Current Perception Sensory Nerve Conduction Threshold Test (SNCT)
G0255: Current Perception Threshold/Sensory Nerve Conduction Test, (SNCT) per limb, any nerve.
We have created a G-code that represents SNCT as a diagnostic test used to diagnose sensory neuropathies. The test is noninvasive and uses a transcutaeous electrical stimulus to evoke a sensation. We have determined that there is insufficient scientific or clinical evidence to consider the use of this device as reasonable and necessary within the meaning of section 1862(a)(1)(A) of the Act, and, therefore, Medicare will not pay for this type of test.
3. Positron Emission Tomography (PET) Codes for Breast Imaging
Medicare has expanded the coverage indications for PET scanning to include imaging for breast cancer. We have created codes that describe staging and restaging after or prior to the course of treatment of breast cancer. We have also created a PET scan code to evaluate the response to treatment of breast cancer.
PET imaging for initial diagnosis of breast cancer and/or surgical planning for breast cancer are described by a CPT code, but Medicare will not cover this diagnosis.
G0252: PET imaging for initial diagnosis of breast cancer and/or surgical planning for breast cancer (for example, initial staging of axillary lymph nodes), not covered by Medicare. This code is not covered by Medicare because there is a national non-coverage determination for initial diagnosis of breast cancer and initial staging of axillary lymph nodes.
G0253: PET imaging for breast cancer, full and partial-ring PET scanners only, staging/restaging after or prior to course of treatment.
G0254: PET imaging for breast cancer, full and partial-ring PET scanners only, evaluation of response to treatment, performed during course of treatment.
We are proposing that the TC and global for both of these codes be carrier priced.
For both procedure codes G0253 and G0254, we propose to make the PC work RVU equal to 1.87. There are no direct inputs for PC services. We propose to use practice expense RVUs of 0.58 and malpractice RVUs of 0.07 for these services.
4. Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management
For services furnished on or after July 1, 2002, Medicare will cover the use of home prothrombin time or INR monitoring in a patient's home for anticoagulation management for patients with mechanical heart valves. A physician must prescribe the testing. The patient must have been anticoagulated for at least three months prior to use of the home INR device; and the patient must undergo an education program. The testing with the device is limited to a frequency of once per week.
G0248: Demonstration, at initial use, of home INR monitoring for a patient with mechanical heart valve(s) who meets Medicare coverage criteria, under the direction of a physician; includes: demonstration use and care of the INR monitor, obtaining at least one blood sample provision of instructions for reporting home INR test results and documentation of a patient's ability to perform testing.
We are proposing that this code be assigned no work RVUs and .01 malpractice RVUs. For the practice expense inputs, we are proposing 75 minutes of RN/LPN/MTA staff time; a supply list, including four test strips, lancets and alcohol pads, a patient education booklet, and batteries for the monitor; and equipment, consisting of a home INR monitor. Using these proposed inputs in the practice expense methodology will produce an estimated practice expense RVU of 2.92.
G0249: Provision of test materials and equipment for home INR monitoring to patient with mechanical heart valve(s) who meets Medicare coverage criteria. Includes provision of materials for use in the home and reporting of test results to physician; per 4 tests.
We are proposing that this code be assigned no work RVUs and .01 malpractice RVUs. For the practice expense inputs, we are proposing 13 minutes of RN/LPN/MTA staff time, a supply list, including four test strips, lancets and alcohol pads, and equipment, consisting of a home INR monitor. Using these proposed inputs in the practice expense methodology will produce an estimated practice expense RVU of 2.08.
G0250: Physician review/ interpretation and patient management of home INR test for a patient with mechanical heart valve(s) who meets other coverage criteria; per 4 tests (does not require face-to-face service)
We are proposing that this code be assigned 0.18 work RVUs and .01 malpractice RVUs. There would be no direct practice expense inputs for this code. We will use practice expense methodology to develop a practice expense RVU that will reflect indirect costs of the physicians performing this service. The estimated practice expense RVU will equal 0.07.
5. Bone Marrow Aspiration and Biopsy on the Same Date of Service
We are proposing to create a new G-code that reflects a bone marrow biopsy and aspiration procedure that is performed on the same date, at the same encounter, through the same incision. Because it is our understanding that the typical case involves an aspiration and biopsy through the same incision, we are creating a G-code to reflect this service. If the two procedures, aspiration and biopsy, are performed at different sites (for example, contralateral illiac crests, sternum/illiac crest, two separate incisions on the same iliac crest or two patient encounters on the same date of service), the -59 modifier would be appropriate to use. In this instance, the CPT codes for aspiration and biopsy would each be used.
GXXXX: Bone marrow aspiration and biopsy performed on the same day .
We are proposing physician work RVUs of 1.56 and malpractice RVUs of 0.04. We propose to crosswalk the practice expense inputs from CPT code 38220, Bone marrow aspiration, with the assignment of an additional five minutes of clinical staff time. Using these proposed inputs in the practice expense methodology will produce an estimated practice expense RVU of 3.32 in the nonfacility setting. The practice expense RVU in the facility setting is estimated at 0.60.
M. Endoscopic Base for Urology Codes
Cystoscopy and treatment CPT codes 52234, 52235, and 52240 were inadvertently identified in the Medicare Physician Fee Schedule Database as services subject to multiple procedural reductions as opposed to the procedural reduction rules specific to endoscopic services. Multiple procedural reduction rules allow full payment for the primary services with a 50 percent reduction to the RVUs for each additional service. The endoscopic reduction rules establish payment using the full value of the highest valued endoscopic service plus the difference between the next highest valued service and the base endoscopic service. The inadvertent application of the multiple procedural reduction as opposed to the endoscopic procedural reduction has resulted in our overpaying for these services. We propose applying the endoscopic reduction rules to these services and have identified CPT code 52000 as the endoscopic base code for these services.
N. Physical Therapy and Occupational Therapy Caps
Section 4541(c) of the Balanced Budget Act of 1997 required application of a payment limitation to all rehabilitation services provided on or after January 1, 1999. The limitation was an annual per beneficiary limit of $1500 on all outpatient physical therapy services (including speech-language pathology services). A separate $1500 limit was applied to all occupational therapy services. (The limitation amounts were to be increased to reflect medical inflation.) The annual limitation did not apply to services furnished directly or under arrangement by a hospital to an outpatient or to an inpatient who is not in a covered Part A stay.
Section 221 of the Balanced Budget Refinement Act of 1999 (Pub. L. 106-113, enacted on November 29, 1999) (BBRA) placed a moratorium on the application of the payment limitation for two years from January 1, 2000 through December 31, 2001. Section 421 of the Medicare, Medicaid, and SCHIP Beneficiary Improvement and Protection Act of 2000 (Pub. L. 106-554, enacted on December 21, 2000) (BIPA), extended the moratorium on application of the limitation to claims for outpatient rehabilitation services with dates of service January 1, 2002 through December 31, 2002. Therefore, the moratorium applies to outpatient rehabilitation claims with dates of service January 1, 2001 through December 31, 2002. Outpatient rehabilitation claims for services rendered on or after January 1, 2003 will be subject to the payment limitation unless Congress acts to extend the moratorium.
III. Collection of Information Requirements
This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.
IV. Response to Comments
Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the DATES section of this preamble, and, if we proceed with a subsequent document, we will respond to the major comments in the preamble to that document.
V. Regulatory Impact Analysis
We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any one year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We have simulated the effect of the proposed changes to practice expense RVUs described earlier. The net effect of the changes we are proposing will not materially increase or decrease Medicare expenditures for physicians' services because the statute requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Since increases in payments resulting from RVU changes must be offset by decreases in payments for other services, the proposed practice expense changes will result in a redistribution of payments among physician specialties. The proposed changes to the MEI would result in increases in Medicare expenditures for physicians' services of $150 million in fiscal year (FY) 2003, $340 million in FY 2004, and $550 million in FY 2005. Therefore, this proposed rule is considered to be a major rule because it is economically significant, and, thus, we have prepared a regulatory impact analysis.
The RFA requires that we analyze regulatory options for small businesses and other entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and less significant adverse economic impact on the small entities.
Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds.
For purposes of the RFA, physicians, nonphysicians, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians (except mental health specialists) are considered to be small entities. There are about 700,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule.
Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. We have determined that this proposed rule will have no consequential effect on State, local, or tribal governments.
We have examined this proposed rule in accordance with Executive Order 13132 and have determined that this regulation would not have any negative impact on the rights, roles, or responsibilities of State, local, or tribal governments.
We have prepared the following analysis, which together with the rest of this preamble, meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities. As indicated elsewhere in this proposed rule, we propose to make changes to the Medicare Economic Index, refine resource-based practice based practice expense RVUs and make a variety of other minor changes to our regulations, payments or payment policy to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We provide information for each of the proposed policy changes in the relevant sections in this proposed rule. As discussed elsewhere in this proposed rule, the provisions of this proposed rule, if adopted, would only change Medicare payment rates for physician fee schedule services. While this rule would allow physical and occupational therapists that are employed by physicians to separately enroll in the Medicare program, it does not impose reporting, recordkeeping and other compliance requirements. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this proposed rule. The relevant sections of this proposed rule contain a description of significant alternatives.
A. Resource-Based Practice Expense Relative Value Units
Under section 1848(c)(2) of the Act, adjustments to RVUs may not cause the amount of expenditures to differ by more than $20 million from the amount of expenditures that would have resulted without such adjustments. We are proposing several changes that would result in a change of expenditures that would exceed $20 million if we made no offsetting adjustments to either the conversion factor or RVUs.
With respect to practice expense, our policy has been to meet the budget neutrality requirements in the statute by incorporating a rescaling adjustment in the practice expense methodology. That is, we estimate the aggregate number of practice expense relative values that will be paid under current and proposed policy in CY 2003. We apply a uniform adjustment factor to make the aggregate number of proposed practice expense relative values equal the number estimated that would be paid under current policy.
Table 2 shows the specialty level impact on payment of changes being proposed for CY 2003. In past years, we have shown the Medicare payment impact of redistributive changes in RVUs for all specialties that can bill for Medicare physician fee schedule services. We included some of the smaller specialty categories in closely related larger ones and have shown payment impacts for 35 different specialty categories. For this proposed rule, we are showing separate impacts for 49 different specialty categories. We are separately showing specialties that have more than $50 million in total Medicare allowed charges for physician fee schedule services. We are changing the way we illustrate impacts based on comments and suggestions that have come to us from the physician community. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here since physicians furnish services to both Medicare and non-Medicare patients and specialties may receive substantial Medicare revenues for services that are not paid under the physician fee schedule. For instance, independent laboratories receive more than 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the physician fee schedules. This table shows only the payment impact on physician fee schedule services.
We modeled the impact of five changes to the practice expense methodology. The column labeled "Input Changes" shows the effect of proposed changes described in section II. A. As indicated in that section, we are making several changes to the inputs that are used to value several ophthalmology and thermotherapy procedures and lontophoresis. We also revised the price we are using for sterile water. These changes will result in very little specialty impact with a small reduction in payment to optometry.
The column labeled "Staff Time" shows the impact of our proposal to use staff time in place of average staff time in creation of the zero physician work pool. This proposal would result in increases in payment for services that are included in the zero physician work pool while broadly distributing reductions in payments to all other physician fee schedule services.
The column labeled "Professional Technical Changes" refers to our proposal to change the calculation of the practice expense RVUs for codes with professional and technical components. As indicated earlier, we are proposing to make the technical component value equal the difference between the global and the professional component for procedure codes that are not included in the zero physician work pool. For procedure codes that would remain in the zero physician work pool, we would continue to make the global equal the sum of the professional and the technical component values.
The column labeled "Zero Physician Work Pool" refers to our proposal to remove several services from the zero physician work pool based on requests from the physician specialties that perform the predominant number of services for a given family of codes. The practice expense RVUs for these codes would no longer be determined under the zero physician work methodology. If the services have professional and technical components, the professional component practice expense RVU would be subtracted from the global practice expense RVU to determine the technical component practice value.
The column labeled "Multi-Year Utilization" refers to our proposal to use multiple years of utilization data in the practice expense methodology. The figures shown in Table 2 may change if we make any changes to the zero physician work pool following the consideration of public comments.
Several physician specialties (Allergy/Immunology, Cardiology, Hematology/Oncology, Interventional Radiology, Radiation Oncology, Radiology) that derive a significant portion of their Medicare revenues from services affected by the zero physician work pool calculations would see an increase in payment from the proposed changes. Other physician specialties would see an increase in payment from the change to the practice expense RVUs for professional and technical component services and/or from removing services from the zero physician work pool (neurology, physical medicine, vascular surgery).
Payments to pathology would be reduced by approximately 2 percent. This is largely attributable to the change in the practice expense RVU calculations for professional and technical component services. While payments for pathology would decline, as we noted earlier, since it is far more common for our carriers to receive a global than a technical-component-only bill, we believe it is far more likely that using the global to value the technical component service would result in a payment that is more typical of the practice expense associated with the service. We reviewed the Medicare utilization and found 42.8 million allowed services associated with a global pathology service and 4.3 million for the technical component only. Several other specialties may also experience small reductions in aggregate payments from these proposed changes.
As a result of changing the practice expense RVU calculation for professional and technical component services, payments for physician fee schedule services to independent laboratories would decline by approximately 8 percent. However, physician fee schedule services account for approximately 17 percent of total Medicare revenues for independent laboratories. The impact on total Medicare revenues from this reduction would be approximately -1 percent. The figures in Table 2 may change if we if we make any changes to the zero physician work pool following the consideration of public comments.
The net effect of these proposals would also increase payments for several types of suppliers that provide services that are affected by the zero physician work pool methodology. Payments to Independent Diagnostic and Treatment Facilities would increase by approximately 9 percent. Portable X-ray suppliers would receive an approximate increase of 8 percent in payments for services paid under the physician fee schedule. However, we would note that only about 47 percent of Medicare revenues received by portable X-ray suppliers are attributable to physician fee schedule services. The other Medicare revenues received by portable X-ray suppliers are attributed to the transportation of X-ray equipment paid at rates determined by the Medicare carrier. Any change to the rates for carrier priced services would be made at local carrier discretion. The total change in payments (before application of the estimated 4.4 percent reduction to the physician fee schedule conversion factor discussed next) will be about 3 percent.
Table 2 shows the estimated change in payment rates based on provisions of this proposed rule. If we change any of these proposals following our consideration of comments, these figures may change.
| Category | Medicare allowed charges ($ in billions) | Input changes (percent) | Maximum staff time (percent) | Professional technical changes (percent) | Zero physician work pool (percent) | Multi-year utilization | Total (percent) |
|---|---|---|---|---|---|---|---|
| Physicians: | |||||||
| ALLERGY/IMMUNOLOGY | $0.14 | 0 | 1 | 0 | 0 | 0 | 2 |
| ANESTHESIOLOGY | 1.17 | 0 | 0 | 0 | 0 | 0 | -1 |
| CARDIAC SURGERY | 0.27 | 0 | 0 | 0 | 0 | 0 | 0 |
| CARDIOLOGY | 4.28 | 0 | 1 | 0 | 0 | 1 | 1 |
| CLINICS | 1.81 | 0 | 0 | 0 | 0 | 0 | 0 |
| DERMATOLOGY | 1.43 | 0 | -1 | 0 | 0 | 0 | -2 |
| EMERGENCY MEDICINE | 1.04 | 0 | 0 | 0 | 0 | 0 | 0 |
| ENDOCRINOLOGY | 0.20 | 0 | 0 | 0 | 0 | 0 | 0 |
| FAMILY PRACTICE | 3.27 | 0 | 0 | 0 | 0 | 0 | 0 |
| GASTROENTEROLOGY | 1.25 | 0 | 0 | 0 | 0 | -1 | -1 |
| GENERAL PRACTICE | 0.87 | 0 | 0 | 0 | 0 | 0 | 0 |
| GENERAL SURGERY | 1.94 | 0 | 0 | 0 | 0 | 0 | -1 |
| GERIATRICS | 0.08 | 0 | 0 | 0 | 0 | 0 | 0 |
| HEMATOLOGY/ONCOLOGY | 0.90 | 0 | 1 | 0 | 0 | 1 | 1 |
| INFECTIOUS DISEASE | 0.25 | 0 | 0 | 0 | 0 | 0 | -1 |
| INTERNAL MEDICINE | 6.42 | 0 | 0 | 0 | 0 | 0 | 0 |
| INTERVENTIONAL RADIOLOGY | 0.13 | 0 | 0 | 0 | 0 | 0 | 1 |
| NEPHROLOGY | 1.03 | 0 | 0 | 0 | 0 | 0 | -1 |
| NEUROLOGY | 0.85 | 0 | 1 | 3 | 0 | 0 | -1 |
| NEUROSURGERY | 0.35 | 0 | 0 | 0 | 0 | 0 | -1 |
| OBSTETRICS/GYNECOLOGY | 0.45 | 0 | 0 | 0 | 0 | 0 | 0 |
| OPHTHALMOLOGY | 3.69 | 0 | -1 | 0 | 0 | -1 | -1 |
| ORTHOPEDIC SURGERY | 2.22 | 0 | 0 | 0 | 0 | 0 | 0 |
| OTOLARNGOLOGY | 0.63 | 0 | 0 | 0 | 0 | 0 | 0 |
| PATHOLOGY | 0.63 | 0 | 0 | -2 | 0 | 0 | -2 |
| PEDIATRICS | 0.05 | 0 | 0 | 0 | 0 | 0 | 0 |
| PHYSICAL MEDICINE | 0.48 | 0 | 0 | 1 | 0 | 0 | 1 |
| PLASTIC SURGERY | 0.23 | 0 | 0 | 0 | 0 | -1 | -1 |
| PSYCHIATRY | 1.00 | 0 | 0 | 0 | 0 | 0 | 0 |
| PULMONARY DISEASE | 1.07 | 0 | 0 | 1 | 0 | 0 | 0 |
| RADIATION ONCOLOGY | 0.72 | 0 | 2 | 0 | 0 | 2 | 3 |
| RADIOLOGY | 3.12 | 0 | 1 | 0 | 0 | 1 | 2 |
| RHEUMATOLOGY | 0.30 | 0 | 0 | 0 | 0 | 0 | 0 |
| THORACIC SURGERY | 0.44 | 0 | 0 | 0 | 0 | 0 | 0 |
| UROLOGY | 0.44 | 0 | 0 | 0 | 0 | -1 | -1 |
| VASCULAR SURGERY | 0.34 | 0 | 0 | 0 | 2 | 0 | 2 |
| Other Practitioners: | |||||||
| CHIROPRACTOR | 0.44 | 0 | 0 | 0 | 0 | -1 | -1 |
| CLINICAL PSYCHOLOGIST | 0.38 | 0 | 0 | 0 | 0 | 1 | 1 |
| CLINICAL SOCIAL WORKER | 0.21 | 0 | 0 | 0 | 0 | 1 | 0 |
| NURSE ANESTHETIST | 0.35 | 0 | 0 | 0 | 0 | 0 | -1 |
| NURSE PRACTITIONER | 0.21 | 0 | 0 | 0 | 0 | 0 | 0 |
| OPTOMETRY | 0.50 | -1 | -1 | 0 | 0 | -1 | -2 |
| PHYSICAL/OCCUPATIONAL THERAPY | 0.47 | 0 | 0 | 0 | 0 | 0 | 0 |
| PHYSICIAN ASSISTANTS | 0.17 | 0 | 0 | 0 | 0 | 0 | 0 |
| PODIATRY | 1.10 | 0 | 0 | 0 | 0 | 0 | -1 |
| Suppliers: | |||||||
| DIAGNOSTIC TREATMENT FACILITY | 0.35 | 0 | 3 | 1 | 1 | 3 | 9 |
| INDEPENDENT LABORATORY | 0.38 | 0 | -1 | -9 | 0 | 2 | -8 |
| PORTABLE XRAY SUPPLIER | 0.06 | 0 | 4 | 0 | 0 | 3 | 8 |
| ALL OTHER | 0.29 | 0 | 0 | 0 | 0 | 0 | 0 |
| TOTAL | 49.21 | 0 | 0 | 0 | 0 | 0 | 0 |
In previous years, we have not included the effect of the physician fee schedule update in our impact tables. The statutory methodology for updating physician rates for CY 2001 and subsequent years is specified in section 1848(d)(4) of the Act. Section 1848(d)(4) of the Act indicates that physician fee schedule rates are updated by the MEI increased or decreased by an "update adjustment factor." The update adjustment factor reflects a comparison of actual and target expenditures under the sustainable growth rate system (SGR) under section 1848(f) of the Act. If actual expenditures exceed target expenditures, the update adjustment factor is negative. If actual expenditures are less than target expenditures, the update adjustment factor is positive. The update adjustment factor is limited to +3.0 and -7.0 percentage points. We do not have authority to change physician fee schedule update formula specified in statute. Since the application of the update cannot be changed through the rulemaking process, we have not shown the effect of the physician fee schedule update in our impact tables. However, public comment indicates an interest in our illustrating the effect of the update on payments to physicians in the impact section of our regulation.
Consistent with the requirements of section 1848(d)(1)(E) of the Act, we made an estimate of the physician fee schedule update for CY 2003 available to the Medicare Payment Advisory Commission (MedPAC) and the public on March 1, 2002. At that time, we provided our latest estimate of the MEI for CY 2003 and indicated that the update adjustment factor would likely equal the -7.0 percentage point limit established in statute. That is, the CY 2003 update would equal the MEI reduced by 7.0 percentage points. Section 1848(d)(4)(F) of the Act requires the update to be reduced by an additional -0.2 percentage points.
We currently estimate that the CY 2003 MEI will equal 2.3 percent using an adjustment based on a 10-year average economy-wide labor productivity. If we substitute a 10-year average economy-wide multifactor productivity as proposed in this proposed rule, the CY 2003 MEI is estimated to be 3.0 percent. Substituting multifactor for labor productivity increases the MEI by 0.7 percentage points. We believe that it remains likely that the update adjustment factor will equal the statutory limit of -7.0 percentage points specified in section 1848(d)(4) of the Act. Taking the following factors into account, we estimate that the CY 2003 physician fee schedule update will equal the product of the following 3 factors:
MEI3.0% (1.030)
Update Adjustment Factor-7.0% (0.930)
Legislative Factor-0.2% (0.998)
Update-4.4% (0.956)
The MEI is based on the 3 complete quarters and 1 projected quarter of information and may change slightly before we announce the final MEI no later than November 1, 2002. Incorporating the estimated update with the practice expense impacts shown above will produce the following estimated impact on payments for physician fee schedule services. Table 3 shows the estimated change in average payments by specialty based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of these provisions based on public comment or if the actual MEI is different than our estimate, these figures may change.
| Specialty | Medicare allowed charges ($ in billions) | Combined practice expense changes (percent) | Estimated update (percent) | Total (percent) |
|---|---|---|---|---|
| Physicians: | ||||
| ALLERGY/IMMUNOLOGY | $0.14 | 2 | -4.4 | -3 |
| ANESTHESIOLOGY | 1.17 | -1 | -4.4 | -5 |
| CARDIAC SURGERY | 0.27 | 0 | -5.5 | -5 |
| CARDIOLOGY | 4.28 | 1 | -4.4 | -4 |
| CLINICS | 1.81 | 0 | -4.4 | -5 |
| DERMATOLOGY | 1.43 | -2 | -4.4 | -6 |
| EMERGENCY MEDICINE | 1.04 | 0 | -4.4 | -4 |
| ENDOCRINOLOGY | 0.20 | 0 | -4.4 | -5 |
| FAMILY PRACTICE | 3.27 | 0 | -4.4 | -5 |
| GASTROENTEROLOGY | 1.25 | -1 | -4.4 | -5 |
| GENERAL PRACTICE | 0.87 | 0 | -4.4 | -4 |
| GENERAL SURGERY | 1.94 | -1 | -4.4 | -5 |
| GERIATRICS | 0.08 | 0 | -4.4 | -5 |
| HEMATOLOGY/ONCOLOGY | 0.90 | 1 | -4.4 | -3 |
| INFECTIOUS DISEASE | 0.25 | -1 | -4.4 | -5 |
| INTERNAL MEDICINE | 6.42 | 0 | -4.4 | -5 |
| INTERVENTIONAL RADIOLOGY | 0.13 | 1 | -4.4 | -4 |
| NEPHROLOGY | 1.03 | -1 | -4.4 | -5 |
| NEUROLOGY | 0.85 | 2 | -4.4 | -1 |
| NEUROSURGERY | 0.35 | -1 | -4.4 | -5 |
| OBSTETRICS/GYNECOLOGY | 0.45 | 0 | -4.4 | -5 |
| OPHTHALMOLOGY | 3.69 | -1 | -4.4 | -5 |
| ORTHOPEDIC SURGERY | 2.22 | 0 | -4.4 | -5 |
| OTOLARNGOLOGY | 0.63 | 0 | -4.4 | -5 |
| PATHOLOGY | 0.63 | -2 | -4.4 | -6 |
| PEDIATRICS | 0.05 | 0 | -4.4 | -4 |
| PHYSICAL MEDICINE | 0.48 | 1 | -4.4 | -3 |
| PLASTIC SURGERY | 0.23 | -1 | -4.4 | -5 |
| PSYCHIATRY | 1.00 | 0 | -4.4 | -5 |
| PULMONARY DISEASE | 1.07 | 0 | -4.4 | -4 |
| RADIATION ONCOLOGY | 0.72 | 3 | -4.4 | -3 |
| RADIOLOGY | 3.12 | 2 | -4.4 | -3 |
| RHEUMATOLOGY | 0.30 | 0 | -4.4 | -4 |
| THORACIC SURGERY | 0.44 | 0 | -4.4 | -4 |
| UROLOGY | 1.28 | -1 | -4.4 | -4 |
| VASCULAR SURGERY | 0.34 | 2 | -4.4 | -3 |
| Other Practitioners: | ||||
| CHIROPRACTOR | 0.44 | -1 | -4.4 | -5 |
| CLINICAL PSYCHOLOGIST | 0.38 | 1 | -4.4 | -4 |
| CLINICAL SOCIAL WORKER | 0.21 | 0 | -4.4 | -4 |
| NURSE ANESTHETIST | 0.35 | -1 | -4.4 | -5 |
| NURSE PRACTITIONER | 0.21 | 0 | -4.4 | -5 |
| OPTOMETRY | 0.50 | -2 | -4.4 | -4 |
| PHYSICAL/OCCUPATIONAL THERAPY | 0.47 | 0 | -4.4 | -5 |
| PHYSICIANS ASSISTANT | 0.17 | 0 | -4.4 | -5 |
| PODIATRY | 1.10 | -1 | -4.4 | -5 |
| Suppliers: | ||||
| DIAGNOSTIC TREATMENT FACILITY | 0.35 | 9 | -4.4 | 1 |
| INDEPENDENT LABORATORY | 0.38 | -8 | -4.4 | -9 |
| PORTABLE X-RAY SUPPLIER | 0.06 | 8 | -4.4 | -1 |
| ALL OTHER | 0.29 | 0 | -4.4 | -5 |
| TOTAL | 49.21 | 0 | -4.4 | -4.4 |
Table 4 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in the practice expense RVUs and the estimated physician fee schedule update on total payment for the procedure. There are separate columns that show the change in the facility rates and the nonfacility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The table shows the estimated change in payment rates based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of the provisions following the consideration of public comments or if the actual MEI is different than our estimate, these figures may change.
| HCPCS | MOD | DESC | Facility payment | Old | New | % Change | Nonfacility payment | Old | New | % Change |
|---|---|---|---|---|---|---|---|---|---|---|
| 11721 | Debride nail, 6 or more | $28.96 | $27.34 | -6 | $36.92 | $34.95 | -5 | |||
| 17000 | Detroy benign/premal lesion | 32.94 | 31.15 | -5 | 62.62 | 58.48 | -7 | |||
| 27130 | Total hip arthroplasty | 1,452.31 | 1,376.62 | -5 | N/A | N/A | N/A | |||
| 27236 | Treat thigh fracture | 1,113.85 | 1,053.40 | -5 | N/A | N/A | N/A | |||
| 27244 | Treat thigh fracture | 1,137.38 | 1,074.86 | -5 | N/A | N/A | N/A | |||
| 27447 | Total knee arthroplasty | 1,514.21 | 1,433.72 | -5 | N/A | N/A | N/A | |||
| 33533 | CABG, arterial, single | 1,827.34 | 1,742.75 | -5 | N/A | N/A | N/A | |||
| 35301 | Rechanneling of artery | 1,061.36 | 1,011.18 | -5 | N/A | N/A | N/A | |||
| 43239 | Upper GI endoscopy, biopsy | 154.93 | 146.73 | -5 | 354.75 | 316.30 | -11 | |||
| 45385 | Lesion removal colonoscopy | 287.78 | 273.04 | -5 | 571.22 | 511.82 | -10 | |||
| 66821 | After cataract laser surgery | 213.94 | 203.83 | -5 | 229.50 | 219.40 | -4 | |||
| 66984 | Cataract surg w/iol, i stage | 669.32 | 636.06 | -5 | N/A | N/A | N/A | |||
| 67210 | Treatment of retinal lesion | 546.61 | 519.09 | 5 | 603.08 | 575.15 | -5 | |||
| 71010 | 26 | Chest x-ray | 9.05 | 8.65 | -4 | 9.05 | 8.65 | -4 | ||
| 71020 | 26 | Chest x-ray | 11.22 | 10.38 | -7 | 11.22 | 10.38 | -7 | ||
| 76091 | Mammogram, both breasts | N/A | N/A | N/A | 90.50 | 90.32 | 0 | |||
| 76091 | 26 | Mammogram, both breasts | 43.44 | 41.53 | -4 | 43.44 | 41.53 | -4 | ||
| 76092 | Mammogram, screening | N/A | N/A | N/A | 81.81 | 78.21 | -4 | |||
| 76092 | 26 | Mammogram, screening | 35.48 | 33.91 | -4 | 35.48 | 33.91 | -4 | ||
| 77427 | Radiation tx management, x5 | 167.96 | 159.88 | -5 | 167.96 | 159.88 | -5 | |||
| 78465 | 26 | Heart image (3d), multiple | 74.93 | 70.94 | -5 | 74.93 | 70.94 | -5 | ||
| 88305 | 26 | Tissue exam by pathologist | 40.54 | 38.41 | -5 | 40.54 | 38.41 | -5 | ||
| 90801 | Psy dx interview | 137.19 | 130.81 | -5 | 144.80 | 138.08 | -5 | |||
| 90806 | Psytx, off, 45-50 min | 91.22 | 87.55 | -4 | 95.93 | 92.05 | -4 | |||
| 90807 | Psytx, off, 45-50 min w/em | 98.82 | 94.13 | -5 | 103.53 | 98.28 | -5 | |||
| 90862 | Medication management | 46.33 | 43.95 | -5 | 51.04 | 48.45 | -5 | |||
| 90921 | ESRD related services, month | 273.30 | 258.16 | -6 | 273.30 | 258.16 | -6 | |||
| 90935 | Hemodialysis, one evaluation | 76.38 | 71.98 | -6 | N/A | N/A | N/A | |||
| 92004 | Eye exam, new patient | 87.96 | 83.05 | -6 | 123.44 | 117.66 | -5 | |||
| 92012 | Eye exam established pat | 35.84 | 33.91 | -5 | 61.18 | 58.48 | -4 | |||
| 92014 | Eye exam treatment | 58.64 | 55.37 | -6 | 91.22 | 86.86 | -5 | |||
| 92980 | Insert itracoronary stent | 790.59 | 748.18 | -5 | N/A | N/A | N/A | |||
| 92982 | Coronary artery dilation | 584.26 | 553.00 | -5 | N/A | N/A | N/A | |||
| 93000 | Electrocardiogram, complete | N/A | N/A | N/A | 25.34 | 25.26 | 0 | |||
| 93010 | Electrocardiogram report | 9.05 | 8.31 | -8 | 9.05 | 8.31 | -8 | |||
| 93015 | Cardiovascular stress test | N/A | N/A | N/A | 99.91 | 100.01 | 0 | |||
| 93307 | 26 | Echo exam of heart | 48.14 | 45.33 | -6 | 48.14 | 45.33 | -6 | ||
| 93510 | 26 | Left heart catheterization | 230.59 | 218.02 | -5 | 230.59 | 218.02 | -5 | ||
| 98941 | Chiropractic manipulation | 31.13 | 29.42 | -5 | 35.48 | 33.57 | -5 | |||
| 99202 | Office/outpatient visit, new | 45.61 | 43.26 | -5 | 61.54 | 58.14 | -6 | |||
| 99203 | Office/outpatient visit, new | 69.50 | 66.10 | -5 | 91.95 | 86.86 | -6 | |||
| 99204 | Office/outpatient visit, new | 102.81 | 97.93 | -5 | 130.68 | 123.89 | -5 | |||
| 99205 | Office/outpatient visit, new | 136.47 | 129.43 | -5 | 166.15 | 157.46 | -5 | |||
| 99211 | Office/outpatient visit, est | 8.69 | 8.31 | -4 | 20.27 | 19.03 | -6 | |||
| 99212 | Office/outpatient visit, est | 23.17 | 21.80 | -6 | 36.20 | 33.91 | -6 | |||
| 99213 | Office/outpatient visit, est | 34.03 | 32.53 | -4 | 50.32 | 47.76 | -5 | |||
| 99214 | Office/outpatient visit, est | 56.11 | 53.29 | -5 | 78.91 | 74.75 | -5 | |||
| 99215 | Office/outpatient visit, est | 90.50 | 85.82 | -5 | 115.84 | 109.35 | -6 | |||
| 99221 | Initial hospital care | 65.16 | 61.94 | -5 | N/A | N/A | N/A | |||
| 99222 | Initial hospital care | 108.24 | 102.78 | -5 | N/A | N/A | N/A | |||
| 99223 | Initial hospital care | 150.95 | 143.27 | -5 | N/A | N/A | N/A | |||
| 99231 | Subsequent hospital care | 32.58 | 30.80 | -5 | N/A | N/A | N/A | |||
| 99232 | Subsequent hospital care | 53.57 | 50.87 | -5 | N/A | N/A | N/A | |||
| 99233 | Subsequent hospital care | 76.38 | 72.33 | -5 | N/A | N/A | N/A | |||
| 99236 | Observ/hosp same date | 214.66 | 204.87 | -5 | N/A | N/A | N/A | |||
| 99238 | Hospital discharge day | 66.24 | 62.98 | -5 | N/A | N/A | N/A | |||
| 99239 | Hospital discharge day | 90.86 | 86.17 | -5 | N/A | N/A | N/A | |||
| 99241 | Office consultation | 33.30 | 31.15 | -6 | 47.06 | 44.64 | -5 | |||
| 99242 | Office consultation | 68.05 | 64.02 | -6 | 87.24 | 82.36 | -6 | |||
| 99243 | Office consultation | 90.14 | 85.48 | -5 | 115.84 | 109.35 | -6 | |||
| 99244 | Office consultation | 133.58 | 126.66 | -5 | 164.34 | 155.38 | -5 | |||
| 99245 | Office consultation | 177.01 | 167.84 | -5 | 212.85 | 201.41 | -5 | |||
| 99251 | Initial inpatient consult | 34.75 | 32.88 | -5 | N/A | N/A | N/A | |||
| 99252 | Initial inpatient consult | 69.86 | 66.10 | -5 | N/A | N/A | N/A | |||
| 99253 | Initial inpatient consult | 95.20 | 90.32 | -5 | N/A | N/A | N/A | |||
| 99254 | Initial inpatient consult | 136.83 | 129.77 | -5 | N/A | N/A | N/A | |||
| 99255 | Initial inpatient consult | 188.60 | 178.57 | -5 | N/A | N/A | N/A | |||
| 99261 | Follow-up inpatient consult | 21.72 | 20.76 | -4 | N/A | N/A | N/A | |||
| 99262 | Follow-up inpatient consult | 43.44 | 41.18 | -5 | N/A | N/A | N/A | |||
| 99263 | Follow-up inpatient consult | 64.80 | 61.25 | -5 | N/A | N/A | N/A | |||
| 99282 | Emergency dept visit | 26.43 | 25.26 | -4 | N/A | N/A | N/A | |||
| 99283 | Emergency dept visit | 59.37 | 56.75 | -4 | N/A | N/A | N/A | |||
| 99284 | Emergency dept visit | 92.67 | 88.59 | -4 | N/A | N/A | N/A | |||
| 99285 | Emergency dept visit | 144.80 | 138.08 | -5 | N/A | N/A | N/A | |||
| 99291 | Critical care, first hour | 198.37 | 188.60 | -5 | 208.87 | 197.60 | -5 | |||
| 99292 | Critical care, addl 30 min | 98.82 | 94.13 | -5 | 108.24 | 101.05 | -7 | |||
| 99301 | Nursing facility care | 60.09 | 57.45 | -4 | 70.23 | 66.79 | -5 | |||
| 99302 | Nursing facility care | 80.72 | 76.83 | -5 | 95.57 | 91.01 | -5 | |||
| 99303 | Nursing facility care | 100.27 | 95.51 | -5 | 118.73 | 112.82 | -5 | |||
| 99311 | Nursing fac care, subseq | 30.05 | 28.72 | -4 | 40.18 | 38.41 | -4 | |||
| 99312 | Nursing fac care, subseq | 49.95 | 47.41 | -5 | 61.90 | 58.83 | -5 | |||
| 99313 | Nursing fac care, subseq | 70.95 | 67.48 | -5 | 84.34 | 80.29 | -5 | |||
| 99348 | Home visit, est patient | N/A | N/A | N/A | 73.85 | 69.90 | -5 | |||
| 99350 | Home visit, est patient | N/A | N/A | N/A | 166.52 | 157.46 | -5 |
B. Proposed Productivity Adjustment to the MEI
As indicated in section II.D of this proposed rule, we are proposing to change the methodology for adjusting for productivity in the MEI. We propose that the MEI used for the CY 2003 physician payment update reflect changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index. The prior method accounted for productivity by adjusting the labor portion of the MEI by the 10-year moving average change in private nonfarm business (economy-wide) labor productivity. Our reasons for proposing this change and the alternatives we considered are discussed in detail in section II.D.
We believe that we have developed a revised MEI methodology that is technically superior to the current MEI and more adequately reflects annual changes in the cost of furnishing services in efficient physicians' practices. We estimate that the proposed changes to the MEI would raise the index by 0.7 percentage points from 2.3 percent to 3.0 percent for CY 2003 based on 3 complete quarters and 1 projected quarter of information. This figure may change based on complete data. We estimate that this proposed change would increase Federal expenditures by $150 million in FY 2003. The outyear impact is a function of numerous economic variables that fluctuate unpredictably. Our estimate of the impact beyond FY 2003 is based on projections of both the current and proposed revised index. We estimate the proposed change would increase Federal expenditures by $340 million in FY 2004 and $550 million in FY 2005.
C. Site of Service
Relative values for practice expense are determined for both "facility" and "nonfacility" settings. (See Addendum B.) We propose to clarify which place of service codes are assigned to facility relative values and which place of service codes are assigned to nonfacility relative values. This clarification should benefit physicians, providers, and Medicare contractors by making the payment rules clearer. We are proposing to update facility and nonfacility designations for several new place of service codes and change the designations for several place of service codes already in existence. The update for the new place of service codes will have no effect on Medicare spending. The place of service codes in which we are changing the designation are infrequently used for physician fee schedule services. Any effect of this proposal would result in very minor redistribution in payment among physician fee schedule services through the practice expense budget-neutrality adjustments.
D. Pricing of Technical Components (TC) for Positron Emission Tomography (PET) Scans
As stated earlier, to keep pricing consistent with the manner in which other PET scan services are paid, we are proposing a change from national pricing to having the carriers price the TC and global value for HCPCS code G0125 Lung Image PET scans. The budgetary impact on the Medicare program and providers would be uncertain since we do not know the payment amounts that carriers would use for this service.
E. Medicare Qualifications for Clinical Nurse Specialists (CNSs)
As previously stated, we are proposing to revise regulations regarding qualifications for CNSs by allowing flexibility as to certifying bodies. We believe this change would make the Medicare requirements more consistent with criteria for other practitioners. We also believe there would be additional enrollment of CNSs that would qualify for Medicare enrollment. We expect that this proposal would have little effect on Medicare expenditures.
F. Process To Add or Delete Services to the Definition of Telehealth
We are proposing a process for adding or deleting services from the list of telehealth services, as well as for adding specific services to the list for CY 2003. There are no costs or savings to the Medicare program associated with this proposal. In addition, we are proposing to add psychiatric diagnostic interview examination, as represented by HCPCS code 90801, to the list of Medicare telehealth services. We believe this would have little effect on Medicare expenditures.
G. Change in Global Period for CPT Code 77789 (Surface Application of Radiation Source
We are proposing a change in the global period for CPT code 77789 (surface application of radiation source) from a 90-day global period to a 000-day global period. We believe physicians that furnish these services would benefit from this change because it would simplify their billing processes. We do not expect it would have a significant impact on the Medicare program because the change would reflect current practices.
H. New HCPCS G-Codes
We are proposing to add new G-codes to describe evaluation (examination and treatment) of the feet no more often than every 6 months for individuals with a documented diagnosis of diabetic peripheral neuropathy with loss of protective sensation. We established payment for these codes in CY 2002 to allow for payment consistent with a national coverage decision clarifying coverage for routine foot exams. This provision would have no impact on the program because the codes will be implemented through a program memorandum to reflect new national policy effective July 1, 2002.
I. Endoscopic Base for Urology Codes
We are proposing to correct the pricing of certain endoscopic services. As we indicated in section II.N., we propose to use CPT procedure code 52000 as the endoscopic base code for CPT procedure codes 52234, 52235, and 52240. This proposed change would result in a reduction in payment in instances when these codes are billed in conjunction with either CPT procedure code 52000 or other codes that have CPT procedure code 52000 as the endscopic base code. We expect the savings would be negligible.
J. Physical Therapy and Occupational Therapy Caps
There were no proposals made in this area. The imposition of the physical and occupational therapy caps will occur as a result of application of section 4541(c) of the BBA. While section 221 of the BBRA and section 421 of BIPA placed a moratorium on application of these caps, the moratorium expires for physical and occupational therapy services rendered after December 31, 2002. We estimate that application of the caps will reduce Medicare expenditures for physical and occupational therapy services by $240 million in 2003.
K. Enrollment of Physical and Occupational Therapists as Therapists in Private Practice
This proposal would clarify Medicare enrollment criteria for therapists and provide consistency among Medicare contractors. This would allow flexibility for therapists in how they choose to practice by allowing all therapists that met the enrollment criteria to enroll in Medicare.
L. Alternatives Considered
This proposed rule contains a range of policies. The preamble identifies those policies when discretion has been exercised and presents rationale for our decisions, including a presentation of nonselected options.
M. Impact on Beneficiaries
Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. We do not believe that there would be any problem with access to care as a result of the proposed changes in this rule. While it has been suggested that the negative update for 2003 may affect beneficiary access to care, we note that the formula to determine this update is set by statute and this regulation cannot, and does not, change it. Furthermore, since beginning our transition to a resource-based practice expense system in CY 1999, we have not found that there are problems with beneficiary access to care.
As indicated above, the imposition of the physical and occupational therapy caps will occur as a result of application of section 4541(c) of the BBA. It is possible that application of physical and occupational therapy caps will have an impact on Medicare beneficiaries either through increased liability for services exceeding the cap or fewer services being provided. We contracted with the Urban Institute to perform analyses related to the implementation of the therapy caps, based on an analysis of a sample of therapy services provided from 1998 through 2000. The draft reports are available on the CMS website. The contractor report indicated that in 2000, about 12 percent of patients who received therapy services would have exceeded the caps. More than 50 percent of those who exceeded the caps did so by $500 or more. The caps are more likely to be exceeded in skilled nursing facilities, comprehensive outpatient rehabilitation facilities, and other rehabilitation facility settings. The caps do not apply to outpatient therapy services provided in an outpatient hospital. The report does not make assumptions about changes in behavior in response to the caps. Without more experience with the caps, it is difficult to predict the precise impact on beneficiaries.
In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays.
For the reasons set forth in the preamble, the Centers for Medicare Medicaid Services proposes to amend 42 CFR chapter IV as follows:
PART 410-SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
1. The authority citation for Part 410 continues to read as follows:
Authority:
Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
2. Section 410.59 is amended as follows:
A. Paragraph (c)(1)(ii)(C) is revised.
B. A new paragraph (c)(1)(ii)(D) is added.
The revision and addition read as follows:
§ 410.59 Outpatient occupational therapy services: conditions.
(c) * * *
(1) * * *
(ii) * * *
(C) An unincorporated solo practice, partnership, or group practice, or a professional corporation or other incorporated occupational therapy practice.
(D) A physician group.
3. Section 410.60 is amended as follows:
A. Paragraph (c)(1)(ii)(C) is revised.
B. A new paragraph (c)(1)(ii)(D) is added.
The revision and addition read as follows:
§ 410.60 Outpatient physical therapy services: conditions.
(c) * * *
(1) * * *
(ii) * * *
(C) An unincorporated solo practice, partnership, or group practice, or a professional corporation or other incorporated physical therapy practice.
(D) An employee of a physician group.
4. Section 410.61 is amended by revising paragraph (d)(1)(iii) to read as follows:
§ 410.61 Outpatient rehabilitation services.
(d) * * *
(1) * * *
(iii) The occupational therapist that furnishes the occupational therapy services.
5. Section 410.76 is amended by revising paragraph (b)(3) to read as follows:
§ 410.76 Clinical nurse specialists' services.
(b) * * *
(3) Be certified as a clinical nurse specialist by a national certifying body that has established standards for clinical nurse specialists and that is approved by the Secretary.
6. Section 410.78 is amended as follows:
a. Revise the heading of the section.
b. Revise paragraph (b) introductory text.
c. Revise paragraph (b)(1).
The revisions read as follows:
§ 410.78 Telehealth services.
(b) General rule. Medicare Part B pays for office and other outpatient visits, professional consultation, psychiatric diagnostic interview examination, individual psychotherapy, and pharmacologic management furnished by an interactive telecommunications system if the following conditions are met:
(1) The physician or practitioner at the distant site must be licensed to furnish the service under State law. The physician or practitioner at the distant site who is licensed under State law to furnish a covered telehealth service described in this section may bill, and receive payment for, the service when it is delivered via a telecommunications system.
PART 414-PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
1. The authority citation for part 414 continues to read as follows:
Authority:
Secs. 1102, 1871, and 1881(b)(1) of the Social Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).
2. Section 414.46is amended by revising paragraph (g) to read as follows:
§ 414.46 Additional rules for payment of anesthesia services.
(g) Physician involved in multiple anesthesia services. If the physician is involved in multiple anesthesia services for the same patient during the same operative session, the carrier makes payment according to the base unit associated with the anesthesia service having the highest base unit value and anesthesia time that encompasses the multiple services. If the multiple anesthesia services involve add-on anesthesia codes, as described in program operating instructions, the carrier makes payment for the add-on codes according to the usual anesthesia payment rules in paragraph (b) of this section.
3. Section 414.65, is amended as follows:
a. Revise the heading of the section.
b. Revise paragraph (a)(1).
c. Revise paragraph (b) introductory text.
The revisions read as follows:
§ 414.65 Payment for telehealth services.
(a) * * *
(1) The Medicare payment amount for office or other outpatient visits, consultation, individual psychotherapy, psychiatric diagnostic interview examination, and pharmacologic management furnished via an interactive telecommunications system is equal to the current fee schedule amount applicable for the service of the physician or practitioner.
(b) Originating site facility fee. For telehealth services furnished on or after October 1, 2001:
(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare-Supplementary Medical Insurance Program)
Dated: May 21, 2002.
Thomas A. Scully,
Administrator, Centers for Medicare Medicaid Services.
Approved: June 5, 2002.
Tommy G. Thompson,
Secretary.
Note:
These addenda will not appear in the Code of Federal Regulations.
Addendum A-Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2003. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule. Addendum B will no longer publish alpha numeric codes for which there is no physician fee schedule coverage or payment or services paid on the clinical lab fee schedule.
Addendum B-2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003
This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.
2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier -26) for the service. If there is a PC and a TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier -26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.
A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an "A" indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.
N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.
-If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).
-If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that is not within the definition of "physicians" services" for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)
4. Description of code. This is an abbreviated version of the narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work for this service in 2003. Codes that are not used for Medicare payment are identified with a "+."
6. Facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.
7. Non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.
8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2003.
9. Facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.
10. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.
11. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:
MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).
ZZZ = Code related to another service that is always included in the global period of the other service. (Note: Physician work and practice expense are associated with intra service time and in some instances the post service time.)
----------
1 CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).3 +Indicates RVUs are not use for Medicate payments.4 PE RVUs = Practice Expense Relative Value Units.
| CPT1 / HCPCS2 | MOD | Status | Description | Physician Work RVUs3 | Facility PE RVUs | Non- Facility PE RVUs | Mal- Practice RVUs | Global |
|---|---|---|---|---|---|---|---|---|
| 0001T | C | Endovas repr abdo ao aneurys | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0002T | C | Endovas repr abdo ao aneurys | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0003T | C | Cervicography | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0005T | C | Perc cath stent/brain cv art | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0006T | C | Perc cath stent/brain cv art | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0007T | C | Perc cath stent/brain cv art | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0008T | C | Upper gi endoscopy w/suture | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0009T | C | Endometrial cryoablation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0010T | C | Tb test, gamma interferon | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0012T | C | Osteochondral knee autograft | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0013T | C | Osteochondral knee allograft | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0014T | C | Meniscal transplant, knee | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0016T | C | Thermotx choroid vasc lesion | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0017T | C | Photocoagulat macular drusen | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0018T | C | Transcranial magnetic stimul | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0019T | C | Extracorp shock wave tx, ms | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0020T | C | Extracorp shock wave tx, ft | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0021T | C | Fetal oximetry, trnsvag/cerv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0023T | C | Phenotype drug test, hiv 1 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0024T | C | Transcath cardiac reduction | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0025T | C | Ultrasonic pachymetry | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0026T | C | Measure remnant lipoproteins | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 10021 | A | Fna w/o image | 1.27 | NA | 1.00 | 0.10 | XXX | |
| 10022 | A | Fna w/image | 1.27 | NA | 1.26 | 0.08 | XXX | |
| 10040 | A | Acne surgery | 1.18 | 0.53 | 0.93 | 0.05 | 010 | |
| 10060 | A | Drainage of skin abscess | 1.17 | 0.67 | 1.47 | 0.08 | 010 | |
| 10061 | A | Drainage of skin abscess | 2.40 | 1.42 | 1.83 | 0.17 | 010 | |
| 10080 | A | Drainage of pilonidal cyst | 1.17 | 0.73 | 2.12 | 0.09 | 010 | |
| 10081 | A | Drainage of pilonidal cyst | 2.45 | 1.54 | 2.88 | 0.19 | 010 | |
| 10120 | A | Remove foreign body | 1.22 | 0.36 | 1.48 | 0.10 | 010 | |
| 10121 | A | Remove foreign body | 2.69 | 1.78 | 2.93 | 0.25 | 010 | |
| 10140 | A | Drainage of hematoma/fluid | 1.53 | 0.87 | 1.49 | 0.15 | 010 | |
| 10160 | A | Puncture drainage of lesion | 1.20 | 0.42 | 0.72 | 0.11 | 010 | |
| 10180 | A | Complex drainage, wound | 2.25 | 1.26 | 1.47 | 0.25 | 010 | |
| 11000 | A | Debride infected skin | 0.60 | 0.24 | 0.63 | 0.05 | 000 | |
| 11001 | A | Debride infected skin add-on | 0.30 | 0.11 | 0.37 | 0.02 | ZZZ | |
| 11010 | A | Debride skin, fx | 4.20 | 1.98 | 2.39 | 0.45 | 010 | |
| 11011 | A | Debride skin/muscle, fx | 4.95 | 2.59 | 3.82 | 0.53 | 000 | |
| 11012 | A | Debride skin/muscle/bone, fx | 6.88 | 4.21 | 5.47 | 0.89 | 000 | |
| 11040 | A | Debride skin, partial | 0.50 | 0.21 | 0.54 | 0.05 | 000 | |
| 11041 | A | Debride skin, full | 0.82 | 0.33 | 0.69 | 0.08 | 000 | |
| 11042 | A | Debride skin/tissue | 1.12 | 0.46 | 1.04 | 0.11 | 000 | |
| 11043 | A | Debride tissue/muscle | 2.38 | 1.38 | 2.65 | 0.24 | 010 | |
| 11044 | A | Debride tissue/muscle/bone | 3.06 | 1.82 | 3.26 | 0.34 | 010 | |
| 11055 | R | Trim skin lesion | 0.43 | 0.18 | 0.51 | 0.02 | 000 | |
| 11056 | R | Trim skin lesions, 2 to 4 | 0.61 | 0.26 | 0.57 | 0.03 | 000 | |
| 11057 | R | Trim skin lesions, over 4 | 0.79 | 0.33 | 0.64 | 0.04 | 000 | |
| 11100 | A | Biopsy of skin lesion | 0.81 | 0.37 | 1.46 | 0.04 | 000 | |
| 11101 | A | Biopsy, skin add-on | 0.41 | 0.19 | 0.69 | 0.02 | ZZZ | |
| 11200 | A | Removal of skin tags | 0.77 | 0.31 | 1.16 | 0.04 | 010 | |
| 11201 | A | Remove skin tags add-on | 0.29 | 0.12 | 0.51 | 0.02 | ZZZ | |
| 11300 | A | Shave skin lesion | 0.51 | 0.22 | 1.01 | 0.03 | 000 | |
| 11301 | A | Shave skin lesion | 0.85 | 0.39 | 1.09 | 0.04 | 000 | |
| 11302 | A | Shave skin lesion | 1.05 | 0.47 | 1.18 | 0.05 | 000 | |
| 11303 | A | Shave skin lesion | 1.24 | 0.54 | 1.31 | 0.06 | 000 | |
| 11305 | A | Shave skin lesion | 0.67 | 0.28 | 0.74 | 0.04 | 000 | |
| 11306 | A | Shave skin lesion | 0.99 | 0.43 | 1.00 | 0.05 | 000 | |
| 11307 | A | Shave skin lesion | 1.14 | 0.50 | 1.12 | 0.05 | 000 | |
| 11308 | A | Shave skin lesion | 1.41 | 0.61 | 1.26 | 0.07 | 000 | |
| 11310 | A | Shave skin lesion | 0.73 | 0.33 | 1.11 | 0.04 | 000 | |
| 11311 | A | Shave skin lesion | 1.05 | 0.50 | 1.20 | 0.05 | 000 | |
| 11312 | A | Shave skin lesion | 1.20 | 0.57 | 1.27 | 0.06 | 000 | |
| 11313 | A | Shave skin lesion | 1.62 | 0.74 | 1.55 | 0.09 | 000 | |
| 11400 | A | Removal of skin lesion | 0.91 | 0.35 | 1.63 | 0.06 | 010 | |
| 11401 | A | Removal of skin lesion | 1.32 | 0.51 | 1.76 | 0.09 | 010 | |
| 11402 | A | Removal of skin lesion | 1.61 | 0.95 | 2.51 | 0.12 | 010 | |
| 11403 | A | Removal of skin lesion | 1.92 | 1.07 | 2.75 | 0.16 | 010 | |
| 11404 | A | Removal of skin lesion | 2.20 | 1.15 | 2.91 | 0.18 | 010 | |
| 11406 | A | Removal of skin lesion | 2.76 | 1.36 | 3.21 | 0.25 | 010 | |
| 11420 | A | Removal of skin lesion | 1.06 | 0.43 | 1.46 | 0.08 | 010 | |
| 11421 | A | Removal of skin lesion | 1.53 | 0.62 | 1.77 | 0.11 | 010 | |
| 11422 | A | Removal of skin lesion | 1.76 | 1.04 | 2.53 | 0.14 | 010 | |
| 11423 | A | Removal of skin lesion | 2.17 | 1.22 | 2.92 | 0.17 | 010 | |
| 11424 | A | Removal of skin lesion | 2.62 | 1.38 | 3.04 | 0.21 | 010 | |
| 11426 | A | Removal of skin lesion | 3.78 | 1.82 | 3.70 | 0.34 | 010 | |
| 11440 | A | Removal of skin lesion | 1.15 | 0.51 | 2.18 | 0.08 | 010 | |
| 11441 | A | Removal of skin lesion | 1.61 | 0.72 | 2.38 | 0.11 | 010 | |
| 11442 | A | Removal of skin lesion | 1.87 | 1.25 | 2.79 | 0.14 | 010 | |
| 11443 | A | Removal of skin lesion | 2.49 | 1.57 | 3.30 | 0.18 | 010 | |
| 11444 | A | Removal of skin lesion | 3.42 | 1.98 | 3.75 | 0.25 | 010 | |
| 11446 | A | Removal of skin lesion | 4.49 | 2.45 | 4.20 | 0.30 | 010 | |
| 11450 | A | Removal, sweat gland lesion | 2.73 | 0.97 | 4.11 | 0.26 | 090 | |
| 11451 | A | Removal, sweat gland lesion | 3.95 | 1.44 | 4.91 | 0.39 | 090 | |
| 11462 | A | Removal, sweat gland lesion | 2.51 | 0.95 | 4.08 | 0.23 | 090 | |
| 11463 | A | Removal, sweat gland lesion | 3.95 | 1.57 | 5.55 | 0.40 | 090 | |
| 11470 | A | Removal, sweat gland lesion | 3.25 | 1.24 | 4.66 | 0.30 | 090 | |
| 11471 | A | Removal, sweat gland lesion | 4.41 | 1.72 | 5.69 | 0.40 | 090 | |
| 11600 | A | Removal of skin lesion | 1.41 | 1.02 | 2.41 | 0.09 | 010 | |
| 11601 | A | Removal of skin lesion | 1.93 | 1.30 | 2.46 | 0.12 | 010 | |
| 11602 | A | Removal of skin lesion | 2.09 | 1.35 | 2.58 | 0.13 | 010 | |
| 11603 | A | Removal of skin lesion | 2.35 | 1.42 | 2.83 | 0.16 | 010 | |
| 11604 | A | Removal of skin lesion | 2.58 | 1.49 | 3.15 | 0.18 | 010 | |
| 11606 | A | Removal of skin lesion | 3.43 | 1.77 | 3.76 | 0.28 | 010 | |
| 11620 | A | Removal of skin lesion | 1.34 | 1.03 | 2.39 | 0.09 | 010 | |
| 11621 | A | Removal of skin lesion | 1.97 | 1.37 | 2.50 | 0.12 | 010 | |
| 11622 | A | Removal of skin lesion | 2.34 | 1.54 | 2.78 | 0.15 | 010 | |
| 11623 | A | Removal of skin lesion | 2.93 | 1.76 | 3.18 | 0.20 | 010 | |
| 11624 | A | Removal of skin lesion | 3.43 | 1.98 | 3.59 | 0.25 | 010 | |
| 11626 | A | Removal of skin lesion | 4.30 | 2.46 | 4.36 | 0.35 | 010 | |
| 11640 | A | Removal of skin lesion | 1.53 | 1.23 | 2.45 | 0.10 | 010 | |
| 11641 | A | Removal of skin lesion | 2.44 | 1.71 | 2.85 | 0.15 | 010 | |
| 11642 | A | Removal of skin lesion | 2.93 | 1.94 | 3.26 | 0.18 | 010 | |
| 11643 | A | Removal of skin lesion | 3.50 | 2.21 | 3.69 | 0.24 | 010 | |
| 11644 | A | Removal of skin lesion | 4.55 | 2.81 | 4.65 | 0.33 | 010 | |
| 11646 | A | Removal of skin lesion | 5.95 | 3.62 | 5.52 | 0.46 | 010 | |
| 11719 | R | Trim nail(s) | 0.17 | 0.07 | 0.25 | 0.01 | 000 | |
| 11720 | A | Debride nail, 1-5 | 0.32 | 0.13 | 0.34 | 0.02 | 000 | |
| 11721 | A | Debride nail, 6 or more | 0.54 | 0.21 | 0.43 | 0.04 | 000 | |
| 11730 | A | Removal of nail plate | 1.13 | 0.44 | 0.81 | 0.09 | 000 | |
| 11732 | A | Remove nail plate, add-on | 0.57 | 0.23 | 0.30 | 0.05 | ZZZ | |
| 11740 | A | Drain blood from under nail | 0.37 | 0.14 | 0.81 | 0.03 | 000 | |
| 11750 | A | Removal of nail bed | 1.86 | 0.77 | 1.71 | 0.16 | 010 | |
| 11752 | A | Remove nail bed/finger tip | 2.67 | 1.74 | 2.10 | 0.33 | 010 | |
| 11755 | A | Biopsy, nail unit | 1.31 | 0.56 | 1.07 | 0.06 | 000 | |
| 11760 | A | Repair of nail bed | 1.58 | 1.24 | 1.78 | 0.17 | 010 | |
| 11762 | A | Reconstruction of nail bed | 2.89 | 1.86 | 2.23 | 0.32 | 010 | |
| 11765 | A | Excision of nail fold, toe | 0.69 | 0.49 | 1.13 | 0.05 | 010 | |
| 11770 | A | Removal of pilonidal lesion | 2.61 | 1.23 | 2.93 | 0.24 | 010 | |
| 11771 | A | Removal of pilonidal lesion | 5.74 | 3.91 | 5.50 | 0.56 | 090 | |
| 11772 | A | Removal of pilonidal lesion | 6.98 | 4.36 | 6.35 | 0.68 | 090 | |
| 11900 | A | Injection into skin lesions | 0.52 | 0.22 | 0.75 | 0.02 | 000 | |
| 11901 | A | Added skin lesions injection | 0.80 | 0.36 | 0.87 | 0.03 | 000 | |
| 11920 | R | Correct skin color defects | 1.61 | 0.80 | 2.21 | 0.17 | 000 | |
| 11921 | R | Correct skin color defects | 1.93 | 1.00 | 2.60 | 0.21 | 000 | |
| 11922 | R | Correct skin color defects | 0.49 | 0.25 | 0.39 | 0.05 | ZZZ | |
| 11950 | R | Therapy for contour defects | 0.84 | 0.42 | 1.20 | 0.06 | 000 | |
| 11951 | R | Therapy for contour defects | 1.19 | 0.52 | 1.57 | 0.10 | 000 | |
| 11952 | R | Therapy for contour defects | 1.69 | 0.70 | 2.01 | 0.17 | 000 | |
| 11954 | R | Therapy for contour defects | 1.85 | 0.93 | 2.62 | 0.19 | 000 | |
| 11960 | A | Insert tissue expander(s) | 9.08 | 11.15 | NA | 0.88 | 090 | |
| 11970 | A | Replace tissue expander | 7.06 | 5.01 | NA | 0.77 | 090 | |
| 11971 | A | Remove tissue expander(s) | 2.13 | 3.88 | 6.27 | 0.21 | 090 | |
| 11975 | N | Insert contraceptive cap | 1.48 | 0.57 | 1.56 | 0.14 | XXX | |
| 11976 | R | Removal of contraceptive cap | 1.78 | 0.70 | 1.67 | 0.17 | 000 | |
| 11977 | N | Removal/reinsert contra cap | 3.30 | 1.28 | 2.27 | 0.31 | XXX | |
| 11980 | A | Implant hormone pellet(s) | 1.48 | 0.56 | 1.12 | 0.10 | 000 | |
| 11981 | A | Insert drug implant device | 1.48 | 0.57 | 1.56 | 0.14 | XXX | |
| 11982 | A | Remove drug implant device | 1.78 | 0.69 | 1.68 | 0.17 | XXX | |
| 11983 | A | Remove/insert drug implant | 3.30 | 1.28 | 2.27 | 0.31 | XXX | |
| 12001 | A | Repair superficial wound(s) | 1.70 | 0.44 | 2.09 | 0.13 | 010 | |
| 12002 | A | Repair superficial wound(s) | 1.86 | 0.93 | 2.15 | 0.15 | 010 | |
| 12004 | A | Repair superficial wound(s) | 2.24 | 1.04 | 2.41 | 0.17 | 010 | |
| 12005 | A | Repair superficial wound(s) | 2.86 | 1.23 | 2.96 | 0.23 | 010 | |
| 12006 | A | Repair superficial wound(s) | 3.67 | 1.54 | 3.61 | 0.31 | 010 | |
| 12007 | A | Repair superficial wound(s) | 4.12 | 1.83 | 4.05 | 0.37 | 010 | |
| 12011 | A | Repair superficial wound(s) | 1.76 | 0.45 | 2.25 | 0.14 | 010 | |
| 12013 | A | Repair superficial wound(s) | 1.99 | 0.96 | 2.39 | 0.16 | 010 | |
| 12014 | A | Repair superficial wound(s) | 2.46 | 1.09 | 2.68 | 0.18 | 010 | |
| 12015 | A | Repair superficial wound(s) | 3.19 | 1.28 | 3.28 | 0.24 | 010 | |
| 12016 | A | Repair superficial wound(s) | 3.93 | 1.56 | 3.76 | 0.32 | 010 | |
| 12017 | A | Repair superficial wound(s) | 4.71 | 1.90 | NA | 0.39 | 010 | |
| 12018 | A | Repair superficial wound(s) | 5.53 | 2.27 | NA | 0.46 | 010 | |
| 12020 | A | Closure of split wound | 2.62 | 1.42 | 2.48 | 0.24 | 010 | |
| 12021 | A | Closure of split wound | 1.84 | 1.02 | 1.61 | 0.19 | 010 | |
| 12031 | A | Layer closure of wound(s) | 2.15 | 0.77 | 2.15 | 0.15 | 010 | |
| 12032 | A | Layer closure of wound(s) | 2.47 | 1.28 | 2.77 | 0.15 | 010 | |
| 12034 | A | Layer closure of wound(s) | 2.92 | 1.45 | 3.04 | 0.21 | 010 | |
| 12035 | A | Layer closure of wound(s) | 3.43 | 1.67 | 3.08 | 0.30 | 010 | |
| 12036 | A | Layer closure of wound(s) | 4.05 | 2.45 | 5.20 | 0.41 | 010 | |
| 12037 | A | Layer closure of wound(s) | 4.67 | 2.79 | 5.49 | 0.49 | 010 | |
| 12041 | A | Layer closure of wound(s) | 2.37 | 0.83 | 2.34 | 0.17 | 010 | |
| 12042 | A | Layer closure of wound(s) | 2.74 | 1.42 | 2.98 | 0.17 | 010 | |
| 12044 | A | Layer closure of wound(s) | 3.14 | 1.61 | 3.15 | 0.24 | 010 | |
| 12045 | A | Layer closure of wound(s) | 3.64 | 1.86 | 3.53 | 0.34 | 010 | |
| 12046 | A | Layer closure of wound(s) | 4.25 | 2.52 | 5.48 | 0.40 | 010 | |
| 12047 | A | Layer closure of wound(s) | 4.65 | 2.88 | 5.92 | 0.41 | 010 | |
| 12051 | A | Layer closure of wound(s) | 2.47 | 1.41 | 3.00 | 0.16 | 010 | |
| 12052 | A | Layer closure of wound(s) | 2.77 | 1.38 | 2.92 | 0.17 | 010 | |
| 12053 | A | Layer closure of wound(s) | 3.12 | 1.54 | 3.09 | 0.20 | 010 | |
| 12054 | A | Layer closure of wound(s) | 3.46 | 1.65 | 3.44 | 0.25 | 010 | |
| 12055 | A | Layer closure of wound(s) | 4.43 | 2.18 | 4.49 | 0.35 | 010 | |
| 12056 | A | Layer closure of wound(s) | 5.24 | 3.05 | 6.55 | 0.43 | 010 | |
| 12057 | A | Layer closure of wound(s) | 5.96 | 3.75 | 6.07 | 0.50 | 010 | |
| 13100 | A | Repair of wound or lesion | 3.12 | 1.82 | 3.34 | 0.21 | 010 | |
| 13101 | A | Repair of wound or lesion | 3.92 | 2.29 | 3.54 | 0.22 | 010 | |
| 13102 | A | Repair wound/lesion add-on | 1.24 | 0.57 | 0.73 | 0.10 | ZZZ | |
| 13120 | A | Repair of wound or lesion | 3.30 | 1.87 | 3.45 | 0.23 | 010 | |
| 13121 | A | Repair of wound or lesion | 4.33 | 2.39 | 3.76 | 0.25 | 010 | |
| 13122 | A | Repair wound/lesion add-on | 1.44 | 0.65 | 0.86 | 0.12 | ZZZ | |
| 13131 | A | Repair of wound or lesion | 3.79 | 2.21 | 3.70 | 0.25 | 010 | |
| 13132 | A | Repair of wound or lesion | 5.95 | 3.25 | 4.48 | 0.32 | 010 | |
| 13133 | A | Repair wound/lesion add-on | 2.19 | 1.01 | 1.19 | 0.17 | ZZZ | |
| 13150 | A | Repair of wound or lesion | 3.81 | 2.66 | 5.17 | 0.29 | 010 | |
| 13151 | A | Repair of wound or lesion | 4.45 | 3.10 | 5.04 | 0.28 | 010 | |
| 13152 | A | Repair of wound or lesion | 6.33 | 4.00 | 5.71 | 0.38 | 010 | |
| 13153 | A | Repair wound/lesion add-on | 2.38 | 1.09 | 1.32 | 0.18 | ZZZ | |
| 13160 | A | Late closure of wound | 10.48 | 6.28 | NA | 1.19 | 090 | |
| 14000 | A | Skin tissue rearrangement | 5.89 | 4.68 | 7.31 | 0.46 | 090 | |
| 14001 | A | Skin tissue rearrangement | 8.47 | 5.99 | 8.55 | 0.65 | 090 | |
| 14020 | A | Skin tissue rearrangement | 6.59 | 5.39 | 7.78 | 0.50 | 090 | |
| 14021 | A | Skin tissue rearrangement | 10.06 | 7.15 | 9.05 | 0.69 | 090 | |
| 14040 | A | Skin tissue rearrangement | 7.87 | 6.10 | 8.03 | 0.53 | 090 | |
| 14041 | A | Skin tissue rearrangement | 11.49 | 7.93 | 9.73 | 0.68 | 090 | |
| 14060 | A | Skin tissue rearrangement | 8.50 | 6.95 | 8.54 | 0.59 | 090 | |
| 14061 | A | Skin tissue rearrangement | 12.29 | 8.79 | 10.70 | 0.75 | 090 | |
| 14300 | A | Skin tissue rearrangement | 11.76 | 8.44 | 9.90 | 0.88 | 090 | |
| 14350 | A | Skin tissue rearrangement | 9.61 | 6.37 | NA | 1.09 | 090 | |
| 15000 | A | Skin graft | 4.00 | 1.88 | 2.44 | 0.37 | 000 | |
| 15001 | A | Skin graft add-on | 1.00 | 0.43 | 0.58 | 0.11 | ZZZ | |
| 15050 | A | Skin pinch graft | 4.30 | 3.96 | 5.05 | 0.46 | 090 | |
| 15100 | A | Skin split graft | 9.05 | 6.16 | 6.25 | 0.94 | 090 | |
| 15101 | A | Skin split graft add-on | 1.72 | 0.74 | 1.20 | 0.18 | ZZZ | |
| 15120 | A | Skin split graft | 9.83 | 6.75 | 8.40 | 0.87 | 090 | |
| 15121 | A | Skin split graft add-on | 2.67 | 1.22 | 1.60 | 0.27 | ZZZ | |
| 15200 | A | Skin full graft | 8.03 | 5.57 | 9.30 | 0.73 | 090 | |
| 15201 | A | Skin full graft add-on | 1.32 | 0.64 | 1.07 | 0.14 | ZZZ | |
| 15220 | A | Skin full graft | 7.87 | 6.23 | 9.26 | 0.68 | 090 | |
| 15221 | A | Skin full graft add-on | 1.19 | 0.58 | 0.92 | 0.12 | ZZZ | |
| 15240 | A | Skin full graft | 9.04 | 7.06 | 8.90 | 0.77 | 090 | |
| 15241 | A | Skin full graft add-on | 1.86 | 0.94 | 1.46 | 0.17 | ZZZ | |
| 15260 | A | Skin full graft | 10.06 | 7.53 | 8.86 | 0.63 | 090 | |
| 15261 | A | Skin full graft add-on | 2.23 | 1.14 | 1.56 | 0.17 | ZZZ | |
| 15342 | A | Cultured skin graft, 25 cm | 1.00 | 1.03 | 2.14 | 0.09 | 010 | |
| 15343 | A | Culture skn graft addl 25 cm | 0.25 | 0.10 | 0.41 | 0.02 | ZZZ | |
| 15350 | A | Skin homograft | 4.00 | 4.40 | 8.43 | 0.42 | 090 | |
| 15351 | A | Skin homograft add-on | 1.00 | 0.41 | 0.92 | 0.11 | ZZZ | |
| 15400 | A | Skin heterograft | 4.00 | 4.79 | 4.79 | 0.40 | 090 | |
| 15401 | A | Skin heterograft add-on | 1.00 | 0.46 | 1.11 | 0.11 | ZZZ | |
| 15570 | A | Form skin pedicle flap | 9.21 | 6.11 | 8.17 | 0.96 | 090 | |
| 15572 | A | Form skin pedicle flap | 9.27 | 5.83 | 7.68 | 0.93 | 090 | |
| 15574 | A | Form skin pedicle flap | 9.88 | 6.85 | 8.31 | 0.92 | 090 | |
| 15576 | A | Form skin pedicle flap | 8.69 | 6.34 | 8.80 | 0.72 | 090 | |
| 15600 | A | Skin graft | 1.91 | 2.39 | 6.22 | 0.19 | 090 | |
| 15610 | A | Skin graft | 2.42 | 2.67 | 3.38 | 0.25 | 090 | |
| 15620 | A | Skin graft | 2.94 | 3.42 | 6.82 | 0.28 | 090 | |
| 15630 | A | Skin graft | 3.27 | 3.71 | 6.10 | 0.28 | 090 | |
| 15650 | A | Transfer skin pedicle flap | 3.97 | 3.77 | 6.11 | 0.36 | 090 | |
| 15732 | A | Muscle-skin graft, head/neck | 17.84 | 11.31 | NA | 1.50 | 090 | |
| 15734 | A | Muscle-skin graft, trunk | 17.79 | 11.18 | NA | 1.91 | 090 | |
| 15736 | A | Muscle-skin graft, arm | 16.27 | 10.73 | NA | 1.78 | 090 | |
| 15738 | A | Muscle-skin graft, leg | 17.92 | 11.17 | NA | 1.95 | 090 | |
| 15740 | A | Island pedicle flap graft | 10.25 | 7.05 | 8.55 | 0.62 | 090 | |
| 15750 | A | Neurovascular pedicle graft | 11.41 | 8.17 | NA | 1.12 | 090 | |
| 15756 | A | Free muscle flap, microvasc | 35.23 | 20.87 | NA | 3.11 | 090 | |
| 15757 | A | Free skin flap, microvasc | 35.23 | 22.03 | NA | 3.37 | 090 | |
| 15758 | A | Free fascial flap, microvasc | 35.10 | 22.06 | NA | 3.52 | 090 | |
| 15760 | A | Composite skin graft | 8.74 | 6.66 | 8.88 | 0.72 | 090 | |
| 15770 | A | Derma-fat-fascia graft | 7.52 | 6.03 | NA | 0.78 | 090 | |
| 15775 | R | Hair transplant punch grafts | 3.96 | 1.55 | 3.07 | 0.43 | 000 | |
| 15776 | R | Hair transplant punch grafts | 5.54 | 2.88 | 3.90 | 0.60 | 000 | |
| 15780 | A | Abrasion treatment of skin | 7.29 | 6.41 | 6.41 | 0.41 | 090 | |
| 15781 | A | Abrasion treatment of skin | 4.85 | 4.74 | 4.84 | 0.27 | 090 | |
| 15782 | A | Abrasion treatment of skin | 4.32 | 4.13 | 4.21 | 0.21 | 090 | |
| 15783 | A | Abrasion treatment of skin | 4.29 | 3.47 | 4.55 | 0.26 | 090 | |
| 15786 | A | Abrasion, lesion, single | 2.03 | 1.27 | 1.73 | 0.11 | 010 | |
| 15787 | A | Abrasion, lesions, add-on | 0.33 | 0.16 | 0.31 | 0.02 | ZZZ | |
| 15788 | R | Chemical peel, face, epiderm | 2.09 | 1.03 | 2.90 | 0.11 | 090 | |
| 15789 | R | Chemical peel, face, dermal | 4.92 | 3.46 | 5.92 | 0.27 | 090 | |
| 15792 | R | Chemical peel, nonfacial | 1.86 | 2.08 | 2.78 | 0.10 | 090 | |
| 15793 | A | Chemical peel, nonfacial | 3.74 | 3.33 | NA | 0.17 | 090 | |
| 15810 | A | Salabrasion | 4.74 | 3.83 | 3.83 | 0.42 | 090 | |
| 15811 | A | Salabrasion | 5.39 | 4.75 | 6.10 | 0.52 | 090 | |
| 15819 | A | Plastic surgery, neck | 9.38 | 6.69 | NA | 0.77 | 090 | |
| 15820 | A | Revision of lower eyelid | 5.15 | 7.08 | 11.63 | 0.30 | 090 | |
| 15821 | A | Revision of lower eyelid | 5.72 | 7.22 | 12.14 | 0.31 | 090 | |
| 15822 | A | Revision of upper eyelid | 4.45 | 6.47 | 10.50 | 0.22 | 090 | |
| 15823 | A | Revision of upper eyelid | 7.05 | 7.55 | 11.57 | 0.32 | 090 | |
| 15824 | R | Removal of forehead wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15825 | R | Removal of neck wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15826 | R | Removal of brow wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15828 | R | Removal of face wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15829 | R | Removal of skin wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15831 | A | Excise excessive skin tissue | 12.40 | 7.66 | NA | 1.30 | 090 | |
| 15832 | A | Excise excessive skin tissue | 11.59 | 7.75 | NA | 1.21 | 090 | |
| 15833 | A | Excise excessive skin tissue | 10.64 | 7.04 | NA | 1.17 | 090 | |
| 15834 | A | Excise excessive skin tissue | 10.85 | 6.98 | NA | 1.18 | 090 | |
| 15835 | A | Excise excessive skin tissue | 11.67 | 6.80 | NA | 1.13 | 090 | |
| 15836 | A | Excise excessive skin tissue | 9.34 | 6.19 | NA | 0.95 | 090 | |
| 15837 | A | Excise excessive skin tissue | 8.43 | 6.34 | 7.48 | 0.78 | 090 | |
| 15838 | A | Excise excessive skin tissue | 7.13 | 5.68 | NA | 0.58 | 090 | |
| 15839 | A | Excise excessive skin tissue | 9.38 | 5.77 | 7.29 | 0.88 | 090 | |
| 15840 | A | Graft for face nerve palsy | 13.26 | 9.80 | NA | 1.15 | 090 | |
| 15841 | A | Graft for face nerve palsy | 23.26 | 14.52 | NA | 2.65 | 090 | |
| 15842 | A | Flap for face nerve palsy | 37.96 | 22.95 | NA | 3.99 | 090 | |
| 15845 | A | Skin and muscle repair, face | 12.57 | 8.54 | NA | 0.80 | 090 | |
| 15850 | B | Removal of sutures | 0.78 | 0.30 | 1.43 | 0.04 | XXX | |
| 15851 | A | Removal of sutures | 0.86 | 0.34 | 1.61 | 0.05 | 000 | |
| 15852 | A | Dressing change,not for burn | 0.86 | 0.36 | 1.77 | 0.07 | 000 | |
| 15860 | A | Test for blood flow in graft | 1.95 | 0.80 | 1.31 | 0.13 | 000 | |
| 15876 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15877 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15878 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15879 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15920 | A | Removal of tail bone ulcer | 7.95 | 5.50 | NA | 0.83 | 090 | |
| 15922 | A | Removal of tail bone ulcer | 9.90 | 7.35 | NA | 1.06 | 090 | |
| 15931 | A | Remove sacrum pressure sore | 9.24 | 5.56 | NA | 0.95 | 090 | |
| 15933 | A | Remove sacrum pressure sore | 10.85 | 8.00 | NA | 1.14 | 090 | |
| 15934 | A | Remove sacrum pressure sore | 12.69 | 8.34 | NA | 1.35 | 090 | |
| 15935 | A | Remove sacrum pressure sore | 14.57 | 10.04 | NA | 1.56 | 090 | |
| 15936 | A | Remove sacrum pressure sore | 12.38 | 8.86 | NA | 1.32 | 090 | |
| 15937 | A | Remove sacrum pressure sore | 14.21 | 10.36 | NA | 1.51 | 090 | |
| 15940 | A | Remove hip pressure sore | 9.34 | 5.94 | NA | 0.98 | 090 | |
| 15941 | A | Remove hip pressure sore | 11.43 | 9.87 | NA | 1.23 | 090 | |
| 15944 | A | Remove hip pressure sore | 11.46 | 8.67 | NA | 1.21 | 090 | |
| 15945 | A | Remove hip pressure sore | 12.69 | 9.63 | NA | 1.38 | 090 | |
| 15946 | A | Remove hip pressure sore | 21.57 | 14.05 | NA | 2.32 | 090 | |
| 15950 | A | Remove thigh pressure sore | 7.54 | 5.16 | NA | 0.80 | 090 | |
| 15951 | A | Remove thigh pressure sore | 10.72 | 8.02 | NA | 1.14 | 090 | |
| 15952 | A | Remove thigh pressure sore | 11.39 | 7.43 | NA | 1.19 | 090 | |
| 15953 | A | Remove thigh pressure sore | 12.63 | 8.87 | NA | 1.38 | 090 | |
| 15956 | A | Remove thigh pressure sore | 15.52 | 10.48 | NA | 1.64 | 090 | |
| 15958 | A | Remove thigh pressure sore | 15.48 | 10.79 | NA | 1.66 | 090 | |
| 15999 | C | Removal of pressure sore | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 16000 | A | Initial treatment of burn(s) | 0.89 | 0.27 | 1.07 | 0.06 | 000 | |
| 16010 | A | Treatment of burn(s) | 0.87 | 0.36 | 1.18 | 0.07 | 000 | |
| 16015 | A | Treatment of burn(s) | 2.35 | 0.94 | 1.88 | 0.22 | 000 | |
| 16020 | A | Treatment of burn(s) | 0.80 | 0.26 | 1.21 | 0.06 | 000 | |
| 16025 | A | Treatment of burn(s) | 1.85 | 0.67 | 1.87 | 0.16 | 000 | |
| 16030 | A | Treatment of burn(s) | 2.08 | 0.90 | 3.03 | 0.18 | 000 | |
| 16035 | A | Incision of burn scab, initi | 3.75 | 1.50 | NA | 0.36 | 090 | |
| 16036 | A | Incise burn scab, addl incis | 1.50 | 0.60 | NA | 0.11 | ZZZ | |
| 17000 | A | Detroy benign/premal lesion | 0.60 | 0.27 | 1.06 | 0.03 | 010 | |
| 17003 | A | Destroy lesions, 2-14 | 0.15 | 0.07 | 0.23 | 0.01 | ZZZ | |
| 17004 | A | Destroy lesions, 15 or more | 2.79 | 1.28 | 2.51 | 0.12 | 010 | |
| 17106 | A | Destruction of skin lesions | 4.59 | 2.76 | 4.58 | 0.28 | 090 | |
| 17107 | A | Destruction of skin lesions | 9.16 | 4.94 | 6.88 | 0.53 | 090 | |
| 17108 | A | Destruction of skin lesions | 13.20 | 7.18 | 8.80 | 0.89 | 090 | |
| 17110 | A | Destruct lesion, 1-14 | 0.65 | 0.26 | 1.09 | 0.04 | 010 | |
| 17111 | A | Destruct lesion, 15 or more | 0.92 | 0.38 | 1.16 | 0.04 | 010 | |
| 17250 | A | Chemical cautery, tissue | 0.50 | 0.21 | 0.74 | 0.04 | 000 | |
| 17260 | A | Destruction of skin lesions | 0.91 | 0.40 | 1.34 | 0.04 | 010 | |
| 17261 | A | Destruction of skin lesions | 1.17 | 0.55 | 1.45 | 0.05 | 010 | |
| 17262 | A | Destruction of skin lesions | 1.58 | 0.74 | 1.65 | 0.07 | 010 | |
| 17263 | A | Destruction of skin lesions | 1.79 | 0.82 | 1.76 | 0.08 | 010 | |
| 17264 | A | Destruction of skin lesions | 1.94 | 0.85 | 1.83 | 0.08 | 010 | |
| 17266 | A | Destruction of skin lesions | 2.34 | 0.96 | 2.04 | 0.11 | 010 | |
| 17270 | A | Destruction of skin lesions | 1.32 | 0.60 | 1.54 | 0.06 | 010 | |
| 17271 | A | Destruction of skin lesions | 1.49 | 0.71 | 1.61 | 0.06 | 010 | |
| 17272 | A | Destruction of skin lesions | 1.77 | 0.84 | 1.75 | 0.07 | 010 | |
| 17273 | A | Destruction of skin lesions | 2.05 | 0.95 | 1.89 | 0.09 | 010 | |
| 17274 | A | Destruction of skin lesions | 2.59 | 1.18 | 2.15 | 0.11 | 010 | |
| 17276 | A | Destruction of skin lesions | 3.20 | 1.68 | 2.47 | 0.15 | 010 | |
| 17280 | A | Destruction of skin lesions | 1.17 | 0.53 | 1.37 | 0.05 | 010 | |
| 17281 | A | Destruction of skin lesions | 1.72 | 0.82 | 1.72 | 0.07 | 010 | |
| 17282 | A | Destruction of skin lesions | 2.04 | 0.97 | 1.88 | 0.09 | 010 | |
| 17283 | A | Destruction of skin lesions | 2.64 | 1.23 | 2.18 | 0.11 | 010 | |
| 17284 | A | Destruction of skin lesions | 3.21 | 1.49 | 2.47 | 0.14 | 010 | |
| 17286 | A | Destruction of skin lesions | 4.44 | 2.48 | 3.12 | 0.22 | 010 | |
| 17304 | A | Chemosurgery of skin lesion | 7.60 | 3.65 | 7.57 | 0.31 | 000 | |
| 17305 | A | 2nd stage chemosurgery | 2.85 | 1.37 | 3.51 | 0.12 | 000 | |
| 17306 | A | 3rd stage chemosurgery | 2.85 | 1.38 | 3.51 | 0.12 | 000 | |
| 17307 | A | Followup skin lesion therapy | 2.85 | 1.40 | 3.52 | 0.12 | 000 | |
| 17310 | A | Extensive skin chemosurgery | 0.95 | 0.47 | 1.50 | 0.05 | 000 | |
| 17340 | A | Cryotherapy of skin | 0.76 | 0.26 | 0.37 | 0.04 | 010 | |
| 17360 | A | Skin peel therapy | 1.43 | 0.71 | 1.45 | 0.06 | 010 | |
| 17380 | R | Hair removal by electrolysis | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 17999 | C | Skin tissue procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 19000 | A | Drainage of breast lesion | 0.84 | 0.29 | 1.23 | 0.07 | 000 | |
| 19001 | A | Drain breast lesion add-on | 0.42 | 0.14 | 0.84 | 0.03 | ZZZ | |
| 19020 | A | Incision of breast lesion | 3.57 | 3.38 | 6.84 | 0.35 | 090 | |
| 19030 | A | Injection for breast x-ray | 1.53 | 0.52 | 3.74 | 0.07 | 000 | |
| 19100 | A | Bx breast percut w/o image | 1.27 | 0.44 | 1.46 | 0.10 | 000 | |
| 19101 | A | Biopsy of breast, open | 3.18 | 1.93 | 5.24 | 0.20 | 010 | |
| 19102 | A | Bx breast percut w/image | 2.00 | 0.69 | 5.11 | 0.13 | 000 | |
| 19103 | A | Bx breast percut w/device | 3.70 | 1.27 | 12.71 | 0.16 | 000 | |
| 19110 | A | Nipple exploration | 4.30 | 4.40 | 8.56 | 0.44 | 090 | |
| 19112 | A | Excise breast duct fistula | 3.67 | 3.07 | 9.11 | 0.38 | 090 | |
| 19120 | A | Removal of breast lesion | 5.56 | 3.09 | 4.92 | 0.56 | 090 | |
| 19125 | A | Excision, breast lesion | 6.06 | 3.25 | 5.03 | 0.61 | 090 | |
| 19126 | A | Excision, addl breast lesion | 2.93 | 1.03 | NA | 0.30 | ZZZ | |
| 19140 | A | Removal of breast tissue | 5.14 | 3.65 | 9.29 | 0.52 | 090 | |
| 19160 | A | Removal of breast tissue | 5.99 | 4.48 | NA | 0.61 | 090 | |
| 19162 | A | Remove breast tissue, nodes | 13.53 | 7.93 | NA | 1.38 | 090 | |
| 19180 | A | Removal of breast | 8.80 | 5.97 | NA | 0.88 | 090 | |
| 19182 | A | Removal of breast | 7.73 | 5.01 | NA | 0.79 | 090 | |
| 19200 | A | Removal of breast | 15.49 | 9.09 | NA | 1.51 | 090 | |
| 19220 | A | Removal of breast | 15.72 | 9.14 | NA | 1.56 | 090 | |
| 19240 | A | Removal of breast | 16.00 | 8.78 | NA | 1.62 | 090 | |
| 19260 | A | Removal of chest wall lesion | 15.44 | 9.02 | NA | 1.64 | 090 | |
| 19271 | A | Revision of chest wall | 18.90 | 11.09 | NA | 2.27 | 090 | |
| 19272 | A | Extensive chest wall surgery | 21.55 | 11.93 | NA | 2.54 | 090 | |
| 19290 | A | Place needle wire, breast | 1.27 | 0.43 | 3.00 | 0.06 | 000 | |
| 19291 | A | Place needle wire, breast | 0.63 | 0.22 | 1.76 | 0.03 | ZZZ | |
| 19295 | A | Place breast clip, percut | 0.00 | NA | 2.88 | 0.01 | ZZZ | |
| 19316 | A | Suspension of breast | 10.69 | 7.64 | NA | 1.15 | 090 | |
| 19318 | A | Reduction of large breast | 15.62 | 10.30 | NA | 1.69 | 090 | |
| 19324 | A | Enlarge breast | 5.85 | 4.29 | NA | 0.63 | 090 | |
| 19325 | A | Enlarge breast with implant | 8.45 | 6.29 | NA | 0.90 | 090 | |
| 19328 | A | Removal of breast implant | 5.68 | 4.59 | NA | 0.61 | 090 | |
| 19330 | A | Removal of implant material | 7.59 | 5.27 | NA | 0.81 | 090 | |
| 19340 | A | Immediate breast prosthesis | 6.33 | 3.19 | NA | 0.68 | ZZZ | |
| 19342 | A | Delayed breast prosthesis | 11.20 | 7.92 | NA | 1.21 | 090 | |
| 19350 | A | Breast reconstruction | 8.92 | 6.87 | 13.93 | 0.95 | 090 | |
| 19355 | A | Correct inverted nipple(s) | 7.57 | 5.47 | 13.39 | 0.80 | 090 | |
| 19357 | A | Breast reconstruction | 18.16 | 13.88 | NA | 1.96 | 090 | |
| 19361 | A | Breast reconstruction | 19.26 | 11.98 | NA | 2.08 | 090 | |
| 19364 | A | Breast reconstruction | 41.00 | 23.88 | NA | 3.91 | 090 | |
| 19366 | A | Breast reconstruction | 21.28 | 11.71 | NA | 2.27 | 090 | |
| 19367 | A | Breast reconstruction | 25.73 | 15.24 | NA | 2.78 | 090 | |
| 19368 | A | Breast reconstruction | 32.42 | 18.77 | NA | 3.51 | 090 | |
| 19369 | A | Breast reconstruction | 29.82 | 18.13 | NA | 3.24 | 090 | |
| 19370 | A | Surgery of breast capsule | 8.05 | 6.15 | NA | 0.86 | 090 | |
| 19371 | A | Removal of breast capsule | 9.35 | 7.24 | NA | 1.01 | 090 | |
| 19380 | A | Revise breast reconstruction | 9.14 | 7.13 | NA | 0.98 | 090 | |
| 19396 | A | Design custom breast implant | 2.17 | 0.92 | 6.66 | 0.23 | 000 | |
| 19499 | C | Breast surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 20000 | A | Incision of abscess | 2.12 | 1.19 | 2.15 | 0.17 | 010 | |
| 20005 | A | Incision of deep abscess | 3.42 | 2.19 | 2.99 | 0.34 | 010 | |
| 20100 | A | Explore wound, neck | 10.08 | 4.37 | 5.83 | 0.99 | 010 | |
| 20101 | A | Explore wound, chest | 3.22 | 1.48 | 2.82 | 0.24 | 010 | |
| 20102 | A | Explore wound, abdomen | 3.94 | 1.76 | 3.39 | 0.35 | 010 | |
| 20103 | A | Explore wound, extremity | 5.30 | 3.00 | 4.25 | 0.57 | 010 | |
| 20150 | A | Excise epiphyseal bar | 13.69 | 8.96 | NA | 0.96 | 090 | |
| 20200 | A | Muscle biopsy | 1.46 | 0.60 | 1.69 | 0.17 | 000 | |
| 20205 | A | Deep muscle biopsy | 2.35 | 0.95 | 3.86 | 0.23 | 000 | |
| 20206 | A | Needle biopsy, muscle | 0.99 | 0.35 | 3.18 | 0.06 | 000 | |
| 20220 | A | Bone biopsy, trocar/needle | 1.27 | 3.02 | 5.05 | 0.06 | 000 | |
| 20225 | A | Bone biopsy, trocar/needle | 1.87 | 3.06 | 4.46 | 0.11 | 000 | |
| 20240 | A | Bone biopsy, excisional | 3.23 | 4.12 | NA | 0.33 | 010 | |
| 20245 | A | Bone biopsy, excisional | 7.78 | 6.74 | NA | 0.44 | 010 | |
| 20250 | A | Open bone biopsy | 5.03 | 4.25 | NA | 0.50 | 010 | |
| 20251 | A | Open bone biopsy | 5.56 | 4.78 | NA | 0.79 | 010 | |
| 20500 | A | Injection of sinus tract | 1.23 | 3.88 | 5.68 | 0.10 | 010 | |
| 20501 | A | Inject sinus tract for x-ray | 0.76 | 0.26 | 3.22 | 0.03 | 000 | |
| 20520 | A | Removal of foreign body | 1.85 | 3.46 | 5.49 | 0.17 | 010 | |
| 20525 | A | Removal of foreign body | 3.50 | 4.26 | 6.93 | 0.40 | 010 | |
| 20526 | A | Ther injection carpal tunnel | 0.86 | 0.38 | 0.77 | 0.06 | 000 | |
| 20550 | A | Inject tendon/ligament/cyst | 0.86 | 0.26 | 0.84 | 0.06 | 000 | |
| 20551 | A | Inject tendon origin/insert | 0.86 | 0.38 | 0.77 | 0.06 | 000 | |
| 20552 | A | Inject trigger point, 1 or 2 | 0.86 | 0.38 | 0.77 | 0.06 | 000 | |
| 20553 | A | Inject trigger points, 3 | 0.86 | 0.38 | 0.77 | 0.06 | 000 | |
| 20600 | A | Drain/inject, joint/bursa | 0.66 | 0.35 | 0.64 | 0.06 | 000 | |
| 20605 | A | Drain/inject, joint/bursa | 0.68 | 0.36 | 0.75 | 0.06 | 000 | |
| 20610 | A | Drain/inject, joint/bursa | 0.79 | 0.41 | 0.93 | 0.08 | 000 | |
| 20615 | A | Treatment of bone cyst | 2.28 | 2.63 | 4.68 | 0.19 | 010 | |
| 20650 | A | Insert and remove bone pin | 2.23 | 3.18 | 4.94 | 0.28 | 010 | |
| 20660 | A | Apply, remove fixation device | 2.51 | 1.46 | NA | 0.48 | 000 | |
| 20661 | A | Application of head brace | 4.89 | 6.61 | NA | 0.92 | 090 | |
| 20662 | A | Application of pelvis brace | 6.07 | 5.27 | NA | 0.81 | 090 | |
| 20663 | A | Application of thigh brace | 5.43 | 4.70 | NA | 0.77 | 090 | |
| 20664 | A | Halo brace application | 8.06 | 8.30 | NA | 1.49 | 090 | |
| 20665 | A | Removal of fixation device | 1.31 | 1.24 | 2.30 | 0.17 | 010 | |
| 20670 | A | Removal of support implant | 1.74 | 3.30 | 5.63 | 0.23 | 010 | |
| 20680 | A | Removal of support implant | 3.35 | 5.10 | 5.10 | 0.46 | 090 | |
| 20690 | A | Apply bone fixation device | 3.52 | 1.84 | NA | 0.47 | 090 | |
| 20692 | A | Apply bone fixation device | 6.41 | 3.07 | NA | 0.60 | 090 | |
| 20693 | A | Adjust bone fixation device | 5.86 | 12.41 | NA | 0.85 | 090 | |
| 20694 | A | Remove bone fixation device | 4.16 | 6.12 | 8.77 | 0.57 | 090 | |
| 20802 | A | Replantation, arm, complete | 41.15 | 29.57 | NA | 5.81 | 090 | |
| 20805 | A | Replant, forearm, complete | 50.00 | 44.44 | NA | 3.95 | 090 | |
| 20808 | A | Replantation hand, complete | 61.65 | 48.81 | NA | 6.49 | 090 | |
| 20816 | A | Replantation digit, complete | 30.94 | 46.19 | NA | 3.01 | 090 | |
| 20822 | A | Replantation digit, complete | 25.59 | 42.70 | NA | 3.07 | 090 | |
| 20824 | A | Replantation thumb, complete | 30.94 | 44.93 | NA | 3.48 | 090 | |
| 20827 | A | Replantation thumb, complete | 26.41 | 44.52 | NA | 3.21 | 090 | |
| 20838 | A | Replantation foot, complete | 41.41 | 28.98 | NA | 5.85 | 090 | |
| 20900 | A | Removal of bone for graft | 5.58 | 6.14 | 6.31 | 0.77 | 090 | |
| 20902 | A | Removal of bone for graft | 7.55 | 8.77 | NA | 1.06 | 090 | |
| 20910 | A | Remove cartilage for graft | 5.34 | 6.69 | 8.56 | 0.50 | 090 | |
| 20912 | A | Remove cartilage for graft | 6.35 | 7.57 | NA | 0.55 | 090 | |
| 20920 | A | Removal of fascia for graft | 5.31 | 5.57 | NA | 0.54 | 090 | |
| 20922 | A | Removal of fascia for graft | 6.61 | 6.32 | 9.03 | 0.88 | 090 | |
| 20924 | A | Removal of tendon for graft | 6.48 | 6.98 | NA | 0.82 | 090 | |
| 20926 | A | Removal of tissue for graft | 5.53 | 6.22 | NA | 0.73 | 090 | |
| 20930 | B | Spinal bone allograft | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20931 | A | Spinal bone allograft | 1.81 | 0.95 | NA | 0.34 | ZZZ | |
| 20936 | B | Spinal bone autograft | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20937 | A | Spinal bone autograft | 2.79 | 1.47 | NA | 0.43 | ZZZ | |
| 20938 | A | Spinal bone autograft | 3.02 | 1.58 | NA | 0.52 | ZZZ | |
| 20950 | A | Fluid pressure, muscle | 1.26 | 2.08 | NA | 0.16 | 000 | |
| 20955 | A | Fibula bone graft, microvasc | 39.21 | 29.77 | NA | 4.35 | 090 | |
| 20956 | A | Iliac bone graft, microvasc | 39.27 | 28.02 | NA | 5.77 | 090 | |
| 20957 | A | Mt bone graft, microvasc | 40.65 | 20.15 | NA | 5.74 | 090 | |
| 20962 | A | Other bone graft, microvasc | 39.27 | 27.75 | NA | 5.19 | 090 | |
| 20969 | A | Bone/skin graft, microvasc | 43.92 | 32.44 | NA | 4.34 | 090 | |
| 20970 | A | Bone/skin graft, iliac crest | 43.06 | 29.88 | NA | 4.64 | 090 | |
| 20972 | A | Bone/skin graft, metatarsal | 42.99 | 18.59 | NA | 6.07 | 090 | |
| 20973 | A | Bone/skin graft, great toe | 45.76 | 27.95 | NA | 4.65 | 090 | |
| 20974 | A | Electrical bone stimulation | 0.62 | 0.33 | 0.41 | 0.09 | 000 | |
| 20975 | A | Electrical bone stimulation | 2.60 | 1.37 | NA | 0.42 | 000 | |
| 20979 | A | Us bone stimulation | 0.62 | 0.24 | 0.57 | 0.04 | 000 | |
| 20999 | C | Musculoskeletal surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21010 | A | Incision of jaw joint | 10.14 | 7.22 | NA | 0.54 | 090 | |
| 21015 | A | Resection of facial tumor | 5.29 | 7.27 | NA | 0.52 | 090 | |
| 21025 | A | Excision of bone, lower jaw | 10.06 | 6.80 | 7.27 | 0.79 | 090 | |
| 21026 | A | Excision of facial bone(s) | 4.85 | 5.05 | 5.30 | 0.40 | 090 | |
| 21029 | A | Contour of face bone lesion | 7.71 | 6.14 | 6.85 | 0.74 | 090 | |
| 21030 | A | Removal of face bone lesion | 6.46 | 4.76 | 5.33 | 0.60 | 090 | |
| 21031 | A | Remove exostosis, mandible | 3.24 | 2.12 | 3.31 | 0.28 | 090 | |
| 21032 | A | Remove exostosis, maxilla | 3.24 | 2.24 | 3.28 | 0.27 | 090 | |
| 21034 | A | Removal of face bone lesion | 16.17 | 10.58 | 10.58 | 1.37 | 090 | |
| 21040 | A | Removal of jaw bone lesion | 2.11 | 1.80 | 2.98 | 0.19 | 090 | |
| 21041 | A | Removal of jaw bone lesion | 6.71 | 4.33 | 5.55 | 0.56 | 090 | |
| 21044 | A | Removal of jaw bone lesion | 11.86 | 7.93 | NA | 0.87 | 090 | |
| 21045 | A | Extensive jaw surgery | 16.17 | 10.23 | NA | 1.20 | 090 | |
| 21050 | A | Removal of jaw joint | 10.77 | 11.68 | NA | 0.84 | 090 | |
| 21060 | A | Remove jaw joint cartilage | 10.23 | 10.19 | NA | 1.16 | 090 | |
| 21070 | A | Remove coronoid process | 8.20 | 5.97 | NA | 0.67 | 090 | |
| 21076 | A | Prepare face/oral prosthesis | 13.42 | 7.17 | 9.54 | 1.36 | 010 | |
| 21077 | A | Prepare face/oral prosthesis | 33.75 | 18.03 | 23.99 | 3.43 | 090 | |
| 21079 | A | Prepare face/oral prosthesis | 22.34 | 12.47 | 16.96 | 1.59 | 090 | |
| 21080 | A | Prepare face/oral prosthesis | 25.10 | 14.01 | 19.05 | 2.55 | 090 | |
| 21081 | A | Prepare face/oral prosthesis | 22.88 | 12.77 | 17.36 | 1.87 | 090 | |
| 21082 | A | Prepare face/oral prosthesis | 20.87 | 11.15 | 14.83 | 1.46 | 090 | |
| 21083 | A | Prepare face/oral prosthesis | 19.30 | 10.77 | 14.65 | 1.96 | 090 | |
| 21084 | A | Prepare face/oral prosthesis | 22.51 | 12.56 | 17.08 | 1.57 | 090 | |
| 21085 | A | Prepare face/oral prosthesis | 9.00 | 4.81 | 6.40 | 0.65 | 010 | |
| 21086 | A | Prepare face/oral prosthesis | 24.92 | 13.91 | 18.91 | 1.86 | 090 | |
| 21087 | A | Prepare face/oral prosthesis | 24.92 | 13.31 | 17.71 | 2.22 | 090 | |
| 21088 | C | Prepare face/oral prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21089 | C | Prepare face/oral prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21100 | A | Maxillofacial fixation | 4.22 | 3.95 | 5.67 | 0.18 | 090 | |
| 21110 | A | Interdental fixation | 5.21 | 4.25 | 5.18 | 0.28 | 090 | |
| 21116 | A | Injection, jaw joint x-ray | 0.81 | 0.29 | 7.90 | 0.05 | 000 | |
| 21120 | A | Reconstruction of chin | 4.93 | 6.06 | 9.69 | 0.29 | 090 | |
| 21121 | A | Reconstruction of chin | 7.64 | 6.18 | 7.71 | 0.56 | 090 | |
| 21122 | A | Reconstruction of chin | 8.52 | 7.53 | NA | 0.59 | 090 | |
| 21123 | A | Reconstruction of chin | 11.16 | 8.13 | NA | 1.16 | 090 | |
| 21125 | A | Augmentation, lower jaw bone | 10.62 | 8.01 | 9.32 | 0.72 | 090 | |
| 21127 | A | Augmentation, lower jaw bone | 11.12 | 7.38 | 9.51 | 0.76 | 090 | |
| 21137 | A | Reduction of forehead | 9.82 | 8.13 | NA | 0.53 | 090 | |
| 21138 | A | Reduction of forehead | 12.19 | 9.40 | NA | 1.47 | 090 | |
| 21139 | A | Reduction of forehead | 14.61 | 8.88 | NA | 1.02 | 090 | |
| 21141 | A | Reconstruct midface, lefort | 18.10 | 10.71 | NA | 1.63 | 090 | |
| 21142 | A | Reconstruct midface, lefort | 18.81 | 12.16 | NA | 1.16 | 090 | |
| 21143 | A | Reconstruct midface, lefort | 19.58 | 10.98 | NA | 0.90 | 090 | |
| 21145 | A | Reconstruct midface, lefort | 19.94 | 11.18 | NA | 2.09 | 090 | |
| 21146 | A | Reconstruct midface, lefort | 20.71 | 11.91 | NA | 2.13 | 090 | |
| 21147 | A | Reconstruct midface, lefort | 21.77 | 12.00 | NA | 1.52 | 090 | |
| 21150 | A | Reconstruct midface, lefort | 25.24 | 16.28 | NA | 1.09 | 090 | |
| 21151 | A | Reconstruct midface, lefort | 28.30 | 20.03 | NA | 1.98 | 090 | |
| 21154 | A | Reconstruct midface, lefort | 30.52 | 19.05 | NA | 4.86 | 090 | |
| 21155 | A | Reconstruct midface, lefort | 34.45 | 20.69 | NA | 5.48 | 090 | |
| 21159 | A | Reconstruct midface, lefort | 42.38 | 27.58 | NA | 6.74 | 090 | |
| 21160 | A | Reconstruct midface, lefort | 46.44 | 26.69 | NA | 4.39 | 090 | |
| 21172 | A | Reconstruct orbit/forehead | 27.80 | 15.81 | NA | 1.91 | 090 | |
| 21175 | A | Reconstruct orbit/forehead | 33.17 | 20.14 | NA | 5.16 | 090 | |
| 21179 | A | Reconstruct entire forehead | 22.25 | 17.94 | NA | 2.48 | 090 | |
| 21180 | A | Reconstruct entire forehead | 25.19 | 18.89 | NA | 2.15 | 090 | |
| 21181 | A | Contour cranial bone lesion | 9.90 | 8.49 | NA | 0.97 | 090 | |
| 21182 | A | Reconstruct cranial bone | 32.19 | 21.96 | NA | 2.53 | 090 | |
| 21183 | A | Reconstruct cranial bone | 35.31 | 23.64 | NA | 2.75 | 090 | |
| 21184 | A | Reconstruct cranial bone | 38.24 | 24.65 | NA | 4.12 | 090 | |
| 21188 | A | Reconstruction of midface | 22.46 | 15.57 | NA | 1.85 | 090 | |
| 21193 | A | Reconst lwr jaw w/o graft | 17.15 | 10.69 | NA | 1.53 | 090 | |
| 21194 | A | Reconst lwr jaw w/graft | 19.84 | 12.65 | NA | 1.39 | 090 | |
| 21195 | A | Reconst lwr jaw w/o fixation | 17.24 | 12.28 | NA | 1.20 | 090 | |
| 21196 | A | Reconst lwr jaw w/fixation | 18.91 | 12.87 | NA | 1.62 | 090 | |
| 21198 | A | Reconstr lwr jaw segment | 14.16 | 11.59 | NA | 1.05 | 090 | |
| 21199 | A | Reconstr lwr jaw w/advance | 16.00 | 10.19 | NA | 1.26 | 090 | |
| 21206 | A | Reconstruct upper jaw bone | 14.10 | 9.66 | NA | 1.01 | 090 | |
| 21208 | A | Augmentation of facial bones | 10.23 | 8.44 | 9.46 | 0.92 | 090 | |
| 21209 | A | Reduction of facial bones | 6.72 | 5.81 | 7.84 | 0.60 | 090 | |
| 21210 | A | Face bone graft | 10.23 | 8.14 | 8.78 | 0.88 | 090 | |
| 21215 | A | Lower jaw bone graft | 10.77 | 7.01 | 8.71 | 1.04 | 090 | |
| 21230 | A | Rib cartilage graft | 10.77 | 10.20 | NA | 0.96 | 090 | |
| 21235 | A | Ear cartilage graft | 6.72 | 8.12 | 12.04 | 0.52 | 090 | |
| 21240 | A | Reconstruction of jaw joint | 14.05 | 11.42 | NA | 1.15 | 090 | |
| 21242 | A | Reconstruction of jaw joint | 12.95 | 11.21 | NA | 1.40 | 090 | |
| 21243 | A | Reconstruction of jaw joint | 20.79 | 13.90 | NA | 1.85 | 090 | |
| 21244 | A | Reconstruction of lower jaw | 11.86 | 9.13 | NA | 0.95 | 090 | |
| 21245 | A | Reconstruction of jaw | 11.86 | 10.17 | 13.17 | 0.88 | 090 | |
| 21246 | A | Reconstruction of jaw | 12.47 | 10.04 | 10.04 | 1.21 | 090 | |
| 21247 | A | Reconstruct lower jaw bone | 22.63 | 16.47 | NA | 2.21 | 090 | |
| 21248 | A | Reconstruction of jaw | 11.48 | 7.75 | 8.79 | 1.01 | 090 | |
| 21249 | A | Reconstruction of jaw | 17.52 | 10.11 | 11.33 | 1.39 | 090 | |
| 21255 | A | Reconstruct lower jaw bone | 16.72 | 11.37 | NA | 1.13 | 090 | |
| 21256 | A | Reconstruction of orbit | 16.19 | 13.42 | NA | 1.04 | 090 | |
