Previous Article 69 FR 4 pgs. 1084-1267 - Medicare Program; Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004
Type: RULEVolume: 69Number: 4Pages: 1084 - 1267
Docket number: [CMS-1372-IFC]
FR document: [FR Doc. 03-32323 Filed 12-31-03; 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 405 and 414
[CMS-1372-IFC]
RIN 0938-AM97
Medicare Program; Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004
AGENCY:
Centers for Medicare Medicaid Services (CMS), HHS.
ACTION:
Interim final rule with comment period.
SUMMARY:
This interim final rule implements the provisions of the Medicare Prescription Drug, Improvement, and Modernization Act (MPDIMA) of 2003, Pub. L. 108-173, which are applicable in 2004 to Medicare payment for covered drugs and physician fee schedule services. These provisions revise the current payment methodology for Part B covered drugs and biologicals that are not paid on a cost or prospective payment basis; make changes to Medicare payment for furnishing or administering drugs and biologicals; revise the geographic practice cost indices and change the physician fee schedule conversion factor. The 2004 physician fee schedule conversion factor will be $37.3374. The 2004 national anesthesia conversion factor (prior to making adjustment for the geographic practice cost indices) will be $17.4969. The information contained in this final rule related to payment under the physician fee schedule supercedes the information contained in the November 7, 2003, final rule to the extent that the two are inconsistent. All other provisions of the November 7, 2003, final rule are unchanged unless otherwise noted. This rule also extends the "opt-out" provisions of 1802(b)(5)(3) of the Social Security Act to dentists, podiatrists, and optometrists.
DATES:
Effective date: These regulations are effective on January 1, 2004.
Comment date: We will consider comments if we receive them at the appropriate address, as provided in the addresses section, no later than 5 p.m. on March 8, 2004.
ADDRESSES:
In commenting, please refer to file code CMS-1372-FC. 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-1372-FC, 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:
Jennifer Fan, (410) 786-0548 regarding Medicare payment for Part B covered drugs and biologicals.
Rick Ensor, (410) 786-5617 regarding provisions related to geographic practice cost indices.
Diane Milstead, (410) 786-3355 for provisions related to the physician fee schedule.
Gaysha Brooks, (410) 786-9649 for questions related to obtaining Medicare physician fee schedule information from the CMS Web site.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: Comments received timely will be available for public inspection as they are processed, 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 by faxing to (202) 512-2250. The cost for each copy is $10. 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.
Accessing Physician Fee Schedule Web Site and Pricing Information
Information on the physician fee schedule and pricing files can be found on our home page. You can access this data at the following Web site: http://cms.hhs.gov/physicians/pfs or you can access this data by using the following directions:
1. Go to the CMS home page ( http://www.cms.hhs.gov ).
2. Place your cursor over the word "Professionals" in the blue area near the top of the page. Select "Physicians" from the drop-down menu.
3. Scroll down and under "Payment/Billing" select "Physician Fee Schedule".
The Physician Fee Schedule pricing information is contained in two public use files.
(1) National Physician Fee Schedule Relative Value File -This file contains all CPT/HCPCS (excluding codes beginning with B, E, L, K, and 0), their short descriptions and a status indicator, which denotes whether or not the service is priced under the physician fee schedule. The file also contains the components used in the calculation of the annual pricing amount (that is, the RVUs, GPCIs, and conversion factor), anesthesia conversion factors, and the payment policy indicators used to price the claims with surgical modifiers. This file does not contain the calculated pricing amounts.
(2) Physician Fee Schedule Payment Amount File National/Carrier -This file contains the CPT code and the Medicare price for all services priced under the Physician Fee Schedule. These data can be downloaded for the entire country, or for a selected carrier (in most cases carriers correlate with States). There is no option of requesting data for selected HCPCS codes. The zip file, which is downloaded, contains a file named "PF04pc", which explains the data contained in each column. This file also contains a description of pricing localities used in the Physician Fee Schedule. Due to the size of the national file (as well as many of the carrier-specific files), these data are provided in a comma-delimited format, which can be used to populate database applications. Generally speaking, these data are too large for Excel, however if a carrier specific file has 3 or fewer localities, Excel can be used.
Another file that may prove useful is the Zip Code to Carrier Locality file. This file will map ZIP Codes to CMS carriers and localities and map Zip Codes to their State and determine whether the ZIP Code has a rural designation as determined by CMS. You can access this file at the following Web site: http://cms.hhs.gov/providers/pufdownload/default.asp#alphanu or you can access this data by using the following directions:
1. Go to the CMS home page ( http://www.cms.hhs.gov ).
2. Place your cursor over the word "Professionals" in the blue area near the top of the page. Select "Physicians" from the drop-down menu.
3. Scroll down and under "Payment/Billing" select "Medicare Payment Systems."
4. Scroll down and under Coding Files select "Zip Code to Carrier Locality File."
Table of Contents
I. Background
A. Medicare Payment for Part B Covered Drugs and the Furnishing or Administration of Drugs
B. Geographic Practice Cost Indices and Physician Fee Schedule Conversion Factor
II. Provisions of the Final Rule
A. Application of Market-Based Systems of Medicare Payment for Part B Drugs
B. Payment for Inhalation Drugs
C. Pharmacy Supplying Fee for Certain Drugs and Biologicals
D. Physician Fee Schedule Provisions Related to the Administration of Drugs
1. Provisions Related to Budget Neutrality
2. Adjustments in Practice Expense Relative Value Units for Certain Drug Administration Services beginning with 2004
3. Pricing of Clinical Oncology Nurses in the Practice Expense Methodology
4. Work Relative Value Units for Certain Drug Administration Services
5. Adjustments in the Practice Expense Relative Value Units for Certain Drug Administration Services Beginning with 2005
6. Provisions for Appropriate Reporting and Billing for Physicians' Services Associated with the Administration of Covered Outpatient Drugs and Biologicals
7. Treatment of Other Services Currently in the Nonphysician Work Pool
8. Payment for Multiple Chemotherapy Agents Furnished on a Single Day through the Push Technique
9. Transitional Adjustment to Medicare Payment for Certain Drug Administration Services
E. Geographic Practice Cost Indices
F. Adjustments to the Work, Practice Expense and Malpractice Relative Value Units
G. Anesthesia and Physician Fee Schedule Conversion Factors for 2004
H. Publication of Addenda
III. Private Contracting with Medicare Beneficiaries
IV. Waiver of Proposed Rulemaking and Delay in Effective Date
V. Collection of Information Requirements
VI. Response to Comments
VII. Regulatory Impact Analysis
Addendum A-Explanation and Use of Addendum B
Addendum B-Relative Value Units and Related Information Used in Determining Medicare Payments for 2004
Addendum C-Codes with Interim Relative Value Units
Addendum D-2004 Geographic Practice Cost Indices by Medicare Carrier and Locality
Addendum E-2005 Geographic Practice Cost Indices by Medicare Carrier and Locality
Addendum F-List of Medicare Covered Part B Drugs Under Payment Reform
I. Background
A. Medicare Payment for Part B Covered Drugs and the Furnishing or Administration of Drugs
Medicare Part B covers a limited number of prescription drugs and biologicals. For the purposes of this final rule, the term "drugs" will hereafter refer to both drugs and biologicals. Currently, covered Medicare drugs generally fall into three categories: drugs furnished incident to a physician's service, durable medical equipment (DME) drugs, and drugs specifically covered by statute (for example, oral immunosuppressive drugs). Prior to January 1, 2004, drugs not paid on a cost or prospective payment basis are paid based on the lower of the actual charge or 95 percent of the average wholesale price (AWP) (section 1842(o)(1) of the Social Security Act (the Act), as added by section 4556 of the Balanced Budget Act of 1997 (Pub. L. 105-33)). In December 2000, the Congress passed the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA). Section 429(a) of BIPA required the GAO to conduct a study of the current payment methodology. Section 429(b) of BIPA requires the Secretary, notwithstanding any other provision of law, to revise the Medicare payment methodology for drugs based on the GAO study. In September 2001, the GAO presented its study to the Congress in a report titled, "Medicare: Payments for Covered Outpatient Drugs Exceed Providers' Costs" (GAO-01-1118). Consistent with the recommendations in the report, we published four options for revising the current drug payment system in a proposed rule published August 20, 2003 (68 FR 50428), in the Federal Register . This proposed rule also discussed changes to Medicare payment under the physician fee schedule for furnishing or administering certain drugs and biologicals. However, as discussed in the November 7, 2003, final rule (68 FR 63196), "Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004", since the Congress was considering legislation to address these issues, we were reluctant to proceed with finalizing the proposals contained in the August 20, 2003, proposed rule. On November 25, 2003, the Congress enacted the Medicare Prescription Drug, Improvement, and Modernization Act (MPDIMA) of 2003, Pub L. 108-173. The President signed Pub. L. 108-173 into law on December 8, 2003. Sections 303 through 305 of MPDIMA make revisions to payment methodology for Part B covered drugs that are not paid on a cost or prospective payment basis. Sections 303 and 304 also require the Secretary of Health and Human Services to revise Medicare payments for the administration of drugs made using the physician fee schedule. We are using this final rule to implement those sections of MPDIMA that are effective January 1, 2004, and prior to January 1, 2006, and affect Medicare payment for covered Part B drugs and their administration.
B. Geographic Practice Cost Indices (GPCIs) and Physician Fee Schedule Conversion Factor
Section 1848(e) of the Act requires that payments vary among Medicare physician fee schedule areas according to the extent resource costs vary, as measured by Geographic Practice Cost Indices (GPCIs) for each of the three fee schedule components-work, practice expense and malpractice. As explained later in this document, for services provided on or after January 1, 2004, and prior to January 1, 2007, section 412 of MPDIMA requires that the work GPCI cannot be less than 1.00. Section 602 of MPDIMA requires that work, practice expense and malpractice GPCIs otherwise calculated cannot be less than 1.67 for services furnished in Alaska on or after January 1, 2004, or prior to January 1, 2006.
Sections 1848(d) and (f) of the Act establish a formula for determining the physician fee schedule update and conversion factor (CF). As indicated in the November 7, 2003, final rule (68 FR 63239), the application of the formula in the statute resulted in a 2004 physician fee CF of $35.1339, a reduction of 4.5 percent. However, section 601 of MPDIMA requires that the update to the physician fee schedule CF for 2004 cannot be less than 1.5 percent. We are using this final rule to announce the CF and GPCIs that will be used to determine physician fee schedule rates in 2004.
II. Provisions of the Final Rule
A. Application of Market-Based Systems of Medicare Payment for Part B Drugs
1. General Rule
Subject to the other provisions of MPDIMA, section 303(b) of MPDIMA specifies that drugs not paid on a cost or prospective payment basis will be paid at 85 percent of the average wholesale price (AWP) determined as of April 1, 2003.
2. Specific Provisions
Section 303(b)(1) of MPDIMA specifies that for CY 2004 the following drugs will be paid at 95 percent of the AWP:
• Blood clotting factors;
• A drug or biological furnished during 2004 that was not available for Medicare payment as of April 1, 2003;
• Pneumococcal and influenza vaccines as well as hepatitis B vaccine that is furnished to individuals at high or intermediate risk of contracting hepatitis B (as determined by the Secretary); and
• A drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities.
Section 303(b)(1) of MPDIMA also specifies that infusion drugs will be paid at 95 percent of the AWP in effect on October 1, 2003, when furnished through a covered item of durable medical equipment.
Section 303(b)(2) of MPDIMA specifies that the payment for a drug contained in the table entitled "Table 3-Medicare Part B Drugs in the Most Recent GAO and OIG Studies" published in the August 20, 2003, proposed rule (68 FR 50445) will be the percentage of the AWP indicated in the column entitled "Average of the GAO and OIG data (percent)". This percentage will be applied to the AWP determined as of April 1, 2003. However, in the event that the percentage from Table 3 is less than 80 percent, the percentage applied to the AWP determined as of April 1, 2003, will be 80 percent. Table 1 below is a reprint of Table 3 from the August 20, 2003, proposed rule. Table 2 highlights the relevant column from the August 20, 2003, proposed rule table and applies the 80 percent limit where applicable.
We note that there was a typographical error in Table 3 as published on August 20, 2003, for J1642 "Heparin Sodium Lock Flush". The percentage in the column specified in MPDIMA is missing for J1642. Given that this column is calculated as the average of the values in the preceding two columns for the drugs in this table, we will treat the missing value as the average of the values in the prior two columns for J1642, namely 66 percent. This is the percentage that would have been in that column in the table in the absence of the typographical error. We believe that this correction is consistent with Congress' intent to revise the percentage based on the average of accurate GAO and OIG data. This percentage will be subject to the 80 percent limitation described above.
We also note that there was another typographical error in Table 3 as published on August 20, 2003, for J9390 "Vinorelbine Tartrate (Navelbine)." The percentage listed under the column titled "GAO Average Widely Available Price as a Percent of AWP (2001)" for J9390 in Table 3 is incorrect and should not have been listed at all since GAO did not include this drug in its study. The percentage under the column titled "OIG Median Catalogue Price as a Percent of AWP (2000)" is correct. Since the column specified in MPDIMA is calculated as the average of the values in the preceding two columns for the drugs in this table, the correct percentage listed for J9390 under this column will be 81 percent based on the data from OIG. We believe that this correction is also consistent with Congress' intent to revise rates based on the average of accurate GAO and OIG data. This is the percentage that would have been in that column in the table in the absence of the typographical error.
BILLING CODE 4120-01-P
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BILLING CODE 4120-01-C
Section 303(b)(2) of MPDIMA also provides an opportunity for the manufacturer of a drug to submit data and information requesting a different percentage from the percentage indicated in Table 1A or the 85 percent general rule. The Secretary may adjust the percentage based on this data and information beginning April 1, 2004. Section 303(b) of MPDIMA specifies that this data and information can be submitted after October 15, 2003, and before January 1, 2004. As required by the statute, manufacturers need to submit this data and information before January 1, 2004. Manufacturers may supplement this data and information; however, any additional supplemental information should be received by CMS before 5 p.m. e.s.t. on January 16, 2004. We will use the supplemental information to help us evaluate the initial submission of data and information.
We expect that the data and information submitted by a manufacturer would include the manufacturer's average sales price for the drug for the most recent quarter available. For the purposes of the exceptions process, the manufacturer's average sales price is calculated as the manufacturer's sales to all purchasers in the United States (excluding sales exempted below) for the quarter divided by the total number of units of such drug or biological sold by the manufacturer in that quarter. The submission should also specify the units used in the calculation (for example, micrograms).
In the calculation of the manufacturer's average sales price, a manufacturer should include volume discounts, prompt pay discounts, cash discounts, free goods that are contingent on any purchase requirement, chargebacks, and rebates (other than rebates under the Medicaid program). To the extent that there is a lag in the availability of this information applicable to the quarter, the manufacturer should apply a methodology based on the most recent 12-month period available to estimate costs attributable to these price concessions. The manufacturer should submit a description of the methodology used to estimate these costs.
In the calculation of the manufacturer's average sales price, a manufacturer should exclude the following sales as defined for the Medicaid best price calculation under section 1827(c)(1)(C)(i) of the Act:
1. Sales to the Indian Health Service, the Department of Veterans Affairs, a state home as defined for the purposes of the Medicaid best price calculation, the Department of Defense, the Public Health Service and entities described in section 340(B)(a)(4) of the Public Health Act;
2. Sales under the Federal Supply Schedule of the General Services Administration;
3. Sales under a State pharmaceutical assistance program; and
4. Any depot sales and single award contract sales as defined for the purposes of the Medicaid best price calculation.
A manufacturer should also exclude sales at a nominal charge. Sales at a nominal charge are defined as sales below 10 percent of the average calculated as described above. In other words, after following the methodology described above, sales below 10 percent of the resulting average should be excluded and the average recalculated. The result of this final calculation is the manufacturer's average sales price for the purpose of the exceptions process.
Note that we would base any changes to the percentage indicated in Table 1 or the 85 percent general rule only on data that we could make available to the public.
Section 303(b)(2) of MPDIMA also specifies that we may adjust the percentage effective January 1, 2004, based on data and information that a manufacturer submitted by October 15, 2003. We accepted data from the manufacturer of two biologicals: imiglucerase and alglucerase. The data and information submitted by the manufacturer indicated that the manufacturer's average sales price was 94 percent of the average wholesale price. Based on this data, we will pay for these two biologicals when furnished in 2004 at 94 percent of the average wholesale price determined as of April 1, 2003.
B. Payment for Inhalation Drugs
Section 305(a) of MPDIMA specifies that inhalation drugs furnished through durable medical equipment covered under 1861(n) of the Act will be paid in accordance with section 1842(o)(4) of the Act, as added by section 303(b)(2) of MPDIMA. The methodology for determining the payment for a drug under section 303(b)(2) of MPDIMA is described above in section II.A.2 of this rule.
C. Pharmacy Supplying Fee for Certain Drugs and Biologicals
Section 303(e)(2) of MPDIMA provides that the Secretary shall pay a pharmacy supplying fee, less applicable deductible and coinsurance, for immunosuppressive drugs described in section 1861(s)(2)(J) and oral anti-cancer and anti-nausea drugs described in subparagraph (Q) and (T) of the same section as determined appropriate by the Secretary. We believe that the payment of this fee should be bundled into the current payment for these drugs and the 2004 payment amounts specified in section 303(b) of MPDIMA. We do not have data indicating that the 85% figure is insufficient to cover the cost of supplying these drugs. However, for 2005, we will re-examine this issue in light of the average sales price (ASP) data that will be submitted by manufacturers.
D. Physician Fee Schedule Provisions Related to the Administration of Drugs
As indicated above, sections 303 and 304 of MPDIMA amend section 1848 of the Act for physician fee schedule payments made beginning January 1, 2004. We are describing our implementation of the parts of sections 303 and 304 which have a January 1, 2004, effective date.
1. Provisions Related to Budget Neutrality
Section 303(a)(1) of MPDIMA amends section 1848(c) of the Act to require changes to the practice expense and physician work relative value units (RVUs) used to determine payment for drug administration services. In general, section 1848(c)(2)(B)(ii)(II) provides that the Secretary shall review and may make adjustments to the RVUs if the changes do not cause the amount of expenditures to increase or decrease by more than $20 million. Section 303(a) of MPDIMA amends section 1848(c)(2)(B) of the Act to add a new clause (iv) that exempts from this limitation, any additional expenditures in 2004 attributable to:
(1) The increase in practice expense RVUs for drug administration services resulting from the use of a practice expense survey meeting specific criteria described in the statute;
(2) The increase in practice expense RVUs resulting from using survey data on the compensation of clinical oncology nurses; and
(3) New physician work RVUs that we are adding to the drug administration services consistent with the new statutory provisions.
In addition, section 303(a)(1) of MPDIMA also modifies section 1848(c)(2)(B) of the Act to provide an exemption from the budget neutrality requirements in 2005 or 2006 for further increases in practice expense RVUs for drug administration services that may result from using additional survey data from physician specialties meeting specific criteria that we will discuss in more detail later in this document. Furthermore, any increase in spending associated with any coding or policy changes resulting from the Secretary's review of existing drug administration codes is also exempted from budget neutrality requirements of section 1848 (c)(2)(B) by section 303 of MPDIMA. Section 303(a)(3) also requires the Secretary to review the policy in effect for the administration of more than one drug administered by the push technique. This change is also exempt from budget neutrality.
In general, we have met the budget neutrality requirements in the statute by either applying an adjustment to the physician fee schedule CF or to the RVUs themselves. However, section 303(a) of MPDIMA specifically amends the statute to exempt the additional expenditures that result from changes to the RVUs for drug administration services from the budget neutrality requirements. Therefore, we will make no changes to the physician fee schedule CF or physician work RVUs to account for physician work RVUs being added to drug administration services. We will add the additional expenditures as a result of these provisions to the expenditure base in applying our practice expense methodology.
2. Adjustments in Practice Expense Relative Value Units for Certain Drug Administration Services Beginning with 2004
Section 303(a)(1)(B) of MPDIMA amends section 1848(c)(2) of the Act by adding new subparagraph (H), "Adjustments in Practice Expense Relative Value Units for Certain Drug Administration Services beginning in 2004". Subparagraph (H)(i) requires the Secretary to determine the practice expense RVUs for 2004 using practice expense surveys submitted to the Secretary as of January 1, 2003, by a physician specialty organization in accordance with section 212 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 if the survey: (1) Covers practice expenses for oncology drug administration services; and (2) meets criteria established by the Secretary for acceptance of such surveys.
Section 212 of the BBRA directed the Secretary to establish a process under which we would accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. In an interim final rule with comment published in the Federal Register on May 3, 2000 (65 FR 25664), we established the criteria under which we would accept supplemental data for use in computing the practice expense RVUs. We subsequently modified those criteria in the November 1, 2000, physician fee schedule final rule (65 FR 65383) and the December 31, 2002, final rule (67 FR 79971).
The American Society of Clinical Oncology (ASCO) provided us with a supplemental survey prior to January 1, 2003, that includes expenses associated with the administration of chemotherapy drugs. While the survey meets the criteria we established, we initially decided not to use the information because of concerns about the data (for more information, see the December 31, 2003, final rule (67 FR 79973)). In a proposed rule published in the Federal Register on August 20, 2003 (68 FR 50437), we described subsequent discussions held with ASCO that resolved our concerns about the data.
Consistent with section 1848(c)(2)(H)(i) of the Act, we are using the ASCO survey to determine the practice expense RVUs for physician fee schedule services furnished on or after January 1, 2004, because it: (1) Was submitted prior to January 1, 2003; (2) includes expenses for drug administration services; and (3) meets criteria we have established for use of surveys.
Section 303(j) of MPDIMA applies the amendments made by section 303 for payments for drugs or biologicals and drug administrative services to physicians in the specialties of hematology, hematology/oncology and medical oncology. Section 304 indicates that: "Notwithstanding section 303(j), the amendments made by section 303 shall also apply to payments for drugs or biologicals and drug administration services furnished by physicians in specialties other than the specialties of hematology, hematology/oncology and medical oncology."
Because the section 303 (a)(1) provisions apply to hematology, hematology/oncology and medical oncology, we will use the supplemental survey submitted by ASCO for CMS specialty codes 82 (hematology), 83 (hematology/oncology) and 90 (medical oncology).
The Conference Report indicates that section 304 requires the Secretary to disregard the (section 303) exemption and apply the adjustments in section 303 to these other specialties. The Conference report further indicates the intent in drafting the provisions in this fashion: "The intent in drafting the two sections in this manner is to segregate the savings achieved from adjustments to payments to oncologists from savings derived from other physician specialties. The specialties to which the provisions apply are the specialties as used by the carriers in administering Medicare."
The purpose of the separation is only to display the budget scoring effects separately for oncologists from other physician specialties. There is no substantive policy effect at all from the enactment of the amendments in this manner. The combined effect of the amendments made by both section 303(j) and section 304 is that the substantive changes in both payments for drugs and biologicals as well as drug administration services apply to physicians of all specialties.
When we use supplemental survey data, we have generally blended the supplemental survey data with prior survey data from the American Medical Association's Socioeconomic Monitoring Survey (SMS). However, section 1848(c)(2)(H)(i) of the Act indicates that the Secretary should use survey data that meets the specific criteria specified in the statute. We are using the ASCO survey data and are not blending it with the prior SMS data.
Because we are not blending the ASCO survey with the SMS data, we are adopting a consistent policy in 2004 for survey data received in 1999 from the Society for Thoracic Surgery (STS). That is, we will use the STS supplemental survey data without blending it with the SMS data. However, we have not made a final decision and will continue to consider the issue of whether to blend supplemental survey with prior SMS data or to use specialty submitted supplemental surveys without blending. At this time, we are not using the ASCO and STS cases as precedent for our consideration of future survey data. While some may argue that the inclusion of newer, more specific survey data will improve the precision of the data underlying the calculation of the practice expense resource based RVUs, and lead to more stability in the practice expense methodology, it can also be argued that a specialty society would only undertake a survey (arguing that existing SMS data were not sufficiently representative of the specialty's practice expenses) if it believed that higher practice expense payments for that specialty could be achieved by submitting additional data. We do not believe that it would be prudent for the program to commit to the use of supplemental survey data without blending it with the SMS data for any and all future supplementary surveys. We will continue to consider this issue in 2004 when we make proposals for the 2005 physician fee schedule. At this time, we suggest that supplemental survey data should be used without blending only under certain conditions that would be specified in a future rule.(Note that this issue does not affect specialties that are not included in the SMS sample, and for which we have no other previous survey data. In such cases there would obviously be no SMS survey data to blend.)
We invite comments on this issue and on appropriate criteria for determining when to employ specialty submitted supplemental surveys without blending.
Table 2 shows the revised practice expense per hour for each cost pool for the specialties of cardiac and thoracic surgery and oncology, hematology/oncology and hematology.
| Specialty | Clin Staff | Admin. Staff | Office Expense | Med. Supplies | Med. Equip | Other | Total |
|---|---|---|---|---|---|---|---|
| Cardiac/Thoracic Surgery | 19.5 | 18.0 | 17.2 | 2.1 | 2.1 | 14.2 | 73.1 |
| Oncology | 53.4 | 34.7 | 34.4 | 16.9 | 7.4 | 42.2 | 189.0 |
3. Pricing of Clinical Oncology Nurses in the Practice Expense Methodology
Section 1848(c)(2)(H)(ii) of the Act (as added by section 303(a)(1) of MPDIMA) specifies that if a survey meets the criteria described above (that is, the survey that is submitted prior to January 1, 2003, meets criteria established by the Secretary, etc.) and includes data on wages, salaries and compensation of clinical oncology nurses, the Secretary will use the data in the methodology for determining the practice expense RVUs. The ASCO survey meets the criteria specified in the statute and also includes data on oncology nursing compensation. For this reason, we are using information from the survey to determine the wage rate per minute for oncology certified nurses (OCN). The OCN is included as a practice expense input for the nonchemotherapy infusion codes (90780 through 90781) and the chemotherapy administration codes (96400 through 96549). Using information from the ASCO survey, we determined a wage rate of 0.79 per minute (increase from the 0.56 per minute we are currently using) for the OCN. We used this revised wage rate to determine the practice expense RVUs for the drug administration services shown in Addendum B.
4. Work Relative Value Units for Certain Drug Administration Services
For services furnished on or after January 1, 2004, section 1848(c)(2)(H)(iii) of the Act (as added by section 303(a)(1) of MPDIMA) requires the Secretary to establish work RVUs for drug administration services equal to the work RVUs for a level 1 office medical visit for an established patient (CPT code 99211). Section 1848(c)(2)(H)(iv) of the Act defines drug administration services as those classified as of October 1, 2003, within any of the following groups: therapeutic or diagnostic infusions (excluding chemotherapy); chemotherapy administration services; and therapeutic, prophylactic, or diagnostic injections for which there are no work RVUs assigned and for which national RVUs have been assigned.
CPT code 99211 is a level 1 established patient office visit with physician work RVUs of 0.17. Consistent with the statute we are adding physician work RVUs of 0.17 to the following drug administration services: CPT codes 90780 through 90781, 90782 through 90788, 96400, 96408 through 96425, 96520, and 96530.
Currently, section 15010 of the Medicare Carriers Manual (MCM) does not allow payment for CPT codes 90782, 90783, 90784 and 90788 unless these are the only physician fee schedule services provided on that day. We do pay separately for cancer chemotherapy injections (CPT codes 96400-96549) in addition to an office visit (CPT codes 99211-99215) furnished on the same day by the same physician. CPT code 99211 does not require a face-to-face encounter between the physician and the patient like other office visit services (CPT codes 99212-99215) and can be used be physicians supervising a nurse performing chemotherapy administration. Currently, physicians typically bill for CPT code 99211 approximately 34 percent of the time that they are also providing a drug administration service. We believe that adding physician work to the drug administration services will subsume the supervision that physicians billing for a 99211 on the same day are typically providing. Therefore, we will no longer allow for 99211 to be billed on the same day as a chemotherapy administration service.
Although less common than CPT 99211, physicians also bill for other office visit (CPT codes 99212-99215) provided on the same day as chemotherapy administration. We will continue to allow other office visits to be billed on the same day as a drug administration service with modifier 25 indicating that a separately identifiable evaluation and management service was provided. This policy will make our practice with chemotherapy administration consistent with all other physician fee schedule services where we require use of modifier 25 if a separately identifiable evaluation and management service is provided on the day as a procedure. Section 15400(D) of the Medicare Carrier Manual (MCM) describes Medicare payment policy with respect to chemotherapy administration and "incident to" services provided on the same day. We will be revising section 15400 of the MCM (in addition to section 15010 that describes "bundled services") to reflect that CPT code 99211 and a chemotherapy administration service cannot be billed for the same patient on a single day.
5. Adjustments in the Practice Expense Relative Value Units for Certain Drug Administration Services Beginning with 2005
Section 303(a)(1) of MPDIMA also modifies section 1848(c)(2)(B) of the Act to provide an exemption from the budget neutrality requirements in 2005 or 2006 for further increases in practice expense RVUs for drug administration services that may result from using additional survey data from physician specialties meeting specific criteria. Section 1848(c)(2)(I) of the Act specifies that the exemption from budget neutrality will apply for any survey (other than the ASCO survey that meets the exemption requirement specified by another provision of the statute) submitted by a specialty group where 40 percent or more of its payments for Part B services are attributable to the administration of drugs in 2002 as determined by the Secretary. The statute indicates that the survey must include expenses for the administration of drugs and must be received by the Secretary prior to March 1, 2004, to determine the 2005 practice expense RVUs and prior to March 1, 2005, to determine the 2006 practice expense RVUs.
We have reviewed Medicare allowed charge data for 2002. Based on the 2002 data, we found that the specialties of gynecology/oncology (specialty code 98) rheumatology (specialty code 66) and urology (specialty code 30) received more than 40 percent of total Part B revenues from drugs. We will apply the exemption from budget neutrality specified in section 1848(c)(2)(I) of the Act for additional expenditures that result from the increases in drug administration practice expense RVUs in 2005 or 2006 resulting from use of a survey that is submitted timely by any of these specialties and otherwise meets criteria we have established for use of supplemental surveys. Hematology (specialty 82), hematology/oncology (specialty 83) and medical oncology (specialty 90) also receive more than 40 percent of their Medicare revenues from drugs. However, we are already using the ASCO survey for these specialties and the increase in payment for drug administration is exempt from budget neutrality by another provision of the statute.
6. Provisions for Appropriate Reporting and Billing for Physicians' Services Associated with the Administration of Covered Outpatient Drugs
Section 1848(c)(2)(J) of the Act requires the Secretary to promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption. The statute further specifies that the Secretary will use existing processes for the consideration of coding changes and, to the extent changes are made, will use the processes to establish relative values for these services. The Secretary is also required to consult with physician specialties affected by the provisions that change Medicare payments for drugs.
We expect to review this issue in the context of all the payment changes being made by the statute to Medicare payment for drug administration in order to assure accurate reporting and billing for such services taking into account levels of complexity of the administration and resource consumption. The existing processes we plan to use include review by our Physician's Regulatory Issues Team (PRIT) and consultation with the AMA's CPT Editorial Committee and physician specialties affected by changes in payment for drugs and drug administration. The PRIT, an internal CMS group that is working to eliminate unnecessary regulations, is reviewing the issue of coding for drug administration services including section 15400 of the Medicare Carriers Manual (MCM) that currently governs Medicare policy with respect to use of CPT codes in the 96400 through 96549 series for chemotherapy administration.
7. Treatment of Other Services Currently in the Nonphysician Work Pool
The nonphysician work pool is a special interim methodology that we use to determine practice expense RVUs for many services that do not have physician work RVUs. The drug administration codes listed above are currently valued using the nonphysician work pool methodology. Because we are now assigning work RVUs to these drug administration codes, they will no longer be included in the nonphysician work pool. Practice expense RVUs for these services will be computed using the standard practice expense methodology that applies to all other physicians' services.
Section 303(a)(2) of MPDIMA requires the Secretary to make adjustments to the nonphysician work pool methodology for the determination of practice expense RVUs under the physician fee schedule so that the practice expense RVUs for services determined under such methodology are not affected relative to the practice expense RVUs of services not determined under such methodology as a result of the amendments made by section 303(a)(2) of MPDIMA. If we made no other changes, removing drug administration codes from the nonphysician work pool would result in a reduction to the practice expense RVUs for services remaining in the nonphysician work pool. Consistent with section 303(a)(1) of MPDIMA, we are making two changes to the nonphysician work pool methodology so that the practice expense RVUs for nonphysician work pool services are not affected relative to other services.
First, we are changing the practice expense per hour assigned to the nonphysician work pool. In place of the "all physician" average, we are using a weighted average practice expense per hour of the specialties that perform the services affected by its calculations. Specifically, we will use the following revised data in the practice expense methodology for services remaining in the nonphysician work pool:
| Specialty | Clin Staff | Admin. Staff | Office Expense | Med. Supplies | Med. Equip | Other | Total |
|---|---|---|---|---|---|---|---|
| Nonphysician Work pool | 15.8 | 17.4 | 21.5 | 7.9 | 4.9 | 15.0 | 82.6 |
Second, we are adjusting the clinical staff times used in the creation of the pool. By definition, nonphysician work pool services do not involve the physician and have no physician time. To create the nonphysician work pool, we have used clinical staff time per procedure in the computation. We will now use the total staff time rather than the previously utilized maximum staff time for developing the 2004 physician fee schedule. Consistent with section 303(a)(2) of MPDIMA, the change to the practice expense per hour and staff time will result in no reduction to the practice expense RVUs for the services remaining in the nonphysician work pool once drug administration services are removed. By using the maximum staff time, we are assuming that clinical staff are working concurrently. However, it is possible that clinical staff are working sequentially and it would be appropriate to use the total staff time for each service. We are proposing to use the total staff in place of the maximum staff for developing the 2004 physician fee schedule since each are equally likely to address staff time arrangements for non-physician work pool services and the latter approach will assist in meeting the statutory directive that payment for non-physician work pool services not be affected by the changes we are making to drug administration services.
8. Payment for Multiple Chemotherapy Agents Furnished on a Single Day Through the Push Technique
Section 303(a)(3) of MPDIMA requires the Secretary to review the policy as in effect October 1, 2003, for section 1848 of the Act for the administration of more than one drug or biological to an individual on a single day through the push technique. Subsequent to that review, the Secretary will modify the payment policy as determined to be appropriate. Section 303(a)(3)(C) of MPDIMA indicates that any change in policy resulting from this review will be treated as additional expenditures attributable to section 1848(c)(2)(H). (This section relates to the additional expenditures that result from use of survey data that includes expenses for drug administration and clinical oncology nurses and requires that we establish work RVUs equal to a level 1 office visit for drug administration services. Currently, a level 1 office has 0.17 work RVUs)
In the November 25, 1991, Federal Register (56 FR 59541), we specified that Medicare will allow CPT code 96408 (Chemotherapy administration, intravenous; push technique) to be reported only once per day even if the physician administers multiple drugs and this policy is contained in Section 15400 of MCM. In the August 20, 2003, proposed rule (68 FR 50439) concerning payment reform for part B drugs under Medicare, we had proposed revising this policy to allow for CPT code 96408 to be reported once per day for each drug administered. This revision was supported by commenters.
Upon review of this issue and in acknowledgement that there are additional resources involved in administering each subsequent drug which should be considered in a resource-based payment system, we are changing our policy and will allow for CPT code 96408 to be reported once per day for each drug administered. The effective date for this change is for services furnished on or after January 1, 2004. We will modify section 15400 of the manual consistent with this change. In addition, as previously mentioned, the PRIT will be reviewing the issue of use of the chemotherapy administration codes in the 96400 CPT code series and Medicare's manual provisions on their use.
9. Transitional Adjustment to Medicare Payment for Certain Drug Administration Services
Section 303(a)(4) of MPDIMA provides for a transitional adjustment to Medicare payment for drug administration services to reflect implementation of the amendments made by section 303 of MPDIMA affecting Medicare's payments for drugs. Specifically, section 303(a)(4) of MPDIMA requires Medicare to increase the physician fee schedule amounts otherwise determined by 32 percent for 2004 and 3 percent for 2005. Thus, we will determine the payment for CPT codes 90780 through 90781, 90782 through 90788, 96400, 96408 through 96425, 96520, and 96530 based on the work, practice expense and malpractice RVUs shown in Addendum B and the 2004 CF of $37.3374. Consistent with section 303(a)(4) of MPDIMA, we will increase the physician fee schedule amount by an additional 32 percent for 2004. (The physician fee schedule amounts applicable in 2005 will be increased by 3 percent.)
C. Geographic Practice Cost Indices (GPCIs)
The Act requires that payments vary among physician fee schedule areas according to the extent that resource costs vary as measured by the Geographic Practice Cost Indices (GPCIs) for each of the three fee schedule components: work, practice expense, and malpractice.
Section 412 of MPDIMA amended section 1848(e)(1) of the Act and establishes a floor of 1.0 for the work geographic index for any locality to be used for purposes of payment for services furnished on or after January 1, 2004, and before January 1, 2007. In addition, section 602 of MPDIMA further amended section 1848(e)(1) of the Act for purposes of payment for services furnished in Alaska under the physician fee schedule on or after January 1, 2004, and before January 1, 2006, and sets the practice expense, malpractice and work indices at 1.67 if the index would otherwise be less than 1.67.
Based on these changes to the Act, we are revising the addenda published in the November 7, 2003, final rule concerning the transitional 2004 and full 2005 GPCIs (Addendum D and Addendum E, respectively). No locality will have a work GPCI of less than 1.00 and the work, practice expense and malpractice GPCIs for Alaska are set at 1.67. Addendum D in the November 7, 2003, final rule listed 58 localities having work GPCIs of less than 1.00. Of these, the range was from 0.881 for Puerto Rico to 0.998 for "Rest of New York" and New Orleans, Louisiana. Addendum D and E that are included in this final rule will replace the addenda previously published November 7, 2003.
D. Adjustments to the Work, Practice Expense and Malpractice Relative Value Units
In the August 15, 2003, proposed rule (68 FR 49058), we proposed to adjust the work, practice expense and malpractice RVUs to match the rebased MEI weights. In the November 7, 2003, final rule (68 FR 63245), we responded to public comments and applied adjustments of -0.57 percent (0.9943) to the physician work RVUs, -0.77 percent (0.9923) to the practice expense RVUs and 19.86 percent (1.1986) to the malpractice RVUs. These adjustments were intended to make the aggregate work, practice expense and malpractice RVUs used to determine payments in 2004 consistent with their respective weights in the rebased MEI.
However, the changes required by MPDIMA change the 2004 work, practice expense and malpractice RVUs. Provisions that require changes to the work and practice expense RVUs and exempt them from budget neutrality will increase the number of work and practice expense RVUs.
As we indicated in the November 7, 2003, final rule, we believe Medicare payment policy will be improved by adjusting the work, practice expense and malpractice RVUs to match the revised MEI weights. By matching the aggregate pools of RVUs to the rebased MEI weights, Medicare's payments for physician work, practice expense and malpractice will more closely match the proportion of expenses incurred by physicians in these categories. Therefore, we are revising the adjustments applied to the RVUs in the November 7, 2003, final rule consistent with our goal of making the work, practice expense and malpractice RVUs match the rebased MEI weights. The revised adjustments are -0.15 percent (0.9985) for physician work, -1.320 percent (0.9868) for practice expense, and 20.61 percent (1.2061) for malpractice. We have incorporated these adjustments into the RVUs shown in Addenda B and C of this final rule.
E. Anesthesia and Physician Fee Schedule Conversion Factors for 2004
The physician fee schedule update is determined under a methodology specified by statute. In the November 7, 2003, final rule (68 FR 63251), we used the formula specified in section 1848(d)(4) of the Act to determine a 4.5 percent reduction to the physician fee schedule CF. However, section 601 of MPDIMA amended section 1848(d) of the Act to specify that the update to the single CF for 2004 and 2005 will not be less than 1.5 percent. Because the statutory formula will yield a 4.5 percent reduction to the physician fee schedule CF and the amendments to the statute indicate that the update for 2004 cannot be less than 1.5 percent, we will increase the physician fee schedule CF by 1.5 percent for 2004.
The specific calculations to determine the physician fee schedule and anesthesia CFs for 2004 are explained below.
• Physician Fee Schedule Conversion Factor
Under section 1848(d)(1)(A) of the Act, the physician fee schedule CF is equal to the CF for the previous year multiplied by the update determined under section 1848(d)(4) of the Act.
We illustrate the calculation for the 2004 physician fee schedule CF in table 4:
| 2003 Conversion Factor | $36.7856 |
| 2004 Update | 1.5% (1.015) |
| 2004 Conversion Factor | $37.3374 |
• Anesthesia Fee Schedule Conversion Factor
As described in the November 7, 2003, final rule (68 FR 63252), anesthesia services do not have RVUs like other physician fee schedule services. For this reason, we are accounting for the adjustments to match the revised MEI weights and changes to anesthesia work and practice expenses through a 1.09 percent 1.0109 adjustment to the anesthesia fee schedule CF. The 1.09 percent increase reflects a 0.15 percent reduction on the work portion (79 percent), a 2.0 percent reduction on the practice expense portion (13.7 percent) and a 20.61 percent increase on the malpractice portion (7.2 percent) of the anesthesia conversion factor. (The adjustment to the practice expense portion is comprised of 1.3 percent for the MEI weights and 0.7 percent for the revisions in the practice expense methodology). To determine the anesthesia fee schedule CF for 2004, we used the following figures:
| 2003 Conversion Factor | $17.0522 |
| Adjustments for Work and Practice Expense | 1.09% (1.0109) |
| 2004 Update | 1.5% (1.0150) |
| 2004 Conversion Factor | $17.4969 |
F. Publication of Addenda
The addenda included in this final rule concerning RVUs and Related Information Used in Determining Medicare Payments for 2004 (Addenda A, B and C) and GPCIs by Medicare Carrier and Locality (Addenda D and E) replace the addenda published November 7, 2003 (68 FR 63261). The revised addenda reflect changes required by MPDIMA as well as corrections to minor errors contained in the addenda published November 7, 2003.
III. Private Contracting With Medicare Beneficiaries
Section 4507 of the Balanced Budget Act of 1997 added section 1802(b) to the Act. This section provides that physicians and certain nonphysician practitioners may opt out of Medicare and enter into private contracts with Medicare beneficiaries. Under these contracts, no limits apply to what physicians or nonphysician practitioners can charge beneficiaries. Physicians opting out of Medicare file an affidavit with the Medicare carrier in which they agree to opt out of Medicare for a period of 2 years and to meet certain other criteria. In general, the statute requires that during that two-year period, physicians and nonphysician practitioners who have filed affidavits opting out of Medicare have private contracts with all Medicare beneficiaries to whom they furnish Medicare covered services. These contracts may not be entered into at a time when a beneficiary needs emergency or urgent care services.
Moreover, the statute requires that the private contract be in writing and be signed by the Medicare beneficiary before any item or service is provided in accordance with the contract and that:
• The beneficiary agrees not to submit a claim (or to request that the physician or practitioner submit a claim) with Medicare for Medicare covered services.
• The beneficiary agrees to be responsible, whether through insurance or otherwise, for services furnished under a private contract.
• The beneficiary acknowledges that no limits (including the limits under section 1848(g) of the Social Security Act) apply to amounts that are charged under the private contract.
• The beneficiary acknowledges that no payment will be made under a Medigap plan, and other insurers may elect not to make payment for services furnished under the private contract.
• The beneficiary acknowledges that Medicare may make payment for covered services if the service was received from a physician or non-physician practitioner with whom the beneficiary has not signed a private contract.
Prior to enactment of MPDIMA, section 1802(b)(5)(B) of the Act limited the types of physicians who could choose to opt out of Medicare to doctors of medicine and doctors of osteopathy. Section 603 of MPDIMA amends section 1802(b)(5)(B) of the Act to include dentists, podiatrists, and optometrists, in certain circumstances, in the definition of physicians who may opt out of Medicare. We are making conforming changes to our regulations to reflect this change in the statute.
IV. Waiver of Proposed Rulemaking and Delay in Effective Date
We ordinarily publish a notice of proposed rulemaking in the Federal Register and invite public comment on a proposed rule. The notice of proposed rulemaking includes a reference to the legal authority under which the rule is proposed, and the terms and substance of the proposed rule or a description of the subjects and issues involved. This procedure can be waived, however, if an agency finds good cause that notice-and-comment procedure is impracticable, unnecessary, or contrary to the public interest and incorporates a statement of the finding and its reasons in the rule issued. In addition, the Administrative Procedure Act (APA) normally requires a 30-day delay in the effective date of a final rule. Furthermore, the Congressional Review Act (CRA) generally requires an agency to delay the effective date of a major rule by 60-days in order to allow for congressional review of the agency action.
Section 1871 of the Act provides for publication of a notice of proposed rulemaking and opportunity for public comment before CMS issues a final rule. However, section 1871(b)(2)(B) provides an exception when a law establishes a specific deadline for implementation of a provision and the deadline is less than 150 days after the law's date of enactment. MPDIMA was enacted by Congress on November 25, 2003, and signed into law by the President on December 8, 2003. The provisions of this rule that amend the physician fee schedule and drug payment rate are required to be implemented January 1, 2004. Therefore, these provisions are subject to waiver of proposed rulemaking and public comment in accordance with section 1871(b)(2)(B) of the Act.
Even if section 1871(b)(2)(B) of the Act were not directly applicable here, we would find good cause to waive the requirement for publication of an notice of proposed rulemaking and public comment on the grounds that it is impracticable, unnecessary, and contrary to the public interest. This final rule, with the exception of implementation of billing for a level 1 office visit and pharmacy supplying fee and the technical correction of minor errors in the November rule, merely sets out the non-discretionary provisions of MPDIMA with respect to payment under the physician fee schedule and drug AWP methodology. Because the rule is generally ministerial, we believe that pursuing notice and comment is unnecessary. Moreover, because such process would prevent congressionally-mandated revisions, updates, and increases in payment under the physician fee schedule for 2004, we find that pursuing such process would be both impracticable and contrary to the public interest.
For these same reasons, we are waiving the 30-day delay in effective date contained in 5 U.S.C. section 553(d).
With respect to the requirement of a 60-day delay in the effective date of any final rule pursuant to the CRA, see 5 U.S.C. section 801, the CRA provides that the 60-day delayed effective date shall not apply to any rule "which an agency for good cause finds . . . that notice and public procedure thereon are impracticable, unnecessary, or contrary to the public interest" (5 U.S.C. section 808(2)). For the reasons set forth above, we believe that additional notice-and-comment rulemaking on this subject would be impracticable, unnecessary, or contrary to the public interest. Therefore, we do not believe that the CRA requires a 60-day delay in the effective date of this final rule.
V. 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.
VI. Collection of Information Requirements
Under the Paperwork Reduction Act (PRA) of 1995, we are required to provide 60-day notice in the Federal Register and solicit public comment before a collection of information requirement is submitted to the Office of Management and Budget (OMB) for review and approval. In order to fairly evaluate whether an information collection should be approved by OMB, section 3506(c)(2)(A) of the PRA of 1995 requires that we solicit comment on the following issues:
The need for the information collection and its usefulness in carrying out the proper functions of our agency.
• The accuracy of our estimate of the information collection burden.
• The quality, utility, and clarity of the information to be collected.
• Recommendations to minimize the information collection burden on the affected public, including automated collection techniques.
Therefore, we are soliciting public comments on each of these issues for the information collection requirement discussed below.
The following information collection requirement and associated burden are subject to the PRA.
§ 414.707Basis of payment
Under paragraph (a)(7) of this section, a manufacturer requesting a drug payment exception to the default 85 percent used in the general rule or the percentage specified in Table 1 will have to submit data and information including the manufacturer's average sales price for the drug. The burden associated with this requirement is the time involved in providing us the information for the submission due before January 1, 2004, and the optional supplemental submission due by January 16, 2004. We believe that it would take an average of one hour to submit the request and the necessary data and information. Given the universe of approximately 450 Medicare drug codes and assuming an average of 10 manufacturers per drug code, the maximum aggregate burden associated with this activity would be 4500 hours.
We are soliciting public comment on this requirement in conjunction with a request for emergency approval of this information collection so that manufacturers may submit their requests during the statutorily prescribed timeframe. These requirements were submitted to OMB for review and are approved by OMB under OMB control number 0938-0913.
If you comment on any of these information collection and record keeping requirements, please mail copies directly to the following: Centers for Medicare Medicaid Services, Office of Strategic Operations and Regulatory Affairs, Regulations Development and Issuances Group,Attn: Julie Brown, CMS-1372-FC, Room C5-16-03, 7500 Security Boulevard, Baltimore, MD 21244-1850; and Office of Information and Regulatory Affairs, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503, Attn: Brenda Aguilar, CMS Desk Officer.
Comments submitted to OMB may also be emailed to the following address: email: baguilar@omb.eop.gov; or faxed to OMB at (202) 395-6974.
VII. 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 final rules with economically significant effects (that is, a final rule that would have an annual effect on the economy of $100 million or more in any 1 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 estimate that the combined effect of the physician fee schedule update and GPCI provisions included in this final rule will increase Medicare spending by $1.0 billion in FY 2004. We have simulated the effect of both the drug payment and physician fee schedule changes that we are adopting in this final rule. We are making several changes to the physician fee schedule RVUs in this final rule. In general, section 1848(c)(2)(B)(ii)(II) of the Act requires that changes to RVUs cannot increase or decrease expenditures more than $20 million from the amount of expenditures that would have resulted with such adjustments. However, section 303(a)(1) of the MPDIMA specifically exempts the changes we are making to the RVUs in this final rule from the budget neutrality requirements of section 1848(c)(2)(B)(ii)(II) of the Act. Thus, the changes that we are making to the physician fee schedule RVUs will increase aggregate spending for Medicare physician fee schedule services. Because the changes in this final rule will increase Medicare spending by more than $1.0 billion in FY 2004, we are considering this final rule to be economically significant. Therefore, this final rule is a major rule and we have prepared a regulatory impact analysis. The table 6 below shows our estimates of the fiscal year 2004 impact of specific MPDIMA provisions we are implementing in this final rule (rounded to the nearest $0.1 billion).
| Section | Description | FY 2004 impact ($ in billions) |
|---|---|---|
| 303 | Competitive Acquisition of Covered Outpatient Drugs | $0.0 |
| 304 | Application to Certain Specialties | -0.1 |
| 305 | Payment for Inhalation Drugs | -0.1 |
| 412 | Work GPCI Floor for Physicians | 0.2 |
| 601 | Update Revisions | 0.8 |
| 602 | Services in Alaska | 0.0 |
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, non-physician practitioners, 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 875,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule. There are in excess of 20,000 physicians and other practitioners that receive Medicare payment for drugs. These physicians are concentrated in the specialties of oncology, urology and rheumatology. Of the physicians in these specialties, approximately 40 percent are in oncology and 45 percent in urology.
For purposes of the RFA, approximately 98 percent of suppliers of DME and prosthetic devices are considered small businesses according to the Small Business Administration's (SBA) size standards. We estimate that 106,000 entities bill Medicare for DME, prosthetics, orthotics, surgical dressings, and other equipment and supplies each year. Total Medicare expenditures for DME are approximately $7.7 billion per year, of which approximately $1.4 billion are for DME drugs.
The analysis and discussion provided in this section as well as elsewhere in this final rule complies with the RFA requirements. 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 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This final rule would not impose unfunded mandates on State, local, or tribal governments, or on the private sector of more than $110 million.
We have examined this final rule in accordance with Executive Order 13132 and have determined that this regulation would not have any significant 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. This final rule changes Medicare payment rates for drugs and their administration as well as other physician fee schedule services. We are providing information for each of the policy changes in the relevant sections of this final rule. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this final rule. The relevant sections of this final rule contain a description of significant alternatives if applicable.
A. Application of Market-Based Systems of Medicare Payment for Part B Drugs
As described in more detail earlier in this final rule, effective January 1, 2004, with some exceptions, section 303(b) of MPDIMA specifies that drugs not paid on a cost or prospective payment basis will be paid at 85 percent of the average wholesale price determined as of April 1, 2003. Section 303(a) directs the Secretary to make changes to the physician fee schedule that will increase Medicare spending for physicians' services. Section 303 applies only to oncology payments while section 304 indicates that identical provisions to those in section 303 apply to other physicians. We have estimated that section 303 of MPDIMA would have no cost in FY 2004 and that section 304 would save $0.1 billion in FY 2004.
B. Payment for Inhalation Drugs
Section 305(a) of MPDIMA specifies that inhalation drugs furnished through durable medical equipment covered under 1861(n) of the Act will be paid at 80 percent of the average wholesale price determined as of April 1, 2003. We estimated savings associated with implementing section 305(a) of the MPDIMA is $0.1 billion in FY 2004.
C. Pharmacy Supplying Fee for Certain Drugs and Biologicals
Section 303(e)(2) provides for payment of a pharmacy supplying fee, less applicable deductible and coinsurance, for immunosuppressive drugs described in subparagraph (J) of section 1861(s)(2) and oral anti-cancer and anti-nausea drugs described in subparagraphs (Q) and (T) of such section. The payment of this fee is bundled into the current payment for these drugs and the 2004 payment amounts specified in section 303(b). This provision has no impact on Medicare expenditures in 2004.
D. Physician Fee Schedule Provisions Related to the Administration of Drugs
As indicated above, we are making changes to the work and practice expense RVUs under the provisions of section 1848(c)(2) of the Act as amended by section 303 of MPDIMA. In general, 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. However, section 303(a)(1) of the MPDIMA specifically exempts the changes we are making to the RVUs in this final rule from the budget neutrality requirements of section 1848(c)(2)(B)(ii)(II). As described above, consistent with section 303(a)(1), we are making several changes to the physician fee schedule work and practice expense RVUs.
Table 6A shows the specialty level impact on payment of changes being made for CY 2004. 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, oncologists receive approximately 20 percent of their Medicare revenues from physician fee schedule services and approximately 77 percent of their Medicare revenues from drugs. Table 6A shows only the payment impact on physician fee schedule services. Table 11 below shows the combined impact of the physician fee schedule and drug payment changes for selected specialties and suppliers that receive a high percentage of their Medicare revenues from drugs.
We modeled the impact of all changes to the relative value units and illustrated their effect in table 6A. The column labeled "Impact 11/7/2003 Final Rule Pre-MEI Weight Adjustments" shows the combined effect of all of the relative value unit changes contained in the August 15, 2003, proposed rule and the November 7, 2003, final rule other than the adjustments to make the aggregate work, practice expense and malpractice RVUs match the MEI weights. (For a description of the impact of the provisions of the August 15, 2003, proposed rule see 68 FR 49060-49065. For a description of the impact of additional impacts resulting from the November 7, 2003, final rule, see 68 FR 63252-63253). As described below, we have revised the MEI weight adjustments and will illustrate their impact once we show the effect of all other provisions that change RVUs.
The column labeled "Section 303 and 304 Changes without Transition Payments" shows the impact of changes made in this final rule implementing section 303 and 304 of MPDIMA other than section 303(a)(4) that requires a "transitional adjustment" that increases payments for specific drug administration services by an additional 32 percent in 2004. This column shows the effect of increases in payments for drug administration services resulting from the higher work and practice expense RVUs required by section 303 and 304 of MPDIMA as well allowing oncologists to bill for multiple drug administrations by the "push" technique on a single day. In addition, because there will be no same day billing of a level 1 office visit and a drug administration service, the impacts shown include the effect of fewer office visit billings by the minority of oncologists who billed for such services. Taken together, these provisions will increase payments to oncologists by an estimated 27 percent. We estimate that payments to other physicians that provide drug administration services (rheumatology, infectious disease, obstetrics/gynecology) will increase by 1 to 2 percent. The revision to the practice expense per hour for cardiac and thoracic surgeons will increase their payments by an estimated 1 percent. All of the other increases shown in the table are a result of changes that we are making to the non-physician work pool. These changes will increase payments to physicians, practitioners and suppliers (Allergy/Immunology, Radiation Oncology, Radiology, Audiology, Diagnostic Testing Facility and Portable X-Ray suppliers) that provide services affected by the non-physician work pool calculations by approximately 1 percent. There will be little or no change in payments for all other specialties from the changes we are making in this interim final rule because the changes to the RVUs resulting from MPDIMA are exempt from the budget neutrality requirements of section 1848(c)(2)(ii)(II) of the Act.
The column labeled "Transition Payments" shows the impact on payment from the 32 percent increase in payment for drug administration services required by section 303(a)(4) of MPDIMA. This provision will have an effect on only those specialties that provide drug administration services and is estimated to increase payments to oncologists by an additional 14 percent. We estimate that payments to other physicians that provide drug administration services (infectious disease, obstetrics/gynecology rheumatology and urology) will increase by 1 to 2 percent.
We also modeled the effect of adjusting the RVUs to match the new MEI weights. Because we are increasing the malpractice RVUs by more than 20 percent, adjusting the RVUs to match the new MEI weights will result in an increase in payment for those specialties that perform services with high malpractice RVUs. Payments to anesthesiology, cardiac surgery, emergency medicine, neurosurgery, orthopedic surgery, thoracic surgery and vascular surgery will increase by approximately 1 percent. There will be a small impact on payment to all other physicians, practitioners and suppliers from the adjustments that reduce physician work and practice expense RVUs to match the new MEI weights. The total change in payment from provisions of the November 7, 2003, final rule and this final rule are shown in the total column.
BILLING CODE 4120-01-P
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In general, the statutory methodology for updating the physician fee schedule conversion factor is specified in section 1848(d)(4) of the Act. However, section 1848(d)(5) specifies that the update to the conversion factor for 2004 and 2005 shall not be less than 1.5 percent. Application of the statutory methodology of section 1848(d)(4) of the Act would reduce the physician fee schedule conversion factor by 4.5 percent. However, because section 1848(d)(5) of the Act indicates that the update can be no less than 1.5 percent, we are increasing the 2004 physician fee schedule conversion factor by 1.5 percent. In table 7, we are showing the estimated change in average payments by specialty based on provisions of this final rule and the estimated physician fee schedule update.
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In the November 7, 2003, final rule, we showed the impact of all RVUs changes and a 4.5 percent reduction in the physician fee schedule conversion factor. In the table below, we are showing the effect of MPDIMA on payment for physician fee schedule services relative to the changes that would have occurred in 2004 under current law had MPDIMA not been enacted. That is, because the physician fee schedule conversion factor would have been reduced by 4.5 percent to $35.1339 and MPDIMA requires that it be increased by 1.5 percent to $37.3374, MPDIMA provisions affecting the update increased average physician fee schedule rates by 6.3 percent ($37.3374/$35.339 - 1 = 1.063 or 6.3 percent). Furthermore, MPDIMA required changes to relative value units that also resulted in further average increases in Medicare payment for physician fee schedule services. The following table also includes the impact of the GPCI provision that does not allow a work GPCI to be less than 1.0 and another one that increases the Alaska GPCI to 1.67. However, the impact on any specific physician, practitioner or supplier will be different than the average depending upon on whether the individual is located in Alaska or an area that would have had a GPCI that is less than 1.0.
The column labeled "Impact 11/7/2003" final rule shows the impacts from table 27 of the November 7, 2003, final rule (68 FR 63256). The next column shows the impacts from table 7 and an estimate of the increase in payments due to the GPCI provisions. The percentage difference between these columns isolates the impact of the MPDIMA provisions we are adopting in this final rule and are shown in the last column.
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Table 9 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 work, practice expense and malpractice 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 non-facility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The figures in tables 9 and 10 show the impact of the RVU changes and the physician fee schedule update but do not include the impact of the GPCI changes.
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The next table shows the change in payments from 2003 to 2004 for selected high volume drug administration services. This table shows the impact of the increases in the physician work and practice expense RVUs, the 1.5 percent increase in the physician fee schedule conversion factor and the additional 32 percent "transition adjustment" required by section 303(a)(4) of MPDIMA in 2004.
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Table 11 shows the combined impact of changes we are making to Medicare drug and physician fee schedule payments on selected specialties/medical suppliers that receive a significant portion of their total Medicare revenues from drugs. These figures do not include the impact of the legislated increases in the GPCI. The table shows the amount and proportion of total Medicare revenues received from drugs and physician fee schedule services (DME fee schedule services for DME/Other Medical Suppliers). We note that these impacts and percentages represent averages for each specialty or supplier. The percentages and impacts for any individual physician or DME supplier are dependent on the mix of drugs and physician fee schedule services they provide to Medicare beneficiaries. These tables are intended to illustrate the combined payment impact in a single year across all of the services that these specialties or suppliers perform using the most recent data available to us. The first two columns of table 11 list the specialty and its combined Medicare revenues from all sources. The next three columns show estimated total Medicare drug revenues, the proportion of total revenues represented by drugs and the percent change in Medicare drug payments estimated in the first year. The revenue reduction shown includes the effect of limiting decreases in drug payments to 15 percent, the maximum reduction allowed in 2004 consistent with section 1842(o)(4)(D) of the Act (as added by section 303(b) of MPDIMA). The following three columns show analogous information for physician fee schedule services. The last column shows the combined percentage change across all Medicare revenues. For example, as indicated in the table, approximately 77 percent of total Medicare revenues for oncologists are attributed to drugs. As indicated in the next column, we estimate that Medicare revenues from drugs will decline by approximately 12 percent for oncologists as a result of policies adopted in this interim final rule or about $510 million. We are increasing oncology physician fee schedule payments by 47 percent in this interim final rule or about $510 million. We estimated that the one-year decrease in drug payments and increase in physician fee schedule payments resulting from this final rule will produce virtually no net change in total Medicare payments for oncologists.
For DME/Other Medical Suppliers, 42 and 58 percent of Medicare revenues respectively are received from drugs and DME fee schedule services. These suppliers will receive an approximate reduction of 13 percent in their Medicare drug revenues the first year. The total reduction in payment in one year across all of the services they provide will be approximately 6 percent.
In general, the other physician specialties receive a smaller share of their total Medicare revenues from drugs than oncologists. However, they are also less affected by the payment increases for drug administration services. Taken together, we estimate a net change in revenues from the drug and drug administration payment changes for urology (-4 percent), rheumatology (-2 percent), obstetrics/gynecology (+1 percent) and infectious disease (+4 percent).
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C. Geographic Practice Cost Indices (GPCIs) Changes
Section 412 of MPDIMA amended section 1848(e)(1) of the Act and establishes a floor of 1.0 for the work geographic index for any locality to be used for purposes of payment for services furnished on or after January 1, 2004, and before January 1, 2007. In addition, section 602 of MPDIMA further amended 1848 (e)(1) of the Act for purposes of payment for services furnished in Alaska under the physician fee schedule on or after January 1, 2004, and before January 1, 2006, and sets the practice expense, malpractice and work indices at 1.67 if such index would otherwise be less than 1.67. The impact of the MPDIMA provisions on the work GPCI is illustrated in Table 12.
An impact of these legislative changes to the GPCI can also be demonstrated by a comparison of area geographic adjustment factors (GAFs). The GAFs are a weighted composite of each area's work, practice expense, and malpractice expense GPCIs using the national GPCI cost share weights. While we do not actually use the GAFs in computing the fee schedule payment for a specific service, they are useful in comparing overall area costs and payments. The actual effect on payment for any specific service will deviate from the GAF to the extent that the service's proportions of work, practice expenses, and malpractice expense RVUs differ from those of the GAF. Table 13 shows the effects of the legislative revisions to the GPCIs on area GAFs for 2004. As directed by the legislation no locality will have a work GPCI of less than 1.00 and the work, practice expense and malpractice GPCIs for Alaska are set at 1.67. Tables 12 and 13 are sorted by decreasing percent change in work GPCI and GAF respectively.
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BILLING CODE 4120-01-C
We estimate the cost of the provisions affecting the GPCI will increase Medicare spending by 0.2 billion in FY 2004.
E. Alternatives Considered
For the most part, this interim final implements prescriptive provisions of MPDIMA and the statute does not permit us to exercise our discretion. Nevertheless, the preamble identifies ancillary policies and rationale for our decisions.
For instance, the statutory provisions requiring changes to Medicare's payments for drugs were prescriptive. We did not consider any alternatives because of the clear direction in the statute to determine Medicare prices for drugs in 2004. Similarly, the provisions of the statute with respect to the GPCI were also prescriptive and did not allow for us to consider any alternatives. While we considered using the formula contained in section 1848(d)(4) of the Act to update the physician fee schedule conversion factor, its application would result in a reduction of 4.5 percent and would be inconsistent with the MPDIMA provision requiring an update to the physician fee schedule conversion factor for 2004 of not less than 1.5 percent. With respect to the provisions of this final rule that require changes to Medicare payments for the administration of drugs, we generally did not find that the statute permitted discretion. Nevertheless, earlier in the preamble of this final rule, we provided detailed descriptions of the statutory provisions and its requirements and, where possible, of the alternatives we considered.
F. 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 changes in this rule. For the most part, we are increasing payments for physicians fee schedule services that otherwise would be reduced. We don't believe the drug payment changes will have an impact on beneficiary access to services but we will continue to monitor this issue.
We estimate that beneficiary liability will increase in CY 2004 by $1.0 billion for the physician fee schedule provisions relative to current law. Payment changes we are making in this final rule for drug administration will increase beneficiary liability. However, we estimate that the provisions that change Medicare's drug payments to oncologists (section 303 of MPDIMA), other physicians (section 304 of MPDIMA) and inhalation drugs (section 305 of MPDIMA) will offset the additional beneficiary liability for drug administration. We estimate that the net effect of changes to payment for drugs and drug administration will result in savings to beneficiaries of approximately $100 million in CY 2004.
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 405
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medical devices, Medicare, Reporting and recordkeeping requirements, 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.
(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare-Supplementary Medical Insurance Program.)
Dated: December 15, 2003.
Thomas A Scully,
Administrator, Centers for Medicare Medicaid Services.
Approved: December 24, 2003.
Tommy G. Thompson,
Secretary.
For the reasons set forth in the preamble, the Centers for Medicare Medicaid Services amends 42 CFR chapter IV as follows:
PART 405-FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
1. The authority citation for part 405 continues to read as follows:
Authority:
Secs. 1102, 1802, and 1871 of the Social Security Act (42 U.S.C. 1302, 1395a, and 1395hh).
2. Section 405.400 is amended by revising the definition of "physician" to read as follows:
§ 405.400 Definitions.
Physician means a doctor of medicine; doctor of osteopathy; doctor of dental surgery or of dental medicine; doctor of podiatric medicine; or doctor of optometry who is legally authorized to practice medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, or optometry by the State in which he performs such function and who is acting within the scope of his license when he performs such functions.
3. Section 405.517 is amended by-
A. Redesignating the text of paragraph (a) as paragraph (a)(1) and adding a heading;
B. Adding a new paragraph (a)(2).
§ 405.517 Payment for drugs and biologicals that are not paid on a cost or prospective payment basis.
(a) Applicability. (1) Payment for drugs and biologicals before January 1, 2004. * * *
(2) Payment for drugs and biologicals on or after January 1, 2004. Effective January 1, 2004, payment for drugs and biologicals that are not paid on a cost or prospective payment basis are paid in accordance with Part 414, subpart I of this chapter.