| 21260 | A | Revise eye sockets | 16.52 | 11.01 | NA | 1.25 | 090 | |
| 21261 | A | Revise eye sockets | 31.49 | 19.83 | NA | 2.20 | 090 | |
| 21263 | A | Revise eye sockets | 28.42 | 14.74 | NA | 2.16 | 090 | |
| 21267 | A | Revise eye sockets | 18.90 | 14.58 | NA | 1.35 | 090 | |
| 21268 | A | Revise eye sockets | 24.48 | 16.16 | NA | 0.79 | 090 | |
| 21270 | A | Augmentation, cheek bone | 10.23 | 9.48 | 9.48 | 0.73 | 090 | |
| 21275 | A | Revision, orbitofacial bones | 11.24 | 11.04 | NA | 1.03 | 090 | |
| 21280 | A | Revision of eyelid | 6.03 | 6.19 | NA | 0.27 | 090 | |
| 21282 | A | Revision of eyelid | 3.49 | 5.30 | NA | 0.21 | 090 | |
| 21295 | A | Revision of jaw muscle/bone | 1.53 | 4.33 | NA | 0.13 | 090 | |
| 21296 | A | Revision of jaw muscle/bone | 4.25 | 4.65 | NA | 0.30 | 090 | |
| 21299 | C | Cranio/maxillofacial surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21300 | A | Treatment of skull fracture | 0.72 | 0.27 | 2.76 | 0.09 | 000 | |
| 21310 | A | Treatment of nose fracture | 0.58 | 0.15 | 2.66 | 0.05 | 000 | |
| 21315 | A | Treatment of nose fracture | 1.51 | 1.28 | 3.41 | 0.12 | 010 | |
| 21320 | A | Treatment of nose fracture | 1.85 | 2.03 | 4.81 | 0.15 | 010 | |
| 21325 | A | Treatment of nose fracture | 3.77 | 3.69 | NA | 0.31 | 090 | |
| 21330 | A | Treatment of nose fracture | 5.38 | 5.55 | NA | 0.48 | 090 | |
| 21335 | A | Treatment of nose fracture | 8.61 | 7.14 | NA | 0.64 | 090 | |
| 21336 | A | Treat nasal septal fracture | 5.72 | 5.55 | NA | 0.45 | 090 | |
| 21337 | A | Treat nasal septal fracture | 2.70 | 3.27 | 5.22 | 0.22 | 090 | |
| 21338 | A | Treat nasoethmoid fracture | 6.46 | 6.07 | NA | 0.53 | 090 | |
| 21339 | A | Treat nasoethmoid fracture | 8.09 | 6.73 | NA | 0.76 | 090 | |
| 21340 | A | Treatment of nose fracture | 10.77 | 9.18 | NA | 0.85 | 090 | |
| 21343 | A | Treatment of sinus fracture | 12.95 | 9.77 | NA | 1.06 | 090 | |
| 21344 | A | Treatment of sinus fracture | 19.72 | 13.45 | NA | 1.72 | 090 | |
| 21345 | A | Treat nose/jaw fracture | 8.16 | 7.92 | 9.46 | 0.60 | 090 | |
| 21346 | A | Treat nose/jaw fracture | 10.61 | 10.05 | NA | 0.85 | 090 | |
| 21347 | A | Treat nose/jaw fracture | 12.69 | 9.56 | NA | 1.14 | 090 | |
| 21348 | A | Treat nose/jaw fracture | 16.69 | 11.03 | NA | 1.50 | 090 | |
| 21355 | A | Treat cheek bone fracture | 3.77 | 2.28 | 4.37 | 0.29 | 010 | |
| 21356 | A | Treat cheek bone fracture | 4.15 | 3.25 | NA | 0.36 | 010 | |
| 21360 | A | Treat cheek bone fracture | 6.46 | 5.65 | NA | 0.52 | 090 | |
| 21365 | A | Treat cheek bone fracture | 14.95 | 11.39 | NA | 1.30 | 090 | |
| 21366 | A | Treat cheek bone fracture | 17.77 | 11.96 | NA | 1.41 | 090 | |
| 21385 | A | Treat eye socket fracture | 9.16 | 7.53 | NA | 0.64 | 090 | |
| 21386 | A | Treat eye socket fracture | 9.16 | 8.06 | NA | 0.76 | 090 | |
| 21387 | A | Treat eye socket fracture | 9.70 | 8.27 | NA | 0.78 | 090 | |
| 21390 | A | Treat eye socket fracture | 10.13 | 8.57 | NA | 0.70 | 090 | |
| 21395 | A | Treat eye socket fracture | 12.68 | 9.83 | NA | 1.09 | 090 | |
| 21400 | A | Treat eye socket fracture | 1.40 | 1.06 | 3.16 | 0.12 | 090 | |
| 21401 | A | Treat eye socket fracture | 3.26 | 3.19 | 4.70 | 0.34 | 090 | |
| 21406 | A | Treat eye socket fracture | 7.01 | 6.80 | NA | 0.59 | 090 | |
| 21407 | A | Treat eye socket fracture | 8.61 | 7.84 | NA | 0.67 | 090 | |
| 21408 | A | Treat eye socket fracture | 12.38 | 10.11 | NA | 1.24 | 090 | |
| 21421 | A | Treat mouth roof fracture | 5.14 | 6.03 | 7.17 | 0.42 | 090 | |
| 21422 | A | Treat mouth roof fracture | 8.32 | 7.52 | NA | 0.69 | 090 | |
| 21423 | A | Treat mouth roof fracture | 10.40 | 8.07 | NA | 0.95 | 090 | |
| 21431 | A | Treat craniofacial fracture | 7.05 | 6.81 | NA | 0.58 | 090 | |
| 21432 | A | Treat craniofacial fracture | 8.61 | 7.67 | NA | 0.55 | 090 | |
| 21433 | A | Treat craniofacial fracture | 25.35 | 17.13 | NA | 2.46 | 090 | |
| 21435 | A | Treat craniofacial fracture | 17.25 | 12.51 | NA | 1.66 | 090 | |
| 21436 | A | Treat craniofacial fracture | 28.04 | 17.24 | NA | 2.32 | 090 | |
| 21440 | A | Treat dental ridge fracture | 2.70 | 3.55 | 5.46 | 0.22 | 090 | |
| 21445 | A | Treat dental ridge fracture | 5.38 | 5.15 | 6.85 | 0.55 | 090 | |
| 21450 | A | Treat lower jaw fracture | 2.97 | 2.71 | 6.49 | 0.23 | 090 | |
| 21451 | A | Treat lower jaw fracture | 4.87 | 5.55 | 6.44 | 0.39 | 090 | |
| 21452 | A | Treat lower jaw fracture | 1.98 | 4.10 | 9.17 | 0.14 | 090 | |
| 21453 | A | Treat lower jaw fracture | 5.54 | 6.36 | 7.31 | 0.49 | 090 | |
| 21454 | A | Treat lower jaw fracture | 6.46 | 5.64 | NA | 0.55 | 090 | |
| 21461 | A | Treat lower jaw fracture | 8.09 | 7.93 | 9.06 | 0.73 | 090 | |
| 21462 | A | Treat lower jaw fracture | 9.79 | 8.03 | 10.31 | 0.80 | 090 | |
| 21465 | A | Treat lower jaw fracture | 11.91 | 7.79 | NA | 0.84 | 090 | |
| 21470 | A | Treat lower jaw fracture | 15.34 | 9.88 | NA | 1.36 | 090 | |
| 21480 | A | Reset dislocated jaw | 0.61 | 0.18 | 1.58 | 0.05 | 000 | |
| 21485 | A | Reset dislocated jaw | 3.99 | 3.32 | 3.76 | 0.31 | 090 | |
| 21490 | A | Repair dislocated jaw | 11.86 | 7.46 | NA | 1.31 | 090 | |
| 21493 | A | Treat hyoid bone fracture | 1.27 | 3.58 | NA | 0.10 | 090 | |
| 21494 | A | Treat hyoid bone fracture | 6.28 | 4.85 | NA | 0.44 | 090 | |
| 21495 | A | Treat hyoid bone fracture | 5.69 | 5.02 | NA | 0.41 | 090 | |
| 21497 | A | Interdental wiring | 3.86 | 3.91 | 4.64 | 0.31 | 090 | |
| 21499 | C | Head surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21501 | A | Drain neck/chest lesion | 3.81 | 3.53 | 4.35 | 0.36 | 090 | |
| 21502 | A | Drain chest lesion | 7.12 | 7.29 | NA | 0.79 | 090 | |
| 21510 | A | Drainage of bone lesion | 5.74 | 6.92 | NA | 0.67 | 090 | |
| 21550 | A | Biopsy of neck/chest | 2.06 | 1.23 | 2.20 | 0.13 | 010 | |
| 21555 | A | Remove lesion, neck/chest | 4.35 | 2.43 | 4.18 | 0.41 | 090 | |
| 21556 | A | Remove lesion, neck/chest | 5.57 | 3.21 | NA | 0.51 | 090 | |
| 21557 | A | Remove tumor, neck/chest | 8.88 | 7.58 | NA | 0.85 | 090 | |
| 21600 | A | Partial removal of rib | 6.89 | 7.47 | NA | 0.81 | 090 | |
| 21610 | A | Partial removal of rib | 14.61 | 10.91 | NA | 1.85 | 090 | |
| 21615 | A | Removal of rib | 9.87 | 7.85 | NA | 1.20 | 090 | |
| 21616 | A | Removal of rib and nerves | 12.04 | 9.08 | NA | 1.31 | 090 | |
| 21620 | A | Partial removal of sternum | 6.79 | 7.96 | NA | 0.77 | 090 | |
| 21627 | A | Sternal debridement | 6.81 | 12.18 | NA | 0.82 | 090 | |
| 21630 | A | Extensive sternum surgery | 17.38 | 13.60 | NA | 1.95 | 090 | |
| 21632 | A | Extensive sternum surgery | 18.14 | 11.81 | NA | 2.16 | 090 | |
| 21700 | A | Revision of neck muscle | 6.19 | 6.97 | 8.43 | 0.31 | 090 | |
| 21705 | A | Revision of neck muscle/rib | 9.60 | 7.55 | NA | 0.92 | 090 | |
| 21720 | A | Revision of neck muscle | 5.68 | 6.72 | 8.25 | 0.80 | 090 | |
| 21725 | A | Revision of neck muscle | 6.99 | 7.43 | NA | 0.90 | 090 | |
| 21740 | A | Reconstruction of sternum | 16.50 | 12.21 | NA | 2.03 | 090 | |
| 21750 | A | Repair of sternum separation | 10.77 | 9.44 | NA | 1.35 | 090 | |
| 21800 | A | Treatment of rib fracture | 0.96 | 1.06 | 2.27 | 0.09 | 090 | |
| 21805 | A | Treatment of rib fracture | 2.75 | 4.46 | NA | 0.29 | 090 | |
| 21810 | A | Treatment of rib fracture(s) | 6.86 | 6.73 | NA | 0.60 | 090 | |
| 21820 | A | Treat sternum fracture | 1.28 | 1.50 | 2.72 | 0.15 | 090 | |
| 21825 | A | Treat sternum fracture | 7.41 | 9.85 | NA | 0.84 | 090 | |
| 21899 | C | Neck/chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21920 | A | Biopsy soft tissue of back | 2.06 | 0.75 | 2.27 | 0.12 | 010 | |
| 21925 | A | Biopsy soft tissue of back | 4.49 | 4.61 | 11.73 | 0.44 | 090 | |
| 21930 | A | Remove lesion, back or flank | 5.00 | 2.61 | 4.50 | 0.49 | 090 | |
| 21935 | A | Remove tumor, back | 17.96 | 13.13 | NA | 1.87 | 090 | |
| 22100 | A | Remove part of neck vertebra | 9.73 | 8.62 | NA | 1.55 | 090 | |
| 22101 | A | Remove part, thorax vertebra | 9.81 | 8.86 | NA | 1.51 | 090 | |
| 22102 | A | Remove part, lumbar vertebra | 9.81 | 8.93 | NA | 1.46 | 090 | |
| 22103 | A | Remove extra spine segment | 2.34 | 1.24 | NA | 0.37 | ZZZ | |
| 22110 | A | Remove part of neck vertebra | 12.74 | 10.73 | NA | 2.20 | 090 | |
| 22112 | A | Remove part, thorax vertebra | 12.81 | 10.64 | NA | 1.96 | 090 | |
| 22114 | A | Remove part, lumbar vertebra | 12.81 | 10.88 | NA | 1.98 | 090 | |
| 22116 | A | Remove extra spine segment | 2.32 | 1.19 | NA | 0.40 | ZZZ | |
| 22210 | A | Revision of neck spine | 23.82 | 16.92 | NA | 4.23 | 090 | |
| 22212 | A | Revision of thorax spine | 19.42 | 14.62 | NA | 2.78 | 090 | |
| 22214 | A | Revision of lumbar spine | 19.45 | 15.07 | NA | 2.78 | 090 | |
| 22216 | A | Revise, extra spine segment | 6.04 | 3.14 | NA | 0.98 | ZZZ | |
| 22220 | A | Revision of neck spine | 21.37 | 15.34 | NA | 3.65 | 090 | |
| 22222 | A | Revision of thorax spine | 21.52 | 12.81 | NA | 3.08 | 090 | |
| 22224 | A | Revision of lumbar spine | 21.52 | 15.67 | NA | 3.20 | 090 | |
| 22226 | A | Revise, extra spine segment | 6.04 | 3.15 | NA | 1.01 | ZZZ | |
| 22305 | A | Treat spine process fracture | 2.05 | 1.93 | 3.17 | 0.29 | 090 | |
| 22310 | A | Treat spine fracture | 2.61 | 3.45 | 4.65 | 0.37 | 090 | |
| 22315 | A | Treat spine fracture | 8.84 | 9.14 | NA | 1.37 | 090 | |
| 22318 | A | Treat odontoid fx w/o graft | 21.50 | 14.70 | NA | 4.26 | 090 | |
| 22319 | A | Treat odontoid fx w/graft | 24.00 | 17.01 | NA | 4.76 | 090 | |
| 22325 | A | Treat spine fracture | 18.30 | 14.66 | NA | 2.61 | 090 | |
| 22326 | A | Treat neck spine fracture | 19.59 | 15.40 | NA | 3.54 | 090 | |
| 22327 | A | Treat thorax spine fracture | 19.20 | 15.11 | NA | 2.75 | 090 | |
| 22328 | A | Treat each add spine fx | 4.61 | 2.31 | NA | 0.66 | ZZZ | |
| 22505 | A | Manipulation of spine | 1.87 | 2.98 | 4.57 | 0.27 | 010 | |
| 22520 | A | Percut vertebroplasty thor | 8.91 | 4.13 | NA | 0.99 | 010 | |
| 22521 | A | Percut vertebroplasty lumb | 8.34 | 3.90 | NA | 0.93 | 010 | |
| 22522 | A | Percut vertebroplasty addl | 4.31 | 1.74 | NA | 0.33 | ZZZ | |
| 22548 | A | Neck spine fusion | 25.82 | 17.74 | NA | 4.98 | 090 | |
| 22554 | A | Neck spine fusion | 18.62 | 13.67 | NA | 3.51 | 090 | |
| 22556 | A | Thorax spine fusion | 23.46 | 16.51 | NA | 3.78 | 090 | |
| 22558 | A | Lumbar spine fusion | 22.28 | 14.98 | NA | 3.18 | 090 | |
| 22585 | A | Additional spinal fusion | 5.53 | 2.82 | NA | 0.98 | ZZZ | |
| 22590 | A | Spine skull spinal fusion | 20.51 | 15.32 | NA | 3.81 | 090 | |
| 22595 | A | Neck spinal fusion | 19.39 | 14.31 | NA | 3.62 | 090 | |
| 22600 | A | Neck spine fusion | 16.14 | 12.63 | NA | 2.89 | 090 | |
| 22610 | A | Thorax spine fusion | 16.02 | 12.73 | NA | 2.66 | 090 | |
| 22612 | A | Lumbar spine fusion | 21.00 | 15.47 | NA | 3.28 | 090 | |
| 22614 | A | Spine fusion, extra segment | 6.44 | 3.39 | NA | 1.04 | ZZZ | |
| 22630 | A | Lumbar spine fusion | 20.84 | 15.73 | NA | 3.79 | 090 | |
| 22632 | A | Spine fusion, extra segment | 5.23 | 2.68 | NA | 0.90 | ZZZ | |
| 22800 | A | Fusion of spine | 18.25 | 13.89 | NA | 2.71 | 090 | |
| 22802 | A | Fusion of spine | 30.88 | 21.32 | NA | 4.42 | 090 | |
| 22804 | A | Fusion of spine | 36.27 | 23.91 | NA | 5.23 | 090 | |
| 22808 | A | Fusion of spine | 26.27 | 18.18 | NA | 4.36 | 090 | |
| 22810 | A | Fusion of spine | 30.27 | 19.74 | NA | 4.49 | 090 | |
| 22812 | A | Fusion of spine | 32.70 | 21.34 | NA | 4.67 | 090 | |
| 22818 | A | Kyphectomy, 1-2 segments | 31.83 | 20.75 | NA | 5.01 | 090 | |
| 22819 | A | Kyphectomy, 3 or more | 36.44 | 21.64 | NA | 5.20 | 090 | |
| 22830 | A | Exploration of spinal fusion | 10.85 | 9.91 | NA | 1.73 | 090 | |
| 22840 | A | Insert spine fixation device | 12.54 | 6.50 | NA | 2.03 | ZZZ | |
| 22841 | B | Insert spine fixation device | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 22842 | A | Insert spine fixation device | 12.58 | 6.57 | NA | 2.04 | ZZZ | |
| 22843 | A | Insert spine fixation device | 13.46 | 6.74 | NA | 2.10 | ZZZ | |
| 22844 | A | Insert spine fixation device | 16.44 | 8.94 | NA | 2.42 | ZZZ | |
| 22845 | A | Insert spine fixation device | 11.96 | 6.13 | NA | 2.22 | ZZZ | |
| 22846 | A | Insert spine fixation device | 12.42 | 6.38 | NA | 2.26 | ZZZ | |
| 22847 | A | Insert spine fixation device | 13.80 | 7.19 | NA | 2.36 | ZZZ | |
| 22848 | A | Insert pelv fixation device | 6.00 | 3.26 | NA | 0.88 | ZZZ | |
| 22849 | A | Reinsert spinal fixation | 18.51 | 13.89 | NA | 2.87 | 090 | |
| 22850 | A | Remove spine fixation device | 9.52 | 8.72 | NA | 1.51 | 090 | |
| 22851 | A | Apply spine prosth device | 6.71 | 3.39 | NA | 1.11 | ZZZ | |
| 22852 | A | Remove spine fixation device | 9.01 | 8.51 | NA | 1.40 | 090 | |
| 22855 | A | Remove spine fixation device | 15.13 | 11.41 | NA | 2.74 | 090 | |
| 22899 | C | Spine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 22900 | A | Remove abdominal wall lesion | 5.80 | 4.30 | NA | 0.58 | 090 | |
| 22999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23000 | A | Removal of calcium deposits | 4.36 | 7.10 | 8.92 | 0.50 | 090 | |
| 23020 | A | Release shoulder joint | 8.93 | 10.37 | NA | 1.23 | 090 | |
| 23030 | A | Drain shoulder lesion | 3.43 | 4.30 | 6.00 | 0.42 | 010 | |
| 23031 | A | Drain shoulder bursa | 2.74 | 4.06 | 5.82 | 0.33 | 010 | |
| 23035 | A | Drain shoulder bone lesion | 8.61 | 15.80 | NA | 1.19 | 090 | |
| 23040 | A | Exploratory shoulder surgery | 9.20 | 11.54 | NA | 1.28 | 090 | |
| 23044 | A | Exploratory shoulder surgery | 7.12 | 10.28 | NA | 0.97 | 090 | |
| 23065 | A | Biopsy shoulder tissues | 2.27 | 1.33 | 2.52 | 0.14 | 010 | |
| 23066 | A | Biopsy shoulder tissues | 4.16 | 6.17 | 7.65 | 0.50 | 090 | |
| 23075 | A | Removal of shoulder lesion | 2.39 | 3.13 | 5.27 | 0.25 | 010 | |
| 23076 | A | Removal of shoulder lesion | 7.63 | 8.17 | NA | 0.87 | 090 | |
| 23077 | A | Remove tumor of shoulder | 16.09 | 14.36 | NA | 1.81 | 090 | |
| 23100 | A | Biopsy of shoulder joint | 6.03 | 8.64 | NA | 0.81 | 090 | |
| 23101 | A | Shoulder joint surgery | 5.58 | 8.53 | NA | 0.77 | 090 | |
| 23105 | A | Remove shoulder joint lining | 8.23 | 10.09 | NA | 1.13 | 090 | |
| 23106 | A | Incision of collarbone joint | 5.96 | 8.75 | NA | 0.82 | 090 | |
| 23107 | A | Explore treat shoulder joint | 8.62 | 10.28 | NA | 1.19 | 090 | |
| 23120 | A | Partial removal, collar bone | 7.11 | 9.58 | NA | 0.99 | 090 | |
| 23125 | A | Removal of collar bone | 9.39 | 10.54 | NA | 1.27 | 090 | |
| 23130 | A | Remove shoulder bone, part | 7.55 | 9.62 | NA | 1.06 | 090 | |
| 23140 | A | Removal of bone lesion | 6.89 | 8.23 | NA | 0.82 | 090 | |
| 23145 | A | Removal of bone lesion | 9.09 | 11.43 | NA | 1.24 | 090 | |
| 23146 | A | Removal of bone lesion | 7.83 | 10.60 | NA | 1.11 | 090 | |
| 23150 | A | Removal of humerus lesion | 8.48 | 9.84 | NA | 1.14 | 090 | |
| 23155 | A | Removal of humerus lesion | 10.35 | 11.93 | NA | 1.20 | 090 | |
| 23156 | A | Removal of humerus lesion | 8.68 | 10.27 | NA | 1.18 | 090 | |
| 23170 | A | Remove collar bone lesion | 6.86 | 10.65 | NA | 0.84 | 090 | |
| 23172 | A | Remove shoulder blade lesion | 6.90 | 10.05 | NA | 0.95 | 090 | |
| 23174 | A | Remove humerus lesion | 9.51 | 11.76 | NA | 1.30 | 090 | |
| 23180 | A | Remove collar bone lesion | 8.53 | 15.70 | NA | 1.18 | 090 | |
| 23182 | A | Remove shoulder blade lesion | 8.15 | 16.31 | NA | 1.08 | 090 | |
| 23184 | A | Remove humerus lesion | 9.38 | 16.25 | NA | 1.24 | 090 | |
| 23190 | A | Partial removal of scapula | 7.24 | 8.36 | NA | 0.97 | 090 | |
| 23195 | A | Removal of head of humerus | 9.81 | 10.62 | NA | 1.38 | 090 | |
| 23200 | A | Removal of collar bone | 12.08 | 13.91 | NA | 1.48 | 090 | |
| 23210 | A | Removal of shoulder blade | 12.49 | 13.95 | NA | 1.61 | 090 | |
| 23220 | A | Partial removal of humerus | 14.56 | 15.15 | NA | 2.03 | 090 | |
| 23221 | A | Partial removal of humerus | 17.74 | 16.33 | NA | 2.51 | 090 | |
| 23222 | A | Partial removal of humerus | 23.92 | 20.37 | NA | 3.37 | 090 | |
| 23330 | A | Remove shoulder foreign body | 1.85 | 3.57 | 5.69 | 0.18 | 010 | |
| 23331 | A | Remove shoulder foreign body | 7.38 | 9.51 | NA | 1.02 | 090 | |
| 23332 | A | Remove shoulder foreign body | 11.62 | 11.93 | NA | 1.62 | 090 | |
| 23350 | A | Injection for shoulder x-ray | 1.00 | 0.34 | 7.63 | 0.05 | 000 | |
| 23395 | A | Muscle transfer, shoulder/arm | 16.85 | 13.82 | NA | 2.29 | 090 | |
| 23397 | A | Muscle transfers | 16.13 | 14.11 | NA | 2.24 | 090 | |
| 23400 | A | Fixation of shoulder blade | 13.54 | 13.98 | NA | 1.91 | 090 | |
| 23405 | A | Incision of tendon muscle | 8.37 | 9.37 | NA | 1.12 | 090 | |
| 23406 | A | Incise tendon(s) muscle(s) | 10.79 | 11.52 | NA | 1.48 | 090 | |
| 23410 | A | Repair of tendon(s) | 12.45 | 12.33 | NA | 1.72 | 090 | |
| 23412 | A | Repair of tendon(s) | 13.31 | 12.90 | NA | 1.86 | 090 | |
| 23415 | A | Release of shoulder ligament | 9.97 | 9.97 | NA | 1.39 | 090 | |
| 23420 | A | Repair of shoulder | 13.30 | 13.81 | NA | 1.86 | 090 | |
| 23430 | A | Repair biceps tendon | 9.98 | 11.10 | NA | 1.40 | 090 | |
| 23440 | A | Remove/transplant tendon | 10.48 | 11.33 | NA | 1.47 | 090 | |
| 23450 | A | Repair shoulder capsule | 13.40 | 12.82 | NA | 1.86 | 090 | |
| 23455 | A | Repair shoulder capsule | 14.37 | 13.39 | NA | 2.01 | 090 | |
| 23460 | A | Repair shoulder capsule | 15.37 | 13.99 | NA | 2.17 | 090 | |
| 23462 | A | Repair shoulder capsule | 15.30 | 13.69 | NA | 2.16 | 090 | |
| 23465 | A | Repair shoulder capsule | 15.85 | 13.73 | NA | 1.61 | 090 | |
| 23466 | A | Repair shoulder capsule | 14.22 | 13.36 | NA | 2.00 | 090 | |
| 23470 | A | Reconstruct shoulder joint | 17.15 | 14.91 | NA | 2.40 | 090 | |
| 23472 | A | Reconstruct shoulder joint | 21.10 | 17.03 | NA | 2.37 | 090 | |
| 23480 | A | Revision of collar bone | 11.18 | 11.52 | NA | 1.56 | 090 | |
| 23485 | A | Revision of collar bone | 13.43 | 12.95 | NA | 1.84 | 090 | |
| 23490 | A | Reinforce clavicle | 11.86 | 11.82 | NA | 1.11 | 090 | |
| 23491 | A | Reinforce shoulder bones | 14.21 | 13.26 | NA | 2.00 | 090 | |
| 23500 | A | Treat clavicle fracture | 2.08 | 2.50 | 3.77 | 0.26 | 090 | |
| 23505 | A | Treat clavicle fracture | 3.69 | 3.91 | 5.79 | 0.50 | 090 | |
| 23515 | A | Treat clavicle fracture | 7.41 | 8.12 | NA | 1.03 | 090 | |
| 23520 | A | Treat clavicle dislocation | 2.16 | 2.55 | 3.83 | 0.26 | 090 | |
| 23525 | A | Treat clavicle dislocation | 3.60 | 3.82 | 5.95 | 0.44 | 090 | |
| 23530 | A | Treat clavicle dislocation | 7.31 | 7.83 | NA | 0.85 | 090 | |
| 23532 | A | Treat clavicle dislocation | 8.01 | 8.17 | NA | 1.13 | 090 | |
| 23540 | A | Treat clavicle dislocation | 2.23 | 2.50 | 4.40 | 0.24 | 090 | |
| 23545 | A | Treat clavicle dislocation | 3.25 | 3.56 | 4.89 | 0.39 | 090 | |
| 23550 | A | Treat clavicle dislocation | 7.24 | 8.12 | NA | 0.94 | 090 | |
| 23552 | A | Treat clavicle dislocation | 8.45 | 8.73 | NA | 1.18 | 090 | |
| 23570 | A | Treat shoulder blade fx | 2.23 | 2.62 | 3.76 | 0.29 | 090 | |
| 23575 | A | Treat shoulder blade fx | 4.06 | 4.16 | 6.01 | 0.53 | 090 | |
| 23585 | A | Treat scapula fracture | 8.96 | 9.26 | NA | 1.25 | 090 | |
| 23600 | A | Treat humerus fracture | 2.93 | 3.58 | 5.50 | 0.39 | 090 | |
| 23605 | A | Treat humerus fracture | 4.87 | 6.36 | 8.10 | 0.67 | 090 | |
| 23615 | A | Treat humerus fracture | 9.35 | 10.05 | NA | 1.31 | 090 | |
| 23616 | A | Treat humerus fracture | 21.27 | 15.83 | NA | 2.98 | 090 | |
| 23620 | A | Treat humerus fracture | 2.40 | 3.32 | 5.21 | 0.32 | 090 | |
| 23625 | A | Treat humerus fracture | 3.93 | 5.41 | 7.18 | 0.53 | 090 | |
| 23630 | A | Treat humerus fracture | 7.35 | 8.12 | NA | 1.03 | 090 | |
| 23650 | A | Treat shoulder dislocation | 3.39 | 3.50 | 5.46 | 0.31 | 090 | |
| 23655 | A | Treat shoulder dislocation | 4.57 | 4.21 | NA | 0.52 | 090 | |
| 23660 | A | Treat shoulder dislocation | 7.49 | 7.91 | NA | 1.01 | 090 | |
| 23665 | A | Treat dislocation/fracture | 4.47 | 5.66 | 7.41 | 0.60 | 090 | |
| 23670 | A | Treat dislocation/fracture | 7.90 | 8.56 | NA | 1.10 | 090 | |
| 23675 | A | Treat dislocation/fracture | 6.05 | 6.53 | 8.15 | 0.83 | 090 | |
| 23680 | A | Treat dislocation/fracture | 10.06 | 9.65 | NA | 1.39 | 090 | |
| 23700 | A | Fixation of shoulder | 2.52 | 3.39 | NA | 0.35 | 010 | |
| 23800 | A | Fusion of shoulder joint | 14.16 | 14.08 | NA | 1.97 | 090 | |
| 23802 | A | Fusion of shoulder joint | 16.60 | 13.40 | NA | 2.34 | 090 | |
| 23900 | A | Amputation of arm girdle | 19.72 | 15.42 | NA | 2.47 | 090 | |
| 23920 | A | Amputation at shoulder joint | 14.61 | 13.65 | NA | 1.92 | 090 | |
| 23921 | A | Amputation follow-up surgery | 5.49 | 6.51 | NA | 0.78 | 090 | |
| 23929 | C | Shoulder surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23930 | A | Drainage of arm lesion | 2.94 | 3.89 | 5.98 | 0.32 | 010 | |
| 23931 | A | Drainage of arm bursa | 1.79 | 3.61 | 5.67 | 0.21 | 010 | |
| 23935 | A | Drain arm/elbow bone lesion | 6.09 | 12.53 | NA | 0.84 | 090 | |
| 24000 | A | Exploratory elbow surgery | 5.82 | 5.91 | NA | 0.77 | 090 | |
| 24006 | A | Release elbow joint | 9.31 | 8.43 | NA | 1.27 | 090 | |
| 24065 | A | Biopsy arm/elbow soft tissue | 2.08 | 3.25 | 5.34 | 0.14 | 010 | |
| 24066 | A | Biopsy arm/elbow soft tissue | 5.21 | 6.53 | 8.66 | 0.61 | 090 | |
| 24075 | A | Remove arm/elbow lesion | 3.92 | 5.96 | 7.99 | 0.43 | 090 | |
| 24076 | A | Remove arm/elbow lesion | 6.30 | 7.14 | NA | 0.70 | 090 | |
| 24077 | A | Remove tumor of arm/elbow | 11.76 | 14.01 | NA | 1.32 | 090 | |
| 24100 | A | Biopsy elbow joint lining | 4.93 | 5.85 | NA | 0.62 | 090 | |
| 24101 | A | Explore/treat elbow joint | 6.13 | 6.70 | NA | 0.84 | 090 | |
| 24102 | A | Remove elbow joint lining | 8.03 | 7.72 | NA | 1.09 | 090 | |
| 24105 | A | Removal of elbow bursa | 3.61 | 5.08 | NA | 0.49 | 090 | |
| 24110 | A | Remove humerus lesion | 7.39 | 9.51 | NA | 0.99 | 090 | |
| 24115 | A | Remove/graft bone lesion | 9.63 | 10.31 | NA | 1.15 | 090 | |
| 24116 | A | Remove/graft bone lesion | 11.81 | 12.01 | NA | 1.66 | 090 | |
| 24120 | A | Remove elbow lesion | 6.65 | 6.67 | NA | 0.87 | 090 | |
| 24125 | A | Remove/graft bone lesion | 7.89 | 7.07 | NA | 0.88 | 090 | |
| 24126 | A | Remove/graft bone lesion | 8.31 | 7.77 | NA | 0.90 | 090 | |
| 24130 | A | Removal of head of radius | 6.25 | 6.73 | NA | 0.87 | 090 | |
| 24134 | A | Removal of arm bone lesion | 9.73 | 15.85 | NA | 1.31 | 090 | |
| 24136 | A | Remove radius bone lesion | 7.99 | 6.40 | NA | 0.85 | 090 | |
| 24138 | A | Remove elbow bone lesion | 8.05 | 7.76 | NA | 1.12 | 090 | |
| 24140 | A | Partial removal of arm bone | 9.18 | 16.80 | NA | 1.23 | 090 | |
| 24145 | A | Partial removal of radius | 7.58 | 11.15 | NA | 1.01 | 090 | |
| 24147 | A | Partial removal of elbow | 7.54 | 11.09 | NA | 1.04 | 090 | |
| 24149 | A | Radical resection of elbow | 14.20 | 10.98 | NA | 1.90 | 090 | |
| 24150 | A | Extensive humerus surgery | 13.27 | 14.58 | NA | 1.81 | 090 | |
| 24151 | A | Extensive humerus surgery | 15.58 | 16.06 | NA | 2.19 | 090 | |
| 24152 | A | Extensive radius surgery | 10.06 | 9.58 | NA | 1.19 | 090 | |
| 24153 | A | Extensive radius surgery | 11.54 | 7.21 | NA | 0.64 | 090 | |
| 24155 | A | Removal of elbow joint | 11.73 | 9.34 | NA | 1.42 | 090 | |
| 24160 | A | Remove elbow joint implant | 7.83 | 7.59 | NA | 1.07 | 090 | |
| 24164 | A | Remove radius head implant | 6.23 | 6.71 | NA | 0.84 | 090 | |
| 24200 | A | Removal of arm foreign body | 1.76 | 3.29 | 5.66 | 0.15 | 010 | |
| 24201 | A | Removal of arm foreign body | 4.56 | 6.68 | 8.70 | 0.56 | 090 | |
| 24220 | A | Injection for elbow x-ray | 1.31 | 0.46 | 11.20 | 0.07 | 000 | |
| 24300 | A | Manipulate elbow w/anesth | 3.75 | 5.26 | NA | 0.52 | 090 | |
| 24301 | A | Muscle/tendon transfer | 10.20 | 9.03 | NA | 1.30 | 090 | |
| 24305 | A | Arm tendon lengthening | 7.45 | 7.49 | NA | 0.98 | 090 | |
| 24310 | A | Revision of arm tendon | 5.98 | 8.14 | NA | 0.74 | 090 | |
| 24320 | A | Repair of arm tendon | 10.56 | 10.72 | NA | 1.00 | 090 | |
| 24330 | A | Revision of arm muscles | 9.60 | 8.62 | NA | 1.21 | 090 | |
| 24331 | A | Revision of arm muscles | 10.65 | 9.19 | NA | 1.41 | 090 | |
| 24332 | A | Tenolysis, triceps | 7.45 | 5.13 | NA | 0.77 | 090 | |
| 24340 | A | Repair of biceps tendon | 7.89 | 7.61 | NA | 1.08 | 090 | |
| 24341 | A | Repair arm tendon/muscle | 7.90 | 7.61 | NA | 1.08 | 090 | |
| 24342 | A | Repair of ruptured tendon | 10.62 | 9.17 | NA | 1.48 | 090 | |
| 24343 | A | Repr elbow lat ligmnt w/tiss | 8.65 | 7.60 | NA | 1.21 | 090 | |
| 24344 | A | Reconstruct elbow lat ligmnt | 14.00 | 10.42 | NA | 1.95 | 090 | |
| 24345 | A | Repr elbw med ligmnt w/tiss | 8.65 | 7.60 | NA | 1.21 | 090 | |
| 24346 | A | Reconstruct elbow med ligmnt | 14.00 | 10.42 | NA | 1.95 | 090 | |
| 24350 | A | Repair of tennis elbow | 5.25 | 6.11 | NA | 0.72 | 090 | |
| 24351 | A | Repair of tennis elbow | 5.91 | 6.59 | NA | 0.82 | 090 | |
| 24352 | A | Repair of tennis elbow | 6.43 | 6.90 | NA | 0.90 | 090 | |
| 24354 | A | Repair of tennis elbow | 6.48 | 6.84 | NA | 0.88 | 090 | |
| 24356 | A | Revision of tennis elbow | 6.68 | 7.02 | NA | 0.90 | 090 | |
| 24360 | A | Reconstruct elbow joint | 12.34 | 9.93 | NA | 1.69 | 090 | |
| 24361 | A | Reconstruct elbow joint | 14.08 | 10.92 | NA | 1.95 | 090 | |
| 24362 | A | Reconstruct elbow joint | 14.99 | 10.88 | NA | 1.92 | 090 | |
| 24363 | A | Replace elbow joint | 18.49 | 13.42 | NA | 2.52 | 090 | |
| 24365 | A | Reconstruct head of radius | 8.39 | 7.93 | NA | 1.11 | 090 | |
| 24366 | A | Reconstruct head of radius | 9.13 | 8.34 | NA | 1.28 | 090 | |
| 24400 | A | Revision of humerus | 11.06 | 12.49 | NA | 1.53 | 090 | |
| 24410 | A | Revision of humerus | 14.82 | 13.83 | NA | 1.89 | 090 | |
| 24420 | A | Revision of humerus | 13.44 | 16.46 | NA | 1.82 | 090 | |
| 24430 | A | Repair of humerus | 12.81 | 12.66 | NA | 1.80 | 090 | |
| 24435 | A | Repair humerus with graft | 13.17 | 13.78 | NA | 1.84 | 090 | |
| 24470 | A | Revision of elbow joint | 8.74 | 6.47 | NA | 1.23 | 090 | |
| 24495 | A | Decompression of forearm | 8.12 | 10.00 | NA | 0.92 | 090 | |
| 24498 | A | Reinforce humerus | 11.92 | 12.18 | NA | 1.67 | 090 | |
| 24500 | A | Treat humerus fracture | 3.21 | 3.24 | 4.96 | 0.41 | 090 | |
| 24505 | A | Treat humerus fracture | 5.17 | 6.63 | 8.63 | 0.72 | 090 | |
| 24515 | A | Treat humerus fracture | 11.65 | 11.15 | NA | 1.63 | 090 | |
| 24516 | A | Treat humerus fracture | 11.65 | 11.68 | NA | 1.63 | 090 | |
| 24530 | A | Treat humerus fracture | 3.50 | 4.68 | 6.02 | 0.47 | 090 | |
| 24535 | A | Treat humerus fracture | 6.87 | 6.56 | 8.59 | 0.96 | 090 | |
| 24538 | A | Treat humerus fracture | 9.43 | 10.31 | NA | 1.25 | 090 | |
| 24545 | A | Treat humerus fracture | 10.46 | 9.97 | NA | 1.47 | 090 | |
| 24546 | A | Treat humerus fracture | 15.69 | 13.38 | NA | 2.18 | 090 | |
| 24560 | A | Treat humerus fracture | 2.80 | 3.04 | 4.74 | 0.35 | 090 | |
| 24565 | A | Treat humerus fracture | 5.56 | 5.73 | 7.73 | 0.74 | 090 | |
| 24566 | A | Treat humerus fracture | 7.79 | 9.79 | NA | 1.10 | 090 | |
| 24575 | A | Treat humerus fracture | 10.66 | 8.21 | NA | 1.44 | 090 | |
| 24576 | A | Treat humerus fracture | 2.86 | 3.14 | 4.52 | 0.38 | 090 | |
| 24577 | A | Treat humerus fracture | 5.79 | 5.98 | 7.94 | 0.81 | 090 | |
| 24579 | A | Treat humerus fracture | 11.60 | 10.66 | NA | 1.62 | 090 | |
| 24582 | A | Treat humerus fracture | 8.55 | 10.24 | NA | 1.20 | 090 | |
| 24586 | A | Treat elbow fracture | 15.21 | 10.83 | NA | 2.12 | 090 | |
| 24587 | A | Treat elbow fracture | 15.16 | 10.68 | NA | 2.14 | 090 | |
| 24600 | A | Treat elbow dislocation | 4.23 | 4.90 | 6.63 | 0.49 | 090 | |
| 24605 | A | Treat elbow dislocation | 5.42 | 4.87 | NA | 0.72 | 090 | |
| 24615 | A | Treat elbow dislocation | 9.42 | 7.76 | NA | 1.31 | 090 | |
| 24620 | A | Treat elbow fracture | 6.98 | 6.42 | NA | 0.90 | 090 | |
| 24635 | A | Treat elbow fracture | 13.19 | 16.18 | NA | 1.84 | 090 | |
| 24640 | A | Treat elbow dislocation | 1.20 | 1.78 | 3.35 | 0.11 | 010 | |
| 24650 | A | Treat radius fracture | 2.16 | 2.79 | 4.44 | 0.28 | 090 | |
| 24655 | A | Treat radius fracture | 4.40 | 5.10 | 7.13 | 0.58 | 090 | |
| 24665 | A | Treat radius fracture | 8.14 | 9.27 | NA | 1.13 | 090 | |
| 24666 | A | Treat radius fracture | 9.49 | 10.03 | NA | 1.32 | 090 | |
| 24670 | A | Treat ulnar fracture | 2.54 | 2.99 | 4.37 | 0.33 | 090 | |
| 24675 | A | Treat ulnar fracture | 4.72 | 5.36 | 7.32 | 0.65 | 090 | |
| 24685 | A | Treat ulnar fracture | 8.80 | 9.64 | NA | 1.23 | 090 | |
| 24800 | A | Fusion of elbow joint | 11.20 | 9.64 | NA | 1.41 | 090 | |
| 24802 | A | Fusion/graft of elbow joint | 13.69 | 11.21 | NA | 1.89 | 090 | |
| 24900 | A | Amputation of upper arm | 9.60 | 10.94 | NA | 1.18 | 090 | |
| 24920 | A | Amputation of upper arm | 9.54 | 12.50 | NA | 1.22 | 090 | |
| 24925 | A | Amputation follow-up surgery | 7.07 | 9.22 | NA | 0.95 | 090 | |
| 24930 | A | Amputation follow-up surgery | 10.25 | 11.52 | NA | 1.23 | 090 | |
| 24931 | A | Amputate upper arm implant | 12.72 | 11.44 | NA | 1.56 | 090 | |
| 24935 | A | Revision of amputation | 15.56 | 12.31 | NA | 1.58 | 090 | |
| 24940 | C | Revision of upper arm | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 24999 | C | Upper arm/elbow surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 25000 | A | Incision of tendon sheath | 3.38 | 7.25 | NA | 0.45 | 090 | |
| 25001 | A | Incise flexor carpi radialis | 3.38 | 4.22 | NA | 0.45 | 090 | |
| 25020 | A | Decompress forearm 1 space | 5.92 | 11.04 | NA | 0.75 | 090 | |
| 25023 | A | Decompress forearm 1 space | 12.96 | 16.91 | NA | 1.50 | 090 | |
| 25024 | A | Decompress forearm 2 spaces | 9.50 | 7.91 | NA | 1.20 | 090 | |
| 25025 | A | Decompress forearm 2 spaces | 16.54 | 11.74 | NA | 1.91 | 090 | |
| 25028 | A | Drainage of forearm lesion | 5.25 | 9.85 | NA | 0.61 | 090 | |
| 25031 | A | Drainage of forearm bursa | 4.14 | 9.83 | NA | 0.50 | 090 | |
| 25035 | A | Treat forearm bone lesion | 7.36 | 16.18 | NA | 0.98 | 090 | |
| 25040 | A | Explore/treat wrist joint | 7.18 | 9.13 | NA | 0.96 | 090 | |
| 25065 | A | Biopsy forearm soft tissues | 1.99 | 2.38 | 2.38 | 0.12 | 010 | |
| 25066 | A | Biopsy forearm soft tissues | 4.13 | 8.15 | NA | 0.49 | 090 | |
| 25075 | A | Remove forearm lesion subcut | 3.74 | 7.22 | NA | 0.40 | 090 | |
| 25076 | A | Remove forearm lesion deep | 4.92 | 12.49 | NA | 0.59 | 090 | |
| 25077 | A | Remove tumor, forearm/wrist | 9.76 | 15.45 | NA | 1.10 | 090 | |
| 25085 | A | Incision of wrist capsule | 5.50 | 10.81 | NA | 0.71 | 090 | |
| 25100 | A | Biopsy of wrist joint | 3.90 | 7.28 | NA | 0.50 | 090 | |
| 25101 | A | Explore/treat wrist joint | 4.69 | 7.67 | NA | 0.60 | 090 | |
| 25105 | A | Remove wrist joint lining | 5.85 | 10.73 | NA | 0.77 | 090 | |
| 25107 | A | Remove wrist joint cartilage | 6.43 | 11.20 | NA | 0.82 | 090 | |
| 25110 | A | Remove wrist tendon lesion | 3.92 | 8.38 | NA | 0.48 | 090 | |
| 25111 | A | Remove wrist tendon lesion | 3.39 | 6.44 | NA | 0.42 | 090 | |
| 25112 | A | Reremove wrist tendon lesion | 4.53 | 7.30 | NA | 0.54 | 090 | |
| 25115 | A | Remove wrist/forearm lesion | 8.82 | 16.72 | NA | 1.11 | 090 | |
| 25116 | A | Remove wrist/forearm lesion | 7.11 | 15.66 | NA | 0.90 | 090 | |
| 25118 | A | Excise wrist tendon sheath | 4.37 | 7.78 | NA | 0.55 | 090 | |
| 25119 | A | Partial removal of ulna | 6.04 | 11.06 | NA | 0.80 | 090 | |
| 25120 | A | Removal of forearm lesion | 6.10 | 14.75 | NA | 0.81 | 090 | |
| 25125 | A | Remove/graft forearm lesion | 7.48 | 15.74 | NA | 1.02 | 090 | |
| 25126 | A | Remove/graft forearm lesion | 7.55 | 15.44 | NA | 1.00 | 090 | |
| 25130 | A | Removal of wrist lesion | 5.26 | 8.12 | NA | 0.66 | 090 | |
| 25135 | A | Remove graft wrist lesion | 6.89 | 8.89 | NA | 0.89 | 090 | |
| 25136 | A | Remove graft wrist lesion | 5.97 | 8.13 | NA | 0.58 | 090 | |
| 25145 | A | Remove forearm bone lesion | 6.37 | 15.22 | NA | 0.82 | 090 | |
| 25150 | A | Partial removal of ulna | 7.09 | 11.83 | NA | 0.96 | 090 | |
| 25151 | A | Partial removal of radius | 7.39 | 15.63 | NA | 0.93 | 090 | |
| 25170 | A | Extensive forearm surgery | 11.09 | 17.44 | NA | 1.52 | 090 | |
| 25210 | A | Removal of wrist bone | 5.95 | 8.47 | NA | 0.73 | 090 | |
| 25215 | A | Removal of wrist bones | 7.89 | 12.05 | NA | 1.02 | 090 | |
| 25230 | A | Partial removal of radius | 5.23 | 7.95 | NA | 0.66 | 090 | |
| 25240 | A | Partial removal of ulna | 5.17 | 10.49 | NA | 0.69 | 090 | |
| 25246 | A | Injection for wrist x-ray | 1.45 | 0.50 | 10.63 | 0.07 | 000 | |
| 25248 | A | Remove forearm foreign body | 5.14 | 10.05 | NA | 0.54 | 090 | |
| 25250 | A | Removal of wrist prosthesis | 6.60 | 8.76 | NA | 0.84 | 090 | |
| 25251 | A | Removal of wrist prosthesis | 9.57 | 12.73 | NA | 1.15 | 090 | |
| 25259 | A | Manipulate wrist w/anesthes | 3.75 | 5.23 | NA | 0.52 | 090 | |
| 25260 | A | Repair forearm tendon/muscle | 7.80 | 16.77 | NA | 0.97 | 090 | |
| 25263 | A | Repair forearm tendon/muscle | 7.82 | 16.43 | NA | 0.94 | 090 | |
| 25265 | A | Repair forearm tendon/muscle | 9.88 | 17.18 | NA | 1.19 | 090 | |
| 25270 | A | Repair forearm tendon/muscle | 6.00 | 15.70 | NA | 0.76 | 090 | |
| 25272 | A | Repair forearm tendon/muscle | 7.04 | 16.21 | NA | 0.89 | 090 | |
| 25274 | A | Repair forearm tendon/muscle | 8.75 | 16.53 | NA | 1.11 | 090 | |
| 25275 | A | Repair forearm tendon sheath | 8.50 | 7.32 | NA | 1.11 | 090 | |
| 25280 | A | Revise wrist/forearm tendon | 7.22 | 15.52 | NA | 0.91 | 090 | |
| 25290 | A | Incise wrist/forearm tendon | 5.29 | 17.77 | NA | 0.66 | 090 | |
| 25295 | A | Release wrist/forearm tendon | 6.55 | 15.16 | NA | 0.84 | 090 | |
| 25300 | A | Fusion of tendons at wrist | 8.80 | 10.05 | NA | 1.07 | 090 | |
| 25301 | A | Fusion of tendons at wrist | 8.40 | 9.74 | NA | 1.08 | 090 | |
| 25310 | A | Transplant forearm tendon | 8.14 | 16.12 | NA | 1.01 | 090 | |
| 25312 | A | Transplant forearm tendon | 9.57 | 17.04 | NA | 1.22 | 090 | |
| 25315 | A | Revise palsy hand tendon(s) | 10.20 | 17.68 | NA | 1.26 | 090 | |
| 25316 | A | Revise palsy hand tendon(s) | 12.33 | 19.36 | NA | 1.74 | 090 | |
| 25320 | A | Repair/revise wrist joint | 10.77 | 11.21 | NA | 1.32 | 090 | |
| 25332 | A | Revise wrist joint | 11.41 | 11.65 | NA | 1.46 | 090 | |
| 25335 | A | Realignment of hand | 12.88 | 14.66 | NA | 1.66 | 090 | |
| 25337 | A | Reconstruct ulna/radioulnar | 10.17 | 13.29 | NA | 1.31 | 090 | |
| 25350 | A | Revision of radius | 8.78 | 16.51 | NA | 1.17 | 090 | |
| 25355 | A | Revision of radius | 10.17 | 17.17 | NA | 1.44 | 090 | |
| 25360 | A | Revision of ulna | 8.43 | 16.47 | NA | 1.17 | 090 | |
| 25365 | A | Revise radius ulna | 12.40 | 18.00 | NA | 1.67 | 090 | |
| 25370 | A | Revise radius or ulna | 13.36 | 17.37 | NA | 1.88 | 090 | |
| 25375 | A | Revise radius ulna | 13.04 | 18.01 | NA | 1.84 | 090 | |
| 25390 | A | Shorten radius or ulna | 10.40 | 17.23 | NA | 1.38 | 090 | |
| 25391 | A | Lengthen radius or ulna | 13.65 | 18.62 | NA | 1.73 | 090 | |
| 25392 | A | Shorten radius ulna | 13.95 | 17.19 | NA | 1.73 | 090 | |
| 25393 | A | Lengthen radius ulna | 15.87 | 19.88 | NA | 1.87 | 090 | |
| 25394 | A | Repair carpal bone, shorten | 10.40 | 8.24 | NA | 1.15 | 090 | |
| 25400 | A | Repair radius or ulna | 10.92 | 17.53 | NA | 1.50 | 090 | |
| 25405 | A | Repair/graft radius or ulna | 14.38 | 20.00 | NA | 1.95 | 090 | |
| 25415 | A | Repair radius ulna | 13.35 | 19.08 | NA | 1.87 | 090 | |
| 25420 | A | Repair/graft radius ulna | 16.33 | 20.93 | NA | 2.20 | 090 | |
| 25425 | A | Repair/graft radius or ulna | 13.21 | 26.13 | NA | 1.61 | 090 | |
| 25426 | A | Repair/graft radius ulna | 15.82 | 19.87 | NA | 2.23 | 090 | |
| 25430 | A | Vasc graft into carpal bone | 9.25 | 7.60 | NA | 0.56 | 090 | |
| 25431 | A | Repair nonunion carpal bone | 10.44 | 6.28 | NA | 0.56 | 090 | |
| 25440 | A | Repair/graft wrist bone | 10.44 | 10.99 | NA | 1.41 | 090 | |
| 25441 | A | Reconstruct wrist joint | 12.90 | 12.22 | NA | 1.83 | 090 | |
| 25442 | A | Reconstruct wrist joint | 10.85 | 11.22 | NA | 1.24 | 090 | |
| 25443 | A | Reconstruct wrist joint | 10.39 | 13.58 | NA | 1.30 | 090 | |
| 25444 | A | Reconstruct wrist joint | 11.15 | 13.83 | NA | 1.43 | 090 | |
| 25445 | A | Reconstruct wrist joint | 9.69 | 13.12 | NA | 1.26 | 090 | |
| 25446 | A | Wrist replacement | 16.55 | 14.38 | NA | 2.20 | 090 | |
| 25447 | A | Repair wrist joint(s) | 10.37 | 11.02 | NA | 1.34 | 090 | |
| 25449 | A | Remove wrist joint implant | 14.49 | 17.69 | NA | 1.77 | 090 | |
| 25450 | A | Revision of wrist joint | 7.87 | 12.63 | NA | 0.88 | 090 | |
| 25455 | A | Revision of wrist joint | 9.49 | 14.17 | NA | 1.07 | 090 | |
| 25490 | A | Reinforce radius | 9.54 | 16.27 | NA | 1.19 | 090 | |
| 25491 | A | Reinforce ulna | 9.96 | 17.52 | NA | 1.41 | 090 | |
| 25492 | A | Reinforce radius and ulna | 12.33 | 16.91 | NA | 1.62 | 090 | |
| 25500 | A | Treat fracture of radius | 2.45 | 2.82 | 4.14 | 0.28 | 090 | |
| 25505 | A | Treat fracture of radius | 5.21 | 5.50 | 7.55 | 0.69 | 090 | |
| 25515 | A | Treat fracture of radius | 9.18 | 9.59 | NA | 1.22 | 090 | |
| 25520 | A | Treat fracture of radius | 6.26 | 6.12 | 7.72 | 0.85 | 090 | |
| 25525 | A | Treat fracture of radius | 12.24 | 11.46 | NA | 1.68 | 090 | |
| 25526 | A | Treat fracture of radius | 12.98 | 14.97 | NA | 1.80 | 090 | |
| 25530 | A | Treat fracture of ulna | 2.09 | 2.77 | 4.10 | 0.27 | 090 | |
| 25535 | A | Treat fracture of ulna | 5.14 | 5.54 | 7.36 | 0.68 | 090 | |
| 25545 | A | Treat fracture of ulna | 8.90 | 9.70 | NA | 1.23 | 090 | |
| 25560 | A | Treat fracture radius ulna | 2.44 | 2.81 | 4.15 | 0.27 | 090 | |
| 25565 | A | Treat fracture radius ulna | 5.63 | 5.71 | 7.77 | 0.76 | 090 | |
| 25574 | A | Treat fracture radius ulna | 7.01 | 8.63 | NA | 0.96 | 090 | |
| 25575 | A | Treat fracture radius/ulna | 10.45 | 10.51 | NA | 1.46 | 090 | |
| 25600 | A | Treat fracture radius/ulna | 2.63 | 2.98 | 4.41 | 0.34 | 090 | |
| 25605 | A | Treat fracture radius/ulna | 5.81 | 5.94 | 7.97 | 0.81 | 090 | |
| 25611 | A | Treat fracture radius/ulna | 7.77 | 9.77 | NA | 1.08 | 090 | |
| 25620 | A | Treat fracture radius/ulna | 8.55 | 9.47 | NA | 1.17 | 090 | |
| 25622 | A | Treat wrist bone fracture | 2.61 | 2.97 | 4.38 | 0.33 | 090 | |
| 25624 | A | Treat wrist bone fracture | 4.53 | 5.20 | 7.19 | 0.61 | 090 | |
| 25628 | A | Treat wrist bone fracture | 8.43 | 9.54 | NA | 1.14 | 090 | |
| 25630 | A | Treat wrist bone fracture | 2.88 | 3.03 | 4.53 | 0.37 | 090 | |
| 25635 | A | Treat wrist bone fracture | 4.39 | 4.52 | 7.16 | 0.39 | 090 | |
| 25645 | A | Treat wrist bone fracture | 7.25 | 9.13 | NA | 0.93 | 090 | |
| 25650 | A | Treat wrist bone fracture | 3.05 | 3.12 | 4.61 | 0.37 | 090 | |
| 25651 | A | Pin ulnar styloid fracture | 5.36 | 4.32 | NA | 0.73 | 090 | |
| 25652 | A | Treat fracture ulnar styloid | 7.60 | 6.74 | NA | 0.97 | 090 | |
| 25660 | A | Treat wrist dislocation | 4.76 | 5.24 | NA | 0.59 | 090 | |
| 25670 | A | Treat wrist dislocation | 7.92 | 9.34 | NA | 1.07 | 090 | |
| 25671 | A | Pin radioulnar dislocation | 6.00 | 5.89 | NA | 0.75 | 090 | |
| 25675 | A | Treat wrist dislocation | 4.67 | 5.17 | 7.08 | 0.57 | 090 | |
| 25676 | A | Treat wrist dislocation | 8.04 | 9.33 | NA | 1.10 | 090 | |
| 25680 | A | Treat wrist fracture | 5.99 | 6.29 | NA | 0.61 | 090 | |
| 25685 | A | Treat wrist fracture | 9.78 | 10.12 | NA | 1.25 | 090 | |
| 25690 | A | Treat wrist dislocation | 5.50 | 6.77 | NA | 0.78 | 090 | |
| 25695 | A | Treat wrist dislocation | 8.34 | 9.43 | NA | 1.07 | 090 | |
| 25800 | A | Fusion of wrist joint | 9.76 | 10.62 | NA | 1.30 | 090 | |
| 25805 | A | Fusion/graft of wrist joint | 11.28 | 11.48 | NA | 1.51 | 090 | |
| 25810 | A | Fusion/graft of wrist joint | 10.57 | 11.05 | NA | 1.37 | 090 | |
| 25820 | A | Fusion of hand bones | 7.45 | 9.43 | NA | 0.96 | 090 | |
| 25825 | A | Fuse hand bones with graft | 9.27 | 10.37 | NA | 1.20 | 090 | |
| 25830 | A | Fusion, radioulnar jnt/ulna | 10.06 | 16.56 | NA | 1.27 | 090 | |
| 25900 | A | Amputation of forearm | 9.01 | 14.17 | NA | 1.08 | 090 | |
| 25905 | A | Amputation of forearm | 9.12 | 15.42 | NA | 1.06 | 090 | |
| 25907 | A | Amputation follow-up surgery | 7.80 | 14.95 | NA | 1.01 | 090 | |
| 25909 | A | Amputation follow-up surgery | 8.96 | 14.98 | NA | 1.07 | 090 | |
| 25915 | A | Amputation of forearm | 17.08 | 18.26 | NA | 2.41 | 090 | |
| 25920 | A | Amputate hand at wrist | 8.68 | 9.69 | NA | 1.06 | 090 | |
| 25922 | A | Amputate hand at wrist | 7.42 | 8.88 | NA | 0.93 | 090 | |
| 25924 | A | Amputation follow-up surgery | 8.46 | 9.99 | NA | 1.07 | 090 | |
| 25927 | A | Amputation of hand | 8.80 | 13.97 | NA | 1.02 | 090 | |
| 25929 | A | Amputation follow-up surgery | 7.59 | 7.68 | NA | 0.89 | 090 | |
| 25931 | A | Amputation follow-up surgery | 7.81 | 15.33 | NA | 0.88 | 090 | |
| 25999 | C | Forearm or wrist surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26010 | A | Drainage of finger abscess | 1.54 | 3.82 | 5.06 | 0.14 | 010 | |
| 26011 | A | Drainage of finger abscess | 2.19 | 6.23 | 7.16 | 0.25 | 010 | |
| 26020 | A | Drain hand tendon sheath | 4.67 | 12.63 | NA | 0.59 | 090 | |
| 26025 | A | Drainage of palm bursa | 4.82 | 12.62 | NA | 0.60 | 090 | |
| 26030 | A | Drainage of palm bursa(s) | 5.93 | 13.31 | NA | 0.72 | 090 | |
| 26034 | A | Treat hand bone lesion | 6.23 | 14.59 | NA | 0.79 | 090 | |
| 26035 | A | Decompress fingers/hand | 9.51 | 15.91 | NA | 1.12 | 090 | |
| 26037 | A | Decompress fingers/hand | 7.25 | 12.45 | NA | 0.87 | 090 | |
| 26040 | A | Release palm contracture | 3.33 | 12.35 | NA | 0.45 | 090 | |
| 26045 | A | Release palm contracture | 5.56 | 13.61 | NA | 0.74 | 090 | |
| 26055 | A | Incise finger tendon sheath | 2.69 | 7.49 | 7.83 | 0.36 | 090 | |
| 26060 | A | Incision of finger tendon | 2.81 | 7.56 | NA | 0.35 | 090 | |
| 26070 | A | Explore/treat hand joint | 3.69 | 10.87 | NA | 0.35 | 090 | |
| 26075 | A | Explore/treat finger joint | 3.79 | 11.81 | NA | 0.40 | 090 | |
| 26080 | A | Explore/treat finger joint | 4.24 | 12.65 | NA | 0.52 | 090 | |
| 26100 | A | Biopsy hand joint lining | 3.67 | 8.19 | NA | 0.45 | 090 | |
| 26105 | A | Biopsy finger joint lining | 3.71 | 12.40 | NA | 0.45 | 090 | |
| 26110 | A | Biopsy finger joint lining | 3.53 | 11.82 | NA | 0.44 | 090 | |
| 26115 | A | Remove hand lesion subcut | 3.86 | 7.53 | 7.53 | 0.48 | 090 | |
| 26116 | A | Remove hand lesion, deep | 5.53 | 13.37 | NA | 0.69 | 090 | |
| 26117 | A | Remove tumor, hand/finger | 8.55 | 15.03 | NA | 1.01 | 090 | |
| 26121 | A | Release palm contracture | 7.54 | 15.37 | NA | 0.94 | 090 | |
| 26123 | A | Release palm contracture | 9.29 | 16.33 | NA | 1.17 | 090 | |
| 26125 | A | Release palm contracture | 4.61 | 2.53 | NA | 0.57 | ZZZ | |
| 26130 | A | Remove wrist joint lining | 5.42 | 15.51 | NA | 0.65 | 090 | |
| 26135 | A | Revise finger joint, each | 6.96 | 16.70 | NA | 0.87 | 090 | |
| 26140 | A | Revise finger joint, each | 6.17 | 15.80 | NA | 0.76 | 090 | |
| 26145 | A | Tendon excision, palm/finger | 6.32 | 16.06 | NA | 0.77 | 090 | |
| 26160 | A | Remove tendon sheath lesion | 3.15 | 7.62 | 7.63 | 0.39 | 090 | |
| 26170 | A | Removal of palm tendon, each | 4.77 | 8.46 | NA | 0.60 | 090 | |
| 26180 | A | Removal of finger tendon | 5.18 | 8.79 | NA | 0.64 | 090 | |
| 26185 | A | Remove finger bone | 5.25 | 8.79 | NA | 0.67 | 090 | |
| 26200 | A | Remove hand bone lesion | 5.51 | 13.62 | NA | 0.71 | 090 | |
| 26205 | A | Remove/graft bone lesion | 7.70 | 15.10 | NA | 0.95 | 090 | |
| 26210 | A | Removal of finger lesion | 5.15 | 13.97 | NA | 0.64 | 090 | |
| 26215 | A | Remove/graft finger lesion | 7.10 | 14.34 | NA | 0.77 | 090 | |
| 26230 | A | Partial removal of hand bone | 6.33 | 12.72 | NA | 0.84 | 090 | |
| 26235 | A | Partial removal, finger bone | 6.19 | 12.25 | NA | 0.78 | 090 | |
| 26236 | A | Partial removal, finger bone | 5.32 | 12.30 | NA | 0.66 | 090 | |
| 26250 | A | Extensive hand surgery | 7.55 | 16.60 | NA | 0.92 | 090 | |
| 26255 | A | Extensive hand surgery | 12.43 | 19.40 | NA | 1.05 | 090 | |
| 26260 | A | Extensive finger surgery | 7.03 | 16.45 | NA | 0.83 | 090 | |
| 26261 | A | Extensive finger surgery | 9.09 | 12.97 | NA | 0.84 | 090 | |
| 26262 | A | Partial removal of finger | 5.67 | 14.23 | NA | 0.70 | 090 | |
| 26320 | A | Removal of implant from hand | 3.98 | 12.78 | NA | 0.49 | 090 | |
| 26340 | A | Manipulate finger w/anesth | 2.50 | 4.48 | NA | 0.32 | 090 | |
| 26350 | A | Repair finger/hand tendon | 5.99 | 19.56 | NA | 0.73 | 090 | |
| 26352 | A | Repair/graft hand tendon | 7.68 | 19.76 | NA | 0.93 | 090 | |
| 26356 | A | Repair finger/hand tendon | 8.07 | 20.93 | NA | 0.99 | 090 | |
| 26357 | A | Repair finger/hand tendon | 8.58 | 20.73 | NA | 1.02 | 090 | |
| 26358 | A | Repair/graft hand tendon | 9.14 | 20.89 | NA | 1.07 | 090 | |
| 26370 | A | Repair finger/hand tendon | 7.11 | 20.10 | NA | 0.90 | 090 | |
| 26372 | A | Repair/graft hand tendon | 8.76 | 21.36 | NA | 1.06 | 090 | |
| 26373 | A | Repair finger/hand tendon | 8.16 | 21.27 | NA | 0.98 | 090 | |
| 26390 | A | Revise hand/finger tendon | 9.19 | 16.47 | NA | 1.09 | 090 | |
| 26392 | A | Repair/graft hand tendon | 10.26 | 22.37 | NA | 1.26 | 090 | |
| 26410 | A | Repair hand tendon | 4.63 | 15.82 | NA | 0.57 | 090 | |
| 26412 | A | Repair/graft hand tendon | 6.31 | 16.90 | NA | 0.80 | 090 | |
| 26415 | A | Excision, hand/finger tendon | 8.34 | 15.74 | NA | 0.77 | 090 | |
| 26416 | A | Graft hand or finger tendon | 9.37 | 18.18 | NA | 1.20 | 090 | |
| 26418 | A | Repair finger tendon | 4.25 | 15.67 | NA | 0.50 | 090 | |
| 26420 | A | Repair/graft finger tendon | 6.77 | 17.31 | NA | 0.83 | 090 | |
| 26426 | A | Repair finger/hand tendon | 6.15 | 16.47 | NA | 0.77 | 090 | |
| 26428 | A | Repair/graft finger tendon | 7.21 | 17.52 | NA | 0.84 | 090 | |
| 26432 | A | Repair finger tendon | 4.02 | 12.82 | NA | 0.48 | 090 | |
| 26433 | A | Repair finger tendon | 4.56 | 13.74 | NA | 0.56 | 090 | |
| 26434 | A | Repair/graft finger tendon | 6.09 | 14.25 | NA | 0.71 | 090 | |
| 26437 | A | Realignment of tendons | 5.82 | 13.75 | NA | 0.74 | 090 | |
| 26440 | A | Release palm/finger tendon | 5.02 | 17.99 | NA | 0.62 | 090 | |
| 26442 | A | Release palm finger tendon | 8.16 | 19.45 | NA | 0.94 | 090 | |
| 26445 | A | Release hand/finger tendon | 4.31 | 17.85 | NA | 0.54 | 090 | |
| 26449 | A | Release forearm/hand tendon | 7.00 | 19.18 | NA | 0.84 | 090 | |
| 26450 | A | Incision of palm tendon | 3.67 | 8.30 | NA | 0.46 | 090 | |
| 26455 | A | Incision of finger tendon | 3.64 | 8.16 | NA | 0.47 | 090 | |
| 26460 | A | Incise hand/finger tendon | 3.46 | 7.79 | NA | 0.44 | 090 | |
| 26471 | A | Fusion of finger tendons | 5.73 | 13.37 | NA | 0.73 | 090 | |
| 26474 | A | Fusion of finger tendons | 5.32 | 13.83 | NA | 0.69 | 090 | |
| 26476 | A | Tendon lengthening | 5.18 | 13.19 | NA | 0.62 | 090 | |
| 26477 | A | Tendon shortening | 5.15 | 13.34 | NA | 0.60 | 090 | |
| 26478 | A | Lengthening of hand tendon | 5.80 | 14.10 | NA | 0.77 | 090 | |
| 26479 | A | Shortening of hand tendon | 5.74 | 14.56 | NA | 0.76 | 090 | |
| 26480 | A | Transplant hand tendon | 6.69 | 19.03 | NA | 0.84 | 090 | |
| 26483 | A | Transplant/graft hand tendon | 8.29 | 19.62 | NA | 1.03 | 090 | |
| 26485 | A | Transplant palm tendon | 7.70 | 19.60 | NA | 0.94 | 090 | |
| 26489 | A | Transplant/graft palm tendon | 9.55 | 16.48 | NA | 0.98 | 090 | |
| 26490 | A | Revise thumb tendon | 8.41 | 14.89 | NA | 1.05 | 090 | |
| 26492 | A | Tendon transfer with graft | 9.62 | 15.61 | NA | 1.19 | 090 | |
| 26494 | A | Hand tendon/muscle transfer | 8.47 | 15.87 | NA | 1.13 | 090 | |
| 26496 | A | Revise thumb tendon | 9.59 | 15.10 | NA | 1.17 | 090 | |
| 26497 | A | Finger tendon transfer | 9.57 | 15.87 | NA | 1.17 | 090 | |
| 26498 | A | Finger tendon transfer | 14.00 | 18.34 | NA | 1.74 | 090 | |
| 26499 | A | Revision of finger | 8.98 | 16.54 | NA | 0.94 | 090 | |
| 26500 | A | Hand tendon reconstruction | 5.96 | 14.55 | NA | 0.66 | 090 | |
| 26502 | A | Hand tendon reconstruction | 7.14 | 14.85 | NA | 0.87 | 090 | |
| 26504 | A | Hand tendon reconstruction | 7.47 | 14.56 | NA | 0.84 | 090 | |
| 26508 | A | Release thumb contracture | 6.01 | 14.04 | NA | 0.76 | 090 | |
| 26510 | A | Thumb tendon transfer | 5.43 | 13.79 | NA | 0.71 | 090 | |
| 26516 | A | Fusion of knuckle joint | 7.15 | 14.41 | NA | 0.90 | 090 | |
| 26517 | A | Fusion of knuckle joints | 8.83 | 15.76 | NA | 0.96 | 090 | |
| 26518 | A | Fusion of knuckle joints | 9.02 | 15.46 | NA | 1.13 | 090 | |
| 26520 | A | Release knuckle contracture | 5.30 | 18.02 | NA | 0.65 | 090 | |
| 26525 | A | Release finger contracture | 5.33 | 18.22 | NA | 0.66 | 090 | |
| 26530 | A | Revise knuckle joint | 6.69 | 18.75 | NA | 0.86 | 090 | |
| 26531 | A | Revise knuckle with implant | 7.91 | 19.26 | NA | 1.01 | 090 | |
| 26535 | A | Revise finger joint | 5.24 | 10.66 | NA | 0.66 | 090 | |
| 26536 | A | Revise/implant finger joint | 6.37 | 17.39 | NA | 0.80 | 090 | |
| 26540 | A | Repair hand joint | 6.43 | 14.40 | NA | 0.81 | 090 | |
| 26541 | A | Repair hand joint with graft | 8.62 | 15.99 | NA | 1.12 | 090 | |
| 26542 | A | Repair hand joint with graft | 6.78 | 14.13 | NA | 0.87 | 090 | |
| 26545 | A | Reconstruct finger joint | 6.92 | 15.10 | NA | 0.79 | 090 | |
| 26546 | A | Repair nonunion hand | 8.92 | 15.75 | NA | 1.14 | 090 | |
| 26548 | A | Reconstruct finger joint | 8.03 | 15.67 | NA | 0.98 | 090 | |
| 26550 | A | Construct thumb replacement | 21.24 | 23.51 | NA | 1.80 | 090 | |
| 26551 | A | Great toe-hand transfer | 46.58 | 26.34 | NA | 6.57 | 090 | |
| 26553 | A | Single transfer, toe-hand | 46.27 | 28.71 | NA | 1.99 | 090 | |
| 26554 | A | Double transfer, toe-hand | 54.95 | 33.50 | NA | 7.76 | 090 | |
| 26555 | A | Positional change of finger | 16.63 | 20.49 | NA | 2.13 | 090 | |
| 26556 | A | Toe joint transfer | 47.26 | 29.09 | NA | 6.67 | 090 | |
| 26560 | A | Repair of web finger | 5.38 | 12.75 | NA | 0.60 | 090 | |
| 26561 | A | Repair of web finger | 10.92 | 17.37 | NA | 0.69 | 090 | |
| 26562 | A | Repair of web finger | 15.00 | 19.74 | NA | 0.98 | 090 | |
| 26565 | A | Correct metacarpal flaw | 6.74 | 14.45 | NA | 0.84 | 090 | |
| 26567 | A | Correct finger deformity | 6.82 | 14.29 | NA | 0.84 | 090 | |
| 26568 | A | Lengthen metacarpal/finger | 9.08 | 19.51 | NA | 1.10 | 090 | |
| 26580 | A | Repair hand deformity | 18.18 | 16.16 | NA | 1.46 | 090 | |
| 26585 | D | Repair finger deformity | 14.05 | 12.93 | NA | 1.08 | 090 | |
| 26587 | A | Reconstruct extra finger | 14.05 | NA | 5.98 | 1.08 | 090 | |
| 26590 | A | Repair finger deformity | 17.96 | 16.68 | NA | 1.32 | 090 | |
| 26591 | A | Repair muscles of hand | 3.25 | 13.51 | NA | 0.37 | 090 | |
| 26593 | A | Release muscles of hand | 5.31 | 13.02 | NA | 0.64 | 090 | |
| 26596 | A | Excision constricting tissue | 8.95 | 9.78 | NA | 0.87 | 090 | |
| 26597 | D | Release of scar contracture | 9.82 | 11.29 | NA | 1.20 | 090 | |
| 26600 | A | Treat metacarpal fracture | 1.96 | 2.71 | 4.04 | 0.25 | 090 | |
| 26605 | A | Treat metacarpal fracture | 2.85 | 4.18 | 5.88 | 0.38 | 090 | |
| 26607 | A | Treat metacarpal fracture | 5.36 | 8.18 | NA | 0.70 | 090 | |
| 26608 | A | Treat metacarpal fracture | 5.36 | 8.54 | NA | 0.73 | 090 | |
| 26615 | A | Treat metacarpal fracture | 5.33 | 8.14 | NA | 0.70 | 090 | |
| 26641 | A | Treat thumb dislocation | 3.94 | 4.71 | 6.40 | 0.42 | 090 | |
| 26645 | A | Treat thumb fracture | 4.41 | 5.13 | 7.10 | 0.54 | 090 | |
| 26650 | A | Treat thumb fracture | 5.72 | 8.72 | NA | 0.77 | 090 | |
| 26665 | A | Treat thumb fracture | 7.60 | 9.17 | NA | 0.97 | 090 | |
| 26670 | A | Treat hand dislocation | 3.69 | 4.63 | 6.18 | 0.36 | 090 | |
| 26675 | A | Treat hand dislocation | 4.64 | 4.42 | 6.35 | 0.56 | 090 | |
| 26676 | A | Pin hand dislocation | 5.52 | 8.82 | NA | 0.76 | 090 | |
| 26685 | A | Treat hand dislocation | 6.98 | 8.77 | NA | 0.95 | 090 | |
| 26686 | A | Treat hand dislocation | 7.94 | 9.30 | NA | 1.05 | 090 | |
| 26700 | A | Treat knuckle dislocation | 3.69 | 2.92 | 4.99 | 0.35 | 090 | |
| 26705 | A | Treat knuckle dislocation | 4.19 | 4.26 | 6.20 | 0.50 | 090 | |
| 26706 | A | Pin knuckle dislocation | 5.12 | 5.80 | NA | 0.64 | 090 | |
| 26715 | A | Treat knuckle dislocation | 5.74 | 8.29 | NA | 0.75 | 090 | |
| 26720 | A | Treat finger fracture, each | 1.66 | 1.66 | 2.99 | 0.20 | 090 | |
| 26725 | A | Treat finger fracture, each | 3.33 | 3.17 | 5.14 | 0.43 | 090 | |
| 26727 | A | Treat finger fracture, each | 5.23 | 8.73 | NA | 0.69 | 090 | |
| 26735 | A | Treat finger fracture, each | 5.98 | 8.65 | NA | 0.77 | 090 | |
| 26740 | A | Treat finger fracture, each | 1.94 | 2.55 | 3.74 | 0.24 | 090 | |
| 26742 | A | Treat finger fracture, each | 3.85 | 5.11 | 6.98 | 0.49 | 090 | |
| 26746 | A | Treat finger fracture, each | 5.81 | 8.77 | NA | 0.74 | 090 | |
| 26750 | A | Treat finger fracture, each | 1.70 | 2.36 | 3.56 | 0.19 | 090 | |
| 26755 | A | Treat finger fracture, each | 3.10 | 3.05 | 4.97 | 0.37 | 090 | |
| 26756 | A | Pin finger fracture, each | 4.39 | 8.61 | NA | 0.56 | 090 | |
| 26765 | A | Treat finger fracture, each | 4.17 | 7.78 | NA | 0.51 | 090 | |
| 26770 | A | Treat finger dislocation | 3.02 | 2.68 | 4.74 | 0.27 | 090 | |
| 26775 | A | Treat finger dislocation | 3.71 | 3.94 | 5.90 | 0.43 | 090 | |
| 26776 | A | Pin finger dislocation | 4.80 | 8.58 | NA | 0.63 | 090 | |
| 26785 | A | Treat finger dislocation | 4.21 | 7.62 | NA | 0.54 | 090 | |
| 26820 | A | Thumb fusion with graft | 8.26 | 15.82 | NA | 1.11 | 090 | |
| 26841 | A | Fusion of thumb | 7.13 | 14.94 | NA | 0.97 | 090 | |
| 26842 | A | Thumb fusion with graft | 8.24 | 15.72 | NA | 1.10 | 090 | |
| 26843 | A | Fusion of hand joint | 7.61 | 14.38 | NA | 0.99 | 090 | |
| 26844 | A | Fusion/graft of hand joint | 8.73 | 15.70 | NA | 1.12 | 090 | |
| 26850 | A | Fusion of knuckle | 6.97 | 14.21 | NA | 0.89 | 090 | |
| 26852 | A | Fusion of knuckle with graft | 8.46 | 15.08 | NA | 1.05 | 090 | |
| 26860 | A | Fusion of finger joint | 4.69 | 13.11 | NA | 0.60 | 090 | |
| 26861 | A | Fusion of finger jnt, add-on | 1.74 | 0.96 | NA | 0.22 | ZZZ | |
| 26862 | A | Fusion/graft of finger joint | 7.37 | 14.75 | NA | 0.92 | 090 | |
| 26863 | A | Fuse/graft added joint | 3.90 | 2.16 | NA | 0.51 | ZZZ | |
| 26910 | A | Amputate metacarpal bone | 7.60 | 13.76 | NA | 0.90 | 090 | |
| 26951 | A | Amputation of finger/thumb | 4.59 | 12.67 | NA | 0.56 | 090 | |
| 26952 | A | Amputation of finger/thumb | 6.31 | 13.99 | NA | 0.74 | 090 | |
| 26989 | C | Hand/finger surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26990 | A | Drainage of pelvis lesion | 7.48 | 15.56 | NA | 0.92 | 090 | |
| 26991 | A | Drainage of pelvis bursa | 6.68 | 9.38 | 11.53 | 0.85 | 090 | |
| 26992 | A | Drainage of bone lesion | 13.02 | 19.43 | NA | 1.75 | 090 | |
| 27000 | A | Incision of hip tendon | 5.62 | 7.33 | NA | 0.76 | 090 | |
| 27001 | A | Incision of hip tendon | 6.94 | 8.22 | NA | 0.95 | 090 | |
| 27003 | A | Incision of hip tendon | 7.34 | 9.11 | NA | 0.93 | 090 | |
| 27005 | A | Incision of hip tendon | 9.66 | 10.42 | NA | 1.36 | 090 | |
| 27006 | A | Incision of hip tendons | 9.68 | 10.43 | NA | 1.33 | 090 | |
| 27025 | A | Incision of hip/thigh fascia | 11.16 | 10.31 | NA | 1.38 | 090 | |
| 27030 | A | Drainage of hip joint | 13.01 | 12.23 | NA | 1.81 | 090 | |
| 27033 | A | Exploration of hip joint | 13.39 | 12.33 | NA | 1.87 | 090 | |
| 27035 | A | Denervation of hip joint | 16.69 | 18.01 | NA | 1.70 | 090 | |
| 27036 | A | Excision of hip joint/muscle | 12.88 | 13.67 | NA | 1.80 | 090 | |
| 27040 | A | Biopsy of soft tissues | 2.87 | 4.01 | 5.90 | 0.21 | 010 | |
| 27041 | A | Biopsy of soft tissues | 9.89 | 8.47 | NA | 1.01 | 090 | |
| 27047 | A | Remove hip/pelvis lesion | 7.45 | 7.01 | 9.27 | 0.79 | 090 | |
| 27048 | A | Remove hip/pelvis lesion | 6.25 | 7.86 | NA | 0.73 | 090 | |
| 27049 | A | Remove tumor, hip/pelvis | 13.66 | 13.36 | NA | 1.60 | 090 | |
| 27050 | A | Biopsy of sacroiliac joint | 4.36 | 6.97 | NA | 0.53 | 090 | |
| 27052 | A | Biopsy of hip joint | 6.23 | 8.29 | NA | 0.85 | 090 | |
| 27054 | A | Removal of hip joint lining | 8.54 | 10.53 | NA | 1.17 | 090 | |
| 27060 | A | Removal of ischial bursa | 5.43 | 7.70 | NA | 0.60 | 090 | |
| 27062 | A | Remove femur lesion/bursa | 5.37 | 7.17 | NA | 0.74 | 090 | |
| 27065 | A | Removal of hip bone lesion | 5.90 | 8.66 | NA | 0.76 | 090 | |
| 27066 | A | Removal of hip bone lesion | 10.33 | 12.36 | NA | 1.42 | 090 | |
| 27067 | A | Remove/graft hip bone lesion | 13.83 | 14.25 | NA | 1.95 | 090 | |
| 27070 | A | Partial removal of hip bone | 10.72 | 17.92 | NA | 1.36 | 090 | |
| 27071 | A | Partial removal of hip bone | 11.46 | 18.86 | NA | 1.51 | 090 | |
| 27075 | A | Extensive hip surgery | 35.00 | 25.41 | NA | 2.22 | 090 | |
| 27076 | A | Extensive hip surgery | 22.12 | 19.90 | NA | 2.86 | 090 | |
| 27077 | A | Extensive hip surgery | 40.00 | 28.73 | NA | 3.18 | 090 | |
| 27078 | A | Extensive hip surgery | 13.44 | 15.54 | NA | 1.67 | 090 | |
| 27079 | A | Extensive hip surgery | 13.75 | 15.04 | NA | 1.86 | 090 | |
| 27080 | A | Removal of tail bone | 6.39 | 7.56 | NA | 0.80 | 090 | |
| 27086 | A | Remove hip foreign body | 1.87 | 3.81 | 5.53 | 0.17 | 010 | |
| 27087 | A | Remove hip foreign body | 8.54 | 8.85 | NA | 1.09 | 090 | |
| 27090 | A | Removal of hip prosthesis | 11.15 | 11.14 | NA | 1.55 | 090 | |
| 27091 | A | Removal of hip prosthesis | 22.14 | 16.20 | NA | 3.11 | 090 | |
| 27093 | A | Injection for hip x-ray | 1.30 | 0.50 | 12.79 | 0.09 | 000 | |
| 27095 | A | Injection for hip x-ray | 1.50 | 0.54 | 11.77 | 0.10 | 000 | |
| 27096 | A | Inject sacroiliac joint | 1.40 | 0.38 | 9.84 | 0.08 | 000 | |
| 27097 | A | Revision of hip tendon | 8.80 | 8.91 | NA | 1.22 | 090 | |
| 27098 | A | Transfer tendon to pelvis | 8.83 | 9.53 | NA | 1.24 | 090 | |
| 27100 | A | Transfer of abdominal muscle | 11.08 | 12.54 | NA | 1.57 | 090 | |
| 27105 | A | Transfer of spinal muscle | 11.77 | 12.21 | NA | 1.66 | 090 | |
| 27110 | A | Transfer of iliopsoas muscle | 13.26 | 13.43 | NA | 1.38 | 090 | |
| 27111 | A | Transfer of iliopsoas muscle | 12.15 | 11.85 | NA | 1.48 | 090 | |
| 27120 | A | Reconstruction of hip socket | 18.01 | 14.46 | NA | 2.45 | 090 | |
| 27122 | A | Reconstruction of hip socket | 14.98 | 14.13 | NA | 2.08 | 090 | |
| 27125 | A | Partial hip replacement | 14.69 | 13.66 | NA | 2.05 | 090 | |
| 27130 | A | Total hip arthroplasty | 20.12 | 16.84 | NA | 2.82 | 090 | |
| 27132 | A | Total hip arthroplasty | 23.30 | 18.59 | NA | 3.26 | 090 | |
| 27134 | A | Revise hip joint replacement | 28.52 | 21.23 | NA | 3.97 | 090 | |
| 27137 | A | Revise hip joint replacement | 21.17 | 17.42 | NA | 2.97 | 090 | |
| 27138 | A | Revise hip joint replacement | 22.17 | 17.87 | NA | 3.11 | 090 | |
| 27140 | A | Transplant femur ridge | 12.24 | 11.79 | NA | 1.67 | 090 | |
| 27146 | A | Incision of hip bone | 17.43 | 16.11 | NA | 2.27 | 090 | |
| 27147 | A | Revision of hip bone | 20.58 | 17.18 | NA | 2.61 | 090 | |
| 27151 | A | Incision of hip bones | 22.51 | 12.41 | NA | 3.12 | 090 | |
| 27156 | A | Revision of hip bones | 24.63 | 19.70 | NA | 3.48 | 090 | |
| 27158 | A | Revision of pelvis | 19.74 | 15.55 | NA | 2.60 | 090 | |
| 27161 | A | Incision of neck of femur | 16.71 | 14.13 | NA | 2.32 | 090 | |
| 27165 | A | Incision/fixation of femur | 17.91 | 14.67 | NA | 2.51 | 090 | |
| 27170 | A | Repair/graft femur head/neck | 16.07 | 13.84 | NA | 2.20 | 090 | |
| 27175 | A | Treat slipped epiphysis | 8.46 | 7.08 | NA | 1.19 | 090 | |
| 27176 | A | Treat slipped epiphysis | 12.05 | 9.88 | NA | 1.68 | 090 | |
| 27177 | A | Treat slipped epiphysis | 15.08 | 11.61 | NA | 2.11 | 090 | |
| 27178 | A | Treat slipped epiphysis | 11.99 | 9.30 | NA | 1.68 | 090 | |
| 27179 | A | Revise head/neck of femur | 12.98 | 10.70 | NA | 1.84 | 090 | |
| 27181 | A | Treat slipped epiphysis | 14.68 | 11.04 | NA | 1.74 | 090 | |
| 27185 | A | Revision of femur epiphysis | 9.18 | 10.34 | NA | 1.29 | 090 | |
| 27187 | A | Reinforce hip bones | 13.54 | 13.30 | NA | 1.89 | 090 | |
| 27193 | A | Treat pelvic ring fracture | 5.56 | 5.22 | 6.95 | 0.77 | 090 | |
| 27194 | A | Treat pelvic ring fracture | 9.65 | 7.48 | 9.00 | 1.32 | 090 | |
| 27200 | A | Treat tail bone fracture | 1.84 | 1.77 | 3.03 | 0.22 | 090 | |
| 27202 | A | Treat tail bone fracture | 7.04 | 19.94 | NA | 0.69 | 090 | |
| 27215 | A | Treat pelvic fracture(s) | 10.05 | 10.20 | NA | 1.37 | 090 | |
| 27216 | A | Treat pelvic ring fracture | 15.19 | 13.55 | NA | 2.15 | 090 | |
| 27217 | A | Treat pelvic ring fracture | 14.11 | 12.60 | NA | 1.95 | 090 | |
| 27218 | A | Treat pelvic ring fracture | 20.15 | 14.13 | NA | 2.85 | 090 | |
| 27220 | A | Treat hip socket fracture | 6.18 | 5.56 | 7.28 | 0.85 | 090 | |
| 27222 | A | Treat hip socket fracture | 12.70 | 10.12 | NA | 1.77 | 090 | |
| 27226 | A | Treat hip wall fracture | 14.91 | 10.60 | NA | 2.07 | 090 | |
| 27227 | A | Treat hip fracture(s) | 23.45 | 17.00 | NA | 3.24 | 090 | |
| 27228 | A | Treat hip fracture(s) | 27.16 | 19.25 | NA | 3.77 | 090 | |
| 27230 | A | Treat thigh fracture | 5.50 | 6.09 | 7.44 | 0.73 | 090 | |
| 27232 | A | Treat thigh fracture | 10.68 | 9.09 | NA | 1.45 | 090 | |
| 27235 | A | Treat thigh fracture | 12.16 | 10.94 | NA | 1.71 | 090 | |
| 27236 | A | Treat thigh fracture | 15.60 | 12.66 | NA | 2.18 | 090 | |
| 27238 | A | Treat thigh fracture | 5.52 | 6.16 | NA | 0.76 | 090 | |
| 27240 | A | Treat thigh fracture | 12.50 | 10.13 | NA | 1.69 | 090 | |
| 27244 | A | Treat thigh fracture | 15.94 | 12.89 | NA | 2.23 | 090 | |
| 27245 | A | Treat thigh fracture | 20.31 | 15.27 | NA | 2.85 | 090 | |
| 27246 | A | Treat thigh fracture | 4.71 | 5.77 | 7.14 | 0.66 | 090 | |
| 27248 | A | Treat thigh fracture | 10.45 | 9.93 | NA | 1.45 | 090 | |
| 27250 | A | Treat hip dislocation | 6.95 | 6.30 | NA | 0.68 | 090 | |
| 27252 | A | Treat hip dislocation | 10.39 | 8.14 | NA | 1.37 | 090 | |
| 27253 | A | Treat hip dislocation | 12.92 | 10.81 | NA | 1.81 | 090 | |
| 27254 | A | Treat hip dislocation | 18.26 | 13.65 | NA | 2.52 | 090 | |
| 27256 | A | Treat hip dislocation | 4.12 | 4.33 | NA | 0.49 | 010 | |
| 27257 | A | Treat hip dislocation | 5.22 | 4.58 | NA | 0.56 | 010 | |
| 27258 | A | Treat hip dislocation | 15.43 | 13.78 | NA | 2.06 | 090 | |
| 27259 | A | Treat hip dislocation | 21.55 | 16.69 | NA | 2.99 | 090 | |
| 27265 | A | Treat hip dislocation | 5.05 | 5.90 | NA | 0.65 | 090 | |
| 27266 | A | Treat hip dislocation | 7.49 | 7.29 | NA | 1.04 | 090 | |
| 27275 | A | Manipulation of hip joint | 2.27 | 3.46 | NA | 0.31 | 010 | |
| 27280 | A | Fusion of sacroiliac joint | 13.39 | 14.04 | NA | 1.98 | 090 | |
| 27282 | A | Fusion of pubic bones | 11.34 | 12.33 | NA | 1.14 | 090 | |
| 27284 | A | Fusion of hip joint | 23.45 | 18.07 | NA | 2.36 | 090 | |
| 27286 | A | Fusion of hip joint | 23.45 | 18.77 | NA | 2.37 | 090 | |
| 27290 | A | Amputation of leg at hip | 23.28 | 16.75 | NA | 2.94 | 090 | |
| 27295 | A | Amputation of leg at hip | 18.65 | 14.23 | NA | 2.35 | 090 | |
| 27299 | C | Pelvis/hip joint surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27301 | A | Drain thigh/knee lesion | 6.49 | 13.59 | 15.74 | 0.80 | 090 | |
| 27303 | A | Drainage of bone lesion | 8.28 | 14.64 | NA | 1.14 | 090 | |
| 27305 | A | Incise thigh tendon fascia | 5.92 | 9.10 | NA | 0.77 | 090 | |
| 27306 | A | Incision of thigh tendon | 4.62 | 7.51 | NA | 0.62 | 090 | |
| 27307 | A | Incision of thigh tendons | 5.80 | 8.12 | NA | 0.78 | 090 | |
| 27310 | A | Exploration of knee joint | 9.27 | 9.97 | NA | 1.29 | 090 | |
| 27315 | A | Partial removal, thigh nerve | 6.97 | 4.45 | NA | 0.79 | 090 | |
| 27320 | A | Partial removal, thigh nerve | 6.30 | 4.57 | NA | 0.78 | 090 | |
| 27323 | A | Biopsy, thigh soft tissues | 2.28 | 3.43 | 5.52 | 0.17 | 010 | |
| 27324 | A | Biopsy, thigh soft tissues | 4.90 | 6.82 | NA | 0.59 | 090 | |
| 27327 | A | Removal of thigh lesion | 4.47 | 6.28 | 8.36 | 0.50 | 090 | |
| 27328 | A | Removal of thigh lesion | 5.57 | 7.01 | NA | 0.66 | 090 | |
| 27329 | A | Remove tumor, thigh/knee | 14.14 | 14.57 | NA | 1.68 | 090 | |
| 27330 | A | Biopsy, knee joint lining | 4.97 | 6.29 | NA | 0.66 | 090 | |
| 27331 | A | Explore/treat knee joint | 5.88 | 7.47 | NA | 0.81 | 090 | |
| 27332 | A | Removal of knee cartilage | 8.27 | 8.63 | NA | 1.15 | 090 | |
| 27333 | A | Removal of knee cartilage | 7.30 | 8.25 | NA | 1.03 | 090 | |
| 27334 | A | Remove knee joint lining | 8.70 | 9.58 | NA | 1.21 | 090 | |
| 27335 | A | Remove knee joint lining | 10.00 | 10.43 | NA | 1.41 | 090 | |
| 27340 | A | Removal of kneecap bursa | 4.18 | 5.87 | NA | 0.58 | 090 | |
| 27345 | A | Removal of knee cyst | 5.92 | 7.38 | NA | 0.81 | 090 | |
| 27347 | A | Remove knee cyst | 5.78 | 2.65 | 2.65 | 0.76 | 090 | |
| 27350 | A | Removal of kneecap | 8.17 | 8.84 | NA | 1.15 | 090 | |
| 27355 | A | Remove femur lesion | 7.65 | 10.26 | NA | 1.07 | 090 | |
| 27356 | A | Remove femur lesion/graft | 9.48 | 11.28 | NA | 1.29 | 090 | |
| 27357 | A | Remove femur lesion/graft | 10.53 | 11.62 | NA | 1.48 | 090 | |
| 27358 | A | Remove femur lesion/fixation | 4.74 | 2.55 | NA | 0.67 | ZZZ | |
| 27360 | A | Partial removal, leg bone(s) | 10.50 | 18.21 | NA | 1.42 | 090 | |
| 27365 | A | Extensive leg surgery | 16.27 | 14.25 | NA | 2.26 | 090 | |
| 27370 | A | Injection for knee x-ray | 0.96 | 0.33 | 12.13 | 0.06 | 000 | |
| 27372 | A | Removal of foreign body | 5.07 | 6.33 | 8.37 | 0.62 | 090 | |
| 27380 | A | Repair of kneecap tendon | 7.16 | 8.40 | NA | 1.00 | 090 | |
| 27381 | A | Repair/graft kneecap tendon | 10.34 | 10.13 | NA | 1.44 | 090 | |
| 27385 | A | Repair of thigh muscle | 7.76 | 8.76 | NA | 1.09 | 090 | |
| 27386 | A | Repair/graft of thigh muscle | 10.56 | 10.89 | NA | 1.49 | 090 | |
| 27390 | A | Incision of thigh tendon | 5.33 | 7.89 | NA | 0.69 | 090 | |
| 27391 | A | Incision of thigh tendons | 7.20 | 8.88 | NA | 0.99 | 090 | |
| 27392 | A | Incision of thigh tendons | 9.20 | 10.88 | NA | 1.23 | 090 | |
| 27393 | A | Lengthening of thigh tendon | 6.39 | 8.39 | NA | 0.90 | 090 | |
| 27394 | A | Lengthening of thigh tendons | 8.50 | 10.50 | NA | 1.17 | 090 | |
| 27395 | A | Lengthening of thigh tendons | 11.73 | 13.35 | NA | 1.63 | 090 | |
| 27396 | A | Transplant of thigh tendon | 7.86 | 10.33 | NA | 1.11 | 090 | |
| 27397 | A | Transplants of thigh tendons | 11.28 | 11.71 | NA | 1.58 | 090 | |
| 27400 | A | Revise thigh muscles/tendons | 9.02 | 10.75 | NA | 1.18 | 090 | |
| 27403 | A | Repair of knee cartilage | 8.33 | 8.81 | NA | 1.16 | 090 | |
| 27405 | A | Repair of knee ligament | 8.65 | 9.64 | NA | 1.21 | 090 | |
| 27407 | A | Repair of knee ligament | 10.28 | 10.36 | NA | 1.38 | 090 | |
| 27409 | A | Repair of knee ligaments | 12.90 | 11.93 | NA | 1.75 | 090 | |
| 27418 | A | Repair degenerated kneecap | 10.85 | 10.88 | NA | 1.51 | 090 | |
| 27420 | A | Revision of unstable kneecap | 9.83 | 9.73 | NA | 1.38 | 090 | |
| 27422 | A | Revision of unstable kneecap | 9.78 | 9.71 | NA | 1.37 | 090 | |
| 27424 | A | Revision/removal of kneecap | 9.81 | 9.66 | NA | 1.38 | 090 | |
| 27425 | A | Lateral retinacular release | 5.22 | 7.13 | NA | 0.73 | 090 | |
| 27427 | A | Reconstruction, knee | 9.36 | 9.40 | NA | 1.29 | 090 | |
| 27428 | A | Reconstruction, knee | 14.00 | 12.56 | NA | 1.95 | 090 | |
| 27429 | A | Reconstruction, knee | 15.52 | 13.22 | NA | 2.18 | 090 | |
| 27430 | A | Revision of thigh muscles | 9.67 | 9.71 | NA | 1.35 | 090 | |
| 27435 | A | Incision of knee joint | 9.49 | 9.52 | NA | 1.33 | 090 | |
| 27437 | A | Revise kneecap | 8.46 | 9.76 | NA | 1.18 | 090 | |
| 27438 | A | Revise kneecap with implant | 11.23 | 11.14 | NA | 1.56 | 090 | |
| 27440 | A | Revision of knee joint | 10.43 | 9.07 | NA | 1.42 | 090 | |
| 27441 | A | Revision of knee joint | 10.82 | 9.58 | NA | 1.49 | 090 | |
| 27442 | A | Revision of knee joint | 11.89 | 11.59 | NA | 1.68 | 090 | |
| 27443 | A | Revision of knee joint | 10.93 | 11.27 | NA | 1.52 | 090 | |
| 27445 | A | Revision of knee joint | 17.68 | 14.74 | NA | 2.49 | 090 | |
| 27446 | A | Revision of knee joint | 15.84 | 14.06 | NA | 2.22 | 090 | |
| 27447 | A | Total knee arthroplasty | 21.48 | 16.95 | NA | 3.00 | 090 | |
| 27448 | A | Incision of thigh | 11.06 | 11.97 | NA | 1.51 | 090 | |
| 27450 | A | Incision of thigh | 13.98 | 13.71 | NA | 1.96 | 090 | |
| 27454 | A | Realignment of thigh bone | 17.56 | 15.48 | NA | 2.46 | 090 | |
| 27455 | A | Realignment of knee | 12.82 | 12.31 | NA | 1.78 | 090 | |
| 27457 | A | Realignment of knee | 13.45 | 11.51 | NA | 1.88 | 090 | |
| 27465 | A | Shortening of thigh bone | 13.87 | 13.66 | NA | 1.86 | 090 | |
| 27466 | A | Lengthening of thigh bone | 16.33 | 15.70 | NA | 1.92 | 090 | |
| 27468 | A | Shorten/lengthen thighs | 18.97 | 16.21 | NA | 2.68 | 090 | |
| 27470 | A | Repair of thigh | 16.07 | 15.83 | NA | 2.24 | 090 | |
| 27472 | A | Repair/graft of thigh | 17.72 | 16.70 | NA | 2.49 | 090 | |
| 27475 | A | Surgery to stop leg growth | 8.64 | 9.16 | NA | 1.13 | 090 | |
| 27477 | A | Surgery to stop leg growth | 9.85 | 9.76 | NA | 1.31 | 090 | |
| 27479 | A | Surgery to stop leg growth | 12.80 | 12.01 | NA | 1.81 | 090 | |
| 27485 | A | Surgery to stop leg growth | 8.84 | 9.33 | NA | 1.24 | 090 | |
| 27486 | A | Revise/replace knee joint | 19.27 | 15.83 | NA | 2.70 | 090 | |
| 27487 | A | Revise/replace knee joint | 25.27 | 18.94 | NA | 3.54 | 090 | |
| 27488 | A | Removal of knee prosthesis | 15.74 | 14.01 | NA | 2.21 | 090 | |
| 27495 | A | Reinforce thigh | 15.55 | 15.59 | NA | 2.18 | 090 | |
| 27496 | A | Decompression of thigh/knee | 6.11 | 7.83 | NA | 0.77 | 090 | |
| 27497 | A | Decompression of thigh/knee | 7.17 | 8.07 | NA | 0.84 | 090 | |
| 27498 | A | Decompression of thigh/knee | 7.99 | 8.43 | NA | 0.97 | 090 | |
| 27499 | A | Decompression of thigh/knee | 9.00 | 9.03 | NA | 1.18 | 090 | |
| 27500 | A | Treatment of thigh fracture | 5.92 | 7.34 | 9.60 | 0.80 | 090 | |
| 27501 | A | Treatment of thigh fracture | 5.92 | 8.40 | 10.65 | 0.83 | 090 | |
| 27502 | A | Treatment of thigh fracture | 10.58 | 10.93 | NA | 1.49 | 090 | |
| 27503 | A | Treatment of thigh fracture | 10.58 | 10.97 | NA | 1.49 | 090 | |
| 27506 | A | Treatment of thigh fracture | 17.45 | 14.12 | NA | 2.33 | 090 | |
| 27507 | A | Treatment of thigh fracture | 13.99 | 12.32 | NA | 1.95 | 090 | |
| 27508 | A | Treatment of thigh fracture | 5.83 | 5.28 | 6.97 | 0.80 | 090 | |
| 27509 | A | Treatment of thigh fracture | 7.71 | 9.15 | NA | 1.08 | 090 | |
| 27510 | A | Treatment of thigh fracture | 9.13 | 7.15 | NA | 1.26 | 090 | |
| 27511 | A | Treatment of thigh fracture | 13.64 | 13.04 | NA | 1.91 | 090 | |
| 27513 | A | Treatment of thigh fracture | 17.92 | 15.34 | NA | 2.51 | 090 | |
| 27514 | A | Treatment of thigh fracture | 17.30 | 14.48 | NA | 2.41 | 090 | |
| 27516 | A | Treat thigh fx growth plate | 5.37 | 5.68 | 7.67 | 0.74 | 090 | |
| 27517 | A | Treat thigh fx growth plate | 8.78 | 7.64 | 9.37 | 1.22 | 090 | |
| 27519 | A | Treat thigh fx growth plate | 15.02 | 13.50 | NA | 2.09 | 090 | |
| 27520 | A | Treat kneecap fracture | 2.86 | 3.70 | 5.34 | 0.38 | 090 | |
| 27524 | A | Treat kneecap fracture | 10.00 | 8.77 | NA | 1.40 | 090 | |
| 27530 | A | Treat knee fracture | 3.78 | 4.20 | 5.85 | 0.51 | 090 | |
| 27532 | A | Treat knee fracture | 7.30 | 5.68 | 7.41 | 1.02 | 090 | |
| 27535 | A | Treat knee fracture | 11.50 | 11.92 | NA | 1.61 | 090 | |
| 27536 | A | Treat knee fracture | 15.65 | 11.79 | NA | 2.19 | 090 | |
| 27538 | A | Treat knee fracture(s) | 4.87 | 5.41 | 7.43 | 0.67 | 090 | |
| 27540 | A | Treat knee fracture | 13.10 | 10.30 | NA | 1.80 | 090 | |
| 27550 | A | Treat knee dislocation | 5.76 | 5.59 | 7.20 | 0.68 | 090 | |
| 27552 | A | Treat knee dislocation | 7.90 | 7.80 | NA | 1.10 | 090 | |
| 27556 | A | Treat knee dislocation | 14.41 | 14.23 | NA | 2.01 | 090 | |
| 27557 | A | Treat knee dislocation | 16.77 | 15.52 | NA | 2.37 | 090 | |
| 27558 | A | Treat knee dislocation | 17.72 | 15.72 | NA | 2.51 | 090 | |
| 27560 | A | Treat kneecap dislocation | 3.82 | 3.90 | 5.78 | 0.40 | 090 | |
| 27562 | A | Treat kneecap dislocation | 5.79 | 5.60 | NA | 0.69 | 090 | |
| 27566 | A | Treat kneecap dislocation | 12.23 | 9.93 | NA | 1.73 | 090 | |
| 27570 | A | Fixation of knee joint | 1.74 | 3.15 | NA | 0.24 | 010 | |
| 27580 | A | Fusion of knee | 19.37 | 16.29 | NA | 2.70 | 090 | |
| 27590 | A | Amputate leg at thigh | 12.03 | 12.42 | NA | 1.35 | 090 | |
| 27591 | A | Amputate leg at thigh | 12.68 | 14.02 | NA | 1.63 | 090 | |
| 27592 | A | Amputate leg at thigh | 10.02 | 11.95 | NA | 1.17 | 090 | |
| 27594 | A | Amputation follow-up surgery | 6.92 | 8.79 | NA | 0.82 | 090 | |
| 27596 | A | Amputation follow-up surgery | 10.60 | 12.24 | NA | 1.24 | 090 | |
| 27598 | A | Amputate lower leg at knee | 10.53 | 11.25 | NA | 1.24 | 090 | |
| 27599 | C | Leg surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27600 | A | Decompression of lower leg | 5.65 | 7.55 | NA | 0.68 | 090 | |
| 27601 | A | Decompression of lower leg | 5.64 | 7.50 | NA | 0.69 | 090 | |
| 27602 | A | Decompression of lower leg | 7.35 | 7.92 | NA | 0.85 | 090 | |
| 27603 | A | Drain lower leg lesion | 4.94 | 10.21 | 15.73 | 0.56 | 090 | |
| 27604 | A | Drain lower leg bursa | 4.47 | 8.19 | 11.59 | 0.54 | 090 | |
| 27605 | A | Incision of achilles tendon | 2.87 | 3.88 | 10.52 | 0.38 | 010 | |
| 27606 | A | Incision of achilles tendon | 4.14 | 5.01 | 12.66 | 0.57 | 010 | |
| 27607 | A | Treat lower leg bone lesion | 7.97 | 13.93 | NA | 1.08 | 090 | |
| 27610 | A | Explore/treat ankle joint | 8.34 | 10.27 | NA | 1.15 | 090 | |
| 27612 | A | Exploration of ankle joint | 7.33 | 8.30 | NA | 1.01 | 090 | |
| 27613 | A | Biopsy lower leg soft tissue | 2.17 | 3.13 | 5.51 | 0.16 | 010 | |
| 27614 | A | Biopsy lower leg soft tissue | 5.66 | 7.13 | 11.19 | 0.62 | 090 | |
| 27615 | A | Remove tumor, lower leg | 12.56 | 17.11 | NA | 1.39 | 090 | |
| 27618 | A | Remove lower leg lesion | 5.09 | 6.66 | 11.52 | 0.54 | 090 | |
| 27619 | A | Remove lower leg lesion | 8.40 | 9.17 | 13.19 | 1.01 | 090 | |
| 27620 | A | Explore/treat ankle joint | 5.98 | 8.06 | NA | 0.83 | 090 | |
| 27625 | A | Remove ankle joint lining | 8.30 | 9.69 | NA | 1.16 | 090 | |
| 27626 | A | Remove ankle joint lining | 8.91 | 10.34 | NA | 1.23 | 090 | |
| 27630 | A | Removal of tendon lesion | 4.80 | 6.85 | 11.35 | 0.60 | 090 | |
| 27635 | A | Remove lower leg bone lesion | 7.78 | 10.87 | NA | 1.06 | 090 | |
| 27637 | A | Remove/graft leg bone lesion | 9.85 | 12.27 | NA | 1.38 | 090 | |
| 27638 | A | Remove/graft leg bone lesion | 10.57 | 12.76 | NA | 1.47 | 090 | |
| 27640 | A | Partial removal of tibia | 11.37 | 18.07 | NA | 1.54 | 090 | |
| 27641 | A | Partial removal of fibula | 9.24 | 16.20 | NA | 1.22 | 090 | |
| 27645 | A | Extensive lower leg surgery | 14.17 | 18.02 | NA | 1.98 | 090 | |
| 27646 | A | Extensive lower leg surgery | 12.66 | 17.14 | NA | 1.55 | 090 | |
| 27647 | A | Extensive ankle/heel surgery | 12.24 | 11.24 | NA | 1.64 | 090 | |
| 27648 | A | Injection for ankle x-ray | 0.96 | 0.34 | 9.99 | 0.05 | 000 | |
| 27650 | A | Repair achilles tendon | 9.69 | 9.45 | NA | 1.35 | 090 | |
| 27652 | A | Repair/graft achilles tendon | 10.33 | 9.61 | NA | 1.45 | 090 | |
| 27654 | A | Repair of achilles tendon | 10.02 | 10.19 | NA | 1.41 | 090 | |
| 27656 | A | Repair leg fascia defect | 4.57 | 6.65 | 12.72 | 0.48 | 090 | |
| 27658 | A | Repair of leg tendon, each | 4.98 | 9.17 | 13.22 | 0.68 | 090 | |
| 27659 | A | Repair of leg tendon, each | 6.81 | 9.84 | 14.06 | 0.96 | 090 | |
| 27664 | A | Repair of leg tendon, each | 4.59 | 9.06 | 14.17 | 0.63 | 090 | |
| 27665 | A | Repair of leg tendon, each | 5.40 | 9.62 | 14.21 | 0.75 | 090 | |
| 27675 | A | Repair lower leg tendons | 7.18 | 8.42 | NA | 1.01 | 090 | |
| 27676 | A | Repair lower leg tendons | 8.42 | 9.31 | NA | 1.15 | 090 | |
| 27680 | A | Release of lower leg tendon | 5.74 | 7.98 | NA | 0.80 | 090 | |
| 27681 | A | Release of lower leg tendons | 6.82 | 8.49 | NA | 0.92 | 090 | |
| 27685 | A | Revision of lower leg tendon | 6.50 | 8.49 | 10.34 | 0.91 | 090 | |
| 27686 | A | Revise lower leg tendons | 7.46 | 9.70 | 12.52 | 1.05 | 090 | |
| 27687 | A | Revision of calf tendon | 6.24 | 8.62 | NA | 0.88 | 090 | |
| 27690 | A | Revise lower leg tendon | 8.71 | 9.45 | NA | 1.22 | 090 | |
| 27691 | A | Revise lower leg tendon | 9.96 | 11.05 | NA | 1.40 | 090 | |
| 27692 | A | Revise additional leg tendon | 1.87 | 0.94 | NA | 0.26 | ZZZ | |
| 27695 | A | Repair of ankle ligament | 6.51 | 9.07 | NA | 0.90 | 090 | |
| 27696 | A | Repair of ankle ligaments | 8.27 | 9.49 | NA | 1.16 | 090 | |
| 27698 | A | Repair of ankle ligament | 9.36 | 9.44 | NA | 1.31 | 090 | |
| 27700 | A | Revision of ankle joint | 9.29 | 7.85 | NA | 1.24 | 090 | |
| 27702 | A | Reconstruct ankle joint | 13.67 | 12.80 | NA | 1.92 | 090 | |
| 27703 | A | Reconstruction, ankle joint | 15.87 | 13.41 | NA | 2.24 | 090 | |
| 27704 | A | Removal of ankle implant | 7.62 | 8.34 | NA | 0.61 | 090 | |
| 27705 | A | Incision of tibia | 10.38 | 11.46 | NA | 1.44 | 090 | |
| 27707 | A | Incision of fibula | 4.37 | 8.23 | NA | 0.60 | 090 | |
| 27709 | A | Incision of tibia fibula | 9.95 | 11.41 | NA | 1.39 | 090 | |
| 27712 | A | Realignment of lower leg | 14.25 | 13.50 | NA | 2.00 | 090 | |
| 27715 | A | Revision of lower leg | 14.39 | 14.80 | NA | 2.00 | 090 | |
| 27720 | A | Repair of tibia | 11.79 | 13.47 | NA | 1.66 | 090 | |
| 27722 | A | Repair/graft of tibia | 11.82 | 13.33 | NA | 1.65 | 090 | |
| 27724 | A | Repair/graft of tibia | 18.20 | 16.95 | NA | 2.10 | 090 | |
| 27725 | A | Repair of lower leg | 15.59 | 15.37 | NA | 2.20 | 090 | |
| 27727 | A | Repair of lower leg | 14.01 | 13.92 | NA | 1.84 | 090 | |
| 27730 | A | Repair of tibia epiphysis | 7.41 | 9.84 | 20.38 | 0.75 | 090 | |
| 27732 | A | Repair of fibula epiphysis | 5.32 | 7.92 | 11.30 | 0.63 | 090 | |
| 27734 | A | Repair lower leg epiphyses | 8.48 | 9.68 | NA | 0.85 | 090 | |
| 27740 | A | Repair of leg epiphyses | 9.30 | 10.54 | 21.91 | 1.31 | 090 | |
| 27742 | A | Repair of leg epiphyses | 10.30 | 10.43 | 16.33 | 1.55 | 090 | |
| 27745 | A | Reinforce tibia | 10.07 | 11.54 | NA | 1.38 | 090 | |
| 27750 | A | Treatment of tibia fracture | 3.19 | 3.87 | 5.50 | 0.43 | 090 | |
| 27752 | A | Treatment of tibia fracture | 5.84 | 6.00 | 7.98 | 0.82 | 090 | |
| 27756 | A | Treatment of tibia fracture | 6.78 | 10.70 | NA | 0.94 | 090 | |
| 27758 | A | Treatment of tibia fracture | 11.67 | 11.92 | NA | 1.52 | 090 | |
| 27759 | A | Treatment of tibia fracture | 13.76 | 13.23 | NA | 1.93 | 090 | |
| 27760 | A | Treatment of ankle fracture | 3.01 | 3.73 | 5.29 | 0.39 | 090 | |
| 27762 | A | Treatment of ankle fracture | 5.25 | 5.57 | 7.48 | 0.71 | 090 | |
| 27766 | A | Treatment of ankle fracture | 8.36 | 8.27 | NA | 1.17 | 090 | |
| 27780 | A | Treatment of fibula fracture | 2.65 | 3.54 | 5.24 | 0.33 | 090 | |
| 27781 | A | Treatment of fibula fracture | 4.40 | 4.47 | 6.41 | 0.57 | 090 | |
| 27784 | A | Treatment of fibula fracture | 7.11 | 8.41 | NA | 0.98 | 090 | |
| 27786 | A | Treatment of ankle fracture | 2.84 | 3.65 | 5.25 | 0.37 | 090 | |
| 27788 | A | Treatment of ankle fracture | 4.45 | 4.51 | 6.47 | 0.61 | 090 | |
| 27792 | A | Treatment of ankle fracture | 7.66 | 7.98 | NA | 1.07 | 090 | |
| 27808 | A | Treatment of ankle fracture | 2.83 | 4.34 | 6.28 | 0.38 | 090 | |
| 27810 | A | Treatment of ankle fracture | 5.13 | 5.56 | 7.54 | 0.71 | 090 | |
| 27814 | A | Treatment of ankle fracture | 10.68 | 10.75 | NA | 1.50 | 090 | |
| 27816 | A | Treatment of ankle fracture | 2.89 | 4.38 | 5.81 | 0.37 | 090 | |
| 27818 | A | Treatment of ankle fracture | 5.50 | 5.71 | 7.71 | 0.74 | 090 | |
| 27822 | A | Treatment of ankle fracture | 11.00 | 12.99 | NA | 1.29 | 090 | |
| 27823 | A | Treatment of ankle fracture | 13.00 | 14.09 | NA | 1.65 | 090 | |
| 27824 | A | Treat lower leg fracture | 2.89 | 4.35 | 6.26 | 0.39 | 090 | |
| 27825 | A | Treat lower leg fracture | 6.19 | 6.17 | 8.15 | 0.85 | 090 | |
| 27826 | A | Treat lower leg fracture | 8.54 | 11.67 | NA | 1.19 | 090 | |
| 27827 | A | Treat lower leg fracture | 14.06 | 14.76 | NA | 1.96 | 090 | |
| 27828 | A | Treat lower leg fracture | 16.23 | 15.51 | NA | 2.27 | 090 | |
| 27829 | A | Treat lower leg joint | 5.49 | 8.58 | NA | 0.77 | 090 | |
| 27830 | A | Treat lower leg dislocation | 3.79 | 4.11 | 5.45 | 0.44 | 090 | |
| 27831 | A | Treat lower leg dislocation | 4.56 | 5.21 | NA | 0.61 | 090 | |
| 27832 | A | Treat lower leg dislocation | 6.49 | 8.11 | NA | 0.91 | 090 | |
| 27840 | A | Treat ankle dislocation | 4.58 | 5.88 | NA | 0.47 | 090 | |
| 27842 | A | Treat ankle dislocation | 6.21 | 5.07 | NA | 0.76 | 090 | |
| 27846 | A | Treat ankle dislocation | 9.79 | 10.12 | NA | 1.36 | 090 | |
| 27848 | A | Treat ankle dislocation | 11.20 | 11.52 | NA | 1.55 | 090 | |
| 27860 | A | Fixation of ankle joint | 2.34 | 3.57 | NA | 0.31 | 010 | |
| 27870 | A | Fusion of ankle joint | 13.91 | 13.61 | NA | 1.95 | 090 | |
| 27871 | A | Fusion of tibiofibular joint | 9.17 | 10.91 | NA | 1.29 | 090 | |
| 27880 | A | Amputation of lower leg | 11.85 | 11.68 | NA | 1.38 | 090 | |
| 27881 | A | Amputation of lower leg | 12.34 | 13.13 | NA | 1.59 | 090 | |
| 27882 | A | Amputation of lower leg | 8.94 | 12.63 | NA | 1.03 | 090 | |
| 27884 | A | Amputation follow-up surgery | 8.21 | 10.43 | NA | 0.95 | 090 | |
| 27886 | A | Amputation follow-up surgery | 9.32 | 10.98 | NA | 1.13 | 090 | |
| 27888 | A | Amputation of foot at ankle | 9.67 | 10.81 | NA | 1.26 | 090 | |
| 27889 | A | Amputation of foot at ankle | 9.98 | 10.29 | NA | 1.19 | 090 | |
| 27892 | A | Decompression of leg | 7.39 | 8.09 | NA | 0.86 | 090 | |
| 27893 | A | Decompression of leg | 7.35 | 7.99 | NA | 0.90 | 090 | |
| 27894 | A | Decompression of leg | 10.49 | 9.41 | NA | 1.25 | 090 | |
| 27899 | C | Leg/ankle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 28001 | A | Drainage of bursa of foot | 2.73 | 3.13 | 5.59 | 0.31 | 010 | |
| 28002 | A | Treatment of foot infection | 4.62 | 4.21 | 6.85 | 0.56 | 010 | |
| 28003 | A | Treatment of foot infection | 8.41 | 10.51 | 11.23 | 1.03 | 090 | |
| 28005 | A | Treat foot bone lesion | 8.68 | 10.34 | NA | 1.14 | 090 | |
| 28008 | A | Incision of foot fascia | 4.45 | 6.17 | 8.06 | 0.56 | 090 | |
| 28010 | A | Incision of toe tendon | 2.84 | 5.03 | 7.45 | 0.39 | 090 | |
| 28011 | A | Incision of toe tendons | 4.14 | 6.61 | 9.17 | 0.58 | 090 | |
| 28020 | A | Exploration of foot joint | 5.01 | 6.46 | 9.17 | 0.64 | 090 | |
| 28022 | A | Exploration of foot joint | 4.67 | 6.04 | 8.04 | 0.62 | 090 | |
| 28024 | A | Exploration of toe joint | 4.38 | 6.23 | 8.20 | 0.50 | 090 | |
| 28030 | A | Removal of foot nerve | 6.15 | 3.45 | NA | 0.85 | 090 | |
| 28035 | A | Decompression of tibia nerve | 5.09 | 5.33 | 9.17 | 0.71 | 090 | |
| 28043 | A | Excision of foot lesion | 3.54 | 4.98 | 7.44 | 0.45 | 090 | |
| 28045 | A | Excision of foot lesion | 4.72 | 5.71 | 8.07 | 0.62 | 090 | |
| 28046 | A | Resection of tumor, foot | 10.18 | 11.06 | 12.37 | 1.13 | 090 | |
| 28050 | A | Biopsy of foot joint lining | 4.25 | 5.75 | 7.72 | 0.55 | 090 | |
| 28052 | A | Biopsy of foot joint lining | 3.94 | 5.85 | 7.97 | 0.51 | 090 | |
| 28054 | A | Biopsy of toe joint lining | 3.45 | 5.68 | 7.94 | 0.45 | 090 | |
| 28060 | A | Partial removal, foot fascia | 5.23 | 6.44 | 8.70 | 0.69 | 090 | |
| 28062 | A | Removal of foot fascia | 6.52 | 6.45 | 9.54 | 0.85 | 090 | |
| 28070 | A | Removal of foot joint lining | 5.10 | 5.94 | 7.89 | 0.68 | 090 | |
| 28072 | A | Removal of foot joint lining | 4.58 | 6.65 | 8.40 | 0.64 | 090 | |
| 28080 | A | Removal of foot lesion | 3.58 | 5.47 | 7.82 | 0.50 | 090 | |
| 28086 | A | Excise foot tendon sheath | 4.78 | 7.40 | 11.14 | 0.66 | 090 | |
| 28088 | A | Excise foot tendon sheath | 3.86 | 6.55 | 9.36 | 0.52 | 090 | |
| 28090 | A | Removal of foot lesion | 4.41 | 5.53 | 7.99 | 0.57 | 090 | |
| 28092 | A | Removal of toe lesions | 3.64 | 5.85 | 8.37 | 0.46 | 090 | |
| 28100 | A | Removal of ankle/heel lesion | 5.66 | 7.59 | 11.69 | 0.76 | 090 | |
| 28102 | A | Remove/graft foot lesion | 7.73 | 9.10 | NA | 0.97 | 090 | |
| 28103 | A | Remove/graft foot lesion | 6.50 | 7.22 | 9.87 | 0.89 | 090 | |
| 28104 | A | Removal of foot lesion | 5.12 | 6.77 | 8.68 | 0.69 | 090 | |
| 28106 | A | Remove/graft foot lesion | 7.16 | 6.83 | NA | 1.01 | 090 | |
| 28107 | A | Remove/graft foot lesion | 5.56 | 7.10 | 9.51 | 0.74 | 090 | |
| 28108 | A | Removal of toe lesions | 4.16 | 5.25 | 7.37 | 0.52 | 090 | |
| 28110 | A | Part removal of metatarsal | 4.08 | 6.84 | 8.85 | 0.49 | 090 | |
| 28111 | A | Part removal of metatarsal | 5.01 | 7.65 | 10.39 | 0.63 | 090 | |
| 28112 | A | Part removal of metatarsal | 4.49 | 7.38 | 9.53 | 0.60 | 090 | |
| 28113 | A | Part removal of metatarsal | 4.79 | 7.11 | 9.18 | 0.63 | 090 | |
| 28114 | A | Removal of metatarsal heads | 9.79 | 10.84 | 14.02 | 1.36 | 090 | |
| 28116 | A | Revision of foot | 7.75 | 6.71 | 8.84 | 1.03 | 090 | |
| 28118 | A | Removal of heel bone | 5.96 | 7.15 | 9.44 | 0.79 | 090 | |
| 28119 | A | Removal of heel spur | 5.39 | 6.07 | 8.49 | 0.74 | 090 | |
| 28120 | A | Part removal of ankle/heel | 5.40 | 9.66 | 12.50 | 0.69 | 090 | |
| 28122 | A | Partial removal of foot bone | 7.29 | 9.44 | 11.20 | 0.96 | 090 | |
| 28124 | A | Partial removal of toe | 4.81 | 7.62 | 9.47 | 0.65 | 090 | |
| 28126 | A | Partial removal of toe | 3.52 | 6.80 | 8.21 | 0.49 | 090 | |
| 28130 | A | Removal of ankle bone | 8.11 | 8.77 | NA | 1.11 | 090 | |
| 28140 | A | Removal of metatarsal | 6.91 | 7.83 | 10.56 | 0.84 | 090 | |
| 28150 | A | Removal of toe | 4.09 | 7.09 | 8.84 | 0.52 | 090 | |
| 28153 | A | Partial removal of toe | 3.66 | 5.84 | 8.22 | 0.49 | 090 | |
| 28160 | A | Partial removal of toe | 3.74 | 7.14 | 8.49 | 0.51 | 090 | |
| 28171 | A | Extensive foot surgery | 9.60 | 8.39 | NA | 1.13 | 090 | |
| 28173 | A | Extensive foot surgery | 8.80 | 8.69 | 11.02 | 1.04 | 090 | |
| 28175 | A | Extensive foot surgery | 6.05 | 6.80 | 9.51 | 0.75 | 090 | |
| 28190 | A | Removal of foot foreign body | 1.96 | 3.37 | 6.36 | 0.16 | 010 | |
| 28192 | A | Removal of foot foreign body | 4.64 | 5.39 | 8.12 | 0.52 | 090 | |
| 28193 | A | Removal of foot foreign body | 5.73 | 6.52 | 8.72 | 0.63 | 090 | |
| 28200 | A | Repair of foot tendon | 4.60 | 6.34 | 8.35 | 0.59 | 090 | |
| 28202 | A | Repair/graft of foot tendon | 6.84 | 7.29 | 11.70 | 0.86 | 090 | |
| 28208 | A | Repair of foot tendon | 4.37 | 5.95 | 8.09 | 0.59 | 090 | |
| 28210 | A | Repair/graft of foot tendon | 6.35 | 6.53 | 9.53 | 0.77 | 090 | |
| 28220 | A | Release of foot tendon | 4.53 | 6.07 | 7.90 | 0.63 | 090 | |
| 28222 | A | Release of foot tendons | 5.62 | 6.84 | 8.30 | 0.77 | 090 | |
| 28225 | A | Release of foot tendon | 3.66 | 5.60 | 7.66 | 0.50 | 090 | |
| 28226 | A | Release of foot tendons | 4.53 | 6.52 | 7.94 | 0.62 | 090 | |
| 28230 | A | Incision of foot tendon(s) | 4.24 | 6.68 | 8.03 | 0.59 | 090 | |
| 28232 | A | Incision of toe tendon | 3.39 | 6.37 | 8.04 | 0.48 | 090 | |
| 28234 | A | Incision of foot tendon | 3.37 | 5.92 | 8.10 | 0.46 | 090 | |
| 28238 | A | Revision of foot tendon | 7.73 | 7.51 | 10.10 | 1.08 | 090 | |
| 28240 | A | Release of big toe | 4.36 | 6.32 | 7.99 | 0.61 | 090 | |
| 28250 | A | Revision of foot fascia | 5.92 | 6.93 | 9.01 | 0.81 | 090 | |
| 28260 | A | Release of midfoot joint | 7.96 | 7.64 | 9.43 | 1.08 | 090 | |
| 28261 | A | Revision of foot tendon | 11.73 | 9.42 | 10.97 | 1.66 | 090 | |
| 28262 | A | Revision of foot and ankle | 15.83 | 14.95 | 17.10 | 2.22 | 090 | |
| 28264 | A | Release of midfoot joint | 10.35 | 11.27 | 11.27 | 1.46 | 090 | |
| 28270 | A | Release of foot contracture | 4.76 | 7.17 | 8.64 | 0.67 | 090 | |
| 28272 | A | Release of toe joint, each | 3.80 | 5.46 | 7.55 | 0.52 | 090 | |
| 28280 | A | Fusion of toes | 5.19 | 6.77 | 9.14 | 0.72 | 090 | |
| 28285 | A | Repair of hammertoe | 4.59 | 6.65 | 8.70 | 0.64 | 090 | |
| 28286 | A | Repair of hammertoe | 4.56 | 6.56 | 8.55 | 0.64 | 090 | |
| 28288 | A | Partial removal of foot bone | 4.74 | 8.03 | 9.04 | 0.65 | 090 | |
| 28289 | A | Repair hallux rigidus | 7.04 | 9.02 | 10.87 | 0.96 | 090 | |
| 28290 | A | Correction of bunion | 5.66 | 8.73 | 9.77 | 0.79 | 090 | |
| 28292 | A | Correction of bunion | 7.04 | 7.65 | 9.80 | 0.98 | 090 | |
| 28293 | A | Correction of bunion | 9.15 | 7.95 | 10.84 | 1.28 | 090 | |
| 28294 | A | Correction of bunion | 8.56 | 7.87 | 10.52 | 1.16 | 090 | |
| 28296 | A | Correction of bunion | 9.18 | 8.61 | 10.90 | 1.28 | 090 | |
| 28297 | A | Correction of bunion | 9.18 | 10.28 | 11.82 | 1.31 | 090 | |
| 28298 | A | Correction of bunion | 7.94 | 8.23 | 10.02 | 1.12 | 090 | |
| 28299 | A | Correction of bunion | 10.58 | 9.02 | 11.30 | 1.24 | 090 | |
| 28300 | A | Incision of heel bone | 9.54 | 9.38 | 14.91 | 1.31 | 090 | |
| 28302 | A | Incision of ankle bone | 9.55 | 9.22 | 14.29 | 1.15 | 090 | |
| 28304 | A | Incision of midfoot bones | 9.16 | 7.78 | 10.10 | 1.00 | 090 | |
| 28305 | A | Incise/graft midfoot bones | 10.50 | 9.70 | 14.46 | 0.55 | 090 | |
| 28306 | A | Incision of metatarsal | 5.86 | 6.34 | 9.14 | 0.81 | 090 | |
| 28307 | A | Incision of metatarsal | 6.33 | 7.88 | 12.89 | 0.71 | 090 | |
| 28308 | A | Incision of metatarsal | 5.29 | 5.39 | 7.84 | 0.74 | 090 | |
| 28309 | A | Incision of metatarsals | 12.78 | 10.41 | NA | 1.64 | 090 | |
| 28310 | A | Revision of big toe | 5.43 | 6.84 | 9.06 | 0.76 | 090 | |
| 28312 | A | Revision of toe | 4.55 | 7.41 | 8.79 | 0.62 | 090 | |
| 28313 | A | Repair deformity of toe | 5.01 | 9.25 | 9.25 | 0.68 | 090 | |
| 28315 | A | Removal of sesamoid bone | 4.86 | 5.65 | 7.86 | 0.66 | 090 | |
| 28320 | A | Repair of foot bones | 9.18 | 8.93 | NA | 1.27 | 090 | |
| 28322 | A | Repair of metatarsals | 8.34 | 8.40 | 11.64 | 1.17 | 090 | |
| 28340 | A | Resect enlarged toe tissue | 6.98 | 6.74 | 9.37 | 0.98 | 090 | |
| 28341 | A | Resect enlarged toe | 8.41 | 7.05 | 9.46 | 1.18 | 090 | |
| 28344 | A | Repair extra toe(s) | 4.26 | 5.70 | 8.37 | 0.60 | 090 | |
| 28345 | A | Repair webbed toe(s) | 5.92 | 7.31 | 9.24 | 0.84 | 090 | |
| 28360 | A | Reconstruct cleft foot | 13.34 | 13.35 | NA | 1.88 | 090 | |
| 28400 | A | Treatment of heel fracture | 2.16 | 4.56 | 5.66 | 0.29 | 090 | |
| 28405 | A | Treatment of heel fracture | 4.57 | 5.71 | 6.66 | 0.63 | 090 | |
| 28406 | A | Treatment of heel fracture | 6.31 | 8.57 | NA | 0.87 | 090 | |
| 28415 | A | Treat heel fracture | 15.97 | 15.27 | NA | 2.24 | 090 | |
| 28420 | A | Treat/graft heel fracture | 16.64 | 15.62 | NA | 2.29 | 090 | |
| 28430 | A | Treatment of ankle fracture | 2.09 | 4.06 | 5.16 | 0.27 | 090 | |
| 28435 | A | Treatment of ankle fracture | 3.40 | 4.57 | 5.53 | 0.47 | 090 | |
| 28436 | A | Treatment of ankle fracture | 4.71 | 7.60 | NA | 0.66 | 090 | |
| 28445 | A | Treat ankle fracture | 15.62 | 13.65 | NA | 1.29 | 090 | |
| 28450 | A | Treat midfoot fracture, each | 1.90 | 3.95 | 5.14 | 0.25 | 090 | |
| 28455 | A | Treat midfoot fracture, each | 3.09 | 4.72 | 5.21 | 0.43 | 090 | |
| 28456 | A | Treat midfoot fracture | 2.68 | 6.06 | NA | 0.36 | 090 | |
| 28465 | A | Treat midfoot fracture, each | 7.01 | 8.12 | NA | 0.87 | 090 | |
| 28470 | A | Treat metatarsal fracture | 1.99 | 3.28 | 4.42 | 0.26 | 090 | |
| 28475 | A | Treat metatarsal fracture | 2.97 | 4.28 | 5.08 | 0.41 | 090 | |
| 28476 | A | Treat metatarsal fracture | 3.38 | 6.53 | NA | 0.46 | 090 | |
| 28485 | A | Treat metatarsal fracture | 5.71 | 7.87 | NA | 0.80 | 090 | |
| 28490 | A | Treat big toe fracture | 1.09 | 2.12 | 2.69 | 0.13 | 090 | |
| 28495 | A | Treat big toe fracture | 1.58 | 2.20 | 2.85 | 0.19 | 090 | |
| 28496 | A | Treat big toe fracture | 2.33 | 4.94 | 10.18 | 0.32 | 090 | |
| 28505 | A | Treat big toe fracture | 3.81 | 6.67 | 11.30 | 0.50 | 090 | |
| 28510 | A | Treatment of toe fracture | 1.09 | 2.13 | 2.44 | 0.13 | 090 | |
| 28515 | A | Treatment of toe fracture | 1.46 | 2.19 | 2.72 | 0.17 | 090 | |
| 28525 | A | Treat toe fracture | 3.32 | 6.32 | 10.85 | 0.44 | 090 | |
| 28530 | A | Treat sesamoid bone fracture | 1.06 | 2.74 | 2.96 | 0.13 | 090 | |
| 28531 | A | Treat sesamoid bone fracture | 2.35 | 4.29 | 15.26 | 0.33 | 090 | |
| 28540 | A | Treat foot dislocation | 2.04 | 3.70 | 3.70 | 0.24 | 090 | |
| 28545 | A | Treat foot dislocation | 2.45 | 4.05 | 4.05 | 0.33 | 090 | |
| 28546 | A | Treat foot dislocation | 3.20 | 5.81 | 8.92 | 0.46 | 090 | |
| 28555 | A | Repair foot dislocation | 6.30 | 8.57 | 11.82 | 0.88 | 090 | |
| 28570 | A | Treat foot dislocation | 1.66 | 3.71 | 3.98 | 0.22 | 090 | |
| 28575 | A | Treat foot dislocation | 3.31 | 5.27 | 5.60 | 0.45 | 090 | |
| 28576 | A | Treat foot dislocation | 4.17 | 6.43 | 12.02 | 0.56 | 090 | |
| 28585 | A | Repair foot dislocation | 7.99 | 8.40 | 9.66 | 1.13 | 090 | |
| 28600 | A | Treat foot dislocation | 1.89 | 3.84 | 4.31 | 0.24 | 090 | |
| 28605 | A | Treat foot dislocation | 2.71 | 4.79 | 5.05 | 0.35 | 090 | |
| 28606 | A | Treat foot dislocation | 4.90 | 6.95 | 15.78 | 0.68 | 090 | |
| 28615 | A | Repair foot dislocation | 7.77 | 9.38 | NA | 1.09 | 090 | |
| 28630 | A | Treat toe dislocation | 1.70 | 2.35 | 2.35 | 0.17 | 010 | |
| 28635 | A | Treat toe dislocation | 1.91 | 2.54 | 2.54 | 0.24 | 010 | |
| 28636 | A | Treat toe dislocation | 2.77 | 3.11 | 6.26 | 0.39 | 010 | |
| 28645 | A | Repair toe dislocation | 4.22 | 4.32 | 6.66 | 0.58 | 090 | |
| 28660 | A | Treat toe dislocation | 1.23 | 2.43 | 3.08 | 0.11 | 010 | |
| 28665 | A | Treat toe dislocation | 1.92 | 2.59 | 2.59 | 0.24 | 010 | |
| 28666 | A | Treat toe dislocation | 2.66 | 2.85 | 8.07 | 0.38 | 010 | |
| 28675 | A | Repair of toe dislocation | 2.92 | 4.87 | 9.35 | 0.41 | 090 | |
| 28705 | A | Fusion of foot bones | 18.80 | 15.04 | NA | 2.13 | 090 | |
| 28715 | A | Fusion of foot bones | 13.10 | 12.48 | NA | 1.84 | 090 | |
| 28725 | A | Fusion of foot bones | 11.61 | 11.34 | NA | 1.63 | 090 | |
| 28730 | A | Fusion of foot bones | 10.76 | 10.79 | NA | 1.51 | 090 | |
| 28735 | A | Fusion of foot bones | 10.85 | 10.53 | NA | 1.51 | 090 | |
| 28737 | A | Revision of foot bones | 9.64 | 9.44 | NA | 1.36 | 090 | |
| 28740 | A | Fusion of foot bones | 8.02 | 8.98 | 13.37 | 1.13 | 090 | |
| 28750 | A | Fusion of big toe joint | 7.30 | 9.06 | 14.47 | 1.03 | 090 | |
| 28755 | A | Fusion of big toe joint | 4.74 | 6.50 | 9.08 | 0.66 | 090 | |
| 28760 | A | Fusion of big toe joint | 7.75 | 7.72 | 10.11 | 1.07 | 090 | |
| 28800 | A | Amputation of midfoot | 8.21 | 8.97 | NA | 0.98 | 090 | |
| 28805 | A | Amputation thru metatarsal | 8.39 | 8.82 | NA | 0.97 | 090 | |
| 28810 | A | Amputation toe metatarsal | 6.21 | 7.77 | NA | 0.70 | 090 | |
| 28820 | A | Amputation of toe | 4.41 | 7.02 | 10.96 | 0.51 | 090 | |
| 28825 | A | Partial amputation of toe | 3.59 | 6.88 | 10.36 | 0.43 | 090 | |
| 28899 | C | Foot/toes surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29000 | A | Application of body cast | 2.25 | 1.67 | 3.07 | 0.30 | 000 | |
| 29010 | A | Application of body cast | 2.06 | 1.65 | 2.77 | 0.27 | 000 | |
| 29015 | A | Application of body cast | 2.41 | 1.57 | 2.91 | 0.21 | 000 | |
| 29020 | A | Application of body cast | 2.11 | 1.39 | 3.33 | 0.16 | 000 | |
| 29025 | A | Application of body cast | 2.40 | 1.78 | 3.05 | 0.26 | 000 | |
| 29035 | A | Application of body cast | 1.77 | 1.48 | 2.87 | 0.24 | 000 | |
| 29040 | A | Application of body cast | 2.22 | 1.56 | 2.43 | 0.35 | 000 | |
| 29044 | A | Application of body cast | 2.12 | 1.77 | 3.15 | 0.29 | 000 | |
| 29046 | A | Application of body cast | 2.41 | 1.95 | 3.24 | 0.34 | 000 | |
| 29049 | A | Application of figure eight | 0.89 | 0.55 | 1.04 | 0.12 | 000 | |
| 29055 | A | Application of shoulder cast | 1.78 | 1.40 | 2.35 | 0.24 | 000 | |
| 29058 | A | Application of shoulder cast | 1.31 | 0.74 | 1.28 | 0.14 | 000 | |
| 29065 | A | Application of long arm cast | 0.87 | 0.68 | 1.08 | 0.12 | 000 | |
| 29075 | A | Application of forearm cast | 0.77 | 0.62 | 1.02 | 0.11 | 000 | |
| 29085 | A | Apply hand/wrist cast | 0.87 | 0.61 | 1.07 | 0.11 | 000 | |
| 29086 | A | Apply finger cast | 0.62 | 0.43 | 0.77 | 0.07 | 000 | |
| 29105 | A | Apply long arm splint | 0.87 | 0.51 | 1.02 | 0.11 | 000 | |
| 29125 | A | Apply forearm splint | 0.59 | 0.40 | 0.86 | 0.06 | 000 | |
| 29126 | A | Apply forearm splint | 0.77 | 0.47 | 1.10 | 0.06 | 000 | |
| 29130 | A | Application of finger splint | 0.50 | 0.17 | 0.43 | 0.05 | 000 | |
| 29131 | A | Application of finger splint | 0.55 | 0.25 | 0.70 | 0.03 | 000 | |
| 29200 | A | Strapping of chest | 0.65 | 0.36 | 0.78 | 0.04 | 000 | |
| 29220 | A | Strapping of low back | 0.64 | 0.39 | 0.72 | 0.07 | 000 | |
| 29240 | A | Strapping of shoulder | 0.71 | 0.38 | 0.86 | 0.05 | 000 | |
| 29260 | A | Strapping of elbow or wrist | 0.55 | 0.34 | 0.75 | 0.04 | 000 | |
| 29280 | A | Strapping of hand or finger | 0.51 | 0.34 | 0.79 | 0.04 | 000 | |
| 29305 | A | Application of hip cast | 2.03 | 1.59 | 2.71 | 0.29 | 000 | |
| 29325 | A | Application of hip casts | 2.32 | 1.77 | 2.88 | 0.31 | 000 | |
| 29345 | A | Application of long leg cast | 1.40 | 0.99 | 1.47 | 0.19 | 000 | |
| 29355 | A | Application of long leg cast | 1.53 | 1.05 | 1.46 | 0.20 | 000 | |
| 29358 | A | Apply long leg cast brace | 1.43 | 1.02 | 1.69 | 0.19 | 000 | |
| 29365 | A | Application of long leg cast | 1.18 | 0.87 | 1.35 | 0.17 | 000 | |
| 29405 | A | Apply short leg cast | 0.86 | 0.65 | 1.01 | 0.12 | 000 | |
| 29425 | A | Apply short leg cast | 1.01 | 0.68 | 1.04 | 0.14 | 000 | |
| 29435 | A | Apply short leg cast | 1.18 | 0.86 | 1.29 | 0.17 | 000 | |
| 29440 | A | Addition of walker to cast | 0.57 | 0.27 | 0.59 | 0.07 | 000 | |
| 29445 | A | Apply rigid leg cast | 1.78 | 0.94 | 1.57 | 0.24 | 000 | |
| 29450 | A | Application of leg cast | 2.08 | 1.07 | 1.37 | 0.13 | 000 | |
| 29505 | A | Application, long leg splint | 0.69 | 0.47 | 1.02 | 0.06 | 000 | |
| 29515 | A | Application lower leg splint | 0.73 | 0.47 | 0.77 | 0.07 | 000 | |
| 29520 | A | Strapping of hip | 0.54 | 0.43 | 0.88 | 0.02 | 000 | |
| 29530 | A | Strapping of knee | 0.57 | 0.35 | 0.78 | 0.04 | 000 | |
| 29540 | A | Strapping of ankle | 0.51 | 0.32 | 0.39 | 0.04 | 000 | |
| 29550 | A | Strapping of toes | 0.47 | 0.27 | 0.40 | 0.05 | 000 | |
| 29580 | A | Application of paste boot | 0.57 | 0.35 | 0.59 | 0.05 | 000 | |
| 29590 | A | Application of foot splint | 0.76 | 0.30 | 0.48 | 0.06 | 000 | |
| 29700 | A | Removal/revision of cast | 0.57 | 0.28 | 0.77 | 0.07 | 000 | |
| 29705 | A | Removal/revision of cast | 0.76 | 0.39 | 0.70 | 0.10 | 000 | |
| 29710 | A | Removal/revision of cast | 1.34 | 0.71 | 1.36 | 0.17 | 000 | |
| 29715 | A | Removal/revision of cast | 0.94 | 0.41 | 1.04 | 0.08 | 000 | |
| 29720 | A | Repair of body cast | 0.68 | 0.38 | 0.93 | 0.10 | 000 | |
| 29730 | A | Windowing of cast | 0.75 | 0.35 | 0.69 | 0.10 | 000 | |
| 29740 | A | Wedging of cast | 1.12 | 0.49 | 1.00 | 0.15 | 000 | |
| 29750 | A | Wedging of clubfoot cast | 1.26 | 0.59 | 0.97 | 0.16 | 000 | |
| 29799 | C | Casting/strapping procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29800 | A | Jaw arthroscopy/surgery | 6.43 | 8.88 | NA | 0.84 | 090 | |
| 29804 | A | Jaw arthroscopy/surgery | 8.14 | 8.65 | NA | 0.66 | 090 | |
| 29805 | A | Shoulder arthroscopy, dx | 5.89 | 3.22 | 3.22 | 0.83 | 090 | |
| 29806 | A | Shoulder arthroscopy/surgery | 14.37 | 10.95 | NA | 2.01 | 090 | |
| 29807 | A | Shoulder arthroscopy/surgery | 13.90 | 10.69 | NA | 2.01 | 090 | |
| 29815 | D | Shoulder arthroscopy | 5.89 | 6.75 | NA | 0.83 | 090 | |
| 29819 | A | Shoulder arthroscopy/surgery | 7.62 | 9.64 | NA | 1.07 | 090 | |
| 29820 | A | Shoulder arthroscopy/surgery | 7.07 | 9.48 | NA | 0.99 | 090 | |
| 29821 | A | Shoulder arthroscopy/surgery | 7.72 | 9.85 | NA | 1.08 | 090 | |
| 29822 | A | Shoulder arthroscopy/surgery | 7.43 | 9.78 | NA | 1.04 | 090 | |
| 29823 | A | Shoulder arthroscopy/surgery | 8.17 | 10.10 | NA | 1.15 | 090 | |
| 29824 | A | Shoulder arthroscopy/surgery | 8.25 | 7.24 | NA | 1.16 | 090 | |
| 29825 | A | Shoulder arthroscopy/surgery | 7.62 | 9.77 | NA | 1.06 | 090 | |
| 29826 | A | Shoulder arthroscopy/surgery | 8.99 | 10.58 | NA | 1.26 | 090 | |
| 29830 | A | Elbow arthroscopy | 5.76 | 6.00 | NA | 0.79 | 090 | |
| 29834 | A | Elbow arthroscopy/surgery | 6.28 | 6.85 | NA | 0.86 | 090 | |
| 29835 | A | Elbow arthroscopy/surgery | 6.48 | 6.87 | NA | 0.88 | 090 | |
| 29836 | A | Elbow arthroscopy/surgery | 7.55 | 7.54 | NA | 1.06 | 090 | |
| 29837 | A | Elbow arthroscopy/surgery | 6.87 | 7.13 | NA | 0.96 | 090 | |
| 29838 | A | Elbow arthroscopy/surgery | 7.71 | 7.58 | NA | 1.07 | 090 | |
| 29840 | A | Wrist arthroscopy | 5.54 | 8.38 | NA | 0.69 | 090 | |
| 29843 | A | Wrist arthroscopy/surgery | 6.01 | 8.56 | NA | 0.82 | 090 | |
| 29844 | A | Wrist arthroscopy/surgery | 6.37 | 8.75 | NA | 0.86 | 090 | |
| 29845 | A | Wrist arthroscopy/surgery | 7.52 | 9.25 | NA | 0.84 | 090 | |
| 29846 | A | Wrist arthroscopy/surgery | 6.75 | 11.39 | NA | 0.89 | 090 | |
| 29847 | A | Wrist arthroscopy/surgery | 7.08 | 11.66 | NA | 0.91 | 090 | |
| 29848 | A | Wrist endoscopy/surgery | 5.44 | 8.27 | NA | 0.72 | 090 | |
| 29850 | A | Knee arthroscopy/surgery | 8.19 | 7.27 | NA | 0.74 | 090 | |
| 29851 | A | Knee arthroscopy/surgery | 13.10 | 11.68 | NA | 1.81 | 090 | |
| 29855 | A | Tibial arthroscopy/surgery | 10.62 | 10.39 | NA | 1.50 | 090 | |
| 29856 | A | Tibial arthroscopy/surgery | 14.14 | 12.37 | NA | 2.00 | 090 | |
| 29860 | A | Hip arthroscopy, dx | 8.05 | 7.83 | NA | 1.14 | 090 | |
| 29861 | A | Hip arthroscopy/surgery | 9.15 | 8.91 | NA | 1.29 | 090 | |
| 29862 | A | Hip arthroscopy/surgery | 9.90 | 9.46 | NA | 1.39 | 090 | |
| 29863 | A | Hip arthroscopy/surgery | 9.90 | 9.95 | NA | 1.40 | 090 | |
| 29870 | A | Knee arthroscopy, dx | 5.07 | 6.13 | NA | 0.67 | 090 | |
| 29871 | A | Knee arthroscopy/drainage | 6.55 | 8.11 | NA | 0.88 | 090 | |
| 29874 | A | Knee arthroscopy/surgery | 7.05 | 7.86 | NA | 0.87 | 090 | |
| 29875 | A | Knee arthroscopy/surgery | 6.31 | 7.51 | NA | 0.88 | 090 | |
| 29876 | A | Knee arthroscopy/surgery | 7.92 | 8.95 | NA | 1.11 | 090 | |
| 29877 | A | Knee arthroscopy/surgery | 7.35 | 8.09 | NA | 1.03 | 090 | |
| 29879 | A | Knee arthroscopy/surgery | 8.04 | 8.46 | NA | 1.13 | 090 | |
| 29880 | A | Knee arthroscopy/surgery | 8.50 | 8.73 | NA | 1.19 | 090 | |
| 29881 | A | Knee arthroscopy/surgery | 7.76 | 8.31 | NA | 1.09 | 090 | |
| 29882 | A | Knee arthroscopy/surgery | 8.65 | 8.63 | NA | 1.09 | 090 | |
| 29883 | A | Knee arthroscopy/surgery | 11.05 | 10.12 | NA | 1.33 | 090 | |
| 29884 | A | Knee arthroscopy/surgery | 7.33 | 8.72 | NA | 1.03 | 090 | |
| 29885 | A | Knee arthroscopy/surgery | 9.09 | 9.69 | NA | 1.27 | 090 | |
| 29886 | A | Knee arthroscopy/surgery | 7.54 | 8.75 | NA | 1.06 | 090 | |
| 29887 | A | Knee arthroscopy/surgery | 9.04 | 9.64 | NA | 1.27 | 090 | |
| 29888 | A | Knee arthroscopy/surgery | 13.90 | 12.28 | NA | 1.95 | 090 | |
| 29889 | A | Knee arthroscopy/surgery | 16.00 | 13.45 | NA | 2.11 | 090 | |
| 29891 | A | Ankle arthroscopy/surgery | 8.40 | 9.02 | NA | 1.17 | 090 | |
| 29892 | A | Ankle arthroscopy/surgery | 9.00 | 9.27 | NA | 1.26 | 090 | |
| 29893 | A | Scope, plantar fasciotomy | 5.22 | 5.64 | NA | 0.74 | 090 | |
| 29894 | A | Ankle arthroscopy/surgery | 7.21 | 8.17 | NA | 1.01 | 090 | |
| 29895 | A | Ankle arthroscopy/surgery | 6.99 | 8.15 | NA | 0.97 | 090 | |
| 29897 | A | Ankle arthroscopy/surgery | 7.18 | 8.74 | NA | 1.01 | 090 | |
| 29898 | A | Ankle arthroscopy/surgery | 8.32 | 8.66 | NA | 1.14 | 090 | |
| 29900 | A | Mcp joint arthroscopy, dx | 5.42 | 5.70 | NA | 0.69 | 090 | |
| 29901 | A | Mcp joint arthroscopy, surg | 6.13 | 6.09 | NA | 0.81 | 090 | |
| 29902 | A | Mcp joint arthroscopy, surg | 6.70 | 6.40 | NA | 0.89 | 090 | |
| 29909 | D | Arthroscopy of joint | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29999 | C | Arthroscopy of joint | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 30000 | A | Drainage of nose lesion | 1.43 | 1.46 | 2.48 | 0.10 | 010 | |
| 30020 | A | Drainage of nose lesion | 1.43 | 1.54 | 2.69 | 0.08 | 010 | |
| 30100 | A | Intranasal biopsy | 0.94 | 0.52 | 1.30 | 0.06 | 000 | |
| 30110 | A | Removal of nose polyp(s) | 1.63 | 0.87 | 2.73 | 0.12 | 010 | |
| 30115 | A | Removal of nose polyp(s) | 4.35 | 4.43 | NA | 0.31 | 090 | |
| 30117 | A | Removal of intranasal lesion | 3.16 | 3.12 | 4.82 | 0.22 | 090 | |
| 30118 | A | Removal of intranasal lesion | 9.69 | 8.10 | NA | 0.66 | 090 | |
| 30120 | A | Revision of nose | 5.27 | 5.81 | 5.81 | 0.41 | 090 | |
| 30124 | A | Removal of nose lesion | 3.10 | 3.26 | NA | 0.20 | 090 | |
| 30125 | A | Removal of nose lesion | 7.16 | 6.43 | NA | 0.54 | 090 | |
| 30130 | A | Removal of turbinate bones | 3.38 | 3.90 | NA | 0.22 | 090 | |
| 30140 | A | Removal of turbinate bones | 3.43 | 4.50 | NA | 0.24 | 090 | |
| 30150 | A | Partial removal of nose | 9.14 | 8.59 | NA | 0.76 | 090 | |
| 30160 | A | Removal of nose | 9.58 | 8.48 | NA | 0.78 | 090 | |
| 30200 | A | Injection treatment of nose | 0.78 | 0.44 | 1.20 | 0.06 | 000 | |
| 30210 | A | Nasal sinus therapy | 1.08 | 0.59 | 2.10 | 0.08 | 010 | |
| 30220 | A | Insert nasal septal button | 1.54 | 0.84 | 2.46 | 0.11 | 010 | |
| 30300 | A | Remove nasal foreign body | 1.04 | 0.38 | 2.57 | 0.07 | 010 | |
| 30310 | A | Remove nasal foreign body | 1.96 | 1.86 | NA | 0.14 | 010 | |
| 30320 | A | Remove nasal foreign body | 4.52 | 5.20 | NA | 0.36 | 090 | |
| 30400 | R | Reconstruction of nose | 9.83 | 8.82 | NA | 0.80 | 090 | |
| 30410 | R | Reconstruction of nose | 12.98 | 10.53 | NA | 1.08 | 090 | |
| 30420 | R | Reconstruction of nose | 15.88 | 12.19 | NA | 1.24 | 090 | |
| 30430 | R | Revision of nose | 7.21 | 7.19 | NA | 0.62 | 090 | |
| 30435 | R | Revision of nose | 11.71 | 10.32 | NA | 1.10 | 090 | |
| 30450 | R | Revision of nose | 18.65 | 13.96 | NA | 1.53 | 090 | |
| 30460 | A | Revision of nose | 9.96 | 9.25 | NA | 0.85 | 090 | |
| 30462 | A | Revision of nose | 19.57 | 14.42 | NA | 1.92 | 090 | |
| 30465 | A | Repair nasal stenosis | 11.64 | 9.33 | NA | 0.97 | 090 | |
| 30520 | A | Repair of nasal septum | 5.70 | 5.78 | NA | 0.41 | 090 | |
| 30540 | A | Repair nasal defect | 7.75 | 6.43 | NA | 0.53 | 090 | |
| 30545 | A | Repair nasal defect | 11.38 | 9.36 | NA | 0.80 | 090 | |
| 30560 | A | Release of nasal adhesions | 1.26 | 1.48 | 2.29 | 0.09 | 010 | |
| 30580 | A | Repair upper jaw fistula | 6.69 | 4.87 | 4.87 | 0.50 | 090 | |
| 30600 | A | Repair mouth/nose fistula | 6.02 | 4.82 | 4.82 | 0.70 | 090 | |
| 30620 | A | Intranasal reconstruction | 5.97 | 6.49 | NA | 0.45 | 090 | |
| 30630 | A | Repair nasal septum defect | 7.12 | 7.02 | NA | 0.51 | 090 | |
| 30801 | A | Cauterization, inner nose | 1.09 | 2.27 | 2.51 | 0.08 | 010 | |
| 30802 | A | Cauterization, inner nose | 2.03 | 2.79 | 3.06 | 0.15 | 010 | |
| 30901 | A | Control of nosebleed | 1.21 | 0.33 | 1.39 | 0.09 | 000 | |
| 30903 | A | Control of nosebleed | 1.54 | 0.51 | 3.14 | 0.12 | 000 | |
| 30905 | A | Control of nosebleed | 1.97 | 0.78 | 3.77 | 0.15 | 000 | |
| 30906 | A | Repeat control of nosebleed | 2.45 | 1.24 | 4.17 | 0.17 | 000 | |
| 30915 | A | Ligation, nasal sinus artery | 7.20 | 6.93 | NA | 0.50 | 090 | |
| 30920 | A | Ligation, upper jaw artery | 9.83 | 8.40 | NA | 0.69 | 090 | |
| 30930 | A | Therapy, fracture of nose | 1.26 | 2.12 | NA | 0.09 | 010 | |
| 30999 | C | Nasal surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31000 | A | Irrigation, maxillary sinus | 1.15 | 0.64 | 2.38 | 0.08 | 010 | |
| 31002 | A | Irrigation, sphenoid sinus | 1.91 | 2.06 | NA | 0.14 | 010 | |
| 31020 | A | Exploration, maxillary sinus | 2.94 | 3.60 | 4.22 | 0.20 | 090 | |
| 31030 | A | Exploration, maxillary sinus | 5.92 | 4.57 | 4.69 | 0.42 | 090 | |
| 31032 | A | Explore sinus,remove polyps | 6.57 | 5.99 | NA | 0.47 | 090 | |
| 31040 | A | Exploration behind upper jaw | 9.42 | 6.94 | NA | 0.71 | 090 | |
| 31050 | A | Exploration, sphenoid sinus | 5.28 | 4.98 | NA | 0.39 | 090 | |
| 31051 | A | Sphenoid sinus surgery | 7.11 | 6.42 | NA | 0.55 | 090 | |
| 31070 | A | Exploration of frontal sinus | 4.28 | 4.93 | NA | 0.30 | 090 | |
| 31075 | A | Exploration of frontal sinus | 9.16 | 8.09 | NA | 0.64 | 090 | |
| 31080 | A | Removal of frontal sinus | 11.42 | 8.90 | NA | 0.78 | 090 | |
| 31081 | A | Removal of frontal sinus | 12.75 | 9.57 | NA | 1.84 | 090 | |
| 31084 | A | Removal of frontal sinus | 13.51 | 10.43 | NA | 0.96 | 090 | |
| 31085 | A | Removal of frontal sinus | 14.20 | 10.63 | NA | 1.18 | 090 | |
| 31086 | A | Removal of frontal sinus | 12.86 | 10.30 | NA | 0.90 | 090 | |
| 31087 | A | Removal of frontal sinus | 13.10 | 10.30 | NA | 1.15 | 090 | |
| 31090 | A | Exploration of sinuses | 9.53 | 8.79 | NA | 0.66 | 090 | |
| 31200 | A | Removal of ethmoid sinus | 4.97 | 5.75 | NA | 0.25 | 090 | |
| 31201 | A | Removal of ethmoid sinus | 8.37 | 7.67 | NA | 0.58 | 090 | |
| 31205 | A | Removal of ethmoid sinus | 10.24 | 8.43 | NA | 0.58 | 090 | |
| 31225 | A | Removal of upper jaw | 19.23 | 14.91 | NA | 1.38 | 090 | |
| 31230 | A | Removal of upper jaw | 21.94 | 16.55 | NA | 1.57 | 090 | |
| 31231 | A | Nasal endoscopy, dx | 1.10 | 0.59 | 1.97 | 0.08 | 000 | |
| 31233 | A | Nasal/sinus endoscopy, dx | 2.18 | 1.20 | 2.60 | 0.16 | 000 | |
| 31235 | A | Nasal/sinus endoscopy, dx | 2.64 | 1.45 | 2.86 | 0.18 | 000 | |
| 31237 | A | Nasal/sinus endoscopy, surg | 2.98 | 1.62 | 3.15 | 0.21 | 000 | |
| 31238 | A | Nasal/sinus endoscopy, surg | 3.26 | 1.83 | 3.66 | 0.23 | 000 | |
| 31239 | A | Nasal/sinus endoscopy, surg | 8.70 | 6.58 | NA | 0.46 | 010 | |
| 31240 | A | Nasal/sinus endoscopy, surg | 2.61 | 1.56 | NA | 0.18 | 000 | |
| 31254 | A | Revision of ethmoid sinus | 4.65 | 2.72 | NA | 0.32 | 000 | |
| 31255 | A | Removal of ethmoid sinus | 6.96 | 4.01 | NA | 0.49 | 000 | |
| 31256 | A | Exploration maxillary sinus | 3.29 | 1.95 | NA | 0.23 | 000 | |
| 31267 | A | Endoscopy, maxillary sinus | 5.46 | 3.17 | NA | 0.38 | 000 | |
| 31276 | A | Sinus endoscopy, surgical | 8.85 | 5.06 | NA | 0.62 | 000 | |
| 31287 | A | Nasal/sinus endoscopy, surg | 3.92 | 2.30 | NA | 0.27 | 000 | |
| 31288 | A | Nasal/sinus endoscopy, surg | 4.58 | 2.68 | NA | 0.32 | 000 | |
| 31290 | A | Nasal/sinus endoscopy, surg | 17.24 | 11.55 | NA | 1.20 | 010 | |
| 31291 | A | Nasal/sinus endoscopy, surg | 18.19 | 11.87 | NA | 1.73 | 010 | |
| 31292 | A | Nasal/sinus endoscopy, surg | 14.76 | 10.04 | NA | 0.99 | 010 | |
| 31293 | A | Nasal/sinus endoscopy, surg | 16.21 | 10.77 | NA | 0.97 | 010 | |
| 31294 | A | Nasal/sinus endoscopy, surg | 19.06 | 12.26 | NA | 1.04 | 010 | |
| 31299 | C | Sinus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31300 | A | Removal of larynx lesion | 14.29 | 17.11 | NA | 0.99 | 090 | |
| 31320 | A | Diagnostic incision, larynx | 5.26 | 12.72 | NA | 0.40 | 090 | |
| 31360 | A | Removal of larynx | 17.08 | 18.87 | NA | 1.20 | 090 | |
| 31365 | A | Removal of larynx | 24.16 | 22.60 | NA | 1.72 | 090 | |
| 31367 | A | Partial removal of larynx | 21.86 | 23.52 | NA | 1.57 | 090 | |
| 31368 | A | Partial removal of larynx | 27.09 | 28.09 | NA | 1.90 | 090 | |
| 31370 | A | Partial removal of larynx | 21.38 | 23.01 | NA | 1.51 | 090 | |
| 31375 | A | Partial removal of larynx | 20.21 | 20.67 | NA | 1.43 | 090 | |
| 31380 | A | Partial removal of larynx | 20.21 | 20.83 | NA | 1.40 | 090 | |
| 31382 | A | Partial removal of larynx | 20.52 | 22.68 | NA | 1.44 | 090 | |
| 31390 | A | Removal of larynx pharynx | 27.53 | 28.31 | NA | 1.95 | 090 | |
| 31395 | A | Reconstruct larynx pharynx | 31.09 | 33.94 | NA | 2.27 | 090 | |
| 31400 | A | Revision of larynx | 10.31 | 15.45 | NA | 0.72 | 090 | |
| 31420 | A | Removal of epiglottis | 10.22 | 15.10 | NA | 0.71 | 090 | |
| 31500 | A | Insert emergency airway | 2.33 | 0.66 | NA | 0.15 | 000 | |
| 31502 | A | Change of windpipe airway | 0.65 | 0.26 | 1.92 | 0.04 | 000 | |
| 31505 | A | Diagnostic laryngoscopy | 0.61 | 0.34 | 1.80 | 0.04 | 000 | |
| 31510 | A | Laryngoscopy with biopsy | 1.92 | 0.98 | 2.77 | 0.15 | 000 | |
| 31511 | A | Remove foreign body, larynx | 2.16 | 0.75 | 3.06 | 0.16 | 000 | |
| 31512 | A | Removal of larynx lesion | 2.07 | 1.08 | 2.97 | 0.16 | 000 | |
| 31513 | A | Injection into vocal cord | 2.10 | 1.28 | NA | 0.15 | 000 | |
| 31515 | A | Laryngoscopy for aspiration | 1.80 | 0.85 | 2.39 | 0.12 | 000 | |
| 31520 | A | Diagnostic laryngoscopy | 2.56 | 1.39 | NA | 0.17 | 000 | |
| 31525 | A | Diagnostic laryngoscopy | 2.63 | 1.48 | 2.87 | 0.18 | 000 | |
| 31526 | A | Diagnostic laryngoscopy | 2.57 | 1.54 | NA | 0.18 | 000 | |
| 31527 | A | Laryngoscopy for treatment | 3.27 | 1.72 | NA | 0.21 | 000 | |
| 31528 | A | Laryngoscopy and dilation | 2.37 | 1.27 | NA | 0.16 | 000 | |
| 31529 | A | Laryngoscopy and dilation | 2.68 | 1.55 | NA | 0.18 | 000 | |
| 31530 | A | Operative laryngoscopy | 3.39 | 1.76 | NA | 0.24 | 000 | |
| 31531 | A | Operative laryngoscopy | 3.59 | 2.12 | NA | 0.25 | 000 | |
| 31535 | A | Operative laryngoscopy | 3.16 | 1.82 | NA | 0.22 | 000 | |
| 31536 | A | Operative laryngoscopy | 3.56 | 2.10 | NA | 0.25 | 000 | |
| 31540 | A | Operative laryngoscopy | 4.13 | 2.40 | NA | 0.29 | 000 | |
| 31541 | A | Operative laryngoscopy | 4.53 | 2.64 | NA | 0.32 | 000 | |
| 31560 | A | Operative laryngoscopy | 5.46 | 3.06 | NA | 0.38 | 000 | |
| 31561 | A | Operative laryngoscopy | 6.00 | 3.28 | NA | 0.42 | 000 | |
| 31570 | A | Laryngoscopy with injection | 3.87 | 2.23 | 4.13 | 0.24 | 000 | |
| 31571 | A | Laryngoscopy with injection | 4.27 | 2.45 | NA | 0.30 | 000 | |
| 31575 | A | Diagnostic laryngoscopy | 1.10 | 0.57 | 2.04 | 0.08 | 000 | |
| 31576 | A | Laryngoscopy with biopsy | 1.97 | 1.01 | 2.37 | 0.13 | 000 | |
| 31577 | A | Remove foreign body, larynx | 2.47 | 1.26 | 2.83 | 0.17 | 000 | |
| 31578 | A | Removal of larynx lesion | 2.84 | 1.25 | 3.09 | 0.20 | 000 | |
| 31579 | A | Diagnostic laryngoscopy | 2.26 | 1.21 | 2.90 | 0.16 | 000 | |
| 31580 | A | Revision of larynx | 12.38 | 16.15 | NA | 0.87 | 090 | |
| 31582 | A | Revision of larynx | 21.62 | 21.48 | NA | 1.52 | 090 | |
| 31584 | A | Treat larynx fracture | 19.64 | 18.54 | NA | 1.42 | 090 | |
| 31585 | A | Treat larynx fracture | 4.64 | 8.81 | NA | 0.30 | 090 | |
| 31586 | A | Treat larynx fracture | 8.03 | 12.58 | NA | 0.56 | 090 | |
| 31587 | A | Revision of larynx | 11.99 | 14.03 | NA | 0.88 | 090 | |
| 31588 | A | Revision of larynx | 13.11 | 16.92 | NA | 0.92 | 090 | |
| 31590 | A | Reinnervate larynx | 6.97 | 12.31 | NA | 0.50 | 090 | |
| 31595 | A | Larynx nerve surgery | 8.34 | 11.19 | NA | 0.62 | 090 | |
| 31599 | C | Larynx surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31600 | A | Incision of windpipe | 7.18 | 3.05 | NA | 0.34 | 000 | |
| 31601 | A | Incision of windpipe | 4.45 | 2.17 | NA | 0.39 | 000 | |
| 31603 | A | Incision of windpipe | 4.15 | 1.76 | NA | 0.35 | 000 | |
| 31605 | A | Incision of windpipe | 3.58 | 1.22 | NA | 0.33 | 000 | |
| 31610 | A | Incision of windpipe | 8.76 | 10.69 | NA | 0.69 | 090 | |
| 31611 | A | Surgery/speech prosthesis | 5.64 | 10.08 | NA | 0.40 | 090 | |
| 31612 | A | Puncture/clear windpipe | 0.91 | 0.42 | 1.49 | 0.06 | 000 | |
| 31613 | A | Repair windpipe opening | 4.59 | 8.74 | NA | 0.37 | 090 | |
| 31614 | A | Repair windpipe opening | 7.12 | 12.11 | NA | 0.51 | 090 | |
| 31615 | A | Visualization of windpipe | 2.09 | 1.17 | 3.67 | 0.14 | 000 | |
| 31622 | A | Dx bronchoscope/wash | 2.78 | 1.16 | 3.37 | 0.14 | 000 | |
| 31623 | A | Dx bronchoscope/brush | 2.88 | 1.16 | 3.21 | 0.14 | 000 | |
| 31624 | A | Dx bronchoscope/lavage | 2.88 | 1.17 | 2.90 | 0.13 | 000 | |
| 31625 | A | Bronchoscopy with biopsy | 3.37 | 1.30 | 2.91 | 0.16 | 000 | |
| 31628 | A | Bronchoscopy with biopsy | 3.81 | 1.41 | 3.33 | 0.14 | 000 | |
| 31629 | A | Bronchoscopy with biopsy | 3.37 | 1.28 | NA | 0.13 | 000 | |
| 31630 | A | Bronchoscopy with repair | 3.82 | 1.95 | NA | 0.30 | 000 | |
| 31631 | A | Bronchoscopy with dilation | 4.37 | 2.00 | NA | 0.31 | 000 | |
| 31635 | A | Remove foreign body, airway | 3.68 | 1.67 | NA | 0.21 | 000 | |
| 31640 | A | Bronchoscopy remove lesion | 4.94 | 2.33 | NA | 0.37 | 000 | |
| 31641 | A | Bronchoscopy, treat blockage | 5.03 | 2.12 | NA | 0.30 | 000 | |
| 31643 | A | Diag bronchoscope/catheter | 3.50 | 1.22 | 1.22 | 0.15 | 000 | |
| 31645 | A | Bronchoscopy, clear airways | 3.16 | 1.22 | NA | 0.13 | 000 | |
| 31646 | A | Bronchoscopy, reclear airway | 2.72 | 1.09 | NA | 0.12 | 000 | |
| 31656 | A | Bronchoscopy, inj for xray | 2.17 | 0.93 | NA | 0.10 | 000 | |
| 31700 | A | Insertion of airway catheter | 1.34 | 0.68 | 2.38 | 0.07 | 000 | |
| 31708 | A | Instill airway contrast dye | 1.41 | 0.61 | NA | 0.06 | 000 | |
| 31710 | A | Insertion of airway catheter | 1.30 | 0.72 | NA | 0.06 | 000 | |
| 31715 | A | Injection for bronchus x-ray | 1.11 | 0.61 | NA | 0.06 | 000 | |
| 31717 | A | Bronchial brush biopsy | 2.12 | 0.88 | 3.33 | 0.09 | 000 | |
| 31720 | A | Clearance of airways | 1.06 | 0.33 | 1.86 | 0.06 | 000 | |
| 31725 | A | Clearance of airways | 1.96 | 0.61 | NA | 0.10 | 000 | |
| 31730 | A | Intro, windpipe wire/tube | 2.85 | 1.10 | 2.42 | 0.15 | 000 | |
| 31750 | A | Repair of windpipe | 13.02 | 15.78 | NA | 1.02 | 090 | |
| 31755 | A | Repair of windpipe | 15.93 | 18.93 | NA | 1.15 | 090 | |
| 31760 | A | Repair of windpipe | 22.35 | 12.23 | NA | 1.48 | 090 | |
| 31766 | A | Reconstruction of windpipe | 30.43 | 16.01 | NA | 3.16 | 090 | |
| 31770 | A | Repair/graft of bronchus | 22.51 | 14.02 | NA | 2.27 | 090 | |
| 31775 | A | Reconstruct bronchus | 23.54 | 14.88 | NA | 2.91 | 090 | |
| 31780 | A | Reconstruct windpipe | 17.72 | 12.63 | NA | 1.55 | 090 | |
| 31781 | A | Reconstruct windpipe | 23.53 | 14.35 | NA | 2.04 | 090 | |
| 31785 | A | Remove windpipe lesion | 17.23 | 12.58 | NA | 1.36 | 090 | |
| 31786 | A | Remove windpipe lesion | 23.98 | 15.43 | NA | 2.20 | 090 | |
| 31800 | A | Repair of windpipe injury | 7.43 | 6.66 | NA | 0.67 | 090 | |
| 31805 | A | Repair of windpipe injury | 13.13 | 10.42 | NA | 1.45 | 090 | |
| 31820 | A | Closure of windpipe lesion | 4.49 | 7.87 | 8.00 | 0.35 | 090 | |
| 31825 | A | Repair of windpipe defect | 6.81 | 11.11 | 11.11 | 0.50 | 090 | |
| 31830 | A | Revise windpipe scar | 4.50 | 7.91 | 7.91 | 0.36 | 090 | |
| 31899 | C | Airways surgical procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 32000 | A | Drainage of chest | 1.54 | 0.50 | 3.07 | 0.07 | 000 | |
| 32002 | A | Treatment of collapsed lung | 2.19 | 0.85 | NA | 0.11 | 000 | |
| 32005 | A | Treat lung lining chemically | 2.19 | 0.86 | NA | 0.17 | 000 | |
| 32020 | A | Insertion of chest tube | 3.98 | 1.44 | NA | 0.36 | 000 | |
| 32035 | A | Exploration of chest | 8.67 | 7.73 | NA | 1.02 | 090 | |
| 32036 | A | Exploration of chest | 9.68 | 8.39 | NA | 1.20 | 090 | |
| 32095 | A | Biopsy through chest wall | 8.36 | 7.87 | NA | 0.99 | 090 | |
| 32100 | A | Exploration/biopsy of chest | 15.24 | 10.15 | NA | 1.45 | 090 | |
| 32110 | A | Explore/repair chest | 23.00 | 12.62 | NA | 1.63 | 090 | |
| 32120 | A | Re-exploration of chest | 11.54 | 9.17 | NA | 1.42 | 090 | |
| 32124 | A | Explore chest free adhesions | 12.72 | 9.11 | NA | 1.51 | 090 | |
| 32140 | A | Removal of lung lesion(s) | 13.93 | 9.71 | NA | 1.68 | 090 | |
| 32141 | A | Remove/treat lung lesions | 14.00 | 9.61 | NA | 1.72 | 090 | |
| 32150 | A | Removal of lung lesion(s) | 14.15 | 9.58 | NA | 1.60 | 090 | |
| 32151 | A | Remove lung foreign body | 14.21 | 10.13 | NA | 1.49 | 090 | |
| 32160 | A | Open chest heart massage | 9.30 | 6.18 | NA | 1.01 | 090 | |
| 32200 | A | Drain, open, lung lesion | 15.29 | 9.98 | NA | 1.46 | 090 | |
| 32201 | A | Drain, percut, lung lesion | 4.00 | 5.67 | NA | 0.18 | 000 | |
| 32215 | A | Treat chest lining | 11.33 | 9.13 | NA | 1.34 | 090 | |
| 32220 | A | Release of lung | 24.00 | 13.15 | NA | 2.39 | 090 | |
| 32225 | A | Partial release of lung | 13.96 | 9.87 | NA | 1.70 | 090 | |
| 32310 | A | Removal of chest lining | 13.44 | 9.52 | NA | 1.65 | 090 | |
| 32320 | A | Free/remove chest lining | 24.00 | 12.93 | NA | 2.50 | 090 | |
| 32400 | A | Needle biopsy chest lining | 1.76 | 0.57 | 1.87 | 0.07 | 000 | |
| 32402 | A | Open biopsy chest lining | 7.56 | 7.68 | NA | 0.91 | 090 | |
| 32405 | A | Biopsy, lung or mediastinum | 1.93 | 0.65 | 2.46 | 0.09 | 000 | |
| 32420 | A | Puncture/clear lung | 2.18 | 0.85 | NA | 0.11 | 000 | |
| 32440 | A | Removal of lung | 25.00 | 13.40 | NA | 2.56 | 090 | |
| 32442 | A | Sleeve pneumonectomy | 26.24 | 14.15 | NA | 3.12 | 090 | |
| 32445 | A | Removal of lung | 25.09 | 13.38 | NA | 3.11 | 090 | |
| 32480 | A | Partial removal of lung | 23.75 | 12.61 | NA | 2.24 | 090 | |
| 32482 | A | Bilobectomy | 25.00 | 13.24 | NA | 2.35 | 090 | |
| 32484 | A | Segmentectomy | 20.69 | 11.76 | NA | 2.54 | 090 | |
| 32486 | A | Sleeve lobectomy | 23.92 | 13.13 | NA | 3.00 | 090 | |
| 32488 | A | Completion pneumonectomy | 25.71 | 13.77 | NA | 3.18 | 090 | |
| 32491 | R | Lung volume reduction | 21.25 | 12.46 | NA | 2.66 | 090 | |
| 32500 | A | Partial removal of lung | 22.00 | 12.54 | NA | 1.77 | 090 | |
| 32501 | A | Repair bronchus add-on | 4.69 | 1.55 | NA | 0.56 | ZZZ | |
| 32520 | A | Remove lung revise chest | 21.68 | 12.41 | NA | 2.71 | 090 | |
| 32522 | A | Remove lung revise chest | 24.20 | 13.26 | NA | 2.84 | 090 | |
| 32525 | A | Remove lung revise chest | 26.50 | 13.90 | NA | 3.25 | 090 | |
| 32540 | A | Removal of lung lesion | 14.64 | 10.01 | NA | 1.84 | 090 | |
| 32601 | A | Thoracoscopy, diagnostic | 5.46 | 3.47 | NA | 0.63 | 000 | |
| 32602 | A | Thoracoscopy, diagnostic | 5.96 | 3.62 | NA | 0.70 | 000 | |
| 32603 | A | Thoracoscopy, diagnostic | 7.81 | 4.13 | NA | 0.76 | 000 | |
| 32604 | A | Thoracoscopy, diagnostic | 8.78 | 4.63 | NA | 0.97 | 000 | |
| 32605 | A | Thoracoscopy, diagnostic | 6.93 | 4.10 | NA | 0.86 | 000 | |
| 32606 | A | Thoracoscopy, diagnostic | 8.40 | 4.44 | NA | 0.99 | 000 | |
| 32650 | A | Thoracoscopy, surgical | 10.75 | 8.30 | NA | 1.25 | 090 | |
| 32651 | A | Thoracoscopy, surgical | 12.91 | 8.69 | NA | 1.50 | 090 | |
| 32652 | A | Thoracoscopy, surgical | 18.66 | 11.00 | NA | 2.30 | 090 | |
| 32653 | A | Thoracoscopy, surgical | 12.87 | 8.91 | NA | 1.55 | 090 | |
| 32654 | A | Thoracoscopy, surgical | 12.44 | 7.35 | NA | 1.51 | 090 | |
| 32655 | A | Thoracoscopy, surgical | 13.10 | 8.71 | NA | 1.53 | 090 | |
| 32656 | A | Thoracoscopy, surgical | 12.91 | 9.22 | NA | 1.61 | 090 | |
| 32657 | A | Thoracoscopy, surgical | 13.65 | 9.20 | NA | 1.64 | 090 | |
| 32658 | A | Thoracoscopy, surgical | 11.63 | 8.98 | NA | 1.47 | 090 | |
| 32659 | A | Thoracoscopy, surgical | 11.59 | 8.80 | NA | 1.39 | 090 | |
| 32660 | A | Thoracoscopy, surgical | 17.43 | 10.93 | NA | 2.09 | 090 | |
| 32661 | A | Thoracoscopy, surgical | 13.25 | 9.44 | NA | 1.66 | 090 | |
| 32662 | A | Thoracoscopy, surgical | 16.44 | 10.34 | NA | 2.01 | 090 | |
| 32663 | A | Thoracoscopy, surgical | 18.47 | 10.92 | NA | 2.28 | 090 | |
| 32664 | A | Thoracoscopy, surgical | 14.20 | 9.07 | NA | 1.70 | 090 | |
| 32665 | A | Thoracoscopy, surgical | 15.54 | 9.09 | NA | 1.79 | 090 | |
| 32800 | A | Repair lung hernia | 13.69 | 9.61 | NA | 1.51 | 090 | |
| 32810 | A | Close chest after drainage | 13.05 | 9.68 | NA | 1.55 | 090 | |
| 32815 | A | Close bronchial fistula | 23.15 | 13.20 | NA | 2.84 | 090 | |
| 32820 | A | Reconstruct injured chest | 21.48 | 13.93 | NA | 2.31 | 090 | |
| 32850 | X | Donor pneumonectomy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 32851 | A | Lung transplant, single | 38.63 | 19.63 | NA | 4.90 | 090 | |
| 32852 | A | Lung transplant with bypass | 41.80 | 21.03 | NA | 5.17 | 090 | |
| 32853 | A | Lung transplant, double | 47.81 | 23.01 | NA | 6.13 | 090 | |
| 32854 | A | Lung transplant with bypass | 50.98 | 23.77 | NA | 6.41 | 090 | |
| 32900 | A | Removal of rib(s) | 20.27 | 11.97 | NA | 2.42 | 090 | |
| 32905 | A | Revise repair chest wall | 20.75 | 12.31 | NA | 2.54 | 090 | |
| 32906 | A | Revise repair chest wall | 26.77 | 14.33 | NA | 3.30 | 090 | |
| 32940 | A | Revision of lung | 19.43 | 11.50 | NA | 2.47 | 090 | |
| 32960 | A | Therapeutic pneumothorax | 1.84 | 0.57 | 2.03 | 0.12 | 000 | |
| 32997 | A | Total lung lavage | 6.00 | 2.03 | NA | 0.55 | 000 | |
| 32999 | C | Chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 33010 | A | Drainage of heart sac | 2.24 | 0.97 | NA | 0.13 | 000 | |
| 33011 | A | Repeat drainage of heart sac | 2.24 | 1.01 | NA | 0.13 | 000 | |
| 33015 | A | Incision of heart sac | 6.80 | 4.33 | NA | 0.64 | 090 | |
| 33020 | A | Incision of heart sac | 12.61 | 7.84 | NA | 1.50 | 090 | |
| 33025 | A | Incision of heart sac | 12.09 | 7.74 | NA | 1.50 | 090 | |
| 33030 | A | Partial removal of heart sac | 18.71 | 11.91 | NA | 2.40 | 090 | |
| 33031 | A | Partial removal of heart sac | 21.79 | 13.21 | NA | 2.78 | 090 | |
| 33050 | A | Removal of heart sac lesion | 14.36 | 9.99 | NA | 1.73 | 090 | |
| 33120 | A | Removal of heart lesion | 24.56 | 15.54 | NA | 3.06 | 090 | |
| 33130 | A | Removal of heart lesion | 21.39 | 12.49 | NA | 2.51 | 090 | |
| 33140 | A | Heart revascularize (tmr) | 20.00 | 10.40 | NA | 2.27 | 090 | |
| 33141 | A | Heart tmr w/other procedure | 4.84 | 1.62 | NA | 0.55 | ZZZ | |
| 33200 | A | Insertion of heart pacemaker | 12.48 | 9.22 | NA | 1.17 | 090 | |
| 33201 | A | Insertion of heart pacemaker | 10.18 | 9.14 | NA | 1.21 | 090 | |
| 33206 | A | Insertion of heart pacemaker | 6.67 | 5.34 | NA | 0.50 | 090 | |
| 33207 | A | Insertion of heart pacemaker | 8.04 | 5.87 | NA | 0.57 | 090 | |
| 33208 | A | Insertion of heart pacemaker | 8.13 | 6.04 | NA | 0.54 | 090 | |
| 33210 | A | Insertion of heart electrode | 3.30 | 1.29 | NA | 0.17 | 000 | |
| 33211 | A | Insertion of heart electrode | 3.40 | 1.35 | NA | 0.17 | 000 | |
| 33212 | A | Insertion of pulse generator | 5.52 | 4.34 | NA | 0.44 | 090 | |
| 33213 | A | Insertion of pulse generator | 6.37 | 4.74 | NA | 0.46 | 090 | |
| 33214 | A | Upgrade of pacemaker system | 7.75 | 5.83 | NA | 0.52 | 090 | |
| 33216 | A | Revise eltrd pacing-defib | 5.39 | 4.85 | NA | 0.36 | 090 | |
| 33217 | A | Revise eltrd pacing-defib | 5.75 | 5.17 | NA | 0.36 | 090 | |
| 33218 | A | Revise eltrd pacing-defib | 5.44 | 4.41 | NA | 0.40 | 090 | |
| 33220 | A | Revise eltrd pacing-defib | 5.52 | 4.45 | NA | 0.39 | 090 | |
| 33222 | A | Revise pocket, pacemaker | 4.96 | 3.82 | NA | 0.39 | 090 | |
| 33223 | A | Revise pocket, pacing-defib | 6.46 | 5.03 | NA | 0.44 | 090 | |
| 33233 | A | Removal of pacemaker system | 3.29 | 3.76 | NA | 0.22 | 090 | |
| 33234 | A | Removal of pacemaker system | 7.82 | 5.32 | NA | 0.56 | 090 | |
| 33235 | A | Removal pacemaker electrode | 9.40 | 6.14 | NA | 0.68 | 090 | |
| 33236 | A | Remove electrode/thoracotomy | 12.60 | 8.94 | NA | 1.49 | 090 | |
| 33237 | A | Remove electrode/thoracotomy | 13.71 | 9.35 | NA | 1.57 | 090 | |
| 33238 | A | Remove electrode/thoracotomy | 15.22 | 8.99 | NA | 1.56 | 090 | |
| 33240 | A | Insert pulse generator | 7.60 | 5.42 | NA | 0.53 | 090 | |
| 33241 | A | Remove pulse generator | 3.24 | 3.38 | NA | 0.21 | 090 | |
| 33243 | A | Remove eltrd/thoracotomy | 22.64 | 10.65 | NA | 2.53 | 090 | |
| 33244 | A | Remove eltrd, transven | 13.76 | 8.04 | NA | 1.05 | 090 | |
| 33245 | A | Insert epic eltrd pace-defib | 14.30 | 10.61 | NA | 1.28 | 090 | |
| 33246 | A | Insert epic eltrd/generator | 20.71 | 13.72 | NA | 2.22 | 090 | |
| 33249 | A | Eltrd/insert pace-defib | 14.23 | 8.80 | NA | 0.80 | 090 | |
| 33250 | A | Ablate heart dysrhythm focus | 21.85 | 13.66 | NA | 1.01 | 090 | |
| 33251 | A | Ablate heart dysrhythm focus | 24.88 | 14.23 | NA | 2.41 | 090 | |
| 33253 | A | Reconstruct atria | 31.06 | 16.40 | NA | 3.68 | 090 | |
| 33261 | A | Ablate heart dysrhythm focus | 24.88 | 14.43 | NA | 2.82 | 090 | |
| 33282 | A | Implant pat-active ht record | 4.17 | 4.44 | NA | 0.39 | 090 | |
| 33284 | A | Remove pat-active ht record | 2.50 | 4.02 | NA | 0.23 | 090 | |
| 33300 | A | Repair of heart wound | 17.92 | 11.66 | NA | 1.91 | 090 | |
| 33305 | A | Repair of heart wound | 21.44 | 13.12 | NA | 2.68 | 090 | |
| 33310 | A | Exploratory heart surgery | 18.51 | 11.93 | NA | 2.26 | 090 | |
| 33315 | A | Exploratory heart surgery | 22.37 | 13.31 | NA | 2.90 | 090 | |
| 33320 | A | Repair major blood vessel(s) | 16.79 | 11.00 | NA | 1.66 | 090 | |
| 33321 | A | Repair major vessel | 20.20 | 12.34 | NA | 2.70 | 090 | |
| 33322 | A | Repair major blood vessel(s) | 20.62 | 12.90 | NA | 2.51 | 090 | |
| 33330 | A | Insert major vessel graft | 21.43 | 12.65 | NA | 2.49 | 090 | |
| 33332 | A | Insert major vessel graft | 23.96 | 12.98 | NA | 2.45 | 090 | |
| 33335 | A | Insert major vessel graft | 30.01 | 15.88 | NA | 3.79 | 090 | |
| 33400 | A | Repair of aortic valve | 28.50 | 16.77 | NA | 3.09 | 090 | |
| 33401 | A | Valvuloplasty, open | 23.91 | 15.10 | NA | 2.71 | 090 | |
| 33403 | A | Valvuloplasty, w/cp bypass | 24.89 | 15.68 | NA | 2.48 | 090 | |
| 33404 | A | Prepare heart-aorta conduit | 28.54 | 16.72 | NA | 3.31 | 090 | |
| 33405 | A | Replacement of aortic valve | 35.00 | 17.61 | NA | 3.86 | 090 | |
| 33406 | A | Replacement of aortic valve | 37.50 | 18.36 | NA | 4.07 | 090 | |
| 33410 | A | Replacement of aortic valve | 32.46 | 16.82 | NA | 4.11 | 090 | |
| 33411 | A | Replacement of aortic valve | 36.25 | 18.02 | NA | 4.16 | 090 | |
| 33412 | A | Replacement of aortic valve | 42.00 | 21.33 | NA | 4.66 | 090 | |
| 33413 | A | Replacement of aortic valve | 43.50 | 22.90 | NA | 4.26 | 090 | |
| 33414 | A | Repair of aortic valve | 30.35 | 17.43 | NA | 3.79 | 090 | |
| 33415 | A | Revision, subvalvular tissue | 27.15 | 15.67 | NA | 3.25 | 090 | |
| 33416 | A | Revise ventricle muscle | 30.35 | 16.09 | NA | 3.85 | 090 | |
| 33417 | A | Repair of aortic valve | 28.53 | 16.95 | NA | 3.58 | 090 | |
| 33420 | A | Revision of mitral valve | 22.70 | 11.39 | NA | 1.48 | 090 | |
| 33422 | A | Revision of mitral valve | 25.94 | 14.55 | NA | 3.30 | 090 | |
| 33425 | A | Repair of mitral valve | 27.00 | 14.75 | NA | 3.00 | 090 | |
| 33426 | A | Repair of mitral valve | 33.00 | 17.04 | NA | 3.87 | 090 | |
| 33427 | A | Repair of mitral valve | 40.00 | 19.22 | NA | 4.30 | 090 | |
| 33430 | A | Replacement of mitral valve | 33.50 | 17.14 | NA | 3.95 | 090 | |
| 33460 | A | Revision of tricuspid valve | 23.60 | 13.82 | NA | 3.02 | 090 | |
| 33463 | A | Valvuloplasty, tricuspid | 25.62 | 14.54 | NA | 3.17 | 090 | |
| 33464 | A | Valvuloplasty, tricuspid | 27.33 | 15.17 | NA | 3.47 | 090 | |
| 33465 | A | Replace tricuspid valve | 28.79 | 15.51 | NA | 3.61 | 090 | |
| 33468 | A | Revision of tricuspid valve | 30.12 | 19.16 | NA | 4.00 | 090 | |
| 33470 | A | Revision of pulmonary valve | 20.81 | 13.53 | NA | 2.81 | 090 | |
| 33471 | A | Valvotomy, pulmonary valve | 22.25 | 13.79 | NA | 3.00 | 090 | |
| 33472 | A | Revision of pulmonary valve | 22.25 | 13.74 | NA | 2.92 | 090 | |
| 33474 | A | Revision of pulmonary valve | 23.04 | 13.16 | NA | 2.84 | 090 | |
| 33475 | A | Replacement, pulmonary valve | 33.00 | 18.35 | NA | 2.64 | 090 | |
| 33476 | A | Revision of heart chamber | 25.77 | 13.99 | NA | 2.40 | 090 | |
| 33478 | A | Revision of heart chamber | 26.74 | 14.56 | NA | 3.56 | 090 | |
| 33496 | A | Repair, prosth valve clot | 27.25 | 16.52 | NA | 3.44 | 090 | |
| 33500 | A | Repair heart vessel fistula | 25.55 | 13.59 | NA | 2.80 | 090 | |
| 33501 | A | Repair heart vessel fistula | 17.78 | 10.56 | NA | 2.05 | 090 | |
| 33502 | A | Coronary artery correction | 21.04 | 16.23 | NA | 2.51 | 090 | |
| 33503 | A | Coronary artery graft | 21.78 | 13.58 | NA | 1.42 | 090 | |
| 33504 | A | Coronary artery graft | 24.66 | 16.54 | NA | 3.04 | 090 | |
| 33505 | A | Repair artery w/tunnel | 26.84 | 17.93 | NA | 1.52 | 090 | |
| 33506 | A | Repair artery, translocation | 35.50 | 19.53 | NA | 3.19 | 090 | |
| 33510 | A | CABG, vein, single | 29.00 | 15.59 | NA | 3.13 | 090 | |
| 33511 | A | CABG, vein, two | 30.00 | 15.92 | NA | 3.34 | 090 | |
| 33512 | A | CABG, vein, three | 31.80 | 16.48 | NA | 3.70 | 090 | |
| 33513 | A | CABG, vein, four | 32.00 | 16.63 | NA | 3.99 | 090 | |
| 33514 | A | CABG, vein, five | 32.75 | 16.91 | NA | 4.37 | 090 | |
| 33516 | A | Cabg, vein, six or more | 35.00 | 17.67 | NA | 4.62 | 090 | |
| 33517 | A | CABG, artery-vein, single | 2.57 | 0.85 | NA | 0.32 | ZZZ | |
| 33518 | A | CABG, artery-vein, two | 4.85 | 1.61 | NA | 0.61 | ZZZ | |
| 33519 | A | CABG, artery-vein, three | 7.12 | 2.36 | NA | 0.89 | ZZZ | |
| 33521 | A | CABG, artery-vein, four | 9.40 | 3.12 | NA | 1.18 | ZZZ | |
| 33522 | A | CABG, artery-vein, five | 11.67 | 3.86 | NA | 1.48 | ZZZ | |
| 33523 | A | Cabg, art-vein, six or more | 13.95 | 4.59 | NA | 1.78 | ZZZ | |
| 33530 | A | Coronary artery, bypass/reop | 5.86 | 1.93 | NA | 0.73 | ZZZ | |
| 33533 | A | CABG, arterial, single | 30.00 | 17.12 | NA | 3.24 | 090 | |
| 33534 | A | CABG, arterial, two | 32.20 | 17.36 | NA | 3.63 | 090 | |
| 33535 | A | CABG, arterial, three | 34.50 | 17.88 | NA | 3.97 | 090 | |
| 33536 | A | Cabg, arterial, four or more | 37.50 | 18.31 | NA | 3.29 | 090 | |
| 33542 | A | Removal of heart lesion | 28.85 | 16.97 | NA | 3.61 | 090 | |
| 33545 | A | Repair of heart damage | 36.78 | 19.54 | NA | 4.40 | 090 | |
| 33572 | A | Open coronary endarterectomy | 4.45 | 1.47 | NA | 0.55 | ZZZ | |
| 33600 | A | Closure of valve | 29.51 | 16.47 | NA | 2.30 | 090 | |
| 33602 | A | Closure of valve | 28.54 | 15.96 | NA | 2.90 | 090 | |
| 33606 | A | Anastomosis/artery-aorta | 30.74 | 17.95 | NA | 3.59 | 090 | |
| 33608 | A | Repair anomaly w/conduit | 31.09 | 17.05 | NA | 4.17 | 090 | |
| 33610 | A | Repair by enlargement | 30.61 | 18.43 | NA | 4.02 | 090 | |
| 33611 | A | Repair double ventricle | 34.00 | 18.53 | NA | 3.28 | 090 | |
| 33612 | A | Repair double ventricle | 35.00 | 19.36 | NA | 4.44 | 090 | |
| 33615 | A | Repair, modified fontan | 34.00 | 20.22 | NA | 3.15 | 090 | |
| 33617 | A | Repair single ventricle | 37.00 | 21.31 | NA | 4.09 | 090 | |
| 33619 | A | Repair single ventricle | 45.00 | 26.38 | NA | 4.71 | 090 | |
| 33641 | A | Repair heart septum defect | 21.39 | 11.71 | NA | 2.67 | 090 | |
| 33645 | A | Revision of heart veins | 24.82 | 13.89 | NA | 3.27 | 090 | |
| 33647 | A | Repair heart septum defects | 28.73 | 17.04 | NA | 3.37 | 090 | |
| 33660 | A | Repair of heart defects | 30.00 | 17.04 | NA | 2.82 | 090 | |
| 33665 | A | Repair of heart defects | 28.60 | 16.92 | NA | 3.81 | 090 | |
| 33670 | A | Repair of heart chambers | 35.00 | 16.29 | NA | 2.18 | 090 | |
| 33681 | A | Repair heart septum defect | 30.61 | 17.52 | NA | 3.53 | 090 | |
| 33684 | A | Repair heart septum defect | 29.65 | 16.58 | NA | 3.77 | 090 | |
| 33688 | A | Repair heart septum defect | 30.62 | 14.18 | NA | 3.89 | 090 | |
| 33690 | A | Reinforce pulmonary artery | 19.55 | 13.26 | NA | 2.56 | 090 | |
| 33692 | A | Repair of heart defects | 30.75 | 16.77 | NA | 3.77 | 090 | |
| 33694 | A | Repair of heart defects | 34.00 | 18.42 | NA | 4.27 | 090 | |
| 33697 | A | Repair of heart defects | 36.00 | 18.65 | NA | 4.54 | 090 | |
| 33702 | A | Repair of heart defects | 26.54 | 16.25 | NA | 3.45 | 090 | |
| 33710 | A | Repair of heart defects | 29.71 | 17.07 | NA | 3.85 | 090 | |
| 33720 | A | Repair of heart defect | 26.56 | 15.88 | NA | 3.21 | 090 | |
| 33722 | A | Repair of heart defect | 28.41 | 17.22 | NA | 3.80 | 090 | |
| 33730 | A | Repair heart-vein defect(s) | 34.25 | 17.63 | NA | 2.85 | 090 | |
| 33732 | A | Repair heart-vein defect | 28.16 | 16.46 | NA | 2.78 | 090 | |
| 33735 | A | Revision of heart chamber | 21.39 | 12.93 | NA | 1.12 | 090 | |
| 33736 | A | Revision of heart chamber | 23.52 | 15.03 | NA | 2.70 | 090 | |
| 33737 | A | Revision of heart chamber | 21.76 | 13.98 | NA | 2.93 | 090 | |
| 33750 | A | Major vessel shunt | 21.41 | 12.99 | NA | 1.74 | 090 | |
| 33755 | A | Major vessel shunt | 21.79 | 13.29 | NA | 2.93 | 090 | |
| 33762 | A | Major vessel shunt | 21.79 | 12.96 | NA | 1.59 | 090 | |
| 33764 | A | Major vessel shunt graft | 21.79 | 12.76 | NA | 1.93 | 090 | |
| 33766 | A | Major vessel shunt | 22.76 | 14.68 | NA | 3.04 | 090 | |
| 33767 | A | Major vessel shunt | 24.50 | 14.71 | NA | 3.14 | 090 | |
| 33770 | A | Repair great vessels defect | 37.00 | 18.64 | NA | 4.49 | 090 | |
| 33771 | A | Repair great vessels defect | 34.65 | 17.61 | NA | 4.67 | 090 | |
| 33774 | A | Repair great vessels defect | 30.98 | 16.19 | NA | 4.18 | 090 | |
| 33775 | A | Repair great vessels defect | 32.20 | 16.66 | NA | 4.34 | 090 | |
| 33776 | A | Repair great vessels defect | 34.04 | 17.37 | NA | 4.58 | 090 | |
| 33777 | A | Repair great vessels defect | 33.46 | 17.15 | NA | 4.51 | 090 | |
| 33778 | A | Repair great vessels defect | 40.00 | 19.94 | NA | 4.83 | 090 | |
| 33779 | A | Repair great vessels defect | 36.21 | 18.42 | NA | 2.40 | 090 | |
| 33780 | A | Repair great vessels defect | 41.75 | 22.00 | NA | 5.21 | 090 | |
| 33781 | A | Repair great vessels defect | 36.45 | 18.30 | NA | 4.91 | 090 | |
| 33786 | A | Repair arterial trunk | 39.00 | 19.29 | NA | 4.69 | 090 | |
| 33788 | A | Revision of pulmonary artery | 26.62 | 15.05 | NA | 3.32 | 090 | |
| 33800 | A | Aortic suspension | 16.24 | 12.12 | NA | 1.11 | 090 | |
| 33802 | A | Repair vessel defect | 17.66 | 12.50 | NA | 1.56 | 090 | |
| 33803 | A | Repair vessel defect | 19.60 | 12.94 | NA | 2.63 | 090 | |
| 33813 | A | Repair septal defect | 20.65 | 14.23 | NA | 2.78 | 090 | |
| 33814 | A | Repair septal defect | 25.77 | 15.91 | NA | 2.52 | 090 | |
| 33820 | A | Revise major vessel | 16.29 | 11.02 | NA | 2.10 | 090 | |
| 33822 | A | Revise major vessel | 17.32 | 10.91 | NA | 2.33 | 090 | |
| 33824 | A | Revise major vessel | 19.52 | 12.28 | NA | 2.61 | 090 | |
| 33840 | A | Remove aorta constriction | 20.63 | 13.62 | NA | 2.36 | 090 | |
| 33845 | A | Remove aorta constriction | 22.12 | 14.50 | NA | 2.90 | 090 | |
| 33851 | A | Remove aorta constriction | 21.27 | 14.06 | NA | 2.86 | 090 | |
| 33852 | A | Repair septal defect | 23.71 | 15.22 | NA | 3.19 | 090 | |
| 33853 | A | Repair septal defect | 31.72 | 18.12 | NA | 4.23 | 090 | |
| 33860 | A | Ascending aortic graft | 38.00 | 18.58 | NA | 4.30 | 090 | |
| 33861 | A | Ascending aortic graft | 42.00 | 19.90 | NA | 4.24 | 090 | |
| 33863 | A | Ascending aortic graft | 45.00 | 20.85 | NA | 4.60 | 090 | |
| 33870 | A | Transverse aortic arch graft | 44.00 | 20.48 | NA | 5.09 | 090 | |
| 33875 | A | Thoracic aortic graft | 33.06 | 16.78 | NA | 4.08 | 090 | |
| 33877 | A | Thoracoabdominal graft | 42.60 | 21.40 | NA | 5.07 | 090 | |
| 33910 | A | Remove lung artery emboli | 24.59 | 13.95 | NA | 3.06 | 090 | |
| 33915 | A | Remove lung artery emboli | 21.02 | 12.25 | NA | 1.20 | 090 | |
| 33916 | A | Surgery of great vessel | 25.83 | 14.51 | NA | 3.04 | 090 | |
| 33917 | A | Repair pulmonary artery | 24.50 | 15.30 | NA | 3.17 | 090 | |
| 33918 | A | Repair pulmonary atresia | 26.45 | 15.17 | NA | 3.42 | 090 | |
| 33919 | A | Repair pulmonary atresia | 40.00 | 20.96 | NA | 3.48 | 090 | |
| 33920 | A | Repair pulmonary atresia | 31.95 | 16.64 | NA | 3.61 | 090 | |
| 33922 | A | Transect pulmonary artery | 23.52 | 14.03 | NA | 2.30 | 090 | |
| 33924 | A | Remove pulmonary shunt | 5.50 | 1.86 | NA | 0.74 | ZZZ | |
| 33930 | X | Removal of donor heart/lung | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33935 | R | Transplantation, heart/lung | 60.96 | 27.45 | NA | 8.15 | 090 | |
| 33940 | X | Removal of donor heart | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33945 | R | Transplantation of heart | 42.10 | 21.20 | NA | 5.42 | 090 | |
| 33960 | A | External circulation assist | 19.36 | 5.10 | NA | 2.14 | 000 | |
| 33961 | A | External circulation assist | 10.93 | 3.66 | NA | 1.47 | ZZZ | |
| 33967 | A | Insert ia percut device | 4.85 | 1.90 | 1.90 | 0.27 | 000 | |
| 33968 | A | Remove aortic assist device | 0.64 | 0.23 | NA | 0.07 | 000 | |
| 33970 | A | Aortic circulation assist | 6.75 | 2.30 | NA | 0.70 | 000 | |
| 33971 | A | Aortic circulation assist | 9.69 | 7.71 | NA | 0.97 | 090 | |
| 33973 | A | Insert balloon device | 9.76 | 3.34 | NA | 1.01 | 000 | |
| 33974 | A | Remove intra-aortic balloon | 14.41 | 10.41 | NA | 1.48 | 090 | |
| 33975 | A | Implant ventricular device | 21.00 | 6.40 | NA | 1.72 | XXX | |
| 33976 | A | Implant ventricular device | 23.00 | 7.60 | NA | 2.82 | XXX | |
| 33977 | A | Remove ventricular device | 19.29 | 10.25 | NA | 2.44 | 090 | |
| 33978 | A | Remove ventricular device | 21.73 | 11.11 | NA | 2.66 | 090 | |
| 33979 | C | Insert intracorporeal device | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33980 | C | Remove intracorporeal device | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 33999 | C | Cardiac surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 34001 | A | Removal of artery clot | 12.91 | 5.88 | NA | 1.46 | 090 | |
| 34051 | A | Removal of artery clot | 15.21 | 6.83 | NA | 1.90 | 090 | |
| 34101 | A | Removal of artery clot | 10.00 | 4.69 | NA | 1.11 | 090 | |
| 34111 | A | Removal of arm artery clot | 10.00 | 4.78 | NA | 0.85 | 090 | |
| 34151 | A | Removal of artery clot | 25.00 | 10.26 | NA | 1.84 | 090 | |
| 34201 | A | Removal of artery clot | 10.03 | 5.02 | NA | 1.02 | 090 | |
| 34203 | A | Removal of leg artery clot | 16.50 | 7.46 | NA | 1.37 | 090 | |
| 34401 | A | Removal of vein clot | 25.00 | 10.14 | NA | 1.20 | 090 | |
| 34421 | A | Removal of vein clot | 12.00 | 5.88 | NA | 0.95 | 090 | |
| 34451 | A | Removal of vein clot | 27.00 | 10.74 | NA | 1.59 | 090 | |
| 34471 | A | Removal of vein clot | 10.18 | 4.86 | NA | 0.90 | 090 | |
| 34490 | A | Removal of vein clot | 9.86 | 6.04 | NA | 0.73 | 090 | |
| 34501 | A | Repair valve, femoral vein | 16.00 | 9.06 | NA | 1.37 | 090 | |
| 34502 | A | Reconstruct vena cava | 26.95 | 11.01 | NA | 2.99 | 090 | |
| 34510 | A | Transposition of vein valve | 18.95 | 10.02 | NA | 1.60 | 090 | |
| 34520 | A | Cross-over vein graft | 17.95 | 9.30 | NA | 1.41 | 090 | |
| 34530 | A | Leg vein fusion | 16.64 | 8.67 | NA | 2.06 | 090 | |
| 34800 | A | Endovasc abdo repair w/tube | 20.75 | 9.53 | NA | 1.49 | 090 | |
| 34802 | A | Endovasc abdo repr w/device | 23.00 | 10.40 | NA | 1.65 | 090 | |
| 34804 | A | Endovasc abdo repr w/device | 23.00 | 10.40 | NA | 1.65 | 090 | |
| 34808 | A | Endovasc abdo occlud device | 4.13 | 1.60 | NA | 0.29 | ZZZ | |
| 34812 | A | Xpose for endoprosth, aortic | 6.75 | 2.61 | NA | 0.49 | 000 | |
| 34813 | A | Xpose for endoprosth, femorl | 4.80 | 1.86 | NA | 0.34 | ZZZ | |
| 34820 | A | Xpose for endoprosth, iliac | 9.75 | 3.77 | NA | 0.70 | 000 | |
| 34825 | A | Endovasc extend prosth, init | 12.00 | 6.15 | NA | 0.86 | 090 | |
| 34826 | A | Endovasc exten prosth, addl | 4.13 | 1.60 | NA | 0.29 | ZZZ | |
| 34830 | A | Open aortic tube prosth repr | 32.59 | 14.47 | NA | 2.34 | 090 | |
| 34831 | A | Open aortoiliac prosth repr | 35.34 | 15.53 | NA | 2.53 | 090 | |
| 34832 | A | Open aortofemor prosth repr | 35.34 | 15.53 | NA | 2.53 | 090 | |
| 35001 | A | Repair defect of artery | 19.64 | 8.39 | NA | 2.44 | 090 | |
| 35002 | A | Repair artery rupture, neck | 21.00 | 9.08 | NA | 1.82 | 090 | |
| 35005 | A | Repair defect of artery | 18.12 | 7.79 | NA | 1.35 | 090 | |
| 35011 | A | Repair defect of artery | 18.00 | 7.40 | NA | 1.30 | 090 | |
| 35013 | A | Repair artery rupture, arm | 22.00 | 8.71 | NA | 1.91 | 090 | |
| 35021 | A | Repair defect of artery | 19.65 | 8.55 | NA | 1.93 | 090 | |
| 35022 | A | Repair artery rupture, chest | 23.18 | 9.41 | NA | 1.99 | 090 | |
| 35045 | A | Repair defect of arm artery | 17.57 | 8.53 | NA | 1.25 | 090 | |
| 35081 | A | Repair defect of artery | 28.01 | 11.65 | NA | 3.20 | 090 | |
| 35082 | A | Repair artery rupture, aorta | 38.50 | 14.62 | NA | 4.07 | 090 | |
| 35091 | A | Repair defect of artery | 35.40 | 13.95 | NA | 4.09 | 090 | |
| 35092 | A | Repair artery rupture, aorta | 45.00 | 16.95 | NA | 4.31 | 090 | |
| 35102 | A | Repair defect of artery | 30.76 | 12.36 | NA | 3.44 | 090 | |
| 35103 | A | Repair artery rupture, groin | 40.50 | 15.43 | NA | 3.79 | 090 | |
| 35111 | A | Repair defect of artery | 25.00 | 10.21 | NA | 1.81 | 090 | |
| 35112 | A | Repair artery rupture,spleen | 30.00 | 11.66 | NA | 1.95 | 090 | |
| 35121 | A | Repair defect of artery | 30.00 | 12.07 | NA | 2.93 | 090 | |
| 35122 | A | Repair artery rupture, belly | 35.00 | 13.45 | NA | 3.54 | 090 | |
| 35131 | A | Repair defect of artery | 25.00 | 10.39 | NA | 2.11 | 090 | |
| 35132 | A | Repair artery rupture, groin | 30.00 | 11.82 | NA | 2.48 | 090 | |
| 35141 | A | Repair defect of artery | 20.00 | 8.53 | NA | 1.65 | 090 | |
| 35142 | A | Repair artery rupture, thigh | 23.30 | 9.57 | NA | 1.75 | 090 | |
| 35151 | A | Repair defect of artery | 22.64 | 9.56 | NA | 1.93 | 090 | |
| 35152 | A | Repair artery rupture, knee | 25.62 | 10.43 | NA | 1.93 | 090 | |
| 35161 | A | Repair defect of artery | 18.76 | 8.66 | NA | 2.21 | 090 | |
| 35162 | A | Repair artery rupture | 19.78 | 8.82 | NA | 2.21 | 090 | |
| 35180 | A | Repair blood vessel lesion | 13.62 | 6.34 | NA | 1.44 | 090 | |
| 35182 | A | Repair blood vessel lesion | 30.00 | 12.33 | NA | 1.88 | 090 | |
| 35184 | A | Repair blood vessel lesion | 18.00 | 7.81 | NA | 1.34 | 090 | |
| 35188 | A | Repair blood vessel lesion | 14.28 | 6.55 | NA | 1.53 | 090 | |
| 35189 | A | Repair blood vessel lesion | 28.00 | 11.42 | NA | 2.12 | 090 | |
| 35190 | A | Repair blood vessel lesion | 12.75 | 5.87 | NA | 1.33 | 090 | |
| 35201 | A | Repair blood vessel lesion | 16.14 | 6.99 | NA | 1.17 | 090 | |
| 35206 | A | Repair blood vessel lesion | 13.25 | 7.43 | NA | 1.04 | 090 | |
| 35207 | A | Repair blood vessel lesion | 10.15 | 9.69 | NA | 1.15 | 090 | |
| 35211 | A | Repair blood vessel lesion | 22.12 | 13.43 | NA | 2.83 | 090 | |
| 35216 | A | Repair blood vessel lesion | 18.75 | 11.41 | NA | 2.17 | 090 | |
| 35221 | A | Repair blood vessel lesion | 24.39 | 10.09 | NA | 1.79 | 090 | |
| 35226 | A | Repair blood vessel lesion | 14.50 | 8.68 | NA | 0.84 | 090 | |
| 35231 | A | Repair blood vessel lesion | 20.00 | 9.24 | NA | 1.32 | 090 | |
| 35236 | A | Repair blood vessel lesion | 17.11 | 8.85 | NA | 1.19 | 090 | |
| 35241 | A | Repair blood vessel lesion | 23.12 | 14.08 | NA | 2.90 | 090 | |
| 35246 | A | Repair blood vessel lesion | 26.45 | 14.10 | NA | 2.22 | 090 | |
| 35251 | A | Repair blood vessel lesion | 30.20 | 12.03 | NA | 1.87 | 090 | |
| 35256 | A | Repair blood vessel lesion | 18.36 | 9.37 | NA | 1.32 | 090 | |
| 35261 | A | Repair blood vessel lesion | 17.80 | 7.44 | NA | 1.34 | 090 | |
| 35266 | A | Repair blood vessel lesion | 14.91 | 7.88 | NA | 1.16 | 090 | |
| 35271 | A | Repair blood vessel lesion | 22.12 | 13.22 | NA | 2.77 | 090 | |
| 35276 | A | Repair blood vessel lesion | 24.25 | 13.50 | NA | 2.37 | 090 | |
| 35281 | A | Repair blood vessel lesion | 28.00 | 11.42 | NA | 1.82 | 090 | |
| 35286 | A | Repair blood vessel lesion | 16.16 | 8.65 | NA | 1.36 | 090 | |
| 35301 | A | Rechanneling of artery | 18.70 | 8.29 | NA | 2.23 | 090 | |
| 35311 | A | Rechanneling of artery | 27.00 | 10.92 | NA | 2.75 | 090 | |
| 35321 | A | Rechanneling of artery | 16.00 | 6.70 | NA | 1.36 | 090 | |
| 35331 | A | Rechanneling of artery | 26.20 | 10.81 | NA | 2.71 | 090 | |
| 35341 | A | Rechanneling of artery | 25.11 | 10.41 | NA | 2.87 | 090 | |
| 35351 | A | Rechanneling of artery | 23.00 | 9.64 | NA | 2.29 | 090 | |
| 35355 | A | Rechanneling of artery | 18.50 | 8.13 | NA | 1.80 | 090 | |
| 35361 | A | Rechanneling of artery | 28.20 | 11.37 | NA | 2.66 | 090 | |
| 35363 | A | Rechanneling of artery | 30.20 | 12.11 | NA | 2.77 | 090 | |
| 35371 | A | Rechanneling of artery | 14.72 | 6.63 | NA | 1.32 | 090 | |
| 35372 | A | Rechanneling of artery | 18.00 | 7.74 | NA | 1.53 | 090 | |
| 35381 | A | Rechanneling of artery | 15.81 | 7.21 | NA | 1.80 | 090 | |
| 35390 | A | Reoperation, carotid add-on | 3.19 | 1.08 | NA | 0.38 | ZZZ | |
| 35400 | A | Angioscopy | 3.00 | 1.07 | NA | 0.34 | ZZZ | |
| 35450 | A | Repair arterial blockage | 10.07 | 4.04 | NA | 0.84 | 000 | |
| 35452 | A | Repair arterial blockage | 6.91 | 3.07 | NA | 0.76 | 000 | |
| 35454 | A | Repair arterial blockage | 6.04 | 2.75 | NA | 0.67 | 000 | |
| 35456 | A | Repair arterial blockage | 7.35 | 3.20 | NA | 0.82 | 000 | |
| 35458 | A | Repair arterial blockage | 9.49 | 3.90 | NA | 1.09 | 000 | |
| 35459 | A | Repair arterial blockage | 8.63 | 3.58 | NA | 0.96 | 000 | |
| 35460 | A | Repair venous blockage | 6.04 | 2.61 | NA | 0.66 | 000 | |
| 35470 | A | Repair arterial blockage | 8.63 | 3.89 | NA | 0.50 | 000 | |
| 35471 | A | Repair arterial blockage | 10.07 | 4.53 | NA | 0.50 | 000 | |
| 35472 | A | Repair arterial blockage | 6.91 | 3.27 | NA | 0.39 | 000 | |
| 35473 | A | Repair arterial blockage | 6.04 | 2.95 | NA | 0.34 | 000 | |
| 35474 | A | Repair arterial blockage | 7.36 | 3.43 | NA | 0.40 | 000 | |
| 35475 | R | Repair arterial blockage | 9.49 | 4.12 | NA | 0.47 | 000 | |
| 35476 | A | Repair venous blockage | 6.04 | 2.89 | NA | 0.27 | 000 | |
| 35480 | A | Atherectomy, open | 11.08 | 4.50 | NA | 1.13 | 000 | |
| 35481 | A | Atherectomy, open | 7.61 | 3.35 | NA | 0.84 | 000 | |
| 35482 | A | Atherectomy, open | 6.65 | 3.01 | NA | 0.75 | 000 | |
| 35483 | A | Atherectomy, open | 8.10 | 3.46 | NA | 0.81 | 000 | |
| 35484 | A | Atherectomy, open | 10.44 | 4.17 | NA | 1.13 | 000 | |
| 35485 | A | Atherectomy, open | 9.49 | 4.00 | NA | 1.06 | 000 | |
| 35490 | A | Atherectomy, percutaneous | 11.08 | 4.80 | NA | 0.55 | 000 | |
| 35491 | A | Atherectomy, percutaneous | 7.61 | 3.34 | NA | 0.49 | 000 | |
| 35492 | A | Atherectomy, percutaneous | 6.65 | 3.18 | NA | 0.43 | 000 | |
| 35493 | A | Atherectomy, percutaneous | 8.10 | 3.83 | NA | 0.47 | 000 | |
| 35494 | A | Atherectomy, percutaneous | 10.44 | 4.47 | NA | 0.48 | 000 | |
| 35495 | A | Atherectomy, percutaneous | 9.49 | 4.43 | NA | 0.51 | 000 | |
| 35500 | A | Harvest vein for bypass | 6.45 | 2.10 | NA | 0.63 | ZZZ | |
| 35501 | A | Artery bypass graft | 19.19 | 7.40 | NA | 2.33 | 090 | |
| 35506 | A | Artery bypass graft | 19.67 | 8.13 | NA | 2.33 | 090 | |
| 35507 | A | Artery bypass graft | 19.67 | 8.11 | NA | 2.27 | 090 | |
| 35508 | A | Artery bypass graft | 18.65 | 7.79 | NA | 2.34 | 090 | |
| 35509 | A | Artery bypass graft | 18.07 | 7.56 | NA | 2.12 | 090 | |
| 35511 | A | Artery bypass graft | 21.20 | 8.67 | NA | 1.74 | 090 | |
| 35515 | A | Artery bypass graft | 18.65 | 7.91 | NA | 2.26 | 090 | |
| 35516 | A | Artery bypass graft | 16.32 | 5.78 | NA | 1.88 | 090 | |
| 35518 | A | Artery bypass graft | 21.20 | 8.48 | NA | 1.78 | 090 | |
| 35521 | A | Artery bypass graft | 22.20 | 9.34 | NA | 1.82 | 090 | |
| 35526 | A | Artery bypass graft | 29.95 | 11.90 | NA | 2.18 | 090 | |
| 35531 | A | Artery bypass graft | 36.20 | 14.13 | NA | 2.91 | 090 | |
| 35533 | A | Artery bypass graft | 28.00 | 11.41 | NA | 2.35 | 090 | |
| 35536 | A | Artery bypass graft | 31.70 | 12.64 | NA | 2.62 | 090 | |
| 35541 | A | Artery bypass graft | 25.80 | 10.72 | NA | 2.74 | 090 | |
| 35546 | A | Artery bypass graft | 25.54 | 10.49 | NA | 2.84 | 090 | |
| 35548 | A | Artery bypass graft | 21.57 | 9.14 | NA | 2.45 | 090 | |
| 35549 | A | Artery bypass graft | 23.35 | 9.77 | NA | 2.77 | 090 | |
| 35551 | A | Artery bypass graft | 26.67 | 10.92 | NA | 3.19 | 090 | |
| 35556 | A | Artery bypass graft | 21.76 | 9.26 | NA | 2.48 | 090 | |
| 35558 | A | Artery bypass graft | 21.20 | 9.00 | NA | 1.58 | 090 | |
| 35560 | A | Artery bypass graft | 32.00 | 12.82 | NA | 2.73 | 090 | |
| 35563 | A | Artery bypass graft | 24.20 | 10.04 | NA | 1.68 | 090 | |
| 35565 | A | Artery bypass graft | 23.20 | 9.72 | NA | 1.71 | 090 | |
| 35566 | A | Artery bypass graft | 26.92 | 11.71 | NA | 3.02 | 090 | |
| 35571 | A | Artery bypass graft | 24.06 | 11.90 | NA | 2.14 | 090 | |
| 35582 | A | Vein bypass graft | 27.13 | 11.14 | NA | 3.11 | 090 | |
| 35583 | A | Vein bypass graft | 22.37 | 10.46 | NA | 2.53 | 090 | |
| 35585 | A | Vein bypass graft | 28.39 | 14.26 | NA | 3.21 | 090 | |
| 35587 | A | Vein bypass graft | 24.75 | 12.62 | NA | 2.17 | 090 | |
| 35600 | A | Harvest artery for cabg | 4.95 | 1.91 | NA | 0.60 | ZZZ | |
| 35601 | A | Artery bypass graft | 17.50 | 7.33 | NA | 2.08 | 090 | |
| 35606 | A | Artery bypass graft | 18.71 | 7.77 | NA | 2.17 | 090 | |
| 35612 | A | Artery bypass graft | 15.76 | 6.73 | NA | 1.72 | 090 | |
| 35616 | A | Artery bypass graft | 15.70 | 6.78 | NA | 1.84 | 090 | |
| 35621 | A | Artery bypass graft | 20.00 | 8.66 | NA | 1.68 | 090 | |
| 35623 | A | Bypass graft, not vein | 24.00 | 10.02 | NA | 1.91 | 090 | |
| 35626 | A | Artery bypass graft | 27.75 | 10.95 | NA | 2.89 | 090 | |
| 35631 | A | Artery bypass graft | 34.00 | 13.44 | NA | 2.83 | 090 | |
| 35636 | A | Artery bypass graft | 29.50 | 12.09 | NA | 2.37 | 090 | |
| 35641 | A | Artery bypass graft | 24.57 | 10.29 | NA | 2.83 | 090 | |
| 35642 | A | Artery bypass graft | 17.98 | 7.87 | NA | 1.84 | 090 | |
| 35645 | A | Artery bypass graft | 17.47 | 7.71 | NA | 1.91 | 090 | |
| 35646 | A | Artery bypass graft | 31.00 | 13.01 | NA | 2.98 | 090 | |
| 35647 | A | Artery bypass graft | 28.00 | 11.74 | NA | 2.98 | 090 | |
| 35650 | A | Artery bypass graft | 19.00 | 7.78 | NA | 1.64 | 090 | |
| 35651 | A | Artery bypass graft | 25.04 | 10.47 | NA | 2.53 | 090 | |
| 35654 | A | Artery bypass graft | 25.00 | 10.36 | NA | 2.10 | 090 | |
| 35656 | A | Artery bypass graft | 19.53 | 8.28 | NA | 2.21 | 090 | |
| 35661 | A | Artery bypass graft | 19.00 | 8.10 | NA | 1.50 | 090 | |
| 35663 | A | Artery bypass graft | 22.00 | 9.41 | NA | 1.55 | 090 | |
| 35665 | A | Artery bypass graft | 21.00 | 8.99 | NA | 1.76 | 090 | |
| 35666 | A | Artery bypass graft | 22.19 | 11.74 | NA | 2.19 | 090 | |
| 35671 | A | Artery bypass graft | 19.33 | 10.32 | NA | 1.68 | 090 | |
| 35681 | A | Composite bypass graft | 1.60 | 0.54 | NA | 0.18 | ZZZ | |
| 35682 | A | Composite bypass graft | 7.20 | 2.45 | NA | 0.83 | ZZZ | |
| 35683 | A | Composite bypass graft | 8.50 | 2.90 | NA | 0.98 | ZZZ | |
| 35685 | A | Bypass graft patency/patch | 4.05 | 1.47 | NA | 0.41 | ZZZ | |
| 35686 | A | Bypass graft/av fist patency | 3.35 | 1.22 | NA | 0.34 | ZZZ | |
| 35691 | A | Arterial transposition | 18.05 | 7.55 | NA | 2.06 | 090 | |
| 35693 | A | Arterial transposition | 15.36 | 6.55 | NA | 1.80 | 090 | |
| 35694 | A | Arterial transposition | 19.16 | 7.86 | NA | 2.13 | 090 | |
| 35695 | A | Arterial transposition | 19.16 | 7.82 | NA | 2.19 | 090 | |
| 35700 | A | Reoperation, bypass graft | 3.08 | 1.04 | NA | 0.36 | ZZZ | |
| 35701 | A | Exploration, carotid artery | 8.50 | 4.57 | NA | 0.64 | 090 | |
| 35721 | A | Exploration, femoral artery | 7.18 | 5.04 | NA | 0.59 | 090 | |
| 35741 | A | Exploration popliteal artery | 8.00 | 5.28 | NA | 0.60 | 090 | |
| 35761 | A | Exploration of artery/vein | 5.37 | 4.36 | NA | 0.60 | 090 | |
| 35800 | A | Explore neck vessels | 7.02 | 3.89 | NA | 0.79 | 090 | |
| 35820 | A | Explore chest vessels | 12.88 | 4.26 | NA | 1.61 | 090 | |
| 35840 | A | Explore abdominal vessels | 9.77 | 5.10 | NA | 1.06 | 090 | |
| 35860 | A | Explore limb vessels | 5.55 | 3.53 | NA | 0.63 | 090 | |
| 35870 | A | Repair vessel graft defect | 22.17 | 9.92 | NA | 2.47 | 090 | |
| 35875 | A | Removal of clot in graft | 10.13 | 6.24 | NA | 0.97 | 090 | |
| 35876 | A | Removal of clot in graft | 17.00 | 8.78 | NA | 1.88 | 090 | |
| 35879 | A | Revise graft w/vein | 16.00 | 7.74 | NA | 1.35 | 090 | |
| 35881 | A | Revise graft w/vein | 18.00 | 8.55 | NA | 1.44 | 090 | |
| 35901 | A | Excision, graft, neck | 8.19 | 5.74 | NA | 0.90 | 090 | |
| 35903 | A | Excision, graft, extremity | 9.39 | 8.01 | NA | 1.03 | 090 | |
| 35905 | A | Excision, graft, thorax | 31.25 | 14.95 | NA | 2.15 | 090 | |
| 35907 | A | Excision, graft, abdomen | 35.00 | 14.55 | NA | 2.17 | 090 | |
| 36000 | A | Place needle in vein | 0.18 | 0.05 | 0.64 | 0.01 | XXX | |
| 36002 | A | Pseudoaneurysm injection trt | 1.96 | 1.01 | 2.91 | 0.08 | 000 | |
| 36005 | A | Injection ext venography | 0.95 | 0.33 | 8.26 | 0.04 | 000 | |
| 36010 | A | Place catheter in vein | 2.43 | 0.81 | NA | 0.16 | XXX | |
| 36011 | A | Place catheter in vein | 3.14 | 1.06 | NA | 0.17 | XXX | |
| 36012 | A | Place catheter in vein | 3.52 | 1.19 | NA | 0.17 | XXX | |
| 36013 | A | Place catheter in artery | 2.52 | 0.67 | NA | 0.17 | XXX | |
| 36014 | A | Place catheter in artery | 3.02 | 1.03 | NA | 0.14 | XXX | |
| 36015 | A | Place catheter in artery | 3.52 | 1.20 | NA | 0.16 | XXX | |
| 36100 | A | Establish access to artery | 3.02 | 1.13 | NA | 0.18 | XXX | |
| 36120 | A | Establish access to artery | 2.01 | 0.67 | NA | 0.11 | XXX | |
| 36140 | A | Establish access to artery | 2.01 | 0.66 | NA | 0.12 | XXX | |
| 36145 | A | Artery to vein shunt | 2.01 | 0.68 | NA | 0.10 | XXX | |
| 36160 | A | Establish access to aorta | 2.52 | 0.86 | NA | 0.20 | XXX | |
| 36200 | A | Place catheter in aorta | 3.02 | 1.05 | NA | 0.15 | XXX | |
| 36215 | A | Place catheter in artery | 4.68 | 1.63 | NA | 0.22 | XXX | |
| 36216 | A | Place catheter in artery | 5.28 | 1.82 | NA | 0.24 | XXX | |
| 36217 | A | Place catheter in artery | 6.30 | 2.22 | NA | 0.32 | XXX | |
| 36218 | A | Place catheter in artery | 1.01 | 0.36 | NA | 0.05 | ZZZ | |
| 36245 | A | Place catheter in artery | 4.68 | 1.71 | NA | 0.23 | XXX | |
| 36246 | A | Place catheter in artery | 5.28 | 1.85 | NA | 0.26 | XXX | |
| 36247 | A | Place catheter in artery | 6.30 | 2.18 | NA | 0.32 | XXX | |
| 36248 | A | Place catheter in artery | 1.01 | 0.36 | NA | 0.06 | ZZZ | |
| 36260 | A | Insertion of infusion pump | 9.71 | 5.46 | NA | 1.00 | 090 | |
| 36261 | A | Revision of infusion pump | 5.45 | 3.30 | NA | 0.50 | 090 | |
| 36262 | A | Removal of infusion pump | 4.02 | 2.47 | NA | 0.43 | 090 | |
| 36299 | C | Vessel injection procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 36400 | A | Drawing blood | 0.38 | 0.10 | 0.72 | 0.01 | XXX | |
| 36405 | A | Drawing blood | 0.31 | 0.08 | 0.56 | 0.01 | XXX | |
| 36406 | A | Drawing blood | 0.18 | 0.05 | 0.72 | 0.01 | XXX | |
| 36410 | A | Drawing blood | 0.18 | 0.05 | 0.49 | 0.01 | XXX | |
| 36415 | I | Drawing blood | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36420 | A | Establish access to vein | 1.01 | 0.30 | NA | 0.09 | XXX | |
| 36425 | A | Establish access to vein | 0.76 | 0.17 | 3.32 | 0.05 | XXX | |
| 36430 | A | Blood transfusion service | 0.00 | NA | 1.04 | 0.05 | XXX | |
| 36440 | A | Blood transfusion service | 1.03 | 0.29 | NA | 0.08 | XXX | |
| 36450 | A | Exchange transfusion service | 2.23 | 0.72 | NA | 0.16 | XXX | |
| 36455 | A | Exchange transfusion service | 2.43 | 0.85 | NA | 0.10 | XXX | |
| 36460 | A | Transfusion service, fetal | 6.59 | 2.28 | NA | 0.56 | XXX | |
| 36468 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36469 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36470 | A | Injection therapy of vein | 1.09 | 0.39 | 2.28 | 0.10 | 010 | |
| 36471 | A | Injection therapy of veins | 1.57 | 0.55 | 2.62 | 0.15 | 010 | |
| 36481 | A | Insertion of catheter, vein | 6.99 | 2.81 | NA | 0.40 | 000 | |
| 36488 | A | Insertion of catheter, vein | 1.35 | 0.71 | NA | 0.09 | 000 | |
| 36489 | A | Insertion of catheter, vein | 2.50 | 1.03 | 4.09 | 0.08 | 000 | |
| 36490 | A | Insertion of catheter, vein | 1.67 | 0.78 | NA | 0.17 | 000 | |
| 36491 | A | Insertion of catheter, vein | 1.43 | 0.73 | NA | 0.13 | 000 | |
| 36493 | A | Repositioning of cvc | 1.21 | 0.86 | NA | 0.06 | 000 | |
| 36500 | A | Insertion of catheter, vein | 3.52 | 1.27 | NA | 0.14 | 000 | |
| 36510 | A | Insertion of catheter, vein | 1.09 | 0.71 | NA | 0.06 | 000 | |
| 36520 | A | Plasma and/or cell exchange | 1.74 | 1.04 | NA | 0.06 | 000 | |
| 36521 | A | Apheresis w/ adsorp/reinfuse | 1.74 | 1.04 | NA | 0.06 | 000 | |
| 36522 | A | Photopheresis | 1.67 | 1.12 | 6.82 | 0.07 | 000 | |
| 36530 | R | Insertion of infusion pump | 6.20 | 3.71 | NA | 0.56 | 010 | |
| 36531 | R | Revision of infusion pump | 4.87 | 3.21 | NA | 0.44 | 010 | |
| 36532 | R | Removal of infusion pump | 3.30 | 1.51 | NA | 0.34 | 010 | |
| 36533 | A | Insertion of access device | 5.32 | 3.36 | 13.86 | 0.49 | 010 | |
| 36534 | A | Revision of access device | 2.80 | 1.47 | NA | 0.19 | 010 | |
| 36535 | A | Removal of access device | 2.27 | 1.81 | 2.81 | 0.21 | 010 | |
| 36540 | B | Collect blood venous device | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36550 | A | Declot vascular device | 0.00 | NA | 0.37 | 0.31 | XXX | |
| 36600 | A | Withdrawal of arterial blood | 0.32 | 0.09 | 0.41 | 0.02 | XXX | |
| 36620 | A | Insertion catheter, artery | 1.15 | 0.25 | NA | 0.06 | 000 | |
| 36625 | A | Insertion catheter, artery | 2.11 | 0.54 | NA | 0.16 | 000 | |
| 36640 | A | Insertion catheter, artery | 2.10 | 0.72 | NA | 0.18 | 000 | |
| 36660 | A | Insertion catheter, artery | 1.40 | 0.45 | NA | 0.08 | 000 | |
| 36680 | A | Insert needle, bone cavity | 1.20 | 0.62 | NA | 0.08 | 000 | |
| 36800 | A | Insertion of cannula | 2.43 | 1.54 | NA | 0.17 | 000 | |
| 36810 | A | Insertion of cannula | 3.97 | 2.19 | NA | 0.40 | 000 | |
| 36815 | A | Insertion of cannula | 2.62 | 1.24 | NA | 0.26 | 000 | |
| 36819 | A | Av fusion/uppr arm vein | 14.00 | 6.40 | NA | 1.53 | 090 | |
| 36820 | A | Av fusion/forearm vein | 14.00 | 6.41 | NA | 1.53 | 090 | |
| 36821 | A | Av fusion direct any site | 8.93 | 4.93 | NA | 0.97 | 090 | |
| 36822 | A | Insertion of cannula(s) | 5.42 | 6.73 | NA | 0.63 | 090 | |
| 36823 | A | Insertion of cannula(s) | 21.00 | 10.32 | NA | 2.18 | 090 | |
| 36825 | A | Artery-vein graft | 9.84 | 5.45 | NA | 1.09 | 090 | |
| 36830 | A | Artery-vein graft | 12.00 | 6.02 | NA | 1.32 | 090 | |
| 36831 | A | Open thrombect av fistula | 8.00 | 3.93 | NA | 0.79 | 090 | |
| 36832 | A | Av fistula revision, open | 10.50 | 5.50 | NA | 1.13 | 090 | |
| 36833 | A | Av fistula revision | 11.95 | 6.01 | NA | 1.29 | 090 | |
| 36834 | A | Repair A-V aneurysm | 9.93 | 3.79 | NA | 1.06 | 090 | |
| 36835 | A | Artery to vein shunt | 7.15 | 4.41 | NA | 0.80 | 090 | |
| 36860 | A | External cannula declotting | 2.01 | 1.30 | 2.26 | 0.10 | 000 | |
| 36861 | A | Cannula declotting | 2.52 | 1.47 | NA | 0.14 | 000 | |
| 36870 | A | Percut thrombect av fistula | 5.16 | 2.41 | 42.13 | 0.23 | 090 | |
| 37140 | A | Revision of circulation | 23.60 | 10.40 | NA | 1.21 | 090 | |
| 37145 | A | Revision of circulation | 24.61 | 10.96 | NA | 2.48 | 090 | |
| 37160 | A | Revision of circulation | 21.60 | 9.11 | NA | 2.16 | 090 | |
| 37180 | A | Revision of circulation | 24.61 | 10.29 | NA | 2.63 | 090 | |
| 37181 | A | Splice spleen/kidney veins | 26.68 | 10.86 | NA | 2.67 | 090 | |
| 37195 | A | Thrombolytic therapy, stroke | 0.00 | NA | 8.32 | 0.38 | XXX | |
| 37200 | A | Transcatheter biopsy | 4.56 | 1.56 | NA | 0.19 | 000 | |
| 37201 | A | Transcatheter therapy infuse | 5.00 | 2.55 | NA | 0.24 | 000 | |
| 37202 | A | Transcatheter therapy infuse | 5.68 | 3.07 | NA | 0.38 | 000 | |
| 37203 | A | Transcatheter retrieval | 5.03 | 2.57 | NA | 0.23 | 000 | |
| 37204 | A | Transcatheter occlusion | 18.14 | 6.15 | NA | 0.85 | 000 | |
| 37205 | A | Transcatheter stent | 8.28 | 3.80 | NA | 0.43 | 000 | |
| 37206 | A | Transcatheter stent add-on | 4.13 | 1.49 | NA | 0.22 | ZZZ | |
| 37207 | A | Transcatheter stent | 8.28 | 3.52 | NA | 0.89 | 000 | |
| 37208 | A | Transcatheter stent add-on | 4.13 | 1.42 | NA | 0.44 | ZZZ | |
| 37209 | A | Exchange arterial catheter | 2.27 | 0.77 | NA | 0.11 | 000 | |
| 37250 | A | Iv us first vessel add-on | 2.10 | 0.77 | NA | 0.17 | ZZZ | |
| 37251 | A | Iv us each add vessel add-on | 1.60 | 0.57 | NA | 0.14 | ZZZ | |
| 37565 | A | Ligation of neck vein | 10.88 | 5.08 | NA | 0.45 | 090 | |
| 37600 | A | Ligation of neck artery | 11.25 | 6.28 | NA | 0.40 | 090 | |
| 37605 | A | Ligation of neck artery | 13.11 | 6.46 | NA | 0.77 | 090 | |
| 37606 | A | Ligation of neck artery | 6.28 | 3.95 | NA | 0.79 | 090 | |
| 37607 | A | Ligation of a-v fistula | 6.16 | 3.61 | NA | 0.67 | 090 | |
| 37609 | A | Temporal artery procedure | 3.00 | 2.50 | 7.03 | 0.21 | 010 | |
| 37615 | A | Ligation of neck artery | 5.73 | 3.61 | NA | 0.57 | 090 | |
| 37616 | A | Ligation of chest artery | 16.49 | 10.47 | NA | 1.93 | 090 | |
| 37617 | A | Ligation of abdomen artery | 22.06 | 9.45 | NA | 1.69 | 090 | |
| 37618 | A | Ligation of extremity artery | 4.84 | 3.46 | NA | 0.54 | 090 | |
| 37620 | A | Revision of major vein | 10.56 | 5.41 | NA | 0.75 | 090 | |
| 37650 | A | Revision of major vein | 7.80 | 4.57 | NA | 0.56 | 090 | |
| 37660 | A | Revision of major vein | 21.00 | 9.30 | NA | 1.17 | 090 | |
| 37700 | A | Revise leg vein | 3.73 | 3.08 | NA | 0.40 | 090 | |
| 37720 | A | Removal of leg vein | 5.66 | 3.60 | NA | 0.61 | 090 | |
| 37730 | A | Removal of leg veins | 7.33 | 4.44 | NA | 0.77 | 090 | |
| 37735 | A | Removal of leg veins/lesion | 10.53 | 5.77 | NA | 1.17 | 090 | |
| 37760 | A | Revision of leg veins | 10.47 | 5.61 | NA | 1.11 | 090 | |
| 37780 | A | Revision of leg vein | 3.84 | 2.91 | NA | 0.41 | 090 | |
| 37785 | A | Revise secondary varicosity | 3.84 | 2.82 | 6.83 | 0.41 | 090 | |
| 37788 | A | Revascularization, penis | 22.01 | 12.45 | NA | 1.35 | 090 | |
| 37790 | A | Penile venous occlusion | 8.34 | 6.96 | NA | 0.63 | 090 | |
| 37799 | C | Vascular surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38100 | A | Removal of spleen, total | 14.50 | 6.57 | NA | 1.30 | 090 | |
| 38101 | A | Removal of spleen, partial | 15.31 | 6.98 | NA | 1.38 | 090 | |
| 38102 | A | Removal of spleen, total | 4.80 | 1.68 | NA | 0.49 | ZZZ | |
| 38115 | A | Repair of ruptured spleen | 15.82 | 7.04 | NA | 1.40 | 090 | |
| 38120 | A | Laparoscopy, splenectomy | 17.00 | 7.42 | NA | 1.73 | 090 | |
| 38129 | C | Laparoscope proc, spleen | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38200 | A | Injection for spleen x-ray | 2.64 | 0.92 | NA | 0.12 | 000 | |
| 38220 | A | Bone marrow aspiration | 1.08 | 0.43 | 4.59 | 0.03 | XXX | |
| 38221 | A | Bone marrow biopsy | 1.37 | 0.54 | 4.70 | 0.04 | XXX | |
| 38230 | R | Bone marrow collection | 4.54 | 2.44 | NA | 0.25 | 010 | |
| 38231 | R | Stem cell collection | 1.50 | 0.59 | NA | 0.05 | 000 | |
| 38240 | R | Bone marrow/stem transplant | 2.24 | 0.84 | NA | 0.08 | XXX | |
| 38241 | R | Bone marrow/stem transplant | 2.24 | 0.84 | NA | 0.08 | XXX | |
| 38300 | A | Drainage, lymph node lesion | 1.99 | 2.57 | 4.60 | 0.15 | 010 | |
| 38305 | A | Drainage, lymph node lesion | 6.00 | 6.22 | 8.50 | 0.36 | 090 | |
| 38308 | A | Incision of lymph channels | 6.45 | 5.62 | NA | 0.51 | 090 | |
| 38380 | A | Thoracic duct procedure | 7.46 | 7.40 | NA | 0.68 | 090 | |
| 38381 | A | Thoracic duct procedure | 12.88 | 9.51 | NA | 1.58 | 090 | |
| 38382 | A | Thoracic duct procedure | 10.08 | 9.00 | NA | 1.08 | 090 | |
| 38500 | A | Biopsy/removal, lymph nodes | 3.75 | 2.54 | 3.02 | 0.28 | 010 | |
| 38505 | A | Needle biopsy, lymph nodes | 1.14 | 1.11 | 3.15 | 0.09 | 000 | |
| 38510 | A | Biopsy/removal, lymph nodes | 6.43 | 5.36 | NA | 0.38 | 010 | |
| 38520 | A | Biopsy/removal, lymph nodes | 6.67 | 5.44 | NA | 0.52 | 090 | |
| 38525 | A | Biopsy/removal, lymph nodes | 6.07 | 4.38 | NA | 0.48 | 090 | |
| 38530 | A | Biopsy/removal, lymph nodes | 7.98 | 5.82 | NA | 0.63 | 090 | |
| 38542 | A | Explore deep node(s), neck | 5.91 | 5.91 | NA | 0.50 | 090 | |
| 38550 | A | Removal, neck/armpit lesion | 6.92 | 4.76 | NA | 0.69 | 090 | |
| 38555 | A | Removal, neck/armpit lesion | 14.14 | 10.08 | NA | 1.46 | 090 | |
| 38562 | A | Removal, pelvic lymph nodes | 10.49 | 6.59 | NA | 0.97 | 090 | |
| 38564 | A | Removal, abdomen lymph nodes | 10.83 | 6.31 | NA | 1.06 | 090 | |
| 38570 | A | Laparoscopy, lymph node biop | 9.25 | 4.53 | NA | 0.89 | 010 | |
| 38571 | A | Laparoscopy, lymphadenectomy | 14.68 | 6.29 | NA | 0.80 | 010 | |
| 38572 | A | Laparoscopy, lymphadenectomy | 16.59 | 7.39 | NA | 1.32 | 010 | |
| 38589 | C | Laparoscope proc, lymphatic | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38700 | A | Removal of lymph nodes, neck | 8.24 | 13.45 | NA | 0.60 | 090 | |
| 38720 | A | Removal of lymph nodes, neck | 13.61 | 16.01 | NA | 1.03 | 090 | |
| 38724 | A | Removal of lymph nodes, neck | 14.54 | 16.49 | NA | 1.10 | 090 | |
| 38740 | A | Remove armpit lymph nodes | 10.03 | 5.80 | NA | 0.69 | 090 | |
| 38745 | A | Remove armpit lymph nodes | 13.10 | 8.29 | NA | 0.90 | 090 | |
| 38746 | A | Remove thoracic lymph nodes | 4.89 | 1.62 | NA | 0.55 | ZZZ | |
| 38747 | A | Remove abdominal lymph nodes | 4.89 | 1.71 | NA | 0.50 | ZZZ | |
| 38760 | A | Remove groin lymph nodes | 12.95 | 7.18 | NA | 0.88 | 090 | |
| 38765 | A | Remove groin lymph nodes | 19.98 | 11.40 | NA | 1.50 | 090 | |
| 38770 | A | Remove pelvis lymph nodes | 13.23 | 6.95 | NA | 0.94 | 090 | |
| 38780 | A | Remove abdomen lymph nodes | 16.59 | 9.36 | NA | 1.60 | 090 | |
| 38790 | A | Inject for lymphatic x-ray | 1.29 | 0.45 | 31.71 | 0.09 | 000 | |
| 38792 | A | Identify sentinel node | 0.52 | 0.18 | NA | 0.04 | 000 | |
| 38794 | A | Access thoracic lymph duct | 4.45 | 1.56 | NA | 0.17 | 090 | |
| 38999 | C | Blood/lymph system procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39000 | A | Exploration of chest | 6.10 | 7.21 | NA | 0.73 | 090 | |
| 39010 | A | Exploration of chest | 11.79 | 9.38 | NA | 1.46 | 090 | |
| 39200 | A | Removal chest lesion | 13.62 | 9.88 | NA | 1.65 | 090 | |
| 39220 | A | Removal chest lesion | 17.42 | 11.13 | NA | 2.10 | 090 | |
| 39400 | A | Visualization of chest | 5.61 | 6.84 | NA | 0.69 | 010 | |
| 39499 | C | Chest procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39501 | A | Repair diaphragm laceration | 13.19 | 7.70 | NA | 1.38 | 090 | |
| 39502 | A | Repair paraesophageal hernia | 16.33 | 8.24 | NA | 1.68 | 090 | |
| 39503 | A | Repair of diaphragm hernia | 95.00 | 34.58 | NA | 3.52 | 090 | |
| 39520 | A | Repair of diaphragm hernia | 16.10 | 9.54 | NA | 1.83 | 090 | |
| 39530 | A | Repair of diaphragm hernia | 15.41 | 8.49 | NA | 1.66 | 090 | |
| 39531 | A | Repair of diaphragm hernia | 16.42 | 8.73 | NA | 1.83 | 090 | |
| 39540 | A | Repair of diaphragm hernia | 13.32 | 7.75 | NA | 1.38 | 090 | |
| 39541 | A | Repair of diaphragm hernia | 14.41 | 7.83 | NA | 1.52 | 090 | |
| 39545 | A | Revision of diaphragm | 13.37 | 8.96 | NA | 1.55 | 090 | |
| 39560 | A | Resect diaphragm, simple | 12.00 | 7.55 | NA | 1.35 | 090 | |
| 39561 | A | Resect diaphragm, complex | 17.50 | 9.58 | NA | 1.97 | 090 | |
| 39599 | C | Diaphragm surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40490 | A | Biopsy of lip | 1.22 | 0.61 | 1.59 | 0.06 | 000 | |
| 40500 | A | Partial excision of lip | 4.28 | 5.64 | 5.64 | 0.31 | 090 | |
| 40510 | A | Partial excision of lip | 4.70 | 6.55 | 6.62 | 0.38 | 090 | |
| 40520 | A | Partial excision of lip | 4.67 | 6.99 | 7.74 | 0.42 | 090 | |
| 40525 | A | Reconstruct lip with flap | 7.55 | 8.45 | NA | 0.68 | 090 | |
| 40527 | A | Reconstruct lip with flap | 9.13 | 9.33 | NA | 0.82 | 090 | |
| 40530 | A | Partial removal of lip | 5.40 | 6.30 | 6.53 | 0.47 | 090 | |
| 40650 | A | Repair lip | 3.64 | 4.83 | 5.45 | 0.31 | 090 | |
| 40652 | A | Repair lip | 4.26 | 6.80 | 6.80 | 0.39 | 090 | |
| 40654 | A | Repair lip | 5.31 | 7.67 | 7.67 | 0.48 | 090 | |
| 40700 | A | Repair cleft lip/nasal | 12.79 | 10.40 | NA | 0.93 | 090 | |
| 40701 | A | Repair cleft lip/nasal | 15.85 | 12.85 | NA | 1.36 | 090 | |
| 40702 | A | Repair cleft lip/nasal | 13.04 | 9.44 | NA | 1.01 | 090 | |
| 40720 | A | Repair cleft lip/nasal | 13.55 | 12.14 | NA | 1.31 | 090 | |
| 40761 | A | Repair cleft lip/nasal | 14.72 | 12.51 | NA | 1.41 | 090 | |
| 40799 | C | Lip surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40800 | A | Drainage of mouth lesion | 1.17 | 0.46 | 1.93 | 0.09 | 010 | |
| 40801 | A | Drainage of mouth lesion | 2.53 | 1.86 | 2.43 | 0.18 | 010 | |
| 40804 | A | Removal, foreign body, mouth | 1.24 | 2.16 | 2.62 | 0.09 | 010 | |
| 40805 | A | Removal, foreign body, mouth | 2.69 | 2.80 | 3.13 | 0.17 | 010 | |
| 40806 | A | Incision of lip fold | 0.31 | 0.81 | 0.91 | 0.02 | 000 | |
| 40808 | A | Biopsy of mouth lesion | 0.96 | 2.07 | 2.07 | 0.07 | 010 | |
| 40810 | A | Excision of mouth lesion | 1.31 | 2.38 | 2.66 | 0.09 | 010 | |
| 40812 | A | Excise/repair mouth lesion | 2.31 | 2.88 | 2.88 | 0.17 | 010 | |
| 40814 | A | Excise/repair mouth lesion | 3.42 | 4.01 | 4.01 | 0.26 | 090 | |
| 40816 | A | Excision of mouth lesion | 3.67 | 4.31 | 4.31 | 0.27 | 090 | |
| 40818 | A | Excise oral mucosa for graft | 2.41 | 4.04 | 4.04 | 0.14 | 090 | |
| 40819 | A | Excise lip or cheek fold | 2.41 | 3.51 | 3.53 | 0.17 | 090 | |
| 40820 | A | Treatment of mouth lesion | 1.28 | 2.24 | 2.36 | 0.08 | 010 | |
| 40830 | A | Repair mouth laceration | 1.76 | 2.48 | 2.48 | 0.14 | 010 | |
| 40831 | A | Repair mouth laceration | 2.46 | 2.72 | 2.72 | 0.21 | 010 | |
| 40840 | R | Reconstruction of mouth | 8.73 | 6.06 | 6.06 | 0.79 | 090 | |
| 40842 | R | Reconstruction of mouth | 8.73 | 5.95 | 5.95 | 0.65 | 090 | |
| 40843 | R | Reconstruction of mouth | 12.10 | 7.19 | 7.19 | 0.84 | 090 | |
| 40844 | R | Reconstruction of mouth | 16.01 | 8.89 | 8.89 | 1.63 | 090 | |
| 40845 | R | Reconstruction of mouth | 18.58 | 10.81 | 10.81 | 1.47 | 090 | |
| 40899 | C | Mouth surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41000 | A | Drainage of mouth lesion | 1.30 | 1.48 | 2.35 | 0.09 | 010 | |
| 41005 | A | Drainage of mouth lesion | 1.26 | 1.45 | 2.20 | 0.09 | 010 | |
| 41006 | A | Drainage of mouth lesion | 3.24 | 3.35 | 3.66 | 0.25 | 090 | |
| 41007 | A | Drainage of mouth lesion | 3.10 | 3.15 | 3.65 | 0.22 | 090 | |
| 41008 | A | Drainage of mouth lesion | 3.37 | 3.25 | 3.49 | 0.24 | 090 | |
| 41009 | A | Drainage of mouth lesion | 3.59 | 3.23 | 3.57 | 0.25 | 090 | |
| 41010 | A | Incision of tongue fold | 1.06 | 3.19 | 3.19 | 0.06 | 010 | |
| 41015 | A | Drainage of mouth lesion | 3.96 | 3.18 | 4.11 | 0.29 | 090 | |
| 41016 | A | Drainage of mouth lesion | 4.07 | 3.34 | 4.06 | 0.28 | 090 | |
| 41017 | A | Drainage of mouth lesion | 4.07 | 3.28 | 4.07 | 0.32 | 090 | |
| 41018 | A | Drainage of mouth lesion | 5.10 | 3.74 | 4.44 | 0.35 | 090 | |
| 41100 | A | Biopsy of tongue | 1.63 | 2.58 | 2.64 | 0.12 | 010 | |
| 41105 | A | Biopsy of tongue | 1.42 | 2.43 | 2.43 | 0.10 | 010 | |
| 41108 | A | Biopsy of floor of mouth | 1.05 | 2.29 | 2.35 | 0.08 | 010 | |
| 41110 | A | Excision of tongue lesion | 1.51 | 2.57 | 3.09 | 0.11 | 010 | |
| 41112 | A | Excision of tongue lesion | 2.73 | 3.49 | 3.49 | 0.20 | 090 | |
| 41113 | A | Excision of tongue lesion | 3.19 | 3.43 | 3.43 | 0.23 | 090 | |
| 41114 | A | Excision of tongue lesion | 8.47 | 6.35 | NA | 0.64 | 090 | |
| 41115 | A | Excision of tongue fold | 1.74 | 2.47 | 2.57 | 0.13 | 010 | |
| 41116 | A | Excision of mouth lesion | 2.44 | 3.35 | 3.35 | 0.17 | 090 | |
| 41120 | A | Partial removal of tongue | 9.77 | 8.78 | NA | 0.70 | 090 | |
| 41130 | A | Partial removal of tongue | 11.15 | 9.57 | NA | 0.81 | 090 | |
| 41135 | A | Tongue and neck surgery | 23.09 | 15.91 | NA | 1.66 | 090 | |
| 41140 | A | Removal of tongue | 25.50 | 17.29 | NA | 1.85 | 090 | |
| 41145 | A | Tongue removal, neck surgery | 30.06 | 21.16 | NA | 2.11 | 090 | |
| 41150 | A | Tongue, mouth, jaw surgery | 23.04 | 17.06 | NA | 1.67 | 090 | |
| 41153 | A | Tongue, mouth, neck surgery | 23.77 | 17.65 | NA | 1.71 | 090 | |
| 41155 | A | Tongue, jaw, neck surgery | 27.72 | 19.86 | NA | 2.02 | 090 | |
| 41250 | A | Repair tongue laceration | 1.91 | 1.70 | 2.79 | 0.15 | 010 | |
| 41251 | A | Repair tongue laceration | 2.27 | 1.99 | 2.64 | 0.18 | 010 | |
| 41252 | A | Repair tongue laceration | 2.97 | 2.34 | 3.45 | 0.23 | 010 | |
| 41500 | A | Fixation of tongue | 3.71 | 4.27 | NA | 0.26 | 090 | |
| 41510 | A | Tongue to lip surgery | 3.42 | 4.76 | NA | 0.24 | 090 | |
| 41520 | A | Reconstruction, tongue fold | 2.73 | 2.95 | 2.95 | 0.19 | 090 | |
| 41599 | C | Tongue and mouth surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41800 | A | Drainage of gum lesion | 1.17 | 1.36 | 1.91 | 0.09 | 010 | |
| 41805 | A | Removal foreign body, gum | 1.24 | 1.88 | 1.88 | 0.09 | 010 | |
| 41806 | A | Removal foreign body,jawbone | 2.69 | 2.44 | 2.50 | 0.22 | 010 | |
| 41820 | R | Excision, gum, each quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41821 | R | Excision of gum flap | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41822 | R | Excision of gum lesion | 2.31 | 0.96 | 2.78 | 0.24 | 010 | |
| 41823 | R | Excision of gum lesion | 3.30 | 2.93 | 3.52 | 0.29 | 090 | |
| 41825 | A | Excision of gum lesion | 1.31 | 2.30 | 2.35 | 0.10 | 010 | |
| 41826 | A | Excision of gum lesion | 2.31 | 2.60 | 2.60 | 0.17 | 010 | |
| 41827 | A | Excision of gum lesion | 3.42 | 3.51 | 3.51 | 0.25 | 090 | |
| 41828 | R | Excision of gum lesion | 3.09 | 2.33 | 2.98 | 0.22 | 010 | |
| 41830 | R | Removal of gum tissue | 3.35 | 2.88 | 3.23 | 0.23 | 010 | |
| 41850 | R | Treatment of gum lesion | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41870 | R | Gum graft | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41872 | R | Repair gum | 2.59 | 2.80 | 2.81 | 0.18 | 090 | |
| 41874 | R | Repair tooth socket | 3.09 | 2.34 | 2.82 | 0.23 | 090 | |
| 41899 | C | Dental surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42000 | A | Drainage mouth roof lesion | 1.23 | 1.53 | 2.45 | 0.10 | 010 | |
| 42100 | A | Biopsy roof of mouth | 1.31 | 2.43 | 2.43 | 0.10 | 010 | |
| 42104 | A | Excision lesion, mouth roof | 1.64 | 2.49 | 2.49 | 0.12 | 010 | |
| 42106 | A | Excision lesion, mouth roof | 2.10 | 2.60 | 2.60 | 0.16 | 010 | |
| 42107 | A | Excision lesion, mouth roof | 4.44 | 4.04 | 4.04 | 0.32 | 090 | |
| 42120 | A | Remove palate/lesion | 6.17 | 6.03 | NA | 0.44 | 090 | |
| 42140 | A | Excision of uvula | 1.62 | 3.28 | 3.81 | 0.12 | 090 | |
| 42145 | A | Repair palate, pharynx/uvula | 8.05 | 7.41 | NA | 0.56 | 090 | |
| 42160 | A | Treatment mouth roof lesion | 1.80 | 2.64 | 3.15 | 0.13 | 010 | |
| 42180 | A | Repair palate | 2.50 | 2.10 | 2.90 | 0.19 | 010 | |
| 42182 | A | Repair palate | 3.83 | 3.06 | 3.43 | 0.27 | 010 | |
| 42200 | A | Reconstruct cleft palate | 12.00 | 10.14 | NA | 0.97 | 090 | |
| 42205 | A | Reconstruct cleft palate | 13.29 | 9.32 | NA | 0.82 | 090 | |
| 42210 | A | Reconstruct cleft palate | 14.50 | 9.50 | NA | 1.24 | 090 | |
| 42215 | A | Reconstruct cleft palate | 8.82 | 8.81 | NA | 0.96 | 090 | |
| 42220 | A | Reconstruct cleft palate | 7.02 | 6.63 | NA | 0.41 | 090 | |
| 42225 | A | Reconstruct cleft palate | 9.54 | 9.20 | NA | 0.75 | 090 | |
| 42226 | A | Lengthening of palate | 10.01 | 9.49 | NA | 0.73 | 090 | |
| 42227 | A | Lengthening of palate | 9.52 | 8.14 | NA | 0.70 | 090 | |
| 42235 | A | Repair palate | 7.87 | 6.20 | NA | 0.49 | 090 | |
| 42260 | A | Repair nose to lip fistula | 9.80 | 6.94 | 6.94 | 0.85 | 090 | |
| 42280 | A | Preparation, palate mold | 1.54 | 0.75 | 1.40 | 0.12 | 010 | |
| 42281 | A | Insertion, palate prosthesis | 1.93 | 0.96 | 1.78 | 0.14 | 010 | |
| 42299 | C | Palate/uvula surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42300 | A | Drainage of salivary gland | 1.93 | 1.87 | 2.61 | 0.15 | 010 | |
| 42305 | A | Drainage of salivary gland | 6.07 | 5.25 | NA | 0.46 | 090 | |
| 42310 | A | Drainage of salivary gland | 1.56 | 1.64 | 2.31 | 0.11 | 010 | |
| 42320 | A | Drainage of salivary gland | 2.35 | 2.11 | 2.73 | 0.17 | 010 | |
| 42325 | A | Create salivary cyst drain | 2.75 | 1.16 | 3.31 | 0.17 | 090 | |
| 42326 | A | Create salivary cyst drain | 3.78 | 1.79 | 3.28 | 0.34 | 090 | |
| 42330 | A | Removal of salivary stone | 2.21 | 1.06 | 2.74 | 0.16 | 010 | |
| 42335 | A | Removal of salivary stone | 3.31 | 3.61 | 3.61 | 0.23 | 090 | |
| 42340 | A | Removal of salivary stone | 4.60 | 4.73 | 4.73 | 0.34 | 090 | |
| 42400 | A | Biopsy of salivary gland | 0.78 | 0.39 | 2.45 | 0.06 | 000 | |
| 42405 | A | Biopsy of salivary gland | 3.29 | 3.31 | 3.38 | 0.24 | 010 | |
| 42408 | A | Excision of salivary cyst | 4.54 | 4.46 | 4.46 | 0.34 | 090 | |
| 42409 | A | Drainage of salivary cyst | 2.81 | 3.35 | 3.35 | 0.20 | 090 | |
| 42410 | A | Excise parotid gland/lesion | 9.34 | 7.83 | NA | 0.77 | 090 | |
| 42415 | A | Excise parotid gland/lesion | 16.89 | 12.41 | NA | 1.26 | 090 | |
| 42420 | A | Excise parotid gland/lesion | 19.59 | 13.97 | NA | 1.45 | 090 | |
| 42425 | A | Excise parotid gland/lesion | 13.02 | 10.38 | NA | 0.98 | 090 | |
| 42426 | A | Excise parotid gland/lesion | 21.26 | 14.76 | NA | 1.57 | 090 | |
| 42440 | A | Excise submaxillary gland | 6.97 | 5.92 | NA | 0.51 | 090 | |
| 42450 | A | Excise sublingual gland | 4.62 | 4.73 | 4.73 | 0.34 | 090 | |
| 42500 | A | Repair salivary duct | 4.30 | 4.80 | 4.80 | 0.30 | 090 | |
| 42505 | A | Repair salivary duct | 6.18 | 5.39 | 5.39 | 0.44 | 090 | |
| 42507 | A | Parotid duct diversion | 6.11 | 5.89 | NA | 0.66 | 090 | |
| 42508 | A | Parotid duct diversion | 9.10 | 7.89 | NA | 0.64 | 090 | |
| 42509 | A | Parotid duct diversion | 11.54 | 9.60 | NA | 1.24 | 090 | |
| 42510 | A | Parotid duct diversion | 8.15 | 6.93 | NA | 0.57 | 090 | |
| 42550 | A | Injection for salivary x-ray | 1.25 | 0.43 | 13.27 | 0.06 | 000 | |
| 42600 | A | Closure of salivary fistula | 4.82 | 5.64 | 6.24 | 0.34 | 090 | |
| 42650 | A | Dilation of salivary duct | 0.77 | 0.40 | 1.08 | 0.06 | 000 | |
| 42660 | A | Dilation of salivary duct | 1.13 | 1.17 | 1.17 | 0.07 | 000 | |
| 42665 | A | Ligation of salivary duct | 2.53 | 3.48 | 3.48 | 0.17 | 090 | |
| 42699 | C | Salivary surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42700 | A | Drainage of tonsil abscess | 1.62 | 1.85 | 3.19 | 0.12 | 010 | |
| 42720 | A | Drainage of throat abscess | 5.42 | 4.69 | 4.82 | 0.39 | 010 | |
| 42725 | A | Drainage of throat abscess | 10.72 | 8.42 | NA | 0.80 | 090 | |
| 42800 | A | Biopsy of throat | 1.39 | 2.55 | 3.01 | 0.10 | 010 | |
| 42802 | A | Biopsy of throat | 1.54 | 2.64 | 3.10 | 0.11 | 010 | |
| 42804 | A | Biopsy of upper nose/throat | 1.24 | 2.50 | 2.96 | 0.09 | 010 | |
| 42806 | A | Biopsy of upper nose/throat | 1.58 | 2.69 | 3.43 | 0.12 | 010 | |
| 42808 | A | Excise pharynx lesion | 2.30 | 3.09 | 4.88 | 0.17 | 010 | |
| 42809 | A | Remove pharynx foreign body | 1.81 | 1.73 | 3.42 | 0.13 | 010 | |
| 42810 | A | Excision of neck cyst | 3.25 | 4.44 | 5.46 | 0.25 | 090 | |
| 42815 | A | Excision of neck cyst | 7.07 | 6.50 | NA | 0.53 | 090 | |
| 42820 | A | Remove tonsils and adenoids | 3.91 | 3.24 | NA | 0.28 | 090 | |
| 42821 | A | Remove tonsils and adenoids | 4.29 | 4.17 | NA | 0.30 | 090 | |
| 42825 | A | Removal of tonsils | 3.42 | 3.64 | NA | 0.24 | 090 | |
| 42826 | A | Removal of tonsils | 3.38 | 3.69 | NA | 0.23 | 090 | |
| 42830 | A | Removal of adenoids | 2.57 | 2.39 | NA | 0.18 | 090 | |
| 42831 | A | Removal of adenoids | 2.71 | 2.52 | NA | 0.19 | 090 | |
| 42835 | A | Removal of adenoids | 2.30 | 3.09 | NA | 0.17 | 090 | |
| 42836 | A | Removal of adenoids | 3.18 | 3.62 | NA | 0.22 | 090 | |
| 42842 | A | Extensive surgery of throat | 8.76 | 7.73 | NA | 0.61 | 090 | |
| 42844 | A | Extensive surgery of throat | 14.31 | 11.29 | NA | 1.04 | 090 | |
| 42845 | A | Extensive surgery of throat | 24.29 | 17.33 | NA | 1.76 | 090 | |
| 42860 | A | Excision of tonsil tags | 2.22 | 3.01 | NA | 0.16 | 090 | |
| 42870 | A | Excision of lingual tonsil | 5.40 | 6.00 | NA | 0.38 | 090 | |
| 42890 | A | Partial removal of pharynx | 12.94 | 10.72 | NA | 0.91 | 090 | |
| 42892 | A | Revision of pharyngeal walls | 15.83 | 12.23 | NA | 1.14 | 090 | |
| 42894 | A | Revision of pharyngeal walls | 22.88 | 16.84 | NA | 1.64 | 090 | |
| 42900 | A | Repair throat wound | 5.25 | 3.76 | NA | 0.39 | 010 | |
| 42950 | A | Reconstruction of throat | 8.10 | 7.46 | NA | 0.58 | 090 | |
| 42953 | A | Repair throat, esophagus | 8.96 | 8.98 | NA | 0.73 | 090 | |
| 42955 | A | Surgical opening of throat | 7.39 | 6.44 | NA | 0.63 | 090 | |
| 42960 | A | Control throat bleeding | 2.33 | 2.08 | NA | 0.17 | 010 | |
| 42961 | A | Control throat bleeding | 5.59 | 5.20 | NA | 0.40 | 090 | |
| 42962 | A | Control throat bleeding | 7.14 | 6.13 | NA | 0.51 | 090 | |
| 42970 | A | Control nose/throat bleeding | 5.43 | 3.75 | NA | 0.37 | 090 | |
| 42971 | A | Control nose/throat bleeding | 6.21 | 5.75 | NA | 0.45 | 090 | |
| 42972 | A | Control nose/throat bleeding | 7.20 | 5.48 | NA | 0.54 | 090 | |
| 42999 | C | Throat surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43020 | A | Incision of esophagus | 8.09 | 6.34 | NA | 0.70 | 090 | |
| 43030 | A | Throat muscle surgery | 7.69 | 6.85 | NA | 0.60 | 090 | |
| 43045 | A | Incision of esophagus | 20.12 | 10.97 | NA | 2.15 | 090 | |
| 43100 | A | Excision of esophagus lesion | 9.19 | 7.13 | NA | 0.79 | 090 | |
| 43101 | A | Excision of esophagus lesion | 16.24 | 8.58 | NA | 1.81 | 090 | |
| 43107 | A | Removal of esophagus | 40.00 | 18.10 | NA | 3.29 | 090 | |
| 43108 | A | Removal of esophagus | 34.19 | 15.66 | NA | 3.78 | 090 | |
| 43112 | A | Removal of esophagus | 43.50 | 19.60 | NA | 3.67 | 090 | |
| 43113 | A | Removal of esophagus | 35.27 | 16.29 | NA | 4.33 | 090 | |
| 43116 | A | Partial removal of esophagus | 31.22 | 18.69 | NA | 2.62 | 090 | |
| 43117 | A | Partial removal of esophagus | 40.00 | 18.09 | NA | 3.51 | 090 | |
| 43118 | A | Partial removal of esophagus | 33.20 | 15.34 | NA | 3.56 | 090 | |
| 43121 | A | Partial removal of esophagus | 29.19 | 14.61 | NA | 3.44 | 090 | |
| 43122 | A | Parital removal of esophagus | 40.00 | 17.59 | NA | 3.27 | 090 | |
| 43123 | A | Partial removal of esophagus | 33.20 | 15.66 | NA | 3.96 | 090 | |
| 43124 | A | Removal of esophagus | 27.32 | 14.72 | NA | 2.95 | 090 | |
| 43130 | A | Removal of esophagus pouch | 11.75 | 8.78 | NA | 1.06 | 090 | |
| 43135 | A | Removal of esophagus pouch | 16.10 | 9.75 | NA | 1.85 | 090 | |
| 43200 | A | Esophagus endoscopy | 1.59 | 1.17 | 7.54 | 0.11 | 000 | |
| 43202 | A | Esophagus endoscopy, biopsy | 1.89 | 1.12 | 6.10 | 0.12 | 000 | |
| 43204 | A | Esophagus endoscopy inject | 3.77 | 1.66 | NA | 0.18 | 000 | |
| 43205 | A | Esophagus endoscopy/ligation | 3.79 | 1.67 | NA | 0.17 | 000 | |
| 43215 | A | Esophagus endoscopy | 2.60 | 1.23 | NA | 0.17 | 000 | |
| 43216 | A | Esophagus endoscopy/lesion | 2.40 | 1.17 | NA | 0.15 | 000 | |
| 43217 | A | Esophagus endoscopy | 2.90 | 1.33 | NA | 0.17 | 000 | |
| 43219 | A | Esophagus endoscopy | 2.80 | 1.39 | NA | 0.16 | 000 | |
| 43220 | A | Esoph endoscopy, dilation | 2.10 | 1.10 | NA | 0.12 | 000 | |
| 43226 | A | Esoph endoscopy, dilation | 2.34 | 1.17 | NA | 0.12 | 000 | |
| 43227 | A | Esoph endoscopy, repair | 3.60 | 1.59 | NA | 0.18 | 000 | |
| 43228 | A | Esoph endoscopy, ablation | 3.77 | 1.71 | NA | 0.25 | 000 | |
| 43231 | A | Esoph endoscopy w/us exam | 3.19 | 1.55 | NA | 0.20 | 000 | |
| 43232 | A | Esoph endoscopy w/us fn bx | 4.48 | 2.11 | NA | 0.26 | 000 | |
| 43234 | A | Upper GI endoscopy, exam | 2.01 | 1.03 | 4.21 | 0.13 | 000 | |
| 43235 | A | Uppr gi endoscopy, diagnosis | 2.39 | 1.19 | 5.80 | 0.13 | 000 | |
| 43239 | A | Upper GI endoscopy, biopsy | 2.87 | 1.23 | 6.13 | 0.14 | 000 | |
| 43240 | A | Esoph endoscope w/drain cyst | 6.86 | 2.89 | NA | 0.36 | 000 | |
| 43241 | A | Upper GI endoscopy with tube | 2.59 | 1.23 | NA | 0.14 | 000 | |
| 43242 | A | Uppr gi endoscopy w/us fn bx | 7.31 | 2.58 | 2.58 | 0.29 | 000 | |
| 43243 | A | Upper gi endoscopy inject | 4.57 | 1.94 | NA | 0.21 | 000 | |
| 43244 | A | Upper GI endoscopy/ligation | 5.05 | 2.12 | NA | 0.21 | 000 | |
| 43245 | A | Operative upper GI endoscopy | 3.39 | 1.51 | NA | 0.18 | 000 | |
| 43246 | A | Place gastrostomy tube | 4.33 | 1.79 | NA | 0.24 | 000 | |
| 43247 | A | Operative upper GI endoscopy | 3.39 | 1.51 | NA | 0.17 | 000 | |
| 43248 | A | Uppr gi endoscopy/guide wire | 3.15 | 1.44 | NA | 0.15 | 000 | |
| 43249 | A | Esoph endoscopy, dilation | 2.90 | 1.35 | NA | 0.15 | 000 | |
| 43250 | A | Upper GI endoscopy/tumor | 3.20 | 1.44 | NA | 0.17 | 000 | |
| 43251 | A | Operative upper GI endoscopy | 3.70 | 1.62 | NA | 0.19 | 000 | |
| 43255 | A | Operative upper GI endoscopy | 4.82 | 1.92 | NA | 0.20 | 000 | |
| 43256 | A | Uppr gi endoscopy w stent | 4.60 | 1.62 | 1.62 | 0.23 | 000 | |
| 43258 | A | Operative upper GI endoscopy | 4.55 | 1.93 | NA | 0.22 | 000 | |
| 43259 | A | Endoscopic ultrasound exam | 4.89 | 2.16 | NA | 0.22 | 000 | |
| 43260 | A | Endo cholangiopancreatograph | 5.96 | 2.43 | NA | 0.27 | 000 | |
| 43261 | A | Endo cholangiopancreatograph | 6.27 | 2.54 | NA | 0.29 | 000 | |
| 43262 | A | Endo cholangiopancreatograph | 7.39 | 2.95 | NA | 0.34 | 000 | |
| 43263 | A | Endo cholangiopancreatograph | 7.29 | 2.92 | NA | 0.28 | 000 | |
| 43264 | A | Endo cholangiopancreatograph | 8.90 | 3.49 | NA | 0.41 | 000 | |
| 43265 | A | Endo cholangiopancreatograph | 10.02 | 3.88 | NA | 0.42 | 000 | |
| 43267 | A | Endo cholangiopancreatograph | 7.39 | 2.95 | NA | 0.34 | 000 | |
| 43268 | A | Endo cholangiopancreatograph | 7.39 | 2.95 | NA | 0.34 | 000 | |
| 43269 | A | Endo cholangiopancreatograph | 8.21 | 3.24 | NA | 0.28 | 000 | |
| 43271 | A | Endo cholangiopancreatograph | 7.39 | 2.94 | NA | 0.34 | 000 | |
| 43272 | A | Endo cholangiopancreatograph | 7.39 | 2.95 | NA | 0.34 | 000 | |
| 43280 | A | Laparoscopy, fundoplasty | 17.25 | 8.29 | NA | 1.76 | 090 | |
| 43289 | C | Laparoscope proc, esoph | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43300 | A | Repair of esophagus | 9.14 | 7.19 | NA | 0.85 | 090 | |
| 43305 | A | Repair esophagus and fistula | 17.39 | 12.59 | NA | 1.36 | 090 | |
| 43310 | A | Repair of esophagus | 25.39 | 14.33 | NA | 3.18 | 090 | |
| 43312 | A | Repair esophagus and fistula | 28.42 | 17.71 | NA | 3.38 | 090 | |
| 43313 | A | Esophagoplasty congential | 45.28 | 21.41 | NA | 5.43 | 090 | |
| 43314 | A | Tracheo-esophagoplasty cong | 50.27 | 23.41 | NA | 5.53 | 090 | |
| 43320 | A | Fuse esophagus stomach | 19.93 | 10.33 | NA | 1.59 | 090 | |