PART 414-PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
4. 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)).
5. The list in § 414.1 is amended by adding a new entry in numerical order as follows:
§ 414.1 Basis and scope.
1842(o)-Rules for payment of certain drugs and biologicals.
6. A new subpart I is added to read as follows:
Subpart I-Payment for Drugs and Biologicals
Sec. 414.701 Purpose.414.704 Definitions.414.707 Basis of payment.
§ 414.701 Purpose.
This subpart implements section 1842(o) of the Social Security Act by specifying the methodology for determining the payment allowance limit for drugs and biologicals covered under Part B of Title XVIII of the Act (hereafter in this subpart referred to as the "program") that are not paid on a cost or prospective payment system basis. Examples of drugs that are subject to the rules contained in this subpart are: drugs furnished incident to a physician's service; durable medical equipment (DME) drugs; separately billable drugs at independent dialysis facilities not under the ESRD composite rate; statutorily covered drugs, for example, influenza, pneumococcal and hepatitis vaccines, antigens, hemophilia blood clotting factor, immunosuppressive drugs and certain oral anti-cancer drugs.
§ 414.704 Definitions.
As used in this subpart, the following definition applies. Drug refers to both drugs and biologicals.
§ 414.707 Basis of payment.
(a) Method of payment. (1) Payment for a drug in calendar year 2004 is based on the lesser of-
(i) The actual charge on the claim for program benefits; or
(ii) 85 percent of the average wholesale price determined as of April 1, 2003, subject to the exceptions as specified in paragraphs (a)(2) through (a)(8) of this section.
(2) The payment limits for the following drugs are calculated using 95 percent of the average wholesale price:
(i) Blood clotting factors.
(ii) A drug or biological furnished during 2004 that was not available for Medicare payment as of April 1, 2003.
(iii) Pneumococcal and influenza vaccines as well as hepatitis B vaccine that is furnished to individuals at high or intermediate risk of contracting hepatitis B (as determined by the Secretary).
(iv) A drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities.
(3) The payment limits for infusion drugs furnished through a covered item of durable medical equipment are calculated using 95 percent of the average wholesale price in effect on October 1, 2003.
(4) The payments limits for drugs contained in the following table are calculated based on the percentages of the average wholesale price determined as of April 1, 2003 that are specified in the table.
| Drug | Percentage used to calculate 2004 payment limit |
|---|---|
| EPOETIN ALFA | 87 |
| LEUPROLIDE ACETATE | 81 |
| GOSERELIN ACETATE | 80 |
| RITUXIMAB | 81 |
| PACLITAXEL | 81 |
| DOCETAXEL | 80 |
| CARBOPLATIN | 81 |
| IRINOTECAN | 80 |
| GEMCITABINE HCL | 80 |
| PAMIDRONATE DISODIUM | 85 |
| DOLASETRON MESYLATE | 80 |
| FILGRASTIM | 81 |
| HYLAN G-F 20 | 82 |
| MYCOPHENOLATE MOFETIL | 86 |
| GRANISETRON HCL | 80 |
| ONDANSETRON | 87 |
| VINORELBINE TARTATE | 81 |
| SARGRAMOSTIM | 80 |
| TOPOTECAN | 84 |
| IPRATROPIUM BROMIDE | 80 |
| ALBUTEROL SULFATE | 80 |
| IMMUNE GLOBULIN | 80 |
| LEUCOVORIN CALCIUM | 80 |
| DOXORUBICIN HCL | 80 |
| DEXAMETHOSONE SODIUM PHOSPHATE | 86 |
| HEPARIN SODIUM LOCK-FLUSH | 80 |
| CROMOLYN SODIUM | 80 |
| ACETYLCYSTEINE | 80 |
(5) The payment limits for imiglucerase and alglucerase are calculated using 94 percent of the average wholesale price determined as of April 1, 2003.
(6) Exception. The payment limit for a drug otherwise subject to paragraph (a)(1)(ii) or paragraph (a)(4) of this section may be calculated using the percentage of the average wholesale price as the Secretary deems appropriate based on data and information submitted by the drug manufacturer.
(i) The manufacturer must submit data after October 15, 2003 and before January 1, 2004.
(ii) The percentage only applies for drugs furnished on or after April 1, 2004.
(7) In the case of blood and blood products (other than blood clotting factors), the payment limits shall be determined in the same manner as such payment limit was determined on October 1, 2003.
(b) Mandatory assignment. Effective with services furnished on or after February 1, 2001, payment for any drug covered under Part B of Medicare may be made on an assignment-related basis only. All billers must accept the program allowed charge as payment in full and may not bill nor collect from the beneficiary any amount other than the unmet Part B deductible and Part B coinsurance amounts, if applicable. Violations of this requirement may subject the supplier to sanctions, as provided by the statute ( See § 402 of this chapter).
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 2004. 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.
In previous years, we have listed many services in Addendum B that are not paid under the physician fee schedule. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes and most alpha-numeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) in Addendum B.
Addendum B-2004 Relative Value Units and Related Information Used in Determining Medicare Payments for 2004
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.
F = Deleted/discontinued codes. Code not subject to a 90-day grace period.
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.
H = Deleted modifier. Either the TC or PC component shown for the code has been deleted, and the deleted component is shown in the data base with the H status indicator. (Code subject to a 90-day grace period.)
I = Not valid for Medicare purposes. Medicare uses another code for the reporting of, and the payment for these services. (Code NOT subject to a 90-day grace period.)
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. Non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.
7. Facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.
8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2004.
9. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.
10. Facility total. This is the sum of the work, fully implemented 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 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2 Copyright 2003 American Dental Association. All rights reserved.3 + Indicates RVUs are not used for Medicare payment.
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Non- facility PE RVUs | Facility PE RVUs | Mal- practice RVUs | Non- facility total | Facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|
| 0001F | I | Blood pressure, measured | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0001T | C | Endovas repr abdo ao aneurys | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0002F | I | Tobacco use, smoking, assess | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0002T | D | endo repair abd aa aorto uni | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0003F | I | Tobacco use, non-smoking | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0003T | C | Cervicography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0004F | I | Tobacco use txmnt counseling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0005F | I | Tobacco use txmnt, pharmacol | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 0006F | I | Statin therapy, prescribed | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 0007F | I | Beta-blocker thx prescribed | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 0008F | I | Ace inhibitor thx prescribed | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0008T | C | Upper gi endoscopy w/suture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0009F | I | Assess anginal symptom/level | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0009T | C | Endometrial cryoablation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0010F | I | Assess anginal symptom/level | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0010T | C | Tb test, gamma interferon | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0011F | I | Oral antiplat thx prescribed | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0012T | C | Osteochondral knee autograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0013T | C | Osteochondral knee allograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0014T | C | Meniscal transplant, knee | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0016T | C | Thermotx choroid vasc lesion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0017T | C | Photocoagulat macular drusen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0018T | C | Transcranial magnetic stimul | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0019T | I | Extracorp shock wave tx, ms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0020T | C | Extracorp shock wave tx, ft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0021T | C | Fetal oximetry, trnsvag/cerv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0023T | C | Phenotype drug test, hiv 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0024T | C | Transcath cardiac reduction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0025T | D | Ultrasonic pachymetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0026T | C | Measure remnant lipoproteins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0027T | C | Endoscopic epidural lysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0028T | C | Dexa body composition study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0029T | C | Magnetic tx for incontinence | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0030T | C | Antiprothrombin antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0031T | C | Speculoscopy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0032T | C | Speculoscopy w/direct sample | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0033T | C | Endovasc taa repr incl subcl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0034T | C | Endovasc taa repr w/o subcl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0035T | C | Insert endovasc prosth, taa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0036T | C | Endovasc prosth, taa, add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0037T | C | Artery transpose/endovas taa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0038T | C | Rad endovasc taa rpr w/cover | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0039T | C | Rad s/i, endovasc taa repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0040T | C | Rad s/i, endovasc taa prosth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0041T | C | Detect ur infect agnt w/cpas | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0042T | C | Ct perfusion w/contrast, cbf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0043T | C | Co expired gas analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0044T | C | Whole body photography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0045T | C | Whole body photography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0046T | C | Cath lavage, mammary duct(s | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0047T | C | Cath lavage, mammary duct(s) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0048T | C | Implant ventricular device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0049T | C | External circulation assist | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0050T | C | Removal circulation assist | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0051T | C | Implant total heart system | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0052T | C | Replace component heart syst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0053T | C | Replace component heart syst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0054T | C | Bone surgery using computer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0055T | C | Bone surgery using computer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0056T | C | Bone surgery using computer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0057T | C | Uppr gi scope w/ thrml txmnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0058T | C | Cryopreservation, ovary tiss | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0059T | C | Cryopreservation, oocyte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0060T | C | Electrical impedance scan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0061T | C | Destruction of tumor, breast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 10021 | A | Fna w/o image | 1.27 | 2.20 | 0.54 | 0.08 | 3.55 | 1.89 | XXX | |
| 10022 | A | Fna w/image | 1.27 | 2.61 | 0.42 | 0.06 | 3.94 | 1.75 | XXX | |
| 10040 | A | Acne surgery | 1.18 | 1.02 | 0.68 | 0.06 | 2.26 | 1.92 | 010 | |
| 10060 | A | Drainage of skin abscess | 1.17 | 1.20 | 0.94 | 0.10 | 2.47 | 2.21 | 010 | |
| 10061 | A | Drainage of skin abscess | 2.40 | 1.81 | 1.51 | 0.21 | 4.42 | 4.12 | 010 | |
| 10080 | A | Drainage of pilonidal cyst | 1.17 | 3.13 | 1.14 | 0.11 | 4.41 | 2.42 | 010 | |
| 10081 | A | Drainage of pilonidal cyst | 2.45 | 4.11 | 1.51 | 0.23 | 6.79 | 4.19 | 010 | |
| 10120 | A | Remove foreign body | 1.22 | 1.46 | 0.41 | 0.12 | 2.80 | 1.75 | 010 | |
| 10121 | A | Remove foreign body | 2.69 | 3.33 | 1.88 | 0.30 | 6.32 | 4.87 | 010 | |
| 10140 | A | Drainage of hematoma/fluid | 1.53 | 1.51 | 0.91 | 0.18 | 3.22 | 2.62 | 010 | |
| 10160 | A | Puncture drainage of lesion | 1.20 | 0.73 | 0.46 | 0.13 | 2.06 | 1.79 | 010 | |
| 10180 | A | Complex drainage, wound | 2.25 | 3.25 | 2.08 | 0.30 | 5.80 | 4.63 | 010 | |
| 11000 | A | Debride infected skin | 0.60 | 0.57 | 0.22 | 0.06 | 1.23 | 0.88 | 000 | |
| 11001 | A | Debride infected skin add-on | 0.30 | 0.23 | 0.11 | 0.02 | 0.55 | 0.43 | ZZZ | |
| 11010 | A | Debride skin, fx | 4.19 | 6.74 | 2.33 | 0.54 | 11.47 | 7.06 | 010 | |
| 11011 | A | Debride skin/muscle, fx | 4.94 | 8.03 | 2.37 | 0.64 | 13.61 | 7.95 | 000 | |
| 11012 | A | Debride skin/muscle/bone, fx | 6.87 | 12.01 | 3.86 | 1.07 | 19.95 | 11.80 | 000 | |
| 11040 | A | Debride skin, partial | 0.50 | 0.51 | 0.21 | 0.06 | 1.07 | 0.77 | 000 | |
| 11041 | A | Debride skin, full | 0.82 | 0.65 | 0.33 | 0.07 | 1.54 | 1.22 | 000 | |
| 11042 | A | Debride skin/tissue | 1.12 | 0.97 | 0.45 | 0.11 | 2.20 | 1.68 | 000 | |
| 11043 | A | Debride tissue/muscle | 2.38 | 3.41 | 2.61 | 0.29 | 6.08 | 5.28 | 010 | |
| 11044 | A | Debride tissue/muscle/bone | 3.06 | 4.50 | 3.77 | 0.41 | 7.97 | 7.24 | 010 | |
| 11055 | R | Trim skin lesion | 0.43 | 0.55 | 0.17 | 0.02 | 1.00 | 0.62 | 000 | |
| 11056 | R | Trim skin lesions, 2 to 4 | 0.61 | 0.63 | 0.24 | 0.04 | 1.28 | 0.89 | 000 | |
| 11057 | R | Trim skin lesions, over 4 | 0.79 | 0.73 | 0.31 | 0.05 | 1.57 | 1.15 | 000 | |
| 11100 | A | Biopsy, skin lesion | 0.81 | 1.26 | 0.37 | 0.05 | 2.12 | 1.23 | 000 | |
| 11101 | A | Biopsy, skin add-on | 0.41 | 0.34 | 0.19 | 0.02 | 0.77 | 0.62 | ZZZ | |
| 11200 | A | Removal of skin tags | 0.77 | 1.06 | 0.77 | 0.05 | 1.88 | 1.59 | 010 | |
| 11201 | A | Remove skin tags add-on | 0.29 | 0.16 | 0.12 | 0.02 | 0.47 | 0.43 | ZZZ | |
| 11300 | A | Shave skin lesion | 0.51 | 1.00 | 0.22 | 0.04 | 1.55 | 0.77 | 000 | |
| 11301 | A | Shave skin lesion | 0.85 | 1.12 | 0.37 | 0.05 | 2.02 | 1.27 | 000 | |
| 11302 | A | Shave skin lesion | 1.05 | 1.31 | 0.46 | 0.06 | 2.42 | 1.57 | 000 | |
| 11303 | A | Shave skin lesion | 1.24 | 1.59 | 0.52 | 0.07 | 2.90 | 1.83 | 000 | |
| 11305 | A | Shave skin lesion | 0.67 | 0.84 | 0.27 | 0.05 | 1.56 | 0.99 | 000 | |
| 11306 | A | Shave skin lesion | 0.99 | 1.11 | 0.41 | 0.06 | 2.16 | 1.46 | 000 | |
| 11307 | A | Shave skin lesion | 1.14 | 1.29 | 0.49 | 0.06 | 2.49 | 1.69 | 000 | |
| 11308 | A | Shave skin lesion | 1.41 | 1.45 | 0.59 | 0.08 | 2.94 | 2.08 | 000 | |
| 11310 | A | Shave skin lesion | 0.73 | 1.12 | 0.33 | 0.05 | 1.90 | 1.11 | 000 | |
| 11311 | A | Shave skin lesion | 1.05 | 1.24 | 0.48 | 0.06 | 2.35 | 1.59 | 000 | |
| 11312 | A | Shave skin lesion | 1.20 | 1.44 | 0.55 | 0.07 | 2.71 | 1.82 | 000 | |
| 11313 | A | Shave skin lesion | 1.62 | 1.82 | 0.72 | 0.11 | 3.55 | 2.45 | 000 | |
| 11400 | A | Exc tr-ext b9+marg 0.5 cm | 0.85 | 2.00 | 0.89 | 0.07 | 2.92 | 1.81 | 010 | |
| 11401 | A | Exc tr-ext b9+marg 0.6-1 cm | 1.23 | 2.07 | 1.03 | 0.11 | 3.41 | 2.37 | 010 | |
| 11402 | A | Exc tr-ext b9+marg 1.1-2 cm | 1.51 | 2.25 | 1.10 | 0.14 | 3.90 | 2.75 | 010 | |
| 11403 | A | Exc tr-ext b9+marg 2.1-3 cm | 1.79 | 2.42 | 1.33 | 0.19 | 4.40 | 3.31 | 010 | |
| 11404 | A | Exc tr-ext b9+marg 3.1-4 cm | 2.06 | 2.73 | 1.41 | 0.22 | 5.01 | 3.69 | 010 | |
| 11406 | A | Exc tr-ext b9+marg 4.0 cm | 2.76 | 3.10 | 1.67 | 0.30 | 6.16 | 4.73 | 010 | |
| 11420 | A | Exc h-f-nk-sp b9+marg 0.5 | 0.98 | 1.77 | 0.94 | 0.10 | 2.85 | 2.02 | 010 | |
| 11421 | A | Exc h-f-nk-sp b9+marg 0.6-1 | 1.42 | 2.08 | 1.12 | 0.13 | 3.63 | 2.67 | 010 | |
| 11422 | A | Exc h-f-nk-sp b9+marg 1.1-2 | 1.63 | 2.27 | 1.34 | 0.17 | 4.07 | 3.14 | 010 | |
| 11423 | A | Exc h-f-nk-sp b9+marg 2.1-3 | 2.01 | 2.61 | 1.46 | 0.21 | 4.83 | 3.68 | 010 | |
| 11424 | A | Exc h-f-nk-sp b9+marg 3.1-4 | 2.43 | 2.82 | 1.61 | 0.25 | 5.50 | 4.29 | 010 | |
| 11426 | A | Exc h-f-nk-sp b9+marg 4 cm | 3.77 | 3.52 | 2.11 | 0.41 | 7.70 | 6.29 | 010 | |
| 11440 | A | Exc face-mm b9+marg 0.5 cm | 1.06 | 2.28 | 1.33 | 0.10 | 3.44 | 2.49 | 010 | |
| 11441 | A | Exc face-mm b9+marg 0.6-1 cm | 1.48 | 2.40 | 1.51 | 0.13 | 4.01 | 3.12 | 010 | |
| 11442 | A | Exc face-mm b9+marg 1.1-2 cm | 1.72 | 2.59 | 1.58 | 0.17 | 4.48 | 3.47 | 010 | |
| 11443 | A | Exc face-mm b9+marg 2.1-3 cm | 2.29 | 2.97 | 1.83 | 0.22 | 5.48 | 4.34 | 010 | |
| 11444 | A | Exc face-mm b9+marg 3.1-4 cm | 3.14 | 3.54 | 2.19 | 0.30 | 6.98 | 5.63 | 010 | |
| 11446 | A | Exc face-mm b9+marg 4 cm | 4.48 | 4.11 | 2.78 | 0.36 | 8.95 | 7.62 | 010 | |
| 11450 | A | Removal, sweat gland lesion | 2.73 | 5.11 | 2.03 | 0.31 | 8.15 | 5.07 | 090 | |
| 11451 | A | Removal, sweat gland lesion | 3.94 | 6.74 | 2.56 | 0.47 | 11.15 | 6.97 | 090 | |
| 11462 | A | Removal, sweat gland lesion | 2.51 | 5.20 | 2.02 | 0.28 | 7.99 | 4.81 | 090 | |
| 11463 | A | Removal, sweat gland lesion | 3.94 | 6.96 | 2.69 | 0.48 | 11.38 | 7.11 | 090 | |
| 11470 | A | Removal, sweat gland lesion | 3.25 | 5.14 | 2.27 | 0.36 | 8.75 | 5.88 | 090 | |
| 11471 | A | Removal, sweat gland lesion | 4.40 | 6.85 | 2.78 | 0.48 | 11.73 | 7.66 | 090 | |
| 11600 | A | Exc tr-ext mlg+marg 0.5 cm | 1.31 | 2.65 | 0.98 | 0.11 | 4.07 | 2.40 | 010 | |
| 11601 | A | Exc tr-ext mlg+marg 0.6-1 cm | 1.80 | 2.72 | 1.23 | 0.14 | 4.66 | 3.17 | 010 | |
| 11602 | A | Exc tr-ext mlg+marg 1.1-2 cm | 1.95 | 2.86 | 1.27 | 0.16 | 4.97 | 3.38 | 010 | |
| 11603 | A | Exc tr-ext mlg+marg 2.1-3 cm | 2.19 | 3.11 | 1.33 | 0.19 | 5.49 | 3.71 | 010 | |
| 11604 | A | Exc tr-ext mlg+marg 3.1-4 cm | 2.40 | 3.41 | 1.40 | 0.22 | 6.03 | 4.02 | 010 | |
| 11606 | A | Exc tr-ext mlg+marg 4 cm | 3.42 | 4.11 | 1.75 | 0.34 | 7.87 | 5.51 | 010 | |
| 11620 | A | Exc h-f-nk-sp mlg+marg 0.5 | 1.19 | 2.62 | 0.96 | 0.11 | 3.92 | 2.26 | 010 | |
| 11621 | A | Exc h-f-nk-sp mlg+marg 0.6-1 | 1.76 | 2.73 | 1.25 | 0.14 | 4.63 | 3.15 | 010 | |
| 11622 | A | Exc h-f-nk-sp mlg+marg 1.1-2 | 2.09 | 3.00 | 1.39 | 0.18 | 5.27 | 3.66 | 010 | |
| 11623 | A | Exc h-f-nk-sp mlg+marg 2.1-3 | 2.61 | 3.36 | 1.59 | 0.24 | 6.21 | 4.44 | 010 | |
| 11624 | A | Exc h-f-nk-sp mlg+marg 3.1-4 | 3.06 | 3.79 | 1.78 | 0.30 | 7.15 | 5.14 | 010 | |
| 11626 | A | Exc h-f-nk-sp mlg+mar 4 cm | 4.29 | 4.70 | 2.40 | 0.42 | 9.41 | 7.11 | 010 | |
| 11640 | A | Exc face-mm malig+marg 0.5 | 1.35 | 2.69 | 1.12 | 0.12 | 4.16 | 2.59 | 010 | |
| 11641 | A | Exc face-mm malig+marg 0.6-1 | 2.16 | 3.06 | 1.54 | 0.18 | 5.40 | 3.88 | 010 | |
| 11642 | A | Exc face-mm malig+marg 1.1-2 | 2.59 | 3.44 | 1.73 | 0.22 | 6.25 | 4.54 | 010 | |
| 11643 | A | Exc face-mm malig+marg 2.1-3 | 3.10 | 3.85 | 1.96 | 0.29 | 7.24 | 5.35 | 010 | |
| 11644 | A | Exc face-mm malig+marg 3.1-4 | 4.02 | 4.74 | 2.47 | 0.40 | 9.16 | 6.89 | 010 | |
| 11646 | A | Exc face-mm mlg+marg 4 cm | 5.94 | 5.81 | 3.49 | 0.55 | 12.30 | 9.98 | 010 | |
| 11719 | R | Trim nail(s) | 0.17 | 0.25 | 0.07 | 0.01 | 0.43 | 0.25 | 000 | |
| 11720 | A | Debride nail, 1-5 | 0.32 | 0.34 | 0.13 | 0.02 | 0.68 | 0.47 | 000 | |
| 11721 | A | Debride nail, 6 or more | 0.54 | 0.43 | 0.21 | 0.05 | 1.02 | 0.80 | 000 | |
| 11730 | A | Removal of nail plate | 1.13 | 1.02 | 0.43 | 0.11 | 2.26 | 1.67 | 000 | |
| 11732 | A | Remove nail plate, add-on | 0.57 | 0.43 | 0.22 | 0.06 | 1.06 | 0.85 | ZZZ | |
| 11740 | A | Drain blood from under nail | 0.37 | 0.85 | 0.14 | 0.04 | 1.26 | 0.55 | 000 | |
| 11750 | A | Removal of nail bed | 1.86 | 2.13 | 1.72 | 0.19 | 4.18 | 3.77 | 010 | |
| 11752 | A | Remove nail bed/finger tip | 2.67 | 2.95 | 2.95 | 0.40 | 6.02 | 6.02 | 010 | |
| 11755 | A | Biopsy, nail unit | 1.31 | 1.10 | 0.54 | 0.07 | 2.48 | 1.92 | 000 | |
| 11760 | A | Repair of nail bed | 1.58 | 1.84 | 1.21 | 0.21 | 3.63 | 3.00 | 010 | |
| 11762 | A | Reconstruction of nail bed | 2.89 | 2.27 | 1.83 | 0.39 | 5.55 | 5.11 | 010 | |
| 11765 | A | Excision of nail fold, toe | 0.69 | 1.14 | 0.52 | 0.06 | 1.89 | 1.27 | 010 | |
| 11770 | A | Removal of pilonidal lesion | 2.61 | 3.52 | 1.51 | 0.29 | 6.42 | 4.41 | 010 | |
| 11771 | A | Removal of pilonidal lesion | 5.73 | 5.70 | 3.33 | 0.68 | 12.11 | 9.74 | 090 | |
| 11772 | A | Removal of pilonidal lesion | 6.97 | 7.17 | 3.87 | 0.82 | 14.96 | 11.66 | 090 | |
| 11900 | A | Injection into skin lesions | 0.52 | 0.65 | 0.22 | 0.02 | 1.19 | 0.76 | 000 | |
| 11901 | A | Added skin lesions injection | 0.80 | 0.66 | 0.36 | 0.04 | 1.50 | 1.20 | 000 | |
| 11920 | R | Correct skin color defects | 1.61 | 1.99 | 0.78 | 0.21 | 3.81 | 2.60 | 000 | |
| 11921 | R | Correct skin color defects | 1.93 | 2.36 | 0.98 | 0.25 | 4.54 | 3.16 | 000 | |
| 11922 | R | Correct skin color defects | 0.49 | 0.37 | 0.25 | 0.06 | 0.92 | 0.80 | ZZZ | |
| 11950 | R | Therapy for contour defects | 0.84 | 1.15 | 0.40 | 0.07 | 2.06 | 1.31 | 000 | |
| 11951 | R | Therapy for contour defects | 1.19 | 1.50 | 0.51 | 0.12 | 2.81 | 1.82 | 000 | |
| 11952 | R | Therapy for contour defects | 1.69 | 1.87 | 0.68 | 0.21 | 3.77 | 2.58 | 000 | |
| 11954 | R | Therapy for contour defects | 1.85 | 2.44 | 0.91 | 0.23 | 4.52 | 2.99 | 000 | |
| 11960 | A | Insert tissue expander(s) | 9.07 | NA | 10.52 | 1.06 | NA | 20.65 | 090 | |
| 11970 | A | Replace tissue expander | 7.05 | NA | 6.10 | 0.93 | NA | 14.08 | 090 | |
| 11971 | A | Remove tissue expander(s) | 2.13 | 7.10 | 4.76 | 0.25 | 9.48 | 7.14 | 090 | |
| 11975 | N | Insert contraceptive cap | +1.48 | 1.42 | 0.57 | 0.17 | 3.07 | 2.22 | XXX | |
| 11976 | R | Removal of contraceptive cap | 1.78 | 1.70 | 0.68 | 0.21 | 3.69 | 2.67 | 000 | |
| 11977 | N | Removal/reinsert contra cap | +3.30 | 2.27 | 1.26 | 0.37 | 5.94 | 4.93 | XXX | |
| 11980 | A | Implant hormone pellet(s) | 1.48 | 1.10 | 0.54 | 0.12 | 2.70 | 2.14 | 000 | |
| 11981 | A | Insert drug implant device | 1.48 | 1.74 | 0.68 | 0.17 | 3.39 | 2.33 | XXX | |
| 11982 | A | Remove drug implant device | 1.78 | 1.97 | 0.84 | 0.21 | 3.96 | 2.83 | XXX | |
| 11983 | A | Remove/insert drug implant | 3.30 | 2.32 | 1.47 | 0.37 | 5.99 | 5.14 | XXX | |
| 12001 | A | Repair superficial wound(s) | 1.70 | 2.00 | 0.49 | 0.16 | 3.86 | 2.35 | 010 | |
| 12002 | A | Repair superficial wound(s) | 1.86 | 2.06 | 0.93 | 0.18 | 4.10 | 2.97 | 010 | |
| 12004 | A | Repair superficial wound(s) | 2.24 | 2.36 | 1.05 | 0.21 | 4.81 | 3.50 | 010 | |
| 12005 | A | Repair superficial wound(s) | 2.86 | 2.85 | 1.23 | 0.28 | 5.99 | 4.37 | 010 | |
| 12006 | A | Repair superficial wound(s) | 3.66 | 3.43 | 1.54 | 0.37 | 7.46 | 5.57 | 010 | |
| 12007 | A | Repair superficial wound(s) | 4.11 | 3.86 | 1.84 | 0.45 | 8.42 | 6.40 | 010 | |
| 12011 | A | Repair superficial wound(s) | 1.76 | 2.16 | 0.50 | 0.17 | 4.09 | 2.43 | 010 | |
| 12013 | A | Repair superficial wound(s) | 1.99 | 2.31 | 0.97 | 0.19 | 4.49 | 3.15 | 010 | |
| 12014 | A | Repair superficial wound(s) | 2.46 | 2.61 | 1.09 | 0.22 | 5.29 | 3.77 | 010 | |
| 12015 | A | Repair superficial wound(s) | 3.19 | 3.19 | 1.28 | 0.29 | 6.67 | 4.76 | 010 | |
| 12016 | A | Repair superficial wound(s) | 3.92 | 3.60 | 1.56 | 0.39 | 7.91 | 5.87 | 010 | |
| 12017 | A | Repair superficial wound(s) | 4.70 | NA | 1.91 | 0.47 | NA | 7.08 | 010 | |
| 12018 | A | Repair superficial wound(s) | 5.52 | NA | 2.27 | 0.55 | NA | 8.34 | 010 | |
| 12020 | A | Closure of split wound | 2.62 | 2.65 | 1.75 | 0.29 | 5.56 | 4.66 | 010 | |
| 12021 | A | Closure of split wound | 1.84 | 1.74 | 1.41 | 0.23 | 3.81 | 3.48 | 010 | |
| 12031 | A | Layer closure of wound(s) | 2.15 | 2.31 | 0.81 | 0.18 | 4.64 | 3.14 | 010 | |
| 12032 | A | Layer closure of wound(s) | 2.47 | 3.88 | 1.84 | 0.18 | 6.53 | 4.49 | 010 | |
| 12034 | A | Layer closure of wound(s) | 2.92 | 3.17 | 1.41 | 0.25 | 6.34 | 4.58 | 010 | |
| 12035 | A | Layer closure of wound(s) | 3.42 | 5.26 | 2.18 | 0.36 | 9.04 | 5.96 | 010 | |
| 12036 | A | Layer closure of wound(s) | 4.04 | 5.36 | 2.38 | 0.49 | 9.89 | 6.91 | 010 | |
| 12037 | A | Layer closure of wound(s) | 4.66 | 6.41 | 2.78 | 0.59 | 11.66 | 8.03 | 010 | |
| 12041 | A | Layer closure of wound(s) | 2.37 | 2.47 | 0.87 | 0.21 | 5.05 | 3.45 | 010 | |
| 12042 | A | Layer closure of wound(s) | 2.74 | 3.21 | 1.37 | 0.21 | 6.16 | 4.32 | 010 | |
| 12044 | A | Layer closure of wound(s) | 3.14 | 3.20 | 1.56 | 0.29 | 6.63 | 4.99 | 010 | |
| 12045 | A | Layer closure of wound(s) | 3.63 | 3.67 | 2.17 | 0.41 | 7.71 | 6.21 | 010 | |
| 12046 | A | Layer closure of wound(s) | 4.24 | 6.57 | 2.76 | 0.48 | 11.29 | 7.48 | 010 | |
| 12047 | A | Layer closure of wound(s) | 4.64 | 6.42 | 3.10 | 0.49 | 11.55 | 8.23 | 010 | |
| 12051 | A | Layer closure of wound(s) | 2.47 | 3.23 | 1.36 | 0.19 | 5.89 | 4.02 | 010 | |
| 12052 | A | Layer closure of wound(s) | 2.77 | 3.17 | 1.34 | 0.21 | 6.15 | 4.32 | 010 | |
| 12053 | A | Layer closure of wound(s) | 3.12 | 3.22 | 1.50 | 0.24 | 6.58 | 4.86 | 010 | |
| 12054 | A | Layer closure of wound(s) | 3.45 | 3.54 | 1.60 | 0.30 | 7.29 | 5.35 | 010 | |
| 12055 | A | Layer closure of wound(s) | 4.42 | 4.54 | 2.14 | 0.42 | 9.38 | 6.98 | 010 | |
| 12056 | A | Layer closure of wound(s) | 5.23 | 6.76 | 3.07 | 0.52 | 12.51 | 8.82 | 010 | |
| 12057 | A | Layer closure of wound(s) | 5.95 | 6.10 | 3.76 | 0.60 | 12.65 | 10.31 | 010 | |
| 13100 | A | Repair of wound or lesion | 3.12 | 3.51 | 1.78 | 0.25 | 6.88 | 5.15 | 010 | |
| 13101 | A | Repair of wound or lesion | 3.91 | 3.75 | 2.22 | 0.27 | 7.93 | 6.40 | 010 | |
| 13102 | A | Repair wound/lesion add-on | 1.24 | 0.74 | 0.57 | 0.12 | 2.10 | 1.93 | ZZZ | |
| 13120 | A | Repair of wound or lesion | 3.30 | 3.61 | 1.82 | 0.28 | 7.19 | 5.40 | 010 | |
| 13121 | A | Repair of wound or lesion | 4.32 | 3.97 | 2.32 | 0.30 | 8.59 | 6.94 | 010 | |
| 13122 | A | Repair wound/lesion add-on | 1.44 | 0.87 | 0.63 | 0.14 | 2.45 | 2.21 | ZZZ | |
| 13131 | A | Repair of wound or lesion | 3.78 | 3.88 | 2.14 | 0.30 | 7.96 | 6.22 | 010 | |
| 13132 | A | Repair of wound or lesion | 5.94 | 4.68 | 3.17 | 0.39 | 11.01 | 9.50 | 010 | |
| 13133 | A | Repair wound/lesion add-on | 2.19 | 1.19 | 1.03 | 0.21 | 3.59 | 3.43 | ZZZ | |
| 13150 | A | Repair of wound or lesion | 3.80 | 5.50 | 2.61 | 0.35 | 9.65 | 6.76 | 010 | |
| 13151 | A | Repair of wound or lesion | 4.44 | 5.40 | 3.03 | 0.34 | 10.18 | 7.81 | 010 | |
| 13152 | A | Repair of wound or lesion | 6.32 | 6.08 | 3.93 | 0.46 | 12.86 | 10.71 | 010 | |
| 13153 | A | Repair wound/lesion add-on | 2.38 | 1.34 | 1.14 | 0.22 | 3.94 | 3.74 | ZZZ | |
| 13160 | A | Late closure of wound | 10.46 | NA | 7.14 | 1.44 | NA | 19.04 | 090 | |
| 14000 | A | Skin tissue rearrangement | 5.88 | 8.52 | 5.12 | 0.55 | 14.95 | 11.55 | 090 | |
| 14001 | A | Skin tissue rearrangement | 8.46 | 9.94 | 6.59 | 0.78 | 19.18 | 15.83 | 090 | |
| 14020 | A | Skin tissue rearrangement | 6.58 | 9.17 | 5.99 | 0.60 | 16.35 | 13.17 | 090 | |
| 14021 | A | Skin tissue rearrangement | 10.04 | 10.45 | 7.74 | 0.83 | 21.32 | 18.61 | 090 | |
| 14040 | A | Skin tissue rearrangement | 7.86 | 8.25 | 6.86 | 0.66 | 16.77 | 15.38 | 090 | |
| 14041 | A | Skin tissue rearrangement | 11.47 | 10.64 | 8.68 | 0.86 | 22.97 | 21.01 | 090 | |
| 14060 | A | Skin tissue rearrangement | 8.49 | 9.08 | 7.69 | 0.71 | 18.28 | 16.89 | 090 | |
| 14061 | A | Skin tissue rearrangement | 12.27 | 11.66 | 9.51 | 0.90 | 24.83 | 22.68 | 090 | |
| 14300 | A | Skin tissue rearrangement | 11.74 | 11.19 | 9.17 | 1.06 | 23.99 | 21.97 | 090 | |
| 14350 | A | Skin tissue rearrangement | 9.60 | NA | 7.12 | 1.31 | NA | 18.03 | 090 | |
| 15000 | A | Skin graft | 3.99 | 3.81 | 2.20 | 0.45 | 8.25 | 6.64 | 000 | |
| 15001 | A | Skin graft add-on | 1.00 | 1.36 | 0.41 | 0.13 | 2.49 | 1.54 | ZZZ | |
| 15050 | A | Skin pinch graft | 4.29 | 5.97 | 4.74 | 0.55 | 10.81 | 9.58 | 090 | |
| 15100 | A | Skin split graft | 9.04 | 12.63 | 7.80 | 1.13 | 22.80 | 17.97 | 090 | |
| 15101 | A | Skin split graft add-on | 1.72 | 3.83 | 1.66 | 0.22 | 5.77 | 3.60 | ZZZ | |
| 15120 | A | Skin split graft | 9.82 | 10.78 | 7.77 | 1.09 | 21.69 | 18.68 | 090 | |
| 15121 | A | Skin split graft add-on | 2.67 | 4.58 | 1.87 | 0.33 | 7.58 | 4.87 | ZZZ | |
| 15200 | A | Skin full graft | 8.02 | 10.71 | 6.00 | 0.88 | 19.61 | 14.90 | 090 | |
| 15201 | A | Skin full graft add-on | 1.32 | 1.04 | 0.62 | 0.17 | 2.53 | 2.11 | ZZZ | |
| 15220 | A | Skin full graft | 7.86 | 10.59 | 6.43 | 0.82 | 19.27 | 15.11 | 090 | |
| 15221 | A | Skin full graft add-on | 1.19 | 0.91 | 0.56 | 0.14 | 2.24 | 1.89 | ZZZ | |
| 15240 | A | Skin full graft | 9.03 | 10.15 | 7.65 | 0.96 | 20.14 | 17.64 | 090 | |
| 15241 | A | Skin full graft add-on | 1.86 | 1.45 | 0.92 | 0.21 | 3.52 | 2.99 | ZZZ | |
| 15260 | A | Skin full graft | 10.04 | 9.88 | 8.60 | 0.76 | 20.68 | 19.40 | 090 | |
| 15261 | A | Skin full graft add-on | 2.23 | 2.72 | 1.42 | 0.21 | 5.16 | 3.86 | ZZZ | |
| 15342 | A | Cultured skin graft, 25 cm | 1.00 | 1.83 | 0.55 | 0.11 | 2.94 | 1.66 | 010 | |
| 15343 | A | Culture skn graft addl 25 cm | 0.25 | 0.27 | 0.10 | 0.02 | 0.54 | 0.37 | ZZZ | |
| 15350 | A | Skin homograft | 3.99 | 8.22 | 4.83 | 0.51 | 12.72 | 9.33 | 090 | |
| 15351 | A | Skin homograft add-on | 1.00 | 0.94 | 0.39 | 0.13 | 2.07 | 1.52 | ZZZ | |
| 15400 | A | Skin heterograft | 3.99 | 4.18 | 4.10 | 0.48 | 8.65 | 8.57 | 090 | |
| 15401 | A | Skin heterograft add-on | 1.00 | 1.22 | 0.44 | 0.13 | 2.35 | 1.57 | ZZZ | |
| 15570 | A | Form skin pedicle flap | 9.20 | 9.17 | 6.68 | 1.16 | 19.53 | 17.04 | 090 | |
| 15572 | A | Form skin pedicle flap | 9.26 | 8.38 | 6.25 | 1.12 | 18.76 | 16.63 | 090 | |
| 15574 | A | Form skin pedicle flap | 9.87 | 8.79 | 6.95 | 1.11 | 19.77 | 17.93 | 090 | |
| 15576 | A | Form skin pedicle flap | 8.68 | 9.39 | 6.42 | 0.87 | 18.94 | 15.97 | 090 | |
| 15600 | A | Skin graft | 1.91 | 7.04 | 2.70 | 0.23 | 9.18 | 4.84 | 090 | |
| 15610 | A | Skin graft | 2.42 | 3.73 | 3.03 | 0.30 | 6.45 | 5.75 | 090 | |
| 15620 | A | Skin graft | 2.94 | 7.46 | 3.67 | 0.34 | 10.74 | 6.95 | 090 | |
| 15630 | A | Skin graft | 3.27 | 6.84 | 3.93 | 0.34 | 10.45 | 7.54 | 090 | |
| 15650 | A | Transfer skin pedicle flap | 3.96 | 6.70 | 4.02 | 0.43 | 11.09 | 8.41 | 090 | |
| 15732 | A | Muscle-skin graft, head/neck | 17.81 | 18.05 | 12.22 | 1.81 | 37.67 | 31.84 | 090 | |
| 15734 | A | Muscle-skin graft, trunk | 17.76 | 17.84 | 12.34 | 2.30 | 37.90 | 32.40 | 090 | |
| 15736 | A | Muscle-skin graft, arm | 16.25 | 18.16 | 11.22 | 2.15 | 36.56 | 29.62 | 090 | |
| 15738 | A | Muscle-skin graft, leg | 17.89 | 17.93 | 11.74 | 2.35 | 38.17 | 31.98 | 090 | |
| 15740 | A | Island pedicle flap graft | 10.23 | 9.81 | 7.88 | 0.75 | 20.79 | 18.86 | 090 | |
| 15750 | A | Neurovascular pedicle graft | 11.39 | NA | 9.04 | 1.40 | NA | 21.83 | 090 | |
| 15756 | A | Free myo/skin flap microvasc | 35.18 | NA | 20.69 | 3.75 | NA | 59.62 | 090 | |
| 15757 | A | Free skin flap, microvasc | 35.18 | NA | 21.73 | 4.06 | NA | 60.97 | 090 | |
| 15758 | A | Free fascial flap, microvasc | 35.05 | NA | 21.72 | 4.25 | NA | 61.02 | 090 | |
| 15760 | A | Composite skin graft | 8.73 | 9.71 | 7.02 | 0.87 | 19.31 | 16.62 | 090 | |
| 15770 | A | Derma-fat-fascia graft | 7.51 | NA | 6.69 | 0.94 | NA | 15.14 | 090 | |
| 15775 | R | Hair transplant punch grafts | 3.95 | 2.78 | 1.32 | 0.52 | 7.25 | 5.79 | 000 | |
| 15776 | R | Hair transplant punch grafts | 5.53 | 5.39 | 2.81 | 0.72 | 11.64 | 9.06 | 000 | |
| 15780 | A | Abrasion treatment of skin | 7.28 | 7.07 | 7.07 | 0.49 | 14.84 | 14.84 | 090 | |
| 15781 | A | Abrasion treatment of skin | 4.84 | 5.35 | 5.35 | 0.33 | 10.52 | 10.52 | 090 | |
| 15782 | A | Abrasion treatment of skin | 4.31 | 4.30 | 4.30 | 0.25 | 8.86 | 8.86 | 090 | |
| 15783 | A | Abrasion treatment of skin | 4.28 | 4.92 | 4.17 | 0.31 | 9.51 | 8.76 | 090 | |
| 15786 | A | Abrasion, lesion, single | 2.03 | 1.63 | 1.27 | 0.13 | 3.79 | 3.43 | 010 | |
| 15787 | A | Abrasion, lesions, add-on | 0.33 | 0.32 | 0.16 | 0.02 | 0.67 | 0.51 | ZZZ | |
| 15788 | R | Chemical peel, face, epiderm | 2.09 | 3.34 | 2.27 | 0.13 | 5.56 | 4.49 | 090 | |
| 15789 | R | Chemical peel, face, dermal | 4.91 | 6.39 | 4.91 | 0.33 | 11.63 | 10.15 | 090 | |
| 15792 | R | Chemical peel, nonfacial | 1.86 | 3.16 | 2.76 | 0.12 | 5.14 | 4.74 | 090 | |
| 15793 | A | Chemical peel, nonfacial | 3.73 | NA | 4.14 | 0.21 | NA | 8.08 | 090 | |
| 15810 | A | Salabrasion | 4.73 | 3.87 | 3.87 | 0.51 | 9.11 | 9.11 | 090 | |
| 15811 | A | Salabrasion | 5.38 | 6.31 | 5.52 | 0.63 | 12.32 | 11.53 | 090 | |
| 15819 | A | Plastic surgery, neck | 9.37 | NA | 7.20 | 0.93 | NA | 17.50 | 090 | |
| 15820 | A | Revision of lower eyelid | 5.14 | 6.85 | 5.34 | 0.36 | 12.35 | 10.84 | 090 | |
| 15821 | A | Revision of lower eyelid | 5.71 | 7.23 | 5.52 | 0.37 | 13.31 | 11.60 | 090 | |
| 15822 | A | Revision of upper eyelid | 4.44 | 5.80 | 4.36 | 0.27 | 10.51 | 9.07 | 090 | |
| 15823 | A | Revision of upper eyelid | 7.04 | 7.79 | 6.24 | 0.39 | 15.22 | 13.67 | 090 | |
| 15824 | R | Removal of forehead wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15825 | R | Removal of neck wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15826 | R | Removal of brow wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15828 | R | Removal of face wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15829 | R | Removal of skin wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15831 | A | Excise excessive skin tissue | 12.38 | NA | 8.22 | 1.57 | NA | 22.17 | 090 | |
| 15832 | A | Excise excessive skin tissue | 11.57 | NA | 8.38 | 1.46 | NA | 21.41 | 090 | |
| 15833 | A | Excise excessive skin tissue | 10.62 | NA | 8.24 | 1.41 | NA | 20.27 | 090 | |
| 15834 | A | Excise excessive skin tissue | 10.83 | NA | 7.71 | 1.42 | NA | 19.96 | 090 | |
| 15835 | A | Excise excessive skin tissue | 11.65 | 11.40 | 7.63 | 1.36 | 24.41 | 20.64 | 090 | |
| 15836 | A | Excise excessive skin tissue | 9.33 | NA | 6.81 | 1.15 | NA | 17.29 | 090 | |
| 15837 | A | Excise excessive skin tissue | 8.42 | 7.90 | 7.00 | 0.94 | 17.26 | 16.36 | 090 | |
| 15838 | A | Excise excessive skin tissue | 7.12 | NA | 6.09 | 0.70 | NA | 13.91 | 090 | |
| 15839 | A | Excise excessive skin tissue | 9.37 | 7.84 | 6.21 | 1.06 | 18.27 | 16.64 | 090 | |
| 15840 | A | Graft for face nerve palsy | 13.24 | NA | 10.05 | 1.39 | NA | 24.68 | 090 | |
| 15841 | A | Graft for face nerve palsy | 23.23 | NA | 15.08 | 3.20 | NA | 41.51 | 090 | |
| 15842 | A | Flap for face nerve palsy | 37.90 | NA | 23.01 | 4.81 | NA | 65.72 | 090 | |
| 15845 | A | Skin and muscle repair, face | 12.55 | NA | 9.36 | 0.96 | NA | 22.87 | 090 | |
| 15850 | B | Removal of sutures | +0.78 | 1.58 | 0.30 | 0.05 | 2.41 | 1.13 | XXX | |
| 15851 | A | Removal of sutures | 0.86 | 1.72 | 0.34 | 0.06 | 2.64 | 1.26 | 000 | |
| 15852 | A | Dressing change not for burn | 0.86 | 1.87 | 0.36 | 0.08 | 2.81 | 1.30 | 000 | |
| 15860 | A | Test for blood flow in graft | 1.95 | 1.28 | 0.79 | 0.16 | 3.39 | 2.90 | 000 | |
| 15876 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15877 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15878 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15879 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15920 | A | Removal of tail bone ulcer | 7.94 | NA | 5.61 | 1.00 | NA | 14.55 | 090 | |
| 15922 | A | Removal of tail bone ulcer | 9.89 | NA | 7.31 | 1.28 | NA | 18.48 | 090 | |
| 15931 | A | Remove sacrum pressure sore | 9.23 | NA | 5.75 | 1.15 | NA | 16.13 | 090 | |
| 15933 | A | Remove sacrum pressure sore | 10.83 | NA | 7.94 | 1.37 | NA | 20.14 | 090 | |
| 15934 | A | Remove sacrum pressure sore | 12.67 | NA | 8.15 | 1.63 | NA | 22.45 | 090 | |
| 15935 | A | Remove sacrum pressure sore | 14.55 | NA | 10.40 | 1.88 | NA | 26.83 | 090 | |
| 15936 | A | Remove sacrum pressure sore | 12.36 | NA | 8.36 | 1.59 | NA | 22.31 | 090 | |
| 15937 | A | Remove sacrum pressure sore | 14.19 | NA | 9.96 | 1.82 | NA | 25.97 | 090 | |
| 15940 | A | Remove hip pressure sore | 9.33 | NA | 6.23 | 1.18 | NA | 16.74 | 090 | |
| 15941 | A | Remove hip pressure sore | 11.41 | NA | 9.58 | 1.48 | NA | 22.47 | 090 | |
| 15944 | A | Remove hip pressure sore | 11.44 | NA | 8.70 | 1.46 | NA | 21.60 | 090 | |
| 15945 | A | Remove hip pressure sore | 12.67 | NA | 9.74 | 1.66 | NA | 24.07 | 090 | |
| 15946 | A | Remove hip pressure sore | 21.54 | NA | 14.41 | 2.80 | NA | 38.75 | 090 | |
| 15950 | A | Remove thigh pressure sore | 7.53 | NA | 5.47 | 0.96 | NA | 13.96 | 090 | |
| 15951 | A | Remove thigh pressure sore | 10.70 | NA | 7.95 | 1.37 | NA | 20.02 | 090 | |
| 15952 | A | Remove thigh pressure sore | 11.37 | NA | 7.83 | 1.44 | NA | 20.64 | 090 | |
| 15953 | A | Remove thigh pressure sore | 12.61 | NA | 9.07 | 1.66 | NA | 23.34 | 090 | |
| 15956 | A | Remove thigh pressure sore | 15.50 | NA | 10.85 | 1.98 | NA | 28.33 | 090 | |
| 15958 | A | Remove thigh pressure sore | 15.46 | NA | 11.13 | 2.00 | NA | 28.59 | 090 | |
| 15999 | C | Removal of pressure sore | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 16000 | A | Initial treatment of burn(s) | 0.89 | 0.86 | 0.27 | 0.07 | 1.82 | 1.23 | 000 | |
| 16010 | A | Treatment of burn(s) | 0.87 | 0.66 | 0.63 | 0.08 | 1.61 | 1.58 | 000 | |
| 16015 | A | Treatment of burn(s) | 2.35 | NA | 1.15 | 0.27 | NA | 3.77 | 000 | |
| 16020 | A | Treatment of burn(s) | 0.80 | 1.31 | 0.61 | 0.07 | 2.18 | 1.48 | 000 | |
| 16025 | A | Treatment of burn(s) | 1.85 | 1.79 | 0.97 | 0.19 | 3.83 | 3.01 | 000 | |
| 16030 | A | Treatment of burn(s) | 2.08 | 2.20 | 1.12 | 0.22 | 4.50 | 3.42 | 000 | |
| 16035 | A | Incision of burn scab, initi | 3.74 | NA | 1.47 | 0.43 | NA | 5.64 | 090 | |
| 16036 | A | Escharotomy; add'l incision | 1.50 | NA | 0.60 | 0.13 | NA | 2.23 | ZZZ | |
| 17000 | A | Destroy benign/premlg lesion | 0.60 | 0.98 | 0.32 | 0.04 | 1.62 | 0.96 | 010 | |
| 17003 | A | Destroy lesions, 2-14 | 0.15 | 0.11 | 0.07 | 0.01 | 0.27 | 0.23 | ZZZ | |
| 17004 | A | Destroy lesions, 15 or more | 2.79 | 2.32 | 1.29 | 0.14 | 5.25 | 4.22 | 010 | |
| 17106 | A | Destruction of skin lesions | 4.58 | 4.87 | 3.34 | 0.34 | 9.79 | 8.26 | 090 | |
| 17107 | A | Destruction of skin lesions | 9.15 | 7.52 | 5.45 | 0.64 | 17.31 | 15.24 | 090 | |
| 17108 | A | Destruction of skin lesions | 13.18 | 9.68 | 7.68 | 1.07 | 23.93 | 21.93 | 090 | |
| 17110 | A | Destruct lesion, 1-14 | 0.65 | 1.63 | 0.49 | 0.05 | 2.33 | 1.19 | 010 | |
| 17111 | A | Destruct lesion, 15 or more | 0.92 | 1.68 | 0.59 | 0.05 | 2.65 | 1.56 | 010 | |
| 17250 | A | Chemical cautery, tissue | 0.50 | 1.23 | 0.35 | 0.05 | 1.78 | 0.90 | 000 | |
| 17260 | A | Destruction of skin lesions | 0.91 | 1.28 | 0.44 | 0.05 | 2.24 | 1.40 | 010 | |
| 17261 | A | Destruction of skin lesions | 1.17 | 1.62 | 0.59 | 0.06 | 2.85 | 1.82 | 010 | |
| 17262 | A | Destruction of skin lesions | 1.58 | 1.89 | 0.78 | 0.08 | 3.55 | 2.44 | 010 | |
| 17263 | A | Destruction of skin lesions | 1.79 | 2.07 | 0.86 | 0.10 | 3.96 | 2.75 | 010 | |
| 17264 | A | Destruction of skin lesions | 1.94 | 2.23 | 0.89 | 0.10 | 4.27 | 2.93 | 010 | |
| 17266 | A | Destruction of skin lesions | 2.34 | 2.53 | 0.99 | 0.13 | 5.00 | 3.46 | 010 | |
| 17270 | A | Destruction of skin lesions | 1.32 | 1.71 | 0.64 | 0.07 | 3.10 | 2.03 | 010 | |
| 17271 | A | Destruction of skin lesions | 1.49 | 1.79 | 0.74 | 0.07 | 3.35 | 2.30 | 010 | |
| 17272 | A | Destruction of skin lesions | 1.77 | 2.00 | 0.88 | 0.08 | 3.85 | 2.73 | 010 | |
| 17273 | A | Destruction of skin lesions | 2.05 | 2.21 | 0.99 | 0.11 | 4.37 | 3.15 | 010 | |
| 17274 | A | Destruction of skin lesions | 2.59 | 2.58 | 1.20 | 0.13 | 5.30 | 3.92 | 010 | |
| 17276 | A | Destruction of skin lesions | 3.20 | 2.97 | 1.44 | 0.18 | 6.35 | 4.82 | 010 | |
| 17280 | A | Destruction of skin lesions | 1.17 | 1.62 | 0.57 | 0.06 | 2.85 | 1.80 | 010 | |
| 17281 | A | Destruction of skin lesions | 1.72 | 1.91 | 0.86 | 0.08 | 3.71 | 2.66 | 010 | |
| 17282 | A | Destruction of skin lesions | 2.04 | 2.17 | 1.01 | 0.11 | 4.32 | 3.16 | 010 | |
| 17283 | A | Destruction of skin lesions | 2.64 | 2.56 | 1.25 | 0.13 | 5.33 | 4.02 | 010 | |
| 17284 | A | Destruction of skin lesions | 3.21 | 2.94 | 1.52 | 0.17 | 6.32 | 4.90 | 010 | |
| 17286 | A | Destruction of skin lesions | 4.43 | 3.71 | 2.19 | 0.27 | 8.41 | 6.89 | 010 | |
| 17304 | A | 1 stage mohs, up to 5 spec | 7.59 | 8.09 | 3.57 | 0.37 | 16.05 | 11.53 | 000 | |
| 17305 | A | 2 stage mohs, up to 5 spec | 2.85 | 3.81 | 1.34 | 0.14 | 6.80 | 4.33 | 000 | |
| 17306 | A | 3 stage mohs, up to 5 spec | 2.85 | 3.83 | 1.35 | 0.14 | 6.82 | 4.34 | 000 | |
| 17307 | A | Mohs addl stage up to 5 spec | 2.85 | 3.78 | 1.37 | 0.14 | 6.77 | 4.36 | 000 | |
| 17310 | A | Mohs any stage 5 spec each | 0.95 | 1.65 | 0.46 | 0.06 | 2.66 | 1.47 | ZZZ | |
| 17340 | A | Cryotherapy of skin | 0.76 | 0.37 | 0.31 | 0.05 | 1.18 | 1.12 | 010 | |
| 17360 | A | Skin peel therapy | 1.43 | 1.46 | 0.75 | 0.07 | 2.96 | 2.25 | 010 | |
| 17380 | R | Hair removal by electrolysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 17999 | C | Skin tissue procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 19000 | A | Drainage of breast lesion | 0.84 | 2.03 | 0.36 | 0.08 | 2.95 | 1.28 | 000 | |
| 19001 | A | Drain breast lesion add-on | 0.42 | 0.79 | 0.14 | 0.04 | 1.25 | 0.60 | ZZZ | |
| 19020 | A | Incision of breast lesion | 3.56 | 6.00 | 2.77 | 0.42 | 9.98 | 6.75 | 090 | |
| 19030 | A | Injection for breast x-ray | 1.53 | 3.37 | 0.50 | 0.08 | 4.98 | 2.11 | 000 | |
| 19100 | A | Bx breast percut w/o image | 1.27 | 2.15 | 0.42 | 0.12 | 3.54 | 1.81 | 000 | |
| 19101 | A | Biopsy of breast, open | 3.18 | 4.69 | 1.68 | 0.24 | 8.11 | 5.10 | 010 | |
| 19102 | A | Bx breast percut w/image | 2.00 | 3.98 | 0.66 | 0.16 | 6.14 | 2.82 | 000 | |
| 19103 | A | Bx breast percut w/device | 3.69 | 12.07 | 1.23 | 0.19 | 15.95 | 5.11 | 000 | |
| 19110 | A | Nipple exploration | 4.29 | 5.82 | 3.06 | 0.53 | 10.64 | 7.88 | 090 | |
| 19112 | A | Excise breast duct fistula | 3.66 | 5.80 | 2.68 | 0.46 | 9.92 | 6.80 | 090 | |
| 19120 | A | Removal of breast lesion | 5.55 | 4.58 | 3.08 | 0.68 | 10.81 | 9.31 | 090 | |
| 19125 | A | Excision, breast lesion | 6.05 | 4.83 | 3.30 | 0.74 | 11.62 | 10.09 | 090 | |
| 19126 | A | Excision, addl breast lesion | 2.93 | NA | 1.01 | 0.36 | NA | 4.30 | ZZZ | |
| 19140 | A | Removal of breast tissue | 5.13 | 7.29 | 3.42 | 0.63 | 13.05 | 9.18 | 090 | |
| 19160 | A | Removal of breast tissue | 5.98 | NA | 3.45 | 0.74 | NA | 10.17 | 090 | |
| 19162 | A | Remove breast tissue, nodes | 13.51 | NA | 6.38 | 1.66 | NA | 21.55 | 090 | |
| 19180 | A | Removal of breast | 8.79 | NA | 5.06 | 1.06 | NA | 14.91 | 090 | |
| 19182 | A | Removal of breast | 7.72 | NA | 4.81 | 0.95 | NA | 13.48 | 090 | |
| 19200 | A | Removal of breast | 15.47 | NA | 8.04 | 1.82 | NA | 25.33 | 090 | |
| 19220 | A | Removal of breast | 15.70 | NA | 8.30 | 1.88 | NA | 25.88 | 090 | |
| 19240 | A | Removal of breast | 15.98 | NA | 8.28 | 1.95 | NA | 26.21 | 090 | |
| 19260 | A | Removal of chest wall lesion | 15.42 | NA | 11.30 | 1.98 | NA | 28.70 | 090 | |
| 19271 | A | Revision of chest wall | 18.87 | NA | 18.23 | 2.74 | NA | 39.84 | 090 | |
| 19272 | A | Extensive chest wall surgery | 21.52 | NA | 19.18 | 3.06 | NA | 43.76 | 090 | |
| 19290 | A | Place needle wire, breast | 1.27 | 3.01 | 0.41 | 0.07 | 4.35 | 1.75 | 000 | |
| 19291 | A | Place needle wire, breast | 0.63 | 1.75 | 0.21 | 0.04 | 2.42 | 0.88 | ZZZ | |
| 19295 | A | Place breast clip, percut | 0.00 | 2.77 | NA | 0.01 | 2.78 | NA | ZZZ | |
| 19316 | A | Suspension of breast | 10.67 | NA | 7.59 | 1.39 | NA | 19.65 | 090 | |
| 19318 | A | Reduction of large breast | 15.60 | NA | 11.20 | 2.04 | NA | 28.84 | 090 | |
| 19324 | A | Enlarge breast | 5.84 | NA | 4.92 | 0.76 | NA | 11.52 | 090 | |
| 19325 | A | Enlarge breast with implant | 8.44 | NA | 6.59 | 1.09 | NA | 16.12 | 090 | |
| 19328 | A | Removal of breast implant | 5.67 | NA | 5.07 | 0.74 | NA | 11.48 | 090 | |
| 19330 | A | Removal of implant material | 7.58 | NA | 6.07 | 0.98 | NA | 14.63 | 090 | |
| 19340 | A | Immediate breast prosthesis | 6.32 | NA | 3.12 | 0.82 | NA | 10.26 | ZZZ | |
| 19342 | A | Delayed breast prosthesis | 11.18 | NA | 8.97 | 1.46 | NA | 21.61 | 090 | |
| 19350 | A | Breast reconstruction | 8.91 | 14.20 | 7.11 | 1.15 | 24.26 | 17.17 | 090 | |
| 19355 | A | Correct inverted nipple(s) | 7.56 | 12.80 | 5.00 | 0.96 | 21.32 | 13.52 | 090 | |
| 19357 | A | Breast reconstruction | 18.13 | NA | 13.85 | 2.36 | NA | 34.34 | 090 | |
| 19361 | A | Breast reconstruction | 19.23 | NA | 11.78 | 2.51 | NA | 33.52 | 090 | |
| 19364 | A | Breast reconstruction | 40.94 | NA | 23.64 | 4.72 | NA | 69.30 | 090 | |
| 19366 | A | Breast reconstruction | 21.25 | NA | 11.23 | 2.74 | NA | 35.22 | 090 | |
| 19367 | A | Breast reconstruction | 25.69 | NA | 16.57 | 3.35 | NA | 45.61 | 090 | |
| 19368 | A | Breast reconstruction | 32.37 | NA | 20.26 | 4.23 | NA | 56.86 | 090 | |
| 19369 | A | Breast reconstruction | 29.78 | NA | 19.79 | 3.91 | NA | 53.48 | 090 | |
| 19370 | A | Surgery of breast capsule | 8.04 | NA | 6.95 | 1.04 | NA | 16.03 | 090 | |
| 19371 | A | Removal of breast capsule | 9.34 | NA | 7.87 | 1.22 | NA | 18.43 | 090 | |
| 19380 | A | Revise breast reconstruction | 9.13 | NA | 7.76 | 1.18 | NA | 18.07 | 090 | |
| 19396 | A | Design custom breast implant | 2.17 | 5.78 | 0.99 | 0.28 | 8.23 | 3.44 | 000 | |
| 19499 | C | Breast surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 20000 | A | Incision of abscess | 2.12 | 2.36 | 1.61 | 0.21 | 4.69 | 3.94 | 010 | |
| 20005 | A | Incision of deep abscess | 3.41 | 3.34 | 2.12 | 0.41 | 7.16 | 5.94 | 010 | |
| 20100 | A | Explore wound, neck | 10.06 | 5.79 | 4.38 | 1.19 | 17.04 | 15.63 | 010 | |
| 20101 | A | Explore wound, chest | 3.22 | 2.96 | 1.61 | 0.29 | 6.47 | 5.12 | 010 | |
| 20102 | A | Explore wound, abdomen | 3.93 | 3.51 | 1.80 | 0.42 | 7.86 | 6.15 | 010 | |
| 20103 | A | Explore wound, extremity | 5.29 | 4.14 | 3.23 | 0.69 | 10.12 | 9.21 | 010 | |
| 20150 | A | Excise epiphyseal bar | 13.67 | NA | 7.21 | 1.16 | NA | 22.04 | 090 | |
| 20200 | A | Muscle biopsy | 1.46 | 3.19 | 0.78 | 0.21 | 4.86 | 2.45 | 000 | |
| 20205 | A | Deep muscle biopsy | 2.35 | 4.14 | 1.21 | 0.28 | 6.77 | 3.84 | 000 | |
| 20206 | A | Needle biopsy, muscle | 0.99 | 3.17 | 0.35 | 0.07 | 4.23 | 1.41 | 000 | |
| 20220 | A | Bone biopsy, trocar/needle | 1.27 | 4.73 | 2.69 | 0.07 | 6.07 | 4.03 | 000 | |
| 20225 | A | Bone biopsy, trocar/needle | 1.87 | 4.92 | 2.96 | 0.13 | 6.92 | 4.96 | 000 | |
| 20240 | A | Bone biopsy, excisional | 3.23 | NA | 2.60 | 0.40 | NA | 6.23 | 010 | |
| 20245 | A | Bone biopsy, excisional | 7.77 | NA | 6.36 | 0.53 | NA | 14.66 | 010 | |
| 20250 | A | Open bone biopsy | 5.02 | NA | 4.54 | 0.60 | NA | 10.16 | 010 | |
| 20251 | A | Open bone biopsy | 5.55 | NA | 5.17 | 0.95 | NA | 11.67 | 010 | |
| 20500 | A | Injection of sinus tract | 1.23 | 5.88 | 3.89 | 0.12 | 7.23 | 5.24 | 010 | |
| 20501 | A | Inject sinus tract for x-ray | 0.76 | 3.03 | 0.25 | 0.04 | 3.83 | 1.05 | 000 | |
| 20520 | A | Removal of foreign body | 1.85 | 2.25 | 1.81 | 0.21 | 4.31 | 3.87 | 010 | |
| 20525 | A | Removal of foreign body | 3.49 | 3.43 | 2.66 | 0.48 | 7.40 | 6.63 | 010 | |
| 20526 | A | Ther injection, carp tunnel | 0.94 | 0.97 | 0.51 | 0.07 | 1.98 | 1.52 | 000 | |
| 20550 | A | Inj tendon sheath/ligament | 0.75 | 0.71 | 0.24 | 0.07 | 1.53 | 1.06 | 000 | |
| 20551 | A | Inj tendon origin/insertion | 0.75 | 0.68 | 0.34 | 0.07 | 1.50 | 1.16 | 000 | |
| 20552 | A | Inj trigger point, 1/2 muscl | 0.66 | 0.73 | 0.21 | 0.07 | 1.46 | 0.94 | 000 | |
| 20553 | A | Inject trigger points, =/ 3 | 0.75 | 0.84 | 0.23 | 0.07 | 1.66 | 1.05 | 000 | |
| 20600 | A | Drain/inject, joint/bursa | 0.66 | 0.64 | 0.36 | 0.07 | 1.37 | 1.09 | 000 | |
| 20605 | A | Drain/inject, joint/bursa | 0.68 | 0.75 | 0.37 | 0.07 | 1.50 | 1.12 | 000 | |
| 20610 | A | Drain/inject, joint/bursa | 0.79 | 0.94 | 0.41 | 0.10 | 1.83 | 1.30 | 000 | |
| 20612 | A | Aspirate/inj ganglion cyst | 0.70 | 0.71 | 0.34 | 0.07 | 1.48 | 1.11 | 000 | |
| 20615 | A | Treatment of bone cyst | 2.28 | 2.54 | 1.83 | 0.23 | 5.05 | 4.34 | 010 | |
| 20650 | A | Insert and remove bone pin | 2.23 | 2.42 | 1.94 | 0.34 | 4.99 | 4.51 | 010 | |
| 20660 | A | Apply, rem fixation device | 2.51 | 3.07 | 1.70 | 0.58 | 6.16 | 4.79 | 000 | |
| 20661 | A | Application of head brace | 4.88 | NA | 4.95 | 1.11 | NA | 10.94 | 090 | |
| 20662 | A | Application of pelvis brace | 6.06 | NA | 5.43 | 0.98 | NA | 12.47 | 090 | |
| 20663 | A | Application of thigh brace | 5.42 | NA | 4.76 | 0.93 | NA | 11.11 | 090 | |
| 20664 | A | Halo brace application | 8.05 | NA | 7.03 | 1.80 | NA | 16.88 | 090 | |
| 20665 | A | Removal of fixation device | 1.31 | 2.05 | 1.30 | 0.21 | 3.57 | 2.82 | 010 | |
| 20670 | A | Removal of support implant | 1.74 | 6.69 | 3.93 | 0.28 | 8.71 | 5.95 | 010 | |
| 20680 | A | Removal of support implant | 3.34 | 3.22 | 3.22 | 0.55 | 7.11 | 7.11 | 090 | |
| 20690 | A | Apply bone fixation device | 3.51 | NA | 2.47 | 0.57 | NA | 6.55 | 090 | |
| 20692 | A | Apply bone fixation device | 6.40 | NA | 3.73 | 0.72 | NA | 10.85 | 090 | |
| 20693 | A | Adjust bone fixation device | 5.85 | NA | 5.54 | 1.03 | NA | 12.42 | 090 | |
| 20694 | A | Remove bone fixation device | 4.15 | 6.86 | 4.49 | 0.69 | 11.70 | 9.33 | 090 | |
| 20802 | A | Replantation, arm, complete | 41.09 | NA | 21.40 | 7.01 | NA | 69.50 | 090 | |
| 20805 | A | Replant forearm, complete | 49.93 | NA | 35.06 | 4.76 | NA | 89.75 | 090 | |
| 20808 | A | Replantation hand, complete | 61.56 | NA | 43.43 | 7.83 | NA | 112.82 | 090 | |
| 20816 | A | Replantation digit, complete | 30.89 | NA | 39.17 | 3.63 | NA | 73.69 | 090 | |
| 20822 | A | Replantation digit, complete | 25.55 | NA | 35.90 | 3.70 | NA | 65.15 | 090 | |
| 20824 | A | Replantation thumb, complete | 30.89 | NA | 38.12 | 4.20 | NA | 73.21 | 090 | |
| 20827 | A | Replantation thumb, complete | 26.37 | NA | 37.95 | 3.87 | NA | 68.19 | 090 | |
| 20838 | A | Replantation foot, complete | 41.35 | NA | 22.70 | 7.06 | NA | 71.11 | 090 | |
| 20900 | A | Removal of bone for graft | 5.57 | 7.31 | 5.79 | 0.93 | 13.81 | 12.29 | 090 | |
| 20902 | A | Removal of bone for graft | 7.54 | NA | 6.86 | 1.28 | NA | 15.68 | 090 | |
| 20910 | A | Remove cartilage for graft | 5.33 | 7.11 | 5.44 | 0.60 | 13.04 | 11.37 | 090 | |
| 20912 | A | Remove cartilage for graft | 6.34 | NA | 6.09 | 0.66 | NA | 13.09 | 090 | |
| 20920 | A | Removal of fascia for graft | 5.30 | NA | 4.37 | 0.65 | NA | 10.32 | 090 | |
| 20922 | A | Removal of fascia for graft | 6.60 | 6.73 | 5.06 | 1.06 | 14.39 | 12.72 | 090 | |
| 20924 | A | Removal of tendon for graft | 6.47 | NA | 5.92 | 0.99 | NA | 13.38 | 090 | |
| 20926 | A | Removal of tissue for graft | 5.52 | NA | 4.93 | 0.88 | NA | 11.33 | 090 | |
| 20930 | B | Spinal bone allograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20931 | A | Spinal bone allograft | 1.81 | NA | 0.93 | 0.41 | NA | 3.15 | ZZZ | |
| 20936 | B | Spinal bone autograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20937 | A | Spinal bone autograft | 2.79 | NA | 1.46 | 0.52 | NA | 4.77 | ZZZ | |
| 20938 | A | Spinal bone autograft | 3.02 | NA | 1.56 | 0.63 | NA | 5.21 | ZZZ | |
| 20950 | A | Fluid pressure, muscle | 1.26 | 1.36 | 1.01 | 0.19 | 2.81 | 2.46 | 000 | |
| 20955 | A | Fibula bone graft, microvasc | 39.15 | NA | 25.01 | 5.25 | NA | 69.41 | 090 | |
| 20956 | A | Iliac bone graft, microvasc | 39.21 | NA | 24.86 | 6.96 | NA | 71.03 | 090 | |
| 20957 | A | Mt bone graft, microvasc | 40.59 | NA | 19.08 | 6.92 | NA | 66.59 | 090 | |
| 20962 | A | Other bone graft, microvasc | 39.21 | NA | 26.41 | 6.26 | NA | 71.88 | 090 | |
| 20969 | A | Bone/skin graft, microvasc | 43.85 | NA | 27.48 | 5.23 | NA | 76.56 | 090 | |
| 20970 | A | Bone/skin graft, iliac crest | 43.00 | NA | 25.84 | 5.60 | NA | 74.44 | 090 | |
| 20972 | A | Bone/skin graft, metatarsal | 42.93 | 21.79 | 20.14 | 7.32 | 72.04 | 70.39 | 090 | |
| 20973 | A | Bone/skin graft, great toe | 45.69 | NA | 25.29 | 5.61 | NA | 76.59 | 090 | |
| 20974 | A | Electrical bone stimulation | 0.62 | 0.62 | 0.55 | 0.11 | 1.35 | 1.28 | 000 | |
| 20975 | A | Electrical bone stimulation | 2.60 | NA | 1.73 | 0.51 | NA | 4.84 | 000 | |
| 20979 | A | Us bone stimulation | 0.62 | 0.77 | 0.34 | 0.05 | 1.44 | 1.01 | 000 | |
| 20982 | A | Ablate, bone tumor(s) perq | 7.27 | 105.35 | 2.99 | 0.69 | 113.31 | 10.95 | 000 | |
| 20999 | C | Musculoskeletal surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21010 | A | Incision of jaw joint | 10.12 | NA | 7.25 | 0.65 | NA | 18.02 | 090 | |
| 21015 | A | Resection of facial tumor | 5.28 | NA | 5.53 | 0.63 | NA | 11.44 | 090 | |
| 21025 | A | Excision of bone, lower jaw | 10.04 | 10.20 | 8.21 | 0.95 | 21.19 | 19.20 | 090 | |
| 21026 | A | Excision of facial bone(s) | 4.84 | 6.94 | 5.53 | 0.48 | 12.26 | 10.85 | 090 | |
| 21029 | A | Contour of face bone lesion | 7.70 | 8.60 | 6.27 | 0.89 | 17.19 | 14.86 | 090 | |
| 21030 | A | Excise max/zygoma b9 tumor | 4.49 | 6.84 | 4.31 | 0.72 | 12.05 | 9.52 | 090 | |
| 21031 | A | Remove exostosis, mandible | 3.24 | 4.58 | 3.14 | 0.34 | 8.16 | 6.72 | 090 | |
| 21032 | A | Remove exostosis, maxilla | 3.24 | 4.63 | 3.25 | 0.33 | 8.20 | 6.82 | 090 | |
| 21034 | A | Excise max/zygoma mlg tumor | 16.15 | 13.56 | 11.32 | 1.65 | 31.36 | 29.12 | 090 | |
| 21040 | A | Excise mandible lesion | 4.49 | 6.87 | 4.14 | 0.23 | 11.59 | 8.86 | 090 | |
| 21044 | A | Removal of jaw bone lesion | 11.84 | NA | 8.68 | 1.05 | NA | 21.57 | 090 | |
| 21045 | A | Extensive jaw surgery | 16.15 | NA | 11.43 | 1.45 | NA | 29.03 | 090 | |
| 21046 | A | Remove mandible cyst complex | 12.98 | NA | 12.69 | 1.22 | NA | 26.89 | 090 | |
| 21047 | A | Excise lwr jaw cyst w/repair | 18.72 | NA | 13.44 | 1.85 | NA | 34.01 | 090 | |
| 21048 | A | Remove maxilla cyst complex | 13.48 | NA | 12.97 | 1.22 | NA | 27.67 | 090 | |
| 21049 | A | Excis uppr jaw cyst w/repair | 17.97 | NA | 13.03 | 1.22 | NA | 32.22 | 090 | |
| 21050 | A | Removal of jaw joint | 10.75 | NA | 10.26 | 1.01 | NA | 22.02 | 090 | |
| 21060 | A | Remove jaw joint cartilage | 10.21 | NA | 9.80 | 1.40 | NA | 21.41 | 090 | |
| 21070 | A | Remove coronoid process | 8.19 | NA | 7.03 | 0.81 | NA | 16.03 | 090 | |
| 21076 | A | Prepare face/oral prosthesis | 13.40 | 12.71 | 10.17 | 1.64 | 27.75 | 25.21 | 010 | |
| 21077 | A | Prepare face/oral prosthesis | 33.70 | 32.20 | 26.20 | 4.14 | 70.04 | 64.04 | 090 | |
| 21079 | A | Prepare face/oral prosthesis | 22.31 | 22.21 | 17.49 | 1.92 | 46.44 | 41.72 | 090 | |
| 21080 | A | Prepare face/oral prosthesis | 25.06 | 25.22 | 19.77 | 3.08 | 53.36 | 47.91 | 090 | |
| 21081 | A | Prepare face/oral prosthesis | 22.85 | 22.95 | 17.79 | 2.26 | 48.06 | 42.90 | 090 | |
| 21082 | A | Prepare face/oral prosthesis | 20.84 | 19.88 | 15.99 | 1.76 | 42.48 | 38.59 | 090 | |
| 21083 | A | Prepare face/oral prosthesis | 19.27 | 19.35 | 14.73 | 2.36 | 40.98 | 36.36 | 090 | |
| 21084 | A | Prepare face/oral prosthesis | 22.48 | 22.71 | 17.68 | 1.89 | 47.08 | 42.05 | 090 | |
| 21085 | A | Prepare face/oral prosthesis | 8.99 | 8.52 | 6.88 | 0.78 | 18.29 | 16.65 | 010 | |
| 21086 | A | Prepare face/oral prosthesis | 24.88 | 24.30 | 19.60 | 2.24 | 51.42 | 46.72 | 090 | |
| 21087 | A | Prepare face/oral prosthesis | 24.88 | 23.89 | 19.41 | 2.68 | 51.45 | 46.97 | 090 | |
| 21088 | C | Prepare face/oral prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21089 | C | Prepare face/oral prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21100 | A | Maxillofacial fixation | 4.21 | 5.62 | 4.62 | 0.22 | 10.05 | 9.05 | 090 | |
| 21110 | A | Interdental fixation | 5.20 | 7.02 | 5.66 | 0.34 | 12.56 | 11.20 | 090 | |
| 21116 | A | Injection, jaw joint x-ray | 0.81 | 7.32 | 0.34 | 0.06 | 8.19 | 1.21 | 000 | |
| 21120 | A | Reconstruction of chin | 4.92 | 8.83 | 5.30 | 0.35 | 14.10 | 10.57 | 090 | |
| 21121 | A | Reconstruction of chin | 7.63 | 10.43 | 6.65 | 0.68 | 18.74 | 14.96 | 090 | |
| 21122 | A | Reconstruction of chin | 8.51 | NA | 7.08 | 0.71 | NA | 16.30 | 090 | |
| 21123 | A | Reconstruction of chin | 11.14 | NA | 8.26 | 1.40 | NA | 20.80 | 090 | |
| 21125 | A | Augmentation, lower jaw bone | 10.60 | 11.82 | 8.28 | 0.87 | 23.29 | 19.75 | 090 | |
| 21127 | A | Augmentation, lower jaw bone | 11.10 | 14.52 | 9.11 | 0.92 | 26.54 | 21.13 | 090 | |
| 21137 | A | Reduction of forehead | 9.81 | NA | 7.44 | 0.64 | NA | 17.89 | 090 | |
| 21138 | A | Reduction of forehead | 12.17 | NA | 9.31 | 1.77 | NA | 23.25 | 090 | |
| 21139 | A | Reduction of forehead | 14.59 | NA | 9.78 | 1.23 | NA | 25.60 | 090 | |
| 21141 | A | Reconstruct midface, lefort | 18.07 | NA | 13.88 | 1.97 | NA | 33.92 | 090 | |
| 21142 | A | Reconstruct midface, lefort | 18.78 | NA | 13.08 | 1.40 | NA | 33.26 | 090 | |
| 21143 | A | Reconstruct midface, lefort | 19.55 | NA | 14.09 | 1.09 | NA | 34.73 | 090 | |
| 21145 | A | Reconstruct midface, lefort | 19.91 | NA | 14.15 | 2.52 | NA | 36.58 | 090 | |
| 21146 | A | Reconstruct midface, lefort | 20.68 | NA | 15.59 | 2.57 | NA | 38.84 | 090 | |
| 21147 | A | Reconstruct midface, lefort | 21.74 | NA | 15.29 | 1.83 | NA | 38.86 | 090 | |
| 21150 | A | Reconstruct midface, lefort | 25.20 | NA | 14.12 | 1.31 | NA | 40.63 | 090 | |
| 21151 | A | Reconstruct midface, lefort | 28.26 | NA | 17.92 | 2.39 | NA | 48.57 | 090 | |
| 21154 | A | Reconstruct midface, lefort | 30.47 | NA | 20.18 | 5.86 | NA | 56.51 | 090 | |
| 21155 | A | Reconstruct midface, lefort | 34.40 | NA | 22.30 | 6.61 | NA | 63.31 | 090 | |
| 21159 | A | Reconstruct midface, lefort | 42.32 | NA | 24.47 | 8.13 | NA | 74.92 | 090 | |
| 21160 | A | Reconstruct midface, lefort | 46.37 | NA | 24.41 | 5.29 | NA | 76.07 | 090 | |
| 21172 | A | Reconstruct orbit/forehead | 27.76 | NA | 14.07 | 2.30 | NA | 44.13 | 090 | |
| 21175 | A | Reconstruct orbit/forehead | 33.12 | NA | 18.31 | 6.22 | NA | 57.65 | 090 | |
| 21179 | A | Reconstruct entire forehead | 22.22 | NA | 14.86 | 2.99 | NA | 40.07 | 090 | |
| 21180 | A | Reconstruct entire forehead | 25.15 | NA | 16.07 | 2.59 | NA | 43.81 | 090 | |
| 21181 | A | Contour cranial bone lesion | 9.89 | NA | 7.81 | 1.17 | NA | 18.87 | 090 | |
| 21182 | A | Reconstruct cranial bone | 32.14 | NA | 19.66 | 3.05 | NA | 54.85 | 090 | |
| 21183 | A | Reconstruct cranial bone | 35.26 | NA | 21.36 | 3.32 | NA | 59.94 | 090 | |
| 21184 | A | Reconstruct cranial bone | 38.18 | NA | 22.55 | 4.97 | NA | 65.70 | 090 | |
| 21188 | A | Reconstruction of midface | 22.43 | NA | 15.18 | 2.23 | NA | 39.84 | 090 | |
| 21193 | A | Reconst lwr jaw w/o graft | 17.12 | NA | 12.97 | 1.85 | NA | 31.94 | 090 | |
| 21194 | A | Reconst lwr jaw w/graft | 19.81 | NA | 14.06 | 1.68 | NA | 35.55 | 090 | |
| 21195 | A | Reconst lwr jaw w/o fixation | 17.21 | NA | 13.26 | 1.45 | NA | 31.92 | 090 | |
| 21196 | A | Reconst lwr jaw w/fixation | 18.88 | NA | 13.88 | 1.95 | NA | 34.71 | 090 | |
| 21198 | A | Reconstr lwr jaw segment | 14.14 | NA | 10.90 | 1.27 | NA | 26.31 | 090 | |
| 21199 | A | Reconstr lwr jaw w/advance | 15.98 | NA | 9.19 | 1.52 | NA | 26.69 | 090 | |
| 21206 | A | Reconstruct upper jaw bone | 14.08 | NA | 10.81 | 1.22 | NA | 26.11 | 090 | |
| 21208 | A | Augmentation of facial bones | 10.21 | 14.49 | 9.28 | 1.11 | 25.81 | 20.60 | 090 | |
| 21209 | A | Reduction of facial bones | 6.71 | 11.89 | 7.23 | 0.72 | 19.32 | 14.66 | 090 | |
| 21210 | A | Face bone graft | 10.21 | 13.69 | 9.41 | 1.06 | 24.96 | 20.68 | 090 | |
| 21215 | A | Lower jaw bone graft | 10.75 | 13.48 | 9.61 | 1.25 | 25.48 | 21.61 | 090 | |
| 21230 | A | Rib cartilage graft | 10.75 | NA | 8.57 | 1.16 | NA | 20.48 | 090 | |
| 21235 | A | Ear cartilage graft | 6.71 | 11.37 | 7.10 | 0.63 | 18.71 | 14.44 | 090 | |
| 21240 | A | Reconstruction of jaw joint | 14.03 | NA | 12.70 | 1.39 | NA | 28.12 | 090 | |
| 21242 | A | Reconstruction of jaw joint | 12.93 | NA | 12.21 | 1.69 | NA | 26.83 | 090 | |
| 21243 | A | Reconstruction of jaw joint | 20.76 | NA | 17.87 | 2.23 | NA | 40.86 | 090 | |
| 21244 | A | Reconstruction of lower jaw | 11.84 | NA | 10.06 | 1.15 | NA | 23.05 | 090 | |
| 21245 | A | Reconstruction of jaw | 11.84 | 16.10 | 9.73 | 1.06 | 29.00 | 22.63 | 090 | |
| 21246 | A | Reconstruction of jaw | 12.45 | 14.55 | 9.85 | 1.46 | 28.46 | 23.76 | 090 | |
| 21247 | A | Reconstruct lower jaw bone | 22.60 | NA | 17.93 | 2.67 | NA | 43.20 | 090 | |
| 21248 | A | Reconstruction of jaw | 11.46 | 13.02 | 9.31 | 1.22 | 25.70 | 21.99 | 090 | |
| 21249 | A | Reconstruction of jaw | 17.49 | 16.58 | 12.66 | 1.68 | 35.75 | 31.83 | 090 | |
| 21255 | A | Reconstruct lower jaw bone | 16.69 | NA | 12.78 | 1.36 | NA | 30.83 | 090 | |
| 21256 | A | Reconstruction of orbit | 16.17 | NA | 12.17 | 1.25 | NA | 29.59 | 090 | |
| 21260 | A | Revise eye sockets | 16.50 | NA | 8.96 | 1.51 | NA | 26.97 | 090 | |
| 21261 | A | Revise eye sockets | 31.44 | NA | 19.21 | 2.65 | NA | 53.30 | 090 | |
| 21263 | A | Revise eye sockets | 28.38 | NA | 12.86 | 2.61 | NA | 43.85 | 090 | |
| 21267 | A | Revise eye sockets | 18.87 | NA | 13.22 | 1.63 | NA | 33.72 | 090 | |
| 21268 | A | Revise eye sockets | 24.44 | NA | 15.32 | 0.95 | NA | 40.71 | 090 | |
| 21270 | A | Augmentation, cheek bone | 10.21 | 11.90 | 8.10 | 0.88 | 22.99 | 19.19 | 090 | |
| 21275 | A | Revision, orbitofacial bones | 11.22 | NA | 8.74 | 1.24 | NA | 21.20 | 090 | |
| 21280 | A | Revision of eyelid | 6.02 | NA | 6.07 | 0.33 | NA | 12.42 | 090 | |
| 21282 | A | Revision of eyelid | 3.48 | NA | 4.68 | 0.25 | NA | 8.41 | 090 | |
| 21295 | A | Revision of jaw muscle/bone | 1.53 | NA | 2.82 | 0.16 | NA | 4.51 | 090 | |
| 21296 | A | Revision of jaw muscle/bone | 4.24 | NA | 4.43 | 0.36 | NA | 9.03 | 090 | |
| 21299 | C | Cranio/maxillofacial surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21300 | A | Treatment of skull fracture | 0.72 | 2.38 | 0.26 | 0.11 | 3.21 | 1.09 | 000 | |
| 21310 | A | Treatment of nose fracture | 0.58 | 2.34 | 0.15 | 0.06 | 2.98 | 0.79 | 000 | |
| 21315 | A | Treatment of nose fracture | 1.51 | 3.03 | 1.27 | 0.14 | 4.68 | 2.92 | 010 | |
| 21320 | A | Treatment of nose fracture | 1.85 | 4.25 | 1.84 | 0.18 | 6.28 | 3.87 | 010 | |
| 21325 | A | Treatment of nose fracture | 3.76 | NA | 3.75 | 0.37 | NA | 7.88 | 090 | |
| 21330 | A | Treatment of nose fracture | 5.37 | NA | 5.28 | 0.58 | NA | 11.23 | 090 | |
| 21335 | A | Treatment of nose fracture | 8.60 | NA | 6.81 | 0.77 | NA | 16.18 | 090 | |
| 21336 | A | Treat nasal septal fracture | 5.71 | NA | 6.07 | 0.54 | NA | 12.32 | 090 | |
| 21337 | A | Treat nasal septal fracture | 2.70 | 5.11 | 3.69 | 0.27 | 8.08 | 6.66 | 090 | |
| 21338 | A | Treat nasoethmoid fracture | 6.45 | NA | 5.99 | 0.64 | NA | 13.08 | 090 | |
| 21339 | A | Treat nasoethmoid fracture | 8.08 | NA | 6.75 | 0.92 | NA | 15.75 | 090 | |
| 21340 | A | Treatment of nose fracture | 10.75 | NA | 8.70 | 1.03 | NA | 20.48 | 090 | |
| 21343 | A | Treatment of sinus fracture | 12.93 | NA | 10.14 | 1.28 | NA | 24.35 | 090 | |
| 21344 | A | Treatment of sinus fracture | 19.69 | NA | 13.71 | 2.07 | NA | 35.47 | 090 | |
| 21345 | A | Treat nose/jaw fracture | 8.15 | 11.54 | 7.90 | 0.72 | 20.41 | 16.77 | 090 | |
| 21346 | A | Treat nose/jaw fracture | 10.59 | 13.18 | 9.03 | 1.03 | 24.80 | 20.65 | 090 | |
| 21347 | A | Treat nose/jaw fracture | 12.67 | NA | 9.77 | 1.37 | NA | 23.81 | 090 | |
| 21348 | A | Treat nose/jaw fracture | 16.66 | NA | 11.31 | 1.81 | NA | 29.78 | 090 | |
| 21355 | A | Treat cheek bone fracture | 3.76 | 4.70 | 2.37 | 0.35 | 8.81 | 6.48 | 010 | |
| 21356 | A | Treat cheek bone fracture | 4.14 | 11.67 | 3.22 | 0.43 | 16.24 | 7.79 | 010 | |
| 21360 | A | Treat cheek bone fracture | 6.45 | 13.89 | 6.19 | 0.63 | 20.97 | 13.27 | 090 | |
| 21365 | A | Treat cheek bone fracture | 14.93 | NA | 11.77 | 1.57 | NA | 28.27 | 090 | |
| 21366 | A | Treat cheek bone fracture | 17.74 | NA | 11.64 | 1.70 | NA | 31.08 | 090 | |
| 21385 | A | Treat eye socket fracture | 9.15 | NA | 7.07 | 0.77 | NA | 16.99 | 090 | |
| 21386 | A | Treat eye socket fracture | 9.15 | NA | 7.48 | 0.92 | NA | 17.55 | 090 | |
| 21387 | A | Treat eye socket fracture | 9.69 | NA | 7.54 | 0.94 | NA | 18.17 | 090 | |
| 21390 | A | Treat eye socket fracture | 10.11 | NA | 8.01 | 0.84 | NA | 18.96 | 090 | |
| 21395 | A | Treat eye socket fracture | 12.66 | NA | 9.32 | 1.31 | NA | 23.29 | 090 | |
| 21400 | A | Treat eye socket fracture | 1.40 | 3.72 | 2.10 | 0.14 | 5.26 | 3.64 | 090 | |
| 21401 | A | Treat eye socket fracture | 3.26 | 5.05 | 3.87 | 0.41 | 8.72 | 7.54 | 090 | |
| 21406 | A | Treat eye socket fracture | 7.00 | NA | 6.35 | 0.71 | NA | 14.06 | 090 | |
| 21407 | A | Treat eye socket fracture | 8.60 | NA | 7.14 | 0.81 | NA | 16.55 | 090 | |
| 21408 | A | Treat eye socket fracture | 12.36 | NA | 9.21 | 1.50 | NA | 23.07 | 090 | |
| 21421 | A | Treat mouth roof fracture | 5.13 | 9.92 | 6.16 | 0.51 | 15.56 | 11.80 | 090 | |
| 21422 | A | Treat mouth roof fracture | 8.31 | 11.28 | 7.10 | 0.83 | 20.42 | 16.24 | 090 | |
| 21423 | A | Treat mouth roof fracture | 10.38 | NA | 8.49 | 1.15 | NA | 20.02 | 090 | |
| 21431 | A | Treat craniofacial fracture | 7.04 | 10.66 | 6.84 | 0.70 | 18.40 | 14.58 | 090 | |
| 21432 | A | Treat craniofacial fracture | 8.60 | NA | 6.19 | 0.66 | NA | 15.45 | 090 | |
| 21433 | A | Treat craniofacial fracture | 25.31 | NA | 16.83 | 2.97 | NA | 45.11 | 090 | |
| 21435 | A | Treat craniofacial fracture | 17.22 | NA | 12.96 | 2.00 | NA | 32.18 | 090 | |
| 21436 | A | Treat craniofacial fracture | 28.00 | NA | 18.42 | 2.80 | NA | 49.22 | 090 | |
| 21440 | A | Treat dental ridge fracture | 2.70 | 8.05 | 4.11 | 0.27 | 11.02 | 7.08 | 090 | |
| 21445 | A | Treat dental ridge fracture | 5.37 | 10.45 | 6.28 | 0.66 | 16.48 | 12.31 | 090 | |
| 21450 | A | Treat lower jaw fracture | 2.97 | 10.65 | 3.76 | 0.28 | 13.90 | 7.01 | 090 | |
| 21451 | A | Treat lower jaw fracture | 4.86 | 8.77 | 5.76 | 0.47 | 14.10 | 11.09 | 090 | |
| 21452 | A | Treat lower jaw fracture | 1.98 | 7.85 | 3.56 | 0.17 | 10.00 | 5.71 | 090 | |
| 21453 | A | Treat lower jaw fracture | 5.53 | 10.50 | 6.83 | 0.59 | 16.62 | 12.95 | 090 | |
| 21454 | A | Treat lower jaw fracture | 6.45 | NA | 6.54 | 0.66 | NA | 13.65 | 090 | |
| 21461 | A | Treat lower jaw fracture | 8.08 | 12.52 | 8.30 | 0.88 | 21.48 | 17.26 | 090 | |
| 21462 | A | Treat lower jaw fracture | 9.78 | 14.06 | 9.02 | 0.96 | 24.80 | 19.76 | 090 | |
| 21465 | A | Treat lower jaw fracture | 11.89 | NA | 10.05 | 1.01 | NA | 22.95 | 090 | |
| 21470 | A | Treat lower jaw fracture | 15.32 | NA | 12.24 | 1.64 | NA | 29.20 | 090 | |
| 21480 | A | Reset dislocated jaw | 0.61 | 1.95 | 0.19 | 0.06 | 2.62 | 0.86 | 000 | |
| 21485 | A | Reset dislocated jaw | 3.98 | 5.94 | 4.80 | 0.37 | 10.29 | 9.15 | 090 | |
| 21490 | A | Repair dislocated jaw | 11.84 | NA | 9.90 | 1.58 | NA | 23.32 | 090 | |
| 21493 | A | Treat hyoid bone fracture | 1.27 | NA | 2.84 | 0.12 | NA | 4.23 | 090 | |
| 21494 | A | Treat hyoid bone fracture | 6.27 | NA | 5.70 | 0.53 | NA | 12.50 | 090 | |
| 21495 | A | Treat hyoid bone fracture | 5.68 | NA | 5.99 | 0.49 | NA | 12.16 | 090 | |
| 21497 | A | Interdental wiring | 3.85 | 6.54 | 5.01 | 0.37 | 10.76 | 9.23 | 090 | |
| 21499 | C | Head surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21501 | A | Drain neck/chest lesion | 3.80 | 4.70 | 3.95 | 0.43 | 8.93 | 8.18 | 090 | |
| 21502 | A | Drain chest lesion | 7.11 | NA | 5.70 | 0.95 | NA | 13.76 | 090 | |
| 21510 | A | Drainage of bone lesion | 5.73 | NA | 5.72 | 0.81 | NA | 12.26 | 090 | |
| 21550 | A | Biopsy of neck/chest | 2.06 | 3.64 | 1.74 | 0.16 | 5.86 | 3.96 | 010 | |
| 21555 | A | Remove lesion, neck/chest | 4.34 | 5.06 | 3.17 | 0.49 | 9.89 | 8.00 | 090 | |
| 21556 | A | Remove lesion, neck/chest | 5.56 | NA | 4.11 | 0.62 | NA | 10.29 | 090 | |
| 21557 | A | Remove tumor, neck/chest | 8.87 | NA | 5.44 | 1.03 | NA | 15.34 | 090 | |
| 21600 | A | Partial removal of rib | 6.88 | NA | 5.80 | 0.98 | NA | 13.66 | 090 | |
| 21610 | A | Partial removal of rib | 14.59 | NA | 9.04 | 2.23 | NA | 25.86 | 090 | |
| 21615 | A | Removal of rib | 9.86 | NA | 6.73 | 1.45 | NA | 18.04 | 090 | |
| 21616 | A | Removal of rib and nerves | 12.02 | NA | 8.05 | 1.58 | NA | 21.65 | 090 | |
| 21620 | A | Partial removal of sternum | 6.78 | NA | 6.07 | 0.93 | NA | 13.78 | 090 | |
| 21627 | A | Sternal debridement | 6.80 | NA | 6.46 | 0.99 | NA | 14.25 | 090 | |
| 21630 | A | Extensive sternum surgery | 17.35 | NA | 11.99 | 2.35 | NA | 31.69 | 090 | |
| 21632 | A | Extensive sternum surgery | 18.11 | NA | 11.18 | 2.61 | NA | 31.90 | 090 | |
| 21685 | A | Hyoid myotomy suspension | 12.98 | NA | 10.09 | 1.52 | NA | 24.59 | 090 | |
| 21700 | A | Revision of neck muscle | 6.18 | 6.08 | 4.86 | 0.37 | 12.63 | 11.41 | 090 | |
| 21705 | A | Revision of neck muscle/rib | 9.59 | NA | 5.63 | 1.11 | NA | 16.33 | 090 | |
| 21720 | A | Revision of neck muscle | 5.67 | 5.47 | 4.64 | 0.96 | 12.10 | 11.27 | 090 | |
| 21725 | A | Revision of neck muscle | 6.98 | NA | 5.52 | 1.09 | NA | 13.59 | 090 | |
| 21740 | A | Reconstruction of sternum | 16.48 | NA | 8.60 | 2.45 | NA | 27.53 | 090 | |
| 21742 | C | Repair stern/nuss w/o scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21743 | C | Repair sternum/nuss w/scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21750 | A | Repair of sternum separation | 10.75 | NA | 6.14 | 1.63 | NA | 18.52 | 090 | |
| 21800 | A | Treatment of rib fracture | 0.96 | 2.10 | 1.40 | 0.11 | 3.17 | 2.47 | 090 | |
| 21805 | A | Treatment of rib fracture | 2.75 | NA | 3.35 | 0.35 | NA | 6.45 | 090 | |
| 21810 | A | Treatment of rib fracture(s) | 6.85 | NA | 5.03 | 0.72 | NA | 12.60 | 090 | |
| 21820 | A | Treat sternum fracture | 1.28 | 2.63 | 1.83 | 0.18 | 4.09 | 3.29 | 090 | |
| 21825 | A | Treat sternum fracture | 7.40 | NA | 6.69 | 1.01 | NA | 15.10 | 090 | |
| 21899 | C | Neck/chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21920 | A | Biopsy soft tissue of back | 2.06 | 3.28 | 1.49 | 0.14 | 5.48 | 3.69 | 010 | |
| 21925 | A | Biopsy soft tissue of back | 4.48 | 6.63 | 3.35 | 0.53 | 11.64 | 8.36 | 090 | |
| 21930 | A | Remove lesion, back or flank | 4.99 | 5.48 | 3.46 | 0.59 | 11.06 | 9.04 | 090 | |
| 21935 | A | Remove tumor, back | 17.93 | NA | 10.20 | 2.26 | NA | 30.39 | 090 | |
| 22100 | A | Remove part of neck vertebra | 9.72 | NA | 7.63 | 1.87 | NA | 19.22 | 090 | |
| 22101 | A | Remove part, thorax vertebra | 9.80 | NA | 7.87 | 1.82 | NA | 19.49 | 090 | |
| 22102 | A | Remove part, lumbar vertebra | 9.80 | NA | 8.08 | 1.76 | NA | 19.64 | 090 | |
| 22103 | A | Remove extra spine segment | 2.34 | NA | 1.21 | 0.45 | NA | 4.00 | ZZZ | |
| 22110 | A | Remove part of neck vertebra | 12.72 | NA | 9.27 | 2.65 | NA | 24.64 | 090 | |
| 22112 | A | Remove part, thorax vertebra | 12.79 | NA | 9.33 | 2.36 | NA | 24.48 | 090 | |
| 22114 | A | Remove part, lumbar vertebra | 12.79 | NA | 9.31 | 2.39 | NA | 24.49 | 090 | |
| 22116 | A | Remove extra spine segment | 2.32 | NA | 1.17 | 0.48 | NA | 3.97 | ZZZ | |
| 22210 | A | Revision of neck spine | 23.78 | NA | 15.51 | 5.10 | NA | 44.39 | 090 | |
| 22212 | A | Revision of thorax spine | 19.39 | NA | 13.27 | 3.35 | NA | 36.01 | 090 | |
| 22214 | A | Revision of lumbar spine | 19.42 | NA | 13.78 | 3.35 | NA | 36.55 | 090 | |
| 22216 | A | Revise, extra spine segment | 6.03 | NA | 3.14 | 1.18 | NA | 10.35 | ZZZ | |
| 22220 | A | Revision of neck spine | 21.34 | NA | 13.79 | 4.40 | NA | 39.53 | 090 | |
| 22222 | A | Revision of thorax spine | 21.49 | NA | 11.61 | 3.71 | NA | 36.81 | 090 | |
| 22224 | A | Revision of lumbar spine | 21.49 | NA | 14.24 | 3.86 | NA | 39.59 | 090 | |
| 22226 | A | Revise, extra spine segment | 6.03 | NA | 3.11 | 1.22 | NA | 10.36 | ZZZ | |
| 22305 | A | Treat spine process fracture | 2.05 | 3.19 | 2.39 | 0.35 | 5.59 | 4.79 | 090 | |
| 22310 | A | Treat spine fracture | 2.61 | 4.88 | 4.11 | 0.45 | 7.94 | 7.17 | 090 | |
| 22315 | A | Treat spine fracture | 8.83 | 13.42 | 7.53 | 1.65 | 23.90 | 18.01 | 090 | |
| 22318 | A | Treat odontoid fx w/o graft | 21.47 | NA | 13.52 | 5.14 | NA | 40.13 | 090 | |
| 22319 | A | Treat odontoid fx w/graft | 23.96 | NA | 14.90 | 5.74 | NA | 44.60 | 090 | |
| 22325 | A | Treat spine fracture | 18.27 | NA | 12.15 | 3.15 | NA | 33.57 | 090 | |
| 22326 | A | Treat neck spine fracture | 19.56 | NA | 12.83 | 4.27 | NA | 36.66 | 090 | |
| 22327 | A | Treat thorax spine fracture | 19.17 | NA | 12.44 | 3.32 | NA | 34.93 | 090 | |
| 22328 | A | Treat each add spine fx | 4.60 | NA | 2.28 | 0.80 | NA | 7.68 | ZZZ | |
| 22505 | A | Manipulation of spine | 1.87 | NA | 0.94 | 0.33 | NA | 3.14 | 010 | |
| 22520 | A | Percut vertebroplasty thor | 8.90 | 101.62 | 4.34 | 1.19 | 111.71 | 14.43 | 010 | |
| 22521 | A | Percut vertebroplasty lumb | 8.33 | 89.47 | 4.18 | 1.12 | 98.92 | 13.63 | 010 | |
| 22522 | A | Percut vertebroplasty add'l | 4.30 | NA | 1.69 | 0.40 | NA | 6.39 | ZZZ | |
| 22532 | A | Lat thorax spine fusion | 23.96 | NA | 14.82 | 4.56 | NA | 43.34 | 090 | |
| 22533 | A | Lat lumbar spine fusion | 23.09 | NA | 13.48 | 3.84 | NA | 40.41 | 090 | |
| 22534 | A | Lat thor/lumb, add'l seg | 5.99 | NA | 3.04 | 1.18 | NA | 10.21 | ZZZ | |
| 22548 | A | Neck spine fusion | 25.78 | NA | 15.83 | 6.01 | NA | 47.62 | 090 | |
| 22554 | A | Neck spine fusion | 18.59 | NA | 12.32 | 4.23 | NA | 35.14 | 090 | |
| 22556 | A | Thorax spine fusion | 23.42 | NA | 14.68 | 4.56 | NA | 42.66 | 090 | |
| 22558 | A | Lumbar spine fusion | 22.25 | NA | 13.24 | 3.84 | NA | 39.33 | 090 | |
| 22585 | A | Additional spinal fusion | 5.52 | NA | 2.80 | 1.18 | NA | 9.50 | ZZZ | |
| 22590 | A | Spine skull spinal fusion | 20.48 | NA | 13.29 | 4.60 | NA | 38.37 | 090 | |
| 22595 | A | Neck spinal fusion | 19.36 | NA | 12.80 | 4.37 | NA | 36.53 | 090 | |
| 22600 | A | Neck spine fusion | 16.12 | NA | 11.14 | 3.49 | NA | 30.75 | 090 | |
| 22610 | A | Thorax spine fusion | 16.00 | NA | 11.32 | 3.21 | NA | 30.53 | 090 | |
| 22612 | A | Lumbar spine fusion | 20.97 | NA | 14.09 | 3.96 | NA | 39.02 | 090 | |
| 22614 | A | Spine fusion, extra segment | 6.43 | NA | 3.36 | 1.25 | NA | 11.04 | ZZZ | |
| 22630 | A | Lumbar spine fusion | 20.81 | NA | 13.55 | 4.57 | NA | 38.93 | 090 | |
| 22632 | A | Spine fusion, extra segment | 5.22 | NA | 2.67 | 1.09 | NA | 8.98 | ZZZ | |
| 22800 | A | Fusion of spine | 18.22 | NA | 12.64 | 3.27 | NA | 34.13 | 090 | |
| 22802 | A | Fusion of spine | 30.83 | NA | 19.48 | 5.33 | NA | 55.64 | 090 | |
| 22804 | A | Fusion of spine | 36.22 | NA | 22.58 | 6.31 | NA | 65.11 | 090 | |
| 22808 | A | Fusion of spine | 26.23 | NA | 16.25 | 5.26 | NA | 47.74 | 090 | |
| 22810 | A | Fusion of spine | 30.22 | NA | 18.29 | 5.42 | NA | 53.93 | 090 | |
| 22812 | A | Fusion of spine | 32.65 | NA | 19.95 | 5.63 | NA | 58.23 | 090 | |
| 22818 | A | Kyphectomy, 1-2 segments | 31.78 | NA | 18.86 | 6.04 | NA | 56.68 | 090 | |
| 22819 | A | Kyphectomy, 3 or more | 36.39 | NA | 20.03 | 6.27 | NA | 62.69 | 090 | |
| 22830 | A | Exploration of spinal fusion | 10.83 | NA | 7.89 | 2.09 | NA | 20.81 | 090 | |
| 22840 | A | Insert spine fixation device | 12.52 | NA | 6.51 | 2.45 | NA | 21.48 | ZZZ | |
| 22841 | B | Insert spine fixation device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 22842 | A | Insert spine fixation device | 12.56 | NA | 6.53 | 2.46 | NA | 21.55 | ZZZ | |
| 22843 | A | Insert spine fixation device | 13.44 | NA | 6.63 | 2.53 | NA | 22.60 | ZZZ | |
| 22844 | A | Insert spine fixation device | 16.42 | NA | 8.78 | 2.92 | NA | 28.12 | ZZZ | |
| 22845 | A | Insert spine fixation device | 11.94 | NA | 6.11 | 2.68 | NA | 20.73 | ZZZ | |
| 22846 | A | Insert spine fixation device | 12.40 | NA | 6.36 | 2.73 | NA | 21.49 | ZZZ | |
| 22847 | A | Insert spine fixation device | 13.78 | NA | 7.06 | 2.85 | NA | 23.69 | ZZZ | |
| 22848 | A | Insert pelv fixation device | 5.99 | NA | 3.20 | 1.06 | NA | 10.25 | ZZZ | |
| 22849 | A | Reinsert spinal fixation | 18.48 | NA | 11.76 | 3.46 | NA | 33.70 | 090 | |
| 22850 | A | Remove spine fixation device | 9.51 | NA | 7.00 | 1.82 | NA | 18.33 | 090 | |
| 22851 | A | Apply spine prosth device | 6.70 | NA | 3.37 | 1.34 | NA | 11.41 | ZZZ | |
| 22852 | A | Remove spine fixation device | 9.00 | NA | 6.79 | 1.69 | NA | 17.48 | 090 | |
| 22855 | A | Remove spine fixation device | 15.11 | NA | 9.72 | 3.30 | NA | 28.13 | 090 | |
| 22899 | C | Spine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 22900 | A | Remove abdominal wall lesion | 5.79 | NA | 3.28 | 0.70 | NA | 9.77 | 090 | |
| 22999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23000 | A | Removal of calcium deposits | 4.35 | 5.18 | 4.16 | 0.60 | 10.13 | 9.11 | 090 | |
| 23020 | A | Release shoulder joint | 8.92 | NA | 7.58 | 1.48 | NA | 17.98 | 090 | |
| 23030 | A | Drain shoulder lesion | 3.42 | 3.01 | 2.93 | 0.51 | 6.94 | 6.86 | 010 | |
| 23031 | A | Drain shoulder bursa | 2.74 | 2.69 | 2.69 | 0.40 | 5.83 | 5.83 | 010 | |
| 23035 | A | Drain shoulder bone lesion | 8.60 | NA | 8.51 | 1.44 | NA | 18.55 | 090 | |
| 23040 | A | Exploratory shoulder surgery | 9.19 | NA | 7.85 | 1.54 | NA | 18.58 | 090 | |
| 23044 | A | Exploratory shoulder surgery | 7.11 | NA | 6.50 | 1.17 | NA | 14.78 | 090 | |
| 23065 | A | Biopsy shoulder tissues | 2.27 | 2.81 | 1.54 | 0.17 | 5.25 | 3.98 | 010 | |
| 23066 | A | Biopsy shoulder tissues | 4.15 | 5.10 | 4.07 | 0.60 | 9.85 | 8.82 | 090 | |
| 23075 | A | Removal of shoulder lesion | 2.39 | 2.24 | 1.82 | 0.30 | 4.93 | 4.51 | 010 | |
| 23076 | A | Removal of shoulder lesion | 7.62 | NA | 5.78 | 1.05 | NA | 14.45 | 090 | |
| 23077 | A | Remove tumor of shoulder | 16.07 | NA | 10.76 | 2.18 | NA | 29.01 | 090 | |
| 23100 | A | Biopsy of shoulder joint | 6.02 | NA | 5.69 | 0.98 | NA | 12.69 | 090 | |
| 23101 | A | Shoulder joint surgery | 5.57 | NA | 5.39 | 0.93 | NA | 11.89 | 090 | |
| 23105 | A | Remove shoulder joint lining | 8.22 | NA | 7.17 | 1.36 | NA | 16.75 | 090 | |
| 23106 | A | Incision of collarbone joint | 5.95 | NA | 5.77 | 0.99 | NA | 12.71 | 090 | |
| 23107 | A | Explore treat shoulder joint | 8.61 | NA | 7.39 | 1.44 | NA | 17.44 | 090 | |
| 23120 | A | Partial removal, collar bone | 7.10 | NA | 6.48 | 1.19 | NA | 14.77 | 090 | |
| 23125 | A | Removal of collar bone | 9.38 | NA | 7.63 | 1.53 | NA | 18.54 | 090 | |
| 23130 | A | Remove shoulder bone, part | 7.54 | NA | 7.10 | 1.28 | NA | 15.92 | 090 | |
| 23140 | A | Removal of bone lesion | 6.88 | NA | 5.41 | 0.99 | NA | 13.28 | 090 | |
| 23145 | A | Removal of bone lesion | 9.08 | NA | 7.58 | 1.50 | NA | 18.16 | 090 | |
| 23146 | A | Removal of bone lesion | 7.82 | NA | 7.13 | 1.34 | NA | 16.29 | 090 | |
| 23150 | A | Removal of humerus lesion | 8.47 | NA | 6.97 | 1.37 | NA | 16.81 | 090 | |
| 23155 | A | Removal of humerus lesion | 10.33 | NA | 8.46 | 1.45 | NA | 20.24 | 090 | |
| 23156 | A | Removal of humerus lesion | 8.67 | NA | 7.38 | 1.42 | NA | 17.47 | 090 | |
| 23170 | A | Remove collar bone lesion | 6.85 | NA | 6.36 | 1.01 | NA | 14.22 | 090 | |
| 23172 | A | Remove shoulder blade lesion | 6.89 | NA | 6.41 | 1.15 | NA | 14.45 | 090 | |
| 23174 | A | Remove humerus lesion | 9.50 | NA | 8.37 | 1.57 | NA | 19.44 | 090 | |
| 23180 | A | Remove collar bone lesion | 8.52 | NA | 9.21 | 1.42 | NA | 19.15 | 090 | |
| 23182 | A | Remove shoulder blade lesion | 8.14 | NA | 8.89 | 1.30 | NA | 18.33 | 090 | |
| 23184 | A | Remove humerus lesion | 9.37 | NA | 9.54 | 1.50 | NA | 20.41 | 090 | |
| 23190 | A | Partial removal of scapula | 7.23 | NA | 6.23 | 1.17 | NA | 14.63 | 090 | |
| 23195 | A | Removal of head of humerus | 9.80 | NA | 7.76 | 1.66 | NA | 19.22 | 090 | |
| 23200 | A | Removal of collar bone | 12.06 | NA | 8.97 | 1.79 | NA | 22.82 | 090 | |
| 23210 | A | Removal of shoulder blade | 12.47 | NA | 9.30 | 1.94 | NA | 23.71 | 090 | |
| 23220 | A | Partial removal of humerus | 14.54 | NA | 10.87 | 2.45 | NA | 27.86 | 090 | |
| 23221 | A | Partial removal of humerus | 17.71 | NA | 11.84 | 3.03 | NA | 32.58 | 090 | |
| 23222 | A | Partial removal of humerus | 23.88 | NA | 15.85 | 4.06 | NA | 43.79 | 090 | |
| 23330 | A | Remove shoulder foreign body | 1.85 | 1.98 | 1.91 | 0.22 | 4.05 | 3.98 | 010 | |
| 23331 | A | Remove shoulder foreign body | 7.37 | NA | 6.79 | 1.23 | NA | 15.39 | 090 | |
| 23332 | A | Remove shoulder foreign body | 11.60 | NA | 9.31 | 1.95 | NA | 22.86 | 090 | |
| 23350 | A | Injection for shoulder x-ray | 1.00 | 3.85 | 0.33 | 0.06 | 4.91 | 1.39 | 000 | |
| 23395 | A | Muscle transfer,shoulder/arm | 16.82 | NA | 12.74 | 2.76 | NA | 32.32 | 090 | |
| 23397 | A | Muscle transfers | 16.11 | NA | 11.40 | 2.70 | NA | 30.21 | 090 | |
| 23400 | A | Fixation of shoulder blade | 13.52 | NA | 10.16 | 2.30 | NA | 25.98 | 090 | |
| 23405 | A | Incision of tendon muscle | 8.36 | NA | 7.01 | 1.35 | NA | 16.72 | 090 | |
| 23406 | A | Incise tendon(s) muscle(s) | 10.77 | NA | 8.41 | 1.79 | NA | 20.97 | 090 | |
| 23410 | A | Repair rotator cuff, acute | 12.43 | NA | 9.40 | 2.07 | NA | 23.90 | 090 | |
| 23412 | A | Repair rotator cuff, chronic | 13.29 | NA | 9.90 | 2.24 | NA | 25.43 | 090 | |
| 23415 | A | Release of shoulder ligament | 9.96 | NA | 7.97 | 1.68 | NA | 19.61 | 090 | |
| 23420 | A | Repair of shoulder | 13.28 | NA | 10.78 | 2.24 | NA | 26.30 | 090 | |
| 23430 | A | Repair biceps tendon | 9.97 | NA | 8.11 | 1.69 | NA | 19.77 | 090 | |
| 23440 | A | Remove/transplant tendon | 10.46 | NA | 8.29 | 1.77 | NA | 20.52 | 090 | |
| 23450 | A | Repair shoulder capsule | 13.38 | NA | 9.87 | 2.24 | NA | 25.49 | 090 | |
| 23455 | A | Repair shoulder capsule | 14.35 | NA | 10.45 | 2.42 | NA | 27.22 | 090 | |
| 23460 | A | Repair shoulder capsule | 15.35 | NA | 11.37 | 2.62 | NA | 29.34 | 090 | |
| 23462 | A | Repair shoulder capsule | 15.28 | NA | 10.78 | 2.61 | NA | 28.67 | 090 | |
| 23465 | A | Repair shoulder capsule | 15.83 | NA | 11.30 | 1.94 | NA | 29.07 | 090 | |
| 23466 | A | Repair shoulder capsule | 14.20 | NA | 11.27 | 2.41 | NA | 27.88 | 090 | |
| 23470 | A | Reconstruct shoulder joint | 17.12 | NA | 12.13 | 2.89 | NA | 32.14 | 090 | |
| 23472 | A | Reconstruct shoulder joint | 21.07 | NA | 14.27 | 2.86 | NA | 38.20 | 090 | |
| 23480 | A | Revision of collar bone | 11.16 | NA | 8.77 | 1.88 | NA | 21.81 | 090 | |
| 23485 | A | Revision of collar bone | 13.41 | NA | 9.91 | 2.22 | NA | 25.54 | 090 | |
| 23490 | A | Reinforce clavicle | 11.84 | NA | 8.81 | 1.34 | NA | 21.99 | 090 | |
| 23491 | A | Reinforce shoulder bones | 14.19 | NA | 10.70 | 2.41 | NA | 27.30 | 090 | |
| 23500 | A | Treat clavicle fracture | 2.08 | 3.66 | 2.57 | 0.31 | 6.05 | 4.96 | 090 | |
| 23505 | A | Treat clavicle fracture | 3.68 | 5.33 | 3.76 | 0.60 | 9.61 | 8.04 | 090 | |
| 23515 | A | Treat clavicle fracture | 7.40 | NA | 6.52 | 1.24 | NA | 15.16 | 090 | |
| 23520 | A | Treat clavicle dislocation | 2.16 | 3.65 | 2.71 | 0.31 | 6.12 | 5.18 | 090 | |
| 23525 | A | Treat clavicle dislocation | 3.59 | 5.27 | 3.88 | 0.53 | 9.39 | 8.00 | 090 | |
| 23530 | A | Treat clavicle dislocation | 7.30 | NA | 6.03 | 1.03 | NA | 14.36 | 090 | |
| 23532 | A | Treat clavicle dislocation | 8.00 | NA | 6.92 | 1.36 | NA | 16.28 | 090 | |
| 23540 | A | Treat clavicle dislocation | 2.23 | 4.26 | 2.46 | 0.29 | 6.78 | 4.98 | 090 | |
| 23545 | A | Treat clavicle dislocation | 3.25 | 4.50 | 3.38 | 0.47 | 8.22 | 7.10 | 090 | |
| 23550 | A | Treat clavicle dislocation | 7.23 | NA | 6.38 | 1.13 | NA | 14.74 | 090 | |
| 23552 | A | Treat clavicle dislocation | 8.44 | NA | 7.26 | 1.42 | NA | 17.12 | 090 | |
| 23570 | A | Treat shoulder blade fx | 2.23 | 3.67 | 2.87 | 0.35 | 6.25 | 5.45 | 090 | |
| 23575 | A | Treat shoulder blade fx | 4.05 | 5.76 | 4.24 | 0.64 | 10.45 | 8.93 | 090 | |
| 23585 | A | Treat scapula fracture | 8.95 | NA | 7.60 | 1.51 | NA | 18.06 | 090 | |
| 23600 | A | Treat humerus fracture | 2.93 | 5.73 | 3.82 | 0.47 | 9.13 | 7.22 | 090 | |
| 23605 | A | Treat humerus fracture | 4.86 | 6.59 | 4.96 | 0.81 | 12.26 | 10.63 | 090 | |
| 23615 | A | Treat humerus fracture | 9.34 | NA | 8.69 | 1.58 | NA | 19.61 | 090 | |
| 23616 | A | Treat humerus fracture | 21.24 | NA | 14.13 | 3.59 | NA | 38.96 | 090 | |
| 23620 | A | Treat humerus fracture | 2.40 | 5.20 | 3.23 | 0.39 | 7.99 | 6.02 | 090 | |
| 23625 | A | Treat humerus fracture | 3.92 | 6.33 | 4.56 | 0.64 | 10.89 | 9.12 | 090 | |
| 23630 | A | Treat humerus fracture | 7.34 | NA | 6.59 | 1.24 | NA | 15.17 | 090 | |
| 23650 | A | Treat shoulder dislocation | 3.38 | 4.69 | 2.88 | 0.37 | 8.44 | 6.63 | 090 | |
| 23655 | A | Treat shoulder dislocation | 4.56 | NA | 4.16 | 0.63 | NA | 9.35 | 090 | |
| 23660 | A | Treat shoulder dislocation | 7.48 | NA | 6.36 | 1.22 | NA | 15.06 | 090 | |