| 43324 | A | Revise esophagus stomach | 20.57 | 9.51 | NA | 1.72 | 090 | |
| 43325 | A | Revise esophagus stomach | 20.06 | 9.81 | NA | 1.65 | 090 | |
| 43326 | A | Revise esophagus stomach | 19.74 | 10.35 | NA | 1.84 | 090 | |
| 43330 | A | Repair of esophagus | 19.77 | 9.60 | NA | 1.52 | 090 | |
| 43331 | A | Repair of esophagus | 20.13 | 10.98 | NA | 1.93 | 090 | |
| 43340 | A | Fuse esophagus intestine | 19.61 | 10.52 | NA | 1.53 | 090 | |
| 43341 | A | Fuse esophagus intestine | 20.85 | 11.90 | NA | 2.14 | 090 | |
| 43350 | A | Surgical opening, esophagus | 15.78 | 10.05 | NA | 1.15 | 090 | |
| 43351 | A | Surgical opening, esophagus | 18.35 | 10.38 | NA | 1.51 | 090 | |
| 43352 | A | Surgical opening, esophagus | 15.26 | 9.59 | NA | 1.28 | 090 | |
| 43360 | A | Gastrointestinal repair | 35.70 | 16.40 | NA | 3.00 | 090 | |
| 43361 | A | Gastrointestinal repair | 40.50 | 18.21 | NA | 3.52 | 090 | |
| 43400 | A | Ligate esophagus veins | 21.20 | 10.32 | NA | 0.99 | 090 | |
| 43401 | A | Esophagus surgery for veins | 22.09 | 10.28 | NA | 1.73 | 090 | |
| 43405 | A | Ligate/staple esophagus | 20.01 | 9.44 | NA | 1.63 | 090 | |
| 43410 | A | Repair esophagus wound | 13.47 | 8.78 | NA | 1.15 | 090 | |
| 43415 | A | Repair esophagus wound | 25.00 | 12.19 | NA | 1.92 | 090 | |
| 43420 | A | Repair esophagus opening | 14.35 | 8.85 | NA | 0.86 | 090 | |
| 43425 | A | Repair esophagus opening | 21.03 | 11.04 | NA | 2.03 | 090 | |
| 43450 | A | Dilate esophagus | 1.38 | 0.61 | 1.39 | 0.07 | 000 | |
| 43453 | A | Dilate esophagus | 1.51 | 0.66 | NA | 0.08 | 000 | |
| 43456 | A | Dilate esophagus | 2.57 | 1.04 | NA | 0.14 | 000 | |
| 43458 | A | Dilate esophagus | 3.06 | 1.23 | NA | 0.17 | 000 | |
| 43460 | A | Pressure treatment esophagus | 3.80 | 1.50 | NA | 0.21 | 000 | |
| 43496 | C | Free jejunum flap, microvasc | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 43499 | C | Esophagus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43500 | A | Surgical opening of stomach | 11.05 | 5.08 | NA | 0.84 | 090 | |
| 43501 | A | Surgical repair of stomach | 20.04 | 8.61 | NA | 1.55 | 090 | |
| 43502 | A | Surgical repair of stomach | 23.13 | 9.79 | NA | 1.83 | 090 | |
| 43510 | A | Surgical opening of stomach | 13.08 | 7.50 | NA | 0.90 | 090 | |
| 43520 | A | Incision of pyloric muscle | 9.99 | 5.75 | NA | 0.84 | 090 | |
| 43600 | A | Biopsy of stomach | 1.91 | 1.00 | NA | 0.11 | 000 | |
| 43605 | A | Biopsy of stomach | 11.98 | 5.40 | NA | 0.93 | 090 | |
| 43610 | A | Excision of stomach lesion | 14.60 | 6.71 | NA | 1.14 | 090 | |
| 43611 | A | Excision of stomach lesion | 17.84 | 7.95 | NA | 1.38 | 090 | |
| 43620 | A | Removal of stomach | 30.04 | 12.71 | NA | 2.29 | 090 | |
| 43621 | A | Removal of stomach | 30.73 | 12.88 | NA | 2.36 | 090 | |
| 43622 | A | Removal of stomach | 32.53 | 13.49 | NA | 2.48 | 090 | |
| 43631 | A | Removal of stomach, partial | 22.59 | 9.46 | NA | 1.99 | 090 | |
| 43632 | A | Removal of stomach, partial | 22.59 | 9.48 | NA | 2.00 | 090 | |
| 43633 | A | Removal of stomach, partial | 23.10 | 9.66 | NA | 2.05 | 090 | |
| 43634 | A | Removal of stomach, partial | 25.12 | 10.47 | NA | 2.18 | 090 | |
| 43635 | A | Removal of stomach, partial | 2.06 | 0.72 | NA | 0.21 | ZZZ | |
| 43638 | A | Removal of stomach, partial | 29.00 | 11.76 | NA | 2.24 | 090 | |
| 43639 | A | Removal of stomach, partial | 29.65 | 12.02 | NA | 2.31 | 090 | |
| 43640 | A | Vagotomy pylorus repair | 17.02 | 7.54 | NA | 1.51 | 090 | |
| 43641 | A | Vagotomy pylorus repair | 17.27 | 7.65 | NA | 1.53 | 090 | |
| 43651 | A | Laparoscopy, vagus nerve | 10.15 | 4.58 | NA | 1.03 | 090 | |
| 43652 | A | Laparoscopy, vagus nerve | 12.15 | 5.41 | NA | 1.25 | 090 | |
| 43653 | A | Laparoscopy, gastrostomy | 7.73 | 4.31 | NA | 0.78 | 090 | |
| 43659 | C | Laparoscope proc, stom | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43750 | A | Place gastrostomy tube | 4.49 | 2.62 | NA | 0.33 | 010 | |
| 43752 | B | Nasal/orogastric w/stent | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 43760 | A | Change gastrostomy tube | 1.10 | 0.45 | 1.43 | 0.07 | 000 | |
| 43761 | A | Reposition gastrostomy tube | 2.01 | 0.81 | NA | 0.10 | 000 | |
| 43800 | A | Reconstruction of pylorus | 13.69 | 6.45 | NA | 1.07 | 090 | |
| 43810 | A | Fusion of stomach and bowel | 14.65 | 6.75 | NA | 1.10 | 090 | |
| 43820 | A | Fusion of stomach and bowel | 15.37 | 6.97 | NA | 1.18 | 090 | |
| 43825 | A | Fusion of stomach and bowel | 19.22 | 8.31 | NA | 1.50 | 090 | |
| 43830 | A | Place gastrostomy tube | 9.53 | 4.94 | NA | 0.69 | 090 | |
| 43831 | A | Place gastrostomy tube | 7.84 | 4.28 | NA | 0.81 | 090 | |
| 43832 | A | Place gastrostomy tube | 15.60 | 7.47 | NA | 1.13 | 090 | |
| 43840 | A | Repair of stomach lesion | 15.56 | 7.02 | NA | 1.20 | 090 | |
| 43842 | A | Gastroplasty for obesity | 18.47 | 11.14 | NA | 1.51 | 090 | |
| 43843 | A | Gastroplasty for obesity | 18.65 | 10.77 | NA | 1.53 | 090 | |
| 43846 | A | Gastric bypass for obesity | 24.05 | 13.28 | NA | 1.96 | 090 | |
| 43847 | A | Gastric bypass for obesity | 26.92 | 15.00 | NA | 2.14 | 090 | |
| 43848 | A | Revision gastroplasty | 29.39 | 15.96 | NA | 2.39 | 090 | |
| 43850 | A | Revise stomach-bowel fusion | 24.72 | 10.15 | NA | 1.97 | 090 | |
| 43855 | A | Revise stomach-bowel fusion | 26.16 | 10.77 | NA | 2.01 | 090 | |
| 43860 | A | Revise stomach-bowel fusion | 25.00 | 10.32 | NA | 2.03 | 090 | |
| 43865 | A | Revise stomach-bowel fusion | 26.52 | 10.92 | NA | 2.15 | 090 | |
| 43870 | A | Repair stomach opening | 9.69 | 5.04 | NA | 0.71 | 090 | |
| 43880 | A | Repair stomach-bowel fistula | 24.65 | 10.67 | NA | 1.94 | 090 | |
| 43999 | C | Stomach surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44005 | A | Freeing of bowel adhesion | 16.23 | 7.23 | NA | 1.39 | 090 | |
| 44010 | A | Incision of small bowel | 12.52 | 6.32 | NA | 1.05 | 090 | |
| 44015 | A | Insert needle cath bowel | 2.62 | 0.91 | NA | 0.25 | ZZZ | |
| 44020 | A | Explore small intestine | 13.99 | 6.41 | NA | 1.20 | 090 | |
| 44021 | A | Decompress small bowel | 14.08 | 6.85 | NA | 1.18 | 090 | |
| 44025 | A | Incision of large bowel | 14.28 | 6.51 | NA | 1.21 | 090 | |
| 44050 | A | Reduce bowel obstruction | 14.03 | 6.43 | NA | 1.15 | 090 | |
| 44055 | A | Correct malrotation of bowel | 22.00 | 9.23 | NA | 1.32 | 090 | |
| 44100 | A | Biopsy of bowel | 2.01 | 1.06 | NA | 0.12 | 000 | |
| 44110 | A | Excise intestine lesion(s) | 11.81 | 5.72 | NA | 1.00 | 090 | |
| 44111 | A | Excision of bowel lesion(s) | 14.29 | 7.08 | NA | 1.22 | 090 | |
| 44120 | A | Removal of small intestine | 17.00 | 7.47 | NA | 1.46 | 090 | |
| 44121 | A | Removal of small intestine | 4.45 | 1.56 | NA | 0.45 | ZZZ | |
| 44125 | A | Removal of small intestine | 17.54 | 7.65 | NA | 1.49 | 090 | |
| 44126 | A | Enterectomy w/taper, cong | 35.50 | 17.56 | NA | 0.36 | 090 | |
| 44127 | A | Enterectomy w/o taper, cong | 41.00 | 20.01 | NA | 0.41 | 090 | |
| 44128 | A | Enterectomy cong, add-on | 4.45 | 1.72 | NA | 0.45 | ZZZ | |
| 44130 | A | Bowel to bowel fusion | 14.49 | 6.59 | NA | 1.23 | 090 | |
| 44132 | R | Enterectomy, cadaver donor | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44133 | R | Enterectomy, live donor | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44135 | R | Intestine transplnt, cadaver | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44136 | R | Intestine transplant, live | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44139 | A | Mobilization of colon | 2.23 | 0.78 | NA | 0.21 | ZZZ | |
| 44140 | A | Partial removal of colon | 21.00 | 9.32 | NA | 1.83 | 090 | |
| 44141 | A | Partial removal of colon | 19.51 | 11.64 | NA | 1.95 | 090 | |
| 44143 | A | Partial removal of colon | 22.99 | 12.83 | NA | 2.02 | 090 | |
| 44144 | A | Partial removal of colon | 21.53 | 11.48 | NA | 1.89 | 090 | |
| 44145 | A | Partial removal of colon | 26.42 | 11.62 | NA | 2.22 | 090 | |
| 44146 | A | Partial removal of colon | 27.54 | 14.95 | NA | 2.20 | 090 | |
| 44147 | A | Partial removal of colon | 20.71 | 9.94 | NA | 1.74 | 090 | |
| 44150 | A | Removal of colon | 23.95 | 13.76 | NA | 2.05 | 090 | |
| 44151 | A | Removal of colon/ileostomy | 26.88 | 14.99 | NA | 1.97 | 090 | |
| 44152 | A | Removal of colon/ileostomy | 27.83 | 16.51 | NA | 2.36 | 090 | |
| 44153 | A | Removal of colon/ileostomy | 30.59 | 16.36 | NA | 2.33 | 090 | |
| 44155 | A | Removal of colon/ileostomy | 27.86 | 14.99 | NA | 2.26 | 090 | |
| 44156 | A | Removal of colon/ileostomy | 30.79 | 16.97 | NA | 2.19 | 090 | |
| 44160 | A | Removal of colon | 18.62 | 8.45 | NA | 1.55 | 090 | |
| 44200 | A | Laparoscopy, enterolysis | 14.44 | 6.63 | NA | 1.46 | 090 | |
| 44201 | A | Laparoscopy, jejunostomy | 9.78 | 5.11 | NA | 0.97 | 090 | |
| 44202 | A | Lap resect s/intestine singl | 22.04 | 9.63 | NA | 2.16 | 090 | |
| 44203 | A | Lap resect s/intestine, addl | 4.45 | 1.56 | NA | 0.45 | ZZZ | |
| 44204 | A | Laparo partial colectomy | 25.08 | 10.22 | NA | 1.83 | 090 | |
| 44205 | A | Lap colectomy part w/ileum | 22.23 | 9.08 | NA | 1.55 | 090 | |
| 44209 | C | Laparoscope proc, intestine | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44300 | A | Open bowel to skin | 12.11 | 6.59 | NA | 0.88 | 090 | |
| 44310 | A | Ileostomy/jejunostomy | 15.95 | 10.27 | NA | 1.13 | 090 | |
| 44312 | A | Revision of ileostomy | 8.02 | 5.13 | NA | 0.54 | 090 | |
| 44314 | A | Revision of ileostomy | 15.05 | 10.27 | NA | 0.99 | 090 | |
| 44316 | A | Devise bowel pouch | 21.09 | 13.78 | NA | 1.41 | 090 | |
| 44320 | A | Colostomy | 17.64 | 11.82 | NA | 1.28 | 090 | |
| 44322 | A | Colostomy with biopsies | 11.98 | 10.08 | NA | 1.18 | 090 | |
| 44340 | A | Revision of colostomy | 7.72 | 4.70 | NA | 0.56 | 090 | |
| 44345 | A | Revision of colostomy | 15.43 | 8.17 | NA | 1.11 | 090 | |
| 44346 | A | Revision of colostomy | 16.99 | 8.68 | NA | 1.20 | 090 | |
| 44360 | A | Small bowel endoscopy | 2.59 | 1.35 | NA | 0.14 | 000 | |
| 44361 | A | Small bowel endoscopy/biopsy | 2.87 | 1.45 | NA | 0.15 | 000 | |
| 44363 | A | Small bowel endoscopy | 3.50 | 1.63 | NA | 0.19 | 000 | |
| 44364 | A | Small bowel endoscopy | 3.74 | 1.75 | NA | 0.21 | 000 | |
| 44365 | A | Small bowel endoscopy | 3.31 | 1.62 | NA | 0.18 | 000 | |
| 44366 | A | Small bowel endoscopy | 4.41 | 2.00 | NA | 0.22 | 000 | |
| 44369 | A | Small bowel endoscopy | 4.52 | 2.00 | NA | 0.23 | 000 | |
| 44370 | A | Small bowel endoscopy/stent | 4.80 | 1.72 | 1.72 | 0.21 | 000 | |
| 44372 | A | Small bowel endoscopy | 4.41 | 2.00 | NA | 0.27 | 000 | |
| 44373 | A | Small bowel endoscopy | 3.50 | 1.72 | NA | 0.19 | 000 | |
| 44376 | A | Small bowel endoscopy | 5.26 | 2.29 | NA | 0.29 | 000 | |
| 44377 | A | Small bowel endoscopy/biopsy | 5.53 | 2.41 | NA | 0.28 | 000 | |
| 44378 | A | Small bowel endoscopy | 7.13 | 2.98 | NA | 0.37 | 000 | |
| 44379 | A | S bowel endoscope w/stent | 7.47 | 2.63 | 2.63 | 0.38 | 000 | |
| 44380 | A | Small bowel endoscopy | 1.05 | 0.77 | NA | 0.08 | 000 | |
| 44382 | A | Small bowel endoscopy | 1.27 | 0.86 | NA | 0.09 | 000 | |
| 44383 | A | Ileoscopy w/stent | 3.26 | 1.13 | 1.13 | 0.13 | 000 | |
| 44385 | A | Endoscopy of bowel pouch | 1.82 | 0.94 | 4.84 | 0.12 | 000 | |
| 44386 | A | Endoscopy, bowel pouch/biop | 2.12 | 1.08 | 6.12 | 0.15 | 000 | |
| 44388 | A | Colon endoscopy | 2.82 | 1.37 | 6.45 | 0.18 | 000 | |
| 44389 | A | Colonoscopy with biopsy | 3.13 | 1.51 | 7.16 | 0.18 | 000 | |
| 44390 | A | Colonoscopy for foreign body | 3.83 | 1.72 | 6.97 | 0.22 | 000 | |
| 44391 | A | Colonoscopy for bleeding | 4.32 | 1.73 | 5.95 | 0.23 | 000 | |
| 44392 | A | Colonoscopy polypectomy | 3.82 | 1.73 | 7.43 | 0.23 | 000 | |
| 44393 | A | Colonoscopy, lesion removal | 4.84 | 2.11 | 7.66 | 0.27 | 000 | |
| 44394 | A | Colonoscopy w/snare | 4.43 | 1.97 | 7.90 | 0.26 | 000 | |
| 44397 | A | Colonoscopy w stent | 4.71 | 2.04 | NA | 0.28 | 000 | |
| 44500 | A | Intro, gastrointestinal tube | 0.49 | 0.37 | NA | 0.02 | 000 | |
| 44602 | A | Suture, small intestine | 16.03 | 7.14 | NA | 1.07 | 090 | |
| 44603 | A | Suture, small intestine | 18.66 | 8.05 | NA | 1.39 | 090 | |
| 44604 | A | Suture, large intestine | 16.03 | 7.13 | NA | 1.42 | 090 | |
| 44605 | A | Repair of bowel lesion | 19.53 | 8.75 | NA | 1.54 | 090 | |
| 44615 | A | Intestinal stricturoplasty | 15.93 | 7.13 | NA | 1.39 | 090 | |
| 44620 | A | Repair bowel opening | 12.20 | 5.73 | NA | 1.05 | 090 | |
| 44625 | A | Repair bowel opening | 15.05 | 6.72 | NA | 1.30 | 090 | |
| 44626 | A | Repair bowel opening | 25.36 | 10.29 | NA | 2.19 | 090 | |
| 44640 | A | Repair bowel-skin fistula | 21.65 | 9.46 | NA | 1.46 | 090 | |
| 44650 | A | Repair bowel fistula | 22.57 | 9.77 | NA | 1.49 | 090 | |
| 44660 | A | Repair bowel-bladder fistula | 21.36 | 9.27 | NA | 1.14 | 090 | |
| 44661 | A | Repair bowel-bladder fistula | 24.81 | 10.46 | NA | 1.53 | 090 | |
| 44680 | A | Surgical revision, intestine | 15.40 | 7.29 | NA | 1.37 | 090 | |
| 44700 | A | Suspend bowel w/prosthesis | 16.11 | 7.57 | NA | 1.21 | 090 | |
| 44799 | C | Intestine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44800 | A | Excision of bowel pouch | 11.23 | 5.46 | NA | 1.11 | 090 | |
| 44820 | A | Excision of mesentery lesion | 12.09 | 5.81 | NA | 1.03 | 090 | |
| 44850 | A | Repair of mesentery | 10.74 | 5.37 | NA | 0.99 | 090 | |
| 44899 | C | Bowel surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44900 | A | Drain app abscess, open | 10.14 | 5.82 | NA | 0.84 | 090 | |
| 44901 | A | Drain app abscess, percut | 3.38 | 4.43 | NA | 0.17 | 000 | |
| 44950 | A | Appendectomy | 10.00 | 5.19 | NA | 0.88 | 090 | |
| 44955 | A | Appendectomy add-on | 1.53 | 0.55 | NA | 0.16 | ZZZ | |
| 44960 | A | Appendectomy | 12.34 | 6.34 | NA | 1.09 | 090 | |
| 44970 | A | Laparoscopy, appendectomy | 8.70 | 4.12 | NA | 0.88 | 090 | |
| 44979 | C | Laparoscope proc, app | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 45000 | A | Drainage of pelvic abscess | 4.52 | 3.84 | NA | 0.37 | 090 | |
| 45005 | A | Drainage of rectal abscess | 1.99 | 1.56 | 4.57 | 0.18 | 010 | |
| 45020 | A | Drainage of rectal abscess | 4.72 | 3.82 | NA | 0.41 | 090 | |
| 45100 | A | Biopsy of rectum | 3.68 | 2.04 | 4.82 | 0.33 | 090 | |
| 45108 | A | Removal of anorectal lesion | 4.76 | 2.96 | 6.23 | 0.46 | 090 | |
| 45110 | A | Removal of rectum | 28.00 | 12.91 | NA | 2.26 | 090 | |
| 45111 | A | Partial removal of rectum | 16.48 | 8.59 | NA | 1.60 | 090 | |
| 45112 | A | Removal of rectum | 30.54 | 13.34 | NA | 2.35 | 090 | |
| 45113 | A | Partial proctectomy | 30.58 | 12.80 | NA | 2.13 | 090 | |
| 45114 | A | Partial removal of rectum | 27.32 | 12.22 | NA | 2.28 | 090 | |
| 45116 | A | Partial removal of rectum | 24.58 | 11.02 | NA | 2.00 | 090 | |
| 45119 | A | Remove rectum w/reservoir | 30.84 | 13.02 | NA | 2.13 | 090 | |
| 45120 | A | Removal of rectum | 24.60 | 11.33 | NA | 2.28 | 090 | |
| 45121 | A | Removal of rectum and colon | 27.04 | 12.49 | NA | 2.66 | 090 | |
| 45123 | A | Partial proctectomy | 16.71 | 7.82 | NA | 1.04 | 090 | |
| 45126 | A | Pelvic exenteration | 45.16 | 19.67 | NA | 3.23 | 090 | |
| 45130 | A | Excision of rectal prolapse | 16.44 | 7.59 | NA | 1.12 | 090 | |
| 45135 | A | Excision of rectal prolapse | 19.28 | 8.98 | NA | 1.52 | 090 | |
| 45136 | A | Excise ileoanal reservoir | 27.30 | 12.34 | NA | 2.19 | 090 | |
| 45150 | A | Excision of rectal stricture | 5.67 | 3.09 | 5.38 | 0.46 | 090 | |
| 45160 | A | Excision of rectal lesion | 15.32 | 7.00 | NA | 1.07 | 090 | |
| 45170 | A | Excision of rectal lesion | 11.49 | 5.74 | NA | 0.89 | 090 | |
| 45190 | A | Destruction, rectal tumor | 9.74 | 5.13 | NA | 0.76 | 090 | |
| 45300 | A | Proctosigmoidoscopy dx | 0.38 | 0.22 | 1.33 | 0.05 | 000 | |
| 45303 | A | Proctosigmoidoscopy dilate | 0.44 | 0.26 | 1.57 | 0.06 | 000 | |
| 45305 | A | Protosigmoidoscopy w/bx | 1.01 | 0.44 | 1.59 | 0.09 | 000 | |
| 45307 | A | Protosigmoidoscopy fb | 0.94 | 0.42 | 2.50 | 0.15 | 000 | |
| 45308 | A | Protosigmoidoscopy removal | 0.83 | 0.38 | 1.55 | 0.13 | 000 | |
| 45309 | A | Protosigmoidoscopy removal | 2.01 | 0.79 | 2.40 | 0.17 | 000 | |
| 45315 | A | Protosigmoidoscopy removal | 1.40 | 0.58 | 2.58 | 0.20 | 000 | |
| 45317 | A | Protosigmoidoscopy bleed | 1.50 | 0.61 | 1.87 | 0.20 | 000 | |
| 45320 | A | Protosigmoidoscopy ablate | 1.58 | 0.65 | 1.82 | 0.20 | 000 | |
| 45321 | A | Protosigmoidoscopy volvul | 1.17 | 0.51 | NA | 0.17 | 000 | |
| 45327 | A | Proctosigmoidoscopy w/stent | 1.65 | 0.87 | NA | 0.10 | 000 | |
| 45330 | A | Diagnostic sigmoidoscopy | 0.96 | 0.51 | 1.82 | 0.05 | 000 | |
| 45331 | A | Sigmoidoscopy and biopsy | 1.15 | 0.52 | 2.23 | 0.07 | 000 | |
| 45332 | A | Sigmoidoscopy w/fb removal | 1.79 | 0.74 | 3.91 | 0.11 | 000 | |
| 45333 | A | Sigmoidoscopy polypectomy | 1.79 | 0.74 | 3.57 | 0.12 | 000 | |
| 45334 | A | Sigmoidoscopy for bleeding | 2.73 | 1.09 | NA | 0.16 | 000 | |
| 45337 | A | Sigmoidoscopy decompress | 2.36 | 0.95 | NA | 0.15 | 000 | |
| 45338 | A | Sigmoidoscpy w/tumr remove | 2.34 | 0.94 | 4.29 | 0.15 | 000 | |
| 45339 | A | Sigmoidoscopy w/ablate tumr | 3.14 | 1.23 | 3.34 | 0.17 | 000 | |
| 45341 | A | Sigmoidoscopy w/ultrasound | 2.60 | 1.36 | NA | 0.20 | 000 | |
| 45342 | A | Sigmoidoscopy w/us guide bx | 4.06 | 1.79 | NA | 0.23 | 000 | |
| 45345 | A | Sigmodoscopy w/stent | 2.92 | 1.39 | NA | 0.15 | 000 | |
| 45355 | A | Surgical colonoscopy | 3.52 | 1.24 | NA | 0.26 | 000 | |
| 45378 | A | Diagnostic colonoscopy | 3.70 | 1.71 | 7.97 | 0.20 | 000 | |
| 45378 | 53 | A | Diagnostic colonoscopy | 0.96 | 0.51 | 1.82 | 0.05 | 000 |
| 45379 | A | Colonoscopy w/fb removal | 4.69 | 2.07 | 8.18 | 0.25 | 000 | |
| 45380 | A | Colonoscopy and biopsy | 4.44 | 1.99 | 8.40 | 0.21 | 000 | |
| 45382 | A | Colonoscopy/control bleeding | 5.69 | 2.23 | 9.67 | 0.27 | 000 | |
| 45383 | A | Lesion removal colonoscopy | 5.87 | 2.48 | 9.28 | 0.32 | 000 | |
| 45384 | A | Lesion remove colonoscopy | 4.70 | 2.08 | 9.02 | 0.24 | 000 | |
| 45385 | A | Lesion removal colonoscopy | 5.31 | 2.30 | 9.20 | 0.28 | 000 | |
| 45387 | A | Colonoscopy w/stent | 5.91 | 2.50 | NA | 0.33 | 000 | |
| 45500 | A | Repair of rectum | 7.29 | 4.13 | NA | 0.56 | 090 | |
| 45505 | A | Repair of rectum | 7.58 | 3.69 | NA | 0.50 | 090 | |
| 45520 | A | Treatment of rectal prolapse | 0.55 | 0.19 | 0.76 | 0.04 | 000 | |
| 45540 | A | Correct rectal prolapse | 16.27 | 7.91 | NA | 1.17 | 090 | |
| 45541 | A | Correct rectal prolapse | 13.40 | 6.79 | NA | 0.88 | 090 | |
| 45550 | A | Repair rectum/remove sigmoid | 23.00 | 10.17 | NA | 1.58 | 090 | |
| 45560 | A | Repair of rectocele | 10.58 | 5.96 | NA | 0.73 | 090 | |
| 45562 | A | Exploration/repair of rectum | 15.38 | 7.31 | NA | 1.15 | 090 | |
| 45563 | A | Exploration/repair of rectum | 23.47 | 10.99 | NA | 1.84 | 090 | |
| 45800 | A | Repair rect/bladder fistula | 17.77 | 7.98 | NA | 1.14 | 090 | |
| 45805 | A | Repair fistula w/colostomy | 20.78 | 10.00 | NA | 1.47 | 090 | |
| 45820 | A | Repair rectourethral fistula | 18.48 | 8.22 | NA | 1.17 | 090 | |
| 45825 | A | Repair fistula w/colostomy | 21.25 | 10.30 | NA | 0.97 | 090 | |
| 45900 | A | Reduction of rectal prolapse | 2.61 | 1.02 | NA | 0.17 | 010 | |
| 45905 | A | Dilation of anal sphincter | 2.30 | 0.93 | 11.95 | 0.14 | 010 | |
| 45910 | A | Dilation of rectal narrowing | 2.80 | 1.12 | 16.25 | 0.14 | 010 | |
| 45915 | A | Remove rectal obstruction | 3.14 | 1.11 | 4.72 | 0.17 | 010 | |
| 45999 | C | Rectum surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 46020 | A | Placement of seton | 2.90 | 2.32 | 3.04 | 0.22 | 010 | |
| 46030 | A | Removal of rectal marker | 1.23 | 1.19 | 2.99 | 0.11 | 010 | |
| 46040 | A | Incision of rectal abscess | 4.96 | 3.04 | 5.35 | 0.48 | 090 | |
| 46045 | A | Incision of rectal abscess | 4.32 | 2.76 | NA | 0.40 | 090 | |
| 46050 | A | Incision of anal abscess | 1.19 | 1.32 | 3.55 | 0.11 | 010 | |
| 46060 | A | Incision of rectal abscess | 5.69 | 3.69 | NA | 0.52 | 090 | |
| 46070 | A | Incision of anal septum | 2.71 | 2.36 | NA | 0.27 | 090 | |
| 46080 | A | Incision of anal sphincter | 2.49 | 1.60 | 3.63 | 0.23 | 010 | |
| 46083 | A | Incise external hemorrhoid | 1.40 | 1.52 | 4.66 | 0.12 | 010 | |
| 46200 | A | Removal of anal fissure | 3.42 | 2.33 | 3.91 | 0.30 | 090 | |
| 46210 | A | Removal of anal crypt | 2.67 | 2.16 | 5.04 | 0.26 | 090 | |
| 46211 | A | Removal of anal crypts | 4.25 | 2.84 | 5.24 | 0.37 | 090 | |
| 46220 | A | Removal of anal tab | 1.56 | 0.54 | 1.27 | 0.14 | 010 | |
| 46221 | A | Ligation of hemorrhoid(s) | 2.04 | 1.07 | 1.71 | 0.12 | 010 | |
| 46230 | A | Removal of anal tabs | 2.57 | 1.65 | 4.27 | 0.22 | 010 | |
| 46250 | A | Hemorrhoidectomy | 3.89 | 2.64 | 5.33 | 0.43 | 090 | |
| 46255 | A | Hemorrhoidectomy | 4.60 | 2.85 | 6.01 | 0.51 | 090 | |
| 46257 | A | Remove hemorrhoids fissure | 5.40 | 3.05 | NA | 0.59 | 090 | |
| 46258 | A | Remove hemorrhoids fistula | 5.73 | 3.19 | NA | 0.64 | 090 | |
| 46260 | A | Hemorrhoidectomy | 6.37 | 3.90 | NA | 0.68 | 090 | |
| 46261 | A | Remove hemorrhoids fissure | 7.08 | 4.03 | NA | 0.70 | 090 | |
| 46262 | A | Remove hemorrhoids fistula | 7.50 | 4.24 | NA | 0.76 | 090 | |
| 46270 | A | Removal of anal fistula | 3.72 | 2.55 | 5.00 | 0.36 | 090 | |
| 46275 | A | Removal of anal fistula | 4.56 | 2.74 | 4.76 | 0.40 | 090 | |
| 46280 | A | Removal of anal fistula | 5.98 | 3.68 | NA | 0.50 | 090 | |
| 46285 | A | Removal of anal fistula | 4.09 | 2.58 | 4.11 | 0.34 | 090 | |
| 46288 | A | Repair anal fistula | 7.13 | 4.16 | NA | 0.60 | 090 | |
| 46320 | A | Removal of hemorrhoid clot | 1.61 | 1.54 | 3.88 | 0.14 | 010 | |
| 46500 | A | Injection into hemorrhoid(s) | 1.61 | 0.57 | 2.79 | 0.12 | 010 | |
| 46600 | A | Diagnostic anoscopy | 0.50 | 0.15 | 0.79 | 0.04 | 000 | |
| 46604 | A | Anoscopy and dilation | 1.31 | 0.46 | 0.96 | 0.09 | 000 | |
| 46606 | A | Anoscopy and biopsy | 0.81 | 0.28 | 0.86 | 0.07 | 000 | |
| 46608 | A | Anoscopy/ remove for body | 1.51 | 0.47 | 1.83 | 0.13 | 000 | |
| 46610 | A | Anoscopy/remove lesion | 1.32 | 0.47 | 1.46 | 0.12 | 000 | |
| 46611 | A | Anoscopy | 1.81 | 0.63 | 1.99 | 0.15 | 000 | |
| 46612 | A | Anoscopy/ remove lesions | 2.34 | 0.83 | 2.46 | 0.18 | 000 | |
| 46614 | A | Anoscopy/control bleeding | 2.01 | 0.69 | 1.81 | 0.14 | 000 | |
| 46615 | A | Anoscopy | 2.68 | 0.94 | 1.73 | 0.23 | 000 | |
| 46700 | A | Repair of anal stricture | 9.13 | 4.63 | NA | 0.56 | 090 | |
| 46705 | A | Repair of anal stricture | 6.90 | 4.17 | NA | 0.73 | 090 | |
| 46715 | A | Repair of anovaginal fistula | 7.20 | 4.28 | NA | 0.76 | 090 | |
| 46716 | A | Repair of anovaginal fistula | 15.07 | 7.34 | NA | 1.30 | 090 | |
| 46730 | A | Construction of absent anus | 26.75 | 11.99 | NA | 2.03 | 090 | |
| 46735 | A | Construction of absent anus | 32.17 | 14.02 | NA | 2.64 | 090 | |
| 46740 | A | Construction of absent anus | 30.00 | 12.84 | NA | 1.99 | 090 | |
| 46742 | A | Repair of imperforated anus | 35.80 | 17.81 | NA | 2.63 | 090 | |
| 46744 | A | Repair of cloacal anomaly | 52.63 | 21.91 | NA | 2.27 | 090 | |
| 46746 | A | Repair of cloacal anomaly | 58.22 | 26.99 | NA | 2.51 | 090 | |
| 46748 | A | Repair of cloacal anomaly | 64.21 | 27.32 | NA | 2.77 | 090 | |
| 46750 | A | Repair of anal sphincter | 10.25 | 5.66 | NA | 0.69 | 090 | |
| 46751 | A | Repair of anal sphincter | 8.77 | 6.01 | NA | 0.78 | 090 | |
| 46753 | A | Reconstruction of anus | 8.29 | 4.00 | NA | 0.58 | 090 | |
| 46754 | A | Removal of suture from anus | 2.20 | 1.36 | 5.33 | 0.12 | 010 | |
| 46760 | A | Repair of anal sphincter | 14.43 | 7.06 | NA | 0.86 | 090 | |
| 46761 | A | Repair of anal sphincter | 13.84 | 6.58 | NA | 0.84 | 090 | |
| 46762 | A | Implant artificial sphincter | 12.71 | 5.77 | NA | 0.71 | 090 | |
| 46900 | A | Destruction, anal lesion(s) | 1.91 | 0.74 | 3.48 | 0.13 | 010 | |
| 46910 | A | Destruction, anal lesion(s) | 1.86 | 1.45 | 3.64 | 0.14 | 010 | |
| 46916 | A | Cryosurgery, anal lesion(s) | 1.86 | 1.58 | 3.28 | 0.09 | 010 | |
| 46917 | A | Laser surgery, anal lesions | 1.86 | 1.53 | 4.72 | 0.16 | 010 | |
| 46922 | A | Excision of anal lesion(s) | 1.86 | 1.43 | 3.86 | 0.17 | 010 | |
| 46924 | A | Destruction, anal lesion(s) | 2.76 | 1.69 | 4.94 | 0.20 | 010 | |
| 46934 | A | Destruction of hemorrhoids | 3.51 | 3.57 | 6.27 | 0.26 | 090 | |
| 46935 | A | Destruction of hemorrhoids | 2.43 | 0.85 | 4.27 | 0.17 | 010 | |
| 46936 | A | Destruction of hemorrhoids | 3.69 | 3.40 | 5.95 | 0.30 | 090 | |
| 46937 | A | Cryotherapy of rectal lesion | 2.69 | 1.76 | 3.99 | 0.12 | 010 | |
| 46938 | A | Cryotherapy of rectal lesion | 4.66 | 3.24 | 4.96 | 0.40 | 090 | |
| 46940 | A | Treatment of anal fissure | 2.32 | 0.80 | 3.21 | 0.17 | 010 | |
| 46942 | A | Treatment of anal fissure | 2.04 | 0.69 | 2.95 | 0.14 | 010 | |
| 46945 | A | Ligation of hemorrhoids | 1.84 | 2.14 | 3.98 | 0.17 | 090 | |
| 46946 | A | Ligation of hemorrhoids | 2.58 | 2.43 | 5.00 | 0.22 | 090 | |
| 46999 | C | Anus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47000 | A | Needle biopsy of liver | 1.90 | 0.65 | 8.60 | 0.09 | 000 | |
| 47001 | A | Needle biopsy, liver add-on | 1.90 | 0.66 | NA | 0.18 | ZZZ | |
| 47010 | A | Open drainage, liver lesion | 16.01 | 9.66 | NA | 0.65 | 090 | |
| 47011 | A | Percut drain, liver lesion | 3.70 | 4.43 | NA | 0.17 | 000 | |
| 47015 | A | Inject/aspirate liver cyst | 15.11 | 7.94 | NA | 0.86 | 090 | |
| 47100 | A | Wedge biopsy of liver | 11.67 | 6.33 | NA | 0.75 | 090 | |
| 47120 | A | Partial removal of liver | 35.50 | 16.59 | NA | 2.29 | 090 | |
| 47122 | A | Extensive removal of liver | 55.13 | 23.47 | NA | 3.60 | 090 | |
| 47125 | A | Partial removal of liver | 49.19 | 21.48 | NA | 3.18 | 090 | |
| 47130 | A | Partial removal of liver | 53.35 | 22.88 | NA | 3.47 | 090 | |
| 47133 | X | Removal of donor liver | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 47134 | R | Partial removal, donor liver | 39.15 | 13.56 | NA | 3.98 | XXX | |
| 47135 | R | Transplantation of liver | 81.52 | 42.51 | NA | 8.13 | 090 | |
| 47136 | R | Transplantation of liver | 68.60 | 45.98 | NA | 6.93 | 090 | |
| 47300 | A | Surgery for liver lesion | 15.08 | 7.59 | NA | 0.97 | 090 | |
| 47350 | A | Repair liver wound | 19.56 | 9.24 | NA | 1.25 | 090 | |
| 47360 | A | Repair liver wound | 26.92 | 12.54 | NA | 1.71 | 090 | |
| 47361 | A | Repair liver wound | 47.12 | 19.12 | NA | 3.11 | 090 | |
| 47362 | A | Repair liver wound | 18.51 | 9.54 | NA | 1.22 | 090 | |
| 47370 | A | Laparo ablate liver tumor rf | 18.00 | 6.96 | 6.96 | 0.85 | 090 | |
| 47371 | A | Laparo ablate liver cryosug | 16.94 | 6.55 | 6.55 | 0.85 | 090 | |
| 47379 | C | Laparoscope procedure, liver | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47380 | A | Open ablate liver tumor rf | 21.25 | 8.21 | 8.21 | 0.85 | 090 | |
| 47381 | A | Open ablate liver tumor cryo | 21.00 | 8.12 | 8.12 | 0.85 | 090 | |
| 47382 | A | Percut ablate liver rf | 12.00 | 5.22 | NA | 0.85 | 010 | |
| 47399 | C | Liver surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47400 | A | Incision of liver duct | 32.49 | 14.60 | NA | 1.82 | 090 | |
| 47420 | A | Incision of bile duct | 19.88 | 9.18 | NA | 1.70 | 090 | |
| 47425 | A | Incision of bile duct | 19.83 | 9.25 | NA | 1.60 | 090 | |
| 47460 | A | Incise bile duct sphincter | 18.04 | 8.99 | NA | 1.24 | 090 | |
| 47480 | A | Incision of gallbladder | 10.82 | 6.60 | NA | 0.85 | 090 | |
| 47490 | A | Incision of gallbladder | 7.23 | 7.67 | NA | 0.33 | 090 | |
| 47500 | A | Injection for liver x-rays | 1.96 | 0.66 | NA | 0.09 | 000 | |
| 47505 | A | Injection for liver x-rays | 0.76 | 0.26 | 2.68 | 0.03 | 000 | |
| 47510 | A | Insert catheter, bile duct | 7.83 | 9.40 | NA | 0.36 | 090 | |
| 47511 | A | Insert bile duct drain | 10.50 | 10.55 | NA | 0.47 | 090 | |
| 47525 | A | Change bile duct catheter | 5.55 | 3.31 | NA | 0.24 | 010 | |
| 47530 | A | Revise/reinsert bile tube | 5.85 | 5.00 | NA | 0.29 | 090 | |
| 47550 | A | Bile duct endoscopy add-on | 3.02 | 1.05 | NA | 0.30 | ZZZ | |
| 47552 | A | Biliary endoscopy thru skin | 6.04 | 2.45 | NA | 0.42 | 000 | |
| 47553 | A | Biliary endoscopy thru skin | 6.35 | 2.65 | NA | 0.30 | 000 | |
| 47554 | A | Biliary endoscopy thru skin | 9.06 | 3.45 | NA | 0.74 | 000 | |
| 47555 | A | Biliary endoscopy thru skin | 7.56 | 3.08 | NA | 0.35 | 000 | |
| 47556 | A | Biliary endoscopy thru skin | 8.56 | 3.42 | NA | 0.38 | 000 | |
| 47560 | A | Laparoscopy w/cholangio | 4.89 | 1.83 | NA | 0.49 | 000 | |
| 47561 | A | Laparo w/cholangio/biopsy | 5.18 | 2.15 | NA | 0.49 | 000 | |
| 47562 | A | Laparoscopic cholecystectomy | 11.09 | 5.03 | NA | 1.13 | 090 | |
| 47563 | A | Laparo cholecystectomy/graph | 11.94 | 5.32 | NA | 1.21 | 090 | |
| 47564 | A | Laparo cholecystectomy/explr | 14.23 | 6.11 | NA | 1.44 | 090 | |
| 47570 | A | Laparo cholecystoenterostomy | 12.58 | 5.56 | NA | 1.28 | 090 | |
| 47579 | C | Laparoscope proc, biliary | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47600 | A | Removal of gallbladder | 13.58 | 6.70 | NA | 1.16 | 090 | |
| 47605 | A | Removal of gallbladder | 14.69 | 7.06 | NA | 1.25 | 090 | |
| 47610 | A | Removal of gallbladder | 18.82 | 8.61 | NA | 1.61 | 090 | |
| 47612 | A | Removal of gallbladder | 18.78 | 8.49 | NA | 1.60 | 090 | |
| 47620 | A | Removal of gallbladder | 20.64 | 9.15 | NA | 1.77 | 090 | |
| 47630 | A | Remove bile duct stone | 9.11 | 3.10 | NA | 0.46 | 090 | |
| 47700 | A | Exploration of bile ducts | 15.62 | 8.50 | NA | 1.40 | 090 | |
| 47701 | A | Bile duct revision | 27.81 | 12.93 | NA | 3.00 | 090 | |
| 47711 | A | Excision of bile duct tumor | 23.03 | 11.02 | NA | 1.98 | 090 | |
| 47712 | A | Excision of bile duct tumor | 30.24 | 13.68 | NA | 2.67 | 090 | |
| 47715 | A | Excision of bile duct cyst | 18.80 | 8.90 | NA | 1.59 | 090 | |
| 47716 | A | Fusion of bile duct cyst | 16.44 | 8.01 | NA | 1.41 | 090 | |
| 47720 | A | Fuse gallbladder bowel | 15.91 | 8.51 | NA | 1.37 | 090 | |
| 47721 | A | Fuse upper gi structures | 19.12 | 9.66 | NA | 1.63 | 090 | |
| 47740 | A | Fuse gallbladder bowel | 18.48 | 9.44 | NA | 1.59 | 090 | |
| 47741 | A | Fuse gallbladder bowel | 21.34 | 10.43 | NA | 1.82 | 090 | |
| 47760 | A | Fuse bile ducts and bowel | 25.85 | 11.95 | NA | 2.21 | 090 | |
| 47765 | A | Fuse liver ducts bowel | 24.88 | 12.51 | NA | 2.18 | 090 | |
| 47780 | A | Fuse bile ducts and bowel | 26.50 | 12.20 | NA | 2.27 | 090 | |
| 47785 | A | Fuse bile ducts and bowel | 31.18 | 14.52 | NA | 2.69 | 090 | |
| 47800 | A | Reconstruction of bile ducts | 23.30 | 11.13 | NA | 1.95 | 090 | |
| 47801 | A | Placement, bile duct support | 15.17 | 10.14 | NA | 0.69 | 090 | |
| 47802 | A | Fuse liver duct intestine | 21.55 | 11.18 | NA | 1.84 | 090 | |
| 47900 | A | Suture bile duct injury | 19.90 | 9.97 | NA | 1.65 | 090 | |
| 47999 | C | Bile tract surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 48000 | A | Drainage of abdomen | 28.07 | 12.48 | NA | 1.32 | 090 | |
| 48001 | A | Placement of drain, pancreas | 35.45 | 14.75 | NA | 1.90 | 090 | |
| 48005 | A | Resect/debride pancreas | 42.17 | 17.00 | NA | 2.26 | 090 | |
| 48020 | A | Removal of pancreatic stone | 15.70 | 7.43 | NA | 1.36 | 090 | |
| 48100 | A | Biopsy of pancreas, open | 12.23 | 6.85 | NA | 1.08 | 090 | |
| 48102 | A | Needle biopsy, pancreas | 4.68 | 2.42 | 9.14 | 0.20 | 010 | |
| 48120 | A | Removal of pancreas lesion | 15.85 | 7.39 | NA | 1.35 | 090 | |
| 48140 | A | Partial removal of pancreas | 22.94 | 10.51 | NA | 2.12 | 090 | |
| 48145 | A | Partial removal of pancreas | 24.02 | 11.23 | NA | 2.25 | 090 | |
| 48146 | A | Pancreatectomy | 26.40 | 13.36 | NA | 2.43 | 090 | |
| 48148 | A | Removal of pancreatic duct | 17.34 | 9.00 | NA | 1.61 | 090 | |
| 48150 | A | Partial removal of pancreas | 48.00 | 21.41 | NA | 4.43 | 090 | |
| 48152 | A | Pancreatectomy | 43.75 | 20.45 | NA | 4.07 | 090 | |
| 48153 | A | Pancreatectomy | 47.89 | 21.63 | NA | 4.40 | 090 | |
| 48154 | A | Pancreatectomy | 44.10 | 20.38 | NA | 4.10 | 090 | |
| 48155 | A | Removal of pancreas | 24.64 | 13.60 | NA | 2.30 | 090 | |
| 48160 | N | Pancreas removal/transplant | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 48180 | A | Fuse pancreas and bowel | 24.72 | 10.89 | NA | 2.24 | 090 | |
| 48400 | A | Injection, intraop add-on | 1.95 | 0.67 | NA | 0.10 | ZZZ | |
| 48500 | A | Surgery of pancreatic cyst | 15.28 | 7.28 | NA | 1.35 | 090 | |
| 48510 | A | Drain pancreatic pseudocyst | 14.31 | 7.49 | NA | 1.07 | 090 | |
| 48511 | A | Drain pancreatic pseudocyst | 4.00 | 3.71 | NA | 0.17 | 000 | |
| 48520 | A | Fuse pancreas cyst and bowel | 15.59 | 7.23 | NA | 1.41 | 090 | |
| 48540 | A | Fuse pancreas cyst and bowel | 19.72 | 8.63 | NA | 1.82 | 090 | |
| 48545 | A | Pancreatorrhaphy | 18.18 | 8.71 | NA | 1.61 | 090 | |
| 48547 | A | Duodenal exclusion | 25.83 | 10.77 | NA | 2.30 | 090 | |
| 48550 | X | Donor pancreatectomy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 48554 | R | Transpl allograft pancreas | 34.17 | 11.94 | NA | 3.30 | 090 | |
| 48556 | A | Removal, allograft pancreas | 15.71 | 8.46 | NA | 1.52 | 090 | |
| 48999 | C | Pancreas surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49000 | A | Exploration of abdomen | 11.68 | 6.07 | NA | 1.17 | 090 | |
| 49002 | A | Reopening of abdomen | 10.49 | 5.96 | NA | 1.06 | 090 | |
| 49010 | A | Exploration behind abdomen | 12.28 | 6.93 | NA | 1.22 | 090 | |
| 49020 | A | Drain abdominal abscess | 22.84 | 11.43 | NA | 1.31 | 090 | |
| 49021 | A | Drain abdominal abscess | 3.38 | 5.31 | NA | 0.16 | 000 | |
| 49040 | A | Drain, open, abdom abscess | 13.52 | 8.15 | NA | 0.84 | 090 | |
| 49041 | A | Drain, percut, abdom abscess | 4.00 | 5.59 | NA | 0.18 | 000 | |
| 49060 | A | Drain, open, retrop abscess | 15.86 | 9.57 | NA | 0.77 | 090 | |
| 49061 | A | Drain, percut, retroper absc | 3.70 | 5.64 | NA | 0.17 | 000 | |
| 49062 | A | Drain to peritoneal cavity | 11.36 | 7.04 | NA | 1.08 | 090 | |
| 49080 | A | Puncture, peritoneal cavity | 1.35 | 0.47 | 4.45 | 0.07 | 000 | |
| 49081 | A | Removal of abdominal fluid | 1.26 | 0.58 | 3.10 | 0.06 | 000 | |
| 49085 | A | Remove abdomen foreign body | 12.14 | 6.44 | NA | 0.88 | 090 | |
| 49180 | A | Biopsy, abdominal mass | 1.73 | 0.59 | 8.56 | 0.08 | 000 | |
| 49200 | A | Removal of abdominal lesion | 10.25 | 6.32 | NA | 0.89 | 090 | |
| 49201 | A | Removal of abdominal lesion | 14.84 | 8.63 | NA | 1.44 | 090 | |
| 49215 | A | Excise sacral spine tumor | 33.50 | 14.71 | NA | 2.48 | 090 | |
| 49220 | A | Multiple surgery, abdomen | 14.88 | 7.65 | NA | 1.51 | 090 | |
| 49250 | A | Excision of umbilicus | 8.35 | 5.09 | NA | 0.84 | 090 | |
| 49255 | A | Removal of omentum | 11.14 | 6.50 | NA | 1.12 | 090 | |
| 49320 | A | Diag laparo separate proc | 5.10 | 3.00 | NA | 0.50 | 010 | |
| 49321 | A | Laparoscopy, biopsy | 5.40 | 3.03 | NA | 0.53 | 010 | |
| 49322 | A | Laparoscopy, aspiration | 5.70 | 3.46 | NA | 0.57 | 010 | |
| 49323 | A | Laparo drain lymphocele | 9.48 | 4.15 | NA | 0.88 | 090 | |
| 49329 | C | Laparo proc, abdm/per/oment | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49400 | A | Air injection into abdomen | 1.88 | 0.80 | NA | 0.11 | 000 | |
| 49420 | A | Insert abdominal drain | 2.22 | 0.96 | NA | 0.13 | 000 | |
| 49421 | A | Insert abdominal drain | 5.54 | 3.96 | NA | 0.55 | 090 | |
| 49422 | A | Remove perm cannula/catheter | 6.25 | 2.91 | NA | 0.63 | 010 | |
| 49423 | A | Exchange drainage catheter | 1.46 | 0.68 | NA | 0.07 | 000 | |
| 49424 | A | Assess cyst, contrast inject | 0.76 | 0.45 | NA | 0.03 | 000 | |
| 49425 | A | Insert abdomen-venous drain | 11.37 | 6.62 | NA | 1.21 | 090 | |
| 49426 | A | Revise abdomen-venous shunt | 9.63 | 5.86 | NA | 0.93 | 090 | |
| 49427 | A | Injection, abdominal shunt | 0.89 | 0.49 | NA | 0.05 | 000 | |
| 49428 | A | Ligation of shunt | 6.06 | 3.14 | NA | 0.31 | 010 | |
| 49429 | A | Removal of shunt | 7.40 | 3.43 | NA | 0.81 | 010 | |
| 49491 | A | Repairing hern premie reduc | 11.13 | 5.44 | NA | 1.00 | 090 | |
| 49492 | A | Rpr ing hern premie, blocked | 14.03 | 6.38 | NA | 1.42 | 090 | |
| 49495 | A | Rpr ing hernia baby, reduc | 5.89 | 3.56 | NA | 0.55 | 090 | |
| 49496 | A | Rpr ing hernia baby, blocked | 8.79 | 6.15 | NA | 0.89 | 090 | |
| 49500 | A | Rpr ing hernia, init, reduce | 5.48 | 3.36 | NA | 0.46 | 090 | |
| 49501 | A | Rpr ing hernia, init blocked | 8.88 | 4.47 | NA | 0.76 | 090 | |
| 49505 | A | Rpr i/hern init reduc5 yr | 7.60 | 4.03 | 4.50 | 0.65 | 090 | |
| 49507 | A | Rpr i/hern init block5 yr | 9.57 | 6.03 | NA | 0.83 | 090 | |
| 49520 | A | Rerepair ing hernia, reduce | 9.63 | 5.37 | NA | 0.84 | 090 | |
| 49521 | A | Rerepair ing hernia, blocked | 11.97 | 5.70 | NA | 1.04 | 090 | |
| 49525 | A | Repair ing hernia, sliding | 8.57 | 4.85 | NA | 0.74 | 090 | |
| 49540 | A | Repair lumbar hernia | 10.39 | 5.56 | NA | 0.90 | 090 | |
| 49550 | A | Rpr fem hernia, init, reduce | 8.63 | 4.43 | NA | 0.75 | 090 | |
| 49553 | A | Rpr fem hernia, init blocked | 9.44 | 4.85 | NA | 0.83 | 090 | |
| 49555 | A | Rerepair fem hernia, reduce | 9.03 | 5.18 | NA | 0.79 | 090 | |
| 49557 | A | Rerepair fem hernia, blocked | 11.15 | 5.43 | NA | 0.97 | 090 | |
| 49560 | A | Rpr ventral hern init, reduc | 11.57 | 5.98 | NA | 1.00 | 090 | |
| 49561 | A | Rpr ventral hern init, block | 14.25 | 6.55 | NA | 1.23 | 090 | |
| 49565 | A | Rerepair ventrl hern, reduce | 11.57 | 6.14 | NA | 1.00 | 090 | |
| 49566 | A | Rerepair ventrl hern, block | 14.40 | 6.62 | NA | 1.24 | 090 | |
| 49568 | A | Hernia repair w/mesh | 4.89 | 1.71 | NA | 0.50 | ZZZ | |
| 49570 | A | Rpr epigastric hern, reduce | 5.69 | 3.45 | NA | 0.50 | 090 | |
| 49572 | A | Rpr epigastric hern, blocked | 6.73 | 3.93 | NA | 0.58 | 090 | |
| 49580 | A | Rpr umbil hern, reduc 5 yr | 4.11 | 2.98 | NA | 0.34 | 090 | |
| 49582 | A | Rpr umbil hern, block 5 yr | 6.65 | 4.85 | NA | 0.57 | 090 | |
| 49585 | A | Rpr umbil hern, reduc 5 yr | 6.23 | 4.06 | NA | 0.53 | 090 | |
| 49587 | A | Rpr umbil hern, block 5 yr | 7.56 | 4.17 | NA | 0.65 | 090 | |
| 49590 | A | Repair spigelian hernia | 8.54 | 4.87 | NA | 0.74 | 090 | |
| 49600 | A | Repair umbilical lesion | 10.96 | 6.09 | NA | 1.13 | 090 | |
| 49605 | A | Repair umbilical lesion | 76.00 | 29.96 | NA | 2.57 | 090 | |
| 49606 | A | Repair umbilical lesion | 18.60 | 9.06 | NA | 2.22 | 090 | |
| 49610 | A | Repair umbilical lesion | 10.50 | 6.85 | NA | 0.77 | 090 | |
| 49611 | A | Repair umbilical lesion | 8.92 | 6.43 | NA | 0.65 | 090 | |
| 49650 | A | Laparo hernia repair initial | 6.27 | 3.26 | NA | 0.64 | 090 | |
| 49651 | A | Laparo hernia repair recur | 8.24 | 4.32 | NA | 0.84 | 090 | |
| 49659 | C | Laparo proc, hernia repair | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49900 | A | Repair of abdominal wall | 12.28 | 6.64 | NA | 1.23 | 090 | |
| 49905 | A | Omental flap | 6.55 | 2.35 | NA | 0.61 | ZZZ | |
| 49906 | C | Free omental flap, microvasc | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 49999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50010 | A | Exploration of kidney | 10.98 | 6.94 | NA | 0.79 | 090 | |
| 50020 | A | Renal abscess, open drain | 14.66 | 13.99 | NA | 0.80 | 090 | |
| 50021 | A | Renal abscess, percut drain | 3.38 | 10.10 | NA | 0.15 | 000 | |
| 50040 | A | Drainage of kidney | 14.94 | 11.72 | NA | 0.82 | 090 | |
| 50045 | A | Exploration of kidney | 15.46 | 8.34 | NA | 1.06 | 090 | |
| 50060 | A | Removal of kidney stone | 19.30 | 9.74 | NA | 1.14 | 090 | |
| 50065 | A | Incision of kidney | 20.79 | 7.87 | NA | 1.13 | 090 | |
| 50070 | A | Incision of kidney | 20.32 | 10.14 | NA | 1.20 | 090 | |
| 50075 | A | Removal of kidney stone | 25.34 | 12.28 | NA | 1.51 | 90 | |
| 50080 | A | Removal of kidney stone | 14.71 | 10.81 | NA | 0.86 | 90 | |
| 50081 | A | Removal of kidney stone | 21.80 | 12.93 | NA | 1.30 | 90 | |
| 50100 | A | Revise kidney blood vessels | 16.09 | 9.79 | NA | 1.64 | 90 | |
| 50120 | A | Exploration of kidney | 15.91 | 8.66 | NA | 1.04 | 90 | |
| 50125 | A | Explore and drain kidney | 16.52 | 8.76 | NA | 1.07 | 90 | |
| 50130 | A | Removal of kidney stone | 17.29 | 9.00 | NA | 1.04 | 90 | |
| 50135 | A | Exploration of kidney | 19.18 | 9.65 | NA | 1.18 | 90 | |
| 50200 | A | Biopsy of kidney | 2.63 | 0.93 | NA | 0.12 | 000 | |
| 50205 | A | Biopsy of kidney | 11.31 | 6.41 | NA | 0.94 | 090 | |
| 50220 | A | Remove kidney, open | 17.15 | 9.07 | NA | 1.16 | 090 | |
| 50225 | A | Removal kidney open, complex | 20.23 | 10.03 | NA | 1.26 | 090 | |
| 50230 | A | Removal kidney open, radical | 22.07 | 10.63 | NA | 1.35 | 090 | |
| 50234 | A | Removal of kidney ureter | 22.40 | 10.73 | NA | 1.37 | 090 | |
| 50236 | A | Removal of kidney ureter | 24.86 | 13.88 | NA | 1.50 | 090 | |
| 50240 | A | Partial removal of kidney | 22.00 | 13.00 | NA | 1.36 | 090 | |
| 50280 | A | Removal of kidney lesion | 15.67 | 8.51 | NA | 0.99 | 090 | |
| 50290 | A | Removal of kidney lesion | 14.73 | 8.12 | NA | 1.11 | 090 | |
| 50300 | X | Removal of donor kidney | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 50320 | A | Removal of donor kidney | 22.21 | 10.50 | NA | 1.78 | 090 | |
| 50340 | A | Removal of kidney | 12.15 | 9.21 | NA | 1.15 | 090 | |
| 50360 | A | Transplantation of kidney | 31.53 | 17.47 | NA | 2.97 | 090 | |
| 50365 | A | Transplantation of kidney | 36.81 | 20.98 | NA | 3.51 | 090 | |
| 50370 | A | Remove transplanted kidney | 13.72 | 9.73 | NA | 1.26 | 090 | |
| 50380 | A | Reimplantation of kidney | 20.76 | 13.71 | NA | 1.80 | 090 | |
| 50390 | A | Drainage of kidney lesion | 1.96 | 0.66 | NA | 0.09 | 000 | |
| 50392 | A | Insert kidney drain | 3.38 | 1.14 | NA | 0.15 | 000 | |
| 50393 | A | Insert ureteral tube | 4.16 | 1.40 | NA | 0.18 | 000 | |
| 50394 | A | Injection for kidney x-ray | 0.76 | 0.26 | 2.56 | 0.04 | 000 | |
| 50395 | A | Create passage to kidney | 3.38 | 1.14 | NA | 0.16 | 000 | |
| 50396 | A | Measure kidney pressure | 2.09 | 0.88 | NA | 0.10 | 000 | |
| 50398 | A | Change kidney tube | 1.46 | 0.49 | 1.16 | 0.07 | 000 | |
| 50400 | A | Revision of kidney/ureter | 19.50 | 9.78 | NA | 1.21 | 090 | |
| 50405 | A | Revision of kidney/ureter | 23.93 | 12.43 | NA | 1.45 | 090 | |
| 50500 | A | Repair of kidney wound | 19.57 | 11.28 | NA | 1.45 | 090 | |
| 50520 | A | Close kidney-skin fistula | 17.23 | 10.89 | NA | 1.26 | 090 | |
| 50525 | A | Repair renal-abdomen fistula | 22.27 | 12.57 | NA | 1.51 | 090 | |
| 50526 | A | Repair renal-abdomen fistula | 24.02 | 13.52 | NA | 1.62 | 090 | |
| 50540 | A | Revision of horseshoe kidney | 19.93 | 10.21 | NA | 1.28 | 090 | |
| 50541 | A | Laparo ablate renal cyst | 16.00 | 6.62 | NA | 0.99 | 090 | |
| 50544 | A | Laparoscopy, pyeloplasty | 22.40 | 8.78 | NA | 1.41 | 090 | |
| 50545 | A | Laparo radical nephrectomy | 24.00 | 9.38 | NA | 1.53 | 090 | |
| 50546 | A | Laparoscopic nephrectomy | 20.48 | 8.20 | NA | 1.37 | 090 | |
| 50547 | A | Laparo removal donor kidney | 25.50 | 10.89 | NA | 2.04 | 090 | |
| 50548 | A | Laparo remove k/ureter | 24.40 | 9.43 | NA | 1.49 | 090 | |
| 50549 | C | Laparoscope proc, renal | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50551 | A | Kidney endoscopy | 5.60 | 1.84 | 4.78 | 0.33 | 000 | |
| 50553 | A | Kidney endoscopy | 5.99 | 2.01 | 18.21 | 0.35 | 000 | |
| 50555 | A | Kidney endoscopy biopsy | 6.53 | 2.17 | 18.94 | 0.38 | 000 | |
| 50557 | A | Kidney endoscopy treatment | 6.62 | 2.18 | 19.70 | 0.39 | 000 | |
| 50559 | A | Renal endoscopy/radiotracer | 6.78 | 2.39 | NA | 0.27 | 000 | |
| 50561 | A | Kidney endoscopy treatment | 7.59 | 2.51 | 17.36 | 0.44 | 000 | |
| 50570 | A | Kidney endoscopy | 9.54 | 3.14 | NA | 0.56 | 000 | |
| 50572 | A | Kidney endoscopy | 10.35 | 3.43 | NA | 0.64 | 000 | |
| 50574 | A | Kidney endoscopy biopsy | 11.02 | 3.66 | NA | 0.65 | 000 | |
| 50575 | A | Kidney endoscopy | 13.98 | 4.60 | NA | 0.84 | 000 | |
| 50576 | A | Kidney endoscopy treatment | 10.99 | 3.61 | NA | 0.66 | 000 | |
| 50578 | A | Renal endoscopy/radiotracer | 11.35 | 3.80 | NA | 0.67 | 000 | |
| 50580 | A | Kidney endoscopy treatment | 11.86 | 3.91 | NA | 0.70 | 000 | |
| 50590 | A | Fragmenting of kidney stone | 9.09 | 5.18 | 10.34 | 0.54 | 090 | |
| 50600 | A | Exploration of ureter | 15.84 | 8.68 | NA | 0.99 | 090 | |
| 50605 | A | Insert ureteral support | 15.46 | 8.69 | NA | 1.13 | 090 | |
| 50610 | A | Removal of ureter stone | 15.92 | 8.92 | NA | 1.08 | 090 | |
| 50620 | A | Removal of ureter stone | 15.16 | 8.28 | NA | 0.91 | 090 | |
| 50630 | A | Removal of ureter stone | 14.94 | 8.23 | NA | 0.90 | 090 | |
| 50650 | A | Removal of ureter | 17.41 | 9.44 | NA | 1.07 | 090 | |
| 50660 | A | Removal of ureter | 19.55 | 10.16 | NA | 1.19 | 090 | |
| 50684 | A | Injection for ureter x-ray | 0.76 | 0.25 | 14.87 | 0.04 | 000 | |
| 50686 | A | Measure ureter pressure | 1.51 | 0.67 | 5.02 | 0.09 | 000 | |
| 50688 | A | Change of ureter tube | 1.17 | 1.75 | NA | 0.06 | 010 | |
| 50690 | A | Injection for ureter x-ray | 1.16 | 0.39 | 15.23 | 0.06 | 000 | |
| 50700 | A | Revision of ureter | 15.21 | 9.16 | NA | 0.86 | 090 | |
| 50715 | A | Release of ureter | 18.90 | 12.01 | NA | 1.68 | 090 | |
| 50722 | A | Release of ureter | 16.35 | 9.79 | NA | 1.41 | 090 | |
| 50725 | A | Release/revise ureter | 18.49 | 10.35 | NA | 1.44 | 090 | |
| 50727 | A | Revise ureter | 8.18 | 6.48 | NA | 0.51 | 090 | |
| 50728 | A | Revise ureter | 12.02 | 8.04 | NA | 0.88 | 090 | |
| 50740 | A | Fusion of ureter kidney | 18.42 | 9.43 | NA | 1.49 | 090 | |
| 50750 | A | Fusion of ureter kidney | 19.51 | 10.22 | NA | 1.24 | 090 | |
| 50760 | A | Fusion of ureters | 18.42 | 9.85 | NA | 1.25 | 090 | |
| 50770 | A | Splicing of ureters | 19.51 | 10.15 | NA | 1.25 | 090 | |
| 50780 | A | Reimplant ureter in bladder | 18.36 | 9.76 | NA | 1.20 | 090 | |
| 50782 | A | Reimplant ureter in bladder | 19.54 | 11.19 | NA | 1.13 | 090 | |
| 50783 | A | Reimplant ureter in bladder | 20.55 | 10.83 | NA | 1.35 | 090 | |
| 50785 | A | Reimplant ureter in bladder | 20.52 | 10.53 | NA | 1.30 | 090 | |
| 50800 | A | Implant ureter in bowel | 14.52 | 9.66 | NA | 0.92 | 090 | |
| 50810 | A | Fusion of ureter bowel | 20.05 | 12.42 | NA | 1.78 | 090 | |
| 50815 | A | Urine shunt to intestine | 19.93 | 11.56 | NA | 1.31 | 090 | |
| 50820 | A | Construct bowel bladder | 21.89 | 11.84 | NA | 1.38 | 090 | |
| 50825 | A | Construct bowel bladder | 28.18 | 14.82 | NA | 1.81 | 090 | |
| 50830 | A | Revise urine flow | 31.28 | 15.47 | NA | 2.20 | 090 | |
| 50840 | A | Replace ureter by bowel | 20.00 | 11.61 | NA | 1.26 | 090 | |
| 50845 | A | Appendico-vesicostomy | 20.89 | 9.92 | NA | 1.26 | 090 | |
| 50860 | A | Transplant ureter to skin | 15.36 | 8.75 | NA | 1.01 | 090 | |
| 50900 | A | Repair of ureter | 13.62 | 7.82 | NA | 0.98 | 090 | |
| 50920 | A | Closure ureter/skin fistula | 14.33 | 8.38 | NA | 0.84 | 090 | |
| 50930 | A | Closure ureter/bowel fistula | 18.72 | 9.84 | NA | 1.57 | 090 | |
| 50940 | A | Release of ureter | 14.51 | 8.26 | NA | 1.04 | 090 | |
| 50945 | A | Laparoscopy ureterolithotomy | 17.00 | 7.27 | NA | 1.15 | 090 | |
| 50947 | A | Laparo new ureter/bladder | 24.50 | 11.42 | NA | 1.99 | 090 | |
| 50948 | A | Laparo new ureter/bladder | 22.50 | 10.32 | NA | 1.83 | 090 | |
| 50949 | C | Laparoscope proc, ureter | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50951 | A | Endoscopy of ureter | 5.84 | 1.92 | 5.17 | 0.35 | 000 | |
| 50953 | A | Endoscopy of ureter | 6.24 | 2.06 | 18.11 | 0.37 | 000 | |
| 50955 | A | Ureter endoscopy biopsy | 6.75 | 2.26 | 19.81 | 0.38 | 000 | |
| 50957 | A | Ureter endoscopy treatment | 6.79 | 2.24 | 17.80 | 0.40 | 000 | |
| 50959 | A | Ureter endoscopy tracer | 4.40 | 1.51 | NA | 0.18 | 000 | |
| 50961 | A | Ureter endoscopy treatment | 6.05 | 1.99 | 23.56 | 0.35 | 000 | |
| 50970 | A | Ureter endoscopy | 7.14 | 2.36 | NA | 0.43 | 000 | |
| 50972 | A | Ureter endoscopy catheter | 6.89 | 2.33 | NA | 0.39 | 000 | |
| 50974 | A | Ureter endoscopy biopsy | 9.17 | 3.02 | NA | 0.53 | 000 | |
| 50976 | A | Ureter endoscopy treatment | 9.04 | 2.99 | NA | 0.53 | 000 | |
| 50978 | A | Ureter endoscopy tracer | 5.10 | 1.74 | NA | 0.30 | 000 | |
| 50980 | A | Ureter endoscopy treatment | 6.85 | 2.24 | NA | 0.41 | 000 | |
| 51000 | A | Drainage of bladder | 0.78 | 0.25 | 2.02 | 0.05 | 000 | |
| 51005 | A | Drainage of bladder | 1.02 | 0.35 | 3.30 | 0.08 | 000 | |
| 51010 | A | Drainage of bladder | 3.53 | 2.31 | 4.29 | 0.23 | 010 | |
| 51020 | A | Incise treat bladder | 6.71 | 5.63 | NA | 0.42 | 090 | |
| 51030 | A | Incise treat bladder | 6.77 | 5.75 | NA | 0.42 | 090 | |
| 51040 | A | Incise drain bladder | 4.40 | 4.35 | NA | 0.27 | 090 | |
| 51045 | A | Incise bladder/drain ureter | 6.77 | 5.83 | NA | 0.47 | 090 | |
| 51050 | A | Removal of bladder stone | 6.92 | 5.14 | NA | 0.42 | 090 | |
| 51060 | A | Removal of ureter stone | 8.85 | 6.25 | NA | 0.54 | 090 | |
| 51065 | A | Remove ureter calculus | 8.85 | 6.10 | NA | 0.53 | 090 | |
| 51080 | A | Drainage of bladder abscess | 5.96 | 5.61 | NA | 0.35 | 090 | |
| 51500 | A | Removal of bladder cyst | 10.14 | 6.02 | NA | 0.88 | 090 | |
| 51520 | A | Removal of bladder lesion | 9.29 | 6.46 | NA | 0.58 | 090 | |
| 51525 | A | Removal of bladder lesion | 13.97 | 7.90 | NA | 0.85 | 090 | |
| 51530 | A | Removal of bladder lesion | 12.38 | 7.53 | NA | 0.82 | 090 | |
| 51535 | A | Repair of ureter lesion | 12.57 | 8.02 | NA | 0.90 | 090 | |
| 51550 | A | Partial removal of bladder | 15.66 | 8.47 | NA | 1.05 | 090 | |
| 51555 | A | Partial removal of bladder | 21.23 | 10.71 | NA | 1.37 | 090 | |
| 51565 | A | Revise bladder ureter(s) | 21.62 | 11.27 | NA | 1.40 | 090 | |
| 51570 | A | Removal of bladder | 24.24 | 12.37 | NA | 1.59 | 090 | |
| 51575 | A | Removal of bladder nodes | 30.45 | 15.00 | NA | 1.88 | 090 | |
| 51580 | A | Remove bladder/revise tract | 31.08 | 15.60 | NA | 1.94 | 090 | |
| 51585 | A | Removal of bladder nodes | 35.23 | 16.88 | NA | 2.18 | 090 | |
| 51590 | A | Remove bladder/revise tract | 32.66 | 15.61 | NA | 2.01 | 090 | |
| 51595 | A | Remove bladder/revise tract | 37.14 | 17.08 | NA | 2.23 | 090 | |
| 51596 | A | Remove bladder/create pouch | 39.52 | 18.38 | NA | 2.39 | 090 | |
| 51597 | A | Removal of pelvic structures | 38.35 | 17.94 | NA | 2.49 | 090 | |
| 51600 | A | Injection for bladder x-ray | 0.88 | 0.30 | 5.44 | 0.04 | 000 | |
| 51605 | A | Preparation for bladder xray | 0.64 | 0.22 | 16.06 | 0.04 | 000 | |
| 51610 | A | Injection for bladder x-ray | 1.05 | 0.35 | 15.78 | 0.05 | 000 | |
| 51700 | A | Irrigation of bladder | 0.88 | 0.29 | 1.29 | 0.05 | 000 | |
| 51705 | A | Change of bladder tube | 1.02 | 0.64 | 2.10 | 0.06 | 010 | |
| 51710 | A | Change of bladder tube | 1.49 | 1.44 | 4.97 | 0.09 | 010 | |
| 51715 | A | Endoscopic injection/implant | 3.74 | 1.25 | 4.34 | 0.24 | 000 | |
| 51720 | A | Treatment of bladder lesion | 1.96 | 0.72 | 1.64 | 0.12 | 000 | |
| 51725 | A | Simple cystometrogram | 1.51 | NA | 5.76 | 0.13 | 000 | |
| 51725 | 26 | A | Simple cystometrogram | 1.51 | 0.51 | 0.51 | 0.10 | 000 |
| 51725 | TC | A | Simple cystometrogram | 0.00 | NA | 5.25 | 0.03 | 000 |
| 51726 | A | Complex cystometrogram | 1.71 | NA | 4.54 | 0.15 | 000 | |
| 51726 | 26 | A | Complex cystometrogram | 1.71 | 0.57 | 0.57 | 0.11 | 000 |
| 51726 | TC | A | Complex cystometrogram | 0.00 | NA | 3.96 | 0.04 | 000 |
| 51736 | A | Urine flow measurement | 0.61 | NA | 1.09 | 0.05 | 000 | |
| 51736 | 26 | A | Urine flow measurement | 0.61 | 0.20 | 0.20 | 0.04 | 000 |
| 51736 | TC | A | Urine flow measurement | 0.00 | NA | 0.88 | 0.01 | 000 |
| 51741 | A | Electro-uroflowmetry, first | 1.14 | NA | 1.88 | 0.09 | 000 | |
| 51741 | 26 | A | Electro-uroflowmetry, first | 1.14 | 0.38 | 0.38 | 0.07 | 000 |
| 51741 | TC | A | Electro-uroflowmetry, first | 0.00 | NA | 1.50 | 0.02 | 000 |
| 51772 | A | Urethra pressure profile | 1.61 | NA | 4.69 | 0.16 | 000 | |
| 51772 | 26 | A | Urethra pressure profile | 1.61 | 0.57 | 0.57 | 0.12 | 000 |
| 51772 | TC | A | Urethra pressure profile | 0.00 | NA | 4.12 | 0.04 | 000 |
| 51784 | A | Anal/urinary muscle study | 1.53 | NA | 3.47 | 0.13 | 000 | |
| 51784 | 26 | A | Anal/urinary muscle study | 1.53 | 0.52 | 0.52 | 0.10 | 000 |
| 51784 | TC | A | Anal/urinary muscle study | 0.00 | NA | 2.95 | 0.03 | 000 |
| 51785 | A | Anal/urinary muscle study | 1.53 | NA | 3.38 | 0.12 | 000 | |
| 51785 | 26 | A | Anal/urinary muscle study | 1.53 | 0.52 | 0.52 | 0.09 | 000 |
| 51785 | TC | A | Anal/urinary muscle study | 0.00 | NA | 2.86 | 0.03 | 000 |
| 51792 | A | Urinary reflex study | 1.10 | NA | 3.32 | 0.20 | 000 | |
| 51792 | 26 | A | Urinary reflex study | 1.10 | 0.43 | 0.43 | 0.09 | 000 |
| 51792 | TC | A | Urinary reflex study | 0.00 | NA | 2.89 | 0.11 | 000 |
| 51795 | A | Urine voiding pressure study | 1.53 | NA | 4.67 | 0.18 | 000 | |
| 51795 | 26 | A | Urine voiding pressure study | 1.53 | 0.52 | 0.52 | 0.10 | 000 |
| 51795 | TC | A | Urine voiding pressure study | 0.00 | NA | 4.15 | 0.08 | 000 |
| 51797 | A | Intraabdominal pressure test | 1.60 | NA | 4.74 | 0.14 | 000 | |
| 51797 | 26 | A | Intraabdominal pressure test | 1.60 | 0.54 | 0.54 | 0.10 | 000 |
| 51797 | TC | A | Intraabdominal pressure test | 0.00 | NA | 4.20 | 0.04 | 000 |
| 51800 | A | Revision of bladder/urethra | 17.42 | 9.33 | NA | 1.17 | 090 | |
| 51820 | A | Revision of urinary tract | 17.89 | 10.80 | NA | 1.45 | 090 | |
| 51840 | A | Attach bladder/urethra | 10.71 | 6.69 | NA | 0.87 | 090 | |
| 51841 | A | Attach bladder/urethra | 13.03 | 8.36 | NA | 1.04 | 090 | |
| 51845 | A | Repair bladder neck | 9.73 | 6.71 | NA | 0.62 | 090 | |
| 51860 | A | Repair of bladder wound | 12.02 | 7.73 | NA | 0.89 | 090 | |
| 51865 | A | Repair of bladder wound | 15.04 | 8.69 | NA | 1.01 | 090 | |
| 51880 | A | Repair of bladder opening | 7.66 | 5.68 | NA | 0.54 | 090 | |
| 51900 | A | Repair bladder/vagina lesion | 12.97 | 8.12 | NA | 0.87 | 090 | |
| 51920 | A | Close bladder-uterus fistula | 11.81 | 7.28 | NA | 0.86 | 090 | |
| 51925 | A | Hysterectomy/bladder repair | 15.58 | 9.47 | NA | 1.48 | 090 | |
| 51940 | A | Correction of bladder defect | 28.43 | 16.03 | NA | 1.97 | 090 | |
| 51960 | A | Revision of bladder bowel | 23.01 | 12.95 | NA | 1.41 | 090 | |
| 51980 | A | Construct bladder opening | 11.36 | 7.17 | NA | 0.74 | 090 | |
| 51990 | A | Laparo urethral suspension | 12.50 | 6.51 | NA | 1.02 | 090 | |
| 51992 | A | Laparo sling operation | 14.01 | 6.58 | NA | 0.93 | 090 | |
| 52000 | A | Cystoscopy | 2.01 | 0.67 | 3.35 | 0.12 | 000 | |
| 52001 | A | Cystoscopy, removal of clots | 2.37 | 0.95 | NA | 0.32 | 000 | |
| 52005 | A | Cystoscopy ureter catheter | 2.37 | 0.88 | 13.07 | 0.15 | 000 | |
| 52007 | A | Cystoscopy and biopsy | 3.02 | 1.00 | NA | 0.18 | 000 | |
| 52010 | A | Cystoscopy duct catheter | 3.02 | 1.00 | 5.55 | 0.18 | 000 | |
| 52204 | A | Cystoscopy | 2.37 | 0.78 | 6.00 | 0.15 | 000 | |
| 52214 | A | Cystoscopy and treatment | 3.71 | 1.22 | 6.34 | 0.22 | 000 | |
| 52224 | A | Cystoscopy and treatment | 3.14 | 1.04 | 6.22 | 0.18 | 000 | |
| 52234 | A | Cystoscopy and treatment | 4.63 | 1.63 | NA | 0.27 | 000 | |
| 52235 | A | Cystoscopy and treatment | 5.45 | 1.91 | NA | 0.32 | 000 | |
| 52240 | A | Cystoscopy and treatment | 9.72 | 3.34 | NA | 0.58 | 000 | |
| 52250 | A | Cystoscopy and radiotracer | 4.50 | 1.48 | NA | 0.27 | 000 | |
| 52260 | A | Cystoscopy and treatment | 3.92 | 1.29 | NA | 0.23 | 000 | |
| 52265 | A | Cystoscopy and treatment | 2.94 | 0.97 | 3.67 | 0.18 | 000 | |
| 52270 | A | Cystoscopy revise urethra | 3.37 | 1.11 | 6.70 | 0.20 | 000 | |
| 52275 | A | Cystoscopy revise urethra | 4.70 | 1.55 | 7.22 | 0.28 | 000 | |
| 52276 | A | Cystoscopy and treatment | 5.00 | 1.65 | 7.33 | 0.30 | 000 | |
| 52277 | A | Cystoscopy and treatment | 6.17 | 2.05 | NA | 0.38 | 000 | |
| 52281 | A | Cystoscopy and treatment | 2.80 | 1.04 | 14.17 | 0.17 | 000 | |
| 52282 | A | Cystoscopy, implant stent | 6.40 | 2.11 | 15.05 | 0.38 | 000 | |
| 52283 | A | Cystoscopy and treatment | 3.74 | 1.24 | 6.62 | 0.22 | 000 | |
| 52285 | A | Cystoscopy and treatment | 3.61 | 1.19 | 6.87 | 0.22 | 000 | |
| 52290 | A | Cystoscopy and treatment | 4.59 | 1.51 | NA | 0.27 | 000 | |
| 52300 | A | Cystoscopy and treatment | 5.31 | 1.75 | NA | 0.32 | 000 | |
| 52301 | A | Cystoscopy and treatment | 5.51 | 1.76 | NA | 0.39 | 000 | |
| 52305 | A | Cystoscopy and treatment | 5.31 | 1.75 | NA | 0.31 | 000 | |
| 52310 | A | Cystoscopy and treatment | 2.81 | 0.99 | 3.74 | 0.17 | 000 | |
| 52315 | A | Cystoscopy and treatment | 5.21 | 1.72 | 16.02 | 0.31 | 000 | |
| 52317 | A | Remove bladder stone | 6.72 | 2.21 | 24.56 | 0.40 | 000 | |
| 52318 | A | Remove bladder stone | 9.19 | 3.03 | NA | 0.54 | 000 | |
| 52320 | A | Cystoscopy and treatment | 4.70 | 1.54 | NA | 0.28 | 000 | |
| 52325 | A | Cystoscopy, stone removal | 6.16 | 2.02 | NA | 0.37 | 000 | |
| 52327 | A | Cystoscopy, inject material | 5.19 | 1.73 | NA | 0.32 | 000 | |
| 52330 | A | Cystoscopy and treatment | 5.04 | 1.66 | 20.27 | 0.30 | 000 | |
| 52332 | A | Cystoscopy and treatment | 2.83 | 1.04 | 18.45 | 0.17 | 000 | |
| 52334 | A | Create passage to kidney | 4.83 | 1.59 | NA | 0.28 | 000 | |
| 52341 | A | Cysto w/ureter stricture tx | 6.00 | 2.32 | NA | 0.37 | 000 | |
| 52342 | A | Cysto w/up stricture tx | 6.50 | 2.51 | NA | 0.40 | 000 | |
| 52343 | A | Cysto w/renal stricture tx | 7.20 | 2.78 | NA | 0.44 | 000 | |
| 52344 | A | Cysto/uretero, stone remove | 7.70 | 2.98 | NA | 0.47 | 000 | |
| 52345 | A | Cysto/uretero w/up stricture | 8.20 | 3.17 | NA | 0.50 | 000 | |
| 52346 | A | Cystouretero w/renal strict | 9.23 | 3.57 | NA | 0.57 | 000 | |
| 52347 | A | Cystoscopy, resect ducts | 5.28 | 2.08 | NA | 0.33 | 000 | |
| 52351 | A | Cystouretro or pyeloscope | 5.86 | 1.93 | NA | 0.36 | 000 | |
| 52352 | A | Cystouretro w/stone remove | 6.88 | 2.26 | NA | 0.42 | 000 | |
| 52353 | A | Cystouretero w/lithotripsy | 7.97 | 2.61 | NA | 0.49 | 000 | |
| 52354 | A | Cystouretero w/biopsy | 7.34 | 2.42 | NA | 0.45 | 000 | |
| 52355 | A | Cystouretero w/excise tumor | 8.82 | 2.90 | NA | 0.55 | 000 | |
| 52400 | A | Cystouretero w/congen repr | 9.68 | 5.60 | NA | 0.60 | 090 | |
| 52450 | A | Incision of prostate | 7.64 | 5.01 | NA | 0.46 | 090 | |
| 52500 | A | Revision of bladder neck | 8.47 | 5.26 | NA | 0.50 | 090 | |
| 52510 | A | Dilation prostatic urethra | 6.72 | 4.30 | NA | 0.40 | 090 | |
| 52601 | A | Prostatectomy (TURP) | 12.37 | 6.55 | NA | 0.74 | 090 | |
| 52606 | A | Control postop bleeding | 8.13 | 4.69 | NA | 0.49 | 090 | |
| 52612 | A | Prostatectomy, first stage | 7.98 | 5.14 | NA | 0.48 | 090 | |
| 52614 | A | Prostatectomy, second stage | 6.84 | 4.73 | NA | 0.41 | 090 | |
| 52620 | A | Remove residual prostate | 6.61 | 4.66 | NA | 0.39 | 090 | |
| 52630 | A | Remove prostate regrowth | 7.26 | 4.88 | NA | 0.43 | 090 | |
| 52640 | A | Relieve bladder contracture | 6.62 | 4.19 | NA | 0.39 | 090 | |
| 52647 | A | Laser surgery of prostate | 10.36 | 4.72 | 57.64 | 0.61 | 090 | |
| 52648 | A | Laser surgery of prostate | 11.21 | 6.16 | NA | 0.66 | 090 | |
| 52700 | A | Drainage of prostate abscess | 6.80 | 4.78 | NA | 0.41 | 090 | |
| 53000 | A | Incision of urethra | 2.28 | 2.57 | 7.30 | 0.13 | 010 | |
| 53010 | A | Incision of urethra | 3.64 | 4.11 | NA | 0.20 | 090 | |
| 53020 | A | Incision of urethra | 1.77 | 0.65 | 4.24 | 0.11 | 000 | |
| 53025 | A | Incision of urethra | 1.13 | 0.44 | 4.67 | 0.07 | 000 | |
| 53040 | A | Drainage of urethra abscess | 6.40 | 8.16 | 13.49 | 0.41 | 090 | |
| 53060 | A | Drainage of urethra abscess | 2.63 | 2.81 | 6.41 | 0.23 | 010 | |
| 53080 | A | Drainage of urinary leakage | 6.29 | 8.42 | NA | 0.42 | 090 | |
| 53085 | A | Drainage of urinary leakage | 10.27 | 9.71 | NA | 0.67 | 090 | |
| 53200 | A | Biopsy of urethra | 2.59 | 0.94 | 5.53 | 0.17 | 000 | |
| 53210 | A | Removal of urethra | 12.57 | 7.96 | NA | 0.81 | 090 | |
| 53215 | A | Removal of urethra | 15.58 | 8.59 | NA | 0.93 | 090 | |
| 53220 | A | Treatment of urethra lesion | 7.00 | 5.50 | NA | 0.44 | 090 | |
| 53230 | A | Removal of urethra lesion | 9.58 | 6.27 | NA | 0.60 | 090 | |
| 53235 | A | Removal of urethra lesion | 10.14 | 6.41 | NA | 0.60 | 090 | |
| 53240 | A | Surgery for urethra pouch | 6.45 | 5.22 | NA | 0.42 | 090 | |
| 53250 | A | Removal of urethra gland | 5.89 | 4.52 | NA | 0.35 | 090 | |
| 53260 | A | Treatment of urethra lesion | 2.98 | 2.38 | 6.16 | 0.23 | 010 | |
| 53265 | A | Treatment of urethra lesion | 3.12 | 2.35 | 6.51 | 0.20 | 010 | |
| 53270 | A | Removal of urethra gland | 3.09 | 2.57 | 6.50 | 0.21 | 010 | |
| 53275 | A | Repair of urethra defect | 4.53 | 3.32 | NA | 0.28 | 010 | |
| 53400 | A | Revise urethra, stage 1 | 12.77 | 7.88 | NA | 0.85 | 090 | |
| 53405 | A | Revise urethra, stage 2 | 14.48 | 8.18 | NA | 0.91 | 090 | |
| 53410 | A | Reconstruction of urethra | 16.44 | 8.95 | NA | 0.99 | 090 | |
| 53415 | A | Reconstruction of urethra | 19.41 | 9.29 | NA | 1.16 | 090 | |
| 53420 | A | Reconstruct urethra, stage 1 | 14.08 | 8.69 | NA | 0.90 | 090 | |
| 53425 | A | Reconstruct urethra, stage 2 | 15.98 | 9.02 | NA | 0.97 | 090 | |
| 53430 | A | Reconstruction of urethra | 16.34 | 9.09 | NA | 1.01 | 090 | |
| 53431 | A | Reconstruct urethra/bladder | 19.89 | 6.77 | 6.77 | 1.25 | 090 | |
| 53440 | A | Correct bladder function | 12.34 | 7.99 | NA | 0.73 | 090 | |
| 53442 | A | Remove perineal prosthesis | 8.27 | 5.96 | NA | 0.55 | 090 | |
| 53443 | D | Reconstruction of urethra | 19.89 | 11.28 | NA | 1.25 | 090 | |
| 53444 | A | Insert tandem cuff | 13.40 | 6.47 | NA | 0.79 | 090 | |
| 53445 | A | Insert uro/ves nck sphincter | 14.06 | 8.52 | NA | 0.84 | 090 | |
| 53446 | A | Remove uro sphincter | 10.23 | 8.33 | NA | 0.61 | 090 | |
| 53447 | A | Remove/replace ur sphincter | 13.49 | 7.71 | NA | 0.79 | 090 | |
| 53448 | A | Remov/replc ur sphinctr comp | 21.15 | 12.09 | NA | 1.27 | 090 | |
| 53449 | A | Repair uro sphincter | 9.70 | 6.55 | NA | 0.57 | 090 | |
| 53450 | A | Revision of urethra | 6.14 | 4.99 | NA | 0.37 | 090 | |
| 53460 | A | Revision of urethra | 7.12 | 5.35 | NA | 0.43 | 090 | |
| 53502 | A | Repair of urethra injury | 7.63 | 5.72 | NA | 0.50 | 090 | |
| 53505 | A | Repair of urethra injury | 7.63 | 5.48 | NA | 0.46 | 090 | |
| 53510 | A | Repair of urethra injury | 10.11 | 6.72 | NA | 0.60 | 090 | |
| 53515 | A | Repair of urethra injury | 13.31 | 7.44 | NA | 0.83 | 090 | |
| 53520 | A | Repair of urethra defect | 8.68 | 5.95 | NA | 0.53 | 090 | |
| 53600 | A | Dilate urethra stricture | 1.21 | 0.44 | 1.15 | 0.07 | 000 | |
| 53601 | A | Dilate urethra stricture | 0.98 | 0.39 | 1.28 | 0.06 | 000 | |
| 53605 | A | Dilate urethra stricture | 1.28 | 0.42 | NA | 0.08 | 000 | |
| 53620 | A | Dilate urethra stricture | 1.62 | 0.61 | 1.86 | 0.10 | 000 | |
| 53621 | A | Dilate urethra stricture | 1.35 | 0.51 | 1.94 | 0.08 | 000 | |
| 53660 | A | Dilation of urethra | 0.71 | 0.32 | 1.19 | 0.04 | 000 | |
| 53661 | A | Dilation of urethra | 0.72 | 0.30 | 1.18 | 0.04 | 000 | |
| 53665 | A | Dilation of urethra | 0.76 | 0.26 | NA | 0.05 | 000 | |
| 53670 | A | Insert urinary catheter | 0.50 | 0.17 | 1.71 | 0.03 | 000 | |
| 53675 | A | Insert urinary catheter | 1.47 | 0.56 | 2.57 | 0.09 | 000 | |
| 53850 | A | Prostatic microwave thermotx | 9.45 | 4.35 | 80.16 | 0.56 | 090 | |
| 53852 | A | Prostatic rf thermotx | 9.88 | 4.52 | 71.41 | 0.58 | 090 | |
| 53853 | A | Prostatic water thermother | 4.14 | 3.02 | 52.92 | 0.38 | 090 | |
| 53899 | C | Urology surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54000 | A | Slitting of prepuce | 1.54 | 1.47 | 5.71 | 0.10 | 010 | |
| 54001 | A | Slitting of prepuce | 2.19 | 2.09 | 6.34 | 0.14 | 010 | |
| 54015 | A | Drain penis lesion | 5.32 | 3.15 | 7.41 | 0.33 | 010 | |
| 54050 | A | Destruction, penis lesion(s) | 1.24 | 0.49 | 2.66 | 0.07 | 010 | |
| 54055 | A | Destruction, penis lesion(s) | 1.22 | 1.41 | 6.46 | 0.07 | 010 | |
| 54056 | A | Cryosurgery, penis lesion(s) | 1.24 | 0.54 | 2.88 | 0.06 | 010 | |
| 54057 | A | Laser surg, penis lesion(s) | 1.24 | 1.37 | 2.94 | 0.08 | 010 | |
| 54060 | A | Excision of penis lesion(s) | 1.93 | 1.61 | 5.47 | 0.12 | 010 | |
| 54065 | A | Destruction, penis lesion(s) | 2.42 | 2.16 | 5.35 | 0.13 | 010 | |
| 54100 | A | Biopsy of penis | 1.90 | 0.74 | 3.54 | 0.10 | 000 | |
| 54105 | A | Biopsy of penis | 3.50 | 2.13 | 6.53 | 0.21 | 010 | |
| 54110 | A | Treatment of penis lesion | 10.13 | 7.97 | NA | 0.60 | 090 | |
| 54111 | A | Treat penis lesion, graft | 13.57 | 9.09 | NA | 0.79 | 090 | |
| 54112 | A | Treat penis lesion, graft | 15.86 | 9.98 | NA | 0.94 | 090 | |
| 54115 | A | Treatment of penis lesion | 6.15 | 6.70 | 11.15 | 0.39 | 090 | |
| 54120 | A | Partial removal of penis | 9.97 | 7.93 | NA | 0.60 | 090 | |
| 54125 | A | Removal of penis | 13.53 | 9.12 | NA | 0.81 | 090 | |
| 54130 | A | Remove penis nodes | 20.14 | 11.59 | NA | 1.19 | 090 | |
| 54135 | A | Remove penis nodes | 26.36 | 13.71 | NA | 1.58 | 090 | |
| 54150 | A | Circumcision | 1.81 | 1.91 | 6.79 | 0.17 | 010 | |
| 54152 | A | Circumcision | 2.31 | 1.73 | NA | 0.16 | 010 | |
| 54160 | A | Circumcision | 2.48 | 1.80 | 5.76 | 0.16 | 010 | |
| 54161 | A | Circumcision | 3.27 | 2.04 | NA | 0.20 | 010 | |
| 54162 | A | Lysis penil circumcis lesion | 3.00 | 2.86 | NA | 0.18 | 010 | |
| 54163 | A | Repair of circumcision | 3.00 | 2.48 | NA | 0.18 | 010 | |
| 54164 | A | Frenulotomy of penis | 2.50 | 2.31 | NA | 0.15 | 010 | |
| 54200 | A | Treatment of penis lesion | 1.06 | 0.37 | 2.79 | 0.06 | 010 | |
| 54205 | A | Treatment of penis lesion | 7.93 | 7.15 | NA | 0.47 | 090 | |
| 54220 | A | Treatment of penis lesion | 2.42 | 1.00 | 2.04 | 0.15 | 000 | |
| 54230 | A | Prepare penis study | 1.34 | 0.44 | NA | 0.08 | 000 | |
| 54231 | A | Dynamic cavernosometry | 2.04 | 0.81 | 2.22 | 0.14 | 000 | |
| 54235 | A | Penile injection | 1.19 | 0.40 | 1.18 | 0.07 | 000 | |
| 54240 | A | Penis study | 1.31 | NA | 1.81 | 0.13 | 000 | |
| 54240 | 26 | A | Penis study | 1.31 | 0.44 | 0.44 | 0.08 | 000 |
| 54240 | TC | A | Penis study | 0.00 | NA | 1.37 | 0.05 | 000 |
| 54250 | A | Penis study | 2.22 | NA | 2.98 | 0.16 | 000 | |
| 54250 | 26 | A | Penis study | 2.22 | 0.73 | 0.73 | 0.14 | 000 |
| 54250 | TC | A | Penis study | 0.00 | NA | 2.25 | 0.02 | 000 |
| 54300 | A | Revision of penis | 10.41 | 8.80 | NA | 0.64 | 090 | |
| 54304 | A | Revision of penis | 12.49 | 9.94 | NA | 0.74 | 090 | |
| 54308 | A | Reconstruction of urethra | 11.83 | 9.73 | NA | 0.70 | 090 | |
| 54312 | A | Reconstruction of urethra | 13.57 | 10.21 | NA | 0.81 | 090 | |
| 54316 | A | Reconstruction of urethra | 16.82 | 11.88 | NA | 1.00 | 090 | |
| 54318 | A | Reconstruction of urethra | 11.25 | 9.24 | NA | 1.15 | 090 | |
| 54322 | A | Reconstruction of urethra | 13.01 | 9.22 | NA | 0.77 | 090 | |
| 54324 | A | Reconstruction of urethra | 16.31 | 11.70 | NA | 1.03 | 090 | |
| 54326 | A | Reconstruction of urethra | 15.72 | 11.09 | NA | 0.93 | 090 | |
| 54328 | A | Revise penis/urethra | 15.65 | 11.10 | NA | 0.92 | 090 | |
| 54332 | A | Revise penis/urethra | 17.08 | 11.23 | NA | 1.01 | 090 | |
| 54336 | A | Revise penis/urethra | 20.04 | 14.98 | NA | 1.90 | 090 | |
| 54340 | A | Secondary urethral surgery | 8.91 | 8.11 | NA | 0.72 | 090 | |
| 54344 | A | Secondary urethral surgery | 15.94 | 10.79 | NA | 1.10 | 090 | |
| 54348 | A | Secondary urethral surgery | 17.15 | 12.23 | NA | 1.02 | 090 | |
| 54352 | A | Reconstruct urethra/penis | 24.74 | 15.37 | NA | 1.62 | 090 | |
| 54360 | A | Penis plastic surgery | 11.93 | 8.57 | NA | 0.72 | 090 | |
| 54380 | A | Repair penis | 13.18 | 10.08 | NA | 1.16 | 090 | |
| 54385 | A | Repair penis | 15.39 | 12.00 | NA | 0.71 | 090 | |
| 54390 | A | Repair penis and bladder | 21.61 | 14.40 | NA | 1.28 | 090 | |
| 54400 | A | Insert semi-rigid prosthesis | 8.99 | 6.37 | NA | 0.53 | 090 | |
| 54401 | A | Insert self-contd prosthesis | 10.28 | 7.18 | NA | 0.61 | 090 | |
| 54402 | D | Remove penis prosthesis | 9.21 | 7.43 | NA | 0.55 | 090 | |
| 54405 | A | Insert multi-comp penis pros | 13.43 | 8.27 | NA | 0.80 | 090 | |
| 54406 | A | Remove multi-comp penis pros | 12.10 | 6.02 | NA | 0.80 | 090 | |
| 54407 | D | Remove multi-comp prosthesis | 13.34 | 9.03 | NA | 0.80 | 090 | |
| 54408 | A | Repair multi-comp penis pros | 12.75 | 6.37 | NA | 0.80 | 090 | |
| 54409 | D | Revise penis prosthesis | 12.20 | 8.59 | NA | 0.73 | 090 | |
| 54410 | A | Remove/replace penis prosth | 15.50 | 7.27 | NA | 0.80 | 090 | |
| 54411 | A | Remv/replc penis pros, comp | 16.00 | 8.77 | NA | 0.80 | 090 | |
| 54415 | A | Remove self-contd penis pros | 8.20 | 5.24 | NA | 0.55 | 090 | |
| 54416 | A | Remv/repl penis contain pros | 10.87 | 6.79 | NA | 0.55 | 090 | |
| 54417 | A | Remv/replc penis pros, compl | 14.19 | 7.71 | NA | 0.55 | 090 | |
| 54420 | A | Revision of penis | 11.42 | 8.47 | NA | 0.72 | 090 | |
| 54430 | A | Revision of penis | 10.15 | 7.94 | NA | 0.60 | 090 | |
| 54435 | A | Revision of penis | 6.12 | 6.09 | NA | 0.36 | 090 | |
| 54440 | C | Repair of penis | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 54450 | A | Preputial stretching | 1.12 | 0.47 | 1.06 | 0.07 | 000 | |
| 54500 | A | Biopsy of testis | 1.31 | 0.44 | 6.32 | 0.08 | 000 | |
| 54505 | A | Biopsy of testis | 3.46 | 2.66 | NA | 0.21 | 010 | |
| 54510 | D | Removal of testis lesion | 5.45 | 3.90 | NA | 0.35 | 090 | |
| 54512 | A | Excise lesion testis | 8.58 | 5.01 | NA | 0.56 | 090 | |
| 54520 | A | Removal of testis | 5.23 | 3.64 | NA | 0.33 | 090 | |
| 54522 | A | Orchiectomy, partial | 9.50 | 6.00 | NA | 0.62 | 090 | |
| 54530 | A | Removal of testis | 8.58 | 5.30 | NA | 0.53 | 090 | |
| 54535 | A | Extensive testis surgery | 12.16 | 7.26 | NA | 0.83 | 090 | |
| 54550 | A | Exploration for testis | 7.78 | 4.77 | NA | 0.49 | 090 | |
| 54560 | A | Exploration for testis | 11.13 | 6.79 | NA | 0.79 | 090 | |
| 54600 | A | Reduce testis torsion | 7.01 | 4.26 | NA | 0.45 | 090 | |
| 54620 | A | Suspension of testis | 4.90 | 3.17 | NA | 0.31 | 010 | |
| 54640 | A | Suspension of testis | 6.90 | 4.26 | NA | 0.49 | 090 | |
| 54650 | A | Orchiopexy (Fowler-Stephens) | 11.45 | 7.08 | NA | 0.81 | 090 | |
| 54660 | A | Revision of testis | 5.11 | 3.51 | NA | 0.35 | 090 | |
| 54670 | A | Repair testis injury | 6.41 | 4.19 | NA | 0.41 | 090 | |
| 54680 | A | Relocation of testis(es) | 12.65 | 7.40 | NA | 0.94 | 090 | |
| 54690 | A | Laparoscopy, orchiectomy | 10.96 | 6.76 | NA | 0.99 | 090 | |
| 54692 | A | Laparoscopy, orchiopexy | 12.88 | 5.66 | NA | 0.87 | 090 | |
| 54699 | C | Laparoscope proc, testis | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54700 | A | Drainage of scrotum | 3.43 | 3.42 | 8.49 | 0.23 | 010 | |
| 54800 | A | Biopsy of epididymis | 2.33 | 0.79 | 6.02 | 0.14 | 000 | |
| 54820 | A | Exploration of epididymis | 5.14 | 3.61 | NA | 0.33 | 090 | |
| 54830 | A | Remove epididymis lesion | 5.38 | 3.73 | NA | 0.34 | 090 | |
| 54840 | A | Remove epididymis lesion | 5.20 | 3.67 | NA | 0.31 | 090 | |
| 54860 | A | Removal of epididymis | 6.32 | 4.27 | NA | 0.38 | 090 | |
| 54861 | A | Removal of epididymis | 8.90 | 5.12 | NA | 0.52 | 090 | |
| 54900 | A | Fusion of spermatic ducts | 13.20 | 6.63 | NA | 1.34 | 090 | |
| 54901 | A | Fusion of spermatic ducts | 17.94 | 8.70 | NA | 1.83 | 090 | |
| 55000 | A | Drainage of hydrocele | 1.43 | 0.48 | 2.18 | 0.10 | 000 | |
| 55040 | A | Removal of hydrocele | 5.36 | 3.45 | NA | 0.35 | 090 | |
| 55041 | A | Removal of hydroceles | 7.74 | 4.50 | NA | 0.50 | 090 | |
| 55060 | A | Repair of hydrocele | 5.52 | 3.51 | NA | 0.37 | 090 | |
| 55100 | A | Drainage of scrotum abscess | 2.13 | 3.68 | 9.84 | 0.15 | 010 | |
| 55110 | A | Explore scrotum | 5.70 | 3.61 | NA | 0.36 | 090 | |
| 55120 | A | Removal of scrotum lesion | 5.09 | 3.41 | NA | 0.33 | 090 | |
| 55150 | A | Removal of scrotum | 7.22 | 4.62 | NA | 0.47 | 090 | |
| 55175 | A | Revision of scrotum | 5.24 | 3.73 | NA | 0.33 | 090 | |
| 55180 | A | Revision of scrotum | 10.72 | 6.41 | NA | 0.72 | 090 | |
| 55200 | A | Incision of sperm duct | 4.24 | 3.15 | NA | 0.25 | 090 | |
| 55250 | A | Removal of sperm duct(s) | 3.29 | 3.13 | 9.45 | 0.21 | 090 | |
| 55300 | A | Prepare, sperm duct x-ray | 3.51 | 1.54 | NA | 0.20 | 000 | |
| 55400 | A | Repair of sperm duct | 8.49 | 5.30 | NA | 0.50 | 090 | |
| 55450 | A | Ligation of sperm duct | 4.12 | 2.50 | 7.33 | 0.24 | 010 | |
| 55500 | A | Removal of hydrocele | 5.59 | 3.67 | NA | 0.43 | 090 | |
| 55520 | A | Removal of sperm cord lesion | 6.03 | 3.70 | NA | 0.56 | 090 | |
| 55530 | A | Revise spermatic cord veins | 5.66 | 3.81 | NA | 0.36 | 090 | |
| 55535 | A | Revise spermatic cord veins | 6.56 | 4.16 | NA | 0.42 | 090 | |
| 55540 | A | Revise hernia sperm veins | 7.67 | 4.26 | NA | 0.74 | 090 | |
| 55550 | A | Laparo ligate spermatic vein | 6.57 | 3.42 | NA | 0.47 | 090 | |
| 55559 | C | Laparo proc, spermatic cord | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55600 | A | Incise sperm duct pouch | 6.38 | 4.30 | NA | 0.38 | 090 | |
| 55605 | A | Incise sperm duct pouch | 7.96 | 5.20 | NA | 0.54 | 090 | |
| 55650 | A | Remove sperm duct pouch | 11.80 | 6.27 | NA | 0.72 | 090 | |
| 55680 | A | Remove sperm pouch lesion | 5.19 | 3.89 | NA | 0.31 | 090 | |
| 55700 | A | Biopsy of prostate | 1.57 | 0.72 | 4.56 | 0.10 | 000 | |
| 55705 | A | Biopsy of prostate | 4.57 | 3.84 | NA | 0.26 | 010 | |
| 55720 | A | Drainage of prostate abscess | 7.64 | 5.95 | NA | 0.44 | 090 | |
| 55725 | A | Drainage of prostate abscess | 8.68 | 6.39 | NA | 0.51 | 090 | |
| 55801 | A | Removal of prostate | 17.80 | 9.51 | NA | 1.08 | 090 | |
| 55810 | A | Extensive prostate surgery | 22.58 | 11.51 | NA | 1.35 | 090 | |
| 55812 | A | Extensive prostate surgery | 27.51 | 13.67 | NA | 1.69 | 090 | |
| 55815 | A | Extensive prostate surgery | 30.46 | 14.64 | NA | 1.84 | 090 | |
| 55821 | A | Removal of prostate | 14.25 | 7.99 | NA | 0.85 | 090 | |
| 55831 | A | Removal of prostate | 15.62 | 8.46 | NA | 0.94 | 090 | |
| 55840 | A | Extensive prostate surgery | 22.69 | 12.05 | NA | 1.37 | 090 | |
| 55842 | A | Extensive prostate surgery | 24.38 | 12.69 | NA | 1.48 | 090 | |
| 55845 | A | Extensive prostate surgery | 28.55 | 13.91 | NA | 1.71 | 090 | |
| 55859 | A | Percut/needle insert, pros | 12.52 | 7.54 | NA | 0.74 | 090 | |
| 55860 | A | Surgical exposure, prostate | 14.45 | 8.27 | NA | 0.82 | 090 | |
| 55862 | A | Extensive prostate surgery | 18.39 | 9.58 | NA | 1.14 | 090 | |
| 55865 | A | Extensive prostate surgery | 22.87 | 11.14 | NA | 1.37 | 090 | |
| 55870 | A | Electroejaculation | 2.58 | 1.02 | 1.97 | 0.14 | 000 | |
| 55873 | A | Cryoablate prostate | 19.47 | 10.37 | NA | 1.02 | 090 | |
| 55899 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55970 | N | Sex transformation, M to F | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 55980 | N | Sex transformation, F to M | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 56405 | A | I D of vulva/perineum | 1.44 | 1.30 | 2.48 | 0.14 | 010 | |
| 56420 | A | Drainage of gland abscess | 1.39 | 1.29 | 2.46 | 0.13 | 010 | |
| 56440 | A | Surgery for vulva lesion | 2.84 | 2.36 | 3.75 | 0.28 | 010 | |
| 56441 | A | Lysis of labial lesion(s) | 1.97 | 2.09 | 2.68 | 0.17 | 010 | |
| 56501 | A | Destroy, vulva lesions, simp | 1.53 | 1.40 | 2.42 | 0.15 | 010 | |
| 56515 | A | Destroy vulva lesion/s compl | 2.76 | 2.38 | 3.20 | 0.18 | 010 | |
| 56605 | A | Biopsy of vulva/perineum | 1.10 | 0.49 | 1.89 | 0.11 | 000 | |
| 56606 | A | Biopsy of vulva/perineum | 0.55 | 0.22 | 1.67 | 0.06 | ZZZ | |
| 56620 | A | Partial removal of vulva | 7.47 | 5.00 | NA | 0.76 | 090 | |
| 56625 | A | Complete removal of vulva | 8.40 | 5.95 | NA | 0.84 | 090 | |
| 56630 | A | Extensive vulva surgery | 12.36 | 7.75 | NA | 1.23 | 090 | |
| 56631 | A | Extensive vulva surgery | 16.20 | 10.49 | NA | 1.63 | 090 | |
| 56632 | A | Extensive vulva surgery | 20.29 | 10.33 | NA | 2.03 | 090 | |
| 56633 | A | Extensive vulva surgery | 16.47 | 9.42 | NA | 1.66 | 090 | |
| 56634 | A | Extensive vulva surgery | 17.88 | 11.17 | NA | 1.78 | 090 | |
| 56637 | A | Extensive vulva surgery | 21.97 | 12.85 | NA | 2.18 | 090 | |
| 56640 | A | Extensive vulva surgery | 22.17 | 12.38 | NA | 2.26 | 090 | |
| 56700 | A | Partial removal of hymen | 2.52 | 2.13 | 3.10 | 0.24 | 010 | |
| 56720 | A | Incision of hymen | 0.68 | 0.57 | 1.81 | 0.07 | 000 | |
| 56740 | A | Remove vagina gland lesion | 4.57 | 2.96 | 3.92 | 0.37 | 010 | |
| 56800 | A | Repair of vagina | 3.89 | 2.80 | NA | 0.37 | 010 | |
| 56805 | A | Repair clitoris | 18.86 | 9.36 | NA | 1.82 | 090 | |
| 56810 | A | Repair of perineum | 4.13 | 2.86 | NA | 0.41 | 010 | |
| 57000 | A | Exploration of vagina | 2.97 | 2.42 | NA | 0.28 | 010 | |
| 57010 | A | Drainage of pelvic abscess | 6.03 | 3.92 | NA | 0.57 | 090 | |
| 57020 | A | Drainage of pelvic fluid | 1.50 | 0.63 | 1.63 | 0.15 | 000 | |
| 57022 | A | I d vaginal hematoma, pp | 2.56 | 2.13 | NA | 0.24 | 010 | |
| 57023 | A | I d vag hematoma, non-ob | 4.75 | 2.98 | NA | 0.24 | 010 | |
| 57061 | A | Destroy vag lesions, simple | 1.25 | 1.30 | 2.36 | 0.13 | 010 | |
| 57065 | A | Destroy vag lesions, complex | 2.61 | 2.36 | 3.06 | 0.26 | 010 | |
| 57100 | A | Biopsy of vagina | 1.20 | 0.51 | 1.61 | 0.10 | 000 | |
| 57105 | A | Biopsy of vagina | 1.69 | 2.30 | 2.33 | 0.17 | 010 | |
| 57106 | A | Remove vagina wall, partial | 6.36 | 2.52 | 2.52 | 0.58 | 090 | |
| 57107 | A | Remove vagina tissue, part | 23.00 | 10.53 | NA | 2.17 | 090 | |
| 57109 | A | Vaginectomy partial w/nodes | 27.00 | 12.03 | NA | 1.97 | 090 | |
| 57110 | A | Remove vagina wall, complete | 14.29 | 7.39 | NA | 1.43 | 090 | |
| 57111 | A | Remove vagina tissue, compl | 27.00 | 12.47 | NA | 2.71 | 090 | |
| 57112 | A | Vaginectomy w/nodes, compl | 29.00 | 12.71 | NA | 2.19 | 090 | |
| 57120 | A | Closure of vagina | 7.41 | 4.77 | NA | 0.75 | 090 | |
| 57130 | A | Remove vagina lesion | 2.43 | 2.18 | NA | 0.23 | 010 | |
| 57135 | A | Remove vagina lesion | 2.67 | 2.29 | 3.05 | 0.26 | 010 | |
| 57150 | A | Treat vagina infection | 0.55 | 0.22 | 1.05 | 0.06 | 000 | |
| 57155 | A | Insert uteri tandems/ovoids | 6.27 | 3.67 | NA | 0.63 | 090 | |
| 57160 | A | Insert pessary/other device | 0.89 | 0.40 | 1.13 | 0.09 | 000 | |
| 57170 | A | Fitting of diaphragm/cap | 0.91 | 0.34 | 1.46 | 0.09 | 000 | |
| 57180 | A | Treat vaginal bleeding | 1.58 | 1.51 | 2.37 | 0.16 | 010 | |
| 57200 | A | Repair of vagina | 3.94 | 3.08 | NA | 0.38 | 090 | |
| 57210 | A | Repair vagina/perineum | 5.17 | 3.60 | NA | 0.50 | 090 | |
| 57220 | A | Revision of urethra | 4.31 | 3.48 | NA | 0.42 | 090 | |
| 57230 | A | Repair of urethral lesion | 5.64 | 4.33 | NA | 0.50 | 090 | |
| 57240 | A | Repair bladder vagina | 6.07 | 4.55 | NA | 0.53 | 090 | |
| 57250 | A | Repair rectum vagina | 5.53 | 3.95 | NA | 0.54 | 090 | |
| 57260 | A | Repair of vagina | 8.27 | 5.07 | NA | 0.83 | 090 | |
| 57265 | A | Extensive repair of vagina | 11.34 | 7.09 | NA | 1.14 | 090 | |
| 57268 | A | Repair of bowel bulge | 6.76 | 4.43 | NA | 0.66 | 090 | |
| 57270 | A | Repair of bowel pouch | 12.11 | 6.41 | NA | 1.17 | 090 | |
| 57280 | A | Suspension of vagina | 15.04 | 7.56 | NA | 1.44 | 090 | |
| 57282 | A | Repair of vaginal prolapse | 8.86 | 5.32 | NA | 0.86 | 090 | |
| 57284 | A | Repair paravaginal defect | 12.70 | 7.28 | NA | 1.17 | 090 | |
| 57287 | A | Revise/remove sling repair | 10.71 | 7.29 | NA | 0.74 | 090 | |
| 57288 | A | Repair bladder defect | 13.02 | 7.03 | NA | 0.86 | 090 | |
| 57289 | A | Repair bladder vagina | 11.58 | 6.87 | NA | 0.95 | 090 | |
| 57291 | A | Construction of vagina | 7.95 | 5.82 | NA | 0.78 | 090 | |
| 57292 | A | Construct vagina with graft | 13.09 | 7.23 | NA | 1.29 | 090 | |
| 57300 | A | Repair rectum-vagina fistula | 7.61 | 4.73 | NA | 0.70 | 090 | |
| 57305 | A | Repair rectum-vagina fistula | 13.77 | 6.83 | NA | 1.33 | 090 | |
| 57307 | A | Fistula repair colostomy | 15.93 | 7.56 | NA | 1.59 | 090 | |
| 57308 | A | Fistula repair, transperine | 9.94 | 5.94 | NA | 0.91 | 090 | |
| 57310 | A | Repair urethrovaginal lesion | 6.78 | 4.82 | NA | 0.45 | 090 | |
| 57311 | A | Repair urethrovaginal lesion | 7.98 | 5.44 | NA | 0.51 | 090 | |
| 57320 | A | Repair bladder-vagina lesion | 8.01 | 5.44 | NA | 0.60 | 090 | |
| 57330 | A | Repair bladder-vagina lesion | 12.35 | 6.89 | NA | 0.86 | 090 | |
| 57335 | A | Repair vagina | 18.73 | 9.30 | NA | 1.66 | 090 | |
| 57400 | A | Dilation of vagina | 2.27 | 1.15 | NA | 0.22 | 000 | |
| 57410 | A | Pelvic examination | 1.75 | 1.09 | 2.67 | 0.14 | 000 | |
| 57415 | A | Remove vaginal foreign body | 2.17 | 2.13 | 3.64 | 0.19 | 010 | |
| 57452 | A | Examination of vagina | 0.99 | 0.45 | 1.68 | 0.10 | 000 | |
| 57454 | A | Vagina examination biopsy | 1.27 | 0.60 | 1.87 | 0.13 | 000 | |
| 57460 | A | Cervix excision | 2.83 | 1.16 | 2.14 | 0.28 | 000 | |
| 57500 | A | Biopsy of cervix | 0.97 | 0.48 | 2.27 | 0.10 | 000 | |
| 57505 | A | Endocervical curettage | 1.14 | 1.33 | 2.04 | 0.12 | 010 | |
| 57510 | A | Cauterization of cervix | 1.90 | 1.61 | 3.26 | 0.18 | 010 | |
| 57511 | A | Cryocautery of cervix | 1.90 | 0.75 | 2.52 | 0.18 | 010 | |
| 57513 | A | Laser surgery of cervix | 1.90 | 1.62 | 2.73 | 0.19 | 010 | |
| 57520 | A | Conization of cervix | 4.04 | 2.90 | 4.43 | 0.41 | 090 | |
| 57522 | A | Conization of cervix | 3.36 | 2.63 | 3.98 | 0.34 | 090 | |
| 57530 | A | Removal of cervix | 4.79 | 3.69 | NA | 0.48 | 090 | |
| 57531 | A | Removal of cervix, radical | 28.00 | 13.79 | NA | 2.46 | 090 | |
| 57540 | A | Removal of residual cervix | 12.22 | 6.28 | NA | 1.21 | 090 | |
| 57545 | A | Remove cervix/repair pelvis | 13.03 | 6.76 | NA | 1.30 | 090 | |
| 57550 | A | Removal of residual cervix | 5.53 | 3.95 | NA | 0.55 | 090 | |
| 57555 | A | Remove cervix/repair vagina | 8.95 | 5.76 | NA | 0.89 | 090 | |
| 57556 | A | Remove cervix, repair bowel | 8.37 | 5.03 | NA | 0.80 | 090 | |
| 57700 | A | Revision of cervix | 3.55 | 2.64 | NA | 0.33 | 090 | |
| 57720 | A | Revision of cervix | 4.13 | 3.39 | NA | 0.41 | 090 | |
| 57800 | A | Dilation of cervical canal | 0.77 | 0.35 | 1.22 | 0.08 | 000 | |
| 57820 | A | D c of residual cervix | 1.67 | 2.34 | 2.70 | 0.17 | 010 | |
| 58100 | A | Biopsy of uterus lining | 1.53 | 0.74 | 1.55 | 0.07 | 000 | |
| 58120 | A | Dilation and curettage | 3.27 | 2.50 | 3.99 | 0.33 | 010 | |
| 58140 | A | Removal of uterus lesion | 14.60 | 7.13 | NA | 1.46 | 090 | |
| 58145 | A | Removal of uterus lesion | 8.04 | 5.02 | NA | 0.80 | 090 | |
| 58150 | A | Total hysterectomy | 15.24 | 7.69 | NA | 1.53 | 090 | |
| 58152 | A | Total hysterectomy | 20.60 | 9.88 | NA | 1.52 | 090 | |
| 58180 | A | Partial hysterectomy | 15.29 | 7.64 | NA | 1.54 | 090 | |
| 58200 | A | Extensive hysterectomy | 21.59 | 11.32 | NA | 2.15 | 090 | |
| 58210 | A | Extensive hysterectomy | 28.85 | 14.24 | NA | 2.91 | 090 | |
| 58240 | A | Removal of pelvis contents | 38.39 | 19.04 | NA | 3.76 | 090 | |
| 58260 | A | Vaginal hysterectomy | 12.98 | 6.73 | NA | 1.23 | 090 | |
| 58262 | A | Vaginal hysterectomy | 14.77 | 7.48 | NA | 1.42 | 090 | |
| 58263 | A | Vaginal hysterectomy | 16.06 | 8.00 | NA | 1.55 | 090 | |
| 58267 | A | Hysterectomy vagina repair | 17.04 | 8.59 | NA | 1.51 | 090 | |
| 58270 | A | Hysterectomy vagina repair | 14.26 | 7.25 | NA | 1.37 | 090 | |
| 58275 | A | Hysterectomy/revise vagina | 15.76 | 7.76 | NA | 1.51 | 090 | |
| 58280 | A | Hysterectomy/revise vagina | 17.01 | 8.26 | NA | 1.54 | 090 | |
| 58285 | A | Extensive hysterectomy | 22.26 | 10.93 | NA | 1.88 | 090 | |
| 58300 | N | Insert intrauterine device | 1.01 | 0.39 | 1.41 | 0.10 | XXX | |
| 58301 | A | Remove intrauterine device | 1.27 | 0.50 | 1.61 | 0.13 | 000 | |
| 58321 | A | Artificial insemination | 0.92 | 0.36 | 0.99 | 0.10 | 000 | |
| 58322 | A | Artificial insemination | 1.10 | 0.43 | 1.05 | 0.11 | 000 | |
| 58323 | A | Sperm washing | 0.23 | 0.10 | 0.55 | 0.02 | 000 | |
| 58340 | A | Catheter for hysterography | 0.88 | 0.33 | 12.82 | 0.08 | 000 | |
| 58345 | A | Reopen fallopian tube | 4.66 | 1.74 | NA | 0.36 | 010 | |
| 58346 | A | Insert heyman uteri capsule | 6.75 | 3.85 | NA | 0.68 | 090 | |
| 58350 | A | Reopen fallopian tube | 1.01 | 1.17 | 2.11 | 0.10 | 010 | |
| 58353 | A | Endometr ablate, thermal | 3.56 | 2.25 | NA | 0.37 | 010 | |
| 58400 | A | Suspension of uterus | 6.36 | 4.11 | NA | 0.62 | 090 | |
| 58410 | A | Suspension of uterus | 12.73 | 6.68 | NA | 1.09 | 090 | |
| 58520 | A | Repair of ruptured uterus | 11.92 | 6.01 | NA | 1.17 | 090 | |
| 58540 | A | Revision of uterus | 14.64 | 7.06 | NA | 1.28 | 090 | |
| 58550 | A | Laparo-asst vag hysterectomy | 14.19 | 6.91 | NA | 1.44 | 010 | |
| 58551 | A | Laparoscopy, remove myoma | 14.21 | 6.81 | NA | 1.45 | 010 | |
| 58555 | A | Hysteroscopy, dx, sep proc | 3.33 | 1.47 | 2.93 | 0.34 | 000 | |
| 58558 | A | Hysteroscopy, biopsy | 4.75 | 2.07 | 3.52 | 0.49 | 000 | |
| 58559 | A | Hysteroscopy, lysis | 6.17 | 2.52 | 2.52 | 0.62 | 000 | |
| 58560 | A | Hysteroscopy, resect septum | 7.00 | 2.92 | 2.92 | 0.71 | 000 | |
| 58561 | A | Hysteroscopy, remove myoma | 10.00 | 4.02 | 4.02 | 1.02 | 000 | |
| 58562 | A | Hysteroscopy, remove fb | 5.21 | 2.23 | NA | 0.52 | 000 | |
| 58563 | A | Hysteroscopy, ablation | 6.17 | 2.54 | 2.54 | 0.62 | 000 | |
| 58578 | C | Laparo proc, uterus | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58579 | C | Hysteroscope procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58600 | A | Division of fallopian tube | 5.60 | 3.43 | NA | 0.39 | 090 | |
| 58605 | A | Division of fallopian tube | 5.00 | 3.24 | NA | 0.33 | 090 | |
| 58611 | A | Ligate oviduct(s) add-on | 1.45 | 0.59 | NA | 0.07 | ZZZ | |
| 58615 | A | Occlude fallopian tube(s) | 3.90 | 3.17 | NA | 0.40 | 010 | |
| 58660 | A | Laparoscopy, lysis | 11.29 | 5.37 | NA | 1.14 | 090 | |
| 58661 | A | Laparoscopy, remove adnexa | 11.05 | 5.32 | NA | 1.12 | 010 | |
| 58662 | A | Laparoscopy, excise lesions | 11.79 | 5.44 | NA | 1.18 | 090 | |
| 58670 | A | Laparoscopy, tubal cautery | 5.60 | 3.66 | NA | 0.55 | 090 | |
| 58671 | A | Laparoscopy, tubal block | 5.60 | 3.69 | NA | 0.56 | 090 | |
| 58672 | A | Laparoscopy, fimbrioplasty | 12.88 | 6.36 | NA | 1.22 | 090 | |
| 58673 | A | Laparoscopy, salpingostomy | 13.74 | 6.94 | NA | 1.40 | 090 | |
| 58679 | C | Laparo proc, oviduct-ovary | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58700 | A | Removal of fallopian tube | 12.05 | 5.90 | NA | 0.64 | 090 | |
| 58720 | A | Removal of ovary/tube(s) | 11.36 | 5.87 | NA | 1.14 | 090 | |
| 58740 | A | Revise fallopian tube(s) | 14.00 | 7.14 | NA | 0.59 | 090 | |
| 58750 | A | Repair oviduct | 14.84 | 7.50 | NA | 1.52 | 090 | |
| 58752 | A | Revise ovarian tube(s) | 14.84 | 7.15 | NA | 1.51 | 090 | |
| 58760 | A | Remove tubal obstruction | 13.13 | 6.88 | NA | 1.34 | 090 | |
| 58770 | A | Create new tubal opening | 13.97 | 7.11 | NA | 1.42 | 090 | |
| 58800 | A | Drainage of ovarian cyst(s) | 4.14 | 4.49 | 4.49 | 0.36 | 090 | |
| 58805 | A | Drainage of ovarian cyst(s) | 5.88 | 3.54 | NA | 0.56 | 090 | |
| 58820 | A | Drain ovary abscess, open | 4.22 | 3.43 | NA | 0.29 | 090 | |
| 58822 | A | Drain ovary abscess, percut | 10.13 | 5.10 | NA | 0.92 | 090 | |
| 58823 | A | Drain pelvic abscess, percut | 3.38 | 2.35 | NA | 0.18 | 000 | |
| 58825 | A | Transposition, ovary(s) | 10.98 | 5.87 | NA | 0.62 | 090 | |
| 58900 | A | Biopsy of ovary(s) | 5.99 | 3.63 | NA | 0.56 | 090 | |
| 58920 | A | Partial removal of ovary(s) | 11.36 | 5.67 | NA | 0.68 | 090 | |
| 58925 | A | Removal of ovarian cyst(s) | 11.36 | 5.63 | NA | 1.14 | 090 | |
| 58940 | A | Removal of ovary(s) | 7.29 | 4.03 | NA | 0.73 | 090 | |
| 58943 | A | Removal of ovary(s) | 18.43 | 9.59 | NA | 1.86 | 090 | |
| 58950 | A | Resect ovarian malignancy | 16.93 | 9.15 | NA | 1.55 | 090 | |
| 58951 | A | Resect ovarian malignancy | 22.38 | 11.49 | NA | 2.20 | 090 | |
| 58952 | A | Resect ovarian malignancy | 25.01 | 12.59 | NA | 2.50 | 090 | |
| 58953 | A | Tah, rad dissect for debulk | 32.00 | 15.15 | NA | 3.20 | 090 | |
| 58954 | A | Tah rad debulk/lymph remove | 35.00 | 16.23 | NA | 3.50 | 090 | |
| 58960 | A | Exploration of abdomen | 14.65 | 8.27 | NA | 1.47 | 090 | |
| 58970 | A | Retrieval of oocyte | 3.53 | 1.66 | 8.70 | 0.36 | 000 | |
| 58974 | C | Transfer of embryo | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 58976 | A | Transfer of embryo | 3.83 | 1.48 | 2.25 | 0.39 | 000 | |
| 58999 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59000 | A | Amniocentesis, diagnostic | 1.30 | 0.70 | 2.05 | 0.23 | 000 | |
| 59001 | A | Amniocentesis, therapeutic | 3.00 | 1.33 | NA | 0.23 | 000 | |
| 59012 | A | Fetal cord puncture,prenatal | 3.45 | 1.59 | NA | 0.62 | 000 | |
| 59015 | A | Chorion biopsy | 2.20 | 1.09 | 1.61 | 0.40 | 000 | |
| 59020 | A | Fetal contract stress test | 0.66 | NA | 0.81 | 0.20 | 000 | |
| 59020 | 26 | A | Fetal contract stress test | 0.66 | 0.27 | 0.27 | 0.12 | 000 |
| 59020 | TC | A | Fetal contract stress test | 0.00 | NA | 0.54 | 0.08 | 000 |
| 59025 | A | Fetal non-stress test | 0.53 | NA | 0.46 | 0.12 | 000 | |
| 59025 | 26 | A | Fetal non-stress test | 0.53 | 0.22 | 0.22 | 0.10 | 000 |
| 59025 | TC | A | Fetal non-stress test | 0.00 | NA | 0.24 | 0.02 | 000 |
| 59030 | A | Fetal scalp blood sample | 1.99 | 1.07 | NA | 0.36 | 000 | |
| 59050 | A | Fetal monitor w/report | 0.89 | 0.36 | NA | 0.16 | XXX | |
| 59051 | A | Fetal monitor/interpret only | 0.74 | 0.30 | NA | 0.14 | XXX | |
| 59100 | A | Remove uterus lesion | 12.35 | 6.42 | NA | 2.21 | 090 | |
| 59120 | A | Treat ectopic pregnancy | 11.49 | 6.23 | NA | 2.06 | 090 | |
| 59121 | A | Treat ectopic pregnancy | 11.67 | 6.35 | NA | 2.09 | 090 | |
| 59130 | A | Treat ectopic pregnancy | 14.22 | 6.99 | NA | 2.54 | 090 | |
| 59135 | A | Treat ectopic pregnancy | 13.88 | 7.10 | NA | 2.49 | 090 | |
| 59136 | A | Treat ectopic pregnancy | 13.18 | 6.70 | NA | 2.36 | 090 | |
| 59140 | A | Treat ectopic pregnancy | 5.46 | 3.46 | NA | 0.98 | 090 | |
| 59150 | A | Treat ectopic pregnancy | 11.67 | 6.48 | NA | 1.23 | 090 | |
| 59151 | A | Treat ectopic pregnancy | 11.49 | 5.94 | NA | 1.41 | 090 | |
| 59160 | A | D c after delivery | 2.71 | 2.29 | 3.73 | 0.49 | 010 | |
| 59200 | A | Insert cervical dilator | 0.79 | 0.31 | 1.41 | 0.15 | 000 | |
| 59300 | A | Episiotomy or vaginal repair | 2.41 | 0.98 | 2.00 | 0.43 | 000 | |
| 59320 | A | Revision of cervix | 2.48 | 1.30 | NA | 0.45 | 000 | |
| 59325 | A | Revision of cervix | 4.07 | 1.96 | NA | 0.73 | 000 | |
| 59350 | A | Repair of uterus | 4.95 | 1.99 | NA | 0.88 | 000 | |
| 59400 | A | Obstetrical care | 23.06 | 15.17 | NA | 4.14 | MMM | |
| 59409 | A | Obstetrical care | 13.50 | 5.41 | NA | 2.42 | MMM | |
| 59410 | A | Obstetrical care | 14.78 | 6.25 | NA | 2.65 | MMM | |
| 59412 | A | Antepartum manipulation | 1.71 | 0.70 | 1.34 | 0.31 | MMM | |
| 59414 | A | Deliver placenta | 1.61 | 1.32 | NA | 0.29 | MMM | |
| 59425 | A | Antepartum care only | 4.81 | 5.34 | 5.34 | 0.86 | MMM | |
| 59426 | A | Antepartum care only | 8.28 | 9.11 | 9.11 | 1.49 | MMM | |
| 59430 | A | Care after delivery | 2.13 | 1.26 | 1.26 | 0.38 | MMM | |
| 59510 | A | Cesarean delivery | 26.22 | 17.35 | NA | 4.70 | MMM | |
| 59514 | A | Cesarean delivery only | 15.97 | 6.33 | NA | 2.86 | MMM | |
| 59515 | A | Cesarean delivery | 17.37 | 8.23 | NA | 3.12 | MMM | |
| 59525 | A | Remove uterus after cesarean | 8.54 | 3.34 | NA | 1.53 | ZZZ | |
| 59610 | A | Vbac delivery | 24.62 | 15.89 | NA | 4.41 | MMM | |
| 59612 | A | Vbac delivery only | 15.06 | 6.18 | NA | 2.70 | MMM | |
| 59614 | A | Vbac care after delivery | 16.34 | 7.52 | NA | 2.93 | MMM | |
| 59618 | A | Attempted vbac delivery | 27.78 | 18.22 | NA | 4.98 | MMM | |
| 59620 | A | Attempted vbac delivery only | 17.53 | 6.89 | NA | 3.15 | MMM | |
| 59622 | A | Attempted vbac after care | 18.93 | 8.80 | NA | 3.39 | MMM | |
| 59812 | A | Treatment of miscarriage | 4.01 | 2.63 | 3.71 | 0.58 | 090 | |
| 59820 | A | Care of miscarriage | 4.01 | 2.79 | 3.75 | 0.72 | 090 | |
| 59821 | A | Treatment of miscarriage | 4.47 | 2.98 | 3.74 | 0.80 | 090 | |
| 59830 | A | Treat uterus infection | 6.11 | 4.05 | NA | 1.10 | 090 | |
| 59840 | R | Abortion | 3.01 | 2.37 | 4.07 | 0.54 | 010 | |
| 59841 | R | Abortion | 5.24 | 3.71 | 5.71 | 0.94 | 010 | |
| 59850 | R | Abortion | 5.91 | 2.79 | NA | 1.06 | 090 | |
| 59851 | R | Abortion | 5.93 | 3.18 | NA | 1.06 | 090 | |
| 59852 | R | Abortion | 8.24 | 4.65 | NA | 1.48 | 090 | |
| 59855 | R | Abortion | 6.12 | 3.34 | NA | 1.10 | 090 | |
| 59856 | R | Abortion | 7.48 | 3.65 | NA | 1.34 | 090 | |
| 59857 | R | Abortion | 9.29 | 4.35 | NA | 1.66 | 090 | |
| 59866 | R | Abortion (mpr) | 4.00 | 1.55 | NA | 0.72 | 000 | |
| 59870 | A | Evacuate mole of uterus | 6.01 | 3.85 | NA | 0.77 | 090 | |
| 59871 | A | Remove cerclage suture | 2.13 | 0.89 | 2.12 | 0.38 | 000 | |
| 59898 | C | Laparo proc, ob care/deliver | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59899 | C | Maternity care procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 60000 | A | Drain thyroid/tongue cyst | 1.76 | 2.12 | 2.33 | 0.14 | 010 | |
| 60001 | A | Aspirate/inject thyriod cyst | 0.97 | 0.35 | 1.64 | 0.06 | 000 | |
| 60100 | A | Biopsy of thyroid | 1.56 | 0.55 | 2.61 | 0.05 | 000 | |
| 60200 | A | Remove thyroid lesion | 9.55 | 6.53 | NA | 0.84 | 090 | |
| 60210 | A | Partial thyroid excision | 10.88 | 6.43 | NA | 1.01 | 090 | |
| 60212 | A | Parital thyroid excision | 16.03 | 8.24 | NA | 1.51 | 090 | |
| 60220 | A | Partial removal of thyroid | 11.90 | 6.99 | NA | 0.97 | 090 | |
| 60225 | A | Partial removal of thyroid | 14.19 | 7.82 | NA | 1.31 | 090 | |
| 60240 | A | Removal of thyroid | 16.06 | 9.18 | NA | 1.50 | 090 | |
| 60252 | A | Removal of thyroid | 20.57 | 11.38 | NA | 1.63 | 090 | |
| 60254 | A | Extensive thyroid surgery | 26.99 | 15.76 | NA | 1.96 | 090 | |
| 60260 | A | Repeat thyroid surgery | 17.47 | 10.27 | NA | 1.39 | 090 | |
| 60270 | A | Removal of thyroid | 20.27 | 11.40 | NA | 1.78 | 090 | |
| 60271 | A | Removal of thyroid | 16.83 | 9.77 | NA | 1.35 | 090 | |
| 60280 | A | Remove thyroid duct lesion | 5.87 | 5.11 | NA | 0.45 | 090 | |
| 60281 | A | Remove thyroid duct lesion | 8.53 | 6.32 | NA | 0.67 | 090 | |
| 60500 | A | Explore parathyroid glands | 16.23 | 7.77 | NA | 1.61 | 090 | |
| 60502 | A | Re-explore parathyroids | 20.35 | 9.58 | NA | 2.00 | 090 | |
| 60505 | A | Explore parathyroid glands | 21.49 | 11.33 | NA | 2.14 | 090 | |
| 60512 | A | Autotransplant parathyroid | 4.45 | 1.66 | NA | 0.44 | ZZZ | |
| 60520 | A | Removal of thymus gland | 16.81 | 9.71 | NA | 1.84 | 090 | |
| 60521 | A | Removal of thymus gland | 18.87 | 11.48 | NA | 2.34 | 090 | |
| 60522 | A | Removal of thymus gland | 23.09 | 12.76 | NA | 2.83 | 090 | |
| 60540 | A | Explore adrenal gland | 17.03 | 7.84 | NA | 1.42 | 090 | |
| 60545 | A | Explore adrenal gland | 19.88 | 9.48 | NA | 1.75 | 090 | |
| 60600 | A | Remove carotid body lesion | 17.93 | 13.29 | NA | 1.87 | 090 | |
| 60605 | A | Remove carotid body lesion | 20.24 | 18.29 | NA | 2.28 | 090 | |
| 60650 | A | Laparoscopy adrenalectomy | 20.00 | 8.11 | NA | 1.98 | 090 | |