| 23665 | A | Treat islocation/fracture | 4.46 | 6.58 | 4.93 | 0.72 | 11.76 | 10.11 | 090 | |
| 23670 | A | Treat dislocation/fracture | 7.89 | NA | 6.82 | 1.33 | NA | 16.04 | 090 | |
| 23675 | A | Treat dislocation/fracture | 6.04 | 7.56 | 6.06 | 1.00 | 14.60 | 13.10 | 090 | |
| 23680 | A | Treat dislocation/fracture | 10.04 | NA | 8.09 | 1.68 | NA | 19.81 | 090 | |
| 23700 | A | Fixation of shoulder | 2.52 | NA | 2.30 | 0.42 | NA | 5.24 | 010 | |
| 23800 | A | Fusion of shoulder joint | 14.14 | NA | 10.46 | 2.38 | NA | 26.98 | 090 | |
| 23802 | A | Fusion of shoulder joint | 16.58 | NA | 10.23 | 2.82 | NA | 29.63 | 090 | |
| 23900 | A | Amputation of arm girdle | 19.69 | NA | 11.91 | 2.98 | NA | 34.58 | 090 | |
| 23920 | A | Amputation at shoulder joint | 14.59 | NA | 10.09 | 2.32 | NA | 27.00 | 090 | |
| 23921 | A | Amputation follow-up surgery | 5.48 | 5.16 | 5.16 | 0.94 | 11.58 | 11.58 | 090 | |
| 23929 | C | Shoulder surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23930 | A | Drainage of arm lesion | 2.94 | 2.71 | 2.35 | 0.39 | 6.04 | 5.68 | 010 | |
| 23931 | A | Drainage of arm bursa | 1.79 | 2.43 | 2.19 | 0.25 | 4.47 | 4.23 | 010 | |
| 23935 | A | Drain arm/elbow bone lesion | 6.08 | NA | 6.13 | 1.01 | NA | 13.22 | 090 | |
| 24000 | A | Exploratory elbow surgery | 5.81 | NA | 5.36 | 0.93 | NA | 12.10 | 090 | |
| 24006 | A | Release elbow joint | 9.30 | NA | 7.69 | 1.53 | NA | 18.52 | 090 | |
| 24065 | A | Biopsy arm/elbow soft tissue | 2.08 | 2.10 | 1.78 | 0.17 | 4.35 | 4.03 | 010 | |
| 24066 | A | Biopsy arm/elbow soft tissue | 5.20 | 5.76 | 4.27 | 0.74 | 11.70 | 10.21 | 090 | |
| 24075 | A | Remove arm/elbow lesion | 3.91 | 5.05 | 3.67 | 0.52 | 9.48 | 8.10 | 090 | |
| 24076 | A | Remove arm/elbow lesion | 6.29 | NA | 5.09 | 0.84 | NA | 12.22 | 090 | |
| 24077 | A | Remove tumor of arm/elbow | 11.74 | NA | 8.65 | 1.59 | NA | 21.98 | 090 | |
| 24100 | A | Biopsy elbow joint lining | 4.92 | NA | 4.49 | 0.75 | NA | 10.16 | 090 | |
| 24101 | A | Explore/treat elbow joint | 6.12 | NA | 5.86 | 1.01 | NA | 12.99 | 090 | |
| 24102 | A | Remove elbow joint lining | 8.02 | NA | 6.83 | 1.31 | NA | 16.16 | 090 | |
| 24105 | A | Removal of elbow bursa | 3.60 | NA | 4.35 | 0.59 | NA | 8.54 | 090 | |
| 24110 | A | Remove humerus lesion | 7.38 | NA | 6.71 | 1.19 | NA | 15.28 | 090 | |
| 24115 | A | Remove/graft bone lesion | 9.62 | NA | 7.35 | 1.39 | NA | 18.36 | 090 | |
| 24116 | A | Remove/graft bone lesion | 11.79 | NA | 9.11 | 2.00 | NA | 22.90 | 090 | |
| 24120 | A | Remove elbow lesion | 6.64 | NA | 5.88 | 1.05 | NA | 13.57 | 090 | |
| 24125 | A | Remove/graft bone lesion | 7.88 | NA | 6.18 | 1.06 | NA | 15.12 | 090 | |
| 24126 | A | Remove/graft bone lesion | 8.30 | NA | 6.97 | 1.09 | NA | 16.36 | 090 | |
| 24130 | A | Removal of head of radius | 6.24 | NA | 5.95 | 1.05 | NA | 13.24 | 090 | |
| 24134 | A | Removal of arm bone lesion | 9.72 | NA | 9.18 | 1.58 | NA | 20.48 | 090 | |
| 24136 | A | Remove radius bone lesion | 7.98 | NA | 7.41 | 1.03 | NA | 16.42 | 090 | |
| 24138 | A | Remove elbow bone lesion | 8.04 | NA | 7.67 | 1.35 | NA | 17.06 | 090 | |
| 24140 | A | Partial removal of arm bone | 9.17 | NA | 9.49 | 1.48 | NA | 20.14 | 090 | |
| 24145 | A | Partial removal of radius | 7.57 | NA | 8.15 | 1.22 | NA | 16.94 | 090 | |
| 24147 | A | Partial removal of elbow | 7.53 | NA | 8.64 | 1.25 | NA | 17.42 | 090 | |
| 24149 | A | Radical resection of elbow | 14.18 | NA | 11.41 | 2.29 | NA | 27.88 | 090 | |
| 24150 | A | Extensive humerus surgery | 13.25 | NA | 10.10 | 2.18 | NA | 25.53 | 090 | |
| 24151 | A | Extensive humerus surgery | 15.56 | NA | 11.67 | 2.64 | NA | 29.87 | 090 | |
| 24152 | A | Extensive radius surgery | 10.04 | NA | 7.85 | 1.44 | NA | 19.33 | 090 | |
| 24153 | A | Extensive radius surgery | 11.52 | NA | 5.83 | 0.77 | NA | 18.12 | 090 | |
| 24155 | A | Removal of elbow joint | 11.71 | NA | 8.41 | 1.71 | NA | 21.83 | 090 | |
| 24160 | A | Remove elbow joint implant | 7.82 | NA | 6.77 | 1.29 | NA | 15.88 | 090 | |
| 24164 | A | Remove radius head implant | 6.22 | NA | 5.66 | 1.01 | NA | 12.89 | 090 | |
| 24200 | A | Removal of arm foreign body | 1.76 | 1.97 | 1.67 | 0.18 | 3.91 | 3.61 | 010 | |
| 24201 | A | Removal of arm foreign body | 4.55 | 5.68 | 4.34 | 0.68 | 10.91 | 9.57 | 090 | |
| 24220 | A | Injection for elbow x-ray | 1.31 | 10.32 | 0.44 | 0.08 | 11.71 | 1.83 | 000 | |
| 24300 | A | Manipulate elbow w/anesth | 3.74 | NA | 5.48 | 0.59 | NA | 9.81 | 090 | |
| 24301 | A | Muscle/tendon transfer | 10.18 | NA | 8.18 | 1.57 | NA | 19.93 | 090 | |
| 24305 | A | Arm tendon lengthening | 7.44 | NA | 6.68 | 1.18 | NA | 15.30 | 090 | |
| 24310 | A | Revision of arm tendon | 5.97 | NA | 5.72 | 0.89 | NA | 12.58 | 090 | |
| 24320 | A | Repair of arm tendon | 10.54 | NA | 7.74 | 1.21 | NA | 19.49 | 090 | |
| 24330 | A | Revision of arm muscles | 9.59 | NA | 7.86 | 1.46 | NA | 18.91 | 090 | |
| 24331 | A | Revision of arm muscles | 10.63 | NA | 8.60 | 1.70 | NA | 20.93 | 090 | |
| 24332 | A | Tenolysis, triceps | 7.44 | NA | 6.58 | 0.93 | NA | 14.95 | 090 | |
| 24340 | A | Repair of biceps tendon | 7.88 | NA | 6.91 | 1.30 | NA | 16.09 | 090 | |
| 24341 | A | Repair arm tendon/muscle | 7.89 | NA | 7.75 | 1.30 | NA | 16.94 | 090 | |
| 24342 | A | Repair of ruptured tendon | 10.60 | NA | 8.46 | 1.79 | NA | 20.85 | 090 | |
| 24343 | A | Repr elbow lat ligmnt w/tiss | 8.64 | NA | 7.93 | 1.36 | NA | 17.93 | 090 | |
| 24344 | A | Reconstruct elbow lat ligmnt | 13.98 | NA | 11.31 | 2.21 | NA | 27.50 | 090 | |
| 24345 | A | Repr elbw med ligmnt w/tissu | 8.64 | NA | 7.83 | 1.36 | NA | 17.83 | 090 | |
| 24346 | A | Reconstruct elbow med ligmnt | 13.98 | NA | 11.17 | 2.21 | NA | 27.36 | 090 | |
| 24350 | A | Repair of tennis elbow | 5.24 | NA | 5.52 | 0.87 | NA | 11.63 | 090 | |
| 24351 | A | Repair of tennis elbow | 5.90 | NA | 5.86 | 0.99 | NA | 12.75 | 090 | |
| 24352 | A | Repair of tennis elbow | 6.42 | NA | 6.12 | 1.09 | NA | 13.63 | 090 | |
| 24354 | A | Repair of tennis elbow | 6.47 | NA | 6.08 | 1.06 | NA | 13.61 | 090 | |
| 24356 | A | Revision of tennis elbow | 6.67 | NA | 6.26 | 1.09 | NA | 14.02 | 090 | |
| 24360 | A | Reconstruct elbow joint | 12.32 | NA | 9.35 | 2.04 | NA | 23.71 | 090 | |
| 24361 | A | Reconstruct elbow joint | 14.06 | NA | 10.44 | 2.35 | NA | 26.85 | 090 | |
| 24362 | A | Reconstruct elbow joint | 14.97 | NA | 9.97 | 2.32 | NA | 27.26 | 090 | |
| 24363 | A | Replace elbow joint | 18.46 | NA | 13.53 | 3.04 | NA | 35.03 | 090 | |
| 24365 | A | Reconstruct head of radius | 8.38 | NA | 7.09 | 1.34 | NA | 16.81 | 090 | |
| 24366 | A | Reconstruct head of radius | 9.12 | NA | 7.43 | 1.54 | NA | 18.09 | 090 | |
| 24400 | A | Revision of humerus | 11.04 | NA | 8.91 | 1.85 | NA | 21.80 | 090 | |
| 24410 | A | Revision of humerus | 14.80 | NA | 10.43 | 2.28 | NA | 27.51 | 090 | |
| 24420 | A | Revision of humerus | 13.42 | NA | 10.66 | 2.20 | NA | 26.28 | 090 | |
| 24430 | A | Repair of humerus | 12.79 | NA | 9.75 | 2.17 | NA | 24.71 | 090 | |
| 24435 | A | Repair humerus with graft | 13.15 | NA | 10.83 | 2.22 | NA | 26.20 | 090 | |
| 24470 | A | Revision of elbow joint | 8.73 | NA | 7.62 | 1.48 | NA | 17.83 | 090 | |
| 24495 | A | Decompression of forearm | 8.11 | NA | 9.05 | 1.11 | NA | 18.27 | 090 | |
| 24498 | A | Reinforce humerus | 11.90 | NA | 9.28 | 2.01 | NA | 23.19 | 090 | |
| 24500 | A | Treat humerus fracture | 3.21 | 5.40 | 3.61 | 0.49 | 9.10 | 7.31 | 090 | |
| 24505 | A | Treat humerus fracture | 5.16 | 7.29 | 5.28 | 0.87 | 13.32 | 11.31 | 090 | |
| 24515 | A | Treat humerus fracture | 11.63 | NA | 9.34 | 1.97 | NA | 22.94 | 090 | |
| 24516 | A | Treat humerus fracture | 11.63 | NA | 9.11 | 1.97 | NA | 22.71 | 090 | |
| 24530 | A | Treat humerus fracture | 3.49 | 5.39 | 3.94 | 0.57 | 9.45 | 8.00 | 090 | |
| 24535 | A | Treat humerus fracture | 6.86 | 8.39 | 6.40 | 1.16 | 16.41 | 14.42 | 090 | |
| 24538 | A | Treat humerus fracture | 9.42 | NA | 8.69 | 1.51 | NA | 19.62 | 090 | |
| 24545 | A | Treat humerus fracture | 10.44 | NA | 8.42 | 1.77 | NA | 20.63 | 090 | |
| 24546 | A | Treat humerus fracture | 15.67 | NA | 11.31 | 2.63 | NA | 29.61 | 090 | |
| 24560 | A | Treat humerus fracture | 2.80 | 5.07 | 3.21 | 0.42 | 8.29 | 6.43 | 090 | |
| 24565 | A | Treat humerus fracture | 5.55 | 7.28 | 5.40 | 0.89 | 13.72 | 11.84 | 090 | |
| 24566 | A | Treat humerus fracture | 7.78 | NA | 8.11 | 1.33 | NA | 17.22 | 090 | |
| 24575 | A | Treat humerus fracture | 10.64 | NA | 8.30 | 1.74 | NA | 20.68 | 090 | |
| 24576 | A | Treat humerus fracture | 2.86 | 4.94 | 3.59 | 0.46 | 8.26 | 6.91 | 090 | |
| 24577 | A | Treat humerus fracture | 5.78 | 7.56 | 5.69 | 0.98 | 14.32 | 12.45 | 090 | |
| 24579 | A | Treat humerus fracture | 11.58 | NA | 8.83 | 1.95 | NA | 22.36 | 090 | |
| 24582 | A | Treat humerus fracture | 8.54 | NA | 9.01 | 1.45 | NA | 19.00 | 090 | |
| 24586 | A | Treat elbow fracture | 15.19 | NA | 11.11 | 2.56 | NA | 28.86 | 090 | |
| 24587 | A | Treat elbow fracture | 15.14 | NA | 10.91 | 2.58 | NA | 28.63 | 090 | |
| 24600 | A | Treat elbow dislocation | 4.22 | 5.57 | 3.52 | 0.59 | 10.38 | 8.33 | 090 | |
| 24605 | A | Treat elbow dislocation | 5.41 | NA | 5.25 | 0.87 | NA | 11.53 | 090 | |
| 24615 | A | Treat elbow dislocation | 9.41 | NA | 7.73 | 1.58 | NA | 18.72 | 090 | |
| 24620 | A | Treat elbow fracture | 6.97 | NA | 6.11 | 1.09 | NA | 14.17 | 090 | |
| 24635 | A | Treat elbow fracture | 13.17 | NA | 14.21 | 2.22 | NA | 29.60 | 090 | |
| 24640 | A | Treat elbow dislocation | 1.20 | 1.93 | 0.87 | 0.13 | 3.26 | 2.20 | 010 | |
| 24650 | A | Treat radius fracture | 2.16 | 4.55 | 2.73 | 0.34 | 7.05 | 5.23 | 090 | |
| 24655 | A | Treat radius fracture | 4.39 | 6.76 | 4.69 | 0.70 | 11.85 | 9.78 | 090 | |
| 24665 | A | Treat radius fracture | 8.13 | NA | 7.48 | 1.36 | NA | 16.97 | 090 | |
| 24666 | A | Treat radius fracture | 9.48 | NA | 8.05 | 1.59 | NA | 19.12 | 090 | |
| 24670 | A | Treat ulnar fracture | 2.54 | 4.44 | 3.01 | 0.40 | 7.38 | 5.95 | 090 | |
| 24675 | A | Treat ulnar fracture | 4.71 | 6.72 | 4.82 | 0.78 | 12.21 | 10.31 | 090 | |
| 24685 | A | Treat ulnar fracture | 8.79 | NA | 7.52 | 1.48 | NA | 17.79 | 090 | |
| 24800 | A | Fusion of elbow joint | 11.18 | NA | 8.71 | 1.70 | NA | 21.59 | 090 | |
| 24802 | A | Fusion/graft of elbow joint | 13.67 | NA | 10.32 | 2.28 | NA | 26.27 | 090 | |
| 24900 | A | Amputation of upper arm | 9.59 | NA | 7.35 | 1.42 | NA | 18.36 | 090 | |
| 24920 | A | Amputation of upper arm | 9.53 | NA | 7.52 | 1.47 | NA | 18.52 | 090 | |
| 24925 | A | Amputation follow-up surgery | 7.06 | NA | 6.27 | 1.15 | NA | 14.48 | 090 | |
| 24930 | A | Amputation follow-up surgery | 10.23 | NA | 7.52 | 1.48 | NA | 19.23 | 090 | |
| 24931 | A | Amputate upper arm implant | 12.70 | NA | 6.11 | 1.88 | NA | 20.69 | 090 | |
| 24935 | A | Revision of amputation | 15.54 | NA | 8.42 | 1.91 | NA | 25.87 | 090 | |
| 24940 | C | Revision of upper arm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 24999 | C | Upper arm/elbow surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 25000 | A | Incision of tendon sheath | 3.37 | NA | 6.95 | 0.54 | NA | 10.86 | 090 | |
| 25001 | A | Incise flexor carpi radialis | 3.37 | NA | 4.09 | 0.54 | NA | 8.00 | 090 | |
| 25020 | A | Decompress forearm 1 space | 5.91 | NA | 9.94 | 0.92 | NA | 16.77 | 090 | |
| 25023 | A | Decompress forearm 1 space | 12.94 | NA | 15.45 | 1.83 | NA | 30.22 | 090 | |
| 25024 | A | Decompress forearm 2 spaces | 9.49 | NA | 7.52 | 1.50 | NA | 18.51 | 090 | |
| 25025 | A | Decompress forearm 2 spaces | 16.52 | NA | 10.00 | 2.63 | NA | 29.15 | 090 | |
| 25028 | A | Drainage of forearm lesion | 5.24 | NA | 8.48 | 0.74 | NA | 14.46 | 090 | |
| 25031 | A | Drainage of forearm bursa | 4.13 | NA | 8.25 | 0.60 | NA | 12.98 | 090 | |
| 25035 | A | Treat forearm bone lesion | 7.35 | NA | 14.03 | 1.18 | NA | 22.56 | 090 | |
| 25040 | A | Explore/treat wrist joint | 7.17 | NA | 7.34 | 1.16 | NA | 15.67 | 090 | |
| 25065 | A | Biopsy forearm soft tissues | 1.99 | 2.79 | 2.79 | 0.14 | 4.92 | 4.92 | 010 | |
| 25066 | A | Biopsy forearm soft tissues | 4.12 | NA | 7.24 | 0.59 | NA | 11.95 | 090 | |
| 25075 | A | Removel forearm lesion subcu | 3.73 | NA | 6.13 | 0.48 | NA | 10.34 | 090 | |
| 25076 | A | Removel forearm lesion deep | 4.91 | NA | 9.98 | 0.71 | NA | 15.60 | 090 | |
| 25077 | A | Remove tumor, forearm/wrist | 9.75 | NA | 12.68 | 1.33 | NA | 23.76 | 090 | |
| 25085 | A | Incision of wrist capsule | 5.49 | NA | 7.30 | 0.86 | NA | 13.65 | 090 | |
| 25100 | A | Biopsy of wrist joint | 3.89 | NA | 5.41 | 0.60 | NA | 9.90 | 090 | |
| 25101 | A | Explore/treat wrist joint | 4.68 | NA | 5.96 | 0.72 | NA | 11.36 | 090 | |
| 25105 | A | Remove wrist joint lining | 5.84 | NA | 7.48 | 0.93 | NA | 14.25 | 090 | |
| 25107 | A | Remove wrist joint cartilage | 6.42 | NA | 8.41 | 0.99 | NA | 15.82 | 090 | |
| 25110 | A | Remove wrist tendon lesion | 3.91 | NA | 7.26 | 0.58 | NA | 11.75 | 090 | |
| 25111 | A | Remove wrist tendon lesion | 3.38 | NA | 4.83 | 0.51 | NA | 8.72 | 090 | |
| 25112 | A | Reremove wrist tendon lesion | 4.52 | NA | 5.43 | 0.65 | NA | 10.60 | 090 | |
| 25115 | A | Remove wrist/forearm lesion | 8.81 | NA | 14.44 | 1.34 | NA | 24.59 | 090 | |
| 25116 | A | Remove wrist/forearm lesion | 7.10 | NA | 13.53 | 1.09 | NA | 21.72 | 090 | |
| 25118 | A | Excise wrist tendon sheath | 4.36 | NA | 5.88 | 0.66 | NA | 10.90 | 090 | |
| 25119 | A | Partial removal of ulna | 6.03 | NA | 7.77 | 0.96 | NA | 14.76 | 090 | |
| 25120 | A | Removal of forearm lesion | 6.09 | NA | 12.44 | 0.98 | NA | 19.51 | 090 | |
| 25125 | A | Remove/graft forearm lesion | 7.47 | NA | 13.21 | 1.23 | NA | 21.91 | 090 | |
| 25126 | A | Remove/graft forearm lesion | 7.54 | NA | 13.31 | 1.21 | NA | 22.06 | 090 | |
| 25130 | A | Removal of wrist lesion | 5.25 | NA | 6.51 | 0.80 | NA | 12.56 | 090 | |
| 25135 | A | Remove graft wrist lesion | 6.88 | NA | 7.53 | 1.07 | NA | 15.48 | 090 | |
| 25136 | A | Remove graft wrist lesion | 5.96 | NA | 6.68 | 0.70 | NA | 13.34 | 090 | |
| 25145 | A | Remove forearm bone lesion | 6.36 | NA | 12.47 | 0.99 | NA | 19.82 | 090 | |
| 25150 | A | Partial removal of ulna | 7.08 | NA | 8.41 | 1.16 | NA | 16.65 | 090 | |
| 25151 | A | Partial removal of radius | 7.38 | NA | 13.08 | 1.12 | NA | 21.58 | 090 | |
| 25170 | A | Extensive forearm surgery | 11.07 | NA | 15.46 | 1.83 | NA | 28.36 | 090 | |
| 25210 | A | Removal of wrist bone | 5.94 | NA | 6.90 | 0.88 | NA | 13.72 | 090 | |
| 25215 | A | Removal of wrist bones | 7.88 | NA | 8.89 | 1.23 | NA | 18.00 | 090 | |
| 25230 | A | Partial removal of radius | 5.22 | NA | 6.22 | 0.80 | NA | 12.24 | 090 | |
| 25240 | A | Partial removal of ulna | 5.16 | NA | 7.09 | 0.83 | NA | 13.08 | 090 | |
| 25246 | A | Injection for wrist x-ray | 1.45 | 10.05 | 0.48 | 0.08 | 11.58 | 2.01 | 000 | |
| 25248 | A | Remove forearm foreign body | 5.13 | NA | 8.75 | 0.65 | NA | 14.53 | 090 | |
| 25250 | A | Removal of wrist prosthesis | 6.59 | NA | 6.00 | 1.01 | NA | 13.60 | 090 | |
| 25251 | A | Removal of wrist prosthesis | 9.56 | NA | 7.82 | 1.39 | NA | 18.77 | 090 | |
| 25259 | A | Manipulate wrist w/anesthes | 3.74 | NA | 5.48 | 0.60 | NA | 9.82 | 090 | |
| 25260 | A | Repair forearm tendon/muscle | 7.79 | NA | 13.90 | 1.17 | NA | 22.86 | 090 | |
| 25263 | A | Repair forearm tendon/muscle | 7.81 | NA | 13.81 | 1.13 | NA | 22.75 | 090 | |
| 25265 | A | Repair forearm tendon/muscle | 9.87 | NA | 14.70 | 1.44 | NA | 26.01 | 090 | |
| 25270 | A | Repair forearm tendon/muscle | 5.99 | NA | 12.60 | 0.92 | NA | 19.51 | 090 | |
| 25272 | A | Repair forearm tendon/muscle | 7.03 | NA | 13.30 | 1.07 | NA | 21.40 | 090 | |
| 25274 | A | Repair forearm tendon/muscle | 8.74 | NA | 14.02 | 1.37 | NA | 24.13 | 090 | |
| 25275 | A | Repair forearm tendon sheath | 8.49 | NA | 7.47 | 1.36 | NA | 17.32 | 090 | |
| 25280 | A | Revise wrist/forearm tendon | 7.21 | NA | 13.03 | 1.10 | NA | 21.34 | 090 | |
| 25290 | A | Incise wrist/forearm tendon | 5.28 | NA | 15.53 | 0.80 | NA | 21.61 | 090 | |
| 25295 | A | Release wrist/forearm tendon | 6.54 | NA | 12.59 | 1.04 | NA | 20.17 | 090 | |
| 25300 | A | Fusion of tendons at wrist | 8.79 | NA | 8.52 | 1.29 | NA | 18.60 | 090 | |
| 25301 | A | Fusion of tendons at wrist | 8.39 | NA | 8.16 | 1.30 | NA | 17.85 | 090 | |
| 25310 | A | Transplant forearm tendon | 8.13 | NA | 13.44 | 1.22 | NA | 22.79 | 090 | |
| 25312 | A | Transplant forearm tendon | 9.56 | NA | 14.32 | 1.47 | NA | 25.35 | 090 | |
| 25315 | A | Revise palsy hand tendon(s) | 10.18 | NA | 14.89 | 1.52 | NA | 26.59 | 090 | |
| 25316 | A | Revise palsy hand tendon(s) | 12.31 | NA | 16.66 | 2.10 | NA | 31.07 | 090 | |
| 25320 | A | Repair/revise wrist joint | 10.75 | NA | 11.21 | 1.59 | NA | 23.55 | 090 | |
| 25332 | A | Revise wrist joint | 11.39 | NA | 9.06 | 1.76 | NA | 22.21 | 090 | |
| 25335 | A | Realignment of hand | 12.86 | NA | 11.72 | 2.00 | NA | 26.58 | 090 | |
| 25337 | A | Reconstruct ulna/radioulnar | 10.15 | NA | 11.07 | 1.58 | NA | 22.80 | 090 | |
| 25350 | A | Revision of radius | 8.77 | NA | 14.28 | 1.41 | NA | 24.46 | 090 | |
| 25355 | A | Revision of radius | 10.15 | NA | 14.90 | 1.74 | NA | 26.79 | 090 | |
| 25360 | A | Revision of ulna | 8.42 | NA | 14.17 | 1.41 | NA | 24.00 | 090 | |
| 25365 | A | Revise radius ulna | 12.38 | NA | 15.93 | 2.01 | NA | 30.32 | 090 | |
| 25370 | A | Revise radius or ulna | 13.34 | NA | 16.30 | 2.27 | NA | 31.91 | 090 | |
| 25375 | A | Revise radius ulna | 13.02 | NA | 16.72 | 2.22 | NA | 31.96 | 090 | |
| 25390 | A | Shorten radius or ulna | 10.38 | NA | 14.91 | 1.66 | NA | 26.95 | 090 | |
| 25391 | A | Lengthen radius or ulna | 13.63 | NA | 16.87 | 2.09 | NA | 32.59 | 090 | |
| 25392 | A | Shorten radius ulna | 13.93 | NA | 16.24 | 2.09 | NA | 32.26 | 090 | |
| 25393 | A | Lengthen radius ulna | 15.85 | NA | 17.88 | 2.26 | NA | 35.99 | 090 | |
| 25394 | A | Repair carpal bone, shorten | 10.38 | NA | 8.23 | 1.69 | NA | 20.30 | 090 | |
| 25400 | A | Repair radius or ulna | 10.90 | NA | 15.49 | 1.81 | NA | 28.20 | 090 | |
| 25405 | A | Repair/graft radius or ulna | 14.36 | NA | 17.58 | 2.35 | NA | 34.29 | 090 | |
| 25415 | A | Repair radius ulna | 13.33 | NA | 16.81 | 2.26 | NA | 32.40 | 090 | |
| 25420 | A | Repair/graft radius ulna | 16.31 | NA | 18.56 | 2.65 | NA | 37.52 | 090 | |
| 25425 | A | Repair/graft radius or ulna | 13.19 | NA | 22.08 | 1.94 | NA | 37.21 | 090 | |
| 25426 | A | Repair/graft radius ulna | 15.80 | NA | 17.29 | 2.69 | NA | 35.78 | 090 | |
| 25430 | A | Vasc graft into carpal bone | 9.24 | NA | 7.28 | 1.29 | NA | 17.81 | 090 | |
| 25431 | A | Repair nonunion carpal bone | 10.42 | NA | 8.23 | 0.68 | NA | 19.33 | 090 | |
| 25440 | A | Repair/graft wrist bone | 10.42 | NA | 9.41 | 1.70 | NA | 21.53 | 090 | |
| 25441 | A | Reconstruct wrist joint | 12.88 | NA | 9.88 | 2.21 | NA | 24.97 | 090 | |
| 25442 | A | Reconstruct wrist joint | 10.83 | NA | 8.77 | 1.50 | NA | 21.10 | 090 | |
| 25443 | A | Reconstruct wrist joint | 10.37 | NA | 8.65 | 1.57 | NA | 20.59 | 090 | |
| 25444 | A | Reconstruct wrist joint | 11.13 | NA | 9.07 | 1.72 | NA | 21.92 | 090 | |
| 25445 | A | Reconstruct wrist joint | 9.68 | NA | 7.87 | 1.52 | NA | 19.07 | 090 | |
| 25446 | A | Wrist replacement | 16.53 | NA | 11.81 | 2.65 | NA | 30.99 | 090 | |
| 25447 | A | Repair wrist joint(s) | 10.35 | NA | 8.54 | 1.62 | NA | 20.51 | 090 | |
| 25449 | A | Remove wrist joint implant | 14.47 | NA | 10.57 | 2.13 | NA | 27.17 | 090 | |
| 25450 | A | Revision of wrist joint | 7.86 | NA | 10.41 | 1.06 | NA | 19.33 | 090 | |
| 25455 | A | Revision of wrist joint | 9.48 | NA | 11.33 | 1.29 | NA | 22.10 | 090 | |
| 25490 | A | Reinforce radius | 9.53 | NA | 14.03 | 1.44 | NA | 25.00 | 090 | |
| 25491 | A | Reinforce ulna | 9.95 | NA | 14.79 | 1.70 | NA | 26.44 | 090 | |
| 25492 | A | Reinforce radius and ulna | 12.31 | NA | 15.58 | 1.95 | NA | 29.84 | 090 | |
| 25500 | A | Treat fracture of radius | 2.45 | 3.99 | 2.71 | 0.34 | 6.78 | 5.50 | 090 | |
| 25505 | A | Treat fracture of radius | 5.20 | 7.22 | 5.25 | 0.83 | 13.25 | 11.28 | 090 | |
| 25515 | A | Treat fracture of radius | 9.17 | NA | 7.47 | 1.47 | NA | 18.11 | 090 | |
| 25520 | A | Treat fracture of radius | 6.25 | 7.44 | 5.87 | 1.03 | 14.72 | 13.15 | 090 | |
| 25525 | A | Treat fracture of radius | 12.22 | NA | 9.94 | 2.03 | NA | 24.19 | 090 | |
| 25526 | A | Treat fracture of radius | 12.96 | NA | 13.59 | 2.17 | NA | 28.72 | 090 | |
| 25530 | A | Treat fracture of ulna | 2.09 | 4.14 | 2.80 | 0.33 | 6.56 | 5.22 | 090 | |
| 25535 | A | Treat fracture of ulna | 5.13 | 6.85 | 5.17 | 0.82 | 12.80 | 11.12 | 090 | |
| 25545 | A | Treat fracture of ulna | 8.89 | NA | 7.65 | 1.48 | NA | 18.02 | 090 | |
| 25560 | A | Treat fracture radius ulna | 2.44 | 4.04 | 2.64 | 0.33 | 6.81 | 5.41 | 090 | |
| 25565 | A | Treat fracture radius ulna | 5.62 | 7.35 | 5.32 | 0.92 | 13.89 | 11.86 | 090 | |
| 25574 | A | Treat fracture radius ulna | 7.00 | NA | 7.13 | 1.16 | NA | 15.29 | 090 | |
| 25575 | A | Treat fracture radius/ulna | 10.43 | NA | 9.39 | 1.76 | NA | 21.58 | 090 | |
| 25600 | A | Treat fracture radius/ulna | 2.63 | 4.47 | 2.94 | 0.41 | 7.51 | 5.98 | 090 | |
| 25605 | A | Treat fracture radius/ulna | 5.80 | 8.03 | 6.01 | 0.98 | 14.81 | 12.79 | 090 | |
| 25611 | A | Treat fracture radius/ulna | 7.76 | NA | 8.84 | 1.30 | NA | 17.90 | 090 | |
| 25620 | A | Treat fracture radius/ulna | 8.54 | NA | 7.28 | 1.41 | NA | 17.23 | 090 | |
| 25622 | A | Treat wrist bone fracture | 2.61 | 4.64 | 3.12 | 0.40 | 7.65 | 6.13 | 090 | |
| 25624 | A | Treat wrist bone fracture | 4.52 | 6.98 | 4.90 | 0.74 | 12.24 | 10.16 | 090 | |
| 25628 | A | Treat wrist bone fracture | 8.42 | NA | 7.81 | 1.37 | NA | 17.60 | 090 | |
| 25630 | A | Treat wrist bone fracture | 2.88 | 4.57 | 2.94 | 0.45 | 7.90 | 6.27 | 090 | |
| 25635 | A | Treat wrist bone fracture | 4.38 | 6.75 | 3.89 | 0.47 | 11.60 | 8.74 | 090 | |
| 25645 | A | Treat wrist bone fracture | 7.24 | NA | 6.79 | 1.12 | NA | 15.15 | 090 | |
| 25650 | A | Treat wrist bone fracture | 3.05 | 4.83 | 3.22 | 0.45 | 8.33 | 6.72 | 090 | |
| 25651 | A | Pin ulnar styloid fracture | 5.35 | NA | 5.39 | 0.87 | NA | 11.61 | 090 | |
| 25652 | A | Treat fracture ulnar styloid | 7.59 | NA | 6.85 | 1.23 | NA | 15.67 | 090 | |
| 25660 | A | Treat wrist dislocation | 4.75 | NA | 4.66 | 0.71 | NA | 10.12 | 090 | |
| 25670 | A | Treat wrist dislocation | 7.91 | NA | 7.08 | 1.29 | NA | 16.28 | 090 | |
| 25671 | A | Pin radioulnar dislocation | 5.99 | NA | 5.98 | 0.98 | NA | 12.95 | 090 | |
| 25675 | A | Treat wrist dislocation | 4.66 | 6.49 | 4.61 | 0.69 | 11.84 | 9.96 | 090 | |
| 25676 | A | Treat wrist dislocation | 8.03 | NA | 7.32 | 1.33 | NA | 16.68 | 090 | |
| 25680 | A | Treat wrist fracture | 5.98 | NA | 4.75 | 0.74 | NA | 11.47 | 090 | |
| 25685 | A | Treat wrist fracture | 9.77 | NA | 7.87 | 1.51 | NA | 19.15 | 090 | |
| 25690 | A | Treat wrist dislocation | 5.49 | NA | 5.39 | 0.94 | NA | 11.82 | 090 | |
| 25695 | A | Treat wrist dislocation | 8.33 | NA | 7.19 | 1.29 | NA | 16.81 | 090 | |
| 25800 | A | Fusion of wrist joint | 9.75 | NA | 9.10 | 1.57 | NA | 20.42 | 090 | |
| 25805 | A | Fusion/graft of wrist joint | 11.26 | NA | 10.24 | 1.82 | NA | 23.32 | 090 | |
| 25810 | A | Fusion/graft of wrist joint | 10.55 | NA | 9.88 | 1.65 | NA | 22.08 | 090 | |
| 25820 | A | Fusion of hand bones | 7.44 | NA | 7.88 | 1.16 | NA | 16.48 | 090 | |
| 25825 | A | Fuse hand bones with graft | 9.26 | NA | 9.22 | 1.45 | NA | 19.93 | 090 | |
| 25830 | A | Fusion, radioulnar jnt/ulna | 10.04 | NA | 14.69 | 1.53 | NA | 26.26 | 090 | |
| 25900 | A | Amputation of forearm | 9.00 | NA | 12.89 | 1.30 | NA | 23.19 | 090 | |
| 25905 | A | Amputation of forearm | 9.11 | NA | 12.82 | 1.28 | NA | 23.21 | 090 | |
| 25907 | A | Amputation follow-up surgery | 7.79 | NA | 12.21 | 1.22 | NA | 21.22 | 090 | |
| 25909 | A | Amputation follow-up surgery | 8.95 | NA | 12.76 | 1.29 | NA | 23.00 | 090 | |
| 25915 | A | Amputation of forearm | 17.05 | NA | 19.51 | 2.91 | NA | 39.47 | 090 | |
| 25920 | A | Amputate hand at wrist | 8.67 | NA | 8.00 | 1.28 | NA | 17.95 | 090 | |
| 25922 | A | Amputate hand at wrist | 7.41 | NA | 7.25 | 1.12 | NA | 15.78 | 090 | |
| 25924 | A | Amputation follow-up surgery | 8.45 | NA | 8.22 | 1.29 | NA | 17.96 | 090 | |
| 25927 | A | Amputation of hand | 8.79 | NA | 12.15 | 1.23 | NA | 22.17 | 090 | |
| 25929 | A | Amputation follow-up surgery | 7.58 | NA | 6.06 | 1.07 | NA | 14.71 | 090 | |
| 25931 | A | Amputation follow-up surgery | 7.80 | NA | 12.06 | 1.06 | NA | 20.92 | 090 | |
| 25999 | C | Forearm or wrist surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26010 | A | Drainage of finger abscess | 1.54 | 5.67 | 1.66 | 0.17 | 7.38 | 3.37 | 010 | |
| 26011 | A | Drainage of finger abscess | 2.19 | 9.08 | 2.31 | 0.30 | 11.57 | 4.80 | 010 | |
| 26020 | A | Drain hand tendon sheath | 4.66 | NA | 5.57 | 0.71 | NA | 10.94 | 090 | |
| 26025 | A | Drainage of palm bursa | 4.81 | NA | 5.36 | 0.72 | NA | 10.89 | 090 | |
| 26030 | A | Drainage of palm bursa(s) | 5.92 | NA | 6.00 | 0.87 | NA | 12.79 | 090 | |
| 26034 | A | Treat hand bone lesion | 6.22 | NA | 6.27 | 0.95 | NA | 13.44 | 090 | |
| 26035 | A | Decompress fingers/hand | 9.50 | NA | 8.10 | 1.35 | NA | 18.95 | 090 | |
| 26037 | A | Decompress fingers/hand | 7.24 | NA | 6.60 | 1.05 | NA | 14.89 | 090 | |
| 26040 | A | Release palm contracture | 3.33 | NA | 3.99 | 0.54 | NA | 7.86 | 090 | |
| 26045 | A | Release palm contracture | 5.55 | NA | 5.56 | 0.89 | NA | 12.00 | 090 | |
| 26055 | A | Incise finger tendon sheath | 2.69 | 14.54 | 3.85 | 0.43 | 17.66 | 6.97 | 090 | |
| 26060 | A | Incision of finger tendon | 2.81 | NA | 3.45 | 0.42 | NA | 6.68 | 090 | |
| 26070 | A | Explore/treat hand joint | 3.68 | NA | 3.36 | 0.42 | NA | 7.46 | 090 | |
| 26075 | A | Explore/treat finger joint | 3.78 | NA | 3.76 | 0.48 | NA | 8.02 | 090 | |
| 26080 | A | Explore/treat finger joint | 4.23 | NA | 4.78 | 0.63 | NA | 9.64 | 090 | |
| 26100 | A | Biopsy hand joint lining | 3.66 | NA | 4.10 | 0.54 | NA | 8.30 | 090 | |
| 26105 | A | Biopsy finger joint lining | 3.70 | NA | 4.17 | 0.54 | NA | 8.41 | 090 | |
| 26110 | A | Biopsy finger joint lining | 3.52 | NA | 3.98 | 0.53 | NA | 8.03 | 090 | |
| 26115 | A | Removel hand lesion subcut | 3.85 | 13.33 | 4.67 | 0.58 | 17.76 | 9.10 | 090 | |
| 26116 | A | Removel hand lesion, deep | 5.52 | NA | 5.92 | 0.83 | NA | 12.27 | 090 | |
| 26117 | A | Remove tumor, hand/finger | 8.54 | NA | 7.03 | 1.22 | NA | 16.79 | 090 | |
| 26121 | A | Release palm contracture | 7.53 | NA | 6.90 | 1.13 | NA | 15.56 | 090 | |
| 26123 | A | Release palm contracture | 9.28 | NA | 8.74 | 1.41 | NA | 19.43 | 090 | |
| 26125 | A | Release palm contracture | 4.60 | NA | 2.46 | 0.69 | NA | 7.75 | ZZZ | |
| 26130 | A | Remove wrist joint lining | 5.41 | NA | 5.30 | 0.78 | NA | 11.49 | 090 | |
| 26135 | A | Revise finger joint, each | 6.95 | NA | 6.39 | 1.05 | NA | 14.39 | 090 | |
| 26140 | A | Revise finger joint, each | 6.16 | NA | 5.97 | 0.92 | NA | 13.05 | 090 | |
| 26145 | A | Tendon excision, palm/finger | 6.31 | NA | 5.98 | 0.93 | NA | 13.22 | 090 | |
| 26160 | A | Remove tendon sheath lesion | 3.15 | 12.69 | 4.04 | 0.47 | 16.31 | 7.66 | 090 | |
| 26170 | A | Removal of palm tendon, each | 4.76 | NA | 4.88 | 0.72 | NA | 10.36 | 090 | |
| 26180 | A | Removal of finger tendon | 5.17 | NA | 5.35 | 0.77 | NA | 11.29 | 090 | |
| 26185 | A | Remove finger bone | 5.24 | NA | 5.91 | 0.81 | NA | 11.96 | 090 | |
| 26200 | A | Remove hand bone lesion | 5.50 | NA | 5.29 | 0.86 | NA | 11.65 | 090 | |
| 26205 | A | Remove/graft bone lesion | 7.69 | NA | 6.84 | 1.15 | NA | 15.68 | 090 | |
| 26210 | A | Removal of finger lesion | 5.14 | NA | 5.36 | 0.77 | NA | 11.27 | 090 | |
| 26215 | A | Remove/graft finger lesion | 7.09 | NA | 6.26 | 0.93 | NA | 14.28 | 090 | |
| 26230 | A | Partial removal of hand bone | 6.32 | NA | 5.85 | 1.01 | NA | 13.18 | 090 | |
| 26235 | A | Partial removal, finger bone | 6.18 | NA | 5.75 | 0.94 | NA | 12.87 | 090 | |
| 26236 | A | Partial removal, finger bone | 5.31 | NA | 5.28 | 0.80 | NA | 11.39 | 090 | |
| 26250 | A | Extensive hand surgery | 7.54 | NA | 6.38 | 1.11 | NA | 15.03 | 090 | |
| 26255 | A | Extensive hand surgery | 12.41 | NA | 9.35 | 1.27 | NA | 23.03 | 090 | |
| 26260 | A | Extensive finger surgery | 7.02 | NA | 6.14 | 1.00 | NA | 14.16 | 090 | |
| 26261 | A | Extensive finger surgery | 9.08 | NA | 6.23 | 1.01 | NA | 16.32 | 090 | |
| 26262 | A | Partial removal of finger | 5.66 | NA | 5.29 | 0.84 | NA | 11.79 | 090 | |
| 26320 | A | Removal of implant from hand | 3.97 | NA | 4.25 | 0.59 | NA | 8.81 | 090 | |
| 26340 | A | Manipulate finger w/anesth | 2.50 | NA | 4.74 | 0.36 | NA | 7.60 | 090 | |
| 26350 | A | Repair finger/hand tendon | 5.98 | NA | 15.49 | 0.88 | NA | 22.35 | 090 | |
| 26352 | A | Repair/graft hand tendon | 7.67 | NA | 16.08 | 1.12 | NA | 24.87 | 090 | |
| 26356 | A | Repair finger/hand tendon | 8.06 | NA | 18.91 | 1.19 | NA | 28.16 | 090 | |
| 26357 | A | Repair finger/hand tendon | 8.57 | NA | 16.53 | 1.23 | NA | 26.33 | 090 | |
| 26358 | A | Repair/graft hand tendon | 9.13 | NA | 17.43 | 1.29 | NA | 27.85 | 090 | |
| 26370 | A | Repair finger/hand tendon | 7.10 | NA | 15.95 | 1.09 | NA | 24.14 | 090 | |
| 26372 | A | Repair/graft hand tendon | 8.75 | NA | 17.32 | 1.28 | NA | 27.35 | 090 | |
| 26373 | A | Repair finger/hand tendon | 8.15 | NA | 16.87 | 1.18 | NA | 26.20 | 090 | |
| 26390 | A | Revise hand/finger tendon | 9.18 | NA | 13.92 | 1.31 | NA | 24.41 | 090 | |
| 26392 | A | Repair/graft hand tendon | 10.24 | NA | 17.66 | 1.52 | NA | 29.42 | 090 | |
| 26410 | A | Repair hand tendon | 4.62 | NA | 12.59 | 0.69 | NA | 17.90 | 090 | |
| 26412 | A | Repair/graft hand tendon | 6.30 | NA | 13.92 | 0.96 | NA | 21.18 | 090 | |
| 26415 | A | Excision, hand/finger tendon | 8.33 | NA | 12.28 | 0.93 | NA | 21.54 | 090 | |
| 26416 | A | Graft hand or finger tendon | 9.36 | NA | 15.21 | 1.45 | NA | 26.02 | 090 | |
| 26418 | A | Repair finger tendon | 4.24 | NA | 12.95 | 0.60 | NA | 17.79 | 090 | |
| 26420 | A | Repair/graft finger tendon | 6.76 | NA | 14.26 | 1.00 | NA | 22.02 | 090 | |
| 26426 | A | Repair finger/hand tendon | 6.14 | NA | 13.78 | 0.93 | NA | 20.85 | 090 | |
| 26428 | A | Repair/graft finger tendon | 7.20 | NA | 14.58 | 1.01 | NA | 22.79 | 090 | |
| 26432 | A | Repair finger tendon | 4.01 | NA | 10.69 | 0.58 | NA | 15.28 | 090 | |
| 26433 | A | Repair finger tendon | 4.55 | NA | 11.37 | 0.68 | NA | 16.60 | 090 | |
| 26434 | A | Repair/graft finger tendon | 6.08 | NA | 12.06 | 0.86 | NA | 19.00 | 090 | |
| 26437 | A | Realignment of tendons | 5.81 | NA | 11.98 | 0.89 | NA | 18.68 | 090 | |
| 26440 | A | Release palm/finger tendon | 5.01 | NA | 14.18 | 0.75 | NA | 19.94 | 090 | |
| 26442 | A | Release palm finger tendon | 8.15 | NA | 16.61 | 1.13 | NA | 25.89 | 090 | |
| 26445 | A | Release hand/finger tendon | 4.30 | NA | 13.93 | 0.65 | NA | 18.88 | 090 | |
| 26449 | A | Release forearm/hand tendon | 6.99 | NA | 16.39 | 1.01 | NA | 24.39 | 090 | |
| 26450 | A | Incision of palm tendon | 3.66 | NA | 7.58 | 0.55 | NA | 11.79 | 090 | |
| 26455 | A | Incision of finger tendon | 3.63 | NA | 7.50 | 0.57 | NA | 11.70 | 090 | |
| 26460 | A | Incise hand/finger tendon | 3.45 | NA | 7.32 | 0.53 | NA | 11.30 | 090 | |
| 26471 | A | Fusion of finger tendons | 5.72 | NA | 11.65 | 0.88 | NA | 18.25 | 090 | |
| 26474 | A | Fusion of finger tendons | 5.31 | NA | 11.84 | 0.83 | NA | 17.98 | 090 | |
| 26476 | A | Tendon lengthening | 5.17 | NA | 11.37 | 0.75 | NA | 17.29 | 090 | |
| 26477 | A | Tendon shortening | 5.14 | NA | 11.54 | 0.72 | NA | 17.40 | 090 | |
| 26478 | A | Lengthening of hand tendon | 5.79 | NA | 12.24 | 0.93 | NA | 18.96 | 090 | |
| 26479 | A | Shortening of hand tendon | 5.73 | NA | 12.08 | 0.92 | NA | 18.73 | 090 | |
| 26480 | A | Transplant hand tendon | 6.68 | NA | 15.68 | 1.01 | NA | 23.37 | 090 | |
| 26483 | A | Transplant/graft hand tendon | 8.28 | NA | 16.12 | 1.24 | NA | 25.64 | 090 | |
| 26485 | A | Transplant palm tendon | 7.69 | NA | 16.01 | 1.13 | NA | 24.83 | 090 | |
| 26489 | A | Transplant/graft palm tendon | 9.54 | NA | 12.54 | 1.18 | NA | 23.26 | 090 | |
| 26490 | A | Revise thumb tendon | 8.40 | NA | 13.16 | 1.27 | NA | 22.83 | 090 | |
| 26492 | A | Tendon transfer with graft | 9.61 | NA | 13.97 | 1.44 | NA | 25.02 | 090 | |
| 26494 | A | Hand tendon/muscle transfer | 8.46 | NA | 13.61 | 1.36 | NA | 23.43 | 090 | |
| 26496 | A | Revise thumb tendon | 9.58 | NA | 13.61 | 1.41 | NA | 24.60 | 090 | |
| 26497 | A | Finger tendon transfer | 9.56 | NA | 13.96 | 1.41 | NA | 24.93 | 090 | |
| 26498 | A | Finger tendon transfer | 13.98 | NA | 16.55 | 2.10 | NA | 32.63 | 090 | |
| 26499 | A | Revision of finger | 8.97 | NA | 13.50 | 1.13 | NA | 23.60 | 090 | |
| 26500 | A | Hand tendon reconstruction | 5.95 | NA | 12.12 | 0.80 | NA | 18.87 | 090 | |
| 26502 | A | Hand tendon reconstruction | 7.13 | NA | 12.58 | 1.05 | NA | 20.76 | 090 | |
| 26504 | A | Hand tendon reconstruction | 7.46 | NA | 13.01 | 1.01 | NA | 21.48 | 090 | |
| 26508 | A | Release thumb contracture | 6.00 | NA | 12.11 | 0.92 | NA | 19.03 | 090 | |
| 26510 | A | Thumb tendon transfer | 5.42 | NA | 11.79 | 0.86 | NA | 18.07 | 090 | |
| 26516 | A | Fusion of knuckle joint | 7.14 | NA | 12.65 | 1.09 | NA | 20.88 | 090 | |
| 26517 | A | Fusion of knuckle joints | 8.82 | NA | 13.96 | 1.16 | NA | 23.94 | 090 | |
| 26518 | A | Fusion of knuckle joints | 9.01 | NA | 13.77 | 1.36 | NA | 24.14 | 090 | |
| 26520 | A | Release knuckle contracture | 5.29 | NA | 14.63 | 0.78 | NA | 20.70 | 090 | |
| 26525 | A | Release finger contracture | 5.32 | NA | 14.74 | 0.80 | NA | 20.86 | 090 | |
| 26530 | A | Revise knuckle joint | 6.68 | NA | 6.02 | 1.04 | NA | 13.74 | 090 | |
| 26531 | A | Revise knuckle with implant | 7.90 | NA | 6.99 | 1.22 | NA | 16.11 | 090 | |
| 26535 | A | Revise finger joint | 5.23 | NA | 3.69 | 0.80 | NA | 9.72 | 090 | |
| 26536 | A | Revise/implant finger joint | 6.36 | NA | 9.74 | 0.96 | NA | 17.06 | 090 | |
| 26540 | A | Repair hand joint | 6.42 | NA | 12.35 | 0.98 | NA | 19.75 | 090 | |
| 26541 | A | Repair hand joint with graft | 8.61 | NA | 13.83 | 1.35 | NA | 23.79 | 090 | |
| 26542 | A | Repair hand joint with graft | 6.77 | NA | 12.39 | 1.05 | NA | 20.21 | 090 | |
| 26545 | A | Reconstruct finger joint | 6.91 | NA | 12.79 | 0.95 | NA | 20.65 | 090 | |
| 26546 | A | Repair nonunion hand | 8.91 | NA | 15.20 | 1.37 | NA | 25.48 | 090 | |
| 26548 | A | Reconstruct finger joint | 8.02 | NA | 13.39 | 1.18 | NA | 22.59 | 090 | |
| 26550 | A | Construct thumb replacement | 21.21 | NA | 18.16 | 2.17 | NA | 41.54 | 090 | |
| 26551 | A | Great toe-hand transfer | 46.51 | NA | 33.71 | 7.92 | NA | 88.14 | 090 | |
| 26553 | A | Single transfer, toe-hand | 46.20 | NA | 23.22 | 2.40 | NA | 71.82 | 090 | |
| 26554 | A | Double transfer, toe-hand | 54.87 | NA | 38.02 | 9.36 | NA | 102.25 | 090 | |
| 26555 | A | Positional change of finger | 16.61 | NA | 18.67 | 2.57 | NA | 37.85 | 090 | |
| 26556 | A | Toe joint transfer | 47.19 | NA | 34.50 | 8.04 | NA | 89.73 | 090 | |
| 26560 | A | Repair of web finger | 5.37 | NA | 10.28 | 0.72 | NA | 16.37 | 090 | |
| 26561 | A | Repair of web finger | 10.90 | NA | 12.93 | 0.83 | NA | 24.66 | 090 | |
| 26562 | A | Repair of web finger | 14.98 | NA | 17.59 | 1.18 | NA | 33.75 | 090 | |
| 26565 | A | Correct metacarpal flaw | 6.73 | NA | 12.46 | 1.01 | NA | 20.20 | 090 | |
| 26567 | A | Correct finger deformity | 6.81 | NA | 12.39 | 1.01 | NA | 20.21 | 090 | |
| 26568 | A | Lengthen metacarpal/finger | 9.07 | NA | 16.09 | 1.33 | NA | 26.49 | 090 | |
| 26580 | A | Repair hand deformity | 18.15 | NA | 13.98 | 1.76 | NA | 33.89 | 090 | |
| 26587 | A | Reconstruct extra finger | 14.03 | NA | 9.05 | 1.35 | NA | 24.43 | 090 | |
| 26590 | A | Repair finger deformity | 17.93 | NA | 14.40 | 1.59 | NA | 33.92 | 090 | |
| 26591 | A | Repair muscles of hand | 3.25 | NA | 10.44 | 0.45 | NA | 14.14 | 090 | |
| 26593 | A | Release muscles of hand | 5.30 | NA | 11.51 | 0.77 | NA | 17.58 | 090 | |
| 26596 | A | Excision constricting tissue | 8.94 | NA | 9.01 | 1.05 | NA | 19.00 | 090 | |
| 26600 | A | Treat metacarpal fracture | 1.96 | 4.08 | 2.64 | 0.30 | 6.34 | 4.90 | 090 | |
| 26605 | A | Treat metacarpal fracture | 2.85 | 5.25 | 3.58 | 0.46 | 8.56 | 6.89 | 090 | |
| 26607 | A | Treat metacarpal fracture | 5.35 | NA | 6.35 | 0.84 | NA | 12.54 | 090 | |
| 26608 | A | Treat metacarpal fracture | 5.35 | NA | 6.35 | 0.88 | NA | 12.58 | 090 | |
| 26615 | A | Treat metacarpal fracture | 5.32 | NA | 5.53 | 0.84 | NA | 11.69 | 090 | |
| 26641 | A | Treat thumb dislocation | 3.93 | 5.40 | 3.58 | 0.51 | 9.84 | 8.02 | 090 | |
| 26645 | A | Treat thumb fracture | 4.40 | 6.10 | 4.17 | 0.65 | 11.15 | 9.22 | 090 | |
| 26650 | A | Treat thumb fracture | 5.71 | NA | 6.76 | 0.93 | NA | 13.40 | 090 | |
| 26665 | A | Treat thumb fracture | 7.59 | NA | 6.80 | 1.17 | NA | 15.56 | 090 | |
| 26670 | A | Treat hand dislocation | 3.68 | 4.89 | 3.03 | 0.43 | 9.00 | 7.14 | 090 | |
| 26675 | A | Treat hand dislocation | 4.63 | 6.23 | 4.41 | 0.68 | 11.54 | 9.72 | 090 | |
| 26676 | A | Pin hand dislocation | 5.51 | NA | 6.79 | 0.92 | NA | 13.22 | 090 | |
| 26685 | A | Treat hand dislocation | 6.97 | NA | 6.26 | 1.15 | NA | 14.38 | 090 | |
| 26686 | A | Treat hand dislocation | 7.93 | NA | 7.03 | 1.27 | NA | 16.23 | 090 | |
| 26700 | A | Treat knuckle dislocation | 3.68 | 4.65 | 2.96 | 0.42 | 8.75 | 7.06 | 090 | |
| 26705 | A | Treat knuckle dislocation | 4.18 | 6.03 | 4.24 | 0.60 | 10.81 | 9.02 | 090 | |
| 26706 | A | Pin knuckle dislocation | 5.11 | NA | 5.09 | 0.77 | NA | 10.97 | 090 | |
| 26715 | A | Treat knuckle dislocation | 5.73 | NA | 5.71 | 0.90 | NA | 12.34 | 090 | |
| 26720 | A | Treat finger fracture, each | 1.66 | 3.89 | 2.60 | 0.24 | 5.79 | 4.50 | 090 | |
| 26725 | A | Treat finger fracture, each | 3.33 | 6.09 | 4.04 | 0.52 | 9.94 | 7.89 | 090 | |
| 26727 | A | Treat finger fracture, each | 5.22 | NA | 6.40 | 0.83 | NA | 12.45 | 090 | |
| 26735 | A | Treat finger fracture, each | 5.97 | NA | 5.86 | 0.93 | NA | 12.76 | 090 | |
| 26740 | A | Treat finger fracture, each | 1.94 | 3.56 | 2.69 | 0.29 | 5.79 | 4.92 | 090 | |
| 26742 | A | Treat finger fracture, each | 3.84 | 5.81 | 3.85 | 0.59 | 10.24 | 8.28 | 090 | |
| 26746 | A | Treat finger fracture, each | 5.80 | NA | 5.91 | 0.89 | NA | 12.60 | 090 | |
| 26750 | A | Treat finger fracture, each | 1.70 | 3.14 | 2.08 | 0.23 | 5.07 | 4.01 | 090 | |
| 26755 | A | Treat finger fracture, each | 3.10 | 4.81 | 3.05 | 0.45 | 8.36 | 6.60 | 090 | |
| 26756 | A | Pin finger fracture, each | 4.38 | NA | 6.04 | 0.68 | NA | 11.10 | 090 | |
| 26765 | A | Treat finger fracture, each | 4.16 | NA | 4.78 | 0.62 | NA | 9.56 | 090 | |
| 26770 | A | Treat finger dislocation | 3.02 | 4.40 | 2.55 | 0.33 | 7.75 | 5.90 | 090 | |
| 26775 | A | Treat finger dislocation | 3.70 | 5.85 | 3.82 | 0.52 | 10.07 | 8.04 | 090 | |
| 26776 | A | Pin finger dislocation | 4.79 | NA | 6.21 | 0.76 | NA | 11.76 | 090 | |
| 26785 | A | Treat finger dislocation | 4.20 | NA | 4.81 | 0.65 | NA | 9.66 | 090 | |
| 26820 | A | Thumb fusion with graft | 8.25 | NA | 13.63 | 1.34 | NA | 23.22 | 090 | |
| 26841 | A | Fusion of thumb | 7.12 | NA | 13.53 | 1.17 | NA | 21.82 | 090 | |
| 26842 | A | Thumb fusion with graft | 8.23 | NA | 13.71 | 1.33 | NA | 23.27 | 090 | |
| 26843 | A | Fusion of hand joint | 7.60 | NA | 12.68 | 1.19 | NA | 21.47 | 090 | |
| 26844 | A | Fusion/graft of hand joint | 8.72 | NA | 13.68 | 1.35 | NA | 23.75 | 090 | |
| 26850 | A | Fusion of knuckle | 6.96 | NA | 12.56 | 1.07 | NA | 20.59 | 090 | |
| 26852 | A | Fusion of knuckle with graft | 8.45 | NA | 13.25 | 1.27 | NA | 22.97 | 090 | |
| 26860 | A | Fusion of finger joint | 4.68 | NA | 11.55 | 0.72 | NA | 16.95 | 090 | |
| 26861 | A | Fusion of finger jnt, add-on | 1.74 | NA | 0.93 | 0.27 | NA | 2.94 | ZZZ | |
| 26862 | A | Fusion/graft of finger joint | 7.36 | NA | 12.75 | 1.11 | NA | 21.22 | 090 | |
| 26863 | A | Fuse/graft added joint | 3.89 | NA | 2.12 | 0.62 | NA | 6.63 | ZZZ | |
| 26910 | A | Amputate metacarpal bone | 7.59 | NA | 11.70 | 1.09 | NA | 20.38 | 090 | |
| 26951 | A | Amputation of finger/thumb | 4.58 | NA | 10.62 | 0.68 | NA | 15.88 | 090 | |
| 26952 | A | Amputation of finger/thumb | 6.30 | NA | 12.23 | 0.89 | NA | 19.42 | 090 | |
| 26989 | C | Hand/finger surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26990 | A | Drainage of pelvis lesion | 7.47 | NA | 7.63 | 1.11 | NA | 16.21 | 090 | |
| 26991 | A | Drainage of pelvis bursa | 6.67 | 7.47 | 5.94 | 1.03 | 15.17 | 13.64 | 090 | |
| 26992 | A | Drainage of bone lesion | 13.00 | NA | 10.86 | 2.11 | NA | 25.97 | 090 | |
| 27000 | A | Incision of hip tendon | 5.61 | NA | 5.29 | 0.92 | NA | 11.82 | 090 | |
| 27001 | A | Incision of hip tendon | 6.93 | NA | 6.15 | 1.15 | NA | 14.23 | 090 | |
| 27003 | A | Incision of hip tendon | 7.33 | NA | 6.55 | 1.12 | NA | 15.00 | 090 | |
| 27005 | A | Incision of hip tendon | 9.65 | NA | 7.85 | 1.64 | NA | 19.14 | 090 | |
| 27006 | A | Incision of hip tendons | 9.67 | NA | 7.99 | 1.60 | NA | 19.26 | 090 | |
| 27025 | A | Incision of hip/thigh fascia | 11.14 | NA | 8.60 | 1.66 | NA | 21.40 | 090 | |
| 27030 | A | Drainage of hip joint | 12.99 | NA | 9.66 | 2.18 | NA | 24.83 | 090 | |
| 27033 | A | Exploration of hip joint | 13.37 | NA | 9.93 | 2.26 | NA | 25.56 | 090 | |
| 27035 | A | Denervation of hip joint | 16.66 | NA | 12.33 | 2.05 | NA | 31.04 | 090 | |
| 27036 | A | Excision of hip joint/muscle | 12.86 | NA | 10.03 | 2.17 | NA | 25.06 | 090 | |
| 27040 | A | Biopsy of soft tissues | 2.87 | 2.62 | 2.05 | 0.25 | 5.74 | 5.17 | 010 | |
| 27041 | A | Biopsy of soft tissues | 9.88 | NA | 6.73 | 1.22 | NA | 17.83 | 090 | |
| 27047 | A | Remove hip/pelvis lesion | 7.44 | 6.55 | 4.99 | 0.95 | 14.94 | 13.38 | 090 | |
| 27048 | A | Remove hip/pelvis lesion | 6.24 | NA | 5.04 | 0.88 | NA | 12.16 | 090 | |
| 27049 | A | Remove tumor, hip/pelvis | 13.64 | NA | 8.81 | 1.93 | NA | 24.38 | 090 | |
| 27050 | A | Biopsy of sacroiliac joint | 4.35 | NA | 4.48 | 0.64 | NA | 9.47 | 090 | |
| 27052 | A | Biopsy of hip joint | 6.22 | NA | 5.89 | 1.03 | NA | 13.14 | 090 | |
| 27054 | A | Removal of hip joint lining | 8.53 | NA | 7.36 | 1.41 | NA | 17.30 | 090 | |
| 27060 | A | Removal of ischial bursa | 5.42 | NA | 4.84 | 0.72 | NA | 10.98 | 090 | |
| 27062 | A | Remove femur lesion/bursa | 5.36 | NA | 5.22 | 0.89 | NA | 11.47 | 090 | |
| 27065 | A | Removal of hip bone lesion | 5.89 | NA | 5.54 | 0.92 | NA | 12.35 | 090 | |
| 27066 | A | Removal of hip bone lesion | 10.31 | NA | 8.51 | 1.71 | NA | 20.53 | 090 | |
| 27067 | A | Remove/graft hip bone lesion | 13.81 | NA | 10.67 | 2.35 | NA | 26.83 | 090 | |
| 27070 | A | Partial removal of hip bone | 10.70 | NA | 9.78 | 1.64 | NA | 22.12 | 090 | |
| 27071 | A | Partial removal of hip bone | 11.44 | NA | 10.75 | 1.82 | NA | 24.01 | 090 | |
| 27075 | A | Extensive hip surgery | 34.95 | NA | 19.68 | 2.68 | NA | 57.31 | 090 | |
| 27076 | A | Extensive hip surgery | 22.09 | NA | 14.79 | 3.45 | NA | 40.33 | 090 | |
| 27077 | A | Extensive hip surgery | 39.94 | NA | 23.10 | 3.84 | NA | 66.88 | 090 | |
| 27078 | A | Extensive hip surgery | 13.42 | NA | 10.43 | 2.01 | NA | 25.86 | 090 | |
| 27079 | A | Extensive hip surgery | 13.73 | NA | 10.09 | 2.24 | NA | 26.06 | 090 | |
| 27080 | A | Removal of tail bone | 6.38 | NA | 5.08 | 0.96 | NA | 12.42 | 090 | |
| 27086 | A | Remove hip foreign body | 1.87 | 2.01 | 1.87 | 0.21 | 4.09 | 3.95 | 010 | |
| 27087 | A | Remove hip foreign body | 8.53 | NA | 6.71 | 1.31 | NA | 16.55 | 090 | |
| 27090 | A | Removal of hip prosthesis | 11.13 | NA | 8.65 | 1.87 | NA | 21.65 | 090 | |
| 27091 | A | Removal of hip prosthesis | 22.11 | NA | 13.86 | 3.75 | NA | 39.72 | 090 | |
| 27093 | A | Injection for hip x-ray | 1.30 | 12.21 | 0.48 | 0.11 | 13.62 | 1.89 | 000 | |
| 27095 | A | Injection for hip x-ray | 1.50 | 10.76 | 0.52 | 0.12 | 12.38 | 2.14 | 000 | |
| 27096 | A | Inject sacroiliac joint | 1.40 | 9.35 | 0.33 | 0.10 | 10.85 | 1.83 | 000 | |
| 27097 | A | Revision of hip tendon | 8.79 | NA | 6.47 | 1.47 | NA | 16.73 | 090 | |
| 27098 | A | Transfer tendon to pelvis | 8.82 | NA | 7.10 | 1.50 | NA | 17.42 | 090 | |
| 27100 | A | Transfer of abdominal muscle | 11.06 | NA | 8.73 | 1.89 | NA | 21.68 | 090 | |
| 27105 | A | Transfer of spinal muscle | 11.75 | NA | 9.20 | 2.00 | NA | 22.95 | 090 | |
| 27110 | A | Transfer of iliopsoas muscle | 13.24 | NA | 9.33 | 1.66 | NA | 24.23 | 090 | |
| 27111 | A | Transfer of iliopsoas muscle | 12.13 | NA | 9.18 | 1.79 | NA | 23.10 | 090 | |
| 27120 | A | Reconstruction of hip socket | 17.98 | NA | 11.74 | 2.95 | NA | 32.67 | 090 | |
| 27122 | A | Reconstruction of hip socket | 14.96 | NA | 10.91 | 2.51 | NA | 28.38 | 090 | |
| 27125 | A | Partial hip replacement | 14.67 | NA | 10.49 | 2.47 | NA | 27.63 | 090 | |
| 27130 | A | Total hip arthroplasty | 20.09 | NA | 13.21 | 3.40 | NA | 36.70 | 090 | |
| 27132 | A | Total hip arthroplasty | 23.27 | NA | 15.48 | 3.93 | NA | 42.68 | 090 | |
| 27134 | A | Revise hip joint replacement | 28.48 | NA | 17.69 | 4.79 | NA | 50.96 | 090 | |
| 27137 | A | Revise hip joint replacement | 21.14 | NA | 13.82 | 3.58 | NA | 38.54 | 090 | |
| 27138 | A | Revise hip joint replacement | 22.14 | NA | 14.28 | 3.75 | NA | 40.17 | 090 | |
| 27140 | A | Transplant femur ridge | 12.22 | NA | 9.41 | 2.01 | NA | 23.64 | 090 | |
| 27146 | A | Incision of hip bone | 17.40 | NA | 12.27 | 2.74 | NA | 32.41 | 090 | |
| 27147 | A | Revision of hip bone | 20.55 | NA | 13.34 | 3.15 | NA | 37.04 | 090 | |
| 27151 | A | Incision of hip bones | 22.48 | NA | 8.21 | 3.76 | NA | 34.45 | 090 | |
| 27156 | A | Revision of hip bones | 24.59 | NA | 16.10 | 4.20 | NA | 44.89 | 090 | |
| 27158 | A | Revision of pelvis | 19.71 | NA | 11.24 | 3.14 | NA | 34.09 | 090 | |
| 27161 | A | Incision of neck of femur | 16.68 | NA | 12.09 | 2.80 | NA | 31.57 | 090 | |
| 27165 | A | Incision/fixation of femur | 17.88 | NA | 12.85 | 3.03 | NA | 33.76 | 090 | |
| 27170 | A | Repair/graft femur head/neck | 16.05 | NA | 11.30 | 2.65 | NA | 30.00 | 090 | |
| 27175 | A | Treat slipped epiphysis | 8.45 | NA | 6.58 | 1.44 | NA | 16.47 | 090 | |
| 27176 | A | Treat slipped epiphysis | 12.03 | NA | 8.98 | 2.03 | NA | 23.04 | 090 | |
| 27177 | A | Treat slipped epiphysis | 15.06 | NA | 10.83 | 2.54 | NA | 28.43 | 090 | |
| 27178 | A | Treat slipped epiphysis | 11.97 | NA | 8.40 | 2.03 | NA | 22.40 | 090 | |
| 27179 | A | Revise head/neck of femur | 12.96 | NA | 9.92 | 2.22 | NA | 25.10 | 090 | |
| 27181 | A | Treat slipped epiphysis | 14.66 | NA | 10.15 | 2.10 | NA | 26.91 | 090 | |
| 27185 | A | Revision of femur epiphysis | 9.17 | NA | 7.58 | 1.56 | NA | 18.31 | 090 | |
| 27187 | A | Reinforce hip bones | 13.52 | NA | 10.33 | 2.28 | NA | 26.13 | 090 | |
| 27193 | A | Treat pelvic ring fracture | 5.55 | 7.10 | 5.74 | 0.93 | 13.58 | 12.22 | 090 | |
| 27194 | A | Treat pelvic ring fracture | 9.64 | 8.75 | 7.50 | 1.59 | 19.98 | 18.73 | 090 | |
| 27200 | A | Treat tail bone fracture | 1.84 | 3.04 | 2.17 | 0.27 | 5.15 | 4.28 | 090 | |
| 27202 | A | Treat tail bone fracture | 7.03 | NA | 17.65 | 0.83 | NA | 25.51 | 090 | |
| 27215 | A | Treat pelvic fracture(s) | 10.03 | NA | 7.17 | 1.65 | NA | 18.85 | 090 | |
| 27216 | A | Treat pelvic ring fracture | 15.17 | NA | 9.72 | 2.59 | NA | 27.48 | 090 | |
| 27217 | A | Treat pelvic ring fracture | 14.09 | NA | 10.15 | 2.35 | NA | 26.59 | 090 | |
| 27218 | A | Treat pelvic ring fracture | 20.12 | NA | 11.50 | 3.44 | NA | 35.06 | 090 | |
| 27220 | A | Treat hip socket fracture | 6.17 | 7.06 | 5.51 | 1.03 | 14.26 | 12.71 | 090 | |
| 27222 | A | Treat hip socket fracture | 12.68 | NA | 9.88 | 2.13 | NA | 24.69 | 090 | |
| 27226 | A | Treat hip wall fracture | 14.89 | NA | 7.92 | 2.50 | NA | 25.31 | 090 | |
| 27227 | A | Treat hip fracture(s) | 23.41 | NA | 15.35 | 3.91 | NA | 42.67 | 090 | |
| 27228 | A | Treat hip fracture(s) | 27.12 | NA | 17.57 | 4.55 | NA | 49.24 | 090 | |
| 27230 | A | Treat thigh fracture | 5.49 | 6.51 | 5.04 | 0.88 | 12.88 | 11.41 | 090 | |
| 27232 | A | Treat thigh fracture | 10.66 | NA | 7.18 | 1.75 | NA | 19.59 | 090 | |
| 27235 | A | Treat thigh fracture | 12.14 | NA | 9.39 | 2.06 | NA | 23.59 | 090 | |
| 27236 | A | Treat thigh fracture | 15.58 | NA | 10.93 | 2.63 | NA | 29.14 | 090 | |
| 27238 | A | Treat thigh fracture | 5.51 | NA | 5.09 | 0.92 | NA | 11.52 | 090 | |
| 27240 | A | Treat thigh fracture | 12.48 | NA | 9.37 | 2.04 | NA | 23.89 | 090 | |
| 27244 | A | Treat thigh fracture | 15.92 | NA | 11.26 | 2.69 | NA | 29.87 | 090 | |
| 27245 | A | Treat thigh fracture | 20.28 | NA | 13.70 | 3.44 | NA | 37.42 | 090 | |
| 27246 | A | Treat thigh fracture | 4.70 | 5.66 | 4.41 | 0.80 | 11.16 | 9.91 | 090 | |
| 27248 | A | Treat thigh fracture | 10.43 | NA | 8.19 | 1.75 | NA | 20.37 | 090 | |
| 27250 | A | Treat hip dislocation | 6.94 | NA | 4.77 | 0.82 | NA | 12.53 | 090 | |
| 27252 | A | Treat hip dislocation | 10.37 | NA | 7.39 | 1.65 | NA | 19.41 | 090 | |
| 27253 | A | Treat hip dislocation | 12.90 | NA | 9.72 | 2.18 | NA | 24.80 | 090 | |
| 27254 | A | Treat hip dislocation | 18.23 | NA | 12.03 | 3.04 | NA | 33.30 | 090 | |
| 27256 | A | Treat hip dislocation | 4.11 | 3.43 | 2.09 | 0.59 | 8.13 | 6.79 | 010 | |
| 27257 | A | Treat hip dislocation | 5.21 | NA | 2.88 | 0.68 | NA | 8.77 | 010 | |
| 27258 | A | Treat hip dislocation | 15.41 | NA | 10.91 | 2.48 | NA | 28.80 | 090 | |
| 27259 | A | Treat hip dislocation | 21.52 | NA | 14.16 | 3.61 | NA | 39.29 | 090 | |
| 27265 | A | Treat hip dislocation | 5.04 | NA | 4.76 | 0.78 | NA | 10.58 | 090 | |
| 27266 | A | Treat hip dislocation | 7.48 | NA | 6.27 | 1.25 | NA | 15.00 | 090 | |
| 27275 | A | Manipulation of hip joint | 2.27 | NA | 2.13 | 0.37 | NA | 4.77 | 010 | |
| 27280 | A | Fusion of sacroiliac joint | 13.37 | NA | 10.30 | 2.39 | NA | 26.06 | 090 | |
| 27282 | A | Fusion of pubic bones | 11.32 | NA | 8.23 | 1.37 | NA | 20.92 | 090 | |
| 27284 | A | Fusion of hip joint | 23.41 | NA | 14.83 | 2.85 | NA | 41.09 | 090 | |
| 27286 | A | Fusion of hip joint | 23.41 | NA | 15.81 | 2.86 | NA | 42.08 | 090 | |
| 27290 | A | Amputation of leg at hip | 23.25 | NA | 14.16 | 3.55 | NA | 40.96 | 090 | |
| 27295 | A | Amputation of leg at hip | 18.62 | NA | 11.54 | 2.83 | NA | 32.99 | 090 | |
| 27299 | C | Pelvis/hip joint surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27301 | A | Drain thigh/knee lesion | 6.48 | 7.34 | 5.88 | 0.96 | 14.78 | 13.32 | 090 | |
| 27303 | A | Drainage of bone lesion | 8.27 | NA | 7.24 | 1.37 | NA | 16.88 | 090 | |
| 27305 | A | Incise thigh tendon fascia | 5.91 | NA | 5.36 | 0.93 | NA | 12.20 | 090 | |
| 27306 | A | Incision of thigh tendon | 4.61 | NA | 4.80 | 0.75 | NA | 10.16 | 090 | |
| 27307 | A | Incision of thigh tendons | 5.79 | NA | 5.52 | 0.94 | NA | 12.25 | 090 | |
| 27310 | A | Exploration of knee joint | 9.26 | NA | 7.54 | 1.56 | NA | 18.36 | 090 | |
| 27315 | A | Partial removal, thigh nerve | 6.96 | NA | 4.83 | 0.95 | NA | 12.74 | 090 | |
| 27320 | A | Partial removal, thigh nerve | 6.29 | NA | 5.12 | 0.94 | NA | 12.35 | 090 | |
| 27323 | A | Biopsy, thigh soft tissues | 2.28 | 2.19 | 1.92 | 0.21 | 4.68 | 4.41 | 010 | |
| 27324 | A | Biopsy, thigh soft tissues | 4.89 | NA | 4.35 | 0.71 | NA | 9.95 | 090 | |
| 27327 | A | Removal of thigh lesion | 4.46 | 5.34 | 3.91 | 0.60 | 10.40 | 8.97 | 090 | |
| 27328 | A | Removal of thigh lesion | 5.56 | NA | 4.57 | 0.80 | NA | 10.93 | 090 | |
| 27329 | A | Remove tumor, thigh/knee | 14.12 | NA | 9.51 | 2.03 | NA | 25.66 | 090 | |
| 27330 | A | Biopsy, knee joint lining | 4.96 | NA | 4.61 | 0.80 | NA | 10.37 | 090 | |
| 27331 | A | Explore/treat knee joint | 5.87 | NA | 5.51 | 0.98 | NA | 12.36 | 090 | |
| 27332 | A | Removal of knee cartilage | 8.26 | NA | 7.08 | 1.39 | NA | 16.73 | 090 | |
| 27333 | A | Removal of knee cartilage | 7.29 | NA | 6.60 | 1.24 | NA | 15.13 | 090 | |
| 27334 | A | Remove knee joint lining | 8.69 | NA | 7.38 | 1.46 | NA | 17.53 | 090 | |
| 27335 | A | Remove knee joint lining | 9.99 | NA | 8.18 | 1.70 | NA | 19.87 | 090 | |
| 27340 | A | Removal of kneecap bursa | 4.17 | NA | 4.53 | 0.70 | NA | 9.40 | 090 | |
| 27345 | A | Removal of knee cyst | 5.91 | NA | 5.61 | 0.98 | NA | 12.50 | 090 | |
| 27347 | A | Remove knee cyst | 5.77 | NA | 5.42 | 0.92 | NA | 12.11 | 090 | |
| 27350 | A | Removal of kneecap | 8.16 | NA | 7.19 | 1.39 | NA | 16.74 | 090 | |
| 27355 | A | Remove femur lesion | 7.64 | NA | 6.81 | 1.29 | NA | 15.74 | 090 | |
| 27356 | A | Remove femur lesion/graft | 9.47 | NA | 7.88 | 1.56 | NA | 18.91 | 090 | |
| 27357 | A | Remove femur lesion/graft | 10.51 | NA | 8.70 | 1.79 | NA | 21.00 | 090 | |
| 27358 | A | Remove femur lesion/fixation | 4.73 | NA | 2.54 | 0.81 | NA | 8.08 | ZZZ | |
| 27360 | A | Partial removal, leg bone(s) | 10.48 | NA | 9.95 | 1.71 | NA | 22.14 | 090 | |
| 27365 | A | Extensive leg surgery | 16.25 | NA | 11.67 | 2.73 | NA | 30.65 | 090 | |
| 27370 | A | Injection for knee x-ray | 0.96 | 12.01 | 0.32 | 0.07 | 13.04 | 1.35 | 000 | |
| 27372 | A | Removal of foreign body | 5.06 | 6.00 | 4.69 | 0.75 | 11.81 | 10.50 | 090 | |
| 27380 | A | Repair of kneecap tendon | 7.15 | NA | 7.25 | 1.21 | NA | 15.61 | 090 | |
| 27381 | A | Repair/graft kneecap tendon | 10.32 | NA | 9.05 | 1.74 | NA | 21.11 | 090 | |
| 27385 | A | Repair of thigh muscle | 7.75 | NA | 7.59 | 1.31 | NA | 16.65 | 090 | |
| 27386 | A | Repair/graft of thigh muscle | 10.54 | NA | 9.46 | 1.80 | NA | 21.80 | 090 | |
| 27390 | A | Incision of thigh tendon | 5.32 | NA | 5.26 | 0.83 | NA | 11.41 | 090 | |
| 27391 | A | Incision of thigh tendons | 7.19 | NA | 6.63 | 1.19 | NA | 15.01 | 090 | |
| 27392 | A | Incision of thigh tendons | 9.19 | NA | 7.72 | 1.48 | NA | 18.39 | 090 | |
| 27393 | A | Lengthening of thigh tendon | 6.38 | NA | 5.85 | 1.09 | NA | 13.32 | 090 | |
| 27394 | A | Lengthening of thigh tendons | 8.49 | NA | 7.28 | 1.41 | NA | 17.18 | 090 | |
| 27395 | A | Lengthening of thigh tendons | 11.71 | NA | 9.38 | 1.97 | NA | 23.06 | 090 | |
| 27396 | A | Transplant of thigh tendon | 7.85 | NA | 7.07 | 1.34 | NA | 16.26 | 090 | |
| 27397 | A | Transplants of thigh tendons | 11.26 | NA | 9.03 | 1.91 | NA | 22.20 | 090 | |
| 27400 | A | Revise thigh muscles/tendons | 9.01 | NA | 7.34 | 1.42 | NA | 17.77 | 090 | |
| 27403 | A | Repair of knee cartilage | 8.32 | NA | 7.14 | 1.40 | NA | 16.86 | 090 | |
| 27405 | A | Repair of knee ligament | 8.64 | NA | 7.46 | 1.46 | NA | 17.56 | 090 | |
| 27407 | A | Repair of knee ligament | 10.26 | NA | 8.30 | 1.66 | NA | 20.22 | 090 | |
| 27409 | A | Repair of knee ligaments | 12.88 | NA | 9.91 | 2.11 | NA | 24.90 | 090 | |
| 27418 | A | Repair degenerated kneecap | 10.83 | NA | 8.85 | 1.82 | NA | 21.50 | 090 | |
| 27420 | A | Revision of unstable kneecap | 9.82 | NA | 8.05 | 1.66 | NA | 19.53 | 090 | |
| 27422 | A | Revision of unstable kneecap | 9.77 | NA | 8.07 | 1.65 | NA | 19.49 | 090 | |
| 27424 | A | Revision/removal of kneecap | 9.80 | NA | 8.04 | 1.66 | NA | 19.50 | 090 | |
| 27425 | A | Lat retinacular release open | 5.21 | NA | 5.49 | 0.88 | NA | 11.58 | 090 | |
| 27427 | A | Reconstruction, knee | 9.35 | NA | 7.74 | 1.56 | NA | 18.65 | 090 | |
| 27428 | A | Reconstruction, knee | 13.98 | NA | 11.10 | 2.35 | NA | 27.43 | 090 | |
| 27429 | A | Reconstruction, knee | 15.50 | NA | 12.34 | 2.63 | NA | 30.47 | 090 | |
| 27430 | A | Revision of thigh muscles | 9.66 | NA | 7.96 | 1.63 | NA | 19.25 | 090 | |
| 27435 | A | Incision of knee joint | 9.48 | NA | 8.36 | 1.60 | NA | 19.44 | 090 | |
| 27437 | A | Revise kneecap | 8.45 | NA | 7.11 | 1.42 | NA | 16.98 | 090 | |
| 27438 | A | Revise kneecap with implant | 11.21 | NA | 8.43 | 1.88 | NA | 21.52 | 090 | |
| 27440 | A | Revision of knee joint | 10.41 | NA | 5.97 | 1.71 | NA | 18.09 | 090 | |
| 27441 | A | Revision of knee joint | 10.80 | NA | 6.65 | 1.80 | NA | 19.25 | 090 | |
| 27442 | A | Revision of knee joint | 11.87 | NA | 8.80 | 2.03 | NA | 22.70 | 090 | |
| 27443 | A | Revision of knee joint | 10.91 | NA | 8.59 | 1.83 | NA | 21.33 | 090 | |
| 27445 | A | Revision of knee joint | 17.65 | NA | 12.23 | 3.00 | NA | 32.88 | 090 | |
| 27446 | A | Revision of knee joint | 15.82 | NA | 11.15 | 2.68 | NA | 29.65 | 090 | |
| 27447 | A | Total knee arthroplasty | 21.45 | NA | 14.46 | 3.62 | NA | 39.53 | 090 | |
| 27448 | A | Incision of thigh | 11.04 | NA | 8.65 | 1.82 | NA | 21.51 | 090 | |
| 27450 | A | Incision of thigh | 13.96 | NA | 10.59 | 2.36 | NA | 26.91 | 090 | |
| 27454 | A | Realignment of thigh bone | 17.53 | NA | 12.50 | 2.97 | NA | 33.00 | 090 | |
| 27455 | A | Realignment of knee | 12.80 | NA | 9.87 | 2.15 | NA | 24.82 | 090 | |
| 27457 | A | Realignment of knee | 13.43 | NA | 9.91 | 2.27 | NA | 25.61 | 090 | |
| 27465 | A | Shortening of thigh bone | 13.85 | NA | 10.34 | 2.24 | NA | 26.43 | 090 | |
| 27466 | A | Lengthening of thigh bone | 16.31 | NA | 11.87 | 2.32 | NA | 30.50 | 090 | |
| 27468 | A | Shorten/lengthen thighs | 18.94 | NA | 12.45 | 3.23 | NA | 34.62 | 090 | |
| 27470 | A | Repair of thigh | 16.05 | NA | 11.83 | 2.70 | NA | 30.58 | 090 | |
| 27472 | A | Repair/graft of thigh | 17.69 | NA | 12.72 | 3.00 | NA | 33.41 | 090 | |
| 27475 | A | Surgery to stop leg growth | 8.63 | NA | 7.22 | 1.36 | NA | 17.21 | 090 | |
| 27477 | A | Surgery to stop leg growth | 9.84 | NA | 7.73 | 1.58 | NA | 19.15 | 090 | |
| 27479 | A | Surgery to stop leg growth | 12.78 | NA | 9.86 | 2.18 | NA | 24.82 | 090 | |
| 27485 | A | Surgery to stop leg growth | 8.83 | NA | 7.38 | 1.50 | NA | 17.71 | 090 | |
| 27486 | A | Revise/replace knee joint | 19.24 | NA | 13.34 | 3.26 | NA | 35.84 | 090 | |
| 27487 | A | Revise/replace knee joint | 25.23 | NA | 16.41 | 4.27 | NA | 45.91 | 090 | |
| 27488 | A | Removal of knee prosthesis | 15.72 | NA | 11.54 | 2.67 | NA | 29.93 | 090 | |
| 27495 | A | Reinforce thigh | 15.53 | NA | 11.47 | 2.63 | NA | 29.63 | 090 | |
| 27496 | A | Decompression of thigh/knee | 6.10 | NA | 5.72 | 0.93 | NA | 12.75 | 090 | |
| 27497 | A | Decompression of thigh/knee | 7.16 | NA | 5.66 | 1.01 | NA | 13.83 | 090 | |
| 27498 | A | Decompression of thigh/knee | 7.98 | NA | 6.11 | 1.17 | NA | 15.26 | 090 | |
| 27499 | A | Decompression of thigh/knee | 8.99 | NA | 6.99 | 1.42 | NA | 17.40 | 090 | |
| 27500 | A | Treatment of thigh fracture | 5.91 | 7.01 | 4.99 | 0.96 | 13.88 | 11.86 | 090 | |
| 27501 | A | Treatment of thigh fracture | 5.91 | 7.57 | 5.66 | 1.00 | 14.48 | 12.57 | 090 | |
| 27502 | A | Treatment of thigh fracture | 10.56 | NA | 8.10 | 1.80 | NA | 20.46 | 090 | |
| 27503 | A | Treatment of thigh fracture | 10.56 | NA | 8.26 | 1.80 | NA | 20.62 | 090 | |
| 27506 | A | Treatment of thigh fracture | 17.42 | NA | 12.70 | 2.81 | NA | 32.93 | 090 | |
| 27507 | A | Treatment of thigh fracture | 13.97 | NA | 9.88 | 2.35 | NA | 26.20 | 090 | |
| 27508 | A | Treatment of thigh fracture | 5.82 | 6.97 | 5.32 | 0.96 | 13.75 | 12.10 | 090 | |
| 27509 | A | Treatment of thigh fracture | 7.70 | NA | 7.90 | 1.30 | NA | 16.90 | 090 | |
| 27510 | A | Treatment of thigh fracture | 9.12 | NA | 7.17 | 1.52 | NA | 17.81 | 090 | |
| 27511 | A | Treatment of thigh fracture | 13.62 | NA | 11.19 | 2.30 | NA | 27.11 | 090 | |
| 27513 | A | Treatment of thigh fracture | 17.89 | NA | 13.83 | 3.03 | NA | 34.75 | 090 | |
| 27514 | A | Treatment of thigh fracture | 17.27 | NA | 13.29 | 2.91 | NA | 33.47 | 090 | |
| 27516 | A | Treat thigh fx growth plate | 5.36 | 7.27 | 5.38 | 0.89 | 13.52 | 11.63 | 090 | |
| 27517 | A | Treat thigh fx growth plate | 8.77 | 8.89 | 7.35 | 1.47 | 19.13 | 17.59 | 090 | |
| 27519 | A | Treat thigh fx growth plate | 15.00 | NA | 11.61 | 2.52 | NA | 29.13 | 090 | |
| 27520 | A | Treat kneecap fracture | 2.86 | 5.22 | 3.41 | 0.46 | 8.54 | 6.73 | 090 | |
| 27524 | A | Treat kneecap fracture | 9.99 | NA | 8.14 | 1.69 | NA | 19.82 | 090 | |
| 27530 | A | Treat knee fracture | 3.77 | 5.88 | 4.26 | 0.62 | 10.27 | 8.65 | 090 | |
| 27532 | A | Treat knee fracture | 7.29 | 7.82 | 6.26 | 1.23 | 16.34 | 14.78 | 090 | |
| 27535 | A | Treat knee fracture | 11.48 | NA | 10.09 | 1.94 | NA | 23.51 | 090 | |
| 27536 | A | Treat knee fracture | 15.63 | NA | 11.48 | 2.64 | NA | 29.75 | 090 | |
| 27538 | A | Treat knee fracture(s) | 4.86 | 7.07 | 5.08 | 0.81 | 12.74 | 10.75 | 090 | |
| 27540 | A | Treat knee fracture | 13.08 | NA | 9.46 | 2.17 | NA | 24.71 | 090 | |
| 27550 | A | Treat knee dislocation | 5.75 | 6.57 | 4.92 | 0.82 | 13.14 | 11.49 | 090 | |
| 27552 | A | Treat knee dislocation | 7.89 | NA | 6.86 | 1.33 | NA | 16.08 | 090 | |
| 27556 | A | Treat knee dislocation | 14.39 | NA | 11.66 | 2.42 | NA | 28.47 | 090 | |
| 27557 | A | Treat knee dislocation | 16.74 | NA | 13.12 | 2.86 | NA | 32.72 | 090 | |
| 27558 | A | Treat knee dislocation | 17.69 | NA | 13.08 | 3.03 | NA | 33.80 | 090 | |
| 27560 | A | Treat kneecap dislocation | 3.81 | 5.58 | 3.29 | 0.48 | 9.87 | 7.58 | 090 | |
| 27562 | A | Treat kneecap dislocation | 5.78 | NA | 4.79 | 0.83 | NA | 11.40 | 090 | |
| 27566 | A | Treat kneecap dislocation | 12.21 | NA | 9.26 | 2.09 | NA | 23.56 | 090 | |
| 27570 | A | Fixation of knee joint | 1.74 | NA | 1.81 | 0.29 | NA | 3.84 | 010 | |
| 27580 | A | Fusion of knee | 19.34 | NA | 14.75 | 3.26 | NA | 37.35 | 090 | |
| 27590 | A | Amputate leg at thigh | 12.01 | NA | 7.10 | 1.63 | NA | 20.74 | 090 | |
| 27591 | A | Amputate leg at thigh | 12.66 | NA | 8.87 | 1.97 | NA | 23.50 | 090 | |
| 27592 | A | Amputate leg at thigh | 10.00 | NA | 6.59 | 1.41 | NA | 18.00 | 090 | |
| 27594 | A | Amputation follow-up surgery | 6.91 | NA | 5.45 | 0.99 | NA | 13.35 | 090 | |
| 27596 | A | Amputation follow-up surgery | 10.58 | NA | 7.22 | 1.50 | NA | 19.30 | 090 | |
| 27598 | A | Amputate lower leg at knee | 10.51 | NA | 7.32 | 1.50 | NA | 19.33 | 090 | |
| 27599 | C | Leg surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27600 | A | Decompression of lower leg | 5.64 | NA | 4.75 | 0.82 | NA | 11.21 | 090 | |
| 27601 | A | Decompression of lower leg | 5.63 | NA | 5.04 | 0.83 | NA | 11.50 | 090 | |
| 27602 | A | Decompression of lower leg | 7.34 | NA | 5.33 | 1.03 | NA | 13.70 | 090 | |
| 27603 | A | Drain lower leg lesion | 4.93 | 10.64 | 4.85 | 0.68 | 16.25 | 10.46 | 090 | |
| 27604 | A | Drain lower leg bursa | 4.46 | 8.58 | 4.53 | 0.65 | 13.69 | 9.64 | 090 | |
| 27605 | A | Incision of achilles tendon | 2.87 | 8.80 | 2.34 | 0.46 | 12.13 | 5.67 | 010 | |
| 27606 | A | Incision of achilles tendon | 4.13 | 10.03 | 3.40 | 0.69 | 14.85 | 8.22 | 010 | |
| 27607 | A | Treat lower leg bone lesion | 7.96 | NA | 6.58 | 1.30 | NA | 15.84 | 090 | |
| 27610 | A | Explore/treat ankle joint | 8.33 | NA | 7.06 | 1.39 | NA | 16.78 | 090 | |
| 27612 | A | Exploration of ankle joint | 7.32 | NA | 6.12 | 1.22 | NA | 14.66 | 090 | |
| 27613 | A | Biopsy lower leg soft tissue | 2.17 | 3.77 | 1.76 | 0.19 | 6.13 | 4.12 | 010 | |
| 27614 | A | Biopsy lower leg soft tissue | 5.65 | 8.78 | 4.63 | 0.75 | 15.18 | 11.03 | 090 | |
| 27615 | A | Remove tumor, lower leg | 12.54 | NA | 10.56 | 1.68 | NA | 24.78 | 090 | |
| 27618 | A | Remove lower leg lesion | 5.08 | 9.10 | 4.21 | 0.65 | 14.83 | 9.94 | 090 | |
| 27619 | A | Remove lower leg lesion | 8.39 | 10.62 | 6.17 | 1.22 | 20.23 | 15.78 | 090 | |
| 27620 | A | Explore/treat ankle joint | 5.97 | NA | 5.50 | 1.00 | NA | 12.47 | 090 | |
| 27625 | A | Remove ankle joint lining | 8.29 | NA | 6.54 | 1.40 | NA | 16.23 | 090 | |
| 27626 | A | Remove ankle joint lining | 8.90 | NA | 7.00 | 1.48 | NA | 17.38 | 090 | |
| 27630 | A | Removal of tendon lesion | 4.79 | 8.99 | 4.46 | 0.72 | 14.50 | 9.97 | 090 | |
| 27635 | A | Remove lower leg bone lesion | 7.77 | NA | 6.84 | 1.28 | NA | 15.89 | 090 | |
| 27637 | A | Remove/graft leg bone lesion | 9.84 | NA | 8.35 | 1.66 | NA | 19.85 | 090 | |
| 27638 | A | Remove/graft leg bone lesion | 10.55 | NA | 8.39 | 1.77 | NA | 20.71 | 090 | |
| 27640 | A | Partial removal of tibia | 11.35 | NA | 10.81 | 1.86 | NA | 24.02 | 090 | |
| 27641 | A | Partial removal of fibula | 9.23 | NA | 8.83 | 1.47 | NA | 19.53 | 090 | |
| 27645 | A | Extensive lower leg surgery | 14.15 | NA | 12.34 | 2.39 | NA | 28.88 | 090 | |
| 27646 | A | Extensive lower leg surgery | 12.64 | NA | 11.34 | 1.87 | NA | 25.85 | 090 | |
| 27647 | A | Extensive ankle/heel surgery | 12.22 | NA | 7.85 | 1.98 | NA | 22.05 | 090 | |
| 27648 | A | Injection for ankle x-ray | 0.96 | 9.45 | 0.33 | 0.06 | 10.47 | 1.35 | 000 | |
| 27650 | A | Repair achilles tendon | 9.68 | NA | 7.51 | 1.63 | NA | 18.82 | 090 | |
| 27652 | A | Repair/graft achilles tendon | 10.31 | NA | 8.01 | 1.75 | NA | 20.07 | 090 | |
| 27654 | A | Repair of achilles tendon | 10.00 | NA | 7.23 | 1.70 | NA | 18.93 | 090 | |
| 27656 | A | Repair leg fascia defect | 4.56 | 9.93 | 4.01 | 0.58 | 15.07 | 9.15 | 090 | |
| 27658 | A | Repair of leg tendon, each | 4.97 | 9.18 | 4.77 | 0.82 | 14.97 | 10.56 | 090 | |
| 27659 | A | Repair of leg tendon, each | 6.80 | 11.30 | 5.80 | 1.16 | 19.26 | 13.76 | 090 | |
| 27664 | A | Repair of leg tendon, each | 4.58 | 11.26 | 4.74 | 0.76 | 16.60 | 10.08 | 090 | |
| 27665 | A | Repair of leg tendon, each | 5.39 | 11.05 | 5.18 | 0.90 | 17.34 | 11.47 | 090 | |
| 27675 | A | Repair lower leg tendons | 7.17 | NA | 5.79 | 1.22 | NA | 14.18 | 090 | |
| 27676 | A | Repair lower leg tendons | 8.41 | NA | 6.77 | 1.39 | NA | 16.57 | 090 | |
| 27680 | A | Release of lower leg tendon | 5.73 | NA | 5.19 | 0.96 | NA | 11.88 | 090 | |
| 27681 | A | Release of lower leg tendons | 6.81 | NA | 5.96 | 1.11 | NA | 13.88 | 090 | |
| 27685 | A | Revision of lower leg tendon | 6.49 | 8.11 | 5.51 | 1.10 | 15.70 | 13.10 | 090 | |
| 27686 | A | Revise lower leg tendons | 7.45 | 12.57 | 6.59 | 1.27 | 21.29 | 15.31 | 090 | |
| 27687 | A | Revision of calf tendon | 6.23 | NA | 5.42 | 1.06 | NA | 12.71 | 090 | |
| 27690 | A | Revise lower leg tendon | 8.70 | NA | 6.45 | 1.47 | NA | 16.62 | 090 | |
| 27691 | A | Revise lower leg tendon | 9.95 | NA | 7.81 | 1.69 | NA | 19.45 | 090 | |
| 27692 | A | Revise additional leg tendon | 1.87 | NA | 0.93 | 0.31 | NA | 3.11 | ZZZ | |
| 27695 | A | Repair of ankle ligament | 6.50 | NA | 5.92 | 1.09 | NA | 13.51 | 090 | |
| 27696 | A | Repair of ankle ligaments | 8.26 | NA | 6.50 | 1.40 | NA | 16.16 | 090 | |
| 27698 | A | Repair of ankle ligament | 9.35 | NA | 6.98 | 1.58 | NA | 17.91 | 090 | |
| 27700 | A | Revision of ankle joint | 9.28 | NA | 5.62 | 1.50 | NA | 16.40 | 090 | |
| 27702 | A | Reconstruct ankle joint | 13.65 | NA | 10.32 | 2.32 | NA | 26.29 | 090 | |
| 27703 | A | Reconstruction, ankle joint | 15.85 | NA | 11.09 | 2.70 | NA | 29.64 | 090 | |
| 27704 | A | Removal of ankle implant | 7.61 | NA | 5.52 | 0.74 | NA | 13.87 | 090 | |
| 27705 | A | Incision of tibia | 10.36 | NA | 8.23 | 1.74 | NA | 20.33 | 090 | |
| 27707 | A | Incision of fibula | 4.36 | NA | 5.01 | 0.72 | NA | 10.09 | 090 | |
| 27709 | A | Incision of tibia fibula | 9.94 | NA | 8.16 | 1.68 | NA | 19.78 | 090 | |
| 27712 | A | Realignment of lower leg | 14.23 | NA | 10.72 | 2.41 | NA | 27.36 | 090 | |
| 27715 | A | Revision of lower leg | 14.37 | NA | 10.84 | 2.41 | NA | 27.62 | 090 | |
| 27720 | A | Repair of tibia | 11.77 | NA | 9.45 | 2.00 | NA | 23.22 | 090 | |
| 27722 | A | Repair/graft of tibia | 11.80 | NA | 9.21 | 1.99 | NA | 23.00 | 090 | |
| 27724 | A | Repair/graft of tibia | 18.17 | NA | 12.45 | 2.53 | NA | 33.15 | 090 | |
| 27725 | A | Repair of lower leg | 15.57 | NA | 11.88 | 2.65 | NA | 30.10 | 090 | |
| 27727 | A | Repair of lower leg | 13.99 | NA | 10.41 | 2.22 | NA | 26.62 | 090 | |
| 27730 | A | Repair of tibia epiphysis | 7.40 | 17.74 | 6.45 | 0.90 | 26.04 | 14.75 | 090 | |
| 27732 | A | Repair of fibula epiphysis | 5.31 | 11.60 | 5.00 | 0.76 | 17.67 | 11.07 | 090 | |
| 27734 | A | Repair lower leg epiphyses | 8.47 | NA | 6.42 | 1.03 | NA | 15.92 | 090 | |
| 27740 | A | Repair of leg epiphyses | 9.29 | 20.61 | 7.93 | 1.58 | 31.48 | 18.80 | 090 | |
| 27742 | A | Repair of leg epiphyses | 10.28 | 12.50 | 7.26 | 1.87 | 24.65 | 19.41 | 090 | |
| 27745 | A | Reinforce tibia | 10.05 | NA | 8.21 | 1.66 | NA | 19.92 | 090 | |
| 27750 | A | Treatment of tibia fracture | 3.19 | 5.37 | 3.77 | 0.52 | 9.08 | 7.48 | 090 | |
| 27752 | A | Treatment of tibia fracture | 5.83 | 7.38 | 5.49 | 0.99 | 14.20 | 12.31 | 090 | |
| 27756 | A | Treatment of tibia fracture | 6.77 | NA | 6.52 | 1.13 | NA | 14.42 | 090 | |
| 27758 | A | Treatment of tibia fracture | 11.65 | NA | 9.19 | 1.83 | NA | 22.67 | 090 | |
| 27759 | A | Treatment of tibia fracture | 13.74 | NA | 10.32 | 2.33 | NA | 26.39 | 090 | |
| 27760 | A | Treatment of ankle fracture | 3.01 | 5.25 | 3.53 | 0.47 | 8.73 | 7.01 | 090 | |
| 27762 | A | Treatment of ankle fracture | 5.24 | 7.12 | 5.16 | 0.86 | 13.22 | 11.26 | 090 | |
| 27766 | A | Treatment of ankle fracture | 8.35 | NA | 7.16 | 1.41 | NA | 16.92 | 090 | |
| 27780 | A | Treatment of fibula fracture | 2.65 | 4.92 | 3.21 | 0.40 | 7.97 | 6.26 | 090 | |
| 27781 | A | Treatment of fibula fracture | 4.39 | 6.35 | 4.49 | 0.69 | 11.43 | 9.57 | 090 | |
| 27784 | A | Treatment of fibula fracture | 7.10 | NA | 6.45 | 1.18 | NA | 14.73 | 090 | |
| 27786 | A | Treatment of ankle fracture | 2.84 | 5.09 | 3.33 | 0.45 | 8.38 | 6.62 | 090 | |
| 27788 | A | Treatment of ankle fracture | 4.44 | 6.46 | 4.50 | 0.74 | 11.64 | 9.68 | 090 | |
| 27792 | A | Treatment of ankle fracture | 7.65 | NA | 6.90 | 1.29 | NA | 15.84 | 090 | |
| 27808 | A | Treatment of ankle fracture | 2.83 | 5.68 | 3.60 | 0.46 | 8.97 | 6.89 | 090 | |
| 27810 | A | Treatment of ankle fracture | 5.12 | 6.95 | 4.99 | 0.86 | 12.93 | 10.97 | 090 | |
| 27814 | A | Treatment of ankle fracture | 10.66 | NA | 8.55 | 1.81 | NA | 21.02 | 090 | |
| 27816 | A | Treatment of ankle fracture | 2.89 | 4.99 | 3.40 | 0.45 | 8.33 | 6.74 | 090 | |
| 27818 | A | Treatment of ankle fracture | 5.49 | 7.06 | 5.04 | 0.89 | 13.44 | 11.42 | 090 | |
| 27822 | A | Treatment of ankle fracture | 10.98 | NA | 10.63 | 1.56 | NA | 23.17 | 090 | |
| 27823 | A | Treatment of ankle fracture | 12.98 | NA | 11.49 | 1.99 | NA | 26.46 | 090 | |
| 27824 | A | Treat lower leg fracture | 2.89 | 5.56 | 3.74 | 0.47 | 8.92 | 7.10 | 090 | |
| 27825 | A | Treat lower leg fracture | 6.18 | 8.19 | 5.86 | 1.03 | 15.40 | 13.07 | 090 | |
| 27826 | A | Treat lower leg fracture | 8.53 | NA | 8.87 | 1.44 | NA | 18.84 | 090 | |
| 27827 | A | Treat lower leg fracture | 14.04 | NA | 12.71 | 2.36 | NA | 29.11 | 090 | |
| 27828 | A | Treat lower leg fracture | 16.21 | NA | 13.85 | 2.74 | NA | 32.80 | 090 | |
| 27829 | A | Treat lower leg joint | 5.48 | NA | 6.77 | 0.93 | NA | 13.18 | 090 | |
| 27830 | A | Treat lower leg dislocation | 3.78 | 5.12 | 3.83 | 0.53 | 9.43 | 8.14 | 090 | |
| 27831 | A | Treat lower leg dislocation | 4.55 | NA | 4.43 | 0.74 | NA | 9.72 | 090 | |
| 27832 | A | Treat lower leg dislocation | 6.48 | NA | 6.16 | 1.10 | NA | 13.74 | 090 | |
| 27840 | A | Treat ankle dislocation | 4.57 | NA | 3.89 | 0.57 | NA | 9.03 | 090 | |
| 27842 | A | Treat ankle dislocation | 6.20 | NA | 5.08 | 0.92 | NA | 12.20 | 090 | |
| 27846 | A | Treat ankle dislocation | 9.78 | NA | 7.91 | 1.64 | NA | 19.33 | 090 | |
| 27848 | A | Treat ankle dislocation | 11.18 | NA | 9.71 | 1.87 | NA | 22.76 | 090 | |
| 27860 | A | Fixation of ankle joint | 2.34 | NA | 2.01 | 0.37 | NA | 4.72 | 010 | |
| 27870 | A | Fusion of ankle joint, open | 13.89 | NA | 10.50 | 2.35 | NA | 26.74 | 090 | |
| 27871 | A | Fusion of tibiofibular joint | 9.16 | NA | 7.62 | 1.56 | NA | 18.34 | 090 | |
| 27880 | A | Amputation of lower leg | 11.83 | NA | 7.46 | 1.66 | NA | 20.95 | 090 | |
| 27881 | A | Amputation of lower leg | 12.32 | NA | 9.01 | 1.92 | NA | 23.25 | 090 | |
| 27882 | A | Amputation of lower leg | 8.93 | NA | 6.93 | 1.24 | NA | 17.10 | 090 | |
| 27884 | A | Amputation follow-up surgery | 8.20 | NA | 6.10 | 1.15 | NA | 15.45 | 090 | |
| 27886 | A | Amputation follow-up surgery | 9.31 | NA | 6.82 | 1.36 | NA | 17.49 | 090 | |
| 27888 | A | Amputation of foot at ankle | 9.66 | NA | 7.60 | 1.52 | NA | 18.78 | 090 | |
| 27889 | A | Amputation of foot at ankle | 9.97 | NA | 6.74 | 1.44 | NA | 18.15 | 090 | |
| 27892 | A | Decompression of leg | 7.38 | NA | 5.85 | 1.04 | NA | 14.27 | 090 | |
| 27893 | A | Decompression of leg | 7.34 | NA | 5.74 | 1.09 | NA | 14.17 | 090 | |
| 27894 | A | Decompression of leg | 10.47 | NA | 7.93 | 1.51 | NA | 19.91 | 090 | |
| 27899 | C | Leg/ankle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 28001 | A | Drainage of bursa of foot | 2.73 | 5.82 | 3.51 | 0.37 | 8.92 | 6.61 | 010 | |
| 28002 | A | Treatment of foot infection | 4.61 | 7.22 | 4.64 | 0.68 | 12.51 | 9.93 | 010 | |
| 28003 | A | Treatment of foot infection | 8.40 | 7.68 | 6.04 | 1.24 | 17.32 | 15.68 | 090 | |
| 28005 | A | Treat foot bone lesion | 8.67 | NA | 6.36 | 1.37 | NA | 16.40 | 090 | |
| 28008 | A | Incision of foot fascia | 4.44 | 5.68 | 3.55 | 0.68 | 10.80 | 8.67 | 090 | |
| 28010 | A | Incision of toe tendon | 2.84 | 5.53 | 2.91 | 0.47 | 8.84 | 6.22 | 090 | |
| 28011 | A | Incision of toe tendons | 4.13 | 7.42 | 4.24 | 0.70 | 12.25 | 9.07 | 090 | |
| 28020 | A | Exploration of foot joint | 5.00 | 7.07 | 4.20 | 0.77 | 12.84 | 9.97 | 090 | |
| 28022 | A | Exploration of foot joint | 4.66 | 6.09 | 3.93 | 0.75 | 11.50 | 9.34 | 090 | |
| 28024 | A | Exploration of toe joint | 4.37 | 6.20 | 3.99 | 0.60 | 11.17 | 8.96 | 090 | |
| 28030 | A | Removal of foot nerve | 6.14 | NA | 3.58 | 1.03 | NA | 10.75 | 090 | |
| 28035 | A | Decompression of tibia nerve | 5.08 | 5.54 | 4.03 | 0.86 | 11.48 | 9.97 | 090 | |
| 28043 | A | Excision of foot lesion | 3.53 | 5.79 | 3.28 | 0.54 | 9.86 | 7.35 | 090 | |
| 28045 | A | Excision of foot lesion | 4.71 | 6.12 | 3.71 | 0.75 | 11.58 | 9.17 | 090 | |
| 28046 | A | Resection of tumor, foot | 10.16 | 9.42 | 7.34 | 1.36 | 20.94 | 18.86 | 090 | |
| 28050 | A | Biopsy of foot joint lining | 4.24 | 5.78 | 3.66 | 0.66 | 10.68 | 8.56 | 090 | |
| 28052 | A | Biopsy of foot joint lining | 3.93 | 5.97 | 3.56 | 0.62 | 10.52 | 8.11 | 090 | |
| 28054 | A | Biopsy of toe joint lining | 3.44 | 5.82 | 3.36 | 0.54 | 9.80 | 7.34 | 090 | |
| 28060 | A | Partial removal, foot fascia | 5.22 | 6.39 | 4.03 | 0.83 | 12.44 | 10.08 | 090 | |
| 28062 | A | Removal of foot fascia | 6.51 | 7.13 | 4.19 | 1.03 | 14.67 | 11.73 | 090 | |
| 28070 | A | Removal of foot joint lining | 5.09 | 5.96 | 3.89 | 0.82 | 11.87 | 9.80 | 090 | |
| 28072 | A | Removal of foot joint lining | 4.57 | 6.43 | 4.32 | 0.77 | 11.77 | 9.66 | 090 | |
| 28080 | A | Removal of foot lesion | 3.57 | 5.93 | 3.70 | 0.60 | 10.10 | 7.87 | 090 | |
| 28086 | A | Excise foot tendon sheath | 4.77 | 9.50 | 4.69 | 0.80 | 15.07 | 10.26 | 090 | |
| 28088 | A | Excise foot tendon sheath | 3.85 | 7.04 | 4.00 | 0.63 | 11.52 | 8.48 | 090 | |
| 28090 | A | Removal of foot lesion | 4.40 | 6.02 | 3.55 | 0.69 | 11.11 | 8.64 | 090 | |
| 28092 | A | Removal of toe lesions | 3.63 | 6.33 | 3.61 | 0.55 | 10.51 | 7.79 | 090 | |
| 28100 | A | Removal of ankle/heel lesion | 5.65 | 9.21 | 4.81 | 0.92 | 15.78 | 11.38 | 090 | |
| 28102 | A | Remove/graft foot lesion | 7.72 | NA | 6.05 | 1.17 | NA | 14.94 | 090 | |
| 28103 | A | Remove/graft foot lesion | 6.49 | 8.41 | 4.76 | 1.07 | 15.97 | 12.32 | 090 | |
| 28104 | A | Removal of foot lesion | 5.11 | 6.35 | 4.05 | 0.83 | 12.29 | 9.99 | 090 | |
| 28106 | A | Remove/graft foot lesion | 7.15 | NA | 4.59 | 1.22 | NA | 12.96 | 090 | |
| 28107 | A | Remove/graft foot lesion | 5.55 | 7.24 | 4.32 | 0.89 | 13.68 | 10.76 | 090 | |
| 28108 | A | Removal of toe lesions | 4.15 | 5.44 | 3.36 | 0.63 | 10.22 | 8.14 | 090 | |
| 28110 | A | Part removal of metatarsal | 4.07 | 6.03 | 3.68 | 0.59 | 10.69 | 8.34 | 090 | |
| 28111 | A | Part removal of metatarsal | 5.00 | 7.18 | 4.18 | 0.76 | 12.94 | 9.94 | 090 | |
| 28112 | A | Part removal of metatarsal | 4.48 | 6.69 | 4.06 | 0.72 | 11.89 | 9.26 | 090 | |
| 28113 | A | Part removal of metatarsal | 4.78 | 6.81 | 4.66 | 0.76 | 12.35 | 10.20 | 090 | |
| 28114 | A | Removal of metatarsal heads | 9.78 | 11.93 | 8.52 | 1.64 | 23.35 | 19.94 | 090 | |
| 28116 | A | Revision of foot | 7.74 | 7.20 | 5.22 | 1.24 | 16.18 | 14.20 | 090 | |
| 28118 | A | Removal of heel bone | 5.95 | 7.13 | 4.53 | 0.95 | 14.03 | 11.43 | 090 | |
| 28119 | A | Removal of heel spur | 5.38 | 6.21 | 3.87 | 0.89 | 12.48 | 10.14 | 090 | |
| 28120 | A | Part removal of ankle/heel | 5.39 | 8.67 | 5.07 | 0.83 | 14.89 | 11.29 | 090 | |
| 28122 | A | Partial removal of foot bone | 7.28 | 7.89 | 5.69 | 1.16 | 16.33 | 14.13 | 090 | |
| 28124 | A | Partial removal of toe | 4.80 | 6.08 | 4.06 | 0.78 | 11.66 | 9.64 | 090 | |
| 28126 | A | Partial removal of toe | 3.51 | 5.34 | 3.51 | 0.59 | 9.44 | 7.61 | 090 | |
| 28130 | A | Removal of ankle bone | 8.10 | NA | 6.70 | 1.34 | NA | 16.14 | 090 | |
| 28140 | A | Removal of metatarsal | 6.90 | 8.26 | 5.00 | 1.01 | 16.17 | 12.91 | 090 | |
| 28150 | A | Removal of toe | 4.08 | 5.98 | 3.78 | 0.63 | 10.69 | 8.49 | 090 | |
| 28153 | A | Partial removal of toe | 3.65 | 5.40 | 3.08 | 0.59 | 9.64 | 7.32 | 090 | |
| 28160 | A | Partial removal of toe | 3.73 | 5.68 | 3.83 | 0.62 | 10.03 | 8.18 | 090 | |
| 28171 | A | Extensive foot surgery | 9.59 | NA | 5.69 | 1.36 | NA | 16.64 | 090 | |
| 28173 | A | Extensive foot surgery | 8.79 | 8.26 | 5.64 | 1.25 | 18.30 | 15.68 | 090 | |
| 28175 | A | Extensive foot surgery | 6.04 | 6.68 | 4.10 | 0.90 | 13.62 | 11.04 | 090 | |
| 28190 | A | Removal of foot foreign body | 1.96 | 6.51 | 3.47 | 0.19 | 8.66 | 5.62 | 010 | |
| 28192 | A | Removal of foot foreign body | 4.63 | 6.43 | 3.72 | 0.63 | 11.69 | 8.98 | 090 | |
| 28193 | A | Removal of foot foreign body | 5.72 | 6.35 | 4.11 | 0.76 | 12.83 | 10.59 | 090 | |
| 28200 | A | Repair of foot tendon | 4.59 | 5.94 | 3.71 | 0.71 | 11.24 | 9.01 | 090 | |
| 28202 | A | Repair/graft of foot tendon | 6.83 | 8.16 | 4.63 | 1.04 | 16.03 | 12.50 | 090 | |
| 28208 | A | Repair of foot tendon | 4.36 | 5.72 | 3.46 | 0.71 | 10.79 | 8.53 | 090 | |
| 28210 | A | Repair/graft of foot tendon | 6.34 | 7.12 | 4.19 | 0.93 | 14.39 | 11.46 | 090 | |
| 28220 | A | Release of foot tendon | 4.52 | 5.56 | 3.56 | 0.76 | 10.84 | 8.84 | 090 | |
| 28222 | A | Release of foot tendons | 5.61 | 5.95 | 4.23 | 0.93 | 12.49 | 10.77 | 090 | |
| 28225 | A | Release of foot tendon | 3.65 | 5.26 | 3.07 | 0.60 | 9.51 | 7.32 | 090 | |
| 28226 | A | Release of foot tendons | 4.52 | 5.61 | 3.85 | 0.75 | 10.88 | 9.12 | 090 | |
| 28230 | A | Incision of foot tendon(s) | 4.23 | 5.62 | 3.81 | 0.71 | 10.56 | 8.75 | 090 | |
| 28232 | A | Incision of toe tendon | 3.38 | 5.66 | 3.44 | 0.58 | 9.62 | 7.40 | 090 | |
| 28234 | A | Incision of foot tendon | 3.36 | 5.81 | 3.47 | 0.55 | 9.72 | 7.38 | 090 | |
| 28238 | A | Revision of foot tendon | 7.72 | 7.97 | 5.07 | 1.30 | 16.99 | 14.09 | 090 | |
| 28240 | A | Release of big toe | 4.35 | 5.59 | 3.63 | 0.74 | 10.68 | 8.72 | 090 | |
| 28250 | A | Revision of foot fascia | 5.91 | 6.53 | 4.25 | 0.98 | 13.42 | 11.14 | 090 | |
| 28260 | A | Release of midfoot joint | 7.95 | 7.09 | 5.14 | 1.30 | 16.34 | 14.39 | 090 | |
| 28261 | A | Revision of foot tendon | 11.71 | 8.91 | 7.34 | 2.00 | 22.62 | 21.05 | 090 | |
| 28262 | A | Revision of foot and ankle | 15.81 | 14.32 | 11.44 | 2.68 | 32.81 | 29.93 | 090 | |
| 28264 | A | Release of midfoot joint | 10.33 | 8.51 | 7.82 | 1.76 | 20.60 | 19.91 | 090 | |
| 28270 | A | Release of foot contracture | 4.75 | 5.90 | 4.19 | 0.81 | 11.46 | 9.75 | 090 | |
| 28272 | A | Release of toe joint, each | 3.79 | 5.14 | 3.04 | 0.63 | 9.56 | 7.46 | 090 | |
| 28280 | A | Fusion of toes | 5.18 | 7.25 | 4.52 | 0.87 | 13.30 | 10.57 | 090 | |
| 28285 | A | Repair of hammertoe | 4.58 | 5.96 | 3.85 | 0.77 | 11.31 | 9.20 | 090 | |
| 28286 | A | Repair of hammertoe | 4.55 | 5.74 | 3.67 | 0.77 | 11.06 | 8.99 | 090 | |
| 28288 | A | Partial removal of foot bone | 4.73 | 6.69 | 5.30 | 0.78 | 12.20 | 10.81 | 090 | |
| 28289 | A | Repair hallux rigidus | 7.03 | 8.97 | 6.21 | 1.16 | 17.16 | 14.40 | 090 | |
| 28290 | A | Correction of bunion | 5.65 | 7.02 | 5.28 | 0.95 | 13.62 | 11.88 | 090 | |
| 28292 | A | Correction of bunion | 7.03 | 7.80 | 5.75 | 1.18 | 16.01 | 13.96 | 090 | |
| 28293 | A | Correction of bunion | 9.14 | 10.84 | 6.01 | 1.54 | 21.52 | 16.69 | 090 | |
| 28294 | A | Correction of bunion | 8.55 | 7.64 | 5.08 | 1.40 | 17.59 | 15.03 | 090 | |
| 28296 | A | Correction of bunion | 9.17 | 8.14 | 5.80 | 1.54 | 18.85 | 16.51 | 090 | |
| 28297 | A | Correction of bunion | 9.17 | 9.11 | 6.74 | 1.58 | 19.86 | 17.49 | 090 | |
| 28298 | A | Correction of bunion | 7.93 | 7.31 | 5.40 | 1.35 | 16.59 | 14.68 | 090 | |
| 28299 | A | Correction of bunion | 10.56 | 8.71 | 6.41 | 1.50 | 20.77 | 18.47 | 090 | |
| 28300 | A | Incision of heel bone | 9.53 | 13.10 | 7.07 | 1.58 | 24.21 | 18.18 | 090 | |
| 28302 | A | Incision of ankle bone | 9.54 | 13.11 | 6.95 | 1.39 | 24.04 | 17.88 | 090 | |
| 28304 | A | Incision of midfoot bones | 9.15 | 8.16 | 5.80 | 1.21 | 18.52 | 16.16 | 090 | |
| 28305 | A | Incise/graft midfoot bones | 10.48 | 10.90 | 6.80 | 0.66 | 22.04 | 17.94 | 090 | |
| 28306 | A | Incision of metatarsal | 5.85 | 7.19 | 4.25 | 0.98 | 14.02 | 11.08 | 090 | |
| 28307 | A | Incision of metatarsal | 6.32 | 11.59 | 5.33 | 0.86 | 18.77 | 12.51 | 090 | |
| 28308 | A | Incision of metatarsal | 5.28 | 6.07 | 3.76 | 0.89 | 12.24 | 9.93 | 090 | |
| 28309 | A | Incision of metatarsals | 12.76 | NA | 8.05 | 1.98 | NA | 22.79 | 090 | |
| 28310 | A | Revision of big toe | 5.42 | 6.24 | 3.96 | 0.92 | 12.58 | 10.30 | 090 | |
| 28312 | A | Revision of toe | 4.54 | 5.98 | 4.11 | 0.75 | 11.27 | 9.40 | 090 | |
| 28313 | A | Repair deformity of toe | 5.00 | 6.43 | 5.45 | 0.82 | 12.25 | 11.27 | 090 | |
| 28315 | A | Removal of sesamoid bone | 4.85 | 5.82 | 3.67 | 0.80 | 11.47 | 9.32 | 090 | |
| 28320 | A | Repair of foot bones | 9.17 | NA | 6.76 | 1.53 | NA | 17.46 | 090 | |
| 28322 | A | Repair of metatarsals | 8.33 | 10.13 | 6.33 | 1.41 | 19.87 | 16.07 | 090 | |
| 28340 | A | Resect enlarged toe tissue | 6.97 | 7.06 | 4.41 | 1.18 | 15.21 | 12.56 | 090 | |
| 28341 | A | Resect enlarged toe | 8.40 | 7.23 | 4.95 | 1.42 | 17.05 | 14.77 | 090 | |
| 28344 | A | Repair extra toe(s) | 4.25 | 6.78 | 3.69 | 0.72 | 11.75 | 8.66 | 090 | |
| 28345 | A | Repair webbed toe(s) | 5.91 | 6.99 | 4.79 | 1.01 | 13.91 | 11.71 | 090 | |
| 28360 | A | Reconstruct cleft foot | 13.32 | NA | 10.50 | 2.27 | NA | 26.09 | 090 | |
| 28400 | A | Treatment of heel fracture | 2.16 | 4.28 | 2.98 | 0.35 | 6.79 | 5.49 | 090 | |
| 28405 | A | Treatment of heel fracture | 4.56 | 5.51 | 4.53 | 0.76 | 10.83 | 9.85 | 090 | |
| 28406 | A | Treatment of heel fracture | 6.30 | NA | 6.80 | 1.05 | NA | 14.15 | 090 | |
| 28415 | A | Treat heel fracture | 15.95 | NA | 13.24 | 2.70 | NA | 31.89 | 090 | |
| 28420 | A | Treat/graft heel fracture | 16.62 | NA | 12.97 | 2.76 | NA | 32.35 | 090 | |
| 28430 | A | Treatment of ankle fracture | 2.09 | 4.07 | 2.61 | 0.33 | 6.49 | 5.03 | 090 | |
| 28435 | A | Treatment of ankle fracture | 3.39 | 4.49 | 3.63 | 0.57 | 8.45 | 7.59 | 090 | |
| 28436 | A | Treatment of ankle fracture | 4.70 | NA | 5.90 | 0.80 | NA | 11.40 | 090 | |
| 28445 | A | Treat ankle fracture | 15.60 | NA | 11.02 | 1.56 | NA | 28.18 | 090 | |
| 28450 | A | Treat midfoot fracture, each | 1.90 | 4.07 | 2.52 | 0.30 | 6.27 | 4.72 | 090 | |
| 28455 | A | Treat midfoot fracture, each | 3.09 | 3.97 | 3.41 | 0.52 | 7.58 | 7.02 | 090 | |
| 28456 | A | Treat midfoot fracture | 2.68 | NA | 4.21 | 0.43 | NA | 7.32 | 090 | |
| 28465 | A | Treat midfoot fracture, each | 7.00 | NA | 6.37 | 1.05 | NA | 14.42 | 090 | |
| 28470 | A | Treat metatarsal fracture | 1.99 | 3.87 | 2.48 | 0.31 | 6.17 | 4.78 | 090 | |
| 28475 | A | Treat metatarsal fracture | 2.97 | 4.05 | 3.19 | 0.49 | 7.51 | 6.65 | 090 | |
| 28476 | A | Treat metatarsal fracture | 3.37 | NA | 4.99 | 0.55 | NA | 8.91 | 090 | |
| 28485 | A | Treat metatarsal fracture | 5.70 | NA | 5.55 | 0.96 | NA | 12.21 | 090 | |
| 28490 | A | Treat big toe fracture | 1.09 | 2.21 | 1.73 | 0.16 | 3.46 | 2.98 | 090 | |
| 28495 | A | Treat big toe fracture | 1.58 | 2.50 | 2.06 | 0.23 | 4.31 | 3.87 | 090 | |
| 28496 | A | Treat big toe fracture | 2.33 | 9.72 | 3.63 | 0.39 | 12.44 | 6.35 | 090 | |
| 28505 | A | Treat big toe fracture | 3.80 | 9.71 | 4.70 | 0.60 | 14.11 | 9.10 | 090 | |
| 28510 | A | Treatment of toe fracture | 1.09 | 1.98 | 1.69 | 0.16 | 3.23 | 2.94 | 090 | |
| 28515 | A | Treatment of toe fracture | 1.46 | 2.33 | 1.99 | 0.21 | 4.00 | 3.66 | 090 | |
| 28525 | A | Treat toe fracture | 3.32 | 9.30 | 4.25 | 0.53 | 13.15 | 8.10 | 090 | |
| 28530 | A | Treat sesamoid bone fracture | 1.06 | 2.08 | 1.46 | 0.16 | 3.30 | 2.68 | 090 | |
| 28531 | A | Treat sesamoid bone fracture | 2.35 | 8.98 | 2.51 | 0.40 | 11.73 | 5.26 | 090 | |
| 28540 | A | Treat foot dislocation | 2.04 | 2.87 | 2.67 | 0.29 | 5.20 | 5.00 | 090 | |
| 28545 | A | Treat foot dislocation | 2.45 | 2.86 | 2.86 | 0.40 | 5.71 | 5.71 | 090 | |
| 28546 | A | Treat foot dislocation | 3.20 | 7.89 | 4.84 | 0.55 | 11.64 | 8.59 | 090 | |
| 28555 | A | Repair foot dislocation | 6.29 | 11.49 | 6.54 | 1.06 | 18.84 | 13.89 | 090 | |
| 28570 | A | Treat foot dislocation | 1.66 | 2.89 | 2.29 | 0.27 | 4.82 | 4.22 | 090 | |
| 28575 | A | Treat foot dislocation | 3.31 | 4.37 | 4.03 | 0.54 | 8.22 | 7.88 | 090 | |
| 28576 | A | Treat foot dislocation | 4.16 | 10.15 | 5.51 | 0.68 | 14.99 | 10.35 | 090 | |
| 28585 | A | Repair foot dislocation | 7.98 | 8.14 | 6.53 | 1.36 | 17.48 | 15.87 | 090 | |
| 28600 | A | Treat foot dislocation | 1.89 | 3.29 | 2.66 | 0.29 | 5.47 | 4.84 | 090 | |
| 28605 | A | Treat foot dislocation | 2.71 | 3.74 | 3.61 | 0.42 | 6.87 | 6.74 | 090 | |
| 28606 | A | Treat foot dislocation | 4.89 | 16.02 | 6.01 | 0.82 | 21.73 | 11.72 | 090 | |
| 28615 | A | Repair foot dislocation | 7.76 | NA | 7.98 | 1.31 | NA | 17.05 | 090 | |
| 28630 | A | Treat toe dislocation | 1.70 | 1.22 | 1.12 | 0.21 | 3.13 | 3.03 | 010 | |
| 28635 | A | Treat toe dislocation | 1.91 | 1.66 | 1.49 | 0.29 | 3.86 | 3.69 | 010 | |
| 28636 | A | Treat toe dislocation | 2.77 | 6.14 | 3.07 | 0.47 | 9.38 | 6.31 | 010 | |
| 28645 | A | Repair toe dislocation | 4.21 | 5.66 | 3.50 | 0.70 | 10.57 | 8.41 | 090 | |
| 28660 | A | Treat toe dislocation | 1.23 | 1.61 | 1.16 | 0.13 | 2.97 | 2.52 | 010 | |
| 28665 | A | Treat toe dislocation | 1.92 | 1.65 | 1.63 | 0.29 | 3.86 | 3.84 | 010 | |
| 28666 | A | Treat toe dislocation | 2.66 | 5.93 | 2.24 | 0.46 | 9.05 | 5.36 | 010 | |
| 28675 | A | Repair of toe dislocation | 2.92 | 8.81 | 3.77 | 0.49 | 12.22 | 7.18 | 090 | |
| 28705 | A | Fusion of foot bones | 18.77 | NA | 12.43 | 2.57 | NA | 33.77 | 090 | |
| 28715 | A | Fusion of foot bones | 13.08 | NA | 9.74 | 2.22 | NA | 25.04 | 090 | |
| 28725 | A | Fusion of foot bones | 11.59 | NA | 8.30 | 1.97 | NA | 21.86 | 090 | |
| 28730 | A | Fusion of foot bones | 10.74 | NA | 8.47 | 1.82 | NA | 21.03 | 090 | |
| 28735 | A | Fusion of foot bones | 10.83 | NA | 7.86 | 1.82 | NA | 20.51 | 090 | |
| 28737 | A | Revision of foot bones | 9.63 | NA | 6.87 | 1.64 | NA | 18.14 | 090 | |
| 28740 | A | Fusion of foot bones | 8.01 | 11.59 | 6.43 | 1.36 | 20.96 | 15.80 | 090 | |
| 28750 | A | Fusion of big toe joint | 7.29 | 12.97 | 6.59 | 1.24 | 21.50 | 15.12 | 090 | |
| 28755 | A | Fusion of big toe joint | 4.73 | 6.83 | 3.86 | 0.80 | 12.36 | 9.39 | 090 | |
| 28760 | A | Fusion of big toe joint | 7.74 | 8.04 | 5.62 | 1.29 | 17.07 | 14.65 | 090 | |
| 28800 | A | Amputation of midfoot | 8.20 | NA | 6.04 | 1.18 | NA | 15.42 | 090 | |
| 28805 | A | Amputation thru metatarsal | 8.38 | NA | 5.90 | 1.17 | NA | 15.45 | 090 | |
| 28810 | A | Amputation toe metatarsal | 6.20 | NA | 4.76 | 0.84 | NA | 11.80 | 090 | |
| 28820 | A | Amputation of toe | 4.40 | 8.50 | 4.10 | 0.62 | 13.52 | 9.12 | 090 | |
| 28825 | A | Partial amputation of toe | 3.58 | 7.91 | 3.79 | 0.52 | 12.01 | 7.89 | 090 | |
| 28899 | C | Foot/toes surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29000 | A | Application of body cast | 2.25 | 3.09 | 1.72 | 0.36 | 5.70 | 4.33 | 000 | |
| 29010 | A | Application of body cast | 2.06 | 3.30 | 1.73 | 0.33 | 5.69 | 4.12 | 000 | |
| 29015 | A | Application of body cast | 2.41 | 3.01 | 1.58 | 0.25 | 5.67 | 4.24 | 000 | |
| 29020 | A | Application of body cast | 2.11 | 3.30 | 1.41 | 0.19 | 5.60 | 3.71 | 000 | |
| 29025 | A | Application of body cast | 2.40 | 3.22 | 1.83 | 0.31 | 5.93 | 4.54 | 000 | |
| 29035 | A | Application of body cast | 1.77 | 3.45 | 1.54 | 0.29 | 5.51 | 3.60 | 000 | |
| 29040 | A | Application of body cast | 2.22 | 2.57 | 1.51 | 0.42 | 5.21 | 4.15 | 000 | |
| 29044 | A | Application of body cast | 2.12 | 3.80 | 1.85 | 0.35 | 6.27 | 4.32 | 000 | |
| 29046 | A | Application of body cast | 2.41 | 3.27 | 2.02 | 0.41 | 6.09 | 4.84 | 000 | |
| 29049 | A | Application of figure eight | 0.89 | 1.24 | 0.54 | 0.14 | 2.27 | 1.57 | 000 | |
| 29055 | A | Application of shoulder cast | 1.78 | 2.81 | 1.43 | 0.29 | 4.88 | 3.50 | 000 | |
| 29058 | A | Application of shoulder cast | 1.31 | 1.50 | 0.73 | 0.17 | 2.98 | 2.21 | 000 | |
| 29065 | A | Application of long arm cast | 0.87 | 1.26 | 0.74 | 0.14 | 2.27 | 1.75 | 000 | |
| 29075 | A | Application of forearm cast | 0.77 | 1.20 | 0.67 | 0.13 | 2.10 | 1.57 | 000 | |
| 29085 | A | Apply hand/wrist cast | 0.87 | 1.23 | 0.63 | 0.13 | 2.23 | 1.63 | 000 | |
| 29086 | A | Apply finger cast | 0.62 | 0.93 | 0.51 | 0.07 | 1.62 | 1.20 | 000 | |
| 29105 | A | Apply long arm splint | 0.87 | 1.18 | 0.52 | 0.13 | 2.18 | 1.52 | 000 | |
| 29125 | A | Apply forearm splint | 0.59 | 0.99 | 0.40 | 0.07 | 1.65 | 1.06 | 000 | |
| 29126 | A | Apply forearm splint | 0.77 | 1.19 | 0.46 | 0.07 | 2.03 | 1.30 | 000 | |
| 29130 | A | Application of finger splint | 0.50 | 0.45 | 0.17 | 0.06 | 1.01 | 0.73 | 000 | |
| 29131 | A | Application of finger splint | 0.55 | 0.73 | 0.24 | 0.04 | 1.32 | 0.83 | 000 | |
| 29200 | A | Strapping of chest | 0.65 | 0.75 | 0.36 | 0.05 | 1.45 | 1.06 | 000 | |
| 29220 | A | Strapping of low back | 0.64 | 0.72 | 0.39 | 0.08 | 1.44 | 1.11 | 000 | |
| 29240 | A | Strapping of shoulder | 0.71 | 0.86 | 0.37 | 0.06 | 1.63 | 1.14 | 000 | |
| 29260 | A | Strapping of elbow or wrist | 0.55 | 0.75 | 0.34 | 0.05 | 1.35 | 0.94 | 000 | |
| 29280 | A | Strapping of hand or finger | 0.51 | 0.81 | 0.34 | 0.05 | 1.37 | 0.90 | 000 | |
| 29305 | A | Application of hip cast | 2.03 | 3.19 | 1.71 | 0.35 | 5.57 | 4.09 | 000 | |
| 29325 | A | Application of hip casts | 2.32 | 3.37 | 1.89 | 0.37 | 6.06 | 4.58 | 000 | |
| 29345 | A | Application of long leg cast | 1.40 | 1.69 | 1.04 | 0.23 | 3.32 | 2.67 | 000 | |
| 29355 | A | Application of long leg cast | 1.53 | 1.65 | 1.10 | 0.24 | 3.42 | 2.87 | 000 | |
| 29358 | A | Apply long leg cast brace | 1.43 | 1.96 | 1.07 | 0.23 | 3.62 | 2.73 | 000 | |
| 29365 | A | Application of long leg cast | 1.18 | 1.58 | 0.93 | 0.21 | 2.97 | 2.32 | 000 | |
| 29405 | A | Apply short leg cast | 0.86 | 1.17 | 0.70 | 0.14 | 2.17 | 1.70 | 000 | |
| 29425 | A | Apply short leg cast | 1.01 | 1.18 | 0.72 | 0.17 | 2.36 | 1.90 | 000 | |
| 29435 | A | Apply short leg cast | 1.18 | 1.49 | 0.91 | 0.21 | 2.88 | 2.30 | 000 | |
| 29440 | A | Addition of walker to cast | 0.57 | 0.67 | 0.28 | 0.08 | 1.32 | 0.93 | 000 | |
| 29445 | A | Apply rigid leg cast | 1.78 | 1.75 | 0.96 | 0.29 | 3.82 | 3.03 | 000 | |
| 29450 | A | Application of leg cast | 2.08 | 1.45 | 1.10 | 0.16 | 3.69 | 3.34 | 000 | |
| 29505 | A | Application, long leg splint | 0.69 | 1.15 | 0.46 | 0.07 | 1.91 | 1.22 | 000 | |
| 29515 | A | Application lower leg splint | 0.73 | 0.85 | 0.47 | 0.08 | 1.66 | 1.28 | 000 | |
| 29520 | A | Strapping of hip | 0.54 | 0.87 | 0.45 | 0.02 | 1.43 | 1.01 | 000 | |
| 29530 | A | Strapping of knee | 0.57 | 0.80 | 0.35 | 0.05 | 1.42 | 0.97 | 000 | |
| 29540 | A | Strapping of ankle and/or ft | 0.51 | 0.41 | 0.32 | 0.05 | 0.97 | 0.88 | 000 | |
| 29550 | A | Strapping of toes | 0.47 | 0.41 | 0.28 | 0.06 | 0.94 | 0.81 | 000 | |
| 29580 | A | Application of paste boot | 0.57 | 0.65 | 0.36 | 0.06 | 1.28 | 0.99 | 000 | |
| 29590 | A | Application of foot splint | 0.76 | 0.50 | 0.30 | 0.07 | 1.33 | 1.13 | 000 | |
| 29700 | A | Removal/revision of cast | 0.57 | 0.88 | 0.28 | 0.08 | 1.53 | 0.93 | 000 | |
| 29705 | A | Removal/revision of cast | 0.76 | 0.79 | 0.38 | 0.12 | 1.67 | 1.26 | 000 | |
| 29710 | A | Removal/revision of cast | 1.34 | 1.49 | 0.70 | 0.21 | 3.04 | 2.25 | 000 | |
| 29715 | A | Removal/revision of cast | 0.94 | 1.14 | 0.40 | 0.10 | 2.18 | 1.44 | 000 | |
| 29720 | A | Repair of body cast | 0.68 | 1.10 | 0.38 | 0.12 | 1.90 | 1.18 | 000 | |
| 29730 | A | Windowing of cast | 0.75 | 0.78 | 0.36 | 0.12 | 1.65 | 1.23 | 000 | |
| 29740 | A | Wedging of cast | 1.12 | 1.12 | 0.49 | 0.18 | 2.42 | 1.79 | 000 | |
| 29750 | A | Wedging of clubfoot cast | 1.26 | 1.04 | 0.58 | 0.19 | 2.49 | 2.03 | 000 | |
| 29799 | C | Casting/strapping procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29800 | A | Jaw arthroscopy/surgery | 6.42 | NA | 7.12 | 1.01 | NA | 14.55 | 090 | |
| 29804 | A | Jaw arthroscopy/surgery | 8.13 | NA | 8.41 | 0.80 | NA | 17.34 | 090 | |
| 29805 | A | Shoulder arthroscopy, dx | 5.88 | NA | 5.65 | 1.01 | NA | 12.54 | 090 | |
| 29806 | A | Shoulder arthroscopy/surgery | 14.35 | NA | 10.94 | 2.41 | NA | 27.70 | 090 | |
| 29807 | A | Shoulder arthroscopy/surgery | 13.88 | NA | 10.78 | 2.34 | NA | 27.00 | 090 | |
| 29819 | A | Shoulder arthroscopy/surgery | 7.61 | NA | 6.66 | 1.29 | NA | 15.56 | 090 | |
| 29820 | A | Shoulder arthroscopy/surgery | 7.06 | NA | 6.12 | 1.19 | NA | 14.37 | 090 | |
| 29821 | A | Shoulder arthroscopy/surgery | 7.71 | NA | 6.68 | 1.30 | NA | 15.69 | 090 | |
| 29822 | A | Shoulder arthroscopy/surgery | 7.42 | NA | 6.56 | 1.25 | NA | 15.23 | 090 | |
| 29823 | A | Shoulder arthroscopy/surgery | 8.16 | NA | 7.09 | 1.39 | NA | 16.64 | 090 | |
| 29824 | A | Shoulder arthroscopy/surgery | 8.24 | NA | 7.33 | 1.39 | NA | 16.96 | 090 | |
| 29825 | A | Shoulder arthroscopy/surgery | 7.61 | NA | 6.64 | 1.28 | NA | 15.53 | 090 | |
| 29826 | A | Shoulder arthroscopy/surgery | 8.98 | NA | 7.41 | 1.52 | NA | 17.91 | 090 | |
| 29827 | A | Arthroscop rotator cuff repr | 15.34 | NA | 11.32 | 2.24 | NA | 28.90 | 090 | |
| 29830 | A | Elbow arthroscopy | 5.75 | NA | 5.25 | 0.95 | NA | 11.95 | 090 | |
| 29834 | A | Elbow arthroscopy/surgery | 6.27 | NA | 5.72 | 1.04 | NA | 13.03 | 090 | |
| 29835 | A | Elbow arthroscopy/surgery | 6.47 | NA | 5.77 | 1.06 | NA | 13.30 | 090 | |
| 29836 | A | Elbow arthroscopy/surgery | 7.54 | NA | 6.66 | 1.28 | NA | 15.48 | 090 | |
| 29837 | A | Elbow arthroscopy/surgery | 6.86 | NA | 6.02 | 1.16 | NA | 14.04 | 090 | |
| 29838 | A | Elbow arthroscopy/surgery | 7.70 | NA | 6.76 | 1.29 | NA | 15.75 | 090 | |
| 29840 | A | Wrist arthroscopy | 5.53 | NA | 5.24 | 0.83 | NA | 11.60 | 090 | |
| 29843 | A | Wrist arthroscopy/surgery | 6.00 | NA | 5.54 | 0.99 | NA | 12.53 | 090 | |
| 29844 | A | Wrist arthroscopy/surgery | 6.36 | NA | 5.71 | 1.04 | NA | 13.11 | 090 | |
| 29845 | A | Wrist arthroscopy/surgery | 7.51 | NA | 6.38 | 1.01 | NA | 14.90 | 090 | |
| 29846 | A | Wrist arthroscopy/surgery | 6.74 | NA | 5.95 | 1.07 | NA | 13.76 | 090 | |
| 29847 | A | Wrist arthroscopy/surgery | 7.07 | NA | 6.10 | 1.10 | NA | 14.27 | 090 | |
| 29848 | A | Wrist endoscopy/surgery | 5.43 | NA | 5.49 | 0.87 | NA | 11.79 | 090 | |
| 29850 | A | Knee arthroscopy/surgery | 8.18 | NA | 5.04 | 0.89 | NA | 14.11 | 090 | |
| 29851 | A | Knee arthroscopy/surgery | 13.08 | NA | 9.66 | 2.18 | NA | 24.92 | 090 | |
| 29855 | A | Tibial arthroscopy/surgery | 10.60 | NA | 8.60 | 1.81 | NA | 21.01 | 090 | |
| 29856 | A | Tibial arthroscopy/surgery | 14.12 | NA | 10.51 | 2.41 | NA | 27.04 | 090 | |
| 29860 | A | Hip arthroscopy, dx | 8.04 | NA | 6.82 | 1.37 | NA | 16.23 | 090 | |
| 29861 | A | Hip arthroscopy/surgery | 9.14 | NA | 7.22 | 1.56 | NA | 17.92 | 090 | |
| 29862 | A | Hip arthroscopy/surgery | 9.89 | NA | 8.39 | 1.68 | NA | 19.96 | 090 | |
| 29863 | A | Hip arthroscopy/surgery | 9.89 | NA | 8.34 | 1.69 | NA | 19.92 | 090 | |
| 29870 | A | Knee arthroscopy, dx | 5.06 | NA | 4.80 | 0.81 | NA | 10.67 | 090 | |
| 29871 | A | Knee arthroscopy/drainage | 6.54 | NA | 5.76 | 1.06 | NA | 13.36 | 090 | |
| 29873 | A | Knee arthroscopy/surgery | 5.99 | NA | 6.37 | 0.88 | NA | 13.24 | 090 | |
| 29874 | A | Knee arthroscopy/surgery | 7.04 | NA | 5.97 | 1.05 | NA | 14.06 | 090 | |
| 29875 | A | Knee arthroscopy/surgery | 6.30 | NA | 5.74 | 1.06 | NA | 13.10 | 090 | |
| 29876 | A | Knee arthroscopy/surgery | 7.91 | NA | 6.88 | 1.34 | NA | 16.13 | 090 | |
| 29877 | A | Knee arthroscopy/surgery | 7.34 | NA | 6.59 | 1.24 | NA | 15.17 | 090 | |
| 29879 | A | Knee arthroscopy/surgery | 8.03 | NA | 6.97 | 1.36 | NA | 16.36 | 090 | |
| 29880 | A | Knee arthroscopy/surgery | 8.49 | NA | 7.21 | 1.44 | NA | 17.14 | 090 | |
| 29881 | A | Knee arthroscopy/surgery | 7.75 | NA | 6.82 | 1.31 | NA | 15.88 | 090 | |
| 29882 | A | Knee arthroscopy/surgery | 8.64 | NA | 7.10 | 1.31 | NA | 17.05 | 090 | |
| 29883 | A | Knee arthroscopy/surgery | 11.03 | NA | 8.90 | 1.60 | NA | 21.53 | 090 | |
| 29884 | A | Knee arthroscopy/surgery | 7.32 | NA | 6.55 | 1.24 | NA | 15.11 | 090 | |
| 29885 | A | Knee arthroscopy/surgery | 9.08 | NA | 7.81 | 1.53 | NA | 18.42 | 090 | |
| 29886 | A | Knee arthroscopy/surgery | 7.53 | NA | 6.70 | 1.28 | NA | 15.51 | 090 | |
| 29887 | A | Knee arthroscopy/surgery | 9.03 | NA | 7.78 | 1.53 | NA | 18.34 | 090 | |
| 29888 | A | Knee arthroscopy/surgery | 13.88 | NA | 10.09 | 2.35 | NA | 26.32 | 090 | |
| 29889 | A | Knee arthroscopy/surgery | 15.98 | NA | 12.23 | 2.54 | NA | 30.75 | 090 | |
| 29891 | A | Ankle arthroscopy/surgery | 8.39 | NA | 7.35 | 1.41 | NA | 17.15 | 090 | |
| 29892 | A | Ankle arthroscopy/surgery | 8.99 | NA | 7.59 | 1.52 | NA | 18.10 | 090 | |
| 29893 | A | Scope, plantar fasciotomy | 5.21 | 6.14 | 3.92 | 0.89 | 12.24 | 10.02 | 090 | |
| 29894 | A | Ankle arthroscopy/surgery | 7.20 | NA | 5.39 | 1.22 | NA | 13.81 | 090 | |
| 29895 | A | Ankle arthroscopy/surgery | 6.98 | NA | 5.39 | 1.17 | NA | 13.54 | 090 | |
| 29897 | A | Ankle arthroscopy/surgery | 7.17 | NA | 5.78 | 1.22 | NA | 14.17 | 090 | |
| 29898 | A | Ankle arthroscopy/surgery | 8.31 | NA | 6.11 | 1.37 | NA | 15.79 | 090 | |
| 29899 | A | Ankle arthroscopy/surgery | 13.89 | NA | 9.84 | 2.35 | NA | 26.08 | 090 | |
| 29900 | A | Mcp joint arthroscopy, dx | 5.41 | NA | 5.69 | 0.90 | NA | 12.00 | 090 | |
| 29901 | A | Mcp joint arthroscopy, surg | 6.12 | NA | 6.09 | 1.03 | NA | 13.24 | 090 | |
| 29902 | A | Mcp joint arthroscopy, surg | 6.69 | NA | 6.37 | 1.12 | NA | 14.18 | 090 | |
| 29999 | C | Arthroscopy of joint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 30000 | A | Drainage of nose lesion | 1.43 | 4.19 | 1.41 | 0.12 | 5.74 | 2.96 | 010 | |
| 30020 | A | Drainage of nose lesion | 1.43 | 3.35 | 1.48 | 0.10 | 4.88 | 3.01 | 010 | |
| 30100 | A | Intranasal biopsy | 0.94 | 2.05 | 0.82 | 0.07 | 3.06 | 1.83 | 000 | |
| 30110 | A | Removal of nose polyp(s) | 1.63 | 3.36 | 1.58 | 0.14 | 5.13 | 3.35 | 010 | |
| 30115 | A | Removal of nose polyp(s) | 4.34 | NA | 4.02 | 0.37 | NA | 8.73 | 090 | |
| 30117 | A | Removal of intranasal lesion | 3.16 | 4.38 | 3.28 | 0.27 | 7.81 | 6.71 | 090 | |
| 30118 | A | Removal of intranasal lesion | 9.68 | NA | 7.27 | 0.80 | NA | 17.75 | 090 | |
| 30120 | A | Revision of nose | 5.26 | 5.53 | 5.48 | 0.49 | 11.28 | 11.23 | 090 | |
| 30124 | A | Removal of nose lesion | 3.10 | NA | 3.03 | 0.24 | NA | 6.37 | 090 | |
| 30125 | A | Removal of nose lesion | 7.15 | NA | 5.92 | 0.65 | NA | 13.72 | 090 | |
| 30130 | A | Removal of turbinate bones | 3.37 | NA | 3.51 | 0.27 | NA | 7.15 | 090 | |
| 30140 | A | Removal of turbinate bones | 3.42 | NA | 3.97 | 0.29 | NA | 7.68 | 090 | |
| 30150 | A | Partial removal of nose | 9.13 | NA | 7.66 | 0.92 | NA | 17.71 | 090 | |
| 30160 | A | Removal of nose | 9.57 | NA | 7.65 | 0.94 | NA | 18.16 | 090 | |
| 30200 | A | Injection treatment of nose | 0.78 | 1.70 | 0.77 | 0.07 | 2.55 | 1.62 | 000 | |
| 30210 | A | Nasal sinus therapy | 1.08 | 2.17 | 1.32 | 0.10 | 3.35 | 2.50 | 010 | |
| 30220 | A | Insert nasal septal button | 1.54 | 4.50 | 1.54 | 0.13 | 6.17 | 3.21 | 010 | |
| 30300 | A | Remove nasal foreign body | 1.04 | 4.84 | 1.96 | 0.08 | 5.96 | 3.08 | 010 | |
| 30310 | A | Remove nasal foreign body | 1.96 | NA | 3.20 | 0.17 | NA | 5.33 | 010 | |
| 30320 | A | Remove nasal foreign body | 4.51 | NA | 4.49 | 0.43 | NA | 9.43 | 090 | |
| 30400 | R | Reconstruction of nose | 9.82 | NA | 9.16 | 0.96 | NA | 19.94 | 090 | |
| 30410 | R | Reconstruction of nose | 12.96 | NA | 10.94 | 1.30 | NA | 25.20 | 090 | |
| 30420 | R | Reconstruction of nose | 15.86 | NA | 12.42 | 1.50 | NA | 29.78 | 090 | |
| 30430 | R | Revision of nose | 7.20 | NA | 8.10 | 0.75 | NA | 16.05 | 090 | |
| 30435 | R | Revision of nose | 11.69 | NA | 10.62 | 1.33 | NA | 23.64 | 090 | |
| 30450 | R | Revision of nose | 18.62 | NA | 14.10 | 1.85 | NA | 34.57 | 090 | |
| 30460 | A | Revision of nose | 9.95 | NA | 7.75 | 1.03 | NA | 18.73 | 090 | |
| 30462 | A | Revision of nose | 19.54 | NA | 13.67 | 2.32 | NA | 35.53 | 090 | |
| 30465 | A | Repair nasal stenosis | 11.62 | NA | 7.67 | 1.17 | NA | 20.46 | 090 | |
| 30520 | A | Repair of nasal septum | 5.69 | NA | 5.15 | 0.49 | NA | 11.33 | 090 | |
| 30540 | A | Repair nasal defect | 7.74 | NA | 5.62 | 0.64 | NA | 14.00 | 090 | |
| 30545 | A | Repair nasal defect | 11.36 | NA | 8.64 | 0.96 | NA | 20.96 | 090 | |
| 30560 | A | Release of nasal adhesions | 1.26 | 4.92 | 2.16 | 0.11 | 6.29 | 3.53 | 010 | |
| 30580 | A | Repair upper jaw fistula | 6.68 | 7.17 | 6.12 | 0.60 | 14.45 | 13.40 | 090 | |
| 30600 | A | Repair mouth/nose fistula | 6.01 | 6.32 | 5.52 | 0.84 | 13.17 | 12.37 | 090 | |
| 30620 | A | Intranasal reconstruction | 5.96 | NA | 5.78 | 0.54 | NA | 12.28 | 090 | |
| 30630 | A | Repair nasal septum defect | 7.11 | NA | 6.18 | 0.62 | NA | 13.91 | 090 | |
| 30801 | A | Cauterization, inner nose | 1.09 | 2.17 | 2.07 | 0.10 | 3.36 | 3.26 | 010 | |
| 30802 | A | Cauterization, inner nose | 2.03 | 2.71 | 2.58 | 0.18 | 4.92 | 4.79 | 010 | |
| 30901 | A | Control of nosebleed | 1.21 | 1.36 | 0.33 | 0.11 | 2.68 | 1.65 | 000 | |
| 30903 | A | Control of nosebleed | 1.54 | 2.80 | 0.50 | 0.14 | 4.48 | 2.18 | 000 | |
| 30905 | A | Control of nosebleed | 1.97 | 3.57 | 0.76 | 0.18 | 5.72 | 2.91 | 000 | |
| 30906 | A | Repeat control of nosebleed | 2.45 | 3.96 | 1.20 | 0.21 | 6.62 | 3.86 | 000 | |
| 30915 | A | Ligation, nasal sinus artery | 7.19 | NA | 5.82 | 0.60 | NA | 13.61 | 090 | |
| 30920 | A | Ligation, upper jaw artery | 9.82 | NA | 7.49 | 0.83 | NA | 18.14 | 090 | |
| 30930 | A | Therapy, fracture of nose | 1.26 | NA | 1.65 | 0.11 | NA | 3.02 | 010 | |
| 30999 | C | Nasal surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31000 | A | Irrigation, maxillary sinus | 1.15 | 2.91 | 1.41 | 0.10 | 4.16 | 2.66 | 010 | |
| 31002 | A | Irrigation, sphenoid sinus | 1.91 | NA | 3.29 | 0.17 | NA | 5.37 | 010 | |
| 31020 | A | Exploration, maxillary sinus | 2.94 | 4.12 | 3.51 | 0.24 | 7.30 | 6.69 | 090 | |
| 31030 | A | Exploration, maxillary sinus | 5.91 | 5.64 | 4.81 | 0.51 | 12.06 | 11.23 | 090 | |
| 31032 | A | Explore sinus, remove polyps | 6.56 | NA | 5.60 | 0.57 | NA | 12.73 | 090 | |
| 31040 | A | Exploration behind upper jaw | 9.41 | NA | 6.27 | 0.86 | NA | 16.54 | 090 | |
| 31050 | A | Exploration, sphenoid sinus | 5.27 | NA | 4.50 | 0.47 | NA | 10.24 | 090 | |
| 31051 | A | Sphenoid sinus surgery | 7.10 | NA | 5.86 | 0.66 | NA | 13.62 | 090 | |
| 31070 | A | Exploration of frontal sinus | 4.27 | NA | 4.20 | 0.36 | NA | 8.83 | 090 | |
| 31075 | A | Exploration of frontal sinus | 9.15 | NA | 7.21 | 0.77 | NA | 17.13 | 090 | |
| 31080 | A | Removal of frontal sinus | 11.40 | NA | 8.44 | 0.94 | NA | 20.78 | 090 | |
| 31081 | A | Removal of frontal sinus | 12.73 | NA | 9.46 | 2.22 | NA | 24.41 | 090 | |
| 31084 | A | Removal of frontal sinus | 13.49 | NA | 10.04 | 1.16 | NA | 24.69 | 090 | |
| 31085 | A | Removal of frontal sinus | 14.18 | NA | 10.41 | 1.42 | NA | 26.01 | 090 | |
| 31086 | A | Removal of frontal sinus | 12.84 | NA | 9.86 | 1.09 | NA | 23.79 | 090 | |
| 31087 | A | Removal of frontal sinus | 13.08 | NA | 9.79 | 1.39 | NA | 24.26 | 090 | |
| 31090 | A | Exploration of sinuses | 9.52 | NA | 8.59 | 0.80 | NA | 18.91 | 090 | |
| 31200 | A | Removal of ethmoid sinus | 4.96 | NA | 5.02 | 0.30 | NA | 10.28 | 090 | |
| 31201 | A | Removal of ethmoid sinus | 8.36 | NA | 6.82 | 0.70 | NA | 15.88 | 090 | |
| 31205 | A | Removal of ethmoid sinus | 10.22 | NA | 7.63 | 0.70 | NA | 18.55 | 090 | |
| 31225 | A | Removal of upper jaw | 19.20 | NA | 13.74 | 1.66 | NA | 34.60 | 090 | |
| 31230 | A | Removal of upper jaw | 21.91 | NA | 15.12 | 1.89 | NA | 38.92 | 090 | |
| 31231 | A | Nasal endoscopy, dx | 1.10 | 3.55 | 0.92 | 0.10 | 4.75 | 2.12 | 000 | |
| 31233 | A | Nasal/sinus endoscopy, dx | 2.18 | 4.49 | 1.51 | 0.19 | 6.86 | 3.88 | 000 | |
| 31235 | A | Nasal/sinus endoscopy, dx | 2.64 | 5.10 | 1.76 | 0.22 | 7.96 | 4.62 | 000 | |
| 31237 | A | Nasal/sinus endoscopy, surg | 2.98 | 5.40 | 1.91 | 0.25 | 8.63 | 5.14 | 000 | |
| 31238 | A | Nasal/sinus endoscopy, surg | 3.26 | 5.45 | 2.12 | 0.28 | 8.99 | 5.66 | 000 | |
| 31239 | A | Nasal/sinus endoscopy, surg | 8.69 | NA | 8.28 | 0.55 | NA | 17.52 | 010 | |
| 31240 | A | Nasal/sinus endoscopy, surg | 2.61 | NA | 1.76 | 0.22 | NA | 4.59 | 000 | |
| 31254 | A | Revision of ethmoid sinus | 4.64 | NA | 2.89 | 0.39 | NA | 7.92 | 000 | |
| 31255 | A | Removal of ethmoid sinus | 6.95 | NA | 4.15 | 0.59 | NA | 11.69 | 000 | |
| 31256 | A | Exploration maxillary sinus | 3.29 | NA | 2.14 | 0.28 | NA | 5.71 | 000 | |
| 31267 | A | Endoscopy, maxillary sinus | 5.45 | NA | 3.34 | 0.46 | NA | 9.25 | 000 | |
| 31276 | A | Sinus endoscopy, surgical | 8.84 | NA | 5.17 | 0.75 | NA | 14.76 | 000 | |
| 31287 | A | Nasal/sinus endoscopy, surg | 3.91 | NA | 2.49 | 0.33 | NA | 6.73 | 000 | |
| 31288 | A | Nasal/sinus endoscopy, surg | 4.57 | NA | 2.85 | 0.39 | NA | 7.81 | 000 | |
| 31290 | A | Nasal/sinus endoscopy, surg | 17.21 | NA | 12.15 | 1.45 | NA | 30.81 | 010 | |
| 31291 | A | Nasal/sinus endoscopy, surg | 18.16 | NA | 12.55 | 2.09 | NA | 32.80 | 010 | |
| 31292 | A | Nasal/sinus endoscopy, surg | 14.74 | NA | 10.71 | 1.19 | NA | 26.64 | 010 | |
| 31293 | A | Nasal/sinus endoscopy, surg | 16.19 | NA | 11.52 | 1.17 | NA | 28.88 | 010 | |
| 31294 | A | Nasal/sinus endoscopy, surg | 19.03 | NA | 13.00 | 1.25 | NA | 33.28 | 010 | |
| 31299 | C | Sinus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31300 | A | Removal of larynx lesion | 14.27 | NA | 12.03 | 1.19 | NA | 27.49 | 090 | |
| 31320 | A | Diagnostic incision, larynx | 5.25 | NA | 7.24 | 0.48 | NA | 12.97 | 090 | |
| 31360 | A | Removal of larynx | 17.05 | NA | 13.95 | 1.45 | NA | 32.45 | 090 | |
| 31365 | A | Removal of larynx | 24.12 | NA | 17.63 | 2.07 | NA | 43.82 | 090 | |
| 31367 | A | Partial removal of larynx | 21.83 | NA | 17.41 | 1.89 | NA | 41.13 | 090 | |
| 31368 | A | Partial removal of larynx | 27.05 | NA | 21.00 | 2.29 | NA | 50.34 | 090 | |
| 31370 | A | Partial removal of larynx | 21.35 | NA | 17.05 | 1.82 | NA | 40.22 | 090 | |
| 31375 | A | Partial removal of larynx | 20.18 | NA | 15.35 | 1.72 | NA | 37.25 | 090 | |
| 31380 | A | Partial removal of larynx | 20.18 | NA | 15.31 | 1.69 | NA | 37.18 | 090 | |
| 31382 | A | Partial removal of larynx | 20.49 | NA | 16.56 | 1.74 | NA | 38.79 | 090 | |
| 31390 | A | Removal of larynx pharynx | 27.49 | NA | 21.24 | 2.35 | NA | 51.08 | 090 | |
| 31395 | A | Reconstruct larynx pharynx | 31.04 | NA | 25.13 | 2.74 | NA | 58.91 | 090 | |
| 31400 | A | Revision of larynx | 10.29 | NA | 10.00 | 0.87 | NA | 21.16 | 090 | |
| 31420 | A | Removal of epiglottis | 10.20 | NA | 9.80 | 0.86 | NA | 20.86 | 090 | |
| 31500 | A | Insert emergency airway | 2.33 | NA | 0.55 | 0.18 | NA | 3.06 | 000 | |
| 31502 | A | Change of windpipe airway | 0.65 | 1.49 | 0.26 | 0.05 | 2.19 | 0.96 | 000 | |
| 31505 | A | Diagnostic laryngoscopy | 0.61 | 1.57 | 0.64 | 0.05 | 2.23 | 1.30 | 000 | |
| 31510 | A | Laryngoscopy with biopsy | 1.92 | 3.42 | 1.28 | 0.18 | 5.52 | 3.38 | 000 | |
| 31511 | A | Remove foreign body, larynx | 2.16 | 3.25 | 1.11 | 0.19 | 5.60 | 3.46 | 000 | |
| 31512 | A | Removal of larynx lesion | 2.07 | 3.34 | 1.39 | 0.19 | 5.60 | 3.65 | 000 | |
| 31513 | A | Injection into vocal cord | 2.10 | NA | 1.49 | 0.18 | NA | 3.77 | 000 | |
| 31515 | A | Laryngoscopy for aspiration | 1.80 | 3.71 | 1.10 | 0.14 | 5.65 | 3.04 | 000 | |
| 31520 | A | Diagnostic laryngoscopy | 2.56 | NA | 1.60 | 0.21 | NA | 4.37 | 000 | |
| 31525 | A | Diagnostic laryngoscopy | 2.63 | 3.86 | 1.70 | 0.22 | 6.71 | 4.55 | 000 | |
| 31526 | A | Diagnostic laryngoscopy | 2.57 | NA | 1.75 | 0.22 | NA | 4.54 | 000 | |
| 31527 | A | Laryngoscopy for treatment | 3.27 | NA | 1.90 | 0.25 | NA | 5.42 | 000 | |
| 31528 | A | Laryngoscopy and dilation | 2.37 | NA | 1.45 | 0.19 | NA | 4.01 | 000 | |
| 31529 | A | Laryngoscopy and dilation | 2.68 | NA | 1.72 | 0.22 | NA | 4.62 | 000 | |
| 31530 | A | Operative laryngoscopy | 3.38 | NA | 1.98 | 0.29 | NA | 5.65 | 000 | |
| 31531 | A | Operative laryngoscopy | 3.58 | NA | 2.31 | 0.30 | NA | 6.19 | 000 | |
| 31535 | A | Operative laryngoscopy | 3.16 | NA | 2.02 | 0.27 | NA | 5.45 | 000 | |
| 31536 | A | Operative laryngoscopy | 3.55 | NA | 2.29 | 0.30 | NA | 6.14 | 000 | |
| 31540 | A | Operative laryngoscopy | 4.12 | NA | 2.59 | 0.35 | NA | 7.06 | 000 | |
| 31541 | A | Operative laryngoscopy | 4.52 | NA | 2.81 | 0.39 | NA | 7.72 | 000 | |
| 31560 | A | Operative laryngoscopy | 5.45 | NA | 3.17 | 0.46 | NA | 9.08 | 000 | |
| 31561 | A | Operative laryngoscopy | 5.99 | NA | 3.38 | 0.51 | NA | 9.88 | 000 | |
| 31570 | A | Laryngoscopy with injection | 3.86 | 5.74 | 2.42 | 0.29 | 9.89 | 6.57 | 000 | |
| 31571 | A | Laryngoscopy with injection | 4.26 | NA | 2.63 | 0.36 | NA | 7.25 | 000 | |
| 31575 | A | Diagnostic laryngoscopy | 1.10 | 1.88 | 0.91 | 0.10 | 3.08 | 2.11 | 000 | |
| 31576 | A | Laryngoscopy with biopsy | 1.97 | 3.62 | 1.31 | 0.16 | 5.75 | 3.44 | 000 | |
| 31577 | A | Remove foreign body, larynx | 2.47 | 3.74 | 1.57 | 0.21 | 6.42 | 4.25 | 000 | |
| 31578 | A | Removal of larynx lesion | 2.84 | 4.25 | 1.56 | 0.24 | 7.33 | 4.64 | 000 | |
| 31579 | A | Diagnostic laryngoscopy | 2.26 | 3.80 | 1.52 | 0.19 | 6.25 | 3.97 | 000 | |
| 31580 | A | Revision of larynx | 12.36 | NA | 11.12 | 1.05 | NA | 24.53 | 090 | |
| 31582 | A | Revision of larynx | 21.59 | NA | 17.42 | 1.83 | NA | 40.84 | 090 | |
| 31584 | A | Treat larynx fracture | 19.61 | NA | 14.58 | 1.71 | NA | 35.90 | 090 | |
| 31585 | A | Treat larynx fracture | 4.63 | NA | 5.59 | 0.36 | NA | 10.58 | 090 | |
| 31586 | A | Treat larynx fracture | 8.02 | NA | 8.36 | 0.68 | NA | 17.06 | 090 | |
| 31587 | A | Revision of larynx | 11.97 | NA | 10.05 | 1.06 | NA | 23.08 | 090 | |
| 31588 | A | Revision of larynx | 13.09 | NA | 13.10 | 1.11 | NA | 27.30 | 090 | |
| 31590 | A | Reinnervate larynx | 6.96 | NA | 8.81 | 0.60 | NA | 16.37 | 090 | |
| 31595 | A | Larynx nerve surgery | 8.33 | NA | 7.65 | 0.75 | NA | 16.73 | 090 | |
| 31599 | C | Larynx surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31600 | A | Incision of windpipe | 7.17 | NA | 3.20 | 0.41 | NA | 10.78 | 000 | |
| 31601 | A | Incision of windpipe | 4.44 | NA | 2.41 | 0.47 | NA | 7.32 | 000 | |
| 31603 | A | Incision of windpipe | 4.14 | NA | 1.72 | 0.42 | NA | 6.28 | 000 | |
| 31605 | A | Incision of windpipe | 3.57 | NA | 1.19 | 0.40 | NA | 5.16 | 000 | |
| 31610 | A | Incision of windpipe | 8.75 | NA | 7.45 | 0.83 | NA | 17.03 | 090 | |
| 31611 | A | Surgery/speech prosthesis | 5.63 | NA | 5.95 | 0.48 | NA | 12.06 | 090 | |
| 31612 | A | Puncture/clear windpipe | 0.91 | 1.12 | 0.36 | 0.07 | 2.10 | 1.34 | 000 | |
| 31613 | A | Repair windpipe opening | 4.58 | NA | 5.42 | 0.45 | NA | 10.45 | 090 | |
| 31614 | A | Repair windpipe opening | 7.11 | NA | 7.81 | 0.62 | NA | 15.54 | 090 | |
| 31615 | A | Visualization of windpipe | 2.09 | 2.63 | 1.20 | 0.17 | 4.89 | 3.46 | 000 | |
| 31622 | A | Dx bronchoscope/wash | 2.78 | 4.17 | 0.89 | 0.17 | 7.12 | 3.84 | 000 | |
| 31623 | A | Dx bronchoscope/brush | 2.88 | 5.05 | 0.89 | 0.17 | 8.10 | 3.94 | 000 | |
| 31624 | A | Dx bronchoscope/lavage | 2.88 | 4.28 | 0.90 | 0.16 | 7.32 | 3.94 | 000 | |
| 31625 | A | Bronchoscopy w/biopsy(s) | 3.36 | 5.37 | 1.26 | 0.19 | 8.92 | 4.81 | 000 | |
| 31628 | A | Bronchoscopy/lung bx, each | 3.80 | 5.53 | 1.34 | 0.17 | 9.50 | 5.31 | 000 | |
| 31629 | A | Bronchoscopy/needle bx, each | 3.36 | NA | 1.22 | 0.16 | NA | 4.74 | 000 | |
| 31630 | A | Bronchoscopy dilate/fx repr | 3.81 | NA | 2.00 | 0.36 | NA | 6.17 | 000 | |
| 31631 | A | Bronchoscopy, dilate w/stent | 4.36 | NA | 2.02 | 0.37 | NA | 6.75 | 000 | |
| 31632 | A | Bronchoscopy/lung bx, add'l | 1.03 | 0.76 | 0.32 | 0.17 | 1.96 | 1.52 | ZZZ | |
| 31633 | A | Bronchoscopy/needle bx add'l | 1.32 | 0.91 | 0.40 | 0.17 | 2.40 | 1.89 | ZZZ | |
| 31635 | A | Bronchoscopy w/fb removal | 3.67 | NA | 1.67 | 0.25 | NA | 5.59 | 000 | |
| 31640 | A | Bronchoscopy w/tumor excise | 4.93 | NA | 2.35 | 0.45 | NA | 7.73 | 000 | |
| 31641 | A | Bronchoscopy, treat blockage | 5.02 | NA | 2.12 | 0.36 | NA | 7.50 | 000 | |
| 31643 | A | Diag bronchoscope/catheter | 3.49 | NA | 1.31 | 0.18 | NA | 4.98 | 000 | |
| 31645 | A | Bronchoscopy, clear airways | 3.16 | NA | 1.20 | 0.16 | NA | 4.52 | 000 | |
| 31646 | A | Bronchoscopy, reclear airway | 2.72 | NA | 1.08 | 0.14 | NA | 3.94 | 000 | |
| 31656 | A | Bronchoscopy, inj for x-ray | 2.17 | NA | 0.93 | 0.12 | NA | 3.22 | 000 | |
| 31700 | A | Insertion of airway catheter | 1.34 | 2.05 | 0.69 | 0.08 | 3.47 | 2.11 | 000 | |
| 31708 | A | Instill airway contrast dye | 1.41 | NA | 0.58 | 0.07 | NA | 2.06 | 000 | |
| 31710 | A | Insertion of airway catheter | 1.30 | NA | 0.71 | 0.07 | NA | 2.08 | 000 | |
| 31715 | A | Injection for bronchus x-ray | 1.11 | NA | 0.59 | 0.07 | NA | 1.77 | 000 | |
| 31717 | A | Bronchial brush biopsy | 2.12 | 2.96 | 0.87 | 0.11 | 5.19 | 3.10 | 000 | |
| 31720 | A | Clearance of airways | 1.06 | 1.45 | 0.33 | 0.07 | 2.58 | 1.46 | 000 | |
| 31725 | A | Clearance of airways | 1.96 | 1.87 | 0.58 | 0.12 | 3.95 | 2.66 | 000 | |
| 31730 | A | Intro, windpipe wire/tube | 2.85 | 2.22 | 1.09 | 0.18 | 5.25 | 4.12 | 000 | |
| 31750 | A | Repair of windpipe | 13.00 | NA | 11.57 | 1.23 | NA | 25.80 | 090 | |
| 31755 | A | Repair of windpipe | 15.91 | NA | 14.20 | 1.39 | NA | 31.50 | 090 | |
| 31760 | A | Repair of windpipe | 22.32 | NA | 10.82 | 1.79 | NA | 34.93 | 090 | |
| 31766 | A | Reconstruction of windpipe | 30.38 | NA | 13.76 | 3.81 | NA | 47.95 | 090 | |
| 31770 | A | Repair/graft of bronchus | 22.48 | NA | 10.34 | 2.74 | NA | 35.56 | 090 | |
| 31775 | A | Reconstruct bronchus | 23.50 | NA | 11.89 | 3.51 | NA | 38.90 | 090 | |
| 31780 | A | Reconstruct windpipe | 17.69 | NA | 11.14 | 1.87 | NA | 30.70 | 090 | |
| 31781 | A | Reconstruct windpipe | 23.49 | NA | 12.22 | 2.46 | NA | 38.17 | 090 | |
| 31785 | A | Remove windpipe lesion | 17.20 | NA | 10.26 | 1.64 | NA | 29.10 | 090 | |
| 31786 | A | Remove windpipe lesion | 23.94 | NA | 13.20 | 2.65 | NA | 39.79 | 090 | |
| 31800 | A | Repair of windpipe injury | 7.42 | NA | 4.88 | 0.81 | NA | 13.11 | 090 | |
| 31805 | A | Repair of windpipe injury | 13.11 | NA | 7.29 | 1.75 | NA | 22.15 | 090 | |
| 31820 | A | Closure of windpipe lesion | 4.48 | 5.52 | 4.93 | 0.42 | 10.42 | 9.83 | 090 | |
| 31825 | A | Repair of windpipe defect | 6.80 | 7.61 | 7.06 | 0.60 | 15.01 | 14.46 | 090 | |
| 31830 | A | Revise windpipe scar | 4.49 | 5.68 | 5.30 | 0.43 | 10.60 | 10.22 | 090 | |
| 31899 | C | Airways surgical procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 32000 | A | Drainage of chest | 1.54 | 3.13 | 0.48 | 0.08 | 4.75 | 2.10 | 000 | |
| 32002 | A | Treatment of collapsed lung | 2.19 | 3.32 | 0.84 | 0.13 | 5.64 | 3.16 | 000 | |
| 32005 | A | Treat lung lining chemically | 2.19 | 6.58 | 0.70 | 0.21 | 8.98 | 3.10 | 000 | |
| 32020 | A | Insertion of chest tube | 3.97 | NA | 1.45 | 0.43 | NA | 5.85 | 000 | |
| 32035 | A | Exploration of chest | 8.66 | NA | 5.91 | 1.23 | NA | 15.80 | 090 | |
| 32036 | A | Exploration of chest | 9.67 | NA | 6.49 | 1.45 | NA | 17.61 | 090 | |
| 32095 | A | Biopsy through chest wall | 8.35 | NA | 5.42 | 1.19 | NA | 14.96 | 090 | |
| 32100 | A | Exploration/biopsy of chest | 15.22 | NA | 7.88 | 1.75 | NA | 24.85 | 090 | |
| 32110 | A | Explore/repair chest | 22.97 | NA | 10.81 | 1.97 | NA | 35.75 | 090 | |
| 32120 | A | Re-exploration of chest | 11.52 | NA | 7.13 | 1.71 | NA | 20.36 | 090 | |
| 32124 | A | Explore chest free adhesions | 12.70 | NA | 7.27 | 1.82 | NA | 21.79 | 090 | |
| 32140 | A | Removal of lung lesion(s) | 13.91 | NA | 7.75 | 2.03 | NA | 23.69 | 090 | |
| 32141 | A | Remove/treat lung lesions | 13.98 | NA | 7.62 | 2.07 | NA | 23.67 | 090 | |
| 32150 | A | Removal of lung lesion(s) | 14.13 | NA | 7.68 | 1.93 | NA | 23.74 | 090 | |
| 32151 | A | Remove lung foreign body | 14.19 | NA | 8.07 | 1.80 | NA | 24.06 | 090 | |
| 32160 | A | Open chest heart massage | 9.29 | NA | 5.32 | 1.22 | NA | 15.83 | 090 | |
| 32200 | A | Drain, open, lung lesion | 15.27 | NA | 8.66 | 1.76 | NA | 25.69 | 090 | |
| 32201 | A | Drain, percut, lung lesion | 3.99 | NA | 1.30 | 0.22 | NA | 5.51 | 000 | |
| 32215 | A | Treat chest lining | 11.31 | NA | 6.96 | 1.62 | NA | 19.89 | 090 | |
| 32220 | A | Release of lung | 23.96 | NA | 13.02 | 2.88 | NA | 39.86 | 090 | |
| 32225 | A | Partial release of lung | 13.94 | NA | 7.72 | 2.05 | NA | 23.71 | 090 | |
| 32310 | A | Removal of chest lining | 13.42 | NA | 7.46 | 1.99 | NA | 22.87 | 090 | |
| 32320 | A | Free/remove chest lining | 23.96 | NA | 12.22 | 3.02 | NA | 39.20 | 090 | |
| 32400 | A | Needle biopsy chest lining | 1.76 | 1.70 | 0.55 | 0.08 | 3.54 | 2.39 | 000 | |
| 32402 | A | Open biopsy chest lining | 7.55 | NA | 5.17 | 1.10 | NA | 13.82 | 090 | |
| 32405 | A | Biopsy, lung or mediastinum | 1.93 | 2.14 | 0.63 | 0.11 | 4.18 | 2.67 | 000 | |
| 32420 | A | Puncture/clear lung | 2.18 | NA | 0.83 | 0.13 | NA | 3.14 | 000 | |
| 32440 | A | Removal of lung | 24.96 | NA | 12.96 | 3.09 | NA | 41.01 | 090 | |
| 32442 | A | Sleeve pneumonectomy | 26.20 | NA | 14.82 | 3.76 | NA | 44.78 | 090 | |
| 32445 | A | Removal of lung | 25.05 | NA | 14.13 | 3.75 | NA | 42.93 | 090 | |
| 32480 | A | Partial removal of lung | 23.71 | NA | 12.12 | 2.70 | NA | 38.53 | 090 | |
| 32482 | A | Bilobectomy | 24.96 | NA | 12.97 | 2.83 | NA | 40.76 | 090 | |
| 32484 | A | Segmentectomy | 20.66 | NA | 11.44 | 3.06 | NA | 35.16 | 090 | |
| 32486 | A | Sleeve lobectomy | 23.88 | NA | 13.30 | 3.62 | NA | 40.80 | 090 | |
| 32488 | A | Completion pneumonectomy | 25.67 | NA | 13.84 | 3.84 | NA | 43.35 | 090 | |
| 32491 | R | Lung volume reduction | 21.22 | NA | 12.68 | 3.21 | NA | 37.11 | 090 | |
| 32500 | A | Partial removal of lung | 21.97 | NA | 12.40 | 2.13 | NA | 36.50 | 090 | |
| 32501 | A | Repair bronchus add-on | 4.68 | NA | 1.54 | 0.68 | NA | 6.90 | ZZZ | |
| 32520 | A | Remove lung revise chest | 21.65 | NA | 11.36 | 3.27 | NA | 36.28 | 090 | |
| 32522 | A | Remove lung revise chest | 24.16 | NA | 12.17 | 3.43 | NA | 39.76 | 090 | |
| 32525 | A | Remove lung revise chest | 26.46 | NA | 12.86 | 3.92 | NA | 43.24 | 090 | |
| 32540 | A | Removal of lung lesion | 14.62 | NA | 9.68 | 2.22 | NA | 26.52 | 090 | |
| 32601 | A | Thoracoscopy, diagnostic | 5.45 | NA | 2.42 | 0.76 | NA | 8.63 | 000 | |
| 32602 | A | Thoracoscopy, diagnostic | 5.95 | NA | 2.58 | 0.84 | NA | 9.37 | 000 | |
| 32603 | A | Thoracoscopy, diagnostic | 7.80 | NA | 3.09 | 0.92 | NA | 11.81 | 000 | |
| 32604 | A | Thoracoscopy, diagnostic | 8.77 | NA | 3.53 | 1.17 | NA | 13.47 | 000 | |
| 32605 | A | Thoracoscopy, diagnostic | 6.92 | NA | 2.97 | 1.04 | NA | 10.93 | 000 | |
| 32606 | A | Thoracoscopy, diagnostic | 8.39 | NA | 3.39 | 1.19 | NA | 12.97 | 000 | |
| 32650 | A | Thoracoscopy, surgical | 10.73 | NA | 6.80 | 1.51 | NA | 19.04 | 090 | |
| 32651 | A | Thoracoscopy, surgical | 12.89 | NA | 7.26 | 1.81 | NA | 21.96 | 090 | |
| 32652 | A | Thoracoscopy, surgical | 18.63 | NA | 10.19 | 2.77 | NA | 31.59 | 090 | |
| 32653 | A | Thoracoscopy, surgical | 12.85 | NA | 7.01 | 1.87 | NA | 21.73 | 090 | |
| 32654 | A | Thoracoscopy, surgical | 12.42 | NA | 7.57 | 1.82 | NA | 21.81 | 090 | |
| 32655 | A | Thoracoscopy, surgical | 13.08 | NA | 7.27 | 1.85 | NA | 22.20 | 090 | |
| 32656 | A | Thoracoscopy, surgical | 12.89 | NA | 7.97 | 1.94 | NA | 22.80 | 090 | |
| 32657 | A | Thoracoscopy, surgical | 13.63 | NA | 7.72 | 1.98 | NA | 23.33 | 090 | |
| 32658 | A | Thoracoscopy, surgical | 11.61 | NA | 7.38 | 1.77 | NA | 20.76 | 090 | |
| 32659 | A | Thoracoscopy, surgical | 11.57 | NA | 7.49 | 1.68 | NA | 20.74 | 090 | |
| 32660 | A | Thoracoscopy, surgical | 17.40 | NA | 9.52 | 2.52 | NA | 29.44 | 090 | |
| 32661 | A | Thoracoscopy, surgical | 13.23 | NA | 7.83 | 2.00 | NA | 23.06 | 090 | |
| 32662 | A | Thoracoscopy, surgical | 16.42 | NA | 8.85 | 2.42 | NA | 27.69 | 090 | |
| 32663 | A | Thoracoscopy, surgical | 18.44 | NA | 10.81 | 2.75 | NA | 32.00 | 090 | |
| 32664 | A | Thoracoscopy, surgical | 14.18 | NA | 7.67 | 2.05 | NA | 23.90 | 090 | |
| 32665 | A | Thoracoscopy, surgical | 15.52 | NA | 8.17 | 2.16 | NA | 25.85 | 090 | |
| 32800 | A | Repair lung hernia | 13.67 | NA | 7.49 | 1.82 | NA | 22.98 | 090 | |
| 32810 | A | Close chest after drainage | 13.03 | NA | 7.59 | 1.87 | NA | 22.49 | 090 | |
| 32815 | A | Close bronchial fistula | 23.12 | NA | 11.04 | 3.43 | NA | 37.59 | 090 | |
| 32820 | A | Reconstruct injured chest | 21.45 | NA | 12.29 | 2.79 | NA | 36.53 | 090 | |
| 32850 | X | Donor pneumonectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 32851 | A | Lung transplant, single | 38.57 | NA | 27.97 | 5.91 | NA | 72.45 | 090 | |
| 32852 | A | Lung transplant with bypass | 41.74 | NA | 33.35 | 6.24 | NA | 81.33 | 090 | |
| 32853 | A | Lung transplant, double | 47.74 | NA | 31.96 | 7.39 | NA | 87.09 | 090 | |
| 32854 | A | Lung transplant with bypass | 50.90 | NA | 34.97 | 7.73 | NA | 93.60 | 090 | |
| 32900 | A | Removal of rib(s) | 20.24 | NA | 9.95 | 2.92 | NA | 33.11 | 090 | |
| 32905 | A | Revise repair chest wall | 20.72 | NA | 10.19 | 3.06 | NA | 33.97 | 090 | |
| 32906 | A | Revise repair chest wall | 26.73 | NA | 12.14 | 3.98 | NA | 42.85 | 090 | |
| 32940 | A | Revision of lung | 19.40 | NA | 9.53 | 2.98 | NA | 31.91 | 090 | |
| 32960 | A | Therapeutic pneumothorax | 1.84 | 1.76 | 0.57 | 0.14 | 3.74 | 2.55 | 000 | |
| 32997 | A | Total lung lavage | 5.99 | NA | 1.91 | 0.66 | NA | 8.56 | 000 | |
| 32999 | C | Chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 33010 | A | Drainage of heart sac | 2.24 | NA | 0.96 | 0.16 | NA | 3.36 | 000 | |
| 33011 | A | Repeat drainage of heart sac | 2.24 | NA | 1.00 | 0.16 | NA | 3.40 | 000 | |
| 33015 | A | Incision of heart sac | 6.79 | NA | 4.98 | 0.77 | NA | 12.54 | 090 | |
| 33020 | A | Incision of heart sac | 12.59 | NA | 6.84 | 1.81 | NA | 21.24 | 090 | |
| 33025 | A | Incision of heart sac | 12.07 | NA | 6.39 | 1.81 | NA | 20.27 | 090 | |
| 33030 | A | Partial removal of heart sac | 18.68 | NA | 9.59 | 2.89 | NA | 31.16 | 090 | |
| 33031 | A | Partial removal of heart sac | 21.76 | NA | 10.10 | 3.35 | NA | 35.21 | 090 | |
| 33050 | A | Removal of heart sac lesion | 14.34 | NA | 7.90 | 2.09 | NA | 24.33 | 090 | |
| 33120 | A | Removal of heart lesion | 24.52 | NA | 11.68 | 3.69 | NA | 39.89 | 090 | |
| 33130 | A | Removal of heart lesion | 21.36 | NA | 10.18 | 3.03 | NA | 34.57 | 090 | |
| 33140 | A | Heart revascularize (tmr) | 19.97 | NA | 10.94 | 2.74 | NA | 33.65 | 090 | |
| 33141 | A | Heart tmr w/other procedure | 4.83 | NA | 1.59 | 0.66 | NA | 7.08 | ZZZ | |
| 33200 | A | Insertion of heart pacemaker | 12.46 | NA | 6.98 | 1.41 | NA | 20.85 | 090 | |
| 33201 | A | Insertion of heart pacemaker | 10.16 | NA | 6.73 | 1.46 | NA | 18.35 | 090 | |
| 33206 | A | Insertion of heart pacemaker | 6.66 | NA | 4.57 | 0.60 | NA | 11.83 | 090 | |
| 33207 | A | Insertion of heart pacemaker | 8.03 | NA | 4.76 | 0.69 | NA | 13.48 | 090 | |
| 33208 | A | Insertion of heart pacemaker | 8.12 | NA | 4.86 | 0.65 | NA | 13.63 | 090 | |
| 33210 | A | Insertion of heart electrode | 3.30 | NA | 1.25 | 0.21 | NA | 4.76 | 000 | |
| 33211 | A | Insertion of heart electrode | 3.39 | NA | 1.32 | 0.21 | NA | 4.92 | 000 | |
| 33212 | A | Insertion of pulse generator | 5.51 | NA | 3.42 | 0.53 | NA | 9.46 | 090 | |
| 33213 | A | Insertion of pulse generator | 6.36 | NA | 3.78 | 0.55 | NA | 10.69 | 090 | |
| 33214 | A | Upgrade of pacemaker system | 7.74 | NA | 4.99 | 0.63 | NA | 13.36 | 090 | |
| 33215 | A | Reposition pacing-defib lead | 4.75 | NA | 3.18 | 0.43 | NA | 8.36 | 090 | |
| 33216 | A | Insert lead pace-defib, one | 5.77 | NA | 4.30 | 0.43 | NA | 10.50 | 090 | |
| 33217 | A | Insert lead pace-defib, dual | 5.74 | NA | 4.33 | 0.43 | NA | 10.50 | 090 | |
| 33218 | A | Repair lead pace-defib, one | 5.43 | NA | 4.37 | 0.48 | NA | 10.28 | 090 | |
| 33220 | A | Repair lead pace-defib, dual | 5.51 | NA | 4.34 | 0.47 | NA | 10.32 | 090 | |
| 33222 | A | Revise pocket, pacemaker | 4.95 | NA | 4.36 | 0.47 | NA | 9.78 | 090 | |
| 33223 | A | Revise pocket, pacing-defib | 6.45 | NA | 4.64 | 0.53 | NA | 11.62 | 090 | |
| 33224 | A | Insert pacing lead connect | 9.04 | NA | 4.02 | 0.43 | NA | 13.49 | 000 | |
| 33225 | A | L ventric pacing lead add-on | 8.33 | NA | 3.23 | 0.43 | NA | 11.99 | ZZZ | |
| 33226 | A | Reposition l ventric lead | 8.68 | NA | 3.88 | 0.43 | NA | 12.99 | 000 | |
| 33233 | A | Removal of pacemaker system | 3.29 | NA | 3.31 | 0.27 | NA | 6.87 | 090 | |
| 33234 | A | Removal of pacemaker system | 7.81 | NA | 4.95 | 0.68 | NA | 13.44 | 090 | |
| 33235 | A | Removal pacemaker electrode | 9.39 | NA | 6.86 | 0.82 | NA | 17.07 | 090 | |
| 33236 | A | Remove electrode/thoracotomy | 12.58 | NA | 7.48 | 1.80 | NA | 21.86 | 090 | |
| 33237 | A | Remove electrode/thoracotomy | 13.69 | NA | 7.84 | 1.89 | NA | 23.42 | 090 | |
| 33238 | A | Remove electrode/thoracotomy | 15.20 | NA | 8.26 | 1.88 | NA | 25.34 | 090 | |
| 33240 | A | Insert pulse generator | 7.59 | NA | 4.66 | 0.64 | NA | 12.89 | 090 | |
| 33241 | A | Remove pulse generator | 3.24 | NA | 2.99 | 0.25 | NA | 6.48 | 090 | |
| 33243 | A | Remove eltrd/thoracotomy | 22.61 | NA | 11.50 | 3.05 | NA | 37.16 | 090 | |
| 33244 | A | Remove eltrd, transven | 13.74 | NA | 8.96 | 1.27 | NA | 23.97 | 090 | |
| 33245 | A | Insert epic eltrd pace-defib | 14.28 | NA | 8.03 | 1.54 | NA | 23.85 | 090 | |
| 33246 | A | Insert epic eltrd/generator | 20.68 | NA | 10.41 | 2.68 | NA | 33.77 | 090 | |
| 33249 | A | Eltrd/insert pace-defib | 14.21 | NA | 8.49 | 0.96 | NA | 23.66 | 090 | |
| 33250 | A | Ablate heart dysrhythm focus | 21.82 | NA | 11.13 | 1.22 | NA | 34.17 | 090 | |
| 33251 | A | Ablate heart dysrhythm focus | 24.84 | NA | 11.74 | 2.91 | NA | 39.49 | 090 | |
| 33253 | A | Reconstruct atria | 31.01 | NA | 13.91 | 4.44 | NA | 49.36 | 090 | |
| 33261 | A | Ablate heart dysrhythm focus | 24.84 | NA | 11.85 | 3.40 | NA | 40.09 | 090 | |
| 33282 | A | Implant pat-active ht record | 4.16 | NA | 4.11 | 0.47 | NA | 8.74 | 090 | |
| 33284 | A | Remove pat-active ht record | 2.50 | NA | 3.58 | 0.28 | NA | 6.36 | 090 | |
| 33300 | A | Repair of heart wound | 17.89 | NA | 9.31 | 2.30 | NA | 29.50 | 090 | |
| 33305 | A | Repair of heart wound | 21.41 | NA | 10.70 | 3.23 | NA | 35.34 | 090 | |
| 33310 | A | Exploratory heart surgery | 18.48 | NA | 9.65 | 2.73 | NA | 30.86 | 090 | |
| 33315 | A | Exploratory heart surgery | 22.34 | NA | 10.95 | 3.50 | NA | 36.79 | 090 | |
| 33320 | A | Repair major blood vessel(s) | 16.76 | NA | 8.30 | 2.00 | NA | 27.06 | 090 | |
| 33321 | A | Repair major vessel | 20.17 | NA | 9.86 | 3.26 | NA | 33.29 | 090 | |
| 33322 | A | Repair major blood vessel(s) | 20.59 | NA | 10.44 | 3.03 | NA | 34.06 | 090 | |
| 33330 | A | Insert major vessel graft | 21.40 | NA | 10.35 | 3.00 | NA | 34.75 | 090 | |
| 33332 | A | Insert major vessel graft | 23.92 | NA | 10.59 | 2.95 | NA | 37.46 | 090 | |
| 33335 | A | Insert major vessel graft | 29.96 | NA | 13.42 | 4.57 | NA | 47.95 | 090 | |
| 33400 | A | Repair of aortic valve | 28.46 | NA | 15.73 | 3.73 | NA | 47.92 | 090 | |
| 33401 | A | Valvuloplasty, open | 23.87 | NA | 13.57 | 3.27 | NA | 40.71 | 090 | |
| 33403 | A | Valvuloplasty, w/cp bypass | 24.85 | NA | 14.37 | 2.99 | NA | 42.21 | 090 | |
| 33404 | A | Prepare heart-aorta conduit | 28.50 | NA | 14.58 | 3.99 | NA | 47.07 | 090 | |
| 33405 | A | Replacement of aortic valve | 34.95 | NA | 18.36 | 4.66 | NA | 57.97 | 090 | |
| 33406 | A | Replacement of aortic valve | 37.44 | NA | 19.20 | 4.91 | NA | 61.55 | 090 | |
| 33410 | A | Replacement of aortic valve | 32.41 | NA | 16.66 | 4.96 | NA | 54.03 | 090 | |
| 33411 | A | Replacement of aortic valve | 36.20 | NA | 18.83 | 5.02 | NA | 60.05 | 090 | |
| 33412 | A | Replacement of aortic valve | 41.94 | NA | 20.50 | 5.62 | NA | 68.06 | 090 | |
| 33413 | A | Replacement of aortic valve | 43.43 | NA | 20.91 | 5.14 | NA | 69.48 | 090 | |
| 33414 | A | Repair of aortic valve | 30.30 | NA | 14.23 | 4.57 | NA | 49.10 | 090 | |
| 33415 | A | Revision, subvalvular tissue | 27.11 | NA | 12.11 | 3.92 | NA | 43.14 | 090 | |
| 33416 | A | Revise ventricle muscle | 30.30 | NA | 13.59 | 4.64 | NA | 48.53 | 090 | |
| 33417 | A | Repair of aortic valve | 28.49 | NA | 13.71 | 4.32 | NA | 46.52 | 090 | |
| 33420 | A | Revision of mitral valve | 22.67 | NA | 9.66 | 1.79 | NA | 34.12 | 090 | |
| 33422 | A | Revision of mitral valve | 25.90 | NA | 13.71 | 3.98 | NA | 43.59 | 090 | |
| 33425 | A | Repair of mitral valve | 26.96 | NA | 13.10 | 3.62 | NA | 43.68 | 090 | |
| 33426 | A | Repair of mitral valve | 32.95 | NA | 17.21 | 4.67 | NA | 54.83 | 090 | |
| 33427 | A | Repair of mitral valve | 39.94 | NA | 19.44 | 5.19 | NA | 64.57 | 090 | |
| 33430 | A | Replacement of mitral valve | 33.45 | NA | 17.37 | 4.76 | NA | 55.58 | 090 | |
| 33460 | A | Revision of tricuspid valve | 23.56 | NA | 11.38 | 3.64 | NA | 38.58 | 090 | |
| 33463 | A | Valvuloplasty, tricuspid | 25.58 | NA | 12.99 | 3.82 | NA | 42.39 | 090 | |
| 33464 | A | Valvuloplasty, tricuspid | 27.29 | NA | 13.60 | 4.19 | NA | 45.08 | 090 | |
| 33465 | A | Replace tricuspid valve | 28.75 | NA | 13.05 | 4.35 | NA | 46.15 | 090 | |
| 33468 | A | Revision of tricuspid valve | 30.07 | NA | 13.76 | 4.82 | NA | 48.65 | 090 | |
| 33470 | A | Revision of pulmonary valve | 20.78 | NA | 10.78 | 3.39 | NA | 34.95 | 090 | |
| 33471 | A | Valvotomy, pulmonary valve | 22.22 | NA | 9.82 | 3.62 | NA | 35.66 | 090 | |
| 33472 | A | Revision of pulmonary valve | 22.22 | NA | 11.97 | 3.52 | NA | 37.71 | 090 | |
| 33474 | A | Revision of pulmonary valve | 23.01 | NA | 10.95 | 3.43 | NA | 37.39 | 090 | |
| 33475 | A | Replacement, pulmonary valve | 32.95 | NA | 15.48 | 3.18 | NA | 51.61 | 090 | |
| 33476 | A | Revision of heart chamber | 25.73 | NA | 12.03 | 2.89 | NA | 40.65 | 090 | |
| 33478 | A | Revision of heart chamber | 26.70 | NA | 13.13 | 4.29 | NA | 44.12 | 090 | |
| 33496 | A | Repair, prosth valve clot | 27.21 | NA | 12.83 | 4.15 | NA | 44.19 | 090 | |
| 33500 | A | Repair heart vessel fistula | 25.51 | NA | 11.54 | 3.38 | NA | 40.43 | 090 | |
| 33501 | A | Repair heart vessel fistula | 17.75 | NA | 8.34 | 2.47 | NA | 28.56 | 090 | |
| 33502 | A | Coronary artery correction | 21.01 | NA | 11.15 | 3.03 | NA | 35.19 | 090 | |
| 33503 | A | Coronary artery graft | 21.75 | NA | 9.83 | 1.71 | NA | 33.29 | 090 | |
| 33504 | A | Coronary artery graft | 24.62 | NA | 11.91 | 3.67 | NA | 40.20 | 090 | |
| 33505 | A | Repair artery w/tunnel | 26.80 | NA | 13.02 | 1.83 | NA | 41.65 | 090 | |
| 33506 | A | Repair artery, translocation | 35.45 | NA | 14.66 | 3.85 | NA | 53.96 | 090 | |
| 33508 | A | Endoscopic vein harvest | 0.31 | NA | 0.10 | 0.04 | NA | 0.45 | ZZZ | |
| 33510 | A | CABG, vein, single | 28.96 | NA | 16.41 | 3.78 | NA | 49.15 | 090 | |
| 33511 | A | CABG, vein, two | 29.96 | NA | 17.15 | 4.03 | NA | 51.14 | 090 | |
| 33512 | A | CABG, vein, three | 31.75 | NA | 17.68 | 4.46 | NA | 53.89 | 090 | |
| 33513 | A | CABG, vein, four | 31.95 | NA | 17.86 | 4.81 | NA | 54.62 | 090 | |
| 33514 | A | CABG, vein, five | 32.70 | NA | 18.14 | 5.27 | NA | 56.11 | 090 | |
| 33516 | A | Cabg, vein, six or more | 34.95 | NA | 18.88 | 5.57 | NA | 59.40 | 090 | |
| 33517 | A | CABG, artery-vein, single | 2.57 | NA | 0.84 | 0.39 | NA | 3.80 | ZZZ | |
| 33518 | A | CABG, artery-vein, two | 4.84 | NA | 1.59 | 0.74 | NA | 7.17 | ZZZ | |
| 33519 | A | CABG, artery-vein, three | 7.11 | NA | 2.33 | 1.07 | NA | 10.51 | ZZZ | |
| 33521 | A | CABG, artery-vein, four | 9.39 | NA | 3.08 | 1.42 | NA | 13.89 | ZZZ | |
| 33522 | A | CABG, artery-vein, five | 11.65 | NA | 3.82 | 1.79 | NA | 17.26 | ZZZ | |
| 33523 | A | Cabg, art-vein, six or more | 13.93 | NA | 4.55 | 2.15 | NA | 20.63 | ZZZ | |
| 33530 | A | Coronary artery, bypass/reop | 5.85 | NA | 1.91 | 0.88 | NA | 8.64 | ZZZ | |
| 33533 | A | CABG, arterial, single | 29.96 | NA | 16.54 | 3.91 | NA | 50.41 | 090 | |
| 33534 | A | CABG, arterial, two | 32.15 | NA | 17.79 | 4.38 | NA | 54.32 | 090 | |
| 33535 | A | CABG, arterial, three | 34.45 | NA | 18.22 | 4.79 | NA | 57.46 | 090 | |
| 33536 | A | Cabg, arterial, four or more | 37.44 | NA | 18.38 | 3.97 | NA | 59.79 | 090 | |
| 33542 | A | Removal of heart lesion | 28.81 | NA | 13.08 | 4.35 | NA | 46.24 | 090 | |
| 33545 | A | Repair of heart damage | 36.72 | NA | 15.73 | 5.31 | NA | 57.76 | 090 | |
| 33572 | A | Open coronary endarterectomy | 4.44 | NA | 1.46 | 0.66 | NA | 6.56 | ZZZ | |
| 33600 | A | Closure of valve | 29.47 | NA | 12.62 | 2.77 | NA | 44.86 | 090 | |
| 33602 | A | Closure of valve | 28.50 | NA | 12.54 | 3.50 | NA | 44.54 | 090 | |
| 33606 | A | Anastomosis/artery-aorta | 30.69 | NA | 13.75 | 4.33 | NA | 48.77 | 090 | |
| 33608 | A | Repair anomaly w/conduit | 31.04 | NA | 14.19 | 5.03 | NA | 50.26 | 090 | |
| 33610 | A | Repair by enlargement | 30.56 | NA | 14.20 | 4.85 | NA | 49.61 | 090 | |
| 33611 | A | Repair double ventricle | 33.95 | NA | 14.23 | 3.96 | NA | 52.14 | 090 | |
| 33612 | A | Repair double ventricle | 34.95 | NA | 15.25 | 5.36 | NA | 55.56 | 090 | |
| 33615 | A | Repair, modified fontan | 33.95 | NA | 15.14 | 3.80 | NA | 52.89 | 090 | |
| 33617 | A | Repair single ventricle | 36.94 | NA | 16.11 | 4.93 | NA | 57.98 | 090 | |
| 33619 | A | Repair single ventricle | 44.93 | NA | 20.94 | 5.68 | NA | 71.55 | 090 | |
| 33641 | A | Repair heart septum defect | 21.36 | NA | 9.64 | 3.22 | NA | 34.22 | 090 | |
| 33645 | A | Revision of heart veins | 24.78 | NA | 11.84 | 3.94 | NA | 40.56 | 090 | |
| 33647 | A | Repair heart septum defects | 28.69 | NA | 13.86 | 4.06 | NA | 46.61 | 090 | |
| 33660 | A | Repair of heart defects | 29.96 | NA | 13.58 | 3.40 | NA | 46.94 | 090 | |
| 33665 | A | Repair of heart defects | 28.56 | NA | 13.91 | 4.60 | NA | 47.07 | 090 | |
| 33670 | A | Repair of heart chambers | 34.95 | NA | 13.39 | 2.63 | NA | 50.97 | 090 | |
| 33681 | A | Repair heart septum defect | 30.56 | NA | 14.77 | 4.26 | NA | 49.59 | 090 | |
| 33684 | A | Repair heart septum defect | 29.61 | NA | 13.71 | 4.55 | NA | 47.87 | 090 | |
| 33688 | A | Repair heart septum defect | 30.57 | NA | 10.58 | 4.69 | NA | 45.84 | 090 | |
| 33690 | A | Reinforce pulmonary artery | 19.52 | NA | 10.32 | 3.09 | NA | 32.93 | 090 | |
| 33692 | A | Repair of heart defects | 30.70 | NA | 14.02 | 4.55 | NA | 49.27 | 090 | |
| 33694 | A | Repair of heart defects | 33.95 | NA | 14.32 | 5.15 | NA | 53.42 | 090 | |
| 33697 | A | Repair of heart defects | 35.95 | NA | 14.95 | 5.48 | NA | 56.38 | 090 | |
| 33702 | A | Repair of heart defects | 26.50 | NA | 12.65 | 4.16 | NA | 43.31 | 090 | |
| 33710 | A | Repair of heart defects | 29.67 | NA | 14.08 | 4.64 | NA | 48.39 | 090 | |
| 33720 | A | Repair of heart defect | 26.52 | NA | 12.36 | 3.87 | NA | 42.75 | 090 | |
| 33722 | A | Repair of heart defect | 28.37 | NA | 13.94 | 4.58 | NA | 46.89 | 090 | |
| 33730 | A | Repair heart-vein defect(s) | 34.20 | NA | 14.23 | 3.44 | NA | 51.87 | 090 | |
| 33732 | A | Repair heart-vein defect | 28.12 | NA | 13.50 | 3.35 | NA | 44.97 | 090 | |
| 33735 | A | Revision of heart chamber | 21.36 | NA | 10.08 | 1.35 | NA | 32.79 | 090 | |
| 33736 | A | Revision of heart chamber | 23.48 | NA | 11.95 | 3.26 | NA | 38.69 | 090 | |
| 33737 | A | Revision of heart chamber | 21.73 | NA | 11.02 | 3.53 | NA | 36.28 | 090 | |
| 33750 | A | Major vessel shunt | 21.38 | NA | 10.31 | 2.10 | NA | 33.79 | 090 | |
| 33755 | A | Major vessel shunt | 21.76 | NA | 8.86 | 3.53 | NA | 34.15 | 090 | |
| 33762 | A | Major vessel shunt | 21.76 | NA | 10.24 | 1.92 | NA | 33.92 | 090 | |
| 33764 | A | Major vessel shunt graft | 21.76 | NA | 10.31 | 2.33 | NA | 34.40 | 090 | |
| 33766 | A | Major vessel shunt | 22.73 | NA | 11.73 | 3.67 | NA | 38.13 | 090 | |
| 33767 | A | Major vessel shunt | 24.46 | NA | 11.81 | 3.79 | NA | 40.06 | 090 | |
| 33770 | A | Repair great vessels defect | 36.94 | NA | 14.77 | 5.42 | NA | 57.13 | 090 | |
| 33771 | A | Repair great vessels defect | 34.60 | NA | 12.48 | 5.63 | NA | 52.71 | 090 | |
| 33774 | A | Repair great vessels defect | 30.93 | NA | 14.23 | 5.04 | NA | 50.20 | 090 | |
| 33775 | A | Repair great vessels defect | 32.15 | NA | 14.28 | 5.23 | NA | 51.66 | 090 | |
| 33776 | A | Repair great vessels defect | 33.99 | NA | 15.88 | 5.52 | NA | 55.39 | 090 | |
| 33777 | A | Repair great vessels defect | 33.41 | NA | 14.95 | 5.44 | NA | 53.80 | 090 | |
| 33778 | A | Repair great vessels defect | 39.94 | NA | 16.98 | 5.83 | NA | 62.75 | 090 | |
| 33779 | A | Repair great vessels defect | 36.16 | NA | 15.49 | 2.89 | NA | 54.54 | 090 | |
| 33780 | A | Repair great vessels defect | 41.69 | NA | 19.13 | 6.28 | NA | 67.10 | 090 | |
| 33781 | A | Repair great vessels defect | 36.40 | NA | 13.56 | 5.92 | NA | 55.88 | 090 | |
| 33786 | A | Repair arterial trunk | 38.94 | NA | 16.79 | 5.66 | NA | 61.39 | 090 | |
| 33788 | A | Revision of pulmonary artery | 26.58 | NA | 12.03 | 4.00 | NA | 42.61 | 090 | |
| 33800 | A | Aortic suspension | 16.22 | NA | 8.21 | 1.34 | NA | 25.77 | 090 | |
| 33802 | A | Repair vessel defect | 17.63 | NA | 9.30 | 1.88 | NA | 28.81 | 090 | |
| 33803 | A | Repair vessel defect | 19.57 | NA | 9.84 | 3.17 | NA | 32.58 | 090 | |
| 33813 | A | Repair septal defect | 20.62 | NA | 10.99 | 3.35 | NA | 34.96 | 090 | |
| 33814 | A | Repair septal defect | 25.73 | NA | 12.73 | 3.04 | NA | 41.50 | 090 | |
| 33820 | A | Revise major vessel | 16.27 | NA | 8.39 | 2.53 | NA | 27.19 | 090 | |
| 33822 | A | Revise major vessel | 17.29 | NA | 9.03 | 2.81 | NA | 29.13 | 090 | |
| 33824 | A | Revise major vessel | 19.49 | NA | 10.06 | 3.15 | NA | 32.70 | 090 | |
| 33840 | A | Remove aorta constriction | 20.60 | NA | 10.36 | 2.85 | NA | 33.81 | 090 | |
| 33845 | A | Remove aorta constriction | 22.09 | NA | 11.42 | 3.50 | NA | 37.01 | 090 | |
| 33851 | A | Remove aorta constriction | 21.24 | NA | 10.78 | 3.45 | NA | 35.47 | 090 | |
| 33852 | A | Repair septal defect | 23.67 | NA | 11.45 | 3.85 | NA | 38.97 | 090 | |
| 33853 | A | Repair septal defect | 31.67 | NA | 14.92 | 5.10 | NA | 51.69 | 090 | |
| 33860 | A | Ascending aortic graft | 37.94 | NA | 16.55 | 5.19 | NA | 59.68 | 090 | |
| 33861 | A | Ascending aortic graft | 41.94 | NA | 17.81 | 5.11 | NA | 64.86 | 090 | |
| 33863 | A | Ascending aortic graft | 44.93 | NA | 18.80 | 5.55 | NA | 69.28 | 090 | |
| 33870 | A | Transverse aortic arch graft | 43.93 | NA | 18.49 | 6.14 | NA | 68.56 | 090 | |
| 33875 | A | Thoracic aortic graft | 33.01 | NA | 14.18 | 4.92 | NA | 52.11 | 090 | |
| 33877 | A | Thoracoabdominal graft | 42.54 | NA | 16.43 | 6.11 | NA | 65.08 | 090 | |
| 33910 | A | Remove lung artery emboli | 24.55 | NA | 11.52 | 3.69 | NA | 39.76 | 090 | |
| 33915 | A | Remove lung artery emboli | 20.99 | NA | 9.68 | 1.45 | NA | 32.12 | 090 | |
| 33916 | A | Surgery of great vessel | 25.79 | NA | 11.43 | 3.67 | NA | 40.89 | 090 | |
| 33917 | A | Repair pulmonary artery | 24.46 | NA | 12.27 | 3.82 | NA | 40.55 | 090 | |
| 33918 | A | Repair pulmonary atresia | 26.41 | NA | 12.19 | 4.12 | NA | 42.72 | 090 | |
| 33919 | A | Repair pulmonary atresia | 39.94 | NA | 17.62 | 4.20 | NA | 61.76 | 090 | |
| 33920 | A | Repair pulmonary atresia | 31.90 | NA | 13.92 | 4.35 | NA | 50.17 | 090 | |
| 33922 | A | Transect pulmonary artery | 23.48 | NA | 10.98 | 2.77 | NA | 37.23 | 090 | |
| 33924 | A | Remove pulmonary shunt | 5.49 | NA | 1.85 | 0.89 | NA | 8.23 | ZZZ | |
| 33930 | X | Removal of donor heart/lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33935 | R | Transplantation, heart/lung | 60.87 | NA | 29.07 | 9.83 | NA | 99.77 | 090 | |
| 33940 | X | Removal of donor heart | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33945 | R | Transplantation of heart | 42.04 | NA | 21.66 | 6.54 | NA | 70.24 | 090 | |
| 33960 | A | External circulation assist | 19.33 | NA | 4.93 | 2.58 | NA | 26.84 | 000 | |
| 33961 | A | External circulation assist | 10.91 | NA | 3.63 | 1.77 | NA | 16.31 | ZZZ | |
| 33967 | A | Insert ia percut device | 4.84 | NA | 1.85 | 0.34 | NA | 7.03 | 000 | |
| 33968 | A | Remove aortic assist device | 0.64 | NA | 0.23 | 0.08 | NA | 0.95 | 000 | |
| 33970 | A | Aortic circulation assist | 6.74 | NA | 2.29 | 0.84 | NA | 9.87 | 000 | |
| 33971 | A | Aortic circulation assist | 9.68 | NA | 6.07 | 1.17 | NA | 16.92 | 090 | |
| 33973 | A | Insert balloon device | 9.75 | NA | 3.32 | 1.22 | NA | 14.29 | 000 | |
| 33974 | A | Remove intra-aortic balloon | 14.39 | NA | 7.95 | 1.79 | NA | 24.13 | 090 | |
| 33975 | A | Implant ventricular device | 20.97 | NA | 6.31 | 2.07 | NA | 29.35 | XXX | |
| 33976 | A | Implant ventricular device | 22.97 | NA | 7.58 | 3.40 | NA | 33.95 | XXX | |
| 33977 | A | Remove ventricular device | 19.26 | NA | 11.13 | 2.94 | NA | 33.33 | 090 | |
| 33978 | A | Remove ventricular device | 21.70 | NA | 11.80 | 3.21 | NA | 36.71 | 090 | |
| 33979 | A | Insert intracorporeal device | 45.93 | NA | 14.97 | 4.80 | NA | 65.70 | XXX | |
| 33980 | A | Remove intracorporeal device | 56.17 | NA | 25.52 | 5.55 | NA | 87.24 | 090 | |
| 33999 | C | Cardiac surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 34001 | A | Removal of artery clot | 12.89 | NA | 6.75 | 1.76 | NA | 21.40 | 090 | |
| 34051 | A | Removal of artery clot | 15.19 | NA | 7.82 | 2.29 | NA | 25.30 | 090 | |
| 34101 | A | Removal of artery clot | 9.99 | NA | 5.38 | 1.34 | NA | 16.71 | 090 | |
| 34111 | A | Removal of arm artery clot | 9.99 | NA | 5.38 | 1.03 | NA | 16.40 | 090 | |
| 34151 | A | Removal of artery clot | 24.96 | NA | 10.45 | 2.22 | NA | 37.63 | 090 | |
| 34201 | A | Removal of artery clot | 10.01 | NA | 5.45 | 1.23 | NA | 16.69 | 090 | |
| 34203 | A | Removal of leg artery clot | 16.48 | NA | 8.09 | 1.65 | NA | 26.22 | 090 | |
| 34401 | A | Removal of vein clot | 24.96 | NA | 10.72 | 1.45 | NA | 37.13 | 090 | |
| 34421 | A | Removal of vein clot | 11.98 | NA | 6.33 | 1.15 | NA | 19.46 | 090 | |
| 34451 | A | Removal of vein clot | 26.96 | NA | 11.49 | 1.92 | NA | 40.37 | 090 | |
| 34471 | A | Removal of vein clot | 10.16 | NA | 5.35 | 1.09 | NA | 16.60 | 090 | |
| 34490 | A | Removal of vein clot | 9.85 | NA | 5.46 | 0.88 | NA | 16.19 | 090 | |
| 34501 | A | Repair valve, femoral vein | 15.98 | NA | 8.55 | 1.65 | NA | 26.18 | 090 | |
| 34502 | A | Reconstruct vena cava | 26.91 | NA | 12.34 | 3.61 | NA | 42.86 | 090 | |
| 34510 | A | Transposition of vein valve | 18.92 | NA | 9.48 | 1.93 | NA | 30.33 | 090 | |
| 34520 | A | Cross-over vein graft | 17.92 | NA | 8.72 | 1.70 | NA | 28.34 | 090 | |
| 34530 | A | Leg vein fusion | 16.62 | NA | 8.65 | 2.48 | NA | 27.75 | 090 | |
| 34800 | A | Endovasc abdo repair w/tube | 20.72 | NA | 9.21 | 1.80 | NA | 31.73 | 090 | |
| 34802 | A | Endovasc abdo repr w/device | 22.97 | NA | 9.83 | 1.99 | NA | 34.79 | 090 | |
| 34804 | A | Endovasc abdo repr w/device | 22.97 | NA | 9.84 | 1.99 | NA | 34.80 | 090 | |
| 34805 | A | Endovasc abdo repair w/pros | 21.85 | NA | 9.46 | 1.99 | NA | 33.30 | 090 | |
| 34808 | A | Endovasc abdo occlud device | 4.12 | NA | 1.38 | 0.35 | NA | 5.85 | ZZZ | |
| 34812 | A | Xpose for endoprosth, femorl | 6.74 | NA | 2.24 | 0.59 | NA | 9.57 | 000 | |
| 34813 | A | Femoral endovas graft add-on | 4.79 | NA | 1.58 | 0.41 | NA | 6.78 | ZZZ | |
| 34820 | A | Xpose for endoprosth, iliac | 9.74 | NA | 3.25 | 0.84 | NA | 13.83 | 000 | |
| 34825 | A | Endovasc extend prosth, init | 11.98 | NA | 6.17 | 1.04 | NA | 19.19 | 090 | |
| 34826 | A | Endovasc exten prosth, add'l | 4.12 | NA | 1.38 | 0.35 | NA | 5.85 | ZZZ | |
| 34830 | A | Open aortic tube prosth repr | 32.54 | NA | 13.76 | 2.82 | NA | 49.12 | 090 | |
| 34831 | A | Open aortoiliac prosth repr | 35.29 | NA | 11.80 | 3.05 | NA | 50.14 | 090 | |
| 34832 | A | Open aortofemor prosth repr | 35.29 | NA | 14.68 | 3.05 | NA | 53.02 | 090 | |
| 34833 | A | Xpose for endoprosth, iliac | 11.98 | NA | 4.51 | 0.84 | NA | 17.33 | 000 | |
| 34834 | A | Xpose, endoprosth, brachial | 5.34 | NA | 2.23 | 0.59 | NA | 8.16 | 000 | |
| 34900 | A | Endovasc iliac repr w/graft | 16.36 | NA | 7.82 | 1.80 | NA | 25.98 | 090 | |
| 35001 | A | Repair defect of artery | 19.61 | NA | 9.59 | 2.94 | NA | 32.14 | 090 | |
| 35002 | A | Repair artery rupture, neck | 20.97 | NA | 9.74 | 2.20 | NA | 32.91 | 090 | |
| 35005 | A | Repair defect of artery | 18.09 | NA | 8.89 | 1.63 | NA | 28.61 | 090 | |
| 35011 | A | Repair defect of artery | 17.97 | NA | 8.02 | 1.57 | NA | 27.56 | 090 | |
| 35013 | A | Repair artery rupture, arm | 21.97 | NA | 9.73 | 2.30 | NA | 34.00 | 090 | |
| 35021 | A | Repair defect of artery | 19.62 | NA | 9.50 | 2.33 | NA | 31.45 | 090 | |
| 35022 | A | Repair artery rupture, chest | 23.15 | NA | 10.10 | 2.40 | NA | 35.65 | 090 | |
| 35045 | A | Repair defect of arm artery | 17.54 | NA | 7.58 | 1.51 | NA | 26.63 | 090 | |
| 35081 | A | Repair defect of artery | 27.97 | NA | 11.51 | 3.86 | NA | 43.34 | 090 | |
| 35082 | A | Repair artery rupture, aorta | 38.44 | NA | 15.35 | 4.91 | NA | 58.70 | 090 | |
| 35091 | A | Repair defect of artery | 35.35 | NA | 13.63 | 4.93 | NA | 53.91 | 090 | |
| 35092 | A | Repair artery rupture, aorta | 44.93 | NA | 17.70 | 5.20 | NA | 67.83 | 090 | |
| 35102 | A | Repair defect of artery | 30.71 | NA | 12.41 | 4.15 | NA | 47.27 | 090 | |
| 35103 | A | Repair artery rupture, groin | 40.44 | NA | 15.92 | 4.57 | NA | 60.93 | 090 | |
| 35111 | A | Repair defect of artery | 24.96 | NA | 10.51 | 2.18 | NA | 37.65 | 090 | |
| 35112 | A | Repair artery rupture,spleen | 29.96 | NA | 12.01 | 2.35 | NA | 44.32 | 090 | |
| 35121 | A | Repair defect of artery | 29.96 | NA | 12.42 | 3.53 | NA | 45.91 | 090 | |
| 35122 | A | Repair artery rupture, belly | 34.95 | NA | 13.86 | 4.27 | NA | 53.08 | 090 | |
| 35131 | A | Repair defect of artery | 24.96 | NA | 10.80 | 2.54 | NA | 38.30 | 090 | |
| 35132 | A | Repair artery rupture, groin | 29.96 | NA | 12.42 | 2.99 | NA | 45.37 | 090 | |
| 35141 | A | Repair defect of artery | 19.97 | NA | 8.95 | 1.99 | NA | 30.91 | 090 | |
| 35142 | A | Repair artery rupture, thigh | 23.27 | NA | 10.40 | 2.11 | NA | 35.78 | 090 | |
| 35151 | A | Repair defect of artery | 22.61 | NA | 10.04 | 2.33 | NA | 34.98 | 090 | |
| 35152 | A | Repair artery rupture, knee | 25.58 | NA | 11.43 | 2.33 | NA | 39.34 | 090 | |
| 35161 | A | Repair defect of artery | 18.73 | NA | 9.19 | 2.67 | NA | 30.59 | 090 | |
| 35162 | A | Repair artery rupture | 19.75 | NA | 9.61 | 2.67 | NA | 32.03 | 090 | |
| 35180 | A | Repair blood vessel lesion | 13.60 | NA | 6.98 | 1.74 | NA | 22.32 | 090 | |
| 35182 | A | Repair blood vessel lesion | 29.96 | NA | 12.85 | 2.27 | NA | 45.08 | 090 | |
| 35184 | A | Repair blood vessel lesion | 17.97 | NA | 8.34 | 1.62 | NA | 27.93 | 090 | |
| 35188 | A | Repair blood vessel lesion | 14.26 | NA | 7.67 | 1.85 | NA | 23.78 | 090 | |
| 35189 | A | Repair blood vessel lesion | 27.96 | NA | 12.00 | 2.56 | NA | 42.52 | 090 | |
| 35190 | A | Repair blood vessel lesion | 12.73 | NA | 6.50 | 1.60 | NA | 20.83 | 090 | |
| 35201 | A | Repair blood vessel lesion | 16.12 | NA | 8.02 | 1.41 | NA | 25.55 | 090 | |
| 35206 | A | Repair blood vessel lesion | 13.23 | NA | 6.61 | 1.25 | NA | 21.09 | 090 | |
| 35207 | A | Repair blood vessel lesion | 10.13 | NA | 7.51 | 1.39 | NA | 19.03 | 090 | |
| 35211 | A | Repair blood vessel lesion | 22.09 | NA | 10.70 | 3.41 | NA | 36.20 | 090 | |
| 35216 | A | Repair blood vessel lesion | 18.72 | NA | 9.04 | 2.62 | NA | 30.38 | 090 | |
| 35221 | A | Repair blood vessel lesion | 24.35 | NA | 9.98 | 2.16 | NA | 36.49 | 090 | |
| 35226 | A | Repair blood vessel lesion | 14.48 | NA | 7.52 | 1.01 | NA | 23.01 | 090 | |
| 35231 | A | Repair blood vessel lesion | 19.97 | NA | 9.81 | 1.59 | NA | 31.37 | 090 | |
| 35236 | A | Repair blood vessel lesion | 17.08 | NA | 7.95 | 1.44 | NA | 26.47 | 090 | |
| 35241 | A | Repair blood vessel lesion | 23.09 | NA | 11.20 | 3.50 | NA | 37.79 | 090 | |
| 35246 | A | Repair blood vessel lesion | 26.41 | NA | 11.51 | 2.68 | NA | 40.60 | 090 | |
| 35251 | A | Repair blood vessel lesion | 30.15 | NA | 11.84 | 2.26 | NA | 44.25 | 090 | |
| 35256 | A | Repair blood vessel lesion | 18.33 | NA | 8.43 | 1.59 | NA | 28.35 | 090 | |
| 35261 | A | Repair blood vessel lesion | 17.77 | NA | 8.05 | 1.62 | NA | 27.44 | 090 | |
| 35266 | A | Repair blood vessel lesion | 14.89 | NA | 7.06 | 1.40 | NA | 23.35 | 090 | |
| 35271 | A | Repair blood vessel lesion | 22.09 | NA | 10.59 | 3.34 | NA | 36.02 | 090 | |
| 35276 | A | Repair blood vessel lesion | 24.21 | NA | 11.28 | 2.86 | NA | 38.35 | 090 | |
| 35281 | A | Repair blood vessel lesion | 27.96 | NA | 11.75 | 2.20 | NA | 41.91 | 090 | |
| 35286 | A | Repair blood vessel lesion | 16.14 | NA | 8.12 | 1.64 | NA | 25.90 | 090 | |
| 35301 | A | Rechanneling of artery | 18.67 | NA | 8.50 | 2.69 | NA | 29.86 | 090 | |
| 35311 | A | Rechanneling of artery | 26.96 | NA | 11.79 | 3.32 | NA | 42.07 | 090 | |
| 35321 | A | Rechanneling of artery | 15.98 | NA | 7.41 | 1.64 | NA | 25.03 | 090 | |
| 35331 | A | Rechanneling of artery | 26.16 | NA | 11.28 | 3.27 | NA | 40.71 | 090 | |
| 35341 | A | Rechanneling of artery | 25.07 | NA | 10.91 | 3.46 | NA | 39.44 | 090 | |
| 35351 | A | Rechanneling of artery | 22.97 | NA | 9.64 | 2.76 | NA | 35.37 | 090 | |
| 35355 | A | Rechanneling of artery | 18.47 | NA | 8.12 | 2.17 | NA | 28.76 | 090 | |
| 35361 | A | Rechanneling of artery | 28.16 | NA | 11.75 | 3.21 | NA | 43.12 | 090 | |
| 35363 | A | Rechanneling of artery | 30.15 | NA | 12.63 | 3.34 | NA | 46.12 | 090 | |
| 35371 | A | Rechanneling of artery | 14.70 | NA | 6.99 | 1.59 | NA | 23.28 | 090 | |
| 35372 | A | Rechanneling of artery | 17.97 | NA | 8.08 | 1.85 | NA | 27.90 | 090 | |
| 35381 | A | Rechanneling of artery | 15.79 | NA | 7.85 | 2.17 | NA | 25.81 | 090 | |
| 35390 | A | Reoperation, carotid add-on | 3.19 | NA | 1.07 | 0.46 | NA | 4.72 | ZZZ | |
| 35400 | A | Angioscopy | 3.00 | NA | 1.12 | 0.41 | NA | 4.53 | ZZZ | |
| 35450 | A | Repair arterial blockage | 10.05 | NA | 4.04 | 1.01 | NA | 15.10 | 000 | |
| 35452 | A | Repair arterial blockage | 6.90 | NA | 3.17 | 0.92 | NA | 10.99 | 000 | |
| 35454 | A | Repair arterial blockage | 6.03 | NA | 2.84 | 0.81 | NA | 9.68 | 000 | |
| 35456 | A | Repair arterial blockage | 7.34 | NA | 3.29 | 0.99 | NA | 11.62 | 000 | |
| 35458 | A | Repair arterial blockage | 9.48 | NA | 4.01 | 1.31 | NA | 14.80 | 000 | |
| 35459 | A | Repair arterial blockage | 8.62 | NA | 3.64 | 1.16 | NA | 13.42 | 000 | |
| 35460 | A | Repair venous blockage | 6.03 | NA | 2.68 | 0.80 | NA | 9.51 | 000 | |
| 35470 | A | Repair arterial blockage | 8.62 | NA | 3.85 | 0.60 | NA | 13.07 | 000 | |
| 35471 | A | Repair arterial blockage | 10.05 | NA | 4.45 | 0.60 | NA | 15.10 | 000 | |
| 35472 | A | Repair arterial blockage | 6.90 | NA | 3.24 | 0.47 | NA | 10.61 | 000 | |
| 35473 | A | Repair arterial blockage | 6.03 | NA | 2.92 | 0.41 | NA | 9.36 | 000 | |
| 35474 | A | Repair arterial blockage | 7.35 | NA | 2.88 | 0.48 | NA | 10.71 | 000 | |
| 35475 | R | Repair arterial blockage | 9.48 | NA | 4.06 | 0.57 | NA | 14.11 | 000 | |
| 35476 | A | Repair venous blockage | 6.03 | NA | 2.85 | 0.33 | NA | 9.21 | 000 | |
| 35480 | A | Atherectomy, open | 11.06 | NA | 4.51 | 1.36 | NA | 16.93 | 000 | |
| 35481 | A | Atherectomy, open | 7.60 | NA | 3.48 | 1.01 | NA | 12.09 | 000 | |
| 35482 | A | Atherectomy, open | 6.64 | NA | 3.09 | 0.90 | NA | 10.63 | 000 | |
| 35483 | A | Atherectomy, open | 8.09 | NA | 3.54 | 0.98 | NA | 12.61 | 000 | |
| 35484 | A | Atherectomy, open | 10.42 | NA | 4.23 | 1.36 | NA | 16.01 | 000 | |
| 35485 | A | Atherectomy, open | 9.48 | NA | 4.06 | 1.28 | NA | 14.82 | 000 | |
| 35490 | A | Atherectomy, percutaneous | 11.06 | NA | 4.71 | 0.66 | NA | 16.43 | 000 | |
| 35491 | A | Atherectomy, percutaneous | 7.60 | NA | 3.30 | 0.59 | NA | 11.49 | 000 | |
| 35492 | A | Atherectomy, percutaneous | 6.64 | NA | 3.19 | 0.52 | NA | 10.35 | 000 | |
| 35493 | A | Atherectomy, percutaneous | 8.09 | NA | 3.81 | 0.57 | NA | 12.47 | 000 | |
| 35494 | A | Atherectomy, percutaneous | 10.42 | NA | 4.40 | 0.58 | NA | 15.40 | 000 | |
| 35495 | A | Atherectomy, percutaneous | 9.48 | NA | 4.39 | 0.62 | NA | 14.49 | 000 | |
| 35500 | A | Harvest vein for bypass | 6.44 | NA | 2.03 | 0.76 | NA | 9.23 | ZZZ | |
| 35501 | A | Artery bypass graft | 19.16 | NA | 8.51 | 2.81 | NA | 30.48 | 090 | |
| 35506 | A | Artery bypass graft | 19.64 | NA | 9.51 | 2.81 | NA | 31.96 | 090 | |
| 35507 | A | Artery bypass graft | 19.64 | NA | 9.46 | 2.74 | NA | 31.84 | 090 | |
| 35508 | A | Artery bypass graft | 18.62 | NA | 9.48 | 2.82 | NA | 30.92 | 090 | |
| 35509 | A | Artery bypass graft | 18.04 | NA | 8.80 | 2.56 | NA | 29.40 | 090 | |
| 35510 | A | Artery bypass graft | 22.97 | NA | 10.17 | 2.10 | NA | 35.24 | 090 | |
| 35511 | A | Artery bypass graft | 21.17 | NA | 9.39 | 2.10 | NA | 32.66 | 090 | |
| 35512 | A | Artery bypass graft | 22.47 | NA | 10.00 | 2.10 | NA | 34.57 | 090 | |
| 35515 | A | Artery bypass graft | 18.62 | NA | 9.33 | 2.73 | NA | 30.68 | 090 | |
| 35516 | A | Artery bypass graft | 16.30 | NA | 6.84 | 2.27 | NA | 25.41 | 090 | |
| 35518 | A | Artery bypass graft | 21.17 | NA | 9.02 | 2.15 | NA | 32.34 | 090 | |
| 35521 | A | Artery bypass graft | 22.17 | NA | 9.87 | 2.20 | NA | 34.24 | 090 | |
| 35522 | A | Artery bypass graft | 21.73 | NA | 9.74 | 2.10 | NA | 33.57 | 090 | |
| 35525 | A | Artery bypass graft | 20.60 | NA | 9.35 | 2.10 | NA | 32.05 | 090 | |
| 35526 | A | Artery bypass graft | 29.91 | NA | 12.56 | 2.63 | NA | 45.10 | 090 | |
| 35531 | A | Artery bypass graft | 36.15 | NA | 14.54 | 3.51 | NA | 54.20 | 090 | |
| 35533 | A | Artery bypass graft | 27.96 | NA | 11.77 | 2.83 | NA | 42.56 | 090 | |
| 35536 | A | Artery bypass graft | 31.65 | NA | 13.00 | 3.16 | NA | 47.81 | 090 | |
| 35541 | A | Artery bypass graft | 25.76 | NA | 11.25 | 3.30 | NA | 40.31 | 090 | |
| 35546 | A | Artery bypass graft | 25.50 | NA | 10.91 | 3.43 | NA | 39.84 | 090 | |
| 35548 | A | Artery bypass graft | 21.54 | NA | 9.46 | 2.95 | NA | 33.95 | 090 | |
| 35549 | A | Artery bypass graft | 23.31 | NA | 10.42 | 3.34 | NA | 37.07 | 090 | |
| 35551 | A | Artery bypass graft | 26.63 | NA | 11.56 | 3.85 | NA | 42.04 | 090 | |
| 35556 | A | Artery bypass graft | 21.73 | NA | 9.77 | 2.99 | NA | 34.49 | 090 | |
| 35558 | A | Artery bypass graft | 21.17 | NA | 9.59 | 1.91 | NA | 32.67 | 090 | |
| 35560 | A | Artery bypass graft | 31.95 | NA | 13.37 | 3.29 | NA | 48.61 | 090 | |
| 35563 | A | Artery bypass graft | 24.16 | NA | 10.57 | 2.03 | NA | 36.76 | 090 | |
| 35565 | A | Artery bypass graft | 23.17 | NA | 10.17 | 2.06 | NA | 35.40 | 090 | |
| 35566 | A | Artery bypass graft | 26.88 | NA | 11.45 | 3.64 | NA | 41.97 | 090 | |
| 35571 | A | Artery bypass graft | 24.02 | NA | 10.91 | 2.58 | NA | 37.51 | 090 | |
| 35572 | A | Harvest femoropopliteal vein | 6.81 | NA | 2.34 | 0.76 | NA | 9.91 | ZZZ | |
| 35582 | A | Vein bypass graft | 27.09 | NA | 11.62 | 3.75 | NA | 42.46 | 090 | |
| 35583 | A | Vein bypass graft | 22.34 | NA | 10.21 | 3.05 | NA | 35.60 | 090 | |
| 35585 | A | Vein bypass graft | 28.35 | NA | 12.32 | 3.87 | NA | 44.54 | 090 | |
| 35587 | A | Vein bypass graft | 24.71 | NA | 11.54 | 2.62 | NA | 38.87 | 090 | |
| 35600 | A | Harvest artery for cabg | 4.94 | NA | 1.63 | 0.72 | NA | 7.29 | ZZZ | |
| 35601 | A | Artery bypass graft | 17.47 | NA | 8.66 | 2.51 | NA | 28.64 | 090 | |
| 35606 | A | Artery bypass graft | 18.68 | NA | 9.06 | 2.62 | NA | 30.36 | 090 | |
| 35612 | A | Artery bypass graft | 15.74 | NA | 7.92 | 2.07 | NA | 25.73 | 090 | |
| 35616 | A | Artery bypass graft | 15.68 | NA | 8.14 | 2.22 | NA | 26.04 | 090 | |
| 35621 | A | Artery bypass graft | 19.97 | NA | 8.71 | 2.03 | NA | 30.71 | 090 | |
| 35623 | A | Bypass graft, not vein | 23.96 | NA | 10.54 | 2.30 | NA | 36.80 | 090 | |
| 35626 | A | Artery bypass graft | 27.71 | NA | 12.03 | 3.49 | NA | 43.23 | 090 | |
| 35631 | A | Artery bypass graft | 33.95 | NA | 13.88 | 3.41 | NA | 51.24 | 090 | |
| 35636 | A | Artery bypass graft | 29.46 | NA | 12.35 | 2.86 | NA | 44.67 | 090 | |
| 35641 | A | Artery bypass graft | 24.53 | NA | 11.11 | 3.41 | NA | 39.05 | 090 | |
| 35642 | A | Artery bypass graft | 17.95 | NA | 8.72 | 2.22 | NA | 28.89 | 090 | |
| 35645 | A | Artery bypass graft | 17.44 | NA | 8.31 | 2.30 | NA | 28.05 | 090 | |
| 35646 | A | Artery bypass graft | 30.95 | NA | 13.15 | 4.38 | NA | 48.48 | 090 | |
| 35647 | A | Artery bypass graft | 27.96 | NA | 11.82 | 3.96 | NA | 43.74 | 090 | |
| 35650 | A | Artery bypass graft | 18.97 | NA | 8.40 | 1.98 | NA | 29.35 | 090 | |
| 35651 | A | Artery bypass graft | 25.00 | NA | 10.89 | 3.05 | NA | 38.94 | 090 | |
| 35654 | A | Artery bypass graft | 24.96 | NA | 10.70 | 2.53 | NA | 38.19 | 090 | |
| 35656 | A | Artery bypass graft | 19.50 | NA | 8.64 | 2.67 | NA | 30.81 | 090 | |
| 35661 | A | Artery bypass graft | 18.97 | NA | 8.96 | 1.81 | NA | 29.74 | 090 | |
| 35663 | A | Artery bypass graft | 21.97 | NA | 10.02 | 1.87 | NA | 33.86 | 090 | |
| 35665 | A | Artery bypass graft | 20.97 | NA | 9.48 | 2.12 | NA | 32.57 | 090 | |
| 35666 | A | Artery bypass graft | 22.16 | NA | 10.72 | 2.64 | NA | 35.52 | 090 | |
| 35671 | A | Artery bypass graft | 19.30 | NA | 9.43 | 2.03 | NA | 30.76 | 090 | |
| 35681 | A | Composite bypass graft | 1.60 | NA | 0.53 | 0.22 | NA | 2.35 | ZZZ | |
| 35682 | A | Composite bypass graft | 7.19 | NA | 2.40 | 1.00 | NA | 10.59 | ZZZ | |
| 35683 | A | Composite bypass graft | 8.49 | NA | 2.83 | 1.18 | NA | 12.50 | ZZZ | |
| 35685 | A | Bypass graft patency/patch | 4.04 | NA | 1.35 | 0.30 | NA | 5.69 | ZZZ | |
| 35686 | A | Bypass graft/av fist patency | 3.34 | NA | 1.13 | 0.25 | NA | 4.72 | ZZZ | |
| 35691 | A | Arterial transposition | 18.02 | NA | 8.45 | 2.48 | NA | 28.95 | 090 | |
| 35693 | A | Arterial transposition | 15.34 | NA | 7.76 | 2.17 | NA | 25.27 | 090 | |
| 35694 | A | Arterial transposition | 19.13 | NA | 8.64 | 2.57 | NA | 30.34 | 090 | |
| 35695 | A | Arterial transposition | 19.13 | NA | 8.60 | 2.64 | NA | 30.37 | 090 | |
| 35697 | A | Reimplant artery each | 3.00 | NA | 1.03 | 0.41 | NA | 4.44 | ZZZ | |
| 35700 | A | Reoperation, bypass graft | 3.08 | NA | 1.03 | 0.43 | NA | 4.54 | ZZZ | |
| 35701 | A | Exploration, carotid artery | 8.49 | NA | 5.18 | 0.77 | NA | 14.44 | 090 | |
| 35721 | A | Exploration, femoral artery | 7.17 | NA | 4.48 | 0.71 | NA | 12.36 | 090 | |
| 35741 | A | Exploration popliteal artery | 7.99 | NA | 4.71 | 0.72 | NA | 13.42 | 090 | |
| 35761 | A | Exploration of artery/vein | 5.36 | NA | 4.07 | 0.72 | NA | 10.15 | 090 | |
| 35800 | A | Explore neck vessels | 7.01 | NA | 4.68 | 0.95 | NA | 12.64 | 090 | |
| 35820 | A | Explore chest vessels | 12.86 | NA | 7.20 | 1.94 | NA | 22.00 | 090 | |
| 35840 | A | Explore abdominal vessels | 9.76 | NA | 5.31 | 1.28 | NA | 16.35 | 090 | |
| 35860 | A | Explore limb vessels | 5.54 | NA | 4.06 | 0.76 | NA | 10.36 | 090 | |
| 35870 | A | Repair vessel graft defect | 22.14 | NA | 9.81 | 2.98 | NA | 34.93 | 090 | |
| 35875 | A | Removal of clot in graft | 10.11 | NA | 5.24 | 1.17 | NA | 16.52 | 090 | |
| 35876 | A | Removal of clot in graft | 16.97 | NA | 7.59 | 2.27 | NA | 26.83 | 090 | |
| 35879 | A | Revise graft w/vein | 15.98 | NA | 7.75 | 1.63 | NA | 25.36 | 090 | |
| 35881 | A | Revise graft w/vein | 17.97 | NA | 8.75 | 1.74 | NA | 28.46 | 090 | |
| 35901 | A | Excision, graft, neck | 8.18 | NA | 5.36 | 1.09 | NA | 14.63 | 090 | |
| 35903 | A | Excision, graft, extremity | 9.38 | NA | 6.01 | 1.24 | NA | 16.63 | 090 | |
| 35905 | A | Excision, graft, thorax | 31.20 | NA | 13.26 | 2.59 | NA | 47.05 | 090 | |
| 35907 | A | Excision, graft, abdomen | 34.95 | NA | 14.11 | 2.62 | NA | 51.68 | 090 | |
| 36000 | A | Place needle in vein | 0.18 | 0.60 | 0.05 | 0.01 | 0.79 | 0.24 | XXX | |
| 36002 | A | Pseudoaneurysm injection trt | 1.96 | 2.91 | 0.99 | 0.12 | 4.99 | 3.07 | 000 | |
| 36005 | A | Injection ext venography | 0.95 | 8.47 | 0.32 | 0.05 | 9.47 | 1.32 | 000 | |
| 36010 | A | Place catheter in vein | 2.43 | NA | 0.79 | 0.19 | NA | 3.41 | XXX | |
| 36011 | A | Place catheter in vein | 3.14 | NA | 1.03 | 0.21 | NA | 4.38 | XXX | |
| 36012 | A | Place catheter in vein | 3.51 | NA | 1.15 | 0.21 | NA | 4.87 | XXX | |
| 36013 | A | Place catheter in artery | 2.52 | NA | 0.66 | 0.21 | NA | 3.39 | XXX | |
| 36014 | A | Place catheter in artery | 3.02 | NA | 0.99 | 0.17 | NA | 4.18 | XXX | |
| 36015 | A | Place catheter in artery | 3.51 | NA | 1.15 | 0.19 | NA | 4.85 | XXX | |
| 36100 | A | Establish access to artery | 3.02 | NA | 1.10 | 0.22 | NA | 4.34 | XXX | |
| 36120 | A | Establish access to artery | 2.01 | NA | 0.65 | 0.13 | NA | 2.79 | XXX | |
| 36140 | A | Establish access to artery | 2.01 | NA | 0.64 | 0.14 | NA | 2.79 | XXX | |
| 36145 | A | Artery to vein shunt | 2.01 | NA | 0.66 | 0.12 | NA | 2.79 | XXX | |
| 36160 | A | Establish access to aorta | 2.52 | NA | 0.85 | 0.24 | NA | 3.61 | XXX | |
| 36200 | A | Place catheter in aorta | 3.02 | NA | 1.02 | 0.18 | NA | 4.22 | XXX | |
| 36215 | A | Place catheter in artery | 4.67 | NA | 1.58 | 0.27 | NA | 6.52 | XXX | |
| 36216 | A | Place catheter in artery | 5.27 | NA | 1.76 | 0.29 | NA | 7.32 | XXX | |
| 36217 | A | Place catheter in artery | 6.29 | NA | 2.14 | 0.39 | NA | 8.82 | XXX | |
| 36218 | A | Place catheter in artery | 1.01 | NA | 0.35 | 0.06 | NA | 1.42 | ZZZ | |
| 36245 | A | Place catheter in artery | 4.67 | NA | 1.65 | 0.28 | NA | 6.60 | XXX | |
| 36246 | A | Place catheter in artery | 5.27 | NA | 1.79 | 0.31 | NA | 7.37 | XXX | |
| 36247 | A | Place catheter in artery | 6.29 | NA | 2.10 | 0.39 | NA | 8.78 | XXX | |
| 36248 | A | Place catheter in artery | 1.01 | NA | 0.35 | 0.07 | NA | 1.43 | ZZZ | |
| 36260 | A | Insertion of infusion pump | 9.70 | NA | 4.90 | 1.21 | NA | 15.81 | 090 | |
| 36261 | A | Revision of infusion pump | 5.44 | NA | 3.66 | 0.60 | NA | 9.70 | 090 | |
| 36262 | A | Removal of infusion pump | 4.01 | NA | 2.77 | 0.52 | NA | 7.30 | 090 | |
| 36299 | C | Vessel injection procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 36400 | A | Bl draw 3 yrs fem/jugular | 0.38 | 0.29 | 0.09 | 0.01 | 0.68 | 0.48 | XXX | |
| 36405 | A | Bl draw 3 yrs scalp vein | 0.31 | 0.27 | 0.08 | 0.01 | 0.59 | 0.40 | XXX | |
| 36406 | A | Bl draw 3 yrs other vein | 0.18 | 0.30 | 0.05 | 0.01 | 0.49 | 0.24 | XXX | |
| 36410 | A | Non-routine bl draw 3 yrs | 0.18 | 0.30 | 0.05 | 0.01 | 0.49 | 0.24 | XXX | |
| 36415 | I | Routine venipuncture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36416 | I | Capillary blood draw | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36420 | A | Vein access cutdown 1 yr | 1.01 | 3.06 | 0.28 | 0.11 | 4.18 | 1.40 | XXX | |
| 36425 | A | Vein access cutdown 1 yr | 0.76 | NA | 0.22 | 0.06 | NA | 1.04 | XXX | |
| 36430 | A | Blood transfusion service | 0.00 | 1.01 | NA | 0.06 | 1.07 | NA | XXX | |
| 36440 | A | Bl push transfuse, 2 yr or | 1.03 | NA | 0.30 | 0.10 | NA | 1.43 | XXX | |
| 36450 | A | Bl exchange/transfuse, nb | 2.23 | NA | 0.71 | 0.19 | NA | 3.13 | XXX | |
| 36455 | A | Bl exchange/transfuse non-nb | 2.43 | NA | 1.02 | 0.12 | NA | 3.57 | XXX | |
| 36460 | A | Transfusion service, fetal | 6.58 | NA | 2.25 | 0.68 | NA | 9.51 | XXX | |
| 36468 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36469 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36470 | A | Injection therapy of vein | 1.09 | 2.72 | 0.44 | 0.12 | 3.93 | 1.65 | 010 | |
| 36471 | A | Injection therapy of veins | 1.57 | 3.07 | 0.60 | 0.18 | 4.82 | 2.35 | 010 | |
| 36481 | A | Insertion of catheter, vein | 6.98 | 7.51 | 2.73 | 0.48 | 14.97 | 10.19 | 000 | |
| 36488 | D | Insertion of catheter, vein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36489 | D | Insertion of catheter, vein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36490 | D | Insertion of catheter, vein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36491 | D | Insertion of catheter, vein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36493 | D | Repositioning of cvc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36500 | A | Insertion of catheter, vein | 3.51 | NA | 1.37 | 0.17 | NA | 5.05 | 000 | |
| 36510 | A | Insertion of catheter, vein | 1.09 | 3.74 | 0.61 | 0.07 | 4.90 | 1.77 | 000 | |
| 36511 | A | Apheresis wbc | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36512 | A | Apheresis rbc | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36513 | A | Apheresis platelets | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36514 | A | Apheresis plasma | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36515 | A | Apheresis, adsorp/reinfuse | 1.74 | NA | 0.73 | 0.07 | NA | 2.54 | 000 | |
| 36516 | A | Apheresis, selective | 1.22 | NA | 0.51 | 0.07 | NA | 1.80 | 000 | |
| 36522 | A | Photopheresis | 1.67 | 30.33 | 1.13 | 0.08 | 32.08 | 2.88 | 000 | |
| 36530 | D | Insertion of infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 010 | |
| 36531 | D | Revision of infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 010 | |
| 36532 | D | Removal of infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 010 | |
| 36533 | D | Insertion of access device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 010 | |
| 36534 | D | Revision of access device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 010 | |
| 36535 | D | Removal of access device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 010 | |
| 36536 | D | Remove cva device obstruct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36537 | D | Remove cva lumen obstruct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36540 | B | Collect blood venous device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36550 | A | Declot vascular device | 0.00 | 0.39 | NA | 0.37 | 0.76 | NA | XXX | |
| 36555 | A | Insert non-tunnel cv cath | 2.68 | 6.00 | 0.82 | 0.21 | 8.89 | 3.71 | 000 | |
| 36556 | A | Insert non-tunnel cv cath | 2.50 | 5.85 | 0.74 | 0.10 | 8.45 | 3.34 | 000 | |
| 36557 | A | Insert tunneled cv cath | 5.09 | 13.56 | 2.58 | 0.59 | 19.24 | 8.26 | 010 | |
| 36558 | A | Insert tunneled cv cath | 4.79 | 13.45 | 2.47 | 0.59 | 18.83 | 7.85 | 010 | |
| 36560 | A | Insert tunneled cv cath | 6.24 | 29.19 | 2.96 | 0.59 | 36.02 | 9.79 | 010 | |
| 36561 | A | Insert tunneled cv cath | 5.99 | 29.11 | 2.87 | 0.59 | 35.69 | 9.45 | 010 | |
| 36563 | A | Insert tunneled cv cath | 6.19 | 38.09 | 2.98 | 0.68 | 44.96 | 9.85 | 010 | |
| 36565 | A | Insert tunneled cv cath | 5.99 | 22.15 | 2.87 | 0.59 | 28.73 | 9.45 | 010 | |
| 36566 | A | Insert tunneled cv cath | 6.49 | 22.95 | 3.04 | 0.59 | 30.03 | 10.12 | 010 | |
| 36568 | A | Insert tunneled cv cath | 1.92 | 8.19 | 0.59 | 0.21 | 10.32 | 2.72 | 000 | |
| 36569 | A | Insert tunneled cv cath | 1.82 | 7.39 | 0.57 | 0.16 | 9.37 | 2.55 | 000 | |
| 36570 | A | Insert tunneled cv cath | 5.31 | 40.27 | 2.64 | 0.59 | 46.17 | 8.54 | 010 | |
| 36571 | A | Insert tunneled cv cath | 5.29 | 35.64 | 2.63 | 0.59 | 41.52 | 8.51 | 010 | |
| 36575 | A | Repair tunneled cv cath | 0.67 | 3.35 | 0.26 | 0.59 | 4.61 | 1.52 | 000 | |
| 36576 | A | Repair tunneled cv cath | 3.19 | 7.71 | 1.76 | 0.59 | 11.49 | 5.54 | 010 | |
| 36578 | A | Replace tunneled cv cath | 3.49 | 10.54 | 2.20 | 0.59 | 14.62 | 6.28 | 010 | |
| 36580 | A | Replace tunneled cv cath | 1.31 | 6.76 | 0.41 | 0.16 | 8.23 | 1.88 | 000 | |
| 36581 | A | Replace tunneled cv cath | 3.43 | 13.27 | 1.84 | 0.59 | 17.29 | 5.86 | 010 | |
| 36582 | A | Replace tunneled cv cath | 5.19 | 26.63 | 2.76 | 0.59 | 32.41 | 8.54 | 010 | |
| 36583 | A | Replace tunneled cv cath | 5.24 | 13.13 | 2.77 | 0.59 | 18.96 | 8.60 | 010 | |
| 36584 | A | Replace tunneled cv cath | 1.20 | 7.23 | 0.54 | 0.16 | 8.59 | 1.90 | 000 | |
| 36585 | A | Replace tunneled cv cath | 4.79 | 35.46 | 2.62 | 0.59 | 40.84 | 8.00 | 010 | |
| 36589 | A | Removal tunneled cv cath | 2.27 | 2.20 | 1.41 | 0.25 | 4.72 | 3.93 | 010 | |
| 36590 | A | Removal tunneled cv cath | 3.30 | 6.41 | 1.64 | 0.41 | 10.12 | 5.35 | 010 | |
| 36595 | A | Mech remov tunneled cv cath | 3.59 | 19.71 | 1.46 | 0.28 | 23.58 | 5.33 | 000 | |
| 36596 | A | Mech remov tunneled cv cath | 0.75 | 4.39 | 0.49 | 0.05 | 5.19 | 1.29 | 000 | |
| 36597 | A | Reposition venous catheter | 1.21 | 3.18 | 0.43 | 0.07 | 4.46 | 1.71 | 000 | |
| 36600 | A | Withdrawal of arterial blood | 0.32 | 0.48 | 0.09 | 0.02 | 0.82 | 0.43 | XXX | |
| 36620 | A | Insertion catheter, artery | 1.15 | NA | 0.24 | 0.07 | NA | 1.46 | 000 | |
| 36625 | A | Insertion catheter, artery | 2.11 | NA | 0.52 | 0.19 | NA | 2.82 | 000 | |
| 36640 | A | Insertion catheter, artery | 2.10 | NA | 1.05 | 0.22 | NA | 3.37 | 000 | |
| 36660 | A | Insertion catheter, artery | 1.40 | NA | 0.44 | 0.10 | NA | 1.94 | 000 | |
| 36680 | A | Insert needle, bone cavity | 1.20 | NA | 0.49 | 0.10 | NA | 1.79 | 000 | |
| 36800 | A | Insertion of cannula | 2.43 | NA | 1.81 | 0.21 | NA | 4.45 | 000 | |
| 36810 | A | Insertion of cannula | 3.96 | NA | 1.69 | 0.48 | NA | 6.13 | 000 | |
| 36815 | A | Insertion of cannula | 2.62 | NA | 1.17 | 0.31 | NA | 4.10 | 000 | |
| 36819 | A | Av fusion/uppr arm vein | 13.98 | NA | 6.40 | 1.88 | NA | 22.26 | 090 | |
| 36820 | A | Av fusion/forearm vein | 13.98 | NA | 6.40 | 1.88 | NA | 22.26 | 090 | |
| 36821 | A | Av fusion direct any site | 8.92 | NA | 4.71 | 1.17 | NA | 14.80 | 090 | |
| 36822 | A | Insertion of cannula(s) | 5.41 | NA | 4.49 | 0.76 | NA | 10.66 | 090 | |
| 36823 | A | Insertion of cannula(s) | 20.97 | NA | 9.48 | 2.63 | NA | 33.08 | 090 | |
| 36825 | A | Artery-vein autograft | 9.83 | NA | 5.14 | 1.31 | NA | 16.28 | 090 | |
| 36830 | A | Artery-vein nonautograft | 11.98 | NA | 5.30 | 1.59 | NA | 18.87 | 090 | |
| 36831 | A | Open thrombect av fistula | 7.99 | NA | 3.97 | 0.95 | NA | 12.91 | 090 | |
| 36832 | A | Av fistula revision, open | 10.48 | NA | 4.79 | 1.36 | NA | 16.63 | 090 | |