| 60659 | C | Laparo proc, endocrine | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 60699 | C | Endocrine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 61000 | A | Remove cranial cavity fluid | 1.58 | 1.49 | 1.73 | 0.13 | 000 | |
| 61001 | A | Remove cranial cavity fluid | 1.49 | 1.41 | 1.91 | 0.15 | 000 | |
| 61020 | A | Remove brain cavity fluid | 1.51 | 1.48 | 2.35 | 0.26 | 000 | |
| 61026 | A | Injection into brain canal | 1.69 | 1.67 | 2.28 | 0.21 | 000 | |
| 61050 | A | Remove brain canal fluid | 1.51 | 1.52 | NA | 0.13 | 000 | |
| 61055 | A | Injection into brain canal | 2.10 | 1.70 | NA | 0.13 | 000 | |
| 61070 | A | Brain canal shunt procedure | 0.89 | 1.18 | 6.86 | 0.09 | 000 | |
| 61105 | A | Twist drill hole | 5.14 | 3.60 | NA | 1.05 | 090 | |
| 61107 | A | Drill skull for implantation | 5.00 | 3.06 | NA | 1.02 | 000 | |
| 61108 | A | Drill skull for drainage | 10.19 | 6.94 | NA | 2.04 | 090 | |
| 61120 | A | Burr hole for puncture | 8.76 | 5.77 | NA | 1.81 | 090 | |
| 61140 | A | Pierce skull for biopsy | 15.90 | 9.73 | NA | 3.15 | 090 | |
| 61150 | A | Pierce skull for drainage | 17.57 | 10.52 | NA | 3.52 | 090 | |
| 61151 | A | Pierce skull for drainage | 12.42 | 8.07 | NA | 2.45 | 090 | |
| 61154 | A | Pierce skull remove clot | 14.99 | 9.33 | NA | 3.05 | 090 | |
| 61156 | A | Pierce skull for drainage | 16.32 | 10.12 | NA | 3.42 | 090 | |
| 61210 | A | Pierce skull, implant device | 5.84 | 3.46 | NA | 1.16 | 000 | |
| 61215 | A | Insert brain-fluid device | 4.89 | 4.16 | NA | 0.99 | 090 | |
| 61250 | A | Pierce skull explore | 10.42 | 6.64 | NA | 2.02 | 090 | |
| 61253 | A | Pierce skull explore | 12.36 | 7.48 | NA | 2.26 | 090 | |
| 61304 | A | Open skull for exploration | 21.96 | 12.40 | NA | 4.33 | 090 | |
| 61305 | A | Open skull for exploration | 26.61 | 14.78 | NA | 5.25 | 090 | |
| 61312 | A | Open skull for drainage | 24.57 | 14.18 | NA | 4.99 | 090 | |
| 61313 | A | Open skull for drainage | 24.93 | 14.37 | NA | 5.07 | 090 | |
| 61314 | A | Open skull for drainage | 24.23 | 12.82 | NA | 4.00 | 090 | |
| 61315 | A | Open skull for drainage | 27.68 | 15.79 | NA | 5.62 | 090 | |
| 61320 | A | Open skull for drainage | 25.62 | 14.72 | NA | 5.20 | 090 | |
| 61321 | A | Open skull for drainage | 28.50 | 15.83 | NA | 5.35 | 090 | |
| 61330 | A | Decompress eye socket | 23.32 | 18.10 | NA | 2.58 | 090 | |
| 61332 | A | Explore/biopsy eye socket | 27.28 | 19.79 | NA | 4.15 | 090 | |
| 61333 | A | Explore orbit/remove lesion | 27.95 | 16.19 | NA | 2.24 | 090 | |
| 61334 | A | Explore orbit/remove object | 18.27 | 11.00 | NA | 3.02 | 090 | |
| 61340 | A | Relieve cranial pressure | 18.66 | 11.41 | NA | 3.66 | 090 | |
| 61343 | A | Incise skull (press relief) | 29.77 | 17.51 | NA | 6.04 | 090 | |
| 61345 | A | Relieve cranial pressure | 27.20 | 16.07 | NA | 5.23 | 090 | |
| 61440 | A | Incise skull for surgery | 26.63 | 15.30 | NA | 5.57 | 090 | |
| 61450 | A | Incise skull for surgery | 25.95 | 14.46 | NA | 5.11 | 090 | |
| 61458 | A | Incise skull for brain wound | 27.29 | 15.54 | NA | 5.28 | 090 | |
| 61460 | A | Incise skull for surgery | 28.39 | 16.54 | NA | 5.13 | 090 | |
| 61470 | A | Incise skull for surgery | 26.06 | 14.26 | NA | 4.65 | 090 | |
| 61480 | A | Incise skull for surgery | 26.49 | 12.00 | NA | 5.54 | 090 | |
| 61490 | A | Incise skull for surgery | 25.66 | 14.57 | NA | 5.37 | 090 | |
| 61500 | A | Removal of skull lesion | 17.92 | 10.82 | NA | 3.26 | 090 | |
| 61501 | A | Remove infected skull bone | 14.84 | 9.23 | NA | 2.63 | 090 | |
| 61510 | A | Removal of brain lesion | 28.45 | 16.15 | NA | 5.77 | 090 | |
| 61512 | A | Remove brain lining lesion | 35.09 | 19.64 | NA | 7.14 | 090 | |
| 61514 | A | Removal of brain abscess | 25.26 | 14.48 | NA | 5.12 | 090 | |
| 61516 | A | Removal of brain lesion | 24.61 | 14.55 | NA | 4.94 | 090 | |
| 61518 | A | Removal of brain lesion | 37.32 | 21.68 | NA | 7.53 | 090 | |
| 61519 | A | Remove brain lining lesion | 41.39 | 23.67 | NA | 8.15 | 090 | |
| 61520 | A | Removal of brain lesion | 54.84 | 31.29 | NA | 10.10 | 090 | |
| 61521 | A | Removal of brain lesion | 44.48 | 25.20 | NA | 8.85 | 090 | |
| 61522 | A | Removal of brain abscess | 29.45 | 17.12 | NA | 5.30 | 090 | |
| 61524 | A | Removal of brain lesion | 27.86 | 16.38 | NA | 5.01 | 090 | |
| 61526 | A | Removal of brain lesion | 52.17 | 30.55 | NA | 6.72 | 090 | |
| 61530 | A | Removal of brain lesion | 43.86 | 26.68 | NA | 6.17 | 090 | |
| 61531 | A | Implant brain electrodes | 14.63 | 9.36 | NA | 2.84 | 090 | |
| 61533 | A | Implant brain electrodes | 19.71 | 12.01 | NA | 3.80 | 090 | |
| 61534 | A | Removal of brain lesion | 20.97 | 12.74 | NA | 4.15 | 090 | |
| 61535 | A | Remove brain electrodes | 11.63 | 7.81 | NA | 2.29 | 090 | |
| 61536 | A | Removal of brain lesion | 35.52 | 20.56 | NA | 6.68 | 090 | |
| 61538 | A | Removal of brain tissue | 26.81 | 15.92 | NA | 5.38 | 090 | |
| 61539 | A | Removal of brain tissue | 32.08 | 18.48 | NA | 6.62 | 090 | |
| 61541 | A | Incision of brain tissue | 28.85 | 16.57 | NA | 5.50 | 090 | |
| 61542 | A | Removal of brain tissue | 31.02 | 18.39 | NA | 6.49 | 090 | |
| 61543 | A | Removal of brain tissue | 29.22 | 16.98 | NA | 6.11 | 090 | |
| 61544 | A | Remove treat brain lesion | 25.50 | 14.30 | NA | 4.91 | 090 | |
| 61545 | A | Excision of brain tumor | 43.80 | 24.37 | NA | 8.88 | 090 | |
| 61546 | A | Removal of pituitary gland | 31.30 | 18.25 | NA | 6.06 | 090 | |
| 61548 | A | Removal of pituitary gland | 21.53 | 13.40 | NA | 3.63 | 090 | |
| 61550 | A | Release of skull seams | 14.65 | 7.19 | NA | 1.14 | 090 | |
| 61552 | A | Release of skull seams | 19.56 | 9.61 | NA | 0.88 | 090 | |
| 61556 | A | Incise skull/sutures | 22.26 | 11.83 | NA | 3.57 | 090 | |
| 61557 | A | Incise skull/sutures | 22.38 | 13.43 | NA | 4.68 | 090 | |
| 61558 | A | Excision of skull/sutures | 25.58 | 12.33 | NA | 2.61 | 090 | |
| 61559 | A | Excision of skull/sutures | 32.79 | 19.31 | NA | 6.86 | 090 | |
| 61563 | A | Excision of skull tumor | 26.83 | 15.82 | NA | 4.46 | 090 | |
| 61564 | A | Excision of skull tumor | 33.83 | 18.61 | NA | 7.08 | 090 | |
| 61570 | A | Remove foreign body, brain | 24.60 | 13.44 | NA | 4.60 | 090 | |
| 61571 | A | Incise skull for brain wound | 26.39 | 14.67 | NA | 5.23 | 090 | |
| 61575 | A | Skull base/brainstem surgery | 34.36 | 20.90 | NA | 5.02 | 090 | |
| 61576 | A | Skull base/brainstem surgery | 52.43 | 30.54 | NA | 4.68 | 090 | |
| 61580 | A | Craniofacial approach, skull | 30.35 | 19.03 | NA | 2.75 | 090 | |
| 61581 | A | Craniofacial approach, skull | 34.60 | 15.21 | NA | 3.37 | 090 | |
| 61582 | A | Craniofacial approach, skull | 31.66 | 18.86 | NA | 6.30 | 090 | |
| 61583 | A | Craniofacial approach, skull | 36.21 | 22.08 | NA | 6.94 | 090 | |
| 61584 | A | Orbitocranial approach/skull | 34.65 | 20.47 | NA | 6.53 | 090 | |
| 61585 | A | Orbitocranial approach/skull | 38.61 | 22.17 | NA | 6.19 | 090 | |
| 61586 | A | Resect nasopharynx, skull | 25.10 | 15.93 | NA | 3.52 | 090 | |
| 61590 | A | Infratemporal approach/skull | 41.78 | 25.32 | NA | 4.28 | 090 | |
| 61591 | A | Infratemporal approach/skull | 43.68 | 26.00 | NA | 5.26 | 090 | |
| 61592 | A | Orbitocranial approach/skull | 39.64 | 23.16 | NA | 7.55 | 090 | |
| 61595 | A | Transtemporal approach/skull | 29.57 | 19.15 | NA | 3.05 | 090 | |
| 61596 | A | Transcochlear approach/skull | 35.63 | 21.87 | NA | 4.25 | 090 | |
| 61597 | A | Transcondylar approach/skull | 37.96 | 20.80 | NA | 6.65 | 090 | |
| 61598 | A | Transpetrosal approach/skull | 33.41 | 20.38 | NA | 4.60 | 090 | |
| 61600 | A | Resect/excise cranial lesion | 25.85 | 15.77 | NA | 3.12 | 090 | |
| 61601 | A | Resect/excise cranial lesion | 27.89 | 16.92 | NA | 5.29 | 090 | |
| 61605 | A | Resect/excise cranial lesion | 29.33 | 18.37 | NA | 2.51 | 090 | |
| 61606 | A | Resect/excise cranial lesion | 38.83 | 22.93 | NA | 6.81 | 090 | |
| 61607 | A | Resect/excise cranial lesion | 36.27 | 21.66 | NA | 5.69 | 090 | |
| 61608 | A | Resect/excise cranial lesion | 42.10 | 24.23 | NA | 8.31 | 090 | |
| 61609 | A | Transect artery, sinus | 9.89 | 4.91 | NA | 2.07 | ZZZ | |
| 61610 | A | Transect artery, sinus | 29.67 | 13.53 | NA | 3.52 | ZZZ | |
| 61611 | A | Transect artery, sinus | 7.42 | 2.87 | NA | 1.55 | ZZZ | |
| 61612 | A | Transect artery, sinus | 27.88 | 13.72 | NA | 3.55 | ZZZ | |
| 61613 | A | Remove aneurysm, sinus | 40.86 | 23.57 | NA | 8.32 | 090 | |
| 61615 | A | Resect/excise lesion, skull | 32.07 | 20.27 | NA | 4.64 | 090 | |
| 61616 | A | Resect/excise lesion, skull | 43.33 | 26.44 | NA | 7.02 | 090 | |
| 61618 | A | Repair dura | 16.99 | 11.17 | NA | 2.92 | 090 | |
| 61619 | A | Repair dura | 20.71 | 13.11 | NA | 3.42 | 090 | |
| 61624 | A | Occlusion/embolization cath | 20.15 | 7.18 | NA | 1.15 | 000 | |
| 61626 | A | Occlusion/embolization cath | 16.62 | 5.74 | NA | 0.84 | 000 | |
| 61680 | A | Intracranial vessel surgery | 30.71 | 17.96 | NA | 6.04 | 090 | |
| 61682 | A | Intracranial vessel surgery | 61.57 | 33.42 | NA | 12.69 | 090 | |
| 61684 | A | Intracranial vessel surgery | 39.81 | 22.49 | NA | 7.87 | 090 | |
| 61686 | A | Intracranial vessel surgery | 64.49 | 35.40 | NA | 13.20 | 090 | |
| 61690 | A | Intracranial vessel surgery | 29.31 | 17.26 | NA | 5.51 | 090 | |
| 61692 | A | Intracranial vessel surgery | 51.87 | 28.35 | NA | 10.17 | 090 | |
| 61697 | A | Brain aneurysm repr, complx | 50.52 | 27.58 | NA | 10.31 | 090 | |
| 61698 | A | Brain aneurysm repr, complx | 48.41 | 26.60 | NA | 9.99 | 090 | |
| 61700 | A | Brain aneurysm repr , simple | 50.52 | 27.58 | NA | 10.18 | 090 | |
| 61702 | A | Inner skull vessel surgery | 48.41 | 26.60 | NA | 9.75 | 090 | |
| 61703 | A | Clamp neck artery | 17.47 | 10.91 | NA | 3.62 | 090 | |
| 61705 | A | Revise circulation to head | 36.20 | 19.80 | NA | 6.67 | 090 | |
| 61708 | A | Revise circulation to head | 35.30 | 15.99 | NA | 2.18 | 090 | |
| 61710 | A | Revise circulation to head | 29.67 | 14.51 | NA | 2.42 | 090 | |
| 61711 | A | Fusion of skull arteries | 36.33 | 20.32 | NA | 7.39 | 090 | |
| 61720 | A | Incise skull/brain surgery | 16.77 | 10.59 | NA | 3.51 | 090 | |
| 61735 | A | Incise skull/brain surgery | 20.43 | 12.62 | NA | 4.16 | 090 | |
| 61750 | A | Incise skull/brain biopsy | 18.20 | 10.86 | NA | 3.71 | 090 | |
| 61751 | A | Brain biopsy w/ ct/mr guide | 17.62 | 10.67 | NA | 3.57 | 090 | |
| 61760 | A | Implant brain electrodes | 22.27 | 8.87 | NA | 4.59 | 090 | |
| 61770 | A | Incise skull for treatment | 21.44 | 12.92 | NA | 4.09 | 090 | |
| 61790 | A | Treat trigeminal nerve | 10.86 | 5.86 | NA | 1.82 | 090 | |
| 61791 | A | Treat trigeminal tract | 14.61 | 9.18 | NA | 3.03 | 090 | |
| 61793 | A | Focus radiation beam | 17.24 | 10.80 | NA | 3.51 | 090 | |
| 61795 | A | Brain surgery using computer | 4.04 | 2.09 | NA | 0.81 | ZZZ | |
| 61850 | A | Implant neuroelectrodes | 12.39 | 7.95 | NA | 2.23 | 090 | |
| 61860 | A | Implant neuroelectrodes | 20.87 | 12.73 | NA | 4.04 | 090 | |
| 61862 | A | Implant neurostimul, subcort | 19.34 | 11.90 | NA | 3.97 | 090 | |
| 61870 | A | Implant neuroelectrodes | 14.94 | 10.48 | NA | 1.70 | 090 | |
| 61875 | A | Implant neuroelectrodes | 15.06 | 9.02 | NA | 2.42 | 090 | |
| 61880 | A | Revise/remove neuroelectrode | 6.29 | 5.19 | NA | 1.31 | 090 | |
| 61885 | A | Implant neurostim one array | 5.85 | 4.27 | NA | 1.22 | 090 | |
| 61886 | A | Implant neurostim arrays | 8.00 | 6.03 | NA | 1.64 | 090 | |
| 61888 | A | Revise/remove neuroreceiver | 5.07 | 3.85 | NA | 1.04 | 010 | |
| 62000 | A | Treat skull fracture | 12.53 | 5.52 | NA | 0.87 | 090 | |
| 62005 | A | Treat skull fracture | 16.17 | 8.93 | NA | 2.33 | 090 | |
| 62010 | A | Treatment of head injury | 19.81 | 11.53 | NA | 4.05 | 090 | |
| 62100 | A | Repair brain fluid leakage | 22.03 | 13.66 | NA | 4.07 | 090 | |
| 62115 | A | Reduction of skull defect | 21.66 | 11.72 | NA | 4.53 | 090 | |
| 62116 | A | Reduction of skull defect | 23.59 | 13.67 | NA | 4.85 | 090 | |
| 62117 | A | Reduction of skull defect | 26.60 | 15.32 | NA | 5.56 | 090 | |
| 62120 | A | Repair skull cavity lesion | 23.35 | 14.28 | NA | 3.07 | 090 | |
| 62121 | A | Incise skull repair | 21.58 | 13.43 | NA | 2.47 | 090 | |
| 62140 | A | Repair of skull defect | 13.51 | 8.50 | NA | 2.60 | 090 | |
| 62141 | A | Repair of skull defect | 14.91 | 9.64 | NA | 2.85 | 090 | |
| 62142 | A | Remove skull plate/flap | 10.79 | 7.17 | NA | 2.10 | 090 | |
| 62143 | A | Replace skull plate/flap | 13.05 | 8.61 | NA | 2.55 | 090 | |
| 62145 | A | Repair of skull brain | 18.82 | 11.50 | NA | 3.81 | 090 | |
| 62146 | A | Repair of skull with graft | 16.12 | 10.29 | NA | 2.94 | 090 | |
| 62147 | A | Repair of skull with graft | 19.34 | 12.03 | NA | 3.64 | 090 | |
| 62180 | A | Establish brain cavity shunt | 21.06 | 12.65 | NA | 4.32 | 090 | |
| 62190 | A | Establish brain cavity shunt | 11.07 | 7.60 | NA | 2.18 | 090 | |
| 62192 | A | Establish brain cavity shunt | 12.25 | 8.13 | NA | 2.46 | 090 | |
| 62194 | A | Replace/irrigate catheter | 5.03 | 2.18 | NA | 0.50 | 010 | |
| 62200 | A | Establish brain cavity shunt | 18.32 | 11.44 | NA | 3.70 | 090 | |
| 62201 | A | Establish brain cavity shunt | 14.86 | 9.45 | NA | 2.52 | 090 | |
| 62220 | A | Establish brain cavity shunt | 13.00 | 8.50 | NA | 2.53 | 090 | |
| 62223 | A | Establish brain cavity shunt | 12.87 | 8.37 | NA | 2.58 | 090 | |
| 62225 | A | Replace/irrigate catheter | 5.41 | 4.04 | NA | 1.09 | 090 | |
| 62230 | A | Replace/revise brain shunt | 10.54 | 6.50 | NA | 2.10 | 090 | |
| 62252 | A | Csf shunt reprogram | 0.74 | NA | 1.43 | 0.18 | XXX | |
| 62252 | 26 | A | Csf shunt reprogram | 0.74 | 0.29 | 0.29 | 0.16 | XXX |
| 62252 | TC | A | Csf shunt reprogram | 0.00 | NA | 1.14 | 0.02 | XXX |
| 62256 | A | Remove brain cavity shunt | 6.60 | 5.31 | NA | 1.34 | 90 | |
| 62258 | A | Replace brain cavity shunt | 14.54 | 8.59 | NA | 2.91 | 090 | |
| 62263 | A | Lysis epidural adhesions | 6.14 | 2.12 | 5.52 | 0.42 | 010 | |
| 62268 | A | Drain spinal cord cyst | 4.74 | 2.71 | NA | 0.29 | 000 | |
| 62269 | A | Needle biopsy, spinal cord | 5.02 | 2.39 | NA | 0.29 | 000 | |
| 62270 | A | Spinal fluid tap, diagnostic | 1.13 | 0.47 | 4.00 | 0.06 | 000 | |
| 62272 | A | Drain cerebro spinal fluid | 1.35 | 0.62 | 3.38 | 0.13 | 000 | |
| 62273 | A | Treat epidural spine lesion | 2.15 | 1.20 | 1.46 | 0.14 | 000 | |
| 62280 | A | Treat spinal cord lesion | 2.63 | 0.68 | 4.29 | 0.17 | 010 | |
| 62281 | A | Treat spinal cord lesion | 2.66 | 0.59 | 4.00 | 0.16 | 010 | |
| 62282 | A | Treat spinal canal lesion | 2.33 | 0.59 | 5.80 | 0.14 | 010 | |
| 62284 | A | Injection for myelogram | 1.54 | 0.50 | 6.09 | 0.10 | 000 | |
| 62287 | A | Percutaneous diskectomy | 8.08 | 5.00 | NA | 0.66 | 090 | |
| 62290 | A | Inject for spine disk x-ray | 3.00 | 1.29 | 5.67 | 0.20 | 000 | |
| 62291 | A | Inject for spine disk x-ray | 2.91 | 1.15 | 5.87 | 0.17 | 000 | |
| 62292 | A | Injection into disk lesion | 7.86 | 4.87 | NA | 0.65 | 090 | |
| 62294 | A | Injection into spinal artery | 11.83 | 6.66 | NA | 0.85 | 090 | |
| 62310 | A | Inject spine c/t | 1.91 | 0.42 | 3.71 | 0.11 | 000 | |
| 62311 | A | Inject spine l/s (cd) | 1.54 | 0.35 | 4.18 | 0.09 | 000 | |
| 62318 | A | Inject spine w/cath, c/t | 2.04 | 0.44 | 3.85 | 0.12 | 000 | |
| 62319 | A | Inject spine w/cath l/s (cd) | 1.87 | 0.39 | 3.43 | 0.11 | 000 | |
| 62350 | A | Implant spinal canal cath | 6.87 | 3.62 | NA | 0.64 | 090 | |
| 62351 | A | Implant spinal canal cath | 10.00 | 6.65 | NA | 1.79 | 090 | |
| 62355 | A | Remove spinal canal catheter | 5.45 | 2.83 | NA | 0.47 | 090 | |
| 62360 | A | Insert spine infusion device | 2.62 | 2.24 | NA | 0.21 | 090 | |
| 62361 | A | Implant spine infusion pump | 5.42 | 3.47 | NA | 0.50 | 090 | |
| 62362 | A | Implant spine infusion pump | 7.04 | 4.02 | NA | 0.86 | 090 | |
| 62365 | A | Remove spine infusion device | 5.42 | 3.88 | NA | 0.58 | 090 | |
| 62367 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 62367 | 26 | A | Analyze spine infusion pump | 0.48 | 0.13 | 0.13 | 0.03 | XXX |
| 62367 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 62368 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 62368 | 26 | A | Analyze spine infusion pump | 0.75 | 0.20 | 0.20 | 0.05 | XXX |
| 62368 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 63001 | A | Removal of spinal lamina | 15.82 | 11.41 | NA | 3.03 | 090 | |
| 63003 | A | Removal of spinal lamina | 15.95 | 11.72 | NA | 2.98 | 090 | |
| 63005 | A | Removal of spinal lamina | 14.92 | 11.28 | NA | 2.62 | 090 | |
| 63011 | A | Removal of spinal lamina | 14.52 | 9.87 | NA | 1.43 | 090 | |
| 63012 | A | Removal of spinal lamina | 15.40 | 10.09 | NA | 2.71 | 090 | |
| 63015 | A | Removal of spinal lamina | 19.35 | 13.38 | NA | 3.84 | 090 | |
| 63016 | A | Removal of spinal lamina | 19.20 | 13.41 | NA | 3.62 | 090 | |
| 63017 | A | Removal of spinal lamina | 15.94 | 11.75 | NA | 2.91 | 090 | |
| 63020 | A | Neck spine disk surgery | 14.81 | 11.11 | NA | 2.89 | 090 | |
| 63030 | A | Low back disk surgery | 12.00 | 9.79 | NA | 2.21 | 090 | |
| 63035 | A | Spinal disk surgery add-on | 3.15 | 1.60 | NA | 0.57 | ZZZ | |
| 63040 | A | Laminotomy, single cervical | 18.81 | 13.09 | NA | 3.36 | 090 | |
| 63042 | A | Laminotomy, single lumbar | 17.47 | 12.67 | NA | 3.11 | 090 | |
| 63043 | C | Laminotomy, addl cervical | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 63044 | C | Laminotomy, addl lumbar | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 63045 | A | Removal of spinal lamina | 16.50 | 11.98 | NA | 3.19 | 090 | |
| 63046 | A | Removal of spinal lamina | 15.80 | 11.74 | NA | 2.89 | 090 | |
| 63047 | A | Removal of spinal lamina | 14.61 | 11.20 | NA | 2.61 | 090 | |
| 63048 | A | Remove spinal lamina add-on | 3.26 | 1.68 | NA | 0.58 | ZZZ | |
| 63055 | A | Decompress spinal cord | 21.99 | 14.81 | NA | 4.09 | 090 | |
| 63056 | A | Decompress spinal cord | 20.36 | 14.14 | NA | 3.34 | 090 | |
| 63057 | A | Decompress spine cord add-on | 5.26 | 2.66 | NA | 0.81 | ZZZ | |
| 63064 | A | Decompress spinal cord | 24.61 | 16.61 | NA | 4.72 | 090 | |
| 63066 | A | Decompress spine cord add-on | 3.26 | 1.69 | NA | 0.63 | ZZZ | |
| 63075 | A | Neck spine disk surgery | 19.41 | 13.53 | NA | 3.73 | 090 | |
| 63076 | A | Neck spine disk surgery | 4.05 | 2.07 | NA | 0.78 | ZZZ | |
| 63077 | A | Spine disk surgery, thorax | 21.44 | 15.02 | NA | 3.44 | 090 | |
| 63078 | A | Spine disk surgery, thorax | 3.28 | 1.68 | NA | 0.50 | ZZZ | |
| 63081 | A | Removal of vertebral body | 23.73 | 16.32 | NA | 4.46 | 090 | |
| 63082 | A | Remove vertebral body add-on | 4.37 | 2.26 | NA | 0.82 | ZZZ | |
| 63085 | A | Removal of vertebral body | 26.92 | 17.77 | NA | 4.70 | 090 | |
| 63086 | A | Remove vertebral body add-on | 3.19 | 1.62 | NA | 0.55 | ZZZ | |
| 63087 | A | Removal of vertebral body | 35.57 | 21.55 | NA | 5.87 | 090 | |
| 63088 | A | Remove vertebral body add-on | 4.33 | 2.23 | NA | 0.77 | ZZZ | |
| 63090 | A | Removal of vertebral body | 28.16 | 17.98 | NA | 4.27 | 090 | |
| 63091 | A | Remove vertebral body add-on | 3.03 | 1.49 | NA | 0.45 | ZZZ | |
| 63170 | A | Incise spinal cord tract(s) | 19.83 | 13.67 | NA | 3.89 | 090 | |
| 63172 | A | Drainage of spinal cyst | 17.66 | 13.13 | NA | 3.46 | 090 | |
| 63173 | A | Drainage of spinal cyst | 21.99 | 15.14 | NA | 4.14 | 090 | |
| 63180 | A | Revise spinal cord ligaments | 18.27 | 13.46 | NA | 3.83 | 090 | |
| 63182 | A | Revise spinal cord ligaments | 20.50 | 12.98 | NA | 3.48 | 090 | |
| 63185 | A | Incise spinal column/nerves | 15.04 | 9.94 | NA | 2.08 | 090 | |
| 63190 | A | Incise spinal column/nerves | 17.45 | 12.03 | NA | 2.88 | 090 | |
| 63191 | A | Incise spinal column/nerves | 17.54 | 11.93 | NA | 3.50 | 090 | |
| 63194 | A | Incise spinal column cord | 19.19 | 13.30 | NA | 4.01 | 090 | |
| 63195 | A | Incise spinal column cord | 18.84 | 12.99 | NA | 3.44 | 090 | |
| 63196 | A | Incise spinal column cord | 22.30 | 13.73 | NA | 4.66 | 090 | |
| 63197 | A | Incise spinal column cord | 21.11 | 13.89 | NA | 4.42 | 090 | |
| 63198 | A | Incise spinal column cord | 25.38 | 11.10 | NA | 5.31 | 090 | |
| 63199 | A | Incise spinal column cord | 26.89 | 16.61 | NA | 5.62 | 090 | |
| 63200 | A | Release of spinal cord | 19.18 | 13.04 | NA | 3.61 | 090 | |
| 63250 | A | Revise spinal cord vessels | 40.76 | 20.63 | NA | 7.65 | 090 | |
| 63251 | A | Revise spinal cord vessels | 41.20 | 22.94 | NA | 7.98 | 090 | |
| 63252 | A | Revise spinal cord vessels | 41.19 | 22.46 | NA | 7.75 | 090 | |
| 63265 | A | Excise intraspinal lesion | 21.56 | 12.96 | NA | 4.29 | 090 | |
| 63266 | A | Excise intraspinal lesion | 22.30 | 13.40 | NA | 4.47 | 090 | |
| 63267 | A | Excise intraspinal lesion | 17.95 | 11.21 | NA | 3.50 | 090 | |
| 63268 | A | Excise intraspinal lesion | 18.52 | 10.62 | NA | 3.18 | 090 | |
| 63270 | A | Excise intraspinal lesion | 26.80 | 15.75 | NA | 5.41 | 090 | |
| 63271 | A | Excise intraspinal lesion | 26.92 | 15.82 | NA | 5.56 | 090 | |
| 63272 | A | Excise intraspinal lesion | 25.32 | 14.93 | NA | 5.07 | 090 | |
| 63273 | A | Excise intraspinal lesion | 24.29 | 14.57 | NA | 5.08 | 090 | |
| 63275 | A | Biopsy/excise spinal tumor | 23.68 | 14.01 | NA | 4.68 | 090 | |
| 63276 | A | Biopsy/excise spinal tumor | 23.45 | 13.90 | NA | 4.63 | 090 | |
| 63277 | A | Biopsy/excise spinal tumor | 20.83 | 12.68 | NA | 4.03 | 090 | |
| 63278 | A | Biopsy/excise spinal tumor | 20.56 | 12.55 | NA | 4.02 | 090 | |
| 63280 | A | Biopsy/excise spinal tumor | 28.35 | 16.43 | NA | 5.80 | 090 | |
| 63281 | A | Biopsy/excise spinal tumor | 28.05 | 16.28 | NA | 5.67 | 090 | |
| 63282 | A | Biopsy/excise spinal tumor | 26.39 | 15.38 | NA | 5.33 | 090 | |
| 63283 | A | Biopsy/excise spinal tumor | 25.00 | 14.75 | NA | 5.12 | 090 | |
| 63285 | A | Biopsy/excise spinal tumor | 36.00 | 20.14 | NA | 7.31 | 090 | |
| 63286 | A | Biopsy/excise spinal tumor | 35.63 | 20.04 | NA | 7.07 | 090 | |
| 63287 | A | Biopsy/excise spinal tumor | 36.70 | 20.64 | NA | 7.48 | 090 | |
| 63290 | A | Biopsy/excise spinal tumor | 37.38 | 20.84 | NA | 7.65 | 090 | |
| 63300 | A | Removal of vertebral body | 24.43 | 14.50 | NA | 4.78 | 090 | |
| 63301 | A | Removal of vertebral body | 27.60 | 15.58 | NA | 5.03 | 090 | |
| 63302 | A | Removal of vertebral body | 27.81 | 15.82 | NA | 5.25 | 090 | |
| 63303 | A | Removal of vertebral body | 30.50 | 17.19 | NA | 5.21 | 090 | |
| 63304 | A | Removal of vertebral body | 30.33 | 17.50 | NA | 4.72 | 090 | |
| 63305 | A | Removal of vertebral body | 32.03 | 17.96 | NA | 5.39 | 090 | |
| 63306 | A | Removal of vertebral body | 32.22 | 17.54 | NA | 2.39 | 090 | |
| 63307 | A | Removal of vertebral body | 31.63 | 17.15 | NA | 4.23 | 090 | |
| 63308 | A | Remove vertebral body add-on | 5.25 | 2.66 | NA | 1.01 | ZZZ | |
| 63600 | A | Remove spinal cord lesion | 14.02 | 6.14 | NA | 1.22 | 090 | |
| 63610 | A | Stimulation of spinal cord | 8.73 | 4.12 | NA | 0.43 | 000 | |
| 63615 | A | Remove lesion of spinal cord | 16.28 | 10.20 | NA | 2.85 | 090 | |
| 63650 | A | Implant neuroelectrodes | 6.74 | 2.98 | NA | 0.48 | 090 | |
| 63655 | A | Implant neuroelectrodes | 10.29 | 7.12 | NA | 1.85 | 090 | |
| 63660 | A | Revise/remove neuroelectrode | 6.16 | 3.71 | NA | 0.65 | 090 | |
| 63685 | A | Implant neuroreceiver | 7.04 | 4.27 | NA | 0.96 | 090 | |
| 63688 | A | Revise/remove neuroreceiver | 5.39 | 3.63 | NA | 0.70 | 090 | |
| 63700 | A | Repair of spinal herniation | 16.53 | 10.33 | NA | 2.69 | 090 | |
| 63702 | A | Repair of spinal herniation | 18.48 | 10.98 | NA | 1.36 | 090 | |
| 63704 | A | Repair of spinal herniation | 21.18 | 12.54 | NA | 3.84 | 090 | |
| 63706 | A | Repair of spinal herniation | 24.11 | 13.63 | NA | 4.73 | 090 | |
| 63707 | A | Repair spinal fluid leakage | 11.26 | 7.88 | NA | 1.96 | 090 | |
| 63709 | A | Repair spinal fluid leakage | 14.32 | 9.56 | NA | 2.49 | 090 | |
| 63710 | A | Graft repair of spine defect | 14.07 | 9.28 | NA | 2.61 | 090 | |
| 63740 | A | Install spinal shunt | 11.36 | 7.62 | NA | 2.15 | 090 | |
| 63741 | A | Install spinal shunt | 8.25 | 4.85 | NA | 1.05 | 090 | |
| 63744 | A | Revision of spinal shunt | 8.10 | 5.53 | NA | 1.51 | 090 | |
| 63746 | A | Removal of spinal shunt | 6.43 | 4.01 | NA | 1.15 | 090 | |
| 64400 | A | Injection for nerve block | 1.11 | 0.27 | 2.46 | 0.06 | 000 | |
| 64402 | A | Injection for nerve block | 1.25 | 0.44 | 4.37 | 0.07 | 000 | |
| 64405 | A | Injection for nerve block | 1.32 | 0.35 | 1.30 | 0.08 | 000 | |
| 64408 | A | Injection for nerve block | 1.41 | 0.57 | 2.81 | 0.09 | 000 | |
| 64410 | A | Injection for nerve block | 1.43 | 0.31 | 2.77 | 0.08 | 000 | |
| 64412 | A | Injection for nerve block | 1.18 | 0.27 | 2.71 | 0.08 | 000 | |
| 64413 | A | Injection for nerve block | 1.40 | 0.35 | 2.82 | 0.09 | 000 | |
| 64415 | A | Injection for nerve block | 1.48 | 0.31 | 2.80 | 0.08 | 000 | |
| 64417 | A | Injection for nerve block | 1.44 | 0.34 | 2.78 | 0.09 | 000 | |
| 64418 | A | Injection for nerve block | 1.32 | 0.28 | 2.44 | 0.07 | 000 | |
| 64420 | A | Injection for nerve block | 1.18 | 0.26 | 2.37 | 0.07 | 000 | |
| 64421 | A | Injection for nerve block | 1.68 | 0.37 | 2.78 | 0.10 | 000 | |
| 64425 | A | Injection for nerve block | 1.75 | 0.39 | 2.30 | 0.11 | 000 | |
| 64430 | A | Injection for nerve block | 1.46 | 0.43 | 2.85 | 0.11 | 000 | |
| 64435 | A | Injection for nerve block | 1.45 | 0.56 | 3.07 | 0.15 | 000 | |
| 64445 | A | Injection for nerve block | 1.48 | 0.39 | 2.48 | 0.08 | 000 | |
| 64450 | A | Injection for nerve block | 1.27 | 0.32 | 1.78 | 0.08 | 000 | |
| 64470 | A | Inj paravertebral c/t | 1.85 | 0.48 | 4.03 | 0.12 | 000 | |
| 64472 | A | Inj paravertebral c/t add-on | 1.29 | 0.33 | 3.86 | 0.09 | ZZZ | |
| 64475 | A | Inj paravertebral l/s | 1.41 | 0.38 | 3.92 | 0.09 | 000 | |
| 64476 | A | Inj paravertebral l/s add-on | 0.98 | 0.25 | 4.09 | 0.06 | ZZZ | |
| 64479 | A | Inj foramen epidural c/t | 2.20 | 0.62 | 4.25 | 0.14 | 000 | |
| 64480 | A | Inj foramen epidural add-on | 1.54 | 0.42 | 4.17 | 0.09 | ZZZ | |
| 64483 | A | Inj foramen epidural l/s | 1.90 | 0.54 | 4.12 | 0.12 | 000 | |
| 64484 | A | Inj foramen epidural add-on | 1.33 | 0.36 | 4.10 | 0.08 | ZZZ | |
| 64505 | A | Injection for nerve block | 1.36 | 0.35 | 2.34 | 0.08 | 000 | |
| 64508 | A | Injection for nerve block | 1.12 | 0.34 | 2.44 | 0.06 | 000 | |
| 64510 | A | Injection for nerve block | 1.22 | 0.25 | 2.52 | 0.07 | 000 | |
| 64520 | A | Injection for nerve block | 1.35 | 0.29 | 3.65 | 0.08 | 000 | |
| 64530 | A | Injection for nerve block | 1.58 | 0.35 | 3.45 | 0.09 | 000 | |
| 64550 | A | Apply neurostimulator | 0.18 | 0.06 | 0.54 | 0.01 | 000 | |
| 64553 | A | Implant neuroelectrodes | 2.31 | 1.27 | 1.74 | 0.17 | 010 | |
| 64555 | A | Implant neuroelectrodes | 2.27 | 0.65 | 2.39 | 0.11 | 010 | |
| 64560 | A | Implant neuroelectrodes | 2.36 | 0.72 | 2.42 | 0.17 | 010 | |
| 64561 | A | Implant neuroelectrodes | 6.74 | 3.74 | 15.36 | 0.11 | 010 | |
| 64565 | A | Implant neuroelectrodes | 1.76 | 0.66 | 3.16 | 0.08 | 010 | |
| 64573 | A | Implant neuroelectrodes | 7.50 | 5.33 | NA | 1.48 | 090 | |
| 64575 | A | Implant neuroelectrodes | 4.35 | 3.16 | NA | 0.37 | 090 | |
| 64577 | A | Implant neuroelectrodes | 4.62 | 3.63 | NA | 0.50 | 090 | |
| 64580 | A | Implant neuroelectrodes | 4.12 | 3.91 | NA | 0.21 | 090 | |
| 64581 | A | Implant neuroelectrodes | 13.50 | 6.55 | NA | 0.37 | 090 | |
| 64585 | A | Revise/remove neuroelectrode | 2.06 | 2.13 | 3.18 | 0.29 | 010 | |
| 64590 | A | Implant neuroreceiver | 2.40 | 2.31 | NA | 0.40 | 010 | |
| 64595 | A | Revise/remove neuroreceiver | 1.73 | 1.94 | NA | 0.22 | 010 | |
| 64600 | A | Injection treatment of nerve | 3.45 | 2.01 | 3.10 | 0.28 | 010 | |
| 64605 | A | Injection treatment of nerve | 5.61 | 2.51 | 3.64 | 0.53 | 010 | |
| 64610 | A | Injection treatment of nerve | 7.16 | 4.05 | NA | 1.12 | 010 | |
| 64612 | A | Destroy nerve, face muscle | 1.96 | 1.60 | 2.98 | 0.09 | 010 | |
| 64613 | A | Destroy nerve, spine muscle | 1.96 | 1.44 | 1.76 | 0.10 | 010 | |
| 64614 | A | Destroy nerve, extrem musc | 2.20 | 0.76 | 3.48 | 0.09 | 010 | |
| 64620 | A | Injection treatment of nerve | 2.84 | 0.65 | 2.98 | 0.17 | 010 | |
| 64622 | A | Destr paravertebrl nerve l/s | 3.00 | 0.72 | 4.59 | 0.17 | 010 | |
| 64623 | A | Destr paravertebral n add-on | 0.99 | 0.23 | 3.59 | 0.06 | ZZZ | |
| 64626 | A | Destr paravertebrl nerve c/t | 3.28 | 0.79 | 4.32 | 0.22 | 010 | |
| 64627 | A | Destr paravertebral n add-on | 1.16 | 0.29 | 3.64 | 0.08 | ZZZ | |
| 64630 | A | Injection treatment of nerve | 3.00 | 0.77 | 3.50 | 0.16 | 010 | |
| 64640 | A | Injection treatment of nerve | 2.76 | 1.62 | 5.04 | 0.11 | 010 | |
| 64680 | A | Injection treatment of nerve | 2.62 | 0.68 | 2.98 | 0.15 | 010 | |
| 64702 | A | Revise finger/toe nerve | 4.23 | 3.90 | NA | 0.51 | 090 | |
| 64704 | A | Revise hand/foot nerve | 4.57 | 3.19 | NA | 0.59 | 090 | |
| 64708 | A | Revise arm/leg nerve | 6.12 | 5.01 | NA | 0.82 | 090 | |
| 64712 | A | Revision of sciatic nerve | 7.75 | 5.14 | NA | 0.54 | 090 | |
| 64713 | A | Revision of arm nerve(s) | 11.00 | 5.68 | NA | 1.01 | 090 | |
| 64714 | A | Revise low back nerve(s) | 10.33 | 4.11 | NA | 0.64 | 090 | |
| 64716 | A | Revision of cranial nerve | 6.31 | 4.92 | NA | 0.59 | 090 | |
| 64718 | A | Revise ulnar nerve at elbow | 5.99 | 5.14 | NA | 0.87 | 090 | |
| 64719 | A | Revise ulnar nerve at wrist | 4.85 | 4.64 | NA | 0.63 | 090 | |
| 64721 | A | Carpal tunnel surgery | 4.29 | 5.96 | 6.32 | 0.59 | 090 | |
| 64722 | A | Relieve pressure on nerve(s) | 4.70 | 3.22 | NA | 0.32 | 090 | |
| 64726 | A | Release foot/toe nerve | 4.18 | 3.02 | NA | 0.57 | 090 | |
| 64727 | A | Internal nerve revision | 3.10 | 1.55 | NA | 0.40 | ZZZ | |
| 64732 | A | Incision of brow nerve | 4.41 | 3.51 | NA | 0.77 | 090 | |
| 64734 | A | Incision of cheek nerve | 4.92 | 3.55 | NA | 0.83 | 090 | |
| 64736 | A | Incision of chin nerve | 4.60 | 2.88 | NA | 0.71 | 090 | |
| 64738 | A | Incision of jaw nerve | 5.73 | 3.58 | NA | 0.84 | 090 | |
| 64740 | A | Incision of tongue nerve | 5.59 | 3.78 | NA | 0.43 | 090 | |
| 64742 | A | Incision of facial nerve | 6.22 | 4.71 | NA | 0.69 | 090 | |
| 64744 | A | Incise nerve, back of head | 5.24 | 3.83 | NA | 0.98 | 090 | |
| 64746 | A | Incise diaphragm nerve | 5.93 | 4.41 | NA | 0.75 | 090 | |
| 64752 | A | Incision of vagus nerve | 7.06 | 4.67 | NA | 0.83 | 090 | |
| 64755 | A | Incision of stomach nerves | 13.52 | 6.23 | NA | 1.16 | 090 | |
| 64760 | A | Incision of vagus nerve | 6.96 | 4.03 | NA | 0.51 | 090 | |
| 64761 | A | Incision of pelvis nerve | 6.41 | 3.56 | NA | 0.26 | 090 | |
| 64763 | A | Incise hip/thigh nerve | 6.93 | 6.12 | NA | 0.77 | 090 | |
| 64766 | A | Incise hip/thigh nerve | 8.67 | 5.65 | NA | 0.99 | 090 | |
| 64771 | A | Sever cranial nerve | 7.35 | 5.51 | NA | 1.32 | 090 | |
| 64772 | A | Incision of spinal nerve | 7.21 | 4.79 | NA | 1.20 | 090 | |
| 64774 | A | Remove skin nerve lesion | 5.17 | 3.73 | NA | 0.60 | 090 | |
| 64776 | A | Remove digit nerve lesion | 5.12 | 3.80 | NA | 0.63 | 090 | |
| 64778 | A | Digit nerve surgery add-on | 3.11 | 1.55 | NA | 0.38 | ZZZ | |
| 64782 | A | Remove limb nerve lesion | 6.23 | 3.70 | NA | 0.79 | 090 | |
| 64783 | A | Limb nerve surgery add-on | 3.72 | 1.90 | NA | 0.48 | ZZZ | |
| 64784 | A | Remove nerve lesion | 9.82 | 6.60 | NA | 1.17 | 090 | |
| 64786 | A | Remove sciatic nerve lesion | 15.46 | 10.09 | NA | 2.22 | 090 | |
| 64787 | A | Implant nerve end | 4.30 | 2.19 | NA | 0.56 | ZZZ | |
| 64788 | A | Remove skin nerve lesion | 4.61 | 3.46 | NA | 0.54 | 090 | |
| 64790 | A | Removal of nerve lesion | 11.31 | 7.18 | NA | 1.68 | 090 | |
| 64792 | A | Removal of nerve lesion | 14.92 | 8.77 | NA | 1.88 | 090 | |
| 64795 | A | Biopsy of nerve | 3.01 | 1.76 | NA | 0.40 | 000 | |
| 64802 | A | Remove sympathetic nerves | 9.15 | 5.31 | NA | 0.87 | 090 | |
| 64804 | A | Remove sympathetic nerves | 14.64 | 7.26 | NA | 1.79 | 090 | |
| 64809 | A | Remove sympathetic nerves | 13.67 | 6.23 | NA | 0.96 | 090 | |
| 64818 | A | Remove sympathetic nerves | 10.30 | 5.72 | NA | 1.08 | 090 | |
| 64820 | A | Remove sympathetic nerves | 10.37 | 7.35 | NA | 1.17 | 090 | |
| 64821 | A | Remove sympathetic nerves | 8.75 | 6.60 | NA | 0.99 | 090 | |
| 64822 | A | Remove sympathetic nerves | 8.75 | 6.60 | NA | 0.99 | 090 | |
| 64823 | A | Remove sympathetic nerves | 10.37 | 7.35 | NA | 1.17 | 090 | |
| 64831 | A | Repair of digit nerve | 9.44 | 7.20 | NA | 1.14 | 090 | |
| 64832 | A | Repair nerve add-on | 5.66 | 3.03 | NA | 0.68 | ZZZ | |
| 64834 | A | Repair of hand or foot nerve | 10.19 | 7.16 | NA | 1.23 | 090 | |
| 64835 | A | Repair of hand or foot nerve | 10.94 | 7.81 | NA | 1.36 | 090 | |
| 64836 | A | Repair of hand or foot nerve | 10.94 | 7.79 | NA | 1.32 | 090 | |
| 64837 | A | Repair nerve add-on | 6.26 | 3.34 | NA | 0.80 | ZZZ | |
| 64840 | A | Repair of leg nerve | 13.02 | 8.44 | NA | 0.86 | 090 | |
| 64856 | A | Repair/transpose nerve | 13.80 | 9.36 | NA | 1.71 | 090 | |
| 64857 | A | Repair arm/leg nerve | 14.49 | 9.83 | NA | 1.76 | 090 | |
| 64858 | A | Repair sciatic nerve | 16.49 | 10.69 | NA | 2.78 | 090 | |
| 64859 | A | Nerve surgery | 4.26 | 2.23 | NA | 0.50 | ZZZ | |
| 64861 | A | Repair of arm nerves | 19.24 | 12.60 | NA | 2.45 | 090 | |
| 64862 | A | Repair of low back nerves | 19.44 | 12.10 | NA | 2.47 | 090 | |
| 64864 | A | Repair of facial nerve | 12.55 | 8.55 | NA | 1.13 | 090 | |
| 64865 | A | Repair of facial nerve | 15.24 | 10.03 | NA | 1.37 | 090 | |
| 64866 | A | Fusion of facial/other nerve | 15.74 | 9.94 | NA | 1.06 | 090 | |
| 64868 | A | Fusion of facial/other nerve | 14.04 | 9.26 | NA | 1.40 | 090 | |
| 64870 | A | Fusion of facial/other nerve | 15.99 | 10.24 | NA | 1.08 | 090 | |
| 64872 | A | Subsequent repair of nerve | 1.99 | 1.08 | NA | 0.24 | ZZZ | |
| 64874 | A | Repair revise nerve add-on | 2.98 | 1.54 | NA | 0.34 | ZZZ | |
| 64876 | A | Repair nerve/shorten bone | 3.38 | 1.31 | NA | 0.39 | ZZZ | |
| 64885 | A | Nerve graft, head or neck | 17.53 | 11.12 | NA | 1.51 | 090 | |
| 64886 | A | Nerve graft, head or neck | 20.75 | 13.08 | NA | 1.73 | 090 | |
| 64890 | A | Nerve graft, hand or foot | 15.15 | 10.21 | NA | 1.74 | 090 | |
| 64891 | A | Nerve graft, hand or foot | 16.14 | 7.62 | NA | 1.38 | 090 | |
| 64892 | A | Nerve graft, arm or leg | 14.65 | 8.95 | NA | 1.65 | 090 | |
| 64893 | A | Nerve graft, arm or leg | 15.60 | 9.94 | NA | 1.77 | 090 | |
| 64895 | A | Nerve graft, hand or foot | 19.25 | 9.74 | NA | 2.04 | 090 | |
| 64896 | A | Nerve graft, hand or foot | 20.49 | 11.17 | NA | 1.85 | 090 | |
| 64897 | A | Nerve graft, arm or leg | 18.24 | 10.85 | NA | 2.64 | 090 | |
| 64898 | A | Nerve graft, arm or leg | 19.50 | 11.80 | NA | 2.71 | 090 | |
| 64901 | A | Nerve graft add-on | 10.22 | 5.41 | NA | 0.99 | ZZZ | |
| 64902 | A | Nerve graft add-on | 11.83 | 6.05 | NA | 1.10 | ZZZ | |
| 64905 | A | Nerve pedicle transfer | 14.02 | 9.10 | NA | 1.52 | 090 | |
| 64907 | A | Nerve pedicle transfer | 18.83 | 12.43 | NA | 1.79 | 090 | |
| 64999 | C | Nervous system surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 65091 | A | Revise eye | 6.46 | 11.88 | NA | 0.26 | 090 | |
| 65093 | A | Revise eye with implant | 6.87 | 11.93 | NA | 0.28 | 090 | |
| 65101 | A | Removal of eye | 7.03 | 12.17 | NA | 0.28 | 090 | |
| 65103 | A | Remove eye/insert implant | 7.57 | 12.36 | NA | 0.30 | 090 | |
| 65105 | A | Remove eye/attach implant | 8.49 | 12.86 | NA | 0.34 | 090 | |
| 65110 | A | Removal of eye | 13.95 | 15.87 | NA | 0.68 | 090 | |
| 65112 | A | Remove eye/revise socket | 16.38 | 18.08 | NA | 0.96 | 090 | |
| 65114 | A | Remove eye/revise socket | 17.53 | 18.13 | NA | 0.94 | 090 | |
| 65125 | A | Revise ocular implant | 3.12 | 1.46 | 6.31 | 0.15 | 090 | |
| 65130 | A | Insert ocular implant | 7.15 | 11.79 | NA | 0.28 | 090 | |
| 65135 | A | Insert ocular implant | 7.33 | 12.01 | NA | 0.29 | 090 | |
| 65140 | A | Attach ocular implant | 8.02 | 12.27 | NA | 0.31 | 090 | |
| 65150 | A | Revise ocular implant | 6.26 | 11.22 | NA | 0.25 | 090 | |
| 65155 | A | Reinsert ocular implant | 8.66 | 13.17 | NA | 0.40 | 090 | |
| 65175 | A | Removal of ocular implant | 6.28 | 11.37 | NA | 0.26 | 090 | |
| 65205 | A | Remove foreign body from eye | 0.71 | 0.20 | 0.62 | 0.03 | 000 | |
| 65210 | A | Remove foreign body from eye | 0.84 | 0.30 | 0.78 | 0.03 | 000 | |
| 65220 | A | Remove foreign body from eye | 0.71 | 0.19 | 0.62 | 0.05 | 000 | |
| 65222 | A | Remove foreign body from eye | 0.93 | 0.28 | 0.79 | 0.04 | 000 | |
| 65235 | A | Remove foreign body from eye | 7.57 | 6.99 | NA | 0.30 | 090 | |
| 65260 | A | Remove foreign body from eye | 10.96 | 12.76 | NA | 0.43 | 090 | |
| 65265 | A | Remove foreign body from eye | 12.59 | 14.32 | NA | 0.50 | 090 | |
| 65270 | A | Repair of eye wound | 1.90 | 2.41 | 4.10 | 0.08 | 010 | |
| 65272 | A | Repair of eye wound | 3.82 | 4.85 | 5.82 | 0.16 | 090 | |
| 65273 | A | Repair of eye wound | 4.36 | 5.19 | NA | 0.17 | 090 | |
| 65275 | A | Repair of eye wound | 5.34 | 5.24 | 5.74 | 0.27 | 090 | |
| 65280 | A | Repair of eye wound | 7.66 | 7.88 | NA | 0.30 | 090 | |
| 65285 | A | Repair of eye wound | 12.90 | 13.88 | NA | 0.51 | 090 | |
| 65286 | A | Repair of eye wound | 5.51 | 7.94 | 9.20 | 0.21 | 090 | |
| 65290 | A | Repair of eye socket wound | 5.41 | 6.47 | NA | 0.26 | 090 | |
| 65400 | A | Removal of eye lesion | 6.06 | 7.15 | 8.69 | 0.24 | 090 | |
| 65410 | A | Biopsy of cornea | 1.47 | 0.67 | 1.76 | 0.06 | 000 | |
| 65420 | A | Removal of eye lesion | 4.17 | 7.31 | 8.47 | 0.17 | 090 | |
| 65426 | A | Removal of eye lesion | 5.25 | 6.78 | 8.10 | 0.20 | 090 | |
| 65430 | A | Corneal smear | 1.47 | 0.68 | 9.01 | 0.06 | 000 | |
| 65435 | A | Curette/treat cornea | 0.92 | 0.40 | 1.38 | 0.04 | 000 | |
| 65436 | A | Curette/treat cornea | 4.19 | 5.06 | 6.06 | 0.17 | 090 | |
| 65450 | A | Treatment of corneal lesion | 3.27 | 6.90 | 8.19 | 0.13 | 090 | |
| 65600 | A | Revision of cornea | 3.40 | 1.44 | 5.65 | 0.14 | 090 | |
| 65710 | A | Corneal transplant | 12.35 | 13.14 | NA | 0.49 | 090 | |
| 65730 | A | Corneal transplant | 14.25 | 12.01 | NA | 0.56 | 090 | |
| 65750 | A | Corneal transplant | 15.00 | 14.53 | NA | 0.59 | 090 | |
| 65755 | A | Corneal transplant | 14.89 | 14.44 | NA | 0.58 | 090 | |
| 65760 | N | Revision of cornea | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65765 | N | Revision of cornea | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65767 | N | Corneal tissue transplant | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65770 | A | Revise cornea with implant | 17.56 | 15.44 | NA | 0.69 | 090 | |
| 65771 | N | Radial keratotomy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65772 | A | Correction of astigmatism | 4.29 | 6.56 | 7.61 | 0.17 | 090 | |
| 65775 | A | Correction of astigmatism | 5.79 | 8.66 | NA | 0.22 | 090 | |
| 65800 | A | Drainage of eye | 1.91 | 1.44 | 2.33 | 0.08 | 000 | |
| 65805 | A | Drainage of eye | 1.91 | 1.44 | 2.33 | 0.08 | 000 | |
| 65810 | A | Drainage of eye | 4.87 | 9.09 | NA | 0.19 | 090 | |
| 65815 | A | Drainage of eye | 5.05 | 8.24 | 9.49 | 0.20 | 090 | |
| 65820 | A | Relieve inner eye pressure | 8.13 | 11.15 | NA | 0.32 | 090 | |
| 65850 | A | Incision of eye | 10.52 | 10.30 | NA | 0.41 | 090 | |
| 65855 | A | Laser surgery of eye | 3.85 | 3.61 | 5.13 | 0.17 | 010 | |
| 65860 | A | Incise inner eye adhesions | 3.55 | 3.15 | 4.15 | 0.14 | 090 | |
| 65865 | A | Incise inner eye adhesions | 5.60 | 6.93 | NA | 0.22 | 090 | |
| 65870 | A | Incise inner eye adhesions | 6.27 | 7.26 | NA | 0.24 | 090 | |
| 65875 | A | Incise inner eye adhesions | 6.54 | 7.38 | NA | 0.25 | 090 | |
| 65880 | A | Incise inner eye adhesions | 7.09 | 7.63 | NA | 0.28 | 090 | |
| 65900 | A | Remove eye lesion | 10.93 | 12.87 | NA | 0.46 | 090 | |
| 65920 | A | Remove implant of eye | 8.40 | 8.24 | NA | 0.33 | 090 | |
| 65930 | A | Remove blood clot from eye | 7.44 | 8.85 | NA | 0.29 | 090 | |
| 66020 | A | Injection treatment of eye | 1.59 | 1.56 | 2.44 | 0.07 | 010 | |
| 66030 | A | Injection treatment of eye | 1.25 | 1.39 | 2.27 | 0.05 | 010 | |
| 66130 | A | Remove eye lesion | 7.69 | 6.71 | 7.65 | 0.31 | 090 | |
| 66150 | A | Glaucoma surgery | 8.30 | 10.90 | NA | 0.33 | 090 | |
| 66155 | A | Glaucoma surgery | 8.29 | 10.83 | NA | 0.32 | 090 | |
| 66160 | A | Glaucoma surgery | 10.17 | 11.71 | NA | 0.41 | 090 | |
| 66165 | A | Glaucoma surgery | 8.01 | 10.70 | NA | 0.31 | 090 | |
| 66170 | A | Glaucoma surgery | 12.16 | 17.20 | NA | 0.48 | 090 | |
| 66172 | A | Incision of eye | 15.04 | 15.44 | NA | 0.59 | 090 | |
| 66180 | A | Implant eye shunt | 14.55 | 12.30 | NA | 0.57 | 090 | |
| 66185 | A | Revise eye shunt | 8.14 | 8.45 | NA | 0.32 | 090 | |
| 66220 | A | Repair eye lesion | 7.77 | 10.10 | NA | 0.32 | 090 | |
| 66225 | A | Repair/graft eye lesion | 11.05 | 9.53 | NA | 0.44 | 090 | |
| 66250 | A | Follow-up surgery of eye | 5.98 | 6.50 | 8.04 | 0.23 | 090 | |
| 66500 | A | Incision of iris | 3.71 | 4.87 | NA | 0.15 | 090 | |
| 66505 | A | Incision of iris | 4.08 | 5.00 | NA | 0.17 | 090 | |
| 66600 | A | Remove iris and lesion | 8.68 | 8.90 | NA | 0.34 | 090 | |
| 66605 | A | Removal of iris | 12.79 | 12.47 | NA | 0.61 | 090 | |
| 66625 | A | Removal of iris | 5.13 | 6.83 | 7.91 | 0.20 | 090 | |
| 66630 | A | Removal of iris | 6.16 | 7.80 | NA | 0.24 | 090 | |
| 66635 | A | Removal of iris | 6.25 | 6.65 | NA | 0.24 | 090 | |
| 66680 | A | Repair iris ciliary body | 5.44 | 6.25 | NA | 0.21 | 090 | |
| 66682 | A | Repair iris ciliary body | 6.21 | 7.81 | NA | 0.24 | 090 | |
| 66700 | A | Destruction, ciliary body | 4.78 | 7.16 | 7.16 | 0.19 | 090 | |
| 66710 | A | Destruction, ciliary body | 4.78 | 7.61 | 9.06 | 0.18 | 090 | |
| 66720 | A | Destruction, ciliary body | 4.78 | 7.58 | 8.62 | 0.19 | 090 | |
| 66740 | A | Destruction, ciliary body | 4.78 | 6.56 | NA | 0.18 | 090 | |
| 66761 | A | Revision of iris | 4.07 | 4.34 | 5.64 | 0.16 | 090 | |
| 66762 | A | Revision of iris | 4.58 | 4.40 | 5.60 | 0.18 | 090 | |
| 66770 | A | Removal of inner eye lesion | 5.18 | 4.65 | 5.87 | 0.20 | 090 | |
| 66820 | A | Incision, secondary cataract | 3.89 | 8.62 | NA | 0.16 | 090 | |
| 66821 | A | After cataract laser surgery | 2.35 | 3.44 | 3.89 | 0.10 | 090 | |
| 66825 | A | Reposition intraocular lens | 8.23 | 10.65 | NA | 0.32 | 090 | |
| 66830 | A | Removal of lens lesion | 8.20 | 6.98 | NA | 0.32 | 090 | |
| 66840 | A | Removal of lens material | 7.91 | 6.87 | NA | 0.31 | 090 | |
| 66850 | A | Removal of lens material | 9.11 | 7.41 | NA | 0.36 | 090 | |
| 66852 | A | Removal of lens material | 9.97 | 7.87 | NA | 0.39 | 090 | |
| 66920 | A | Extraction of lens | 8.86 | 7.34 | NA | 0.35 | 090 | |
| 66930 | A | Extraction of lens | 10.18 | 8.86 | NA | 0.41 | 090 | |
| 66940 | A | Extraction of lens | 8.93 | 8.28 | NA | 0.35 | 090 | |
| 66982 | A | Cataract surgery, complex | 13.50 | 9.17 | NA | 0.56 | 090 | |
| 66983 | A | Cataract surg w/iol, 1 stage | 8.99 | 6.02 | NA | 0.37 | 090 | |
| 66984 | A | Cataract surg w/iol, i stage | 10.23 | 7.74 | NA | 0.41 | 090 | |
| 66985 | A | Insert lens prosthesis | 8.39 | 6.96 | NA | 0.33 | 090 | |
| 66986 | A | Exchange lens prosthesis | 12.28 | 8.71 | NA | 0.49 | 090 | |
| 66999 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67005 | A | Partial removal of eye fluid | 5.70 | 2.66 | NA | 0.22 | 090 | |
| 67010 | A | Partial removal of eye fluid | 6.87 | 3.23 | NA | 0.27 | 090 | |
| 67015 | A | Release of eye fluid | 6.92 | 8.37 | NA | 0.27 | 090 | |
| 67025 | A | Replace eye fluid | 6.84 | 7.70 | 17.77 | 0.27 | 090 | |
| 67027 | A | Implant eye drug system | 10.85 | 8.94 | 14.73 | 0.46 | 090 | |
| 67028 | A | Injection eye drug | 2.52 | 1.17 | 11.22 | 0.11 | 000 | |
| 67030 | A | Incise inner eye strands | 4.84 | 6.97 | NA | 0.19 | 090 | |
| 67031 | A | Laser surgery, eye strands | 3.67 | 3.21 | 4.22 | 0.15 | 090 | |
| 67036 | A | Removal of inner eye fluid | 11.89 | 9.17 | NA | 0.47 | 090 | |
| 67038 | A | Strip retinal membrane | 21.24 | 15.78 | NA | 0.84 | 090 | |
| 67039 | A | Laser treatment of retina | 14.52 | 12.62 | NA | 0.57 | 090 | |
| 67040 | A | Laser treatment of retina | 17.23 | 13.91 | NA | 0.68 | 090 | |
| 67101 | A | Repair detached retina | 7.53 | 9.12 | 11.28 | 0.29 | 090 | |
| 67105 | A | Repair detached retina | 7.41 | 5.64 | 7.79 | 0.29 | 090 | |
| 67107 | A | Repair detached retina | 14.84 | 13.51 | NA | 0.58 | 090 | |
| 67108 | A | Repair detached retina | 20.82 | 18.17 | NA | 0.82 | 090 | |
| 67110 | A | Repair detached retina | 8.81 | 10.57 | 21.28 | 0.35 | 090 | |
| 67112 | A | Rerepair detached retina | 16.86 | 16.13 | NA | 0.66 | 090 | |
| 67115 | A | Release encircling material | 4.99 | 7.05 | NA | 0.19 | 090 | |
| 67120 | A | Remove eye implant material | 5.98 | 7.34 | 17.00 | 0.23 | 090 | |
| 67121 | A | Remove eye implant material | 10.67 | 12.48 | NA | 0.42 | 090 | |
| 67141 | A | Treatment of retina | 5.20 | 7.18 | 8.31 | 0.20 | 090 | |
| 67145 | A | Treatment of retina | 5.37 | 4.23 | 5.42 | 0.21 | 090 | |
| 67208 | A | Treatment of retinal lesion | 6.70 | 7.35 | 8.64 | 0.26 | 090 | |
| 67210 | A | Treatment of retinal lesion | 8.82 | 5.83 | 7.45 | 0.35 | 090 | |
| 67218 | A | Treatment of retinal lesion | 18.53 | 16.22 | NA | 0.53 | 090 | |
| 67220 | A | Treatment of choroid lesion | 13.13 | 9.82 | 11.06 | 0.51 | 090 | |
| 67221 | A | Ocular photodynamic ther | 4.01 | 1.89 | 4.80 | 0.16 | 000 | |
| 67225 | A | Eye photodynamic ther add-on | 0.47 | 0.18 | 0.24 | 0.50 | ZZZ | |
| 67227 | A | Treatment of retinal lesion | 6.58 | 7.39 | 9.32 | 0.26 | 090 | |
| 67228 | A | Treatment of retinal lesion | 12.74 | 7.30 | 10.07 | 0.50 | 090 | |
| 67250 | A | Reinforce eye wall | 8.66 | 12.35 | NA | 0.36 | 090 | |
| 67255 | A | Reinforce/graft eye wall | 8.90 | 12.40 | NA | 0.35 | 090 | |
| 67299 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67311 | A | Revise eye muscle | 6.65 | 6.29 | NA | 0.27 | 090 | |
| 67312 | A | Revise two eye muscles | 8.54 | 7.36 | NA | 0.35 | 090 | |
| 67314 | A | Revise eye muscle | 7.52 | 6.87 | NA | 0.30 | 090 | |
| 67316 | A | Revise two eye muscles | 9.66 | 7.86 | NA | 0.40 | 090 | |
| 67318 | A | Revise eye muscle(s) | 7.85 | 7.26 | NA | 0.31 | 090 | |
| 67320 | A | Revise eye muscle(s) add-on | 4.33 | 2.02 | NA | 0.17 | ZZZ | |
| 67331 | A | Eye surgery follow-up add-on | 4.06 | 1.95 | NA | 0.17 | ZZZ | |
| 67332 | A | Rerevise eye muscles add-on | 4.49 | 2.09 | NA | 0.18 | ZZZ | |
| 67334 | A | Revise eye muscle w/suture | 3.98 | 1.86 | NA | 0.16 | ZZZ | |
| 67335 | A | Eye suture during surgery | 2.49 | 1.16 | NA | 0.10 | ZZZ | |
| 67340 | A | Revise eye muscle add-on | 4.93 | 2.29 | NA | 0.19 | ZZZ | |
| 67343 | A | Release eye tissue | 7.35 | 7.17 | NA | 0.30 | 090 | |
| 67345 | A | Destroy nerve of eye muscle | 2.96 | 1.35 | 4.34 | 0.13 | 010 | |
| 67350 | A | Biopsy eye muscle | 2.87 | 1.94 | NA | 0.13 | 000 | |
| 67399 | C | Eye muscle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67400 | A | Explore/biopsy eye socket | 9.76 | 14.03 | NA | 0.43 | 090 | |
| 67405 | A | Explore/drain eye socket | 7.93 | 12.74 | NA | 0.36 | 090 | |
| 67412 | A | Explore/treat eye socket | 9.50 | 16.27 | NA | 0.41 | 090 | |
| 67413 | A | Explore/treat eye socket | 10.00 | 13.96 | NA | 0.43 | 090 | |
| 67414 | A | Explr/decompress eye socket | 11.13 | 17.10 | NA | 0.48 | 090 | |
| 67415 | A | Aspiration, orbital contents | 1.76 | 0.79 | NA | 0.09 | 000 | |
| 67420 | A | Explore/treat eye socket | 20.06 | 20.88 | NA | 0.84 | 090 | |
| 67430 | A | Explore/treat eye socket | 13.39 | 17.96 | NA | 0.97 | 090 | |
| 67440 | A | Explore/drain eye socket | 13.09 | 17.25 | NA | 0.58 | 090 | |
| 67445 | A | Explr/decompress eye socket | 14.42 | 18.42 | NA | 0.63 | 090 | |
| 67450 | A | Explore/biopsy eye socket | 13.51 | 17.42 | NA | 0.56 | 090 | |
| 67500 | A | Inject/treat eye socket | 0.79 | 0.17 | 0.83 | 0.04 | 000 | |
| 67505 | A | Inject/treat eye socket | 0.82 | 0.21 | 0.95 | 0.04 | 000 | |
| 67515 | A | Inject/treat eye socket | 0.61 | 0.29 | 0.86 | 0.02 | 000 | |
| 67550 | A | Insert eye socket implant | 10.19 | 13.66 | NA | 0.50 | 090 | |
| 67560 | A | Revise eye socket implant | 10.60 | 13.56 | NA | 0.47 | 090 | |
| 67570 | A | Decompress optic nerve | 13.58 | 17.87 | NA | 0.69 | 090 | |
| 67599 | C | Orbit surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67700 | A | Drainage of eyelid abscess | 1.35 | 0.58 | 8.03 | 0.06 | 010 | |
| 67710 | A | Incision of eyelid | 1.02 | 0.48 | 8.19 | 0.04 | 010 | |
| 67715 | A | Incision of eyelid fold | 1.22 | 0.58 | NA | 0.05 | 010 | |
| 67800 | A | Remove eyelid lesion | 1.38 | 0.64 | 2.70 | 0.06 | 010 | |
| 67801 | A | Remove eyelid lesions | 1.88 | 0.88 | 8.52 | 0.08 | 010 | |
| 67805 | A | Remove eyelid lesions | 2.22 | 1.04 | 8.68 | 0.09 | 010 | |
| 67808 | A | Remove eyelid lesion(s) | 3.80 | 4.31 | NA | 0.17 | 090 | |
| 67810 | A | Biopsy of eyelid | 1.48 | 0.70 | 5.42 | 0.06 | 000 | |
| 67820 | A | Revise eyelashes | 0.89 | 0.38 | 1.16 | 0.04 | 000 | |
| 67825 | A | Revise eyelashes | 1.38 | 1.04 | 1.64 | 0.06 | 010 | |
| 67830 | A | Revise eyelashes | 1.70 | 2.20 | 11.86 | 0.07 | 010 | |
| 67835 | A | Revise eyelashes | 5.56 | 4.77 | NA | 0.22 | 090 | |
| 67840 | A | Remove eyelid lesion | 2.04 | 0.96 | 8.42 | 0.08 | 010 | |
| 67850 | A | Treat eyelid lesion | 1.69 | 2.14 | 9.21 | 0.07 | 010 | |
| 67875 | A | Closure of eyelid by suture | 1.35 | 2.17 | 12.03 | 0.06 | 000 | |
| 67880 | A | Revision of eyelid | 3.80 | 3.24 | 13.10 | 0.16 | 090 | |
| 67882 | A | Revision of eyelid | 5.07 | 4.76 | 14.99 | 0.21 | 090 | |
| 67900 | A | Repair brow defect | 6.14 | 6.66 | 11.42 | 0.30 | 090 | |
| 67901 | A | Repair eyelid defect | 6.97 | 7.00 | NA | 0.32 | 090 | |
| 67902 | A | Repair eyelid defect | 7.03 | 7.07 | NA | 0.34 | 090 | |
| 67903 | A | Repair eyelid defect | 6.37 | 7.47 | 12.96 | 0.39 | 090 | |
| 67904 | A | Repair eyelid defect | 6.26 | 8.43 | 15.13 | 0.26 | 090 | |
| 67906 | A | Repair eyelid defect | 6.79 | 6.55 | 9.99 | 0.42 | 090 | |
| 67908 | A | Repair eyelid defect | 5.13 | 6.30 | 9.76 | 0.20 | 090 | |
| 67909 | A | Revise eyelid defect | 5.40 | 6.81 | 10.41 | 0.25 | 090 | |
| 67911 | A | Revise eyelid defect | 5.27 | 6.89 | NA | 0.23 | 090 | |
| 67914 | A | Repair eyelid defect | 3.68 | 3.69 | 13.57 | 0.16 | 090 | |
| 67915 | A | Repair eyelid defect | 3.18 | 1.49 | 12.06 | 0.13 | 090 | |
| 67916 | A | Repair eyelid defect | 5.31 | 5.51 | 16.81 | 0.22 | 090 | |
| 67917 | A | Repair eyelid defect | 6.02 | 6.81 | 10.73 | 0.25 | 090 | |
| 67921 | A | Repair eyelid defect | 3.40 | 3.46 | 13.32 | 0.14 | 090 | |
| 67922 | A | Repair eyelid defect | 3.06 | 3.29 | 12.03 | 0.13 | 090 | |
| 67923 | A | Repair eyelid defect | 5.88 | 5.59 | 15.84 | 0.24 | 090 | |
| 67924 | A | Repair eyelid defect | 5.79 | 6.15 | 10.03 | 0.23 | 090 | |
| 67930 | A | Repair eyelid wound | 3.61 | 3.15 | 12.94 | 0.17 | 010 | |
| 67935 | A | Repair eyelid wound | 6.22 | 5.59 | 15.85 | 0.29 | 090 | |
| 67938 | A | Remove eyelid foreign body | 1.33 | 0.52 | 10.18 | 0.06 | 010 | |
| 67950 | A | Revision of eyelid | 5.82 | 7.53 | 9.15 | 0.30 | 090 | |
| 67961 | A | Revision of eyelid | 5.69 | 5.94 | 9.50 | 0.26 | 090 | |
| 67966 | A | Revision of eyelid | 6.57 | 6.07 | 9.17 | 0.33 | 090 | |
| 67971 | A | Reconstruction of eyelid | 9.79 | 7.66 | NA | 0.42 | 090 | |
| 67973 | A | Reconstruction of eyelid | 12.87 | 9.73 | NA | 0.59 | 090 | |
| 67974 | A | Reconstruction of eyelid | 12.84 | 9.64 | NA | 0.54 | 090 | |
| 67975 | A | Reconstruction of eyelid | 9.13 | 7.32 | NA | 0.38 | 090 | |
| 67999 | C | Revision of eyelid | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68020 | A | Incise/drain eyelid lining | 1.37 | 0.63 | 8.12 | 0.06 | 010 | |
| 68040 | A | Treatment of eyelid lesions | 0.85 | 0.39 | 7.99 | 0.03 | 000 | |
| 68100 | A | Biopsy of eyelid lining | 1.35 | 0.62 | 8.20 | 0.06 | 000 | |
| 68110 | A | Remove eyelid lining lesion | 1.77 | 1.38 | 9.27 | 0.07 | 010 | |
| 68115 | A | Remove eyelid lining lesion | 2.36 | 1.10 | 8.75 | 0.10 | 010 | |
| 68130 | A | Remove eyelid lining lesion | 4.93 | 2.31 | NA | 0.19 | 090 | |
| 68135 | A | Remove eyelid lining lesion | 1.84 | 0.86 | 8.50 | 0.07 | 010 | |
| 68200 | A | Treat eyelid by injection | 0.49 | 0.23 | 0.76 | 0.02 | 000 | |
| 68320 | A | Revise/graft eyelid lining | 5.37 | 5.25 | 5.75 | 0.21 | 090 | |
| 68325 | A | Revise/graft eyelid lining | 7.36 | 6.28 | NA | 0.30 | 090 | |
| 68326 | A | Revise/graft eyelid lining | 7.15 | 6.15 | NA | 0.30 | 090 | |
| 68328 | A | Revise/graft eyelid lining | 8.18 | 6.96 | NA | 0.40 | 090 | |
| 68330 | A | Revise eyelid lining | 4.83 | 5.75 | 7.35 | 0.19 | 090 | |
| 68335 | A | Revise/graft eyelid lining | 7.19 | 5.63 | NA | 0.29 | 090 | |
| 68340 | A | Separate eyelid adhesions | 4.17 | 4.31 | 15.52 | 0.17 | 090 | |
| 68360 | A | Revise eyelid lining | 4.37 | 5.44 | 6.84 | 0.17 | 090 | |
| 68362 | A | Revise eyelid lining | 7.34 | 8.05 | NA | 0.29 | 090 | |
| 68399 | C | Eyelid lining surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68400 | A | Incise/drain tear gland | 1.69 | 2.22 | 11.99 | 0.07 | 010 | |
| 68420 | A | Incise/drain tear sac | 2.30 | 2.53 | 12.33 | 0.10 | 010 | |
| 68440 | A | Incise tear duct opening | 0.94 | 0.44 | 8.12 | 0.04 | 010 | |
| 68500 | A | Removal of tear gland | 11.02 | 9.89 | NA | 0.60 | 090 | |
| 68505 | A | Partial removal, tear gland | 10.94 | 11.12 | NA | 0.57 | 090 | |
| 68510 | A | Biopsy of tear gland | 4.61 | 2.16 | 13.13 | 0.19 | 000 | |
| 68520 | A | Removal of tear sac | 7.51 | 7.41 | NA | 0.33 | 090 | |
| 68525 | A | Biopsy of tear sac | 4.43 | 2.08 | NA | 0.18 | 000 | |
| 68530 | A | Clearance of tear duct | 3.66 | 3.09 | 14.74 | 0.16 | 010 | |
| 68540 | A | Remove tear gland lesion | 10.60 | 9.42 | NA | 0.46 | 090 | |
| 68550 | A | Remove tear gland lesion | 13.26 | 11.32 | NA | 0.66 | 090 | |
| 68700 | A | Repair tear ducts | 6.60 | 6.88 | NA | 0.27 | 090 | |
| 68705 | A | Revise tear duct opening | 2.06 | 0.97 | 8.67 | 0.08 | 010 | |
| 68720 | A | Create tear sac drain | 8.96 | 8.01 | NA | 0.38 | 090 | |
| 68745 | A | Create tear duct drain | 8.63 | 7.83 | NA | 0.38 | 090 | |
| 68750 | A | Create tear duct drain | 8.66 | 8.45 | NA | 0.37 | 090 | |
| 68760 | A | Close tear duct opening | 1.73 | 1.21 | 6.98 | 0.07 | 010 | |
| 68761 | A | Close tear duct opening | 1.36 | 0.96 | 3.21 | 0.06 | 010 | |
| 68770 | A | Close tear system fistula | 7.02 | 6.13 | 17.23 | 0.28 | 090 | |
| 68801 | A | Dilate tear duct opening | 0.94 | 0.56 | 0.86 | 0.04 | 010 | |
| 68810 | A | Probe nasolacrimal duct | 1.90 | 0.88 | 2.47 | 0.08 | 010 | |
| 68811 | A | Probe nasolacrimal duct | 2.35 | 2.49 | NA | 0.10 | 010 | |
| 68815 | A | Probe nasolacrimal duct | 3.20 | 2.92 | 13.26 | 0.14 | 010 | |
| 68840 | A | Explore/irrigate tear ducts | 1.25 | 0.93 | 1.59 | 0.05 | 010 | |
| 68850 | A | Injection for tear sac x-ray | 0.80 | 0.31 | 15.79 | 0.03 | 000 | |
| 68899 | C | Tear duct system surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69000 | A | Drain external ear lesion | 1.45 | 0.55 | 2.06 | 0.10 | 010 | |
| 69005 | A | Drain external ear lesion | 2.11 | 1.99 | 2.50 | 0.16 | 010 | |
| 69020 | A | Drain outer ear canal lesion | 1.48 | 0.71 | 2.18 | 0.11 | 010 | |
| 69090 | N | Pierce earlobes | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 69100 | A | Biopsy of external ear | 0.81 | 0.40 | 1.41 | 0.04 | 000 | |
| 69105 | A | Biopsy of external ear canal | 0.85 | 0.99 | 1.47 | 0.06 | 000 | |
| 69110 | A | Remove external ear, partial | 3.44 | 2.79 | 3.42 | 0.24 | 090 | |
| 69120 | A | Removal of external ear | 4.05 | 4.45 | NA | 0.31 | 090 | |
| 69140 | A | Remove ear canal lesion(s) | 7.97 | 7.95 | NA | 0.56 | 090 | |
| 69145 | A | Remove ear canal lesion(s) | 2.62 | 2.47 | 3.33 | 0.18 | 090 | |
| 69150 | A | Extensive ear canal surgery | 13.43 | 11.15 | NA | 1.07 | 090 | |
| 69155 | A | Extensive ear/neck surgery | 20.80 | 15.23 | NA | 1.51 | 090 | |
| 69200 | A | Clear outer ear canal | 0.77 | 0.74 | 1.41 | 0.05 | 000 | |
| 69205 | A | Clear outer ear canal | 1.20 | 1.52 | NA | 0.09 | 010 | |
| 69210 | A | Remove impacted ear wax | 0.61 | 0.24 | 0.57 | 0.04 | 000 | |
| 69220 | A | Clean out mastoid cavity | 0.83 | 0.43 | 1.49 | 0.06 | 000 | |
| 69222 | A | Clean out mastoid cavity | 1.40 | 1.67 | 2.18 | 0.10 | 010 | |
| 69300 | R | Revise external ear | 6.36 | 4.37 | NA | 0.43 | YYY | |
| 69310 | A | Rebuild outer ear canal | 10.79 | 9.61 | NA | 0.77 | 090 | |
| 69320 | A | Rebuild outer ear canal | 16.96 | 13.66 | NA | 1.17 | 090 | |
| 69399 | C | Outer ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69400 | A | Inflate middle ear canal | 0.83 | 0.40 | 1.48 | 0.06 | 000 | |
| 69401 | A | Inflate middle ear canal | 0.63 | 0.35 | 1.38 | 0.04 | 000 | |
| 69405 | A | Catheterize middle ear canal | 2.63 | 1.46 | 3.03 | 0.18 | 010 | |
| 69410 | A | Inset middle ear (baffle) | 0.33 | 0.16 | 1.38 | 0.02 | 000 | |
| 69420 | A | Incision of eardrum | 1.33 | 0.71 | 2.30 | 0.10 | 010 | |
| 69421 | A | Incision of eardrum | 1.73 | 1.86 | 2.52 | 0.13 | 010 | |
| 69424 | A | Remove ventilating tube | 0.85 | 0.87 | 1.65 | 0.06 | 000 | |
| 69433 | A | Create eardrum opening | 1.52 | 0.85 | 2.26 | 0.11 | 010 | |
| 69436 | A | Create eardrum opening | 1.96 | 1.99 | NA | 0.14 | 010 | |
| 69440 | A | Exploration of middle ear | 7.57 | 7.20 | NA | 0.53 | 090 | |
| 69450 | A | Eardrum revision | 5.57 | 6.00 | NA | 0.39 | 090 | |
| 69501 | A | Mastoidectomy | 9.07 | 7.98 | NA | 0.65 | 090 | |
| 69502 | A | Mastoidectomy | 12.38 | 10.52 | NA | 0.86 | 090 | |
| 69505 | A | Remove mastoid structures | 12.99 | 10.77 | NA | 0.92 | 090 | |
| 69511 | A | Extensive mastoid surgery | 13.52 | 11.12 | NA | 0.96 | 090 | |
| 69530 | A | Extensive mastoid surgery | 19.19 | 14.64 | NA | 1.32 | 090 | |
| 69535 | A | Remove part of temporal bone | 36.14 | 24.07 | NA | 2.59 | 090 | |
| 69540 | A | Remove ear lesion | 1.20 | 1.55 | 2.21 | 0.09 | 010 | |
| 69550 | A | Remove ear lesion | 10.99 | 9.63 | NA | 0.80 | 090 | |
| 69552 | A | Remove ear lesion | 19.46 | 14.21 | NA | 1.36 | 090 | |
| 69554 | A | Remove ear lesion | 33.16 | 21.75 | NA | 2.32 | 090 | |
| 69601 | A | Mastoid surgery revision | 13.24 | 11.69 | NA | 0.92 | 090 | |
| 69602 | A | Mastoid surgery revision | 13.58 | 11.25 | NA | 0.94 | 090 | |
| 69603 | A | Mastoid surgery revision | 14.02 | 11.46 | NA | 1.00 | 090 | |
| 69604 | A | Mastoid surgery revision | 14.02 | 11.38 | NA | 0.98 | 090 | |
| 69605 | A | Mastoid surgery revision | 18.49 | 14.28 | NA | 1.29 | 090 | |
| 69610 | A | Repair of eardrum | 4.43 | 3.37 | 4.15 | 0.31 | 010 | |
| 69620 | A | Repair of eardrum | 5.89 | 3.20 | 6.73 | 0.40 | 090 | |
| 69631 | A | Repair eardrum structures | 9.86 | 9.07 | NA | 0.69 | 090 | |
| 69632 | A | Rebuild eardrum structures | 12.75 | 11.40 | NA | 0.89 | 090 | |
| 69633 | A | Rebuild eardrum structures | 12.10 | 11.05 | NA | 0.84 | 090 | |
| 69635 | A | Repair eardrum structures | 13.33 | 10.61 | NA | 0.87 | 090 | |
| 69636 | A | Rebuild eardrum structures | 15.22 | 12.87 | NA | 1.07 | 090 | |
| 69637 | A | Rebuild eardrum structures | 15.11 | 12.79 | NA | 1.06 | 090 | |
| 69641 | A | Revise middle ear mastoid | 12.71 | 10.75 | NA | 0.89 | 090 | |
| 69642 | A | Revise middle ear mastoid | 16.84 | 13.73 | NA | 1.18 | 090 | |
| 69643 | A | Revise middle ear mastoid | 15.32 | 12.87 | NA | 1.08 | 090 | |
| 69644 | A | Revise middle ear mastoid | 16.97 | 13.81 | NA | 1.19 | 090 | |
| 69645 | A | Revise middle ear mastoid | 16.38 | 13.44 | NA | 1.16 | 090 | |
| 69646 | A | Revise middle ear mastoid | 17.99 | 14.39 | NA | 1.26 | 090 | |
| 69650 | A | Release middle ear bone | 9.66 | 8.34 | NA | 0.68 | 090 | |
| 69660 | A | Revise middle ear bone | 11.90 | 9.56 | NA | 0.84 | 090 | |
| 69661 | A | Revise middle ear bone | 15.74 | 12.33 | NA | 1.10 | 090 | |
| 69662 | A | Revise middle ear bone | 15.44 | 12.20 | NA | 1.08 | 090 | |
| 69666 | A | Repair middle ear structures | 9.75 | 8.42 | NA | 0.68 | 090 | |
| 69667 | A | Repair middle ear structures | 9.76 | 8.40 | NA | 0.72 | 090 | |
| 69670 | A | Remove mastoid air cells | 11.51 | 9.99 | NA | 0.78 | 090 | |
| 69676 | A | Remove middle ear nerve | 9.52 | 8.88 | NA | 0.69 | 090 | |
| 69700 | A | Close mastoid fistula | 8.23 | 5.52 | NA | 0.55 | 090 | |
| 69710 | N | Implant/replace hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 69711 | A | Remove/repair hearing aid | 10.44 | 9.26 | NA | 0.62 | 090 | |
| 69714 | A | Implant temple bone w/stimul | 14.00 | 11.18 | NA | 1.01 | 090 | |
| 69715 | A | Temple bne implnt w/stimulat | 18.25 | 13.64 | NA | 1.32 | 090 | |
| 69717 | A | Temple bone implant revision | 14.98 | 11.13 | NA | 1.08 | 090 | |
| 69718 | A | Revise temple bone implant | 18.50 | 13.78 | NA | 1.34 | 090 | |
| 69720 | A | Release facial nerve | 14.38 | 12.31 | NA | 1.03 | 090 | |
| 69725 | A | Release facial nerve | 25.38 | 17.77 | NA | 1.78 | 090 | |
| 69740 | A | Repair facial nerve | 15.96 | 11.20 | NA | 1.13 | 090 | |
| 69745 | A | Repair facial nerve | 16.69 | 12.61 | NA | 1.00 | 090 | |
| 69799 | C | Middle ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69801 | A | Incise inner ear | 8.56 | 7.75 | NA | 0.60 | 090 | |
| 69802 | A | Incise inner ear | 13.10 | 11.01 | NA | 0.91 | 090 | |
| 69805 | A | Explore inner ear | 13.82 | 10.69 | NA | 0.97 | 090 | |
| 69806 | A | Explore inner ear | 12.35 | 10.57 | NA | 0.86 | 090 | |
| 69820 | A | Establish inner ear window | 10.34 | 8.95 | NA | 0.66 | 090 | |
| 69840 | A | Revise inner ear window | 10.26 | 9.13 | NA | 0.64 | 090 | |
| 69905 | A | Remove inner ear | 11.10 | 9.61 | NA | 0.77 | 090 | |
| 69910 | A | Remove inner ear mastoid | 13.63 | 11.08 | NA | 0.94 | 090 | |
| 69915 | A | Incise inner ear nerve | 21.23 | 15.52 | NA | 1.54 | 090 | |
| 69930 | A | Implant cochlear device | 16.81 | 12.61 | NA | 1.19 | 090 | |
| 69949 | C | Inner ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69950 | A | Incise inner ear nerve | 25.64 | 16.38 | NA | 2.90 | 090 | |
| 69955 | A | Release facial nerve | 27.04 | 18.41 | NA | 1.89 | 090 | |
| 69960 | A | Release inner ear canal | 27.04 | 18.02 | NA | 2.43 | 090 | |
| 69970 | A | Remove inner ear lesion | 30.04 | 18.86 | NA | 2.34 | 090 | |
| 69979 | C | Temporal bone surgery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69990 | R | Microsurgery add-on | 3.47 | 1.82 | NA | 0.56 | ZZZ | |
| 70010 | A | Contrast x-ray of brain | 1.19 | NA | 4.89 | 0.24 | XXX | |
| 70010 | 26 | A | Contrast x-ray of brain | 1.19 | 0.41 | 0.41 | 0.06 | XXX |
| 70010 | TC | A | Contrast x-ray of brain | 0.00 | NA | 4.48 | 0.18 | XXX |
| 70015 | A | Contrast x-ray of brain | 1.19 | NA | 1.81 | 0.12 | XXX | |
| 70015 | 26 | A | Contrast x-ray of brain | 1.19 | 0.41 | 0.41 | 0.05 | XXX |
| 70015 | TC | A | Contrast x-ray of brain | 0.00 | NA | 1.40 | 0.07 | XXX |
| 70030 | A | X-ray eye for foreign body | 0.17 | NA | 0.49 | 0.03 | XXX | |
| 70030 | 26 | A | X-ray eye for foreign body | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 70030 | TC | A | X-ray eye for foreign body | 0.00 | NA | 0.43 | 0.02 | XXX |
| 70100 | A | X-ray exam of jaw | 0.18 | NA | 0.60 | 0.03 | XXX | |
| 70100 | 26 | A | X-ray exam of jaw | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 70100 | TC | A | X-ray exam of jaw | 0.00 | NA | 0.54 | 0.02 | XXX |
| 70110 | A | X-ray exam of jaw | 0.25 | NA | 0.72 | 0.04 | XXX | |
| 70110 | 26 | A | X-ray exam of jaw | 0.25 | 0.09 | 0.09 | 0.01 | XXX |
| 70110 | TC | A | X-ray exam of jaw | 0.00 | NA | 0.64 | 0.03 | XXX |
| 70120 | A | X-ray exam of mastoids | 0.18 | NA | 0.70 | 0.04 | XXX | |
| 70120 | 26 | A | X-ray exam of mastoids | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 70120 | TC | A | X-ray exam of mastoids | 0.00 | NA | 0.64 | 0.03 | XXX |
| 70130 | A | X-ray exam of mastoids | 0.34 | NA | 0.93 | 0.05 | XXX | |
| 70130 | 26 | A | X-ray exam of mastoids | 0.34 | 0.12 | 0.12 | 0.01 | XXX |
| 70130 | TC | A | X-ray exam of mastoids | 0.00 | NA | 0.81 | 0.04 | XXX |
| 70134 | A | X-ray exam of middle ear | 0.34 | NA | 0.88 | 0.05 | XXX | |
| 70134 | 26 | A | X-ray exam of middle ear | 0.34 | 0.12 | 0.12 | 0.01 | XXX |
| 70134 | TC | A | X-ray exam of middle ear | 0.00 | NA | 0.76 | 0.04 | XXX |
| 70140 | A | X-ray exam of facial bones | 0.19 | NA | 0.70 | 0.04 | XXX | |
| 70140 | 26 | A | X-ray exam of facial bones | 0.19 | 0.06 | 0.06 | 0.01 | XXX |
| 70140 | TC | A | X-ray exam of facial bones | 0.00 | NA | 0.64 | 0.03 | XXX |
| 70150 | A | X-ray exam of facial bones | 0.26 | NA | 0.90 | 0.05 | XXX | |
| 70150 | 26 | A | X-ray exam of facial bones | 0.26 | 0.09 | 0.09 | 0.01 | XXX |
| 70150 | TC | A | X-ray exam of facial bones | 0.00 | NA | 0.81 | 0.04 | XXX |
| 70160 | A | X-ray exam of nasal bones | 0.17 | NA | 0.60 | 0.03 | XXX | |
| 70160 | 26 | A | X-ray exam of nasal bones | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 70160 | TC | A | X-ray exam of nasal bones | 0.00 | NA | 0.54 | 0.02 | XXX |
| 70170 | A | X-ray exam of tear duct | 0.30 | NA | 1.08 | 0.06 | XXX | |
| 70170 | 26 | A | X-ray exam of tear duct | 0.30 | 0.10 | 0.10 | 0.01 | XXX |
| 70170 | TC | A | X-ray exam of tear duct | 0.00 | NA | 0.98 | 0.05 | XXX |
| 70190 | A | X-ray exam of eye sockets | 0.21 | NA | 0.71 | 0.04 | XXX | |
| 70190 | 26 | A | X-ray exam of eye sockets | 0.21 | 0.07 | 0.07 | 0.01 | XXX |
| 70190 | TC | A | X-ray exam of eye sockets | 0.00 | NA | 0.64 | 0.03 | XXX |
| 70200 | A | X-ray exam of eye sockets | 0.28 | NA | 0.90 | 0.05 | XXX | |
| 70200 | 26 | A | X-ray exam of eye sockets | 0.28 | 0.10 | 0.10 | 0.01 | XXX |
| 70200 | TC | A | X-ray exam of eye sockets | 0.00 | NA | 0.81 | 0.04 | XXX |
| 70210 | A | X-ray exam of sinuses | 0.17 | NA | 0.70 | 0.04 | XXX | |
| 70210 | 26 | A | X-ray exam of sinuses | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 70210 | TC | A | X-ray exam of sinuses | 0.00 | NA | 0.64 | 0.03 | XXX |
| 70220 | A | X-ray exam of sinuses | 0.25 | NA | 0.89 | 0.05 | XXX | |
| 70220 | 26 | A | X-ray exam of sinuses | 0.25 | 0.09 | 0.09 | 0.01 | XXX |
| 70220 | TC | A | X-ray exam of sinuses | 0.00 | NA | 0.81 | 0.04 | XXX |
| 70240 | A | X-ray exam, pituitary saddle | 0.19 | NA | 0.49 | 0.03 | XXX | |
| 70240 | 26 | A | X-ray exam, pituitary saddle | 0.19 | 0.07 | 0.07 | 0.01 | XXX |
| 70240 | TC | A | X-ray exam, pituitary saddle | 0.00 | NA | 0.43 | 0.02 | XXX |
| 70250 | A | X-ray exam of skull | 0.24 | NA | 0.72 | 0.04 | XXX | |
| 70250 | 26 | A | X-ray exam of skull | 0.24 | 0.08 | 0.08 | 0.01 | XXX |
| 70250 | TC | A | X-ray exam of skull | 0.00 | NA | 0.64 | 0.03 | XXX |
| 70260 | A | X-ray exam of skull | 0.34 | NA | 1.04 | 0.06 | XXX | |
| 70260 | 26 | A | X-ray exam of skull | 0.34 | 0.12 | 0.12 | 0.01 | XXX |
| 70260 | TC | A | X-ray exam of skull | 0.00 | NA | 0.92 | 0.05 | XXX |
| 70300 | A | X-ray exam of teeth | 0.10 | NA | 0.31 | 0.03 | XXX | |
| 70300 | 26 | A | X-ray exam of teeth | 0.10 | 0.04 | 0.04 | 0.01 | XXX |
| 70300 | TC | A | X-ray exam of teeth | 0.00 | NA | 0.27 | 0.02 | XXX |
| 70310 | A | X-ray exam of teeth | 0.16 | NA | 0.49 | 0.03 | XXX | |
| 70310 | 26 | A | X-ray exam of teeth | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 70310 | TC | A | X-ray exam of teeth | 0.00 | NA | 0.43 | 0.02 | XXX |
| 70320 | A | Full mouth x-ray of teeth | 0.22 | NA | 0.89 | 0.05 | XXX | |
| 70320 | 26 | A | Full mouth x-ray of teeth | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 70320 | TC | A | Full mouth x-ray of teeth | 0.00 | NA | 0.81 | 0.04 | XXX |
| 70328 | A | X-ray exam of jaw joint | 0.18 | NA | 0.57 | 0.03 | XXX | |
| 70328 | 26 | A | X-ray exam of jaw joint | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 70328 | TC | A | X-ray exam of jaw joint | 0.00 | NA | 0.51 | 0.02 | XXX |
| 70330 | A | X-ray exam of jaw joints | 0.24 | NA | 0.95 | 0.05 | XXX | |
| 70330 | 26 | A | X-ray exam of jaw joints | 0.24 | 0.08 | 0.08 | 0.01 | XXX |
| 70330 | TC | A | X-ray exam of jaw joints | 0.00 | NA | 0.87 | 0.04 | XXX |
| 70332 | A | X-ray exam of jaw joint | 0.54 | NA | 2.36 | 0.12 | XXX | |
| 70332 | 26 | A | X-ray exam of jaw joint | 0.54 | 0.19 | 0.19 | 0.02 | XXX |
| 70332 | TC | A | X-ray exam of jaw joint | 0.00 | NA | 2.17 | 0.10 | XXX |
| 70336 | A | Magnetic image, jaw joint | 1.48 | NA | 12.09 | 0.56 | XXX | |
| 70336 | 26 | A | Magnetic image, jaw joint | 1.48 | 0.51 | 0.51 | 0.07 | XXX |
| 70336 | TC | A | Magnetic image, jaw joint | 0.00 | NA | 11.58 | 0.49 | XXX |
| 70350 | A | X-ray head for orthodontia | 0.17 | NA | 0.45 | 0.03 | XXX | |
| 70350 | 26 | A | X-ray head for orthodontia | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 70350 | TC | A | X-ray head for orthodontia | 0.00 | NA | 0.39 | 0.02 | XXX |
| 70355 | A | Panoramic x-ray of jaws | 0.20 | NA | 0.66 | 0.04 | XXX | |
| 70355 | 26 | A | Panoramic x-ray of jaws | 0.20 | 0.07 | 0.07 | 0.01 | XXX |
| 70355 | TC | A | Panoramic x-ray of jaws | 0.00 | NA | 0.59 | 0.03 | XXX |
| 70360 | A | X-ray exam of neck | 0.17 | NA | 0.49 | 0.03 | XXX | |
| 70360 | 26 | A | X-ray exam of neck | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 70360 | TC | A | X-ray exam of neck | 0.00 | NA | 0.43 | 0.02 | XXX |
| 70370 | A | Throat x-ray fluoroscopy | 0.32 | NA | 1.46 | 0.07 | XXX | |
| 70370 | 26 | A | Throat x-ray fluoroscopy | 0.32 | 0.11 | 0.11 | 0.01 | XXX |
| 70370 | TC | A | Throat x-ray fluoroscopy | 0.00 | NA | 1.35 | 0.06 | XXX |
| 70371 | A | Speech evaluation, complex | 0.84 | NA | 2.46 | 0.14 | XXX | |
| 70371 | 26 | A | Speech evaluation, complex | 0.84 | 0.29 | 0.29 | 0.04 | XXX |
| 70371 | TC | A | Speech evaluation, complex | 0.00 | NA | 2.17 | 0.10 | XXX |
| 70373 | A | Contrast x-ray of larynx | 0.44 | NA | 1.99 | 0.11 | XXX | |
| 70373 | 26 | A | Contrast x-ray of larynx | 0.44 | 0.15 | 0.15 | 0.02 | XXX |
| 70373 | TC | A | Contrast x-ray of larynx | 0.00 | NA | 1.84 | 0.09 | XXX |
| 70380 | A | X-ray exam of salivary gland | 0.17 | NA | 0.75 | 0.04 | XXX | |
| 70380 | 26 | A | X-ray exam of salivary gland | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 70380 | TC | A | X-ray exam of salivary gland | 0.00 | NA | 0.69 | 0.03 | XXX |
| 70390 | A | X-ray exam of salivary duct | 0.38 | NA | 1.97 | 0.11 | XXX | |
| 70390 | 26 | A | X-ray exam of salivary duct | 0.38 | 0.13 | 0.13 | 0.02 | XXX |
| 70390 | TC | A | X-ray exam of salivary duct | 0.00 | NA | 1.84 | 0.09 | XXX |
| 70450 | A | Ct head/brain w/o dye | 0.85 | NA | 5.17 | 0.25 | XXX | |
| 70450 | 26 | A | Ct head/brain w/o dye | 0.85 | 0.29 | 0.29 | 0.04 | XXX |
| 70450 | TC | A | Ct head/brain w/o dye | 0.00 | NA | 4.88 | 0.21 | XXX |
| 70460 | A | Ct head/brain w/dye | 1.13 | NA | 6.23 | 0.30 | XXX | |
| 70460 | 26 | A | Ct head/brain w/dye | 1.13 | 0.39 | 0.39 | 0.05 | XXX |
| 70460 | TC | A | Ct head/brain w/dye | 0.00 | NA | 5.85 | 0.25 | XXX |
| 70470 | A | Ct head/brain w/ow dye | 1.27 | NA | 7.74 | 0.37 | XXX | |
| 70470 | 26 | A | Ct head/brain w/ow dye | 1.27 | 0.43 | 0.43 | 0.06 | XXX |
| 70470 | TC | A | Ct head/brain w/ow dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 70480 | A | Ct orbit/ear/fossa w/o dye | 1.28 | NA | 5.31 | 0.27 | XXX | |
| 70480 | 26 | A | Ct orbit/ear/fossa w/o dye | 1.28 | 0.44 | 0.44 | 0.06 | XXX |
| 70480 | TC | A | Ct orbit/ear/fossa w/o dye | 0.00 | NA | 4.88 | 0.21 | XXX |
| 70481 | A | Ct orbit/ear/fossa w/dye | 1.38 | NA | 6.32 | 0.31 | XXX | |
| 70481 | 26 | A | Ct orbit/ear/fossa w/dye | 1.38 | 0.47 | 0.47 | 0.06 | XXX |
| 70481 | TC | A | Ct orbit/ear/fossa w/dye | 0.00 | NA | 5.85 | 0.25 | XXX |
| 70482 | A | Ct orbit/ear/fossa w/ow dye | 1.45 | NA | 7.80 | 0.37 | XXX | |
| 70482 | 26 | A | Ct orbit/ear/fossa w/ow dye | 1.45 | 0.50 | 0.50 | 0.06 | XXX |
| 70482 | TC | A | Ct orbit/ear/fossa w/ow dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 70486 | A | Ct maxillofacial w/o dye | 1.14 | NA | 5.27 | 0.26 | XXX | |
| 70486 | 26 | A | Ct maxillofacial w/o dye | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 70486 | TC | A | Ct maxillofacial w/o dye | 0.00 | NA | 4.88 | 0.21 | XXX |
| 70487 | A | Ct maxillofacial w/dye | 1.30 | NA | 6.29 | 0.31 | XXX | |
| 70487 | 26 | A | Ct maxillofacial w/dye | 1.30 | 0.44 | 0.44 | 0.06 | XXX |
| 70487 | TC | A | Ct maxillofacial w/dye | 0.00 | NA | 5.85 | 0.25 | XXX |
| 70488 | A | Ct maxillofacial w/ow dye | 1.42 | NA | 7.79 | 0.37 | XXX | |
| 70488 | 26 | A | Ct maxillofacial w/ow dye | 1.42 | 0.48 | 0.48 | 0.06 | XXX |
| 70488 | TC | A | Ct maxillofacial w/ow dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 70490 | A | Ct soft tissue neck w/o dye | 1.28 | NA | 5.31 | 0.27 | XXX | |
| 70490 | 26 | A | Ct soft tissue neck w/o dye | 1.28 | 0.44 | 0.44 | 0.06 | XXX |
| 70490 | TC | A | Ct soft tissue neck w/o dye | 0.00 | NA | 4.88 | 0.21 | XXX |
| 70491 | A | Ct soft tissue neck w/dye | 1.38 | NA | 6.32 | 0.31 | XXX | |
| 70491 | 26 | A | Ct soft tissue neck w/dye | 1.38 | 0.47 | 0.47 | 0.06 | XXX |
| 70491 | TC | A | Ct soft tissue neck w/dye | 0.00 | NA | 5.85 | 0.25 | XXX |
| 70492 | A | Ct sft tsue nck w/o w/dye | 1.45 | NA | 7.80 | 0.37 | XXX | |
| 70492 | 26 | A | Ct sft tsue nck w/o w/dye | 1.45 | 0.50 | 0.50 | 0.06 | XXX |
| 70492 | TC | A | Ct sft tsue nck w/o w/dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 70496 | A | Ct angiography, head | 1.75 | NA | 7.98 | 0.56 | XXX | |
| 70496 | 26 | A | Ct angiography, head | 1.75 | 0.68 | 0.68 | 0.08 | XXX |
| 70496 | TC | A | Ct angiography, head | 0.00 | NA | 7.30 | 0.48 | XXX |
| 70498 | A | Ct angiography, neck | 1.75 | NA | 7.98 | 0.56 | XXX | |
| 70498 | 26 | A | Ct angiography, neck | 1.75 | 0.68 | 0.68 | 0.08 | XXX |
| 70498 | TC | A | Ct angiography, neck | 0.00 | NA | 7.30 | 0.48 | XXX |
| 70540 | A | Mri orbit/face/neck w/o dye | 1.35 | NA | 12.04 | 0.36 | XXX | |
| 70540 | 26 | A | Mri orbit/face/neck w/o dye | 1.35 | 0.46 | 0.46 | 0.04 | XXX |
| 70540 | TC | A | Mri orbit/face/neck w/o dye | 0.00 | NA | 11.58 | 0.32 | XXX |
| 70542 | A | Mri orbit/face/neck w/dye | 1.62 | NA | 14.44 | 0.44 | XXX | |
| 70542 | 26 | A | Mri orbit/face/neck w/dye | 1.62 | 0.55 | 0.55 | 0.05 | XXX |
| 70542 | TC | A | Mri orbit/face/neck w/dye | 0.00 | NA | 13.89 | 0.39 | XXX |
| 70543 | A | Mri orbt/fac/nck w/ow dye | 2.15 | NA | 26.46 | 0.77 | XXX | |
| 70543 | 26 | A | Mri orbt/fac/nck w/ow dye | 2.15 | 0.74 | 0.74 | 0.07 | XXX |
| 70543 | TC | A | Mri orbt/fac/nck w/ow dye | 0.00 | NA | 25.72 | 0.70 | XXX |
| 70544 | A | Mr angiography head w/o dye | 1.20 | NA | 11.99 | 0.54 | XXX | |
| 70544 | 26 | A | Mr angiography head w/o dye | 1.20 | 0.41 | 0.41 | 0.05 | XXX |
| 70544 | TC | A | Mr angiography head w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 70545 | A | Mr angiography head w/dye | 1.20 | NA | 11.99 | 0.54 | XXX | |
| 70545 | 26 | A | Mr angiography head w/dye | 1.20 | 0.41 | 0.41 | 0.05 | XXX |
| 70545 | TC | A | Mr angiography head w/dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 70546 | A | Mr angiograph head w/ow dye | 1.80 | NA | 23.78 | 0.57 | XXX | |
| 70546 | 26 | A | Mr angiograph head w/ow dye | 1.80 | 0.62 | 0.62 | 0.08 | XXX |
| 70546 | TC | A | Mr angiograph head w/ow dye | 0.00 | NA | 23.16 | 0.49 | XXX |
| 70547 | A | Mr angiography neck w/o dye | 1.20 | NA | 11.99 | 0.54 | XXX | |
| 70547 | 26 | A | Mr angiography neck w/o dye | 1.20 | 0.41 | 0.41 | 0.05 | XXX |
| 70547 | TC | A | Mr angiography neck w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 70548 | A | Mr angiography neck w/dye | 1.20 | NA | 11.99 | 0.54 | XXX | |
| 70548 | 26 | A | Mr angiography neck w/dye | 1.20 | 0.41 | 0.41 | 0.05 | XXX |
| 70548 | TC | A | Mr angiography neck w/dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 70549 | A | Mr angiograph neck w/ow dye | 1.80 | NA | 23.78 | 0.57 | XXX | |
| 70549 | 26 | A | Mr angiograph neck w/ow dye | 1.80 | 0.62 | 0.62 | 0.08 | XXX |
| 70549 | TC | A | Mr angiograph neck w/ow dye | 0.00 | NA | 23.16 | 0.49 | XXX |
| 70551 | A | Mri brain w/o dye | 1.48 | NA | 12.09 | 0.56 | XXX | |
| 70551 | 26 | A | Mri brain w/o dye | 1.48 | 0.51 | 0.51 | 0.07 | XXX |
| 70551 | TC | A | Mri brain w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 70552 | A | Mri brain w/dye | 1.78 | NA | 14.51 | 0.66 | XXX | |
| 70552 | 26 | A | Mri brain w/dye | 1.78 | 0.62 | 0.62 | 0.08 | XXX |
| 70552 | TC | A | Mri brain w/dye | 0.00 | NA | 13.89 | 0.58 | XXX |
| 70553 | A | Mri brain w/ow dye | 2.36 | NA | 26.53 | 1.19 | XXX | |
| 70553 | 26 | A | Mri brain w/ow dye | 2.36 | 0.81 | 0.81 | 0.10 | XXX |
| 70553 | TC | A | Mri brain w/ow dye | 0.00 | NA | 25.72 | 1.09 | XXX |
| 71010 | A | Chest x-ray | 0.18 | NA | 0.55 | 0.03 | XXX | |
| 71010 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 71010 | TC | A | Chest x-ray | 0.00 | NA | 0.49 | 0.02 | XXX |
| 71015 | A | Chest x-ray | 0.21 | NA | 0.61 | 0.03 | XXX | |
| 71015 | 26 | A | Chest x-ray | 0.21 | 0.07 | 0.07 | 0.01 | XXX |
| 71015 | TC | A | Chest x-ray | 0.00 | NA | 0.54 | 0.02 | XXX |
| 71020 | A | Chest x-ray | 0.22 | NA | 0.71 | 0.04 | XXX | |
| 71020 | 26 | A | Chest x-ray | 0.22 | 0.07 | 0.07 | 0.01 | XXX |
| 71020 | TC | A | Chest x-ray | 0.00 | NA | 0.64 | 0.03 | XXX |
| 71021 | A | Chest x-ray | 0.27 | NA | 0.85 | 0.05 | XXX | |
| 71021 | 26 | A | Chest x-ray | 0.27 | 0.09 | 0.09 | 0.01 | XXX |
| 71021 | TC | A | Chest x-ray | 0.00 | NA | 0.76 | 0.04 | XXX |
| 71022 | A | Chest x-ray | 0.31 | NA | 0.87 | 0.06 | XXX | |
| 71022 | 26 | A | Chest x-ray | 0.31 | 0.11 | 0.11 | 0.02 | XXX |
| 71022 | TC | A | Chest x-ray | 0.00 | NA | 0.76 | 0.04 | XXX |
| 71023 | A | Chest x-ray and fluoroscopy | 0.38 | NA | 0.95 | 0.06 | XXX | |
| 71023 | 26 | A | Chest x-ray and fluoroscopy | 0.38 | 0.14 | 0.14 | 0.02 | XXX |
| 71023 | TC | A | Chest x-ray and fluoroscopy | 0.00 | NA | 0.81 | 0.04 | XXX |
| 71030 | A | Chest x-ray | 0.31 | NA | 0.91 | 0.05 | XXX | |
| 71030 | 26 | A | Chest x-ray | 0.31 | 0.11 | 0.11 | 0.01 | XXX |
| 71030 | TC | A | Chest x-ray | 0.00 | NA | 0.81 | 0.04 | XXX |
| 71034 | A | Chest x-ray and fluoroscopy | 0.46 | NA | 1.66 | 0.09 | XXX | |
| 71034 | 26 | A | Chest x-ray and fluoroscopy | 0.46 | 0.17 | 0.17 | 0.02 | XXX |
| 71034 | TC | A | Chest x-ray and fluoroscopy | 0.00 | NA | 1.49 | 0.07 | XXX |
| 71035 | A | Chest x-ray | 0.18 | NA | 0.60 | 0.03 | XXX | |
| 71035 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 71035 | TC | A | Chest x-ray | 0.00 | NA | 0.54 | 0.02 | XXX |
| 71040 | A | Contrast x-ray of bronchi | 0.58 | NA | 1.71 | 0.10 | XXX | |
| 71040 | 26 | A | Contrast x-ray of bronchi | 0.58 | 0.20 | 0.20 | 0.03 | XXX |
| 71040 | TC | A | Contrast x-ray of bronchi | 0.00 | NA | 1.51 | 0.07 | XXX |
| 71060 | A | Contrast x-ray of bronchi | 0.74 | NA | 2.53 | 0.14 | XXX | |
| 71060 | 26 | A | Contrast x-ray of bronchi | 0.74 | 0.25 | 0.25 | 0.03 | XXX |
| 71060 | TC | A | Contrast x-ray of bronchi | 0.00 | NA | 2.28 | 0.11 | XXX |
| 71090 | A | X-ray pacemaker insertion | 0.54 | NA | 1.95 | 0.11 | XXX | |
| 71090 | 26 | A | X-ray pacemaker insertion | 0.54 | 0.21 | 0.21 | 0.02 | XXX |
| 71090 | TC | A | X-ray pacemaker insertion | 0.00 | NA | 1.74 | 0.09 | XXX |
| 71100 | A | X-ray exam of ribs | 0.22 | NA | 0.66 | 0.04 | XXX | |
| 71100 | 26 | A | X-ray exam of ribs | 0.22 | 0.07 | 0.07 | 0.01 | XXX |
| 71100 | TC | A | X-ray exam of ribs | 0.00 | NA | 0.59 | 0.03 | XXX |
| 71101 | A | X-ray exam of ribs/chest | 0.27 | NA | 0.78 | 0.04 | XXX | |
| 71101 | 26 | A | X-ray exam of ribs/chest | 0.27 | 0.09 | 0.09 | 0.01 | XXX |
| 71101 | TC | A | X-ray exam of ribs/chest | 0.00 | NA | 0.69 | 0.03 | XXX |
| 71110 | A | X-ray exam of ribs | 0.27 | NA | 0.90 | 0.05 | XXX | |
| 71110 | 26 | A | X-ray exam of ribs | 0.27 | 0.09 | 0.09 | 0.01 | XXX |
| 71110 | TC | A | X-ray exam of ribs | 0.00 | NA | 0.81 | 0.04 | XXX |
| 71111 | A | X-ray exam of ribs/ chest | 0.32 | NA | 1.03 | 0.06 | XXX | |
| 71111 | 26 | A | X-ray exam of ribs/ chest | 0.32 | 0.11 | 0.11 | 0.01 | XXX |
| 71111 | TC | A | X-ray exam of ribs/ chest | 0.00 | NA | 0.92 | 0.05 | XXX |
| 71120 | A | X-ray exam of breastbone | 0.20 | NA | 0.74 | 0.04 | XXX | |
| 71120 | 26 | A | X-ray exam of breastbone | 0.20 | 0.07 | 0.07 | 0.01 | XXX |
| 71120 | TC | A | X-ray exam of breastbone | 0.00 | NA | 0.67 | 0.03 | XXX |
| 71130 | A | X-ray exam of breastbone | 0.22 | NA | 0.80 | 0.04 | XXX | |
| 71130 | 26 | A | X-ray exam of breastbone | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 71130 | TC | A | X-ray exam of breastbone | 0.00 | NA | 0.73 | 0.03 | XXX |
| 71250 | A | Ct thorax w/o dye | 1.16 | NA | 6.50 | 0.31 | XXX | |
| 71250 | 26 | A | Ct thorax w/o dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 71250 | TC | A | Ct thorax w/o dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 71260 | A | Ct thorax w/dye | 1.24 | NA | 7.73 | 0.36 | XXX | |
| 71260 | 26 | A | Ct thorax w/dye | 1.24 | 0.42 | 0.42 | 0.05 | XXX |
| 71260 | TC | A | Ct thorax w/dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 71270 | A | Ct thorax w/ow dye | 1.38 | NA | 9.61 | 0.44 | XXX | |
| 71270 | 26 | A | Ct thorax w/ow dye | 1.38 | 0.47 | 0.47 | 0.06 | XXX |
| 71270 | TC | A | Ct thorax w/ow dye | 0.00 | NA | 9.14 | 0.38 | XXX |
| 71275 | A | Ct angiography, chest | 1.92 | NA | 9.88 | 0.38 | XXX | |
| 71275 | 26 | A | Ct angiography, chest | 1.92 | 0.74 | 0.74 | 0.06 | XXX |
| 71275 | TC | A | Ct angiography, chest | 0.00 | NA | 9.14 | 0.32 | XXX |
| 71550 | A | Mri chest w/o dye | 1.46 | NA | 12.08 | 0.41 | XXX | |
| 71550 | 26 | A | Mri chest w/o dye | 1.46 | 0.50 | 0.50 | 0.04 | XXX |
| 71550 | TC | A | Mri chest w/o dye | 0.00 | NA | 11.58 | 0.37 | XXX |
| 71551 | A | Mri chest w/dye | 1.73 | NA | 14.48 | 0.49 | XXX | |
| 71551 | 26 | A | Mri chest w/dye | 1.73 | 0.59 | 0.59 | 0.06 | XXX |
| 71551 | TC | A | Mri chest w/dye | 0.00 | NA | 13.89 | 0.43 | XXX |
| 71552 | A | Mri chest w/ow dye | 2.26 | NA | 26.49 | 0.64 | XXX | |
| 71552 | 26 | A | Mri chest w/ow dye | 2.26 | 0.77 | 0.77 | 0.08 | XXX |
| 71552 | TC | A | Mri chest w/ow dye | 0.00 | NA | 25.72 | 0.56 | XXX |
| 71555 | R | Mri angio chest w or w/o dye | 1.81 | NA | 12.20 | 0.57 | XXX | |
| 71555 | 26 | R | Mri angio chest w or w/o dye | 1.81 | 0.62 | 0.62 | 0.08 | XXX |
| 71555 | TC | R | Mri angio chest w or w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 72010 | A | X-ray exam of spine | 0.45 | NA | 1.21 | 0.08 | XXX | |
| 72010 | 26 | A | X-ray exam of spine | 0.45 | 0.15 | 0.15 | 0.03 | XXX |
| 72010 | TC | A | X-ray exam of spine | 0.00 | NA | 1.06 | 0.05 | XXX |
| 72020 | A | X-ray exam of spine | 0.15 | NA | 0.48 | 0.03 | XXX | |
| 72020 | 26 | A | X-ray exam of spine | 0.15 | 0.05 | 0.05 | 0.01 | XXX |
| 72020 | TC | A | X-ray exam of spine | 0.00 | NA | 0.43 | 0.02 | XXX |
| 72040 | A | X-ray exam of neck spine | 0.22 | NA | 0.69 | 0.04 | XXX | |
| 72040 | 26 | A | X-ray exam of neck spine | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 72040 | TC | A | X-ray exam of neck spine | 0.00 | NA | 0.62 | 0.03 | XXX |
| 72050 | A | X-ray exam of neck spine | 0.31 | NA | 1.03 | 0.07 | XXX | |
| 72050 | 26 | A | X-ray exam of neck spine | 0.31 | 0.11 | 0.11 | 0.02 | XXX |
| 72050 | TC | A | X-ray exam of neck spine | 0.00 | NA | 0.92 | 0.05 | XXX |
| 72052 | A | X-ray exam of neck spine | 0.36 | NA | 1.29 | 0.07 | XXX | |
| 72052 | 26 | A | X-ray exam of neck spine | 0.36 | 0.12 | 0.12 | 0.02 | XXX |
| 72052 | TC | A | X-ray exam of neck spine | 0.00 | NA | 1.17 | 0.05 | XXX |
| 72069 | A | X-ray exam of trunk spine | 0.22 | NA | 0.59 | 0.04 | XXX | |
| 72069 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.08 | 0.08 | 0.02 | XXX |
| 72069 | TC | A | X-ray exam of trunk spine | 0.00 | NA | 0.51 | 0.02 | XXX |
| 72070 | A | X-ray exam of thoracic spine | 0.22 | NA | 0.74 | 0.04 | XXX | |
| 72070 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 72070 | TC | A | X-ray exam of thoracic spine | 0.00 | NA | 0.67 | 0.03 | XXX |
| 72072 | A | X-ray exam of thoracic spine | 0.22 | NA | 0.83 | 0.05 | XXX | |
| 72072 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 72072 | TC | A | X-ray exam of thoracic spine | 0.00 | NA | 0.76 | 0.04 | XXX |
| 72074 | A | X-ray exam of thoracic spine | 0.22 | NA | 1.01 | 0.06 | XXX | |
| 72074 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 72074 | TC | A | X-ray exam of thoracic spine | 0.00 | NA | 0.94 | 0.05 | XXX |
| 72080 | A | X-ray exam of trunk spine | 0.22 | NA | 0.77 | 0.05 | XXX | |
| 72080 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.08 | 0.08 | 0.02 | XXX |
| 72080 | TC | A | X-ray exam of trunk spine | 0.00 | NA | 0.69 | 0.03 | XXX |
| 72090 | A | X-ray exam of trunk spine | 0.28 | NA | 0.79 | 0.05 | XXX | |
| 72090 | 26 | A | X-ray exam of trunk spine | 0.28 | 0.10 | 0.10 | 0.02 | XXX |
| 72090 | TC | A | X-ray exam of trunk spine | 0.00 | NA | 0.69 | 0.03 | XXX |
| 72100 | A | X-ray exam of lower spine | 0.22 | NA | 0.77 | 0.05 | XXX | |
| 72100 | 26 | A | X-ray exam of lower spine | 0.22 | 0.08 | 0.08 | 0.02 | XXX |
| 72100 | TC | A | X-ray exam of lower spine | 0.00 | NA | 0.69 | 0.03 | XXX |
| 72110 | A | X-ray exam of lower spine | 0.31 | NA | 1.05 | 0.07 | XXX | |
| 72110 | 26 | A | X-ray exam of lower spine | 0.31 | 0.11 | 0.11 | 0.02 | XXX |
| 72110 | TC | A | X-ray exam of lower spine | 0.00 | NA | 0.94 | 0.05 | XXX |
| 72114 | A | X-ray exam of lower spine | 0.36 | NA | 1.35 | 0.08 | XXX | |
| 72114 | 26 | A | X-ray exam of lower spine | 0.36 | 0.12 | 0.12 | 0.03 | XXX |
| 72114 | TC | A | X-ray exam of lower spine | 0.00 | NA | 1.23 | 0.05 | XXX |
| 72120 | A | X-ray exam of lower spine | 0.22 | NA | 0.99 | 0.07 | XXX | |
| 72120 | 26 | A | X-ray exam of lower spine | 0.22 | 0.08 | 0.08 | 0.02 | XXX |
| 72120 | TC | A | X-ray exam of lower spine | 0.00 | NA | 0.92 | 0.05 | XXX |
| 72125 | A | Ct neck spine w/o dye | 1.16 | NA | 6.50 | 0.31 | XXX | |
| 72125 | 26 | A | Ct neck spine w/o dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 72125 | TC | A | Ct neck spine w/o dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 72126 | A | Ct neck spine w/dye | 1.22 | NA | 7.72 | 0.36 | XXX | |
| 72126 | 26 | A | Ct neck spine w/dye | 1.22 | 0.42 | 0.42 | 0.05 | XXX |
| 72126 | TC | A | Ct neck spine w/dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 72127 | A | Ct neck spine w/ow dye | 1.27 | NA | 9.58 | 0.44 | XXX | |
| 72127 | 26 | A | Ct neck spine w/ow dye | 1.27 | 0.43 | 0.43 | 0.06 | XXX |
| 72127 | TC | A | Ct neck spine w/ow dye | 0.00 | NA | 9.14 | 0.38 | XXX |
| 72128 | A | Ct chest spine w/o dye | 1.16 | NA | 6.50 | 0.31 | XXX | |
| 72128 | 26 | A | Ct chest spine w/o dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 72128 | TC | A | Ct chest spine w/o dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 72129 | A | Ct chest spine w/dye | 1.22 | NA | 7.72 | 0.36 | XXX | |
| 72129 | 26 | A | Ct chest spine w/dye | 1.22 | 0.42 | 0.42 | 0.05 | XXX |
| 72129 | TC | A | Ct chest spine w/dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 72130 | A | Ct chest spine w/ow dye | 1.27 | NA | 9.58 | 0.44 | XXX | |
| 72130 | 26 | A | Ct chest spine w/ow dye | 1.27 | 0.43 | 0.43 | 0.06 | XXX |
| 72130 | TC | A | Ct chest spine w/ow dye | 0.00 | NA | 9.14 | 0.38 | XXX |
| 72131 | A | Ct lumbar spine w/o dye | 1.16 | NA | 6.50 | 0.31 | XXX | |
| 72131 | 26 | A | Ct lumbar spine w/o dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 72131 | TC | A | Ct lumbar spine w/o dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 72132 | A | Ct lumbar spine w/dye | 1.22 | NA | 7.72 | 0.37 | XXX | |
| 72132 | 26 | A | Ct lumbar spine w/dye | 1.22 | 0.42 | 0.42 | 0.06 | XXX |
| 72132 | TC | A | Ct lumbar spine w/dye | 0.00 | NA | 7.30 | 0.31 | XXX |
| 72133 | A | Ct lumbar spine w/ow dye | 1.27 | NA | 9.58 | 0.44 | XXX | |
| 2133 | 26 | A | Ct lumbar spine w/ow dye | 1.27 | 0.44 | 0.44 | 0.06 | XXX |
| 72133 | TC | A | Ct lumbar spine w/ow dye | 0.00 | NA | 9.14 | 0.38 | XXX |
| 72141 | A | Mri neck spine w/o dye | 1.60 | NA | 12.13 | 0.56 | XXX | |
| 72141 | 26 | A | Mri neck spine w/o dye | 1.60 | 0.55 | 0.55 | 0.07 | XXX |
| 72141 | TC | A | Mri neck spine w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 72142 | A | Mri neck spine w/dye | 1.92 | NA | 14.56 | 0.67 | XXX | |
| 72142 | 26 | A | Mri neck spine w/dye | 1.92 | 0.67 | 0.67 | 0.09 | XXX |
| 72142 | TC | A | Mri neck spine w/dye | 0.00 | NA | 13.89 | 0.58 | XXX |
| 72146 | A | Mri chest spine w/o dye | 1.60 | NA | 13.41 | 0.60 | XXX | |
| 72146 | 26 | A | Mri chest spine w/o dye | 1.60 | 0.55 | 0.55 | 0.07 | XXX |
| 72146 | TC | A | Mri chest spine w/o dye | 0.00 | NA | 12.86 | 0.53 | XXX |
| 72147 | A | Mri chest spine w/dye | 1.92 | NA | 14.55 | 0.67 | XXX | |
| 72147 | 26 | A | Mri chest spine w/dye | 1.92 | 0.66 | 0.66 | 0.09 | XXX |
| 72147 | TC | A | Mri chest spine w/dye | 0.00 | NA | 13.89 | 0.58 | XXX |
| 72148 | A | Mri lumbar spine w/o dye | 1.48 | NA | 13.37 | 0.60 | XXX | |
| 72148 | 26 | A | Mri lumbar spine w/o dye | 1.48 | 0.51 | 0.51 | 0.07 | XXX |
| 72148 | TC | A | Mri lumbar spine w/o dye | 0.00 | NA | 12.86 | 0.53 | XXX |
| 72149 | A | Mri lumbar spine w/dye | 1.78 | NA | 14.51 | 0.67 | XXX | |
| 72149 | 26 | A | Mri lumbar spine w/dye | 1.78 | 0.62 | 0.62 | 0.09 | XXX |
| 72149 | TC | A | Mri lumbar spine w/dye | 0.00 | NA | 13.89 | 0.58 | XXX |
| 72156 | A | Mri neck spine w/ow dye | 2.57 | NA | 26.60 | 1.20 | XXX | |
| 72156 | 26 | A | Mri neck spine w/ow dye | 2.57 | 0.88 | 0.88 | 0.11 | XXX |
| 72156 | TC | A | Mri neck spine w/ow dye | 0.00 | NA | 25.72 | 1.09 | XXX |
| 72157 | A | Mri chest spine w/ow dye | 2.57 | NA | 26.60 | 1.20 | XXX | |
| 72157 | 26 | A | Mri chest spine w/ow dye | 2.57 | 0.88 | 0.88 | 0.11 | XXX |
| 72157 | TC | A | Mri chest spine w/ow dye | 0.00 | NA | 25.72 | 1.09 | XXX |
| 72158 | A | Mri lumbar spine w/ow dye | 2.36 | NA | 26.53 | 1.20 | XXX | |
| 72158 | 26 | A | Mri lumbar spine w/ow dye | 2.36 | 0.81 | 0.81 | 0.11 | XXX |
| 72158 | TC | A | Mri lumbar spine w/ow dye | 0.00 | NA | 25.72 | 1.09 | XXX |
| 72159 | N | Mr angio spine w/ow dye | 1.80 | NA | 13.56 | 0.61 | XXX | |
| 72159 | 26 | N | Mr angio spine w/ow dye | 1.80 | 0.70 | 0.70 | 0.08 | XXX |
| 72159 | TC | N | Mr angio spine w/ow dye | 0.00 | NA | 12.86 | 0.53 | XXX |
| 72170 | A | X-ray exam of pelvis | 0.17 | NA | 0.60 | 0.03 | XXX | |
| 72170 | 26 | A | X-ray exam of pelvis | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 72170 | TC | A | X-ray exam of pelvis | 0.00 | NA | 0.54 | 0.02 | XXX |
| 72190 | A | X-ray exam of pelvis | 0.21 | NA | 0.76 | 0.04 | XXX | |
| 72190 | 26 | A | X-ray exam of pelvis | 0.21 | 0.07 | 0.07 | 0.01 | XXX |
| 72190 | TC | A | X-ray exam of pelvis | 0.00 | NA | 0.69 | 0.03 | XXX |
| 72191 | A | Ct angiograph pelv w/ow dye | 1.81 | NA | 9.47 | 0.38 | XXX | |
| 72191 | 26 | A | Ct angiograph pelv w/ow dye | 1.81 | 0.70 | 0.70 | 0.06 | XXX |
| 72191 | TC | A | Ct angiograph pelv w/ow dye | 0.00 | NA | 8.77 | 0.32 | XXX |
| 72192 | A | Ct pelvis w/o dye | 1.09 | NA | 6.48 | 0.31 | XXX | |
| 72192 | 26 | A | Ct pelvis w/o dye | 1.09 | 0.37 | 0.37 | 0.05 | XXX |
| 72192 | TC | A | Ct pelvis w/o dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 72193 | A | Ct pelvis w/dye | 1.16 | NA | 7.47 | 0.35 | XXX | |
| 72193 | 26 | A | Ct pelvis w/dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 72193 | TC | A | Ct pelvis w/dye | 0.00 | NA | 7.07 | 0.30 | XXX |
| 72194 | A | Ct pelvis w/ow dye | 1.22 | NA | 9.19 | 0.41 | XXX | |
| 72194 | 26 | A | Ct pelvis w/ow dye | 1.22 | 0.42 | 0.42 | 0.05 | XXX |
| 72194 | TC | A | Ct pelvis w/ow dye | 0.00 | NA | 8.77 | 0.36 | XXX |
| 72195 | A | Mri pelvis w/o dye | 1.46 | NA | 12.08 | 0.42 | XXX | |
| 72195 | 26 | A | Mri pelvis w/o dye | 1.46 | 0.50 | 0.50 | 0.05 | XXX |
| 72195 | TC | A | Mri pelvis w/o dye | 0.00 | NA | 11.58 | 0.37 | XXX |
| 72196 | A | Mri pelvis w/dye | 1.73 | NA | 14.48 | 0.48 | XXX | |
| 72196 | 26 | A | Mri pelvis w/dye | 1.73 | 0.59 | 0.59 | 0.05 | XXX |
| 72196 | TC | A | Mri pelvis w/dye | 0.00 | NA | 13.89 | 0.43 | XXX |
| 72197 | A | Mri pelvis w/o w dye | 2.26 | NA | 26.49 | 0.84 | XXX | |
| 72197 | 26 | A | Mri pelvis w/o w dye | 2.26 | 0.77 | 0.77 | 0.08 | XXX |
| 72197 | TC | A | Mri pelvis w/o w dye | 0.00 | NA | 25.72 | 0.76 | XXX |
| 72198 | N | Mr angio pelvis w/ow dye | 1.80 | NA | 12.28 | 0.57 | XXX | |
| 72198 | 26 | N | Mr angio pelvis w/ow dye | 1.80 | 0.70 | 0.70 | 0.08 | XXX |
| 72198 | TC | N | Mr angio pelvis w/ow dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 72200 | A | X-ray exam sacroiliac joints | 0.17 | NA | 0.60 | 0.03 | XXX | |
| 72200 | 26 | A | X-ray exam sacroiliac joints | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 72200 | TC | A | X-ray exam sacroiliac joints | 0.00 | NA | 0.54 | 0.02 | XXX |
| 72202 | A | X-ray exam sacroiliac joints | 0.19 | NA | 0.70 | 0.04 | XXX | |
| 72202 | 26 | A | X-ray exam sacroiliac joints | 0.19 | 0.06 | 0.06 | 0.01 | XXX |
| 72202 | TC | A | X-ray exam sacroiliac joints | 0.00 | NA | 0.64 | 0.03 | XXX |
| 72220 | A | X-ray exam of tailbone | 0.17 | NA | 0.65 | 0.04 | XXX | |
| 72220 | 26 | A | X-ray exam of tailbone | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 72220 | TC | A | X-ray exam of tailbone | 0.00 | NA | 0.59 | 0.03 | XXX |
| 72240 | A | Contrast x-ray of neck spine | 0.91 | NA | 5.21 | 0.25 | XXX | |
| 72240 | 26 | A | Contrast x-ray of neck spine | 0.91 | 0.30 | 0.30 | 0.04 | XXX |
| 72240 | TC | A | Contrast x-ray of neck spine | 0.00 | NA | 4.91 | 0.21 | XXX |
| 72255 | A | Contrast x-ray, thorax spine | 0.91 | NA | 4.76 | 0.22 | XXX | |
| 72255 | 26 | A | Contrast x-ray, thorax spine | 0.91 | 0.28 | 0.28 | 0.04 | XXX |
| 72255 | TC | A | Contrast x-ray, thorax spine | 0.00 | NA | 4.48 | 0.18 | XXX |
| 72265 | A | Contrast x-ray, lower spine | 0.83 | NA | 4.47 | 0.22 | XXX | |
| 72265 | 26 | A | Contrast x-ray, lower spine | 0.83 | 0.26 | 0.26 | 0.04 | XXX |
| 72265 | TC | A | Contrast x-ray, lower spine | 0.00 | NA | 4.21 | 0.18 | XXX |
| 72270 | A | Contrast x-ray of spine | 1.33 | NA | 6.74 | 0.34 | XXX | |
| 72270 | 26 | A | Contrast x-ray of spine | 1.33 | 0.44 | 0.44 | 0.07 | XXX |
| 72270 | TC | A | Contrast x-ray of spine | 0.00 | NA | 6.31 | 0.27 | XXX |
| 72275 | A | Epidurography | 0.76 | NA | 2.38 | 0.21 | XXX | |
| 72275 | 26 | A | Epidurography | 0.76 | 0.21 | 0.21 | 0.03 | XXX |
| 72275 | TC | A | Epidurography | 0.00 | NA | 2.17 | 0.18 | XXX |
| 72285 | A | X-ray c/t spine disk | 1.16 | NA | 9.03 | 0.42 | XXX | |
| 72285 | 26 | A | X-ray c/t spine disk | 1.16 | 0.37 | 0.37 | 0.06 | XXX |
| 72285 | TC | A | X-ray c/t spine disk | 0.00 | NA | 8.66 | 0.36 | XXX |
| 72295 | A | X-ray of lower spine disk | 0.83 | NA | 8.40 | 0.37 | XXX | |
| 72295 | 26 | A | X-ray of lower spine disk | 0.83 | 0.28 | 0.28 | 0.04 | XXX |
| 72295 | TC | A | X-ray of lower spine disk | 0.00 | NA | 8.12 | 0.33 | XXX |
| 73000 | A | X-ray exam of collar bone | 0.16 | NA | 0.59 | 0.03 | XXX | |