| 36833 | A | Av fistula revision | 11.93 | NA | 5.25 | 1.56 | NA | 18.74 | 090 | |
| 36834 | A | Repair A-V aneurysm | 9.92 | NA | 4.81 | 1.28 | NA | 16.01 | 090 | |
| 36835 | A | Artery to vein shunt | 7.14 | NA | 4.39 | 0.96 | NA | 12.49 | 090 | |
| 36838 | A | Dist revas ligation, hemo | 20.60 | NA | 9.36 | 2.99 | NA | 32.95 | 090 | |
| 36860 | A | External cannula declotting | 2.01 | 2.49 | 1.35 | 0.12 | 4.62 | 3.48 | 000 | |
| 36861 | A | Cannula declotting | 2.52 | NA | 1.48 | 0.17 | NA | 4.17 | 000 | |
| 36870 | A | Percut thrombect av fistula | 5.15 | 46.98 | 3.14 | 0.28 | 52.41 | 8.57 | 090 | |
| 37140 | A | Revision of circulation | 23.56 | NA | 10.50 | 1.46 | NA | 35.52 | 090 | |
| 37145 | A | Revision of circulation | 24.57 | NA | 10.93 | 2.99 | NA | 38.49 | 090 | |
| 37160 | A | Revision of circulation | 21.57 | NA | 9.30 | 2.61 | NA | 33.48 | 090 | |
| 37180 | A | Revision of circulation | 24.57 | NA | 10.35 | 3.17 | NA | 38.09 | 090 | |
| 37181 | A | Splice spleen/kidney veins | 26.64 | NA | 11.06 | 3.22 | NA | 40.92 | 090 | |
| 37182 | A | Insert hepatic shunt (tips) | 16.97 | NA | 6.27 | 1.80 | NA | 25.04 | 000 | |
| 37183 | A | Remove hepatic shunt (tips) | 7.99 | NA | 3.08 | 0.52 | NA | 11.59 | 000 | |
| 37195 | A | Thrombolytic therapy, stroke | 0.00 | 8.08 | NA | 0.46 | 8.54 | NA | XXX | |
| 37200 | A | Transcatheter biopsy | 4.55 | NA | 1.50 | 0.23 | NA | 6.28 | 000 | |
| 37201 | A | Transcatheter therapy infuse | 4.99 | NA | 2.52 | 0.29 | NA | 7.80 | 000 | |
| 37202 | A | Transcatheter therapy infuse | 5.67 | NA | 3.03 | 0.46 | NA | 9.16 | 000 | |
| 37203 | A | Transcatheter retrieval | 5.02 | NA | 2.53 | 0.28 | NA | 7.83 | 000 | |
| 37204 | A | Transcatheter occlusion | 18.11 | NA | 5.93 | 1.10 | NA | 25.14 | 000 | |
| 37205 | A | Transcatheter stent | 8.27 | NA | 3.74 | 0.52 | NA | 12.53 | 000 | |
| 37206 | A | Transcatheter stent add-on | 4.12 | NA | 1.44 | 0.27 | NA | 5.83 | ZZZ | |
| 37207 | A | Transcatheter stent | 8.27 | NA | 3.17 | 1.07 | NA | 12.51 | 000 | |
| 37208 | A | Transcatheter stent add-on | 4.12 | NA | 1.39 | 0.53 | NA | 6.04 | ZZZ | |
| 37209 | A | Exchange arterial catheter | 2.27 | NA | 0.75 | 0.13 | NA | 3.15 | 000 | |
| 37250 | A | Iv us first vessel add-on | 2.10 | NA | 0.75 | 0.21 | NA | 3.06 | ZZZ | |
| 37251 | A | Iv us each add vessel add-on | 1.60 | NA | 0.55 | 0.17 | NA | 2.32 | ZZZ | |
| 37500 | A | Endoscopy ligate perf veins | 10.98 | NA | 7.12 | 0.48 | NA | 18.58 | 090 | |
| 37501 | C | Vascular endoscopy procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 37565 | A | Ligation of neck vein | 10.86 | NA | 5.65 | 0.54 | NA | 17.05 | 090 | |
| 37600 | A | Ligation of neck artery | 11.23 | NA | 6.67 | 0.48 | NA | 18.38 | 090 | |
| 37605 | A | Ligation of neck artery | 13.09 | NA | 6.94 | 0.93 | NA | 20.96 | 090 | |
| 37606 | A | Ligation of neck artery | 6.27 | NA | 4.59 | 0.95 | NA | 11.81 | 090 | |
| 37607 | A | Ligation of a-v fistula | 6.15 | NA | 3.59 | 0.81 | NA | 10.55 | 090 | |
| 37609 | A | Temporal artery procedure | 3.00 | 4.70 | 1.98 | 0.25 | 7.95 | 5.23 | 010 | |
| 37615 | A | Ligation of neck artery | 5.72 | NA | 4.12 | 0.69 | NA | 10.53 | 090 | |
| 37616 | A | Ligation of chest artery | 16.47 | NA | 8.15 | 2.33 | NA | 26.95 | 090 | |
| 37617 | A | Ligation of abdomen artery | 22.03 | NA | 9.22 | 2.04 | NA | 33.29 | 090 | |
| 37618 | A | Ligation of extremity artery | 4.83 | NA | 3.59 | 0.65 | NA | 9.07 | 090 | |
| 37620 | A | Revision of major vein | 10.54 | NA | 5.72 | 0.90 | NA | 17.16 | 090 | |
| 37650 | A | Revision of major vein | 7.79 | NA | 4.72 | 0.68 | NA | 13.19 | 090 | |
| 37660 | A | Revision of major vein | 20.97 | NA | 9.10 | 1.41 | NA | 31.48 | 090 | |
| 37700 | A | Revise leg vein | 3.72 | NA | 2.81 | 0.48 | NA | 7.01 | 090 | |
| 37720 | A | Removal of leg vein | 5.65 | NA | 3.73 | 0.74 | NA | 10.12 | 090 | |
| 37730 | A | Removal of leg veins | 7.32 | NA | 4.28 | 0.93 | NA | 12.53 | 090 | |
| 37735 | A | Removal of leg veins/lesion | 10.51 | NA | 5.54 | 1.41 | NA | 17.46 | 090 | |
| 37760 | A | Ligation, leg veins, open | 10.45 | NA | 5.38 | 1.34 | NA | 17.17 | 090 | |
| 37765 | A | Phleb veins - extrem - to 20 | 7.34 | NA | 4.55 | 0.48 | NA | 12.37 | 090 | |
| 37766 | A | Phleb veins - extrem 20+ | 9.29 | NA | 5.26 | 0.48 | NA | 15.03 | 090 | |
| 37780 | A | Revision of leg vein | 3.83 | NA | 2.88 | 0.49 | NA | 7.20 | 090 | |
| 37785 | A | Ligate/divide/excise vein | 3.83 | 5.14 | 2.64 | 0.49 | 9.46 | 6.96 | 090 | |
| 37788 | A | Revascularization, penis | 21.98 | NA | 9.29 | 1.63 | NA | 32.90 | 090 | |
| 37790 | A | Penile venous occlusion | 8.33 | NA | 4.53 | 0.76 | NA | 13.62 | 090 | |
| 37799 | C | Vascular surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38100 | A | Removal of spleen, total | 14.48 | NA | 6.23 | 1.57 | NA | 22.28 | 090 | |
| 38101 | A | Removal of spleen, partial | 15.29 | NA | 6.58 | 1.66 | NA | 23.53 | 090 | |
| 38102 | A | Removal of spleen, total | 4.79 | NA | 1.65 | 0.59 | NA | 7.03 | ZZZ | |
| 38115 | A | Repair of ruptured spleen | 15.80 | NA | 6.70 | 1.69 | NA | 24.19 | 090 | |
| 38120 | A | Laparoscopy, splenectomy | 16.97 | NA | 7.43 | 2.09 | NA | 26.49 | 090 | |
| 38129 | C | Laparoscope proc, spleen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38200 | A | Injection for spleen x-ray | 2.64 | NA | 0.89 | 0.14 | NA | 3.67 | 000 | |
| 38204 | B | Bl donor search management | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38205 | R | Harvest allogenic stem cells | 1.50 | NA | 0.67 | 0.06 | NA | 2.23 | 000 | |
| 38206 | R | Harvest auto stem cells | 1.50 | NA | 0.67 | 0.06 | NA | 2.23 | 000 | |
| 38207 | I | Cryopreserve stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38208 | I | Thaw preserved stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38209 | I | Wash harvest stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38210 | I | T-cell depletion of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38211 | I | Tumor cell deplete of harvst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38212 | I | Rbc depletion of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38213 | I | Platelet deplete of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38214 | I | Volume deplete of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38215 | I | Harvest stem cell concentrte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38220 | A | Bone marrow aspiration | 1.08 | 3.98 | 0.52 | 0.04 | 5.10 | 1.64 | XXX | |
| 38221 | A | Bone marrow biopsy | 1.37 | 4.19 | 0.65 | 0.05 | 5.61 | 2.07 | XXX | |
| 38230 | R | Bone marrow collection | 4.53 | NA | 3.08 | 0.30 | NA | 7.91 | 010 | |
| 38240 | R | Bone marrow/stem transplant | 2.24 | NA | 1.03 | 0.10 | NA | 3.37 | XXX | |
| 38241 | R | Bone marrow/stem transplant | 2.24 | NA | 1.04 | 0.10 | NA | 3.38 | XXX | |
| 38242 | A | Lymphocyte infuse transplant | 1.71 | NA | 0.77 | 0.06 | NA | 2.54 | 000 | |
| 38300 | A | Drainage, lymph node lesion | 1.99 | 4.42 | 2.07 | 0.18 | 6.59 | 4.24 | 010 | |
| 38305 | A | Drainage, lymph node lesion | 5.99 | 5.98 | 4.38 | 0.43 | 12.40 | 10.80 | 090 | |
| 38308 | A | Incision of lymph channels | 6.44 | 5.71 | 3.75 | 0.62 | 12.77 | 10.81 | 090 | |
| 38380 | A | Thoracic duct procedure | 7.45 | NA | 5.71 | 0.82 | NA | 13.98 | 090 | |
| 38381 | A | Thoracic duct procedure | 12.86 | NA | 6.94 | 1.91 | NA | 21.71 | 090 | |
| 38382 | A | Thoracic duct procedure | 10.06 | NA | 5.83 | 1.30 | NA | 17.19 | 090 | |
| 38500 | A | Biopsy/removal, lymph nodes | 3.74 | 3.78 | 2.10 | 0.34 | 7.86 | 6.18 | 010 | |
| 38505 | A | Needle biopsy, lymph nodes | 1.14 | 2.13 | 0.78 | 0.11 | 3.38 | 2.03 | 000 | |
| 38510 | A | Biopsy/removal, lymph nodes | 6.42 | 5.65 | 3.51 | 0.46 | 12.53 | 10.39 | 010 | |
| 38520 | A | Biopsy/removal, lymph nodes | 6.66 | NA | 4.11 | 0.63 | NA | 11.40 | 090 | |
| 38525 | A | Biopsy/removal, lymph nodes | 6.06 | NA | 3.36 | 0.58 | NA | 10.00 | 090 | |
| 38530 | A | Biopsy/removal, lymph nodes | 7.97 | NA | 4.46 | 0.76 | NA | 13.19 | 090 | |
| 38542 | A | Explore deep node(s), neck | 5.90 | NA | 4.51 | 0.60 | NA | 11.01 | 090 | |
| 38550 | A | Removal, neck/armpit lesion | 6.91 | NA | 3.99 | 0.83 | NA | 11.73 | 090 | |
| 38555 | A | Removal, neck/armpit lesion | 14.12 | NA | 8.62 | 1.76 | NA | 24.50 | 090 | |
| 38562 | A | Removal, pelvic lymph nodes | 10.47 | NA | 5.83 | 1.17 | NA | 17.47 | 090 | |
| 38564 | A | Removal, abdomen lymph nodes | 10.81 | NA | 5.30 | 1.28 | NA | 17.39 | 090 | |
| 38570 | A | Laparoscopy, lymph node biop | 9.24 | NA | 3.94 | 1.07 | NA | 14.25 | 010 | |
| 38571 | A | Laparoscopy, lymphadenectomy | 14.66 | NA | 5.60 | 0.96 | NA | 21.22 | 010 | |
| 38572 | A | Laparoscopy, lymphadenectomy | 16.57 | NA | 7.04 | 1.59 | NA | 25.20 | 010 | |
| 38589 | C | Laparoscope proc, lymphatic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38700 | A | Removal of lymph nodes, neck | 8.23 | NA | 8.09 | 0.72 | NA | 17.04 | 090 | |
| 38720 | A | Removal of lymph nodes, neck | 13.59 | NA | 11.07 | 1.24 | NA | 25.90 | 090 | |
| 38724 | A | Removal of lymph nodes, neck | 14.52 | NA | 11.57 | 1.33 | NA | 27.42 | 090 | |
| 38740 | A | Remove armpit lymph nodes | 10.01 | NA | 5.01 | 0.83 | NA | 15.85 | 090 | |
| 38745 | A | Remove armpit lymph nodes | 13.08 | NA | 6.19 | 1.09 | NA | 20.36 | 090 | |
| 38746 | A | Remove thoracic lymph nodes | 4.88 | NA | 1.62 | 0.66 | NA | 7.16 | ZZZ | |
| 38747 | A | Remove abdominal lymph nodes | 4.88 | NA | 1.68 | 0.60 | NA | 7.16 | ZZZ | |
| 38760 | A | Remove groin lymph nodes | 12.93 | NA | 6.20 | 1.06 | NA | 20.19 | 090 | |
| 38765 | A | Remove groin lymph nodes | 19.95 | NA | 8.92 | 1.81 | NA | 30.68 | 090 | |
| 38770 | A | Remove pelvis lymph nodes | 13.21 | NA | 5.81 | 1.19 | NA | 20.21 | 090 | |
| 38780 | A | Remove abdomen lymph nodes | 16.57 | NA | 8.27 | 1.93 | NA | 26.77 | 090 | |
| 38790 | A | Inject for lymphatic x-ray | 1.29 | 11.24 | 0.79 | 0.11 | 12.64 | 2.19 | 000 | |
| 38792 | A | Identify sentinel node | 0.52 | NA | 0.44 | 0.05 | NA | 1.01 | 000 | |
| 38794 | A | Access thoracic lymph duct | 4.44 | NA | 3.40 | 0.21 | NA | 8.05 | 090 | |
| 38999 | C | Blood/lymph system procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39000 | A | Exploration of chest | 6.09 | NA | 4.70 | 0.88 | NA | 11.67 | 090 | |
| 39010 | A | Exploration of chest | 11.77 | NA | 6.67 | 1.76 | NA | 20.20 | 090 | |
| 39200 | A | Removal chest lesion | 13.60 | NA | 6.82 | 1.99 | NA | 22.41 | 090 | |
| 39220 | A | Removal chest lesion | 17.39 | NA | 8.55 | 2.53 | NA | 28.47 | 090 | |
| 39400 | A | Visualization of chest | 5.60 | NA | 4.87 | 0.83 | NA | 11.30 | 010 | |
| 39499 | C | Chest procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39501 | A | Repair diaphragm laceration | 13.17 | NA | 6.52 | 1.66 | NA | 21.35 | 090 | |
| 39502 | A | Repair paraesophageal hernia | 16.31 | NA | 7.20 | 2.03 | NA | 25.54 | 090 | |
| 39503 | A | Repair of diaphragm hernia | 94.86 | NA | 33.56 | 4.25 | NA | 132.67 | 090 | |
| 39520 | A | Repair of diaphragm hernia | 16.08 | NA | 8.11 | 2.21 | NA | 26.40 | 090 | |
| 39530 | A | Repair of diaphragm hernia | 15.39 | NA | 7.20 | 2.00 | NA | 24.59 | 090 | |
| 39531 | A | Repair of diaphragm hernia | 16.40 | NA | 7.45 | 2.21 | NA | 26.06 | 090 | |
| 39540 | A | Repair of diaphragm hernia | 13.30 | NA | 6.29 | 1.66 | NA | 21.25 | 090 | |
| 39541 | A | Repair of diaphragm hernia | 14.39 | NA | 6.65 | 1.83 | NA | 22.87 | 090 | |
| 39545 | A | Revision of diaphragm | 13.35 | NA | 7.62 | 1.87 | NA | 22.84 | 090 | |
| 39560 | A | Resect diaphragm, simple | 11.98 | NA | 6.35 | 1.63 | NA | 19.96 | 090 | |
| 39561 | A | Resect diaphragm, complex | 17.47 | NA | 9.40 | 2.38 | NA | 29.25 | 090 | |
| 39599 | C | Diaphragm surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40490 | A | Biopsy of lip | 1.22 | 1.85 | 0.61 | 0.07 | 3.14 | 1.90 | 000 | |
| 40500 | A | Partial excision of lip | 4.27 | 6.08 | 4.90 | 0.37 | 10.72 | 9.54 | 090 | |
| 40510 | A | Partial excision of lip | 4.69 | 6.82 | 4.79 | 0.46 | 11.97 | 9.94 | 090 | |
| 40520 | A | Partial excision of lip | 4.66 | 7.33 | 5.03 | 0.51 | 12.50 | 10.20 | 090 | |
| 40525 | A | Reconstruct lip with flap | 7.54 | NA | 6.90 | 0.82 | NA | 15.26 | 090 | |
| 40527 | A | Reconstruct lip with flap | 9.12 | NA | 7.85 | 0.99 | NA | 17.96 | 090 | |
| 40530 | A | Partial removal of lip | 5.39 | 6.57 | 5.19 | 0.57 | 12.53 | 11.15 | 090 | |
| 40650 | A | Repair lip | 3.63 | 5.55 | 3.80 | 0.37 | 9.55 | 7.80 | 090 | |
| 40652 | A | Repair lip | 4.25 | 6.50 | 5.23 | 0.47 | 11.22 | 9.95 | 090 | |
| 40654 | A | Repair lip | 5.30 | 7.16 | 5.96 | 0.58 | 13.04 | 11.84 | 090 | |
| 40700 | A | Repair cleft lip/nasal | 12.77 | NA | 9.51 | 1.12 | NA | 23.40 | 090 | |
| 40701 | A | Repair cleft lip/nasal | 15.83 | NA | 11.79 | 1.64 | NA | 29.26 | 090 | |
| 40702 | A | Repair cleft lip/nasal | 13.02 | NA | 8.47 | 1.22 | NA | 22.71 | 090 | |
| 40720 | A | Repair cleft lip/nasal | 13.53 | NA | 10.50 | 1.58 | NA | 25.61 | 090 | |
| 40761 | A | Repair cleft lip/nasal | 14.70 | NA | 10.82 | 1.70 | NA | 27.22 | 090 | |
| 40799 | C | Lip surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40800 | A | Drainage of mouth lesion | 1.17 | 2.21 | 1.14 | 0.11 | 3.49 | 2.42 | 010 | |
| 40801 | A | Drainage of mouth lesion | 2.53 | 3.17 | 2.03 | 0.22 | 5.92 | 4.78 | 010 | |
| 40804 | A | Removal, foreign body, mouth | 1.24 | 2.55 | 1.12 | 0.11 | 3.90 | 2.47 | 010 | |
| 40805 | A | Removal, foreign body, mouth | 2.69 | 3.39 | 1.98 | 0.21 | 6.29 | 4.88 | 010 | |
| 40806 | A | Incision of lip fold | 0.31 | 1.37 | 0.95 | 0.02 | 1.70 | 1.28 | 000 | |
| 40808 | A | Biopsy of mouth lesion | 0.96 | 2.29 | 1.08 | 0.08 | 3.33 | 2.12 | 010 | |
| 40810 | A | Excision of mouth lesion | 1.31 | 2.38 | 1.21 | 0.11 | 3.80 | 2.63 | 010 | |
| 40812 | A | Excise/repair mouth lesion | 2.31 | 3.24 | 1.78 | 0.21 | 5.76 | 4.30 | 010 | |
| 40814 | A | Excise/repair mouth lesion | 3.41 | 4.74 | 3.29 | 0.31 | 8.46 | 7.01 | 090 | |
| 40816 | A | Excision of mouth lesion | 3.66 | 4.91 | 3.39 | 0.33 | 8.90 | 7.38 | 090 | |
| 40818 | A | Excise oral mucosa for graft | 2.41 | 5.16 | 3.53 | 0.17 | 7.74 | 6.11 | 090 | |
| 40819 | A | Excise lip or cheek fold | 2.41 | 4.38 | 2.92 | 0.21 | 7.00 | 5.54 | 090 | |
| 40820 | A | Treatment of mouth lesion | 1.28 | 2.69 | 2.35 | 0.10 | 4.07 | 3.73 | 010 | |
| 40830 | A | Repair mouth laceration | 1.76 | 3.07 | 2.51 | 0.17 | 5.00 | 4.44 | 010 | |
| 40831 | A | Repair mouth laceration | 2.46 | 3.61 | 3.08 | 0.25 | 6.32 | 5.79 | 010 | |
| 40840 | R | Reconstruction of mouth | 8.72 | 8.58 | 7.36 | 0.95 | 18.25 | 17.03 | 090 | |
| 40842 | R | Reconstruction of mouth | 8.72 | 8.68 | 7.10 | 0.78 | 18.18 | 16.60 | 090 | |
| 40843 | R | Reconstruction of mouth | 12.08 | 10.87 | 8.61 | 1.01 | 23.96 | 21.70 | 090 | |
| 40844 | R | Reconstruction of mouth | 15.99 | 13.82 | 11.75 | 1.97 | 31.78 | 29.71 | 090 | |
| 40845 | R | Reconstruction of mouth | 18.55 | 15.82 | 13.55 | 1.77 | 36.14 | 33.87 | 090 | |
| 40899 | C | Mouth surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41000 | A | Drainage of mouth lesion | 1.30 | 2.47 | 1.40 | 0.11 | 3.88 | 2.81 | 010 | |
| 41005 | A | Drainage of mouth lesion | 1.26 | 2.67 | 1.62 | 0.11 | 4.04 | 2.99 | 010 | |
| 41006 | A | Drainage of mouth lesion | 3.24 | 4.38 | 3.44 | 0.30 | 7.92 | 6.98 | 090 | |
| 41007 | A | Drainage of mouth lesion | 3.10 | 4.16 | 3.31 | 0.27 | 7.53 | 6.68 | 090 | |
| 41008 | A | Drainage of mouth lesion | 3.36 | 4.53 | 3.49 | 0.29 | 8.18 | 7.14 | 090 | |
| 41009 | A | Drainage of mouth lesion | 3.58 | 4.86 | 3.85 | 0.30 | 8.74 | 7.73 | 090 | |
| 41010 | A | Incision of tongue fold | 1.06 | 3.46 | 3.46 | 0.07 | 4.59 | 4.59 | 010 | |
| 41015 | A | Drainage of mouth lesion | 3.95 | 5.36 | 4.06 | 0.35 | 9.66 | 8.36 | 090 | |
| 41016 | A | Drainage of mouth lesion | 4.06 | 5.45 | 4.07 | 0.34 | 9.85 | 8.47 | 090 | |
| 41017 | A | Drainage of mouth lesion | 4.06 | 5.36 | 4.14 | 0.39 | 9.81 | 8.59 | 090 | |
| 41018 | A | Drainage of mouth lesion | 5.09 | 5.80 | 4.25 | 0.42 | 11.31 | 9.76 | 090 | |
| 41100 | A | Biopsy of tongue | 1.63 | 2.56 | 1.42 | 0.14 | 4.33 | 3.19 | 010 | |
| 41105 | A | Biopsy of tongue | 1.42 | 2.46 | 1.31 | 0.12 | 4.00 | 2.85 | 010 | |
| 41108 | A | Biopsy of floor of mouth | 1.05 | 2.20 | 1.12 | 0.10 | 3.35 | 2.27 | 010 | |
| 41110 | A | Excision of tongue lesion | 1.51 | 2.52 | 1.33 | 0.13 | 4.16 | 2.97 | 010 | |
| 41112 | A | Excision of tongue lesion | 2.73 | 4.25 | 2.71 | 0.24 | 7.22 | 5.68 | 090 | |
| 41113 | A | Excision of tongue lesion | 3.19 | 4.60 | 2.98 | 0.28 | 8.07 | 6.45 | 090 | |
| 41114 | A | Excision of tongue lesion | 8.46 | 8.75 | 6.31 | 0.77 | 17.98 | 15.54 | 090 | |
| 41115 | A | Excision of tongue fold | 1.74 | 3.43 | 2.57 | 0.16 | 5.33 | 4.47 | 010 | |
| 41116 | A | Excision of mouth lesion | 2.44 | 4.22 | 2.77 | 0.21 | 6.87 | 5.42 | 090 | |
| 41120 | A | Partial removal of tongue | 9.76 | NA | 7.58 | 0.84 | NA | 18.18 | 090 | |
| 41130 | A | Partial removal of tongue | 11.13 | NA | 8.36 | 0.98 | NA | 20.47 | 090 | |
| 41135 | A | Tongue and neck surgery | 23.06 | NA | 14.83 | 2.00 | NA | 39.89 | 090 | |
| 41140 | A | Removal of tongue | 25.46 | NA | 16.06 | 2.23 | NA | 43.75 | 090 | |
| 41145 | A | Tongue removal, neck surgery | 30.01 | NA | 19.18 | 2.54 | NA | 51.73 | 090 | |
| 41150 | A | Tongue, mouth, jaw surgery | 23.01 | NA | 15.49 | 2.01 | NA | 40.51 | 090 | |
| 41153 | A | Tongue, mouth, neck surgery | 23.73 | NA | 15.96 | 2.06 | NA | 41.75 | 090 | |
| 41155 | A | Tongue, jaw, neck surgery | 27.68 | NA | 17.99 | 2.44 | NA | 48.11 | 090 | |
| 41250 | A | Repair tongue laceration | 1.91 | 3.07 | 1.62 | 0.18 | 5.16 | 3.71 | 010 | |
| 41251 | A | Repair tongue laceration | 2.27 | 3.58 | 1.93 | 0.22 | 6.07 | 4.42 | 010 | |
| 41252 | A | Repair tongue laceration | 2.97 | 4.16 | 2.28 | 0.28 | 7.41 | 5.53 | 010 | |
| 41500 | A | Fixation of tongue | 3.70 | NA | 3.63 | 0.31 | NA | 7.64 | 090 | |
| 41510 | A | Tongue to lip surgery | 3.41 | NA | 3.10 | 0.29 | NA | 6.80 | 090 | |
| 41520 | A | Reconstruction, tongue fold | 2.73 | 4.07 | 3.22 | 0.23 | 7.03 | 6.18 | 090 | |
| 41599 | C | Tongue and mouth surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41800 | A | Drainage of gum lesion | 1.17 | 2.66 | 1.44 | 0.11 | 3.94 | 2.72 | 010 | |
| 41805 | A | Removal foreign body, gum | 1.24 | 2.73 | 2.33 | 0.11 | 4.08 | 3.68 | 010 | |
| 41806 | A | Removal foreign body,jawbone | 2.69 | 3.62 | 3.14 | 0.27 | 6.58 | 6.10 | 010 | |
| 41820 | R | Excision, gum, each quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41821 | R | Excision of gum flap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41822 | R | Excision of gum lesion | 2.31 | 4.09 | 1.33 | 0.29 | 6.69 | 3.93 | 010 | |
| 41823 | R | Excision of gum lesion | 3.30 | 5.82 | 4.10 | 0.35 | 9.47 | 7.75 | 090 | |
| 41825 | A | Excision of gum lesion | 1.31 | 3.27 | 2.35 | 0.12 | 4.70 | 3.78 | 010 | |
| 41826 | A | Excision of gum lesion | 2.31 | 3.85 | 2.89 | 0.21 | 6.37 | 5.41 | 010 | |
| 41827 | A | Excision of gum lesion | 3.41 | 5.61 | 3.84 | 0.30 | 9.32 | 7.55 | 090 | |
| 41828 | R | Excision of gum lesion | 3.09 | 4.38 | 3.35 | 0.27 | 7.74 | 6.71 | 010 | |
| 41830 | R | Removal of gum tissue | 3.34 | 4.91 | 3.57 | 0.28 | 8.53 | 7.19 | 010 | |
| 41850 | R | Treatment of gum lesion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41870 | R | Gum graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41872 | R | Repair gum | 2.59 | 4.63 | 3.53 | 0.22 | 7.44 | 6.34 | 090 | |
| 41874 | R | Repair tooth socket | 3.09 | 4.68 | 3.29 | 0.28 | 8.05 | 6.66 | 090 | |
| 41899 | C | Dental surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42000 | A | Drainage mouth roof lesion | 1.23 | 2.72 | 1.25 | 0.12 | 4.07 | 2.60 | 010 | |
| 42100 | A | Biopsy roof of mouth | 1.31 | 2.27 | 1.36 | 0.12 | 3.70 | 2.79 | 010 | |
| 42104 | A | Excision lesion, mouth roof | 1.64 | 2.76 | 1.55 | 0.14 | 4.54 | 3.33 | 010 | |
| 42106 | A | Excision lesion, mouth roof | 2.10 | 3.72 | 2.81 | 0.19 | 6.01 | 5.10 | 010 | |
| 42107 | A | Excision lesion, mouth roof | 4.43 | 6.07 | 4.18 | 0.39 | 10.89 | 9.00 | 090 | |
| 42120 | A | Remove palate/lesion | 6.16 | NA | 5.56 | 0.53 | NA | 12.25 | 090 | |
| 42140 | A | Excision of uvula | 1.62 | 2.48 | 2.37 | 0.14 | 4.24 | 4.13 | 090 | |
| 42145 | A | Repair palate, pharynx/uvula | 8.04 | NA | 6.61 | 0.68 | NA | 15.33 | 090 | |
| 42160 | A | Treatment mouth roof lesion | 1.80 | 3.59 | 2.65 | 0.16 | 5.55 | 4.61 | 010 | |
| 42180 | A | Repair palate | 2.50 | 3.38 | 2.12 | 0.23 | 6.11 | 4.85 | 010 | |
| 42182 | A | Repair palate | 3.82 | 4.23 | 3.06 | 0.33 | 8.38 | 7.21 | 010 | |
| 42200 | A | Reconstruct cleft palate | 11.98 | NA | 9.01 | 1.17 | NA | 22.16 | 090 | |
| 42205 | A | Reconstruct cleft palate | 13.27 | NA | 9.35 | 0.99 | NA | 23.61 | 090 | |
| 42210 | A | Reconstruct cleft palate | 14.48 | NA | 10.52 | 1.50 | NA | 26.50 | 090 | |
| 42215 | A | Reconstruct cleft palate | 8.81 | NA | 7.55 | 1.16 | NA | 17.52 | 090 | |
| 42220 | A | Reconstruct cleft palate | 7.01 | NA | 5.64 | 0.49 | NA | 13.14 | 090 | |
| 42225 | A | Reconstruct cleft palate | 9.53 | NA | 7.66 | 0.90 | NA | 18.09 | 090 | |
| 42226 | A | Lengthening of palate | 9.99 | NA | 7.88 | 0.88 | NA | 18.75 | 090 | |
| 42227 | A | Lengthening of palate | 9.51 | NA | 7.34 | 0.84 | NA | 17.69 | 090 | |
| 42235 | A | Repair palate | 7.86 | NA | 5.35 | 0.59 | NA | 13.80 | 090 | |
| 42260 | A | Repair nose to lip fistula | 9.79 | 9.23 | 7.44 | 1.03 | 20.05 | 18.26 | 090 | |
| 42280 | A | Preparation, palate mold | 1.54 | 2.00 | 0.88 | 0.14 | 3.68 | 2.56 | 010 | |
| 42281 | A | Insertion, palate prosthesis | 1.93 | 2.92 | 1.88 | 0.17 | 5.02 | 3.98 | 010 | |
| 42299 | C | Palate/uvula surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42300 | A | Drainage of salivary gland | 1.93 | 2.95 | 1.83 | 0.18 | 5.06 | 3.94 | 010 | |
| 42305 | A | Drainage of salivary gland | 6.06 | NA | 4.95 | 0.55 | NA | 11.56 | 090 | |
| 42310 | A | Drainage of salivary gland | 1.56 | 2.34 | 1.54 | 0.13 | 4.03 | 3.23 | 010 | |
| 42320 | A | Drainage of salivary gland | 2.35 | 3.52 | 2.11 | 0.21 | 6.08 | 4.67 | 010 | |
| 42325 | A | Create salivary cyst drain | 2.75 | 3.54 | 2.23 | 0.21 | 6.50 | 5.19 | 090 | |
| 42326 | A | Create salivary cyst drain | 3.77 | 4.54 | 3.10 | 0.41 | 8.72 | 7.28 | 090 | |
| 42330 | A | Removal of salivary stone | 2.21 | 3.30 | 1.86 | 0.19 | 5.70 | 4.26 | 010 | |
| 42335 | A | Removal of salivary stone | 3.31 | 3.90 | 3.36 | 0.28 | 7.49 | 6.95 | 090 | |
| 42340 | A | Removal of salivary stone | 4.59 | 5.14 | 4.27 | 0.41 | 10.14 | 9.27 | 090 | |
| 42400 | A | Biopsy of salivary gland | 0.78 | 1.75 | 0.72 | 0.07 | 2.60 | 1.57 | 000 | |
| 42405 | A | Biopsy of salivary gland | 3.29 | 4.17 | 2.48 | 0.29 | 7.75 | 6.06 | 010 | |
| 42408 | A | Excision of salivary cyst | 4.53 | 5.05 | 4.06 | 0.41 | 9.99 | 9.00 | 090 | |
| 42409 | A | Drainage of salivary cyst | 2.81 | 3.55 | 3.09 | 0.24 | 6.60 | 6.14 | 090 | |
| 42410 | A | Excise parotid gland/lesion | 9.33 | NA | 6.64 | 0.93 | NA | 16.90 | 090 | |
| 42415 | A | Excise parotid gland/lesion | 16.86 | NA | 11.26 | 1.52 | NA | 29.64 | 090 | |
| 42420 | A | Excise parotid gland/lesion | 19.56 | NA | 12.77 | 1.75 | NA | 34.08 | 090 | |
| 42425 | A | Excise parotid gland/lesion | 13.00 | NA | 9.07 | 1.18 | NA | 23.25 | 090 | |
| 42426 | A | Excise parotid gland/lesion | 21.23 | NA | 13.43 | 1.89 | NA | 36.55 | 090 | |
| 42440 | A | Excise submaxillary gland | 6.96 | NA | 5.06 | 0.62 | NA | 12.64 | 090 | |
| 42450 | A | Excise sublingual gland | 4.61 | 5.66 | 4.24 | 0.41 | 10.68 | 9.26 | 090 | |
| 42500 | A | Repair salivary duct | 4.29 | 5.46 | 4.18 | 0.36 | 10.11 | 8.83 | 090 | |
| 42505 | A | Repair salivary duct | 6.17 | 6.90 | 5.36 | 0.53 | 13.60 | 12.06 | 090 | |
| 42507 | A | Parotid duct diversion | 6.10 | NA | 5.20 | 0.80 | NA | 12.10 | 090 | |
| 42508 | A | Parotid duct diversion | 9.09 | NA | 7.02 | 0.77 | NA | 16.88 | 090 | |
| 42509 | A | Parotid duct diversion | 11.52 | NA | 8.42 | 1.50 | NA | 21.44 | 090 | |
| 42510 | A | Parotid duct diversion | 8.14 | NA | 6.11 | 0.69 | NA | 14.94 | 090 | |
| 42550 | A | Injection for salivary x-ray | 1.25 | 13.05 | 0.41 | 0.07 | 14.37 | 1.73 | 000 | |
| 42600 | A | Closure of salivary fistula | 4.81 | 5.83 | 4.52 | 0.41 | 11.05 | 9.74 | 090 | |
| 42650 | A | Dilation of salivary duct | 0.77 | 1.17 | 0.71 | 0.07 | 2.01 | 1.55 | 000 | |
| 42660 | A | Dilation of salivary duct | 1.13 | 1.48 | 0.84 | 0.08 | 2.69 | 2.05 | 000 | |
| 42665 | A | Ligation of salivary duct | 2.53 | 3.56 | 2.96 | 0.21 | 6.30 | 5.70 | 090 | |
| 42699 | C | Salivary surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42700 | A | Drainage of tonsil abscess | 1.62 | 2.74 | 1.73 | 0.14 | 4.50 | 3.49 | 010 | |
| 42720 | A | Drainage of throat abscess | 5.41 | 5.04 | 3.82 | 0.47 | 10.92 | 9.70 | 010 | |
| 42725 | A | Drainage of throat abscess | 10.70 | NA | 8.00 | 0.96 | NA | 19.66 | 090 | |
| 42800 | A | Biopsy of throat | 1.39 | 2.23 | 1.40 | 0.12 | 3.74 | 2.91 | 010 | |
| 42802 | A | Biopsy of throat | 1.54 | 4.38 | 1.94 | 0.13 | 6.05 | 3.61 | 010 | |
| 42804 | A | Biopsy of upper nose/throat | 1.24 | 3.97 | 1.79 | 0.11 | 5.32 | 3.14 | 010 | |
| 42806 | A | Biopsy of upper nose/throat | 1.58 | 4.11 | 1.92 | 0.14 | 5.83 | 3.64 | 010 | |
| 42808 | A | Excise pharynx lesion | 2.30 | 3.17 | 1.93 | 0.21 | 5.68 | 4.44 | 010 | |
| 42809 | A | Remove pharynx foreign body | 1.81 | 2.36 | 1.36 | 0.16 | 4.33 | 3.33 | 010 | |
| 42810 | A | Excision of neck cyst | 3.25 | 4.84 | 3.37 | 0.30 | 8.39 | 6.92 | 090 | |
| 42815 | A | Excision of neck cyst | 7.06 | NA | 5.42 | 0.64 | NA | 13.12 | 090 | |
| 42820 | A | Remove tonsils and adenoids | 3.90 | NA | 3.47 | 0.34 | NA | 7.71 | 090 | |
| 42821 | A | Remove tonsils and adenoids | 4.28 | NA | 3.68 | 0.36 | NA | 8.32 | 090 | |
| 42825 | A | Removal of tonsils | 3.41 | NA | 3.32 | 0.29 | NA | 7.02 | 090 | |
| 42826 | A | Removal of tonsils | 3.37 | NA | 3.21 | 0.28 | NA | 6.86 | 090 | |
| 42830 | A | Removal of adenoids | 2.57 | NA | 2.62 | 0.22 | NA | 5.41 | 090 | |
| 42831 | A | Removal of adenoids | 2.71 | NA | 2.86 | 0.23 | NA | 5.80 | 090 | |
| 42835 | A | Removal of adenoids | 2.30 | NA | 2.62 | 0.21 | NA | 5.13 | 090 | |
| 42836 | A | Removal of adenoids | 3.18 | NA | 3.14 | 0.27 | NA | 6.59 | 090 | |
| 42842 | A | Extensive surgery of throat | 8.75 | NA | 6.74 | 0.74 | NA | 16.23 | 090 | |
| 42844 | A | Extensive surgery of throat | 14.29 | NA | 10.03 | 1.25 | NA | 25.57 | 090 | |
| 42845 | A | Extensive surgery of throat | 24.25 | NA | 16.11 | 2.12 | NA | 42.48 | 090 | |
| 42860 | A | Excision of tonsil tags | 2.22 | NA | 2.58 | 0.19 | NA | 4.99 | 090 | |
| 42870 | A | Excision of lingual tonsil | 5.39 | NA | 4.79 | 0.46 | NA | 10.64 | 090 | |
| 42890 | A | Partial removal of pharynx | 12.92 | NA | 9.34 | 1.10 | NA | 23.36 | 090 | |
| 42892 | A | Revision of pharyngeal walls | 15.81 | NA | 10.89 | 1.37 | NA | 28.07 | 090 | |
| 42894 | A | Revision of pharyngeal walls | 22.85 | NA | 15.07 | 1.98 | NA | 39.90 | 090 | |
| 42900 | A | Repair throat wound | 5.24 | NA | 3.70 | 0.47 | NA | 9.41 | 010 | |
| 42950 | A | Reconstruction of throat | 8.09 | NA | 6.60 | 0.70 | NA | 15.39 | 090 | |
| 42953 | A | Repair throat, esophagus | 8.95 | NA | 7.53 | 0.88 | NA | 17.36 | 090 | |
| 42955 | A | Surgical opening of throat | 7.38 | NA | 5.58 | 0.76 | NA | 13.72 | 090 | |
| 42960 | A | Control throat bleeding | 2.33 | NA | 2.00 | 0.21 | NA | 4.54 | 010 | |
| 42961 | A | Control throat bleeding | 5.58 | NA | 4.85 | 0.48 | NA | 10.91 | 090 | |
| 42962 | A | Control throat bleeding | 7.13 | NA | 5.73 | 0.62 | NA | 13.48 | 090 | |
| 42970 | A | Control nose/throat bleeding | 5.42 | NA | 3.61 | 0.45 | NA | 9.48 | 090 | |
| 42971 | A | Control nose/throat bleeding | 6.20 | NA | 4.97 | 0.54 | NA | 11.71 | 090 | |
| 42972 | A | Control nose/throat bleeding | 7.19 | NA | 5.47 | 0.65 | NA | 13.31 | 090 | |
| 42999 | C | Throat surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43020 | A | Incision of esophagus | 8.08 | NA | 5.70 | 0.84 | NA | 14.62 | 090 | |
| 43030 | A | Throat muscle surgery | 7.68 | NA | 5.82 | 0.72 | NA | 14.22 | 090 | |
| 43045 | A | Incision of esophagus | 20.09 | NA | 10.76 | 2.59 | NA | 33.44 | 090 | |
| 43100 | A | Excision of esophagus lesion | 9.18 | NA | 6.27 | 0.95 | NA | 16.40 | 090 | |
| 43101 | A | Excision of esophagus lesion | 16.22 | NA | 7.94 | 2.18 | NA | 26.34 | 090 | |
| 43107 | A | Removal of esophagus | 39.94 | NA | 17.14 | 3.97 | NA | 61.05 | 090 | |
| 43108 | A | Removal of esophagus | 34.14 | NA | 14.30 | 4.56 | NA | 53.00 | 090 | |
| 43112 | A | Removal of esophagus | 43.43 | NA | 18.24 | 4.43 | NA | 66.10 | 090 | |
| 43113 | A | Removal of esophagus | 35.22 | NA | 15.20 | 5.22 | NA | 55.64 | 090 | |
| 43116 | A | Partial removal of esophagus | 31.17 | NA | 16.81 | 3.16 | NA | 51.14 | 090 | |
| 43117 | A | Partial removal of esophagus | 39.94 | NA | 16.38 | 4.23 | NA | 60.55 | 090 | |
| 43118 | A | Partial removal of esophagus | 33.15 | NA | 13.87 | 4.29 | NA | 51.31 | 090 | |
| 43121 | A | Partial removal of esophagus | 29.15 | NA | 12.75 | 4.15 | NA | 46.05 | 090 | |
| 43122 | A | Partial removal of esophagus | 39.94 | NA | 16.49 | 3.94 | NA | 60.37 | 090 | |
| 43123 | A | Partial removal of esophagus | 33.15 | NA | 14.18 | 4.78 | NA | 52.11 | 090 | |
| 43124 | A | Removal of esophagus | 27.28 | NA | 13.16 | 3.56 | NA | 44.00 | 090 | |
| 43130 | A | Removal of esophagus pouch | 11.73 | NA | 7.62 | 1.28 | NA | 20.63 | 090 | |
| 43135 | A | Removal of esophagus pouch | 16.08 | NA | 8.16 | 2.23 | NA | 26.47 | 090 | |
| 43200 | A | Esophagus endoscopy | 1.59 | 4.01 | 1.10 | 0.13 | 5.73 | 2.82 | 000 | |
| 43201 | A | Esoph scope w/submucous inj | 2.09 | 4.70 | 1.27 | 0.14 | 6.93 | 3.50 | 000 | |
| 43202 | A | Esophagus endoscopy, biopsy | 1.89 | 5.38 | 0.96 | 0.14 | 7.41 | 2.99 | 000 | |
| 43204 | A | Esoph scope w/sclerosis inj | 3.76 | NA | 1.54 | 0.22 | NA | 5.52 | 000 | |
| 43205 | A | Esophagus endoscopy/ligation | 3.78 | NA | 1.55 | 0.21 | NA | 5.54 | 000 | |
| 43215 | A | Esophagus endoscopy | 2.60 | NA | 1.22 | 0.21 | NA | 4.03 | 000 | |
| 43216 | A | Esophagus endoscopy/lesion | 2.40 | NA | 1.18 | 0.18 | NA | 3.76 | 000 | |
| 43217 | A | Esophagus endoscopy | 2.90 | 6.79 | 1.21 | 0.21 | 9.90 | 4.32 | 000 | |
| 43219 | A | Esophagus endoscopy | 2.80 | NA | 1.37 | 0.19 | NA | 4.36 | 000 | |
| 43220 | A | Esoph endoscopy, dilation | 2.10 | NA | 0.99 | 0.14 | NA | 3.23 | 000 | |
| 43226 | A | Esoph endoscopy, dilation | 2.34 | NA | 1.06 | 0.14 | NA | 3.54 | 000 | |
| 43227 | A | Esoph endoscopy, repair | 3.59 | NA | 1.47 | 0.22 | NA | 5.28 | 000 | |
| 43228 | A | Esoph endoscopy, ablation | 3.76 | NA | 1.58 | 0.30 | NA | 5.64 | 000 | |
| 43231 | A | Esoph endoscopy w/us exam | 3.19 | NA | 1.33 | 0.24 | NA | 4.76 | 000 | |
| 43232 | A | Esoph endoscopy w/us fn bx | 4.47 | NA | 1.84 | 0.31 | NA | 6.62 | 000 | |
| 43234 | A | Upper GI endoscopy, exam | 2.01 | 5.21 | 0.90 | 0.16 | 7.38 | 3.07 | 000 | |
| 43235 | A | Uppr gi endoscopy, diagnosis | 2.39 | 5.04 | 1.07 | 0.16 | 7.59 | 3.62 | 000 | |
| 43236 | A | Uppr gi scope w/submuc inj | 2.92 | 6.32 | 1.26 | 0.17 | 9.41 | 4.35 | 000 | |
| 43237 | A | Endoscopic us exam, esoph | 3.98 | NA | 1.61 | 0.27 | NA | 5.86 | 000 | |
| 43238 | A | Uppr gi endoscopy w/us fn bx | 5.02 | NA | 1.97 | 0.27 | NA | 7.26 | 000 | |
| 43239 | A | Upper GI endoscopy, biopsy | 2.87 | 5.58 | 1.23 | 0.17 | 8.62 | 4.27 | 000 | |
| 43240 | A | Esoph endoscope w/drain cyst | 6.85 | NA | 2.65 | 0.43 | NA | 9.93 | 000 | |
| 43241 | A | Upper GI endoscopy with tube | 2.59 | NA | 1.14 | 0.17 | NA | 3.90 | 000 | |
| 43242 | A | Uppr gi endoscopy w/us fn bx | 7.30 | NA | 2.78 | 0.35 | NA | 10.43 | 000 | |
| 43243 | A | Upper gi endoscopy inject | 4.56 | NA | 1.84 | 0.25 | NA | 6.65 | 000 | |
| 43244 | A | Upper GI endoscopy/ligation | 5.04 | NA | 2.01 | 0.25 | NA | 7.30 | 000 | |
| 43245 | A | Uppr gi scope dilate strictr | 3.18 | NA | 1.34 | 0.22 | NA | 4.74 | 000 | |
| 43246 | A | Place gastrostomy tube | 4.32 | NA | 1.74 | 0.29 | NA | 6.35 | 000 | |
| 43247 | A | Operative upper GI endoscopy | 3.38 | NA | 1.42 | 0.21 | NA | 5.01 | 000 | |
| 43248 | A | Uppr gi endoscopy/guide wire | 3.15 | NA | 1.35 | 0.18 | NA | 4.68 | 000 | |
| 43249 | A | Esoph endoscopy, dilation | 2.90 | NA | 1.25 | 0.18 | NA | 4.33 | 000 | |
| 43250 | A | Upper GI endoscopy/tumor | 3.20 | NA | 1.35 | 0.21 | NA | 4.76 | 000 | |
| 43251 | A | Operative upper GI endoscopy | 3.69 | NA | 1.53 | 0.23 | NA | 5.45 | 000 | |
| 43255 | A | Operative upper GI endoscopy | 4.81 | NA | 1.92 | 0.24 | NA | 6.97 | 000 | |
| 43256 | A | Uppr gi endoscopy w stent | 4.34 | NA | 1.77 | 0.28 | NA | 6.39 | 000 | |
| 43258 | A | Operative upper GI endoscopy | 4.54 | NA | 1.84 | 0.27 | NA | 6.65 | 000 | |
| 43259 | A | Endoscopic ultrasound exam | 5.19 | NA | 2.04 | 0.27 | NA | 7.50 | 000 | |
| 43260 | A | Endo cholangiopancreatograph | 5.95 | NA | 2.31 | 0.33 | NA | 8.59 | 000 | |
| 43261 | A | Endo cholangiopancreatograph | 6.26 | NA | 2.42 | 0.35 | NA | 9.03 | 000 | |
| 43262 | A | Endo cholangiopancreatograph | 7.38 | NA | 2.81 | 0.41 | NA | 10.60 | 000 | |
| 43263 | A | Endo cholangiopancreatograph | 7.28 | NA | 2.78 | 0.34 | NA | 10.40 | 000 | |
| 43264 | A | Endo cholangiopancreatograph | 8.89 | NA | 3.35 | 0.49 | NA | 12.73 | 000 | |
| 43265 | A | Endo cholangiopancreatograph | 10.00 | NA | 3.73 | 0.51 | NA | 14.24 | 000 | |
| 43267 | A | Endo cholangiopancreatograph | 7.38 | NA | 2.80 | 0.41 | NA | 10.59 | 000 | |
| 43268 | A | Endo cholangiopancreatograph | 7.38 | NA | 2.90 | 0.41 | NA | 10.69 | 000 | |
| 43269 | A | Endo cholangiopancreatograph | 8.20 | NA | 3.10 | 0.34 | NA | 11.64 | 000 | |
| 43271 | A | Endo cholangiopancreatograph | 7.38 | NA | 2.80 | 0.41 | NA | 10.59 | 000 | |
| 43272 | A | Endo cholangiopancreatograph | 7.38 | NA | 2.81 | 0.41 | NA | 10.60 | 000 | |
| 43280 | A | Laparoscopy, fundoplasty | 17.22 | NA | 7.33 | 2.12 | NA | 26.67 | 090 | |
| 43289 | C | Laparoscope proc, esoph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43300 | A | Repair of esophagus | 9.13 | NA | 6.51 | 1.03 | NA | 16.67 | 090 | |
| 43305 | A | Repair esophagus and fistula | 17.36 | NA | 10.78 | 1.64 | NA | 29.78 | 090 | |
| 43310 | A | Repair of esophagus | 25.35 | NA | 11.15 | 3.84 | NA | 40.34 | 090 | |
| 43312 | A | Repair esophagus and fistula | 28.38 | NA | 12.00 | 4.08 | NA | 44.46 | 090 | |
| 43313 | A | Esophagoplasty congenital | 45.21 | NA | 20.15 | 6.55 | NA | 71.91 | 090 | |
| 43314 | A | Tracheo-esophagoplasty cong | 50.19 | NA | 22.05 | 6.67 | NA | 78.91 | 090 | |
| 43320 | A | Fuse esophagus stomach | 19.90 | NA | 9.27 | 1.92 | NA | 31.09 | 090 | |
| 43324 | A | Revise esophagus stomach | 20.54 | NA | 8.82 | 2.07 | NA | 31.43 | 090 | |
| 43325 | A | Revise esophagus stomach | 20.03 | NA | 8.84 | 1.99 | NA | 30.86 | 090 | |
| 43326 | A | Revise esophagus stomach | 19.71 | NA | 9.34 | 2.22 | NA | 31.27 | 090 | |
| 43330 | A | Repair of esophagus | 19.74 | NA | 8.59 | 1.83 | NA | 30.16 | 090 | |
| 43331 | A | Repair of esophagus | 20.10 | NA | 9.83 | 2.33 | NA | 32.26 | 090 | |
| 43340 | A | Fuse esophagus intestine | 19.58 | NA | 9.03 | 1.85 | NA | 30.46 | 090 | |
| 43341 | A | Fuse esophagus intestine | 20.82 | NA | 10.06 | 2.58 | NA | 33.46 | 090 | |
| 43350 | A | Surgical opening, esophagus | 15.76 | NA | 8.50 | 1.39 | NA | 25.65 | 090 | |
| 43351 | A | Surgical opening, esophagus | 18.32 | NA | 9.85 | 1.82 | NA | 29.99 | 090 | |
| 43352 | A | Surgical opening, esophagus | 15.24 | NA | 8.45 | 1.54 | NA | 25.23 | 090 | |
| 43360 | A | Gastrointestinal repair | 35.65 | NA | 15.15 | 3.62 | NA | 54.42 | 090 | |
| 43361 | A | Gastrointestinal repair | 40.44 | NA | 16.98 | 4.25 | NA | 61.67 | 090 | |
| 43400 | A | Ligate esophagus veins | 21.17 | NA | 9.43 | 1.19 | NA | 31.79 | 090 | |
| 43401 | A | Esophagus surgery for veins | 22.06 | NA | 9.56 | 2.09 | NA | 33.71 | 090 | |
| 43405 | A | Ligate/staple esophagus | 19.98 | NA | 9.62 | 1.97 | NA | 31.57 | 090 | |
| 43410 | A | Repair esophagus wound | 13.45 | NA | 7.69 | 1.39 | NA | 22.53 | 090 | |
| 43415 | A | Repair esophagus wound | 24.96 | NA | 11.80 | 2.32 | NA | 39.08 | 090 | |
| 43420 | A | Repair esophagus opening | 14.33 | NA | 7.48 | 1.04 | NA | 22.85 | 090 | |
| 43425 | A | Repair esophagus opening | 21.00 | NA | 10.03 | 2.45 | NA | 33.48 | 090 | |
| 43450 | A | Dilate esophagus | 1.38 | 2.52 | 0.73 | 0.08 | 3.98 | 2.19 | 000 | |
| 43453 | A | Dilate esophagus | 1.51 | 5.95 | 0.78 | 0.10 | 7.56 | 2.39 | 000 | |
| 43456 | A | Dilate esophagus | 2.57 | 13.75 | 1.15 | 0.17 | 16.49 | 3.89 | 000 | |
| 43458 | A | Dilate esophagus | 3.06 | 6.55 | 1.33 | 0.21 | 9.82 | 4.60 | 000 | |
| 43460 | A | Pressure treatment esophagus | 3.79 | NA | 1.49 | 0.25 | NA | 5.53 | 000 | |
| 43496 | C | Free jejunum flap, microvasc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 43499 | C | Esophagus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43500 | A | Surgical opening of stomach | 11.03 | NA | 5.00 | 1.01 | NA | 17.04 | 090 | |
| 43501 | A | Surgical repair of stomach | 20.01 | NA | 8.36 | 1.87 | NA | 30.24 | 090 | |
| 43502 | A | Surgical repair of stomach | 23.10 | NA | 9.51 | 2.21 | NA | 34.82 | 090 | |
| 43510 | A | Surgical opening of stomach | 13.06 | NA | 6.59 | 1.09 | NA | 20.74 | 090 | |
| 43520 | A | Incision of pyloric muscle | 9.98 | NA | 5.30 | 1.01 | NA | 16.29 | 090 | |
| 43600 | A | Biopsy of stomach | 1.91 | NA | 1.03 | 0.13 | NA | 3.07 | 000 | |
| 43605 | A | Biopsy of stomach | 11.96 | NA | 5.32 | 1.12 | NA | 18.40 | 090 | |
| 43610 | A | Excision of stomach lesion | 14.58 | NA | 6.20 | 1.37 | NA | 22.15 | 090 | |
| 43611 | A | Excision of stomach lesion | 17.81 | NA | 7.61 | 1.66 | NA | 27.08 | 090 | |
| 43620 | A | Removal of stomach | 29.99 | NA | 11.87 | 2.76 | NA | 44.62 | 090 | |
| 43621 | A | Removal of stomach | 30.68 | NA | 12.06 | 2.85 | NA | 45.59 | 090 | |
| 43622 | A | Removal of stomach | 32.48 | NA | 12.66 | 2.99 | NA | 48.13 | 090 | |
| 43631 | A | Removal of stomach, partial | 22.56 | NA | 9.21 | 2.40 | NA | 34.17 | 090 | |
| 43632 | A | Removal of stomach, partial | 22.56 | NA | 9.21 | 2.41 | NA | 34.18 | 090 | |
| 43633 | A | Removal of stomach, partial | 23.07 | NA | 9.37 | 2.47 | NA | 34.91 | 090 | |
| 43634 | A | Removal of stomach, partial | 25.08 | NA | 10.14 | 2.63 | NA | 37.85 | 090 | |
| 43635 | A | Removal of stomach, partial | 2.06 | NA | 0.70 | 0.25 | NA | 3.01 | ZZZ | |
| 43638 | A | Removal of stomach, partial | 28.96 | NA | 11.94 | 2.70 | NA | 43.60 | 090 | |
| 43639 | A | Removal of stomach, partial | 29.61 | NA | 11.74 | 2.79 | NA | 44.14 | 090 | |
| 43640 | A | Vagotomy pylorus repair | 16.99 | NA | 7.30 | 1.82 | NA | 26.11 | 090 | |
| 43641 | A | Vagotomy pylorus repair | 17.24 | NA | 7.41 | 1.85 | NA | 26.50 | 090 | |
| 43651 | A | Laparoscopy, vagus nerve | 10.13 | NA | 4.80 | 1.24 | NA | 16.17 | 090 | |
| 43652 | A | Laparoscopy, vagus nerve | 12.13 | NA | 5.40 | 1.51 | NA | 19.04 | 090 | |
| 43653 | A | Laparoscopy, gastrostomy | 7.72 | NA | 4.22 | 0.94 | NA | 12.88 | 090 | |
| 43659 | C | Laparoscope proc, stom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43750 | A | Place gastrostomy tube | 4.48 | NA | 2.72 | 0.40 | NA | 7.60 | 010 | |
| 43752 | A | Nasal/orogastric w/stent | 0.68 | 0.26 | 0.26 | 0.02 | 0.96 | 0.96 | 000 | |
| 43760 | A | Change gastrostomy tube | 1.10 | 1.65 | 0.45 | 0.08 | 2.83 | 1.63 | 000 | |
| 43761 | A | Reposition gastrostomy tube | 2.01 | NA | 0.79 | 0.12 | NA | 2.92 | 000 | |
| 43800 | A | Reconstruction of pylorus | 13.67 | NA | 5.94 | 1.29 | NA | 20.90 | 090 | |
| 43810 | A | Fusion of stomach and bowel | 14.63 | NA | 6.23 | 1.33 | NA | 22.19 | 090 | |
| 43820 | A | Fusion of stomach and bowel | 15.35 | NA | 6.45 | 1.42 | NA | 23.22 | 090 | |
| 43825 | A | Fusion of stomach and bowel | 19.19 | NA | 8.06 | 1.81 | NA | 29.06 | 090 | |
| 43830 | A | Place gastrostomy tube | 9.52 | NA | 4.88 | 0.83 | NA | 15.23 | 090 | |
| 43831 | A | Place gastrostomy tube | 7.83 | NA | 4.54 | 0.98 | NA | 13.35 | 090 | |
| 43832 | A | Place gastrostomy tube | 15.58 | NA | 6.90 | 1.36 | NA | 23.84 | 090 | |
| 43840 | A | Repair of stomach lesion | 15.54 | NA | 6.81 | 1.45 | NA | 23.80 | 090 | |
| 43842 | A | Gastroplasty for obesity | 18.44 | NA | 8.15 | 1.82 | NA | 28.41 | 090 | |
| 43843 | A | Gastroplasty for obesity | 18.62 | NA | 8.12 | 1.85 | NA | 28.59 | 090 | |
| 43846 | A | Gastric bypass for obesity | 24.01 | NA | 10.37 | 2.36 | NA | 36.74 | 090 | |
| 43847 | A | Gastric bypass for obesity | 26.88 | NA | 11.32 | 2.58 | NA | 40.78 | 090 | |
| 43848 | A | Revision gastroplasty | 29.35 | NA | 12.25 | 2.88 | NA | 44.48 | 090 | |
| 43850 | A | Revise stomach-bowel fusion | 24.68 | NA | 9.87 | 2.38 | NA | 36.93 | 090 | |
| 43855 | A | Revise stomach-bowel fusion | 26.12 | NA | 10.38 | 2.42 | NA | 38.92 | 090 | |
| 43860 | A | Revise stomach-bowel fusion | 24.96 | NA | 10.03 | 2.45 | NA | 37.44 | 090 | |
| 43865 | A | Revise stomach-bowel fusion | 26.48 | NA | 10.56 | 2.59 | NA | 39.63 | 090 | |
| 43870 | A | Repair stomach opening | 9.68 | NA | 4.55 | 0.86 | NA | 15.09 | 090 | |
| 43880 | A | Repair stomach-bowel fistula | 24.61 | NA | 9.97 | 2.34 | NA | 36.92 | 090 | |
| 43999 | C | Stomach surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44005 | A | Freeing of bowel adhesion | 16.21 | NA | 6.77 | 1.68 | NA | 24.66 | 090 | |
| 44010 | A | Incision of small bowel | 12.50 | NA | 5.50 | 1.27 | NA | 19.27 | 090 | |
| 44015 | A | Insert needle cath bowel | 2.62 | NA | 0.89 | 0.30 | NA | 3.81 | ZZZ | |
| 44020 | A | Explore small intestine | 13.97 | NA | 5.98 | 1.45 | NA | 21.40 | 090 | |
| 44021 | A | Decompress small bowel | 14.06 | NA | 6.02 | 1.42 | NA | 21.50 | 090 | |
| 44025 | A | Incision of large bowel | 14.26 | NA | 6.07 | 1.46 | NA | 21.79 | 090 | |
| 44050 | A | Reduce bowel obstruction | 14.01 | NA | 6.00 | 1.39 | NA | 21.40 | 090 | |
| 44055 | A | Correct malrotation of bowel | 21.97 | NA | 8.78 | 1.59 | NA | 32.34 | 090 | |
| 44100 | A | Biopsy of bowel | 2.01 | NA | 1.10 | 0.14 | NA | 3.25 | 000 | |
| 44110 | A | Excise intestine lesion(s) | 11.79 | NA | 5.27 | 1.21 | NA | 18.27 | 090 | |
| 44111 | A | Excision of bowel lesion(s) | 14.27 | NA | 6.17 | 1.47 | NA | 21.91 | 090 | |
| 44120 | A | Removal of small intestine | 16.97 | NA | 7.12 | 1.76 | NA | 25.85 | 090 | |
| 44121 | A | Removal of small intestine | 4.44 | NA | 1.53 | 0.55 | NA | 6.52 | ZZZ | |
| 44125 | A | Removal of small intestine | 17.51 | NA | 7.31 | 1.80 | NA | 26.62 | 090 | |
| 44126 | A | Enterectomy w/o taper, cong | 35.45 | NA | 14.16 | 0.43 | NA | 50.04 | 090 | |
| 44127 | A | Enterectomy w/taper, cong | 40.94 | NA | 15.79 | 0.49 | NA | 57.22 | 090 | |
| 44128 | A | Enterectomy cong, add-on | 4.44 | NA | 1.54 | 0.54 | NA | 6.52 | ZZZ | |
| 44130 | A | Bowel to bowel fusion | 14.47 | NA | 6.26 | 1.48 | NA | 22.21 | 090 | |
| 44132 | R | Enterectomy, cadaver donor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44133 | R | Enterectomy, live donor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44135 | R | Intestine transplnt, cadaver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44136 | R | Intestine transplant, live | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44139 | A | Mobilization of colon | 2.23 | NA | 0.76 | 0.25 | NA | 3.24 | ZZZ | |
| 44140 | A | Partial removal of colon | 20.97 | NA | 8.69 | 2.58 | NA | 32.24 | 090 | |
| 44141 | A | Partial removal of colon | 19.48 | NA | 10.15 | 2.35 | NA | 31.98 | 090 | |
| 44143 | A | Partial removal of colon | 22.96 | NA | 10.80 | 2.44 | NA | 36.20 | 090 | |
| 44144 | A | Partial removal of colon | 21.50 | NA | 9.69 | 2.28 | NA | 33.47 | 090 | |
| 44145 | A | Partial removal of colon | 26.38 | NA | 10.87 | 2.68 | NA | 39.93 | 090 | |
| 44146 | A | Partial removal of colon | 27.50 | NA | 12.98 | 2.65 | NA | 43.13 | 090 | |
| 44147 | A | Partial removal of colon | 20.68 | NA | 8.74 | 2.10 | NA | 31.52 | 090 | |
| 44150 | A | Removal of colon | 23.91 | NA | 12.16 | 2.47 | NA | 38.54 | 090 | |
| 44151 | A | Removal of colon/ileostomy | 26.84 | NA | 13.54 | 2.38 | NA | 42.76 | 090 | |
| 44152 | A | Removal of colon/ileostomy | 27.79 | NA | 11.68 | 2.85 | NA | 42.32 | 090 | |
| 44153 | A | Removal of colon/ileostomy | 30.54 | NA | 14.56 | 2.81 | NA | 47.91 | 090 | |
| 44155 | A | Removal of colon/ileostomy | 27.82 | NA | 13.44 | 2.73 | NA | 43.99 | 090 | |
| 44156 | A | Removal of colon/ileostomy | 30.74 | NA | 15.20 | 2.64 | NA | 48.58 | 090 | |
| 44160 | A | Removal of colon | 18.59 | NA | 7.80 | 2.24 | NA | 28.63 | 090 | |
| 44200 | A | Laparoscopy, enterolysis | 14.42 | NA | 6.23 | 1.76 | NA | 22.41 | 090 | |
| 44201 | A | Laparoscopy, jejunostomy | 9.77 | NA | 4.70 | 1.17 | NA | 15.64 | 090 | |
| 44202 | A | Lap resect s/intestine singl | 22.01 | NA | 8.98 | 2.61 | NA | 33.60 | 090 | |
| 44203 | A | Lap resect s/intestine, addl | 4.44 | NA | 1.50 | 0.55 | NA | 6.49 | ZZZ | |
| 44204 | A | Laparo partial colectomy | 25.04 | NA | 10.00 | 3.08 | NA | 38.12 | 090 | |
| 44205 | A | Lap colectomy part w/ileum | 22.20 | NA | 8.88 | 2.69 | NA | 33.77 | 090 | |
| 44206 | A | Lap part colectomy w/stoma | 26.96 | NA | 11.37 | 2.44 | NA | 40.77 | 090 | |
| 44207 | A | L colectomy/coloproctostomy | 29.96 | NA | 11.59 | 2.68 | NA | 44.23 | 090 | |
| 44208 | A | L colectomy/coloproctostomy | 31.95 | NA | 13.27 | 2.65 | NA | 47.87 | 090 | |
| 44210 | A | Laparo total proctocolectomy | 27.96 | NA | 12.03 | 2.47 | NA | 42.46 | 090 | |
| 44211 | A | Laparo total proctocolectomy | 34.95 | NA | 14.74 | 2.81 | NA | 52.50 | 090 | |
| 44212 | A | Laparo total proctocolectomy | 32.45 | NA | 13.88 | 2.73 | NA | 49.06 | 090 | |
| 44238 | C | Laparoscope proc, intestine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44239 | C | Laparoscope proc, rectum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44300 | A | Open bowel to skin | 12.09 | NA | 5.53 | 1.06 | NA | 18.68 | 090 | |
| 44310 | A | Ileostomy/jejunostomy | 15.93 | NA | 6.73 | 1.36 | NA | 24.02 | 090 | |
| 44312 | A | Revision of ileostomy | 8.01 | NA | 4.03 | 0.65 | NA | 12.69 | 090 | |
| 44314 | A | Revision of ileostomy | 15.03 | NA | 6.60 | 1.19 | NA | 22.82 | 090 | |
| 44316 | A | Devise bowel pouch | 21.06 | NA | 8.60 | 1.70 | NA | 31.36 | 090 | |
| 44320 | A | Colostomy | 17.61 | NA | 7.71 | 1.54 | NA | 26.86 | 090 | |
| 44322 | A | Colostomy with biopsies | 11.96 | NA | 8.70 | 1.42 | NA | 22.08 | 090 | |
| 44340 | A | Revision of colostomy | 7.71 | NA | 4.31 | 0.68 | NA | 12.70 | 090 | |
| 44345 | A | Revision of colostomy | 15.41 | NA | 6.93 | 1.34 | NA | 23.68 | 090 | |
| 44346 | A | Revision of colostomy | 16.96 | NA | 7.43 | 1.45 | NA | 25.84 | 090 | |
| 44360 | A | Small bowel endoscopy | 2.59 | NA | 1.12 | 0.17 | NA | 3.88 | 000 | |
| 44361 | A | Small bowel endoscopy/biopsy | 2.87 | NA | 1.21 | 0.18 | NA | 4.26 | 000 | |
| 44363 | A | Small bowel endoscopy | 3.49 | NA | 1.40 | 0.23 | NA | 5.12 | 000 | |
| 44364 | A | Small bowel endoscopy | 3.73 | NA | 1.52 | 0.25 | NA | 5.50 | 000 | |
| 44365 | A | Small bowel endoscopy | 3.31 | NA | 1.38 | 0.22 | NA | 4.91 | 000 | |
| 44366 | A | Small bowel endoscopy | 4.40 | NA | 1.76 | 0.27 | NA | 6.43 | 000 | |
| 44369 | A | Small bowel endoscopy | 4.51 | NA | 1.76 | 0.28 | NA | 6.55 | 000 | |
| 44370 | A | Small bowel endoscopy/stent | 4.79 | NA | 1.99 | 0.25 | NA | 7.03 | 000 | |
| 44372 | A | Small bowel endoscopy | 4.40 | NA | 1.75 | 0.33 | NA | 6.48 | 000 | |
| 44373 | A | Small bowel endoscopy | 3.49 | NA | 1.45 | 0.23 | NA | 5.17 | 000 | |
| 44376 | A | Small bowel endoscopy | 5.25 | NA | 2.04 | 0.35 | NA | 7.64 | 000 | |
| 44377 | A | Small bowel endoscopy/biopsy | 5.52 | NA | 2.15 | 0.34 | NA | 8.01 | 000 | |
| 44378 | A | Small bowel endoscopy | 7.12 | NA | 2.71 | 0.45 | NA | 10.28 | 000 | |
| 44379 | A | S bowel endoscope w/stent | 7.46 | NA | 2.93 | 0.46 | NA | 10.85 | 000 | |
| 44380 | A | Small bowel endoscopy | 1.05 | NA | 0.56 | 0.10 | NA | 1.71 | 000 | |
| 44382 | A | Small bowel endoscopy | 1.27 | NA | 0.65 | 0.11 | NA | 2.03 | 000 | |
| 44383 | A | Ileoscopy w/stent | 2.94 | NA | 1.28 | 0.16 | NA | 4.38 | 000 | |
| 44385 | A | Endoscopy of bowel pouch | 1.82 | 4.98 | 0.96 | 0.14 | 6.94 | 2.92 | 000 | |
| 44386 | A | Endoscopy, bowel pouch/biop | 2.12 | 6.51 | 1.12 | 0.18 | 8.81 | 3.42 | 000 | |
| 44388 | A | Colonoscopy | 2.82 | 5.14 | 1.16 | 0.22 | 8.18 | 4.20 | 000 | |
| 44389 | A | Colonoscopy with biopsy | 3.13 | 6.49 | 1.28 | 0.22 | 9.84 | 4.63 | 000 | |
| 44390 | A | Colonoscopy for foreign body | 3.82 | 6.76 | 1.51 | 0.27 | 10.85 | 5.60 | 000 | |
| 44391 | A | Colonoscopy for bleeding | 4.31 | 8.61 | 1.72 | 0.28 | 13.20 | 6.31 | 000 | |
| 44392 | A | Colonoscopy polypectomy | 3.81 | 6.53 | 1.52 | 0.28 | 10.62 | 5.61 | 000 | |
| 44393 | A | Colonoscopy, lesion removal | 4.83 | 6.90 | 1.88 | 0.33 | 12.06 | 7.04 | 000 | |
| 44394 | A | Colonoscopy w/snare | 4.42 | 7.75 | 1.75 | 0.31 | 12.48 | 6.48 | 000 | |
| 44397 | A | Colonoscopy w/stent | 4.70 | NA | 2.06 | 0.34 | NA | 7.10 | 000 | |
| 44500 | A | Intro, gastrointestinal tube | 0.49 | NA | 0.36 | 0.02 | NA | 0.87 | 000 | |
| 44602 | A | Suture, small intestine | 16.01 | NA | 6.42 | 1.29 | NA | 23.72 | 090 | |
| 44603 | A | Suture, small intestine | 18.63 | NA | 7.31 | 1.68 | NA | 27.62 | 090 | |
| 44604 | A | Suture, large intestine | 16.01 | NA | 6.49 | 1.71 | NA | 24.21 | 090 | |
| 44605 | A | Repair of bowel lesion | 19.50 | NA | 8.46 | 1.86 | NA | 29.82 | 090 | |
| 44615 | A | Intestinal stricturoplasty | 15.91 | NA | 6.72 | 1.68 | NA | 24.31 | 090 | |
| 44620 | A | Repair bowel opening | 12.18 | NA | 5.36 | 1.27 | NA | 18.81 | 090 | |
| 44625 | A | Repair bowel opening | 15.03 | NA | 6.35 | 1.57 | NA | 22.95 | 090 | |
| 44626 | A | Repair bowel opening | 25.32 | NA | 9.87 | 3.05 | NA | 38.24 | 090 | |
| 44640 | A | Repair bowel-skin fistula | 21.62 | NA | 8.62 | 1.76 | NA | 32.00 | 090 | |
| 44650 | A | Repair bowel fistula | 22.54 | NA | 8.93 | 1.80 | NA | 33.27 | 090 | |
| 44660 | A | Repair bowel-bladder fistula | 21.33 | NA | 8.40 | 1.37 | NA | 31.10 | 090 | |
| 44661 | A | Repair bowel-bladder fistula | 24.77 | NA | 9.60 | 1.85 | NA | 36.22 | 090 | |
| 44680 | A | Surgical revision, intestine | 15.38 | NA | 6.48 | 1.65 | NA | 23.51 | 090 | |
| 44700 | A | Suspend bowel w/prosthesis | 16.09 | NA | 6.69 | 1.46 | NA | 24.24 | 090 | |
| 44701 | A | Intraop colon lavage add-on | 3.10 | NA | 1.06 | 0.25 | NA | 4.41 | ZZZ | |
| 44799 | C | Unlisted procedure intestine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44800 | A | Excision of bowel pouch | 11.21 | NA | 5.43 | 1.34 | NA | 17.98 | 090 | |
| 44820 | A | Excision of mesentery lesion | 12.07 | NA | 5.53 | 1.24 | NA | 18.84 | 090 | |
| 44850 | A | Repair of mesentery | 10.72 | NA | 5.04 | 1.19 | NA | 16.95 | 090 | |
| 44899 | C | Bowel surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44900 | A | Drain app abscess, open | 10.12 | NA | 4.74 | 1.01 | NA | 15.87 | 090 | |
| 44901 | A | Drain app abscess, percut | 3.37 | NA | 1.12 | 0.21 | NA | 4.70 | 000 | |
| 44950 | A | Appendectomy | 9.99 | NA | 4.35 | 1.06 | NA | 15.40 | 090 | |
| 44955 | A | Appendectomy add-on | 1.53 | NA | 0.53 | 0.19 | NA | 2.25 | ZZZ | |
| 44960 | A | Appendectomy | 12.32 | NA | 5.38 | 1.31 | NA | 19.01 | 090 | |
| 44970 | A | Laparoscopy, appendectomy | 8.69 | NA | 4.23 | 1.06 | NA | 13.98 | 090 | |
| 44979 | C | Laparoscope proc, app | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 45000 | A | Drainage of pelvic abscess | 4.51 | NA | 2.98 | 0.45 | NA | 7.94 | 090 | |
| 45005 | A | Drainage of rectal abscess | 1.99 | 4.84 | 1.69 | 0.22 | 7.05 | 3.90 | 010 | |
| 45020 | A | Drainage of rectal abscess | 4.71 | NA | 3.31 | 0.49 | NA | 8.51 | 090 | |
| 45100 | A | Biopsy of rectum | 3.67 | NA | 2.39 | 0.40 | NA | 6.46 | 090 | |
| 45108 | A | Removal of anorectal lesion | 4.75 | NA | 2.91 | 0.55 | NA | 8.21 | 090 | |
| 45110 | A | Removal of rectum | 27.96 | NA | 12.50 | 2.73 | NA | 43.19 | 090 | |
| 45111 | A | Partial removal of rectum | 16.46 | NA | 7.21 | 1.93 | NA | 25.60 | 090 | |
| 45112 | A | Removal of rectum | 30.49 | NA | 11.82 | 2.83 | NA | 45.14 | 090 | |
| 45113 | A | Partial proctectomy | 30.53 | NA | 12.69 | 2.57 | NA | 45.79 | 090 | |
| 45114 | A | Partial removal of rectum | 27.28 | NA | 11.01 | 2.75 | NA | 41.04 | 090 | |
| 45116 | A | Partial removal of rectum | 24.54 | NA | 10.08 | 2.41 | NA | 37.03 | 090 | |
| 45119 | A | Remove rectum w/reservoir | 30.79 | NA | 12.54 | 2.57 | NA | 45.90 | 090 | |
| 45120 | A | Removal of rectum | 24.56 | NA | 10.19 | 2.75 | NA | 37.50 | 090 | |
| 45121 | A | Removal of rectum and colon | 27.00 | NA | 11.18 | 3.21 | NA | 41.39 | 090 | |
| 45123 | A | Partial proctectomy | 16.68 | NA | 6.90 | 1.25 | NA | 24.83 | 090 | |
| 45126 | A | Pelvic exenteration | 45.09 | NA | 19.38 | 3.90 | NA | 68.37 | 090 | |
| 45130 | A | Excision of rectal prolapse | 16.42 | NA | 6.80 | 1.35 | NA | 24.57 | 090 | |
| 45135 | A | Excision of rectal prolapse | 19.25 | NA | 8.48 | 1.83 | NA | 29.56 | 090 | |
| 45136 | A | Excise ileoanal reservior | 27.26 | NA | 12.52 | 3.28 | NA | 43.06 | 090 | |
| 45150 | A | Excision of rectal stricture | 5.66 | NA | 2.98 | 0.55 | NA | 9.19 | 090 | |
| 45160 | A | Excision of rectal lesion | 15.30 | NA | 6.68 | 1.29 | NA | 23.27 | 090 | |
| 45170 | A | Excision of rectal lesion | 11.47 | NA | 5.27 | 1.07 | NA | 17.81 | 090 | |
| 45190 | A | Destruction, rectal tumor | 9.73 | NA | 4.68 | 0.92 | NA | 15.33 | 090 | |
| 45300 | A | Proctosigmoidoscopy dx | 0.38 | 1.47 | 0.31 | 0.06 | 1.91 | 0.75 | 000 | |
| 45303 | A | Proctosigmoidoscopy dilate | 0.44 | 19.04 | 0.35 | 0.07 | 19.55 | 0.86 | 000 | |
| 45305 | A | Proctosigmoidoscopy w/bx | 1.01 | 2.58 | 0.52 | 0.11 | 3.70 | 1.64 | 000 | |
| 45307 | A | Proctosigmoidoscopy fb | 0.94 | 3.00 | 0.50 | 0.18 | 4.12 | 1.62 | 000 | |
| 45308 | A | Proctosigmoidoscopy removal | 0.83 | 1.94 | 0.46 | 0.16 | 2.93 | 1.45 | 000 | |
| 45309 | A | Proctosigmoidoscopy removal | 2.01 | 2.77 | 0.86 | 0.21 | 4.99 | 3.08 | 000 | |
| 45315 | A | Proctosigmoidoscopy removal | 1.40 | 2.80 | 0.65 | 0.24 | 4.44 | 2.29 | 000 | |
| 45317 | A | Proctosigmoidoscopy bleed | 1.50 | 2.38 | 0.68 | 0.24 | 4.12 | 2.42 | 000 | |
| 45320 | A | Proctosigmoidoscopy ablate | 1.58 | 2.84 | 0.73 | 0.24 | 4.66 | 2.55 | 000 | |
| 45321 | A | Proctosigmoidoscopy volvul | 1.17 | NA | 0.58 | 0.21 | NA | 1.96 | 000 | |
| 45327 | A | Proctosigmoidoscopy w/stent | 1.65 | NA | 0.70 | 0.12 | NA | 2.47 | 000 | |
| 45330 | A | Diagnostic sigmoidoscopy | 0.96 | 2.20 | 0.52 | 0.06 | 3.22 | 1.54 | 000 | |
| 45331 | A | Sigmoidoscopy and biopsy | 1.15 | 2.91 | 0.63 | 0.08 | 4.14 | 1.86 | 000 | |
| 45332 | A | Sigmoidoscopy w/fb removal | 1.79 | 4.86 | 0.85 | 0.13 | 6.78 | 2.77 | 000 | |
| 45333 | A | Sigmoidoscopy polypectomy | 1.79 | 4.72 | 0.85 | 0.14 | 6.65 | 2.78 | 000 | |
| 45334 | A | Sigmoidoscopy for bleeding | 2.73 | NA | 1.18 | 0.19 | NA | 4.10 | 000 | |
| 45335 | A | Sigmoidoscopy w/submuc inj | 1.46 | 3.44 | 0.68 | 0.08 | 4.98 | 2.22 | 000 | |
| 45337 | A | Sigmoidoscopy decompress | 2.36 | NA | 1.05 | 0.18 | NA | 3.59 | 000 | |
| 45338 | A | Sigmoidoscopy w/tumr remove | 2.34 | 5.03 | 1.05 | 0.18 | 7.55 | 3.57 | 000 | |
| 45339 | A | Sigmoidoscopy w/ablate tumr | 3.14 | 3.34 | 1.32 | 0.21 | 6.69 | 4.67 | 000 | |
| 45340 | A | Sig w/balloon dilation | 1.89 | 6.72 | 0.83 | 0.08 | 8.69 | 2.80 | 000 | |
| 45341 | A | Sigmoidoscopy w/ultrasound | 2.60 | NA | 1.12 | 0.24 | NA | 3.96 | 000 | |
| 45342 | A | Sigmoidoscopy w/us guide bx | 4.05 | NA | 1.60 | 0.28 | NA | 5.93 | 000 | |
| 45345 | A | Sigmoidoscopy w/stent | 2.92 | NA | 1.20 | 0.18 | NA | 4.30 | 000 | |
| 45355 | A | Surgical colonoscopy | 3.51 | NA | 1.40 | 0.31 | NA | 5.22 | 000 | |
| 45378 | A | Diagnostic colonoscopy | 3.69 | 6.04 | 1.58 | 0.24 | 9.97 | 5.51 | 000 | |
| 45378 | 53 | A | Diagnostic colonoscopy | 0.96 | 2.20 | 0.52 | 0.06 | 3.22 | 1.54 | 000 |
| 45379 | A | Colonoscopy w/fb removal | 4.68 | 7.56 | 1.86 | 0.30 | 12.54 | 6.84 | 000 | |
| 45380 | A | Colonoscopy and biopsy | 4.43 | 7.07 | 1.78 | 0.25 | 11.75 | 6.46 | 000 | |
| 45381 | A | Colonoscopy, submucous inj | 4.19 | 8.14 | 1.69 | 0.25 | 12.58 | 6.13 | 000 | |
| 45382 | A | Colonoscopy/control bleeding | 5.68 | 9.72 | 2.23 | 0.33 | 15.73 | 8.24 | 000 | |
| 45383 | A | Lesion removal colonoscopy | 5.86 | 7.85 | 2.27 | 0.39 | 14.10 | 8.52 | 000 | |
| 45384 | A | Lesion remove colonoscopy | 4.69 | 6.69 | 1.87 | 0.29 | 11.67 | 6.85 | 000 | |
| 45385 | A | Lesion removal colonoscopy | 5.30 | 7.69 | 2.08 | 0.34 | 13.33 | 7.72 | 000 | |
| 45386 | A | Colonoscopy dilate stricture | 4.57 | 13.65 | 1.83 | 0.25 | 18.47 | 6.65 | 000 | |
| 45387 | A | Colonoscopy w/stent | 5.90 | NA | 2.35 | 0.40 | NA | 8.65 | 000 | |
| 45500 | A | Repair of rectum | 7.28 | NA | 3.59 | 0.68 | NA | 11.55 | 090 | |
| 45505 | A | Repair of rectum | 7.57 | NA | 3.87 | 0.60 | NA | 12.04 | 090 | |
| 45520 | A | Treatment of rectal prolapse | 0.55 | 0.85 | 0.19 | 0.05 | 1.45 | 0.79 | 000 | |
| 45540 | A | Correct rectal prolapse | 16.25 | NA | 6.86 | 1.41 | NA | 24.52 | 090 | |
| 45541 | A | Correct rectal prolapse | 13.38 | NA | 6.00 | 1.06 | NA | 20.44 | 090 | |
| 45550 | A | Repair rectum/remove sigmoid | 22.97 | NA | 9.29 | 1.91 | NA | 34.17 | 090 | |
| 45560 | A | Repair of rectocele | 10.56 | NA | 5.12 | 0.88 | NA | 16.56 | 090 | |
| 45562 | A | Exploration/repair of rectum | 15.36 | NA | 7.05 | 1.39 | NA | 23.80 | 090 | |
| 45563 | A | Exploration/repair of rectum | 23.43 | NA | 10.61 | 2.22 | NA | 36.26 | 090 | |
| 45800 | A | Repair rect/bladder fistula | 17.74 | NA | 7.50 | 1.37 | NA | 26.61 | 090 | |
| 45805 | A | Repair fistula w/colostomy | 20.75 | NA | 9.60 | 1.77 | NA | 32.12 | 090 | |
| 45820 | A | Repair rectourethral fistula | 18.45 | NA | 7.70 | 1.41 | NA | 27.56 | 090 | |
| 45825 | A | Repair fistula w/colostomy | 21.22 | NA | 9.91 | 1.17 | NA | 32.30 | 090 | |
| 45900 | A | Reduction of rectal prolapse | 2.61 | NA | 1.52 | 0.21 | NA | 4.34 | 010 | |
| 45905 | A | Dilation of anal sphincter | 2.30 | NA | 1.43 | 0.17 | NA | 3.90 | 010 | |
| 45910 | A | Dilation of rectal narrowing | 2.80 | NA | 1.66 | 0.17 | NA | 4.63 | 010 | |
| 45915 | A | Remove rectal obstruction | 3.14 | 4.73 | 1.17 | 0.21 | 8.08 | 4.52 | 010 | |
| 45999 | C | Rectum surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 46020 | A | Placement of seton | 2.90 | 2.28 | 1.86 | 0.27 | 5.45 | 5.03 | 010 | |
| 46030 | A | Removal of rectal marker | 1.23 | 1.35 | 0.71 | 0.13 | 2.71 | 2.07 | 010 | |
| 46040 | A | Incision of rectal abscess | 4.95 | 5.30 | 3.17 | 0.58 | 10.83 | 8.70 | 090 | |
| 46045 | A | Incision of rectal abscess | 4.31 | NA | 2.92 | 0.48 | NA | 7.71 | 090 | |
| 46050 | A | Incision of anal abscess | 1.19 | 2.57 | 0.86 | 0.13 | 3.89 | 2.18 | 010 | |
| 46060 | A | Incision of rectal abscess | 5.68 | NA | 3.30 | 0.63 | NA | 9.61 | 090 | |
| 46070 | A | Incision of anal septum | 2.71 | NA | 1.88 | 0.33 | NA | 4.92 | 090 | |
| 46080 | A | Incision of anal sphincter | 2.49 | 2.39 | 1.13 | 0.28 | 5.16 | 3.90 | 010 | |
| 46083 | A | Incise external hemorrhoid | 1.40 | 2.50 | 0.95 | 0.14 | 4.04 | 2.49 | 010 | |
| 46200 | A | Removal of anal fissure | 3.41 | 3.64 | 2.43 | 0.36 | 7.41 | 6.20 | 090 | |
| 46210 | A | Removal of anal crypt | 2.67 | 4.81 | 2.14 | 0.31 | 7.79 | 5.12 | 090 | |
| 46211 | A | Removal of anal crypts | 4.24 | 5.08 | 2.95 | 0.45 | 9.77 | 7.64 | 090 | |
| 46220 | A | Removal of anal tag | 1.56 | 2.27 | 0.94 | 0.17 | 4.00 | 2.67 | 010 | |
| 46221 | A | Ligation of hemorrhoid(s) | 2.04 | 1.62 | 1.12 | 0.14 | 3.80 | 3.30 | 010 | |
| 46230 | A | Removal of anal tags | 2.57 | 3.04 | 1.28 | 0.27 | 5.88 | 4.12 | 010 | |
| 46250 | A | Hemorrhoidectomy | 3.88 | 4.86 | 2.46 | 0.52 | 9.26 | 6.86 | 090 | |
| 46255 | A | Hemorrhoidectomy | 4.59 | 5.40 | 2.67 | 0.62 | 10.61 | 7.88 | 090 | |
| 46257 | A | Remove hemorrhoids fissure | 5.39 | NA | 2.91 | 0.71 | NA | 9.01 | 090 | |
| 46258 | A | Remove hemorrhoids fistula | 5.72 | NA | 3.31 | 0.77 | NA | 9.80 | 090 | |
| 46260 | A | Hemorrhoidectomy | 6.36 | NA | 3.26 | 0.82 | NA | 10.44 | 090 | |
| 46261 | A | Remove hemorrhoids fissure | 7.07 | NA | 3.66 | 0.84 | NA | 11.57 | 090 | |
| 46262 | A | Remove hemorrhoids fistula | 7.49 | NA | 3.79 | 0.92 | NA | 12.20 | 090 | |
| 46270 | A | Removal of anal fistula | 3.71 | 4.66 | 2.38 | 0.43 | 8.80 | 6.52 | 090 | |
| 46275 | A | Removal of anal fistula | 4.55 | 4.36 | 2.57 | 0.48 | 9.39 | 7.60 | 090 | |
| 46280 | A | Removal of anal fistula | 5.97 | NA | 3.31 | 0.60 | NA | 9.88 | 090 | |
| 46285 | A | Removal of anal fistula | 4.08 | 3.59 | 2.35 | 0.41 | 8.08 | 6.84 | 090 | |
| 46288 | A | Repair anal fistula | 7.12 | NA | 3.72 | 0.72 | NA | 11.56 | 090 | |
| 46320 | A | Removal of hemorrhoid clot | 1.61 | 2.12 | 0.85 | 0.17 | 3.90 | 2.63 | 010 | |
| 46500 | A | Injection into hemorrhoid(s) | 1.61 | 2.79 | 0.62 | 0.14 | 4.54 | 2.37 | 010 | |
| 46600 | A | Diagnostic anoscopy | 0.50 | 1.58 | 0.38 | 0.05 | 2.13 | 0.93 | 000 | |
| 46604 | A | Anoscopy and dilation | 1.31 | 9.30 | 0.64 | 0.11 | 10.72 | 2.06 | 000 | |
| 46606 | A | Anoscopy and biopsy | 0.81 | 3.83 | 0.44 | 0.08 | 4.72 | 1.33 | 000 | |
| 46608 | A | Anoscopy, remove for body | 1.51 | 4.42 | 0.68 | 0.16 | 6.09 | 2.35 | 000 | |
| 46610 | A | Anoscopy, remove lesion | 1.32 | 4.08 | 0.63 | 0.14 | 5.54 | 2.09 | 000 | |
| 46611 | A | Anoscopy | 1.81 | 3.35 | 0.80 | 0.18 | 5.34 | 2.79 | 000 | |
| 46612 | A | Anoscopy, remove lesions | 2.34 | 5.19 | 1.00 | 0.22 | 7.75 | 3.56 | 000 | |
| 46614 | A | Anoscopy, control bleeding | 2.01 | 2.28 | 0.87 | 0.17 | 4.46 | 3.05 | 000 | |
| 46615 | A | Anoscopy | 2.68 | 2.52 | 1.10 | 0.28 | 5.48 | 4.06 | 000 | |
| 46700 | A | Repair of anal stricture | 9.12 | NA | 4.24 | 0.68 | NA | 14.04 | 090 | |
| 46705 | A | Repair of anal stricture | 6.89 | NA | 3.75 | 0.88 | NA | 11.52 | 090 | |
| 46706 | A | Repr of anal fistula w/glue | 2.39 | NA | 1.24 | 0.21 | NA | 3.84 | 010 | |
| 46715 | A | Repair of anovaginal fistula | 7.19 | NA | 3.64 | 0.92 | NA | 11.75 | 090 | |
| 46716 | A | Repair of anovaginal fistula | 15.05 | NA | 7.98 | 1.57 | NA | 24.60 | 090 | |
| 46730 | A | Construction of absent anus | 26.71 | NA | 12.04 | 2.45 | NA | 41.20 | 090 | |
| 46735 | A | Construction of absent anus | 32.12 | NA | 13.58 | 3.18 | NA | 48.88 | 090 | |
| 46740 | A | Construction of absent anus | 29.96 | NA | 13.21 | 2.40 | NA | 45.57 | 090 | |
| 46742 | A | Repair of imperforated anus | 35.75 | NA | 17.54 | 3.17 | NA | 56.46 | 090 | |
| 46744 | A | Repair of cloacal anomaly | 52.55 | NA | 21.17 | 2.74 | NA | 76.46 | 090 | |
| 46746 | A | Repair of cloacal anomaly | 58.13 | NA | 25.20 | 3.03 | NA | 86.36 | 090 | |
| 46748 | A | Repair of cloacal anomaly | 64.11 | NA | 23.81 | 3.34 | NA | 91.26 | 090 | |
| 46750 | A | Repair of anal sphincter | 10.23 | NA | 5.10 | 0.83 | NA | 16.16 | 090 | |
| 46751 | A | Repair of anal sphincter | 8.76 | NA | 5.51 | 0.94 | NA | 15.21 | 090 | |
| 46753 | A | Reconstruction of anus | 8.28 | NA | 3.88 | 0.70 | NA | 12.86 | 090 | |
| 46754 | A | Removal of suture from anus | 2.20 | 3.59 | 1.70 | 0.14 | 5.93 | 4.04 | 010 | |
| 46760 | A | Repair of anal sphincter | 14.41 | NA | 7.11 | 1.04 | NA | 22.56 | 090 | |
| 46761 | A | Repair of anal sphincter | 13.82 | NA | 6.06 | 1.01 | NA | 20.89 | 090 | |
| 46762 | A | Implant artificial sphincter | 12.69 | NA | 5.56 | 0.86 | NA | 19.11 | 090 | |
| 46900 | A | Destruction, anal lesion(s) | 1.91 | 3.54 | 0.79 | 0.16 | 5.61 | 2.86 | 010 | |
| 46910 | A | Destruction, anal lesion(s) | 1.86 | 2.68 | 1.10 | 0.17 | 4.71 | 3.13 | 010 | |
| 46916 | A | Cryosurgery, anal lesion(s) | 1.86 | 3.12 | 1.40 | 0.11 | 5.09 | 3.37 | 010 | |
| 46917 | A | Laser surgery, anal lesions | 1.86 | 9.17 | 1.12 | 0.19 | 11.22 | 3.17 | 010 | |
| 46922 | A | Excision of anal lesion(s) | 1.86 | 3.32 | 1.09 | 0.21 | 5.39 | 3.16 | 010 | |
| 46924 | A | Destruction, anal lesion(s) | 2.76 | 8.69 | 1.36 | 0.24 | 11.69 | 4.36 | 010 | |
| 46934 | A | Destruction of hemorrhoids | 3.50 | 5.01 | 2.70 | 0.31 | 8.82 | 6.51 | 090 | |
| 46935 | A | Destruction of hemorrhoids | 2.43 | 3.45 | 1.21 | 0.21 | 6.09 | 3.85 | 010 | |
| 46936 | A | Destruction of hemorrhoids | 3.68 | 4.45 | 2.26 | 0.36 | 8.49 | 6.30 | 090 | |
| 46937 | A | Cryotherapy of rectal lesion | 2.69 | 2.73 | 1.22 | 0.14 | 5.56 | 4.05 | 010 | |
| 46938 | A | Cryotherapy of rectal lesion | 4.65 | 4.22 | 2.70 | 0.48 | 9.35 | 7.83 | 090 | |
| 46940 | A | Treatment of anal fissure | 2.32 | 1.99 | 1.09 | 0.21 | 4.52 | 3.62 | 010 | |
| 46942 | A | Treatment of anal fissure | 2.04 | 1.84 | 1.02 | 0.17 | 4.05 | 3.23 | 010 | |
| 46945 | A | Ligation of hemorrhoids | 1.84 | 3.54 | 1.88 | 0.21 | 5.59 | 3.93 | 090 | |
| 46946 | A | Ligation of hemorrhoids | 2.58 | 4.17 | 1.85 | 0.27 | 7.02 | 4.70 | 090 | |
| 46999 | C | Anus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47000 | A | Needle biopsy of liver | 1.90 | 3.26 | 0.63 | 0.11 | 5.27 | 2.64 | 000 | |
| 47001 | A | Needle biopsy, liver add-on | 1.90 | NA | 0.65 | 0.22 | NA | 2.77 | ZZZ | |
| 47010 | A | Open drainage, liver lesion | 15.99 | NA | 8.55 | 0.78 | NA | 25.32 | 090 | |
| 47011 | A | Percut drain, liver lesion | 3.69 | NA | 1.21 | 0.21 | NA | 5.11 | 000 | |
| 47015 | A | Inject/aspirate liver cyst | 15.09 | NA | 7.56 | 1.04 | NA | 23.69 | 090 | |
| 47100 | A | Wedge biopsy of liver | 11.65 | NA | 6.10 | 0.90 | NA | 18.65 | 090 | |
| 47120 | A | Partial removal of liver | 35.45 | NA | 15.28 | 2.76 | NA | 53.49 | 090 | |
| 47122 | A | Extensive removal of liver | 55.05 | NA | 21.62 | 4.34 | NA | 81.01 | 090 | |
| 47125 | A | Partial removal of liver | 49.12 | NA | 19.67 | 3.84 | NA | 72.63 | 090 | |
| 47130 | A | Partial removal of liver | 53.27 | NA | 21.14 | 4.19 | NA | 78.60 | 090 | |
| 47133 | C | Removal of donor liver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 47134 | D | Partial removal, donor liver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 47135 | R | Transplantation of liver | 81.40 | NA | 32.07 | 9.81 | NA | 123.28 | 090 | |
| 47136 | R | Transplantation of liver | 68.50 | NA | 27.50 | 8.36 | NA | 104.36 | 090 | |
| 47140 | A | Partial removal, donor liver | 54.92 | NA | 22.74 | 4.80 | NA | 82.46 | 090 | |
| 47141 | A | Partial removal, donor liver | 67.40 | NA | 27.39 | 4.80 | NA | 99.59 | 090 | |
| 47142 | A | Partial removal, donor liver | 74.89 | NA | 29.97 | 4.80 | NA | 109.66 | 090 | |
| 47300 | A | Surgery for liver lesion | 15.06 | NA | 7.29 | 1.17 | NA | 23.52 | 090 | |
| 47350 | A | Repair liver wound | 19.53 | NA | 8.93 | 1.51 | NA | 29.97 | 090 | |
| 47360 | A | Repair liver wound | 26.88 | NA | 11.67 | 2.06 | NA | 40.61 | 090 | |
| 47361 | A | Repair liver wound | 47.05 | NA | 18.64 | 3.75 | NA | 69.44 | 090 | |
| 47362 | A | Repair liver wound | 18.48 | NA | 8.80 | 1.47 | NA | 28.75 | 090 | |
| 47370 | A | Laparo ablate liver tumor rf | 19.66 | NA | 8.18 | 1.03 | NA | 28.87 | 090 | |
| 47371 | A | Laparo ablate liver cryosurg | 19.66 | NA | 8.19 | 1.03 | NA | 28.88 | 090 | |
| 47379 | C | Laparoscope procedure, liver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47380 | A | Open ablate liver tumor rf | 22.97 | NA | 9.39 | 1.03 | NA | 33.39 | 090 | |
| 47381 | A | Open ablate liver tumor cryo | 23.24 | NA | 9.65 | 1.03 | NA | 33.92 | 090 | |
| 47382 | A | Percut ablate liver rf | 15.17 | NA | 6.10 | 1.37 | NA | 22.64 | 010 | |
| 47399 | C | Liver surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47400 | A | Incision of liver duct | 32.44 | NA | 13.55 | 2.20 | NA | 48.19 | 090 | |
| 47420 | A | Incision of bile duct | 19.85 | NA | 8.82 | 2.05 | NA | 30.72 | 090 | |
| 47425 | A | Incision of bile duct | 19.80 | NA | 8.87 | 1.93 | NA | 30.60 | 090 | |
| 47460 | A | Incise bile duct sphincter | 18.01 | NA | 8.42 | 1.50 | NA | 27.93 | 090 | |
| 47480 | A | Incision of gallbladder | 10.80 | NA | 5.97 | 1.03 | NA | 17.80 | 090 | |
| 47490 | A | Incision of gallbladder | 7.22 | NA | 5.83 | 0.40 | NA | 13.45 | 090 | |
| 47500 | A | Injection for liver x-rays | 1.96 | NA | 0.64 | 0.11 | NA | 2.71 | 000 | |
| 47505 | A | Injection for liver x-rays | 0.76 | 2.60 | 0.25 | 0.04 | 3.40 | 1.05 | 000 | |
| 47510 | A | Insert catheter, bile duct | 7.82 | NA | 5.01 | 0.43 | NA | 13.26 | 090 | |
| 47511 | A | Insert bile duct drain | 10.48 | NA | 5.09 | 0.57 | NA | 16.14 | 090 | |
| 47525 | A | Change bile duct catheter | 5.54 | NA | 3.26 | 0.29 | NA | 9.09 | 010 | |
| 47530 | A | Revise/reinsert bile tube | 5.84 | NA | 4.32 | 0.35 | NA | 10.51 | 090 | |
| 47550 | A | Bile duct endoscopy add-on | 3.02 | NA | 1.03 | 0.36 | NA | 4.41 | ZZZ | |
| 47552 | A | Biliary endoscopy thru skin | 6.03 | NA | 2.40 | 0.51 | NA | 8.94 | 000 | |
| 47553 | A | Biliary endoscopy thru skin | 6.34 | NA | 2.60 | 0.36 | NA | 9.30 | 000 | |
| 47554 | A | Biliary endoscopy thru skin | 9.05 | NA | 3.38 | 0.89 | NA | 13.32 | 000 | |
| 47555 | A | Biliary endoscopy thru skin | 7.55 | NA | 3.01 | 0.42 | NA | 10.98 | 000 | |
| 47556 | A | Biliary endoscopy thru skin | 8.55 | NA | 3.33 | 0.46 | NA | 12.34 | 000 | |
| 47560 | A | Laparoscopy w/cholangio | 4.88 | NA | 1.83 | 0.59 | NA | 7.30 | 000 | |
| 47561 | A | Laparo w/cholangio/biopsy | 5.17 | NA | 2.13 | 0.59 | NA | 7.89 | 000 | |
| 47562 | A | Laparoscopic cholecystectomy | 11.07 | NA | 5.00 | 1.36 | NA | 17.43 | 090 | |
| 47563 | A | Laparo cholecystectomy/graph | 11.92 | NA | 5.32 | 1.46 | NA | 18.70 | 090 | |
| 47564 | A | Laparo cholecystectomy/explr | 14.21 | NA | 5.97 | 1.74 | NA | 21.92 | 090 | |
| 47570 | A | Laparo cholecystoenterostomy | 12.56 | NA | 5.39 | 1.54 | NA | 19.49 | 090 | |
| 47579 | C | Laparoscope proc, biliary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47600 | A | Removal of gallbladder | 13.56 | NA | 6.20 | 1.40 | NA | 21.16 | 090 | |
| 47605 | A | Removal of gallbladder | 14.67 | NA | 6.55 | 1.51 | NA | 22.73 | 090 | |
| 47610 | A | Removal of gallbladder | 18.79 | NA | 7.99 | 1.94 | NA | 28.72 | 090 | |
| 47612 | A | Removal of gallbladder | 18.75 | NA | 7.94 | 1.93 | NA | 28.62 | 090 | |
| 47620 | A | Removal of gallbladder | 20.61 | NA | 8.59 | 2.13 | NA | 31.33 | 090 | |
| 47630 | A | Remove bile duct stone | 9.10 | NA | 4.80 | 0.55 | NA | 14.45 | 090 | |
| 47700 | A | Exploration of bile ducts | 15.60 | NA | 7.48 | 1.69 | NA | 24.77 | 090 | |
| 47701 | A | Bile duct revision | 27.77 | NA | 11.58 | 3.62 | NA | 42.97 | 090 | |
| 47711 | A | Excision of bile duct tumor | 23.00 | NA | 10.01 | 2.39 | NA | 35.40 | 090 | |
| 47712 | A | Excision of bile duct tumor | 30.19 | NA | 12.50 | 3.22 | NA | 45.91 | 090 | |
| 47715 | A | Excision of bile duct cyst | 18.77 | NA | 8.49 | 1.92 | NA | 29.18 | 090 | |
| 47716 | A | Fusion of bile duct cyst | 16.42 | NA | 7.88 | 1.70 | NA | 26.00 | 090 | |
| 47720 | A | Fuse gallbladder bowel | 15.89 | NA | 7.54 | 1.65 | NA | 25.08 | 090 | |
| 47721 | A | Fuse upper gi structures | 19.09 | NA | 8.63 | 1.97 | NA | 29.69 | 090 | |
| 47740 | A | Fuse gallbladder bowel | 18.45 | NA | 8.45 | 1.92 | NA | 28.82 | 090 | |
| 47741 | A | Fuse gallbladder bowel | 21.31 | NA | 9.35 | 2.20 | NA | 32.86 | 090 | |
| 47760 | A | Fuse bile ducts and bowel | 25.81 | NA | 10.92 | 2.67 | NA | 39.40 | 090 | |
| 47765 | A | Fuse liver ducts bowel | 24.84 | NA | 10.89 | 2.63 | NA | 38.36 | 090 | |
| 47780 | A | Fuse bile ducts and bowel | 26.46 | NA | 11.28 | 2.74 | NA | 40.48 | 090 | |
| 47785 | A | Fuse bile ducts and bowel | 31.13 | NA | 13.01 | 3.24 | NA | 47.38 | 090 | |
| 47800 | A | Reconstruction of bile ducts | 23.27 | NA | 10.13 | 2.35 | NA | 35.75 | 090 | |
| 47801 | A | Placement, bile duct support | 15.15 | NA | 8.33 | 0.83 | NA | 24.31 | 090 | |
| 47802 | A | Fuse liver duct intestine | 21.52 | NA | 9.76 | 2.22 | NA | 33.50 | 090 | |
| 47900 | A | Suture bile duct injury | 19.87 | NA | 8.93 | 1.99 | NA | 30.79 | 090 | |
| 47999 | C | Bile tract surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 48000 | A | Drainage of abdomen | 28.03 | NA | 11.58 | 1.59 | NA | 41.20 | 090 | |
| 48001 | A | Placement of drain, pancreas | 35.40 | NA | 13.95 | 2.29 | NA | 51.64 | 090 | |
| 48005 | A | Resect/debride pancreas | 42.11 | NA | 16.63 | 2.73 | NA | 61.47 | 090 | |
| 48020 | A | Removal of pancreatic stone | 15.68 | NA | 7.35 | 1.64 | NA | 24.67 | 090 | |
| 48100 | A | Biopsy of pancreas, open | 12.21 | NA | 5.65 | 1.30 | NA | 19.16 | 090 | |
| 48102 | A | Needle biopsy, pancreas | 4.67 | 9.04 | 2.45 | 0.24 | 13.95 | 7.36 | 010 | |
| 48120 | A | Removal of pancreas lesion | 15.83 | NA | 6.90 | 1.63 | NA | 24.36 | 090 | |
| 48140 | A | Partial removal of pancreas | 22.91 | NA | 9.60 | 2.56 | NA | 35.07 | 090 | |
| 48145 | A | Partial removal of pancreas | 23.98 | NA | 9.91 | 2.71 | NA | 36.60 | 090 | |
| 48146 | A | Pancreatectomy | 26.36 | NA | 12.09 | 2.93 | NA | 41.38 | 090 | |
| 48148 | A | Removal of pancreatic duct | 17.31 | NA | 7.68 | 1.94 | NA | 26.93 | 090 | |
| 48150 | A | Partial removal of pancreas | 47.93 | NA | 19.65 | 5.34 | NA | 72.92 | 090 | |
| 48152 | A | Pancreatectomy | 43.68 | NA | 18.35 | 4.91 | NA | 66.94 | 090 | |
| 48153 | A | Pancreatectomy | 47.82 | NA | 19.74 | 5.31 | NA | 72.87 | 090 | |
| 48154 | A | Pancreatectomy | 44.03 | NA | 18.38 | 4.95 | NA | 67.36 | 090 | |
| 48155 | A | Removal of pancreas | 24.60 | NA | 11.82 | 2.77 | NA | 39.19 | 090 | |
| 48160 | N | Pancreas removal/transplant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 48180 | A | Fuse pancreas and bowel | 24.68 | NA | 10.22 | 2.70 | NA | 37.60 | 090 | |
| 48400 | A | Injection, intraop add-on | 1.95 | NA | 0.64 | 0.12 | NA | 2.71 | ZZZ | |
| 48500 | A | Surgery of pancreatic cyst | 15.26 | NA | 7.40 | 1.63 | NA | 24.29 | 090 | |
| 48510 | A | Drain pancreatic pseudocyst | 14.29 | NA | 7.54 | 1.29 | NA | 23.12 | 090 | |
| 48511 | A | Drain pancreatic pseudocyst | 3.99 | NA | 1.31 | 0.21 | NA | 5.51 | 000 | |
| 48520 | A | Fuse pancreas cyst and bowel | 15.57 | NA | 6.75 | 1.70 | NA | 24.02 | 090 | |
| 48540 | A | Fuse pancreas cyst and bowel | 19.69 | NA | 8.16 | 2.20 | NA | 30.05 | 090 | |
| 48545 | A | Pancreatorrhaphy | 18.15 | NA | 8.05 | 1.94 | NA | 28.14 | 090 | |
| 48547 | A | Duodenal exclusion | 25.79 | NA | 10.55 | 2.77 | NA | 39.11 | 090 | |
| 48550 | X | Donor pancreatectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 48554 | R | Transpl allograft pancreas | 34.12 | NA | 17.32 | 3.98 | NA | 55.42 | 090 | |
| 48556 | A | Removal, allograft pancreas | 15.69 | NA | 8.29 | 1.83 | NA | 25.81 | 090 | |
| 48999 | C | Pancreas surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49000 | A | Exploration of abdomen | 11.66 | NA | 5.42 | 1.41 | NA | 18.49 | 090 | |
| 49002 | A | Reopening of abdomen | 10.47 | NA | 5.07 | 1.28 | NA | 16.82 | 090 | |
| 49010 | A | Exploration behind abdomen | 12.26 | NA | 5.95 | 1.47 | NA | 19.68 | 090 | |
| 49020 | A | Drain abdominal abscess | 22.81 | NA | 10.24 | 1.58 | NA | 34.63 | 090 | |
| 49021 | A | Drain abdominal abscess | 3.37 | NA | 1.12 | 0.19 | NA | 4.68 | 000 | |
| 49040 | A | Drain, open, abdom abscess | 13.50 | NA | 6.47 | 1.01 | NA | 20.98 | 090 | |
| 49041 | A | Drain, percut, abdom abscess | 3.99 | NA | 1.31 | 0.22 | NA | 5.52 | 000 | |
| 49060 | A | Drain, open, retrop abscess | 15.84 | NA | 7.48 | 0.93 | NA | 24.25 | 090 | |
| 49061 | A | Drain, percut, retroper absc | 3.69 | NA | 1.21 | 0.21 | NA | 5.11 | 000 | |
| 49062 | A | Drain to peritoneal cavity | 11.34 | NA | 5.50 | 1.30 | NA | 18.14 | 090 | |
| 49080 | A | Puncture, peritoneal cavity | 1.35 | 4.20 | 0.45 | 0.08 | 5.63 | 1.88 | 000 | |
| 49081 | A | Removal of abdominal fluid | 1.26 | 2.62 | 0.57 | 0.07 | 3.95 | 1.90 | 000 | |
| 49085 | A | Remove abdomen foreign body | 12.12 | NA | 5.56 | 1.06 | NA | 18.74 | 090 | |
| 49180 | A | Biopsy, abdominal mass | 1.73 | 3.32 | 0.56 | 0.10 | 5.15 | 2.39 | 000 | |
| 49200 | A | Removal of abdominal lesion | 10.23 | NA | 5.08 | 1.11 | NA | 16.42 | 090 | |
| 49201 | A | Remove abdom lesion, complex | 14.82 | NA | 7.10 | 1.77 | NA | 23.69 | 090 | |
| 49215 | A | Excise sacral spine tumor | 33.45 | NA | 14.09 | 2.99 | NA | 50.53 | 090 | |
| 49220 | A | Multiple surgery, abdomen | 14.86 | NA | 6.69 | 1.82 | NA | 23.37 | 090 | |
| 49250 | A | Excision of umbilicus | 8.34 | NA | 4.33 | 1.01 | NA | 13.68 | 090 | |
| 49255 | A | Removal of omentum | 11.12 | NA | 5.66 | 1.35 | NA | 18.13 | 090 | |
| 49320 | A | Diag laparo separate proc | 5.09 | NA | 2.64 | 0.60 | NA | 8.33 | 010 | |
| 49321 | A | Laparoscopy, biopsy | 5.39 | NA | 2.65 | 0.64 | NA | 8.68 | 010 | |
| 49322 | A | Laparoscopy, aspiration | 5.69 | NA | 2.99 | 0.69 | NA | 9.37 | 010 | |
| 49323 | A | Laparo drain lymphocele | 9.47 | NA | 4.52 | 1.06 | NA | 15.05 | 090 | |
| 49329 | C | Laparo proc, abdm/per/oment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49400 | A | Air injection into abdomen | 1.88 | NA | 0.79 | 0.13 | NA | 2.80 | 000 | |
| 49419 | A | Insrt abdom cath for chemotx | 6.64 | NA | 3.56 | 0.66 | NA | 10.86 | 090 | |
| 49420 | A | Insert abdom drain, temp | 2.22 | NA | 1.12 | 0.16 | NA | 3.50 | 000 | |
| 49421 | A | Insert abdom drain, perm | 5.53 | NA | 3.20 | 0.66 | NA | 9.39 | 090 | |
| 49422 | A | Remove perm cannula/catheter | 6.24 | NA | 2.91 | 0.76 | NA | 9.91 | 010 | |
| 49423 | A | Exchange drainage catheter | 1.46 | NA | 0.67 | 0.08 | NA | 2.21 | 000 | |
| 49424 | A | Assess cyst, contrast inject | 0.76 | NA | 0.44 | 0.04 | NA | 1.24 | 000 | |
| 49425 | A | Insert abdomen-venous drain | 11.35 | NA | 5.65 | 1.46 | NA | 18.46 | 090 | |
| 49426 | A | Revise abdomen-venous shunt | 9.62 | NA | 4.82 | 1.12 | NA | 15.56 | 090 | |
| 49427 | A | Injection, abdominal shunt | 0.89 | NA | 0.48 | 0.06 | NA | 1.43 | 000 | |
| 49428 | A | Ligation of shunt | 6.05 | NA | 3.29 | 0.37 | NA | 9.71 | 010 | |
| 49429 | A | Removal of shunt | 7.39 | NA | 3.44 | 0.98 | NA | 11.81 | 010 | |
| 49491 | A | Rpr hern preemie reduc | 11.11 | NA | 5.07 | 1.33 | NA | 17.51 | 090 | |
| 49492 | A | Rpr ing hern premie, blocked | 14.01 | NA | 6.14 | 1.77 | NA | 21.92 | 090 | |
| 49495 | A | Rpr ing hernia baby, reduc | 5.88 | NA | 3.00 | 0.70 | NA | 9.58 | 090 | |
| 49496 | A | Rpr ing hernia baby, blocked | 8.78 | NA | 4.37 | 1.11 | NA | 14.26 | 090 | |
| 49500 | A | Rpr ing hernia, init, reduce | 5.47 | NA | 3.15 | 0.55 | NA | 9.17 | 090 | |
| 49501 | A | Rpr ing hernia, init blocked | 8.87 | NA | 4.24 | 0.92 | NA | 14.03 | 090 | |
| 49505 | A | Prp i/hern init reduc5 yr | 7.59 | 4.10 | 3.87 | 0.78 | 12.47 | 12.24 | 090 | |
| 49507 | A | Prp i/hern init block5 yr | 9.56 | NA | 4.54 | 1.00 | NA | 15.10 | 090 | |
| 49520 | A | Rerepair ing hernia, reduce | 9.62 | NA | 4.49 | 1.01 | NA | 15.12 | 090 | |
| 49521 | A | Rerepair ing hernia, blocked | 11.95 | NA | 5.28 | 1.25 | NA | 18.48 | 090 | |
| 49525 | A | Repair ing hernia, sliding | 8.56 | NA | 4.13 | 0.89 | NA | 13.58 | 090 | |
| 49540 | A | Repair lumbar hernia | 10.37 | NA | 4.81 | 1.09 | NA | 16.27 | 090 | |
| 49550 | A | Rpr rem hernia, init, reduce | 8.62 | NA | 4.16 | 0.90 | NA | 13.68 | 090 | |
| 49553 | A | Rpr fem hernia, init blocked | 9.43 | NA | 4.46 | 1.00 | NA | 14.89 | 090 | |
| 49555 | A | Rerepair fem hernia, reduce | 9.02 | NA | 4.32 | 0.95 | NA | 14.29 | 090 | |
| 49557 | A | Rerepair fem hernia, blocked | 11.13 | NA | 5.03 | 1.17 | NA | 17.33 | 090 | |
| 49560 | A | Rpr ventral hern init, reduc | 11.55 | NA | 5.21 | 1.21 | NA | 17.97 | 090 | |
| 49561 | A | Rpr ventral hern init, block | 14.23 | NA | 6.11 | 1.48 | NA | 21.82 | 090 | |
| 49565 | A | Rerepair ventrl hern, reduce | 11.55 | NA | 5.28 | 1.21 | NA | 18.04 | 090 | |
| 49566 | A | Rerepair ventrl hern, block | 14.38 | NA | 6.18 | 1.50 | NA | 22.06 | 090 | |
| 49568 | A | Hernia repair w/mesh | 4.88 | NA | 1.68 | 0.60 | NA | 7.16 | ZZZ | |
| 49570 | A | Rpr epigastric hern, reduce | 5.68 | NA | 3.20 | 0.60 | NA | 9.48 | 090 | |
| 49572 | A | Rpr epigastric hern, blocked | 6.72 | NA | 3.50 | 0.70 | NA | 10.92 | 090 | |
| 49580 | A | Rpr umbil hern, reduc 5 yr | 4.10 | NA | 2.64 | 0.41 | NA | 7.15 | 090 | |
| 49582 | A | Rpr umbil hern, block 5 yr | 6.64 | NA | 3.53 | 0.69 | NA | 10.86 | 090 | |
| 49585 | A | Rpr umbil hern, reduc 5 yr | 6.22 | NA | 3.35 | 0.64 | NA | 10.21 | 090 | |
| 49587 | A | Rpr umbil hern, block 5 yr | 7.55 | NA | 3.78 | 0.78 | NA | 12.11 | 090 | |
| 49590 | A | Repair spigilian hernia | 8.53 | NA | 4.13 | 0.89 | NA | 13.55 | 090 | |
| 49600 | A | Repair umbilical lesion | 10.94 | NA | 5.39 | 1.36 | NA | 17.69 | 090 | |
| 49605 | A | Repair umbilical lesion | 75.89 | NA | 28.65 | 3.10 | NA | 107.64 | 090 | |
| 49606 | A | Repair umbilical lesion | 18.57 | NA | 7.77 | 2.68 | NA | 29.02 | 090 | |
| 49610 | A | Repair umbilical lesion | 10.48 | NA | 5.26 | 0.93 | NA | 16.67 | 090 | |
| 49611 | A | Repair umbilical lesion | 8.91 | NA | 7.25 | 0.78 | NA | 16.94 | 090 | |
| 49650 | A | Laparo hernia repair initial | 6.26 | NA | 3.23 | 0.77 | NA | 10.26 | 090 | |
| 49651 | A | Laparo hernia repair recur | 8.23 | NA | 4.09 | 1.01 | NA | 13.33 | 090 | |
| 49659 | C | Laparo proc, hernia repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49900 | A | Repair of abdominal wall | 12.26 | NA | 6.28 | 1.48 | NA | 20.02 | 090 | |
| 49904 | A | Omental flap, extra-abdom | 19.97 | NA | 15.52 | 2.30 | NA | 37.79 | 090 | |
| 49905 | A | Omental flap, intra-abdom | 6.54 | NA | 2.30 | 0.74 | NA | 9.58 | ZZZ | |
| 49906 | C | Free omental flap, microvasc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 49999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50010 | A | Exploration of kidney | 10.96 | NA | 5.42 | 0.95 | NA | 17.33 | 090 | |
| 50020 | A | Renal abscess, open drain | 14.64 | NA | 8.81 | 0.96 | NA | 24.41 | 090 | |
| 50021 | A | Renal abscess, percut drain | 3.37 | NA | 1.11 | 0.18 | NA | 4.66 | 000 | |
| 50040 | A | Drainage of kidney | 14.92 | NA | 8.42 | 0.99 | NA | 24.33 | 090 | |
| 50045 | A | Exploration of kidney | 15.44 | NA | 6.80 | 1.28 | NA | 23.52 | 090 | |
| 50060 | A | Removal of kidney stone | 19.27 | NA | 8.03 | 1.37 | NA | 28.67 | 090 | |
| 50065 | A | Incision of kidney | 20.76 | NA | 6.24 | 1.36 | NA | 28.36 | 090 | |
| 50070 | A | Incision of kidney | 20.29 | NA | 8.42 | 1.45 | NA | 30.16 | 090 | |
| 50075 | A | Removal of kidney stone | 25.30 | NA | 10.19 | 1.82 | NA | 37.31 | 090 | |
| 50080 | A | Removal of kidney stone | 14.69 | NA | 7.85 | 1.04 | NA | 23.58 | 090 | |
| 50081 | A | Removal of kidney stone | 21.77 | NA | 10.35 | 1.57 | NA | 33.69 | 090 | |
| 50100 | A | Revise kidney blood vessels | 16.07 | NA | 7.99 | 1.98 | NA | 26.04 | 090 | |
| 50120 | A | Exploration of kidney | 15.89 | NA | 6.97 | 1.25 | NA | 24.11 | 090 | |
| 50125 | A | Explore and drain kidney | 16.50 | NA | 7.12 | 1.29 | NA | 24.91 | 090 | |
| 50130 | A | Removal of kidney stone | 17.26 | NA | 7.38 | 1.25 | NA | 25.89 | 090 | |
| 50135 | A | Exploration of kidney | 19.15 | NA | 7.98 | 1.42 | NA | 28.55 | 090 | |
| 50200 | A | Biopsy of kidney | 2.63 | NA | 0.90 | 0.14 | NA | 3.67 | 000 | |
| 50205 | A | Biopsy of kidney | 11.29 | NA | 5.24 | 1.13 | NA | 17.66 | 090 | |
| 50220 | A | Remove kidney, open | 17.12 | NA | 7.44 | 1.40 | NA | 25.96 | 090 | |
| 50225 | A | Removal kidney open, complex | 20.20 | NA | 8.36 | 1.52 | NA | 30.08 | 090 | |
| 50230 | A | Removal kidney open, radical | 22.04 | NA | 8.83 | 1.63 | NA | 32.50 | 090 | |
| 50234 | A | Removal of kidney ureter | 22.37 | NA | 9.04 | 1.65 | NA | 33.06 | 090 | |
| 50236 | A | Removal of kidney ureter | 24.82 | NA | 11.41 | 1.81 | NA | 38.04 | 090 | |
| 50240 | A | Partial removal of kidney | 21.97 | NA | 10.50 | 1.64 | NA | 34.11 | 090 | |
| 50280 | A | Removal of kidney lesion | 15.65 | NA | 6.89 | 1.19 | NA | 23.73 | 090 | |
| 50290 | A | Removal of kidney lesion | 14.71 | NA | 6.65 | 1.34 | NA | 22.70 | 090 | |
| 50300 | X | Removal of donor kidney | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 50320 | A | Removal of donor kidney | 22.18 | NA | 9.96 | 2.15 | NA | 34.29 | 090 | |
| 50340 | A | Removal of kidney | 12.13 | NA | 6.93 | 1.39 | NA | 20.45 | 090 | |
| 50360 | A | Transplantation of kidney | 31.48 | NA | 15.76 | 3.58 | NA | 50.82 | 090 | |
| 50365 | A | Transplantation of kidney | 36.75 | NA | 18.55 | 4.23 | NA | 59.53 | 090 | |
| 50370 | A | Remove transplanted kidney | 13.70 | NA | 7.52 | 1.52 | NA | 22.74 | 090 | |
| 50380 | A | Reimplantation of kidney | 20.73 | NA | 13.26 | 2.17 | NA | 36.16 | 090 | |
| 50390 | A | Drainage of kidney lesion | 1.96 | NA | 0.64 | 0.11 | NA | 2.71 | 000 | |
| 50392 | A | Insert kidney drain | 3.37 | NA | 1.11 | 0.18 | NA | 4.66 | 000 | |
| 50393 | A | Insert ureteral tube | 4.15 | NA | 1.35 | 0.22 | NA | 5.72 | 000 | |
| 50394 | A | Injection for kidney x-ray | 0.76 | 2.54 | 0.25 | 0.05 | 3.35 | 1.06 | 000 | |
| 50395 | A | Create passage to kidney | 3.37 | NA | 1.10 | 0.19 | NA | 4.66 | 000 | |
| 50396 | A | Measure kidney pressure | 2.09 | NA | 0.86 | 0.12 | NA | 3.07 | 000 | |
| 50398 | A | Change kidney tube | 1.46 | 1.19 | 0.47 | 0.08 | 2.73 | 2.01 | 000 | |
| 50400 | A | Revision of kidney/ureter | 19.47 | NA | 7.72 | 1.46 | NA | 28.65 | 090 | |
| 50405 | A | Revision of kidney/ureter | 23.89 | NA | 10.41 | 1.75 | NA | 36.05 | 090 | |
| 50500 | A | Repair of kidney wound | 19.54 | NA | 8.77 | 1.75 | NA | 30.06 | 090 | |
| 50520 | A | Close kidney-skin fistula | 17.20 | NA | 8.75 | 1.52 | NA | 27.47 | 090 | |
| 50525 | A | Repair renal-abdomen fistula | 22.24 | NA | 10.16 | 1.82 | NA | 34.22 | 090 | |
| 50526 | A | Repair renal-abdomen fistula | 23.98 | NA | 10.88 | 1.95 | NA | 36.81 | 090 | |
| 50540 | A | Revision of horseshoe kidney | 19.90 | NA | 8.55 | 1.54 | NA | 29.99 | 090 | |
| 50541 | A | Laparo ablate renal cyst | 15.98 | NA | 6.41 | 1.19 | NA | 23.58 | 090 | |
| 50542 | A | Laparo ablate renal mass | 19.97 | NA | 8.13 | 1.64 | NA | 29.74 | 090 | |
| 50543 | A | Laparo partial nephrectomy | 25.46 | NA | 10.27 | 1.64 | NA | 37.37 | 090 | |
| 50544 | A | Laparoscopy, pyeloplasty | 22.37 | NA | 8.47 | 1.70 | NA | 32.54 | 090 | |
| 50545 | A | Laparo radical nephrectomy | 23.96 | NA | 9.12 | 1.85 | NA | 34.93 | 090 | |
| 50546 | A | Laparoscopic nephrectomy | 20.45 | NA | 8.30 | 1.65 | NA | 30.40 | 090 | |
| 50547 | A | Laparo removal donor kidney | 25.46 | NA | 10.44 | 2.46 | NA | 38.36 | 090 | |
| 50548 | A | Laparo remove w/ ureter | 24.36 | NA | 9.11 | 1.80 | NA | 35.27 | 090 | |
| 50549 | C | Laparoscope proc, renal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50551 | A | Kidney endoscopy | 5.59 | 4.92 | 1.80 | 0.40 | 10.91 | 7.79 | 000 | |
| 50553 | A | Kidney endoscopy | 5.98 | 18.59 | 1.95 | 0.42 | 24.99 | 8.35 | 000 | |
| 50555 | A | Kidney endoscopy biopsy | 6.52 | 19.17 | 2.11 | 0.46 | 26.15 | 9.09 | 000 | |
| 50557 | A | Kidney endoscopy treatment | 6.61 | 20.04 | 2.12 | 0.47 | 27.12 | 9.20 | 000 | |
| 50559 | A | Renal endoscopy/radiotracer | 6.77 | NA | 2.19 | 0.33 | NA | 9.29 | 000 | |
| 50561 | A | Kidney endoscopy treatment | 7.58 | 17.69 | 2.44 | 0.53 | 25.80 | 10.55 | 000 | |
| 50562 | A | Renal scope w/tumor resect | 10.90 | NA | 3.84 | 1.01 | NA | 15.75 | 090 | |
| 50570 | A | Kidney endoscopy | 9.53 | NA | 3.06 | 0.68 | NA | 13.27 | 000 | |
| 50572 | A | Kidney endoscopy | 10.33 | NA | 3.33 | 0.77 | NA | 14.43 | 000 | |
| 50574 | A | Kidney endoscopy biopsy | 11.00 | NA | 3.57 | 0.78 | NA | 15.35 | 000 | |
| 50575 | A | Kidney endoscopy | 13.96 | NA | 4.48 | 1.01 | NA | 19.45 | 000 | |
| 50576 | A | Kidney endoscopy treatment | 10.97 | NA | 3.51 | 0.80 | NA | 15.28 | 000 | |
| 50578 | A | Renal endoscopy/radiotracer | 11.33 | NA | 3.64 | 0.81 | NA | 15.78 | 000 | |
| 50580 | A | Kidney endoscopy treatment | 11.84 | NA | 3.80 | 0.84 | NA | 16.48 | 000 | |
| 50590 | A | Fragmenting of kidney stone | 9.08 | 10.77 | 5.03 | 0.65 | 20.50 | 14.76 | 090 | |
| 50600 | A | Exploration of ureter | 15.82 | NA | 6.99 | 1.19 | NA | 24.00 | 090 | |
| 50605 | A | Insert ureteral support | 15.44 | NA | 7.00 | 1.36 | NA | 23.80 | 090 | |
| 50610 | A | Removal of ureter stone | 15.90 | NA | 7.24 | 1.30 | NA | 24.44 | 090 | |
| 50620 | A | Removal of ureter stone | 15.14 | NA | 6.62 | 1.10 | NA | 22.86 | 090 | |
| 50630 | A | Removal of ureter stone | 14.92 | NA | 6.56 | 1.09 | NA | 22.57 | 090 | |
| 50650 | A | Removal of ureter | 17.38 | NA | 7.50 | 1.29 | NA | 26.17 | 090 | |
| 50660 | A | Removal of ureter | 19.52 | NA | 8.24 | 1.44 | NA | 29.20 | 090 | |
| 50684 | A | Injection for ureter x-ray | 0.76 | 15.38 | 0.25 | 0.05 | 16.19 | 1.06 | 000 | |
| 50686 | A | Measure ureter pressure | 1.51 | 4.56 | 0.65 | 0.11 | 6.18 | 2.27 | 000 | |
| 50688 | A | Change of ureter tube | 1.17 | NA | 1.75 | 0.07 | NA | 2.99 | 010 | |
| 50690 | A | Injection for ureter x-ray | 1.16 | 15.84 | 0.37 | 0.07 | 17.07 | 1.60 | 000 | |
| 50700 | A | Revision of ureter | 15.19 | NA | 7.30 | 1.04 | NA | 23.53 | 090 | |
| 50715 | A | Release of ureter | 18.87 | NA | 9.03 | 2.03 | NA | 29.93 | 090 | |
| 50722 | A | Release of ureter | 16.33 | NA | 8.03 | 1.70 | NA | 26.06 | 090 | |
| 50725 | A | Release/revise ureter | 18.46 | NA | 8.31 | 1.74 | NA | 28.51 | 090 | |
| 50727 | A | Revise ureter | 8.17 | NA | 5.20 | 0.62 | NA | 13.99 | 090 | |
| 50728 | A | Revise ureter | 12.00 | NA | 6.72 | 1.06 | NA | 19.78 | 090 | |
| 50740 | A | Fusion of ureter kidney | 18.39 | NA | 7.96 | 1.80 | NA | 28.15 | 090 | |
| 50750 | A | Fusion of ureter kidney | 19.48 | NA | 8.27 | 1.50 | NA | 29.25 | 090 | |
| 50760 | A | Fusion of ureters | 18.39 | NA | 7.95 | 1.51 | NA | 27.85 | 090 | |
| 50770 | A | Splicing of ureters | 19.48 | NA | 8.25 | 1.51 | NA | 29.24 | 090 | |
| 50780 | A | Reimplant ureter in bladder | 18.33 | NA | 7.86 | 1.45 | NA | 27.64 | 090 | |
| 50782 | A | Reimplant ureter in bladder | 19.51 | NA | 9.83 | 1.36 | NA | 30.70 | 090 | |
| 50783 | A | Reimplant ureter in bladder | 20.52 | NA | 9.35 | 1.63 | NA | 31.50 | 090 | |
| 50785 | A | Reimplant ureter in bladder | 20.49 | NA | 8.58 | 1.57 | NA | 30.64 | 090 | |
| 50800 | A | Implant ureter in bowel | 14.50 | NA | 6.99 | 1.11 | NA | 22.60 | 090 | |
| 50810 | A | Fusion of ureter bowel | 20.02 | NA | 9.57 | 2.15 | NA | 31.74 | 090 | |
| 50815 | A | Urine shunt to intestine | 19.90 | NA | 8.93 | 1.58 | NA | 30.41 | 090 | |
| 50820 | A | Construct bowel bladder | 21.86 | NA | 9.14 | 1.66 | NA | 32.66 | 090 | |
| 50825 | A | Construct bowel bladder | 28.14 | NA | 11.65 | 2.18 | NA | 41.97 | 090 | |
| 50830 | A | Revise urine flow | 31.23 | NA | 12.66 | 2.65 | NA | 46.54 | 090 | |
| 50840 | A | Replace ureter by bowel | 19.97 | NA | 8.93 | 1.52 | NA | 30.42 | 090 | |
| 50845 | A | Appendico-vesicostomy | 20.86 | NA | 8.87 | 1.52 | NA | 31.25 | 090 | |
| 50860 | A | Transplant ureter to skin | 15.34 | NA | 6.89 | 1.22 | NA | 23.45 | 090 | |
| 50900 | A | Repair of ureter | 13.60 | NA | 6.36 | 1.18 | NA | 21.14 | 090 | |
| 50920 | A | Closure ureter/skin fistula | 14.31 | NA | 6.79 | 1.01 | NA | 22.11 | 090 | |
| 50930 | A | Closure ureter/bowel fistula | 18.69 | NA | 8.19 | 1.89 | NA | 28.77 | 090 | |
| 50940 | A | Release of ureter | 14.49 | NA | 6.63 | 1.25 | NA | 22.37 | 090 | |
| 50945 | A | Laparoscopy ureterolithotomy | 16.97 | NA | 6.96 | 1.39 | NA | 25.32 | 090 | |
| 50947 | A | Laparo new ureter/bladder | 24.46 | NA | 9.66 | 2.40 | NA | 36.52 | 090 | |
| 50948 | A | Laparo new ureter/bladder | 22.47 | NA | 8.62 | 2.21 | NA | 33.30 | 090 | |
| 50949 | C | Laparoscope proc, ureter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50951 | A | Endoscopy of ureter | 5.83 | 5.34 | 1.87 | 0.42 | 11.59 | 8.12 | 000 | |
| 50953 | A | Endoscopy of ureter | 6.23 | 18.61 | 2.00 | 0.45 | 25.29 | 8.68 | 000 | |
| 50955 | A | Ureter endoscopy biopsy | 6.74 | 20.51 | 2.22 | 0.46 | 27.71 | 9.42 | 000 | |
| 50957 | A | Ureter endoscopy treatment | 6.78 | 18.26 | 2.18 | 0.48 | 25.52 | 9.44 | 000 | |
| 50959 | A | Ureter endoscopy tracer | 4.39 | NA | 1.37 | 0.22 | NA | 5.98 | 000 | |
| 50961 | A | Ureter endoscopy treatment | 6.04 | 25.47 | 1.94 | 0.42 | 31.93 | 8.40 | 000 | |
| 50970 | A | Ureter endoscopy | 7.13 | NA | 2.30 | 0.52 | NA | 9.95 | 000 | |
| 50972 | A | Ureter endoscopy catheter | 6.88 | NA | 2.27 | 0.47 | NA | 9.62 | 000 | |
| 50974 | A | Ureter endoscopy biopsy | 9.16 | NA | 2.93 | 0.64 | NA | 12.73 | 000 | |
| 50976 | A | Ureter endoscopy treatment | 9.03 | NA | 2.91 | 0.64 | NA | 12.58 | 000 | |
| 50978 | A | Ureter endoscopy tracer | 5.09 | NA | 1.67 | 0.36 | NA | 7.12 | 000 | |
| 50980 | A | Ureter endoscopy treatment | 6.84 | NA | 2.20 | 0.49 | NA | 9.53 | 000 | |
| 51000 | A | Drainage of bladder | 0.78 | 1.98 | 0.24 | 0.06 | 2.82 | 1.08 | 000 | |
| 51005 | A | Drainage of bladder | 1.02 | 4.80 | 0.34 | 0.10 | 5.92 | 1.46 | 000 | |
| 51010 | A | Drainage of bladder | 3.52 | 5.74 | 1.89 | 0.28 | 9.54 | 5.69 | 010 | |
| 51020 | A | Incise treat bladder | 6.70 | NA | 3.98 | 0.51 | NA | 11.19 | 090 | |
| 51030 | A | Incise treat bladder | 6.76 | NA | 4.09 | 0.51 | NA | 11.36 | 090 | |
| 51040 | A | Incise drain bladder | 4.39 | NA | 2.87 | 0.33 | NA | 7.59 | 090 | |
| 51045 | A | Incise bladder/drain ureter | 6.76 | NA | 4.06 | 0.57 | NA | 11.39 | 090 | |
| 51050 | A | Removal of bladder stone | 6.91 | NA | 3.75 | 0.51 | NA | 11.17 | 090 | |
| 51060 | A | Removal of ureter stone | 8.84 | NA | 4.62 | 0.65 | NA | 14.11 | 090 | |
| 51065 | A | Remove ureter calculus | 8.84 | NA | 4.47 | 0.64 | NA | 13.95 | 090 | |
| 51080 | A | Drainage of bladder abscess | 5.95 | NA | 3.66 | 0.42 | NA | 10.03 | 090 | |
| 51500 | A | Removal of bladder cyst | 10.12 | NA | 5.08 | 1.06 | NA | 16.26 | 090 | |
| 51520 | A | Removal of bladder lesion | 9.28 | NA | 4.79 | 0.70 | NA | 14.77 | 090 | |
| 51525 | A | Removal of bladder lesion | 13.95 | NA | 6.25 | 1.03 | NA | 21.23 | 090 | |
| 51530 | A | Removal of bladder lesion | 12.36 | NA | 5.87 | 0.99 | NA | 19.22 | 090 | |
| 51535 | A | Repair of ureter lesion | 12.55 | NA | 6.23 | 1.09 | NA | 19.87 | 090 | |
| 51550 | A | Partial removal of bladder | 15.64 | NA | 6.86 | 1.27 | NA | 23.77 | 090 | |
| 51555 | A | Partial removal of bladder | 21.20 | NA | 8.81 | 1.65 | NA | 31.66 | 090 | |
| 51565 | A | Revise bladder ureter(s) | 21.59 | NA | 9.12 | 1.69 | NA | 32.40 | 090 | |
| 51570 | A | Removal of bladder | 24.20 | NA | 9.94 | 1.92 | NA | 36.06 | 090 | |
| 51575 | A | Removal of bladder nodes | 30.40 | NA | 12.26 | 2.27 | NA | 44.93 | 090 | |
| 51580 | A | Remove bladder/revise tract | 31.03 | NA | 12.73 | 2.34 | NA | 46.10 | 090 | |
| 51585 | A | Removal of bladder nodes | 35.18 | NA | 13.93 | 2.63 | NA | 51.74 | 090 | |
| 51590 | A | Remove bladder/revise tract | 32.61 | NA | 12.84 | 2.42 | NA | 47.87 | 090 | |
| 51595 | A | Remove bladder/revise tract | 37.08 | NA | 14.36 | 2.69 | NA | 54.13 | 090 | |
| 51596 | A | Remove bladder/create pouch | 39.46 | NA | 15.47 | 2.88 | NA | 57.81 | 090 | |
| 51597 | A | Removal of pelvic structures | 38.29 | NA | 15.07 | 3.00 | NA | 56.36 | 090 | |
| 51600 | A | Injection for bladder x-ray | 0.88 | 5.85 | 0.29 | 0.05 | 6.78 | 1.22 | 000 | |
| 51605 | A | Preparation for bladder xray | 0.64 | 10.80 | 0.35 | 0.05 | 11.49 | 1.04 | 000 | |
| 51610 | A | Injection for bladder x-ray | 1.05 | 1.72 | 0.60 | 0.06 | 2.83 | 1.71 | 000 | |
| 51700 | A | Irrigation of bladder | 0.88 | 1.65 | 0.28 | 0.06 | 2.59 | 1.22 | 000 | |
| 51701 | A | Insert bladder catheter | 0.50 | 1.64 | 0.19 | 0.04 | 2.18 | 0.73 | 000 | |
| 51702 | A | Insert temp bladder cath | 0.50 | 2.34 | 0.26 | 0.04 | 2.88 | 0.80 | 000 | |
| 51703 | A | Insert bladder cath, complex | 1.47 | 3.05 | 0.57 | 0.11 | 4.63 | 2.15 | 000 | |
| 51705 | A | Change of bladder tube | 1.02 | 2.34 | 0.61 | 0.07 | 3.43 | 1.70 | 010 | |
| 51710 | A | Change of bladder tube | 1.49 | 3.43 | 0.77 | 0.11 | 5.03 | 2.37 | 010 | |
| 51715 | A | Endoscopic injection/implant | 3.73 | 4.01 | 1.35 | 0.29 | 8.03 | 5.37 | 000 | |
| 51720 | A | Treatment of bladder lesion | 1.96 | 1.79 | 0.71 | 0.14 | 3.89 | 2.81 | 000 | |
| 51725 | A | Simple cystometrogram | 1.51 | 5.77 | NA | 0.16 | 7.44 | NA | 000 | |
| 51725 | 26 | A | Simple cystometrogram | 1.51 | 0.49 | 0.49 | 0.12 | 2.12 | 2.12 | 000 |
| 51725 | TC | A | Simple cystometrogram | 0.00 | 5.28 | NA | 0.04 | 5.32 | NA | 000 |
| 51726 | A | Complex cystometrogram | 1.71 | 7.84 | NA | 0.18 | 9.73 | NA | 000 | |
| 51726 | 26 | A | Complex cystometrogram | 1.71 | 0.56 | 0.56 | 0.13 | 2.40 | 2.40 | 000 |
| 51726 | TC | A | Complex cystometrogram | 0.00 | 7.28 | NA | 0.05 | 7.33 | NA | 000 |
| 51736 | A | Urine flow measurement | 0.61 | 0.58 | NA | 0.06 | 1.25 | NA | 000 | |
| 51736 | 26 | A | Urine flow measurement | 0.61 | 0.20 | 0.20 | 0.05 | 0.86 | 0.86 | 000 |
| 51736 | TC | A | Urine flow measurement | 0.00 | 0.38 | NA | 0.01 | 0.39 | NA | 000 |
| 51741 | A | Electro-uroflowmetry, first | 1.14 | 0.80 | NA | 0.10 | 2.04 | NA | 000 | |
| 51741 | 26 | A | Electro-uroflowmetry, first | 1.14 | 0.37 | 0.37 | 0.08 | 1.59 | 1.59 | 000 |
| 51741 | TC | A | Electro-uroflowmetry, first | 0.00 | 0.43 | NA | 0.02 | 0.45 | NA | 000 |
| 51772 | A | Urethra pressure profile | 1.61 | 5.78 | NA | 0.19 | 7.58 | NA | 000 | |
| 51772 | 26 | A | Urethra pressure profile | 1.61 | 0.55 | 0.55 | 0.14 | 2.30 | 2.30 | 000 |
| 51772 | TC | A | Urethra pressure profile | 0.00 | 5.23 | NA | 0.05 | 5.28 | NA | 000 |
| 51784 | A | Anal/urinary muscle study | 1.53 | 4.11 | NA | 0.16 | 5.80 | NA | 000 | |
| 51784 | 26 | A | Anal/urinary muscle study | 1.53 | 0.50 | 0.50 | 0.12 | 2.15 | 2.15 | 000 |
| 51784 | TC | A | Anal/urinary muscle study | 0.00 | 3.61 | NA | 0.04 | 3.65 | NA | 000 |
| 51785 | A | Anal/urinary muscle study | 1.53 | 4.62 | NA | 0.15 | 6.30 | NA | 000 | |
| 51785 | 26 | A | Anal/urinary muscle study | 1.53 | 0.50 | 0.50 | 0.11 | 2.14 | 2.14 | 000 |
| 51785 | TC | A | Anal/urinary muscle study | 0.00 | 4.12 | NA | 0.04 | 4.16 | NA | 000 |
| 51792 | A | Urinary reflex study | 1.10 | 5.98 | NA | 0.24 | 7.32 | NA | 000 | |
| 51792 | 26 | A | Urinary reflex study | 1.10 | 0.41 | 0.41 | 0.11 | 1.62 | 1.62 | 000 |
| 51792 | TC | A | Urinary reflex study | 0.00 | 5.57 | NA | 0.13 | 5.70 | NA | 000 |
| 51795 | A | Urine voiding pressure study | 1.53 | 7.62 | NA | 0.22 | 9.37 | NA | 000 | |
| 51795 | 26 | A | Urine voiding pressure study | 1.53 | 0.50 | 0.50 | 0.12 | 2.15 | 2.15 | 000 |
| 51795 | TC | A | Urine voiding pressure study | 0.00 | 7.12 | NA | 0.10 | 7.22 | NA | 000 |
| 51797 | A | Intraabdominal pressure test | 1.60 | 5.95 | NA | 0.17 | 7.72 | NA | 000 | |
| 51797 | 26 | A | Intraabdominal pressure test | 1.60 | 0.52 | 0.52 | 0.12 | 2.24 | 2.24 | 000 |
| 51797 | TC | A | Intraabdominal pressure test | 0.00 | 5.43 | NA | 0.05 | 5.48 | NA | 000 |
| 51798 | A | Us urine capacity measure | 0.00 | 0.36 | NA | 0.08 | 0.44 | NA | XXX | |
| 51800 | A | Revision of bladder/urethra | 17.39 | NA | 7.69 | 1.41 | NA | 26.49 | 090 | |
| 51820 | A | Revision of urinary tract | 17.86 | NA | 8.46 | 1.75 | NA | 28.07 | 090 | |
| 51840 | A | Attach bladder/urethra | 10.69 | NA | 5.57 | 1.05 | NA | 17.31 | 090 | |
| 51841 | A | Attach bladder/urethra | 13.01 | NA | 6.37 | 1.25 | NA | 20.63 | 090 | |
| 51845 | A | Repair bladder neck | 9.72 | NA | 4.87 | 0.75 | NA | 15.34 | 090 | |
| 51860 | A | Repair of bladder wound | 12.00 | NA | 5.90 | 1.07 | NA | 18.97 | 090 | |
| 51865 | A | Repair of bladder wound | 15.02 | NA | 6.83 | 1.22 | NA | 23.07 | 090 | |
| 51880 | A | Repair of bladder opening | 7.65 | NA | 4.07 | 0.65 | NA | 12.37 | 090 | |
| 51900 | A | Repair bladder/vagina lesion | 12.95 | NA | 6.22 | 1.05 | NA | 20.22 | 090 | |
| 51920 | A | Close bladder-uterus fistula | 11.79 | NA | 5.75 | 1.04 | NA | 18.58 | 090 | |
| 51925 | A | Hysterectomy/bladder repair | 15.56 | NA | 8.62 | 1.79 | NA | 25.97 | 090 | |
| 51940 | A | Correction of bladder defect | 28.39 | NA | 12.36 | 2.38 | NA | 43.13 | 090 | |
| 51960 | A | Revision of bladder bowel | 22.98 | NA | 9.87 | 1.70 | NA | 34.55 | 090 | |
| 51980 | A | Construct bladder opening | 11.34 | NA | 5.49 | 0.89 | NA | 17.72 | 090 | |
| 51990 | A | Laparo urethral suspension | 12.48 | NA | 6.18 | 1.23 | NA | 19.89 | 090 | |
| 51992 | A | Laparo sling operation | 13.99 | NA | 6.24 | 1.12 | NA | 21.35 | 090 | |
| 52000 | A | Cystoscopy | 2.01 | 3.38 | 0.76 | 0.14 | 5.53 | 2.91 | 000 | |
| 52001 | A | Cystoscopy, removal of clots | 5.44 | 5.18 | 1.87 | 0.39 | 11.01 | 7.70 | 000 | |
| 52005 | A | Cystoscopy ureter catheter | 2.37 | 5.98 | 0.90 | 0.18 | 8.53 | 3.45 | 000 | |
| 52007 | A | Cystoscopy and biopsy | 3.02 | NA | 1.15 | 0.22 | NA | 4.39 | 000 | |
| 52010 | A | Cystoscopy duct catheter | 3.02 | NA | 1.13 | 0.22 | NA | 4.37 | 000 | |
| 52204 | A | Cystoscopy | 2.37 | 3.63 | 0.91 | 0.18 | 6.18 | 3.46 | 000 | |
| 52214 | A | Cystoscopy and treatment | 3.70 | NA | 1.33 | 0.27 | NA | 5.30 | 000 | |
| 52224 | A | Cystoscopy and treatment | 3.14 | NA | 1.15 | 0.22 | NA | 4.51 | 000 | |
| 52234 | A | Cystoscopy and treatment | 4.62 | NA | 1.63 | 0.33 | NA | 6.58 | 000 | |
| 52235 | A | Cystoscopy and treatment | 5.44 | NA | 1.90 | 0.39 | NA | 7.73 | 000 | |
| 52240 | A | Cystoscopy and treatment | 9.71 | NA | 3.30 | 0.70 | NA | 13.71 | 000 | |
| 52250 | A | Cystoscopy and radiotracer | 4.49 | NA | 1.66 | 0.33 | NA | 6.48 | 000 | |
| 52260 | A | Cystoscopy and treatment | 3.91 | NA | 1.43 | 0.28 | NA | 5.62 | 000 | |
| 52265 | A | Cystoscopy and treatment | 2.94 | 3.75 | 1.12 | 0.22 | 6.91 | 4.28 | 000 | |
| 52270 | A | Cystoscopy revise urethra | 3.36 | NA | 1.25 | 0.24 | NA | 4.85 | 000 | |
| 52275 | A | Cystoscopy revise urethra | 4.69 | NA | 1.67 | 0.34 | NA | 6.70 | 000 | |
| 52276 | A | Cystoscopy and treatment | 4.99 | NA | 1.79 | 0.36 | NA | 7.14 | 000 | |
| 52277 | A | Cystoscopy and treatment | 6.16 | NA | 2.26 | 0.46 | NA | 8.88 | 000 | |
| 52281 | A | Cystoscopy and treatment | 2.80 | 7.43 | 1.08 | 0.21 | 10.44 | 4.09 | 000 | |
| 52282 | A | Cystoscopy, implant stent | 6.39 | NA | 2.24 | 0.46 | NA | 9.09 | 000 | |
| 52283 | A | Cystoscopy and treatment | 3.73 | 4.03 | 1.39 | 0.27 | 8.03 | 5.39 | 000 | |
| 52285 | A | Cystoscopy and treatment | 3.60 | 4.10 | 1.34 | 0.27 | 7.97 | 5.21 | 000 | |
| 52290 | A | Cystoscopy and treatment | 4.58 | NA | 1.66 | 0.33 | NA | 6.57 | 000 | |
| 52300 | A | Cystoscopy and treatment | 5.30 | NA | 1.91 | 0.39 | NA | 7.60 | 000 | |
| 52301 | A | Cystoscopy and treatment | 5.50 | NA | 2.00 | 0.47 | NA | 7.97 | 000 | |
| 52305 | A | Cystoscopy and treatment | 5.30 | NA | 1.86 | 0.37 | NA | 7.53 | 000 | |
| 52310 | A | Cystoscopy and treatment | 2.81 | 3.53 | 1.04 | 0.21 | 6.55 | 4.06 | 000 | |
| 52315 | A | Cystoscopy and treatment | 5.20 | NA | 1.84 | 0.37 | NA | 7.41 | 000 | |
| 52317 | A | Remove bladder stone | 6.71 | NA | 2.28 | 0.48 | NA | 9.47 | 000 | |
| 52318 | A | Remove bladder stone | 9.18 | NA | 3.10 | 0.65 | NA | 12.93 | 000 | |
| 52320 | A | Cystoscopy and treatment | 4.69 | NA | 1.64 | 0.34 | NA | 6.67 | 000 | |
| 52325 | A | Cystoscopy, stone removal | 6.15 | NA | 2.11 | 0.45 | NA | 8.71 | 000 | |
| 52327 | A | Cystoscopy, inject material | 5.18 | NA | 1.83 | 0.39 | NA | 7.40 | 000 | |
| 52330 | A | Cystoscopy and treatment | 5.03 | NA | 1.76 | 0.36 | NA | 7.15 | 000 | |
| 52332 | A | Cystoscopy and treatment | 2.83 | NA | 1.06 | 0.21 | NA | 4.10 | 000 | |
| 52334 | A | Create passage to kidney | 4.82 | NA | 1.76 | 0.34 | NA | 6.92 | 000 | |
| 52341 | A | Cysto w/ureter stricture tx | 5.99 | NA | 2.22 | 0.45 | NA | 8.66 | 000 | |
| 52342 | A | Cysto w/up stricture tx | 6.49 | NA | 2.35 | 0.48 | NA | 9.32 | 000 | |
| 52343 | A | Cysto w/renal stricture tx | 7.19 | NA | 2.59 | 0.53 | NA | 10.31 | 000 | |
| 52344 | A | Cysto/uretero, stone remove | 7.69 | NA | 2.80 | 0.57 | NA | 11.06 | 000 | |
| 52345 | A | Cysto/uretero w/up stricture | 8.19 | NA | 2.96 | 0.60 | NA | 11.75 | 000 | |
| 52346 | A | Cystouretero w/renal strict | 9.22 | NA | 3.29 | 0.69 | NA | 13.20 | 000 | |
| 52347 | A | Cystoscopy, resect ducts | 5.27 | NA | 1.71 | 0.40 | NA | 7.38 | 000 | |
| 52351 | A | Cystouretero or pyeloscope | 5.85 | NA | 2.14 | 0.43 | NA | 8.42 | 000 | |
| 52352 | A | Cystouretero w/stone remove | 6.87 | NA | 2.51 | 0.51 | NA | 9.89 | 000 | |
| 52353 | A | Cystouretero w/lithotripsy | 7.96 | NA | 2.86 | 0.59 | NA | 11.41 | 000 | |
| 52354 | A | Cystouretero w/biopsy | 7.33 | NA | 2.67 | 0.54 | NA | 10.54 | 000 | |
| 52355 | A | Cystouretero w/excise tumor | 8.81 | NA | 3.15 | 0.66 | NA | 12.62 | 000 | |
| 52400 | A | Cystouretero w/congen repr | 9.67 | NA | 3.78 | 0.72 | NA | 14.17 | 090 | |
| 52450 | A | Incision of prostate | 7.63 | NA | 3.71 | 0.55 | NA | 11.89 | 090 | |
| 52500 | A | Revision of bladder neck | 8.46 | NA | 3.96 | 0.60 | NA | 13.02 | 090 | |
| 52510 | A | Dilation prostatic urethra | 6.71 | NA | 3.14 | 0.48 | NA | 10.33 | 090 | |
| 52601 | A | Prostatectomy (TURP) | 12.35 | NA | 5.15 | 0.89 | NA | 18.39 | 090 | |
| 52606 | A | Control postop bleeding | 8.12 | NA | 3.58 | 0.59 | NA | 12.29 | 090 | |
| 52612 | A | Prostatectomy, first stage | 7.97 | NA | 3.77 | 0.58 | NA | 12.32 | 090 | |
| 52614 | A | Prostatectomy, second stage | 6.83 | NA | 3.38 | 0.49 | NA | 10.70 | 090 | |
| 52620 | A | Remove residual prostate | 6.60 | NA | 3.01 | 0.47 | NA | 10.08 | 090 | |
| 52630 | A | Remove prostate regrowth | 7.25 | NA | 3.22 | 0.52 | NA | 10.99 | 090 | |
| 52640 | A | Relieve bladder contracture | 6.61 | NA | 2.98 | 0.47 | NA | 10.06 | 090 | |
| 52647 | A | Laser surgery of prostate | 10.34 | 76.71 | 4.57 | 0.74 | 87.79 | 15.65 | 090 | |
| 52648 | A | Laser surgery of prostate | 11.19 | NA | 4.84 | 0.80 | NA | 16.83 | 090 | |
| 52700 | A | Drainage of prostate abscess | 6.79 | NA | 3.21 | 0.49 | NA | 10.49 | 090 | |
| 53000 | A | Incision of urethra | 2.28 | NA | 1.57 | 0.16 | NA | 4.01 | 010 | |
| 53010 | A | Incision of urethra | 3.63 | NA | 3.02 | 0.24 | NA | 6.89 | 090 | |
| 53020 | A | Incision of urethra | 1.77 | 3.10 | 0.67 | 0.13 | 5.00 | 2.57 | 000 | |
| 53025 | A | Incision of urethra | 1.13 | 3.87 | 0.51 | 0.08 | 5.08 | 1.72 | 000 | |
| 53040 | A | Drainage of urethra abscess | 6.39 | 11.28 | 6.33 | 0.49 | 18.16 | 13.21 | 090 | |
| 53060 | A | Drainage of urethra abscess | 2.63 | NA | 1.45 | 0.28 | NA | 4.36 | 010 | |
| 53080 | A | Drainage of urinary leakage | 6.28 | NA | 6.17 | 0.51 | NA | 12.96 | 090 | |
| 53085 | A | Drainage of urinary leakage | 10.25 | NA | 7.63 | 0.81 | NA | 18.69 | 090 | |
| 53200 | A | Biopsy of urethra | 2.59 | 4.29 | 0.98 | 0.21 | 7.09 | 3.78 | 000 | |
| 53210 | A | Removal of urethra | 12.55 | NA | 5.98 | 0.98 | NA | 19.51 | 090 | |
| 53215 | A | Removal of urethra | 15.56 | NA | 6.77 | 1.12 | NA | 23.45 | 090 | |
| 53220 | A | Treatment of urethra lesion | 6.99 | NA | 3.84 | 0.53 | NA | 11.36 | 090 | |
| 53230 | A | Removal of urethra lesion | 9.57 | NA | 4.84 | 0.72 | NA | 15.13 | 090 | |
| 53235 | A | Removal of urethra lesion | 10.12 | NA | 5.02 | 0.72 | NA | 15.86 | 090 | |
| 53240 | A | Surgery for urethra pouch | 6.44 | NA | 3.64 | 0.51 | NA | 10.59 | 090 | |
| 53250 | A | Removal of urethra gland | 5.88 | NA | 3.38 | 0.42 | NA | 9.68 | 090 | |
| 53260 | A | Treatment of urethra lesion | 2.98 | 3.28 | 1.80 | 0.28 | 6.54 | 5.06 | 010 | |
| 53265 | A | Treatment of urethra lesion | 3.12 | NA | 1.84 | 0.24 | NA | 5.20 | 010 | |
| 53270 | A | Removal of urethra gland | 3.09 | NA | 1.87 | 0.25 | NA | 5.21 | 010 | |
| 53275 | A | Repair of urethra defect | 4.52 | NA | 2.28 | 0.34 | NA | 7.14 | 010 | |
| 53400 | A | Revise urethra, stage 1 | 12.75 | NA | 6.10 | 1.03 | NA | 19.88 | 090 | |
| 53405 | A | Revise urethra, stage 2 | 14.46 | NA | 6.45 | 1.10 | NA | 22.01 | 090 | |
| 53410 | A | Reconstruction of urethra | 16.42 | NA | 7.20 | 1.19 | NA | 24.81 | 090 | |
| 53415 | A | Reconstruction of urethra | 19.38 | NA | 7.47 | 1.40 | NA | 28.25 | 090 | |
| 53420 | A | Reconstruct urethra, stage 1 | 14.06 | NA | 6.45 | 1.09 | NA | 21.60 | 090 | |
| 53425 | A | Reconstruct urethra, stage 2 | 15.96 | NA | 7.05 | 1.17 | NA | 24.18 | 090 | |
| 53430 | A | Reconstruction of urethra | 16.32 | NA | 7.13 | 1.22 | NA | 24.67 | 090 | |
| 53431 | A | Reconstruct urethra/bladder | 19.86 | NA | 8.17 | 1.57 | NA | 29.60 | 090 | |
| 53440 | A | Male sling procedure | 13.60 | NA | 6.04 | 0.88 | NA | 20.52 | 090 | |
| 53442 | A | Remove/revise male sling | 11.55 | NA | 5.51 | 0.66 | NA | 17.72 | 090 | |
| 53444 | A | Insert tandem cuff | 13.38 | NA | 5.91 | 1.06 | NA | 20.35 | 090 | |
| 53445 | A | Insert uro/ves nck sphincter | 14.04 | NA | 7.26 | 1.01 | NA | 22.31 | 090 | |
| 53446 | A | Remove uro sphincter | 10.21 | NA | 5.27 | 0.81 | NA | 16.29 | 090 | |
| 53447 | A | Remove/replace ur sphincter | 13.47 | NA | 6.48 | 0.95 | NA | 20.90 | 090 | |
| 53448 | A | Remov/replc ur sphinctr comp | 21.12 | NA | 9.13 | 1.68 | NA | 31.93 | 090 | |
| 53449 | A | Repair uro sphincter | 9.69 | NA | 4.85 | 0.69 | NA | 15.23 | 090 | |
| 53450 | A | Revision of urethra | 6.13 | NA | 3.40 | 0.45 | NA | 9.98 | 090 | |
| 53460 | A | Revision of urethra | 7.11 | NA | 3.82 | 0.52 | NA | 11.45 | 090 | |
| 53500 | A | Urethrlys, transvag w/ scope | 12.19 | NA | 6.19 | 0.89 | NA | 19.27 | 090 | |
| 53502 | A | Repair of urethra injury | 7.62 | NA | 4.11 | 0.60 | NA | 12.33 | 090 | |
| 53505 | A | Repair of urethra injury | 7.62 | NA | 3.99 | 0.55 | NA | 12.16 | 090 | |
| 53510 | A | Repair of urethra injury | 10.09 | NA | 5.29 | 0.72 | NA | 16.10 | 090 | |
| 53515 | A | Repair of urethra injury | 13.29 | NA | 6.05 | 1.00 | NA | 20.34 | 090 | |
| 53520 | A | Repair of urethra defect | 8.67 | NA | 4.60 | 0.64 | NA | 13.91 | 090 | |
| 53600 | A | Dilate urethra stricture | 1.21 | 1.17 | 0.43 | 0.08 | 2.46 | 1.72 | 000 | |
| 53601 | A | Dilate urethra stricture | 0.98 | 1.30 | 0.38 | 0.07 | 2.35 | 1.43 | 000 | |
| 53605 | A | Dilate urethra stricture | 1.28 | NA | 0.41 | 0.10 | NA | 1.79 | 000 | |
| 53620 | A | Dilate urethra stricture | 1.62 | 2.04 | 0.60 | 0.12 | 3.78 | 2.34 | 000 | |
| 53621 | A | Dilate urethra stricture | 1.35 | 2.13 | 0.50 | 0.10 | 3.58 | 1.95 | 000 | |
| 53660 | A | Dilation of urethra | 0.71 | 1.34 | 0.33 | 0.05 | 2.10 | 1.09 | 000 | |
| 53661 | A | Dilation of urethra | 0.72 | 1.34 | 0.30 | 0.05 | 2.11 | 1.07 | 000 | |
| 53665 | A | Dilation of urethra | 0.76 | NA | 0.26 | 0.06 | NA | 1.08 | 000 | |
| 53850 | A | Prostatic microwave thermotx | 9.44 | 97.84 | 4.30 | 0.68 | 107.96 | 14.42 | 090 | |
| 53852 | A | Prostatic rf thermotx | 9.87 | 93.04 | 4.69 | 0.70 | 103.61 | 15.26 | 090 | |
| 53853 | A | Prostatic water thermother | 5.23 | 57.88 | 3.18 | 0.33 | 63.44 | 8.74 | 090 | |
| 53899 | C | Urology surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54000 | A | Slitting of prepuce | 1.54 | NA | 1.33 | 0.12 | NA | 2.99 | 010 | |
| 54001 | A | Slitting of prepuce | 2.19 | 4.30 | 1.51 | 0.17 | 6.66 | 3.87 | 010 | |
| 54015 | A | Drain penis lesion | 5.31 | NA | 2.59 | 0.40 | NA | 8.30 | 010 | |
| 54050 | A | Destruction, penis lesion(s) | 1.24 | 1.69 | 1.05 | 0.08 | 3.01 | 2.37 | 010 | |
| 54055 | A | Destruction, penis lesion(s) | 1.22 | 1.60 | 0.80 | 0.08 | 2.90 | 2.10 | 010 | |
| 54056 | A | Cryosurgery, penis lesion(s) | 1.24 | 2.48 | 1.35 | 0.07 | 3.79 | 2.66 | 010 | |
| 54057 | A | Laser surg, penis lesion(s) | 1.24 | NA | 0.87 | 0.10 | NA | 2.21 | 010 | |
| 54060 | A | Excision of penis lesion(s) | 1.93 | 3.88 | 1.45 | 0.14 | 5.95 | 3.52 | 010 | |
| 54065 | A | Destruction, penis lesion(s) | 2.42 | NA | 1.72 | 0.16 | NA | 4.30 | 010 | |
| 54100 | A | Biopsy of penis | 1.90 | 2.87 | 0.82 | 0.12 | 4.89 | 2.84 | 000 | |
| 54105 | A | Biopsy of penis | 3.49 | NA | 1.96 | 0.25 | NA | 5.70 | 010 | |
| 54110 | A | Treatment of penis lesion | 10.11 | NA | 5.64 | 0.72 | NA | 16.47 | 090 | |
| 54111 | A | Treat penis lesion, graft | 13.55 | NA | 6.69 | 0.95 | NA | 21.19 | 090 | |
| 54112 | A | Treat penis lesion, graft | 15.84 | NA | 7.69 | 1.13 | NA | 24.66 | 090 | |
| 54115 | A | Treatment of penis lesion | 6.14 | 8.53 | 4.47 | 0.47 | 15.14 | 11.08 | 090 | |
| 54120 | A | Partial removal of penis | 9.96 | NA | 5.60 | 0.72 | NA | 16.28 | 090 | |
| 54125 | A | Removal of penis | 13.51 | NA | 6.75 | 0.98 | NA | 21.24 | 090 | |
| 54130 | A | Remove penis nodes | 20.11 | NA | 9.10 | 1.44 | NA | 30.65 | 090 | |
| 54135 | A | Remove penis nodes | 26.32 | NA | 11.10 | 1.91 | NA | 39.33 | 090 | |
| 54150 | A | Circumcision | 1.81 | NA | 0.97 | 0.21 | NA | 2.99 | 010 | |
| 54152 | A | Circumcision | 2.31 | NA | 1.20 | 0.19 | NA | 3.70 | 010 | |
| 54160 | A | Circumcision | 2.48 | NA | 1.11 | 0.19 | NA | 3.78 | 010 | |
| 54161 | A | Circumcision | 3.27 | NA | 1.57 | 0.24 | NA | 5.08 | 010 | |
| 54162 | A | Lysis penil circumic lesion | 3.00 | NA | 2.00 | 0.24 | NA | 5.24 | 010 | |
| 54163 | A | Repair of circumcision | 3.00 | NA | 2.01 | 0.24 | NA | 5.25 | 010 | |
| 54164 | A | Frenulotomy of penis | 2.50 | NA | 1.85 | 0.19 | NA | 4.54 | 010 | |
| 54200 | A | Treatment of penis lesion | 1.06 | 1.85 | 0.99 | 0.07 | 2.98 | 2.12 | 010 | |
| 54205 | A | Treatment of penis lesion | 7.92 | NA | 4.83 | 0.57 | NA | 13.32 | 090 | |
| 54220 | A | Treatment of penis lesion | 2.42 | 3.94 | 0.96 | 0.18 | 6.54 | 3.56 | 000 | |
| 54230 | A | Prepare penis study | 1.34 | 1.12 | 0.62 | 0.10 | 2.56 | 2.06 | 000 | |
| 54231 | A | Dynamic cavernosometry | 2.04 | 1.40 | 0.87 | 0.17 | 3.61 | 3.08 | 000 | |
| 54235 | A | Penile injection | 1.19 | 0.98 | 0.58 | 0.08 | 2.25 | 1.85 | 000 | |
| 54240 | A | Penis study | 1.31 | 1.01 | NA | 0.16 | 2.48 | NA | 000 | |
| 54240 | 26 | A | Penis study | 1.31 | 0.42 | 0.42 | 0.10 | 1.83 | 1.83 | 000 |
| 54240 | TC | A | Penis study | 0.00 | 0.59 | NA | 0.06 | 0.65 | NA | 000 |
| 54250 | A | Penis study | 2.22 | 0.93 | NA | 0.19 | 3.34 | NA | 000 | |
| 54250 | 26 | A | Penis study | 2.22 | 0.71 | 0.71 | 0.17 | 3.10 | 3.10 | 000 |
| 54250 | TC | A | Penis study | 0.00 | 0.22 | NA | 0.02 | 0.24 | NA | 000 |
| 54300 | A | Revision of penis | 10.39 | NA | 5.75 | 0.77 | NA | 16.91 | 090 | |
| 54304 | A | Revision of penis | 12.47 | NA | 6.54 | 0.89 | NA | 19.90 | 090 | |
| 54308 | A | Reconstruction of urethra | 11.81 | NA | 6.17 | 0.84 | NA | 18.82 | 090 | |
| 54312 | A | Reconstruction of urethra | 13.55 | NA | 7.20 | 0.98 | NA | 21.73 | 090 | |
| 54316 | A | Reconstruction of urethra | 16.79 | NA | 8.15 | 1.21 | NA | 26.15 | 090 | |
| 54318 | A | Reconstruction of urethra | 11.23 | NA | 6.00 | 1.39 | NA | 18.62 | 090 | |
| 54322 | A | Reconstruction of urethra | 12.99 | NA | 6.63 | 0.93 | NA | 20.55 | 090 | |
| 54324 | A | Reconstruction of urethra | 16.29 | NA | 8.22 | 1.24 | NA | 25.75 | 090 | |
| 54326 | A | Reconstruction of urethra | 15.70 | NA | 8.00 | 1.12 | NA | 24.82 | 090 | |
| 54328 | A | Revise penis/urethra | 15.63 | NA | 7.45 | 1.11 | NA | 24.19 | 090 | |
| 54332 | A | Revise penis/urethra | 17.05 | NA | 7.93 | 1.22 | NA | 26.20 | 090 | |
| 54336 | A | Revise penis/urethra | 20.01 | NA | 10.71 | 2.29 | NA | 33.01 | 090 | |
| 54340 | A | Secondary urethral surgery | 8.90 | NA | 5.25 | 0.87 | NA | 15.02 | 090 | |
| 54344 | A | Secondary urethral surgery | 15.92 | NA | 7.97 | 1.33 | NA | 25.22 | 090 | |
| 54348 | A | Secondary urethral surgery | 17.12 | NA | 8.60 | 1.23 | NA | 26.95 | 090 | |
| 54352 | A | Reconstruct urethra/penis | 24.70 | NA | 11.50 | 1.95 | NA | 38.15 | 090 | |
| 54360 | A | Penis plastic surgery | 11.91 | NA | 6.19 | 0.87 | NA | 18.97 | 090 | |
| 54380 | A | Repair penis | 13.16 | NA | 6.83 | 1.40 | NA | 21.39 | 090 | |
| 54385 | A | Repair penis | 15.37 | NA | 8.49 | 0.86 | NA | 24.72 | 090 | |
| 54390 | A | Repair penis and bladder | 21.58 | NA | 9.61 | 1.54 | NA | 32.73 | 090 | |
| 54400 | A | Insert semi-rigid prosthesis | 8.98 | NA | 4.47 | 0.64 | NA | 14.09 | 090 | |
| 54401 | A | Insert self-contd prosthesis | 10.26 | NA | 5.83 | 0.74 | NA | 16.83 | 090 | |
| 54405 | A | Insert multi-comp penis pros | 13.41 | NA | 6.06 | 0.96 | NA | 20.43 | 090 | |
| 54406 | A | Remove muti-comp penis pros | 12.08 | NA | 5.46 | 0.90 | NA | 18.44 | 090 | |
| 54408 | A | Repair multi-comp penis pros | 12.73 | NA | 5.77 | 0.95 | NA | 19.45 | 090 | |
| 54410 | A | Remove/replace penis prosth | 15.48 | NA | 6.66 | 1.16 | NA | 23.30 | 090 | |
| 54411 | A | Remov/replc penis pros, comp | 15.98 | NA | 7.09 | 0.96 | NA | 24.03 | 090 | |
| 54415 | A | Remove self-contd penis pros | 8.19 | NA | 4.22 | 0.65 | NA | 13.06 | 090 | |
| 54416 | A | Remv/repl penis contain pros | 10.85 | NA | 5.41 | 0.66 | NA | 16.92 | 090 | |
| 54417 | A | Remv/replc penis pros, compl | 14.17 | NA | 6.21 | 0.66 | NA | 21.04 | 090 | |
| 54420 | A | Revision of penis | 11.40 | NA | 5.71 | 0.87 | NA | 17.98 | 090 | |
| 54430 | A | Revision of penis | 10.13 | NA | 5.25 | 0.72 | NA | 16.10 | 090 | |
| 54435 | A | Revision of penis | 6.11 | NA | 3.73 | 0.43 | NA | 10.27 | 090 | |
| 54440 | C | Repair of penis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 54450 | A | Preputial stretching | 1.12 | 1.11 | 0.47 | 0.08 | 2.31 | 1.67 | 000 | |
| 54500 | A | Biopsy of testis | 1.31 | 0.61 | 0.56 | 0.10 | 2.02 | 1.97 | 000 | |
| 54505 | A | Biopsy of testis | 3.45 | NA | 1.93 | 0.25 | NA | 5.63 | 010 | |
| 54512 | A | Excise lesion testis | 8.57 | NA | 4.15 | 0.68 | NA | 13.40 | 090 | |
| 54520 | A | Removal of testis | 5.22 | NA | 2.85 | 0.40 | NA | 8.47 | 090 | |
| 54522 | A | Orchiectomy, partial | 9.49 | NA | 4.91 | 0.75 | NA | 15.15 | 090 | |
| 54530 | A | Removal of testis | 8.57 | NA | 4.31 | 0.64 | NA | 13.52 | 090 | |
| 54535 | A | Extensive testis surgery | 12.14 | NA | 5.66 | 1.00 | NA | 18.80 | 090 | |
| 54550 | A | Exploration for testis | 7.77 | NA | 3.90 | 0.59 | NA | 12.26 | 090 | |
| 54560 | A | Exploration for testis | 11.11 | NA | 5.28 | 0.95 | NA | 17.34 | 090 | |
| 54600 | A | Reduce testis torsion | 7.00 | NA | 3.61 | 0.54 | NA | 11.15 | 090 | |
| 54620 | A | Suspension of testis | 4.89 | NA | 2.47 | 0.37 | NA | 7.73 | 010 | |
| 54640 | A | Suspension of testis | 6.89 | NA | 3.80 | 0.59 | NA | 11.28 | 090 | |
| 54650 | A | Orchiopexy (Fowler-Stephens) | 11.43 | NA | 5.52 | 0.98 | NA | 17.93 | 090 | |
| 54660 | A | Revision of testis | 5.10 | NA | 3.05 | 0.42 | NA | 8.57 | 090 | |
| 54670 | A | Repair testis injury | 6.40 | NA | 3.61 | 0.49 | NA | 10.50 | 090 | |
| 54680 | A | Relocation of testis(es) | 12.63 | NA | 6.29 | 1.13 | NA | 20.05 | 090 | |
| 54690 | A | Laparoscopy, orchiectomy | 10.94 | NA | 5.06 | 1.19 | NA | 17.19 | 090 | |
| 54692 | A | Laparoscopy, orchiopexy | 12.86 | NA | 5.45 | 1.05 | NA | 19.36 | 090 | |
| 54699 | C | Laparoscope proc, testis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54700 | A | Drainage of scrotum | 3.42 | NA | 1.95 | 0.28 | NA | 5.65 | 010 | |
| 54800 | A | Biopsy of epididymis | 2.33 | 0.95 | 0.90 | 0.17 | 3.45 | 3.40 | 000 | |
| 54820 | A | Exploration of epididymis | 5.13 | NA | 3.00 | 0.40 | NA | 8.53 | 090 | |
| 54830 | A | Remove epididymis lesion | 5.37 | NA | 3.08 | 0.41 | NA | 8.86 | 090 | |
| 54840 | A | Remove epididymis lesion | 5.19 | NA | 2.84 | 0.37 | NA | 8.40 | 090 | |
| 54860 | A | Removal of epididymis | 6.31 | NA | 3.37 | 0.46 | NA | 10.14 | 090 | |
| 54861 | A | Removal of epididymis | 8.89 | NA | 4.38 | 0.63 | NA | 13.90 | 090 | |
| 54900 | A | Fusion of spermatic ducts | 13.18 | NA | 5.86 | 1.62 | NA | 20.66 | 090 | |
| 54901 | A | Fusion of spermatic ducts | 17.91 | NA | 7.56 | 2.21 | NA | 27.68 | 090 | |
| 55000 | A | Drainage of hydrocele | 1.43 | 2.11 | 0.65 | 0.12 | 3.66 | 2.20 | 000 | |
| 55040 | A | Removal of hydrocele | 5.35 | NA | 2.96 | 0.42 | NA | 8.73 | 090 | |
| 55041 | A | Removal of hydroceles | 7.73 | NA | 4.04 | 0.60 | NA | 12.37 | 090 | |
| 55060 | A | Repair of hydrocele | 5.51 | NA | 3.13 | 0.45 | NA | 9.09 | 090 | |
| 55100 | A | Drainage of scrotum abscess | 2.13 | 3.77 | 1.59 | 0.18 | 6.08 | 3.90 | 010 | |
| 55110 | A | Explore scrotum | 5.69 | NA | 3.18 | 0.43 | NA | 9.30 | 090 | |
| 55120 | A | Removal of scrotum lesion | 5.08 | 5.76 | 2.98 | 0.40 | 11.24 | 8.46 | 090 | |
| 55150 | A | Removal of scrotum | 7.21 | NA | 3.96 | 0.57 | NA | 11.74 | 090 | |
| 55175 | A | Revision of scrotum | 5.23 | NA | 3.06 | 0.40 | NA | 8.69 | 090 | |
| 55180 | A | Revision of scrotum | 10.70 | NA | 5.46 | 0.87 | NA | 17.03 | 090 | |
| 55200 | A | Incision of sperm duct | 4.23 | 5.53 | 2.41 | 0.30 | 10.06 | 6.94 | 090 | |
| 55250 | A | Removal of sperm duct(s) | 3.29 | 9.07 | 2.78 | 0.25 | 12.61 | 6.32 | 090 | |
| 55300 | A | Prepare, sperm duct x-ray | 3.50 | NA | 1.31 | 0.24 | NA | 5.05 | 000 | |
| 55400 | A | Repair of sperm duct | 8.48 | NA | 4.17 | 0.60 | NA | 13.25 | 090 | |
| 55450 | A | Ligation of sperm duct | 4.11 | 7.21 | 1.87 | 0.29 | 11.61 | 6.27 | 010 | |
| 55500 | A | Removal of hydrocele | 5.58 | NA | 3.15 | 0.52 | NA | 9.25 | 090 | |
| 55520 | A | Removal of sperm cord lesion | 6.02 | NA | 3.31 | 0.68 | NA | 10.01 | 090 | |
| 55530 | A | Revise spermatic cord veins | 5.65 | NA | 3.07 | 0.43 | NA | 9.15 | 090 | |
| 55535 | A | Revise spermatic cord veins | 6.55 | NA | 3.45 | 0.51 | NA | 10.51 | 090 | |
| 55540 | A | Revise hernia sperm veins | 7.66 | NA | 3.86 | 0.89 | NA | 12.41 | 090 | |
| 55550 | A | Laparo ligate spermatic vein | 6.56 | NA | 3.32 | 0.57 | NA | 10.45 | 090 | |
| 55559 | C | Laparo proc, spermatic cord | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55600 | A | Incise sperm duct pouch | 6.37 | NA | 3.39 | 0.46 | NA | 10.22 | 090 | |
| 55605 | A | Incise sperm duct pouch | 7.95 | NA | 4.36 | 0.65 | NA | 12.96 | 090 | |
| 55650 | A | Remove sperm duct pouch | 11.78 | NA | 5.35 | 0.87 | NA | 18.00 | 090 | |
| 55680 | A | Remove sperm pouch lesion | 5.18 | NA | 3.03 | 0.37 | NA | 8.58 | 090 | |
| 55700 | A | Biopsy of prostate | 1.57 | 4.33 | 0.71 | 0.12 | 6.02 | 2.40 | 000 | |
| 55705 | A | Biopsy of prostate | 4.56 | NA | 2.32 | 0.31 | NA | 7.19 | 010 | |
| 55720 | A | Drainage of prostate abscess | 7.63 | NA | 3.95 | 0.53 | NA | 12.11 | 090 | |
| 55725 | A | Drainage of prostate abscess | 8.67 | NA | 4.62 | 0.62 | NA | 13.91 | 090 | |
| 55801 | A | Removal of prostate | 17.77 | NA | 7.38 | 1.30 | NA | 26.45 | 090 | |
| 55810 | A | Extensive prostate surgery | 22.55 | NA | 8.71 | 1.63 | NA | 32.89 | 090 | |
| 55812 | A | Extensive prostate surgery | 27.47 | NA | 11.14 | 2.04 | NA | 40.65 | 090 | |
| 55815 | A | Extensive prostate surgery | 30.41 | NA | 12.07 | 2.22 | NA | 44.70 | 090 | |
| 55821 | A | Removal of prostate | 14.23 | NA | 6.32 | 1.03 | NA | 21.58 | 090 | |
| 55831 | A | Removal of prostate | 15.60 | NA | 6.77 | 1.13 | NA | 23.50 | 090 | |
| 55840 | A | Extensive prostate surgery | 22.66 | NA | 9.44 | 1.65 | NA | 33.75 | 090 | |
| 55842 | A | Extensive prostate surgery | 24.34 | NA | 10.01 | 1.79 | NA | 36.14 | 090 | |
| 55845 | A | Extensive prostate surgery | 28.51 | NA | 11.11 | 2.06 | NA | 41.68 | 090 | |
| 55859 | A | Percut/needle insert, pros | 12.50 | NA | 5.91 | 0.89 | NA | 19.30 | 090 | |
| 55860 | A | Surgical exposure, prostate | 14.43 | NA | 6.44 | 0.99 | NA | 21.86 | 090 | |
| 55862 | A | Extensive prostate surgery | 18.36 | NA | 7.96 | 1.37 | NA | 27.69 | 090 | |
| 55865 | A | Extensive prostate surgery | 22.84 | NA | 9.38 | 1.65 | NA | 33.87 | 090 | |
| 55866 | A | Laparo radical prostatectomy | 30.69 | NA | 11.81 | 1.65 | NA | 44.15 | 090 | |
| 55870 | A | Electroejaculation | 2.58 | 1.54 | 1.09 | 0.17 | 4.29 | 3.84 | 000 | |
| 55873 | A | Cryoablate prostate | 19.44 | NA | 9.02 | 1.23 | NA | 29.69 | 090 | |
| 55899 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55970 | N | Sex transformation, M to F | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 55980 | N | Sex transformation, F to M | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 56405 | A | I D of vulva/perineum | 1.44 | 1.33 | 1.15 | 0.17 | 2.94 | 2.76 | 010 | |
| 56420 | A | Drainage of gland abscess | 1.39 | 2.29 | 1.09 | 0.16 | 3.84 | 2.64 | 010 | |
| 56440 | A | Surgery for vulva lesion | 2.84 | NA | 1.71 | 0.34 | NA | 4.89 | 010 | |
| 56441 | A | Lysis of labial lesion(s) | 1.97 | 1.83 | 1.42 | 0.21 | 4.01 | 3.60 | 010 | |
| 56501 | A | Destroy, vulva lesions, sim | 1.53 | 1.79 | 1.25 | 0.18 | 3.50 | 2.96 | 010 | |
| 56515 | A | Destroy vulva lesion/s compl | 2.76 | 2.55 | 1.81 | 0.22 | 5.53 | 4.79 | 010 | |
| 56605 | A | Biopsy of vulva/perineum | 1.10 | 1.09 | 0.46 | 0.13 | 2.32 | 1.69 | 000 | |
| 56606 | A | Biopsy of vulva/perineum | 0.55 | 0.49 | 0.22 | 0.07 | 1.11 | 0.84 | ZZZ | |
| 56620 | A | Partial removal of vulva | 7.46 | NA | 4.84 | 0.92 | NA | 13.22 | 090 | |
| 56625 | A | Complete removal of vulva | 8.39 | NA | 5.39 | 1.01 | NA | 14.79 | 090 | |
| 56630 | A | Extensive vulva surgery | 12.34 | NA | 6.96 | 1.48 | NA | 20.78 | 090 | |
| 56631 | A | Extensive vulva surgery | 16.18 | NA | 8.96 | 1.97 | NA | 27.11 | 090 | |
| 56632 | A | Extensive vulva surgery | 20.26 | NA | 9.62 | 2.45 | NA | 32.33 | 090 | |
| 56633 | A | Extensive vulva surgery | 16.45 | NA | 8.70 | 2.00 | NA | 27.15 | 090 | |
| 56634 | A | Extensive vulva surgery | 17.85 | NA | 9.59 | 2.15 | NA | 29.59 | 090 | |
| 56637 | A | Extensive vulva surgery | 21.94 | NA | 11.23 | 2.63 | NA | 35.80 | 090 | |
| 56640 | A | Extensive vulva surgery | 22.14 | NA | 10.80 | 2.73 | NA | 35.67 | 090 | |
| 56700 | A | Partial removal of hymen | 2.52 | NA | 1.73 | 0.29 | NA | 4.54 | 010 | |
| 56720 | A | Incision of hymen | 0.68 | NA | 0.39 | 0.08 | NA | 1.15 | 000 | |
| 56740 | A | Remove vagina gland lesion | 4.56 | NA | 2.47 | 0.45 | NA | 7.48 | 010 | |
| 56800 | A | Repair of vagina | 3.88 | NA | 2.19 | 0.45 | NA | 6.52 | 010 | |
| 56805 | A | Repair clitoris | 18.83 | NA | 9.43 | 2.20 | NA | 30.46 | 090 | |
| 56810 | A | Repair of perineum | 4.12 | NA | 2.30 | 0.49 | NA | 6.91 | 010 | |
| 56820 | A | Exam of vulva w/scope | 1.50 | 1.34 | 0.63 | 0.12 | 2.96 | 2.25 | 000 | |
| 56821 | A | Exam/biopsy of vulva w/scope | 2.05 | 1.78 | 0.90 | 0.16 | 3.99 | 3.11 | 000 | |
| 57000 | A | Exploration of vagina | 2.97 | NA | 1.73 | 0.34 | NA | 5.04 | 010 | |
| 57010 | A | Drainage of pelvic abscess | 6.02 | NA | 3.85 | 0.69 | NA | 10.56 | 090 | |
| 57020 | A | Drainage of pelvic fluid | 1.50 | 0.95 | 0.59 | 0.18 | 2.63 | 2.27 | 000 | |
| 57022 | A | I d vaginal hematoma, pp | 2.56 | NA | 1.50 | 0.29 | NA | 4.35 | 010 | |
| 57023 | A | I d vag hematoma, non-ob | 4.74 | NA | 2.59 | 0.29 | NA | 7.62 | 010 | |
| 57061 | A | Destroy vag lesions, simple | 1.25 | 1.66 | 1.12 | 0.16 | 3.07 | 2.53 | 010 | |
| 57065 | A | Destroy vag lesions, complex | 2.61 | 2.30 | 1.68 | 0.31 | 5.22 | 4.60 | 010 | |
| 57100 | A | Biopsy of vagina | 1.20 | 1.10 | 0.48 | 0.12 | 2.42 | 1.80 | 000 | |
| 57105 | A | Biopsy of vagina | 1.69 | 1.93 | 1.32 | 0.21 | 3.83 | 3.22 | 010 | |
| 57106 | A | Remove vagina wall, partial | 6.35 | NA | 4.20 | 0.70 | NA | 11.25 | 090 | |
| 57107 | A | Remove vagina tissue, part | 22.97 | NA | 10.50 | 2.62 | NA | 36.09 | 090 | |
| 57109 | A | Vaginectomy partial w/nodes | 26.96 | NA | 11.34 | 2.38 | NA | 40.68 | 090 | |
| 57110 | A | Remove vagina wall, complete | 14.27 | NA | 7.31 | 1.72 | NA | 23.30 | 090 | |
| 57111 | A | Remove vagina tissue, compl | 26.96 | NA | 12.64 | 3.27 | NA | 42.87 | 090 | |
| 57112 | A | Vaginectomy w/nodes, compl | 28.96 | NA | 12.19 | 2.64 | NA | 43.79 | 090 | |
| 57120 | A | Closure of vagina | 7.40 | NA | 4.64 | 0.90 | NA | 12.94 | 090 | |
| 57130 | A | Remove vagina lesion | 2.43 | 2.17 | 1.55 | 0.28 | 4.88 | 4.26 | 010 | |
| 57135 | A | Remove vagina lesion | 2.67 | 2.27 | 1.66 | 0.31 | 5.25 | 4.64 | 010 | |
| 57150 | A | Treat vagina infection | 0.55 | 1.11 | 0.22 | 0.07 | 1.73 | 0.84 | 000 | |
| 57155 | A | Insert uteri tandems/ovoids | 6.26 | NA | 4.17 | 0.71 | NA | 11.14 | 090 | |
| 57160 | A | Insert pessary/other device | 0.89 | 1.09 | 0.38 | 0.11 | 2.09 | 1.38 | 000 | |
| 57170 | A | Fitting of diaphragm/cap | 0.91 | 1.49 | 0.34 | 0.11 | 2.51 | 1.36 | 000 | |
| 57180 | A | Treat vaginal bleeding | 1.58 | 2.18 | 1.29 | 0.19 | 3.95 | 3.06 | 010 | |
| 57200 | A | Repair of vagina | 3.93 | NA | 2.91 | 0.46 | NA | 7.30 | 090 | |
| 57210 | A | Repair vagina/perineum | 5.16 | NA | 3.44 | 0.60 | NA | 9.20 | 090 | |
| 57220 | A | Revision of urethra | 4.30 | NA | 3.12 | 0.51 | NA | 7.93 | 090 | |
| 57230 | A | Repair of urethral lesion | 5.63 | NA | 3.42 | 0.60 | NA | 9.65 | 090 | |
| 57240 | A | Repair bladder vagina | 6.06 | NA | 3.84 | 0.64 | NA | 10.54 | 090 | |
| 57250 | A | Repair rectum vagina | 5.52 | NA | 3.59 | 0.65 | NA | 9.76 | 090 | |
| 57260 | A | Repair of vagina | 8.26 | NA | 4.86 | 1.00 | NA | 14.12 | 090 | |
| 57265 | A | Extensive repair of vagina | 11.32 | NA | 6.06 | 1.37 | NA | 18.75 | 090 | |
| 57268 | A | Repair of bowel bulge | 6.75 | NA | 4.21 | 0.80 | NA | 11.76 | 090 | |
| 57270 | A | Repair of bowel pouch | 12.09 | NA | 6.28 | 1.41 | NA | 19.78 | 090 | |
| 57280 | A | Suspension of vagina | 15.02 | NA | 7.39 | 1.74 | NA | 24.15 | 090 | |
| 57282 | A | Repair of vaginal prolapse | 8.85 | NA | 5.32 | 1.04 | NA | 15.21 | 090 | |
| 57284 | A | Repair paravaginal defect | 12.68 | NA | 7.17 | 1.41 | NA | 21.26 | 090 | |
| 57287 | A | Revise/remove sling repair | 10.69 | NA | 5.52 | 0.89 | NA | 17.10 | 090 | |
| 57288 | A | Repair bladder defect | 13.00 | NA | 5.95 | 1.04 | NA | 19.99 | 090 | |
| 57289 | A | Repair bladder vagina | 11.56 | NA | 6.07 | 1.15 | NA | 18.78 | 090 | |
| 57291 | A | Construction of vagina | 7.94 | NA | 4.96 | 0.94 | NA | 13.84 | 090 | |
| 57292 | A | Construct vagina with graft | 13.07 | NA | 6.98 | 1.56 | NA | 21.61 | 090 | |
| 57300 | A | Repair rectum-vagina fistula | 7.60 | NA | 4.30 | 0.84 | NA | 12.74 | 090 | |
| 57305 | A | Repair rectum-vagina fistula | 13.75 | NA | 6.30 | 1.60 | NA | 21.65 | 090 | |
| 57307 | A | Fistula repair colostomy | 15.91 | NA | 7.07 | 1.92 | NA | 24.90 | 090 | |
| 57308 | A | Fistula repair, transperine | 9.93 | NA | 5.15 | 1.10 | NA | 16.18 | 090 | |
| 57310 | A | Repair urethrovaginal lesion | 6.77 | NA | 3.90 | 0.54 | NA | 11.21 | 090 | |
| 57311 | A | Repair urethrovaginal lesion | 7.97 | NA | 4.18 | 0.62 | NA | 12.77 | 090 | |
| 57320 | A | Repair bladder-vagina lesion | 8.00 | NA | 4.43 | 0.72 | NA | 13.15 | 090 | |
| 57330 | A | Repair bladder-vagina lesion | 12.33 | NA | 5.78 | 1.04 | NA | 19.15 | 090 | |
| 57335 | A | Repair vagina | 18.70 | NA | 9.10 | 2.00 | NA | 29.80 | 090 | |
| 57400 | A | Dilation of vagina | 2.27 | NA | 1.13 | 0.27 | NA | 3.67 | 000 | |
| 57410 | A | Pelvic examination | 1.75 | 2.02 | 0.89 | 0.17 | 3.94 | 2.81 | 000 | |
| 57415 | A | Remove vaginal foreign body | 2.17 | NA | 1.43 | 0.23 | NA | 3.83 | 010 | |
| 57420 | A | Exam of vagina w/scope | 1.60 | 1.38 | 0.67 | 0.12 | 3.10 | 2.39 | 000 | |
| 57421 | A | Exam/biopsy of vag w/scope | 2.20 | 1.87 | 0.96 | 0.16 | 4.23 | 3.32 | 000 | |
| 57425 | A | Laparoscopy, surg, colpopexy | 15.73 | NA | 6.69 | 1.74 | NA | 24.16 | 090 | |
| 57452 | A | Exam of cervix w/scope | 1.50 | 1.40 | 0.63 | 0.12 | 3.02 | 2.25 | 000 | |
| 57454 | A | Bx/curett of cervix w/scope | 2.33 | 1.76 | 1.00 | 0.16 | 4.25 | 3.49 | 000 | |
| 57455 | A | Biopsy of cervix w/scope | 1.99 | 1.75 | 0.87 | 0.16 | 3.90 | 3.02 | 000 | |
| 57456 | A | Endocerv curettage w/scope | 1.85 | 1.68 | 0.82 | 0.16 | 3.69 | 2.83 | 000 | |
| 57460 | A | Bx of cervix w/scope, leep | 2.83 | 6.03 | 1.22 | 0.34 | 9.20 | 4.39 | 000 | |
| 57461 | A | Conz of cervix w/scope, leep | 3.43 | 6.30 | 1.41 | 0.34 | 10.07 | 5.18 | 000 | |
| 57500 | A | Biopsy of cervix | 0.97 | 2.66 | 0.47 | 0.12 | 3.75 | 1.56 | 000 | |
| 57505 | A | Endocervical curettage | 1.14 | 1.47 | 1.10 | 0.14 | 2.75 | 2.38 | 010 | |
| 57510 | A | Cauterization of cervix | 1.90 | 1.57 | 1.05 | 0.22 | 3.69 | 3.17 | 010 | |
| 57511 | A | Cryocautery of cervix | 1.90 | 1.84 | 1.38 | 0.22 | 3.96 | 3.50 | 010 | |
| 57513 | A | Laser surgery of cervix | 1.90 | 1.87 | 1.41 | 0.23 | 4.00 | 3.54 | 010 | |
| 57520 | A | Conization of cervix | 4.03 | 4.88 | 2.77 | 0.49 | 9.40 | 7.29 | 090 | |
| 57522 | A | Conization of cervix | 3.35 | 4.35 | 2.67 | 0.41 | 8.11 | 6.43 | 090 | |
| 57530 | A | Removal of cervix | 4.78 | NA | 3.43 | 0.58 | NA | 8.79 | 090 | |
| 57531 | A | Removal of cervix, radical | 27.96 | NA | 13.23 | 2.97 | NA | 44.16 | 090 | |
| 57540 | A | Removal of residual cervix | 12.20 | NA | 6.27 | 1.46 | NA | 19.93 | 090 | |
| 57545 | A | Remove cervix/repair pelvis | 13.01 | NA | 6.70 | 1.57 | NA | 21.28 | 090 | |
| 57550 | A | Removal of residual cervix | 5.52 | NA | 3.86 | 0.66 | NA | 10.04 | 090 | |
| 57555 | A | Remove cervix/repair vagina | 8.94 | NA | 5.14 | 1.07 | NA | 15.15 | 090 | |
| 57556 | A | Remove cervix, repair bowel | 8.36 | NA | 4.88 | 0.96 | NA | 14.20 | 090 | |
| 57700 | A | Revision of cervix | 3.54 | NA | 3.10 | 0.40 | NA | 7.04 | 090 | |
| 57720 | A | Revision of cervix | 4.12 | NA | 3.15 | 0.49 | NA | 7.76 | 090 | |
| 57800 | A | Dilation of cervical canal | 0.77 | 0.76 | 0.47 | 0.10 | 1.63 | 1.34 | 000 | |
| 57820 | A | D c of residual cervix | 1.67 | 1.49 | 1.14 | 0.21 | 3.37 | 3.02 | 010 | |
| 58100 | A | Biopsy of uterus lining | 1.53 | 1.33 | 0.72 | 0.08 | 2.94 | 2.33 | 000 | |
| 58120 | A | Dilation and curettage | 3.27 | 2.31 | 1.87 | 0.40 | 5.98 | 5.54 | 010 | |
| 58140 | A | Myomectomy abdom method | 14.58 | NA | 7.13 | 1.76 | NA | 23.47 | 090 | |
| 58145 | A | Myomectomy vag method | 8.03 | NA | 4.84 | 0.96 | NA | 13.83 | 090 | |
| 58146 | A | Myomectomy abdom complex | 18.97 | NA | 8.79 | 1.76 | NA | 29.52 | 090 | |
| 58150 | A | Total hysterectomy | 15.22 | NA | 7.52 | 1.89 | NA | 24.63 | 090 | |
| 58152 | A | Total hysterectomy | 20.57 | NA | 9.89 | 1.83 | NA | 32.29 | 090 | |
| 58180 | A | Partial hysterectomy | 15.27 | NA | 7.49 | 1.86 | NA | 24.62 | 090 | |
| 58200 | A | Extensive hysterectomy | 21.56 | NA | 10.05 | 2.59 | NA | 34.20 | 090 | |
| 58210 | A | Extensive hysterectomy | 28.81 | NA | 13.27 | 3.51 | NA | 45.59 | 090 | |
| 58240 | A | Removal of pelvis contents | 38.33 | NA | 17.72 | 4.53 | NA | 60.58 | 090 | |
| 58260 | A | Vaginal hysterectomy | 12.96 | NA | 6.72 | 1.48 | NA | 21.16 | 090 | |
| 58262 | A | Vag hyst including t/o | 14.75 | NA | 7.40 | 1.71 | NA | 23.86 | 090 | |
| 58263 | A | Vag hyst w/t/o vag repair | 16.04 | NA | 7.90 | 1.87 | NA | 25.81 | 090 | |
| 58267 | A | Vag hyst w/urinary repair | 17.01 | NA | 8.42 | 1.82 | NA | 27.25 | 090 | |
| 58270 | A | Vag hyst w/enterocele repair | 14.24 | NA | 7.10 | 1.65 | NA | 22.99 | 090 | |
| 58275 | A | Hysterectomy/revise vagina | 15.74 | NA | 7.80 | 1.82 | NA | 25.36 | 090 | |
| 58280 | A | Hysterectomy/revise vagina | 16.98 | NA | 8.28 | 1.86 | NA | 27.12 | 090 | |
| 58285 | A | Extensive hysterectomy | 22.23 | NA | 10.02 | 2.27 | NA | 34.52 | 090 | |
| 58290 | A | Vag hyst complex | 18.97 | NA | 8.92 | 1.48 | NA | 29.37 | 090 | |
| 58291 | A | Vag hyst incl t/o, complex | 20.76 | NA | 9.89 | 1.71 | NA | 32.36 | 090 | |
| 58292 | A | Vag hyst t/o repair, compl | 22.05 | NA | 10.40 | 1.87 | NA | 34.32 | 090 | |
| 58293 | A | Vag hyst w/uro repair, compl | 23.03 | NA | 10.91 | 1.82 | NA | 35.76 | 090 | |
| 58294 | A | Vag hyst w/enterocele, compl | 20.25 | NA | 9.68 | 1.65 | NA | 31.58 | 090 | |
| 58300 | N | Insert intrauterine device | +1.01 | 1.42 | 0.38 | 0.12 | 2.55 | 1.51 | XXX | |
| 58301 | A | Remove intrauterine device | 1.27 | 1.33 | 0.48 | 0.16 | 2.76 | 1.91 | 000 | |
| 58321 | A | Artificial insemination | 0.92 | 1.15 | 0.37 | 0.12 | 2.19 | 1.41 | 000 | |
| 58322 | A | Artificial insemination | 1.10 | 1.21 | 0.41 | 0.13 | 2.44 | 1.64 | 000 | |
| 58323 | A | Sperm washing | 0.23 | 0.24 | 0.09 | 0.02 | 0.49 | 0.34 | 000 | |
| 58340 | A | Catheter for hysterography | 0.88 | 6.08 | 0.65 | 0.10 | 7.06 | 1.63 | 000 | |
| 58345 | A | Reopen fallopian tube | 4.65 | NA | 2.44 | 0.43 | NA | 7.52 | 010 | |
| 58346 | A | Insert heyman uteri capsule | 6.74 | NA | 3.93 | 0.77 | NA | 11.44 | 090 | |
| 58350 | A | Reopen fallopian tube | 1.01 | 1.50 | 0.93 | 0.12 | 2.63 | 2.06 | 010 | |
| 58353 | A | Endometr ablate, thermal | 3.55 | 36.26 | 2.05 | 0.45 | 40.26 | 6.05 | 010 | |
| 58400 | A | Suspension of uterus | 6.35 | NA | 3.97 | 0.75 | NA | 11.07 | 090 | |
| 58410 | A | Suspension of uterus | 12.71 | NA | 6.48 | 1.31 | NA | 20.50 | 090 | |
| 58520 | A | Repair of ruptured uterus | 11.90 | NA | 6.07 | 1.41 | NA | 19.38 | 090 | |
| 58540 | A | Revision of uterus | 14.62 | NA | 6.98 | 1.54 | NA | 23.14 | 090 | |
| 58545 | A | Laparoscopic myomectomy | 14.58 | NA | 7.19 | 1.75 | NA | 23.52 | 090 | |
| 58546 | A | Laparo-myomectomy, complex | 18.97 | NA | 8.98 | 1.75 | NA | 29.70 | 090 | |
| 58550 | A | Laparo-asst vag hysterectomy | 14.17 | NA | 7.31 | 1.74 | NA | 23.22 | 090 | |
| 58552 | A | Laparo-vag hyst incl t/o | 15.98 | NA | 8.02 | 1.74 | NA | 25.74 | 090 | |
| 58553 | A | Laparo-vag hyst, complex | 18.97 | NA | 8.97 | 1.48 | NA | 29.42 | 090 | |
| 58554 | A | Laparo-vag hyst w/t/o, compl | 21.97 | NA | 10.46 | 1.48 | NA | 33.91 | 090 | |
| 58555 | A | Hysteroscopy, dx, sep proc | 3.33 | 2.10 | 1.46 | 0.41 | 5.84 | 5.20 | 000 | |
| 58558 | A | Hysteroscopy, biopsy | 4.74 | NA | 2.06 | 0.59 | NA | 7.39 | 000 | |
| 58559 | A | Hysteroscopy, lysis | 6.16 | NA | 2.62 | 0.75 | NA | 9.53 | 000 | |
| 58560 | A | Hysteroscopy, resect septum | 6.99 | NA | 2.97 | 0.86 | NA | 10.82 | 000 | |
| 58561 | A | Hysteroscopy, remove myoma | 9.99 | NA | 4.18 | 1.23 | NA | 15.40 | 000 | |
| 58562 | A | Hysteroscopy, remove fb | 5.20 | NA | 2.21 | 0.63 | NA | 8.04 | 000 | |
| 58563 | A | Hysteroscopy, ablation | 6.16 | NA | 2.63 | 0.75 | NA | 9.54 | 000 | |
| 58578 | C | Laparo proc, uterus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58579 | C | Hysteroscope procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58600 | A | Division of fallopian tube | 5.59 | NA | 3.36 | 0.47 | NA | 9.42 | 090 | |
| 58605 | A | Division of fallopian tube | 4.99 | NA | 3.15 | 0.40 | NA | 8.54 | 090 | |
| 58611 | A | Ligate oviduct(s) add-on | 1.45 | NA | 0.57 | 0.08 | NA | 2.10 | ZZZ | |
| 58615 | A | Occlude fallopian tube(s) | 3.89 | NA | 2.72 | 0.48 | NA | 7.09 | 010 | |
| 58660 | A | Laparoscopy, lysis | 11.27 | NA | 5.28 | 1.37 | NA | 17.92 | 090 | |
| 58661 | A | Laparoscopy, remove adnexa | 11.03 | NA | 5.14 | 1.35 | NA | 17.52 | 010 | |
| 58662 | A | Laparoscopy, excise lesions | 11.77 | NA | 5.80 | 1.42 | NA | 18.99 | 090 | |
| 58670 | A | Laparoscopy, tubal cautery | 5.59 | NA | 3.28 | 0.66 | NA | 9.53 | 090 | |
| 58671 | A | Laparoscopy, tubal block | 5.59 | NA | 3.30 | 0.68 | NA | 9.57 | 090 | |
| 58672 | A | Laparoscopy, fimbrioplasty | 12.86 | NA | 6.23 | 1.47 | NA | 20.56 | 090 | |
| 58673 | A | Laparoscopy, salpingostomy | 13.72 | NA | 6.63 | 1.69 | NA | 22.04 | 090 | |
| 58679 | C | Laparo proc, oviduct-ovary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58700 | A | Removal of fallopian tube | 12.03 | NA | 6.01 | 0.77 | NA | 18.81 | 090 | |
| 58720 | A | Removal of ovary/tube(s) | 11.34 | NA | 5.81 | 1.37 | NA | 18.52 | 090 | |
| 58740 | A | Revise fallopian tube(s) | 13.98 | NA | 7.16 | 0.71 | NA | 21.85 | 090 | |
| 58750 | A | Repair oviduct | 14.82 | NA | 7.41 | 1.83 | NA | 24.06 | 090 | |
| 58752 | A | Revise ovarian tube(s) | 14.82 | NA | 6.99 | 1.82 | NA | 23.63 | 090 | |
| 58760 | A | Remove tubal obstruction | 13.11 | NA | 6.75 | 1.62 | NA | 21.48 | 090 | |
| 58770 | A | Create new tubal opening | 13.95 | NA | 6.95 | 1.71 | NA | 22.61 | 090 | |
| 58800 | A | Drainage of ovarian cyst(s) | 4.13 | 4.49 | 2.99 | 0.43 | 9.05 | 7.55 | 090 | |
| 58805 | A | Drainage of ovarian cyst(s) | 5.87 | NA | 3.55 | 0.68 | NA | 10.10 | 090 | |
| 58820 | A | Drain ovary abscess, open | 4.21 | NA | 3.34 | 0.35 | NA | 7.90 | 090 | |
| 58822 | A | Drain ovary abscess, percut | 10.11 | NA | 5.24 | 1.11 | NA | 16.46 | 090 | |
| 58823 | A | Drain pelvic abscess, percut | 3.37 | NA | 1.12 | 0.22 | NA | 4.71 | 000 | |
| 58825 | A | Transposition, ovary(s) | 10.96 | NA | 5.82 | 0.75 | NA | 17.53 | 090 | |
| 58900 | A | Biopsy of ovary(s) | 5.98 | NA | 3.61 | 0.68 | NA | 10.27 | 090 | |
| 58920 | A | Partial removal of ovary(s) | 11.34 | NA | 5.62 | 0.82 | NA | 17.78 | 090 | |
| 58925 | A | Removal of ovarian cyst(s) | 11.34 | NA | 5.71 | 1.37 | NA | 18.42 | 090 | |
| 58940 | A | Removal of ovary(s) | 7.28 | NA | 4.13 | 0.88 | NA | 12.29 | 090 | |
| 58943 | A | Removal of ovary(s) | 18.40 | NA | 8.75 | 2.24 | NA | 29.39 | 090 | |
| 58950 | A | Resect ovarian malignancy | 16.90 | NA | 8.50 | 1.87 | NA | 27.27 | 090 | |
| 58951 | A | Resect ovarian malignancy | 22.35 | NA | 10.55 | 2.65 | NA | 35.55 | 090 | |
| 58952 | A | Resect ovarian malignancy | 24.97 | NA | 11.85 | 3.10 | NA | 39.92 | 090 | |
| 58953 | A | Tah, rad dissect for debulk | 31.95 | NA | 14.61 | 3.98 | NA | 50.54 | 090 | |
| 58954 | A | Tah rad debulk/lymph remove | 34.95 | NA | 15.77 | 4.29 | NA | 55.01 | 090 | |
| 58960 | A | Exploration of abdomen | 14.63 | NA | 7.45 | 1.77 | NA | 23.85 | 090 | |
| 58970 | A | Retrieval of oocyte | 3.52 | 2.32 | 1.50 | 0.43 | 6.27 | 5.45 | 000 | |
| 58974 | C | Transfer of embryo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 58976 | A | Transfer of embryo | 3.82 | 2.64 | 1.83 | 0.47 | 6.93 | 6.12 | 000 | |
| 58999 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59000 | A | Amniocentesis, diagnostic | 1.30 | 2.10 | 0.69 | 0.28 | 3.68 | 2.27 | 000 | |
| 59001 | A | Amniocentesis, therapeutic | 3.00 | NA | 1.41 | 0.28 | NA | 4.69 | 000 | |
| 59012 | A | Fetal cord puncture,prenatal | 3.44 | NA | 1.56 | 0.75 | NA | 5.75 | 000 | |
| 59015 | A | Chorion biopsy | 2.20 | 1.57 | 1.06 | 0.48 | 4.25 | 3.74 | 000 | |
| 59020 | A | Fetal contract stress test | 0.66 | 0.79 | NA | 0.24 | 1.69 | NA | 000 | |
| 59020 | 26 | A | Fetal contract stress test | 0.66 | 0.27 | 0.27 | 0.14 | 1.07 | 1.07 | 000 |
| 59020 | TC | A | Fetal contract stress test | 0.00 | 0.52 | NA | 0.10 | 0.62 | NA | 000 |
| 59025 | A | Fetal non-stress test | 0.53 | 0.45 | NA | 0.14 | 1.12 | NA | 000 | |
| 59025 | 26 | A | Fetal non-stress test | 0.53 | 0.21 | 0.21 | 0.12 | 0.86 | 0.86 | 000 |
| 59025 | TC | A | Fetal non-stress test | 0.00 | 0.24 | NA | 0.02 | 0.26 | NA | 000 |
| 59030 | A | Fetal scalp blood sample | 1.99 | NA | 1.05 | 0.43 | NA | 3.47 | 000 | |
| 59050 | A | Fetal monitor w/report | 0.89 | NA | 0.36 | 0.19 | NA | 1.44 | XXX | |
| 59051 | A | Fetal monitor/interpret only | 0.74 | NA | 0.30 | 0.17 | NA | 1.21 | XXX | |
| 59070 | A | Transabdom amnioinfus w/ us | 5.24 | 5.12 | 2.41 | 0.28 | 10.64 | 7.93 | 000 | |
| 59072 | A | Umbilical cord occlud w/ us | 8.99 | NA | 3.13 | 0.68 | NA | 12.80 | 000 | |
| 59074 | A | Fetal fluid drainage w/ us | 5.24 | 4.61 | 2.41 | 0.28 | 10.13 | 7.93 | 000 | |
| 59076 | A | Fetal shunt placement, w/ us | 8.99 | NA | 3.13 | 0.68 | NA | 12.80 | 000 | |
| 59100 | A | Remove uterus lesion | 12.33 | NA | 6.48 | 2.67 | NA | 21.48 | 090 | |
| 59120 | A | Treat ectopic pregnancy | 11.47 | NA | 6.27 | 2.48 | NA | 20.22 | 090 | |
| 59121 | A | Treat ectopic pregnancy | 11.65 | NA | 6.35 | 2.52 | NA | 20.52 | 090 | |
| 59130 | A | Treat ectopic pregnancy | 14.20 | NA | 4.99 | 3.06 | NA | 22.25 | 090 | |
| 59135 | A | Treat ectopic pregnancy | 13.86 | NA | 7.25 | 3.00 | NA | 24.11 | 090 | |
| 59136 | A | Treat ectopic pregnancy | 13.16 | NA | 6.64 | 2.85 | NA | 22.65 | 090 | |
| 59140 | A | Treat ectopic pregnancy | 5.45 | 5.20 | 3.59 | 1.18 | 11.83 | 10.22 | 090 | |
| 59150 | A | Treat ectopic pregnancy | 11.65 | NA | 6.05 | 1.48 | NA | 19.18 | 090 | |
| 59151 | A | Treat ectopic pregnancy | 11.47 | NA | 6.09 | 1.70 | NA | 19.26 | 090 | |
| 59160 | A | D c after delivery | 2.71 | 3.27 | 2.11 | 0.59 | 6.57 | 5.41 | 010 | |
| 59200 | A | Insert cervical dilator | 0.79 | 1.20 | 0.31 | 0.18 | 2.17 | 1.28 | 000 | |
| 59300 | A | Episiotomy or vaginal repair | 2.41 | 2.16 | 0.96 | 0.52 | 5.09 | 3.89 | 000 | |
| 59320 | A | Revision of cervix | 2.48 | NA | 1.26 | 0.54 | NA | 4.28 | 000 | |
| 59325 | A | Revision of cervix | 4.06 | NA | 1.92 | 0.88 | NA | 6.86 | 000 | |
| 59350 | A | Repair of uterus | 4.94 | NA | 1.95 | 1.06 | NA | 7.95 | 000 | |
| 59400 | A | Obstetrical care | 23.03 | NA | 15.48 | 4.99 | NA | 43.50 | MMM | |
| 59409 | A | Obstetrical care | 13.48 | NA | 5.32 | 2.92 | NA | 21.72 | MMM | |
| 59410 | A | Obstetrical care | 14.76 | NA | 6.33 | 3.20 | NA | 24.29 | MMM | |
| 59412 | A | Antepartum manipulation | 1.71 | NA | 0.81 | 0.37 | NA | 2.89 | MMM | |
| 59414 | A | Deliver placenta | 1.61 | NA | 0.63 | 0.35 | NA | 2.59 | MMM | |
| 59425 | A | Antepartum care only | 4.80 | 4.26 | 1.87 | 1.04 | 10.10 | 7.71 | MMM | |
| 59426 | A | Antepartum care only | 8.27 | 7.65 | 3.23 | 1.80 | 17.72 | 13.30 | MMM | |
| 59430 | A | Care after delivery | 2.13 | 1.24 | 0.94 | 0.46 | 3.83 | 3.53 | MMM | |
| 59510 | A | Cesarean delivery | 26.18 | NA | 17.43 | 5.67 | NA | 49.28 | MMM | |
| 59514 | A | Cesarean delivery only | 15.95 | NA | 6.23 | 3.45 | NA | 25.63 | MMM | |
| 59515 | A | Cesarean delivery | 17.34 | NA | 7.87 | 3.76 | NA | 28.97 | MMM | |
| 59525 | A | Remove uterus after cesarean | 8.53 | NA | 3.32 | 1.85 | NA | 13.70 | ZZZ | |
| 59610 | A | Vbac delivery | 24.58 | NA | 16.03 | 5.32 | NA | 45.93 | MMM | |
| 59612 | A | Vbac delivery only | 15.04 | NA | 6.07 | 3.26 | NA | 24.37 | MMM | |
| 59614 | A | Vbac care after delivery | 16.32 | NA | 6.96 | 3.53 | NA | 26.81 | MMM | |
| 59618 | A | Attempted vbac delivery | 27.74 | NA | 18.43 | 6.01 | NA | 52.18 | MMM | |
| 59620 | A | Attempted vbac delivery only | 17.50 | NA | 6.78 | 3.80 | NA | 28.08 | MMM | |
| 59622 | A | Attempted vbac after care | 18.90 | NA | 8.67 | 4.09 | NA | 31.66 | MMM | |
| 59812 | A | Treatment of miscarriage | 4.00 | NA | 2.56 | 0.70 | NA | 7.26 | 090 | |
| 59820 | A | Care of miscarriage | 4.00 | NA | 3.52 | 0.87 | NA | 8.39 | 090 | |
| 59821 | A | Treatment of miscarriage | 4.46 | NA | 3.45 | 0.96 | NA | 8.87 | 090 | |
| 59830 | A | Treat uterus infection | 6.10 | NA | 4.01 | 1.33 | NA | 11.44 | 090 | |
| 59840 | R | Abortion | 3.01 | NA | 2.13 | 0.65 | NA | 5.79 | 010 | |
| 59841 | R | Abortion | 5.23 | 2.58 | 2.58 | 1.13 | 8.94 | 8.94 | 010 | |
| 59850 | R | Abortion | 5.90 | NA | 3.27 | 1.28 | NA | 10.45 | 090 | |
| 59851 | R | Abortion | 5.92 | NA | 3.74 | 1.28 | NA | 10.94 | 090 | |
| 59852 | R | Abortion | 8.23 | NA | 5.06 | 1.79 | NA | 15.08 | 090 | |
| 59855 | R | Abortion | 6.11 | NA | 3.56 | 1.33 | NA | 11.00 | 090 | |
| 59856 | R | Abortion | 7.47 | NA | 4.07 | 1.62 | NA | 13.16 | 090 | |
| 59857 | R | Abortion | 9.28 | NA | 4.59 | 2.00 | NA | 15.87 | 090 | |
| 59866 | R | Abortion (mpr) | 3.99 | NA | 1.83 | 0.87 | NA | 6.69 | 000 | |
| 59870 | A | Evacuate mole of uterus | 6.00 | NA | 4.43 | 0.93 | NA | 11.36 | 090 | |
| 59871 | A | Remove cerclage suture | 2.13 | 1.76 | 1.13 | 0.46 | 4.35 | 3.72 | 000 | |
| 59897 | C | Fetal invas px w/ us | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59898 | C | Laparo proc, ob care/deliver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59899 | C | Maternity care procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 60000 | A | Drain thyroid/tongue cyst | 1.76 | 2.16 | 2.04 | 0.17 | 4.09 | 3.97 | 010 | |
| 60001 | A | Aspirate/inject thyriod cyst | 0.97 | 1.49 | 0.34 | 0.07 | 2.53 | 1.38 | 000 | |
| 60100 | A | Biopsy of thyroid | 1.56 | 1.42 | 0.53 | 0.06 | 3.04 | 2.15 | 000 | |
| 60200 | A | Remove thyroid lesion | 9.54 | NA | 6.14 | 1.01 | NA | 16.69 | 090 | |
| 60210 | A | Partial thyroid excision | 10.86 | NA | 5.78 | 1.22 | NA | 17.86 | 090 | |
| 60212 | A | Partial thyroid excision | 16.01 | NA | 7.82 | 1.82 | NA | 25.65 | 090 | |
| 60220 | A | Partial removal of thyroid | 11.88 | NA | 6.30 | 1.17 | NA | 19.35 | 090 | |
| 60225 | A | Partial removal of thyroid | 14.17 | NA | 7.55 | 1.58 | NA | 23.30 | 090 | |
| 60240 | A | Removal of thyroid | 16.04 | NA | 7.75 | 1.81 | NA | 25.60 | 090 | |
| 60252 | A | Removal of thyroid | 20.54 | NA | 10.29 | 1.97 | NA | 32.80 | 090 | |
| 60254 | A | Extensive thyroid surgery | 26.95 | NA | 14.38 | 2.36 | NA | 43.69 | 090 | |
| 60260 | A | Repeat thyroid surgery | 17.44 | NA | 8.85 | 1.68 | NA | 27.97 | 090 | |
| 60270 | A | Removal of thyroid | 20.24 | NA | 10.66 | 2.15 | NA | 33.05 | 090 | |
| 60271 | A | Removal of thyroid | 16.80 | NA | 8.78 | 1.63 | NA | 27.21 | 090 | |
| 60280 | A | Remove thyroid duct lesion | 5.86 | NA | 4.83 | 0.54 | NA | 11.23 | 090 | |
| 60281 | A | Remove thyroid duct lesion | 8.52 | NA | 5.99 | 0.81 | NA | 15.32 | 090 | |
| 60500 | A | Explore parathyroid glands | 16.21 | NA | 7.53 | 1.94 | NA | 25.68 | 090 | |
| 60502 | A | Re-explore parathyroids | 20.32 | NA | 9.49 | 2.41 | NA | 32.22 | 090 | |
| 60505 | A | Explore parathyroid glands | 21.46 | NA | 11.12 | 2.58 | NA | 35.16 | 090 | |
| 60512 | A | Autotransplant parathyroid | 4.44 | NA | 1.63 | 0.53 | NA | 6.60 | ZZZ | |
| 60520 | A | Removal of thymus gland | 16.78 | NA | 8.38 | 2.22 | NA | 27.38 | 090 | |
| 60521 | A | Removal of thymus gland | 18.84 | NA | 9.63 | 2.82 | NA | 31.29 | 090 | |
| 60522 | A | Removal of thymus gland | 23.06 | NA | 11.35 | 3.41 | NA | 37.82 | 090 | |
| 60540 | A | Explore adrenal gland | 17.00 | NA | 7.65 | 1.71 | NA | 26.36 | 090 | |
| 60545 | A | Explore adrenal gland | 19.85 | NA | 8.61 | 2.11 | NA | 30.57 | 090 | |
| 60600 | A | Remove carotid body lesion | 17.90 | NA | 10.90 | 2.26 | NA | 31.06 | 090 | |
| 60605 | A | Remove carotid body lesion | 20.21 | NA | 12.79 | 2.75 | NA | 35.75 | 090 | |
| 60650 | A | Laparoscopy adrenalectomy | 19.97 | NA | 7.99 | 2.39 | NA | 30.35 | 090 | |
| 60659 | C | Laparo proc, endocrine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 60699 | C | Endocrine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 61000 | A | Remove cranial cavity fluid | 1.58 | NA | 0.96 | 0.16 | NA | 2.70 | 000 | |
| 61001 | A | Remove cranial cavity fluid | 1.49 | NA | 1.06 | 0.18 | NA | 2.73 | 000 | |
| 61020 | A | Remove brain cavity fluid | 1.51 | NA | 1.35 | 0.31 | NA | 3.17 | 000 | |
| 61026 | A | Injection into brain canal | 1.69 | NA | 1.41 | 0.25 | NA | 3.35 | 000 | |
| 61050 | A | Remove brain canal fluid | 1.51 | NA | 1.26 | 0.16 | NA | 2.93 | 000 | |
| 61055 | A | Injection into brain canal | 2.10 | NA | 1.42 | 0.16 | NA | 3.68 | 000 | |
| 61070 | A | Brain canal shunt procedure | 0.89 | NA | 1.03 | 0.11 | NA | 2.03 | 000 | |
| 61105 | A | Twist drill hole | 5.13 | NA | 3.95 | 1.27 | NA | 10.35 | 090 | |
| 61107 | A | Drill skull for implantation | 4.99 | NA | 3.32 | 1.23 | NA | 9.54 | 000 | |
| 61108 | A | Drill skull for drainage | 10.17 | NA | 7.14 | 2.46 | NA | 19.77 | 090 | |
| 61120 | A | Burr hole for puncture | 8.75 | NA | 6.00 | 2.18 | NA | 16.93 | 090 | |
| 61140 | A | Pierce skull for biopsy | 15.88 | NA | 9.91 | 3.80 | NA | 29.59 | 090 | |
| 61150 | A | Pierce skull for drainage | 17.54 | NA | 10.41 | 4.25 | NA | 32.20 | 090 | |
| 61151 | A | Pierce skull for drainage | 12.40 | NA | 7.85 | 2.95 | NA | 23.20 | 090 | |
| 61154 | A | Pierce skull remove clot | 14.97 | NA | 9.50 | 3.68 | NA | 28.15 | 090 | |
| 61156 | A | Pierce skull for drainage | 16.30 | NA | 9.86 | 4.12 | NA | 30.28 | 090 | |
| 61210 | A | Pierce skull, implant device | 5.83 | NA | 3.71 | 1.40 | NA | 10.94 | 000 | |
| 61215 | A | Insert brain-fluid device | 4.88 | NA | 4.02 | 1.19 | NA | 10.09 | 090 | |
| 61250 | A | Pierce skull explore | 10.40 | NA | 6.87 | 2.44 | NA | 19.71 | 090 | |
| 61253 | A | Pierce skull explore | 12.34 | NA | 7.74 | 2.73 | NA | 22.81 | 090 | |
| 61304 | A | Open skull for exploration | 21.93 | NA | 12.88 | 5.22 | NA | 40.03 | 090 | |
| 61305 | A | Open skull for exploration | 26.57 | NA | 15.37 | 6.33 | NA | 48.27 | 090 | |
| 61312 | A | Open skull for drainage | 24.53 | NA | 15.08 | 6.02 | NA | 45.63 | 090 | |
| 61313 | A | Open skull for drainage | 24.89 | NA | 14.85 | 6.11 | NA | 45.85 | 090 | |
| 61314 | A | Open skull for drainage | 24.19 | NA | 13.08 | 4.82 | NA | 42.09 | 090 | |
| 61315 | A | Open skull for drainage | 27.64 | NA | 16.07 | 6.78 | NA | 50.49 | 090 | |
| 61316 | A | Implt cran bone flap to abdo | 1.39 | NA | 0.57 | 0.52 | NA | 2.48 | ZZZ | |
| 61320 | A | Open skull for drainage | 25.58 | NA | 14.80 | 6.27 | NA | 46.65 | 090 | |
| 61321 | A | Open skull for drainage | 28.46 | NA | 16.18 | 6.45 | NA | 51.09 | 090 | |
| 61322 | A | Decompressive craniotomy | 29.46 | NA | 14.45 | 6.02 | NA | 49.93 | 090 | |
| 61323 | A | Decompressive lobectomy | 30.95 | NA | 14.64 | 6.02 | NA | 51.61 | 090 | |
| 61330 | A | Decompress eye socket | 23.29 | NA | 13.80 | 3.11 | NA | 40.20 | 090 | |
| 61332 | A | Explore/biopsy eye socket | 27.24 | NA | 15.66 | 5.01 | NA | 47.91 | 090 | |
| 61333 | A | Explore orbit/remove lesion | 27.91 | NA | 15.66 | 2.70 | NA | 46.27 | 090 | |
| 61334 | A | Explore orbit/remove object | 18.24 | NA | 10.70 | 3.64 | NA | 32.58 | 090 | |
| 61340 | A | Subtemporal decompression | 18.63 | NA | 11.16 | 4.41 | NA | 34.20 | 090 | |
| 61343 | A | Incise skull (press relief) | 29.73 | NA | 16.88 | 7.28 | NA | 53.89 | 090 | |
| 61345 | A | Relieve cranial pressure | 27.16 | NA | 15.47 | 6.31 | NA | 48.94 | 090 | |
| 61440 | A | Incise skull for surgery | 26.59 | NA | 14.28 | 6.72 | NA | 47.59 | 090 | |
| 61450 | A | Incise skull for surgery | 25.91 | NA | 14.35 | 6.16 | NA | 46.42 | 090 | |
| 61458 | A | Incise skull for brain wound | 27.25 | NA | 15.58 | 6.37 | NA | 49.20 | 090 | |
| 61460 | A | Incise skull for surgery | 28.35 | NA | 16.49 | 6.19 | NA | 51.03 | 090 | |
| 61470 | A | Incise skull for surgery | 26.02 | NA | 13.91 | 5.61 | NA | 45.54 | 090 | |
| 61480 | A | Incise skull for surgery | 26.45 | NA | 15.34 | 6.68 | NA | 48.47 | 090 | |
| 61490 | A | Incise skull for surgery | 25.62 | NA | 14.39 | 6.48 | NA | 46.49 | 090 | |
| 61500 | A | Removal of skull lesion | 17.89 | NA | 10.85 | 3.93 | NA | 32.67 | 090 | |
| 61501 | A | Remove infected skull bone | 14.82 | NA | 9.25 | 3.17 | NA | 27.24 | 090 | |
| 61510 | A | Removal of brain lesion | 28.41 | NA | 16.76 | 6.96 | NA | 52.13 | 090 | |
| 61512 | A | Remove brain lining lesion | 35.04 | NA | 19.76 | 8.61 | NA | 63.41 | 090 | |
| 61514 | A | Removal of brain abscess | 25.22 | NA | 14.50 | 6.18 | NA | 45.90 | 090 | |
| 61516 | A | Removal of brain lesion | 24.57 | NA | 14.33 | 5.96 | NA | 44.86 | 090 | |
| 61517 | A | Implt brain chemotx add-on | 1.38 | NA | 0.57 | 0.10 | NA | 2.05 | ZZZ | |
| 61518 | A | Removal of brain lesion | 37.26 | NA | 21.20 | 9.08 | NA | 67.54 | 090 | |
| 61519 | A | Remove brain lining lesion | 41.33 | NA | 22.75 | 9.83 | NA | 73.91 | 090 | |
| 61520 | A | Removal of brain lesion | 54.76 | NA | 30.46 | 12.18 | NA | 97.40 | 090 | |
| 61521 | A | Removal of brain lesion | 44.41 | NA | 24.33 | 10.67 | NA | 79.41 | 090 | |
| 61522 | A | Removal of brain abscess | 29.41 | NA | 16.49 | 6.39 | NA | 52.29 | 090 | |
| 61524 | A | Removal of brain lesion | 27.82 | NA | 15.74 | 6.04 | NA | 49.60 | 090 | |
| 61526 | A | Removal of brain lesion | 52.09 | NA | 29.62 | 8.10 | NA | 89.81 | 090 | |
| 61530 | A | Removal of brain lesion | 43.79 | NA | 25.19 | 7.44 | NA | 76.42 | 090 | |
| 61531 | A | Implant brain electrodes | 14.61 | NA | 9.17 | 3.43 | NA | 27.21 | 090 | |
| 61533 | A | Implant brain electrodes | 19.68 | NA | 11.59 | 4.58 | NA | 35.85 | 090 | |
| 61534 | A | Removal of brain lesion | 20.94 | NA | 12.15 | 5.01 | NA | 38.10 | 090 | |
| 61535 | A | Remove brain electrodes | 11.61 | NA | 7.46 | 2.76 | NA | 21.83 | 090 | |
| 61536 | A | Removal of brain lesion | 35.47 | NA | 19.87 | 8.06 | NA | 63.40 | 090 | |
| 61537 | A | Removal of brain tissue | 24.96 | NA | 14.45 | 6.49 | NA | 45.90 | 090 | |
| 61538 | A | Removal of brain tissue | 26.77 | NA | 15.38 | 6.49 | NA | 48.64 | 090 | |
| 61539 | A | Removal of brain tissue | 32.03 | NA | 17.85 | 7.98 | NA | 57.86 | 090 | |
| 61540 | A | Removal of brain tissue | 29.96 | NA | 17.48 | 7.98 | NA | 55.42 | 090 | |
| 61541 | A | Incision of brain tissue | 28.81 | NA | 16.28 | 6.63 | NA | 51.72 | 090 | |
| 61542 | A | Removal of brain tissue | 30.97 | NA | 17.91 | 7.83 | NA | 56.71 | 090 | |
| 61543 | A | Removal of brain tissue | 29.18 | NA | 16.46 | 7.37 | NA | 53.01 | 090 | |
| 61544 | A | Remove treat brain lesion | 25.46 | NA | 13.90 | 5.92 | NA | 45.28 | 090 | |
| 61545 | A | Excision of brain tumor | 43.73 | NA | 24.33 | 10.71 | NA | 78.77 | 090 | |
| 61546 | A | Removal of pituitary gland | 31.25 | NA | 17.58 | 7.31 | NA | 56.14 | 090 | |
| 61548 | A | Removal of pituitary gland | 21.50 | NA | 12.85 | 4.38 | NA | 38.73 | 090 | |
| 61550 | A | Release of skull seams | 14.63 | NA | 7.01 | 1.37 | NA | 23.01 | 090 | |
| 61552 | A | Release of skull seams | 19.53 | NA | 9.20 | 1.06 | NA | 29.79 | 090 | |
| 61556 | A | Incise skull/sutures | 22.23 | NA | 11.42 | 4.31 | NA | 37.96 | 090 | |
| 61557 | A | Incise skull/sutures | 22.35 | NA | 13.68 | 5.64 | NA | 41.67 | 090 | |
| 61558 | A | Excision of skull/sutures | 25.54 | NA | 14.25 | 3.15 | NA | 42.94 | 090 | |
| 61559 | A | Excision of skull/sutures | 32.74 | NA | 19.39 | 8.27 | NA | 60.40 | 090 | |
| 61563 | A | Excision of skull tumor | 26.79 | NA | 15.33 | 5.38 | NA | 47.50 | 090 | |
| 61564 | A | Excision of skull tumor | 33.78 | NA | 18.37 | 8.54 | NA | 60.69 | 090 | |
| 61566 | A | Removal of brain tissue | 30.95 | NA | 17.42 | 6.49 | NA | 54.86 | 090 | |
| 61567 | A | Incision of brain tissue | 35.45 | NA | 20.73 | 6.49 | NA | 62.67 | 090 | |
| 61570 | A | Remove foreign body, brain | 24.56 | NA | 13.97 | 5.55 | NA | 44.08 | 090 | |
| 61571 | A | Incise skull for brain wound | 26.35 | NA | 15.21 | 6.31 | NA | 47.87 | 090 | |
| 61575 | A | Skull base/brainstem surgery | 34.31 | NA | 19.74 | 6.05 | NA | 60.10 | 090 | |
| 61576 | A | Skull base/brainstem surgery | 52.35 | NA | 29.68 | 5.64 | NA | 87.67 | 090 | |
| 61580 | A | Craniofacial approach, skull | 30.30 | NA | 25.49 | 3.32 | NA | 59.11 | 090 | |
| 61581 | A | Craniofacial approach, skull | 34.55 | NA | 23.05 | 4.06 | NA | 61.66 | 090 | |
| 61582 | A | Craniofacial approach, skull | 31.61 | NA | 26.99 | 7.60 | NA | 66.20 | 090 | |
| 61583 | A | Craniofacial approach, skull | 36.16 | NA | 25.01 | 8.37 | NA | 69.54 | 090 | |
| 61584 | A | Orbitocranial approach/skull | 34.60 | NA | 24.41 | 7.88 | NA | 66.89 | 090 | |
| 61585 | A | Orbitocranial approach/skull | 38.55 | NA | 26.46 | 7.47 | NA | 72.48 | 090 | |
| 61586 | A | Resect nasopharynx, skull | 25.06 | NA | 22.35 | 4.25 | NA | 51.66 | 090 | |
| 61590 | A | Infratemporal approach/skull | 41.72 | NA | 28.81 | 5.16 | NA | 75.69 | 090 | |
| 61591 | A | Infratemporal approach/skull | 43.61 | NA | 29.71 | 6.34 | NA | 79.66 | 090 | |
| 61592 | A | Orbitocranial approach/skull | 39.58 | NA | 26.60 | 9.11 | NA | 75.29 | 090 | |
| 61595 | A | Transtemporal approach/skull | 29.53 | NA | 22.51 | 3.68 | NA | 55.72 | 090 | |
| 61596 | A | Transcochlear approach/skull | 35.58 | NA | 24.59 | 5.13 | NA | 65.30 | 090 | |
| 61597 | A | Transcondylar approach/skull | 37.90 | NA | 23.05 | 8.02 | NA | 68.97 | 090 | |
| 61598 | A | Transpetrosal approach/skull | 33.36 | NA | 23.35 | 5.55 | NA | 62.26 | 090 | |
| 61600 | A | Resect/excise cranial lesion | 25.81 | NA | 19.88 | 3.76 | NA | 49.45 | 090 | |
| 61601 | A | Resect/excise cranial lesion | 27.85 | NA | 20.56 | 6.38 | NA | 54.79 | 090 | |
| 61605 | A | Resect/excise cranial lesion | 29.29 | NA | 22.16 | 3.03 | NA | 54.48 | 090 | |
| 61606 | A | Resect/excise cranial lesion | 38.77 | NA | 25.23 | 8.21 | NA | 72.21 | 090 | |
| 61607 | A | Resect/excise cranial lesion | 36.22 | NA | 23.88 | 6.86 | NA | 66.96 | 090 | |
| 61608 | A | Resect/excise cranial lesion | 42.04 | NA | 26.67 | 10.02 | NA | 78.73 | 090 | |
| 61609 | A | Transect artery, sinus | 9.88 | NA | 4.87 | 2.50 | NA | 17.25 | ZZZ | |
| 61610 | A | Transect artery, sinus | 29.63 | NA | 13.19 | 4.25 | NA | 47.07 | ZZZ | |
| 61611 | A | Transect artery, sinus | 7.41 | NA | 3.84 | 1.87 | NA | 13.12 | ZZZ | |
| 61612 | A | Transect artery, sinus | 27.84 | NA | 13.36 | 4.28 | NA | 45.48 | ZZZ | |
| 61613 | A | Remove aneurysm, sinus | 40.80 | NA | 26.34 | 10.03 | NA | 77.17 | 090 | |
| 61615 | A | Resect/excise lesion, skull | 32.02 | NA | 22.82 | 5.60 | NA | 60.44 | 090 | |
| 61616 | A | Resect/excise lesion, skull | 43.27 | NA | 28.77 | 8.47 | NA | 80.51 | 090 | |
| 61618 | A | Repair dura | 16.96 | NA | 10.51 | 3.52 | NA | 30.99 | 090 | |
| 61619 | A | Repair dura | 20.68 | NA | 12.31 | 4.12 | NA | 37.11 | 090 | |
| 61623 | A | Endovasc tempory vessel occl | 9.95 | NA | 4.23 | 0.60 | NA | 14.78 | 000 | |
| 61624 | A | Transcath occlusion, cns | 20.12 | NA | 6.93 | 1.39 | NA | 28.44 | 000 | |
| 61626 | A | Transcath occlusion, non-cns | 16.60 | NA | 5.54 | 1.01 | NA | 23.15 | 000 | |
| 61680 | A | Intracranial vessel surgery | 30.66 | NA | 17.52 | 7.28 | NA | 55.46 | 090 | |
| 61682 | A | Intracranial vessel surgery | 61.48 | NA | 32.37 | 15.31 | NA | 109.16 | 090 | |
| 61684 | A | Intracranial vessel surgery | 39.75 | NA | 22.10 | 9.49 | NA | 71.34 | 090 | |
| 61686 | A | Intracranial vessel surgery | 64.39 | NA | 34.88 | 15.92 | NA | 115.19 | 090 | |
| 61690 | A | Intracranial vessel surgery | 29.27 | NA | 16.80 | 6.65 | NA | 52.72 | 090 | |
| 61692 | A | Intracranial vessel surgery | 51.79 | NA | 27.61 | 12.27 | NA | 91.67 | 090 | |
| 61697 | A | Brain aneurysm repr, complx | 50.44 | NA | 28.13 | 12.43 | NA | 91.00 | 090 | |
| 61698 | A | Brain aneurysm repr, complx | 48.34 | NA | 26.80 | 12.05 | NA | 87.19 | 090 | |
| 61700 | A | Brain aneurysm repr, simple | 50.44 | NA | 27.93 | 12.28 | NA | 90.65 | 090 | |
| 61702 | A | Inner skull vessel surgery | 48.34 | NA | 26.15 | 11.76 | NA | 86.25 | 090 | |
| 61703 | A | Clamp neck artery | 17.44 | NA | 10.52 | 4.37 | NA | 32.33 | 090 | |
| 61705 | A | Revise circulation to head | 36.15 | NA | 19.34 | 8.04 | NA | 63.53 | 090 | |
| 61708 | A | Revise circulation to head | 35.25 | NA | 15.20 | 2.63 | NA | 53.08 | 090 | |
| 61710 | A | Revise circulation to head | 29.63 | NA | 13.66 | 2.92 | NA | 46.21 | 090 | |
| 61711 | A | Fusion of skull arteries | 36.28 | NA | 19.90 | 8.91 | NA | 65.09 | 090 | |
| 61720 | A | Incise skull/brain surgery | 16.74 | NA | 10.03 | 4.23 | NA | 31.00 | 090 | |
| 61735 | A | Incise skull/brain surgery | 20.40 | NA | 12.22 | 5.02 | NA | 37.64 | 090 | |
| 61750 | A | Incise skull/brain biopsy | 18.17 | NA | 10.67 | 4.47 | NA | 33.31 | 090 | |
| 61751 | A | Brain biopsy w/ct/mr guide | 17.59 | NA | 10.86 | 4.31 | NA | 32.76 | 090 | |
| 61760 | A | Implant brain electrodes | 22.24 | NA | 8.77 | 5.54 | NA | 36.55 | 090 | |
| 61770 | A | Incise skull for treatment | 21.41 | NA | 12.31 | 4.93 | NA | 38.65 | 090 | |
| 61790 | A | Treat trigeminal nerve | 10.84 | NA | 5.95 | 2.20 | NA | 18.99 | 090 | |
| 61791 | A | Treat trigeminal tract | 14.59 | NA | 8.96 | 3.65 | NA | 27.20 | 090 | |
| 61793 | A | Focus radiation beam | 17.21 | NA | 10.16 | 4.23 | NA | 31.60 | 090 | |
| 61795 | A | Brain surgery using computer | 4.03 | NA | 2.04 | 0.98 | NA | 7.05 | ZZZ | |
| 61850 | A | Implant neuroelectrodes | 12.37 | NA | 7.71 | 2.69 | NA | 22.77 | 090 | |
| 61860 | A | Implant neuroelectrodes | 20.84 | NA | 12.13 | 4.87 | NA | 37.84 | 090 | |
| 61862 | D | Implant neurostimul, subcort | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 61863 | A | Implant neuroelectrode | 18.97 | NA | 9.21 | 4.79 | NA | 32.97 | 090 | |
| 61864 | A | Implant neuroelectrde, add'l | 4.49 | NA | 2.29 | 1.13 | NA | 7.91 | ZZZ | |
| 61867 | A | Implant neuroelectrode | 31.29 | NA | 13.81 | 4.79 | NA | 49.89 | 090 | |
| 61868 | A | Implant neuroelectrde, add'l | 7.91 | NA | 4.03 | 1.21 | NA | 13.15 | ZZZ | |
| 61870 | A | Implant neuroelectrodes | 14.92 | NA | 9.82 | 2.05 | NA | 26.79 | 090 | |
| 61875 | A | Implant neuroelectrodes | 15.04 | NA | 8.61 | 2.92 | NA | 26.57 | 090 | |
| 61880 | A | Revise/remove neuroelectrode | 6.28 | NA | 4.60 | 1.58 | NA | 12.46 | 090 | |
| 61885 | A | Implant neurostim one array | 5.84 | NA | 5.32 | 1.47 | NA | 12.63 | 090 | |
| 61886 | A | Implant neurostim arrays | 7.99 | NA | 6.36 | 1.98 | NA | 16.33 | 090 | |
| 61888 | A | Revise/remove neuroreceiver | 5.06 | NA | 3.88 | 1.25 | NA | 10.19 | 010 | |
| 62000 | A | Treat skull fracture | 12.51 | NA | 5.55 | 1.05 | NA | 19.11 | 090 | |
| 62005 | A | Treat skull fracture | 16.15 | NA | 8.83 | 2.81 | NA | 27.79 | 090 | |
| 62010 | A | Treatment of head injury | 19.78 | NA | 11.75 | 4.88 | NA | 36.41 | 090 | |
| 62100 | A | Repair brain fluid leakage | 22.00 | NA | 12.85 | 4.91 | NA | 39.76 | 090 | |
| 62115 | A | Reduction of skull defect | 21.63 | NA | 11.69 | 5.46 | NA | 38.78 | 090 | |
| 62116 | A | Reduction of skull defect | 23.55 | NA | 13.42 | 5.85 | NA | 42.82 | 090 | |
| 62117 | A | Reduction of skull defect | 26.56 | NA | 15.44 | 6.71 | NA | 48.71 | 090 | |
| 62120 | A | Repair skull cavity lesion | 23.31 | NA | 14.33 | 3.70 | NA | 41.34 | 090 | |
| 62121 | A | Incise skull repair | 21.55 | NA | 12.75 | 2.98 | NA | 37.28 | 090 | |
| 62140 | A | Repair of skull defect | 13.49 | NA | 8.36 | 3.14 | NA | 24.99 | 090 | |
| 62141 | A | Repair of skull defect | 14.89 | NA | 9.10 | 3.44 | NA | 27.43 | 090 | |
| 62142 | A | Remove skull plate/flap | 10.77 | NA | 7.03 | 2.53 | NA | 20.33 | 090 | |
| 62143 | A | Replace skull plate/flap | 13.03 | NA | 8.08 | 3.08 | NA | 24.19 | 090 | |
| 62145 | A | Repair of skull brain | 18.79 | NA | 10.95 | 4.60 | NA | 34.34 | 090 | |
| 62146 | A | Repair of skull with graft | 16.10 | NA | 9.68 | 3.55 | NA | 29.33 | 090 | |
| 62147 | A | Repair of skull with graft | 19.31 | NA | 11.38 | 4.39 | NA | 35.08 | 090 | |
| 62148 | A | Retr bone flap to fix skull | 2.00 | NA | 0.82 | 0.52 | NA | 3.34 | ZZZ | |
| 62160 | A | Neuroendoscopy add-on | 3.00 | NA | 1.14 | 0.63 | NA | 4.77 | ZZZ | |
| 62161 | A | Dissect brain w/scope | 19.97 | NA | 9.56 | 4.46 | NA | 33.99 | 090 | |
| 62162 | A | Remove colloid cyst w/scope | 25.21 | NA | 11.69 | 6.96 | NA | 43.86 | 090 | |
| 62163 | A | Neuroendoscopy w/fb removal | 15.48 | NA | 7.85 | 4.46 | NA | 27.79 | 090 | |
| 62164 | A | Remove brain tumor w/scope | 27.46 | NA | 12.90 | 6.96 | NA | 47.32 | 090 | |
| 62165 | A | Remove pituit tumor w/scope | 21.97 | NA | 10.51 | 4.38 | NA | 36.86 | 090 | |
| 62180 | A | Establish brain cavity shunt | 21.03 | NA | 12.34 | 5.21 | NA | 38.58 | 090 | |
| 62190 | A | Establish brain cavity shunt | 11.05 | NA | 7.11 | 2.63 | NA | 20.79 | 090 | |
| 62192 | A | Establish brain cavity shunt | 12.23 | NA | 7.66 | 2.97 | NA | 22.86 | 090 | |
| 62194 | A | Replace/irrigate catheter | 5.02 | NA | 2.79 | 0.60 | NA | 8.41 | 010 | |
| 62200 | A | Establish brain cavity shunt | 18.29 | NA | 10.89 | 4.46 | NA | 33.64 | 090 | |
| 62201 | A | Brain cavity shunt w/scope | 14.84 | NA | 9.49 | 3.04 | NA | 27.37 | 090 | |
| 62220 | A | Establish brain cavity shunt | 12.98 | NA | 8.02 | 3.05 | NA | 24.05 | 090 | |
| 62223 | A | Establish brain cavity shunt | 12.85 | NA | 8.28 | 3.11 | NA | 24.24 | 090 | |
| 62225 | A | Replace/irrigate catheter | 5.40 | NA | 4.11 | 1.31 | NA | 10.82 | 090 | |
| 62230 | A | Replace/revise brain shunt | 10.52 | NA | 6.51 | 2.53 | NA | 19.56 | 090 | |
| 62252 | A | Csf shunt reprogram | 0.74 | 1.48 | NA | 0.21 | 2.43 | NA | XXX | |
| 62252 | 26 | A | Csf shunt reprogram | 0.74 | 0.37 | 0.37 | 0.19 | 1.30 | 1.30 | XXX |
| 62252 | TC | A | Csf shunt reprogram | 0.00 | 1.11 | NA | 0.02 | 1.13 | NA | XXX |
| 62256 | A | Remove brain cavity shunt | 6.59 | NA | 4.72 | 1.62 | NA | 12.93 | 090 | |
| 62258 | A | Replace brain cavity shunt | 14.52 | NA | 8.74 | 3.51 | NA | 26.77 | 090 | |
| 62263 | A | Epidural lysis mult sessions | 6.13 | 11.87 | 2.39 | 0.51 | 18.51 | 9.03 | 010 | |
| 62264 | A | Epidural lysis on single day | 4.42 | 7.66 | 1.40 | 0.36 | 12.44 | 6.18 | 010 | |
| 62268 | A | Drain spinal cord cyst | 4.73 | 10.58 | 2.18 | 0.35 | 15.66 | 7.26 | 000 | |
| 62269 | A | Needle biopsy, spinal cord | 5.01 | 12.80 | 2.01 | 0.35 | 18.16 | 7.37 | 000 | |
| 62270 | A | Spinal fluid tap, diagnostic | 1.13 | 3.08 | 0.49 | 0.07 | 4.28 | 1.69 | 000 | |
| 62272 | A | Drain cerebro spinal fluid | 1.35 | 3.68 | 0.64 | 0.16 | 5.19 | 2.15 | 000 | |
| 62273 | A | Treat epidural spine lesion | 2.15 | 2.73 | 0.57 | 0.17 | 5.05 | 2.89 | 000 | |
| 62280 | A | Treat spinal cord lesion | 2.63 | 6.59 | 0.88 | 0.21 | 9.43 | 3.72 | 010 | |
| 62281 | A | Treat spinal cord lesion | 2.66 | 5.76 | 0.77 | 0.19 | 8.61 | 3.62 | 010 | |
| 62282 | A | Treat spinal canal lesion | 2.33 | 8.20 | 0.79 | 0.17 | 10.70 | 3.29 | 010 | |
| 62284 | A | Injection for myelogram | 1.54 | 4.88 | 0.60 | 0.12 | 6.54 | 2.26 | 000 | |
| 62287 | A | Percutaneous diskectomy | 8.07 | NA | 5.52 | 0.80 | NA | 14.39 | 090 | |
| 62290 | A | Inject for spine disk x-ray | 3.00 | 6.81 | 1.28 | 0.24 | 10.05 | 4.52 | 000 | |
| 62291 | A | Inject for spine disk x-ray | 2.91 | 5.69 | 1.13 | 0.21 | 8.81 | 4.25 | 000 | |
| 62292 | A | Injection into disk lesion | 7.85 | NA | 4.50 | 0.78 | NA | 13.13 | 090 | |
| 62294 | A | Injection into spinal artery | 11.81 | NA | 5.62 | 1.03 | NA | 18.46 | 090 | |
| 62310 | A | Inject spine c/t | 1.91 | 4.83 | 0.50 | 0.13 | 6.87 | 2.54 | 000 | |
| 62311 | A | Inject spine l/s (cd) | 1.54 | 4.91 | 0.45 | 0.11 | 6.56 | 2.10 | 000 | |
| 62318 | A | Inject spine w/cath, c/t | 2.04 | 5.51 | 0.51 | 0.14 | 7.69 | 2.69 | 000 | |
| 62319 | A | Inject spine w/cath l/s (cd) | 1.87 | 4.82 | 0.47 | 0.13 | 6.82 | 2.47 | 000 | |
| 62350 | A | Implant spinal canal cath | 6.86 | NA | 3.99 | 0.77 | NA | 11.62 | 090 | |
| 62351 | A | Implant spinal canal cath | 9.99 | NA | 7.10 | 2.16 | NA | 19.25 | 090 | |
| 62355 | A | Remove spinal canal catheter | 5.44 | NA | 3.20 | 0.57 | NA | 9.21 | 090 | |
| 62360 | A | Insert spine infusion device | 2.62 | NA | 2.71 | 0.25 | NA | 5.58 | 090 | |
| 62361 | A | Implant spine infusion pump | 5.41 | NA | 3.91 | 0.60 | NA | 9.92 | 090 | |
| 62362 | A | Implant spine infusion pump | 7.03 | NA | 4.38 | 1.04 | NA | 12.45 | 090 | |
| 62365 | A | Remove spine infusion device | 5.41 | NA | 3.60 | 0.70 | NA | 9.71 | 090 | |
| 62367 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 62367 | 26 | A | Analyze spine infusion pump | 0.48 | 0.13 | 0.13 | 0.04 | 0.65 | 0.65 | XXX |
| 62367 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 62368 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 62368 | 26 | A | Analyze spine infusion pump | 0.75 | 0.19 | 0.19 | 0.06 | 1.00 | 1.00 | XXX |
| 62368 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 63001 | A | Removal of spinal lamina | 15.80 | NA | 9.52 | 3.65 | NA | 28.97 | 090 | |
| 63003 | A | Removal of spinal lamina | 15.93 | NA | 9.86 | 3.59 | NA | 29.38 | 090 | |
| 63005 | A | Removal of spinal lamina | 14.90 | NA | 9.93 | 3.16 | NA | 27.99 | 090 | |
| 63011 | A | Removal of spinal lamina | 14.50 | NA | 8.26 | 1.72 | NA | 24.48 | 090 | |
| 63012 | A | Removal of spinal lamina | 15.38 | NA | 10.09 | 3.27 | NA | 28.74 | 090 | |
| 63015 | A | Removal of spinal lamina | 19.32 | NA | 11.89 | 4.63 | NA | 35.84 | 090 | |
| 63016 | A | Removal of spinal lamina | 19.17 | NA | 11.79 | 4.37 | NA | 35.33 | 090 | |