| 73000 | 26 | A | X-ray exam of collar bone | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 73000 | TC | A | X-ray exam of collar bone | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73010 | A | X-ray exam of shoulder blade | 0.17 | NA | 0.60 | 0.03 | XXX | |
| 73010 | 26 | A | X-ray exam of shoulder blade | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73010 | TC | A | X-ray exam of shoulder blade | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73020 | A | X-ray exam of shoulder | 0.15 | NA | 0.54 | 0.03 | XXX | |
| 73020 | 26 | A | X-ray exam of shoulder | 0.15 | 0.05 | 0.05 | 0.01 | XXX |
| 73020 | TC | A | X-ray exam of shoulder | 0.00 | NA | 0.49 | 0.02 | XXX |
| 73030 | A | X-ray exam of shoulder | 0.18 | NA | 0.65 | 0.04 | XXX | |
| 73030 | 26 | A | X-ray exam of shoulder | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 73030 | TC | A | X-ray exam of shoulder | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73040 | A | Contrast x-ray of shoulder | 0.54 | NA | 2.35 | 0.13 | XXX | |
| 73040 | 26 | A | Contrast x-ray of shoulder | 0.54 | 0.18 | 0.18 | 0.03 | XXX |
| 73040 | TC | A | Contrast x-ray of shoulder | 0.00 | NA | 2.17 | 0.10 | XXX |
| 73050 | A | X-ray exam of shoulders | 0.20 | NA | 0.76 | 0.05 | XXX | |
| 73050 | 26 | A | X-ray exam of shoulders | 0.20 | 0.07 | 0.07 | 0.02 | XXX |
| 73050 | TC | A | X-ray exam of shoulders | 0.00 | NA | 0.69 | 0.03 | XXX |
| 73060 | A | X-ray exam of humerus | 0.17 | NA | 0.65 | 0.04 | XXX | |
| 73060 | 26 | A | X-ray exam of humerus | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73060 | TC | A | X-ray exam of humerus | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73070 | A | X-ray exam of elbow | 0.15 | NA | 0.59 | 0.03 | XXX | |
| 73070 | 26 | A | X-ray exam of elbow | 0.15 | 0.05 | 0.05 | 0.01 | XXX |
| 73070 | TC | A | X-ray exam of elbow | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73080 | A | X-ray exam of elbow | 0.17 | NA | 0.65 | 0.04 | XXX | |
| 73080 | 26 | A | X-ray exam of elbow | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73080 | TC | A | X-ray exam of elbow | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73085 | A | Contrast x-ray of elbow | 0.54 | NA | 2.36 | 0.13 | XXX | |
| 73085 | 26 | A | Contrast x-ray of elbow | 0.54 | 0.19 | 0.19 | 0.03 | XXX |
| 73085 | TC | A | Contrast x-ray of elbow | 0.00 | NA | 2.17 | 0.10 | XXX |
| 73090 | A | X-ray exam of forearm | 0.16 | NA | 0.59 | 0.03 | XXX | |
| 73090 | 26 | A | X-ray exam of forearm | 0.16 | 0.05 | 0.05 | 0.01 | XXX |
| 73090 | TC | A | X-ray exam of forearm | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73092 | A | X-ray exam of arm, infant | 0.16 | NA | 0.56 | 0.03 | XXX | |
| 73092 | 26 | A | X-ray exam of arm, infant | 0.16 | 0.05 | 0.05 | 0.01 | XXX |
| 73092 | TC | A | X-ray exam of arm, infant | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73100 | A | X-ray exam of wrist | 0.16 | NA | 0.57 | 0.04 | XXX | |
| 73100 | 26 | A | X-ray exam of wrist | 0.16 | 0.06 | 0.06 | 0.02 | XXX |
| 73100 | TC | A | X-ray exam of wrist | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73110 | A | X-ray exam of wrist | 0.17 | NA | 0.61 | 0.03 | XXX | |
| 73110 | 26 | A | X-ray exam of wrist | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73110 | TC | A | X-ray exam of wrist | 0.00 | NA | 0.55 | 0.02 | XXX |
| 73115 | A | Contrast x-ray of wrist | 0.54 | NA | 1.82 | 0.11 | XXX | |
| 73115 | 26 | A | Contrast x-ray of wrist | 0.54 | 0.19 | 0.19 | 0.03 | XXX |
| 73115 | TC | A | Contrast x-ray of wrist | 0.00 | NA | 1.63 | 0.08 | XXX |
| 73120 | A | X-ray exam of hand | 0.16 | NA | 0.57 | 0.03 | XXX | |
| 73120 | 26 | A | X-ray exam of hand | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 73120 | TC | A | X-ray exam of hand | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73130 | A | X-ray exam of hand | 0.17 | NA | 0.61 | 0.03 | XXX | |
| 73130 | 26 | A | X-ray exam of hand | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73130 | TC | A | X-ray exam of hand | 0.00 | NA | 0.55 | 0.02 | XXX |
| 73140 | A | X-ray exam of finger(s) | 0.13 | NA | 0.47 | 0.03 | XXX | |
| 73140 | 26 | A | X-ray exam of finger(s) | 0.13 | 0.04 | 0.04 | 0.01 | XXX |
| 73140 | TC | A | X-ray exam of finger(s) | 0.00 | NA | 0.43 | 0.02 | XXX |
| 73200 | A | Ct upper extremity w/o dye | 1.09 | NA | 5.50 | 0.26 | XXX | |
| 73200 | 26 | A | Ct upper extremity w/o dye | 1.09 | 0.37 | 0.37 | 0.05 | XXX |
| 73200 | TC | A | Ct upper extremity w/o dye | 0.00 | NA | 5.13 | 0.21 | XXX |
| 73201 | A | Ct upper extremity w/dye | 1.16 | NA | 6.50 | 0.31 | XXX | |
| 73201 | 26 | A | Ct upper extremity w/dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 73201 | TC | A | Ct upper extremity w/dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 73202 | A | Ct uppr extremity w/ow dye | 1.22 | NA | 8.09 | 0.38 | XXX | |
| 73202 | 26 | A | Ct uppr extremity w/ow dye | 1.22 | 0.42 | 0.42 | 0.06 | XXX |
| 73202 | TC | A | Ct uppr extremity w/ow dye | 0.00 | NA | 7.67 | 0.32 | XXX |
| 73206 | A | Ct angio upr extrm w/ow dye | 1.81 | NA | 8.37 | 0.38 | XXX | |
| 73206 | 26 | A | Ct angio upr extrm w/ow dye | 1.81 | 0.70 | 0.70 | 0.06 | XXX |
| 73206 | TC | A | Ct angio upr extrm w/ow dye | 0.00 | NA | 7.67 | 0.32 | XXX |
| 73218 | A | Mri upper extremity w/o dye | 1.35 | NA | 12.05 | 0.36 | XXX | |
| 73218 | 26 | A | Mri upper extremity w/o dye | 1.35 | 0.46 | 0.46 | 0.04 | XXX |
| 73218 | TC | A | Mri upper extremity w/o dye | 0.00 | NA | 11.58 | 0.32 | XXX |
| 73219 | A | Mri upper extremity w/dye | 1.62 | NA | 14.45 | 0.44 | XXX | |
| 73219 | 26 | A | Mri upper extremity w/dye | 1.62 | 0.56 | 0.56 | 0.05 | XXX |
| 73219 | TC | A | Mri upper extremity w/dye | 0.00 | NA | 13.89 | 0.39 | XXX |
| 73220 | A | Mri uppr extremity w/ow dye | 2.15 | NA | 26.46 | 0.78 | XXX | |
| 73220 | 26 | A | Mri uppr extremity w/ow dye | 2.15 | 0.74 | 0.74 | 0.08 | XXX |
| 73220 | TC | A | Mri uppr extremity w/ow dye | 0.00 | NA | 25.72 | 0.70 | XXX |
| 73221 | A | Mri joint upr extrem w/o dye | 1.35 | NA | 12.04 | 0.36 | XXX | |
| 73221 | 26 | A | Mri joint upr extrem w/o dye | 1.35 | 0.46 | 0.46 | 0.04 | XXX |
| 73221 | TC | A | Mri joint upr extrem w/o dye | 0.00 | NA | 11.58 | 0.32 | XXX |
| 73222 | A | Mri joint upr extrem w/ dye | 1.62 | NA | 14.45 | 0.44 | XXX | |
| 73222 | 26 | A | Mri joint upr extrem w/ dye | 1.62 | 0.56 | 0.56 | 0.05 | XXX |
| 73222 | TC | A | Mri joint upr extrem w/ dye | 0.00 | NA | 13.89 | 0.39 | XXX |
| 73223 | A | Mri joint upr extr w/ow dye | 2.15 | NA | 26.46 | 0.77 | XXX | |
| 73223 | 26 | A | Mri joint upr extr w/ow dye | 2.15 | 0.74 | 0.74 | 0.07 | XXX |
| 73223 | TC | A | Mri joint upr extr w/ow dye | 0.00 | NA | 25.72 | 0.70 | XXX |
| 73225 | N | Mr angio upr extr w/ow dye | 1.73 | NA | 12.25 | 0.57 | XXX | |
| 73225 | 26 | N | Mr angio upr extr w/ow dye | 1.73 | 0.67 | 0.67 | 0.08 | XXX |
| 73225 | TC | N | Mr angio upr extr w/ow dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 73500 | A | X-ray exam of hip | 0.17 | NA | 0.55 | 0.03 | XXX | |
| 73500 | 26 | A | X-ray exam of hip | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73500 | TC | A | X-ray exam of hip | 0.00 | NA | 0.49 | 0.02 | XXX |
| 73510 | A | X-ray exam of hip | 0.21 | NA | 0.66 | 0.05 | XXX | |
| 73510 | 26 | A | X-ray exam of hip | 0.21 | 0.07 | 0.07 | 0.02 | XXX |
| 73510 | TC | A | X-ray exam of hip | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73520 | A | X-ray exam of hips | 0.26 | NA | 0.78 | 0.05 | XXX | |
| 73520 | 26 | A | X-ray exam of hips | 0.26 | 0.09 | 0.09 | 0.02 | XXX |
| 73520 | TC | A | X-ray exam of hips | 0.00 | NA | 0.69 | 0.03 | XXX |
| 73525 | A | Contrast x-ray of hip | 0.54 | NA | 2.35 | 0.13 | XXX | |
| 73525 | 26 | A | Contrast x-ray of hip | 0.54 | 0.19 | 0.19 | 0.03 | XXX |
| 73525 | TC | A | Contrast x-ray of hip | 0.00 | NA | 2.17 | 0.10 | XXX |
| 73530 | A | X-ray exam of hip | 0.29 | NA | 0.64 | 0.03 | XXX | |
| 73530 | 26 | A | X-ray exam of hip | 0.29 | 0.10 | 0.10 | 0.01 | XXX |
| 73530 | TC | A | X-ray exam of hip | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73540 | A | X-ray exam of pelvis hips | 0.20 | NA | 0.66 | 0.05 | XXX | |
| 73540 | 26 | A | X-ray exam of pelvis hips | 0.20 | 0.07 | 0.07 | 0.02 | XXX |
| 73540 | TC | A | X-ray exam of pelvis hips | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73542 | A | X-ray exam, sacroiliac joint | 0.59 | NA | 2.35 | 0.13 | XXX | |
| 73542 | 26 | A | X-ray exam, sacroiliac joint | 0.59 | 0.18 | 0.18 | 0.03 | XXX |
| 73542 | TC | A | X-ray exam, sacroiliac joint | 0.00 | NA | 2.17 | 0.10 | XXX |
| 73550 | A | X-ray exam of thigh | 0.17 | NA | 0.65 | 0.04 | XXX | |
| 73550 | 26 | A | X-ray exam of thigh | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73550 | TC | A | X-ray exam of thigh | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73560 | A | X-ray exam of knee, 1 or 2 | 0.17 | NA | 0.60 | 0.04 | XXX | |
| 73560 | 26 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.06 | 0.06 | 0.02 | XXX |
| 73560 | TC | A | X-ray exam of knee, 1 or 2 | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73562 | A | X-ray exam of knee, 3 | 0.18 | NA | 0.65 | 0.05 | XXX | |
| 73562 | 26 | A | X-ray exam of knee, 3 | 0.18 | 0.06 | 0.06 | 0.02 | XXX |
| 73562 | TC | A | X-ray exam of knee, 3 | 0.00 | NA | 0.59 | 0.03 | XXX |
| 73564 | A | X-ray exam, knee, 4 or more | 0.22 | NA | 0.72 | 0.05 | XXX | |
| 73564 | 26 | A | X-ray exam, knee, 4 or more | 0.22 | 0.08 | 0.08 | 0.02 | XXX |
| 73564 | TC | A | X-ray exam, knee, 4 or more | 0.00 | NA | 0.64 | 0.03 | XXX |
| 73565 | A | X-ray exam of knees | 0.17 | NA | 0.57 | 0.04 | XXX | |
| 73565 | 26 | A | X-ray exam of knees | 0.17 | 0.06 | 0.06 | 0.02 | XXX |
| 73565 | TC | A | X-ray exam of knees | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73580 | A | Contrast x-ray of knee joint | 0.54 | NA | 2.89 | 0.15 | XXX | |
| 73580 | 26 | A | Contrast x-ray of knee joint | 0.54 | 0.18 | 0.18 | 0.03 | XXX |
| 73580 | TC | A | Contrast x-ray of knee joint | 0.00 | NA | 2.71 | 0.12 | XXX |
| 73590 | A | X-ray exam of lower leg | 0.17 | NA | 0.60 | 0.03 | XXX | |
| 73590 | 26 | A | X-ray exam of lower leg | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73590 | TC | A | X-ray exam of lower leg | 0.00 | NA | 0.54 | 0.02 | XXX |
| 73592 | A | X-ray exam of leg, infant | 0.16 | NA | 0.57 | 0.03 | XXX | |
| 73592 | 26 | A | X-ray exam of leg, infant | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 73592 | TC | A | X-ray exam of leg, infant | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73600 | A | X-ray exam of ankle | 0.16 | NA | 0.57 | 0.03 | XXX | |
| 73600 | 26 | A | X-ray exam of ankle | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 73600 | TC | A | X-ray exam of ankle | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73610 | A | X-ray exam of ankle | 0.17 | NA | 0.61 | 0.03 | XXX | |
| 73610 | 26 | A | X-ray exam of ankle | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73610 | TC | A | X-ray exam of ankle | 0.00 | NA | 0.55 | 0.02 | XXX |
| 73615 | A | Contrast x-ray of ankle | 0.54 | NA | 2.36 | 0.13 | XXX | |
| 73615 | 26 | A | Contrast x-ray of ankle | 0.54 | 0.19 | 0.19 | 0.03 | XXX |
| 73615 | TC | A | Contrast x-ray of ankle | 0.00 | NA | 2.17 | 0.10 | XXX |
| 73620 | A | X-ray exam of foot | 0.16 | NA | 0.57 | 0.03 | XXX | |
| 73620 | 26 | A | X-ray exam of foot | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 73620 | TC | A | X-ray exam of foot | 0.00 | NA | 0.51 | 0.02 | XXX |
| 73630 | A | X-ray exam of foot | 0.17 | NA | 0.61 | 0.03 | XXX | |
| 73630 | 26 | A | X-ray exam of foot | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 73630 | TC | A | X-ray exam of foot | 0.00 | NA | 0.55 | 0.02 | XXX |
| 73650 | A | X-ray exam of heel | 0.16 | NA | 0.55 | 0.03 | XXX | |
| 73650 | 26 | A | X-ray exam of heel | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 73650 | TC | A | X-ray exam of heel | 0.00 | NA | 0.49 | 0.02 | XXX |
| 73660 | A | X-ray exam of toe(s) | 0.13 | NA | 0.47 | 0.03 | XXX | |
| 73660 | 26 | A | X-ray exam of toe(s) | 0.13 | 0.04 | 0.04 | 0.01 | XXX |
| 73660 | TC | A | X-ray exam of toe(s) | 0.00 | NA | 0.43 | 0.02 | XXX |
| 73700 | A | Ct lower extremity w/o dye | 1.09 | NA | 5.50 | 0.26 | XXX | |
| 73700 | 26 | A | Ct lower extremity w/o dye | 1.09 | 0.37 | 0.37 | 0.05 | XXX |
| 73700 | TC | A | Ct lower extremity w/o dye | 0.00 | NA | 5.13 | 0.21 | XXX |
| 73701 | A | Ct lower extremity w/dye | 1.16 | NA | 6.50 | 0.31 | XXX | |
| 73701 | 26 | A | Ct lower extremity w/dye | 1.16 | 0.40 | 0.40 | 0.05 | XXX |
| 73701 | TC | A | Ct lower extremity w/dye | 0.00 | NA | 6.11 | 0.26 | XXX |
| 73702 | A | Ct lwr extremity w/ow dye | 1.22 | NA | 8.09 | 0.37 | XXX | |
| 73702 | 26 | A | Ct lwr extremity w/ow dye | 1.22 | 0.42 | 0.42 | 0.05 | XXX |
| 73702 | TC | A | Ct lwr extremity w/ow dye | 0.00 | NA | 7.67 | 0.32 | XXX |
| 73706 | A | Ct angio lwr extr w/ow dye | 1.90 | NA | 8.41 | 0.38 | XXX | |
| 73706 | 26 | A | Ct angio lwr extr w/ow dye | 1.90 | 0.73 | 0.73 | 0.06 | XXX |
| 73706 | TC | A | Ct angio lwr extr w/ow dye | 0.00 | NA | 7.67 | 0.32 | XXX |
| 73718 | A | Mri lower extremity w/o dye | 1.35 | NA | 12.04 | 0.36 | XXX | |
| 73718 | 26 | A | Mri lower extremity w/o dye | 1.35 | 0.46 | 0.46 | 0.04 | XXX |
| 73718 | TC | A | Mri lower extremity w/o dye | 0.00 | NA | 11.58 | 0.32 | XXX |
| 73719 | A | Mri lower extremity w/dye | 1.62 | NA | 14.44 | 0.44 | XXX | |
| 73719 | 26 | A | Mri lower extremity w/dye | 1.62 | 0.55 | 0.55 | 0.05 | XXX |
| 73719 | TC | A | Mri lower extremity w/dye | 0.00 | NA | 13.89 | 0.39 | XXX |
| 73720 | A | Mri lwr extremity w/ow dye | 2.15 | NA | 26.45 | 0.78 | XXX | |
| 73720 | 26 | A | Mri lwr extremity w/ow dye | 2.15 | 0.74 | 0.74 | 0.08 | XXX |
| 73720 | TC | A | Mri lwr extremity w/ow dye | 0.00 | NA | 25.72 | 0.70 | XXX |
| 73721 | A | Mri joint of lwr extre w/o d | 1.35 | NA | 12.05 | 0.36 | XXX | |
| 73721 | 26 | A | Mri joint of lwr extre w/o d | 1.35 | 0.46 | 0.46 | 0.04 | XXX |
| 73721 | TC | A | Mri joint of lwr extre w/o d | 0.00 | NA | 11.58 | 0.32 | XXX |
| 73722 | A | Mri joint of lwr extr w/dye | 1.62 | NA | 14.45 | 0.45 | XXX | |
| 73722 | 26 | A | Mri joint of lwr extr w/dye | 1.62 | 0.56 | 0.56 | 0.06 | XXX |
| 73722 | TC | A | Mri joint of lwr extr w/dye | 0.00 | NA | 13.89 | 0.39 | XXX |
| 73723 | A | Mri joint lwr extr w/ow dye | 2.15 | NA | 26.46 | 0.77 | XXX | |
| 73723 | 26 | A | Mri joint lwr extr w/ow dye | 2.15 | 0.74 | 0.74 | 0.07 | XXX |
| 73723 | TC | A | Mri joint lwr extr w/ow dye | 0.00 | NA | 25.72 | 0.70 | XXX |
| 73725 | R | Mr ang lwr ext w or w/o dye | 1.82 | NA | 12.20 | 0.57 | XXX | |
| 73725 | 26 | R | Mr ang lwr ext w or w/o dye | 1.82 | 0.62 | 0.62 | 0.08 | XXX |
| 73725 | TC | R | Mr ang lwr ext w or w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 74000 | A | X-ray exam of abdomen | 0.18 | NA | 0.60 | 0.03 | XXX | |
| 74000 | 26 | A | X-ray exam of abdomen | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 74000 | TC | A | X-ray exam of abdomen | 0.00 | NA | 0.54 | 0.02 | XXX |
| 74010 | A | X-ray exam of abdomen | 0.23 | NA | 0.67 | 0.04 | XXX | |
| 74010 | 26 | A | X-ray exam of abdomen | 0.23 | 0.08 | 0.08 | 0.01 | XXX |
| 74010 | TC | A | X-ray exam of abdomen | 0.00 | NA | 0.59 | 0.03 | XXX |
| 74020 | A | X-ray exam of abdomen | 0.27 | NA | 0.73 | 0.04 | XXX | |
| 74020 | 26 | A | X-ray exam of abdomen | 0.27 | 0.09 | 0.09 | 0.01 | XXX |
| 74020 | TC | A | X-ray exam of abdomen | 0.00 | NA | 0.64 | 0.03 | XXX |
| 74022 | A | X-ray exam series, abdomen | 0.32 | NA | 0.87 | 0.05 | XXX | |
| 74022 | 26 | A | X-ray exam series, abdomen | 0.32 | 0.11 | 0.11 | 0.01 | XXX |
| 74022 | TC | A | X-ray exam series, abdomen | 0.00 | NA | 0.76 | 0.04 | XXX |
| 74150 | A | Ct abdomen w/o dye | 1.19 | NA | 6.25 | 0.30 | XXX | |
| 74150 | 26 | A | Ct abdomen w/o dye | 1.19 | 0.41 | 0.41 | 0.05 | XXX |
| 74150 | TC | A | Ct abdomen w/o dye | 0.00 | NA | 5.85 | 0.25 | XXX |
| 74160 | A | Ct abdomen w/dye | 1.27 | NA | 7.51 | 0.36 | XXX | |
| 74160 | 26 | A | Ct abdomen w/dye | 1.27 | 0.43 | 0.43 | 0.06 | XXX |
| 74160 | TC | A | Ct abdomen w/dye | 0.00 | NA | 7.07 | 0.30 | XXX |
| 74170 | A | Ct abdomen w/ow dye | 1.40 | NA | 9.25 | 0.42 | XXX | |
| 74170 | 26 | A | Ct abdomen w/ow dye | 1.40 | 0.48 | 0.48 | 0.06 | XXX |
| 74170 | TC | A | Ct abdomen w/ow dye | 0.00 | NA | 8.77 | 0.36 | XXX |
| 74175 | A | Ct angio abdom w/ow dye | 1.90 | NA | 9.51 | 0.38 | XXX | |
| 74175 | 26 | A | Ct angio abdom w/ow dye | 1.90 | 0.73 | 0.73 | 0.06 | XXX |
| 74175 | TC | A | Ct angio abdom w/ow dye | 0.00 | NA | 8.77 | 0.32 | XXX |
| 74181 | A | Mri abdomen w/o dye | 1.46 | NA | 12.08 | 0.41 | XXX | |
| 74181 | 26 | A | Mri abdomen w/o dye | 1.46 | 0.50 | 0.50 | 0.04 | XXX |
| 74181 | TC | A | Mri abdomen w/o dye | 0.00 | NA | 11.58 | 0.37 | XXX |
| 74182 | A | Mri abdomen w/dye | 1.73 | NA | 14.48 | 0.49 | XXX | |
| 74182 | 26 | A | Mri abdomen w/dye | 1.73 | 0.59 | 0.59 | 0.06 | XXX |
| 74182 | TC | A | Mri abdomen w/dye | 0.00 | NA | 13.89 | 0.43 | XXX |
| 74183 | A | Mri abdomen w/ow dye | 2.26 | NA | 26.49 | 0.84 | XXX | |
| 74183 | 26 | A | Mri abdomen w/ow dye | 2.26 | 0.77 | 0.77 | 0.08 | XXX |
| 74183 | TC | A | Mri abdomen w/ow dye | 0.00 | NA | 25.72 | 0.76 | XXX |
| 74185 | R | Mri angio, abdom w or w/o dy | 1.80 | NA | 12.20 | 0.57 | XXX | |
| 74185 | 26 | R | Mri angio, abdom w or w/o dy | 1.80 | 0.62 | 0.62 | 0.08 | XXX |
| 74185 | TC | R | Mri angio, abdom w or w/o dy | 0.00 | NA | 11.58 | 0.49 | XXX |
| 74190 | A | X-ray exam of peritoneum | 0.48 | NA | 1.51 | 0.08 | XXX | |
| 74190 | 26 | A | X-ray exam of peritoneum | 0.48 | 0.16 | 0.16 | 0.02 | XXX |
| 74190 | TC | A | X-ray exam of peritoneum | 0.00 | NA | 1.35 | 0.06 | XXX |
| 74210 | A | Contrst x-ray exam of throat | 0.36 | NA | 1.35 | 0.07 | XXX | |
| 74210 | 26 | A | Contrst x-ray exam of throat | 0.36 | 0.12 | 0.12 | 0.02 | XXX |
| 74210 | TC | A | Contrst x-ray exam of throat | 0.00 | NA | 1.23 | 0.05 | XXX |
| 74220 | A | Contrast x-ray, esophagus | 0.46 | NA | 1.39 | 0.07 | XXX | |
| 74220 | 26 | A | Contrast x-ray, esophagus | 0.46 | 0.16 | 0.16 | 0.02 | XXX |
| 74220 | TC | A | Contrast x-ray, esophagus | 0.00 | NA | 1.23 | 0.05 | XXX |
| 74230 | A | Cine/video x-ray, throat/eso | 0.53 | NA | 1.53 | 0.08 | XXX | |
| 74230 | 26 | A | Cine/video x-ray, throat/eso | 0.53 | 0.18 | 0.18 | 0.02 | XXX |
| 74230 | TC | A | Cine/video x-ray, throat/eso | 0.00 | NA | 1.35 | 0.06 | XXX |
| 74235 | A | Remove esophagus obstruction | 1.19 | NA | 3.11 | 0.17 | XXX | |
| 74235 | 26 | A | Remove esophagus obstruction | 1.19 | 0.41 | 0.41 | 0.05 | XXX |
| 74235 | TC | A | Remove esophagus obstruction | 0.00 | NA | 2.71 | 0.12 | XXX |
| 74240 | A | X-ray exam, upper gi tract | 0.69 | NA | 1.74 | 0.10 | XXX | |
| 74240 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 74240 | TC | A | X-ray exam, upper gi tract | 0.00 | NA | 1.51 | 0.07 | XXX |
| 74241 | A | X-ray exam, upper gi tract | 0.69 | NA | 1.77 | 0.10 | XXX | |
| 74241 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.23 | 0.23 | 0.03 | XXX |
| 74241 | TC | A | X-ray exam, upper gi tract | 0.00 | NA | 1.54 | 0.07 | XXX |
| 74245 | A | X-ray exam, upper gi tract | 0.91 | NA | 2.77 | 0.15 | XXX | |
| 74245 | 26 | A | X-ray exam, upper gi tract | 0.91 | 0.31 | 0.31 | 0.04 | XXX |
| 74245 | TC | A | X-ray exam, upper gi tract | 0.00 | NA | 2.46 | 0.11 | XXX |
| 74246 | A | Contrst x-ray uppr gi tract | 0.69 | NA | 1.93 | 0.11 | XXX | |
| 74246 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 74246 | TC | A | Contrst x-ray uppr gi tract | 0.00 | NA | 1.70 | 0.08 | XXX |
| 74247 | A | Contrst x-ray uppr gi tract | 0.69 | NA | 1.97 | 0.12 | XXX | |
| 74247 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 74247 | TC | A | Contrst x-ray uppr gi tract | 0.00 | NA | 1.74 | 0.09 | XXX |
| 74249 | A | Contrst x-ray uppr gi tract | 0.91 | NA | 2.97 | 0.16 | XXX | |
| 74249 | 26 | A | Contrst x-ray uppr gi tract | 0.91 | 0.31 | 0.31 | 0.04 | XXX |
| 74249 | TC | A | Contrst x-ray uppr gi tract | 0.00 | NA | 2.66 | 0.12 | XXX |
| 74250 | A | X-ray exam of small bowel | 0.47 | NA | 1.51 | 0.08 | XXX | |
| 74250 | 26 | A | X-ray exam of small bowel | 0.47 | 0.16 | 0.16 | 0.02 | XXX |
| 74250 | TC | A | X-ray exam of small bowel | 0.00 | NA | 1.35 | 0.06 | XXX |
| 74251 | A | X-ray exam of small bowel | 0.69 | NA | 1.58 | 0.09 | XXX | |
| 74251 | 26 | A | X-ray exam of small bowel | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 74251 | TC | A | X-ray exam of small bowel | 0.00 | NA | 1.35 | 0.06 | XXX |
| 74260 | A | X-ray exam of small bowel | 0.50 | NA | 1.71 | 0.09 | XXX | |
| 74260 | 26 | A | X-ray exam of small bowel | 0.50 | 0.17 | 0.17 | 0.02 | XXX |
| 74260 | TC | A | X-ray exam of small bowel | 0.00 | NA | 1.54 | 0.07 | XXX |
| 74270 | A | Contrast x-ray exam of colon | 0.69 | NA | 1.99 | 0.12 | XXX | |
| 74270 | 26 | A | Contrast x-ray exam of colon | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 74270 | TC | A | Contrast x-ray exam of colon | 0.00 | NA | 1.76 | 0.09 | XXX |
| 74280 | A | Contrast x-ray exam of colon | 0.99 | NA | 2.65 | 0.15 | XXX | |
| 74280 | 26 | A | Contrast x-ray exam of colon | 0.99 | 0.34 | 0.34 | 0.04 | XXX |
| 74280 | TC | A | Contrast x-ray exam of colon | 0.00 | NA | 2.31 | 0.11 | XXX |
| 74283 | A | Contrast x-ray exam of colon | 2.02 | NA | 3.34 | 0.21 | XXX | |
| 74283 | 26 | A | Contrast x-ray exam of colon | 2.02 | 0.69 | 0.69 | 0.09 | XXX |
| 74283 | TC | A | Contrast x-ray exam of colon | 0.00 | NA | 2.65 | 0.12 | XXX |
| 74290 | A | Contrast x-ray, gallbladder | 0.32 | NA | 0.87 | 0.05 | XXX | |
| 74290 | 26 | A | Contrast x-ray, gallbladder | 0.32 | 0.11 | 0.11 | 0.01 | XXX |
| 74290 | TC | A | Contrast x-ray, gallbladder | 0.00 | NA | 0.76 | 0.04 | XXX |
| 74291 | A | Contrast x-rays, gallbladder | 0.20 | NA | 0.50 | 0.03 | XXX | |
| 74291 | 26 | A | Contrast x-rays, gallbladder | 0.20 | 0.07 | 0.07 | 0.01 | XXX |
| 74291 | TC | A | Contrast x-rays, gallbladder | 0.00 | NA | 0.43 | 0.02 | XXX |
| 74300 | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 74300 | 26 | A | X-ray bile ducts/pancreas | 0.36 | 0.12 | 0.12 | 0.02 | XXX |
| 74300 | TC | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 74301 | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 74301 | 26 | A | X-rays at surgery add-on | 0.21 | 0.07 | 0.07 | 0.01 | ZZZ |
| 74301 | TC | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 74305 | A | X-ray bile ducts/pancreas | 0.42 | NA | 0.95 | 0.06 | XXX | |
| 74305 | 26 | A | X-ray bile ducts/pancreas | 0.42 | 0.14 | 0.14 | 0.02 | XXX |
| 74305 | TC | A | X-ray bile ducts/pancreas | 0.00 | NA | 0.81 | 0.04 | XXX |
| 74320 | A | Contrast x-ray of bile ducts | 0.54 | NA | 3.44 | 0.16 | XXX | |
| 74320 | 26 | A | Contrast x-ray of bile ducts | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 74320 | TC | A | Contrast x-ray of bile ducts | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74327 | A | X-ray bile stone removal | 0.70 | NA | 2.06 | 0.12 | XXX | |
| 74327 | 26 | A | X-ray bile stone removal | 0.70 | 0.24 | 0.24 | 0.03 | XXX |
| 74327 | TC | A | X-ray bile stone removal | 0.00 | NA | 1.82 | 0.09 | XXX |
| 74328 | A | Xray bile duct endoscopy | 0.70 | NA | 3.50 | 0.17 | XXX | |
| 74328 | 26 | A | Xray bile duct endoscopy | 0.70 | 0.24 | 0.24 | 0.03 | XXX |
| 74328 | TC | A | Xray bile duct endoscopy | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74329 | A | X-ray for pancreas endoscopy | 0.70 | NA | 3.50 | 0.17 | XXX | |
| 74329 | 26 | A | X-ray for pancreas endoscopy | 0.70 | 0.24 | 0.24 | 0.03 | XXX |
| 74329 | TC | A | X-ray for pancreas endoscopy | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74330 | A | X-ray bile/panc endoscopy | 0.90 | NA | 3.56 | 0.18 | XXX | |
| 74330 | 26 | A | X-ray bile/panc endoscopy | 0.90 | 0.31 | 0.31 | 0.04 | XXX |
| 74330 | TC | A | X-ray bile/panc endoscopy | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74340 | A | X-ray guide for GI tube | 0.54 | NA | 2.89 | 0.14 | XXX | |
| 74340 | 26 | A | X-ray guide for GI tube | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 74340 | TC | A | X-ray guide for GI tube | 0.00 | NA | 2.71 | 0.12 | XXX |
| 74350 | A | X-ray guide, stomach tube | 0.76 | NA | 3.52 | 0.17 | XXX | |
| 74350 | 26 | A | X-ray guide, stomach tube | 0.76 | 0.26 | 0.26 | 0.03 | XXX |
| 74350 | TC | A | X-ray guide, stomach tube | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74355 | A | X-ray guide, intestinal tube | 0.76 | NA | 2.96 | 0.15 | XXX | |
| 74355 | 26 | A | X-ray guide, intestinal tube | 0.76 | 0.26 | 0.26 | 0.03 | XXX |
| 74355 | TC | A | X-ray guide, intestinal tube | 0.00 | NA | 2.71 | 0.12 | XXX |
| 74360 | A | X-ray guide, GI dilation | 0.54 | NA | 3.45 | 0.16 | XXX | |
| 74360 | 26 | A | X-ray guide, GI dilation | 0.54 | 0.19 | 0.19 | 0.02 | XXX |
| 74360 | TC | A | X-ray guide, GI dilation | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74363 | A | X-ray, bile duct dilation | 0.88 | NA | 6.60 | 0.31 | XXX | |
| 74363 | 26 | A | X-ray, bile duct dilation | 0.88 | 0.30 | 0.30 | 0.04 | XXX |
| 74363 | TC | A | X-ray, bile duct dilation | 0.00 | NA | 6.31 | 0.27 | XXX |
| 74400 | A | Contrst x-ray, urinary tract | 0.49 | NA | 1.91 | 0.11 | XXX | |
| 74400 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 74400 | TC | A | Contrst x-ray, urinary tract | 0.00 | NA | 1.74 | 0.09 | XXX |
| 74410 | A | Contrst x-ray, urinary tract | 0.49 | NA | 2.19 | 0.11 | XXX | |
| 74410 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 74410 | TC | A | Contrst x-ray, urinary tract | 0.00 | NA | 2.02 | 0.09 | XXX |
| 74415 | A | Contrst x-ray, urinary tract | 0.49 | NA | 2.36 | 0.12 | XXX | |
| 74415 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 74415 | TC | A | Contrst x-ray, urinary tract | 0.00 | NA | 2.19 | 0.10 | XXX |
| 74420 | A | Contrst x-ray, urinary tract | 0.36 | NA | 2.83 | 0.14 | XXX | |
| 74420 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.12 | 0.02 | XXX |
| 74420 | TC | A | Contrst x-ray, urinary tract | 0.00 | NA | 2.71 | 0.12 | XXX |
| 74425 | A | Contrst x-ray, urinary tract | 0.36 | NA | 1.47 | 0.08 | XXX | |
| 74425 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.12 | 0.02 | XXX |
| 74425 | TC | A | Contrst x-ray, urinary tract | 0.00 | NA | 1.35 | 0.06 | XXX |
| 74430 | A | Contrast x-ray, bladder | 0.32 | NA | 1.20 | 0.07 | XXX | |
| 74430 | 26 | A | Contrast x-ray, bladder | 0.32 | 0.11 | 0.11 | 0.02 | XXX |
| 74430 | TC | A | Contrast x-ray, bladder | 0.00 | NA | 1.09 | 0.05 | XXX |
| 74440 | A | X-ray, male genital tract | 0.38 | NA | 1.30 | 0.07 | XXX | |
| 74440 | 26 | A | X-ray, male genital tract | 0.38 | 0.13 | 0.13 | 0.02 | XXX |
| 74440 | TC | A | X-ray, male genital tract | 0.00 | NA | 1.17 | 0.05 | XXX |
| 74445 | A | X-ray exam of penis | 1.14 | NA | 1.55 | 0.10 | XXX | |
| 74445 | 26 | A | X-ray exam of penis | 1.14 | 0.38 | 0.38 | 0.05 | XXX |
| 74445 | TC | A | X-ray exam of penis | 0.00 | NA | 1.17 | 0.05 | XXX |
| 74450 | A | X-ray, urethra/bladder | 0.33 | NA | 1.62 | 0.09 | XXX | |
| 74450 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.11 | 0.02 | XXX |
| 74450 | TC | A | X-ray, urethra/bladder | 0.00 | NA | 1.51 | 0.07 | XXX |
| 74455 | A | X-ray, urethra/bladder | 0.33 | NA | 1.74 | 0.10 | XXX | |
| 74455 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.11 | 0.02 | XXX |
| 74455 | TC | A | X-ray, urethra/bladder | 0.00 | NA | 1.63 | 0.08 | XXX |
| 74470 | A | X-ray exam of kidney lesion | 0.54 | NA | 1.47 | 0.08 | XXX | |
| 74470 | 26 | A | X-ray exam of kidney lesion | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 74470 | TC | A | X-ray exam of kidney lesion | 0.00 | NA | 1.29 | 0.06 | XXX |
| 74475 | A | X-ray control, cath insert | 0.54 | NA | 4.39 | 0.20 | XXX | |
| 74475 | 26 | A | X-ray control, cath insert | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 74475 | TC | A | X-ray control, cath insert | 0.00 | NA | 4.21 | 0.18 | XXX |
| 74480 | A | X-ray control, cath insert | 0.54 | NA | 4.39 | 0.20 | XXX | |
| 74480 | 26 | A | X-ray control, cath insert | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 74480 | TC | A | X-ray control, cath insert | 0.00 | NA | 4.21 | 0.18 | XXX |
| 74485 | A | X-ray guide, GU dilation | 0.54 | NA | 3.44 | 0.17 | XXX | |
| 74485 | 26 | A | X-ray guide, GU dilation | 0.54 | 0.18 | 0.18 | 0.03 | XXX |
| 74485 | TC | A | X-ray guide, GU dilation | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74710 | A | X-ray measurement of pelvis | 0.34 | NA | 1.21 | 0.07 | XXX | |
| 74710 | 26 | A | X-ray measurement of pelvis | 0.34 | 0.12 | 0.12 | 0.02 | XXX |
| 74710 | TC | A | X-ray measurement of pelvis | 0.00 | NA | 1.09 | 0.05 | XXX |
| 74740 | A | X-ray, female genital tract | 0.38 | NA | 1.48 | 0.08 | XXX | |
| 74740 | 26 | A | X-ray, female genital tract | 0.38 | 0.13 | 0.13 | 0.02 | XXX |
| 74740 | TC | A | X-ray, female genital tract | 0.00 | NA | 1.35 | 0.06 | XXX |
| 74742 | A | X-ray, fallopian tube | 0.61 | NA | 3.47 | 0.16 | XXX | |
| 74742 | 26 | A | X-ray, fallopian tube | 0.61 | 0.21 | 0.21 | 0.02 | XXX |
| 74742 | TC | A | X-ray, fallopian tube | 0.00 | NA | 3.26 | 0.14 | XXX |
| 74775 | A | X-ray exam of perineum | 0.62 | NA | 1.72 | 0.10 | XXX | |
| 74775 | 26 | A | X-ray exam of perineum | 0.62 | 0.22 | 0.22 | 0.03 | XXX |
| 74775 | TC | A | X-ray exam of perineum | 0.00 | NA | 1.51 | 0.07 | XXX |
| 75552 | A | Heart mri for morph w/o dye | 1.60 | NA | 12.13 | 0.56 | XXX | |
| 75552 | 26 | A | Heart mri for morph w/o dye | 1.60 | 0.55 | 0.55 | 0.07 | XXX |
| 75552 | TC | A | Heart mri for morph w/o dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 75553 | A | Heart mri for morph w/dye | 2.00 | NA | 12.26 | 0.58 | XXX | |
| 75553 | 26 | A | Heart mri for morph w/dye | 2.00 | 0.68 | 0.68 | 0.09 | XXX |
| 75553 | TC | A | Heart mri for morph w/dye | 0.00 | NA | 11.58 | 0.49 | XXX |
| 75554 | A | Cardiac MRI/function | 1.83 | NA | 12.25 | 0.56 | XXX | |
| 75554 | 26 | A | Cardiac MRI/function | 1.83 | 0.67 | 0.67 | 0.07 | XXX |
| 75554 | TC | A | Cardiac MRI/function | 0.00 | NA | 11.58 | 0.49 | XXX |
| 75555 | A | Cardiac MRI/limited study | 1.74 | NA | 12.24 | 0.56 | XXX | |
| 75555 | 26 | A | Cardiac MRI/limited study | 1.74 | 0.66 | 0.66 | 0.07 | XXX |
| 75555 | TC | A | Cardiac MRI/limited study | 0.00 | NA | 11.58 | 0.49 | XXX |
| 75556 | N | Cardiac MRI/flow mapping | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75600 | A | Contrast x-ray exam of aorta | 0.49 | NA | 13.21 | 0.56 | XXX | |
| 75600 | 26 | A | Contrast x-ray exam of aorta | 0.49 | 0.19 | 0.19 | 0.02 | XXX |
| 75600 | TC | A | Contrast x-ray exam of aorta | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75605 | A | Contrast x-ray exam of aorta | 1.14 | NA | 13.43 | 0.59 | XXX | |
| 75605 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.41 | 0.41 | 0.05 | XXX |
| 75605 | TC | A | Contrast x-ray exam of aorta | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75625 | A | Contrast x-ray exam of aorta | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75625 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75625 | TC | A | Contrast x-ray exam of aorta | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75630 | A | X-ray aorta, leg arteries | 1.79 | NA | 14.21 | 0.65 | XXX | |
| 75630 | 26 | A | X-ray aorta, leg arteries | 1.79 | 0.64 | 0.64 | 0.08 | XXX |
| 75630 | TC | A | X-ray aorta, leg arteries | 0.00 | NA | 13.57 | 0.57 | XXX |
| 75635 | A | Ct angio abdominal arteries | 2.40 | NA | 9.70 | 0.41 | XXX | |
| 75635 | 26 | A | Ct angio abdominal arteries | 2.40 | 0.93 | 0.93 | 0.09 | XXX |
| 75635 | TC | A | Ct angio abdominal arteries | 0.00 | NA | 8.77 | 0.32 | XXX |
| 75650 | A | Artery x-rays, head neck | 1.49 | NA | 13.53 | 0.61 | XXX | |
| 75650 | 26 | A | Artery x-rays, head neck | 1.49 | 0.51 | 0.51 | 0.07 | XXX |
| 75650 | TC | A | Artery x-rays, head neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75658 | A | Artery x-rays, arm | 1.31 | NA | 13.51 | 0.60 | XXX | |
| 75658 | 26 | A | Artery x-rays, arm | 1.31 | 0.49 | 0.49 | 0.06 | XXX |
| 75658 | TC | A | Artery x-rays, arm | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75660 | A | Artery x-rays, head neck | 1.31 | NA | 13.48 | 0.60 | XXX | |
| 75660 | 26 | A | Artery x-rays, head neck | 1.31 | 0.46 | 0.46 | 0.06 | XXX |
| 75660 | TC | A | Artery x-rays, head neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75662 | A | Artery x-rays, head neck | 1.66 | NA | 13.63 | 0.62 | XXX | |
| 75662 | 26 | A | Artery x-rays, head neck | 1.66 | 0.61 | 0.61 | 0.08 | XXX |
| 75662 | TC | A | Artery x-rays, head neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75665 | A | Artery x-rays, head neck | 1.31 | NA | 13.47 | 0.61 | XXX | |
| 75665 | 26 | A | Artery x-rays, head neck | 1.31 | 0.46 | 0.46 | 0.07 | XXX |
| 75665 | TC | A | Artery x-rays, head neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75671 | A | Artery x-rays, head neck | 1.66 | NA | 13.59 | 0.62 | XXX | |
| 75671 | 26 | A | Artery x-rays, head neck | 1.66 | 0.57 | 0.57 | 0.08 | XXX |
| 75671 | TC | A | Artery x-rays, head neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75676 | A | Artery x-rays, neck | 1.31 | NA | 13.48 | 0.61 | XXX | |
| 75676 | 26 | A | Artery x-rays, neck | 1.31 | 0.46 | 0.46 | 0.07 | XXX |
| 75676 | TC | A | Artery x-rays, neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75680 | A | Artery x-rays, neck | 1.66 | NA | 13.59 | 0.62 | XXX | |
| 75680 | 26 | A | Artery x-rays, neck | 1.66 | 0.57 | 0.57 | 0.08 | XXX |
| 75680 | TC | A | Artery x-rays, neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75685 | A | Artery x-rays, spine | 1.31 | NA | 13.47 | 0.60 | XXX | |
| 75685 | 26 | A | Artery x-rays, spine | 1.31 | 0.45 | 0.45 | 0.06 | XXX |
| 75685 | TC | A | Artery x-rays, spine | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75705 | A | Artery x-rays, spine | 2.18 | NA | 13.78 | 0.65 | XXX | |
| 75705 | 26 | A | Artery x-rays, spine | 2.18 | 0.76 | 0.76 | 0.11 | XXX |
| 75705 | TC | A | Artery x-rays, spine | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75710 | A | Artery x-rays, arm/leg | 1.14 | NA | 13.42 | 0.60 | XXX | |
| 75710 | 26 | A | Artery x-rays, arm/leg | 1.14 | 0.40 | 0.40 | 0.06 | XXX |
| 75710 | TC | A | Artery x-rays, arm/leg | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75716 | A | Artery x-rays, arms/legs | 1.31 | NA | 13.47 | 0.60 | XXX | |
| 75716 | 26 | A | Artery x-rays, arms/legs | 1.31 | 0.45 | 0.45 | 0.06 | XXX |
| 75716 | TC | A | Artery x-rays, arms/legs | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75722 | A | Artery x-rays, kidney | 1.14 | NA | 13.43 | 0.59 | XXX | |
| 75722 | 26 | A | Artery x-rays, kidney | 1.14 | 0.41 | 0.41 | 0.05 | XXX |
| 75722 | TC | A | Artery x-rays, kidney | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75724 | A | Artery x-rays, kidneys | 1.49 | NA | 13.60 | 0.59 | XXX | |
| 75724 | 26 | A | Artery x-rays, kidneys | 1.49 | 0.58 | 0.58 | 0.05 | XXX |
| 75724 | TC | A | Artery x-rays, kidneys | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75726 | A | Artery x-rays, abdomen | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75726 | 26 | A | Artery x-rays, abdomen | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75726 | TC | A | Artery x-rays, abdomen | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75731 | A | Artery x-rays, adrenal gland | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75731 | 26 | A | Artery x-rays, adrenal gland | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75731 | TC | A | Artery x-rays, adrenal gland | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75733 | A | Artery x-rays, adrenals | 1.31 | NA | 13.48 | 0.60 | XXX | |
| 75733 | 26 | A | Artery x-rays, adrenals | 1.31 | 0.46 | 0.46 | 0.06 | XXX |
| 75733 | TC | A | Artery x-rays, adrenals | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75736 | A | Artery x-rays, pelvis | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75736 | 26 | A | Artery x-rays, pelvis | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75736 | TC | A | Artery x-rays, pelvis | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75741 | A | Artery x-rays, lung | 1.31 | NA | 13.47 | 0.60 | XXX | |
| 75741 | 26 | A | Artery x-rays, lung | 1.31 | 0.45 | 0.45 | 0.06 | XXX |
| 75741 | TC | A | Artery x-rays, lung | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75743 | A | Artery x-rays, lungs | 1.66 | NA | 13.58 | 0.61 | XXX | |
| 75743 | 26 | A | Artery x-rays, lungs | 1.66 | 0.57 | 0.57 | 0.07 | XXX |
| 75743 | TC | A | Artery x-rays, lungs | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75746 | A | Artery x-rays, lung | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75746 | 26 | A | Artery x-rays, lung | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75746 | TC | A | Artery x-rays, lung | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75756 | A | Artery x-rays, chest | 1.14 | NA | 13.48 | 0.58 | XXX | |
| 75756 | 26 | A | Artery x-rays, chest | 1.14 | 0.46 | 0.46 | 0.04 | XXX |
| 75756 | TC | A | Artery x-rays, chest | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75774 | A | Artery x-ray, each vessel | 0.36 | NA | 13.15 | 0.56 | ZZZ | |
| 75774 | 26 | A | Artery x-ray, each vessel | 0.36 | 0.13 | 0.13 | 0.02 | ZZZ |
| 75774 | TC | A | Artery x-ray, each vessel | 0.00 | NA | 13.02 | 0.54 | ZZZ |
| 75790 | A | Visualize A-V shunt | 1.84 | NA | 2.02 | 0.16 | XXX | |
| 75790 | 26 | A | Visualize A-V shunt | 1.84 | 0.63 | 0.63 | 0.09 | XXX |
| 75790 | TC | A | Visualize A-V shunt | 0.00 | NA | 1.40 | 0.07 | XXX |
| 75801 | A | Lymph vessel x-ray, arm/leg | 0.81 | NA | 5.87 | 0.29 | XXX | |
| 75801 | 26 | A | Lymph vessel x-ray, arm/leg | 0.81 | 0.28 | 0.28 | 0.05 | XXX |
| 75801 | TC | A | Lymph vessel x-ray, arm/leg | 0.00 | NA | 5.60 | 0.24 | XXX |
| 75803 | A | Lymph vessel x-ray, arms/legs | 1.17 | NA | 5.99 | 0.29 | XXX | |
| 75803 | 26 | A | Lymph vessel x-ray, arms/legs | 1.17 | 0.40 | 0.40 | 0.05 | XXX |
| 75803 | TC | A | Lymph vessel x-ray, arms/legs | 0.00 | NA | 5.60 | 0.24 | XXX |
| 75805 | A | Lymph vessel x-ray, trunk | 0.81 | NA | 6.58 | 0.31 | XXX | |
| 75805 | 26 | A | Lymph vessel x-ray, trunk | 0.81 | 0.28 | 0.28 | 0.04 | XXX |
| 75805 | TC | A | Lymph vessel x-ray, trunk | 0.00 | NA | 6.31 | 0.27 | XXX |
| 75807 | A | Lymph vessel x-ray, trunk | 1.17 | NA | 6.70 | 0.32 | XXX | |
| 75807 | 26 | A | Lymph vessel x-ray, trunk | 1.17 | 0.40 | 0.40 | 0.05 | XXX |
| 75807 | TC | A | Lymph vessel x-ray, trunk | 0.00 | NA | 6.31 | 0.27 | XXX |
| 75809 | A | Nonvascular shunt, x-ray | 0.47 | NA | 0.97 | 0.06 | XXX | |
| 75809 | 26 | A | Nonvascular shunt, x-ray | 0.47 | 0.16 | 0.16 | 0.02 | XXX |
| 75809 | TC | A | Nonvascular shunt, x-ray | 0.00 | NA | 0.81 | 0.04 | XXX |
| 75810 | A | Vein x-ray, spleen/liver | 1.14 | NA | 13.41 | 0.60 | XXX | |
| 75810 | 26 | A | Vein x-ray, spleen/liver | 1.14 | 0.39 | 0.39 | 0.06 | XXX |
| 75810 | TC | A | Vein x-ray, spleen/liver | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75820 | A | Vein x-ray, arm/leg | 0.70 | NA | 1.22 | 0.08 | XXX | |
| 75820 | 26 | A | Vein x-ray, arm/leg | 0.70 | 0.24 | 0.24 | 0.03 | XXX |
| 75820 | TC | A | Vein x-ray, arm/leg | 0.00 | NA | 0.98 | 0.05 | XXX |
| 75822 | A | Vein x-ray, arms/legs | 1.06 | NA | 1.89 | 0.12 | XXX | |
| 75822 | 26 | A | Vein x-ray, arms/legs | 1.06 | 0.36 | 0.36 | 0.05 | XXX |
| 75822 | TC | A | Vein x-ray, arms/legs | 0.00 | NA | 1.53 | 0.07 | XXX |
| 75825 | A | Vein x-ray, trunk | 1.14 | NA | 13.41 | 0.60 | XXX | |
| 75825 | 26 | A | Vein x-ray, trunk | 1.14 | 0.39 | 0.39 | 0.06 | XXX |
| 75825 | TC | A | Vein x-ray, trunk | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75827 | A | Vein x-ray, chest | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75827 | 26 | A | Vein x-ray, chest | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75827 | TC | A | Vein x-ray, chest | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75831 | A | Vein x-ray, kidney | 1.14 | NA | 13.40 | 0.59 | XXX | |
| 75831 | 26 | A | Vein x-ray, kidney | 1.14 | 0.38 | 0.38 | 0.05 | XXX |
| 75831 | TC | A | Vein x-ray, kidney | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75833 | A | Vein x-ray, kidneys | 1.49 | NA | 13.53 | 0.61 | XXX | |
| 75833 | 26 | A | Vein x-ray, kidneys | 1.49 | 0.51 | 0.51 | 0.07 | XXX |
| 75833 | TC | A | Vein x-ray, kidneys | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75840 | A | Vein x-ray, adrenal gland | 1.14 | NA | 13.41 | 0.61 | XXX | |
| 75840 | 26 | A | Vein x-ray, adrenal gland | 1.14 | 0.39 | 0.39 | 0.07 | XXX |
| 75840 | TC | A | Vein x-ray, adrenal gland | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75842 | A | Vein x-ray, adrenal glands | 1.49 | NA | 13.52 | 0.61 | XXX | |
| 75842 | 26 | A | Vein x-ray, adrenal glands | 1.49 | 0.50 | 0.50 | 0.07 | XXX |
| 75842 | TC | A | Vein x-ray, adrenal glands | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75860 | A | Vein x-ray, neck | 1.14 | NA | 13.42 | 0.60 | XXX | |
| 75860 | 26 | A | Vein x-ray, neck | 1.14 | 0.40 | 0.40 | 0.06 | XXX |
| 75860 | TC | A | Vein x-ray, neck | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75870 | A | Vein x-ray, skull | 1.14 | NA | 13.42 | 0.60 | XXX | |
| 75870 | 26 | A | Vein x-ray, skull | 1.14 | 0.40 | 0.40 | 0.06 | XXX |
| 75870 | TC | A | Vein x-ray, skull | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75872 | A | Vein x-ray, skull | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75872 | 26 | A | Vein x-ray, skull | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75872 | TC | A | Vein x-ray, skull | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75880 | A | Vein x-ray, eye socket | 0.70 | NA | 1.22 | 0.08 | XXX | |
| 75880 | 26 | A | Vein x-ray, eye socket | 0.70 | 0.24 | 0.24 | 0.03 | XXX |
| 75880 | TC | A | Vein x-ray, eye socket | 0.00 | NA | 0.98 | 0.05 | XXX |
| 75885 | A | Vein x-ray, liver | 1.44 | NA | 13.51 | 0.60 | XXX | |
| 75885 | 26 | A | Vein x-ray, liver | 1.44 | 0.49 | 0.49 | 0.06 | XXX |
| 75885 | TC | A | Vein x-ray, liver | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75887 | A | Vein x-ray, liver | 1.44 | NA | 13.51 | 0.60 | XXX | |
| 75887 | 26 | A | Vein x-ray, liver | 1.44 | 0.49 | 0.49 | 0.06 | XXX |
| 75887 | TC | A | Vein x-ray, liver | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75889 | A | Vein x-ray, liver | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75889 | 26 | A | Vein x-ray, liver | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75889 | TC | A | Vein x-ray, liver | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75891 | A | Vein x-ray, liver | 1.14 | NA | 13.41 | 0.59 | XXX | |
| 75891 | 26 | A | Vein x-ray, liver | 1.14 | 0.39 | 0.39 | 0.05 | XXX |
| 75891 | TC | A | Vein x-ray, liver | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75893 | A | Venous sampling by catheter | 0.54 | NA | 13.21 | 0.56 | XXX | |
| 75893 | 26 | A | Venous sampling by catheter | 0.54 | 0.19 | 0.19 | 0.02 | XXX |
| 75893 | TC | A | Venous sampling by catheter | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75894 | A | X-rays, transcath therapy | 1.31 | NA | 25.39 | 1.12 | XXX | |
| 75894 | 26 | A | X-rays, transcath therapy | 1.31 | 0.45 | 0.45 | 0.07 | XXX |
| 75894 | TC | A | X-rays, transcath therapy | 0.00 | NA | 24.94 | 1.05 | XXX |
| 75896 | A | X-rays, transcath therapy | 1.31 | NA | 22.16 | 0.97 | XXX | |
| 75896 | 26 | A | X-rays, transcath therapy | 1.31 | 0.47 | 0.47 | 0.06 | XXX |
| 75896 | TC | A | X-rays, transcath therapy | 0.00 | NA | 21.69 | 0.91 | XXX |
| 75898 | A | Follow-up angiography | 1.65 | NA | 1.66 | 0.12 | XXX | |
| 75898 | 26 | A | Follow-up angiography | 1.65 | 0.57 | 0.57 | 0.07 | XXX |
| 75898 | TC | A | Follow-up angiography | 0.00 | NA | 1.09 | 0.05 | XXX |
| 75900 | A | Arterial catheter exchange | 0.49 | NA | 21.84 | 0.94 | XXX | |
| 75900 | 26 | A | Arterial catheter exchange | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 75900 | TC | A | Arterial catheter exchange | 0.00 | NA | 21.67 | 0.92 | XXX |
| 75940 | A | X-ray placement, vein filter | 0.54 | NA | 13.20 | 0.57 | XXX | |
| 75940 | 26 | A | X-ray placement, vein filter | 0.54 | 0.18 | 0.18 | 0.03 | XXX |
| 75940 | TC | A | X-ray placement, vein filter | 0.00 | NA | 13.02 | 0.54 | XXX |
| 75945 | A | Intravascular us | 0.40 | NA | 4.86 | 0.23 | XXX | |
| 75945 | 26 | A | Intravascular us | 0.40 | 0.15 | 0.15 | 0.03 | XXX |
| 75945 | TC | A | Intravascular us | 0.00 | NA | 4.72 | 0.20 | XXX |
| 75946 | A | Intravascular us add-on | 0.40 | NA | 2.51 | 0.14 | ZZZ | |
| 75946 | 26 | A | Intravascular us add-on | 0.40 | 0.14 | 0.14 | 0.03 | ZZZ |
| 75946 | TC | A | Intravascular us add-on | 0.00 | NA | 2.37 | 0.11 | ZZZ |
| 75952 | C | Endovasc repair abdom aorta | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75952 | 26 | A | Endovasc repair abdom aorta | 4.50 | 1.74 | 1.74 | 0.68 | XXX |
| 75952 | TC | C | Endovasc repair abdom aorta | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75953 | C | Abdom aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75953 | 26 | A | Abdom aneurysm endovas rpr | 1.36 | 0.53 | 0.53 | 0.68 | XXX |
| 75953 | TC | C | Abdom aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75960 | A | Transcatheter intro, stent | 0.82 | NA | 15.69 | 0.68 | XXX | |
| 75960 | 26 | A | Transcatheter intro, stent | 0.82 | 0.29 | 0.29 | 0.04 | XXX |
| 75960 | TC | A | Transcatheter intro, stent | 0.00 | NA | 15.40 | 0.64 | XXX |
| 75961 | A | Retrieval, broken catheter | 4.25 | NA | 12.30 | 0.64 | XXX | |
| 75961 | 26 | A | Retrieval, broken catheter | 4.25 | 1.45 | 1.45 | 0.18 | XXX |
| 75961 | TC | A | Retrieval, broken catheter | 0.00 | NA | 10.85 | 0.46 | XXX |
| 75962 | A | Repair arterial blockage | 0.54 | NA | 16.46 | 0.72 | XXX | |
| 75962 | 26 | A | Repair arterial blockage | 0.54 | 0.19 | 0.19 | 0.03 | XXX |
| 75962 | TC | A | Repair arterial blockage | 0.00 | NA | 16.27 | 0.69 | XXX |
| 75964 | A | Repair artery blockage, each | 0.36 | NA | 8.80 | 0.38 | ZZZ | |
| 75964 | 26 | A | Repair artery blockage, each | 0.36 | 0.13 | 0.13 | 0.02 | ZZZ |
| 75964 | TC | A | Repair artery blockage, each | 0.00 | NA | 8.67 | 0.36 | ZZZ |
| 75966 | A | Repair arterial blockage | 1.31 | NA | 16.75 | 0.75 | XXX | |
| 75966 | 26 | A | Repair arterial blockage | 1.31 | 0.48 | 0.48 | 0.06 | XXX |
| 75966 | TC | A | Repair arterial blockage | 0.00 | NA | 16.27 | 0.69 | XXX |
| 75968 | A | Repair artery blockage, each | 0.36 | NA | 8.81 | 0.37 | ZZZ | |
| 75968 | 26 | A | Repair artery blockage, each | 0.36 | 0.13 | 0.13 | 0.01 | ZZZ |
| 75968 | TC | A | Repair artery blockage, each | 0.00 | NA | 8.67 | 0.36 | ZZZ |
| 75970 | A | Vascular biopsy | 0.83 | NA | 12.22 | 0.54 | XXX | |
| 75970 | 26 | A | Vascular biopsy | 0.83 | 0.29 | 0.29 | 0.04 | XXX |
| 75970 | TC | A | Vascular biopsy | 0.00 | NA | 11.93 | 0.50 | XXX |
| 75978 | A | Repair venous blockage | 0.54 | NA | 16.45 | 0.71 | XXX | |
| 75978 | 26 | A | Repair venous blockage | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 75978 | TC | A | Repair venous blockage | 0.00 | NA | 16.27 | 0.69 | XXX |
| 75980 | A | Contrast xray exam bile duct | 1.44 | NA | 6.08 | 0.30 | XXX | |
| 75980 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.49 | 0.49 | 0.06 | XXX |
| 75980 | TC | A | Contrast xray exam bile duct | 0.00 | NA | 5.60 | 0.24 | XXX |
| 75982 | A | Contrast xray exam bile duct | 1.44 | NA | 6.79 | 0.33 | XXX | |
| 75982 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.49 | 0.49 | 0.06 | XXX |
| 75982 | TC | A | Contrast xray exam bile duct | 0.00 | NA | 6.31 | 0.27 | XXX |
| 75984 | A | Xray control catheter change | 0.72 | NA | 2.26 | 0.12 | XXX | |
| 75984 | 26 | A | Xray control catheter change | 0.72 | 0.24 | 0.24 | 0.03 | XXX |
| 75984 | TC | A | Xray control catheter change | 0.00 | NA | 2.02 | 0.09 | XXX |
| 75989 | A | Abscess drainage under x-ray | 1.19 | NA | 3.66 | 0.19 | XXX | |
| 75989 | 26 | A | Abscess drainage under x-ray | 1.19 | 0.40 | 0.40 | 0.05 | XXX |
| 75989 | TC | A | Abscess drainage under x-ray | 0.00 | NA | 3.26 | 0.14 | XXX |
| 75992 | A | Atherectomy, x-ray exam | 0.54 | NA | 16.46 | 0.71 | XXX | |
| 75992 | 26 | A | Atherectomy, x-ray exam | 0.54 | 0.20 | 0.20 | 0.02 | XXX |
| 75992 | TC | A | Atherectomy, x-ray exam | 0.00 | NA | 16.27 | 0.69 | XXX |
| 75993 | A | Atherectomy, x-ray exam | 0.36 | NA | 8.81 | 0.37 | ZZZ | |
| 75993 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.14 | 0.14 | 0.01 | ZZZ |
| 75993 | TC | A | Atherectomy, x-ray exam | 0.00 | NA | 8.67 | 0.36 | ZZZ |
| 75994 | A | Atherectomy, x-ray exam | 1.31 | NA | 16.75 | 0.75 | XXX | |
| 75994 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.48 | 0.48 | 0.06 | XXX |
| 75994 | TC | A | Atherectomy, x-ray exam | 0.00 | NA | 16.27 | 0.69 | XXX |
| 75995 | A | Atherectomy, x-ray exam | 1.31 | NA | 16.75 | 0.75 | XXX | |
| 75995 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.49 | 0.49 | 0.06 | XXX |
| 75995 | TC | A | Atherectomy, x-ray exam | 0.00 | NA | 16.27 | 0.69 | XXX |
| 75996 | A | Atherectomy, x-ray exam | 0.36 | NA | 8.80 | 0.37 | ZZZ | |
| 75996 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.12 | 0.12 | 0.01 | ZZZ |
| 75996 | TC | A | Atherectomy, x-ray exam | 0.00 | NA | 8.67 | 0.36 | ZZZ |
| 76000 | A | Fluoroscope examination | 0.17 | NA | 1.40 | 0.07 | XXX | |
| 76000 | 26 | A | Fluoroscope examination | 0.17 | 0.05 | 0.05 | 0.01 | XXX |
| 76000 | TC | A | Fluoroscope examination | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76001 | A | Fluoroscope exam, extensive | 0.67 | NA | 2.94 | 0.15 | XXX | |
| 76001 | 26 | A | Fluoroscope exam, extensive | 0.67 | 0.23 | 0.23 | 0.03 | XXX |
| 76001 | TC | A | Fluoroscope exam, extensive | 0.00 | NA | 2.71 | 0.12 | XXX |
| 76003 | A | Needle localization by x-ray | 0.54 | NA | 1.53 | 0.09 | XXX | |
| 76003 | 26 | A | Needle localization by x-ray | 0.54 | 0.18 | 0.18 | 0.03 | XXX |
| 76003 | TC | A | Needle localization by x-ray | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76005 | A | Fluoroguide for spine inject | 0.60 | NA | 1.52 | 0.09 | XXX | |
| 76005 | 26 | A | Fluoroguide for spine inject | 0.60 | 0.17 | 0.17 | 0.03 | XXX |
| 76005 | TC | A | Fluoroguide for spine inject | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76006 | A | X-ray stress view | 0.41 | 0.18 | 0.18 | 0.04 | XXX | |
| 76010 | A | X-ray, nose to rectum | 0.18 | NA | 0.60 | 0.03 | XXX | |
| 76010 | 26 | A | X-ray, nose to rectum | 0.18 | 0.06 | 0.06 | 0.01 | XXX |
| 76010 | TC | A | X-ray, nose to rectum | 0.00 | NA | 0.54 | 0.02 | XXX |
| 76012 | C | Percut vertebroplasty fluor | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76012 | 26 | A | Percut vertebroplasty fluor | 1.31 | 0.51 | 0.51 | 0.23 | XXX |
| 76012 | TC | C | Percut vertebroplasty fluor | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76013 | C | Percut vertebroplasty, ct | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76013 | 26 | A | Percut vertebroplasty, ct | 1.38 | 0.53 | 0.53 | 0.48 | XXX |
| 76013 | TC | C | Percut vertebroplasty, ct | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76020 | A | X-rays for bone age | 0.19 | NA | 0.60 | 0.03 | XXX | |
| 76020 | 26 | A | X-rays for bone age | 0.19 | 0.07 | 0.07 | 0.01 | XXX |
| 76020 | TC | A | X-rays for bone age | 0.00 | NA | 0.54 | 0.02 | XXX |
| 76040 | A | X-rays, bone evaluation | 0.27 | NA | 0.90 | 0.07 | XXX | |
| 76040 | 26 | A | X-rays, bone evaluation | 0.27 | 0.09 | 0.09 | 0.03 | XXX |
| 76040 | TC | A | X-rays, bone evaluation | 0.00 | NA | 0.81 | 0.04 | XXX |
| 76061 | A | X-rays, bone survey | 0.45 | NA | 1.18 | 0.07 | XXX | |
| 76061 | 26 | A | X-rays, bone survey | 0.45 | 0.15 | 0.15 | 0.02 | XXX |
| 76061 | TC | A | X-rays, bone survey | 0.00 | NA | 1.03 | 0.05 | XXX |
| 76062 | A | X-rays, bone survey | 0.54 | NA | 1.67 | 0.09 | XXX | |
| 76062 | 26 | A | X-rays, bone survey | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 76062 | TC | A | X-rays, bone survey | 0.00 | NA | 1.49 | 0.07 | XXX |
| 76065 | A | X-rays, bone evaluation | 0.70 | NA | 1.00 | 0.05 | XXX | |
| 76065 | 26 | A | X-rays, bone evaluation | 0.70 | 0.24 | 0.24 | 0.01 | XXX |
| 76065 | TC | A | X-rays, bone evaluation | 0.00 | NA | 0.76 | 0.04 | XXX |
| 76066 | A | Joint survey, single view | 0.31 | NA | 1.26 | 0.07 | XXX | |
| 76066 | 26 | A | Joint survey, single view | 0.31 | 0.11 | 0.11 | 0.02 | XXX |
| 76066 | TC | A | Joint survey, single view | 0.00 | NA | 1.15 | 0.05 | XXX |
| 76070 | I | CT scan, bone density study | 0.25 | NA | 3.14 | 0.14 | XXX | |
| 76070 | 26 | I | CT scan, bone density study | 0.25 | 0.10 | 0.10 | 0.01 | XXX |
| 76070 | TC | I | CT scan, bone density study | 0.00 | NA | 3.05 | 0.13 | XXX |
| 76075 | A | Us exam, abdom, limited | 0.30 | NA | 3.30 | 0.15 | XXX | |
| 76075 | 26 | A | Us exam, abdom, limited | 0.30 | 0.11 | 0.11 | 0.01 | XXX |
| 76075 | TC | A | Us exam, abdom, limited | 0.00 | NA | 3.20 | 0.14 | XXX |
| 76076 | A | Dual energy x-ray study | 0.22 | NA | 0.86 | 0.05 | XXX | |
| 76076 | 26 | A | Dual energy x-ray study | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 76076 | TC | A | Dual energy x-ray study | 0.00 | NA | 0.78 | 0.04 | XXX |
| 76078 | A | Radiographic absorptiometry | 0.20 | NA | 0.86 | 0.05 | XXX | |
| 76078 | 26 | A | Radiographic absorptiometry | 0.20 | 0.08 | 0.08 | 0.01 | XXX |
| 76078 | TC | A | Radiographic absorptiometry | 0.00 | NA | 0.78 | 0.04 | XXX |
| 76080 | A | X-ray exam of fistula | 0.54 | NA | 1.27 | 0.07 | XXX | |
| 76080 | 26 | A | X-ray exam of fistula | 0.54 | 0.18 | 0.18 | 0.02 | XXX |
| 76080 | TC | A | X-ray exam of fistula | 0.00 | NA | 1.09 | 0.05 | XXX |
| 76085 | A | Computer mammogram add-on | 0.06 | NA | 0.45 | 0.02 | ZZZ | |
| 76085 | 26 | A | Computer mammogram add-on | 0.06 | 0.02 | 0.02 | 0.01 | ZZZ |
| 76085 | TC | A | Computer mammogram add-on | 0.00 | NA | 0.43 | 0.01 | ZZZ |
| 76086 | A | X-ray of mammary duct | 0.36 | NA | 2.83 | 0.14 | XXX | |
| 76086 | 26 | A | X-ray of mammary duct | 0.36 | 0.12 | 0.12 | 0.02 | XXX |
| 76086 | TC | A | X-ray of mammary duct | 0.00 | NA | 2.71 | 0.12 | XXX |
| 76088 | A | X-ray of mammary ducts | 0.45 | NA | 3.94 | 0.18 | XXX | |
| 76088 | 26 | A | X-ray of mammary ducts | 0.45 | 0.15 | 0.15 | 0.02 | XXX |
| 76088 | TC | A | X-ray of mammary ducts | 0.00 | NA | 3.79 | 0.16 | XXX |
| 76090 | A | Mammogram, one breast | 0.70 | NA | 1.33 | 0.08 | XXX | |
| 76090 | 26 | A | Mammogram, one breast | 0.70 | 0.24 | 0.24 | 0.03 | XXX |
| 76090 | TC | A | Mammogram, one breast | 0.00 | NA | 1.09 | 0.05 | XXX |
| 76091 | A | Mammogram, both breasts | 0.87 | NA | 1.65 | 0.09 | XXX | |
| 76091 | 26 | A | Mammogram, both breasts | 0.87 | 0.30 | 0.30 | 0.03 | XXX |
| 76091 | TC | A | Mammogram, both breasts | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76092 | A | Mammogram, screening | 0.70 | NA | 1.47 | 0.09 | XXX | |
| 76092 | 26 | A | Mammogram, screening | 0.70 | 0.25 | 0.25 | 0.03 | XXX |
| 76092 | TC | A | Mammogram, screening | 0.00 | NA | 1.22 | 0.06 | XXX |
| 76093 | A | Magnetic image, breast | 1.63 | NA | 18.77 | 0.83 | XXX | |
| 76093 | 26 | A | Magnetic image, breast | 1.63 | 0.56 | 0.56 | 0.07 | XXX |
| 76093 | TC | A | Magnetic image, breast | 0.00 | NA | 18.22 | 0.76 | XXX |
| 76094 | A | Magnetic image, both breasts | 1.63 | NA | 25.27 | 1.10 | XXX | |
| 76094 | 26 | A | Magnetic image, both breasts | 1.63 | 0.56 | 0.56 | 0.07 | XXX |
| 76094 | TC | A | Magnetic image, both breasts | 0.00 | NA | 24.71 | 1.03 | XXX |
| 76095 | A | Stereotactic breast biopsy | 1.59 | NA | 7.95 | 0.40 | XXX | |
| 76095 | 26 | A | Stereotactic breast biopsy | 1.59 | 0.54 | 0.54 | 0.09 | XXX |
| 76095 | TC | A | Stereotactic breast biopsy | 0.00 | NA | 7.40 | 0.31 | XXX |
| 76096 | A | X-ray of needle wire, breast | 0.56 | NA | 1.54 | 0.09 | XXX | |
| 76096 | 26 | A | X-ray of needle wire, breast | 0.56 | 0.19 | 0.19 | 0.03 | XXX |
| 76096 | TC | A | X-ray of needle wire, breast | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76098 | A | X-ray exam, breast specimen | 0.16 | NA | 0.49 | 0.03 | XXX | |
| 76098 | 26 | A | X-ray exam, breast specimen | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 76098 | TC | A | X-ray exam, breast specimen | 0.00 | NA | 0.43 | 0.02 | XXX |
| 76100 | A | X-ray exam of body section | 0.58 | NA | 1.49 | 0.09 | XXX | |
| 76100 | 26 | A | X-ray exam of body section | 0.58 | 0.20 | 0.20 | 0.03 | XXX |
| 76100 | TC | A | X-ray exam of body section | 0.00 | NA | 1.29 | 0.06 | XXX |
| 76101 | A | Complex body section x-ray | 0.58 | NA | 1.67 | 0.10 | XXX | |
| 76101 | 26 | A | Complex body section x-ray | 0.58 | 0.20 | 0.20 | 0.03 | XXX |
| 76101 | TC | A | Complex body section x-ray | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76102 | A | Complex body section x-rays | 0.58 | NA | 1.99 | 0.12 | XXX | |
| 76102 | 26 | A | Complex body section x-rays | 0.58 | 0.20 | 0.20 | 0.03 | XXX |
| 76102 | TC | A | Complex body section x-rays | 0.00 | NA | 1.79 | 0.09 | XXX |
| 76120 | A | Cine/video x-rays | 0.38 | NA | 1.22 | 0.07 | XXX | |
| 76120 | 26 | A | Cine/video x-rays | 0.38 | 0.13 | 0.13 | 0.02 | XXX |
| 76120 | TC | A | Cine/video x-rays | 0.00 | NA | 1.09 | 0.05 | XXX |
| 76125 | A | Cine/video x-rays add-on | 0.27 | NA | 0.91 | 0.05 | ZZZ | |
| 76125 | 26 | A | Cine/video x-rays add-on | 0.27 | 0.10 | 0.10 | 0.01 | ZZZ |
| 76125 | TC | A | Cine/video x-rays add-on | 0.00 | NA | 0.81 | 0.04 | ZZZ |
| 76140 | I | X-ray consultation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76150 | A | X-ray exam, dry process | 0.00 | NA | 0.43 | 0.02 | XXX | |
| 76350 | C | Special x-ray contrast study | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76355 | A | CAT scan for localization | 1.21 | NA | 8.95 | 0.41 | XXX | |
| 76355 | 26 | A | CAT scan for localization | 1.21 | 0.42 | 0.42 | 0.06 | XXX |
| 76355 | TC | A | CAT scan for localization | 0.00 | NA | 8.53 | 0.35 | XXX |
| 76360 | A | CAT scan for needle biopsy | 1.16 | NA | 8.93 | 0.40 | XXX | |
| 76360 | 26 | A | CAT scan for needle biopsy | 1.16 | 0.39 | 0.39 | 0.05 | XXX |
| 76360 | TC | A | CAT scan for needle biopsy | 0.00 | NA | 8.53 | 0.35 | XXX |
| 76362 | A | Cat scan for tissue ablation | 4.00 | NA | 9.89 | 1.38 | XXX | |
| 76362 | 26 | A | Cat scan for tissue ablation | 4.00 | 1.36 | 1.36 | 0.17 | XXX |
| 76362 | TC | A | Cat scan for tissue ablation | 0.00 | NA | 8.53 | 1.21 | XXX |
| 76370 | A | CAT scan for therapy guide | 0.85 | NA | 3.34 | 0.17 | XXX | |
| 76370 | 26 | A | CAT scan for therapy guide | 0.85 | 0.29 | 0.29 | 0.04 | XXX |
| 76370 | TC | A | CAT scan for therapy guide | 0.00 | NA | 3.05 | 0.13 | XXX |
| 76375 | A | 3d/holograph reconstr add-on | 0.16 | NA | 3.71 | 0.16 | XXX | |
| 76375 | 26 | A | 3d/holograph reconstr add-on | 0.16 | 0.05 | 0.05 | 0.01 | XXX |
| 76375 | TC | A | 3d/holograph reconstr add-on | 0.00 | NA | 3.66 | 0.15 | XXX |
| 76380 | A | CAT scan follow-up study | 0.98 | NA | 3.95 | 0.19 | XXX | |
| 76380 | 26 | A | CAT scan follow-up study | 0.98 | 0.33 | 0.33 | 0.04 | XXX |
| 76380 | TC | A | CAT scan follow-up study | 0.00 | NA | 3.62 | 0.15 | XXX |
| 76390 | N | Mr spectroscopy | 1.40 | NA | 12.06 | 0.55 | XXX | |
| 76390 | 26 | N | Mr spectroscopy | 1.40 | 0.48 | 0.48 | 0.06 | XXX |
| 76390 | TC | N | Mr spectroscopy | 0.00 | NA | 11.58 | 0.49 | XXX |
| 76393 | A | Mr guidance for needle place | 1.50 | NA | 12.09 | 0.53 | XXX | |
| 76393 | 26 | A | Mr guidance for needle place | 1.50 | 0.51 | 0.51 | 0.07 | XXX |
| 76393 | TC | A | Mr guidance for needle place | 0.00 | NA | 11.58 | 0.46 | XXX |
| 76394 | A | Mri for tissue ablation | 4.25 | NA | 13.03 | 1.43 | XXX | |
| 76394 | 26 | A | Mri for tissue ablation | 4.25 | 1.45 | 1.45 | 0.14 | XXX |
| 76394 | TC | A | Mri for tissue ablation | 0.00 | NA | 11.58 | 1.29 | XXX |
| 76400 | A | Magnetic image, bone marrow | 1.60 | NA | 12.13 | 0.56 | XXX | |
| 76400 | 26 | A | Magnetic image, bone marrow | 1.60 | 0.55 | 0.55 | 0.07 | XXX |
| 76400 | TC | A | Magnetic image, bone marrow | 0.00 | NA | 11.58 | 0.49 | XXX |
| 76490 | A | Us for tissue ablation | 2.00 | NA | 2.24 | 0.36 | XXX | |
| 76490 | 26 | A | Us for tissue ablation | 2.00 | 0.68 | 0.68 | 0.12 | XXX |
| 76490 | TC | A | Us for tissue ablation | 0.00 | NA | 1.57 | 0.24 | XXX |
| 76499 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76499 | 26 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76499 | TC | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76506 | A | Echo exam of head | 0.63 | NA | 1.72 | 0.10 | XXX | |
| 76506 | 26 | A | Echo exam of head | 0.63 | 0.25 | 0.25 | 0.03 | XXX |
| 76506 | TC | A | Echo exam of head | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76511 | A | Echo exam of eye | 0.94 | NA | 2.75 | 0.08 | XXX | |
| 76511 | 26 | A | Echo exam of eye | 0.94 | 0.41 | 0.41 | 0.02 | XXX |
| 76511 | TC | A | Echo exam of eye | 0.00 | NA | 2.33 | 0.06 | XXX |
| 76512 | A | Echo exam of eye | 0.66 | NA | 2.71 | 0.09 | XXX | |
| 76512 | 26 | A | Echo exam of eye | 0.66 | 0.30 | 0.30 | 0.01 | XXX |
| 76512 | TC | A | Echo exam of eye | 0.00 | NA | 2.41 | 0.08 | XXX |
| 76513 | A | Echo exam of eye, water bath | 0.66 | NA | 2.96 | 0.09 | XXX | |
| 76513 | 26 | A | Echo exam of eye, water bath | 0.66 | 0.30 | 0.30 | 0.01 | XXX |
| 76513 | TC | A | Echo exam of eye, water bath | 0.00 | NA | 2.66 | 0.08 | XXX |
| 76516 | A | Echo exam of eye | 0.54 | NA | 2.27 | 0.07 | XXX | |
| 76516 | 26 | A | Echo exam of eye | 0.54 | 0.25 | 0.25 | 0.01 | XXX |
| 76516 | TC | A | Echo exam of eye | 0.00 | NA | 2.02 | 0.06 | XXX |
| 76519 | A | Echo exam of eye | 0.54 | NA | 1.98 | 0.07 | XXX | |
| 76519 | 26 | A | Echo exam of eye | 0.54 | 0.25 | 0.25 | 0.01 | XXX |
| 76519 | TC | A | Echo exam of eye | 0.00 | NA | 1.73 | 0.06 | XXX |
| 76529 | A | Echo exam of eye | 0.57 | NA | 2.57 | 0.08 | XXX | |
| 76529 | 26 | A | Echo exam of eye | 0.57 | 0.25 | 0.25 | 0.01 | XXX |
| 76529 | TC | A | Echo exam of eye | 0.00 | NA | 2.31 | 0.07 | XXX |
| 76536 | A | Us exam of head and neck | 0.56 | NA | 1.66 | 0.09 | XXX | |
| 76536 | 26 | A | Us exam of head and neck | 0.56 | 0.19 | 0.19 | 0.02 | XXX |
| 76536 | TC | A | Us exam of head and neck | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76604 | A | Us exam, chest, b-scan | 0.55 | NA | 1.54 | 0.08 | XXX | |
| 76604 | 26 | A | Us exam, chest, b-scan | 0.55 | 0.19 | 0.19 | 0.02 | XXX |
| 76604 | TC | A | Us exam, chest, b-scan | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76645 | A | Us exam, breast(s) | 0.54 | NA | 1.27 | 0.08 | XXX | |
| 76645 | 26 | A | Us exam, breast(s) | 0.54 | 0.18 | 0.18 | 0.03 | XXX |
| 76645 | TC | A | Us exam, breast(s) | 0.00 | NA | 1.09 | 0.05 | XXX |
| 76700 | A | Us exam, abdom, complete | 0.81 | NA | 2.31 | 0.13 | XXX | |
| 76700 | 26 | A | Us exam, abdom, complete | 0.81 | 0.28 | 0.28 | 0.04 | XXX |
| 76700 | TC | A | Us exam, abdom, complete | 0.00 | NA | 2.04 | 0.09 | XXX |
| 76705 | A | Us exam, abdom, limited | 0.59 | NA | 1.67 | 0.10 | XXX | |
| 76705 | 26 | A | Us exam, abdom, limited | 0.59 | 0.20 | 0.20 | 0.03 | XXX |
| 76705 | TC | A | Us exam, abdom, limited | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76770 | A | Us exam abdo back wall, comp | 0.74 | NA | 2.29 | 0.12 | XXX | |
| 76770 | 26 | A | Us exam abdo back wall, comp | 0.74 | 0.25 | 0.25 | 0.03 | XXX |
| 76770 | TC | A | Us exam abdo back wall, comp | 0.00 | NA | 2.04 | 0.09 | XXX |
| 76775 | A | Us exam abdo back wall, lim | 0.58 | NA | 1.67 | 0.10 | XXX | |
| 76775 | 26 | A | Us exam abdo back wall, lim | 0.58 | 0.20 | 0.20 | 0.03 | XXX |
| 76775 | TC | A | Us exam abdo back wall, lim | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76778 | A | Us exam kidney transplant | 0.74 | NA | 2.29 | 0.12 | XXX | |
| 76778 | 26 | A | Us exam kidney transplant | 0.74 | 0.25 | 0.25 | 0.03 | XXX |
| 76778 | TC | A | Us exam kidney transplant | 0.00 | NA | 2.04 | 0.09 | XXX |
| 76800 | A | Us exam, spinal canal | 1.13 | NA | 1.82 | 0.11 | XXX | |
| 76800 | 26 | A | Us exam, spinal canal | 1.13 | 0.35 | 0.35 | 0.04 | XXX |
| 76800 | TC | A | Us exam, spinal canal | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76805 | A | Us exam, pg uterus, compl | 0.99 | NA | 2.52 | 0.14 | XXX | |
| 76805 | 26 | A | Us exam, pg uterus, compl | 0.99 | 0.35 | 0.35 | 0.04 | XXX |
| 76805 | TC | A | Us exam, pg uterus, compl | 0.00 | NA | 2.17 | 0.10 | XXX |
| 76810 | A | Us exam, pg uterus, mult | 1.97 | NA | 5.05 | 0.25 | XXX | |
| 76810 | 26 | A | Us exam, pg uterus, mult | 1.97 | 0.72 | 0.72 | 0.07 | XXX |
| 76810 | TC | A | Us exam, pg uterus, mult | 0.00 | NA | 4.34 | 0.18 | XXX |
| 76815 | A | Us exam, pg uterus limit | 0.65 | NA | 1.71 | 0.09 | XXX | |
| 76815 | 26 | A | Us exam, pg uterus limit | 0.65 | 0.24 | 0.24 | 0.02 | XXX |
| 76815 | TC | A | Us exam, pg uterus limit | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76816 | A | Us exam pg uterus repeat | 0.57 | NA | 1.37 | 0.07 | XXX | |
| 76816 | 26 | A | Us exam pg uterus repeat | 0.57 | 0.22 | 0.22 | 0.02 | XXX |
| 76816 | TC | A | Us exam pg uterus repeat | 0.00 | NA | 1.15 | 0.05 | XXX |
| 76818 | A | Fetal biophy profile w/nst | 1.05 | NA | 2.07 | 0.12 | XXX | |
| 76818 | 26 | A | Fetal biophy profile w/nst | 1.05 | 0.40 | 0.40 | 0.04 | XXX |
| 76818 | TC | A | Fetal biophy profile w/nst | 0.00 | NA | 1.67 | 0.08 | XXX |
| 76819 | A | Fetal biophys profil w/o nst | 0.77 | NA | 1.96 | 0.10 | XXX | |
| 76819 | 26 | A | Fetal biophys profil w/o nst | 0.77 | 0.29 | 0.29 | 0.02 | XXX |
| 76819 | TC | A | Fetal biophys profil w/o nst | 0.00 | NA | 1.67 | 0.08 | XXX |
| 76825 | A | Echo exam of fetal heart | 1.67 | NA | 2.66 | 0.15 | XXX | |
| 76825 | 26 | A | Echo exam of fetal heart | 1.67 | 0.62 | 0.62 | 0.06 | XXX |
| 76825 | TC | A | Echo exam of fetal heart | 0.00 | NA | 2.04 | 0.09 | XXX |
| 76826 | A | Echo exam of fetal heart | 0.83 | NA | 1.03 | 0.07 | XXX | |
| 76826 | 26 | A | Echo exam of fetal heart | 0.83 | 0.30 | 0.30 | 0.03 | XXX |
| 76826 | TC | A | Echo exam of fetal heart | 0.00 | NA | 0.73 | 0.04 | XXX |
| 76827 | A | Echo exam of fetal heart | 0.58 | NA | 2.00 | 0.12 | XXX | |
| 76827 | 26 | A | Echo exam of fetal heart | 0.58 | 0.22 | 0.22 | 0.02 | XXX |
| 76827 | TC | A | Echo exam of fetal heart | 0.00 | NA | 1.78 | 0.10 | XXX |
| 76828 | A | Echo exam of fetal heart | 0.56 | NA | 1.37 | 0.09 | XXX | |
| 76828 | 26 | A | Echo exam of fetal heart | 0.56 | 0.22 | 0.22 | 0.02 | XXX |
| 76828 | TC | A | Echo exam of fetal heart | 0.00 | NA | 1.15 | 0.07 | XXX |
| 76830 | A | Us exam, transvaginal | 0.69 | NA | 1.81 | 0.11 | XXX | |
| 76830 | 26 | A | Us exam, transvaginal | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 76830 | TC | A | Us exam, transvaginal | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76831 | A | Echo exam, uterus | 0.72 | NA | 1.83 | 0.10 | XXX | |
| 76831 | 26 | A | Echo exam, uterus | 0.72 | 0.26 | 0.26 | 0.02 | XXX |
| 76831 | TC | A | Echo exam, uterus | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76856 | A | Us exam, pelvic, complete | 0.69 | NA | 1.81 | 0.11 | XXX | |
| 76856 | 26 | A | Us exam, pelvic, complete | 0.69 | 0.24 | 0.24 | 0.03 | XXX |
| 76856 | TC | A | Us exam, pelvic, complete | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76857 | A | Us exam, pelvic, limited | 0.38 | NA | 1.22 | 0.07 | XXX | |
| 76857 | 26 | A | Us exam, pelvic, limited | 0.38 | 0.13 | 0.13 | 0.02 | XXX |
| 76857 | TC | A | Us exam, pelvic, limited | 0.00 | NA | 1.09 | 0.05 | XXX |
| 76870 | A | Us exam, scrotum | 0.64 | NA | 1.79 | 0.11 | XXX | |
| 76870 | 26 | A | Us exam, scrotum | 0.64 | 0.22 | 0.22 | 0.03 | XXX |
| 76870 | TC | A | Us exam, scrotum | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76872 | A | Echo exam, transrectal | 0.69 | NA | 1.80 | 0.12 | XXX | |
| 76872 | 26 | A | Echo exam, transrectal | 0.69 | 0.23 | 0.23 | 0.04 | XXX |
| 76872 | TC | A | Echo exam, transrectal | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76873 | A | Echograp trans r, pros study | 1.55 | NA | 2.69 | 0.21 | XXX | |
| 76873 | 26 | A | Echograp trans r, pros study | 1.55 | 0.53 | 0.53 | 0.08 | XXX |
| 76873 | TC | A | Echograp trans r, pros study | 0.00 | NA | 2.17 | 0.13 | XXX |
| 76880 | A | Us exam, extremity | 0.59 | NA | 1.67 | 0.10 | XXX | |
| 76880 | 26 | A | Us exam, extremity | 0.59 | 0.20 | 0.20 | 0.03 | XXX |
| 76880 | TC | A | Us exam, extremity | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76885 | A | Us exam infant hips, dynamic | 0.74 | NA | 1.82 | 0.11 | XXX | |
| 76885 | 26 | A | Us exam infant hips, dynamic | 0.74 | 0.25 | 0.25 | 0.03 | XXX |
| 76885 | TC | A | Us exam infant hips, dynamic | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76886 | A | Us exam infant hips, static | 0.62 | NA | 1.68 | 0.10 | XXX | |
| 76886 | 26 | A | Us exam infant hips, static | 0.62 | 0.21 | 0.21 | 0.03 | XXX |
| 76886 | TC | A | Us exam infant hips, static | 0.00 | NA | 1.47 | 0.07 | XXX |
| 76930 | A | Echo guide, cardiocentesis | 0.67 | NA | 1.83 | 0.10 | XXX | |
| 76930 | 26 | A | Echo guide, cardiocentesis | 0.67 | 0.26 | 0.26 | 0.02 | XXX |
| 76930 | TC | A | Echo guide, cardiocentesis | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76932 | A | Echo guide for heart biopsy | 0.67 | NA | 1.83 | 0.10 | XXX | |
| 76932 | 26 | A | Echo guide for heart biopsy | 0.67 | 0.26 | 0.26 | 0.02 | XXX |
| 76932 | TC | A | Echo guide for heart biopsy | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76936 | A | Echo guide for artery repair | 1.99 | NA | 7.19 | 0.39 | XXX | |
| 76936 | 26 | A | Echo guide for artery repair | 1.99 | 0.69 | 0.69 | 0.11 | XXX |
| 76936 | TC | A | Echo guide for artery repair | 0.00 | NA | 6.50 | 0.28 | XXX |
| 76941 | A | Echo guide for transfusion | 1.34 | NA | 2.07 | 0.13 | XXX | |
| 76941 | 26 | A | Echo guide for transfusion | 1.34 | 0.50 | 0.50 | 0.06 | XXX |
| 76941 | TC | A | Echo guide for transfusion | 0.00 | NA | 1.58 | 0.07 | XXX |
| 76942 | A | Echo guide for biopsy | 0.67 | NA | 1.80 | 0.12 | XXX | |
| 76942 | 26 | A | Echo guide for biopsy | 0.67 | 0.23 | 0.23 | 0.04 | XXX |
| 76942 | TC | A | Echo guide for biopsy | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76945 | A | Echo guide, villus sampling | 0.67 | NA | 1.81 | 0.10 | XXX | |
| 76945 | 26 | A | Echo guide, villus sampling | 0.67 | 0.23 | 0.23 | 0.03 | XXX |
| 76945 | TC | A | Echo guide, villus sampling | 0.00 | NA | 1.58 | 0.07 | XXX |
| 76946 | A | Echo guide for amniocentesis | 0.38 | NA | 1.71 | 0.09 | XXX | |
| 76946 | 26 | A | Echo guide for amniocentesis | 0.38 | 0.14 | 0.14 | 0.01 | XXX |
| 76946 | TC | A | Echo guide for amniocentesis | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76948 | A | Echo guide, ova aspiration | 0.38 | NA | 1.70 | 0.10 | XXX | |
| 76948 | 26 | A | Echo guide, ova aspiration | 0.38 | 0.13 | 0.13 | 0.02 | XXX |
| 76948 | TC | A | Echo guide, ova aspiration | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76950 | A | Echo guidance radiotherapy | 0.58 | NA | 1.55 | 0.09 | XXX | |
| 76950 | 26 | A | Echo guidance radiotherapy | 0.58 | 0.20 | 0.20 | 0.03 | XXX |
| 76950 | TC | A | Echo guidance radiotherapy | 0.00 | NA | 1.35 | 0.06 | XXX |
| 76965 | A | Echo guidance radiotherapy | 1.34 | NA | 6.21 | 0.31 | XXX | |
| 76965 | 26 | A | Echo guidance radiotherapy | 1.34 | 0.45 | 0.45 | 0.07 | XXX |
| 76965 | TC | A | Echo guidance radiotherapy | 0.00 | NA | 5.76 | 0.24 | XXX |
| 76970 | A | Ultrasound exam follow-up | 0.40 | NA | 1.23 | 0.07 | XXX | |
| 76970 | 26 | A | Ultrasound exam follow-up | 0.40 | 0.14 | 0.14 | 0.02 | XXX |
| 76970 | TC | A | Ultrasound exam follow-up | 0.00 | NA | 1.09 | 0.05 | XXX |
| 76975 | A | GI endoscopic ultrasound | 0.81 | NA | 1.85 | 0.11 | XXX | |
| 76975 | 26 | A | GI endoscopic ultrasound | 0.81 | 0.29 | 0.29 | 0.03 | XXX |
| 76975 | TC | A | GI endoscopic ultrasound | 0.00 | NA | 1.57 | 0.08 | XXX |
| 76977 | A | Us bone density measure | 0.05 | NA | 0.87 | 0.05 | XXX | |
| 76977 | 26 | A | Us bone density measure | 0.05 | 0.02 | 0.02 | 0.01 | XXX |
| 76977 | TC | A | Us bone density measure | 0.00 | NA | 0.85 | 0.04 | XXX |
| 76986 | A | Ultrasound guide intraoper | 1.20 | NA | 3.12 | 0.19 | XXX | |
| 76986 | 26 | A | Ultrasound guide intraoper | 1.20 | 0.41 | 0.41 | 0.07 | XXX |
| 76986 | TC | A | Ultrasound guide intraoper | 0.00 | NA | 2.71 | 0.12 | XXX |
| 76999 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76999 | 26 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76999 | TC | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77261 | A | Radiation therapy planning | 1.39 | 0.56 | 0.56 | 0.06 | XXX | |
| 77262 | A | Radiation therapy planning | 2.11 | 0.83 | 0.83 | 0.09 | XXX | |
| 77263 | A | Radiation therapy planning | 3.14 | 1.23 | 1.23 | 0.13 | XXX | |
| 77280 | A | Set radiation therapy field | 0.70 | NA | 3.83 | 0.18 | XXX | |
| 77280 | 26 | A | Set radiation therapy field | 0.70 | 0.25 | 0.25 | 0.03 | XXX |
| 77280 | TC | A | Set radiation therapy field | 0.00 | NA | 3.59 | 0.15 | XXX |
| 77285 | A | Set radiation therapy field | 1.05 | NA | 6.12 | 0.29 | XXX | |
| 77285 | 26 | A | Set radiation therapy field | 1.05 | 0.37 | 0.37 | 0.04 | XXX |
| 77285 | TC | A | Set radiation therapy field | 0.00 | NA | 5.76 | 0.25 | XXX |
| 77290 | A | Set radiation therapy field | 1.56 | NA | 7.27 | 0.35 | XXX | |
| 77290 | 26 | A | Set radiation therapy field | 1.56 | 0.55 | 0.55 | 0.06 | XXX |
| 77290 | TC | A | Set radiation therapy field | 0.00 | NA | 6.72 | 0.29 | XXX |
| 77295 | A | Set radiation therapy field | 4.57 | NA | 30.48 | 1.41 | XXX | |
| 77295 | 26 | A | Set radiation therapy field | 4.57 | 1.61 | 1.61 | 0.18 | XXX |
| 77295 | TC | A | Set radiation therapy field | 0.00 | NA | 28.87 | 1.23 | XXX |
| 77299 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77299 | 26 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77299 | TC | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77300 | A | Radiation therapy dose plan | 0.62 | NA | 1.61 | 0.09 | XXX | |
| 77300 | 26 | A | Radiation therapy dose plan | 0.62 | 0.22 | 0.22 | 0.03 | XXX |
| 77300 | TC | A | Radiation therapy dose plan | 0.00 | NA | 1.39 | 0.06 | XXX |
| 77301 | A | Radioltherapy dos plan, imrt | 8.00 | NA | 31.96 | 1.41 | XXX | |
| 77301 | 26 | A | Radioltherapy dos plan, imrt | 8.00 | 3.09 | 3.09 | 0.18 | XXX |
| 77301 | TC | A | Radioltherapy dos plan, imrt | 0.00 | NA | 28.87 | 1.23 | XXX |
| 77305 | A | Radiation therapy dose plan | 0.70 | NA | 2.17 | 0.12 | XXX | |
| 77305 | 26 | A | Radiation therapy dose plan | 0.70 | 0.25 | 0.25 | 0.03 | XXX |
| 77305 | TC | A | Radiation therapy dose plan | 0.00 | NA | 1.92 | 0.09 | XXX |
| 77310 | A | Radiation therapy dose plan | 1.05 | NA | 2.78 | 0.15 | XXX | |
| 77310 | 26 | A | Radiation therapy dose plan | 1.05 | 0.37 | 0.37 | 0.04 | XXX |
| 77310 | TC | A | Radiation therapy dose plan | 0.00 | NA | 2.41 | 0.11 | XXX |
| 77315 | A | Radiation therapy dose plan | 1.56 | NA | 3.30 | 0.18 | XXX | |
| 77315 | 26 | A | Radiation therapy dose plan | 1.56 | 0.55 | 0.55 | 0.06 | XXX |
| 77315 | TC | A | Radiation therapy dose plan | 0.00 | NA | 2.75 | 0.12 | XXX |
| 77321 | A | Radiation therapy port plan | 0.95 | NA | 4.51 | 0.21 | XXX | |
| 77321 | 26 | A | Radiation therapy port plan | 0.95 | 0.33 | 0.33 | 0.04 | XXX |
| 77321 | TC | A | Radiation therapy port plan | 0.00 | NA | 4.18 | 0.17 | XXX |
| 77326 | A | Radiation therapy dose plan | 0.93 | NA | 2.76 | 0.15 | XXX | |
| 77326 | 26 | A | Radiation therapy dose plan | 0.93 | 0.33 | 0.33 | 0.04 | XXX |
| 77326 | TC | A | Radiation therapy dose plan | 0.00 | NA | 2.44 | 0.11 | XXX |
| 77327 | A | Radiation therapy dose plan | 1.39 | NA | 4.08 | 0.21 | XXX | |
| 77327 | 26 | A | Radiation therapy dose plan | 1.39 | 0.49 | 0.49 | 0.06 | XXX |
| 77327 | TC | A | Radiation therapy dose plan | 0.00 | NA | 3.59 | 0.15 | XXX |
| 77328 | A | Radiation therapy dose plan | 2.09 | NA | 5.86 | 0.30 | XXX | |
| 77328 | 26 | A | Radiation therapy dose plan | 2.09 | 0.73 | 0.73 | 0.09 | XXX |
| 77328 | TC | A | Radiation therapy dose plan | 0.00 | NA | 5.13 | 0.21 | XXX |
| 77331 | A | Special radiation dosimetry | 0.87 | NA | 0.83 | 0.06 | XXX | |
| 77331 | 26 | A | Special radiation dosimetry | 0.87 | 0.31 | 0.31 | 0.04 | XXX |
| 77331 | TC | A | Special radiation dosimetry | 0.00 | NA | 0.52 | 0.02 | XXX |
| 77332 | A | Radiation treatment aid(s) | 0.54 | NA | 1.58 | 0.08 | XXX | |
| 77332 | 26 | A | Radiation treatment aid(s) | 0.54 | 0.19 | 0.19 | 0.02 | XXX |
| 77332 | TC | A | Radiation treatment aid(s) | 0.00 | NA | 1.39 | 0.06 | XXX |
| 77333 | A | Radiation treatment aid(s) | 0.84 | NA | 2.25 | 0.13 | XXX | |
| 77333 | 26 | A | Radiation treatment aid(s) | 0.84 | 0.30 | 0.30 | 0.04 | XXX |
| 77333 | TC | A | Radiation treatment aid(s) | 0.00 | NA | 1.96 | 0.09 | XXX |
| 77334 | A | Radiation treatment aid(s) | 1.24 | NA | 3.79 | 0.19 | XXX | |
| 77334 | 26 | A | Radiation treatment aid(s) | 1.24 | 0.44 | 0.44 | 0.05 | XXX |
| 77334 | TC | A | Radiation treatment aid(s) | 0.00 | NA | 3.36 | 0.14 | XXX |
| 77336 | A | Radiation physics consult | 0.00 | NA | 3.08 | 0.13 | XXX | |
| 77370 | A | Radiation physics consult | 0.00 | NA | 3.61 | 0.15 | XXX | |
| 77399 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77399 | 26 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77399 | TC | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77401 | A | Radiation treatment delivery | 0.00 | NA | 1.83 | 0.09 | XXX | |
| 77402 | A | Radiation treatment delivery | 0.00 | NA | 1.83 | 0.09 | XXX | |
| 77403 | A | Radiation treatment delivery | 0.00 | NA | 1.83 | 0.09 | XXX | |
| 77404 | A | Radiation treatment delivery | 0.00 | NA | 1.83 | 0.09 | XXX | |
| 77406 | A | Radiation treatment delivery | 0.00 | NA | 1.83 | 0.09 | XXX | |
| 77407 | A | Radiation treatment delivery | 0.00 | NA | 2.16 | 0.10 | XXX | |
| 77408 | A | Radiation treatment delivery | 0.00 | NA | 2.16 | 0.10 | XXX | |
| 77409 | A | Radiation treatment delivery | 0.00 | NA | 2.16 | 0.10 | XXX | |
| 77411 | A | Radiation treatment delivery | 0.00 | NA | 2.16 | 0.10 | XXX | |
| 77412 | A | Radiation treatment delivery | 0.00 | NA | 2.41 | 0.11 | XXX | |
| 77413 | A | Radiation treatment delivery | 0.00 | NA | 2.41 | 0.11 | XXX | |
| 77414 | A | Radiation treatment delivery | 0.00 | NA | 2.41 | 0.11 | XXX | |
| 77416 | A | Radiation treatment delivery | 0.00 | NA | 2.41 | 0.11 | XXX | |
| 77417 | A | Radiology port film(s) | 0.00 | NA | 0.61 | 0.03 | XXX | |
| 77418 | A | Radiation tx delivery, imrt | 0.00 | NA | 17.15 | 0.11 | XXX | |
| 77427 | A | Radiation tx management, x5 | 3.31 | 1.17 | 1.17 | 0.14 | XXX | |
| 77431 | A | Radiation therapy management | 1.81 | 0.74 | 0.74 | 0.07 | XXX | |
| 77432 | A | Stereotactic radiation trmt | 7.93 | 3.20 | 3.20 | 0.33 | XXX | |
| 77470 | A | Special radiation treatment | 2.09 | NA | 12.26 | 0.58 | XXX | |
| 77470 | 26 | A | Special radiation treatment | 2.09 | 0.74 | 0.74 | 0.09 | XXX |
| 77470 | TC | A | Special radiation treatment | 0.00 | NA | 11.52 | 0.49 | XXX |
| 77499 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77499 | 26 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77499 | TC | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77520 | C | Proton trmt, simple w/o comp | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77522 | C | Proton trmt, simple w/comp | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77523 | C | Proton trmt, intermediate | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77525 | C | Proton treatment, complex | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77600 | R | Hyperthermia treatment | 1.56 | NA | 3.69 | 0.21 | XXX | |
| 77600 | 26 | R | Hyperthermia treatment | 1.56 | 0.54 | 0.54 | 0.08 | XXX |
| 77600 | TC | R | Hyperthermia treatment | 0.00 | NA | 3.15 | 0.13 | XXX |
| 77605 | R | Hyperthermia treatment | 2.09 | NA | 4.94 | 0.31 | XXX | |
| 77605 | 26 | R | Hyperthermia treatment | 2.09 | 0.74 | 0.74 | 0.13 | XXX |
| 77605 | TC | R | Hyperthermia treatment | 0.00 | NA | 4.20 | 0.18 | XXX |
| 77610 | R | Hyperthermia treatment | 1.56 | NA | 3.69 | 0.20 | XXX | |
| 77610 | 26 | R | Hyperthermia treatment | 1.56 | 0.55 | 0.55 | 0.07 | XXX |
| 77610 | TC | R | Hyperthermia treatment | 0.00 | NA | 3.15 | 0.13 | XXX |
| 77615 | R | Hyperthermia treatment | 2.09 | NA | 4.93 | 0.27 | XXX | |
| 77615 | 26 | R | Hyperthermia treatment | 2.09 | 0.73 | 0.73 | 0.09 | XXX |
| 77615 | TC | R | Hyperthermia treatment | 0.00 | NA | 4.20 | 0.18 | XXX |
| 77620 | R | Hyperthermia treatment | 1.56 | NA | 3.70 | 0.19 | XXX | |
| 77620 | 26 | R | Hyperthermia treatment | 1.56 | 0.55 | 0.55 | 0.06 | XXX |
| 77620 | TC | R | Hyperthermia treatment | 0.00 | NA | 3.15 | 0.13 | XXX |
| 77750 | A | Infuse radioactive materials | 4.91 | NA | 3.11 | 0.23 | 090 | |
| 77750 | 26 | A | Infuse radioactive materials | 4.91 | 1.73 | 1.73 | 0.17 | 090 |
| 77750 | TC | A | Infuse radioactive materials | 0.00 | NA | 1.38 | 0.06 | 090 |
| 77761 | A | Apply intrcav radiat simple | 3.81 | NA | 3.76 | 0.28 | 090 | |
| 77761 | 26 | A | Apply intrcav radiat simple | 3.81 | 1.17 | 1.17 | 0.16 | 090 |
| 77761 | TC | A | Apply intrcav radiat simple | 0.00 | NA | 2.59 | 0.12 | 090 |
| 77762 | A | Apply intrcav radiat interm | 5.72 | NA | 5.71 | 0.38 | 090 | |
| 77762 | 26 | A | Apply intrcav radiat interm | 5.72 | 1.98 | 1.98 | 0.22 | 090 |
| 77762 | TC | A | Apply intrcav radiat interm | 0.00 | NA | 3.73 | 0.16 | 090 |
| 77763 | A | Apply intrcav radiat compl | 8.57 | NA | 7.61 | 0.53 | 090 | |
| 77763 | 26 | A | Apply intrcav radiat compl | 8.57 | 2.97 | 2.97 | 0.34 | 090 |
| 77763 | TC | A | Apply intrcav radiat compl | 0.00 | NA | 4.64 | 0.19 | 090 |
| 77776 | A | Apply interstit radiat simpl | 4.66 | NA | 3.22 | 0.35 | 090 | |
| 77776 | 26 | A | Apply interstit radiat simpl | 4.66 | 0.97 | 0.97 | 0.24 | 090 |
| 77776 | TC | A | Apply interstit radiat simpl | 0.00 | NA | 2.25 | 0.11 | 090 |
| 77777 | A | Apply interstit radiat inter | 7.48 | NA | 6.93 | 0.50 | 090 | |
| 77777 | 26 | A | Apply interstit radiat inter | 7.48 | 2.55 | 2.55 | 0.32 | 090 |
| 77777 | TC | A | Apply interstit radiat inter | 0.00 | NA | 4.38 | 0.18 | 090 |
| 77778 | A | Apply iterstit radiat compl | 11.19 | NA | 9.22 | 0.69 | 090 | |
| 77778 | 26 | A | Apply iterstit radiat compl | 11.19 | 3.92 | 3.92 | 0.47 | 090 |
| 77778 | TC | A | Apply iterstit radiat compl | 0.00 | NA | 5.31 | 0.22 | 090 |
| 77781 | A | High intensity brachytherapy | 1.66 | NA | 21.57 | 0.95 | 090 | |
| 77781 | 26 | A | High intensity brachytherapy | 1.66 | 0.59 | 0.59 | 0.07 | 090 |
| 77781 | TC | A | High intensity brachytherapy | 0.00 | NA | 20.98 | 0.88 | 090 |
| 77782 | A | High intensity brachytherapy | 2.49 | NA | 21.86 | 0.98 | 090 | |
| 77782 | 26 | A | High intensity brachytherapy | 2.49 | 0.88 | 0.88 | 0.10 | 090 |
| 77782 | TC | A | High intensity brachytherapy | 0.00 | NA | 20.98 | 0.88 | 090 |
| 77783 | A | High intensity brachytherapy | 3.73 | NA | 22.30 | 1.03 | 090 | |
| 77783 | 26 | A | High intensity brachytherapy | 3.73 | 1.31 | 1.31 | 0.15 | 090 |
| 77783 | TC | A | High intensity brachytherapy | 0.00 | NA | 20.98 | 0.88 | 090 |
| 77784 | A | High intensity brachytherapy | 5.61 | NA | 22.96 | 1.10 | 090 | |
| 77784 | 26 | A | High intensity brachytherapy | 5.61 | 1.98 | 1.98 | 0.22 | 090 |
| 77784 | TC | A | High intensity brachytherapy | 0.00 | NA | 20.98 | 0.88 | 090 |
| 77789 | A | Apply surface radiation | 1.12 | NA | 0.87 | 0.05 | 000 | |
| 77789 | 26 | A | Apply surface radiation | 1.12 | 0.40 | 0.40 | 0.03 | 000 |
| 77789 | TC | A | Apply surface radiation | 0.00 | NA | 0.47 | 0.02 | 000 |
| 77790 | A | Radiation handling | 1.05 | NA | 0.89 | 0.06 | XXX | |
| 77790 | 26 | A | Radiation handling | 1.05 | 0.37 | 0.37 | 0.04 | XXX |
| 77790 | TC | A | Radiation handling | 0.00 | NA | 0.52 | 0.02 | XXX |
| 77799 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77799 | 26 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77799 | TC | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78000 | A | Thyroid, single uptake | 0.19 | NA | 1.07 | 0.06 | XXX | |
| 78000 | 26 | A | Thyroid, single uptake | 0.19 | 0.07 | 0.07 | 0.01 | XXX |
| 78000 | TC | A | Thyroid, single uptake | 0.00 | NA | 1.00 | 0.05 | XXX |
| 78001 | A | Thyroid, multiple uptakes | 0.26 | NA | 1.44 | 0.07 | XXX | |
| 78001 | 26 | A | Thyroid, multiple uptakes | 0.26 | 0.09 | 0.09 | 0.01 | XXX |
| 78001 | TC | A | Thyroid, multiple uptakes | 0.00 | NA | 1.35 | 0.06 | XXX |
| 78003 | A | Thyroid suppress/stimul | 0.33 | NA | 1.11 | 0.06 | XXX | |
| 78003 | 26 | A | Thyroid suppress/stimul | 0.33 | 0.11 | 0.11 | 0.01 | XXX |
| 78003 | TC | A | Thyroid suppress/stimul | 0.00 | NA | 1.00 | 0.05 | XXX |
| 78006 | A | Thyroid imaging with uptake | 0.49 | NA | 2.63 | 0.13 | XXX | |
| 78006 | 26 | A | Thyroid imaging with uptake | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 78006 | TC | A | Thyroid imaging with uptake | 0.00 | NA | 2.46 | 0.11 | XXX |
| 78007 | A | Thyroid image, mult uptakes | 0.50 | NA | 2.83 | 0.14 | XXX | |
| 78007 | 26 | A | Thyroid image, mult uptakes | 0.50 | 0.17 | 0.17 | 0.02 | XXX |
| 78007 | TC | A | Thyroid image, mult uptakes | 0.00 | NA | 2.66 | 0.12 | XXX |
| 78010 | A | Thyroid imaging | 0.39 | NA | 2.01 | 0.11 | XXX | |
| 78010 | 26 | A | Thyroid imaging | 0.39 | 0.14 | 0.14 | 0.02 | XXX |
| 78010 | TC | A | Thyroid imaging | 0.00 | NA | 1.88 | 0.09 | XXX |
| 78011 | A | Thyroid imaging with flow | 0.45 | NA | 2.65 | 0.13 | XXX | |
| 78011 | 26 | A | Thyroid imaging with flow | 0.45 | 0.16 | 0.16 | 0.02 | XXX |
| 78011 | TC | A | Thyroid imaging with flow | 0.00 | NA | 2.49 | 0.11 | XXX |
| 78015 | A | Thyroid met imaging | 0.67 | NA | 2.89 | 0.15 | XXX | |
| 78015 | 26 | A | Thyroid met imaging | 0.67 | 0.23 | 0.23 | 0.03 | XXX |
| 78015 | TC | A | Thyroid met imaging | 0.00 | NA | 2.66 | 0.12 | XXX |
| 78016 | A | Thyroid met imaging/studies | 0.82 | NA | 3.89 | 0.18 | XXX | |
| 78016 | 26 | A | Thyroid met imaging/studies | 0.82 | 0.30 | 0.30 | 0.03 | XXX |
| 78016 | TC | A | Thyroid met imaging/studies | 0.00 | NA | 3.60 | 0.15 | XXX |
| 78018 | A | Thyroid met imaging, body | 0.86 | NA | 5.91 | 0.27 | XXX | |
| 78018 | 26 | A | Thyroid met imaging, body | 0.86 | 0.31 | 0.31 | 0.03 | XXX |
| 78018 | TC | A | Thyroid met imaging, body | 0.00 | NA | 5.61 | 0.24 | XXX |
| 78020 | A | Thyroid met uptake | 0.60 | NA | 1.57 | 0.14 | ZZZ | |
| 78020 | 26 | A | Thyroid met uptake | 0.60 | 0.22 | 0.22 | 0.02 | ZZZ |
| 78020 | TC | A | Thyroid met uptake | 0.00 | NA | 1.35 | 0.12 | ZZZ |
| 78070 | A | Parathyroid nuclear imaging | 0.82 | NA | 2.17 | 0.12 | XXX | |
| 78070 | 26 | A | Parathyroid nuclear imaging | 0.82 | 0.29 | 0.29 | 0.03 | XXX |
| 78070 | TC | A | Parathyroid nuclear imaging | 0.00 | NA | 1.88 | 0.09 | XXX |
| 78075 | A | Adrenal nuclear imaging | 0.74 | NA | 5.88 | 0.27 | XXX | |
| 78075 | 26 | A | Adrenal nuclear imaging | 0.74 | 0.27 | 0.27 | 0.03 | XXX |
| 78075 | TC | A | Adrenal nuclear imaging | 0.00 | NA | 5.61 | 0.24 | XXX |
| 78099 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78099 | 26 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78099 | TC | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78102 | A | Bone marrow imaging, ltd | 0.55 | NA | 2.31 | 0.12 | XXX | |
| 78102 | 26 | A | Bone marrow imaging, ltd | 0.55 | 0.20 | 0.20 | 0.02 | XXX |
| 78102 | TC | A | Bone marrow imaging, ltd | 0.00 | NA | 2.11 | 0.10 | XXX |
| 78103 | A | Bone marrow imaging, mult | 0.75 | NA | 3.54 | 0.17 | XXX | |
| 78103 | 26 | A | Bone marrow imaging, mult | 0.75 | 0.27 | 0.27 | 0.03 | XXX |
| 78103 | TC | A | Bone marrow imaging, mult | 0.00 | NA | 3.28 | 0.14 | XXX |
| 78104 | A | Bone marrow imaging, body | 0.80 | NA | 4.49 | 0.21 | XXX | |
| 78104 | 26 | A | Bone marrow imaging, body | 0.80 | 0.28 | 0.28 | 0.03 | XXX |
| 78104 | TC | A | Bone marrow imaging, body | 0.00 | NA | 4.21 | 0.18 | XXX |
| 78110 | A | Plasma volume, single | 0.19 | NA | 1.05 | 0.06 | XXX | |
| 78110 | 26 | A | Plasma volume, single | 0.19 | 0.07 | 0.07 | 0.01 | XXX |
| 78110 | TC | A | Plasma volume, single | 0.00 | NA | 0.98 | 0.05 | XXX |
| 78111 | A | Plasma volume, multiple | 0.22 | NA | 2.74 | 0.13 | XXX | |
| 78111 | 26 | A | Plasma volume, multiple | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 78111 | TC | A | Plasma volume, multiple | 0.00 | NA | 2.66 | 0.12 | XXX |
| 78120 | A | Red cell mass, single | 0.23 | NA | 1.87 | 0.10 | XXX | |
| 78120 | 26 | A | Red cell mass, single | 0.23 | 0.08 | 0.08 | 0.01 | XXX |
| 78120 | TC | A | Red cell mass, single | 0.00 | NA | 1.79 | 0.09 | XXX |
| 78121 | A | Red cell mass, multiple | 0.32 | NA | 3.12 | 0.13 | XXX | |
| 78121 | 26 | A | Red cell mass, multiple | 0.32 | 0.12 | 0.12 | 0.01 | XXX |
| 78121 | TC | A | Red cell mass, multiple | 0.00 | NA | 3.01 | 0.12 | XXX |
| 78122 | A | Blood volume | 0.45 | NA | 4.92 | 0.22 | XXX | |
| 78122 | 26 | A | Blood volume | 0.45 | 0.16 | 0.16 | 0.02 | XXX |
| 78122 | TC | A | Blood volume | 0.00 | NA | 4.76 | 0.20 | XXX |
| 78130 | A | Red cell survival study | 0.61 | NA | 3.17 | 0.15 | XXX | |
| 78130 | 26 | A | Red cell survival study | 0.61 | 0.22 | 0.22 | 0.03 | XXX |
| 78130 | TC | A | Red cell survival study | 0.00 | NA | 2.95 | 0.12 | XXX |
| 78135 | A | Red cell survival kinetics | 0.64 | NA | 5.26 | 0.24 | XXX | |
| 78135 | 26 | A | Red cell survival kinetics | 0.64 | 0.23 | 0.23 | 0.03 | XXX |
| 78135 | TC | A | Red cell survival kinetics | 0.00 | NA | 5.04 | 0.21 | XXX |
| 78140 | A | Red cell sequestration | 0.61 | NA | 4.28 | 0.20 | XXX | |
| 78140 | 26 | A | Red cell sequestration | 0.61 | 0.21 | 0.21 | 0.03 | XXX |
| 78140 | TC | A | Red cell sequestration | 0.00 | NA | 4.07 | 0.17 | XXX |
| 78160 | A | Plasma iron turnover | 0.33 | NA | 3.91 | 0.19 | XXX | |
| 78160 | 26 | A | Plasma iron turnover | 0.33 | 0.12 | 0.12 | 0.03 | XXX |
| 78160 | TC | A | Plasma iron turnover | 0.00 | NA | 3.79 | 0.16 | XXX |
| 78162 | A | Iron absorption exam | 0.45 | NA | 3.48 | 0.15 | XXX | |
| 78162 | 26 | A | Iron absorption exam | 0.45 | 0.17 | 0.17 | 0.01 | XXX |
| 78162 | TC | A | Iron absorption exam | 0.00 | NA | 3.31 | 0.14 | XXX |
| 78170 | A | Red cell iron utilization | 0.41 | NA | 5.63 | 0.27 | XXX | |
| 78170 | 26 | A | Red cell iron utilization | 0.41 | 0.14 | 0.14 | 0.04 | XXX |
| 78170 | TC | A | Red cell iron utilization | 0.00 | NA | 5.49 | 0.23 | XXX |
| 78172 | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78172 | 26 | A | Total body iron estimation | 0.53 | 0.18 | 0.18 | 0.02 | XXX |
| 78172 | TC | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78185 | A | Spleen imaging | 0.40 | NA | 2.58 | 0.13 | XXX | |
| 78185 | 26 | A | Spleen imaging | 0.40 | 0.14 | 0.14 | 0.02 | XXX |
| 78185 | TC | A | Spleen imaging | 0.00 | NA | 2.44 | 0.11 | XXX |
| 78190 | A | Platelet survival, kinetics | 1.09 | NA | 6.30 | 0.31 | XXX | |
| 78190 | 26 | A | Platelet survival, kinetics | 1.09 | 0.40 | 0.40 | 0.06 | XXX |
| 78190 | TC | A | Platelet survival, kinetics | 0.00 | NA | 5.91 | 0.25 | XXX |
| 78191 | A | Platelet survival | 0.61 | NA | 7.80 | 0.34 | XXX | |
| 78191 | 26 | A | Platelet survival | 0.61 | 0.21 | 0.21 | 0.03 | XXX |
| 78191 | TC | A | Platelet survival | 0.00 | NA | 7.58 | 0.31 | XXX |
| 78195 | A | Lymph system imaging | 1.20 | NA | 4.64 | 0.23 | XXX | |
| 78195 | 26 | A | Lymph system imaging | 1.20 | 0.43 | 0.43 | 0.05 | XXX |
| 78195 | TC | A | Lymph system imaging | 0.00 | NA | 4.21 | 0.18 | XXX |
| 78199 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78199 | 26 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78199 | TC | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78201 | A | Liver imaging | 0.44 | NA | 2.59 | 0.13 | XXX | |
| 78201 | 26 | A | Liver imaging | 0.44 | 0.15 | 0.15 | 0.02 | XXX |
| 78201 | TC | A | Liver imaging | 0.00 | NA | 2.44 | 0.11 | XXX |
| 78202 | A | Liver imaging with flow | 0.51 | NA | 3.16 | 0.14 | XXX | |
| 78202 | 26 | A | Liver imaging with flow | 0.51 | 0.18 | 0.18 | 0.02 | XXX |
| 78202 | TC | A | Liver imaging with flow | 0.00 | NA | 2.98 | 0.12 | XXX |
| 78205 | A | Liver imaging (3D) | 0.71 | NA | 6.36 | 0.29 | XXX | |
| 78205 | 26 | A | Liver imaging (3D) | 0.71 | 0.25 | 0.25 | 0.03 | XXX |
| 78205 | TC | A | Liver imaging (3D) | 0.00 | NA | 6.11 | 0.26 | XXX |
| 78206 | A | Liver image (3d) w/flow | 0.96 | NA | 6.45 | 0.13 | XXX | |
| 78206 | 26 | A | Liver image (3d) w/flow | 0.96 | 0.34 | 0.34 | 0.04 | XXX |
| 78206 | TC | A | Liver image (3d) w/flow | 0.00 | NA | 6.11 | 0.09 | XXX |
| 78215 | A | Liver and spleen imaging | 0.49 | NA | 3.21 | 0.14 | XXX | |
| 78215 | 26 | A | Liver and spleen imaging | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 78215 | TC | A | Liver and spleen imaging | 0.00 | NA | 3.04 | 0.12 | XXX |
| 78216 | A | Liver spleen image/flow | 0.57 | NA | 3.80 | 0.17 | XXX | |
| 78216 | 26 | A | Liver spleen image/flow | 0.57 | 0.20 | 0.20 | 0.02 | XXX |
| 78216 | TC | A | Liver spleen image/flow | 0.00 | NA | 3.60 | 0.15 | XXX |
| 78220 | A | Liver function study | 0.49 | NA | 4.02 | 0.18 | XXX | |
| 78220 | 26 | A | Liver function study | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 78220 | TC | A | Liver function study | 0.00 | NA | 3.85 | 0.16 | XXX |
| 78223 | A | Hepatobiliary imaging | 0.84 | NA | 4.08 | 0.20 | XXX | |
| 78223 | 26 | A | Hepatobiliary imaging | 0.84 | 0.29 | 0.29 | 0.04 | XXX |
| 78223 | TC | A | Hepatobiliary imaging | 0.00 | NA | 3.79 | 0.16 | XXX |
| 78230 | A | Salivary gland imaging | 0.45 | NA | 2.40 | 0.13 | XXX | |
| 78230 | 26 | A | Salivary gland imaging | 0.45 | 0.15 | 0.15 | 0.02 | XXX |
| 78230 | TC | A | Salivary gland imaging | 0.00 | NA | 2.25 | 0.11 | XXX |
| 78231 | A | Serial salivary imaging | 0.52 | NA | 3.47 | 0.16 | XXX | |
| 78231 | 26 | A | Serial salivary imaging | 0.52 | 0.19 | 0.19 | 0.02 | XXX |
| 78231 | TC | A | Serial salivary imaging | 0.00 | NA | 3.28 | 0.14 | XXX |
| 78232 | A | Salivary gland function exam | 0.47 | NA | 3.83 | 0.16 | XXX | |
| 78232 | 26 | A | Salivary gland function exam | 0.47 | 0.17 | 0.17 | 0.01 | XXX |
| 78232 | TC | A | Salivary gland function exam | 0.00 | NA | 3.66 | 0.15 | XXX |
| 78258 | A | Esophageal motility study | 0.74 | NA | 3.24 | 0.15 | XXX | |
| 78258 | 26 | A | Esophageal motility study | 0.74 | 0.26 | 0.26 | 0.03 | XXX |
| 78258 | TC | A | Esophageal motility study | 0.00 | NA | 2.98 | 0.12 | XXX |
| 78261 | A | Gastric mucosa imaging | 0.69 | NA | 4.49 | 0.21 | XXX | |
| 78261 | 26 | A | Gastric mucosa imaging | 0.69 | 0.25 | 0.25 | 0.03 | XXX |
| 78261 | TC | A | Gastric mucosa imaging | 0.00 | NA | 4.24 | 0.18 | XXX |
| 78262 | A | Gastroesophageal reflux exam | 0.68 | NA | 4.64 | 0.21 | XXX | |
| 78262 | 26 | A | Gastroesophageal reflux exam | 0.68 | 0.24 | 0.24 | 0.03 | XXX |