| 63017 | A | Removal of spinal lamina | 15.92 | NA | 10.36 | 3.51 | NA | 29.79 | 090 | |
| 63020 | A | Neck spine disk surgery | 14.79 | NA | 9.67 | 3.49 | NA | 27.95 | 090 | |
| 63030 | A | Low back disk surgery | 11.98 | NA | 8.39 | 2.67 | NA | 23.04 | 090 | |
| 63035 | A | Spinal disk surgery add-on | 3.15 | NA | 1.59 | 0.69 | NA | 5.43 | ZZZ | |
| 63040 | A | Laminotomy, single cervical | 18.78 | NA | 11.50 | 4.05 | NA | 34.33 | 090 | |
| 63042 | A | Laminotomy, single lumbar | 17.44 | NA | 11.30 | 3.75 | NA | 32.49 | 090 | |
| 63043 | C | Laminotomy, add'l cervical | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 63044 | C | Laminotomy, add'l lumbar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 63045 | A | Removal of spinal lamina | 16.48 | NA | 10.35 | 3.85 | NA | 30.68 | 090 | |
| 63046 | A | Removal of spinal lamina | 15.78 | NA | 10.16 | 3.49 | NA | 29.43 | 090 | |
| 63047 | A | Removal of spinal lamina | 14.59 | NA | 9.85 | 3.15 | NA | 27.59 | 090 | |
| 63048 | A | Remove spinal lamina add-on | 3.26 | NA | 1.67 | 0.70 | NA | 5.63 | ZZZ | |
| 63055 | A | Decompress spinal cord | 21.96 | NA | 13.14 | 4.93 | NA | 40.03 | 090 | |
| 63056 | A | Decompress spinal cord | 20.33 | NA | 12.54 | 4.03 | NA | 36.90 | 090 | |
| 63057 | A | Decompress spine cord add-on | 5.25 | NA | 2.64 | 0.98 | NA | 8.87 | ZZZ | |
| 63064 | A | Decompress spinal cord | 24.57 | NA | 14.45 | 5.69 | NA | 44.71 | 090 | |
| 63066 | A | Decompress spine cord add-on | 3.26 | NA | 1.67 | 0.76 | NA | 5.69 | ZZZ | |
| 63075 | A | Neck spine disk surgery | 19.38 | NA | 12.08 | 4.50 | NA | 35.96 | 090 | |
| 63076 | A | Neck spine disk surgery | 4.04 | NA | 2.06 | 0.94 | NA | 7.04 | ZZZ | |
| 63077 | A | Spine disk surgery, thorax | 21.41 | NA | 12.76 | 4.15 | NA | 38.32 | 090 | |
| 63078 | A | Spine disk surgery, thorax | 3.28 | NA | 1.64 | 0.60 | NA | 5.52 | ZZZ | |
| 63081 | A | Removal of vertebral body | 23.69 | NA | 14.33 | 5.38 | NA | 43.40 | 090 | |
| 63082 | A | Remove vertebral body add-on | 4.36 | NA | 2.23 | 0.99 | NA | 7.58 | ZZZ | |
| 63085 | A | Removal of vertebral body | 26.88 | NA | 15.47 | 5.67 | NA | 48.02 | 090 | |
| 63086 | A | Remove vertebral body add-on | 3.19 | NA | 1.60 | 0.66 | NA | 5.45 | ZZZ | |
| 63087 | A | Removal of vertebral body | 35.52 | NA | 19.45 | 7.08 | NA | 62.05 | 090 | |
| 63088 | A | Remove vertebral body add-on | 4.32 | NA | 2.18 | 0.93 | NA | 7.43 | ZZZ | |
| 63090 | A | Removal of vertebral body | 28.12 | NA | 16.01 | 5.15 | NA | 49.28 | 090 | |
| 63091 | A | Remove vertebral body add-on | 3.03 | NA | 1.46 | 0.54 | NA | 5.03 | ZZZ | |
| 63101 | A | Removal of vertebral body | 31.95 | NA | 19.34 | 5.69 | NA | 56.98 | 090 | |
| 63102 | A | Removal of vertebral body | 31.95 | NA | 19.34 | 5.69 | NA | 56.98 | 090 | |
| 63103 | A | Remove vertebral body add-on | 3.89 | NA | 2.01 | 0.76 | NA | 6.66 | ZZZ | |
| 63170 | A | Incise spinal cord tract(s) | 19.80 | NA | 12.06 | 4.69 | NA | 36.55 | 090 | |
| 63172 | A | Drainage of spinal cyst | 17.63 | NA | 10.85 | 4.17 | NA | 32.65 | 090 | |
| 63173 | A | Drainage of spinal cyst | 21.96 | NA | 13.03 | 4.99 | NA | 39.98 | 090 | |
| 63180 | A | Revise spinal cord ligaments | 18.24 | NA | 11.21 | 4.62 | NA | 34.07 | 090 | |
| 63182 | A | Revise spinal cord ligaments | 20.47 | NA | 11.18 | 4.20 | NA | 35.85 | 090 | |
| 63185 | A | Incise spinal column/nerves | 15.02 | NA | 8.25 | 2.51 | NA | 25.78 | 090 | |
| 63190 | A | Incise spinal column/nerves | 17.42 | NA | 10.31 | 3.47 | NA | 31.20 | 090 | |
| 63191 | A | Incise spinal column/nerves | 17.51 | NA | 10.68 | 4.22 | NA | 32.41 | 090 | |
| 63194 | A | Incise spinal column cord | 19.16 | NA | 11.89 | 4.84 | NA | 35.89 | 090 | |
| 63195 | A | Incise spinal column cord | 18.81 | NA | 11.24 | 4.15 | NA | 34.20 | 090 | |
| 63196 | A | Incise spinal column cord | 22.27 | NA | 13.58 | 5.62 | NA | 41.47 | 090 | |
| 63197 | A | Incise spinal column cord | 21.08 | NA | 12.39 | 5.33 | NA | 38.80 | 090 | |
| 63198 | A | Incise spinal column cord | 25.34 | NA | 8.63 | 6.40 | NA | 40.37 | 090 | |
| 63199 | A | Incise spinal column cord | 26.85 | NA | 15.24 | 6.78 | NA | 48.87 | 090 | |
| 63200 | A | Release of spinal cord | 19.15 | NA | 11.48 | 4.35 | NA | 34.98 | 090 | |
| 63250 | A | Revise spinal cord vessels | 40.70 | NA | 20.03 | 9.23 | NA | 69.96 | 090 | |
| 63251 | A | Revise spinal cord vessels | 41.14 | NA | 22.69 | 9.62 | NA | 73.45 | 090 | |
| 63252 | A | Revise spinal cord vessels | 41.13 | NA | 22.33 | 9.35 | NA | 72.81 | 090 | |
| 63265 | A | Excise intraspinal lesion | 21.53 | NA | 12.81 | 5.17 | NA | 39.51 | 090 | |
| 63266 | A | Excise intraspinal lesion | 22.27 | NA | 13.22 | 5.39 | NA | 40.88 | 090 | |
| 63267 | A | Excise intraspinal lesion | 17.92 | NA | 11.09 | 4.22 | NA | 33.23 | 090 | |
| 63268 | A | Excise intraspinal lesion | 18.49 | NA | 10.42 | 3.84 | NA | 32.75 | 090 | |
| 63270 | A | Excise intraspinal lesion | 26.76 | NA | 15.52 | 6.53 | NA | 48.81 | 090 | |
| 63271 | A | Excise intraspinal lesion | 26.88 | NA | 15.63 | 6.71 | NA | 49.22 | 090 | |
| 63272 | A | Excise intraspinal lesion | 25.28 | NA | 14.73 | 6.11 | NA | 46.12 | 090 | |
| 63273 | A | Excise intraspinal lesion | 24.25 | NA | 14.39 | 6.13 | NA | 44.77 | 090 | |
| 63275 | A | Biopsy/excise spinal tumor | 23.64 | NA | 13.83 | 5.64 | NA | 43.11 | 090 | |
| 63276 | A | Biopsy/excise spinal tumor | 23.41 | NA | 13.72 | 5.58 | NA | 42.71 | 090 | |
| 63277 | A | Biopsy/excise spinal tumor | 20.80 | NA | 12.54 | 4.86 | NA | 38.20 | 090 | |
| 63278 | A | Biopsy/excise spinal tumor | 20.53 | NA | 12.39 | 4.85 | NA | 37.77 | 090 | |
| 63280 | A | Biopsy/excise spinal tumor | 28.31 | NA | 16.37 | 7.00 | NA | 51.68 | 090 | |
| 63281 | A | Biopsy/excise spinal tumor | 28.01 | NA | 16.22 | 6.84 | NA | 51.07 | 090 | |
| 63282 | A | Biopsy/excise spinal tumor | 26.35 | NA | 15.38 | 6.43 | NA | 48.16 | 090 | |
| 63283 | A | Biopsy/excise spinal tumor | 24.96 | NA | 14.71 | 6.18 | NA | 45.85 | 090 | |
| 63285 | A | Biopsy/excise spinal tumor | 35.95 | NA | 20.01 | 8.82 | NA | 64.78 | 090 | |
| 63286 | A | Biopsy/excise spinal tumor | 35.58 | NA | 19.97 | 8.53 | NA | 64.08 | 090 | |
| 63287 | A | Biopsy/excise spinal tumor | 36.64 | NA | 20.53 | 9.02 | NA | 66.19 | 090 | |
| 63290 | A | Biopsy/excise spinal tumor | 37.32 | NA | 20.66 | 9.23 | NA | 67.21 | 090 | |
| 63300 | A | Removal of vertebral body | 24.39 | NA | 14.34 | 5.77 | NA | 44.50 | 090 | |
| 63301 | A | Removal of vertebral body | 27.56 | NA | 15.58 | 6.07 | NA | 49.21 | 090 | |
| 63302 | A | Removal of vertebral body | 27.77 | NA | 15.88 | 6.33 | NA | 49.98 | 090 | |
| 63303 | A | Removal of vertebral body | 30.45 | NA | 16.92 | 6.28 | NA | 53.65 | 090 | |
| 63304 | A | Removal of vertebral body | 30.28 | NA | 17.34 | 5.69 | NA | 53.31 | 090 | |
| 63305 | A | Removal of vertebral body | 31.98 | NA | 18.06 | 6.50 | NA | 56.54 | 090 | |
| 63306 | A | Removal of vertebral body | 32.17 | NA | 17.84 | 2.88 | NA | 52.89 | 090 | |
| 63307 | A | Removal of vertebral body | 31.58 | NA | 16.82 | 5.10 | NA | 53.50 | 090 | |
| 63308 | A | Remove vertebral body add-on | 5.24 | NA | 2.62 | 1.22 | NA | 9.08 | ZZZ | |
| 63600 | A | Remove spinal cord lesion | 14.00 | NA | 5.44 | 1.47 | NA | 20.91 | 090 | |
| 63610 | A | Stimulation of spinal cord | 8.72 | 55.66 | 2.30 | 0.52 | 64.90 | 11.54 | 000 | |
| 63615 | A | Remove lesion of spinal cord | 16.26 | NA | 9.41 | 3.44 | NA | 29.11 | 090 | |
| 63650 | A | Implant neuroelectrodes | 6.73 | NA | 3.22 | 0.58 | NA | 10.53 | 090 | |
| 63655 | A | Implant neuroelectrodes | 10.27 | NA | 6.90 | 2.23 | NA | 19.40 | 090 | |
| 63660 | A | Revise/remove neuroelectrode | 6.15 | NA | 3.63 | 0.78 | NA | 10.56 | 090 | |
| 63685 | A | Implant neuroreceiver | 7.03 | NA | 4.16 | 1.16 | NA | 12.35 | 090 | |
| 63688 | A | Revise/remove neuroreceiver | 5.38 | NA | 3.57 | 0.84 | NA | 9.79 | 090 | |
| 63700 | A | Repair of spinal herniation | 16.51 | NA | 10.27 | 3.24 | NA | 30.02 | 090 | |
| 63702 | A | Repair of spinal herniation | 18.45 | NA | 10.84 | 1.64 | NA | 30.93 | 090 | |
| 63704 | A | Repair of spinal herniation | 21.15 | NA | 12.89 | 4.63 | NA | 38.67 | 090 | |
| 63706 | A | Repair of spinal herniation | 24.07 | NA | 13.61 | 5.70 | NA | 43.38 | 090 | |
| 63707 | A | Repair spinal fluid leakage | 11.24 | NA | 7.68 | 2.36 | NA | 21.28 | 090 | |
| 63709 | A | Repair spinal fluid leakage | 14.30 | NA | 9.36 | 3.00 | NA | 26.66 | 090 | |
| 63710 | A | Graft repair of spine defect | 14.05 | NA | 9.05 | 3.15 | NA | 26.25 | 090 | |
| 63740 | A | Install spinal shunt | 11.34 | NA | 7.38 | 2.59 | NA | 21.31 | 090 | |
| 63741 | A | Install spinal shunt | 8.24 | NA | 4.78 | 1.27 | NA | 14.29 | 090 | |
| 63744 | A | Revision of spinal shunt | 8.09 | NA | 5.28 | 1.82 | NA | 15.19 | 090 | |
| 63746 | A | Removal of spinal shunt | 6.42 | NA | 3.80 | 1.39 | NA | 11.61 | 090 | |
| 64400 | A | N block inj, trigeminal | 1.11 | 2.01 | 0.37 | 0.07 | 3.19 | 1.55 | 000 | |
| 64402 | A | N block inj, facial | 1.25 | 1.74 | 0.53 | 0.08 | 3.07 | 1.86 | 000 | |
| 64405 | A | N block inj, occipital | 1.32 | 1.52 | 0.39 | 0.10 | 2.94 | 1.81 | 000 | |
| 64408 | A | N block inj, vagus | 1.41 | 1.58 | 0.66 | 0.11 | 3.10 | 2.18 | 000 | |
| 64410 | A | N block inj, phrenic | 1.43 | 2.56 | 0.39 | 0.10 | 4.09 | 1.92 | 000 | |
| 64412 | A | N block inj, spinal accessor | 1.18 | 2.71 | 0.37 | 0.10 | 3.99 | 1.65 | 000 | |
| 64413 | A | N block inj, cervical plexus | 1.40 | 1.88 | 0.43 | 0.11 | 3.39 | 1.94 | 000 | |
| 64415 | A | N block inj, brachial plexus | 1.48 | 2.84 | 0.39 | 0.10 | 4.42 | 1.97 | 000 | |
| 64416 | A | N block cont infuse, b plex | 3.49 | NA | 0.72 | 0.10 | NA | 4.31 | 010 | |
| 64417 | A | N block inj, axillary | 1.44 | 3.09 | 0.42 | 0.11 | 4.64 | 1.97 | 000 | |
| 64418 | A | N block inj, suprascapular | 1.32 | 2.65 | 0.37 | 0.08 | 4.05 | 1.77 | 000 | |
| 64420 | A | N block inj, intercost, sng | 1.18 | 3.53 | 0.36 | 0.08 | 4.79 | 1.62 | 000 | |
| 64421 | A | N block inj, intercost, mlt | 1.68 | 5.39 | 0.45 | 0.12 | 7.19 | 2.25 | 000 | |
| 64425 | A | N block inj ilio-ing/hypogi | 1.75 | 1.70 | 0.47 | 0.13 | 3.58 | 2.35 | 000 | |
| 64430 | A | N block inj, pudendal | 1.46 | 2.59 | 0.49 | 0.13 | 4.18 | 2.08 | 000 | |
| 64435 | A | N block inj, paracervical | 1.45 | 2.58 | 0.63 | 0.18 | 4.21 | 2.26 | 000 | |
| 64445 | A | N block inj, sciatic, sng | 1.48 | 2.69 | 0.37 | 0.10 | 4.27 | 1.95 | 000 | |
| 64446 | A | N blk inj, sciatic, cont inf | 3.25 | NA | 1.18 | 0.10 | NA | 4.53 | 010 | |
| 64447 | A | N block inj fem, single | 1.50 | NA | 0.51 | 0.10 | NA | 2.11 | 000 | |
| 64448 | A | N block inj fem, cont inf | 3.00 | NA | 1.03 | 0.10 | NA | 4.13 | 010 | |
| 64449 | A | N block inj, lumbar plexus | 3.00 | NA | 0.97 | 0.10 | NA | 4.07 | 010 | |
| 64450 | A | N block, other peripheral | 1.27 | 1.26 | 0.41 | 0.10 | 2.63 | 1.78 | 000 | |
| 64470 | A | Inj paravertebral c/t | 1.85 | 4.86 | 0.56 | 0.14 | 6.85 | 2.55 | 000 | |
| 64472 | A | Inj paravertebral c/t add-on | 1.29 | 1.94 | 0.31 | 0.11 | 3.34 | 1.71 | ZZZ | |
| 64475 | A | Inj paravertebral l/s | 1.41 | 4.56 | 0.47 | 0.11 | 6.08 | 1.99 | 000 | |
| 64476 | A | Inj paravertebral l/s add-on | 0.98 | 1.82 | 0.25 | 0.07 | 2.87 | 1.30 | ZZZ | |
| 64479 | A | Inj foramen epidural c/t | 2.20 | 7.05 | 0.72 | 0.17 | 9.42 | 3.09 | 000 | |
| 64480 | A | Inj foramen epidural add-on | 1.54 | 2.41 | 0.46 | 0.11 | 4.06 | 2.11 | ZZZ | |
| 64483 | A | Inj foramen epidural l/s | 1.90 | 7.53 | 0.66 | 0.14 | 9.57 | 2.70 | 000 | |
| 64484 | A | Inj foramen epidural add-on | 1.33 | 2.80 | 0.37 | 0.10 | 4.23 | 1.80 | ZZZ | |
| 64505 | A | N block, spenopalatine gangl | 1.36 | 1.22 | 0.47 | 0.10 | 2.68 | 1.93 | 000 | |
| 64508 | A | N block, carotid sinus s/p | 1.12 | 2.96 | 0.51 | 0.07 | 4.15 | 1.70 | 000 | |
| 64510 | A | N block, stellate ganglion | 1.22 | 3.20 | 0.37 | 0.08 | 4.50 | 1.67 | 000 | |
| 64517 | A | N block inj, hypogas plxs | 2.20 | 2.70 | 0.87 | 0.13 | 5.03 | 3.20 | 000 | |
| 64520 | A | N block, lumbar/thoracic | 1.35 | 4.56 | 0.41 | 0.10 | 6.01 | 1.86 | 000 | |
| 64530 | A | N block inj, celiac pelus | 1.58 | 3.94 | 0.47 | 0.11 | 5.63 | 2.16 | 000 | |
| 64550 | A | Apply neurostimulator | 0.18 | 0.30 | 0.05 | 0.01 | 0.49 | 0.24 | 000 | |
| 64553 | A | Implant neuroelectrodes | 2.31 | 2.70 | 1.86 | 0.21 | 5.22 | 4.38 | 010 | |
| 64555 | A | Implant neuroelectrodes | 2.27 | 3.09 | 1.20 | 0.13 | 5.49 | 3.60 | 010 | |
| 64560 | A | Implant neuroelectrodes | 2.36 | 2.64 | 1.30 | 0.21 | 5.21 | 3.87 | 010 | |
| 64561 | A | Implant neuroelectrodes | 6.73 | NA | 3.16 | 0.13 | NA | 10.02 | 010 | |
| 64565 | A | Implant neuroelectrodes | 1.76 | 3.35 | 1.26 | 0.10 | 5.21 | 3.12 | 010 | |
| 64573 | A | Implant neuroelectrodes | 7.49 | NA | 5.23 | 1.79 | NA | 14.51 | 090 | |
| 64575 | A | Implant neuroelectrodes | 4.34 | NA | 2.70 | 0.45 | NA | 7.49 | 090 | |
| 64577 | A | Implant neuroelectrodes | 4.61 | NA | 3.32 | 0.60 | NA | 8.53 | 090 | |
| 64580 | A | Implant neuroelectrodes | 4.11 | NA | 3.55 | 0.25 | NA | 7.91 | 090 | |
| 64581 | A | Implant neuroelectrodes | 13.48 | NA | 5.41 | 0.45 | NA | 19.34 | 090 | |
| 64585 | A | Revise/remove neuroelectrode | 2.06 | 11.57 | 1.71 | 0.35 | 13.98 | 4.12 | 010 | |
| 64590 | A | Implant neuroreceiver | 2.40 | 7.26 | 1.90 | 0.48 | 10.14 | 4.78 | 010 | |
| 64595 | A | Revise/remove neuroreceiver | 1.73 | 10.69 | 1.49 | 0.27 | 12.69 | 3.49 | 010 | |
| 64600 | A | Injection treatment of nerve | 3.44 | 8.45 | 1.57 | 0.34 | 12.23 | 5.35 | 010 | |
| 64605 | A | Injection treatment of nerve | 5.60 | 8.59 | 2.05 | 0.64 | 14.83 | 8.29 | 010 | |
| 64610 | A | Injection treatment of nerve | 7.15 | 7.89 | 3.58 | 1.35 | 16.39 | 12.08 | 010 | |
| 64612 | A | Destroy nerve, face muscle | 1.96 | 2.62 | 1.08 | 0.11 | 4.69 | 3.15 | 010 | |
| 64613 | A | Destroy nerve, spine muscle | 1.96 | 2.97 | 0.99 | 0.12 | 5.05 | 3.07 | 010 | |
| 64614 | A | Destroy nerve, extrem musc | 2.20 | 3.24 | 1.12 | 0.11 | 5.55 | 3.43 | 010 | |
| 64620 | A | Injection treatment of nerve | 2.84 | 4.60 | 1.18 | 0.21 | 7.65 | 4.23 | 010 | |
| 64622 | A | Destr paravertebrl nerve l/s | 3.00 | 7.62 | 1.23 | 0.21 | 10.83 | 4.44 | 010 | |
| 64623 | A | Destr paravertebral n add-on | 0.99 | 2.42 | 0.23 | 0.07 | 3.48 | 1.29 | ZZZ | |
| 64626 | A | Destr paravertebrl nerve c/t | 3.28 | 6.67 | 1.85 | 0.27 | 10.22 | 5.40 | 010 | |
| 64627 | A | Destr paravertebral n add-on | 1.16 | 2.61 | 0.27 | 0.10 | 3.87 | 1.53 | ZZZ | |
| 64630 | A | Injection treatment of nerve | 3.00 | 2.73 | 1.28 | 0.19 | 5.92 | 4.47 | 010 | |
| 64640 | A | Injection treatment of nerve | 2.76 | 4.24 | 1.67 | 0.13 | 7.13 | 4.56 | 010 | |
| 64680 | A | Injection treatment of nerve | 2.62 | 5.97 | 1.28 | 0.18 | 8.77 | 4.08 | 010 | |
| 64681 | A | Injection treatment of nerve | 3.54 | 8.71 | 2.10 | 0.18 | 12.43 | 5.82 | 010 | |
| 64702 | A | Revise finger/toe nerve | 4.22 | NA | 3.82 | 0.62 | NA | 8.66 | 090 | |
| 64704 | A | Revise hand/foot nerve | 4.56 | NA | 3.28 | 0.71 | NA | 8.55 | 090 | |
| 64708 | A | Revise arm/leg nerve | 6.11 | NA | 4.83 | 0.99 | NA | 11.93 | 090 | |
| 64712 | A | Revision of sciatic nerve | 7.74 | NA | 4.99 | 0.65 | NA | 13.38 | 090 | |
| 64713 | A | Revision of arm nerve(s) | 10.98 | NA | 5.90 | 1.22 | NA | 18.10 | 090 | |
| 64714 | A | Revise low back nerve(s) | 10.31 | NA | 4.24 | 0.77 | NA | 15.32 | 090 | |
| 64716 | A | Revision of cranial nerve | 6.30 | NA | 5.26 | 0.71 | NA | 12.27 | 090 | |
| 64718 | A | Revise ulnar nerve at elbow | 5.98 | NA | 5.87 | 1.05 | NA | 12.90 | 090 | |
| 64719 | A | Revise ulnar nerve at wrist | 4.84 | NA | 4.46 | 0.76 | NA | 10.06 | 090 | |
| 64721 | A | Carpal tunnel surgery | 4.28 | 4.95 | 4.95 | 0.71 | 9.94 | 9.94 | 090 | |
| 64722 | A | Relieve pressure on nerve(s) | 4.69 | NA | 3.06 | 0.39 | NA | 8.14 | 090 | |
| 64726 | A | Release foot/toe nerve | 4.17 | NA | 2.76 | 0.69 | NA | 7.62 | 090 | |
| 64727 | A | Internal nerve revision | 3.10 | NA | 1.51 | 0.48 | NA | 5.09 | ZZZ | |
| 64732 | A | Incision of brow nerve | 4.40 | NA | 3.53 | 0.93 | NA | 8.86 | 090 | |
| 64734 | A | Incision of cheek nerve | 4.91 | NA | 4.06 | 1.00 | NA | 9.97 | 090 | |
| 64736 | A | Incision of chin nerve | 4.59 | NA | 4.03 | 0.86 | NA | 9.48 | 090 | |
| 64738 | A | Incision of jaw nerve | 5.72 | NA | 4.62 | 1.01 | NA | 11.35 | 090 | |
| 64740 | A | Incision of tongue nerve | 5.58 | NA | 4.39 | 0.52 | NA | 10.49 | 090 | |
| 64742 | A | Incision of facial nerve | 6.21 | NA | 4.74 | 0.83 | NA | 11.78 | 090 | |
| 64744 | A | Incise nerve, back of head | 5.23 | NA | 3.79 | 1.18 | NA | 10.20 | 090 | |
| 64746 | A | Incise diaphragm nerve | 5.92 | NA | 4.53 | 0.90 | NA | 11.35 | 090 | |
| 64752 | A | Incision of vagus nerve | 7.05 | NA | 4.31 | 1.00 | NA | 12.36 | 090 | |
| 64755 | A | Incision of stomach nerves | 13.50 | NA | 5.68 | 1.40 | NA | 20.58 | 090 | |
| 64760 | A | Incision of vagus nerve | 6.95 | NA | 3.52 | 0.62 | NA | 11.09 | 090 | |
| 64761 | A | Incision of pelvis nerve | 6.40 | NA | 3.56 | 0.31 | NA | 10.27 | 090 | |
| 64763 | A | Incise hip/thigh nerve | 6.92 | NA | 5.24 | 0.93 | NA | 13.09 | 090 | |
| 64766 | A | Incise hip/thigh nerve | 8.66 | NA | 5.26 | 1.19 | NA | 15.11 | 090 | |
| 64771 | A | Sever cranial nerve | 7.34 | NA | 5.58 | 1.59 | NA | 14.51 | 090 | |
| 64772 | A | Incision of spinal nerve | 7.20 | NA | 4.93 | 1.45 | NA | 13.58 | 090 | |
| 64774 | A | Remove skin nerve lesion | 5.16 | NA | 3.81 | 0.72 | NA | 9.69 | 090 | |
| 64776 | A | Remove digit nerve lesion | 5.11 | NA | 3.67 | 0.76 | NA | 9.54 | 090 | |
| 64778 | A | Digit nerve surgery add-on | 3.11 | NA | 1.50 | 0.46 | NA | 5.07 | ZZZ | |
| 64782 | A | Remove limb nerve lesion | 6.22 | NA | 3.75 | 0.95 | NA | 10.92 | 090 | |
| 64783 | A | Limb nerve surgery add-on | 3.71 | NA | 1.85 | 0.58 | NA | 6.14 | ZZZ | |
| 64784 | A | Remove nerve lesion | 9.81 | NA | 6.57 | 1.41 | NA | 17.79 | 090 | |
| 64786 | A | Remove sciatic nerve lesion | 15.44 | NA | 9.84 | 2.68 | NA | 27.96 | 090 | |
| 64787 | A | Implant nerve end | 4.29 | NA | 2.13 | 0.68 | NA | 7.10 | ZZZ | |
| 64788 | A | Remove skin nerve lesion | 4.60 | NA | 3.47 | 0.65 | NA | 8.72 | 090 | |
| 64790 | A | Removal of nerve lesion | 11.29 | NA | 7.19 | 2.03 | NA | 20.51 | 090 | |
| 64792 | A | Removal of nerve lesion | 14.90 | NA | 8.84 | 2.27 | NA | 26.01 | 090 | |
| 64795 | A | Biopsy of nerve | 3.01 | NA | 1.59 | 0.48 | NA | 5.08 | 000 | |
| 64802 | A | Remove sympathetic nerves | 9.14 | NA | 5.17 | 1.05 | NA | 15.36 | 090 | |
| 64804 | A | Remove sympathetic nerves | 14.62 | NA | 7.20 | 2.16 | NA | 23.98 | 090 | |
| 64809 | A | Remove sympathetic nerves | 13.65 | NA | 5.80 | 1.16 | NA | 20.61 | 090 | |
| 64818 | A | Remove sympathetic nerves | 10.28 | NA | 5.33 | 1.30 | NA | 16.91 | 090 | |
| 64820 | A | Remove sympathetic nerves | 10.35 | NA | 7.11 | 1.41 | NA | 18.87 | 090 | |
| 64821 | A | Remove sympathetic nerves | 8.74 | NA | 7.35 | 1.19 | NA | 17.28 | 090 | |
| 64822 | A | Remove sympathetic nerves | 8.74 | NA | 7.27 | 1.19 | NA | 17.20 | 090 | |
| 64823 | A | Remove sympathetic nerves | 10.35 | NA | 8.18 | 1.41 | NA | 19.94 | 090 | |
| 64831 | A | Repair of digit nerve | 9.43 | NA | 7.05 | 1.37 | NA | 17.85 | 090 | |
| 64832 | A | Repair nerve add-on | 5.65 | NA | 2.95 | 0.82 | NA | 9.42 | ZZZ | |
| 64834 | A | Repair of hand or foot nerve | 10.17 | NA | 7.08 | 1.48 | NA | 18.73 | 090 | |
| 64835 | A | Repair of hand or foot nerve | 10.92 | NA | 7.67 | 1.64 | NA | 20.23 | 090 | |
| 64836 | A | Repair of hand or foot nerve | 10.92 | NA | 7.65 | 1.59 | NA | 20.16 | 090 | |
| 64837 | A | Repair nerve add-on | 6.25 | NA | 3.25 | 0.96 | NA | 10.46 | ZZZ | |
| 64840 | A | Repair of leg nerve | 13.00 | NA | 8.28 | 1.04 | NA | 22.32 | 090 | |
| 64856 | A | Repair/transpose nerve | 13.78 | NA | 9.17 | 2.06 | NA | 25.01 | 090 | |
| 64857 | A | Repair arm/leg nerve | 14.47 | NA | 9.62 | 2.12 | NA | 26.21 | 090 | |
| 64858 | A | Repair sciatic nerve | 16.47 | NA | 10.74 | 3.35 | NA | 30.56 | 090 | |
| 64859 | A | Nerve surgery | 4.25 | NA | 2.20 | 0.60 | NA | 7.05 | ZZZ | |
| 64861 | A | Repair of arm nerves | 19.21 | NA | 11.83 | 2.95 | NA | 33.99 | 090 | |
| 64862 | A | Repair of low back nerves | 19.41 | NA | 11.96 | 2.98 | NA | 34.35 | 090 | |
| 64864 | A | Repair of facial nerve | 12.53 | NA | 8.10 | 1.36 | NA | 21.99 | 090 | |
| 64865 | A | Repair of facial nerve | 15.22 | NA | 9.87 | 1.65 | NA | 26.74 | 090 | |
| 64866 | A | Fusion of facial/other nerve | 15.72 | NA | 9.71 | 1.28 | NA | 26.71 | 090 | |
| 64868 | A | Fusion of facial/other nerve | 14.02 | NA | 8.87 | 1.69 | NA | 24.58 | 090 | |
| 64870 | A | Fusion of facial/other nerve | 15.97 | NA | 8.75 | 1.30 | NA | 26.02 | 090 | |
| 64872 | A | Subsequent repair of nerve | 1.99 | NA | 1.09 | 0.29 | NA | 3.37 | ZZZ | |
| 64874 | A | Repair revise nerve add-on | 2.98 | NA | 1.54 | 0.41 | NA | 4.93 | ZZZ | |
| 64876 | A | Repair nerve/shorten bone | 3.37 | NA | 1.28 | 0.47 | NA | 5.12 | ZZZ | |
| 64885 | A | Nerve graft, head or neck | 17.50 | NA | 10.91 | 1.82 | NA | 30.23 | 090 | |
| 64886 | A | Nerve graft, head or neck | 20.72 | NA | 12.75 | 2.09 | NA | 35.56 | 090 | |
| 64890 | A | Nerve graft, hand or foot | 15.13 | NA | 9.99 | 2.10 | NA | 27.22 | 090 | |
| 64891 | A | Nerve graft, hand or foot | 16.12 | NA | 7.63 | 1.66 | NA | 25.41 | 090 | |
| 64892 | A | Nerve graft, arm or leg | 14.63 | NA | 8.86 | 1.99 | NA | 25.48 | 090 | |
| 64893 | A | Nerve graft, arm or leg | 15.58 | NA | 9.89 | 2.13 | NA | 27.60 | 090 | |
| 64895 | A | Nerve graft, hand or foot | 19.22 | NA | 9.67 | 2.46 | NA | 31.35 | 090 | |
| 64896 | A | Nerve graft, hand or foot | 20.46 | NA | 11.01 | 2.23 | NA | 33.70 | 090 | |
| 64897 | A | Nerve graft, arm or leg | 18.21 | NA | 10.72 | 3.18 | NA | 32.11 | 090 | |
| 64898 | A | Nerve graft, arm or leg | 19.47 | NA | 11.81 | 3.27 | NA | 34.55 | 090 | |
| 64901 | A | Nerve graft add-on | 10.20 | NA | 5.29 | 1.19 | NA | 16.68 | ZZZ | |
| 64902 | A | Nerve graft add-on | 11.81 | NA | 5.99 | 1.33 | NA | 19.13 | ZZZ | |
| 64905 | A | Nerve pedicle transfer | 14.00 | NA | 8.56 | 1.83 | NA | 24.39 | 090 | |
| 64907 | A | Nerve pedicle transfer | 18.80 | NA | 12.50 | 2.16 | NA | 33.46 | 090 | |
| 64999 | C | Nervous system surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 65091 | A | Revise eye | 6.45 | NA | 9.73 | 0.31 | NA | 16.49 | 090 | |
| 65093 | A | Revise eye with implant | 6.86 | NA | 10.09 | 0.34 | NA | 17.29 | 090 | |
| 65101 | A | Removal of eye | 7.02 | NA | 10.68 | 0.34 | NA | 18.04 | 090 | |
| 65103 | A | Remove eye/insert implant | 7.56 | NA | 10.87 | 0.36 | NA | 18.79 | 090 | |
| 65105 | A | Remove eye/attach implant | 8.48 | NA | 11.52 | 0.41 | NA | 20.41 | 090 | |
| 65110 | A | Removal of eye | 13.93 | NA | 14.61 | 0.82 | NA | 29.36 | 090 | |
| 65112 | A | Remove eye/revise socket | 16.36 | NA | 16.88 | 1.16 | NA | 34.40 | 090 | |
| 65114 | A | Remove eye/revise socket | 17.50 | NA | 17.10 | 1.13 | NA | 35.73 | 090 | |
| 65125 | A | Revise ocular implant | 3.12 | 9.23 | 2.96 | 0.18 | 12.53 | 6.26 | 090 | |
| 65130 | A | Insert ocular implant | 7.14 | NA | 10.24 | 0.34 | NA | 17.72 | 090 | |
| 65135 | A | Insert ocular implant | 7.32 | NA | 10.42 | 0.35 | NA | 18.09 | 090 | |
| 65140 | A | Attach ocular implant | 8.01 | NA | 10.87 | 0.37 | NA | 19.25 | 090 | |
| 65150 | A | Revise ocular implant | 6.25 | NA | 9.29 | 0.30 | NA | 15.84 | 090 | |
| 65155 | A | Reinsert ocular implant | 8.65 | NA | 11.59 | 0.48 | NA | 20.72 | 090 | |
| 65175 | A | Removal of ocular implant | 6.27 | NA | 9.65 | 0.31 | NA | 16.23 | 090 | |
| 65205 | A | Remove foreign body from eye | 0.71 | 0.60 | 0.19 | 0.04 | 1.35 | 0.94 | 000 | |
| 65210 | A | Remove foreign body from eye | 0.84 | 0.74 | 0.30 | 0.04 | 1.62 | 1.18 | 000 | |
| 65220 | A | Remove foreign body from eye | 0.71 | 0.60 | 0.18 | 0.06 | 1.37 | 0.95 | 000 | |
| 65222 | A | Remove foreign body from eye | 0.93 | 0.76 | 0.27 | 0.05 | 1.74 | 1.25 | 000 | |
| 65235 | A | Remove foreign body from eye | 7.56 | NA | 7.26 | 0.36 | NA | 15.18 | 090 | |
| 65260 | A | Remove foreign body from eye | 10.94 | NA | 11.43 | 0.52 | NA | 22.89 | 090 | |
| 65265 | A | Remove foreign body from eye | 12.57 | NA | 12.67 | 0.60 | NA | 25.84 | 090 | |
| 65270 | A | Repair of eye wound | 1.90 | 3.83 | 2.24 | 0.10 | 5.83 | 4.24 | 010 | |
| 65272 | A | Repair of eye wound | 3.81 | 5.78 | 5.21 | 0.19 | 9.78 | 9.21 | 090 | |
| 65273 | A | Repair of eye wound | 4.35 | NA | 5.63 | 0.21 | NA | 10.19 | 090 | |
| 65275 | A | Repair of eye wound | 5.33 | 5.66 | 5.66 | 0.33 | 11.32 | 11.32 | 090 | |
| 65280 | A | Repair of eye wound | 7.65 | NA | 8.17 | 0.36 | NA | 16.18 | 090 | |
| 65285 | A | Repair of eye wound | 12.88 | NA | 12.38 | 0.62 | NA | 25.88 | 090 | |
| 65286 | A | Repair of eye wound | 5.50 | 8.42 | 7.52 | 0.25 | 14.17 | 13.27 | 090 | |
| 65290 | A | Repair of eye socket wound | 5.40 | NA | 6.47 | 0.31 | NA | 12.18 | 090 | |
| 65400 | A | Removal of eye lesion | 6.05 | 8.63 | 7.47 | 0.29 | 14.97 | 13.81 | 090 | |
| 65410 | A | Biopsy of cornea | 1.47 | 1.72 | 0.65 | 0.07 | 3.26 | 2.19 | 000 | |
| 65420 | A | Removal of eye lesion | 4.16 | 7.53 | 6.74 | 0.21 | 11.90 | 11.11 | 090 | |
| 65426 | A | Removal of eye lesion | 5.24 | 7.49 | 6.54 | 0.24 | 12.97 | 12.02 | 090 | |
| 65430 | A | Corneal smear | 1.47 | 4.95 | 0.66 | 0.07 | 6.49 | 2.20 | 000 | |
| 65435 | A | Curette/treat cornea | 0.92 | 1.32 | 0.39 | 0.05 | 2.29 | 1.36 | 000 | |
| 65436 | A | Curette/treat cornea | 4.18 | 5.85 | 5.22 | 0.21 | 10.24 | 9.61 | 090 | |
| 65450 | A | Treatment of corneal lesion | 3.27 | 7.22 | 6.33 | 0.16 | 10.65 | 9.76 | 090 | |
| 65600 | A | Revision of cornea | 3.39 | 5.63 | 3.11 | 0.17 | 9.19 | 6.67 | 090 | |
| 65710 | A | Corneal transplant | 12.33 | NA | 12.33 | 0.59 | NA | 25.25 | 090 | |
| 65730 | A | Corneal transplant | 14.23 | NA | 11.86 | 0.68 | NA | 26.77 | 090 | |
| 65750 | A | Corneal transplant | 14.98 | NA | 13.35 | 0.71 | NA | 29.04 | 090 | |
| 65755 | A | Corneal transplant | 14.87 | NA | 13.26 | 0.70 | NA | 28.83 | 090 | |
| 65760 | N | Revision of cornea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65765 | N | Revision of cornea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65767 | N | Corneal tissue transplant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65770 | A | Revise cornea with implant | 17.53 | NA | 14.31 | 0.83 | NA | 32.67 | 090 | |
| 65771 | N | Radial keratotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65772 | A | Correction of astigmatism | 4.28 | 7.15 | 6.46 | 0.21 | 11.64 | 10.95 | 090 | |
| 65775 | A | Correction of astigmatism | 5.78 | NA | 7.35 | 0.27 | NA | 13.40 | 090 | |
| 65780 | A | Ocular reconst, transplant | 10.23 | NA | 9.94 | 0.35 | NA | 20.52 | 090 | |
| 65781 | A | Ocular reconst, transplant | 17.64 | NA | 13.31 | 0.35 | NA | 31.30 | 090 | |
| 65782 | A | Ocular reconst, transplant | 14.98 | NA | 11.66 | 0.35 | NA | 26.99 | 090 | |
| 65800 | A | Drainage of eye | 1.91 | 2.27 | 1.17 | 0.10 | 4.28 | 3.18 | 000 | |
| 65805 | A | Drainage of eye | 1.91 | 2.27 | 1.18 | 0.10 | 4.28 | 3.19 | 000 | |
| 65810 | A | Drainage of eye | 4.86 | NA | 8.05 | 0.23 | NA | 13.14 | 090 | |
| 65815 | A | Drainage of eye | 5.04 | 8.37 | 7.49 | 0.24 | 13.65 | 12.77 | 090 | |
| 65820 | A | Relieve inner eye pressure | 8.12 | NA | 10.65 | 0.39 | NA | 19.16 | 090 | |
| 65850 | A | Incision of eye | 10.50 | NA | 9.38 | 0.49 | NA | 20.37 | 090 | |
| 65855 | A | Laser surgery of eye | 3.84 | 5.20 | 4.05 | 0.21 | 9.25 | 8.10 | 010 | |
| 65860 | A | Incise inner eye adhesions | 3.54 | 3.90 | 3.26 | 0.17 | 7.61 | 6.97 | 090 | |
| 65865 | A | Incise inner eye adhesions | 5.59 | NA | 6.48 | 0.27 | NA | 12.34 | 090 | |
| 65870 | A | Incise inner eye adhesions | 6.26 | NA | 7.14 | 0.29 | NA | 13.69 | 090 | |
| 65875 | A | Incise inner eye adhesions | 6.53 | NA | 7.44 | 0.30 | NA | 14.27 | 090 | |
| 65880 | A | Incise inner eye adhesions | 7.08 | NA | 7.69 | 0.34 | NA | 15.11 | 090 | |
| 65900 | A | Remove eye lesion | 10.91 | NA | 11.51 | 0.55 | NA | 22.97 | 090 | |
| 65920 | A | Remove implant of eye | 8.39 | NA | 8.70 | 0.40 | NA | 17.49 | 090 | |
| 65930 | A | Remove blood clot from eye | 7.43 | NA | 7.74 | 0.35 | NA | 15.52 | 090 | |
| 66020 | A | Injection treatment of eye | 1.59 | 2.37 | 1.58 | 0.08 | 4.04 | 3.25 | 010 | |
| 66030 | A | Injection treatment of eye | 1.25 | 2.21 | 1.42 | 0.06 | 3.52 | 2.73 | 010 | |
| 66130 | A | Remove eye lesion | 7.68 | 7.48 | 6.92 | 0.37 | 15.53 | 14.97 | 090 | |
| 66150 | A | Glaucoma surgery | 8.29 | NA | 9.86 | 0.40 | NA | 18.55 | 090 | |
| 66155 | A | Glaucoma surgery | 8.28 | NA | 9.80 | 0.39 | NA | 18.47 | 090 | |
| 66160 | A | Glaucoma surgery | 10.15 | NA | 10.65 | 0.49 | NA | 21.29 | 090 | |
| 66165 | A | Glaucoma surgery | 8.00 | NA | 9.69 | 0.37 | NA | 18.06 | 090 | |
| 66170 | A | Glaucoma surgery | 12.14 | NA | 12.45 | 0.58 | NA | 25.17 | 090 | |
| 66172 | A | Incision of eye | 15.02 | NA | 15.12 | 0.71 | NA | 30.85 | 090 | |
| 66180 | A | Implant eye shunt | 14.53 | NA | 11.56 | 0.69 | NA | 26.78 | 090 | |
| 66185 | A | Revise eye shunt | 8.13 | NA | 8.19 | 0.39 | NA | 16.71 | 090 | |
| 66220 | A | Repair eye lesion | 7.76 | NA | 8.73 | 0.39 | NA | 16.88 | 090 | |
| 66225 | A | Repair/graft eye lesion | 11.03 | NA | 9.32 | 0.53 | NA | 20.88 | 090 | |
| 66250 | A | Follow-up surgery of eye | 5.97 | 7.67 | 6.50 | 0.28 | 13.92 | 12.75 | 090 | |
| 66500 | A | Incision of iris | 3.70 | NA | 5.10 | 0.18 | NA | 8.98 | 090 | |
| 66505 | A | Incision of iris | 4.07 | NA | 5.38 | 0.21 | NA | 9.66 | 090 | |
| 66600 | A | Remove iris and lesion | 8.67 | NA | 8.91 | 0.41 | NA | 17.99 | 090 | |
| 66605 | A | Removal of iris | 12.77 | NA | 11.26 | 0.74 | NA | 24.77 | 090 | |
| 66625 | A | Removal of iris | 5.12 | 7.02 | 6.30 | 0.24 | 12.38 | 11.66 | 090 | |
| 66630 | A | Removal of iris | 6.15 | NA | 7.42 | 0.29 | NA | 13.86 | 090 | |
| 66635 | A | Removal of iris | 6.24 | NA | 6.64 | 0.29 | NA | 13.17 | 090 | |
| 66680 | A | Repair iris ciliary body | 5.43 | NA | 6.04 | 0.25 | NA | 11.72 | 090 | |
| 66682 | A | Repair iris ciliary body | 6.20 | NA | 7.43 | 0.29 | NA | 13.92 | 090 | |
| 66700 | A | Destruction, ciliary body | 4.77 | 5.34 | 4.05 | 0.23 | 10.34 | 9.05 | 090 | |
| 66710 | A | Destruction, ciliary body | 4.77 | 5.22 | 3.85 | 0.22 | 10.21 | 8.84 | 090 | |
| 66720 | A | Destruction, ciliary body | 4.77 | 5.68 | 4.60 | 0.23 | 10.68 | 9.60 | 090 | |
| 66740 | A | Destruction, ciliary body | 4.77 | 5.38 | 4.21 | 0.22 | 10.37 | 9.20 | 090 | |
| 66761 | A | Revision of iris | 4.06 | 5.55 | 4.23 | 0.19 | 9.80 | 8.48 | 090 | |
| 66762 | A | Revision of iris | 4.57 | 5.62 | 4.22 | 0.22 | 10.41 | 9.01 | 090 | |
| 66770 | A | Removal of inner eye lesion | 5.17 | 6.05 | 4.73 | 0.24 | 11.46 | 10.14 | 090 | |
| 66820 | A | Incision, secondary cataract | 3.88 | NA | 7.10 | 0.19 | NA | 11.17 | 090 | |
| 66821 | A | After cataract laser surgery | 2.35 | 3.98 | 3.88 | 0.12 | 6.45 | 6.35 | 090 | |
| 66825 | A | Reposition intraocular lens | 8.22 | NA | 10.08 | 0.39 | NA | 18.69 | 090 | |
| 66830 | A | Removal of lens lesion | 8.19 | NA | 7.08 | 0.39 | NA | 15.66 | 090 | |
| 66840 | A | Removal of lens material | 7.90 | NA | 6.99 | 0.37 | NA | 15.26 | 090 | |
| 66850 | A | Removal of lens material | 9.10 | NA | 7.75 | 0.43 | NA | 17.28 | 090 | |
| 66852 | A | Removal of lens material | 9.96 | NA | 8.20 | 0.47 | NA | 18.63 | 090 | |
| 66920 | A | Extraction of lens | 8.85 | NA | 7.43 | 0.42 | NA | 16.70 | 090 | |
| 66930 | A | Extraction of lens | 10.16 | NA | 8.57 | 0.49 | NA | 19.22 | 090 | |
| 66940 | A | Extraction of lens | 8.92 | NA | 8.01 | 0.42 | NA | 17.35 | 090 | |
| 66982 | A | Cataract surgery, complex | 13.48 | NA | 9.92 | 0.68 | NA | 24.08 | 090 | |
| 66983 | A | Cataract surg w/iol, 1 stage | 8.98 | NA | 6.20 | 0.45 | NA | 15.63 | 090 | |
| 66984 | A | Cataract surg w/iol, 1 stage | 10.21 | NA | 7.63 | 0.49 | NA | 18.33 | 090 | |
| 66985 | A | Insert lens prosthesis | 8.38 | NA | 7.47 | 0.40 | NA | 16.25 | 090 | |
| 66986 | A | Exchange lens prosthesis | 12.26 | NA | 9.22 | 0.59 | NA | 22.07 | 090 | |
| 66990 | A | Ophthalmic endoscope add-on | 1.51 | NA | 0.69 | 0.07 | NA | 2.27 | ZZZ | |
| 66999 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67005 | A | Partial removal of eye fluid | 5.69 | NA | 4.38 | 0.27 | NA | 10.34 | 090 | |
| 67010 | A | Partial removal of eye fluid | 6.86 | NA | 4.93 | 0.33 | NA | 12.12 | 090 | |
| 67015 | A | Release of eye fluid | 6.91 | NA | 7.73 | 0.33 | NA | 14.97 | 090 | |
| 67025 | A | Replace eye fluid | 6.83 | 14.23 | 7.51 | 0.33 | 21.39 | 14.67 | 090 | |
| 67027 | A | Implant eye drug system | 10.83 | 12.78 | 8.79 | 0.55 | 24.16 | 20.17 | 090 | |
| 67028 | A | Injection eye drug | 2.52 | 6.50 | 1.13 | 0.13 | 9.15 | 3.78 | 000 | |
| 67030 | A | Incise inner eye strands | 4.83 | NA | 6.81 | 0.23 | NA | 11.87 | 090 | |
| 67031 | A | Laser surgery, eye strands | 3.66 | 4.74 | 4.09 | 0.18 | 8.58 | 7.93 | 090 | |
| 67036 | A | Removal of inner eye fluid | 11.87 | NA | 9.35 | 0.57 | NA | 21.79 | 090 | |
| 67038 | A | Strip retinal membrane | 21.21 | NA | 15.83 | 1.01 | NA | 38.05 | 090 | |
| 67039 | A | Laser treatment of retina | 14.50 | NA | 12.54 | 0.69 | NA | 27.73 | 090 | |
| 67040 | A | Laser treatment of retina | 17.20 | NA | 14.02 | 0.82 | NA | 32.04 | 090 | |
| 67101 | A | Repair detached retina | 7.52 | 9.85 | 8.11 | 0.35 | 17.72 | 15.98 | 090 | |
| 67105 | A | Repair detached retina | 7.40 | 7.99 | 6.23 | 0.35 | 15.74 | 13.98 | 090 | |
| 67107 | A | Repair detached retina | 14.82 | NA | 12.82 | 0.70 | NA | 28.34 | 090 | |
| 67108 | A | Repair detached retina | 20.79 | NA | 17.02 | 0.99 | NA | 38.80 | 090 | |
| 67110 | A | Repair detached retina | 8.80 | 15.37 | 9.23 | 0.42 | 24.59 | 18.45 | 090 | |
| 67112 | A | Rerepair detached retina | 16.83 | NA | 14.59 | 0.80 | NA | 32.22 | 090 | |
| 67115 | A | Release encircling material | 4.98 | NA | 7.09 | 0.23 | NA | 12.30 | 090 | |
| 67120 | A | Remove eye implant material | 5.97 | 12.30 | 6.93 | 0.28 | 18.55 | 13.18 | 090 | |
| 67121 | A | Remove eye implant material | 10.65 | NA | 11.17 | 0.51 | NA | 22.33 | 090 | |
| 67141 | A | Treatment of retina | 5.19 | 7.24 | 6.49 | 0.24 | 12.67 | 11.92 | 090 | |
| 67145 | A | Treatment of retina | 5.36 | 5.76 | 4.94 | 0.25 | 11.37 | 10.55 | 090 | |
| 67208 | A | Treatment of retinal lesion | 6.69 | 5.95 | 5.38 | 0.31 | 12.95 | 12.38 | 090 | |
| 67210 | A | Treatment of retinal lesion | 8.81 | 6.25 | 5.79 | 0.42 | 15.48 | 15.02 | 090 | |
| 67218 | A | Treatment of retinal lesion | 18.50 | NA | 14.13 | 0.64 | NA | 33.27 | 090 | |
| 67220 | A | Treatment of choroid lesion | 13.11 | 9.84 | 8.83 | 0.62 | 23.57 | 22.56 | 090 | |
| 67221 | R | Ocular photodynamic ther | 4.00 | 4.69 | 1.81 | 0.19 | 8.88 | 6.00 | 000 | |
| 67225 | A | Eye photodynamic ther add-on | 0.47 | 0.26 | 0.22 | 0.01 | 0.74 | 0.70 | ZZZ | |
| 67227 | A | Treatment of retinal lesion | 6.57 | 6.38 | 5.39 | 0.31 | 13.26 | 12.27 | 090 | |
| 67228 | A | Treatment of retinal lesion | 12.72 | 10.83 | 8.42 | 0.60 | 24.15 | 21.74 | 090 | |
| 67250 | A | Reinforce eye wall | 8.65 | NA | 10.37 | 0.43 | NA | 19.45 | 090 | |
| 67255 | A | Reinforce/graft eye wall | 8.89 | NA | 10.95 | 0.42 | NA | 20.26 | 090 | |
| 67299 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67311 | A | Revise eye muscle | 6.64 | NA | 6.42 | 0.33 | NA | 13.39 | 090 | |
| 67312 | A | Revise two eye muscles | 8.53 | NA | 7.55 | 0.42 | NA | 16.50 | 090 | |
| 67314 | A | Revise eye muscle | 7.51 | NA | 7.26 | 0.36 | NA | 15.13 | 090 | |
| 67316 | A | Revise two eye muscles | 9.65 | NA | 8.22 | 0.48 | NA | 18.35 | 090 | |
| 67318 | A | Revise eye muscle(s) | 7.84 | NA | 7.64 | 0.37 | NA | 15.85 | 090 | |
| 67320 | A | Revise eye muscle(s) add-on | 4.32 | NA | 1.96 | 0.21 | NA | 6.49 | ZZZ | |
| 67331 | A | Eye surgery follow-up add-on | 4.05 | NA | 1.91 | 0.21 | NA | 6.17 | ZZZ | |
| 67332 | A | Rerevise eye muscles add-on | 4.48 | NA | 2.03 | 0.22 | NA | 6.73 | ZZZ | |
| 67334 | A | Revise eye muscle w/suture | 3.97 | NA | 1.81 | 0.19 | NA | 5.97 | ZZZ | |
| 67335 | A | Eye suture during surgery | 2.49 | NA | 1.12 | 0.12 | NA | 3.73 | ZZZ | |
| 67340 | A | Revise eye muscle add-on | 4.92 | NA | 2.23 | 0.23 | NA | 7.38 | ZZZ | |
| 67343 | A | Release eye tissue | 7.34 | NA | 7.34 | 0.36 | NA | 15.04 | 090 | |
| 67345 | A | Destroy nerve of eye muscle | 2.96 | 4.36 | 1.37 | 0.16 | 7.48 | 4.49 | 010 | |
| 67350 | A | Biopsy eye muscle | 2.87 | NA | 1.87 | 0.16 | NA | 4.90 | 000 | |
| 67399 | C | Eye muscle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67400 | A | Explore/biopsy eye socket | 9.75 | NA | 12.51 | 0.52 | NA | 22.78 | 090 | |
| 67405 | A | Explore/drain eye socket | 7.92 | NA | 11.09 | 0.43 | NA | 19.44 | 090 | |
| 67412 | A | Explore/treat eye socket | 9.49 | NA | 12.99 | 0.49 | NA | 22.97 | 090 | |
| 67413 | A | Explore/treat eye socket | 9.99 | NA | 12.14 | 0.52 | NA | 22.65 | 090 | |
| 67414 | A | Explr/decompress eye socket | 11.11 | NA | 14.01 | 0.58 | NA | 25.70 | 090 | |
| 67415 | A | Aspiration, orbital contents | 1.76 | NA | 0.77 | 0.11 | NA | 2.64 | 000 | |
| 67420 | A | Explore/treat eye socket | 20.03 | NA | 18.77 | 1.01 | NA | 39.81 | 090 | |
| 67430 | A | Explore/treat eye socket | 13.37 | NA | 15.83 | 1.17 | NA | 30.37 | 090 | |
| 67440 | A | Explore/drain eye socket | 13.07 | NA | 15.47 | 0.70 | NA | 29.24 | 090 | |
| 67445 | A | Explr/decompress eye socket | 14.40 | NA | 15.70 | 0.76 | NA | 30.86 | 090 | |
| 67450 | A | Explore/biopsy eye socket | 13.49 | NA | 15.82 | 0.68 | NA | 29.99 | 090 | |
| 67500 | A | Inject/treat eye socket | 0.79 | 0.82 | 0.19 | 0.05 | 1.66 | 1.03 | 000 | |
| 67505 | A | Inject/treat eye socket | 0.82 | 0.92 | 0.21 | 0.05 | 1.79 | 1.08 | 000 | |
| 67515 | A | Inject/treat eye socket | 0.61 | 0.82 | 0.28 | 0.02 | 1.45 | 0.91 | 000 | |
| 67550 | A | Insert eye socket implant | 10.17 | NA | 12.28 | 0.60 | NA | 23.05 | 090 | |
| 67560 | A | Revise eye socket implant | 10.58 | NA | 12.33 | 0.57 | NA | 23.48 | 090 | |
| 67570 | A | Decompress optic nerve | 13.56 | NA | 15.33 | 0.83 | NA | 29.72 | 090 | |
| 67599 | C | Orbit surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67700 | A | Drainage of eyelid abscess | 1.35 | 4.84 | 0.62 | 0.07 | 6.26 | 2.04 | 010 | |
| 67710 | A | Incision of eyelid | 1.02 | 4.99 | 0.53 | 0.05 | 6.06 | 1.60 | 010 | |
| 67715 | A | Incision of eyelid fold | 1.22 | 4.58 | 0.62 | 0.06 | 5.86 | 1.90 | 010 | |
| 67800 | A | Remove eyelid lesion | 1.38 | 2.50 | 0.69 | 0.07 | 3.95 | 2.14 | 010 | |
| 67801 | A | Remove eyelid lesions | 1.88 | 5.34 | 0.92 | 0.10 | 7.32 | 2.90 | 010 | |
| 67805 | A | Remove eyelid lesions | 2.22 | 5.49 | 1.08 | 0.11 | 7.82 | 3.41 | 010 | |
| 67808 | A | Remove eyelid lesion(s) | 3.79 | NA | 5.23 | 0.21 | NA | 9.23 | 090 | |
| 67810 | A | Biopsy of eyelid | 1.48 | 3.65 | 0.68 | 0.07 | 5.20 | 2.23 | 000 | |
| 67820 | A | Revise eyelashes | 0.89 | 1.11 | 0.37 | 0.05 | 2.05 | 1.31 | 000 | |
| 67825 | A | Revise eyelashes | 1.38 | 1.58 | 1.08 | 0.07 | 3.03 | 2.53 | 010 | |
| 67830 | A | Revise eyelashes | 1.70 | 7.48 | 1.95 | 0.08 | 9.26 | 3.73 | 010 | |
| 67835 | A | Revise eyelashes | 5.55 | NA | 5.00 | 0.27 | NA | 10.82 | 090 | |
| 67840 | A | Remove eyelid lesion | 2.04 | 5.32 | 1.00 | 0.10 | 7.46 | 3.14 | 010 | |
| 67850 | A | Treat eyelid lesion | 1.69 | 6.06 | 1.89 | 0.08 | 7.83 | 3.66 | 010 | |
| 67875 | A | Closure of eyelid by suture | 1.35 | 7.05 | 0.62 | 0.07 | 8.47 | 2.04 | 000 | |
| 67880 | A | Revision of eyelid | 3.79 | 9.66 | 4.29 | 0.19 | 13.64 | 8.27 | 090 | |
| 67882 | A | Revision of eyelid | 5.06 | 11.01 | 5.50 | 0.25 | 16.32 | 10.81 | 090 | |
| 67900 | A | Repair brow defect | 6.13 | 10.53 | 6.32 | 0.36 | 17.02 | 12.81 | 090 | |
| 67901 | A | Repair eyelid defect | 6.96 | NA | 6.41 | 0.39 | NA | 13.76 | 090 | |
| 67902 | A | Repair eyelid defect | 7.02 | NA | 6.47 | 0.41 | NA | 13.90 | 090 | |
| 67903 | A | Repair eyelid defect | 6.36 | 11.28 | 6.70 | 0.47 | 18.11 | 13.53 | 090 | |
| 67904 | A | Repair eyelid defect | 6.25 | 12.49 | 7.17 | 0.31 | 19.05 | 13.73 | 090 | |
| 67906 | A | Repair eyelid defect | 6.78 | 9.11 | 6.01 | 0.51 | 16.40 | 13.30 | 090 | |
| 67908 | A | Repair eyelid defect | 5.12 | 8.83 | 5.68 | 0.24 | 14.19 | 11.04 | 090 | |
| 67909 | A | Revise eyelid defect | 5.39 | 9.36 | 6.09 | 0.30 | 15.05 | 11.78 | 090 | |
| 67911 | A | Revise eyelid defect | 5.26 | NA | 6.04 | 0.28 | NA | 11.58 | 090 | |
| 67912 | A | Correction eyelid w/ implant | 5.67 | 20.38 | 5.27 | 0.28 | 26.33 | 11.22 | 090 | |
| 67914 | A | Repair eyelid defect | 3.67 | 9.30 | 3.95 | 0.19 | 13.16 | 7.81 | 090 | |
| 67915 | A | Repair eyelid defect | 3.18 | 7.90 | 2.58 | 0.16 | 11.24 | 5.92 | 090 | |
| 67916 | A | Repair eyelid defect | 5.30 | 11.78 | 5.69 | 0.27 | 17.35 | 11.26 | 090 | |
| 67917 | A | Repair eyelid defect | 6.01 | 9.71 | 6.15 | 0.30 | 16.02 | 12.46 | 090 | |
| 67921 | A | Repair eyelid defect | 3.39 | 9.11 | 3.75 | 0.17 | 12.67 | 7.31 | 090 | |
| 67922 | A | Repair eyelid defect | 3.06 | 7.86 | 3.49 | 0.16 | 11.08 | 6.71 | 090 | |
| 67923 | A | Repair eyelid defect | 5.87 | 11.35 | 5.90 | 0.29 | 17.51 | 12.06 | 090 | |
| 67924 | A | Repair eyelid defect | 5.78 | 9.10 | 5.65 | 0.28 | 15.16 | 11.71 | 090 | |
| 67930 | A | Repair eyelid wound | 3.60 | 8.42 | 2.95 | 0.21 | 12.23 | 6.76 | 010 | |
| 67935 | A | Repair eyelid wound | 6.21 | 11.36 | 5.95 | 0.35 | 17.92 | 12.51 | 090 | |
| 67938 | A | Remove eyelid foreign body | 1.33 | 5.81 | 0.56 | 0.07 | 7.21 | 1.96 | 010 | |
| 67950 | A | Revision of eyelid | 5.81 | 8.25 | 6.57 | 0.36 | 14.42 | 12.74 | 090 | |
| 67961 | A | Revision of eyelid | 5.68 | 10.20 | 5.70 | 0.31 | 16.19 | 11.69 | 090 | |
| 67966 | A | Revision of eyelid | 6.56 | 8.33 | 5.66 | 0.40 | 15.29 | 12.62 | 090 | |
| 67971 | A | Reconstruction of eyelid | 9.78 | NA | 7.27 | 0.51 | NA | 17.56 | 090 | |
| 67973 | A | Reconstruction of eyelid | 12.85 | NA | 9.24 | 0.71 | NA | 22.80 | 090 | |
| 67974 | A | Reconstruction of eyelid | 12.82 | NA | 9.16 | 0.65 | NA | 22.63 | 090 | |
| 67975 | A | Reconstruction of eyelid | 9.12 | NA | 6.95 | 0.46 | NA | 16.53 | 090 | |
| 67999 | C | Revision of eyelid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68020 | A | Incise/drain eyelid lining | 1.37 | 5.69 | 0.68 | 0.07 | 7.13 | 2.12 | 010 | |
| 68040 | A | Treatment of eyelid lesions | 0.85 | 4.82 | 0.37 | 0.04 | 5.71 | 1.26 | 000 | |
| 68100 | A | Biopsy of eyelid lining | 1.35 | 5.01 | 0.61 | 0.07 | 6.43 | 2.03 | 000 | |
| 68110 | A | Remove eyelid lining lesion | 1.77 | 6.06 | 1.40 | 0.08 | 7.91 | 3.25 | 010 | |
| 68115 | A | Remove eyelid lining lesion | 2.36 | 5.56 | 1.13 | 0.12 | 8.04 | 3.61 | 010 | |
| 68130 | A | Remove eyelid lining lesion | 4.92 | 8.14 | 4.28 | 0.23 | 13.29 | 9.43 | 090 | |
| 68135 | A | Remove eyelid lining lesion | 1.84 | 5.32 | 0.90 | 0.08 | 7.24 | 2.82 | 010 | |
| 68200 | A | Treat eyelid by injection | 0.49 | 0.72 | 0.23 | 0.02 | 1.23 | 0.74 | 000 | |
| 68320 | A | Revise/graft eyelid lining | 5.36 | 6.56 | 5.41 | 0.25 | 12.17 | 11.02 | 090 | |
| 68325 | A | Revise/graft eyelid lining | 7.35 | NA | 6.39 | 0.36 | NA | 14.10 | 090 | |
| 68326 | A | Revise/graft eyelid lining | 7.14 | NA | 6.28 | 0.36 | NA | 13.78 | 090 | |
| 68328 | A | Revise/graft eyelid lining | 8.17 | NA | 7.03 | 0.48 | NA | 15.68 | 090 | |
| 68330 | A | Revise eyelid lining | 4.82 | 7.24 | 6.05 | 0.23 | 12.29 | 11.10 | 090 | |
| 68335 | A | Revise/graft eyelid lining | 7.18 | NA | 6.79 | 0.35 | NA | 14.32 | 090 | |
| 68340 | A | Separate eyelid adhesions | 4.16 | 10.80 | 4.77 | 0.21 | 15.17 | 9.14 | 090 | |
| 68360 | A | Revise eyelid lining | 4.36 | 6.60 | 5.58 | 0.21 | 11.17 | 10.15 | 090 | |
| 68362 | A | Revise eyelid lining | 7.33 | NA | 7.72 | 0.35 | NA | 15.40 | 090 | |
| 68371 | A | Harvest eye tissue, alograft | 4.89 | NA | 4.62 | 0.21 | NA | 9.72 | 010 | |
| 68399 | C | Eyelid lining surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68400 | A | Incise/drain tear gland | 1.69 | 7.61 | 2.04 | 0.08 | 9.38 | 3.81 | 010 | |
| 68420 | A | Incise/drain tear sac | 2.30 | 7.92 | 2.33 | 0.12 | 10.34 | 4.75 | 010 | |
| 68440 | A | Incise tear duct opening | 0.94 | 4.93 | 0.49 | 0.05 | 5.92 | 1.48 | 010 | |
| 68500 | A | Removal of tear gland | 11.00 | NA | 10.16 | 0.72 | NA | 21.88 | 090 | |
| 68505 | A | Partial removal, tear gland | 10.92 | NA | 11.17 | 0.69 | NA | 22.78 | 090 | |
| 68510 | A | Biopsy of tear gland | 4.60 | 8.42 | 2.10 | 0.23 | 13.25 | 6.93 | 000 | |
| 68520 | A | Removal of tear sac | 7.50 | NA | 7.78 | 0.40 | NA | 15.68 | 090 | |
| 68525 | A | Biopsy of tear sac | 4.42 | NA | 2.02 | 0.22 | NA | 6.66 | 000 | |
| 68530 | A | Clearance of tear duct | 3.65 | 9.45 | 2.85 | 0.19 | 13.29 | 6.69 | 010 | |
| 68540 | A | Remove tear gland lesion | 10.58 | NA | 9.78 | 0.55 | NA | 20.91 | 090 | |
| 68550 | A | Remove tear gland lesion | 13.24 | NA | 11.75 | 0.80 | NA | 25.79 | 090 | |
| 68700 | A | Repair tear ducts | 6.59 | NA | 7.29 | 0.33 | NA | 14.21 | 090 | |
| 68705 | A | Revise tear duct opening | 2.06 | 5.45 | 1.01 | 0.10 | 7.61 | 3.17 | 010 | |
| 68720 | A | Create tear sac drain | 8.95 | NA | 8.26 | 0.46 | NA | 17.67 | 090 | |
| 68745 | A | Create tear duct drain | 8.62 | NA | 8.22 | 0.46 | NA | 17.30 | 090 | |
| 68750 | A | Create tear duct drain | 8.65 | NA | 8.69 | 0.45 | NA | 17.79 | 090 | |
| 68760 | A | Close tear duct opening | 1.73 | 3.99 | 1.23 | 0.08 | 5.80 | 3.04 | 010 | |
| 68761 | A | Close tear duct opening | 1.36 | 3.42 | 0.98 | 0.07 | 4.85 | 2.41 | 010 | |
| 68770 | A | Close tear system fistula | 7.01 | 12.75 | 6.78 | 0.34 | 20.10 | 14.13 | 090 | |
| 68801 | A | Dilate tear duct opening | 0.94 | 0.94 | 0.60 | 0.05 | 1.93 | 1.59 | 010 | |
| 68810 | A | Probe nasolacrimal duct | 1.90 | 2.32 | 0.92 | 0.10 | 4.32 | 2.92 | 010 | |
| 68811 | A | Probe nasolacrimal duct | 2.35 | NA | 2.36 | 0.12 | NA | 4.83 | 010 | |
| 68815 | A | Probe nasolacrimal duct | 3.20 | 8.16 | 2.68 | 0.17 | 11.53 | 6.05 | 010 | |
| 68840 | A | Explore/irrigate tear ducts | 1.25 | 1.64 | 0.96 | 0.06 | 2.95 | 2.27 | 010 | |
| 68850 | A | Injection for tear sac x-ray | 0.80 | 16.32 | 0.30 | 0.04 | 17.16 | 1.14 | 000 | |
| 68899 | C | Tear duct system surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69000 | A | Drain external ear lesion | 1.45 | 2.95 | 1.39 | 0.12 | 4.52 | 2.96 | 010 | |
| 69005 | A | Drain external ear lesion | 2.11 | 2.96 | 1.85 | 0.19 | 5.26 | 4.15 | 010 | |
| 69020 | A | Drain outer ear canal lesion | 1.48 | 3.92 | 2.03 | 0.13 | 5.53 | 3.64 | 010 | |
| 69090 | N | Pierce earlobes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 69100 | A | Biopsy of external ear | 0.81 | 1.74 | 0.39 | 0.05 | 2.60 | 1.25 | 000 | |
| 69105 | A | Biopsy of external ear canal | 0.85 | 2.31 | 0.77 | 0.07 | 3.23 | 1.69 | 000 | |
| 69110 | A | Remove external ear, partial | 3.43 | 4.07 | 3.03 | 0.29 | 7.79 | 6.75 | 090 | |
| 69120 | A | Removal of external ear | 4.04 | NA | 3.96 | 0.37 | NA | 8.37 | 090 | |
| 69140 | A | Remove ear canal lesion(s) | 7.96 | NA | 6.69 | 0.68 | NA | 15.33 | 090 | |
| 69145 | A | Remove ear canal lesion(s) | 2.62 | 3.57 | 2.60 | 0.22 | 6.41 | 5.44 | 090 | |
| 69150 | A | Extensive ear canal surgery | 13.41 | NA | 9.90 | 1.29 | NA | 24.60 | 090 | |
| 69155 | A | Extensive ear/neck surgery | 20.77 | NA | 14.47 | 1.82 | NA | 37.06 | 090 | |
| 69200 | A | Clear outer ear canal | 0.77 | 2.33 | 0.58 | 0.06 | 3.16 | 1.41 | 000 | |
| 69205 | A | Clear outer ear canal | 1.20 | NA | 1.35 | 0.11 | NA | 2.66 | 010 | |
| 69210 | A | Remove impacted ear wax | 0.61 | 0.63 | 0.24 | 0.05 | 1.29 | 0.90 | 000 | |
| 69220 | A | Clean out mastoid cavity | 0.83 | 2.31 | 0.74 | 0.07 | 3.21 | 1.64 | 000 | |
| 69222 | A | Clean out mastoid cavity | 1.40 | 3.78 | 2.02 | 0.12 | 5.30 | 3.54 | 010 | |
| 69300 | R | Revise external ear | 6.35 | NA | 4.23 | 0.52 | NA | 11.10 | YYY | |
| 69310 | A | Rebuild outer ear canal | 10.77 | NA | 8.37 | 0.93 | NA | 20.07 | 090 | |
| 69320 | A | Rebuild outer ear canal | 16.93 | NA | 12.09 | 1.41 | NA | 30.43 | 090 | |
| 69399 | C | Outer ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69400 | A | Inflate middle ear canal | 0.83 | 2.33 | 0.67 | 0.07 | 3.23 | 1.57 | 000 | |
| 69401 | A | Inflate middle ear canal | 0.63 | 1.30 | 0.65 | 0.05 | 1.98 | 1.33 | 000 | |
| 69405 | A | Catheterize middle ear canal | 2.63 | 3.48 | 2.29 | 0.22 | 6.33 | 5.14 | 010 | |
| 69410 | A | Inset middle ear (baffle) | 0.33 | 2.05 | 0.48 | 0.02 | 2.40 | 0.83 | 000 | |
| 69420 | A | Incision of eardrum | 1.33 | 3.08 | 1.58 | 0.12 | 4.53 | 3.03 | 010 | |
| 69421 | A | Incision of eardrum | 1.73 | NA | 2.09 | 0.16 | NA | 3.98 | 010 | |
| 69424 | A | Remove ventilating tube | 0.85 | 2.14 | 0.68 | 0.07 | 3.06 | 1.60 | 000 | |
| 69433 | A | Create eardrum opening | 1.52 | 3.09 | 1.66 | 0.13 | 4.74 | 3.31 | 010 | |
| 69436 | A | Create eardrum opening | 1.96 | NA | 2.22 | 0.17 | NA | 4.35 | 010 | |
| 69440 | A | Exploration of middle ear | 7.56 | NA | 6.28 | 0.64 | NA | 14.48 | 090 | |
| 69450 | A | Eardrum revision | 5.56 | NA | 5.02 | 0.47 | NA | 11.05 | 090 | |
| 69501 | A | Mastoidectomy | 9.06 | NA | 7.06 | 0.78 | NA | 16.90 | 090 | |
| 69502 | A | Mastoidectomy | 12.36 | NA | 9.26 | 1.04 | NA | 22.66 | 090 | |
| 69505 | A | Remove mastoid structures | 12.97 | NA | 9.51 | 1.11 | NA | 23.59 | 090 | |
| 69511 | A | Extensive mastoid surgery | 13.50 | NA | 9.85 | 1.16 | NA | 24.51 | 090 | |
| 69530 | A | Extensive mastoid surgery | 19.16 | NA | 13.01 | 1.59 | NA | 33.76 | 090 | |
| 69535 | A | Remove part of temporal bone | 36.09 | NA | 22.36 | 3.12 | NA | 61.57 | 090 | |
| 69540 | A | Remove ear lesion | 1.20 | 3.68 | 1.93 | 0.11 | 4.99 | 3.24 | 010 | |
| 69550 | A | Remove ear lesion | 10.97 | NA | 8.31 | 0.96 | NA | 20.24 | 090 | |
| 69552 | A | Remove ear lesion | 19.43 | NA | 12.92 | 1.64 | NA | 33.99 | 090 | |
| 69554 | A | Remove ear lesion | 33.11 | NA | 20.88 | 2.80 | NA | 56.79 | 090 | |
| 69601 | A | Mastoid surgery revision | 13.22 | NA | 10.01 | 1.11 | NA | 24.34 | 090 | |
| 69602 | A | Mastoid surgery revision | 13.56 | NA | 9.95 | 1.13 | NA | 24.64 | 090 | |
| 69603 | A | Mastoid surgery revision | 14.00 | NA | 10.16 | 1.21 | NA | 25.37 | 090 | |
| 69604 | A | Mastoid surgery revision | 14.00 | NA | 10.14 | 1.18 | NA | 25.32 | 090 | |
| 69605 | A | Mastoid surgery revision | 18.46 | NA | 12.80 | 1.56 | NA | 32.82 | 090 | |
| 69610 | A | Repair of eardrum | 4.42 | 5.39 | 3.27 | 0.37 | 10.18 | 8.06 | 010 | |
| 69620 | A | Repair of eardrum | 5.88 | 6.13 | 4.51 | 0.48 | 12.49 | 10.87 | 090 | |
| 69631 | A | Repair eardrum structures | 9.85 | NA | 7.85 | 0.83 | NA | 18.53 | 090 | |
| 69632 | A | Rebuild eardrum structures | 12.73 | NA | 9.72 | 1.07 | NA | 23.52 | 090 | |
| 69633 | A | Rebuild eardrum structures | 12.08 | NA | 9.38 | 1.01 | NA | 22.47 | 090 | |
| 69635 | A | Repair eardrum structures | 13.31 | NA | 9.38 | 1.05 | NA | 23.74 | 090 | |
| 69636 | A | Rebuild eardrum structures | 15.20 | NA | 11.15 | 1.29 | NA | 27.64 | 090 | |
| 69637 | A | Rebuild eardrum structures | 15.09 | NA | 11.09 | 1.28 | NA | 27.46 | 090 | |
| 69641 | A | Revise middle ear mastoid | 12.69 | NA | 9.47 | 1.07 | NA | 23.23 | 090 | |
| 69642 | A | Revise middle ear mastoid | 16.81 | NA | 12.11 | 1.42 | NA | 30.34 | 090 | |
| 69643 | A | Revise middle ear mastoid | 15.30 | NA | 11.15 | 1.30 | NA | 27.75 | 090 | |
| 69644 | A | Revise middle ear mastoid | 16.94 | NA | 12.06 | 1.44 | NA | 30.44 | 090 | |
| 69645 | A | Revise middle ear mastoid | 16.36 | NA | 11.70 | 1.40 | NA | 29.46 | 090 | |
| 69646 | A | Revise middle ear mastoid | 17.96 | NA | 12.63 | 1.52 | NA | 32.11 | 090 | |
| 69650 | A | Release middle ear bone | 9.65 | NA | 7.40 | 0.82 | NA | 17.87 | 090 | |
| 69660 | A | Revise middle ear bone | 11.88 | NA | 8.60 | 1.01 | NA | 21.49 | 090 | |
| 69661 | A | Revise middle ear bone | 15.72 | NA | 11.07 | 1.33 | NA | 28.12 | 090 | |
| 69662 | A | Revise middle ear bone | 15.42 | NA | 10.79 | 1.30 | NA | 27.51 | 090 | |
| 69666 | A | Repair middle ear structures | 9.74 | NA | 7.48 | 0.82 | NA | 18.04 | 090 | |
| 69667 | A | Repair middle ear structures | 9.75 | NA | 7.46 | 0.87 | NA | 18.08 | 090 | |
| 69670 | A | Remove mastoid air cells | 11.49 | NA | 8.63 | 0.94 | NA | 21.06 | 090 | |
| 69676 | A | Remove middle ear nerve | 9.51 | NA | 7.60 | 0.83 | NA | 17.94 | 090 | |
| 69700 | A | Close mastoid fistula | 8.22 | NA | 5.87 | 0.66 | NA | 14.75 | 090 | |
| 69710 | N | Implant/replace hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 69711 | A | Remove/repair hearing aid | 10.42 | NA | 8.06 | 0.75 | NA | 19.23 | 090 | |
| 69714 | A | Implant temple bone w/stimul | 13.98 | NA | 9.89 | 1.22 | NA | 25.09 | 090 | |
| 69715 | A | Temple bne implnt w/stimulat | 18.22 | NA | 12.37 | 1.59 | NA | 32.18 | 090 | |
| 69717 | A | Temple bone implant revision | 14.96 | NA | 9.55 | 1.30 | NA | 25.81 | 090 | |
| 69718 | A | Revise temple bone implant | 18.47 | NA | 12.27 | 1.62 | NA | 32.36 | 090 | |
| 69720 | A | Release facial nerve | 14.36 | NA | 10.74 | 1.24 | NA | 26.34 | 090 | |
| 69725 | A | Release facial nerve | 25.34 | NA | 16.83 | 2.15 | NA | 44.32 | 090 | |
| 69740 | A | Repair facial nerve | 15.94 | NA | 10.35 | 1.36 | NA | 27.65 | 090 | |
| 69745 | A | Repair facial nerve | 16.66 | NA | 11.34 | 1.21 | NA | 29.21 | 090 | |
| 69799 | C | Middle ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69801 | A | Incise inner ear | 8.55 | NA | 6.81 | 0.72 | NA | 16.08 | 090 | |
| 69802 | A | Incise inner ear | 13.08 | NA | 9.59 | 1.10 | NA | 23.77 | 090 | |
| 69805 | A | Explore inner ear | 13.80 | NA | 10.04 | 1.17 | NA | 25.01 | 090 | |
| 69806 | A | Explore inner ear | 12.33 | NA | 9.17 | 1.04 | NA | 22.54 | 090 | |
| 69820 | A | Establish inner ear window | 10.32 | NA | 7.83 | 0.80 | NA | 18.95 | 090 | |
| 69840 | A | Revise inner ear window | 10.24 | NA | 6.91 | 0.77 | NA | 17.92 | 090 | |
| 69905 | A | Remove inner ear | 11.08 | NA | 8.30 | 0.93 | NA | 20.31 | 090 | |
| 69910 | A | Remove inner ear mastoid | 13.61 | NA | 9.70 | 1.13 | NA | 24.44 | 090 | |
| 69915 | A | Incise inner ear nerve | 21.20 | NA | 14.15 | 1.86 | NA | 37.21 | 090 | |
| 69930 | A | Implant cochlear device | 16.78 | NA | 11.81 | 1.44 | NA | 30.03 | 090 | |
| 69949 | C | Inner ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69950 | A | Incise inner ear nerve | 25.60 | NA | 16.04 | 3.50 | NA | 45.14 | 090 | |
| 69955 | A | Release facial nerve | 27.00 | NA | 17.57 | 2.28 | NA | 46.85 | 090 | |
| 69960 | A | Release inner ear canal | 27.00 | NA | 17.04 | 2.93 | NA | 46.97 | 090 | |
| 69970 | A | Remove inner ear lesion | 29.99 | NA | 18.32 | 2.82 | NA | 51.13 | 090 | |
| 69979 | C | Temporal bone surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69990 | R | Microsurgery add-on | 3.46 | NA | 1.80 | 0.68 | NA | 5.94 | ZZZ | |
| 70010 | A | Contrast x-ray of brain | 1.19 | 4.73 | NA | 0.29 | 6.21 | NA | XXX | |
| 70010 | 26 | A | Contrast x-ray of brain | 1.19 | 0.39 | 0.39 | 0.07 | 1.65 | 1.65 | XXX |
| 70010 | TC | A | Contrast x-ray of brain | 0.00 | 4.34 | NA | 0.22 | 4.56 | NA | XXX |
| 70015 | A | Contrast x-ray of brain | 1.19 | 1.75 | NA | 0.14 | 3.08 | NA | XXX | |
| 70015 | 26 | A | Contrast x-ray of brain | 1.19 | 0.39 | 0.39 | 0.06 | 1.64 | 1.64 | XXX |
| 70015 | TC | A | Contrast x-ray of brain | 0.00 | 1.36 | NA | 0.08 | 1.44 | NA | XXX |
| 70030 | A | X-ray eye for foreign body | 0.17 | 0.47 | NA | 0.03 | 0.67 | NA | XXX | |
| 70030 | 26 | A | X-ray eye for foreign body | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70030 | TC | A | X-ray eye for foreign body | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 70100 | A | X-ray exam of jaw | 0.18 | 0.58 | NA | 0.03 | 0.79 | NA | XXX | |
| 70100 | 26 | A | X-ray exam of jaw | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 70100 | TC | A | X-ray exam of jaw | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 70110 | A | X-ray exam of jaw | 0.25 | 0.70 | NA | 0.05 | 1.00 | NA | XXX | |
| 70110 | 26 | A | X-ray exam of jaw | 0.25 | 0.08 | 0.08 | 0.01 | 0.34 | 0.34 | XXX |
| 70110 | TC | A | X-ray exam of jaw | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 70120 | A | X-ray exam of mastoids | 0.18 | 0.68 | NA | 0.05 | 0.91 | NA | XXX | |
| 70120 | 26 | A | X-ray exam of mastoids | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 70120 | TC | A | X-ray exam of mastoids | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 70130 | A | X-ray exam of mastoids | 0.34 | 0.90 | NA | 0.06 | 1.30 | NA | XXX | |
| 70130 | 26 | A | X-ray exam of mastoids | 0.34 | 0.11 | 0.11 | 0.01 | 0.46 | 0.46 | XXX |
| 70130 | TC | A | X-ray exam of mastoids | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 70134 | A | X-ray exam of middle ear | 0.34 | 0.85 | NA | 0.06 | 1.25 | NA | XXX | |
| 70134 | 26 | A | X-ray exam of middle ear | 0.34 | 0.11 | 0.11 | 0.01 | 0.46 | 0.46 | XXX |
| 70134 | TC | A | X-ray exam of middle ear | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 70140 | A | X-ray exam of facial bones | 0.19 | 0.68 | NA | 0.05 | 0.92 | NA | XXX | |
| 70140 | 26 | A | X-ray exam of facial bones | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 70140 | TC | A | X-ray exam of facial bones | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 70150 | A | X-ray exam of facial bones | 0.26 | 0.88 | NA | 0.06 | 1.20 | NA | XXX | |
| 70150 | 26 | A | X-ray exam of facial bones | 0.26 | 0.09 | 0.09 | 0.01 | 0.36 | 0.36 | XXX |
| 70150 | TC | A | X-ray exam of facial bones | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 70160 | A | X-ray exam of nasal bones | 0.17 | 0.58 | NA | 0.03 | 0.78 | NA | XXX | |
| 70160 | 26 | A | X-ray exam of nasal bones | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70160 | TC | A | X-ray exam of nasal bones | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 70170 | A | X-ray exam of tear duct | 0.30 | 1.05 | NA | 0.07 | 1.42 | NA | XXX | |
| 70170 | 26 | A | X-ray exam of tear duct | 0.30 | 0.10 | 0.10 | 0.01 | 0.41 | 0.41 | XXX |
| 70170 | TC | A | X-ray exam of tear duct | 0.00 | 0.95 | NA | 0.06 | 1.01 | NA | XXX |
| 70190 | A | X-ray exam of eye sockets | 0.21 | 0.69 | NA | 0.05 | 0.95 | NA | XXX | |
| 70190 | 26 | A | X-ray exam of eye sockets | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | XXX |
| 70190 | TC | A | X-ray exam of eye sockets | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 70200 | A | X-ray exam of eye sockets | 0.28 | 0.88 | NA | 0.06 | 1.22 | NA | XXX | |
| 70200 | 26 | A | X-ray exam of eye sockets | 0.28 | 0.09 | 0.09 | 0.01 | 0.38 | 0.38 | XXX |
| 70200 | TC | A | X-ray exam of eye sockets | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 70210 | A | X-ray exam of sinuses | 0.17 | 0.68 | NA | 0.05 | 0.90 | NA | XXX | |
| 70210 | 26 | A | X-ray exam of sinuses | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70210 | TC | A | X-ray exam of sinuses | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 70220 | A | X-ray exam of sinuses | 0.25 | 0.87 | NA | 0.06 | 1.18 | NA | XXX | |
| 70220 | 26 | A | X-ray exam of sinuses | 0.25 | 0.08 | 0.08 | 0.01 | 0.34 | 0.34 | XXX |
| 70220 | TC | A | X-ray exam of sinuses | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 70240 | A | X-ray exam, pituitary saddle | 0.19 | 0.47 | NA | 0.03 | 0.69 | NA | XXX | |
| 70240 | 26 | A | X-ray exam, pituitary saddle | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 70240 | TC | A | X-ray exam, pituitary saddle | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 70250 | A | X-ray exam of skull | 0.24 | 0.70 | NA | 0.05 | 0.99 | NA | XXX | |
| 70250 | 26 | A | X-ray exam of skull | 0.24 | 0.08 | 0.08 | 0.01 | 0.33 | 0.33 | XXX |
| 70250 | TC | A | X-ray exam of skull | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 70260 | A | X-ray exam of skull | 0.34 | 1.00 | NA | 0.07 | 1.41 | NA | XXX | |
| 70260 | 26 | A | X-ray exam of skull | 0.34 | 0.11 | 0.11 | 0.01 | 0.46 | 0.46 | XXX |
| 70260 | TC | A | X-ray exam of skull | 0.00 | 0.89 | NA | 0.06 | 0.95 | NA | XXX |
| 70300 | A | X-ray exam of teeth | 0.10 | 0.32 | NA | 0.03 | 0.45 | NA | XXX | |
| 70300 | 26 | A | X-ray exam of teeth | 0.10 | 0.05 | 0.05 | 0.01 | 0.16 | 0.16 | XXX |
| 70300 | TC | A | X-ray exam of teeth | 0.00 | 0.27 | NA | 0.02 | 0.29 | NA | XXX |
| 70310 | A | X-ray exam of teeth | 0.16 | 0.49 | NA | 0.03 | 0.68 | NA | XXX | |
| 70310 | 26 | A | X-ray exam of teeth | 0.16 | 0.08 | 0.08 | 0.01 | 0.25 | 0.25 | XXX |
| 70310 | TC | A | X-ray exam of teeth | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 70320 | A | Full mouth x-ray of teeth | 0.22 | 0.87 | NA | 0.06 | 1.15 | NA | XXX | |
| 70320 | 26 | A | Full mouth x-ray of teeth | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 70320 | TC | A | Full mouth x-ray of teeth | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 70328 | A | X-ray exam of jaw joint | 0.18 | 0.55 | NA | 0.03 | 0.76 | NA | XXX | |
| 70328 | 26 | A | X-ray exam of jaw joint | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 70328 | TC | A | X-ray exam of jaw joint | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 70330 | A | X-ray exam of jaw joints | 0.24 | 0.93 | NA | 0.06 | 1.23 | NA | XXX | |
| 70330 | 26 | A | X-ray exam of jaw joints | 0.24 | 0.08 | 0.08 | 0.01 | 0.33 | 0.33 | XXX |
| 70330 | TC | A | X-ray exam of jaw joints | 0.00 | 0.85 | NA | 0.05 | 0.90 | NA | XXX |
| 70332 | A | X-ray exam of jaw joint | 0.54 | 2.30 | NA | 0.14 | 2.98 | NA | XXX | |
| 70332 | 26 | A | X-ray exam of jaw joint | 0.54 | 0.20 | 0.20 | 0.02 | 0.76 | 0.76 | XXX |
| 70332 | TC | A | X-ray exam of jaw joint | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 70336 | A | Magnetic image, jaw joint | 1.48 | 11.72 | NA | 0.67 | 13.87 | NA | XXX | |
| 70336 | 26 | A | Magnetic image, jaw joint | 1.48 | 0.48 | 0.48 | 0.08 | 2.04 | 2.04 | XXX |
| 70336 | TC | A | Magnetic image, jaw joint | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 70350 | A | X-ray head for orthodontia | 0.17 | 0.44 | NA | 0.03 | 0.64 | NA | XXX | |
| 70350 | 26 | A | X-ray head for orthodontia | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 70350 | TC | A | X-ray head for orthodontia | 0.00 | 0.37 | NA | 0.02 | 0.39 | NA | XXX |
| 70355 | A | Panoramic x-ray of jaws | 0.20 | 0.65 | NA | 0.05 | 0.90 | NA | XXX | |
| 70355 | 26 | A | Panoramic x-ray of jaws | 0.20 | 0.08 | 0.08 | 0.01 | 0.29 | 0.29 | XXX |
| 70355 | TC | A | Panoramic x-ray of jaws | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 70360 | A | X-ray exam of neck | 0.17 | 0.47 | NA | 0.03 | 0.67 | NA | XXX | |
| 70360 | 26 | A | X-ray exam of neck | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70360 | TC | A | X-ray exam of neck | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 70370 | A | Throat x-ray fluoroscopy | 0.32 | 1.42 | NA | 0.08 | 1.82 | NA | XXX | |
| 70370 | 26 | A | Throat x-ray fluoroscopy | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 70370 | TC | A | Throat x-ray fluoroscopy | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 70371 | A | Speech evaluation, complex | 0.84 | 2.38 | NA | 0.17 | 3.39 | NA | XXX | |
| 70371 | 26 | A | Speech evaluation, complex | 0.84 | 0.28 | 0.28 | 0.05 | 1.17 | 1.17 | XXX |
| 70371 | TC | A | Speech evaluation, complex | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 70373 | A | Contrast x-ray of larynx | 0.44 | 1.94 | NA | 0.13 | 2.51 | NA | XXX | |
| 70373 | 26 | A | Contrast x-ray of larynx | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 70373 | TC | A | Contrast x-ray of larynx | 0.00 | 1.79 | NA | 0.11 | 1.90 | NA | XXX |
| 70380 | A | X-ray exam of salivary gland | 0.17 | 0.73 | NA | 0.05 | 0.95 | NA | XXX | |
| 70380 | 26 | A | X-ray exam of salivary gland | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70380 | TC | A | X-ray exam of salivary gland | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 70390 | A | X-ray exam of salivary duct | 0.38 | 1.92 | NA | 0.13 | 2.43 | NA | XXX | |
| 70390 | 26 | A | X-ray exam of salivary duct | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 70390 | TC | A | X-ray exam of salivary duct | 0.00 | 1.79 | NA | 0.11 | 1.90 | NA | XXX |
| 70450 | A | Ct head/brain w/o dye | 0.85 | 5.02 | NA | 0.30 | 6.17 | NA | XXX | |
| 70450 | 26 | A | Ct head/brain w/o dye | 0.85 | 0.28 | 0.28 | 0.05 | 1.18 | 1.18 | XXX |
| 70450 | TC | A | Ct head/brain w/o dye | 0.00 | 4.74 | NA | 0.25 | 4.99 | NA | XXX |
| 70460 | A | Ct head/brain w/dye | 1.13 | 6.04 | NA | 0.36 | 7.53 | NA | XXX | |
| 70460 | 26 | A | Ct head/brain w/dye | 1.13 | 0.37 | 0.37 | 0.06 | 1.56 | 1.56 | XXX |
| 70460 | TC | A | Ct head/brain w/dye | 0.00 | 5.67 | NA | 0.30 | 5.97 | NA | XXX |
| 70470 | A | Ct head/brain w/o w/ dye | 1.27 | 7.51 | NA | 0.44 | 9.22 | NA | XXX | |
| 70470 | 26 | A | Ct head/brain w/o w/ dye | 1.27 | 0.41 | 0.41 | 0.07 | 1.75 | 1.75 | XXX |
| 70470 | TC | A | Ct head/brain w/o w/ dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 70480 | A | Ct orbit/ear/fossa w/o dye | 1.28 | 5.16 | NA | 0.32 | 6.76 | NA | XXX | |
| 70480 | 26 | A | Ct orbit/ear/fossa w/o dye | 1.28 | 0.42 | 0.42 | 0.07 | 1.77 | 1.77 | XXX |
| 70480 | TC | A | Ct orbit/ear/fossa w/o dye | 0.00 | 4.74 | NA | 0.25 | 4.99 | NA | XXX |
| 70481 | A | Ct orbit/ear/fossa w/dye | 1.38 | 6.12 | NA | 0.37 | 7.87 | NA | XXX | |
| 70481 | 26 | A | Ct orbit/ear/fossa w/dye | 1.38 | 0.45 | 0.45 | 0.07 | 1.90 | 1.90 | XXX |
| 70481 | TC | A | Ct orbit/ear/fossa w/dye | 0.00 | 5.67 | NA | 0.30 | 5.97 | NA | XXX |
| 70482 | A | Ct orbit/ear/fossa w/ow dye | 1.45 | 7.57 | NA | 0.44 | 9.46 | NA | XXX | |
| 70482 | 26 | A | Ct orbit/ear/fossa w/ow dye | 1.45 | 0.47 | 0.47 | 0.07 | 1.99 | 1.99 | XXX |
| 70482 | TC | A | Ct orbit/ear/fossa w/ow dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 70486 | A | Ct maxillofacial w/o dye | 1.14 | 5.11 | NA | 0.31 | 6.56 | NA | XXX | |
| 70486 | 26 | A | Ct maxillofacial w/o dye | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 70486 | TC | A | Ct maxillofacial w/o dye | 0.00 | 4.74 | NA | 0.25 | 4.99 | NA | XXX |
| 70487 | A | Ct maxillofacial w/dye | 1.30 | 6.09 | NA | 0.37 | 7.76 | NA | XXX | |
| 70487 | 26 | A | Ct maxillofacial w/dye | 1.30 | 0.42 | 0.42 | 0.07 | 1.79 | 1.79 | XXX |
| 70487 | TC | A | Ct maxillofacial w/dye | 0.00 | 5.67 | NA | 0.30 | 5.97 | NA | XXX |
| 70488 | A | Ct maxillofacial w/o w dye | 1.42 | 7.56 | NA | 0.44 | 9.42 | NA | XXX | |
| 70488 | 26 | A | Ct maxillofacial w/o w dye | 1.42 | 0.46 | 0.46 | 0.07 | 1.95 | 1.95 | XXX |
| 70488 | TC | A | Ct maxillofacial w/o w dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 70490 | A | Ct soft tissue neck w/o dye | 1.28 | 5.16 | NA | 0.32 | 6.76 | NA | XXX | |
| 70490 | 26 | A | Ct soft tissue neck w/o dye | 1.28 | 0.42 | 0.42 | 0.07 | 1.77 | 1.77 | XXX |
| 70490 | TC | A | Ct soft tissue neck w/o dye | 0.00 | 4.74 | NA | 0.25 | 4.99 | NA | XXX |
| 70491 | A | Ct soft tissue neck w/dye | 1.38 | 6.12 | NA | 0.37 | 7.87 | NA | XXX | |
| 70491 | 26 | A | Ct soft tissue neck w/dye | 1.38 | 0.45 | 0.45 | 0.07 | 1.90 | 1.90 | XXX |
| 70491 | TC | A | Ct soft tissue neck w/dye | 0.00 | 5.67 | NA | 0.30 | 5.97 | NA | XXX |
| 70492 | A | Ct sft tsue nck w/o w/dye | 1.45 | 7.57 | NA | 0.44 | 9.46 | NA | XXX | |
| 70492 | 26 | A | Ct sft tsue nck w/o w/dye | 1.45 | 0.47 | 0.47 | 0.07 | 1.99 | 1.99 | XXX |
| 70492 | TC | A | Ct sft tsue nck w/o w/dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 70496 | A | Ct angiography, head | 1.75 | 11.22 | NA | 0.68 | 13.65 | NA | XXX | |
| 70496 | 26 | A | Ct angiography, head | 1.75 | 0.57 | 0.57 | 0.10 | 2.42 | 2.42 | XXX |
| 70496 | TC | A | Ct angiography, head | 0.00 | 10.65 | NA | 0.58 | 11.23 | NA | XXX |
| 70498 | A | Ct angiography, neck | 1.75 | 11.22 | NA | 0.68 | 13.65 | NA | XXX | |
| 70498 | 26 | A | Ct angiography, neck | 1.75 | 0.57 | 0.57 | 0.10 | 2.42 | 2.42 | XXX |
| 70498 | TC | A | Ct angiography, neck | 0.00 | 10.65 | NA | 0.58 | 11.23 | NA | XXX |
| 70540 | A | Mri orbit/face/neck w/o dye | 1.35 | 11.68 | NA | 0.44 | 13.47 | NA | XXX | |
| 70540 | 26 | A | Mri orbit/face/neck w/o dye | 1.35 | 0.44 | 0.44 | 0.05 | 1.84 | 1.84 | XXX |
| 70540 | TC | A | Mri orbit/face/neck w/o dye | 0.00 | 11.24 | NA | 0.39 | 11.63 | NA | XXX |
| 70542 | A | Mri orbit/face/neck w/dye | 1.62 | 14.02 | NA | 0.53 | 16.17 | NA | XXX | |
| 70542 | 26 | A | Mri orbit/face/neck w/dye | 1.62 | 0.53 | 0.53 | 0.06 | 2.21 | 2.21 | XXX |
| 70542 | TC | A | Mri orbit/face/neck w/dye | 0.00 | 13.49 | NA | 0.47 | 13.96 | NA | XXX |
| 70543 | A | Mri orbt/fac/nck w/o w dye | 2.15 | 25.69 | NA | 0.92 | 28.76 | NA | XXX | |
| 70543 | 26 | A | Mri orbt/fac/nck w/o w dye | 2.15 | 0.71 | 0.71 | 0.08 | 2.94 | 2.94 | XXX |
| 70543 | TC | A | Mri orbt/fac/nck w/o w dye | 0.00 | 24.98 | NA | 0.84 | 25.82 | NA | XXX |
| 70544 | A | Mr angiography head w/o dye | 1.20 | 11.63 | NA | 0.65 | 13.48 | NA | XXX | |
| 70544 | 26 | A | Mr angiography head w/o dye | 1.20 | 0.39 | 0.39 | 0.06 | 1.65 | 1.65 | XXX |
| 70544 | TC | A | Mr angiography head w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 70545 | A | Mr angiography head w/dye | 1.20 | 11.63 | NA | 0.65 | 13.48 | NA | XXX | |
| 70545 | 26 | A | Mr angiography head w/dye | 1.20 | 0.39 | 0.39 | 0.06 | 1.65 | 1.65 | XXX |
| 70545 | TC | A | Mr angiography head w/dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 70546 | A | Mr angiograph head w/ow dye | 1.80 | 23.08 | NA | 0.69 | 25.57 | NA | XXX | |
| 70546 | 26 | A | Mr angiograph head w/ow dye | 1.80 | 0.59 | 0.59 | 0.10 | 2.49 | 2.49 | XXX |
| 70546 | TC | A | Mr angiograph head w/ow dye | 0.00 | 22.49 | NA | 0.59 | 23.08 | NA | XXX |
| 70547 | A | Mr angiography neck w/o dye | 1.20 | 11.63 | NA | 0.65 | 13.48 | NA | XXX | |
| 70547 | 26 | A | Mr angiography neck w/o dye | 1.20 | 0.39 | 0.39 | 0.06 | 1.65 | 1.65 | XXX |
| 70547 | TC | A | Mr angiography neck w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 70548 | A | Mr angiography neck w/dye | 1.20 | 11.63 | NA | 0.65 | 13.48 | NA | XXX | |
| 70548 | 26 | A | Mr angiography neck w/dye | 1.20 | 0.39 | 0.39 | 0.06 | 1.65 | 1.65 | XXX |
| 70548 | TC | A | Mr angiography neck w/dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 70549 | A | Mr angiograph neck w/ow dye | 1.80 | 23.08 | NA | 0.69 | 25.57 | NA | XXX | |
| 70549 | 26 | A | Mr angiograph neck w/ow dye | 1.80 | 0.59 | 0.59 | 0.10 | 2.49 | 2.49 | XXX |
| 70549 | TC | A | Mr angiograph neck w/ow dye | 0.00 | 22.49 | NA | 0.59 | 23.08 | NA | XXX |
| 70551 | A | Mri brain w/o dye | 1.48 | 11.73 | NA | 0.67 | 13.88 | NA | XXX | |
| 70551 | 26 | A | Mri brain w/o dye | 1.48 | 0.49 | 0.49 | 0.08 | 2.05 | 2.05 | XXX |
| 70551 | TC | A | Mri brain w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 70552 | A | Mri brain w/ dye | 1.78 | 14.08 | NA | 0.80 | 16.66 | NA | XXX | |
| 70552 | 26 | A | Mri brain w/ dye | 1.78 | 0.59 | 0.59 | 0.10 | 2.47 | 2.47 | XXX |
| 70552 | TC | A | Mri brain w/ dye | 0.00 | 13.49 | NA | 0.70 | 14.19 | NA | XXX |
| 70553 | A | Mri brain w/o w/ dye | 2.36 | 25.76 | NA | 1.43 | 29.55 | NA | XXX | |
| 70553 | 26 | A | Mri brain w/o w/ dye | 2.36 | 0.78 | 0.78 | 0.12 | 3.26 | 3.26 | XXX |
| 70553 | TC | A | Mri brain w/o w/ dye | 0.00 | 24.98 | NA | 1.31 | 26.29 | NA | XXX |
| 70557 | C | Mri brain w/o dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 70557 | 26 | A | Mri brain w/o dye | 2.90 | 0.98 | 0.98 | 0.08 | 3.96 | 3.96 | XXX |
| 70557 | TC | C | Mri brain w/o dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 70558 | C | Mri brain w/ dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 70558 | 26 | A | Mri brain w/ dye | 3.20 | 1.08 | 1.08 | 0.10 | 4.38 | 4.38 | XXX |
| 70558 | TC | C | Mri brain w/ dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 70559 | C | Mri brain w/o w/ dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 70559 | 26 | A | Mri brain w/o w/ dye | 3.20 | 1.08 | 1.08 | 0.12 | 4.40 | 4.40 | XXX |
| 70559 | TC | C | Mri brain w/o w/ dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 71010 | A | Chest x-ray | 0.18 | 0.53 | NA | 0.03 | 0.74 | NA | XXX | |
| 71010 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 71010 | TC | A | Chest x-ray | 0.00 | 0.47 | NA | 0.02 | 0.49 | NA | XXX |
| 71015 | A | Chest x-ray | 0.21 | 0.59 | NA | 0.03 | 0.83 | NA | XXX | |
| 71015 | 26 | A | Chest x-ray | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | XXX |
| 71015 | TC | A | Chest x-ray | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 71020 | A | Chest x-ray | 0.22 | 0.69 | NA | 0.05 | 0.96 | NA | XXX | |
| 71020 | 26 | A | Chest x-ray | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 71020 | TC | A | Chest x-ray | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 71021 | A | Chest x-ray | 0.27 | 0.83 | NA | 0.06 | 1.16 | NA | XXX | |
| 71021 | 26 | A | Chest x-ray | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 71021 | TC | A | Chest x-ray | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 71022 | A | Chest x-ray | 0.31 | 0.84 | NA | 0.07 | 1.22 | NA | XXX | |
| 71022 | 26 | A | Chest x-ray | 0.31 | 0.10 | 0.10 | 0.02 | 0.43 | 0.43 | XXX |
| 71022 | TC | A | Chest x-ray | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 71023 | A | Chest x-ray and fluoroscopy | 0.38 | 0.92 | NA | 0.07 | 1.37 | NA | XXX | |
| 71023 | 26 | A | Chest x-ray and fluoroscopy | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 71023 | TC | A | Chest x-ray and fluoroscopy | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 71030 | A | Chest x-ray | 0.31 | 0.89 | NA | 0.06 | 1.26 | NA | XXX | |
| 71030 | 26 | A | Chest x-ray | 0.31 | 0.10 | 0.10 | 0.01 | 0.42 | 0.42 | XXX |
| 71030 | TC | A | Chest x-ray | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 71034 | A | Chest x-ray and fluoroscopy | 0.46 | 1.60 | NA | 0.10 | 2.16 | NA | XXX | |
| 71034 | 26 | A | Chest x-ray and fluoroscopy | 0.46 | 0.16 | 0.16 | 0.02 | 0.64 | 0.64 | XXX |
| 71034 | TC | A | Chest x-ray and fluoroscopy | 0.00 | 1.44 | NA | 0.08 | 1.52 | NA | XXX |
| 71035 | A | Chest x-ray | 0.18 | 0.58 | NA | 0.03 | 0.79 | NA | XXX | |
| 71035 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 71035 | TC | A | Chest x-ray | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 71040 | A | Contrast x-ray of bronchi | 0.58 | 1.65 | NA | 0.12 | 2.35 | NA | XXX | |
| 71040 | 26 | A | Contrast x-ray of bronchi | 0.58 | 0.19 | 0.19 | 0.04 | 0.81 | 0.81 | XXX |
| 71040 | TC | A | Contrast x-ray of bronchi | 0.00 | 1.46 | NA | 0.08 | 1.54 | NA | XXX |
| 71060 | A | Contrast x-ray of bronchi | 0.74 | 2.46 | NA | 0.17 | 3.37 | NA | XXX | |
| 71060 | 26 | A | Contrast x-ray of bronchi | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 71060 | TC | A | Contrast x-ray of bronchi | 0.00 | 2.21 | NA | 0.13 | 2.34 | NA | XXX |
| 71090 | A | X-ray pacemaker insertion | 0.54 | 1.90 | NA | 0.13 | 2.57 | NA | XXX | |
| 71090 | 26 | A | X-ray pacemaker insertion | 0.54 | 0.21 | 0.21 | 0.02 | 0.77 | 0.77 | XXX |
| 71090 | TC | A | X-ray pacemaker insertion | 0.00 | 1.69 | NA | 0.11 | 1.80 | NA | XXX |
| 71100 | A | X-ray exam of ribs | 0.22 | 0.64 | NA | 0.05 | 0.91 | NA | XXX | |
| 71100 | 26 | A | X-ray exam of ribs | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 71100 | TC | A | X-ray exam of ribs | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 71101 | A | X-ray exam of ribs/chest | 0.27 | 0.76 | NA | 0.05 | 1.08 | NA | XXX | |
| 71101 | 26 | A | X-ray exam of ribs/chest | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 71101 | TC | A | X-ray exam of ribs/chest | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 71110 | A | X-ray exam of ribs | 0.27 | 0.88 | NA | 0.06 | 1.21 | NA | XXX | |
| 71110 | 26 | A | X-ray exam of ribs | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 71110 | TC | A | X-ray exam of ribs | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 71111 | A | X-ray exam of ribs/ chest | 0.32 | 1.00 | NA | 0.07 | 1.39 | NA | XXX | |
| 71111 | 26 | A | X-ray exam of ribs/ chest | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 71111 | TC | A | X-ray exam of ribs/ chest | 0.00 | 0.89 | NA | 0.06 | 0.95 | NA | XXX |
| 71120 | A | X-ray exam of breastbone | 0.20 | 0.72 | NA | 0.05 | 0.97 | NA | XXX | |
| 71120 | 26 | A | X-ray exam of breastbone | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 71120 | TC | A | X-ray exam of breastbone | 0.00 | 0.65 | NA | 0.04 | 0.69 | NA | XXX |
| 71130 | A | X-ray exam of breastbone | 0.22 | 0.78 | NA | 0.05 | 1.05 | NA | XXX | |
| 71130 | 26 | A | X-ray exam of breastbone | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 71130 | TC | A | X-ray exam of breastbone | 0.00 | 0.71 | NA | 0.04 | 0.75 | NA | XXX |
| 71250 | A | Ct thorax w/o dye | 1.16 | 6.31 | NA | 0.37 | 7.84 | NA | XXX | |
| 71250 | 26 | A | Ct thorax w/o dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 71250 | TC | A | Ct thorax w/o dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 71260 | A | Ct thorax w/dye | 1.24 | 7.50 | NA | 0.43 | 9.17 | NA | XXX | |
| 71260 | 26 | A | Ct thorax w/dye | 1.24 | 0.40 | 0.40 | 0.06 | 1.70 | 1.70 | XXX |
| 71260 | TC | A | Ct thorax w/dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 71270 | A | Ct thorax w/o w/ dye | 1.38 | 9.33 | NA | 0.53 | 11.24 | NA | XXX | |
| 71270 | 26 | A | Ct thorax w/o w/ dye | 1.38 | 0.45 | 0.45 | 0.07 | 1.90 | 1.90 | XXX |
| 71270 | TC | A | Ct thorax w/o w/ dye | 0.00 | 8.88 | NA | 0.46 | 9.34 | NA | XXX |
| 71275 | A | Ct angiography, chest | 1.92 | 13.05 | NA | 0.46 | 15.43 | NA | XXX | |
| 71275 | 26 | A | Ct angiography, chest | 1.92 | 0.63 | 0.63 | 0.07 | 2.62 | 2.62 | XXX |
| 71275 | TC | A | Ct angiography, chest | 0.00 | 12.42 | NA | 0.39 | 12.81 | NA | XXX |
| 71550 | A | Mri chest w/o dye | 1.46 | 11.72 | NA | 0.50 | 13.68 | NA | XXX | |
| 71550 | 26 | A | Mri chest w/o dye | 1.46 | 0.48 | 0.48 | 0.05 | 1.99 | 1.99 | XXX |
| 71550 | TC | A | Mri chest w/o dye | 0.00 | 11.24 | NA | 0.45 | 11.69 | NA | XXX |
| 71551 | A | Mri chest w/dye | 1.73 | 14.06 | NA | 0.59 | 16.38 | NA | XXX | |
| 71551 | 26 | A | Mri chest w/dye | 1.73 | 0.57 | 0.57 | 0.07 | 2.37 | 2.37 | XXX |
| 71551 | TC | A | Mri chest w/dye | 0.00 | 13.49 | NA | 0.52 | 14.01 | NA | XXX |
| 71552 | A | Mri chest w/o w/dye | 2.26 | 25.72 | NA | 0.78 | 28.76 | NA | XXX | |
| 71552 | 26 | A | Mri chest w/o w/dye | 2.26 | 0.74 | 0.74 | 0.10 | 3.10 | 3.10 | XXX |
| 71552 | TC | A | Mri chest w/o w/dye | 0.00 | 24.98 | NA | 0.68 | 25.66 | NA | XXX |
| 71555 | R | Mri angio chest w or w/o dye | 1.81 | 11.84 | NA | 0.69 | 14.34 | NA | XXX | |
| 71555 | 26 | R | Mri angio chest w or w/o dye | 1.81 | 0.60 | 0.60 | 0.10 | 2.51 | 2.51 | XXX |
| 71555 | TC | R | Mri angio chest w or w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 72010 | A | X-ray exam of spine | 0.45 | 1.18 | NA | 0.10 | 1.73 | NA | XXX | |
| 72010 | 26 | A | X-ray exam of spine | 0.45 | 0.15 | 0.15 | 0.04 | 0.64 | 0.64 | XXX |
| 72010 | TC | A | X-ray exam of spine | 0.00 | 1.03 | NA | 0.06 | 1.09 | NA | XXX |
| 72020 | A | X-ray exam of spine | 0.15 | 0.46 | NA | 0.03 | 0.64 | NA | XXX | |
| 72020 | 26 | A | X-ray exam of spine | 0.15 | 0.05 | 0.05 | 0.01 | 0.21 | 0.21 | XXX |
| 72020 | TC | A | X-ray exam of spine | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 72040 | A | X-ray exam of neck spine | 0.22 | 0.67 | NA | 0.05 | 0.94 | NA | XXX | |
| 72040 | 26 | A | X-ray exam of neck spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72040 | TC | A | X-ray exam of neck spine | 0.00 | 0.60 | NA | 0.04 | 0.64 | NA | XXX |
| 72050 | A | X-ray exam of neck spine | 0.31 | 0.99 | NA | 0.08 | 1.38 | NA | XXX | |
| 72050 | 26 | A | X-ray exam of neck spine | 0.31 | 0.10 | 0.10 | 0.02 | 0.43 | 0.43 | XXX |
| 72050 | TC | A | X-ray exam of neck spine | 0.00 | 0.89 | NA | 0.06 | 0.95 | NA | XXX |
| 72052 | A | X-ray exam of neck spine | 0.36 | 1.25 | NA | 0.08 | 1.69 | NA | XXX | |
| 72052 | 26 | A | X-ray exam of neck spine | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 72052 | TC | A | X-ray exam of neck spine | 0.00 | 1.13 | NA | 0.06 | 1.19 | NA | XXX |
| 72069 | A | X-ray exam of trunk spine | 0.22 | 0.57 | NA | 0.04 | 0.83 | NA | XXX | |
| 72069 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.08 | 0.08 | 0.02 | 0.32 | 0.32 | XXX |
| 72069 | TC | A | X-ray exam of trunk spine | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 72070 | A | X-ray exam of thoracic spine | 0.22 | 0.72 | NA | 0.05 | 0.99 | NA | XXX | |
| 72070 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72070 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.65 | NA | 0.04 | 0.69 | NA | XXX |
| 72072 | A | X-ray exam of thoracic spine | 0.22 | 0.81 | NA | 0.06 | 1.09 | NA | XXX | |
| 72072 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72072 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 72074 | A | X-ray exam of thoracic spine | 0.22 | 0.98 | NA | 0.07 | 1.27 | NA | XXX | |
| 72074 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72074 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.91 | NA | 0.06 | 0.97 | NA | XXX |
| 72080 | A | X-ray exam of trunk spine | 0.22 | 0.74 | NA | 0.06 | 1.02 | NA | XXX | |
| 72080 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.07 | 0.07 | 0.02 | 0.31 | 0.31 | XXX |
| 72080 | TC | A | X-ray exam of trunk spine | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 72090 | A | X-ray exam of trunk spine | 0.28 | 0.76 | NA | 0.06 | 1.10 | NA | XXX | |
| 72090 | 26 | A | X-ray exam of trunk spine | 0.28 | 0.09 | 0.09 | 0.02 | 0.39 | 0.39 | XXX |
| 72090 | TC | A | X-ray exam of trunk spine | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 72100 | A | X-ray exam of lower spine | 0.22 | 0.74 | NA | 0.06 | 1.02 | NA | XXX | |
| 72100 | 26 | A | X-ray exam of lower spine | 0.22 | 0.07 | 0.07 | 0.02 | 0.31 | 0.31 | XXX |
| 72100 | TC | A | X-ray exam of lower spine | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 72110 | A | X-ray exam of lower spine | 0.31 | 1.01 | NA | 0.08 | 1.40 | NA | XXX | |
| 72110 | 26 | A | X-ray exam of lower spine | 0.31 | 0.10 | 0.10 | 0.02 | 0.43 | 0.43 | XXX |
| 72110 | TC | A | X-ray exam of lower spine | 0.00 | 0.91 | NA | 0.06 | 0.97 | NA | XXX |
| 72114 | A | X-ray exam of lower spine | 0.36 | 1.31 | NA | 0.10 | 1.77 | NA | XXX | |
| 72114 | 26 | A | X-ray exam of lower spine | 0.36 | 0.12 | 0.12 | 0.04 | 0.52 | 0.52 | XXX |
| 72114 | TC | A | X-ray exam of lower spine | 0.00 | 1.19 | NA | 0.06 | 1.25 | NA | XXX |
| 72120 | A | X-ray exam of lower spine | 0.22 | 0.96 | NA | 0.08 | 1.26 | NA | XXX | |
| 72120 | 26 | A | X-ray exam of lower spine | 0.22 | 0.07 | 0.07 | 0.02 | 0.31 | 0.31 | XXX |
| 72120 | TC | A | X-ray exam of lower spine | 0.00 | 0.89 | NA | 0.06 | 0.95 | NA | XXX |
| 72125 | A | Ct neck spine w/o dye | 1.16 | 6.31 | NA | 0.37 | 7.84 | NA | XXX | |
| 72125 | 26 | A | Ct neck spine w/o dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 72125 | TC | A | Ct neck spine w/o dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 72126 | A | Ct neck spine w/dye | 1.22 | 7.49 | NA | 0.43 | 9.14 | NA | XXX | |
| 72126 | 26 | A | Ct neck spine w/dye | 1.22 | 0.39 | 0.39 | 0.06 | 1.67 | 1.67 | XXX |
| 72126 | TC | A | Ct neck spine w/dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 72127 | A | Ct neck spine w/o w/dye | 1.27 | 9.29 | NA | 0.53 | 11.09 | NA | XXX | |
| 72127 | 26 | A | Ct neck spine w/o w/dye | 1.27 | 0.41 | 0.41 | 0.07 | 1.75 | 1.75 | XXX |
| 72127 | TC | A | Ct neck spine w/o w/dye | 0.00 | 8.88 | NA | 0.46 | 9.34 | NA | XXX |
| 72128 | A | Ct chest spine w/o dye | 1.16 | 6.31 | NA | 0.37 | 7.84 | NA | XXX | |
| 72128 | 26 | A | Ct chest spine w/o dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 72128 | TC | A | Ct chest spine w/o dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 72129 | A | Ct chest spine w/dye | 1.22 | 7.49 | NA | 0.43 | 9.14 | NA | XXX | |
| 72129 | 26 | A | Ct chest spine w/dye | 1.22 | 0.39 | 0.39 | 0.06 | 1.67 | 1.67 | XXX |
| 72129 | TC | A | Ct chest spine w/dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 72130 | A | Ct chest spine w/o w/dye | 1.27 | 9.29 | NA | 0.53 | 11.09 | NA | XXX | |
| 72130 | 26 | A | Ct chest spine w/o w/dye | 1.27 | 0.41 | 0.41 | 0.07 | 1.75 | 1.75 | XXX |
| 72130 | TC | A | Ct chest spine w/o w/dye | 0.00 | 8.88 | NA | 0.46 | 9.34 | NA | XXX |
| 72131 | A | Ct lumbar spine w/o dye | 1.16 | 6.31 | NA | 0.37 | 7.84 | NA | XXX | |
| 72131 | 26 | A | Ct lumbar spine w/o dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 72131 | TC | A | Ct lumbar spine w/o dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 72132 | A | Ct lumbar spine w/dye | 1.22 | 7.50 | NA | 0.44 | 9.16 | NA | XXX | |
| 72132 | 26 | A | Ct lumbar spine w/dye | 1.22 | 0.40 | 0.40 | 0.07 | 1.69 | 1.69 | XXX |
| 72132 | TC | A | Ct lumbar spine w/dye | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 72133 | A | Ct lumbar spine w/o w/dye | 1.27 | 9.30 | NA | 0.53 | 11.10 | NA | XXX | |
| 72133 | 26 | A | Ct lumbar spine w/o w/dye | 1.27 | 0.42 | 0.42 | 0.07 | 1.76 | 1.76 | XXX |
| 72133 | TC | A | Ct lumbar spine w/o w/dye | 0.00 | 8.88 | NA | 0.46 | 9.34 | NA | XXX |
| 72141 | A | Mri neck spine w/o dye | 1.60 | 11.77 | NA | 0.67 | 14.04 | NA | XXX | |
| 72141 | 26 | A | Mri neck spine w/o dye | 1.60 | 0.53 | 0.53 | 0.08 | 2.21 | 2.21 | XXX |
| 72141 | TC | A | Mri neck spine w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 72142 | A | Mri neck spine w/dye | 1.92 | 14.14 | NA | 0.81 | 16.87 | NA | XXX | |
| 72142 | 26 | A | Mri neck spine w/dye | 1.92 | 0.65 | 0.65 | 0.11 | 2.68 | 2.68 | XXX |