| 78262 | TC | A | Gastroesophageal reflux exam | 0.00 | NA | 4.40 | 0.18 | XXX |
| 78264 | A | Gastric emptying study | 0.78 | NA | 4.54 | 0.21 | XXX | |
| 78264 | 26 | A | Gastric emptying study | 0.78 | 0.27 | 0.27 | 0.03 | XXX |
| 78264 | TC | A | Gastric emptying study | 0.00 | NA | 4.27 | 0.18 | XXX |
| 78267 | X | Breath tst attain/anal c-14 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78268 | X | Breath test analysis, c-14 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78270 | A | Vit B-12 absorption exam | 0.20 | NA | 1.67 | 0.09 | XXX | |
| 78270 | 26 | A | Vit B-12 absorption exam | 0.20 | 0.07 | 0.07 | 0.01 | XXX |
| 78270 | TC | A | Vit B-12 absorption exam | 0.00 | NA | 1.60 | 0.08 | XXX |
| 78271 | A | Vit B-12 absorp exam, IF | 0.20 | NA | 1.77 | 0.09 | XXX | |
| 78271 | 26 | A | Vit B-12 absorp exam, IF | 0.20 | 0.07 | 0.07 | 0.01 | XXX |
| 78271 | TC | A | Vit B-12 absorp exam, IF | 0.00 | NA | 1.70 | 0.08 | XXX |
| 78272 | A | Vit B-12 absorp, combined | 0.27 | NA | 2.50 | 0.12 | XXX | |
| 78272 | 26 | A | Vit B-12 absorp, combined | 0.27 | 0.10 | 0.10 | 0.01 | XXX |
| 78272 | TC | A | Vit B-12 absorp, combined | 0.00 | NA | 2.40 | 0.11 | XXX |
| 78278 | A | Acute GI blood loss imaging | 0.99 | NA | 5.38 | 0.25 | XXX | |
| 78278 | 26 | A | Acute GI blood loss imaging | 0.99 | 0.34 | 0.34 | 0.04 | XXX |
| 78278 | TC | A | Acute GI blood loss imaging | 0.00 | NA | 5.04 | 0.21 | XXX |
| 78282 | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78282 | 26 | A | GI protein loss exam | 0.38 | 0.14 | 0.14 | 0.02 | XXX |
| 78282 | TC | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78290 | A | Meckel's divert exam | 0.68 | NA | 3.38 | 0.16 | XXX | |
| 78290 | 26 | A | Meckel's divert exam | 0.68 | 0.24 | 0.24 | 0.03 | XXX |
| 78290 | TC | A | Meckel's divert exam | 0.00 | NA | 3.15 | 0.13 | XXX |
| 78291 | A | Leveen/shunt patency exam | 0.88 | NA | 3.48 | 0.17 | XXX | |
| 78291 | 26 | A | Leveen/shunt patency exam | 0.88 | 0.31 | 0.31 | 0.04 | XXX |
| 78291 | TC | A | Leveen/shunt patency exam | 0.00 | NA | 3.17 | 0.13 | XXX |
| 78299 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78299 | 26 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78299 | TC | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78300 | A | Bone imaging, limited area | 0.62 | NA | 2.78 | 0.15 | XXX | |
| 78300 | 26 | A | Bone imaging, limited area | 0.62 | 0.21 | 0.21 | 0.03 | XXX |
| 78300 | TC | A | Bone imaging, limited area | 0.00 | NA | 2.57 | 0.12 | XXX |
| 78305 | A | Bone imaging, multiple areas | 0.83 | NA | 4.08 | 0.19 | XXX | |
| 78305 | 26 | A | Bone imaging, multiple areas | 0.83 | 0.29 | 0.29 | 0.03 | XXX |
| 78305 | TC | A | Bone imaging, multiple areas | 0.00 | NA | 3.79 | 0.16 | XXX |
| 78306 | A | Bone imaging, whole body | 0.86 | NA | 4.72 | 0.22 | XXX | |
| 78306 | 26 | A | Bone imaging, whole body | 0.86 | 0.30 | 0.30 | 0.04 | XXX |
| 78306 | TC | A | Bone imaging, whole body | 0.00 | NA | 4.42 | 0.18 | XXX |
| 78315 | A | Bone imaging, 3 phase | 1.02 | NA | 5.29 | 0.25 | XXX | |
| 78315 | 26 | A | Bone imaging, 3 phase | 1.02 | 0.36 | 0.36 | 0.04 | XXX |
| 78315 | TC | A | Bone imaging, 3 phase | 0.00 | NA | 4.94 | 0.21 | XXX |
| 78320 | A | Bone imaging (3D) | 1.04 | NA | 6.48 | 0.30 | XXX | |
| 78320 | 26 | A | Bone imaging (3D) | 1.04 | 0.37 | 0.37 | 0.04 | XXX |
| 78320 | TC | A | Bone imaging (3D) | 0.00 | NA | 6.11 | 0.26 | XXX |
| 78350 | A | Bone mineral, single photon | 0.22 | NA | 0.86 | 0.05 | XXX | |
| 78350 | 26 | A | Bone mineral, single photon | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 78350 | TC | A | Bone mineral, single photon | 0.00 | NA | 0.78 | 0.04 | XXX |
| 78351 | N | Bone mineral, dual photon | 0.30 | 0.12 | 1.67 | 0.01 | XXX | |
| 78399 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78399 | 26 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78399 | TC | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78414 | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78414 | 26 | A | Non-imaging heart function | 0.45 | 0.16 | 0.16 | 0.02 | XXX |
| 78414 | TC | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78428 | A | Cardiac shunt imaging | 0.78 | NA | 2.63 | 0.14 | XXX | |
| 78428 | 26 | A | Cardiac shunt imaging | 0.78 | 0.30 | 0.30 | 0.03 | XXX |
| 78428 | TC | A | Cardiac shunt imaging | 0.00 | NA | 2.33 | 0.11 | XXX |
| 78445 | A | Vascular flow imaging | 0.49 | NA | 2.09 | 0.11 | XXX | |
| 78445 | 26 | A | Vascular flow imaging | 0.49 | 0.18 | 0.18 | 0.02 | XXX |
| 78445 | TC | A | Vascular flow imaging | 0.00 | NA | 1.92 | 0.09 | XXX |
| 78455 | A | Venous thrombosis study | 0.73 | NA | 4.37 | 0.20 | XXX | |
| 78455 | 26 | A | Venous thrombosis study | 0.73 | 0.26 | 0.26 | 0.03 | XXX |
| 78455 | TC | A | Venous thrombosis study | 0.00 | NA | 4.12 | 0.17 | XXX |
| 78456 | A | Acute venous thrombus image | 1.00 | NA | 4.48 | 0.28 | XXX | |
| 78456 | 26 | A | Acute venous thrombus image | 1.00 | 0.36 | 0.36 | 0.04 | XXX |
| 78456 | TC | A | Acute venous thrombus image | 0.00 | NA | 4.12 | 0.24 | XXX |
| 78457 | A | Venous thrombosis imaging | 0.77 | NA | 3.02 | 0.15 | XXX | |
| 78457 | 26 | A | Venous thrombosis imaging | 0.77 | 0.27 | 0.27 | 0.03 | XXX |
| 78457 | TC | A | Venous thrombosis imaging | 0.00 | NA | 2.75 | 0.12 | XXX |
| 78458 | A | Ven thrombosis images, bilat | 0.90 | NA | 4.49 | 0.20 | XXX | |
| 78458 | 26 | A | Ven thrombosis images, bilat | 0.90 | 0.33 | 0.33 | 0.03 | XXX |
| 78458 | TC | A | Ven thrombosis images, bilat | 0.00 | NA | 4.16 | 0.17 | XXX |
| 78459 | I | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78459 | 26 | I | Heart muscle imaging (PET) | 1.88 | 0.73 | 0.73 | 0.08 | XXX |
| 78459 | TC | I | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78460 | A | Heart muscle blood, single | 0.86 | NA | 2.74 | 0.14 | XXX | |
| 78460 | 26 | A | Heart muscle blood, single | 0.86 | 0.30 | 0.30 | 0.03 | XXX |
| 78460 | TC | A | Heart muscle blood, single | 0.00 | NA | 2.44 | 0.11 | XXX |
| 78461 | A | Heart muscle blood, multiple | 1.23 | NA | 5.33 | 0.26 | XXX | |
| 78461 | 26 | A | Heart muscle blood, multiple | 1.23 | 0.45 | 0.45 | 0.05 | XXX |
| 78461 | TC | A | Heart muscle blood, multiple | 0.00 | NA | 4.88 | 0.21 | XXX |
| 78464 | A | Heart image (3d), single | 1.09 | NA | 7.70 | 0.35 | XXX | |
| 78464 | 26 | A | Heart image (3d), single | 1.09 | 0.40 | 0.40 | 0.04 | XXX |
| 78464 | TC | A | Heart image (3d), single | 0.00 | NA | 7.30 | 0.31 | XXX |
| 78465 | A | Heart image (3d), multiple | 1.46 | NA | 12.73 | 0.56 | XXX | |
| 78465 | 26 | A | Heart image (3d), multiple | 1.46 | 0.54 | 0.54 | 0.05 | XXX |
| 78465 | TC | A | Heart image (3d), multiple | 0.00 | NA | 12.19 | 0.51 | XXX |
| 78466 | A | Heart infarct image | 0.69 | NA | 2.96 | 0.15 | XXX | |
| 78466 | 26 | A | Heart infarct image | 0.69 | 0.25 | 0.25 | 0.03 | XXX |
| 78466 | TC | A | Heart infarct image | 0.00 | NA | 2.71 | 0.12 | XXX |
| 78468 | A | Heart infarct image (ef) | 0.80 | NA | 4.07 | 0.19 | XXX | |
| 78468 | 26 | A | Heart infarct image (ef) | 0.80 | 0.29 | 0.29 | 0.03 | XXX |
| 78468 | TC | A | Heart infarct image (ef) | 0.00 | NA | 3.79 | 0.16 | XXX |
| 78469 | A | Heart infarct image (3D) | 0.92 | NA | 5.72 | 0.26 | XXX | |
| 78469 | 26 | A | Heart infarct image (3D) | 0.92 | 0.32 | 0.32 | 0.03 | XXX |
| 78469 | TC | A | Heart infarct image (3D) | 0.00 | NA | 5.40 | 0.23 | XXX |
| 78472 | A | Gated heart, planar, single | 0.98 | NA | 6.05 | 0.29 | XXX | |
| 78472 | 26 | A | Gated heart, planar, single | 0.98 | 0.36 | 0.36 | 0.04 | XXX |
| 78472 | TC | A | Gated heart, planar, single | 0.00 | NA | 5.70 | 0.25 | XXX |
| 78473 | A | Gated heart, multiple | 1.47 | NA | 9.07 | 0.40 | XXX | |
| 78473 | 26 | A | Gated heart, multiple | 1.47 | 0.53 | 0.53 | 0.05 | XXX |
| 78473 | TC | A | Gated heart, multiple | 0.00 | NA | 8.53 | 0.35 | XXX |
| 78478 | A | Heart wall motion add-on | 0.62 | NA | 1.84 | 0.10 | ZZZ | |
| 78478 | 26 | A | Heart wall motion add-on | 0.62 | 0.23 | 0.23 | 0.02 | ZZZ |
| 78478 | TC | A | Heart wall motion add-on | 0.00 | NA | 1.61 | 0.08 | ZZZ |
| 78480 | A | Heart function add-on | 0.62 | NA | 1.84 | 0.10 | ZZZ | |
| 78480 | 26 | A | Heart function add-on | 0.62 | 0.23 | 0.23 | 0.02 | ZZZ |
| 78480 | TC | A | Heart function add-on | 0.00 | NA | 1.61 | 0.08 | ZZZ |
| 78481 | A | Heart first pass, single | 0.98 | NA | 5.77 | 0.26 | XXX | |
| 78481 | 26 | A | Heart first pass, single | 0.98 | 0.37 | 0.37 | 0.03 | XXX |
| 78481 | TC | A | Heart first pass, single | 0.00 | NA | 5.40 | 0.23 | XXX |
| 78483 | A | Heart first pass, multiple | 1.47 | NA | 8.69 | 0.39 | XXX | |
| 78483 | 26 | A | Heart first pass, multiple | 1.47 | 0.56 | 0.56 | 0.05 | XXX |
| 78483 | TC | A | Heart first pass, multiple | 0.00 | NA | 8.13 | 0.34 | XXX |
| 78491 | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78491 | 26 | I | Heart image (pet), single | 1.50 | 0.58 | 0.58 | 0.05 | XXX |
| 78491 | TC | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78492 | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78492 | 26 | I | Heart image (pet), multiple | 1.87 | 0.72 | 0.72 | 0.06 | XXX |
| 78492 | TC | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78494 | A | Heart image, spect | 1.19 | NA | 7.74 | 0.29 | XXX | |
| 78494 | 26 | A | Heart image, spect | 1.19 | 0.43 | 0.43 | 0.04 | XXX |
| 78494 | TC | A | Heart image, spect | 0.00 | NA | 7.30 | 0.25 | XXX |
| 78496 | A | Heart first pass add-on | 0.50 | NA | 7.49 | 0.27 | ZZZ | |
| 78496 | 26 | A | Heart first pass add-on | 0.50 | 0.19 | 0.19 | 0.02 | ZZZ |
| 78496 | TC | A | Heart first pass add-on | 0.00 | NA | 7.30 | 0.25 | ZZZ |
| 78499 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78499 | 26 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78499 | TC | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78580 | A | Lung perfusion imaging | 0.74 | NA | 3.81 | 0.18 | XXX | |
| 78580 | 26 | A | Lung perfusion imaging | 0.74 | 0.26 | 0.26 | 0.03 | XXX |
| 78580 | TC | A | Lung perfusion imaging | 0.00 | NA | 3.55 | 0.15 | XXX |
| 78584 | A | Lung V/Q image single breath | 0.99 | NA | 3.65 | 0.18 | XXX | |
| 78584 | 26 | A | Lung V/Q image single breath | 0.99 | 0.34 | 0.34 | 0.04 | XXX |
| 78584 | TC | A | Lung V/Q image single breath | 0.00 | NA | 3.31 | 0.14 | XXX |
| 78585 | A | Lung V/Q imaging | 1.09 | NA | 6.20 | 0.30 | XXX | |
| 78585 | 26 | A | Lung V/Q imaging | 1.09 | 0.38 | 0.38 | 0.05 | XXX |
| 78585 | TC | A | Lung V/Q imaging | 0.00 | NA | 5.83 | 0.25 | XXX |
| 78586 | A | Aerosol lung image, single | 0.40 | NA | 2.82 | 0.14 | XXX | |
| 78586 | 26 | A | Aerosol lung image, single | 0.40 | 0.14 | 0.14 | 0.02 | XXX |
| 78586 | TC | A | Aerosol lung image, single | 0.00 | NA | 2.68 | 0.12 | XXX |
| 78587 | A | Aerosol lung image, multiple | 0.49 | NA | 3.07 | 0.14 | XXX | |
| 78587 | 26 | A | Aerosol lung image, multiple | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 78587 | TC | A | Aerosol lung image, multiple | 0.00 | NA | 2.90 | 0.12 | XXX |
| 78588 | A | Perfusion lung image | 1.09 | NA | 3.69 | 0.20 | XXX | |
| 78588 | 26 | A | Perfusion lung image | 1.09 | 0.38 | 0.38 | 0.05 | XXX |
| 78588 | TC | A | Perfusion lung image | 0.00 | NA | 3.31 | 0.15 | XXX |
| 78591 | A | Vent image, 1 breath, 1 proj | 0.40 | NA | 3.09 | 0.14 | XXX | |
| 78591 | 26 | A | Vent image, 1 breath, 1 proj | 0.40 | 0.14 | 0.14 | 0.02 | XXX |
| 78591 | TC | A | Vent image, 1 breath, 1 proj | 0.00 | NA | 2.95 | 0.12 | XXX |
| 78593 | A | Vent image, 1 proj, gas | 0.49 | NA | 3.74 | 0.17 | XXX | |
| 78593 | 26 | A | Vent image, 1 proj, gas | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 78593 | TC | A | Vent image, 1 proj, gas | 0.00 | NA | 3.57 | 0.15 | XXX |
| 78594 | A | Vent image, mult proj, gas | 0.53 | NA | 5.33 | 0.23 | XXX | |
| 78594 | 26 | A | Vent image, mult proj, gas | 0.53 | 0.19 | 0.19 | 0.02 | XXX |
| 78594 | TC | A | Vent image, mult proj, gas | 0.00 | NA | 5.15 | 0.21 | XXX |
| 78596 | A | Lung differential function | 1.27 | NA | 7.75 | 0.36 | XXX | |
| 78596 | 26 | A | Lung differential function | 1.27 | 0.44 | 0.44 | 0.05 | XXX |
| 78596 | TC | A | Lung differential function | 0.00 | NA | 7.30 | 0.31 | XXX |
| 78599 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78599 | 26 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78599 | TC | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78600 | A | Brain imaging, ltd static | 0.44 | NA | 3.14 | 0.14 | XXX | |
| 78600 | 26 | A | Brain imaging, ltd static | 0.44 | 0.16 | 0.16 | 0.02 | XXX |
| 78600 | TC | A | Brain imaging, ltd static | 0.00 | NA | 2.98 | 0.12 | XXX |
| 78601 | A | Brain imaging, ltd w/ flow | 0.51 | NA | 3.70 | 0.17 | XXX | |
| 78601 | 26 | A | Brain imaging, ltd w/ flow | 0.51 | 0.18 | 0.18 | 0.02 | XXX |
| 78601 | TC | A | Brain imaging, ltd w/ flow | 0.00 | NA | 3.52 | 0.15 | XXX |
| 78605 | A | Brain imaging, complete | 0.53 | NA | 3.71 | 0.17 | XXX | |
| 78605 | 26 | A | Brain imaging, complete | 0.53 | 0.19 | 0.19 | 0.02 | XXX |
| 78605 | TC | A | Brain imaging, complete | 0.00 | NA | 3.52 | 0.15 | XXX |
| 78606 | A | Brain imaging, compl w/flow | 0.64 | NA | 4.22 | 0.20 | XXX | |
| 78606 | 26 | A | Brain imaging, compl w/flow | 0.64 | 0.22 | 0.22 | 0.03 | XXX |
| 78606 | TC | A | Brain imaging, compl w/flow | 0.00 | NA | 4.00 | 0.17 | XXX |
| 78607 | A | Brain imaging (3D) | 1.23 | NA | 7.22 | 0.34 | XXX | |
| 78607 | 26 | A | Brain imaging (3D) | 1.23 | 0.45 | 0.45 | 0.05 | XXX |
| 78607 | TC | A | Brain imaging (3D) | 0.00 | NA | 6.77 | 0.29 | XXX |
| 78608 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78609 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78610 | A | Brain flow imaging only | 0.30 | NA | 1.74 | 0.09 | XXX | |
| 78610 | 26 | A | Brain flow imaging only | 0.30 | 0.11 | 0.11 | 0.01 | XXX |
| 78610 | TC | A | Brain flow imaging only | 0.00 | NA | 1.63 | 0.08 | XXX |
| 78615 | A | Cerebral vascular flow image | 0.42 | NA | 4.14 | 0.19 | XXX | |
| 78615 | 26 | A | Cerebral vascular flow image | 0.42 | 0.16 | 0.16 | 0.02 | XXX |
| 78615 | TC | A | Cerebral vascular flow image | 0.00 | NA | 3.98 | 0.17 | XXX |
| 78630 | A | Cerebrospinal fluid scan | 0.68 | NA | 5.44 | 0.25 | XXX | |
| 78630 | 26 | A | Cerebrospinal fluid scan | 0.68 | 0.24 | 0.24 | 0.03 | XXX |
| 78630 | TC | A | Cerebrospinal fluid scan | 0.00 | NA | 5.21 | 0.22 | XXX |
| 78635 | A | CSF ventriculography | 0.61 | NA | 2.87 | 0.14 | XXX | |
| 78635 | 26 | A | CSF ventriculography | 0.61 | 0.24 | 0.24 | 0.02 | XXX |
| 78635 | TC | A | CSF ventriculography | 0.00 | NA | 2.63 | 0.12 | XXX |
| 78645 | A | CSF shunt evaluation | 0.57 | NA | 3.75 | 0.17 | XXX | |
| 78645 | 26 | A | CSF shunt evaluation | 0.57 | 0.20 | 0.20 | 0.02 | XXX |
| 78645 | TC | A | CSF shunt evaluation | 0.00 | NA | 3.55 | 0.15 | XXX |
| 78647 | A | Cerebrospinal fluid scan | 0.90 | NA | 6.43 | 0.29 | XXX | |
| 78647 | 26 | A | Cerebrospinal fluid scan | 0.90 | 0.33 | 0.33 | 0.03 | XXX |
| 78647 | TC | A | Cerebrospinal fluid scan | 0.00 | NA | 6.11 | 0.26 | XXX |
| 78650 | A | CSF leakage imaging | 0.61 | NA | 5.01 | 0.22 | XXX | |
| 78650 | 26 | A | CSF leakage imaging | 0.61 | 0.22 | 0.22 | 0.02 | XXX |
| 78650 | TC | A | CSF leakage imaging | 0.00 | NA | 4.80 | 0.20 | XXX |
| 78660 | A | Nuclear exam of tear flow | 0.53 | NA | 2.37 | 0.12 | XXX | |
| 78660 | 26 | A | Nuclear exam of tear flow | 0.53 | 0.19 | 0.19 | 0.02 | XXX |
| 78660 | TC | A | Nuclear exam of tear flow | 0.00 | NA | 2.19 | 0.10 | XXX |
| 78699 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78699 | 26 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78699 | TC | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78700 | A | Kidney imaging, static | 0.45 | NA | 3.30 | 0.15 | XXX | |
| 78700 | 26 | A | Kidney imaging, static | 0.45 | 0.16 | 0.16 | 0.02 | XXX |
| 78700 | TC | A | Kidney imaging, static | 0.00 | NA | 3.15 | 0.13 | XXX |
| 78701 | A | Kidney imaging with flow | 0.49 | NA | 3.85 | 0.17 | XXX | |
| 78701 | 26 | A | Kidney imaging with flow | 0.49 | 0.17 | 0.17 | 0.02 | XXX |
| 78701 | TC | A | Kidney imaging with flow | 0.00 | NA | 3.68 | 0.15 | XXX |
| 78704 | A | Imaging renogram | 0.74 | NA | 4.35 | 0.20 | XXX | |
| 78704 | 26 | A | Imaging renogram | 0.74 | 0.26 | 0.26 | 0.03 | XXX |
| 78704 | TC | A | Imaging renogram | 0.00 | NA | 4.09 | 0.17 | XXX |
| 78707 | A | Kidney flow/function image | 0.96 | NA | 4.95 | 0.23 | XXX | |
| 78707 | 26 | A | Kidney flow/function image | 0.96 | 0.34 | 0.34 | 0.04 | XXX |
| 78707 | TC | A | Kidney flow/function image | 0.00 | NA | 4.62 | 0.19 | XXX |
| 78708 | A | Kidney flow/function image | 1.21 | NA | 5.04 | 0.24 | XXX | |
| 78708 | 26 | A | Kidney flow/function image | 1.21 | 0.43 | 0.43 | 0.05 | XXX |
| 78708 | TC | A | Kidney flow/function image | 0.00 | NA | 4.62 | 0.19 | XXX |
| 78709 | A | Kidney flow/function image | 1.41 | NA | 5.11 | 0.25 | XXX | |
| 78709 | 26 | A | Kidney flow/function image | 1.41 | 0.49 | 0.49 | 0.06 | XXX |
| 78709 | TC | A | Kidney flow/function image | 0.00 | NA | 4.62 | 0.19 | XXX |
| 78710 | A | Kidney imaging (3D) | 0.66 | NA | 6.34 | 0.29 | XXX | |
| 78710 | 26 | A | Kidney imaging (3D) | 0.66 | 0.23 | 0.23 | 0.03 | XXX |
| 78710 | TC | A | Kidney imaging (3D) | 0.00 | NA | 6.11 | 0.26 | XXX |
| 78715 | A | Renal vascular flow exam | 0.30 | NA | 1.74 | 0.09 | XXX | |
| 78715 | 26 | A | Renal vascular flow exam | 0.30 | 0.11 | 0.11 | 0.01 | XXX |
| 78715 | TC | A | Renal vascular flow exam | 0.00 | NA | 1.63 | 0.08 | XXX |
| 78725 | A | Kidney function study | 0.38 | NA | 1.97 | 0.10 | XXX | |
| 78725 | 26 | A | Kidney function study | 0.38 | 0.13 | 0.13 | 0.01 | XXX |
| 78725 | TC | A | Kidney function study | 0.00 | NA | 1.84 | 0.09 | XXX |
| 78730 | A | Urinary bladder retention | 0.36 | NA | 1.64 | 0.09 | XXX | |
| 78730 | 26 | A | Urinary bladder retention | 0.36 | 0.13 | 0.13 | 0.02 | XXX |
| 78730 | TC | A | Urinary bladder retention | 0.00 | NA | 1.51 | 0.07 | XXX |
| 78740 | A | Ureteral reflux study | 0.57 | NA | 2.38 | 0.12 | XXX | |
| 78740 | 26 | A | Ureteral reflux study | 0.57 | 0.20 | 0.20 | 0.02 | XXX |
| 78740 | TC | A | Ureteral reflux study | 0.00 | NA | 2.19 | 0.10 | XXX |
| 78760 | A | Testicular imaging | 0.66 | NA | 2.99 | 0.15 | XXX | |
| 78760 | 26 | A | Testicular imaging | 0.66 | 0.23 | 0.23 | 0.03 | XXX |
| 78760 | TC | A | Testicular imaging | 0.00 | NA | 2.77 | 0.12 | XXX |
| 78761 | A | Testicular imaging/flow | 0.71 | NA | 3.56 | 0.17 | XXX | |
| 78761 | 26 | A | Testicular imaging/flow | 0.71 | 0.25 | 0.25 | 0.03 | XXX |
| 78761 | TC | A | Testicular imaging/flow | 0.00 | NA | 3.31 | 0.14 | XXX |
| 78799 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78799 | 26 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78799 | TC | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78800 | A | Tumor imaging, limited area | 0.66 | NA | 3.75 | 0.18 | XXX | |
| 78800 | 26 | A | Tumor imaging, limited area | 0.66 | 0.23 | 0.23 | 0.03 | XXX |
| 78800 | TC | A | Tumor imaging, limited area | 0.00 | NA | 3.52 | 0.15 | XXX |
| 78801 | A | Tumor imaging, mult areas | 0.79 | NA | 4.64 | 0.21 | XXX | |
| 78801 | 26 | A | Tumor imaging, mult areas | 0.79 | 0.28 | 0.28 | 0.03 | XXX |
| 78801 | TC | A | Tumor imaging, mult areas | 0.00 | NA | 4.37 | 0.18 | XXX |
| 78802 | A | Tumor imaging, whole body | 0.86 | NA | 6.02 | 0.28 | XXX | |
| 78802 | 26 | A | Tumor imaging, whole body | 0.86 | 0.31 | 0.31 | 0.03 | XXX |
| 78802 | TC | A | Tumor imaging, whole body | 0.00 | NA | 5.72 | 0.25 | XXX |
| 78803 | A | Tumor imaging (3D) | 1.09 | NA | 7.17 | 0.33 | XXX | |
| 78803 | 26 | A | Tumor imaging (3D) | 1.09 | 0.40 | 0.40 | 0.04 | XXX |
| 78803 | TC | A | Tumor imaging (3D) | 0.00 | NA | 6.77 | 0.29 | XXX |
| 78805 | A | Abscess imaging, ltd area | 0.73 | NA | 3.78 | 0.18 | XXX | |
| 78805 | 26 | A | Abscess imaging, ltd area | 0.73 | 0.26 | 0.26 | 0.03 | XXX |
| 78805 | TC | A | Abscess imaging, ltd area | 0.00 | NA | 3.52 | 0.15 | XXX |
| 78806 | A | Abscess imaging, whole body | 0.86 | NA | 6.95 | 0.32 | XXX | |
| 78806 | 26 | A | Abscess imaging, whole body | 0.86 | 0.31 | 0.31 | 0.03 | XXX |
| 78806 | TC | A | Abscess imaging, whole body | 0.00 | NA | 6.64 | 0.29 | XXX |
| 78807 | A | Nuclear localization/abscess | 1.09 | NA | 7.18 | 0.33 | XXX | |
| 78807 | 26 | A | Nuclear localization/abscess | 1.09 | 0.41 | 0.41 | 0.04 | XXX |
| 78807 | TC | A | Nuclear localization/abscess | 0.00 | NA | 6.77 | 0.29 | XXX |
| 78810 | N | Tumor imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78810 | 26 | N | Tumor imaging (PET) | 1.93 | 0.75 | 0.75 | 0.09 | XXX |
| 78810 | TC | N | Tumor imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78890 | B | Nuclear medicine data proc | 0.05 | NA | 1.37 | 0.06 | XXX | |
| 78890 | 26 | B | Nuclear medicine data proc | 0.05 | 0.02 | 0.02 | 0.01 | XXX |
| 78890 | TC | B | Nuclear medicine data proc | 0.00 | NA | 1.35 | 0.05 | XXX |
| 78891 | B | Nuclear med data proc | 0.10 | NA | 2.75 | 0.12 | XXX | |
| 78891 | 26 | B | Nuclear med data proc | 0.10 | 0.04 | 0.04 | 0.01 | XXX |
| 78891 | TC | B | Nuclear med data proc | 0.00 | NA | 2.71 | 0.11 | XXX |
| 78990 | I | Provide diag radionuclide(s) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | 26 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78999 | TC | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79000 | A | Init hyperthyroid therapy | 1.80 | NA | 3.34 | 0.19 | XXX | |
| 79000 | 26 | A | Init hyperthyroid therapy | 1.80 | 0.63 | 0.63 | 0.07 | XXX |
| 79000 | TC | A | Init hyperthyroid therapy | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79001 | A | Repeat hyperthyroid therapy | 1.05 | NA | 1.72 | 0.10 | XXX | |
| 79001 | 26 | A | Repeat hyperthyroid therapy | 1.05 | 0.37 | 0.37 | 0.04 | XXX |
| 79001 | TC | A | Repeat hyperthyroid therapy | 0.00 | NA | 1.35 | 0.06 | XXX |
| 79020 | A | Thyroid ablation | 1.81 | NA | 3.33 | 0.19 | XXX | |
| 79020 | 26 | A | Thyroid ablation | 1.81 | 0.62 | 0.62 | 0.07 | XXX |
| 79020 | TC | A | Thyroid ablation | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79030 | A | Thyroid ablation, carcinoma | 2.10 | NA | 3.45 | 0.20 | XXX | |
| 79030 | 26 | A | Thyroid ablation, carcinoma | 2.10 | 0.74 | 0.74 | 0.08 | XXX |
| 79030 | TC | A | Thyroid ablation, carcinoma | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79035 | A | Thyroid metastatic therapy | 2.52 | NA | 3.62 | 0.21 | XXX | |
| 79035 | 26 | A | Thyroid metastatic therapy | 2.52 | 0.91 | 0.91 | 0.09 | XXX |
| 79035 | TC | A | Thyroid metastatic therapy | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79100 | A | Hematopoetic nuclear therapy | 1.32 | NA | 3.19 | 0.17 | XXX | |
| 79100 | 26 | A | Hematopoetic nuclear therapy | 1.32 | 0.48 | 0.48 | 0.05 | XXX |
| 79100 | TC | A | Hematopoetic nuclear therapy | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79200 | A | Intracavitary nuclear trmt | 1.99 | NA | 3.43 | 0.19 | XXX | |
| 79200 | 26 | A | Intracavitary nuclear trmt | 1.99 | 0.72 | 0.72 | 0.07 | XXX |
| 79200 | TC | A | Intracavitary nuclear trmt | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79300 | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79300 | 26 | A | Interstitial nuclear therapy | 1.60 | 0.59 | 0.59 | 0.07 | XXX |
| 79300 | TC | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79400 | A | Nonhemato nuclear therapy | 1.96 | NA | 3.41 | 0.20 | XXX | |
| 79400 | 26 | A | Nonhemato nuclear therapy | 1.96 | 0.70 | 0.70 | 0.08 | XXX |
| 79400 | TC | A | Nonhemato nuclear therapy | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79420 | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79420 | 26 | A | Intravascular nuclear ther | 1.51 | 0.53 | 0.53 | 0.06 | XXX |
| 79420 | TC | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79440 | A | Nuclear joint therapy | 1.99 | NA | 3.46 | 0.20 | XXX | |
| 79440 | 26 | A | Nuclear joint therapy | 1.99 | 0.75 | 0.75 | 0.08 | XXX |
| 79440 | TC | A | Nuclear joint therapy | 0.00 | NA | 2.71 | 0.12 | XXX |
| 79900 | C | Provide ther radiopharm(s) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79999 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79999 | 26 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79999 | TC | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 80500 | A | Lab pathology consultation | 0.37 | 0.17 | 0.22 | 0.01 | XXX | |
| 80502 | A | Lab pathology consultation | 1.33 | 0.60 | 0.64 | 0.05 | XXX | |
| 83020 | 26 | A | Hemoglobin electrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 83912 | 26 | A | Genetic examination | 0.37 | 0.15 | 0.15 | 0.01 | XXX |
| 84165 | 26 | A | Assay of serum proteins | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 84181 | 26 | A | Western blot test | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 84182 | 26 | A | Protein, western blot test | 0.37 | 0.14 | 0.14 | 0.01 | XXX |
| 85060 | A | Blood smear interpretation | 0.45 | 0.19 | 0.19 | 0.02 | XXX | |
| 85097 | A | Bone marrow interpretation | 0.94 | 0.41 | 1.85 | 0.03 | XXX | |
| 85390 | 26 | A | Fibrinolysins screen | 0.37 | 0.13 | 0.13 | 0.01 | XXX |
| 85576 | 26 | A | Blood platelet aggregation | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 86077 | A | Physician blood bank service | 0.94 | 0.42 | 0.47 | 0.03 | XXX | |
| 86078 | A | Physician blood bank service | 0.94 | 0.42 | 0.51 | 0.03 | XXX | |
| 86079 | A | Physician blood bank service | 0.94 | 0.42 | 0.51 | 0.03 | XXX | |
| 86255 | 26 | A | Fluorescent antibody, screen | 0.37 | 0.17 | 0.17 | 0.01 | XXX |
| 86256 | 26 | A | Fluorescent antibody, titer | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 86320 | 26 | A | Serum immunoelectrophoresis | 0.37 | 0.16 | 0.17 | 0.01 | XXX |
| 86325 | 26 | A | Other immunoelectrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 86327 | 26 | A | Immunoelectrophoresis assay | 0.42 | 0.19 | 0.19 | 0.01 | XXX |
| 86334 | 26 | A | Immunofixation procedure | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 86485 | C | Skin test, candida | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86490 | A | Coccidioidomycosis skin test | 0.00 | NA | 0.30 | 0.02 | XXX | |
| 86510 | A | Histoplasmosis skin test | 0.00 | NA | 0.33 | 0.02 | XXX | |
| 86580 | A | TB intradermal test | 0.00 | NA | 0.26 | 0.02 | XXX | |
| 86585 | A | TB tine test | 0.00 | NA | 0.21 | 0.01 | XXX | |
| 86586 | C | Skin test, unlisted | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87164 | 26 | A | Dark field examination | 0.37 | 0.12 | 0.12 | 0.01 | XXX |
| 87207 | 26 | A | Smear, special stain | 0.37 | 0.17 | 0.17 | 0.01 | XXX |
| 88104 | A | Cytopathology, fluids | 0.56 | NA | 0.69 | 0.04 | XXX | |
| 88104 | 26 | A | Cytopathology, fluids | 0.56 | 0.25 | 0.25 | 0.02 | XXX |
| 88104 | TC | A | Cytopathology, fluids | 0.00 | NA | 0.44 | 0.02 | XXX |
| 88106 | A | Cytopathology, fluids | 0.56 | NA | 1.09 | 0.04 | XXX | |
| 88106 | 26 | A | Cytopathology, fluids | 0.56 | 0.25 | 0.25 | 0.02 | XXX |
| 88106 | TC | A | Cytopathology, fluids | 0.00 | NA | 0.84 | 0.02 | XXX |
| 88107 | A | Cytopathology, fluids | 0.76 | NA | 1.20 | 0.05 | XXX | |
| 88107 | 26 | A | Cytopathology, fluids | 0.76 | 0.34 | 0.34 | 0.03 | XXX |
| 88107 | TC | A | Cytopathology, fluids | 0.00 | NA | 0.85 | 0.02 | XXX |
| 88108 | A | Cytopath, concentrate tech | 0.56 | NA | 0.98 | 0.04 | XXX | |
| 88108 | 26 | A | Cytopath, concentrate tech | 0.56 | 0.25 | 0.25 | 0.02 | XXX |
| 88108 | TC | A | Cytopath, concentrate tech | 0.00 | NA | 0.73 | 0.02 | XXX |
| 88125 | A | Forensic cytopathology | 0.26 | NA | 0.28 | 0.02 | XXX | |
| 88125 | 26 | A | Forensic cytopathology | 0.26 | 0.12 | 0.12 | 0.01 | XXX |
| 88125 | TC | A | Forensic cytopathology | 0.00 | NA | 0.16 | 0.01 | XXX |
| 88141 | A | Cytopath, c/v, interpret | 0.42 | 0.19 | 0.19 | 0.01 | XXX | |
| 88160 | A | Cytopath smear, other source | 0.50 | NA | 0.73 | 0.04 | XXX | |
| 88160 | 26 | A | Cytopath smear, other source | 0.50 | 0.22 | 0.22 | 0.02 | XXX |
| 88160 | TC | A | Cytopath smear, other source | 0.00 | NA | 0.50 | 0.02 | XXX |
| 88161 | A | Cytopath smear, other source | 0.50 | NA | 0.82 | 0.04 | XXX | |
| 88161 | 26 | A | Cytopath smear, other source | 0.50 | 0.22 | 0.22 | 0.02 | XXX |
| 88161 | TC | A | Cytopath smear, other source | 0.00 | NA | 0.60 | 0.02 | XXX |
| 88162 | A | Cytopath smear, other source | 0.76 | NA | 0.61 | 0.05 | XXX | |
| 88162 | 26 | A | Cytopath smear, other source | 0.76 | 0.34 | 0.34 | 0.03 | XXX |
| 88162 | TC | A | Cytopath smear, other source | 0.00 | NA | 0.27 | 0.02 | XXX |
| 88172 | A | Cytopathology eval of fna | 0.60 | NA | 0.73 | 0.04 | XXX | |
| 88172 | 26 | A | Cytopathology eval of fna | 0.60 | 0.27 | 0.27 | 0.02 | XXX |
| 88172 | TC | A | Cytopathology eval of fna | 0.00 | NA | 0.46 | 0.02 | XXX |
| 88173 | A | Cytopath eval, fna, report | 1.39 | NA | 1.98 | 0.07 | XXX | |
| 88173 | 26 | A | Cytopath eval, fna, report | 1.39 | 0.62 | 0.62 | 0.05 | XXX |
| 88173 | TC | A | Cytopath eval, fna, report | 0.00 | NA | 1.36 | 0.02 | XXX |
| 88180 | A | Cell marker study | 0.36 | NA | 0.39 | 0.03 | XXX | |
| 88180 | 26 | A | Cell marker study | 0.36 | 0.16 | 0.16 | 0.01 | XXX |
| 88180 | TC | A | Cell marker study | 0.00 | NA | 0.23 | 0.02 | XXX |
| 88182 | A | Cell marker study | 0.77 | NA | 0.84 | 0.06 | XXX | |
| 88182 | 26 | A | Cell marker study | 0.77 | 0.35 | 0.35 | 0.03 | XXX |
| 88182 | TC | A | Cell marker study | 0.00 | NA | 0.49 | 0.03 | XXX |
| 88199 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88199 | 26 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88199 | TC | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88291 | A | Cyto/molecular report | 0.52 | 0.23 | 0.23 | 0.02 | XXX | |
| 88299 | C | Cytogenetic study | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88300 | A | Surgical path, gross | 0.08 | NA | 0.36 | 0.02 | XXX | |
| 88300 | 26 | A | Surgical path, gross | 0.08 | 0.04 | 0.04 | 0.01 | XXX |
| 88300 | TC | A | Surgical path, gross | 0.00 | NA | 0.32 | 0.01 | XXX |
| 88302 | A | Tissue exam by pathologist | 0.13 | NA | 0.83 | 0.03 | XXX | |
| 88302 | 26 | A | Tissue exam by pathologist | 0.13 | 0.06 | 0.06 | 0.01 | XXX |
| 88302 | TC | A | Tissue exam by pathologist | 0.00 | NA | 0.77 | 0.02 | XXX |
| 88304 | A | Tissue exam by pathologist | 0.22 | NA | 1.05 | 0.03 | XXX | |
| 88304 | 26 | A | Tissue exam by pathologist | 0.22 | 0.10 | 0.10 | 0.01 | XXX |
| 88304 | TC | A | Tissue exam by pathologist | 0.00 | NA | 0.95 | 0.02 | XXX |
| 88305 | A | Tissue exam by pathologist | 0.75 | NA | 1.60 | 0.05 | XXX | |
| 88305 | 26 | A | Tissue exam by pathologist | 0.75 | 0.34 | 0.34 | 0.02 | XXX |
| 88305 | TC | A | Tissue exam by pathologist | 0.00 | NA | 1.26 | 0.03 | XXX |
| 88307 | A | Tissue exam by pathologist | 1.59 | NA | 2.81 | 0.11 | XXX | |
| 88307 | 26 | A | Tissue exam by pathologist | 1.59 | 0.71 | 0.71 | 0.06 | XXX |
| 88307 | TC | A | Tissue exam by pathologist | 0.00 | NA | 2.09 | 0.05 | XXX |
| 88309 | A | Tissue exam by pathologist | 2.28 | NA | 3.92 | 0.13 | XXX | |
| 88309 | 26 | A | Tissue exam by pathologist | 2.28 | 1.02 | 1.02 | 0.08 | XXX |
| 88309 | TC | A | Tissue exam by pathologist | 0.00 | NA | 2.90 | 0.05 | XXX |
| 88311 | A | Decalcify tissue | 0.24 | NA | 0.21 | 0.02 | XXX | |
| 88311 | 26 | A | Decalcify tissue | 0.24 | 0.11 | 0.11 | 0.01 | XXX |
| 88311 | TC | A | Decalcify tissue | 0.00 | NA | 0.11 | 0.01 | XXX |
| 88312 | A | Special stains | 0.54 | NA | 1.56 | 0.03 | XXX | |
| 88312 | 26 | A | Special stains | 0.54 | 0.24 | 0.24 | 0.02 | XXX |
| 88312 | TC | A | Special stains | 0.00 | NA | 1.32 | 0.01 | XXX |
| 88313 | A | Special stains | 0.24 | NA | 0.97 | 0.02 | XXX | |
| 88313 | 26 | A | Special stains | 0.24 | 0.11 | 0.11 | 0.01 | XXX |
| 88313 | TC | A | Special stains | 0.00 | NA | 0.86 | 0.01 | XXX |
| 88314 | A | Histochemical stain | 0.45 | NA | 1.74 | 0.04 | XXX | |
| 88314 | 26 | A | Histochemical stain | 0.45 | 0.20 | 0.20 | 0.02 | XXX |
| 88314 | TC | A | Histochemical stain | 0.00 | NA | 1.54 | 0.02 | XXX |
| 88318 | A | Chemical histochemistry | 0.42 | NA | 0.87 | 0.02 | XXX | |
| 88318 | 26 | A | Chemical histochemistry | 0.42 | 0.19 | 0.19 | 0.01 | XXX |
| 88318 | TC | A | Chemical histochemistry | 0.00 | NA | 0.68 | 0.01 | XXX |
| 88319 | A | Enzyme histochemistry | 0.53 | NA | 4.03 | 0.04 | XXX | |
| 88319 | 26 | A | Enzyme histochemistry | 0.53 | 0.24 | 0.24 | 0.02 | XXX |
| 88319 | TC | A | Enzyme histochemistry | 0.00 | NA | 3.80 | 0.02 | XXX |
| 88321 | A | Microslide consultation | 1.30 | 0.58 | 0.61 | 0.04 | XXX | |
| 88323 | A | Microslide consultation | 1.35 | NA | 1.62 | 0.07 | XXX | |
| 88323 | 26 | A | Microslide consultation | 1.35 | 0.61 | 0.61 | 0.05 | XXX |
| 88323 | TC | A | Microslide consultation | 0.00 | NA | 1.01 | 0.02 | XXX |
| 88325 | A | Comprehensive review of data | 2.22 | 0.95 | 0.95 | 0.08 | XXX | |
| 88329 | A | Path consult introp | 0.67 | 0.30 | 0.39 | 0.02 | XXX | |
| 88331 | A | Path consult intraop, 1 bloc | 1.19 | NA | 0.91 | 0.07 | XXX | |
| 88331 | 26 | A | Path consult intraop, 1 bloc | 1.19 | 0.54 | 0.54 | 0.04 | XXX |
| 88331 | TC | A | Path consult intraop, 1 bloc | 0.00 | NA | 0.38 | 0.03 | XXX |
| 88332 | A | Path consult intraop, addl | 0.59 | NA | 0.43 | 0.04 | XXX | |
| 88332 | 26 | A | Path consult intraop, addl | 0.59 | 0.27 | 0.27 | 0.02 | XXX |
| 88332 | TC | A | Path consult intraop, addl | 0.00 | NA | 0.17 | 0.02 | XXX |
| 88342 | A | Immunocytochemistry | 0.85 | NA | 1.12 | 0.05 | XXX | |
| 88342 | 26 | A | Immunocytochemistry | 0.85 | 0.38 | 0.38 | 0.03 | XXX |
| 88342 | TC | A | Immunocytochemistry | 0.00 | NA | 0.74 | 0.02 | XXX |
| 88346 | A | Immunofluorescent study | 0.86 | NA | 1.44 | 0.05 | XXX | |
| 88346 | 26 | A | Immunofluorescent study | 0.86 | 0.38 | 0.38 | 0.03 | XXX |
| 88346 | TC | A | Immunofluorescent study | 0.00 | NA | 1.05 | 0.02 | XXX |
| 88347 | A | Immunofluorescent study | 0.86 | NA | 1.22 | 0.05 | XXX | |
| 88347 | 26 | A | Immunofluorescent study | 0.86 | 0.36 | 0.36 | 0.03 | XXX |
| 88347 | TC | A | Immunofluorescent study | 0.00 | NA | 0.86 | 0.02 | XXX |
| 88348 | A | Electron microscopy | 1.51 | NA | 4.62 | 0.11 | XXX | |
| 88348 | 26 | A | Electron microscopy | 1.51 | 0.67 | 0.67 | 0.05 | XXX |
| 88348 | TC | A | Electron microscopy | 0.00 | NA | 3.94 | 0.06 | XXX |
| 88349 | A | Scanning electron microscopy | 0.76 | NA | 2.27 | 0.08 | XXX | |
| 88349 | 26 | A | Scanning electron microscopy | 0.76 | 0.34 | 0.34 | 0.03 | XXX |
| 88349 | TC | A | Scanning electron microscopy | 0.00 | NA | 1.93 | 0.05 | XXX |
| 88355 | A | Analysis, skeletal muscle | 1.85 | NA | 8.03 | 0.12 | XXX | |
| 88355 | 26 | A | Analysis, skeletal muscle | 1.85 | 0.83 | 0.83 | 0.07 | XXX |
| 88355 | TC | A | Analysis, skeletal muscle | 0.00 | NA | 7.21 | 0.05 | XXX |
| 88356 | A | Analysis, nerve | 3.02 | NA | 4.07 | 0.16 | XXX | |
| 88356 | 26 | A | Analysis, nerve | 3.02 | 1.31 | 1.31 | 0.10 | XXX |
| 88356 | TC | A | Analysis, nerve | 0.00 | NA | 2.76 | 0.06 | XXX |
| 88358 | A | Analysis, tumor | 2.82 | NA | 1.78 | 0.16 | XXX | |
| 88358 | 26 | A | Analysis, tumor | 2.82 | 1.27 | 1.27 | 0.10 | XXX |
| 88358 | TC | A | Analysis, tumor | 0.00 | NA | 0.52 | 0.06 | XXX |
| 88362 | A | Nerve teasing preparations | 2.17 | NA | 4.18 | 0.12 | XXX | |
| 88362 | 26 | A | Nerve teasing preparations | 2.17 | 0.95 | 0.95 | 0.07 | XXX |
| 88362 | TC | A | Nerve teasing preparations | 0.00 | NA | 3.23 | 0.05 | XXX |
| 88365 | A | Tissue hybridization | 0.93 | NA | 1.73 | 0.05 | XXX | |
| 88365 | 26 | A | Tissue hybridization | 0.93 | 0.41 | 0.41 | 0.03 | XXX |
| 88365 | TC | A | Tissue hybridization | 0.00 | NA | 1.32 | 0.02 | XXX |
| 88371 | 26 | A | Protein, western blot tissue | 0.37 | 0.14 | 0.14 | 0.01 | XXX |
| 88372 | 26 | A | Protein analysis w/probe | 0.37 | 0.17 | 0.17 | 0.01 | XXX |
| 88380 | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88380 | 26 | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88380 | TC | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88399 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88399 | 26 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88399 | TC | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 89060 | 26 | A | Exam synovial fluid crystals | 0.37 | 0.17 | 0.17 | 0.01 | XXX |
| 89100 | A | Sample intestinal contents | 0.60 | 0.22 | 1.75 | 0.02 | XXX | |
| 89105 | A | Sample intestinal contents | 0.50 | 0.17 | 2.33 | 0.02 | XXX | |
| 89130 | A | Sample stomach contents | 0.45 | 0.13 | 1.99 | 0.02 | XXX | |
| 89132 | A | Sample stomach contents | 0.19 | 0.06 | 1.76 | 0.01 | XXX | |
| 89135 | A | Sample stomach contents | 0.79 | 0.26 | 1.78 | 0.03 | XXX | |
| 89136 | A | Sample stomach contents | 0.21 | 0.08 | 1.72 | 0.01 | XXX | |
| 89140 | A | Sample stomach contents | 0.94 | 0.28 | 2.22 | 0.03 | XXX | |
| 89141 | A | Sample stomach contents | 0.85 | 0.35 | 2.84 | 0.03 | XXX | |
| 89350 | A | Sputum specimen collection | 0.00 | NA | 0.42 | 0.02 | XXX | |
| 89360 | A | Collect sweat for test | 0.00 | NA | 0.47 | 0.02 | XXX | |
| 89399 | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89399 | 26 | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 89399 | TC | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 90281 | I | Human ig, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90283 | I | Human ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90287 | I | Botulinum antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90288 | I | Botulism ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90291 | I | Cmv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90296 | E | Diphtheria antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90371 | E | Hep b ig, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90375 | E | Rabies ig, im/sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90376 | E | Rabies ig, heat treated | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90378 | X | Rsv ig, im, 50mg | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90379 | I | Rsv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90384 | I | Rh ig, full-dose, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90385 | E | Rh ig, minidose, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90386 | I | Rh ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90389 | I | Tetanus ig, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90393 | E | Vaccina ig, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90396 | E | Varicella-zoster ig, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90399 | I | Immune globulin | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90471 | A | Immunization admin | 0.00 | NA | 0.22 | 0.01 | XXX | |
| 90472 | A | Immunization admin, each add | 0.00 | NA | 0.09 | 0.01 | ZZZ | |
| 90473 | N | Immune admin oral/nasal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90474 | N | Immune admin oral/nasal addl | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 90476 | E | Adenovirus vaccine, type 4 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90477 | E | Adenovirus vaccine, type 7 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90581 | E | Anthrax vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90585 | E | Bcg vaccine, percut | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90586 | E | Bcg vaccine, intravesical | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90632 | E | Hep a vaccine, adult im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90633 | E | Hep a vacc, ped/adol, 2 dose | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90634 | E | Hep a vacc, ped/adol, 3 dose | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90636 | E | Hep a/hep b vacc, adult im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90645 | E | Hib vaccine, hboc, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90646 | E | Hib vaccine, prp-d, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90647 | E | Hib vaccine, prp-omp, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90648 | E | Hib vaccine, prp-t, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90657 | X | Flu vaccine, 6-35 mo, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90658 | X | Flu vaccine, 3 yrs, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90659 | X | Flu vaccine, whole, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90660 | X | Flu vaccine, nasal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90665 | E | Lyme disease vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90669 | N | Pneumococcal vacc, ped5 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90675 | E | Rabies vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90676 | E | Rabies vaccine, id | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90680 | E | Rotovirus vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90690 | E | Typhoid vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90691 | E | Typhoid vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90692 | E | Typhoid vaccine, h-p, sc/id | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90693 | E | Typhoid vaccine, akd, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90700 | E | Dtap vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90701 | E | Dtp vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90702 | E | Dt vaccine 7, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90703 | E | Tetanus vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90704 | E | Mumps vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90705 | E | Measles vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90706 | E | Rubella vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90707 | E | Mmr vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90708 | E | Measles-rubella vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90709 | E | Rubella mumps vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90710 | E | Mmrv vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90712 | E | Oral poliovirus vaccine | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90713 | E | Poliovirus, ipv, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90716 | E | Chicken pox vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90717 | E | Yellow fever vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90718 | E | Td vaccine 7, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90719 | E | Diphtheria vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90720 | E | Dtp/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90721 | E | Dtap/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90723 | X | Dtap-hep b-ipv vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90725 | E | Cholera vaccine, injectable | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90727 | E | Plague vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90732 | X | Pneumococcal vaccine | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90733 | E | Meningococcal vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90735 | E | Encephalitis vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90740 | X | Hepb vacc, ill pat 3 dose im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90743 | X | Hep b vacc, adol, 2 dose, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90744 | X | Hepb vacc ped/adol 3 dose im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90746 | X | Hep b vaccine, adult, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90747 | X | Hepb vacc, ill pat 4 dose im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90748 | E | Hep b/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90749 | E | Vaccine toxoid | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90780 | A | IV infusion therapy, 1 hour | 0.00 | NA | 1.15 | 0.06 | XXX | |
| 90781 | A | IV infusion, additional hour | 0.00 | NA | 0.58 | 0.03 | ZZZ | |
| 90782 | T | Injection, sc/im | 0.00 | NA | 0.11 | 0.01 | XXX | |
| 90783 | T | Injection, ia | 0.00 | NA | 0.42 | 0.02 | XXX | |
| 90784 | T | Injection, iv | 0.00 | NA | 0.49 | 0.03 | XXX | |
| 90788 | T | Injection of antibiotic | 0.00 | NA | 0.12 | 0.01 | XXX | |
| 90799 | C | Ther/prophylactic/dx inject | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90801 | A | Psy dx interview | 2.80 | 0.92 | 1.13 | 0.06 | XXX | |
| 90802 | A | Intac psy dx interview | 3.01 | 0.98 | 1.19 | 0.07 | XXX | |
| 90804 | A | Psytx, office, 20-30 min | 1.21 | 0.40 | 0.52 | 0.03 | XXX | |
| 90805 | A | Psytx, off, 20-30 min w/em | 1.37 | 0.44 | 0.58 | 0.03 | XXX | |
| 90806 | A | Psytx, off, 45-50 min | 1.86 | 0.63 | 0.76 | 0.04 | XXX | |
| 90807 | A | Psytx, off, 45-50 min w/em | 2.02 | 0.65 | 0.77 | 0.05 | XXX | |
| 90808 | A | Psytx, office, 75-80 min | 2.79 | 0.94 | 1.09 | 0.07 | XXX | |
| 90809 | A | Psytx, off, 75-80, w/em | 2.95 | 0.95 | 1.10 | 0.07 | XXX | |
| 90810 | A | Intac psytx, off, 20-30 min | 1.32 | 0.44 | 0.55 | 0.03 | XXX | |
| 90811 | A | Intac psytx, 20-30, w/em | 1.48 | 0.47 | 0.60 | 0.03 | XXX | |
| 90812 | A | Intac psytx, off, 45-50 min | 1.97 | 0.66 | 0.81 | 0.05 | XXX | |
| 90813 | A | Intac psytx, 45-50 min w/em | 2.13 | 0.68 | 0.84 | 0.05 | XXX | |
| 90814 | A | Intac psytx, off, 75-80 min | 2.90 | 1.01 | 1.16 | 0.07 | XXX | |
| 90815 | A | Intac psytx, 75-80 w/em | 3.06 | 0.98 | 1.19 | 0.07 | XXX | |
| 90816 | A | Psytx, hosp, 20-30 min | 1.25 | 0.43 | 0.57 | 0.03 | XXX | |
| 90817 | A | Psytx, hosp, 20-30 min w/em | 1.41 | 0.45 | 0.61 | 0.03 | XXX | |
| 90818 | A | Psytx, hosp, 45-50 min | 1.89 | 0.65 | 0.80 | 0.04 | XXX | |
| 90819 | A | Psytx, hosp, 45-50 min w/em | 2.05 | 0.65 | 0.82 | 0.05 | XXX | |
| 90821 | A | Psytx, hosp, 75-80 min | 2.83 | 0.96 | 1.12 | 0.06 | XXX | |
| 90822 | A | Psytx, hosp, 75-80 min w/em | 2.99 | 0.95 | 1.14 | 0.07 | XXX | |
| 90823 | A | Intac psytx, hosp, 20-30 min | 1.36 | 0.45 | 0.65 | 0.03 | XXX | |
| 90824 | A | Intac psytx, hsp 20-30 w/em | 1.52 | 0.48 | 0.68 | 0.03 | XXX | |
| 90826 | A | Intac psytx, hosp, 45-50 min | 2.01 | 0.68 | 0.89 | 0.04 | XXX | |
| 90827 | A | Intac psytx, hsp 45-50 w/em | 2.16 | 0.68 | 0.89 | 0.05 | XXX | |
| 90828 | A | Intac psytx, hosp, 75-80 min | 2.94 | 0.99 | 1.25 | 0.07 | XXX | |
| 90829 | A | Intac psytx, hsp 75-80 w/em | 3.10 | 0.98 | 1.20 | 0.07 | XXX | |
| 90845 | A | Psychoanalysis | 1.79 | 0.57 | 0.69 | 0.04 | XXX | |
| 90846 | R | Family psytx w/o patient | 1.83 | 0.62 | 0.75 | 0.04 | XXX | |
| 90847 | R | Family psytx w/patient | 2.21 | 0.74 | 0.86 | 0.05 | XXX | |
| 90849 | R | Multiple family group psytx | 0.59 | 0.20 | 0.33 | 0.01 | XXX | |
| 90853 | A | Group psychotherapy | 0.59 | 0.20 | 0.34 | 0.01 | XXX | |
| 90857 | A | Intac group psytx | 0.63 | 0.22 | 0.36 | 0.02 | XXX | |
| 90862 | A | Medication management | 0.95 | 0.30 | 0.43 | 0.02 | XXX | |
| 90865 | A | Narcosynthesis | 2.84 | 0.88 | 1.57 | 0.07 | XXX | |
| 90870 | A | Electroconvulsive therapy | 1.88 | 0.71 | 0.71 | 0.04 | 000 | |
| 90871 | A | Electroconvulsive therapy | 2.72 | 0.99 | NA | 0.06 | 000 | |
| 90875 | N | Psychophysiological therapy | 1.20 | 0.46 | 0.88 | 0.03 | XXX | |
| 90876 | N | Psychophysiological therapy | 1.90 | 0.73 | 1.16 | 0.04 | XXX | |
| 90880 | A | Hypnotherapy | 2.19 | 0.70 | 0.88 | 0.05 | XXX | |
| 90882 | N | Environmental manipulation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90885 | B | Psy evaluation of records | 0.97 | 0.37 | 0.37 | 0.02 | XXX | |
| 90887 | B | Consultation with family | 1.48 | 0.57 | 0.81 | 0.03 | XXX | |
| 90889 | B | Preparation of report | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90899 | C | Psychiatric service/therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90901 | A | Biofeedback train, any meth | 0.41 | 0.19 | 0.82 | 0.02 | 000 | |
| 90911 | A | Biofeedback peri/uro/rectal | 0.89 | 0.39 | 0.88 | 0.04 | 000 | |
| 90918 | A | ESRD related services, month | 11.18 | 5.52 | 5.52 | 0.30 | XXX | |
| 90919 | A | ESRD related services, month | 8.54 | 4.48 | 4.48 | 0.24 | XXX | |
| 90920 | A | ESRD related services, month | 7.27 | 3.94 | 3.94 | 0.19 | XXX | |
| 90921 | A | ESRD related services, month | 4.47 | 2.87 | 2.87 | 0.12 | XXX | |
| 90922 | A | ESRD related services, day | 0.37 | 0.17 | 0.17 | 0.01 | XXX | |
| 90923 | A | Esrd related services, day | 0.28 | 0.14 | 0.14 | 0.01 | XXX | |
| 90924 | A | Esrd related services, day | 0.24 | 0.13 | 0.13 | 0.01 | XXX | |
| 90925 | A | Esrd related services, day | 0.15 | 0.10 | 0.10 | 0.01 | XXX | |
| 90935 | A | Hemodialysis, one evaluation | 1.22 | 0.83 | NA | 0.03 | 000 | |
| 90937 | A | Hemodialysis, repeated eval | 2.11 | 1.16 | NA | 0.06 | 000 | |
| 90939 | X | Hemodialysis study, transcut | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90940 | X | Hemodialysis access study | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90945 | A | Dialysis, one evaluation | 1.28 | 0.86 | NA | 0.04 | 000 | |
| 90947 | A | Dialysis, repeated eval | 2.16 | 1.19 | NA | 0.06 | 000 | |
| 90989 | X | Dialysis training, complete | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90993 | X | Dialysis training, incompl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90997 | A | Hemoperfusion | 1.84 | 1.09 | NA | 0.05 | 000 | |
| 90999 | C | Dialysis procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91000 | A | Esophageal intubation | 0.73 | NA | 0.33 | 0.04 | 000 | |
| 91000 | 26 | A | Esophageal intubation | 0.73 | 0.25 | 0.25 | 0.03 | 000 |
| 91000 | TC | A | Esophageal intubation | 0.00 | NA | 0.08 | 0.01 | 000 |
| 91010 | A | Esophagus motility study | 1.25 | NA | 2.75 | 0.10 | 000 | |
| 91010 | 26 | A | Esophagus motility study | 1.25 | 0.45 | 0.45 | 0.05 | 000 |
| 91010 | TC | A | Esophagus motility study | 0.00 | NA | 2.30 | 0.05 | 000 |
| 91011 | A | Esophagus motility study | 1.50 | NA | 3.20 | 0.10 | 000 | |
| 91011 | 26 | A | Esophagus motility study | 1.50 | 0.54 | 0.54 | 0.05 | 000 |
| 91011 | TC | A | Esophagus motility study | 0.00 | NA | 2.66 | 0.05 | 000 |
| 91012 | A | Esophagus motility study | 1.46 | NA | 3.28 | 0.12 | 000 | |
| 91012 | 26 | A | Esophagus motility study | 1.46 | 0.52 | 0.52 | 0.06 | 000 |
| 91012 | TC | A | Esophagus motility study | 0.00 | NA | 2.75 | 0.06 | 000 |
| 91020 | A | Gastric motility | 1.44 | NA | 2.97 | 0.11 | 000 | |
| 91020 | 26 | A | Gastric motility | 1.44 | 0.50 | 0.50 | 0.06 | 000 |
| 91020 | TC | A | Gastric motility | 0.00 | NA | 2.48 | 0.05 | 000 |
| 91030 | A | Acid perfusion of esophagus | 0.91 | NA | 2.60 | 0.05 | 000 | |
| 91030 | 26 | A | Acid perfusion of esophagus | 0.91 | 0.33 | 0.33 | 0.03 | 000 |
| 91030 | TC | A | Acid perfusion of esophagus | 0.00 | NA | 2.27 | 0.02 | 000 |
| 91032 | A | Esophagus, acid reflux test | 1.21 | NA | 2.42 | 0.10 | 000 | |
| 91032 | 26 | A | Esophagus, acid reflux test | 1.21 | 0.43 | 0.43 | 0.05 | 000 |
| 91032 | TC | A | Esophagus, acid reflux test | 0.00 | NA | 1.99 | 0.05 | 000 |
| 91033 | A | Prolonged acid reflux test | 1.30 | NA | 2.64 | 0.14 | 000 | |
| 91033 | 26 | A | Prolonged acid reflux test | 1.30 | 0.47 | 0.47 | 0.05 | 000 |
| 91033 | TC | A | Prolonged acid reflux test | 0.00 | NA | 2.17 | 0.09 | 000 |
| 91052 | A | Gastric analysis test | 0.79 | NA | 2.41 | 0.05 | 000 | |
| 91052 | 26 | A | Gastric analysis test | 0.79 | 0.28 | 0.28 | 0.03 | 000 |
| 91052 | TC | A | Gastric analysis test | 0.00 | NA | 2.12 | 0.02 | 000 |
| 91055 | A | Gastric intubation for smear | 0.94 | NA | 2.45 | 0.06 | 000 | |
| 91055 | 26 | A | Gastric intubation for smear | 0.94 | 0.28 | 0.28 | 0.04 | 000 |
| 91055 | TC | A | Gastric intubation for smear | 0.00 | NA | 2.17 | 0.02 | 000 |
| 91060 | A | Gastric saline load test | 0.45 | NA | 0.30 | 0.04 | 000 | |
| 91060 | 26 | A | Gastric saline load test | 0.45 | 0.15 | 0.15 | 0.02 | 000 |
| 91060 | TC | A | Gastric saline load test | 0.00 | NA | 0.15 | 0.02 | 000 |
| 91065 | A | Breath hydrogen test | 0.20 | NA | 3.94 | 0.03 | 000 | |
| 91065 | 26 | A | Breath hydrogen test | 0.20 | 0.07 | 0.07 | 0.01 | 000 |
| 91065 | TC | A | Breath hydrogen test | 0.00 | NA | 3.87 | 0.02 | 000 |
| 91100 | A | Pass intestine bleeding tube | 1.08 | 0.45 | NA | 0.06 | 000 | |
| 91105 | A | Gastric intubation treatment | 0.37 | 0.20 | NA | 0.02 | 000 | |
| 91122 | A | Anal pressure record | 1.77 | NA | 5.63 | 0.17 | 000 | |
| 91122 | 26 | A | Anal pressure record | 1.77 | 0.62 | 0.62 | 0.10 | 000 |
| 91122 | TC | A | Anal pressure record | 0.00 | NA | 5.01 | 0.07 | 000 |
| 91123 | B | Irrigate fecal impaction | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91132 | C | Electrogastrography | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91132 | 26 | A | Electrogastrography | 0.52 | NA | 0.20 | 0.03 | XXX |
| 91132 | TC | C | Electrogastrography | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 1133 | C | Electrogastrography w/test | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91133 | 26 | A | Electrogastrography w/test | 0.66 | NA | 0.26 | 0.03 | XXX |
| 91133 | TC | C | Electrogastrography w/test | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91299 | 26 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | TC | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92002 | A | Eye exam, new patient | 0.88 | 0.35 | 0.97 | 0.02 | XXX | |
| 92004 | A | Eye exam, new patient | 1.67 | 0.70 | 1.70 | 0.03 | XXX | |
| 92012 | A | Eye exam established pat | 0.67 | 0.30 | 1.01 | 0.01 | XXX | |
| 92014 | A | Eye exam treatment | 1.10 | 0.48 | 1.39 | 0.02 | XXX | |
| 92015 | N | Refraction | 0.38 | 0.15 | 1.53 | 0.01 | XXX | |
| 92018 | A | New eye exam treatment | 2.50 | 1.12 | NA | 0.03 | XXX | |
| 92019 | A | Eye exam treatment | 1.31 | 0.58 | NA | 0.03 | XXX | |
| 92020 | A | Special eye evaluation | 0.37 | 0.17 | 0.98 | 0.01 | XXX | |
| 92060 | A | Special eye evaluation | 0.69 | NA | 0.75 | 0.02 | XXX | |
| 92060 | 26 | A | Special eye evaluation | 0.69 | 0.30 | 0.30 | 0.01 | XXX |
| 92060 | TC | A | Special eye evaluation | 0.00 | NA | 0.45 | 0.01 | XXX |
| 92065 | A | Orthoptic/pleoptic training | 0.37 | NA | 1.38 | 0.02 | XXX | |
| 92065 | 26 | A | Orthoptic/pleoptic training | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 92065 | TC | A | Orthoptic/pleoptic training | 0.00 | NA | 1.22 | 0.01 | XXX |
| 92070 | A | Fitting of contact lens | 0.70 | 0.33 | 1.15 | 0.01 | XXX | |
| 92081 | A | Visual field examination(s) | 0.36 | NA | 0.67 | 0.02 | XXX | |
| 92081 | 26 | A | Visual field examination(s) | 0.36 | 0.16 | 0.16 | 0.01 | XXX |
| 92081 | TC | A | Visual field examination(s) | 0.00 | NA | 0.51 | 0.01 | XXX |
| 92082 | A | Visual field examination(s) | 0.44 | NA | 1.04 | 0.02 | XXX | |
| 92082 | 26 | A | Visual field examination(s) | 0.44 | 0.19 | 0.19 | 0.01 | XXX |
| 92082 | TC | A | Visual field examination(s) | 0.00 | NA | 0.85 | 0.01 | XXX |
| 92083 | A | Visual field examination(s) | 0.50 | NA | 1.14 | 0.02 | XXX | |
| 92083 | 26 | A | Visual field examination(s) | 0.50 | 0.23 | 0.23 | 0.01 | XXX |
| 92083 | TC | A | Visual field examination(s) | 0.00 | NA | 0.92 | 0.01 | XXX |
| 92100 | A | Serial tonometry exam(s) | 0.92 | 0.35 | 0.74 | 0.02 | XXX | |
| 92120 | A | Tonography eye evaluation | 0.81 | 0.33 | 0.82 | 0.02 | XXX | |
| 92130 | A | Water provocation tonography | 0.81 | 0.38 | 0.93 | 0.02 | XXX | |
| 92135 | A | Opthalmic dx imaging | 0.35 | NA | 1.09 | 0.02 | XXX | |
| 92135 | 26 | A | Opthalmic dx imaging | 0.35 | 0.16 | 0.16 | 0.01 | XXX |
| 92135 | TC | A | Opthalmic dx imaging | 0.00 | NA | 0.93 | 0.01 | XXX |
| 92136 | A | Ophthalmic biometry | 0.54 | NA | 2.00 | 0.07 | XXX | |
| 92136 | 26 | A | Ophthalmic biometry | 0.54 | 0.25 | 0.25 | 0.01 | XXX |
| 92136 | TC | A | Ophthalmic biometry | 0.00 | NA | 1.75 | 0.06 | XXX |
| 92140 | A | Glaucoma provocative tests | 0.50 | 0.22 | 1.02 | 0.01 | XXX | |
| 92225 | A | Special eye exam, initial | 0.38 | 0.16 | 0.22 | 0.01 | XXX | |
| 92226 | A | Special eye exam, subsequent | 0.33 | 0.15 | 0.21 | 0.01 | XXX | |
| 92230 | A | Eye exam with photos | 0.60 | 0.20 | 1.79 | 0.02 | XXX | |
| 92235 | A | Eye exam with photos | 0.81 | NA | 2.75 | 0.07 | XXX | |
| 92235 | 26 | A | Eye exam with photos | 0.81 | 0.38 | 0.38 | 0.02 | XXX |
| 92235 | TC | A | Eye exam with photos | 0.00 | NA | 2.37 | 0.05 | XXX |
| 92240 | A | Icg angiography | 1.10 | NA | 5.44 | 0.07 | XXX | |
| 92240 | 26 | A | Icg angiography | 1.10 | 0.51 | 0.51 | 0.02 | XXX |
| 92240 | TC | A | Icg angiography | 0.00 | NA | 4.93 | 0.05 | XXX |
| 92250 | A | Eye exam with photos | 0.44 | NA | 1.58 | 0.02 | XXX | |
| 92250 | 26 | A | Eye exam with photos | 0.44 | 0.20 | 0.20 | 0.01 | XXX |
| 92250 | TC | A | Eye exam with photos | 0.00 | NA | 1.38 | 0.01 | XXX |
| 92260 | A | Ophthalmoscopy/dynamometry | 0.20 | 0.09 | 0.25 | 0.01 | XXX | |
| 92265 | A | Eye muscle evaluation | 0.81 | NA | 1.83 | 0.04 | XXX | |
| 92265 | 26 | A | Eye muscle evaluation | 0.81 | 0.29 | 0.29 | 0.02 | XXX |
| 92265 | TC | A | Eye muscle evaluation | 0.00 | NA | 1.54 | 0.02 | XXX |
| 92270 | A | Electro-oculography | 0.81 | NA | 1.70 | 0.05 | XXX | |
| 92270 | 26 | A | Electro-oculography | 0.81 | 0.35 | 0.35 | 0.03 | XXX |
| 92270 | TC | A | Electro-oculography | 0.00 | NA | 1.35 | 0.02 | XXX |
| 92275 | A | Electroretinography | 1.01 | NA | 2.01 | 0.04 | XXX | |
| 92275 | 26 | A | Electroretinography | 1.01 | 0.44 | 0.44 | 0.02 | XXX |
| 92275 | TC | A | Electroretinography | 0.00 | NA | 1.57 | 0.02 | XXX |
| 92283 | A | Color vision examination | 0.17 | NA | 0.95 | 0.02 | XXX | |
| 92283 | 26 | A | Color vision examination | 0.17 | 0.07 | 0.07 | 0.01 | XXX |
| 92283 | TC | A | Color vision examination | 0.00 | NA | 0.88 | 0.01 | XXX |
| 92284 | A | Dark adaptation eye exam | 0.24 | NA | 2.38 | 0.02 | XXX | |
| 92284 | 26 | A | Dark adaptation eye exam | 0.24 | 0.09 | 0.09 | 0.01 | XXX |
| 92284 | TC | A | Dark adaptation eye exam | 0.00 | NA | 2.29 | 0.01 | XXX |
| 92285 | A | Eye photography | 0.20 | NA | 0.90 | 0.02 | XXX | |
| 92285 | 26 | A | Eye photography | 0.20 | 0.09 | 0.09 | 0.01 | XXX |
| 92285 | TC | A | Eye photography | 0.00 | NA | 0.81 | 0.01 | XXX |
| 92286 | A | Internal eye photography | 0.66 | NA | 3.07 | 0.03 | XXX | |
| 92286 | 26 | A | Internal eye photography | 0.66 | 0.30 | 0.30 | 0.01 | XXX |
| 92286 | TC | A | Internal eye photography | 0.00 | NA | 2.76 | 0.02 | XXX |
| 92287 | A | Internal eye photography | 0.81 | 0.32 | 2.87 | 0.02 | XXX | |
| 92310 | N | Contact lens fitting | 1.17 | 0.45 | 1.10 | 0.03 | XXX | |
| 92311 | A | Contact lens fitting | 1.08 | 0.36 | 1.20 | 0.03 | XXX | |
| 92312 | A | Contact lens fitting | 1.26 | 0.51 | 1.18 | 0.03 | XXX | |
| 92313 | A | Contact lens fitting | 0.92 | 0.29 | 1.17 | 0.02 | XXX | |
| 92314 | N | Prescription of contact lens | 0.69 | 0.27 | 0.92 | 0.01 | XXX | |
| 92315 | A | Prescription of contact lens | 0.45 | 0.17 | 0.93 | 0.01 | XXX | |
| 92316 | A | Prescription of contact lens | 0.68 | 0.30 | 1.00 | 0.01 | XXX | |
| 92317 | A | Prescription of contact lens | 0.45 | 0.17 | 1.03 | 0.01 | XXX | |
| 92325 | A | Modification of contact lens | 0.00 | NA | 0.41 | 0.01 | XXX | |
| 92326 | A | Replacement of contact lens | 0.00 | NA | 1.69 | 0.05 | XXX | |
| 92330 | A | Fitting of artificial eye | 1.08 | 0.33 | 1.06 | 0.04 | XXX | |
| 92335 | A | Fitting of artificial eye | 0.45 | 0.17 | 0.99 | 0.01 | XXX | |
| 92340 | N | Fitting of spectacles | 0.37 | 0.14 | 0.69 | 0.01 | XXX | |
| 92341 | N | Fitting of spectacles | 0.47 | 0.18 | 0.72 | 0.01 | XXX | |
| 92342 | N | Fitting of spectacles | 0.53 | 0.20 | 0.75 | 0.01 | XXX | |
| 92352 | B | Special spectacles fitting | 0.37 | 0.14 | 0.69 | 0.01 | XXX | |
| 92353 | B | Special spectacles fitting | 0.50 | 0.19 | 0.74 | 0.02 | XXX | |
| 92354 | B | Special spectacles fitting | 0.00 | NA | 9.15 | 0.08 | XXX | |
| 92355 | B | Special spectacles fitting | 0.00 | NA | 4.48 | 0.01 | XXX | |
| 92358 | B | Eye prosthesis service | 0.00 | NA | 1.00 | 0.04 | XXX | |
| 92370 | N | Repair adjust spectacles | 0.32 | 0.12 | 0.54 | 0.02 | XXX | |
| 92371 | B | Repair adjust spectacles | 0.00 | NA | 0.64 | 0.02 | XXX | |
| 92390 | N | Supply of spectacles | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92391 | N | Supply of contact lenses | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92392 | I | Supply of low vision aids | 0.00 | NA | 4.18 | 0.02 | XXX | |
| 92393 | I | Supply of artificial eye | 0.00 | NA | 12.97 | 0.47 | XXX | |
| 92395 | I | Supply of spectacles | 0.00 | NA | 1.42 | 0.08 | XXX | |
| 92396 | I | Supply of contact lenses | 0.00 | NA | 2.38 | 0.06 | XXX | |
| 92499 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92499 | 26 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92499 | TC | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92502 | A | Ear and throat examination | 1.51 | 1.24 | NA | 0.06 | 000 | |
| 92504 | A | Ear microscopy examination | 0.18 | 0.09 | 1.08 | 0.01 | XXX | |
| 92506 | A | Speech/hearing evaluation | 0.86 | 0.41 | 1.60 | 0.04 | XXX | |
| 92507 | A | Speech/hearing therapy | 0.52 | 0.24 | 1.50 | 0.02 | XXX | |
| 92508 | A | Speech/hearing therapy | 0.26 | 0.13 | 1.39 | 0.01 | XXX | |
| 92510 | A | Rehab for ear implant | 1.50 | 0.76 | 2.03 | 0.06 | XXX | |
| 92511 | A | Nasopharyngoscopy | 0.84 | 0.42 | 1.33 | 0.03 | 000 | |
| 92512 | A | Nasal function studies | 0.55 | 0.18 | 1.09 | 0.02 | XXX | |
| 92516 | A | Facial nerve function test | 0.43 | 0.22 | 0.93 | 0.02 | XXX | |
| 92520 | A | Laryngeal function studies | 0.76 | 0.40 | 0.55 | 0.03 | XXX | |
| 92525 | I | Oral function evaluation | 1.50 | 0.58 | 1.66 | 0.07 | XXX | |
| 92526 | A | Oral function therapy | 0.55 | 0.21 | 1.68 | 0.02 | XXX | |
| 92531 | B | Spontaneous nystagmus study | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92532 | B | Positional nystagmus test | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92533 | B | Caloric vestibular test | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92534 | B | Optokinetic nystagmus test | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92541 | A | Spontaneous nystagmus test | 0.40 | NA | 1.54 | 0.04 | XXX | |
| 92541 | 26 | A | Spontaneous nystagmus test | 0.40 | 0.20 | 0.20 | 0.02 | XXX |
| 92541 | TC | A | Spontaneous nystagmus test | 0.00 | NA | 1.35 | 0.02 | XXX |
| 92542 | A | Positional nystagmus test | 0.33 | NA | 1.50 | 0.03 | XXX | |
| 92542 | 26 | A | Positional nystagmus test | 0.33 | 0.16 | 0.16 | 0.01 | XXX |
| 92542 | TC | A | Positional nystagmus test | 0.00 | NA | 1.34 | 0.02 | XXX |
| 92543 | A | Caloric vestibular test | 0.10 | NA | 0.40 | 0.02 | XXX | |
| 92543 | 26 | A | Caloric vestibular test | 0.10 | 0.05 | 0.05 | 0.01 | XXX |
| 92543 | TC | A | Caloric vestibular test | 0.00 | NA | 0.36 | 0.01 | XXX |
| 92544 | A | Optokinetic nystagmus test | 0.26 | NA | 1.44 | 0.03 | XXX | |
| 92544 | 26 | A | Optokinetic nystagmus test | 0.26 | 0.13 | 0.13 | 0.01 | XXX |
| 92544 | TC | A | Optokinetic nystagmus test | 0.00 | NA | 1.32 | 0.02 | XXX |
| 92545 | A | Oscillating tracking test | 0.23 | NA | 1.43 | 0.03 | XXX | |
| 92545 | 26 | A | Oscillating tracking test | 0.23 | 0.11 | 0.11 | 0.01 | XXX |
| 92545 | TC | A | Oscillating tracking test | 0.00 | NA | 1.32 | 0.02 | XXX |
| 92546 | A | Sinusoidal rotational test | 0.29 | NA | 2.71 | 0.03 | XXX | |
| 92546 | 26 | A | Sinusoidal rotational test | 0.29 | 0.14 | 0.14 | 0.01 | XXX |
| 92546 | TC | A | Sinusoidal rotational test | 0.00 | NA | 2.57 | 0.02 | XXX |
| 92547 | A | Supplemental electrical test | 0.00 | NA | 1.27 | 0.05 | ZZZ | |
| 92548 | A | Posturography | 0.50 | NA | 3.70 | 0.13 | XXX | |
| 92548 | 26 | A | Posturography | 0.50 | 0.27 | 0.27 | 0.02 | XXX |
| 92548 | TC | A | Posturography | 0.00 | NA | 3.43 | 0.11 | XXX |
| 92551 | N | Pure tone hearing test, air | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92552 | A | Pure tone audiometry, air | 0.00 | NA | 0.46 | 0.03 | XXX | |
| 92553 | A | Audiometry, air bone | 0.00 | NA | 0.68 | 0.05 | XXX | |
| 92555 | A | Speech threshold audiometry | 0.00 | NA | 0.39 | 0.03 | XXX | |
| 92556 | A | Speech audiometry, complete | 0.00 | NA | 0.59 | 0.05 | XXX | |
| 92557 | A | Comprehensive hearing test | 0.00 | NA | 1.23 | 0.10 | XXX | |
| 92559 | N | Group audiometric testing | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92560 | N | Bekesy audiometry, screen | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92561 | A | Bekesy audiometry, diagnosis | 0.00 | NA | 0.74 | 0.05 | XXX | |
| 92562 | A | Loudness balance test | 0.00 | NA | 0.42 | 0.03 | XXX | |
| 92563 | A | Tone decay hearing test | 0.00 | NA | 0.39 | 0.03 | XXX | |
| 92564 | A | Sisi hearing test | 0.00 | NA | 0.49 | 0.04 | XXX | |
| 92565 | A | Stenger test, pure tone | 0.00 | NA | 0.41 | 0.03 | XXX | |
| 92567 | A | Tympanometry | 0.00 | NA | 0.54 | 0.05 | XXX | |
| 92568 | A | Acoustic reflex testing | 0.00 | NA | 0.39 | 0.03 | XXX | |
| 92569 | A | Acoustic reflex decay test | 0.00 | NA | 0.42 | 0.03 | XXX | |
| 92571 | A | Filtered speech hearing test | 0.00 | NA | 0.40 | 0.03 | XXX | |
| 92572 | A | Staggered spondaic word test | 0.00 | NA | 0.09 | 0.01 | XXX | |
| 92573 | A | Lombard test | 0.00 | NA | 0.36 | 0.03 | XXX | |
| 92575 | A | Sensorineural acuity test | 0.00 | NA | 0.31 | 0.02 | XXX | |
| 92576 | A | Synthetic sentence test | 0.00 | NA | 0.46 | 0.04 | XXX | |
| 92577 | A | Stenger test, speech | 0.00 | NA | 0.74 | 0.06 | XXX | |
| 92579 | A | Visual audiometry (vra) | 0.00 | NA | 0.75 | 0.05 | XXX | |
| 92582 | A | Conditioning play audiometry | 0.00 | NA | 0.75 | 0.05 | XXX | |
| 92583 | A | Select picture audiometry | 0.00 | NA | 0.92 | 0.07 | XXX | |
| 92584 | A | Electrocochleography | 0.00 | NA | 2.56 | 0.17 | XXX | |
| 92585 | A | Auditor evoke potent, compre | 0.50 | NA | 2.13 | 0.14 | XXX | |
| 92585 | 26 | A | Auditor evoke potent, compre | 0.50 | 0.22 | 0.22 | 0.02 | XXX |
| 92585 | TC | A | Auditor evoke potent, compre | 0.00 | NA | 1.91 | 0.12 | XXX |
| 92586 | A | Auditor evoke potent, limit | 0.00 | NA | 1.91 | 0.12 | XXX | |
| 92587 | A | Evoked auditory test | 0.13 | NA | 1.42 | 0.10 | XXX | |
| 92587 | 26 | A | Evoked auditory test | 0.13 | 0.07 | 0.07 | 0.01 | XXX |
| 92587 | TC | A | Evoked auditory test | 0.00 | NA | 1.35 | 0.09 | XXX |
| 92588 | A | Evoked auditory test | 0.36 | NA | 1.69 | 0.12 | XXX | |
| 92588 | 26 | A | Evoked auditory test | 0.36 | 0.17 | 0.17 | 0.01 | XXX |
| 92588 | TC | A | Evoked auditory test | 0.00 | NA | 1.52 | 0.11 | XXX |
| 92589 | A | Auditory function test(s) | 0.00 | NA | 0.55 | 0.05 | XXX | |
| 92590 | N | Hearing aid exam, one ear | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92591 | N | Hearing aid exam, both ears | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92592 | N | Hearing aid check, one ear | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92593 | N | Hearing aid check, both ears | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92594 | N | Electro hearng aid test, one | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92595 | N | Electro hearng aid tst, both | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92596 | A | Ear protector evaluation | 0.00 | NA | 0.61 | 0.05 | XXX | |
| 92597 | I | Oral speech device eval | 1.35 | 0.52 | 1.61 | 0.05 | XXX | |
| 92598 | I | Modify oral speech device | 0.99 | 0.38 | 0.80 | 0.04 | XXX | |
| 92599 | C | ENT procedure/service | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92599 | 26 | C | ENT procedure/service | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92599 | TC | C | ENT procedure/service | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92950 | A | Heart/lung resuscitation cpr | 3.80 | 1.16 | 1.44 | 0.21 | 000 | |
| 92953 | A | Temporary external pacing | 0.23 | 0.23 | NA | 0.01 | 000 | |
| 92960 | A | Cardioversion electric, ext | 2.25 | 0.86 | 2.18 | 0.08 | 000 | |
| 92961 | A | Cardioversion, electric, int | 4.60 | 1.78 | NA | 0.17 | 000 | |
| 92970 | A | Cardioassist, internal | 3.52 | 1.10 | NA | 0.17 | 000 | |
| 92971 | A | Cardioassist, external | 1.77 | 0.86 | NA | 0.06 | 000 | |
| 92973 | A | Percut coronary thrombectomy | 3.28 | 1.31 | NA | 0.17 | ZZZ | |
| 92974 | A | Cath place, cardio brachytx | 3.00 | 1.21 | NA | 1.18 | ZZZ | |
| 92975 | A | Dissolve clot, heart vessel | 7.25 | 2.90 | NA | 0.22 | 000 | |
| 92977 | A | Dissolve clot, heart vessel | 0.00 | NA | 8.32 | 0.38 | XXX | |
| 92978 | A | Intravasc us, heart add-on | 1.80 | NA | 5.45 | 0.26 | ZZZ | |
| 92978 | 26 | A | Intravasc us, heart add-on | 1.80 | 0.73 | 0.73 | 0.06 | ZZZ |
| 92978 | TC | A | Intravasc us, heart add-on | 0.00 | NA | 4.72 | 0.20 | ZZZ |
| 92979 | A | Intravasc us, heart add-on | 1.44 | NA | 2.95 | 0.15 | ZZZ | |
| 92979 | 26 | A | Intravasc us, heart add-on | 1.44 | 0.58 | 0.58 | 0.04 | ZZZ |
| 92979 | TC | A | Intravasc us, heart add-on | 0.00 | NA | 2.37 | 0.11 | ZZZ |
| 92980 | A | Insert intracoronary stent | 14.84 | 6.00 | NA | 0.78 | 000 | |
| 92981 | A | Insert intracoronary stent | 4.17 | 1.69 | NA | 0.21 | ZZZ | |
| 92982 | A | Coronary artery dilation | 10.98 | 4.43 | NA | 0.57 | 000 | |
| 92984 | A | Coronary artery dilation | 2.97 | 1.20 | NA | 0.16 | ZZZ | |
| 92986 | A | Revision of aortic valve | 21.80 | 10.19 | NA | 1.14 | 090 | |
| 92987 | A | Revision of mitral valve | 22.70 | 10.57 | NA | 1.18 | 090 | |
| 92990 | A | Revision of pulmonary valve | 17.34 | 8.15 | NA | 0.90 | 090 | |
| 92992 | C | Revision of heart chamber | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 92993 | C | Revision of heart chamber | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 92995 | A | Coronary atherectomy | 12.09 | 4.88 | NA | 0.63 | 000 | |
| 92996 | A | Coronary atherectomy add-on | 3.26 | 1.31 | NA | 0.17 | ZZZ | |
| 92997 | A | Pul art balloon repr, percut | 12.00 | 4.73 | NA | 0.63 | 000 | |
| 92998 | A | Pul art balloon repr, percut | 6.00 | 2.26 | NA | 0.31 | ZZZ | |
| 93000 | A | Electrocardiogram, complete | 0.17 | NA | 0.53 | 0.03 | XXX | |
| 93005 | A | Electrocardiogram, tracing | 0.00 | NA | 0.47 | 0.02 | XXX | |
| 93010 | A | Electrocardiogram report | 0.17 | 0.06 | 0.06 | 0.01 | XXX | |
| 93012 | A | Transmission of ecg | 0.00 | NA | 2.44 | 0.15 | XXX | |
| 93014 | A | Report on transmitted ecg | 0.52 | 0.19 | 0.19 | 0.02 | XXX | |
| 93015 | A | Cardiovascular stress test | 0.75 | NA | 2.03 | 0.11 | XXX | |
| 93016 | A | Cardiovascular stress test | 0.45 | 0.18 | 0.18 | 0.01 | XXX | |
| 93017 | A | Cardiovascular stress test | 0.00 | NA | 1.74 | 0.09 | XXX | |
| 93018 | A | Cardiovascular stress test | 0.30 | 0.12 | 0.12 | 0.01 | XXX | |
| 93024 | A | Cardiac drug stress test | 1.17 | NA | 1.62 | 0.11 | XXX | |
| 93024 | 26 | A | Cardiac drug stress test | 1.17 | 0.46 | 0.46 | 0.04 | XXX |
| 93024 | TC | A | Cardiac drug stress test | 0.00 | NA | 1.16 | 0.07 | XXX |
| 93025 | A | Microvolt t-wave assess | 0.75 | NA | 7.71 | 0.11 | XXX | |
| 93025 | 26 | A | Microvolt t-wave assess | 0.75 | NA | 0.31 | 0.02 | XXX |
| 93025 | TC | A | Microvolt t-wave assess | 0.00 | NA | 7.40 | 0.09 | XXX |
| 93040 | A | Rhythm ECG with report | 0.16 | NA | 0.38 | 0.02 | XXX | |
| 93041 | A | Rhythm ECG, tracing | 0.00 | NA | 0.15 | 0.01 | XXX | |
| 93042 | A | Rhythm ECG, report | 0.16 | 0.05 | 0.05 | 0.01 | XXX | |
| 93224 | A | ECG monitor/report, 24 hrs | 0.52 | NA | 3.74 | 0.21 | XXX | |
| 93225 | A | ECG monitor/record, 24 hrs | 0.00 | NA | 1.28 | 0.07 | XXX | |
| 93226 | A | ECG monitor/report, 24 hrs | 0.00 | NA | 2.26 | 0.12 | XXX | |
| 93227 | A | ECG monitor/review, 24 hrs | 0.52 | 0.20 | 0.20 | 0.02 | XXX | |
| 93230 | A | ECG monitor/report, 24 hrs | 0.52 | NA | 4.02 | 0.22 | XXX | |
| 93231 | A | Ecg monitor/record, 24 hrs | 0.00 | NA | 1.57 | 0.09 | XXX | |
| 93232 | A | ECG monitor/report, 24 hrs | 0.00 | NA | 2.25 | 0.11 | XXX | |
| 93233 | A | ECG monitor/review, 24 hrs | 0.52 | 0.20 | 0.20 | 0.02 | XXX | |
| 93235 | A | ECG monitor/report, 24 hrs | 0.45 | NA | 2.88 | 0.13 | XXX | |
| 93236 | A | ECG monitor/report, 24 hrs | 0.00 | NA | 2.71 | 0.12 | XXX | |
| 93237 | A | ECG monitor/review, 24 hrs | 0.45 | 0.17 | 0.17 | 0.01 | XXX | |
| 93268 | A | ECG record/review | 0.52 | NA | 3.91 | 0.24 | XXX | |
| 93270 | A | ECG recording | 0.00 | NA | 1.28 | 0.07 | XXX | |
| 93271 | A | Ecg/monitoring and analysis | 0.00 | NA | 2.44 | 0.15 | XXX | |
| 93272 | A | Ecg/review, interpret only | 0.52 | 0.19 | 0.19 | 0.02 | XXX | |
| 93278 | A | ECG/signal-averaged | 0.25 | NA | 1.29 | 0.10 | XXX | |
| 93278 | 26 | A | ECG/signal-averaged | 0.25 | 0.10 | 0.10 | 0.01 | XXX |
| 93278 | TC | A | ECG/signal-averaged | 0.00 | NA | 1.19 | 0.09 | XXX |
| 93303 | A | Echo transthoracic | 1.30 | NA | 4.48 | 0.23 | XXX | |
| 93303 | 26 | A | Echo transthoracic | 1.30 | 0.49 | 0.49 | 0.04 | XXX |
| 93303 | TC | A | Echo transthoracic | 0.00 | NA | 3.99 | 0.19 | XXX |
| 93304 | A | Echo transthoracic | 0.75 | NA | 2.30 | 0.13 | XXX | |
| 93304 | 26 | A | Echo transthoracic | 0.75 | 0.29 | 0.29 | 0.02 | XXX |
| 93304 | TC | A | Echo transthoracic | 0.00 | NA | 2.01 | 0.11 | XXX |
| 93307 | A | Echo exam of heart | 0.92 | NA | 4.35 | 0.22 | XXX | |
| 93307 | 26 | A | Echo exam of heart | 0.92 | 0.36 | 0.36 | 0.03 | XXX |
| 93307 | TC | A | Echo exam of heart | 0.00 | NA | 3.99 | 0.19 | XXX |
| 93308 | A | Echo exam of heart | 0.53 | NA | 2.22 | 0.13 | XXX | |
| 93308 | 26 | A | Echo exam of heart | 0.53 | 0.21 | 0.21 | 0.02 | XXX |
| 93308 | TC | A | Echo exam of heart | 0.00 | NA | 2.01 | 0.11 | XXX |
| 93312 | A | Echo transesophageal | 2.20 | NA | 4.72 | 0.32 | XXX | |
| 93312 | 26 | A | Echo transesophageal | 2.20 | 0.81 | 0.81 | 0.08 | XXX |
| 93312 | TC | A | Echo transesophageal | 0.00 | NA | 3.91 | 0.24 | XXX |
| 93313 | A | Echo transesophageal | 0.95 | 0.22 | 5.00 | 0.05 | XXX | |
| 93314 | A | Echo transesophageal | 1.25 | NA | 4.39 | 0.28 | XXX | |
| 93314 | 26 | A | Echo transesophageal | 1.25 | 0.48 | 0.48 | 0.04 | XXX |
| 93314 | TC | A | Echo transesophageal | 0.00 | NA | 3.91 | 0.24 | XXX |
| 93315 | A | Echo transesophageal | 2.78 | NA | 4.95 | 0.34 | XXX | |
| 93315 | 26 | A | Echo transesophageal | 2.78 | 1.04 | 1.04 | 0.10 | XXX |
| 93315 | TC | A | Echo transesophageal | 0.00 | NA | 3.91 | 0.24 | XXX |
| 93316 | A | Echo transesophageal | 0.95 | 0.24 | 5.51 | 0.05 | XXX | |
| 93317 | A | Echo transesophageal | 1.83 | NA | 4.59 | 0.30 | XXX | |
| 93317 | 26 | A | Echo transesophageal | 1.83 | 0.69 | 0.69 | 0.06 | XXX |
| 93317 | TC | A | Echo transesophageal | 0.00 | NA | 3.91 | 0.24 | XXX |
| 93318 | C | Echo transesophageal intraop | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93318 | 26 | A | Echo transesophageal intraop | 2.20 | NA | 0.85 | 0.06 | XXX |
| 93318 | TC | C | Echo transesophageal intraop | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93320 | A | Doppler echo exam, heart | 0.38 | NA | 1.92 | 0.11 | ZZZ | |
| 93320 | 26 | A | Doppler echo exam, heart | 0.38 | 0.15 | 0.15 | 0.01 | ZZZ |
| 93320 | TC | A | Doppler echo exam, heart | 0.00 | NA | 1.77 | 0.10 | ZZZ |
| 93321 | A | Doppler echo exam, heart | 0.15 | NA | 1.21 | 0.08 | ZZZ | |
| 93321 | 26 | A | Doppler echo exam, heart | 0.15 | 0.06 | 0.06 | 0.01 | ZZZ |
| 93321 | TC | A | Doppler echo exam, heart | 0.00 | NA | 1.15 | 0.07 | ZZZ |
| 93325 | A | Doppler color flow add-on | 0.07 | NA | 3.03 | 0.18 | ZZZ | |
| 93325 | 26 | A | Doppler color flow add-on | 0.07 | 0.03 | 0.03 | 0.01 | ZZZ |
| 93325 | TC | A | Doppler color flow add-on | 0.00 | NA | 3.00 | 0.17 | ZZZ |
| 93350 | A | Echo transthoracic | 1.48 | NA | 2.40 | 0.13 | XXX | |
| 93350 | 26 | A | Echo transthoracic | 1.48 | 0.59 | 0.59 | 0.02 | XXX |
| 93350 | TC | A | Echo transthoracic | 0.00 | NA | 1.82 | 0.11 | XXX |
| 93501 | A | Right heart catheterization | 3.02 | NA | 16.72 | 1.03 | 000 | |
| 93501 | 26 | A | Right heart catheterization | 3.02 | 1.19 | 1.19 | 0.16 | 000 |
| 93501 | TC | A | Right heart catheterization | 0.00 | NA | 15.53 | 0.87 | 000 |
| 93503 | A | Insert/place heart catheter | 2.91 | 0.71 | NA | 0.16 | 000 | |
| 93505 | A | Biopsy of heart lining | 4.38 | NA | 3.55 | 0.36 | 000 | |
| 93505 | 26 | A | Biopsy of heart lining | 4.38 | 1.73 | 1.73 | 0.23 | 000 |
| 93505 | TC | A | Biopsy of heart lining | 0.00 | NA | 1.82 | 0.13 | 000 |
| 93508 | A | Cath placement, angiography | 4.10 | NA | 13.24 | 0.75 | 000 | |
| 93508 | 26 | A | Cath placement, angiography | 4.10 | 1.65 | 1.65 | 0.21 | 000 |
| 93508 | TC | A | Cath placement, angiography | 0.00 | NA | 11.59 | 0.54 | 000 |
| 93510 | A | Left heart catheterization | 4.33 | NA | 35.70 | 2.13 | 000 | |
| 93510 | 26 | A | Left heart catheterization | 4.33 | 1.75 | 1.75 | 0.22 | 000 |
| 93510 | TC | A | Left heart catheterization | 0.00 | NA | 33.95 | 1.91 | 000 |
| 93511 | A | Left heart catheterization | 5.03 | NA | 35.08 | 2.11 | 000 | |
| 93511 | 26 | A | Left heart catheterization | 5.03 | 2.03 | 2.03 | 0.26 | 000 |
| 93511 | TC | A | Left heart catheterization | 0.00 | NA | 33.05 | 1.85 | 000 |
| 93514 | A | Left heart catheterization | 7.05 | NA | 35.82 | 2.22 | 000 | |
| 93514 | 26 | A | Left heart catheterization | 7.05 | 2.77 | 2.77 | 0.37 | 000 |
| 93514 | TC | A | Left heart catheterization | 0.00 | NA | 33.05 | 1.85 | 000 |
| 93524 | A | Left heart catheterization | 6.95 | NA | 45.98 | 2.79 | 000 | |
| 93524 | 26 | A | Left heart catheterization | 6.95 | 2.79 | 2.79 | 0.36 | 000 |
| 93524 | TC | A | Left heart catheterization | 0.00 | NA | 43.19 | 2.43 | 000 |
| 93526 | A | Rt Lt heart catheters | 5.99 | NA | 46.79 | 2.81 | 000 | |
| 93526 | 26 | A | Rt Lt heart catheters | 5.99 | 2.41 | 2.41 | 0.31 | 000 |
| 93526 | TC | A | Rt Lt heart catheters | 0.00 | NA | 44.37 | 2.50 | 000 |
| 93527 | A | Rt Lt heart catheters | 7.28 | NA | 46.12 | 2.81 | 000 | |
| 93527 | 26 | A | Rt Lt heart catheters | 7.28 | 2.93 | 2.93 | 0.38 | 000 |
| 93527 | TC | A | Rt Lt heart catheters | 0.00 | NA | 43.19 | 2.43 | 000 |
| 93528 | A | Rt Lt heart catheters | 9.00 | NA | 46.85 | 2.90 | 000 | |
| 93528 | 26 | A | Rt Lt heart catheters | 9.00 | 3.66 | 3.66 | 0.47 | 000 |
| 93528 | TC | A | Rt Lt heart catheters | 0.00 | NA | 43.19 | 2.43 | 000 |
| 93529 | A | Rtlt heart catheterization | 4.80 | NA | 45.08 | 2.68 | 000 | |
| 93529 | 26 | A | Rtlt heart catheterization | 4.80 | 1.89 | 1.89 | 0.25 | 000 |
| 93529 | TC | A | Rtlt heart catheterization | 0.00 | NA | 43.19 | 2.43 | 000 |
| 93530 | A | Rt heart cath, congenital | 4.23 | NA | 17.10 | 1.11 | 000 | |
| 93530 | 26 | A | Rt heart cath, congenital | 4.23 | 1.56 | 1.56 | 0.24 | 000 |
| 93530 | TC | A | Rt heart cath, congenital | 0.00 | NA | 15.53 | 0.87 | 000 |
| 93531 | A | R l heart cath, congenital | 8.35 | NA | 47.64 | 2.96 | 000 | |
| 93531 | 26 | A | R l heart cath, congenital | 8.35 | 3.27 | 3.27 | 0.46 | 000 |
| 93531 | TC | A | R l heart cath, congenital | 0.00 | NA | 44.37 | 2.50 | 000 |
| 93532 | A | R l heart cath, congenital | 10.00 | NA | 47.11 | 2.95 | 000 | |
| 93532 | 26 | A | R l heart cath, congenital | 10.00 | 3.92 | 3.92 | 0.52 | 000 |
| 93532 | TC | A | R l heart cath, congenital | 0.00 | NA | 43.19 | 2.43 | 000 |
| 93533 | A | R l heart cath, congenital | 6.70 | NA | 45.65 | 2.86 | 000 | |
| 93533 | 26 | A | R l heart cath, congenital | 6.70 | 2.46 | 2.46 | 0.43 | 000 |
| 93533 | TC | A | R l heart cath, congenital | 0.00 | NA | 43.19 | 2.43 | 000 |
| 93536 | D | Insert circulation assi | 4.85 | 1.87 | NA | 0.27 | 000 | |
| 93539 | A | Injection, cardiac cath | 0.40 | 0.16 | 0.84 | 0.01 | 000 | |
| 93540 | A | Injection, cardiac cath | 0.43 | 0.17 | 0.85 | 0.01 | 000 | |
| 93541 | A | Injection for lung angiogram | 0.29 | 0.12 | NA | 0.01 | 000 | |
| 93542 | A | Injection for heart x-rays | 0.29 | 0.12 | NA | 0.01 | 000 | |
| 93543 | A | Injection for heart x-rays | 0.29 | 0.12 | 0.54 | 0.01 | 000 | |
| 93544 | A | Injection for aortography | 0.25 | 0.10 | 0.53 | 0.01 | 000 | |
| 93545 | A | Inject for coronary x-rays | 0.40 | 0.16 | 0.84 | 0.01 | 000 | |
| 93555 | A | Imaging, cardiac cath | 0.81 | NA | 6.09 | 0.31 | XXX | |
| 93555 | 26 | A | Imaging, cardiac cath | 0.81 | 0.33 | 0.33 | 0.03 | XXX |
| 93555 | TC | A | Imaging, cardiac cath | 0.00 | NA | 5.76 | 0.28 | XXX |
| 93556 | A | Imaging, cardiac cath | 0.83 | NA | 9.43 | 0.45 | XXX | |
| 93556 | 26 | A | Imaging, cardiac cath | 0.83 | 0.33 | 0.33 | 0.03 | XXX |
| 93556 | TC | A | Imaging, cardiac cath | 0.00 | NA | 9.09 | 0.42 | XXX |
| 93561 | A | Cardiac output measurement | 0.50 | NA | 0.66 | 0.07 | 000 | |
| 93561 | 26 | A | Cardiac output measurement | 0.50 | 0.16 | 0.16 | 0.02 | 000 |
| 93561 | TC | A | Cardiac output measurement | 0.00 | NA | 0.50 | 0.05 | 000 |
| 93562 | A | Cardiac output measurement | 0.16 | NA | 0.33 | 0.04 | 000 | |
| 93562 | 26 | A | Cardiac output measurement | 0.16 | 0.05 | 0.05 | 0.01 | 000 |
| 93562 | TC | A | Cardiac output measurement | 0.00 | NA | 0.28 | 0.03 | 000 |
| 93571 | A | Heart flow reserve measure | 1.80 | NA | 5.42 | 0.31 | ZZZ | |
| 93571 | 26 | A | Heart flow reserve measure | 1.80 | 0.70 | 0.70 | 0.11 | ZZZ |
| 93571 | TC | A | Heart flow reserve measure | 0.00 | NA | 4.72 | 0.20 | ZZZ |
| 93572 | A | Heart flow reserve measure | 1.44 | NA | 2.87 | 0.28 | ZZZ | |
| 93572 | 26 | A | Heart flow reserve measure | 1.44 | 0.50 | 0.50 | 0.17 | ZZZ |
| 93572 | TC | A | Heart flow reserve measure | 0.00 | NA | 2.37 | 0.11 | ZZZ |
| 93600 | A | Bundle of His recording | 2.12 | NA | 2.87 | 0.22 | 000 | |
| 93600 | 26 | A | Bundle of His recording | 2.12 | 0.86 | 0.86 | 0.11 | 000 |
| 93600 | TC | A | Bundle of His recording | 0.00 | NA | 2.02 | 0.11 | 000 |
| 93602 | A | Intra-atrial recording | 2.12 | NA | 1.99 | 0.18 | 000 | |
| 93602 | 26 | A | Intra-atrial recording | 2.12 | 0.85 | 0.85 | 0.12 | 000 |
| 93602 | TC | A | Intra-atrial recording | 0.00 | NA | 1.15 | 0.06 | 000 |
| 93603 | A | Right ventricular recording | 2.12 | NA | 2.57 | 0.20 | 000 | |
| 93603 | 26 | A | Right ventricular recording | 2.12 | 0.84 | 0.84 | 0.11 | 000 |
| 93603 | TC | A | Right ventricular recording | 0.00 | NA | 1.74 | 0.09 | 000 |
| 93607 | D | Left ventricular recording | 3.26 | NA | 1.32 | 0.26 | 000 | |
| 93607 | 26 | D | Left ventricular recording | 3.26 | 1.32 | 1.32 | 0.17 | 000 |
| 93607 | TC | D | Left ventricular recording | 0.00 | NA | NA | 0.09 | 000 |
| 93609 | A | Map tachycardia, add-on | 4.81 | NA | 4.74 | 0.66 | ZZZ | |
| 93609 | 26 | A | Map tachycardia, add-on | 4.81 | 1.93 | 1.93 | 0.52 | ZZZ |
| 93609 | TC | A | Map tachycardia, add-on | 0.00 | NA | 2.81 | 0.14 | ZZZ |
| 93610 | A | Intra-atrial pacing | 3.02 | NA | 2.59 | 0.25 | 000 | |
| 93610 | 26 | A | Intra-atrial pacing | 3.02 | 1.19 | 1.19 | 0.17 | 000 |
| 93610 | TC | A | Intra-atrial pacing | 0.00 | NA | 1.40 | 0.08 | 000 |
| 93612 | A | Intraventricular pacing | 3.02 | NA | 2.86 | 0.26 | 000 | |
| 93612 | 26 | A | Intraventricular pacing | 3.02 | 1.19 | 1.19 | 0.17 | 000 |
| 93612 | TC | A | Intraventricular pacing | 0.00 | NA | 1.67 | 0.09 | 000 |
| 93613 | C | Electrophys map, 3d, add-on | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93615 | A | Esophageal recording | 0.99 | NA | 0.61 | 0.05 | 000 | |
| 93615 | 26 | A | Esophageal recording | 0.99 | 0.28 | 0.28 | 0.03 | 000 |
| 93615 | TC | A | Esophageal recording | 0.00 | NA | 0.33 | 0.02 | 000 |
| 93616 | A | Esophageal recording | 1.49 | NA | 0.77 | 0.08 | 000 | |
| 93616 | 26 | A | Esophageal recording | 1.49 | 0.44 | 0.44 | 0.06 | 000 |
| 93616 | TC | A | Esophageal recording | 0.00 | NA | 0.33 | 0.02 | 000 |
| 93618 | A | Heart rhythm pacing | 4.26 | NA | 5.82 | 0.42 | 000 | |
| 93618 | 26 | A | Heart rhythm pacing | 4.26 | 1.72 | 1.72 | 0.22 | 000 |
| 93618 | TC | A | Heart rhythm pacing | 0.00 | NA | 4.10 | 0.20 | 000 |
| 93619 | A | Electrophysiology evaluation | 7.32 | NA | 10.90 | 0.77 | 000 | |
| 93619 | 26 | A | Electrophysiology evaluation | 7.32 | 2.93 | 2.93 | 0.38 | 000 |
| 93619 | TC | A | Electrophysiology evaluation | 0.00 | NA | 7.96 | 0.39 | 000 |
| 93620 | A | Electrophysiology evaluation | 11.59 | NA | 13.91 | 1.04 | 000 | |
| 93620 | 26 | A | Electrophysiology evaluation | 11.59 | 4.65 | 4.65 | 0.60 | 000 |
| 93620 | TC | A | Electrophysiology evaluation | 0.00 | NA | 9.26 | 0.44 | 000 |
| 93621 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93621 | 26 | A | Electrophysiology evaluation | 2.10 | 0.84 | 0.84 | 0.15 | ZZZ |
| 93621 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93622 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93622 | 26 | A | Electrophysiology evaluation | 3.10 | 1.24 | 1.24 | 0.67 | ZZZ |
| 93622 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93623 | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93623 | 26 | A | Stimulation, pacing heart | 2.85 | 1.14 | 1.14 | 0.15 | ZZZ |
| 93623 | TC | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93624 | A | Electrophysiologic study | 4.81 | NA | 3.97 | 0.36 | 000 | |
| 93624 | 26 | A | Electrophysiologic study | 4.81 | 1.92 | 1.92 | 0.25 | 000 |
| 93624 | TC | A | Electrophysiologic study | 0.00 | NA | 2.05 | 0.11 | 000 |
| 93631 | A | Heart pacing, mapping | 7.60 | NA | 9.18 | 1.17 | 000 | |
| 93631 | 26 | A | Heart pacing, mapping | 7.60 | 2.82 | 2.82 | 0.66 | 000 |
| 93631 | TC | A | Heart pacing, mapping | 0.00 | NA | 6.35 | 0.51 | 000 |
| 93640 | A | Evaluation heart device | 3.52 | NA | 8.82 | 0.53 | 000 | |
| 93640 | 26 | A | Evaluation heart device | 3.52 | 1.41 | 1.41 | 0.18 | 000 |
| 93640 | TC | A | Evaluation heart device | 0.00 | NA | 7.41 | 0.35 | 000 |
| 93641 | A | Electrophysiology evaluation | 5.93 | NA | 9.80 | 0.66 | 000 | |
| 93641 | 26 | A | Electrophysiology evaluation | 5.93 | 2.38 | 2.38 | 0.31 | 000 |
| 93641 | TC | A | Electrophysiology evaluation | 0.00 | NA | 7.41 | 0.35 | 000 |
| 93642 | A | Electrophysiology evaluation | 4.89 | NA | 9.36 | 0.51 | 000 | |
| 93642 | 26 | A | Electrophysiology evaluation | 4.89 | 1.94 | 1.94 | 0.16 | 000 |
| 93642 | TC | A | Electrophysiology evaluation | 0.00 | NA | 7.41 | 0.35 | 000 |
| 93650 | A | Ablate heart dysrhythm focus | 10.51 | 4.22 | NA | 0.55 | 000 | |
| 93651 | A | Ablate heart dysrhythm focus | 16.25 | 6.53 | NA | 0.85 | 000 | |
| 93652 | A | Ablate heart dysrhythm focus | 17.68 | 7.10 | NA | 0.92 | 000 | |
| 93660 | A | Tilt table evaluation | 1.89 | NA | 2.50 | 0.08 | 000 | |
| 93660 | 26 | A | Tilt table evaluation | 1.89 | 0.76 | 0.76 | 0.06 | 000 |
| 93660 | TC | A | Tilt table evaluation | 0.00 | NA | 1.74 | 0.02 | 000 |
| 93662 | C | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93662 | 26 | A | Intracardiac ecg (ice) | 2.80 | 1.14 | 1.14 | 0.41 | ZZZ |
| 93662 | TC | C | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93668 | N | Peripheral vascular rehab | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93701 | A | Bioimpedance, thoracic | 0.17 | NA | 0.79 | 0.02 | XXX | |
| 93701 | 26 | A | Bioimpedance, thoracic | 0.17 | 0.06 | 0.06 | 0.01 | XXX |
| 93701 | TC | A | Bioimpedance, thoracic | 0.00 | NA | 0.73 | 0.01 | XXX |
| 93720 | A | Total body plethysmography | 0.17 | NA | 1.09 | 0.06 | XXX | |
| 93721 | A | Plethysmography tracing | 0.00 | NA | 0.73 | 0.05 | XXX | |
| 93722 | A | Plethysmography report | 0.17 | 0.05 | 0.05 | 0.01 | XXX | |
| 93724 | A | Analyze pacemaker system | 4.89 | NA | 6.07 | 0.38 | 000 | |
| 93724 | 26 | A | Analyze pacemaker system | 4.89 | 1.97 | 1.97 | 0.18 | 000 |
| 93724 | TC | A | Analyze pacemaker system | 0.00 | NA | 4.10 | 0.20 | 000 |
| 93727 | A | Analyze ilr system | 0.52 | 0.19 | 0.19 | 0.05 | XXX | |
| 93731 | A | Analyze pacemaker system | 0.45 | NA | 0.69 | 0.05 | XXX | |
| 93731 | 26 | A | Analyze pacemaker system | 0.45 | 0.18 | 0.18 | 0.02 | XXX |
| 93731 | TC | A | Analyze pacemaker system | 0.00 | NA | 0.51 | 0.03 | XXX |
| 93732 | A | Analyze pacemaker system | 0.92 | NA | 0.89 | 0.06 | XXX | |
| 93732 | 26 | A | Analyze pacemaker system | 0.92 | 0.36 | 0.36 | 0.03 | XXX |
| 93732 | TC | A | Analyze pacemaker system | 0.00 | NA | 0.53 | 0.03 | XXX |
| 93733 | A | Telephone analy, pacemaker | 0.17 | NA | 0.82 | 0.06 | XXX | |
| 93733 | 26 | A | Telephone analy, pacemaker | 0.17 | 0.07 | 0.07 | 0.01 | XXX |
| 93733 | TC | A | Telephone analy, pacemaker | 0.00 | NA | 0.75 | 0.05 | XXX |
| 93734 | A | Analyze pacemaker system | 0.38 | NA | 0.51 | 0.03 | XXX | |
| 93734 | 26 | A | Analyze pacemaker system | 0.38 | 0.15 | 0.15 | 0.01 | XXX |
| 93734 | TC | A | Analyze pacemaker system | 0.00 | NA | 0.36 | 0.02 | XXX |
| 93735 | A | Analyze pacemaker system | 0.74 | NA | 0.75 | 0.06 | XXX | |
| 93735 | 26 | A | Analyze pacemaker system | 0.74 | 0.29 | 0.29 | 0.03 | XXX |
| 93735 | TC | A | Analyze pacemaker system | 0.00 | NA | 0.46 | 0.03 | XXX |
| 93736 | A | Telephone analy, pacemaker | 0.15 | NA | 0.71 | 0.06 | XXX | |
| 93736 | 26 | A | Telephone analy, pacemaker | 0.15 | 0.06 | 0.06 | 0.01 | XXX |
| 93736 | TC | A | Telephone analy, pacemaker | 0.00 | NA | 0.65 | 0.05 | XXX |
| 93737 | D | Analyze cardio/defibrillator | 0.45 | NA | 0.71 | 0.04 | XXX | |
| 93737 | 26 | D | Analyze cardio/defibrillator | 0.45 | 0.17 | 0.17 | 0.01 | XXX |
| 93737 | TC | D | Analyze cardio/defibrillator | 0.00 | NA | 0.54 | 0.03 | XXX |
| 93738 | D | Analyze cardio/defibrillator | 0.92 | NA | 0.96 | 0.06 | XXX | |
| 93738 | 26 | D | Analyze cardio/defibrillator | 0.92 | 0.36 | 0.36 | 0.03 | XXX |
| 93738 | TC | D | Analyze cardio/defibrillator | 0.00 | NA | 0.60 | 0.03 | XXX |
| 93740 | B | Temperature gradient studies | 0.16 | NA | 0.22 | 0.02 | XXX | |
| 93740 | 26 | B | Temperature gradient studies | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 93740 | TC | B | Temperature gradient studies | 0.00 | NA | 0.16 | 0.01 | XXX |
| 93741 | A | Analyze ht pace device sngl | 0.80 | NA | 1.01 | 0.05 | XXX | |
| 93741 | 26 | A | Analyze ht pace device sngl | 0.80 | 0.32 | 0.32 | 0.02 | XXX |
| 93741 | TC | A | Analyze ht pace device sngl | 0.00 | NA | 0.69 | 0.03 | XXX |
| 93742 | A | Analyze ht pace device sngl | 0.91 | NA | 1.06 | 0.05 | XXX | |
| 93742 | 26 | A | Analyze ht pace device sngl | 0.91 | 0.37 | 0.37 | 0.02 | XXX |
| 93742 | TC | A | Analyze ht pace device sngl | 0.00 | NA | 0.69 | 0.03 | XXX |
| 93743 | A | Analyze ht pace device dual | 1.03 | NA | 1.17 | 0.06 | XXX | |
| 93743 | 26 | A | Analyze ht pace device dual | 1.03 | 0.41 | 0.41 | 0.03 | XXX |
| 93743 | TC | A | Analyze ht pace device dual | 0.00 | NA | 0.76 | 0.03 | XXX |
| 93744 | A | Analyze ht pace device dual | 1.18 | NA | 1.16 | 0.06 | XXX | |
| 93744 | 26 | A | Analyze ht pace device dual | 1.18 | 0.47 | 0.47 | 0.03 | XXX |
| 93744 | TC | A | Analyze ht pace device dual | 0.00 | NA | 0.69 | 0.03 | XXX |
| 93760 | N | Cephalic thermogram | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93762 | N | Peripheral thermogram | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93770 | B | Measure venous pressure | 0.16 | NA | 0.09 | 0.02 | XXX | |
| 93770 | 26 | B | Measure venous pressure | 0.16 | 0.06 | 0.06 | 0.01 | XXX |
| 93770 | TC | B | Measure venous pressure | 0.00 | NA | 0.03 | 0.01 | XXX |
| 93784 | A | Ambulatory BP monitoring | 0.17 | NA | 1.06 | 0.02 | XXX | |
| 93786 | A | Ambulatory BP recording | 0.00 | NA | 1.00 | 0.01 | XXX | |
| 93788 | N | Ambulatory BP analysis | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93790 | A | Review/report BP recording | 0.17 | 0.06 | 0.06 | 0.01 | XXX | |
| 93797 | A | Cardiac rehab | 0.18 | 0.07 | 0.34 | 0.01 | 000 | |
| 93798 | A | Cardiac rehab/monitor | 0.28 | 0.11 | 0.44 | 0.01 | 000 | |
| 93799 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93799 | 26 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93799 | TC | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93875 | A | Extracranial study | 0.22 | NA | 1.71 | 0.10 | XXX | |
| 93875 | 26 | A | Extracranial study | 0.22 | 0.08 | 0.08 | 0.01 | XXX |
| 93875 | TC | A | Extracranial study | 0.00 | NA | 1.63 | 0.09 | XXX |
| 93880 | A | Extracranial study | 0.60 | NA | 4.60 | 0.33 | XXX | |
| 93880 | 26 | A | Extracranial study | 0.60 | 0.21 | 0.21 | 0.04 | XXX |
| 93880 | TC | A | Extracranial study | 0.00 | NA | 4.39 | 0.29 | XXX |
| 93882 | A | Extracranial study | 0.40 | NA | 3.24 | 0.22 | XXX | |
| 93882 | 26 | A | Extracranial study | 0.40 | 0.14 | 0.14 | 0.04 | XXX |
| 93882 | TC | A | Extracranial study | 0.00 | NA | 3.10 | 0.18 | XXX |
| 93886 | A | Intracranial study | 0.94 | NA | 5.01 | 0.37 | XXX | |
| 93886 | 26 | A | Intracranial study | 0.94 | 0.38 | 0.38 | 0.05 | XXX |
| 93886 | TC | A | Intracranial study | 0.00 | NA | 4.63 | 0.32 | XXX |
| 93888 | A | Intracranial study | 0.62 | NA | 3.44 | 0.26 | XXX | |
| 93888 | 26 | A | Intracranial study | 0.62 | 0.23 | 0.23 | 0.04 | XXX |
| 93888 | TC | A | Intracranial study | 0.00 | NA | 3.21 | 0.22 | XXX |
| 93922 | A | Extremity study | 0.25 | NA | 2.38 | 0.13 | XXX | |
| 93922 | 26 | A | Extremity study | 0.25 | 0.09 | 0.09 | 0.02 | XXX |
| 93922 | TC | A | Extremity study | 0.00 | NA | 2.29 | 0.11 | XXX |
| 93923 | A | Extremity study | 0.45 | NA | 2.89 | 0.22 | XXX | |
| 93923 | 26 | A | Extremity study | 0.45 | 0.16 | 0.16 | 0.04 | XXX |
| 93923 | TC | A | Extremity study | 0.00 | NA | 2.74 | 0.18 | XXX |
| 93924 | A | Extremity study | 0.50 | NA | 4.07 | 0.26 | XXX | |
| 93924 | 26 | A | Extremity study | 0.50 | 0.17 | 0.17 | 0.05 | XXX |
| 93924 | TC | A | Extremity study | 0.00 | NA | 3.90 | 0.21 | XXX |
| 93925 | A | Lower extremity study | 0.58 | NA | 4.53 | 0.33 | XXX | |
| 93925 | 26 | A | Lower extremity study | 0.58 | 0.20 | 0.20 | 0.04 | XXX |
| 93925 | TC | A | Lower extremity study | 0.00 | NA | 4.33 | 0.29 | XXX |
| 93926 | A | Lower extremity study | 0.39 | NA | 3.36 | 0.22 | XXX | |
| 93926 | 26 | A | Lower extremity study | 0.39 | 0.13 | 0.13 | 0.03 | XXX |
| 93926 | TC | A | Lower extremity study | 0.00 | NA | 3.22 | 0.19 | XXX |
| 93930 | A | Upper extremity study | 0.46 | NA | 4.50 | 0.34 | XXX | |
| 93930 | 26 | A | Upper extremity study | 0.46 | 0.16 | 0.16 | 0.03 | XXX |
| 93930 | TC | A | Upper extremity study | 0.00 | NA | 4.34 | 0.31 | XXX |
| 93931 | A | Upper extremity study | 0.31 | NA | 3.29 | 0.22 | XXX | |
| 93931 | 26 | A | Upper extremity study | 0.31 | 0.11 | 0.11 | 0.02 | XXX |
| 93931 | TC | A | Upper extremity study | 0.00 | NA | 3.18 | 0.20 | XXX |
| 93965 | A | Extremity study | 0.35 | NA | 1.99 | 0.12 | XXX | |
| 93965 | 26 | A | Extremity study | 0.35 | 0.12 | 0.12 | 0.02 | XXX |
| 93965 | TC | A | Extremity study | 0.00 | NA | 1.86 | 0.10 | XXX |
| 93970 | A | Extremity study | 0.68 | NA | 4.69 | 0.38 | XXX | |
| 93970 | 26 | A | Extremity study | 0.68 | 0.24 | 0.24 | 0.05 | XXX |
| 93970 | TC | A | Extremity study | 0.00 | NA | 4.45 | 0.33 | XXX |
| 93971 | A | Extremity study | 0.45 | NA | 3.74 | 0.25 | XXX | |
| 93971 | 26 | A | Extremity study | 0.45 | 0.15 | 0.15 | 0.03 | XXX |
| 93971 | TC | A | Extremity study | 0.00 | NA | 3.59 | 0.22 | XXX |
| 93975 | A | Vascular study | 1.80 | NA | 6.37 | 0.47 | XXX | |
| 93975 | 26 | A | Vascular study | 1.80 | 0.62 | 0.62 | 0.11 | XXX |
| 93975 | TC | A | Vascular study | 0.00 | NA | 5.75 | 0.36 | XXX |
| 93976 | A | Vascular study | 1.21 | NA | 4.67 | 0.31 | XXX | |
| 93976 | 26 | A | Vascular study | 1.21 | 0.41 | 0.41 | 0.06 | XXX |
| 93976 | TC | A | Vascular study | 0.00 | NA | 4.26 | 0.25 | XXX |
| 93978 | A | Vascular study | 0.65 | NA | 4.39 | 0.36 | XXX | |
| 93978 | 26 | A | Vascular study | 0.65 | 0.23 | 0.23 | 0.05 | XXX |
| 93978 | TC | A | Vascular study | 0.00 | NA | 4.17 | 0.31 | XXX |
| 93979 | A | Vascular study | 0.44 | NA | 3.15 | 0.24 | XXX | |
| 93979 | 26 | A | Vascular study | 0.44 | 0.16 | 0.16 | 0.04 | XXX |
| 93979 | TC | A | Vascular study | 0.00 | NA | 2.99 | 0.20 | XXX |
| 93980 | A | Penile vascular study | 1.25 | NA | 4.76 | 0.35 | XXX | |
| 93980 | 26 | A | Penile vascular study | 1.25 | 0.42 | 0.42 | 0.07 | XXX |
| 93980 | TC | A | Penile vascular study | 0.00 | NA | 4.34 | 0.28 | XXX |
| 93981 | A | Penile vascular study | 0.44 | NA | 4.69 | 0.28 | XXX | |
| 93981 | 26 | A | Penile vascular study | 0.44 | 0.15 | 0.15 | 0.02 | XXX |
| 93981 | TC | A | Penile vascular study | 0.00 | NA | 4.54 | 0.26 | XXX |
| 93990 | A | Doppler flow testing | 0.25 | NA | 3.18 | 0.21 | XXX | |
| 93990 | 26 | A | Doppler flow testing | 0.25 | 0.09 | 0.09 | 0.02 | XXX |
| 93990 | TC | A | Doppler flow testing | 0.00 | NA | 3.09 | 0.19 | XXX |
| 94010 | A | Breathing capacity test | 0.17 | NA | 0.85 | 0.03 | XXX | |
| 94010 | 26 | A | Breathing capacity test | 0.17 | 0.05 | 0.05 | 0.01 | XXX |
| 94010 | TC | A | Breathing capacity test | 0.00 | NA | 0.79 | 0.02 | XXX |
| 94014 | A | Patient recorded spirometry | 0.52 | NA | 0.17 | 0.03 | XXX | |
| 94015 | A | Patient recorded spirometry | 0.00 | NA | 0.00 | 0.01 | XXX | |
| 94016 | A | Review patient spirometry | 0.52 | 0.17 | 0.17 | 0.02 | XXX | |
| 94060 | A | Evaluation of wheezing | 0.31 | NA | 1.47 | 0.06 | XXX | |
| 94060 | 26 | A | Evaluation of wheezing | 0.31 | 0.10 | 0.10 | 0.01 | XXX |
| 94060 | TC | A | Evaluation of wheezing | 0.00 | NA | 1.37 | 0.05 | XXX |
| 94070 | A | Evaluation of wheezing | 0.60 | NA | 4.10 | 0.10 | XXX | |
| 94070 | 26 | A | Evaluation of wheezing | 0.60 | 0.19 | 0.19 | 0.02 | XXX |
| 94070 | TC | A | Evaluation of wheezing | 0.00 | NA | 3.92 | 0.08 | XXX |
| 94150 | B | Vital capacity test | 0.07 | NA | 0.64 | 0.02 | XXX | |
| 94150 | 26 | B | Vital capacity test | 0.07 | 0.03 | 0.03 | 0.01 | XXX |
| 94150 | TC | B | Vital capacity test | 0.00 | NA | 0.61 | 0.01 | XXX |
| 94200 | A | Lung function test (MBC/MVV) | 0.11 | NA | 0.61 | 0.03 | XXX | |
| 94200 | 26 | A | Lung function test (MBC/MVV) | 0.11 | 0.03 | 0.03 | 0.01 | XXX |
| 94200 | TC | A | Lung function test (MBC/MVV) | 0.00 | NA | 0.58 | 0.02 | XXX |
| 94240 | A | Residual lung capacity | 0.26 | NA | 1.83 | 0.05 | XXX | |
| 94240 | 26 | A | Residual lung capacity | 0.26 | 0.08 | 0.08 | 0.01 | XXX |
| 94240 | TC | A | Residual lung capacity | 0.00 | NA | 1.75 | 0.04 | XXX |
| 94250 | A | Expired gas collection | 0.11 | NA | 0.66 | 0.02 | XXX | |
| 94250 | 26 | A | Expired gas collection | 0.11 | 0.03 | 0.03 | 0.01 | XXX |
| 94250 | TC | A | Expired gas collection | 0.00 | NA | 0.63 | 0.01 | XXX |
| 94260 | A | Thoracic gas volume | 0.13 | NA | 0.53 | 0.04 | XXX | |
| 94260 | 26 | A | Thoracic gas volume | 0.13 | 0.04 | 0.04 | 0.01 | XXX |
| 94260 | TC | A | Thoracic gas volume | 0.00 | NA | 0.49 | 0.03 | XXX |
| 94350 | A | Lung nitrogen washout curve | 0.26 | NA | 1.90 | 0.04 | XXX | |
| 94350 | 26 | A | Lung nitrogen washout curve | 0.26 | 0.08 | 0.08 | 0.01 | XXX |
| 94350 | TC | A | Lung nitrogen washout curve | 0.00 | NA | 1.81 | 0.03 | XXX |
| 94360 | A | Measure airflow resistance | 0.26 | NA | 0.55 | 0.06 | XXX | |
| 94360 | 26 | A | Measure airflow resistance | 0.26 | 0.08 | 0.08 | 0.01 | XXX |
| 94360 | TC | A | Measure airflow resistance | 0.00 | NA | 0.46 | 0.05 | XXX |
| 94370 | A | Breath airway closing volume | 0.26 | NA | 1.92 | 0.03 | XXX | |
| 94370 | 26 | A | Breath airway closing volume | 0.26 | 0.08 | 0.08 | 0.01 | XXX |
| 94370 | TC | A | Breath airway closing volume | 0.00 | NA | 1.84 | 0.02 | XXX |
| 94375 | A | Respiratory flow volume loop | 0.31 | NA | 0.64 | 0.03 | XXX | |
| 94375 | 26 | A | Respiratory flow volume loop | 0.31 | 0.10 | 0.10 | 0.01 | XXX |
| 94375 | TC | A | Respiratory flow volume loop | 0.00 | NA | 0.54 | 0.02 | XXX |
| 94400 | A | CO2 breathing response curve | 0.40 | NA | 0.87 | 0.06 | XXX | |
| 94400 | 26 | A | CO2 breathing response curve | 0.40 | 0.13 | 0.13 | 0.01 | XXX |
| 94400 | TC | A | CO2 breathing response curve | 0.00 | NA | 0.74 | 0.05 | XXX |
| 94450 | A | Hypoxia response curve | 0.40 | NA | 0.67 | 0.04 | XXX | |
| 94450 | 26 | A | Hypoxia response curve | 0.40 | 0.12 | 0.12 | 0.02 | XXX |
| 94450 | TC | A | Hypoxia response curve | 0.00 | NA | 0.55 | 0.02 | XXX |
| 94620 | A | Pulmonary stress test/simple | 0.64 | NA | 2.23 | 0.10 | XXX | |
| 94620 | 26 | A | Pulmonary stress test/simple | 0.64 | 0.20 | 0.20 | 0.02 | XXX |
| 94620 | TC | A | Pulmonary stress test/simple | 0.00 | NA | 2.03 | 0.08 | XXX |
| 94621 | A | Pulm stress test/complex | 1.42 | NA | 2.14 | 0.13 | XXX | |
| 94621 | 26 | A | Pulm stress test/complex | 1.42 | 0.45 | 0.45 | 0.05 | XXX |
| 94621 | TC | A | Pulm stress test/complex | 0.00 | NA | 1.69 | 0.08 | XXX |
| 94640 | A | Airway inhalation treatment | 0.00 | NA | 0.69 | 0.02 | XXX | |
| 94642 | C | Aerosol inhalation treatment | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94650 | A | Pressure breathing (IPPB) | 0.00 | NA | 0.65 | 0.02 | XXX | |
| 94651 | A | Pressure breathing (IPPB) | 0.00 | NA | 0.60 | 0.02 | XXX | |
| 94652 | A | Pressure breathing (IPPB) | 0.00 | NA | 0.83 | 0.06 | XXX | |
| 94656 | A | Initial ventilator mgmt | 1.22 | 0.33 | NA | 0.06 | XXX | |
| 94657 | A | Continued ventilator mgmt | 0.83 | 0.26 | NA | 0.03 | XXX | |
| 94660 | A | Pos airway pressure, CPAP | 0.76 | 0.24 | 0.66 | 0.03 | XXX | |
| 94662 | A | Neg press ventilation, cnp | 0.76 | 0.24 | NA | 0.02 | XXX | |
| 94664 | A | Aerosol or vapor inhalations | 0.00 | NA | 0.51 | 0.03 | XXX | |
| 94665 | A | Aerosol or vapor inhalations | 0.00 | NA | 0.52 | 0.04 | XXX | |
| 94667 | A | Chest wall manipulation | 0.00 | NA | 0.80 | 0.04 | XXX | |
| 94668 | A | Chest wall manipulation | 0.00 | NA | 0.70 | 0.02 | XXX | |
| 94680 | A | Exhaled air analysis, o2 | 0.26 | NA | 1.84 | 0.06 | XXX | |
| 94680 | 26 | A | Exhaled air analysis, o2 | 0.26 | 0.09 | 0.09 | 0.01 | XXX |
| 94680 | TC | A | Exhaled air analysis, o2 | 0.00 | NA | 1.76 | 0.05 | XXX |
| 94681 | A | Exhaled air analysis, o2/co2 | 0.20 | NA | 2.45 | 0.11 | XXX | |
| 94681 | 26 | A | Exhaled air analysis, o2/co2 | 0.20 | 0.07 | 0.07 | 0.01 | XXX |
| 94681 | TC | A | Exhaled air analysis, o2/co2 | 0.00 | NA | 2.38 | 0.10 | XXX |
| 94690 | A | Exhaled air analysis | 0.07 | NA | 2.06 | 0.04 | XXX | |
| 94690 | 26 | A | Exhaled air analysis | 0.07 | 0.02 | 0.02 | 0.01 | XXX |
| 94690 | TC | A | Exhaled air analysis | 0.00 | NA | 2.04 | 0.03 | XXX |
| 94720 | A | Monoxide diffusing capacity | 0.26 | NA | 1.50 | 0.06 | XXX | |
| 94720 | 26 | A | Monoxide diffusing capacity | 0.26 | 0.08 | 0.08 | 0.01 | XXX |
| 94720 | TC | A | Monoxide diffusing capacity | 0.00 | NA | 1.42 | 0.05 | XXX |
| 94725 | A | Membrane diffusion capacity | 0.26 | NA | 2.51 | 0.11 | XXX | |
| 94725 | 26 | A | Membrane diffusion capacity | 0.26 | 0.08 | 0.08 | 0.01 | XXX |
| 94725 | TC | A | Membrane diffusion capacity | 0.00 | NA | 2.42 | 0.10 | XXX |
| 94750 | A | Pulmonary compliance study | 0.23 | NA | 2.04 | 0.04 | XXX | |
| 94750 | 26 | A | Pulmonary compliance study | 0.23 | 0.07 | 0.07 | 0.01 | XXX |
| 94750 | TC | A | Pulmonary compliance study | 0.00 | NA | 1.97 | 0.03 | XXX |
| 94760 | T | Measure blood oxygen level | 0.00 | NA | 0.09 | 0.02 | XXX | |
| 94761 | T | Measure blood oxygen level | 0.00 | NA | 0.16 | 0.05 | XXX | |
| 94762 | A | Measure blood oxygen level | 0.00 | NA | 0.71 | 0.08 | XXX | |
| 94770 | A | Exhaled carbon dioxide test | 0.15 | NA | 1.64 | 0.07 | XXX | |
| 94770 | 26 | A | Exhaled carbon dioxide test | 0.15 | 0.04 | 0.04 | 0.01 | XXX |
| 94770 | TC | A | Exhaled carbon dioxide test | 0.00 | NA | 1.60 | 0.06 | XXX |
| 94772 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94772 | 26 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94772 | TC | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94799 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94799 | 26 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94799 | TC | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95004 | A | Allergy skin tests | 0.00 | NA | 0.10 | 0.01 | XXX | |
| 95010 | A | Sensitivity skin tests | 0.15 | 0.06 | 0.44 | 0.01 | XXX | |
| 95015 | A | Sensitivity skin tests | 0.15 | 0.06 | 0.38 | 0.01 | XXX | |
| 95024 | A | Allergy skin tests | 0.00 | NA | 0.15 | 0.01 | XXX | |
| 95027 | A | Skin end point titration | 0.00 | NA | 0.15 | 0.01 | XXX | |
| 95028 | A | Allergy skin tests | 0.00 | NA | 0.24 | 0.01 | XXX | |
| 95044 | A | Allergy patch tests | 0.00 | NA | 0.21 | 0.01 | XXX | |
| 95052 | A | Photo patch test | 0.00 | NA | 0.26 | 0.01 | XXX | |
| 95056 | A | Photosensitivity tests | 0.00 | NA | 0.18 | 0.01 | XXX | |
| 95060 | A | Eye allergy tests | 0.00 | NA | 0.36 | 0.02 | XXX | |
| 95065 | A | Nose allergy test | 0.00 | NA | 0.21 | 0.01 | XXX | |
| 95070 | A | Bronchial allergy tests | 0.00 | NA | 2.36 | 0.02 | XXX | |
| 95071 | A | Bronchial allergy tests | 0.00 | NA | 3.02 | 0.02 | XXX | |
| 95075 | A | Ingestion challenge test | 0.95 | 0.40 | 0.83 | 0.03 | XXX | |
| 95078 | A | Provocative testing | 0.00 | NA | 0.26 | 0.02 | XXX | |
| 95115 | A | Immunotherapy, one injection | 0.00 | NA | 0.40 | 0.02 | 000 | |
| 95117 | A | Immunotherapy injections | 0.00 | NA | 0.52 | 0.02 | 000 | |
| 95120 | I | Immunotherapy, one injection | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95125 | I | Immunotherapy, many antigens | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95130 | I | Immunotherapy, insect venom | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95131 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95132 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95133 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95134 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95144 | A | Antigen therapy services | 0.06 | 0.02 | 0.25 | 0.01 | 000 | |
| 95145 | A | Antigen therapy services | 0.06 | 0.02 | 0.48 | 0.01 | 000 | |
| 95146 | A | Antigen therapy services | 0.06 | 0.03 | 0.60 | 0.01 | 000 | |
| 95147 | A | Antigen therapy services | 0.06 | 0.02 | 0.83 | 0.01 | 000 | |
| 95148 | A | Antigen therapy services | 0.06 | 0.03 | 0.81 | 0.01 | 000 | |
| 95149 | A | Antigen therapy services | 0.06 | 0.03 | 1.01 | 0.01 | 000 | |
| 95165 | A | Antigen therapy services | 0.06 | 0.02 | 0.20 | 0.01 | 000 | |
| 95170 | A | Antigen therapy services | 0.06 | 0.02 | 0.26 | 0.01 | 000 | |
| 95180 | A | Rapid desensitization | 2.01 | 0.84 | 1.61 | 0.04 | 000 | |
| 95199 | C | Allergy immunology services | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 95250 | A | Glucose monitoring, cont | 0.00 | NA | 3.12 | 0.01 | XXX | |
| 95805 | A | Multiple sleep latency test | 1.88 | NA | 13.89 | 0.34 | XXX | |
| 95805 | 26 | A | Multiple sleep latency test | 1.88 | 0.68 | 0.68 | 0.06 | XXX |
| 95805 | TC | A | Multiple sleep latency test | 0.00 | NA | 13.21 | 0.28 | XXX |
| 95806 | A | Sleep study, unattended | 1.66 | NA | 3.87 | 0.32 | XXX | |
| 95806 | 26 | A | Sleep study, unattended | 1.66 | 0.55 | 0.55 | 0.06 | XXX |
| 95806 | TC | A | Sleep study, unattended | 0.00 | NA | 3.32 | 0.26 | XXX |
| 95807 | A | Sleep study, attended | 1.66 | NA | 26.10 | 0.40 | XXX | |
| 95807 | 26 | A | Sleep study, attended | 1.66 | 0.54 | 0.54 | 0.05 | XXX |
| 95807 | TC | A | Sleep study, attended | 0.00 | NA | 25.56 | 0.35 | XXX |
| 95808 | A | Polysomnography, 1-3 | 2.65 | NA | 19.70 | 0.44 | XXX | |
| 95808 | 26 | A | Polysomnography, 1-3 | 2.65 | 0.95 | 0.95 | 0.09 | XXX |
| 95808 | TC | A | Polysomnography, 1-3 | 0.00 | NA | 18.75 | 0.35 | XXX |
| 95810 | A | Polysomnography, 4 or more | 3.53 | NA | 28.48 | 0.47 | XXX | |
| 95810 | 26 | A | Polysomnography, 4 or more | 3.53 | 1.22 | 1.22 | 0.12 | XXX |
| 95810 | TC | A | Polysomnography, 4 or more | 0.00 | NA | 27.26 | 0.35 | XXX |
| 95811 | A | Polysomnography w/cpap | 3.80 | NA | 28.83 | 0.49 | XXX | |
| 95811 | 26 | A | Polysomnography w/cpap | 3.80 | 1.31 | 1.31 | 0.13 | XXX |
| 95811 | TC | A | Polysomnography w/cpap | 0.00 | NA | 27.52 | 0.36 | XXX |
| 95812 | A | Electroencephalogram (EEG) | 1.08 | NA | 4.62 | 0.13 | XXX | |
| 95812 | 26 | A | Electroencephalogram (EEG) | 1.08 | 0.46 | 0.46 | 0.04 | XXX |
| 95812 | TC | A | Electroencephalogram (EEG) | 0.00 | NA | 4.16 | 0.09 | XXX |
| 95813 | A | Electroencephalogram (EEG) | 1.73 | NA | 5.75 | 0.15 | XXX | |
| 95813 | 26 | A | Electroencephalogram (EEG) | 1.73 | 0.72 | 0.72 | 0.06 | XXX |
| 95813 | TC | A | Electroencephalogram (EEG) | 0.00 | NA | 5.03 | 0.09 | XXX |
| 95816 | A | Electroencephalogram (EEG) | 1.08 | NA | 3.58 | 0.12 | XXX | |
| 95816 | 26 | A | Electroencephalogram (EEG) | 1.08 | 0.47 | 0.47 | 0.04 | XXX |
| 95816 | TC | A | Electroencephalogram (EEG) | 0.00 | NA | 3.11 | 0.08 | XXX |
| 95819 | A | Electroencephalogram (EEG) | 1.08 | NA | 4.16 | 0.12 | XXX | |
| 95819 | 26 | A | Electroencephalogram (EEG) | 1.08 | 0.47 | 0.47 | 0.04 | XXX |
| 95819 | TC | A | Electroencephalogram (EEG) | 0.00 | NA | 3.69 | 0.08 | XXX |
| 95822 | A | Sleep electroencephalogram | 1.08 | NA | 4.96 | 0.15 | XXX | |
| 95822 | 26 | A | Sleep electroencephalogram | 1.08 | 0.47 | 0.47 | 0.04 | XXX |
| 95822 | TC | A | Sleep electroencephalogram | 0.00 | NA | 4.49 | 0.11 | XXX |
| 95824 | C | Electroencephalography | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95824 | 26 | A | Electroencephalography | 0.74 | 0.29 | 0.29 | 0.05 | XXX |
| 95824 | TC | C | Electroencephalography | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95827 | A | Night electroencephalogram | 1.08 | NA | 2.79 | 0.15 | XXX | |
| 95827 | 26 | A | Night electroencephalogram | 1.08 | 0.42 | 0.42 | 0.03 | XXX |
| 95827 | TC | A | Night electroencephalogram | 0.00 | NA | 2.37 | 0.12 | XXX |
| 95829 | A | Surgery electrocorticogram | 6.21 | NA | 39.60 | 0.33 | XXX | |
| 95829 | 26 | A | Surgery electrocorticogram | 6.21 | 2.41 | 2.41 | 0.31 | XXX |
| 95829 | TC | A | Surgery electrocorticogram | 0.00 | NA | 37.19 | 0.02 | XXX |
| 95830 | A | Insert electrodes for EEG | 1.70 | 0.75 | 3.51 | 0.07 | XXX | |
| 95831 | A | Limb muscle testing, manual | 0.28 | 0.13 | 0.52 | 0.01 | XXX | |
| 95832 | A | Hand muscle testing, manual | 0.29 | 0.12 | 0.43 | 0.01 | XXX | |
| 95833 | A | Body muscle testing, manual | 0.47 | 0.23 | 0.59 | 0.01 | XXX | |
| 95834 | A | Body muscle testing, manual | 0.60 | 0.29 | 0.57 | 0.02 | XXX | |
| 95851 | A | Range of motion measurements | 0.16 | 0.08 | 0.57 | 0.01 | XXX | |
| 95852 | A | Range of motion measurements | 0.11 | 0.05 | 0.47 | 0.01 | XXX | |
| 95857 | A | Tensilon test | 0.53 | 0.23 | 0.64 | 0.02 | XXX | |
| 95858 | A | Tensilon test myogram | 1.56 | NA | 1.10 | 0.07 | XXX | |
| 95858 | 26 | A | Tensilon test myogram | 1.56 | 0.69 | 0.69 | 0.04 | XXX |
| 95858 | TC | A | Tensilon test myogram | 0.00 | NA | 0.41 | 0.03 | XXX |
| 95860 | A | Muscle test, one limb | 0.96 | NA | 1.61 | 0.05 | XXX | |
| 95860 | 26 | A | Muscle test, one limb | 0.96 | 0.43 | 0.43 | 0.03 | XXX |
| 95860 | TC | A | Muscle test, one limb | 0.00 | NA | 1.18 | 0.02 | XXX |
| 95861 | A | Muscle test, two limbs | 1.54 | NA | 1.46 | 0.10 | XXX | |
| 95861 | 26 | A | Muscle test, two limbs | 1.54 | 0.70 | 0.70 | 0.05 | XXX |
| 95861 | TC | A | Muscle test, two limbs | 0.00 | NA | 0.76 | 0.05 | XXX |
| 95863 | A | Muscle test, 3 limbs | 1.87 | NA | 1.80 | 0.11 | XXX | |
| 95863 | 26 | A | Muscle test, 3 limbs | 1.87 | 0.83 | 0.83 | 0.06 | XXX |
| 95863 | TC | A | Muscle test, 3 limbs | 0.00 | NA | 0.97 | 0.05 | XXX |
| 95864 | A | Muscle test, 4 limbs | 1.99 | NA | 2.73 | 0.16 | XXX | |
| 95864 | 26 | A | Muscle test, 4 limbs | 1.99 | 0.90 | 0.90 | 0.06 | XXX |
| 95864 | TC | A | Muscle test, 4 limbs | 0.00 | NA | 1.84 | 0.10 | XXX |
| 95867 | A | Muscle test, head or neck | 0.79 | NA | 0.96 | 0.06 | XXX | |
| 95867 | 26 | A | Muscle test, head or neck | 0.79 | 0.36 | 0.36 | 0.03 | XXX |
| 95867 | TC | A | Muscle test, head or neck | 0.00 | NA | 0.60 | 0.03 | XXX |
| 95868 | A | Muscle test, head or neck | 1.18 | NA | 1.25 | 0.08 | XXX | |
| 95868 | 26 | A | Muscle test, head or neck | 1.18 | 0.53 | 0.53 | 0.04 | XXX |
| 95868 | TC | A | Muscle test, head or neck | 0.00 | NA | 0.72 | 0.04 | XXX |
| 95869 | A | Muscle test, thor paraspinal | 0.37 | NA | 0.39 | 0.03 | XXX | |
| 95869 | 26 | A | Muscle test, thor paraspinal | 0.37 | 0.17 | 0.17 | 0.01 | XXX |
| 95869 | TC | A | Muscle test, thor paraspinal | 0.00 | NA | 0.22 | 0.02 | XXX |
| 95870 | A | Muscle test, nonparaspinal | 0.37 | NA | 0.38 | 0.03 | XXX | |
| 95870 | 26 | A | Muscle test, nonparaspinal | 0.37 | 0.16 | 0.16 | 0.01 | XXX |
| 95870 | TC | A | Muscle test, nonparaspinal | 0.00 | NA | 0.22 | 0.02 | XXX |
| 95872 | A | Muscle test, one fiber | 1.50 | NA | 1.27 | 0.08 | XXX | |
| 95872 | 26 | A | Muscle test, one fiber | 1.50 | 0.65 | 0.65 | 0.04 | XXX |
| 95872 | TC | A | Muscle test, one fiber | 0.00 | NA | 0.62 | 0.04 | XXX |
| 95875 | A | Limb exercise test | 1.10 | NA | 1.70 | 0.09 | XXX | |
| 95875 | 26 | A | Limb exercise test | 1.10 | 0.48 | 0.48 | 0.04 | XXX |
| 95875 | TC | A | Limb exercise test | 0.00 | NA | 1.22 | 0.05 | XXX |
| 95900 | A | Motor nerve conduction test | 0.42 | NA | 1.11 | 0.03 | XXX | |
| 95900 | 26 | A | Motor nerve conduction test | 0.42 | 0.19 | 0.19 | 0.01 | XXX |
| 95900 | TC | A | Motor nerve conduction test | 0.00 | NA | 0.92 | 0.02 | XXX |
| 95903 | A | Motor nerve conduction test | 0.60 | NA | 1.03 | 0.04 | XXX | |
| 95903 | 26 | A | Motor nerve conduction test | 0.60 | 0.27 | 0.27 | 0.02 | XXX |
| 95903 | TC | A | Motor nerve conduction test | 0.00 | NA | 0.77 | 0.02 | XXX |
| 95904 | A | Sense nerve conduction test | 0.34 | NA | 0.93 | 0.03 | XXX | |
| 95904 | 26 | A | Sense nerve conduction test | 0.34 | 0.15 | 0.15 | 0.01 | XXX |
| 95904 | TC | A | Sense nerve conduction test | 0.00 | NA | 0.78 | 0.02 | XXX |
| 95920 | A | Intraop nerve test add-on | 2.11 | NA | 2.31 | 0.20 | ZZZ | |
| 95920 | 26 | A | Intraop nerve test add-on | 2.11 | 0.96 | 0.96 | 0.14 | ZZZ |
| 95920 | TC | A | Intraop nerve test add-on | 0.00 | NA | 1.35 | 0.06 | ZZZ |
| 95921 | A | Autonomic nerv function test | 0.90 | NA | 0.73 | 0.05 | XXX | |
| 95921 | 26 | A | Autonomic nerv function test | 0.90 | 0.34 | 0.34 | 0.03 | XXX |
| 95921 | TC | A | Autonomic nerv function test | 0.00 | NA | 0.39 | 0.02 | XXX |
| 95922 | A | Autonomic nerv function test | 0.96 | NA | 0.80 | 0.05 | XXX | |
| 95922 | 26 | A | Autonomic nerv function test | 0.96 | 0.41 | 0.41 | 0.03 | XXX |
| 95922 | TC | A | Autonomic nerv function test | 0.00 | NA | 0.39 | 0.02 | XXX |
| 95923 | A | Autonomic nerv function test | 0.90 | NA | 2.95 | 0.05 | XXX | |
| 95923 | 26 | A | Autonomic nerv function test | 0.90 | 0.39 | 0.39 | 0.03 | XXX |
| 95923 | TC | A | Autonomic nerv function test | 0.00 | NA | 2.56 | 0.02 | XXX |
| 95925 | A | Somatosensory testing | 0.54 | NA | 1.17 | 0.07 | XXX | |
| 95925 | 26 | A | Somatosensory testing | 0.54 | 0.23 | 0.23 | 0.02 | XXX |
| 95925 | TC | A | Somatosensory testing | 0.00 | NA | 0.94 | 0.05 | XXX |
| 95926 | A | Somatosensory testing | 0.54 | NA | 1.18 | 0.07 | XXX | |
| 95926 | 26 | A | Somatosensory testing | 0.54 | 0.24 | 0.24 | 0.02 | XXX |
| 95926 | TC | A | Somatosensory testing | 0.00 | NA | 0.94 | 0.05 | XXX |
| 95927 | A | Somatosensory testing | 0.54 | NA | 1.20 | 0.08 | XXX | |
| 95927 | 26 | A | Somatosensory testing | 0.54 | 0.26 | 0.26 | 0.03 | XXX |
| 95927 | TC | A | Somatosensory testing | 0.00 | NA | 0.94 | 0.05 | XXX |
| 95930 | A | Visual evoked potential test | 0.35 | NA | 1.17 | 0.02 | XXX | |
| 95930 | 26 | A | Visual evoked potential test | 0.35 | 0.15 | 0.15 | 0.01 | XXX |
| 95930 | TC | A | Visual evoked potential test | 0.00 | NA | 1.02 | 0.01 | XXX |
| 95933 | A | Blink reflex test | 0.59 | NA | 1.06 | 0.07 | XXX | |
| 95933 | 26 | A | Blink reflex test | 0.59 | 0.25 | 0.25 | 0.02 | XXX |
| 95933 | TC | A | Blink reflex test | 0.00 | NA | 0.81 | 0.05 | XXX |
| 95934 | A | H-reflex test | 0.51 | NA | 0.45 | 0.04 | XXX | |
| 95934 | 26 | A | H-reflex test | 0.51 | 0.23 | 0.23 | 0.02 | XXX |
| 95934 | TC | A | H-reflex test | 0.00 | NA | 0.22 | 0.02 | XXX |
| 95936 | A | H-reflex test | 0.55 | NA | 0.47 | 0.04 | XXX | |
| 95936 | 26 | A | H-reflex test | 0.55 | 0.25 | 0.25 | 0.02 | XXX |
| 95936 | TC | A | H-reflex test | 0.00 | NA | 0.22 | 0.02 | XXX |
| 95937 | A | Neuromuscular junction test | 0.65 | NA | 0.63 | 0.04 | XXX | |
| 95937 | 26 | A | Neuromuscular junction test | 0.65 | 0.28 | 0.28 | 0.02 | XXX |
| 95937 | TC | A | Neuromuscular junction test | 0.00 | NA | 0.35 | 0.02 | XXX |
| 95950 | A | Ambulatory eeg monitoring | 1.51 | NA | 6.54 | 0.44 | XXX | |
| 95950 | 26 | A | Ambulatory eeg monitoring | 1.51 | 0.65 | 0.65 | 0.08 | XXX |
| 95950 | TC | A | Ambulatory eeg monitoring | 0.00 | NA | 5.88 | 0.36 | XXX |
| 95951 | A | EEG monitoring/videorecord | 6.00 | NA | 39.02 | 0.58 | XXX | |
| 95951 | 26 | A | EEG monitoring/videorecord | 6.00 | 2.63 | 2.63 | 0.20 | XXX |
| 95951 | TC | A | EEG monitoring/videorecord | 0.00 | NA | 36.39 | 0.38 | XXX |
| 95953 | A | EEG monitoring/computer | 3.08 | NA | 7.88 | 0.46 | XXX | |
| 95953 | 26 | A | EEG monitoring/computer | 3.08 | 1.33 | 1.33 | 0.10 | XXX |
| 95953 | TC | A | EEG monitoring/computer | 0.00 | NA | 6.54 | 0.36 | XXX |
| 95954 | A | EEG monitoring/giving drugs | 2.45 | NA | 4.79 | 0.15 | XXX | |
| 95954 | 26 | A | EEG monitoring/giving drugs | 2.45 | 1.08 | 1.08 | 0.10 | XXX |
| 95954 | TC | A | EEG monitoring/giving drugs | 0.00 | NA | 3.71 | 0.05 | XXX |
| 95955 | A | EEG during surgery | 1.01 | NA | 2.40 | 0.19 | XXX | |
| 95955 | 26 | A | EEG during surgery | 1.01 | 0.37 | 0.37 | 0.05 | XXX |
| 95955 | TC | A | EEG during surgery | 0.00 | NA | 2.03 | 0.14 | XXX |
| 95956 | A | Eeg monitoring, cable/radio | 3.08 | NA | 14.49 | 0.47 | XXX | |
| 95956 | 26 | A | Eeg monitoring, cable/radio | 3.08 | 1.34 | 1.34 | 0.11 | XXX |
| 95956 | TC | A | Eeg monitoring, cable/radio | 0.00 | NA | 13.14 | 0.36 | XXX |
| 95957 | A | EEG digital analysis | 1.98 | NA | 2.63 | 0.17 | XXX | |
| 95957 | 26 | A | EEG digital analysis | 1.98 | 0.87 | 0.87 | 0.07 | XXX |
| 95957 | TC | A | EEG digital analysis | 0.00 | NA | 1.76 | 0.10 | XXX |
| 95958 | A | EEG monitoring/function test | 4.25 | NA | 3.59 | 0.29 | XXX | |
| 95958 | 26 | A | EEG monitoring/function test | 4.25 | 1.79 | 1.79 | 0.18 | XXX |
| 95958 | TC | A | EEG monitoring/function test | 0.00 | NA | 1.80 | 0.11 | XXX |
| 95961 | A | Electrode stimulation, brain | 2.97 | NA | 2.71 | 0.24 | XXX | |
| 95961 | 26 | A | Electrode stimulation, brain | 2.97 | 1.36 | 1.36 | 0.18 | XXX |
| 95961 | TC | A | Electrode stimulation, brain | 0.00 | NA | 1.35 | 0.06 | XXX |
| 95962 | A | Electrode stim, brain add-on | 3.21 | NA | 2.78 | 0.23 | ZZZ | |
| 95962 | 26 | A | Electrode stim, brain add-on | 3.21 | 1.43 | 1.43 | 0.17 | ZZZ |
| 95962 | TC | A | Electrode stim, brain add-on | 0.00 | NA | 1.35 | 0.06 | ZZZ |
| 95965 | C | Meg, spontaneous | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95965 | 26 | A | Meg, spontaneous | 8.00 | 3.09 | 3.09 | 0.20 | XXX |
| 95965 | TC | C | Meg, spontaneous | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95966 | C | Meg, evoked, single | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95966 | 26 | A | Meg, evoked, single | 4.00 | 1.55 | 1.55 | 0.18 | XXX |
| 95966 | TC | C | Meg, evoked, single | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95967 | C | Meg, evoked, each addl | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 95967 | 26 | A | Meg, evoked, each addl | 3.50 | 1.35 | 1.35 | 0.17 | ZZZ |
| 95967 | TC | C | Meg, evoked, each addl | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 95970 | A | Analyze neurostim, no prog | 0.45 | 0.14 | 0.17 | 0.03 | XXX | |
| 95971 | A | Analyze neurostim, simple | 0.78 | 0.22 | 0.27 | 0.06 | XXX | |
| 95972 | A | Analyze neurostim, complex | 1.50 | 0.50 | 0.60 | 0.17 | XXX | |
| 95973 | A | Analyze neurostim, complex | 0.92 | 0.31 | 0.38 | 0.07 | ZZZ | |
| 95974 | A | Cranial neurostim, complex | 3.00 | 1.30 | 1.31 | 0.15 | XXX | |
| 95975 | A | Cranial neurostim, complex | 1.70 | 0.66 | 0.69 | 0.07 | ZZZ | |
| 95999 | C | Neurological procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96000 | A | Motion analysis, video/3d | 1.80 | 0.70 | NA | 0.02 | XXX | |
| 96001 | A | Motion test w/ft press meas | 2.15 | 0.83 | NA | 0.02 | XXX | |
| 96002 | A | Dynamic surface emg | 0.41 | 0.16 | NA | 0.02 | XXX | |
| 96003 | A | Dynamic fine wire emg | 0.37 | 0.14 | NA | 0.03 | XXX | |
| 96004 | A | Phys review of motion tests | 1.80 | 0.70 | 0.70 | 0.08 | XXX | |
| 96100 | A | Psychological testing | 0.00 | NA | 1.82 | 0.15 | XXX | |
| 96105 | A | Assessment of aphasia | 0.00 | NA | 1.82 | 0.15 | XXX | |
| 96110 | C | Developmental test, lim | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96111 | A | Developmental test, extend | 0.00 | NA | 1.82 | 0.15 | XXX | |
| 96115 | A | Neurobehavior status exam | 0.00 | NA | 1.82 | 0.15 | XXX | |
| 96117 | A | Neuropsych test battery | 0.00 | NA | 1.82 | 0.15 | XXX | |
| 96150 | A | Assess hlth/behave, init | 0.50 | 0.19 | 0.21 | 0.02 | XXX | |
| 96151 | A | Assess hlth/behave, subseq | 0.48 | 0.19 | 0.20 | 0.02 | XXX | |
| 96152 | A | Intervene hlth/behave, indiv | 0.46 | 0.18 | 0.19 | 0.02 | XXX | |
| 96153 | A | Intervene hlth/behave, group | 0.10 | 0.04 | 0.04 | 0.01 | XXX | |
| 96154 | A | Interv hlth/behav, fam w/pt | 0.45 | 0.17 | 0.19 | 0.02 | XXX | |
| 96155 | A | Interv hlth/behav fam no pt | 0.44 | 0.17 | 0.18 | 0.02 | XXX | |
| 96400 | A | Chemotherapy, sc/im | 0.00 | NA | 0.14 | 0.01 | XXX | |
| 96405 | A | Intralesional chemo admin | 0.52 | 0.23 | 1.86 | 0.02 | 000 | |
| 96406 | A | Intralesional chemo admin | 0.80 | 0.30 | 2.48 | 0.02 | 000 | |
| 96408 | A | Chemotherapy, push technique | 0.00 | NA | 1.00 | 0.05 | XXX | |
| 96410 | A | Chemotherapy infusion method | 0.00 | NA | 1.60 | 0.07 | XXX | |
| 96412 | A | Chemo, infuse method add-on | 0.00 | NA | 1.19 | 0.06 | ZZZ | |
| 96414 | A | Chemo, infuse method add-on | 0.00 | NA | 1.38 | 0.07 | XXX | |
| 96420 | A | Chemotherapy, push technique | 0.00 | NA | 1.29 | 0.07 | XXX | |
| 96422 | A | Chemotherapy infusion method | 0.00 | NA | 1.27 | 0.07 | XXX | |
| 96423 | A | Chemo, infuse method add-on | 0.00 | NA | 0.50 | 0.02 | ZZZ | |
| 96425 | A | Chemotherapy infusion method | 0.00 | NA | 1.48 | 0.07 | XXX | |
| 96440 | A | Chemotherapy, intracavitary | 2.37 | 1.06 | 8.23 | 0.12 | 000 | |
| 96445 | A | Chemotherapy, intracavitary | 2.20 | 1.03 | 8.30 | 0.07 | 000 | |
| 96450 | A | Chemotherapy, into CNS | 1.89 | 0.93 | 6.60 | 0.06 | 000 | |
| 96520 | A | Pump refilling, maintenance | 0.00 | NA | 0.92 | 0.05 | XXX | |
| 96530 | A | Pump refilling, maintenance | 0.00 | NA | 1.10 | 0.05 | XXX | |
| 96542 | A | Chemotherapy injection | 1.42 | 0.55 | 4.08 | 0.05 | XXX | |
| 96545 | B | Provide chemotherapy agent | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96549 | C | Chemotherapy, unspecified | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96567 | A | Photodynamic tx, skin | 0.00 | NA | 1.65 | 0.03 | XXX | |
| 96570 | A | Photodynamic tx, 30 min | 1.10 | 0.37 | 0.44 | 0.04 | ZZZ | |
| 96571 | A | Photodynamic tx, addl 15 min | 0.55 | 0.20 | 0.21 | 0.02 | ZZZ | |
| 96900 | A | Ultraviolet light therapy | 0.00 | NA | 0.44 | 0.02 | XXX | |
| 96902 | B | Trichogram | 0.41 | 0.16 | 0.24 | 0.01 | XXX | |
| 96910 | A | Photochemotherapy with UV-B | 0.00 | NA | 1.33 | 0.03 | XXX | |
| 96912 | A | Photochemotherapy with UV-A | 0.00 | NA | 1.52 | 0.04 | XXX | |
| 96913 | A | Photochemotherapy, UV-A or B | 0.00 | NA | 2.20 | 0.08 | XXX | |
| 96999 | C | Dermatological procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97001 | A | Pt evaluation | 1.20 | 0.43 | 0.55 | 0.10 | XXX | |
| 97002 | A | Pt re-evaluation | 0.60 | 0.24 | 0.36 | 0.04 | XXX | |
| 97003 | A | Ot evaluation | 1.20 | 0.32 | 0.71 | 0.05 | XXX | |
| 97004 | A | Ot re-evaluation | 0.60 | 0.17 | 0.69 | 0.02 | XXX | |
| 97005 | I | Athletic train eval | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97006 | I | Athletic train reeval | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97010 | B | Hot or cold packs therapy | 0.06 | NA | 0.04 | 0.01 | XXX | |
| 97012 | A | Mechanical traction therapy | 0.25 | NA | 0.10 | 0.01 | XXX | |
| 97014 | A | Electric stimulation therapy | 0.18 | NA | 0.19 | 0.01 | XXX | |
| 97016 | A | Vasopneumatic device therapy | 0.18 | NA | 0.14 | 0.01 | XXX | |
| 97018 | A | Paraffin bath therapy | 0.06 | NA | 0.12 | 0.01 | XXX | |
| 97020 | A | Microwave therapy | 0.06 | NA | 0.05 | 0.01 | XXX | |
| 97022 | A | Whirlpool therapy | 0.17 | NA | 0.26 | 0.01 | XXX | |
| 97024 | A | Diathermy treatment | 0.06 | NA | 0.05 | 0.01 | XXX | |
| 97026 | A | Infrared therapy | 0.06 | NA | 0.05 | 0.01 | XXX | |
| 97028 | A | Ultraviolet therapy | 0.08 | NA | 0.06 | 0.01 | XXX | |
| 97032 | A | Electrical stimulation | 0.25 | NA | 0.20 | 0.01 | XXX | |
| 97033 | A | Electric current therapy | 0.26 | NA | 0.36 | 0.02 | XXX | |
| 97034 | A | Contrast bath therapy | 0.21 | NA | 0.14 | 0.01 | XXX | |
| 97035 | A | Ultrasound therapy | 0.21 | NA | 0.08 | 0.01 | XXX | |
| 97036 | A | Hydrotherapy | 0.28 | NA | 0.34 | 0.01 | XXX | |
| 97039 | A | Physical therapy treatment | 0.20 | NA | 0.08 | 0.01 | XXX | |
| 97110 | A | Therapeutic exercises | 0.45 | NA | 0.25 | 0.03 | XXX | |
| 97112 | A | Neuromuscular reeducation | 0.45 | NA | 0.28 | 0.02 | XXX | |
| 97113 | A | Aquatic therapy/exercises | 0.44 | NA | 0.32 | 0.03 | XXX | |
| 97116 | A | Gait training therapy | 0.40 | NA | 0.21 | 0.02 | XXX | |
| 97124 | A | Massage therapy | 0.35 | NA | 0.21 | 0.01 | XXX | |
| 97139 | A | Physical medicine procedure | 0.21 | NA | 0.21 | 0.01 | XXX | |
| 97140 | A | Manual therapy | 0.43 | NA | 0.23 | 0.02 | XXX | |
| 97150 | A | Group therapeutic procedures | 0.27 | NA | 0.19 | 0.02 | XXX | |
| 97504 | A | Orthotic training | 0.45 | NA | 0.25 | 0.03 | XXX | |
| 97520 | A | Prosthetic training | 0.45 | NA | 0.21 | 0.02 | XXX | |
| 97530 | A | Therapeutic activities | 0.44 | NA | 0.43 | 0.02 | XXX | |
| 97532 | A | Cognitive skills development | 0.44 | NA | 0.16 | 0.01 | XXX | |
| 97533 | A | Sensory integration | 0.44 | NA | 0.21 | 0.01 | XXX | |
| 97535 | A | Self care mngment training | 0.45 | NA | 0.34 | 0.02 | XXX | |
| 97537 | A | Community/work reintegration | 0.45 | NA | 0.20 | 0.01 | XXX | |
| 97542 | A | Wheelchair mngment training | 0.45 | NA | 0.22 | 0.01 | XXX | |
| 97545 | R | Work hardening | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97546 | R | Work hardening add-on | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 97601 | A | Wound(s) care, selective | 0.50 | NA | 0.66 | 0.04 | XXX | |
| 97602 | B | Wound(s) care non-selective | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97703 | A | Prosthetic checkout | 0.25 | NA | 0.42 | 0.02 | XXX | |
| 97750 | A | Physical performance test | 0.45 | NA | 0.24 | 0.02 | XXX | |
| 97780 | N | Acupuncture w/o stimul | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97781 | N | Acupuncture w/stimul | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97799 | C | Physical medicine procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97802 | A | Medical nutrition, indiv, in | 0.00 | NA | 0.49 | 0.01 | XXX | |
| 97803 | A | Med nutrition, indiv, subseq | 0.00 | NA | 0.49 | 0.01 | XXX | |
| 97804 | A | Medical nutrition, group | 0.00 | NA | 0.19 | 0.01 | XXX | |
| 98925 | A | Osteopathic manipulation | 0.45 | 0.15 | 0.37 | 0.01 | 000 | |
| 98926 | A | Osteopathic manipulation | 0.65 | 0.26 | 0.44 | 0.02 | 000 | |
| 98927 | A | Osteopathic manipulation | 0.87 | 0.30 | 0.51 | 0.03 | 000 | |
| 98928 | A | Osteopathic manipulation | 1.03 | 0.35 | 0.58 | 0.03 | 000 | |
| 98929 | A | Osteopathic manipulation | 1.19 | 0.38 | 0.64 | 0.04 | 000 | |
| 98940 | A | Chiropractic manipulation | 0.45 | 0.13 | 0.24 | 0.01 | 000 | |
| 98941 | A | Chiropractic manipulation | 0.65 | 0.18 | 0.30 | 0.02 | 000 | |
| 98942 | A | Chiropractic manipulation | 0.87 | 0.24 | 0.36 | 0.03 | 000 | |
| 98943 | N | Chiropractic manipulation | 0.40 | 0.15 | 0.34 | 0.01 | XXX | |
| 99000 | B | Specimen handling | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99001 | B | Specimen handling | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99002 | B | Device handling | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99024 | B | Postop follow-up visit | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99025 | B | Initial surgical evaluation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99050 | B | Medical services after hrs | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99052 | B | Medical services at night | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99054 | B | Medical servcs, unusual hrs | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99056 | B | Non-office medical services | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99058 | B | Office emergency care | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99070 | B | Special supplies | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99071 | B | Patient education materials | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99075 | N | Medical testimony | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99078 | B | Group health education | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99080 | B | Special reports or forms | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99082 | C | Unusual physician travel | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99090 | B | Computer data analysis | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99091 | B | Collect/review data from pt | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99100 | B | Special anesthesia service | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99116 | B | Anesthesia with hypothermia | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99135 | B | Special anesthesia procedure | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99140 | B | Emergency anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99141 | B | Sedation, iv/im or inhalant | 0.80 | 0.38 | 2.13 | 0.04 | XXX | |
| 99142 | B | Sedation, oral/rectal/nasal | 0.60 | 0.30 | 1.24 | 0.03 | XXX | |
| 99170 | A | Anogenital exam, child | 1.75 | 0.53 | 1.96 | 0.07 | 000 | |
| 99172 | N | Ocular function screen | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99173 | N | Visual acuity screen | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99175 | A | Induction of vomiting | 0.00 | NA | 1.44 | 0.08 | XXX | |
| 99183 | A | Hyperbaric oxygen therapy | 2.34 | 0.74 | NA | 0.12 | XXX | |
| 99185 | A | Regional hypothermia | 0.00 | NA | 0.66 | 0.03 | XXX | |
| 99186 | A | Total body hypothermia | 0.00 | NA | 1.84 | 0.37 | XXX | |
| 99190 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99191 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99192 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99195 | A | Phlebotomy | 0.00 | NA | 0.46 | 0.02 | XXX | |
| 99199 | C | Special service/proc/report | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99201 | A | Office/outpatient visit, new | 0.45 | 0.16 | 0.46 | 0.02 | XXX | |
| 99202 | A | Office/outpatient visit, new | 0.88 | 0.32 | 0.75 | 0.05 | XXX | |
| 99203 | A | Office/outpatient visit, new | 1.34 | 0.49 | 1.09 | 0.08 | XXX | |
| 99204 | A | Office/outpatient visit, new | 2.00 | 0.73 | 1.48 | 0.10 | XXX | |
| 99205 | A | Office/outpatient visit, new | 2.67 | 0.95 | 1.76 | 0.12 | XXX | |
| 99211 | A | Office/outpatient visit, est | 0.17 | 0.06 | 0.37 | 0.01 | XXX | |
| 99212 | A | Office/outpatient visit, est | 0.45 | 0.16 | 0.51 | 0.02 | XXX | |
| 99213 | A | Office/outpatient visit, est | 0.67 | 0.24 | 0.68 | 0.03 | XXX | |
| 99214 | A | Office/outpatient visit, est | 1.10 | 0.40 | 1.02 | 0.04 | XXX | |
| 99215 | A | Office/outpatient visit, est | 1.77 | 0.64 | 1.32 | 0.07 | XXX | |
| 99217 | A | Observation care discharge | 1.28 | 0.44 | NA | 0.05 | XXX | |
| 99218 | A | Observation care | 1.28 | 0.44 | NA | 0.05 | XXX | |
| 99219 | A | Observation care | 2.14 | 0.73 | NA | 0.08 | XXX | |
| 99220 | A | Observation care | 2.99 | 1.03 | NA | 0.11 | XXX | |
| 99221 | A | Initial hospital care | 1.28 | 0.46 | NA | 0.05 | XXX | |
| 99222 | A | Initial hospital care | 2.14 | 0.75 | NA | 0.08 | XXX | |
| 99223 | A | Initial hospital care | 2.99 | 1.05 | NA | 0.10 | XXX | |
| 99231 | A | Subsequent hospital care | 0.64 | 0.23 | NA | 0.02 | XXX | |
| 99232 | A | Subsequent hospital care | 1.06 | 0.38 | NA | 0.03 | XXX | |
| 99233 | A | Subsequent hospital care | 1.51 | 0.53 | NA | 0.05 | XXX | |
| 99234 | A | Observ/hosp same date | 2.56 | 0.89 | NA | 0.11 | XXX | |
| 99235 | A | Observ/hosp same date | 3.42 | 1.18 | NA | 0.13 | XXX | |
| 99236 | A | Observ/hosp same date | 4.27 | 1.48 | NA | 0.17 | XXX | |
| 99238 | A | Hospital discharge day | 1.28 | 0.50 | NA | 0.04 | XXX | |
| 99239 | A | Hospital discharge day | 1.75 | 0.69 | NA | 0.05 | XXX | |
| 99241 | A | Office consultation | 0.64 | 0.22 | 0.61 | 0.04 | XXX | |
| 99242 | A | Office consultation | 1.29 | 0.47 | 1.00 | 0.09 | XXX | |
| 99243 | A | Office consultation | 1.72 | 0.65 | 1.34 | 0.10 | XXX | |
| 99244 | A | Office consultation | 2.58 | 0.95 | 1.78 | 0.13 | XXX | |
| 99245 | A | Office consultation | 3.43 | 1.26 | 2.23 | 0.16 | XXX | |
| 99251 | A | Initial inpatient consult | 0.66 | 0.25 | NA | 0.04 | XXX | |
| 99252 | A | Initial inpatient consult | 1.32 | 0.51 | NA | 0.08 | XXX | |
| 99253 | A | Initial inpatient consult | 1.82 | 0.70 | NA | 0.09 | XXX | |
| 99254 | A | Initial inpatient consult | 2.64 | 1.00 | NA | 0.11 | XXX | |
| 99255 | A | Initial inpatient consult | 3.65 | 1.36 | NA | 0.15 | XXX | |
| 99261 | A | Follow-up inpatient consult | 0.42 | 0.16 | NA | 0.02 | XXX | |
| 99262 | A | Follow-up inpatient consult | 0.85 | 0.31 | NA | 0.03 | XXX | |
| 99263 | A | Follow-up inpatient consult | 1.27 | 0.46 | NA | 0.04 | XXX | |
| 99271 | A | Confirmatory consultation | 0.45 | 0.16 | 0.65 | 0.03 | XXX | |
| 99272 | A | Confirmatory consultation | 0.84 | 0.32 | 0.88 | 0.06 | XXX | |
| 99273 | A | Confirmatory consultation | 1.19 | 0.45 | 1.08 | 0.07 | XXX | |
| 99274 | A | Confirmatory consultation | 1.73 | 0.65 | 1.38 | 0.09 | XXX | |
| 99275 | A | Confirmatory consultation | 2.31 | 0.84 | 1.63 | 0.10 | XXX | |
| 99281 | A | Emergency dept visit | 0.33 | 0.09 | NA | 0.02 | XXX | |
| 99282 | A | Emergency dept visit | 0.55 | 0.15 | NA | 0.03 | XXX | |
| 99283 | A | Emergency dept visit | 1.24 | 0.32 | NA | 0.08 | XXX | |
| 99284 | A | Emergency dept visit | 1.95 | 0.49 | NA | 0.12 | XXX | |
| 99285 | A | Emergency dept visit | 3.06 | 0.74 | NA | 0.19 | XXX | |
| 99288 | B | Direct advanced life support | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99289 | I | Pt transport, 30-74 min | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99290 | I | Pt transport, addl 30 min | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99291 | A | Critical care, first hour | 4.00 | 1.31 | 1.57 | 0.14 | XXX | |
| 99292 | A | Critical care, addl 30 min | 2.00 | 0.65 | 0.85 | 0.07 | ZZZ | |
| 99295 | A | Neonatal critical care | 16.00 | 4.84 | NA | 0.70 | XXX | |
| 99296 | A | Neonatal critical care | 8.00 | 2.62 | NA | 0.23 | XXX | |
| 99297 | A | Neonatal critical care | 4.00 | 1.34 | NA | 0.12 | XXX | |
| 99298 | A | Neonatal critical care | 2.75 | 0.94 | NA | 0.10 | XXX | |
| 99301 | A | Nursing facility care | 1.20 | 0.42 | 0.69 | 0.04 | XXX | |
| 99302 | A | Nursing facility care | 1.61 | 0.56 | 0.97 | 0.05 | XXX | |
| 99303 | A | Nursing facility care | 2.01 | 0.69 | 1.19 | 0.06 | XXX | |
| 99311 | A | Nursing fac care, subseq | 0.60 | 0.21 | 0.49 | 0.02 | XXX | |
| 99312 | A | Nursing fac care, subseq | 1.00 | 0.34 | 0.67 | 0.03 | XXX | |
| 99313 | A | Nursing fac care, subseq | 1.42 | 0.49 | 0.86 | 0.04 | XXX | |
| 99315 | A | Nursing fac discharge day | 1.13 | 0.39 | 0.72 | 0.04 | XXX | |
| 99316 | A | Nursing fac discharge day | 1.50 | 0.52 | 0.92 | 0.05 | XXX | |
| 99321 | A | Rest home visit, new patient | 0.71 | NA | 0.45 | 0.02 | XXX | |
| 99322 | A | Rest home visit, new patient | 1.01 | NA | 0.69 | 0.03 | XXX | |
| 99323 | A | Rest home visit, new patient | 1.28 | NA | 0.92 | 0.04 | XXX | |
| 99331 | A | Rest home visit, est pat | 0.60 | NA | 0.47 | 0.02 | XXX | |
| 99332 | A | Rest home visit, est pat | 0.80 | NA | 0.58 | 0.03 | XXX | |
| 99333 | A | Rest home visit, est pat | 1.00 | NA | 0.71 | 0.03 | XXX | |
| 99341 | A | Home visit, new patient | 1.01 | NA | 0.55 | 0.05 | XXX | |
| 99342 | A | Home visit, new patient | 1.52 | NA | 0.85 | 0.05 | XXX | |
| 99343 | A | Home visit, new patient | 2.27 | NA | 1.27 | 0.07 | XXX | |
| 99344 | A | Home visit, new patient | 3.03 | NA | 1.55 | 0.10 | XXX | |
| 99345 | A | Home visit, new patient | 3.79 | NA | 1.81 | 0.12 | XXX | |
| 99347 | A | Home visit, est patient | 0.76 | NA | 0.48 | 0.03 | XXX | |
| 99348 | A | Home visit, est patient | 1.26 | NA | 0.72 | 0.04 | XXX | |
| 99349 | A | Home visit, est patient | 2.02 | NA | 1.06 | 0.06 | XXX | |
| 99350 | A | Home visit, est patient | 3.03 | NA | 1.42 | 0.10 | XXX | |
| 99354 | A | Prolonged service, office | 1.77 | 0.62 | 1.44 | 0.06 | ZZZ | |
| 99355 | A | Prolonged service, office | 1.77 | 0.59 | 1.23 | 0.06 | ZZZ | |
| 99356 | A | Prolonged service, inpatient | 1.71 | 0.60 | NA | 0.06 | ZZZ | |
| 99357 | A | Prolonged service, inpatient | 1.71 | 0.61 | NA | 0.06 | ZZZ | |
| 99358 | B | Prolonged serv, w/o contact | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99359 | B | Prolonged serv, w/o contact | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99360 | X | Physician standby services | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99361 | B | Physician/team conference | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99362 | B | Physician/team conference | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99371 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99372 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99373 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99374 | B | Home health care supervision | 1.10 | 0.43 | 1.44 | 0.04 | XXX | |
| 99375 | I | Home health care supervision | 1.73 | NA | NA | 0.06 | XXX | |
| 99377 | B | Hospice care supervision | 1.10 | 0.43 | 1.44 | 0.04 | XXX | |
| 99378 | I | Hospice care supervision | 1.73 | NA | NA | 0.06 | XXX | |
| 99379 | B | Nursing fac care supervision | 1.10 | 0.43 | 1.44 | 0.03 | XXX | |
| 99380 | B | Nursing fac care supervision | 1.73 | 0.67 | 1.69 | 0.05 | XXX | |
| 99381 | N | Prev visit, new, infant | 1.19 | 0.46 | 1.47 | 0.04 | XXX | |
| 99382 | N | Prev visit, new, age 1-4 | 1.36 | 0.53 | 1.51 | 0.04 | XXX | |
| 99383 | N | Prev visit, new, age 5-11 | 1.36 | 0.53 | 1.46 | 0.04 | XXX | |
| 99384 | N | Prev visit, new, age 12-17 | 1.53 | 0.59 | 1.53 | 0.05 | XXX | |
| 99385 | N | Prev visit, new, age 18-39 | 1.53 | 0.59 | 1.53 | 0.05 | XXX | |
| 99386 | N | Prev visit, new, age 40-64 | 1.88 | 0.73 | 1.71 | 0.06 | XXX | |
| 99387 | N | Prev visit, new, 65 over | 2.06 | 0.80 | 1.84 | 0.06 | XXX | |
| 99391 | N | Prev visit, est, infant | 1.02 | 0.39 | 1.01 | 0.03 | XXX | |
| 99392 | N | Prev visit, est, age 1-4 | 1.19 | 0.46 | 1.07 | 0.04 | XXX | |
| 99393 | N | Prev visit, est, age 5-11 | 1.19 | 0.46 | 1.04 | 0.04 | XXX | |
| 99394 | N | Prev visit, est, age 12-17 | 1.36 | 0.53 | 1.12 | 0.04 | XXX | |
| 99395 | N | Prev visit, est, age 18-39 | 1.36 | 0.53 | 1.16 | 0.04 | XXX | |
| 99396 | N | Prev visit, est, age 40-64 | 1.53 | 0.59 | 1.25 | 0.05 | XXX | |
| 99397 | N | Prev visit, est, 65 over | 1.71 | 0.66 | 1.35 | 0.05 | XXX | |
| 99401 | N | Preventive counseling, indiv | 0.48 | 0.19 | 0.61 | 0.01 | XXX | |
| 99402 | N | Preventive counseling, indiv | 0.98 | 0.38 | 0.85 | 0.02 | XXX | |
| 99403 | N | Preventive counseling, indiv | 1.46 | 0.56 | 1.08 | 0.03 | XXX | |
| 99404 | N | Preventive counseling, indiv | 1.95 | 0.75 | 1.32 | 0.04 | XXX | |
| 99411 | N | Preventive counseling, group | 0.15 | 0.06 | 0.18 | 0.01 | XXX | |
| 99412 | N | Preventive counseling, group | 0.25 | 0.10 | 0.24 | 0.01 | XXX | |
| 99420 | N | Health risk assessment test | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99429 | N | Unlisted preventive service | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99431 | A | Initial care, normal newborn | 1.17 | 0.38 | NA | 0.04 | XXX | |
| 99432 | A | Newborn care, not in hosp | 1.26 | 0.41 | 1.11 | 0.06 | XXX | |
| 99433 | A | Normal newborn care/hospital | 0.62 | 0.20 | NA | 0.02 | XXX | |
| 99435 | A | Newborn discharge day hosp | 1.50 | 0.51 | NA | 0.05 | XXX | |
| 99436 | A | Attendance, birth | 1.50 | 0.46 | 0.50 | 0.05 | XXX | |
| 99440 | A | Newborn resuscitation | 2.93 | 0.93 | NA | 0.11 | XXX | |
| 99450 | N | Life/disability evaluation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99455 | R | Disability examination | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99456 | R | Disability examination | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99499 | C | Unlisted em service | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99500 | I | Home visit, prenatal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99501 | I | Home visit, postnatal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99502 | I | Home visit, nb care | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99503 | I | Home visit, resp therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99504 | I | Home visit mech ventilator | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99505 | I | Home visit, stoma care | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99506 | I | Home visit, im injection | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99507 | I | Home visit, cath maintain | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99508 | I | Home visit, sleep studies | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99509 | I | Home visit day life activity | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99510 | I | Home visit, sing/m/fam couns | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99511 | I | Home visit, fecal/enema mgmt | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99512 | I | Home visit, hemodialysis | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99539 | I | Home visit, nos | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99551 | I | Home infus, pain mgmt, iv/sc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99552 | I | Hm infus pain mgmt, epid/ith | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99553 | I | Home infuse, tocolytic tx | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99554 | I | Home infus, hormone/platelet | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99555 | I | Home infuse, chemotheraphy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99556 | I | Home infus, antibio/fung/vir | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99557 | I | Home infuse, anticoagulant | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99558 | I | Home infuse, immunotherapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99559 | I | Home infus, periton dialysis | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99560 | I | Home infus, entero nutrition | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99561 | I | Home infuse, hydration tx | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99562 | I | Home infus, parent nutrition | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99563 | I | Home admin, pentamidine | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99564 | I | Hme infus, antihemophil agnt | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99565 | I | Home infus, proteinase inhib | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99566 | I | Home infuse, iv therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99567 | I | Home infuse, sympath agent | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99568 | I | Home infus, misc drug, daily | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99569 | I | Home infuse, each addl tx | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4211 | P | Supp for self-adm injections | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4212 | P | Non coring needle or stylet | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4214 | P | 30 CC sterile water/saline | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4220 | P | Infusion pump refill kit | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4253 | P | Blood glucose/reagent strips | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4256 | P | Calibrator solution/chips | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4258 | P | Lancet device each | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4259 | P | Lancets per box | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4262 | B | Temporary tear duct plug | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4263 | B | Permanent tear duct plug | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4265 | P | Paraffin | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4270 | B | Disposable endoscope sheath | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4300 | B | Cath impl vasc access portal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4301 | P | Implantable access syst perc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4305 | P | Drug delivery system =50 ML | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4306 | P | Drug delivery system =5 ML | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4310 | P | Insert tray w/o bag/cath | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4311 | P | Catheter w/o bag 2-way latex | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4312 | P | Cath w/o bag 2-way silicone | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4313 | P | Catheter w/bag 3-way | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4314 | P | Cath w/drainage 2-way latex | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4315 | P | Cath w/drainage 2-way silcne | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4316 | P | Cath w/drainage 3-way | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4320 | P | Irrigation tray | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4322 | P | Irrigation syringe | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4323 | P | Saline irrigation solution | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4326 | P | Male external catheter | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4327 | P | Fem urinary collect dev cup | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4328 | P | Fem urinary collect pouch | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4330 | P | Stool collection pouch | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4335 | P | Incontinence supply | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4338 | P | Indwelling catheter latex | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4340 | P | Indwelling catheter special | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4344 | P | Cath indw foley 2 way silicn | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4346 | P | Cath indw foley 3 way | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4347 | P | Male external catheter | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4351 | P | Straight tip urine catheter | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4352 | P | Coude tip urinary catheter | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4354 | P | Cath insertion tray w/bag | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4355 | P | Bladder irrigation tubing | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4356 | P | Ext ureth clmp or compr dvc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4357 | P | Bedside drainage bag | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4358 | P | Urinary leg or abdomen bag | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4359 | P | Urinary suspensory w/o leg b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4361 | P | Ostomy face plate | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4362 | P | Solid skin barrier | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4364 | P | Adhesive, liquid or equal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4367 | P | Ostomy belt | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4397 | P | Irrigation supply sleeve | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4398 | P | Ostomy irrigation bag | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4399 | P | Ostomy irrig cone/cath w brs | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4400 | P | Ostomy irrigation set | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4402 | P | Lubricant per ounce | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4404 | P | Ostomy ring each | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4421 | P | Ostomy supply misc | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4454 | P | Tape all types all sizes | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4455 | P | Adhesive remover per ounce | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4460 | P | Elastic compression bandage | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4465 | P | Non-elastic extremity binder | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4470 | P | Gravlee jet washer | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4480 | P | Vabra aspirator | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4550 | B | Surgical trays | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4556 | P | Electrodes, pair | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4557 | P | Lead wires, pair | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4558 | P | Conductive paste or gel | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4647 | B | Supp- paramagnetic contr mat | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4649 | P | Surgical supplies | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4890 | R | Repair/maint cont hemo equip | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5051 | P | Pouch clsd w barr attached | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5052 | P | Clsd ostomy pouch w/o barr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5053 | P | Clsd ostomy pouch faceplate | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5054 | P | Clsd ostomy pouch w/flange | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5055 | P | Stoma cap | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5061 | P | Pouch drainable w barrier at | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5062 | P | Drnble ostomy pouch w/o barr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5063 | P | Drain ostomy pouch w/flange | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5071 | P | Urinary pouch w/barrier | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5072 | P | Urinary pouch w/o barrier | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5073 | P | Urinary pouch on barr w/flng | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5081 | P | Continent stoma plug | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5082 | P | Continent stoma catheter | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5093 | P | Ostomy accessory convex inse | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5102 | P | Bedside drain btl w/wo tube | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5105 | P | Urinary suspensory | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5112 | P | Urinary leg bag | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5113 | P | Latex leg strap | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5114 | P | Foam/fabric leg strap | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5119 | P | Skin barrier wipes box pr 50 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5121 | P | Solid skin barrier 6x6 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5122 | P | Solid skin barrier 8x8 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5123 | P | Skin barrier with flange | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5126 | P | Disk/foam pad +or- adhesive | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5131 | P | Appliance cleaner | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6154 | P | Wound pouch each | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6196 | P | Alginate dressing =16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6197 | P | Alginate drsg 16 =48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6198 | P | alginate dressing 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6199 | P | Alginate drsg wound filler | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6203 | P | Composite drsg = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6204 | P | Composite drsg 16=48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6205 | P | Composite drsg 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6206 | P | Contact layer = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6207 | P | Contact layer 16= 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6208 | P | Contact layer 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6209 | P | Foam drsg =16 sq in w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6210 | P | Foam drg 16=48 sq in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6211 | P | Foam drg 48 sq in w/o brdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6212 | P | Foam drg =16 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6213 | P | Foam drg 16=48 sq in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6214 | P | Foam drg 48 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6215 | P | Foam dressing wound filler | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6216 | P | Non-sterile gauze=16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6217 | P | Non-sterile gauze16=48 sq | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6218 | P | Non-sterile gauze 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6219 | P | Gauze = 16 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6220 | P | Gauze 16 =48 sq in w/bordr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6221 | P | Gauze 48 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6222 | P | Gauze =16 in no w/sal w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6223 | P | Gauze 16=48 no w/sal w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6224 | P | Gauze 48 in no w/sal w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6228 | P | Gauze = 16 sq in water/sal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6229 | P | Gauze 16=48 sq in watr/sal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6230 | P | Gauze 48 sq in water/salne | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6234 | P | Hydrocolld drg =16 w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6235 | P | Hydrocolld drg 16=48 w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6236 | P | Hydrocolld drg 48 in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6237 | P | Hydrocolld drg =16 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6238 | P | Hydrocolld drg 16=48 w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6239 | P | Hydrocolld drg 48 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6240 | P | Hydrocolld drg filler paste | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6241 | P | Hydrocolloid drg filler dry | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6242 | P | Hydrogel drg =16 in w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6243 | P | Hydrogel drg 16=48 w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6244 | P | Hydrogel drg 48 in w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6245 | P | Hydrogel drg = 16 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6246 | P | Hydrogel drg 16=48 in w/b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6247 | P | Hydrogel drg 48 sq in w/b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6248 | P | Hydrogel drsg gel filler | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6250 | P | Skin seal protect moisturizr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6251 | P | Absorpt drg =16 sq in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6252 | P | Absorpt drg 16 =48 w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6253 | P | Absorpt drg 48 sq in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6254 | P | Absorpt drg =16 sq in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6255 | P | Absorpt drg 16=48 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6256 | P | Absorpt drg 48 sq in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6257 | P | Transparent film = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6258 | P | Transparent film 16=48 in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6259 | P | Transparent film 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6260 | P | Wound cleanser any type/size | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6261 | P | Wound filler gel/paste /oz | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6262 | P | Wound filler dry form / gram | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6263 | P | Non-sterile elastic gauze/yd | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6264 | P | Non-sterile no elastic gauze | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6265 | P | Tape per 18 sq inches | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6266 | P | Impreg gauze no h20/sal/yard | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6402 | P | Sterile gauze = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6403 | P | Sterile gauze16 = 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6404 | P | Sterile gauze 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6405 | P | Sterile elastic gauze/yd | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6406 | P | Sterile non-elastic gauze/yd | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0150 | R | Comprehensve oral evaluation | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0240 | R | Intraoral occlusal film | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0250 | R | Extraoral first film | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0260 | R | Extraoral ea additional film | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0270 | R | Dental bitewing single film | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0272 | R | Dental bitewings two films | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0274 | R | Dental bitewings four films | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0277 | R | Vert bitewings-sev to eight | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0460 | R | Pulp vitality test | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0472 | R | Gross exam, prep report | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0473 | R | Micro exam, prep report | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0474 | R | Micro w exam of surg margins | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0480 | R | Cytopath smear prep report | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0501 | R | Histopathologic examinations | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0502 | R | Other oral pathology procedu | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0999 | R | Unspecified diagnostic proce | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1510 | R | Space maintainer fxd unilat | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1515 | R | Fixed bilat space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1520 | R | Remove unilat space maintain | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1525 | R | Remove bilat space maintain | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1550 | R | Recement space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2970 | R | Temporary- fractured tooth | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2999 | R | Dental unspec restorative pr | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D3460 | R | Endodontic endosseous implan | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D3999 | R | Endodontic procedure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4260 | R | Osseous surgery per quadrant | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4263 | R | Bone replce graft first site | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4264 | R | Bone replce graft each add | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4268 | R | Surgical revision procedure | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4270 | R | Pedicle soft tissue graft pr | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4271 | R | Free soft tissue graft proc | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4273 | R | Subepithelial tissue graft | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4355 | R | Full mouth debridement | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4381 | R | Localized chemo delivery | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5911 | R | Facial moulage sectional | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5912 | R | Facial moulage complete | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5951 | R | Feeding aid | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5983 | R | Radiation applicator | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5984 | R | Radiation shield | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5985 | R | Radiation cone locator | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5987 | R | Commissure splint | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D6920 | R | Dental connector bar | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7110 | R | Oral surgery single tooth | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7120 | R | Each add tooth extraction | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7130 | R | Tooth root removal | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7210 | R | Rem imp tooth w mucoper flp | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7220 | R | Impact tooth remov soft tiss | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7230 | R | Impact tooth remov part bony | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7240 | R | Impact tooth remov comp bony | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7241 | R | Impact tooth rem bony w/comp | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7250 | R | Tooth root removal | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7260 | R | Oral antral fistula closure | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7291 | R | Transseptal fiberotomy | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7940 | R | Reshaping bone orthognathic | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9110 | R | Tx dental pain minor proc | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9230 | R | Analgesia | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9248 | R | Sedation (non-iv) | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9630 | R | Other drugs/medicaments | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9930 | R | Treatment of complications | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9940 | R | Dental occlusal guard | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9950 | R | Occlusion analysis | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9951 | R | Limited occlusal adjustment | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9952 | R | Complete occlusal adjustment | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0001 | X | Drawing blood for specimen | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0002 | A | Temporary urinary catheter | 0.50 | 0.16 | 3.25 | 0.03 | 000 | |
| G0004 | A | ECG transm phys review int | 0.52 | NA | 7.69 | 0.45 | XXX | |
| G0005 | A | ECG 24 hour recording | 0.00 | NA | 1.28 | 0.07 | XXX | |
| G0006 | A | ECG transmission analysis | 0.00 | NA | 6.22 | 0.36 | XXX | |
| G0007 | A | ECG phy review interpret | 0.52 | 0.20 | 0.20 | 0.02 | XXX | |
| G0008 | X | Admin influenza virus vac | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0009 | X | Admin pneumococcal vaccine | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0010 | X | Admin hepatitis b vaccine | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0015 | A | Post symptom ECG tracing | 0.00 | NA | 6.22 | 0.36 | XXX | |
| G0016 | D | Post symptom ECG md review | 0.52 | 0.22 | 0.22 | 0.02 | XXX | |
| G0025 | B | Collagen skin test kit | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0026 | X | Fecal leukocyte examination | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0027 | X | Semen analysis | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0030 | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0030 | 26 | A | PET imaging prev PET single | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0030 | TC | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0031 | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0031 | 26 | A | PET imaging prev PET multple | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0031 | TC | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0032 | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0032 | 26 | A | PET follow SPECT 78464 singl | 1.50 | 0.52 | 0.52 | 0.05 | XXX |
| G0032 | TC | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0033 | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0033 | 26 | A | PET follow SPECT 78464 mult | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0033 | TC | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0034 | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0034 | 26 | A | PET follow SPECT 76865 singl | 1.50 | 0.52 | 0.52 | 0.05 | XXX |
| G0034 | TC | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0035 | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0035 | 26 | A | PET follow SPECT 78465 mult | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0035 | TC | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0036 | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0036 | 26 | A | PET follow cornry angio sing | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0036 | TC | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0037 | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0037 | 26 | A | PET follow cornry angio mult | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0037 | TC | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0038 | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0038 | 26 | A | PET follow myocard perf sing | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0038 | TC | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0039 | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0039 | 26 | A | PET follow myocard perf mult | 1.87 | 0.70 | 0.70 | 0.07 | XXX |
| G0039 | TC | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0040 | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0040 | 26 | A | PET follow stress echo singl | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0040 | TC | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0041 | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0041 | 26 | A | PET follow stress echo mult | 1.87 | 0.70 | 0.70 | 0.05 | XXX |
| G0041 | TC | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0042 | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0042 | 26 | A | PET follow ventriculogm sing | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0042 | TC | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0043 | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0043 | 26 | A | PET follow ventriculogm mult | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0043 | TC | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0044 | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0044 | 26 | A | PET following rest ECG singl | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0044 | TC | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0045 | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0045 | 26 | A | PET following rest ECG mult | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0045 | TC | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0046 | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0046 | 26 | A | PET follow stress ECG singl | 1.50 | 0.52 | 0.52 | 0.04 | XXX |
| G0046 | TC | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0047 | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0047 | 26 | A | PET follow stress ECG mult | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0047 | TC | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0050 | A | Residual urine by ultrasound | 0.00 | NA | 0.88 | 0.04 | XXX | |
| G0101 | A | CA screen; pelvic/breast exam | 0.45 | 0.17 | 0.52 | 0.01 | XXX | |
| G0102 | A | Prostate ca screening; dre | 0.17 | 0.06 | 0.37 | 0.01 | XXX | |
| G0103 | X | Psa, total screening | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0104 | A | CA screen; flexi sigmoidscope | 0.96 | 0.51 | 1.82 | 0.05 | 000 | |
| G0105 | A | Colorectal scrn; hi risk ind | 3.70 | 1.71 | 7.97 | 0.20 | 000 | |
| G0106 | A | Colon CA screen; barium enema | 0.99 | NA | 2.65 | 0.15 | XXX | |
| G0106 | 26 | A | Colon CA screen; barium enema | 0.99 | 0.34 | 0.34 | 0.04 | XXX |
| G0106 | TC | A | Colon CA screen; barium enema | 0.00 | NA | 2.31 | 0.11 | XXX |
| G0107 | X | CA screen; fecal blood test | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0108 | A | Diab manage trn per indiv | 0.00 | NA | 0.82 | 0.01 | XXX | |
| G0109 | A | Diab manage trn ind/group | 0.00 | NA | 0.48 | 0.01 | XXX | |
| G0110 | R | Nett pulm-rehab educ; ind | 0.90 | 0.35 | 0.69 | 0.03 | XXX | |
| G0111 | R | Nett pulm-rehab educ; group | 0.27 | 0.10 | 0.29 | 0.01 | XXX | |
| G0112 | R | Nett;nutrition guid, initial | 1.72 | 0.66 | 1.21 | 0.05 | XXX | |
| G0113 | R | Nett;nutrition guid,subseqnt | 1.29 | 0.50 | 0.95 | 0.04 | XXX | |
| G0114 | R | Nett; psychosocial consult | 1.20 | 0.46 | 0.49 | 0.03 | XXX | |
| G0115 | R | Nett; psychological testing | 1.20 | 0.46 | 0.72 | 0.04 | XXX | |
| G0116 | R | Nett; psychosocial counsel | 1.11 | 0.38 | 1.06 | 0.04 | XXX | |
| G0117 | T | Glaucoma scrn hgh risk direc | 0.45 | 0.21 | 0.97 | 0.02 | XXX | |
| G0118 | T | Glaucoma scrn hgh risk direc | 0.17 | 0.08 | 0.84 | 0.01 | XXX | |
| G0120 | A | Colon ca scrn; barium enema | 0.99 | NA | 2.65 | 0.15 | XXX | |
| G0120 | 26 | A | Colon ca scrn; barium enema | 0.99 | 0.34 | 0.34 | 0.04 | XXX |
| G0120 | TC | A | Colon ca scrn; barium enema | 0.00 | NA | 2.31 | 0.11 | XXX |
| G0121 | A | Colon ca scrn not hi rsk ind | 3.70 | 1.71 | 7.97 | 0.20 | 000 | |
| G0122 | N | Colon ca scrn; barium enema | 0.99 | NA | 2.69 | 0.15 | XXX | |
| G0122 | 26 | N | Colon ca scrn; barium enema | 0.99 | 0.38 | 0.38 | 0.04 | XXX |
| G0122 | TC | N | Colon ca scrn; barium enema | 0.00 | NA | 2.31 | 0.11 | XXX |
| G0123 | X | Screen cerv/vag thin layer | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0124 | A | Screen c/v thin layer by MD | 0.42 | 0.19 | 0.19 | 0.01 | XXX | |
| G0125 | A | PET img WhBD sgl pulm ring | 1.50 | NA | 56.10 | 2.00 | XXX | |
| G0125 | 26 | A | PET img WhBD sgl pulm ring | 1.50 | 0.52 | 0.52 | 0.05 | XXX |
| G0125 | TC | A | PET img WhBD sgl pulm ring | 0.00 | NA | 55.58 | 1.95 | XXX |
| G0126 | F | Lung image (PET) staging | 1.87 | NA | 56.28 | 2.01 | XXX | |
| G0126 | 26 | F | Lung image (PET) staging | 1.87 | 0.70 | 0.70 | 0.06 | XXX |
| G0126 | TC | F | Lung image (PET) staging | 0.00 | NA | 55.58 | 1.95 | XXX |
| G0127 | R | Trim nail(s) | 0.17 | 0.07 | 0.25 | 0.01 | 000 | |
| G0128 | R | CORF skilled nursing service | 0.08 | 0.03 | 0.03 | 0.01 | XXX | |
| G0130 | A | Single energy x-ray study | 0.22 | NA | 0.90 | 0.05 | XXX | |
| G0130 | 26 | A | Single energy x-ray study | 0.22 | 0.11 | 0.11 | 0.01 | XXX |
| G0130 | TC | A | Single energy x-ray study | 0.00 | NA | 0.79 | 0.04 | XXX |
| G0131 | A | CT scan, bone density study | 0.25 | NA | 3.18 | 0.14 | XXX | |
| G0131 | 26 | A | CT scan, bone density study | 0.25 | 0.13 | 0.13 | 0.01 | XXX |
| G0131 | TC | A | CT scan, bone density study | 0.00 | NA | 3.05 | 0.13 | XXX |
| G0132 | A | CT scan, bone density study | 0.22 | NA | 0.90 | 0.05 | XXX | |
| G0132 | 26 | A | CT scan, bone density study | 0.22 | 0.11 | 0.11 | 0.01 | XXX |
| G0132 | TC | A | CT scan, bone density study | 0.00 | NA | 0.79 | 0.04 | XXX |
| G0141 | A | Scr c/v cyto,autosys and md | 0.42 | 0.19 | 0.19 | 0.01 | XXX | |
| G0143 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0144 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0145 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0147 | X | Scr c/v cyto, automated sys | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0148 | X | Scr c/v cyto, autosys, rescr | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0163 | F | Pet for rec of colorectal ca | 1.50 | NA | 0.58 | 2.00 | XXX | |
| G0163 | 26 | F | Pet for rec of colorectal ca | 1.50 | 0.58 | 0.58 | 0.05 | XXX |
| G0163 | TC | F | Pet for rec of colorectal ca | 0.00 | NA | NA | 1.95 | XXX |
| G0164 | F | Pet for lymphoma staging | 1.87 | NA | 0.72 | 2.01 | XXX | |
| G0164 | 26 | F | Pet for lymphoma staging | 1.87 | 0.72 | 0.72 | 0.06 | XXX |
| G0164 | TC | F | Pet for lymphoma staging | 0.00 | NA | NA | 1.95 | XXX |
| G0165 | F | Pet, rec of melanoma/met ca | 1.50 | NA | 0.58 | 2.00 | XXX | |
| G0165 | 26 | F | Pet, rec of melanoma/met ca | 1.50 | 0.58 | 0.58 | 0.05 | XXX |
| G0165 | TC | F | Pet, rec of melanoma/met ca | 0.00 | NA | NA | 1.95 | XXX |
| G0166 | A | Extrnl counterpulse, per tx | 0.07 | 0.03 | 4.53 | 0.01 | XXX | |
| G0167 | C | Hyperbaric oz tx;no md reqrd | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0168 | A | Wound closure by adhesive | 0.45 | 0.19 | 2.39 | 0.01 | 000 | |
| G0173 | X | Stereo radoisurgery,complete | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0174 | D | Intensitymodulatedradiation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0175 | X | OPPS Service,sched team conf | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0176 | X | OPPS/PHP;activity therapy | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0177 | X | OPPS/PHP; train educ serv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0178 | D | Intensitymodulatedradiation | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0179 | A | MD recertification HHA PT | 0.45 | NA | 1.19 | 0.01 | XXX | |
| G0180 | A | MD certification HHA patient | 0.67 | NA | 1.28 | 0.02 | XXX | |
| G0181 | A | Home health care supervision | 1.73 | NA | 1.52 | 0.06 | XXX | |
| G0182 | A | Hospice care supervision | 1.73 | NA | 1.74 | 0.06 | XXX | |
| G0184 | D | Ocular photdynamicTx 2nd eye | 0.47 | 0.22 | 0.29 | 0.01 | ZZZ | |
| G0185 | C | Transpuppillary thermotx | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0186 | C | Dstry eye lesn,fdr vssl tech | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0187 | C | Dstry mclr drusen,photocoag | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0188 | D | Xray lwr extrmty-full lngth | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0188 | 26 | D | Xray lwr extrmty-full lngth | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0188 | TC | D | Xray lwr extrmty-full lngth | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0190 | D | Immunization administration | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0191 | D | Immunization admin,each add | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0192 | N | Immunization oral/intranasal | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0193 | C | Endoscopicstudyswallowfunctn | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0194 | C | Sensorytestingendoscopicstud | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0195 | A | Clinicalevalswallowingfunct | 1.50 | 0.74 | 2.04 | 0.07 | XXX | |
| G0196 | A | Evalofswallowingwithradioopa | 1.50 | 0.74 | 2.04 | 0.07 | XXX | |
| G0197 | A | Evalofptforprescipspeechdevi | 1.35 | 0.74 | 2.01 | 0.04 | XXX | |
| G0198 | A | Patientadapationtrainforspe | 0.99 | 0.55 | 1.11 | 0.03 | XXX | |
| G0199 | A | Reevaluationofpatientusespec | 1.01 | 0.55 | 1.82 | 0.03 | XXX | |
| G0200 | A | Evalofpatientprescipofvoicep | 1.35 | 0.74 | 2.01 | 0.04 | XXX | |
| G0201 | A | Modifortraininginusevoicepro | 0.99 | 0.55 | 1.11 | 0.03 | XXX | |
| G0202 | A | Screeningmammographydigital | 0.70 | NA | 2.90 | 0.09 | XXX | |
| G0202 | 26 | A | Screeningmammographydigital | 0.70 | 0.27 | 0.27 | 0.03 | XXX |
| G0202 | TC | A | Screeningmammographydigital | 0.00 | NA | 2.63 | 0.06 | XXX |
| G0203 | F | Screenmammographyfilmdigital | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0204 | A | Diagnosticmammographydigital | 0.87 | NA | 2.92 | 0.09 | XXX | |
| G0204 | 26 | A | Diagnosticmammographydigital | 0.87 | 0.34 | 0.34 | 0.03 | XXX |
| G0204 | TC | A | Diagnosticmammographydigital | 0.00 | NA | 2.59 | 0.06 | XXX |
| G0205 | F | Diagnosticmammographyfilmpro | 0.69 | NA | 1.62 | 0.09 | XXX | |
| G0205 | 26 | F | Diagnosticmammographyfilmpro | 0.69 | 0.27 | 0.27 | 0.03 | XXX |
| G0205 | TC | F | Diagnosticmammographyfilmpro | 0.00 | NA | 1.35 | 0.06 | XXX |
| G0206 | A | Diagnosticmammographydigital | 0.70 | NA | 2.36 | 0.08 | XXX | |
| G0206 | 26 | A | Diagnosticmammographydigital | 0.70 | 0.27 | 0.27 | 0.03 | XXX |
| G0206 | TC | A | Diagnosticmammographydigital | 0.00 | NA | 2.09 | 0.05 | XXX |
| G0207 | F | Diagnostic mammography film | 0.58 | NA | 1.31 | 0.08 | XXX | |
| G0207 | 26 | F | Diagnostic mammography film | 0.58 | 0.22 | 0.22 | 0.03 | XXX |
| G0207 | TC | F | Diagnostic mammography film | 0.00 | NA | 1.09 | 0.05 | XXX |
| G0210 | C | PET img WhBD ring dxlung ca | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0210 | 26 | A | PET img WhBD ring dxlung ca | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0210 | TC | C | PET img WhBD ring dxlung ca | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0211 | C | PET img WhBD ring init lung | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0211 | 26 | A | PET img WhBD ring init lung | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0211 | TC | C | PET img WhBD ring init lung | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0212 | C | PET img WhBD ring restag lun | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0212 | 26 | A | PET img WhBD ring restag lun | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0212 | TC | C | PET img WhBD ring restag lun | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0213 | C | PET img WhBD ring dx colorec | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0213 | 26 | A | PET img WhBD ring dx colorec | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0213 | TC | C | PET img WhBD ring dx colorec | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0214 | C | PET img WhBD ring init colre | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0214 | 26 | A | PET img WhBD ring init colre | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0214 | TC | C | PET img WhBD ring init colre | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0215 | C | PETimg whbd restag col | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0215 | 26 | A | PETimg whbd restag col | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0215 | TC | C | PETimg whbd restag col | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0216 | C | PET img WhBD ring dx melanom | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0216 | 26 | A | PET img WhBD ring dx melanom | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0216 | TC | C | PET img WhBD ring dx melanom | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0217 | C | PET img WhBD ring init melan | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0217 | 26 | A | PET img WhBD ring init melan | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0217 | TC | C | PET img WhBD ring init melan | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0218 | C | PET img WhBD ring restag mel | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0218 | 26 | A | PET img WhBD ring restag mel | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0218 | TC | C | PET img WhBD ring restag mel | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0219 | N | PET img WhBD ring noncov ind | 1.50 | NA | 1.01 | 0.04 | XXX | |
| G0219 | 26 | N | PET img WhBD ring noncov ind | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0219 | TC | N | PET img WhBD ring noncov ind | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0220 | C | PET img WhBD ring dx lymphom | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0220 | 26 | A | PET img WhBD ring dx lymphom | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0220 | TC | C | PET img WhBD ring dx lymphom | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0221 | C | PET img WhBD ring init lymph | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0221 | 26 | A | PET img WhBD ring init lymph | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0221 | TC | C | PET img WhBD ring init lymph | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0222 | C | PET img WhBD ring resta lymp | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0222 | 26 | A | PET img WhBD ring resta lymp | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0222 | TC | C | PET img WhBD ring resta lymp | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0223 | C | PET img WhBD reg ring dx hea | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0223 | 26 | A | PET img WhBD reg ring dx hea | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0223 | TC | C | PET img WhBD reg ring dx hea | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0224 | C | PETimg WhBD reg ring ini hea | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0224 | 26 | A | PETimg WhBD reg ring ini hea | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0224 | TC | C | PETimg WhBD reg ring ini hea | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0225 | C | PET img WhBD ring restag hea | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0225 | 26 | A | PET img WhBD ring restag hea | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0225 | TC | C | PET img WhBD ring restag hea | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0226 | C | PET img WhBD dx esophag | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0226 | 26 | A | PET img WhBD dx esophag | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0226 | TC | C | PET img WhBD dx esophag | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0227 | C | PET img whbd ini esopha | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0227 | 26 | A | PET img whbd ini esopha | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0227 | TC | C | PET img whbd ini esopha | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0228 | C | PET img WhBD ring restg esop | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0228 | 26 | A | PET img WhBD ring restg esop | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0228 | TC | C | PET img WhBD ring restg esop | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0229 | C | PET img metabolic brain ring | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0229 | 26 | A | PET img metabolic brain ring | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0229 | TC | C | PET img metabolic brain ring | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0230 | C | PET myocard viability ring | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0230 | 26 | A | PET myocard viability ring | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0230 | TC | C | PET myocard viability ring | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0231 | C | PET WhBD colorec; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0231 | 26 | A | PET WhBD colorec; gamma cam | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0231 | TC | C | PET WhBD colorec; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0232 | C | PET WhBD lymphoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0232 | 26 | A | PET WhBD lymphoma; gamma cam | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0232 | TC | C | PET WhBD lymphoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0233 | C | PET WhBD melanoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0233 | 26 | A | PET WhBD melanoma; gamma cam | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0233 | TC | C | PET WhBD melanoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0234 | C | PET WhBD pulm nod; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0234 | 26 | A | PET WhBD pulm nod; gamma cam | 1.50 | 0.58 | 0.58 | 0.04 | XXX |
| G0234 | TC | C | PET WhBD pulm nod; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0236 | A | digital film convert diag ma | 0.06 | NA | 0.45 | 0.02 | ZZZ | |
| G0236 | 26 | A | digital film convert diag ma | 0.06 | 0.02 | 0.02 | 0.01 | ZZZ |
| G0236 | TC | A | digital film convert diag ma | 0.00 | NA | 0.43 | 0.01 | ZZZ |
| G0237 | A | Therapeutic procd strg endur | 0.00 | NA | 0.49 | 0.02 | XXX | |
| G0238 | C | Oth resp proc, indiv | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0239 | C | Oth resp proc, group | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0240 | A | Critic care by MD transport | 4.00 | 1.55 | 1.55 | 0.14 | XXX | |
| G0241 | A | Each additional 30 minutes | 2.00 | 0.77 | 0.77 | 0.07 | ZZZ | |
| G0242 | X | Multisource photon ster plan | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0243 | X | Multisour photon stero treat | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0244 | X | Observ care by facility topt | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0245 | R | Initial foot exam ptlops | 0.88 | 0.32 | 0.75 | 0.05 | XXX | |
| G0246 | R | Followup eval of foot pt lop | 0.45 | 0.16 | 0.51 | 0.02 | XXX | |
| G0247 | R | Routine footcare pt w lops | 0.50 | 0.21 | 0.54 | 0.05 | XXX | |
| G0248 | R | Demonstrate use home INR mon | 0.00 | NA | 2.92 | 0.01 | XXX | |
| G0249 | R | Provide test material,equipm | 0.00 | NA | 2.08 | 0.01 | XXX | |
| G0250 | R | MD review interpret of test | 0.18 | 0.07 | 0.07 | 0.01 | XXX | |
| G0251 | I | Stereotactic radiosurgery | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0252 | N | PET image breast initial dx | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0252 | 26 | N | PET image breast initial dx | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0252 | TC | N | PET image breast initial dx | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0253 | C | PET image brst dection recur | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0253 | 26 | A | PET image brst dection recur | 1.87 | 0.58 | 0.58 | 0.07 | XXX |
| G0253 | TC | C | PET image brst dection recur | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0254 | C | PET image brst eval to tx | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0254 | 26 | A | PET image brst eval to tx | 1.87 | 0.58 | 0.58 | 0.07 | XXX |
| G0254 | TC | C | PET image brst eval to tx | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0255 | N | Sensory nerve conduction tst | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0255 | 26 | N | Sensory nerve conduction tst | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0255 | TC | N | Sensory nerve conduction tst | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G9001 | X | MCCD, initial rate | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9002 | X | MCCD, maintenance rate | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9003 | X | MCCD, risk adj hi, initial | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9004 | X | MCCD, risk adj lo, initial | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9005 | X | MCCD, risk adj, maintenance | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9006 | X | MCCD, Home monitoring | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9007 | X | MCCD, sch team conf | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9008 | X | Mccd,phys coor-care ovrsght | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9009 | X | MCCD, risk adj, level 3 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9010 | X | MCCD, risk adj, level 4 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9011 | X | MCCD, risk adj, level 5 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9012 | X | Other Specified Case Mgmt | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9016 | N | Demo-smoking cessation coun | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3370 | R | Vancomycin hcl injeciton | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0064 | A | Visit for drug monitoring | 0.37 | 0.12 | 0.26 | 0.01 | XXX | |
| P3001 | A | Screening pap smear by phys | 0.42 | 0.19 | 0.19 | 0.01 | XXX | |
| Q0035 | A | Cardiokymography | 0.17 | NA | 0.47 | 0.03 | XXX | |
| Q0035 | 26 | A | Cardiokymography | 0.17 | 0.07 | 0.07 | 0.01 | XXX |
| Q0035 | TC | A | Cardiokymography | 0.00 | NA | 0.40 | 0.02 | XXX |
| Q0091 | A | Obtaining screen pap smear | 0.37 | 0.14 | 0.68 | 0.01 | XXX | |
| Q0092 | A | Set up port xray equipment | 0.00 | NA | 0.33 | 0.01 | XXX | |
| R0070 | C | Transport portable x-ray | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0075 | C | Transport port x-ray multipl | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0076 | B | Transport portable EKG | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2520 | P | Contact lens hydrophilic | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5299 | R | Hearing service | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5362 | R | Speech screening | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5363 | R | Language screening | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5364 | R | Dysphagia screening | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 1 CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. | ||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved(D0110-D9999). | ||||||||
| 3 +Indicates RVUs are not use for Medicate payments. | ||||||||
| 4 PE RVUs = Practice Expense Relative Value Units. | ||||||||
[FR Doc. 02-16146 Filed 6-27-02; 8:45 am]
BILLING CODE 4120-01-P