| 72142 | TC | A | Mri neck spine w/dye | 0.00 | 13.49 | NA | 0.70 | 14.19 | NA | XXX |
| 72146 | A | Mri chest spine w/o dye | 1.60 | 13.00 | NA | 0.72 | 15.32 | NA | XXX | |
| 72146 | 26 | A | Mri chest spine w/o dye | 1.60 | 0.52 | 0.52 | 0.08 | 2.20 | 2.20 | XXX |
| 72146 | TC | A | Mri chest spine w/o dye | 0.00 | 12.48 | NA | 0.64 | 13.12 | NA | XXX |
| 72147 | A | Mri chest spine w/dye | 1.92 | 14.13 | NA | 0.81 | 16.86 | NA | XXX | |
| 72147 | 26 | A | Mri chest spine w/dye | 1.92 | 0.64 | 0.64 | 0.11 | 2.67 | 2.67 | XXX |
| 72147 | TC | A | Mri chest spine w/dye | 0.00 | 13.49 | NA | 0.70 | 14.19 | NA | XXX |
| 72148 | A | Mri lumbar spine w/o dye | 1.48 | 12.97 | NA | 0.72 | 15.17 | NA | XXX | |
| 72148 | 26 | A | Mri lumbar spine w/o dye | 1.48 | 0.49 | 0.49 | 0.08 | 2.05 | 2.05 | XXX |
| 72148 | TC | A | Mri lumbar spine w/o dye | 0.00 | 12.48 | NA | 0.64 | 13.12 | NA | XXX |
| 72149 | A | Mri lumbar spine w/dye | 1.78 | 14.09 | NA | 0.81 | 16.68 | NA | XXX | |
| 72149 | 26 | A | Mri lumbar spine w/dye | 1.78 | 0.60 | 0.60 | 0.11 | 2.49 | 2.49 | XXX |
| 72149 | TC | A | Mri lumbar spine w/dye | 0.00 | 13.49 | NA | 0.70 | 14.19 | NA | XXX |
| 72156 | A | Mri neck spine w/o w/dye | 2.57 | 25.83 | NA | 1.44 | 29.84 | NA | XXX | |
| 72156 | 26 | A | Mri neck spine w/o w/dye | 2.57 | 0.85 | 0.85 | 0.13 | 3.55 | 3.55 | XXX |
| 72156 | TC | A | Mri neck spine w/o w/dye | 0.00 | 24.98 | NA | 1.31 | 26.29 | NA | XXX |
| 72157 | A | Mri chest spine w/o w/dye | 2.57 | 25.83 | NA | 1.44 | 29.84 | NA | XXX | |
| 72157 | 26 | A | Mri chest spine w/o w/dye | 2.57 | 0.85 | 0.85 | 0.13 | 3.55 | 3.55 | XXX |
| 72157 | TC | A | Mri chest spine w/o w/dye | 0.00 | 24.98 | NA | 1.31 | 26.29 | NA | XXX |
| 72158 | A | Mri lumbar spine w/o w/dye | 2.36 | 25.76 | NA | 1.44 | 29.56 | NA | XXX | |
| 72158 | 26 | A | Mri lumbar spine w/o w/dye | 2.36 | 0.78 | 0.78 | 0.13 | 3.27 | 3.27 | XXX |
| 72158 | TC | A | Mri lumbar spine w/o w/dye | 0.00 | 24.98 | NA | 1.31 | 26.29 | NA | XXX |
| 72159 | N | Mr angio spine w/ow/dye | +1.80 | 12.92 | 12.92 | 0.74 | 15.46 | 15.46 | XXX | |
| 72159 | 26 | N | Mr angio spine w/ow/dye | +1.80 | 0.69 | 0.69 | 0.10 | 2.59 | 2.59 | XXX |
| 72159 | TC | N | Mr angio spine w/ow/dye | +0.00 | 12.23 | 12.23 | 0.64 | 12.87 | 12.87 | XXX |
| 72170 | A | X-ray exam of pelvis | 0.17 | 0.58 | NA | 0.03 | 0.78 | NA | XXX | |
| 72170 | 26 | A | X-ray exam of pelvis | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 72170 | TC | A | X-ray exam of pelvis | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 72190 | A | X-ray exam of pelvis | 0.21 | 0.74 | NA | 0.05 | 1.00 | NA | XXX | |
| 72190 | 26 | A | X-ray exam of pelvis | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | XXX |
| 72190 | TC | A | X-ray exam of pelvis | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 72191 | A | Ct angiograph pelv w/ow/dye | 1.81 | 12.67 | NA | 0.46 | 14.94 | NA | XXX | |
| 72191 | 26 | A | Ct angiograph pelv w/ow/dye | 1.81 | 0.60 | 0.60 | 0.07 | 2.48 | 2.48 | XXX |
| 72191 | TC | A | Ct angiograph pelv w/ow/dye | 0.00 | 12.07 | NA | 0.39 | 12.46 | NA | XXX |
| 72192 | A | Ct pelvis w/o dye | 1.09 | 6.29 | NA | 0.37 | 7.75 | NA | XXX | |
| 72192 | 26 | A | Ct pelvis w/o dye | 1.09 | 0.36 | 0.36 | 0.06 | 1.51 | 1.51 | XXX |
| 72192 | TC | A | Ct pelvis w/o dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 72193 | A | Ct pelvis w/dye | 1.16 | 7.25 | NA | 0.42 | 8.83 | NA | XXX | |
| 72193 | 26 | A | Ct pelvis w/dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 72193 | TC | A | Ct pelvis w/dye | 0.00 | 6.87 | NA | 0.36 | 7.23 | NA | XXX |
| 72194 | A | Ct pelvis w/o w/dye | 1.22 | 8.92 | NA | 0.49 | 10.63 | NA | XXX | |
| 72194 | 26 | A | Ct pelvis w/o w/dye | 1.22 | 0.40 | 0.40 | 0.06 | 1.68 | 1.68 | XXX |
| 72194 | TC | A | Ct pelvis w/o w/dye | 0.00 | 8.52 | NA | 0.43 | 8.95 | NA | XXX |
| 72195 | A | Mri pelvis w/o dye | 1.46 | 11.72 | NA | 0.51 | 13.69 | NA | XXX | |
| 72195 | 26 | A | Mri pelvis w/o dye | 1.46 | 0.48 | 0.48 | 0.06 | 2.00 | 2.00 | XXX |
| 72195 | TC | A | Mri pelvis w/o dye | 0.00 | 11.24 | NA | 0.45 | 11.69 | NA | XXX |
| 72196 | A | Mri pelvis w/dye | 1.73 | 14.06 | NA | 0.58 | 16.37 | NA | XXX | |
| 72196 | 26 | A | Mri pelvis w/dye | 1.73 | 0.57 | 0.57 | 0.06 | 2.36 | 2.36 | XXX |
| 72196 | TC | A | Mri pelvis w/dye | 0.00 | 13.49 | NA | 0.52 | 14.01 | NA | XXX |
| 72197 | A | Mri pelvis w/o w/dye | 2.26 | 25.72 | NA | 1.02 | 29.00 | NA | XXX | |
| 72197 | 26 | A | Mri pelvis w/o w/dye | 2.26 | 0.74 | 0.74 | 0.10 | 3.10 | 3.10 | XXX |
| 72197 | TC | A | Mri pelvis w/o w/dye | 0.00 | 24.98 | NA | 0.92 | 25.90 | NA | XXX |
| 72198 | A | Mr angio pelvis w/o w/dye | 1.80 | 11.92 | NA | 0.69 | 14.41 | NA | XXX | |
| 72198 | 26 | A | Mr angio pelvis w/o w/dye | 1.80 | 0.68 | 0.68 | 0.10 | 2.58 | 2.58 | XXX |
| 72198 | TC | A | Mr angio pelvis w/o w/dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 72200 | A | X-ray exam sacroiliac joints | 0.17 | 0.58 | NA | 0.03 | 0.78 | NA | XXX | |
| 72200 | 26 | A | X-ray exam sacroiliac joints | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 72200 | TC | A | X-ray exam sacroiliac joints | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 72202 | A | X-ray exam sacroiliac joints | 0.19 | 0.68 | NA | 0.05 | 0.92 | NA | XXX | |
| 72202 | 26 | A | X-ray exam sacroiliac joints | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 72202 | TC | A | X-ray exam sacroiliac joints | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 72220 | A | X-ray exam of tailbone | 0.17 | 0.63 | NA | 0.05 | 0.85 | NA | XXX | |
| 72220 | 26 | A | X-ray exam of tailbone | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 72220 | TC | A | X-ray exam of tailbone | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 72240 | A | Contrast x-ray of neck spine | 0.91 | 5.06 | NA | 0.30 | 6.27 | NA | XXX | |
| 72240 | 26 | A | Contrast x-ray of neck spine | 0.91 | 0.29 | 0.29 | 0.05 | 1.25 | 1.25 | XXX |
| 72240 | TC | A | Contrast x-ray of neck spine | 0.00 | 4.77 | NA | 0.25 | 5.02 | NA | XXX |
| 72255 | A | Contrast x-ray, thorax spine | 0.91 | 4.62 | NA | 0.27 | 5.80 | NA | XXX | |
| 72255 | 26 | A | Contrast x-ray, thorax spine | 0.91 | 0.28 | 0.28 | 0.05 | 1.24 | 1.24 | XXX |
| 72255 | TC | A | Contrast x-ray, thorax spine | 0.00 | 4.34 | NA | 0.22 | 4.56 | NA | XXX |
| 72265 | A | Contrast x-ray, lower spine | 0.83 | 4.35 | NA | 0.27 | 5.45 | NA | XXX | |
| 72265 | 26 | A | Contrast x-ray, lower spine | 0.83 | 0.26 | 0.26 | 0.05 | 1.14 | 1.14 | XXX |
| 72265 | TC | A | Contrast x-ray, lower spine | 0.00 | 4.09 | NA | 0.22 | 4.31 | NA | XXX |
| 72270 | A | Contrast x-ray, spine | 1.33 | 6.53 | NA | 0.41 | 8.27 | NA | XXX | |
| 72270 | 26 | A | Contrast x-ray, spine | 1.33 | 0.41 | 0.41 | 0.08 | 1.82 | 1.82 | XXX |
| 72270 | TC | A | Contrast x-ray, spine | 0.00 | 6.12 | NA | 0.33 | 6.45 | NA | XXX |
| 72275 | A | Epidurography | 0.76 | 2.30 | NA | 0.26 | 3.32 | NA | XXX | |
| 72275 | 26 | A | Epidurography | 0.76 | 0.20 | 0.20 | 0.04 | 1.00 | 1.00 | XXX |
| 72275 | TC | A | Epidurography | 0.00 | 2.10 | NA | 0.22 | 2.32 | NA | XXX |
| 72285 | A | X-ray c/t spine disk | 1.16 | 8.77 | NA | 0.50 | 10.43 | NA | XXX | |
| 72285 | 26 | A | X-ray c/t spine disk | 1.16 | 0.36 | 0.36 | 0.07 | 1.59 | 1.59 | XXX |
| 72285 | TC | A | X-ray c/t spine disk | 0.00 | 8.41 | NA | 0.43 | 8.84 | NA | XXX |
| 72295 | A | X-ray of lower spine disk | 0.83 | 8.15 | NA | 0.45 | 9.43 | NA | XXX | |
| 72295 | 26 | A | X-ray of lower spine disk | 0.83 | 0.27 | 0.27 | 0.05 | 1.15 | 1.15 | XXX |
| 72295 | TC | A | X-ray of lower spine disk | 0.00 | 7.88 | NA | 0.40 | 8.28 | NA | XXX |
| 73000 | A | X-ray exam of collar bone | 0.16 | 0.57 | NA | 0.03 | 0.76 | NA | XXX | |
| 73000 | 26 | A | X-ray exam of collar bone | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73000 | TC | A | X-ray exam of collar bone | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73010 | A | X-ray exam of shoulder blade | 0.17 | 0.58 | NA | 0.03 | 0.78 | NA | XXX | |
| 73010 | 26 | A | X-ray exam of shoulder blade | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73010 | TC | A | X-ray exam of shoulder blade | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73020 | A | X-ray exam of shoulder | 0.15 | 0.52 | NA | 0.03 | 0.70 | NA | XXX | |
| 73020 | 26 | A | X-ray exam of shoulder | 0.15 | 0.05 | 0.05 | 0.01 | 0.21 | 0.21 | XXX |
| 73020 | TC | A | X-ray exam of shoulder | 0.00 | 0.47 | NA | 0.02 | 0.49 | NA | XXX |
| 73030 | A | X-ray exam of shoulder | 0.18 | 0.63 | NA | 0.05 | 0.86 | NA | XXX | |
| 73030 | 26 | A | X-ray exam of shoulder | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 73030 | TC | A | X-ray exam of shoulder | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73040 | A | Contrast x-ray of shoulder | 0.54 | 2.28 | NA | 0.16 | 2.98 | NA | XXX | |
| 73040 | 26 | A | Contrast x-ray of shoulder | 0.54 | 0.18 | 0.18 | 0.04 | 0.76 | 0.76 | XXX |
| 73040 | TC | A | Contrast x-ray of shoulder | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 73050 | A | X-ray exam of shoulders | 0.20 | 0.74 | NA | 0.06 | 1.00 | NA | XXX | |
| 73050 | 26 | A | X-ray exam of shoulders | 0.20 | 0.07 | 0.07 | 0.02 | 0.29 | 0.29 | XXX |
| 73050 | TC | A | X-ray exam of shoulders | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 73060 | A | X-ray exam of humerus | 0.17 | 0.63 | NA | 0.05 | 0.85 | NA | XXX | |
| 73060 | 26 | A | X-ray exam of humerus | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73060 | TC | A | X-ray exam of humerus | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73070 | A | X-ray exam of elbow | 0.15 | 0.57 | NA | 0.03 | 0.75 | NA | XXX | |
| 73070 | 26 | A | X-ray exam of elbow | 0.15 | 0.05 | 0.05 | 0.01 | 0.21 | 0.21 | XXX |
| 73070 | TC | A | X-ray exam of elbow | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73080 | A | X-ray exam of elbow | 0.17 | 0.63 | NA | 0.05 | 0.85 | NA | XXX | |
| 73080 | 26 | A | X-ray exam of elbow | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73080 | TC | A | X-ray exam of elbow | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73085 | A | Contrast x-ray of elbow | 0.54 | 2.29 | NA | 0.16 | 2.99 | NA | XXX | |
| 73085 | 26 | A | Contrast x-ray of elbow | 0.54 | 0.19 | 0.19 | 0.04 | 0.77 | 0.77 | XXX |
| 73085 | TC | A | Contrast x-ray of elbow | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 73090 | A | X-ray exam of forearm | 0.16 | 0.57 | NA | 0.03 | 0.76 | NA | XXX | |
| 73090 | 26 | A | X-ray exam of forearm | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73090 | TC | A | X-ray exam of forearm | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73092 | A | X-ray exam of arm, infant | 0.16 | 0.54 | NA | 0.03 | 0.73 | NA | XXX | |
| 73092 | 26 | A | X-ray exam of arm, infant | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73092 | TC | A | X-ray exam of arm, infant | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73100 | A | X-ray exam of wrist | 0.16 | 0.55 | NA | 0.04 | 0.75 | NA | XXX | |
| 73100 | 26 | A | X-ray exam of wrist | 0.16 | 0.06 | 0.06 | 0.02 | 0.24 | 0.24 | XXX |
| 73100 | TC | A | X-ray exam of wrist | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73110 | A | X-ray exam of wrist | 0.17 | 0.59 | NA | 0.03 | 0.79 | NA | XXX | |
| 73110 | 26 | A | X-ray exam of wrist | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73110 | TC | A | X-ray exam of wrist | 0.00 | 0.53 | NA | 0.02 | 0.55 | NA | XXX |
| 73115 | A | Contrast x-ray of wrist | 0.54 | 1.77 | NA | 0.14 | 2.45 | NA | XXX | |
| 73115 | 26 | A | Contrast x-ray of wrist | 0.54 | 0.19 | 0.19 | 0.04 | 0.77 | 0.77 | XXX |
| 73115 | TC | A | Contrast x-ray of wrist | 0.00 | 1.58 | NA | 0.10 | 1.68 | NA | XXX |
| 73120 | A | X-ray exam of hand | 0.16 | 0.54 | NA | 0.03 | 0.73 | NA | XXX | |
| 73120 | 26 | A | X-ray exam of hand | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73120 | TC | A | X-ray exam of hand | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73130 | A | X-ray exam of hand | 0.17 | 0.59 | NA | 0.03 | 0.79 | NA | XXX | |
| 73130 | 26 | A | X-ray exam of hand | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73130 | TC | A | X-ray exam of hand | 0.00 | 0.53 | NA | 0.02 | 0.55 | NA | XXX |
| 73140 | A | X-ray exam of finger(s) | 0.13 | 0.45 | NA | 0.03 | 0.61 | NA | XXX | |
| 73140 | 26 | A | X-ray exam of finger(s) | 0.13 | 0.04 | 0.04 | 0.01 | 0.18 | 0.18 | XXX |
| 73140 | TC | A | X-ray exam of finger(s) | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 73200 | A | Ct upper extremity w/o dye | 1.09 | 5.33 | NA | 0.31 | 6.73 | NA | XXX | |
| 73200 | 26 | A | Ct upper extremity w/o dye | 1.09 | 0.36 | 0.36 | 0.06 | 1.51 | 1.51 | XXX |
| 73200 | TC | A | Ct upper extremity w/o dye | 0.00 | 4.97 | NA | 0.25 | 5.22 | NA | XXX |
| 73201 | A | Ct upper extremity w/dye | 1.16 | 6.31 | NA | 0.37 | 7.84 | NA | XXX | |
| 73201 | 26 | A | Ct upper extremity w/dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 73201 | TC | A | Ct upper extremity w/dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 73202 | A | Ct uppr extremity w/ow/dye | 1.22 | 7.85 | NA | 0.46 | 9.53 | NA | XXX | |
| 73202 | 26 | A | Ct uppr extremity w/ow/dye | 1.22 | 0.40 | 0.40 | 0.07 | 1.69 | 1.69 | XXX |
| 73202 | TC | A | Ct uppr extremity w/ow/dye | 0.00 | 7.45 | NA | 0.39 | 7.84 | NA | XXX |
| 73206 | A | Ct angio upr extrm w/ow/dye | 1.81 | 11.59 | NA | 0.46 | 13.86 | NA | XXX | |
| 73206 | 26 | A | Ct angio upr extrm w/ow/dye | 1.81 | 0.59 | 0.59 | 0.07 | 2.47 | 2.47 | XXX |
| 73206 | TC | A | Ct angio upr extrm w/ow/dye | 0.00 | 11.00 | NA | 0.39 | 11.39 | NA | XXX |
| 73218 | A | Mri upper extremity w/o dye | 1.35 | 11.68 | NA | 0.44 | 13.47 | NA | XXX | |
| 73218 | 26 | A | Mri upper extremity w/o dye | 1.35 | 0.44 | 0.44 | 0.05 | 1.84 | 1.84 | XXX |
| 73218 | TC | A | Mri upper extremity w/o dye | 0.00 | 11.24 | NA | 0.39 | 11.63 | NA | XXX |
| 73219 | A | Mri upper extremity w/dye | 1.62 | 14.02 | NA | 0.53 | 16.17 | NA | XXX | |
| 73219 | 26 | A | Mri upper extremity w/dye | 1.62 | 0.53 | 0.53 | 0.06 | 2.21 | 2.21 | XXX |
| 73219 | TC | A | Mri upper extremity w/dye | 0.00 | 13.49 | NA | 0.47 | 13.96 | NA | XXX |
| 73220 | A | Mri uppr extremity w/ow/dye | 2.15 | 25.69 | NA | 0.94 | 28.78 | NA | XXX | |
| 73220 | 26 | A | Mri uppr extremity w/ow/dye | 2.15 | 0.71 | 0.71 | 0.10 | 2.96 | 2.96 | XXX |
| 73220 | TC | A | Mri uppr extremity w/ow/dye | 0.00 | 24.98 | NA | 0.84 | 25.82 | NA | XXX |
| 73221 | A | Mri joint upr extrem w/o dye | 1.35 | 11.68 | NA | 0.44 | 13.47 | NA | XXX | |
| 73221 | 26 | A | Mri joint upr extrem w/o dye | 1.35 | 0.44 | 0.44 | 0.05 | 1.84 | 1.84 | XXX |
| 73221 | TC | A | Mri joint upr extrem w/o dye | 0.00 | 11.24 | NA | 0.39 | 11.63 | NA | XXX |
| 73222 | A | Mri joint upr extrem w/dye | 1.62 | 14.02 | NA | 0.53 | 16.17 | NA | XXX | |
| 73222 | 26 | A | Mri joint upr extrem w/dye | 1.62 | 0.53 | 0.53 | 0.06 | 2.21 | 2.21 | XXX |
| 73222 | TC | A | Mri joint upr extrem w/dye | 0.00 | 13.49 | NA | 0.47 | 13.96 | NA | XXX |
| 73223 | A | Mri joint upr extr w/ow/dye | 2.15 | 25.69 | NA | 0.92 | 28.76 | NA | XXX | |
| 73223 | 26 | A | Mri joint upr extr w/ow/dye | 2.15 | 0.71 | 0.71 | 0.08 | 2.94 | 2.94 | XXX |
| 73223 | TC | A | Mri joint upr extr w/ow/dye | 0.00 | 24.98 | NA | 0.84 | 25.82 | NA | XXX |
| 73225 | N | Mr angio upr extr w/ow/dye | +1.73 | 11.68 | 11.68 | 0.69 | 14.10 | 14.10 | XXX | |
| 73225 | 26 | N | Mr angio upr extr w/ow/dye | +1.73 | 0.67 | 0.67 | 0.10 | 2.50 | 2.50 | XXX |
| 73225 | TC | N | Mr angio upr extr w/ow/dye | +0.00 | 11.01 | 11.01 | 0.59 | 11.60 | 11.60 | XXX |
| 73500 | A | X-ray exam of hip | 0.17 | 0.53 | NA | 0.03 | 0.73 | NA | XXX | |
| 73500 | 26 | A | X-ray exam of hip | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73500 | TC | A | X-ray exam of hip | 0.00 | 0.47 | NA | 0.02 | 0.49 | NA | XXX |
| 73510 | A | X-ray exam of hip | 0.21 | 0.64 | NA | 0.06 | 0.91 | NA | XXX | |
| 73510 | 26 | A | X-ray exam of hip | 0.21 | 0.07 | 0.07 | 0.02 | 0.30 | 0.30 | XXX |
| 73510 | TC | A | X-ray exam of hip | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73520 | A | X-ray exam of hips | 0.26 | 0.76 | NA | 0.06 | 1.08 | NA | XXX | |
| 73520 | 26 | A | X-ray exam of hips | 0.26 | 0.09 | 0.09 | 0.02 | 0.37 | 0.37 | XXX |
| 73520 | TC | A | X-ray exam of hips | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 73525 | A | Contrast x-ray of hip | 0.54 | 2.28 | NA | 0.16 | 2.98 | NA | XXX | |
| 73525 | 26 | A | Contrast x-ray of hip | 0.54 | 0.18 | 0.18 | 0.04 | 0.76 | 0.76 | XXX |
| 73525 | TC | A | Contrast x-ray of hip | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 73530 | A | X-ray exam of hip | 0.29 | 0.62 | NA | 0.03 | 0.94 | NA | XXX | |
| 73530 | 26 | A | X-ray exam of hip | 0.29 | 0.10 | 0.10 | 0.01 | 0.40 | 0.40 | XXX |
| 73530 | TC | A | X-ray exam of hip | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73540 | A | X-ray exam of pelvis hips | 0.20 | 0.64 | NA | 0.06 | 0.90 | NA | XXX | |
| 73540 | 26 | A | X-ray exam of pelvis hips | 0.20 | 0.07 | 0.07 | 0.02 | 0.29 | 0.29 | XXX |
| 73540 | TC | A | X-ray exam of pelvis hips | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73542 | A | X-ray exam, sacroiliac joint | 0.59 | 2.26 | NA | 0.16 | 3.01 | NA | XXX | |
| 73542 | 26 | A | X-ray exam, sacroiliac joint | 0.59 | 0.16 | 0.16 | 0.04 | 0.79 | 0.79 | XXX |
| 73542 | TC | A | X-ray exam, sacroiliac joint | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 73550 | A | X-ray exam of thigh | 0.17 | 0.63 | NA | 0.05 | 0.85 | NA | XXX | |
| 73550 | 26 | A | X-ray exam of thigh | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73550 | TC | A | X-ray exam of thigh | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73560 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.58 | NA | 0.04 | 0.79 | NA | XXX | |
| 73560 | 26 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.06 | 0.06 | 0.02 | 0.25 | 0.25 | XXX |
| 73560 | TC | A | X-ray exam of knee, 1 or 2 | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73562 | A | X-ray exam of knee, 3 | 0.18 | 0.63 | NA | 0.06 | 0.87 | NA | XXX | |
| 73562 | 26 | A | X-ray exam of knee, 3 | 0.18 | 0.06 | 0.06 | 0.02 | 0.26 | 0.26 | XXX |
| 73562 | TC | A | X-ray exam of knee, 3 | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 73564 | A | X-ray exam, knee, 4 or more | 0.22 | 0.70 | NA | 0.06 | 0.98 | NA | XXX | |
| 73564 | 26 | A | X-ray exam, knee, 4 or more | 0.22 | 0.08 | 0.08 | 0.02 | 0.32 | 0.32 | XXX |
| 73564 | TC | A | X-ray exam, knee, 4 or more | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 73565 | A | X-ray exam of knees | 0.17 | 0.55 | NA | 0.04 | 0.76 | NA | XXX | |
| 73565 | 26 | A | X-ray exam of knees | 0.17 | 0.06 | 0.06 | 0.02 | 0.25 | 0.25 | XXX |
| 73565 | TC | A | X-ray exam of knees | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73580 | A | Contrast x-ray of knee joint | 0.54 | 2.80 | NA | 0.18 | 3.52 | NA | XXX | |
| 73580 | 26 | A | Contrast x-ray of knee joint | 0.54 | 0.18 | 0.18 | 0.04 | 0.76 | 0.76 | XXX |
| 73580 | TC | A | Contrast x-ray of knee joint | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 73590 | A | X-ray exam of lower leg | 0.17 | 0.58 | NA | 0.03 | 0.78 | NA | XXX | |
| 73590 | 26 | A | X-ray exam of lower leg | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73590 | TC | A | X-ray exam of lower leg | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 73592 | A | X-ray exam of leg, infant | 0.16 | 0.55 | NA | 0.03 | 0.74 | NA | XXX | |
| 73592 | 26 | A | X-ray exam of leg, infant | 0.16 | 0.06 | 0.06 | 0.01 | 0.23 | 0.23 | XXX |
| 73592 | TC | A | X-ray exam of leg, infant | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73600 | A | X-ray exam of ankle | 0.16 | 0.54 | NA | 0.03 | 0.73 | NA | XXX | |
| 73600 | 26 | A | X-ray exam of ankle | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73600 | TC | A | X-ray exam of ankle | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73610 | A | X-ray exam of ankle | 0.17 | 0.59 | NA | 0.03 | 0.79 | NA | XXX | |
| 73610 | 26 | A | X-ray exam of ankle | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73610 | TC | A | X-ray exam of ankle | 0.00 | 0.53 | NA | 0.02 | 0.55 | NA | XXX |
| 73615 | A | Contrast x-ray of ankle | 0.54 | 2.29 | NA | 0.16 | 2.99 | NA | XXX | |
| 73615 | 26 | A | Contrast x-ray of ankle | 0.54 | 0.19 | 0.19 | 0.04 | 0.77 | 0.77 | XXX |
| 73615 | TC | A | Contrast x-ray of ankle | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 73620 | A | X-ray exam of foot | 0.16 | 0.54 | NA | 0.03 | 0.73 | NA | XXX | |
| 73620 | 26 | A | X-ray exam of foot | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73620 | TC | A | X-ray exam of foot | 0.00 | 0.49 | NA | 0.02 | 0.51 | NA | XXX |
| 73630 | A | X-ray exam of foot | 0.17 | 0.59 | NA | 0.03 | 0.79 | NA | XXX | |
| 73630 | 26 | A | X-ray exam of foot | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73630 | TC | A | X-ray exam of foot | 0.00 | 0.53 | NA | 0.02 | 0.55 | NA | XXX |
| 73650 | A | X-ray exam of heel | 0.16 | 0.52 | NA | 0.03 | 0.71 | NA | XXX | |
| 73650 | 26 | A | X-ray exam of heel | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73650 | TC | A | X-ray exam of heel | 0.00 | 0.47 | NA | 0.02 | 0.49 | NA | XXX |
| 73660 | A | X-ray exam of toe(s) | 0.13 | 0.45 | NA | 0.03 | 0.61 | NA | XXX | |
| 73660 | 26 | A | X-ray exam of toe(s) | 0.13 | 0.04 | 0.04 | 0.01 | 0.18 | 0.18 | XXX |
| 73660 | TC | A | X-ray exam of toe(s) | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 73700 | A | Ct lower extremity w/o dye | 1.09 | 5.33 | NA | 0.31 | 6.73 | NA | XXX | |
| 73700 | 26 | A | Ct lower extremity w/o dye | 1.09 | 0.36 | 0.36 | 0.06 | 1.51 | 1.51 | XXX |
| 73700 | TC | A | Ct lower extremity w/o dye | 0.00 | 4.97 | NA | 0.25 | 5.22 | NA | XXX |
| 73701 | A | Ct lower extremity w/dye | 1.16 | 6.31 | NA | 0.37 | 7.84 | NA | XXX | |
| 73701 | 26 | A | Ct lower extremity w/dye | 1.16 | 0.38 | 0.38 | 0.06 | 1.60 | 1.60 | XXX |
| 73701 | TC | A | Ct lower extremity w/dye | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 73702 | A | Ct lwr extremity w/ow/dye | 1.22 | 7.85 | NA | 0.45 | 9.52 | NA | XXX | |
| 73702 | 26 | A | Ct lwr extremity w/ow/dye | 1.22 | 0.40 | 0.40 | 0.06 | 1.68 | 1.68 | XXX |
| 73702 | TC | A | Ct lwr extremity w/ow/dye | 0.00 | 7.45 | NA | 0.39 | 7.84 | NA | XXX |
| 73706 | A | Ct angio lwr extr w/ow/dye | 1.90 | 11.62 | NA | 0.46 | 13.98 | NA | XXX | |
| 73706 | 26 | A | Ct angio lwr extr w/ow/dye | 1.90 | 0.62 | 0.62 | 0.07 | 2.59 | 2.59 | XXX |
| 73706 | TC | A | Ct angio lwr extr w/ow/dye | 0.00 | 11.00 | NA | 0.39 | 11.39 | NA | XXX |
| 73718 | A | Mri lower extremity w/o dye | 1.35 | 11.68 | NA | 0.44 | 13.47 | NA | XXX | |
| 73718 | 26 | A | Mri lower extremity w/o dye | 1.35 | 0.44 | 0.44 | 0.05 | 1.84 | 1.84 | XXX |
| 73718 | TC | A | Mri lower extremity w/o dye | 0.00 | 11.24 | NA | 0.39 | 11.63 | NA | XXX |
| 73719 | A | Mri lower extremity w/dye | 1.62 | 14.02 | NA | 0.53 | 16.17 | NA | XXX | |
| 73719 | 26 | A | Mri lower extremity w/dye | 1.62 | 0.53 | 0.53 | 0.06 | 2.21 | 2.21 | XXX |
| 73719 | TC | A | Mri lower extremity w/dye | 0.00 | 13.49 | NA | 0.47 | 13.96 | NA | XXX |
| 73720 | A | Mri lwr extremity w/ow/dye | 2.15 | 25.69 | NA | 0.94 | 28.78 | NA | XXX | |
| 73720 | 26 | A | Mri lwr extremity w/ow/dye | 2.15 | 0.71 | 0.71 | 0.10 | 2.96 | 2.96 | XXX |
| 73720 | TC | A | Mri lwr extremity w/ow/dye | 0.00 | 24.98 | NA | 0.84 | 25.82 | NA | XXX |
| 73721 | A | Mri jnt of lwr extre w/o dye | 1.35 | 11.68 | NA | 0.44 | 13.47 | NA | XXX | |
| 73721 | 26 | A | Mri jnt of lwr extre w/o dye | 1.35 | 0.44 | 0.44 | 0.05 | 1.84 | 1.84 | XXX |
| 73721 | TC | A | Mri jnt of lwr extre w/o dye | 0.00 | 11.24 | NA | 0.39 | 11.63 | NA | XXX |
| 73722 | A | Mri joint of lwr extr w/dye | 1.62 | 14.02 | NA | 0.54 | 16.18 | NA | XXX | |
| 73722 | 26 | A | Mri joint of lwr extr w/dye | 1.62 | 0.53 | 0.53 | 0.07 | 2.22 | 2.22 | XXX |
| 73722 | TC | A | Mri joint of lwr extr w/dye | 0.00 | 13.49 | NA | 0.47 | 13.96 | NA | XXX |
| 73723 | A | Mri joint lwr extr w/ow/dye | 2.15 | 25.69 | NA | 0.92 | 28.76 | NA | XXX | |
| 73723 | 26 | A | Mri joint lwr extr w/ow/dye | 2.15 | 0.71 | 0.71 | 0.08 | 2.94 | 2.94 | XXX |
| 73723 | TC | A | Mri joint lwr extr w/ow/dye | 0.00 | 24.98 | NA | 0.84 | 25.82 | NA | XXX |
| 73725 | R | Mr ang lwr ext w or w/o dye | 1.82 | 11.84 | NA | 0.69 | 14.35 | NA | XXX | |
| 73725 | 26 | R | Mr ang lwr ext w or w/o dye | 1.82 | 0.60 | 0.60 | 0.10 | 2.52 | 2.52 | XXX |
| 73725 | TC | R | Mr ang lwr ext w or w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 74000 | A | X-ray exam of abdomen | 0.18 | 0.58 | NA | 0.03 | 0.79 | NA | XXX | |
| 74000 | 26 | A | X-ray exam of abdomen | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 74000 | TC | A | X-ray exam of abdomen | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 74010 | A | X-ray exam of abdomen | 0.23 | 0.65 | NA | 0.05 | 0.93 | NA | XXX | |
| 74010 | 26 | A | X-ray exam of abdomen | 0.23 | 0.08 | 0.08 | 0.01 | 0.32 | 0.32 | XXX |
| 74010 | TC | A | X-ray exam of abdomen | 0.00 | 0.57 | NA | 0.04 | 0.61 | NA | XXX |
| 74020 | A | X-ray exam of abdomen | 0.27 | 0.71 | NA | 0.05 | 1.03 | NA | XXX | |
| 74020 | 26 | A | X-ray exam of abdomen | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 74020 | TC | A | X-ray exam of abdomen | 0.00 | 0.62 | NA | 0.04 | 0.66 | NA | XXX |
| 74022 | A | X-ray exam series, abdomen | 0.32 | 0.85 | NA | 0.06 | 1.23 | NA | XXX | |
| 74022 | 26 | A | X-ray exam series, abdomen | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 74022 | TC | A | X-ray exam series, abdomen | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 74150 | A | Ct abdomen w/o dye | 1.19 | 6.06 | NA | 0.36 | 7.61 | NA | XXX | |
| 74150 | 26 | A | Ct abdomen w/o dye | 1.19 | 0.39 | 0.39 | 0.06 | 1.64 | 1.64 | XXX |
| 74150 | TC | A | Ct abdomen w/o dye | 0.00 | 5.67 | NA | 0.30 | 5.97 | NA | XXX |
| 74160 | A | Ct abdomen w/dye | 1.27 | 7.28 | NA | 0.43 | 8.98 | NA | XXX | |
| 74160 | 26 | A | Ct abdomen w/dye | 1.27 | 0.41 | 0.41 | 0.07 | 1.75 | 1.75 | XXX |
| 74160 | TC | A | Ct abdomen w/dye | 0.00 | 6.87 | NA | 0.36 | 7.23 | NA | XXX |
| 74170 | A | Ct abdomen w/o w /dye | 1.40 | 8.97 | NA | 0.50 | 10.87 | NA | XXX | |
| 74170 | 26 | A | Ct abdomen w/o w /dye | 1.40 | 0.45 | 0.45 | 0.07 | 1.92 | 1.92 | XXX |
| 74170 | TC | A | Ct abdomen w/o w /dye | 0.00 | 8.52 | NA | 0.43 | 8.95 | NA | XXX |
| 74175 | A | Ct angio abdom w/o w/dye | 1.90 | 12.69 | NA | 0.46 | 15.05 | NA | XXX | |
| 74175 | 26 | A | Ct angio abdom w/o w/dye | 1.90 | 0.62 | 0.62 | 0.07 | 2.59 | 2.59 | XXX |
| 74175 | TC | A | Ct angio abdom w/o w/dye | 0.00 | 12.07 | NA | 0.39 | 12.46 | NA | XXX |
| 74181 | A | Mri abdomen w/o dye | 1.46 | 11.72 | NA | 0.52 | 13.70 | NA | XXX | |
| 74181 | 26 | A | Mri abdomen w/o dye | 1.46 | 0.48 | 0.48 | 0.07 | 2.01 | 2.01 | XXX |
| 74181 | TC | A | Mri abdomen w/o dye | 0.00 | 11.24 | NA | 0.45 | 11.69 | NA | XXX |
| 74182 | A | Mri abdomen w/dye | 1.73 | 14.05 | NA | 0.59 | 16.37 | NA | XXX | |
| 74182 | 26 | A | Mri abdomen w/dye | 1.73 | 0.56 | 0.56 | 0.07 | 2.36 | 2.36 | XXX |
| 74182 | TC | A | Mri abdomen w/dye | 0.00 | 13.49 | NA | 0.52 | 14.01 | NA | XXX |
| 74183 | A | Mri abdomen w/o w/dye | 2.26 | 25.72 | NA | 1.02 | 29.00 | NA | XXX | |
| 74183 | 26 | A | Mri abdomen w/o w/dye | 2.26 | 0.74 | 0.74 | 0.10 | 3.10 | 3.10 | XXX |
| 74183 | TC | A | Mri abdomen w/o w/dye | 0.00 | 24.98 | NA | 0.92 | 25.90 | NA | XXX |
| 74185 | R | Mri angio, abdom w orw/o dye | 1.80 | 11.83 | NA | 0.69 | 14.32 | NA | XXX | |
| 74185 | 26 | R | Mri angio, abdom w orw/o dye | 1.80 | 0.59 | 0.59 | 0.10 | 2.49 | 2.49 | XXX |
| 74185 | TC | R | Mri angio, abdom w orw/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 74190 | A | X-ray exam of peritoneum | 0.48 | 1.47 | NA | 0.09 | 2.04 | NA | XXX | |
| 74190 | 26 | A | X-ray exam of peritoneum | 0.48 | 0.16 | 0.16 | 0.02 | 0.66 | 0.66 | XXX |
| 74190 | TC | A | X-ray exam of peritoneum | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 74210 | A | Contrst x-ray exam of throat | 0.36 | 1.31 | NA | 0.08 | 1.75 | NA | XXX | |
| 74210 | 26 | A | Contrst x-ray exam of throat | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74210 | TC | A | Contrst x-ray exam of throat | 0.00 | 1.19 | NA | 0.06 | 1.25 | NA | XXX |
| 74220 | A | Contrast x-ray, esophagus | 0.46 | 1.34 | NA | 0.08 | 1.88 | NA | XXX | |
| 74220 | 26 | A | Contrast x-ray, esophagus | 0.46 | 0.15 | 0.15 | 0.02 | 0.63 | 0.63 | XXX |
| 74220 | TC | A | Contrast x-ray, esophagus | 0.00 | 1.19 | NA | 0.06 | 1.25 | NA | XXX |
| 74230 | A | Cine/vid x-ray, throat/esoph | 0.53 | 1.49 | NA | 0.09 | 2.11 | NA | XXX | |
| 74230 | 26 | A | Cine/vid x-ray, throat/esoph | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 74230 | TC | A | Cine/vid x-ray, throat/esoph | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 74235 | A | Remove esophagus obstruction | 1.19 | 3.01 | NA | 0.20 | 4.40 | NA | XXX | |
| 74235 | 26 | A | Remove esophagus obstruction | 1.19 | 0.39 | 0.39 | 0.06 | 1.64 | 1.64 | XXX |
| 74235 | TC | A | Remove esophagus obstruction | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 74240 | A | X-ray exam, upper gi tract | 0.69 | 1.69 | NA | 0.12 | 2.50 | NA | XXX | |
| 74240 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 74240 | TC | A | X-ray exam, upper gi tract | 0.00 | 1.46 | NA | 0.08 | 1.54 | NA | XXX |
| 74241 | A | X-ray exam, upper gi tract | 0.69 | 1.72 | NA | 0.12 | 2.53 | NA | XXX | |
| 74241 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 74241 | TC | A | X-ray exam, upper gi tract | 0.00 | 1.49 | NA | 0.08 | 1.57 | NA | XXX |
| 74245 | A | X-ray exam, upper gi tract | 0.91 | 2.69 | NA | 0.18 | 3.78 | NA | XXX | |
| 74245 | 26 | A | X-ray exam, upper gi tract | 0.91 | 0.30 | 0.30 | 0.05 | 1.26 | 1.26 | XXX |
| 74245 | TC | A | X-ray exam, upper gi tract | 0.00 | 2.39 | NA | 0.13 | 2.52 | NA | XXX |
| 74246 | A | Contrst x-ray uppr gi tract | 0.69 | 1.88 | NA | 0.14 | 2.71 | NA | XXX | |
| 74246 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 74246 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 1.65 | NA | 0.10 | 1.75 | NA | XXX |
| 74247 | A | Contrst x-ray uppr gi tract | 0.69 | 1.92 | NA | 0.15 | 2.76 | NA | XXX | |
| 74247 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 74247 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 1.69 | NA | 0.11 | 1.80 | NA | XXX |
| 74249 | A | Contrst x-ray uppr gi tract | 0.91 | 2.89 | NA | 0.19 | 3.99 | NA | XXX | |
| 74249 | 26 | A | Contrst x-ray uppr gi tract | 0.91 | 0.30 | 0.30 | 0.05 | 1.26 | 1.26 | XXX |
| 74249 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 2.59 | NA | 0.14 | 2.73 | NA | XXX |
| 74250 | A | X-ray exam of small bowel | 0.47 | 1.47 | NA | 0.09 | 2.03 | NA | XXX | |
| 74250 | 26 | A | X-ray exam of small bowel | 0.47 | 0.16 | 0.16 | 0.02 | 0.65 | 0.65 | XXX |
| 74250 | TC | A | X-ray exam of small bowel | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 74251 | A | X-ray exam of small bowel | 0.69 | 1.54 | NA | 0.11 | 2.34 | NA | XXX | |
| 74251 | 26 | A | X-ray exam of small bowel | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 74251 | TC | A | X-ray exam of small bowel | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 74260 | A | X-ray exam of small bowel | 0.50 | 1.66 | NA | 0.10 | 2.26 | NA | XXX | |
| 74260 | 26 | A | X-ray exam of small bowel | 0.50 | 0.17 | 0.17 | 0.02 | 0.69 | 0.69 | XXX |
| 74260 | TC | A | X-ray exam of small bowel | 0.00 | 1.49 | NA | 0.08 | 1.57 | NA | XXX |
| 74270 | A | Contrast x-ray exam of colon | 0.69 | 1.94 | NA | 0.15 | 2.78 | NA | XXX | |
| 74270 | 26 | A | Contrast x-ray exam of colon | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 74270 | TC | A | Contrast x-ray exam of colon | 0.00 | 1.71 | NA | 0.11 | 1.82 | NA | XXX |
| 74280 | A | Contrast x-ray exam of colon | 0.99 | 2.57 | NA | 0.18 | 3.74 | NA | XXX | |
| 74280 | 26 | A | Contrast x-ray exam of colon | 0.99 | 0.33 | 0.33 | 0.05 | 1.37 | 1.37 | XXX |
| 74280 | TC | A | Contrast x-ray exam of colon | 0.00 | 2.24 | NA | 0.13 | 2.37 | NA | XXX |
| 74283 | A | Contrast x-ray exam of colon | 2.02 | 3.24 | NA | 0.25 | 5.51 | NA | XXX | |
| 74283 | 26 | A | Contrast x-ray exam of colon | 2.02 | 0.66 | 0.66 | 0.11 | 2.79 | 2.79 | XXX |
| 74283 | TC | A | Contrast x-ray exam of colon | 0.00 | 2.58 | NA | 0.14 | 2.72 | NA | XXX |
| 74290 | A | Contrast x-ray, gallbladder | 0.32 | 0.85 | NA | 0.06 | 1.23 | NA | XXX | |
| 74290 | 26 | A | Contrast x-ray, gallbladder | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 74290 | TC | A | Contrast x-ray, gallbladder | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 74291 | A | Contrast x-rays, gallbladder | 0.20 | 0.48 | NA | 0.03 | 0.71 | NA | XXX | |
| 74291 | 26 | A | Contrast x-rays, gallbladder | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 74291 | TC | A | Contrast x-rays, gallbladder | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 74300 | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 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 | 0.50 | 0.50 | XXX |
| 74300 | TC | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 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 | 0.00 | 0.00 | ZZZ | |
| 74301 | 26 | A | X-rays at surgery add-on | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | ZZZ |
| 74301 | TC | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 74305 | A | X-ray bile ducts/pancreas | 0.42 | 0.93 | NA | 0.07 | 1.42 | NA | XXX | |
| 74305 | 26 | A | X-ray bile ducts/pancreas | 0.42 | 0.14 | 0.14 | 0.02 | 0.58 | 0.58 | XXX |
| 74305 | TC | A | X-ray bile ducts/pancreas | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 74320 | A | Contrast x-ray of bile ducts | 0.54 | 3.35 | NA | 0.19 | 4.08 | NA | XXX | |
| 74320 | 26 | A | Contrast x-ray of bile ducts | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74320 | TC | A | Contrast x-ray of bile ducts | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74327 | A | X-ray bile stone removal | 0.70 | 2.00 | NA | 0.15 | 2.85 | NA | XXX | |
| 74327 | 26 | A | X-ray bile stone removal | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 74327 | TC | A | X-ray bile stone removal | 0.00 | 1.77 | NA | 0.11 | 1.88 | NA | XXX |
| 74328 | A | X-ray bile duct endoscopy | 0.70 | 3.40 | NA | 0.21 | 4.31 | NA | XXX | |
| 74328 | 26 | A | X-ray bile duct endoscopy | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 74328 | TC | A | X-ray bile duct endoscopy | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74329 | A | X-ray for pancreas endoscopy | 0.70 | 3.40 | NA | 0.21 | 4.31 | NA | XXX | |
| 74329 | 26 | A | X-ray for pancreas endoscopy | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 74329 | TC | A | X-ray for pancreas endoscopy | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74330 | A | X-ray bile/panc endoscopy | 0.90 | 3.47 | NA | 0.22 | 4.59 | NA | XXX | |
| 74330 | 26 | A | X-ray bile/panc endoscopy | 0.90 | 0.30 | 0.30 | 0.05 | 1.25 | 1.25 | XXX |
| 74330 | TC | A | X-ray bile/panc endoscopy | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74340 | A | X-ray guide for GI tube | 0.54 | 2.80 | NA | 0.16 | 3.50 | NA | XXX | |
| 74340 | 26 | A | X-ray guide for GI tube | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74340 | TC | A | X-ray guide for GI tube | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 74350 | A | X-ray guide, stomach tube | 0.76 | 3.42 | NA | 0.21 | 4.39 | NA | XXX | |
| 74350 | 26 | A | X-ray guide, stomach tube | 0.76 | 0.25 | 0.25 | 0.04 | 1.05 | 1.05 | XXX |
| 74350 | TC | A | X-ray guide, stomach tube | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74355 | A | X-ray guide, intestinal tube | 0.76 | 2.87 | NA | 0.18 | 3.81 | NA | XXX | |
| 74355 | 26 | A | X-ray guide, intestinal tube | 0.76 | 0.25 | 0.25 | 0.04 | 1.05 | 1.05 | XXX |
| 74355 | TC | A | X-ray guide, intestinal tube | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 74360 | A | X-ray guide, GI dilation | 0.54 | 3.36 | NA | 0.19 | 4.09 | NA | XXX | |
| 74360 | 26 | A | X-ray guide, GI dilation | 0.54 | 0.19 | 0.19 | 0.02 | 0.75 | 0.75 | XXX |
| 74360 | TC | A | X-ray guide, GI dilation | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74363 | A | X-ray, bile duct dilation | 0.88 | 6.41 | NA | 0.38 | 7.67 | NA | XXX | |
| 74363 | 26 | A | X-ray, bile duct dilation | 0.88 | 0.29 | 0.29 | 0.05 | 1.22 | 1.22 | XXX |
| 74363 | TC | A | X-ray, bile duct dilation | 0.00 | 6.12 | NA | 0.33 | 6.45 | NA | XXX |
| 74400 | A | Contrst x-ray, urinary tract | 0.49 | 1.85 | NA | 0.13 | 2.47 | NA | XXX | |
| 74400 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 74400 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.69 | NA | 0.11 | 1.80 | NA | XXX |
| 74410 | A | Contrst x-ray, urinary tract | 0.49 | 2.12 | NA | 0.13 | 2.74 | NA | XXX | |
| 74410 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 74410 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.96 | NA | 0.11 | 2.07 | NA | XXX |
| 74415 | A | Contrst x-ray, urinary tract | 0.49 | 2.28 | NA | 0.14 | 2.91 | NA | XXX | |
| 74415 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 74415 | TC | A | Contrst x-ray, urinary tract | 0.00 | 2.12 | NA | 0.12 | 2.24 | NA | XXX |
| 74420 | A | Contrst x-ray, urinary tract | 0.36 | 2.74 | NA | 0.16 | 3.26 | NA | XXX | |
| 74420 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74420 | TC | A | Contrst x-ray, urinary tract | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 74425 | A | Contrst x-ray, urinary tract | 0.36 | 1.43 | NA | 0.09 | 1.88 | NA | XXX | |
| 74425 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74425 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 74430 | A | Contrast x-ray, bladder | 0.32 | 1.17 | NA | 0.08 | 1.57 | NA | XXX | |
| 74430 | 26 | A | Contrast x-ray, bladder | 0.32 | 0.11 | 0.11 | 0.02 | 0.45 | 0.45 | XXX |
| 74430 | TC | A | Contrast x-ray, bladder | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 74440 | A | X-ray, male genital tract | 0.38 | 1.25 | NA | 0.08 | 1.71 | NA | XXX | |
| 74440 | 26 | A | X-ray, male genital tract | 0.38 | 0.12 | 0.12 | 0.02 | 0.52 | 0.52 | XXX |
| 74440 | TC | A | X-ray, male genital tract | 0.00 | 1.13 | NA | 0.06 | 1.19 | NA | XXX |
| 74445 | A | X-ray exam of penis | 1.14 | 1.50 | NA | 0.12 | 2.76 | NA | XXX | |
| 74445 | 26 | A | X-ray exam of penis | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 74445 | TC | A | X-ray exam of penis | 0.00 | 1.13 | NA | 0.06 | 1.19 | NA | XXX |
| 74450 | A | X-ray, urethra/bladder | 0.33 | 1.57 | NA | 0.10 | 2.00 | NA | XXX | |
| 74450 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.11 | 0.02 | 0.46 | 0.46 | XXX |
| 74450 | TC | A | X-ray, urethra/bladder | 0.00 | 1.46 | NA | 0.08 | 1.54 | NA | XXX |
| 74455 | A | X-ray, urethra/bladder | 0.33 | 1.69 | NA | 0.12 | 2.14 | NA | XXX | |
| 74455 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.11 | 0.02 | 0.46 | 0.46 | XXX |
| 74455 | TC | A | X-ray, urethra/bladder | 0.00 | 1.58 | NA | 0.10 | 1.68 | NA | XXX |
| 74470 | A | X-ray exam of kidney lesion | 0.54 | 1.43 | NA | 0.09 | 2.06 | NA | XXX | |
| 74470 | 26 | A | X-ray exam of kidney lesion | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74470 | TC | A | X-ray exam of kidney lesion | 0.00 | 1.25 | NA | 0.07 | 1.32 | NA | XXX |
| 74475 | A | X-ray control, cath insert | 0.54 | 4.27 | NA | 0.24 | 5.05 | NA | XXX | |
| 74475 | 26 | A | X-ray control, cath insert | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74475 | TC | A | X-ray control, cath insert | 0.00 | 4.09 | NA | 0.22 | 4.31 | NA | XXX |
| 74480 | A | X-ray control, cath insert | 0.54 | 4.27 | NA | 0.24 | 5.05 | NA | XXX | |
| 74480 | 26 | A | X-ray control, cath insert | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74480 | TC | A | X-ray control, cath insert | 0.00 | 4.09 | NA | 0.22 | 4.31 | NA | XXX |
| 74485 | A | X-ray guide, GU dilation | 0.54 | 3.35 | NA | 0.21 | 4.10 | NA | XXX | |
| 74485 | 26 | A | X-ray guide, GU dilation | 0.54 | 0.18 | 0.18 | 0.04 | 0.76 | 0.76 | XXX |
| 74485 | TC | A | X-ray guide, GU dilation | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74710 | A | X-ray measurement of pelvis | 0.34 | 1.17 | NA | 0.08 | 1.59 | NA | XXX | |
| 74710 | 26 | A | X-ray measurement of pelvis | 0.34 | 0.11 | 0.11 | 0.02 | 0.47 | 0.47 | XXX |
| 74710 | TC | A | X-ray measurement of pelvis | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 74740 | A | X-ray, female genital tract | 0.38 | 1.44 | NA | 0.09 | 1.91 | NA | XXX | |
| 74740 | 26 | A | X-ray, female genital tract | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 74740 | TC | A | X-ray, female genital tract | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 74742 | A | X-ray, fallopian tube | 0.61 | 3.37 | NA | 0.19 | 4.17 | NA | XXX | |
| 74742 | 26 | A | X-ray, fallopian tube | 0.61 | 0.20 | 0.20 | 0.02 | 0.83 | 0.83 | XXX |
| 74742 | TC | A | X-ray, fallopian tube | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 74775 | A | X-ray exam of perineum | 0.62 | 1.67 | NA | 0.12 | 2.41 | NA | XXX | |
| 74775 | 26 | A | X-ray exam of perineum | 0.62 | 0.21 | 0.21 | 0.04 | 0.87 | 0.87 | XXX |
| 74775 | TC | A | X-ray exam of perineum | 0.00 | 1.46 | NA | 0.08 | 1.54 | NA | XXX |
| 75552 | A | Heart mri for morph w/o dye | 1.60 | 11.77 | NA | 0.67 | 14.04 | NA | XXX | |
| 75552 | 26 | A | Heart mri for morph w/o dye | 1.60 | 0.53 | 0.53 | 0.08 | 2.21 | 2.21 | XXX |
| 75552 | TC | A | Heart mri for morph w/o dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 75553 | A | Heart mri for morph w/dye | 2.00 | 11.89 | NA | 0.70 | 14.59 | NA | XXX | |
| 75553 | 26 | A | Heart mri for morph w/dye | 2.00 | 0.65 | 0.65 | 0.11 | 2.76 | 2.76 | XXX |
| 75553 | TC | A | Heart mri for morph w/dye | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 75554 | A | Cardiac MRI/function | 1.83 | 11.88 | NA | 0.67 | 14.38 | NA | XXX | |
| 75554 | 26 | A | Cardiac MRI/function | 1.83 | 0.64 | 0.64 | 0.08 | 2.55 | 2.55 | XXX |
| 75554 | TC | A | Cardiac MRI/function | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 75555 | A | Cardiac MRI/limited study | 1.74 | 11.88 | NA | 0.67 | 14.29 | NA | XXX | |
| 75555 | 26 | A | Cardiac MRI/limited study | 1.74 | 0.64 | 0.64 | 0.08 | 2.46 | 2.46 | XXX |
| 75555 | TC | A | Cardiac MRI/limited study | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 75556 | N | Cardiac MRI/flow mapping | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75600 | A | Contrast x-ray exam of aorta | 0.49 | 12.83 | NA | 0.67 | 13.99 | NA | XXX | |
| 75600 | 26 | A | Contrast x-ray exam of aorta | 0.49 | 0.19 | 0.19 | 0.02 | 0.70 | 0.70 | XXX |
| 75600 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75605 | A | Contrast x-ray exam of aorta | 1.14 | 13.03 | NA | 0.71 | 14.88 | NA | XXX | |
| 75605 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.39 | 0.39 | 0.06 | 1.59 | 1.59 | XXX |
| 75605 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75625 | A | Contrast x-ray exam of aorta | 1.14 | 13.02 | NA | 0.71 | 14.87 | NA | XXX | |
| 75625 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.38 | 0.38 | 0.06 | 1.58 | 1.58 | XXX |
| 75625 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75630 | A | X-ray aorta, leg arteries | 1.79 | 13.78 | NA | 0.79 | 16.36 | NA | XXX | |
| 75630 | 26 | A | X-ray aorta, leg arteries | 1.79 | 0.61 | 0.61 | 0.10 | 2.50 | 2.50 | XXX |
| 75630 | TC | A | X-ray aorta, leg arteries | 0.00 | 13.17 | NA | 0.69 | 13.86 | NA | XXX |
| 75635 | A | Ct angio abdominal arteries | 2.40 | 16.77 | NA | 0.50 | 19.67 | NA | XXX | |
| 75635 | 26 | A | Ct angio abdominal arteries | 2.40 | 0.80 | 0.80 | 0.11 | 3.31 | 3.31 | XXX |
| 75635 | TC | A | Ct angio abdominal arteries | 0.00 | 15.97 | NA | 0.39 | 16.36 | NA | XXX |
| 75650 | A | Artery x-rays, head neck | 1.49 | 13.13 | NA | 0.73 | 15.35 | NA | XXX | |
| 75650 | 26 | A | Artery x-rays, head neck | 1.49 | 0.49 | 0.49 | 0.08 | 2.06 | 2.06 | XXX |
| 75650 | TC | A | Artery x-rays, head neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75658 | A | Artery x-rays, arm | 1.31 | 13.11 | NA | 0.72 | 15.14 | NA | XXX | |
| 75658 | 26 | A | Artery x-rays, arm | 1.31 | 0.47 | 0.47 | 0.07 | 1.85 | 1.85 | XXX |
| 75658 | TC | A | Artery x-rays, arm | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75660 | A | Artery x-rays, head neck | 1.31 | 13.08 | NA | 0.72 | 15.11 | NA | XXX | |
| 75660 | 26 | A | Artery x-rays, head neck | 1.31 | 0.44 | 0.44 | 0.07 | 1.82 | 1.82 | XXX |
| 75660 | TC | A | Artery x-rays, head neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75662 | A | Artery x-rays, head neck | 1.66 | 13.23 | NA | 0.75 | 15.64 | NA | XXX | |
| 75662 | 26 | A | Artery x-rays, head neck | 1.66 | 0.59 | 0.59 | 0.10 | 2.35 | 2.35 | XXX |
| 75662 | TC | A | Artery x-rays, head neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75665 | A | Artery x-rays, head neck | 1.31 | 13.07 | NA | 0.73 | 15.11 | NA | XXX | |
| 75665 | 26 | A | Artery x-rays, head neck | 1.31 | 0.43 | 0.43 | 0.08 | 1.82 | 1.82 | XXX |
| 75665 | TC | A | Artery x-rays, head neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75671 | A | Artery x-rays, head neck | 1.66 | 13.19 | NA | 0.75 | 15.60 | NA | XXX | |
| 75671 | 26 | A | Artery x-rays, head neck | 1.66 | 0.55 | 0.55 | 0.10 | 2.31 | 2.31 | XXX |
| 75671 | TC | A | Artery x-rays, head neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75676 | A | Artery x-rays, neck | 1.31 | 13.08 | NA | 0.73 | 15.12 | NA | XXX | |
| 75676 | 26 | A | Artery x-rays, neck | 1.31 | 0.44 | 0.44 | 0.08 | 1.83 | 1.83 | XXX |
| 75676 | TC | A | Artery x-rays, neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75680 | A | Artery x-rays, neck | 1.66 | 13.19 | NA | 0.75 | 15.60 | NA | XXX | |
| 75680 | 26 | A | Artery x-rays, neck | 1.66 | 0.55 | 0.55 | 0.10 | 2.31 | 2.31 | XXX |
| 75680 | TC | A | Artery x-rays, neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75685 | A | Artery x-rays, spine | 1.31 | 13.07 | NA | 0.72 | 15.10 | NA | XXX | |
| 75685 | 26 | A | Artery x-rays, spine | 1.31 | 0.43 | 0.43 | 0.07 | 1.81 | 1.81 | XXX |
| 75685 | TC | A | Artery x-rays, spine | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75705 | A | Artery x-rays, spine | 2.18 | 13.37 | NA | 0.78 | 16.33 | NA | XXX | |
| 75705 | 26 | A | Artery x-rays, spine | 2.18 | 0.73 | 0.73 | 0.13 | 3.04 | 3.04 | XXX |
| 75705 | TC | A | Artery x-rays, spine | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75710 | A | Artery x-rays, arm/leg | 1.14 | 13.02 | NA | 0.72 | 14.88 | NA | XXX | |
| 75710 | 26 | A | Artery x-rays, arm/leg | 1.14 | 0.38 | 0.38 | 0.07 | 1.59 | 1.59 | XXX |
| 75710 | TC | A | Artery x-rays, arm/leg | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75716 | A | Artery x-rays, arms/legs | 1.31 | 13.07 | NA | 0.72 | 15.10 | NA | XXX | |
| 75716 | 26 | A | Artery x-rays, arms/legs | 1.31 | 0.43 | 0.43 | 0.07 | 1.81 | 1.81 | XXX |
| 75716 | TC | A | Artery x-rays, arms/legs | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75722 | A | Artery x-rays, kidney | 1.14 | 13.04 | NA | 0.71 | 14.89 | NA | XXX | |
| 75722 | 26 | A | Artery x-rays, kidney | 1.14 | 0.40 | 0.40 | 0.06 | 1.60 | 1.60 | XXX |
| 75722 | TC | A | Artery x-rays, kidney | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75724 | A | Artery x-rays, kidneys | 1.49 | 13.20 | NA | 0.71 | 15.40 | NA | XXX | |
| 75724 | 26 | A | Artery x-rays, kidneys | 1.49 | 0.56 | 0.56 | 0.06 | 2.11 | 2.11 | XXX |
| 75724 | TC | A | Artery x-rays, kidneys | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75726 | A | Artery x-rays, abdomen | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75726 | 26 | A | Artery x-rays, abdomen | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75726 | TC | A | Artery x-rays, abdomen | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75731 | A | Artery x-rays, adrenal gland | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75731 | 26 | A | Artery x-rays, adrenal gland | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75731 | TC | A | Artery x-rays, adrenal gland | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75733 | A | Artery x-rays, adrenals | 1.31 | 13.07 | NA | 0.72 | 15.10 | NA | XXX | |
| 75733 | 26 | A | Artery x-rays, adrenals | 1.31 | 0.43 | 0.43 | 0.07 | 1.81 | 1.81 | XXX |
| 75733 | TC | A | Artery x-rays, adrenals | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75736 | A | Artery x-rays, pelvis | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75736 | 26 | A | Artery x-rays, pelvis | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75736 | TC | A | Artery x-rays, pelvis | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75741 | A | Artery x-rays, lung | 1.31 | 13.07 | NA | 0.72 | 15.10 | NA | XXX | |
| 75741 | 26 | A | Artery x-rays, lung | 1.31 | 0.43 | 0.43 | 0.07 | 1.81 | 1.81 | XXX |
| 75741 | TC | A | Artery x-rays, lung | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75743 | A | Artery x-rays, lungs | 1.66 | 13.18 | NA | 0.73 | 15.57 | NA | XXX | |
| 75743 | 26 | A | Artery x-rays, lungs | 1.66 | 0.54 | 0.54 | 0.08 | 2.28 | 2.28 | XXX |
| 75743 | TC | A | Artery x-rays, lungs | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75746 | A | Artery x-rays, lung | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75746 | 26 | A | Artery x-rays, lung | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75746 | TC | A | Artery x-rays, lung | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75756 | A | Artery x-rays, chest | 1.14 | 13.08 | NA | 0.70 | 14.92 | NA | XXX | |
| 75756 | 26 | A | Artery x-rays, chest | 1.14 | 0.44 | 0.44 | 0.05 | 1.63 | 1.63 | XXX |
| 75756 | TC | A | Artery x-rays, chest | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75774 | A | Artery x-ray, each vessel | 0.36 | 12.77 | NA | 0.67 | 13.80 | NA | ZZZ | |
| 75774 | 26 | A | Artery x-ray, each vessel | 0.36 | 0.13 | 0.13 | 0.02 | 0.51 | 0.51 | ZZZ |
| 75774 | TC | A | Artery x-ray, each vessel | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | ZZZ |
| 75790 | A | Visualize A-V shunt | 1.84 | 1.96 | NA | 0.19 | 3.99 | NA | XXX | |
| 75790 | 26 | A | Visualize A-V shunt | 1.84 | 0.60 | 0.60 | 0.11 | 2.55 | 2.55 | XXX |
| 75790 | TC | A | Visualize A-V shunt | 0.00 | 1.36 | NA | 0.08 | 1.44 | NA | XXX |
| 75801 | A | Lymph vessel x-ray, arm/leg | 0.81 | 5.71 | NA | 0.35 | 6.87 | NA | XXX | |
| 75801 | 26 | A | Lymph vessel x-ray, arm/leg | 0.81 | 0.27 | 0.27 | 0.06 | 1.14 | 1.14 | XXX |
| 75801 | TC | A | Lymph vessel x-ray, arm/leg | 0.00 | 5.44 | NA | 0.29 | 5.73 | NA | XXX |
| 75803 | A | Lymph vessel x-ray,arms/legs | 1.17 | 5.82 | NA | 0.35 | 7.34 | NA | XXX | |
| 75803 | 26 | A | Lymph vessel x-ray,arms/legs | 1.17 | 0.38 | 0.38 | 0.06 | 1.61 | 1.61 | XXX |
| 75803 | TC | A | Lymph vessel x-ray,arms/legs | 0.00 | 5.44 | NA | 0.29 | 5.73 | NA | XXX |
| 75805 | A | Lymph vessel x-ray, trunk | 0.81 | 6.39 | NA | 0.38 | 7.58 | NA | XXX | |
| 75805 | 26 | A | Lymph vessel x-ray, trunk | 0.81 | 0.27 | 0.27 | 0.05 | 1.13 | 1.13 | XXX |
| 75805 | TC | A | Lymph vessel x-ray, trunk | 0.00 | 6.12 | NA | 0.33 | 6.45 | NA | XXX |
| 75807 | A | Lymph vessel x-ray, trunk | 1.17 | 6.50 | NA | 0.39 | 8.06 | NA | XXX | |
| 75807 | 26 | A | Lymph vessel x-ray, trunk | 1.17 | 0.38 | 0.38 | 0.06 | 1.61 | 1.61 | XXX |
| 75807 | TC | A | Lymph vessel x-ray, trunk | 0.00 | 6.12 | NA | 0.33 | 6.45 | NA | XXX |
| 75809 | A | Nonvascular shunt, x-ray | 0.47 | 0.95 | NA | 0.07 | 1.49 | NA | XXX | |
| 75809 | 26 | A | Nonvascular shunt, x-ray | 0.47 | 0.16 | 0.16 | 0.02 | 0.65 | 0.65 | XXX |
| 75809 | TC | A | Nonvascular shunt, x-ray | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 75810 | A | Vein x-ray, spleen/liver | 1.14 | 13.01 | NA | 0.72 | 14.87 | NA | XXX | |
| 75810 | 26 | A | Vein x-ray, spleen/liver | 1.14 | 0.37 | 0.37 | 0.07 | 1.58 | 1.58 | XXX |
| 75810 | TC | A | Vein x-ray, spleen/liver | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75820 | A | Vein x-ray, arm/leg | 0.70 | 1.18 | NA | 0.10 | 1.98 | NA | XXX | |
| 75820 | 26 | A | Vein x-ray, arm/leg | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 75820 | TC | A | Vein x-ray, arm/leg | 0.00 | 0.95 | NA | 0.06 | 1.01 | NA | XXX |
| 75822 | A | Vein x-ray, arms/legs | 1.06 | 1.83 | NA | 0.14 | 3.03 | NA | XXX | |
| 75822 | 26 | A | Vein x-ray, arms/legs | 1.06 | 0.35 | 0.35 | 0.06 | 1.47 | 1.47 | XXX |
| 75822 | TC | A | Vein x-ray, arms/legs | 0.00 | 1.48 | NA | 0.08 | 1.56 | NA | XXX |
| 75825 | A | Vein x-ray, trunk | 1.14 | 13.01 | NA | 0.72 | 14.87 | NA | XXX | |
| 75825 | 26 | A | Vein x-ray, trunk | 1.14 | 0.37 | 0.37 | 0.07 | 1.58 | 1.58 | XXX |
| 75825 | TC | A | Vein x-ray, trunk | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75827 | A | Vein x-ray, chest | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75827 | 26 | A | Vein x-ray, chest | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75827 | TC | A | Vein x-ray, chest | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75831 | A | Vein x-ray, kidney | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75831 | 26 | A | Vein x-ray, kidney | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75831 | TC | A | Vein x-ray, kidney | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75833 | A | Vein x-ray, kidneys | 1.49 | 13.13 | NA | 0.73 | 15.35 | NA | XXX | |
| 75833 | 26 | A | Vein x-ray, kidneys | 1.49 | 0.49 | 0.49 | 0.08 | 2.06 | 2.06 | XXX |
| 75833 | TC | A | Vein x-ray, kidneys | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75840 | A | Vein x-ray, adrenal gland | 1.14 | 13.01 | NA | 0.73 | 14.88 | NA | XXX | |
| 75840 | 26 | A | Vein x-ray, adrenal gland | 1.14 | 0.37 | 0.37 | 0.08 | 1.59 | 1.59 | XXX |
| 75840 | TC | A | Vein x-ray, adrenal gland | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75842 | A | Vein x-ray, adrenal glands | 1.49 | 13.12 | NA | 0.73 | 15.34 | NA | XXX | |
| 75842 | 26 | A | Vein x-ray, adrenal glands | 1.49 | 0.48 | 0.48 | 0.08 | 2.05 | 2.05 | XXX |
| 75842 | TC | A | Vein x-ray, adrenal glands | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75860 | A | Vein x-ray, neck | 1.14 | 13.03 | NA | 0.72 | 14.89 | NA | XXX | |
| 75860 | 26 | A | Vein x-ray, neck | 1.14 | 0.39 | 0.39 | 0.07 | 1.60 | 1.60 | XXX |
| 75860 | TC | A | Vein x-ray, neck | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75870 | A | Vein x-ray, skull | 1.14 | 13.03 | NA | 0.72 | 14.89 | NA | XXX | |
| 75870 | 26 | A | Vein x-ray, skull | 1.14 | 0.39 | 0.39 | 0.07 | 1.60 | 1.60 | XXX |
| 75870 | TC | A | Vein x-ray, skull | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75872 | A | Vein x-ray, skull | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75872 | 26 | A | Vein x-ray, skull | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75872 | TC | A | Vein x-ray, skull | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75880 | A | Vein x-ray, eye socket | 0.70 | 1.18 | NA | 0.10 | 1.98 | NA | XXX | |
| 75880 | 26 | A | Vein x-ray, eye socket | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 75880 | TC | A | Vein x-ray, eye socket | 0.00 | 0.95 | NA | 0.06 | 1.01 | NA | XXX |
| 75885 | A | Vein x-ray, liver | 1.44 | 13.11 | NA | 0.72 | 15.27 | NA | XXX | |
| 75885 | 26 | A | Vein x-ray, liver | 1.44 | 0.47 | 0.47 | 0.07 | 1.98 | 1.98 | XXX |
| 75885 | TC | A | Vein x-ray, liver | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75887 | A | Vein x-ray, liver | 1.44 | 13.11 | NA | 0.72 | 15.27 | NA | XXX | |
| 75887 | 26 | A | Vein x-ray, liver | 1.44 | 0.47 | 0.47 | 0.07 | 1.98 | 1.98 | XXX |
| 75887 | TC | A | Vein x-ray, liver | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75889 | A | Vein x-ray, liver | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75889 | 26 | A | Vein x-ray, liver | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75889 | TC | A | Vein x-ray, liver | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75891 | A | Vein x-ray, liver | 1.14 | 13.01 | NA | 0.71 | 14.86 | NA | XXX | |
| 75891 | 26 | A | Vein x-ray, liver | 1.14 | 0.37 | 0.37 | 0.06 | 1.57 | 1.57 | XXX |
| 75891 | TC | A | Vein x-ray, liver | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75893 | A | Venous sampling by catheter | 0.54 | 12.82 | NA | 0.67 | 14.03 | NA | XXX | |
| 75893 | 26 | A | Venous sampling by catheter | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 75893 | TC | A | Venous sampling by catheter | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75894 | A | X-rays, transcath therapy | 1.31 | 24.65 | NA | 1.35 | 27.31 | NA | XXX | |
| 75894 | 26 | A | X-rays, transcath therapy | 1.31 | 0.43 | 0.43 | 0.08 | 1.82 | 1.82 | XXX |
| 75894 | TC | A | X-rays, transcath therapy | 0.00 | 24.22 | NA | 1.27 | 25.49 | NA | XXX |
| 75896 | A | X-rays, transcath therapy | 1.31 | 21.51 | NA | 1.17 | 23.99 | NA | XXX | |
| 75896 | 26 | A | X-rays, transcath therapy | 1.31 | 0.45 | 0.45 | 0.07 | 1.83 | 1.83 | XXX |
| 75896 | TC | A | X-rays, transcath therapy | 0.00 | 21.06 | NA | 1.10 | 22.16 | NA | XXX |
| 75898 | A | Follow-up angiography | 1.65 | 1.61 | NA | 0.14 | 3.40 | NA | XXX | |
| 75898 | 26 | A | Follow-up angiography | 1.65 | 0.55 | 0.55 | 0.08 | 2.28 | 2.28 | XXX |
| 75898 | TC | A | Follow-up angiography | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 75900 | A | Arterial catheter exchange | 0.49 | 21.20 | NA | 1.13 | 22.82 | NA | XXX | |
| 75900 | 26 | A | Arterial catheter exchange | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 75900 | TC | A | Arterial catheter exchange | 0.00 | 21.04 | NA | 1.11 | 22.15 | NA | XXX |
| 75901 | A | Remove cva device obstruct | 0.49 | 1.47 | NA | 0.85 | 2.81 | NA | XXX | |
| 75901 | 26 | A | Remove cva device obstruct | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 75901 | TC | A | Remove cva device obstruct | 0.00 | 1.31 | NA | 0.83 | 2.14 | NA | XXX |
| 75902 | A | Remove cva lumen obstruct | 0.39 | 1.44 | NA | 0.85 | 2.68 | NA | XXX | |
| 75902 | 26 | A | Remove cva lumen obstruct | 0.39 | 0.13 | 0.13 | 0.02 | 0.54 | 0.54 | XXX |
| 75902 | TC | A | Remove cva lumen obstruct | 0.00 | 1.31 | NA | 0.83 | 2.14 | NA | XXX |
| 75940 | A | X-ray placement, vein filter | 0.54 | 12.82 | NA | 0.69 | 14.05 | NA | XXX | |
| 75940 | 26 | A | X-ray placement, vein filter | 0.54 | 0.18 | 0.18 | 0.04 | 0.76 | 0.76 | XXX |
| 75940 | TC | A | X-ray placement, vein filter | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | XXX |
| 75945 | A | Intravascular us | 0.40 | 4.72 | NA | 0.28 | 5.40 | NA | XXX | |
| 75945 | 26 | A | Intravascular us | 0.40 | 0.14 | 0.14 | 0.04 | 0.58 | 0.58 | XXX |
| 75945 | TC | A | Intravascular us | 0.00 | 4.58 | NA | 0.24 | 4.82 | NA | XXX |
| 75946 | A | Intravascular us add-on | 0.40 | 2.44 | NA | 0.17 | 3.01 | NA | ZZZ | |
| 75946 | 26 | A | Intravascular us add-on | 0.40 | 0.14 | 0.14 | 0.04 | 0.58 | 0.58 | ZZZ |
| 75946 | TC | A | Intravascular us add-on | 0.00 | 2.30 | NA | 0.13 | 2.43 | NA | ZZZ |
| 75952 | C | Endovasc repair abdom aorta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75952 | 26 | A | Endovasc repair abdom aorta | 4.49 | 1.50 | 1.50 | 0.82 | 6.81 | 6.81 | XXX |
| 75952 | TC | C | Endovasc repair abdom aorta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75953 | C | Abdom aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75953 | 26 | A | Abdom aneurysm endovas rpr | 1.36 | 0.45 | 0.45 | 0.82 | 2.63 | 2.63 | XXX |
| 75953 | TC | C | Abdom aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75954 | C | Iliac aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75954 | 26 | A | Iliac aneurysm endovas rpr | 2.25 | 0.47 | 0.47 | 0.82 | 3.54 | 3.54 | XXX |
| 75954 | TC | C | Iliac aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75960 | A | Transcatheter intro, stent | 0.82 | 15.24 | NA | 0.82 | 16.88 | NA | XXX | |
| 75960 | 26 | A | Transcatheter intro, stent | 0.82 | 0.29 | 0.29 | 0.05 | 1.16 | 1.16 | XXX |
| 75960 | TC | A | Transcatheter intro, stent | 0.00 | 14.95 | NA | 0.77 | 15.72 | NA | XXX |
| 75961 | A | Retrieval, broken catheter | 4.24 | 11.94 | NA | 0.77 | 16.95 | NA | XXX | |
| 75961 | 26 | A | Retrieval, broken catheter | 4.24 | 1.40 | 1.40 | 0.22 | 5.86 | 5.86 | XXX |
| 75961 | TC | A | Retrieval, broken catheter | 0.00 | 10.54 | NA | 0.55 | 11.09 | NA | XXX |
| 75962 | A | Repair arterial blockage | 0.54 | 15.99 | NA | 0.87 | 17.40 | NA | XXX | |
| 75962 | 26 | A | Repair arterial blockage | 0.54 | 0.19 | 0.19 | 0.04 | 0.77 | 0.77 | XXX |
| 75962 | TC | A | Repair arterial blockage | 0.00 | 15.80 | NA | 0.83 | 16.63 | NA | XXX |
| 75964 | A | Repair artery blockage, each | 0.36 | 8.54 | NA | 0.45 | 9.35 | NA | ZZZ | |
| 75964 | 26 | A | Repair artery blockage, each | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | ZZZ |
| 75964 | TC | A | Repair artery blockage, each | 0.00 | 8.42 | NA | 0.43 | 8.85 | NA | ZZZ |
| 75966 | A | Repair arterial blockage | 1.31 | 16.26 | NA | 0.90 | 18.47 | NA | XXX | |
| 75966 | 26 | A | Repair arterial blockage | 1.31 | 0.46 | 0.46 | 0.07 | 1.84 | 1.84 | XXX |
| 75966 | TC | A | Repair arterial blockage | 0.00 | 15.80 | NA | 0.83 | 16.63 | NA | XXX |
| 75968 | A | Repair artery blockage, each | 0.36 | 8.55 | NA | 0.44 | 9.35 | NA | ZZZ | |
| 75968 | 26 | A | Repair artery blockage, each | 0.36 | 0.13 | 0.13 | 0.01 | 0.50 | 0.50 | ZZZ |
| 75968 | TC | A | Repair artery blockage, each | 0.00 | 8.42 | NA | 0.43 | 8.85 | NA | ZZZ |
| 75970 | A | Vascular biopsy | 0.83 | 11.88 | NA | 0.65 | 13.36 | NA | XXX | |
| 75970 | 26 | A | Vascular biopsy | 0.83 | 0.29 | 0.29 | 0.05 | 1.17 | 1.17 | XXX |
| 75970 | TC | A | Vascular biopsy | 0.00 | 11.59 | NA | 0.60 | 12.19 | NA | XXX |
| 75978 | A | Repair venous blockage | 0.54 | 15.98 | NA | 0.85 | 17.37 | NA | XXX | |
| 75978 | 26 | A | Repair venous blockage | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 75978 | TC | A | Repair venous blockage | 0.00 | 15.80 | NA | 0.83 | 16.63 | NA | XXX |
| 75980 | A | Contrast xray exam bile duct | 1.44 | 5.91 | NA | 0.36 | 7.71 | NA | XXX | |
| 75980 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.47 | 0.47 | 0.07 | 1.98 | 1.98 | XXX |
| 75980 | TC | A | Contrast xray exam bile duct | 0.00 | 5.44 | NA | 0.29 | 5.73 | NA | XXX |
| 75982 | A | Contrast xray exam bile duct | 1.44 | 6.58 | NA | 0.40 | 8.42 | NA | XXX | |
| 75982 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.46 | 0.46 | 0.07 | 1.97 | 1.97 | XXX |
| 75982 | TC | A | Contrast xray exam bile duct | 0.00 | 6.12 | NA | 0.33 | 6.45 | NA | XXX |
| 75984 | A | Xray control catheter change | 0.72 | 2.20 | NA | 0.15 | 3.07 | NA | XXX | |
| 75984 | 26 | A | Xray control catheter change | 0.72 | 0.24 | 0.24 | 0.04 | 1.00 | 1.00 | XXX |
| 75984 | TC | A | Xray control catheter change | 0.00 | 1.96 | NA | 0.11 | 2.07 | NA | XXX |
| 75989 | A | Abscess drainage under x-ray | 1.19 | 3.55 | NA | 0.23 | 4.97 | NA | XXX | |
| 75989 | 26 | A | Abscess drainage under x-ray | 1.19 | 0.38 | 0.38 | 0.06 | 1.63 | 1.63 | XXX |
| 75989 | TC | A | Abscess drainage under x-ray | 0.00 | 3.17 | NA | 0.17 | 3.34 | NA | XXX |
| 75992 | A | Atherectomy, x-ray exam | 0.54 | 15.99 | NA | 0.85 | 17.38 | NA | XXX | |
| 75992 | 26 | A | Atherectomy, x-ray exam | 0.54 | 0.19 | 0.19 | 0.02 | 0.75 | 0.75 | XXX |
| 75992 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.80 | NA | 0.83 | 16.63 | NA | XXX |
| 75993 | A | Atherectomy, x-ray exam | 0.36 | 8.56 | NA | 0.44 | 9.36 | NA | ZZZ | |
| 75993 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.14 | 0.14 | 0.01 | 0.51 | 0.51 | ZZZ |
| 75993 | TC | A | Atherectomy, x-ray exam | 0.00 | 8.42 | NA | 0.43 | 8.85 | NA | ZZZ |
| 75994 | A | Atherectomy, x-ray exam | 1.31 | 16.26 | NA | 0.90 | 18.47 | NA | XXX | |
| 75994 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.46 | 0.46 | 0.07 | 1.84 | 1.84 | XXX |
| 75994 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.80 | NA | 0.83 | 16.63 | NA | XXX |
| 75995 | A | Atherectomy, x-ray exam | 1.31 | 16.27 | NA | 0.90 | 18.48 | NA | XXX | |
| 75995 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.47 | 0.47 | 0.07 | 1.85 | 1.85 | XXX |
| 75995 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.80 | NA | 0.83 | 16.63 | NA | XXX |
| 75996 | A | Atherectomy, x-ray exam | 0.36 | 8.54 | NA | 0.44 | 9.34 | NA | ZZZ | |
| 75996 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.12 | 0.12 | 0.01 | 0.49 | 0.49 | ZZZ |
| 75996 | TC | A | Atherectomy, x-ray exam | 0.00 | 8.42 | NA | 0.43 | 8.85 | NA | ZZZ |
| 75998 | A | Fluoroguide for vein device | 0.38 | 1.44 | NA | 0.15 | 1.97 | NA | ZZZ | |
| 75998 | 26 | A | Fluoroguide for vein device | 0.38 | 0.13 | 0.13 | 0.05 | 0.56 | 0.56 | ZZZ |
| 75998 | TC | A | Fluoroguide for vein device | 0.00 | 1.31 | NA | 0.10 | 1.41 | NA | ZZZ |
| 76000 | A | Fluoroscope examination | 0.17 | 1.36 | NA | 0.08 | 1.61 | NA | XXX | |
| 76000 | 26 | A | Fluoroscope examination | 0.17 | 0.05 | 0.05 | 0.01 | 0.23 | 0.23 | XXX |
| 76000 | TC | A | Fluoroscope examination | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76001 | A | Fluoroscope exam, extensive | 0.67 | 2.84 | NA | 0.18 | 3.69 | NA | XXX | |
| 76001 | 26 | A | Fluoroscope exam, extensive | 0.67 | 0.22 | 0.22 | 0.04 | 0.93 | 0.93 | XXX |
| 76001 | TC | A | Fluoroscope exam, extensive | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 76003 | A | Needle localization by x-ray | 0.54 | 1.48 | NA | 0.11 | 2.13 | NA | XXX | |
| 76003 | 26 | A | Needle localization by x-ray | 0.54 | 0.17 | 0.17 | 0.04 | 0.75 | 0.75 | XXX |
| 76003 | TC | A | Needle localization by x-ray | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76005 | A | Fluoroguide for spine inject | 0.60 | 1.47 | NA | 0.11 | 2.18 | NA | XXX | |
| 76005 | 26 | A | Fluoroguide for spine inject | 0.60 | 0.16 | 0.16 | 0.04 | 0.80 | 0.80 | XXX |
| 76005 | TC | A | Fluoroguide for spine inject | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76006 | A | X-ray stress view | 0.41 | 0.19 | 0.19 | 0.05 | 0.65 | 0.65 | XXX | |
| 76010 | A | X-ray, nose to rectum | 0.18 | 0.58 | NA | 0.03 | 0.79 | NA | XXX | |
| 76010 | 26 | A | X-ray, nose to rectum | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 76010 | TC | A | X-ray, nose to rectum | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 76012 | C | Percut vertebroplasty fluor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76012 | 26 | A | Percut vertebroplasty fluor | 1.31 | 0.46 | 0.46 | 0.28 | 2.05 | 2.05 | XXX |
| 76012 | TC | C | Percut vertebroplasty fluor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76013 | C | Percut vertebroplasty, ct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76013 | 26 | A | Percut vertebroplasty, ct | 1.38 | 0.47 | 0.47 | 0.58 | 2.43 | 2.43 | XXX |
| 76013 | TC | C | Percut vertebroplasty, ct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76020 | A | X-rays for bone age | 0.19 | 0.58 | NA | 0.03 | 0.80 | NA | XXX | |
| 76020 | 26 | A | X-rays for bone age | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 76020 | TC | A | X-rays for bone age | 0.00 | 0.52 | NA | 0.02 | 0.54 | NA | XXX |
| 76040 | A | X-rays, bone evaluation | 0.27 | 0.88 | NA | 0.09 | 1.24 | NA | XXX | |
| 76040 | 26 | A | X-rays, bone evaluation | 0.27 | 0.09 | 0.09 | 0.04 | 0.40 | 0.40 | XXX |
| 76040 | TC | A | X-rays, bone evaluation | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | XXX |
| 76061 | A | X-rays, bone survey | 0.45 | 1.15 | NA | 0.08 | 1.68 | NA | XXX | |
| 76061 | 26 | A | X-rays, bone survey | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 76061 | TC | A | X-rays, bone survey | 0.00 | 1.00 | NA | 0.06 | 1.06 | NA | XXX |
| 76062 | A | X-rays, bone survey | 0.54 | 1.62 | NA | 0.10 | 2.26 | NA | XXX | |
| 76062 | 26 | A | X-rays, bone survey | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 76062 | TC | A | X-rays, bone survey | 0.00 | 1.44 | NA | 0.08 | 1.52 | NA | XXX |
| 76065 | A | X-rays, bone evaluation | 0.70 | 0.98 | NA | 0.06 | 1.74 | NA | XXX | |
| 76065 | 26 | A | X-rays, bone evaluation | 0.70 | 0.24 | 0.24 | 0.01 | 0.95 | 0.95 | XXX |
| 76065 | TC | A | X-rays, bone evaluation | 0.00 | 0.74 | NA | 0.05 | 0.79 | NA | XXX |
| 76066 | A | Joint survey, single view | 0.31 | 1.23 | NA | 0.08 | 1.62 | NA | XXX | |
| 76066 | 26 | A | Joint survey, single view | 0.31 | 0.11 | 0.11 | 0.02 | 0.44 | 0.44 | XXX |
| 76066 | TC | A | Joint survey, single view | 0.00 | 1.12 | NA | 0.06 | 1.18 | NA | XXX |
| 76070 | A | Ct bone density, axial | 0.25 | 3.04 | NA | 0.17 | 3.46 | NA | XXX | |
| 76070 | 26 | A | Ct bone density, axial | 0.25 | 0.08 | 0.08 | 0.01 | 0.34 | 0.34 | XXX |
| 76070 | TC | A | Ct bone density, axial | 0.00 | 2.96 | NA | 0.16 | 3.12 | NA | XXX |
| 76071 | A | Ct bone density, peripheral | 0.22 | 3.03 | NA | 0.06 | 3.31 | NA | XXX | |
| 76071 | 26 | A | Ct bone density, peripheral | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 76071 | TC | A | Ct bone density, peripheral | 0.00 | 2.96 | NA | 0.05 | 3.01 | NA | XXX |
| 76075 | A | Dexa, axial skeleton study | 0.30 | 3.21 | NA | 0.18 | 3.69 | NA | XXX | |
| 76075 | 26 | A | Dexa, axial skeleton study | 0.30 | 0.10 | 0.10 | 0.01 | 0.41 | 0.41 | XXX |
| 76075 | TC | A | Dexa, axial skeleton study | 0.00 | 3.11 | NA | 0.17 | 3.28 | NA | XXX |
| 76076 | A | Dexa, peripheral study | 0.22 | 0.84 | NA | 0.06 | 1.12 | NA | XXX | |
| 76076 | 26 | A | Dexa, peripheral study | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 76076 | TC | A | Dexa, peripheral study | 0.00 | 0.76 | NA | 0.05 | 0.81 | NA | XXX |
| 76078 | A | Radiographic absorptiometry | 0.20 | 0.83 | NA | 0.06 | 1.09 | NA | XXX | |
| 76078 | 26 | A | Radiographic absorptiometry | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 76078 | TC | A | Radiographic absorptiometry | 0.00 | 0.76 | NA | 0.05 | 0.81 | NA | XXX |
| 76080 | A | X-ray exam of fistula | 0.54 | 1.24 | NA | 0.08 | 1.86 | NA | XXX | |
| 76080 | 26 | A | X-ray exam of fistula | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 76080 | TC | A | X-ray exam of fistula | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 76082 | A | Computer mammogram add-on | 0.06 | 0.43 | NA | 0.02 | 0.51 | NA | ZZZ | |
| 76082 | 26 | A | Computer mammogram add-on | 0.06 | 0.02 | 0.02 | 0.01 | 0.09 | 0.09 | ZZZ |
| 76082 | TC | A | Computer mammogram add-on | 0.00 | 0.41 | NA | 0.01 | 0.42 | NA | ZZZ |
| 76083 | A | Computer mammogram add-on | 0.06 | 0.43 | NA | 0.02 | 0.51 | NA | ZZZ | |
| 76083 | 26 | A | Computer mammogram add-on | 0.06 | 0.02 | 0.02 | 0.01 | 0.09 | 0.09 | ZZZ |
| 76083 | TC | A | Computer mammogram add-on | 0.00 | 0.41 | NA | 0.01 | 0.42 | NA | ZZZ |
| 76085 | F | Computer mammogram add-on | +0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 76085 | 26 | F | Computer mammogram add-on | +0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 76085 | TC | F | Computer mammogram add-on | +0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 76086 | A | X-ray of mammary duct | 0.36 | 2.74 | NA | 0.16 | 3.26 | NA | XXX | |
| 76086 | 26 | A | X-ray of mammary duct | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 76086 | TC | A | X-ray of mammary duct | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 76088 | A | X-ray of mammary ducts | 0.45 | 3.83 | NA | 0.21 | 4.49 | NA | XXX | |
| 76088 | 26 | A | X-ray of mammary ducts | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 76088 | TC | A | X-ray of mammary ducts | 0.00 | 3.68 | NA | 0.19 | 3.87 | NA | XXX |
| 76090 | A | Mammogram, one breast | 0.70 | 1.29 | NA | 0.10 | 2.09 | NA | XXX | |
| 76090 | 26 | A | Mammogram, one breast | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 76090 | TC | A | Mammogram, one breast | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 76091 | A | Mammogram, both breasts | 0.87 | 1.60 | NA | 0.11 | 2.58 | NA | XXX | |
| 76091 | 26 | A | Mammogram, both breasts | 0.87 | 0.29 | 0.29 | 0.04 | 1.20 | 1.20 | XXX |
| 76091 | TC | A | Mammogram, both breasts | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76092 | A | Mammogram, screening | 0.70 | 1.46 | NA | 0.11 | 2.27 | NA | XXX | |
| 76092 | 26 | A | Mammogram, screening | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 76092 | TC | A | Mammogram, screening | 0.00 | 1.23 | NA | 0.07 | 1.30 | NA | XXX |
| 76093 | A | Magnetic image, breast | 1.63 | 18.21 | NA | 1.00 | 20.84 | NA | XXX | |
| 76093 | 26 | A | Magnetic image, breast | 1.63 | 0.53 | 0.53 | 0.08 | 2.24 | 2.24 | XXX |
| 76093 | TC | A | Magnetic image, breast | 0.00 | 17.68 | NA | 0.92 | 18.60 | NA | XXX |
| 76094 | A | Magnetic image, both breasts | 1.63 | 24.52 | NA | 1.32 | 27.47 | NA | XXX | |
| 76094 | 26 | A | Magnetic image, both breasts | 1.63 | 0.53 | 0.53 | 0.08 | 2.24 | 2.24 | XXX |
| 76094 | TC | A | Magnetic image, both breasts | 0.00 | 23.99 | NA | 1.24 | 25.23 | NA | XXX |
| 76095 | A | Stereotactic breast biopsy | 1.59 | 7.71 | NA | 0.48 | 9.78 | NA | XXX | |
| 76095 | 26 | A | Stereotactic breast biopsy | 1.59 | 0.52 | 0.52 | 0.11 | 2.22 | 2.22 | XXX |
| 76095 | TC | A | Stereotactic breast biopsy | 0.00 | 7.19 | NA | 0.37 | 7.56 | NA | XXX |
| 76096 | A | X-ray of needle wire, breast | 0.56 | 1.50 | NA | 0.11 | 2.17 | NA | XXX | |
| 76096 | 26 | A | X-ray of needle wire, breast | 0.56 | 0.19 | 0.19 | 0.04 | 0.79 | 0.79 | XXX |
| 76096 | TC | A | X-ray of needle wire, breast | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76098 | A | X-ray exam, breast specimen | 0.16 | 0.46 | NA | 0.03 | 0.65 | NA | XXX | |
| 76098 | 26 | A | X-ray exam, breast specimen | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 76098 | TC | A | X-ray exam, breast specimen | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 76100 | A | X-ray exam of body section | 0.58 | 1.44 | NA | 0.11 | 2.13 | NA | XXX | |
| 76100 | 26 | A | X-ray exam of body section | 0.58 | 0.19 | 0.19 | 0.04 | 0.81 | 0.81 | XXX |
| 76100 | TC | A | X-ray exam of body section | 0.00 | 1.25 | NA | 0.07 | 1.32 | NA | XXX |
| 76101 | A | Complex body section x-ray | 0.58 | 1.62 | NA | 0.12 | 2.32 | NA | XXX | |
| 76101 | 26 | A | Complex body section x-ray | 0.58 | 0.19 | 0.19 | 0.04 | 0.81 | 0.81 | XXX |
| 76101 | TC | A | Complex body section x-ray | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76102 | A | Complex body section x-rays | 0.58 | 1.94 | NA | 0.15 | 2.67 | NA | XXX | |
| 76102 | 26 | A | Complex body section x-rays | 0.58 | 0.20 | 0.20 | 0.04 | 0.82 | 0.82 | XXX |
| 76102 | TC | A | Complex body section x-rays | 0.00 | 1.74 | NA | 0.11 | 1.85 | NA | XXX |
| 76120 | A | Cine/video x-rays | 0.38 | 1.19 | NA | 0.08 | 1.65 | NA | XXX | |
| 76120 | 26 | A | Cine/video x-rays | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 76120 | TC | A | Cine/video x-rays | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 76125 | A | Cine/video x-rays add-on | 0.27 | 0.88 | NA | 0.06 | 1.21 | NA | ZZZ | |
| 76125 | 26 | A | Cine/video x-rays add-on | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | ZZZ |
| 76125 | TC | A | Cine/video x-rays add-on | 0.00 | 0.79 | NA | 0.05 | 0.84 | NA | ZZZ |
| 76140 | I | X-ray consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76150 | A | X-ray exam, dry process | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX | |
| 76350 | C | Special x-ray contrast study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76355 | A | Ct scan for localization | 1.21 | 8.69 | NA | 0.49 | 10.39 | NA | XXX | |
| 76355 | 26 | A | Ct scan for localization | 1.21 | 0.40 | 0.40 | 0.07 | 1.68 | 1.68 | XXX |
| 76355 | TC | A | Ct scan for localization | 0.00 | 8.29 | NA | 0.42 | 8.71 | NA | XXX |
| 76360 | A | Ct scan for needle biopsy | 1.16 | 8.66 | NA | 0.48 | 10.30 | NA | XXX | |
| 76360 | 26 | A | Ct scan for needle biopsy | 1.16 | 0.37 | 0.37 | 0.06 | 1.59 | 1.59 | XXX |
| 76360 | TC | A | Ct scan for needle biopsy | 0.00 | 8.29 | NA | 0.42 | 8.71 | NA | XXX |
| 76362 | A | Ct guide for tissue ablation | 3.99 | 9.59 | NA | 1.68 | 15.26 | NA | XXX | |
| 76362 | 26 | A | Ct guide for tissue ablation | 3.99 | 1.30 | 1.30 | 0.22 | 5.51 | 5.51 | XXX |
| 76362 | TC | A | Ct guide for tissue ablation | 0.00 | 8.29 | NA | 1.46 | 9.75 | NA | XXX |
| 76370 | A | Ct scan for therapy guide | 0.85 | 3.24 | NA | 0.21 | 4.30 | NA | XXX | |
| 76370 | 26 | A | Ct scan for therapy guide | 0.85 | 0.28 | 0.28 | 0.05 | 1.18 | 1.18 | XXX |
| 76370 | TC | A | Ct scan for therapy guide | 0.00 | 2.96 | NA | 0.16 | 3.12 | NA | XXX |
| 76375 | A | 3d/holograph reconstr add-on | 0.16 | 3.60 | NA | 0.19 | 3.95 | NA | XXX | |
| 76375 | 26 | A | 3d/holograph reconstr add-on | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 76375 | TC | A | 3d/holograph reconstr add-on | 0.00 | 3.55 | NA | 0.18 | 3.73 | NA | XXX |
| 76380 | A | CAT scan follow-up study | 0.98 | 3.84 | NA | 0.23 | 5.05 | NA | XXX | |
| 76380 | 26 | A | CAT scan follow-up study | 0.98 | 0.33 | 0.33 | 0.05 | 1.36 | 1.36 | XXX |
| 76380 | TC | A | CAT scan follow-up study | 0.00 | 3.51 | NA | 0.18 | 3.69 | NA | XXX |
| 76390 | N | Mr spectroscopy | +1.40 | 11.48 | 11.48 | 0.66 | 13.54 | 13.54 | XXX | |
| 76390 | 26 | N | Mr spectroscopy | +1.40 | 0.47 | 0.47 | 0.07 | 1.94 | 1.94 | XXX |
| 76390 | TC | N | Mr spectroscopy | +0.00 | 11.01 | 11.01 | 0.59 | 11.60 | 11.60 | XXX |
| 76393 | A | Mr guidance for needle place | 1.50 | 11.74 | NA | 0.63 | 13.87 | NA | XXX | |
| 76393 | 26 | A | Mr guidance for needle place | 1.50 | 0.50 | 0.50 | 0.08 | 2.08 | 2.08 | XXX |
| 76393 | TC | A | Mr guidance for needle place | 0.00 | 11.24 | NA | 0.55 | 11.79 | NA | XXX |
| 76394 | A | Mri for tissue ablation | 4.24 | 12.63 | NA | 1.79 | 18.66 | NA | XXX | |
| 76394 | 26 | A | Mri for tissue ablation | 4.24 | 1.39 | 1.39 | 0.23 | 5.86 | 5.86 | XXX |
| 76394 | TC | A | Mri for tissue ablation | 0.00 | 11.24 | NA | 1.56 | 12.80 | NA | XXX |
| 76400 | A | Magnetic image, bone marrow | 1.60 | 11.76 | NA | 0.67 | 14.03 | NA | XXX | |
| 76400 | 26 | A | Magnetic image, bone marrow | 1.60 | 0.52 | 0.52 | 0.08 | 2.20 | 2.20 | XXX |
| 76400 | TC | A | Magnetic image, bone marrow | 0.00 | 11.24 | NA | 0.59 | 11.83 | NA | XXX |
| 76490 | D | Us for tissue ablation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76490 | 26 | D | Us for tissue ablation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76490 | TC | D | Us for tissue ablation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76496 | C | Fluoroscopic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76496 | 26 | C | Fluoroscopic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76496 | TC | C | Fluoroscopic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76497 | C | Ct procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76497 | 26 | C | Ct procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76497 | TC | C | Ct procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76498 | C | Mri procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76498 | 26 | C | Mri procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76498 | TC | C | Mri procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76499 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76499 | 26 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76499 | TC | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76506 | A | Echo exam of head | 0.63 | 1.68 | NA | 0.12 | 2.43 | NA | XXX | |
| 76506 | 26 | A | Echo exam of head | 0.63 | 0.25 | 0.25 | 0.04 | 0.92 | 0.92 | XXX |
| 76506 | TC | A | Echo exam of head | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76511 | A | Echo exam of eye | 0.94 | 1.09 | NA | 0.09 | 2.12 | NA | XXX | |
| 76511 | 26 | A | Echo exam of eye | 0.94 | 0.40 | 0.40 | 0.02 | 1.36 | 1.36 | XXX |
| 76511 | TC | A | Echo exam of eye | 0.00 | 0.69 | NA | 0.07 | 0.76 | NA | XXX |
| 76512 | A | Echo exam of eye | 0.66 | 1.02 | NA | 0.11 | 1.79 | NA | XXX | |
| 76512 | 26 | A | Echo exam of eye | 0.66 | 0.30 | 0.30 | 0.01 | 0.97 | 0.97 | XXX |
| 76512 | TC | A | Echo exam of eye | 0.00 | 0.72 | NA | 0.10 | 0.82 | NA | XXX |
| 76513 | A | Echo exam of eye, water bath | 0.66 | 1.10 | NA | 0.11 | 1.87 | NA | XXX | |
| 76513 | 26 | A | Echo exam of eye, water bath | 0.66 | 0.30 | 0.30 | 0.01 | 0.97 | 0.97 | XXX |
| 76513 | TC | A | Echo exam of eye, water bath | 0.00 | 0.80 | NA | 0.10 | 0.90 | NA | XXX |
| 76514 | A | Echo exam of eye, thickness | 0.17 | 0.14 | NA | 0.02 | 0.33 | NA | XXX | |
| 76514 | 26 | A | Echo exam of eye, thickness | 0.17 | 0.08 | 0.08 | 0.01 | 0.26 | 0.26 | XXX |
| 76514 | TC | A | Echo exam of eye, thickness | 0.00 | 0.06 | NA | 0.01 | 0.07 | NA | XXX |
| 76516 | A | Echo exam of eye | 0.54 | 0.73 | NA | 0.08 | 1.35 | NA | XXX | |
| 76516 | 26 | A | Echo exam of eye | 0.54 | 0.25 | 0.25 | 0.01 | 0.80 | 0.80 | XXX |
| 76516 | TC | A | Echo exam of eye | 0.00 | 0.48 | NA | 0.07 | 0.55 | NA | XXX |
| 76519 | A | Echo exam of eye | 0.54 | 0.81 | NA | 0.08 | 1.43 | NA | XXX | |
| 76519 | 26 | A | Echo exam of eye | 0.54 | 0.25 | 0.25 | 0.01 | 0.80 | 0.80 | XXX |
| 76519 | TC | A | Echo exam of eye | 0.00 | 0.56 | NA | 0.07 | 0.63 | NA | XXX |
| 76529 | A | Echo exam of eye | 0.57 | 0.77 | NA | 0.09 | 1.43 | NA | XXX | |
| 76529 | 26 | A | Echo exam of eye | 0.57 | 0.25 | 0.25 | 0.01 | 0.83 | 0.83 | XXX |
| 76529 | TC | A | Echo exam of eye | 0.00 | 0.52 | NA | 0.08 | 0.60 | NA | XXX |
| 76536 | A | Us exam of head and neck | 0.56 | 1.62 | NA | 0.10 | 2.28 | NA | XXX | |
| 76536 | 26 | A | Us exam of head and neck | 0.56 | 0.19 | 0.19 | 0.02 | 0.77 | 0.77 | XXX |
| 76536 | TC | A | Us exam of head and neck | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76604 | A | Us exam, chest, b-scan | 0.55 | 1.49 | NA | 0.09 | 2.13 | NA | XXX | |
| 76604 | 26 | A | Us exam, chest, b-scan | 0.55 | 0.18 | 0.18 | 0.02 | 0.75 | 0.75 | XXX |
| 76604 | TC | A | Us exam, chest, b-scan | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76645 | A | Us exam, breast(s) | 0.54 | 1.24 | NA | 0.10 | 1.88 | NA | XXX | |
| 76645 | 26 | A | Us exam, breast(s) | 0.54 | 0.18 | 0.18 | 0.04 | 0.76 | 0.76 | XXX |
| 76645 | TC | A | Us exam, breast(s) | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 76700 | A | Us exam, abdom, complete | 0.81 | 2.25 | NA | 0.16 | 3.22 | NA | XXX | |
| 76700 | 26 | A | Us exam, abdom, complete | 0.81 | 0.27 | 0.27 | 0.05 | 1.13 | 1.13 | XXX |
| 76700 | TC | A | Us exam, abdom, complete | 0.00 | 1.98 | NA | 0.11 | 2.09 | NA | XXX |
| 76705 | A | Echo exam of abdomen | 0.59 | 1.63 | NA | 0.12 | 2.34 | NA | XXX | |
| 76705 | 26 | A | Echo exam of abdomen | 0.59 | 0.20 | 0.20 | 0.04 | 0.83 | 0.83 | XXX |
| 76705 | TC | A | Echo exam of abdomen | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76770 | A | Us exam abdo back wall, comp | 0.74 | 2.23 | NA | 0.15 | 3.12 | NA | XXX | |
| 76770 | 26 | A | Us exam abdo back wall, comp | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 76770 | TC | A | Us exam abdo back wall, comp | 0.00 | 1.98 | NA | 0.11 | 2.09 | NA | XXX |
| 76775 | A | Us exam abdo back wall, lim | 0.58 | 1.62 | NA | 0.12 | 2.32 | NA | XXX | |
| 76775 | 26 | A | Us exam abdo back wall, lim | 0.58 | 0.19 | 0.19 | 0.04 | 0.81 | 0.81 | XXX |
| 76775 | TC | A | Us exam abdo back wall, lim | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76778 | A | Us exam kidney transplant | 0.74 | 2.23 | NA | 0.15 | 3.12 | NA | XXX | |
| 76778 | 26 | A | Us exam kidney transplant | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 76778 | TC | A | Us exam kidney transplant | 0.00 | 1.98 | NA | 0.11 | 2.09 | NA | XXX |
| 76800 | A | Us exam, spinal canal | 1.13 | 1.78 | NA | 0.13 | 3.04 | NA | XXX | |
| 76800 | 26 | A | Us exam, spinal canal | 1.13 | 0.35 | 0.35 | 0.05 | 1.53 | 1.53 | XXX |
| 76800 | TC | A | Us exam, spinal canal | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76801 | A | Ob us 14 wks, single fetus | 0.99 | 2.45 | NA | 0.17 | 3.61 | NA | XXX | |
| 76801 | 26 | A | Ob us 14 wks, single fetus | 0.99 | 0.35 | 0.35 | 0.05 | 1.39 | 1.39 | XXX |
| 76801 | TC | A | Ob us 14 wks, single fetus | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 76802 | A | Ob us 14 wks, add'l fetus | 0.83 | 1.35 | NA | 0.17 | 2.35 | NA | ZZZ | |
| 76802 | 26 | A | Ob us 14 wks, add'l fetus | 0.83 | 0.29 | 0.29 | 0.05 | 1.17 | 1.17 | ZZZ |
| 76802 | TC | A | Ob us 14 wks, add'l fetus | 0.00 | 1.06 | NA | 0.12 | 1.18 | NA | ZZZ |
| 76805 | A | Ob us /= 14 wks, sngl fetus | 0.99 | 2.45 | NA | 0.17 | 3.61 | NA | XXX | |
| 76805 | 26 | A | Ob us /= 14 wks, sngl fetus | 0.99 | 0.35 | 0.35 | 0.05 | 1.39 | 1.39 | XXX |
| 76805 | TC | A | Ob us /= 14 wks, sngl fetus | 0.00 | 2.10 | NA | 0.12 | 2.22 | NA | XXX |
| 76810 | A | Ob us /= 14 wks, addl fetus | 0.98 | 1.41 | NA | 0.30 | 2.69 | NA | ZZZ | |
| 76810 | 26 | A | Ob us /= 14 wks, addl fetus | 0.98 | 0.35 | 0.35 | 0.08 | 1.41 | 1.41 | ZZZ |
| 76810 | TC | A | Ob us /= 14 wks, addl fetus | 0.00 | 1.06 | NA | 0.22 | 1.28 | NA | ZZZ |
| 76811 | A | Ob us, detailed, sngl fetus | 1.90 | 4.20 | NA | 0.61 | 6.71 | NA | XXX | |
| 76811 | 26 | A | Ob us, detailed, sngl fetus | 1.90 | 0.66 | 0.66 | 0.18 | 2.74 | 2.74 | XXX |
| 76811 | TC | A | Ob us, detailed, sngl fetus | 0.00 | 3.54 | NA | 0.43 | 3.97 | NA | XXX |
| 76812 | A | Ob us, detailed, addl fetus | 1.78 | 1.69 | NA | 0.55 | 4.02 | NA | ZZZ | |
| 76812 | 26 | A | Ob us, detailed, addl fetus | 1.78 | 0.63 | 0.63 | 0.14 | 2.55 | 2.55 | ZZZ |
| 76812 | TC | A | Ob us, detailed, addl fetus | 0.00 | 1.06 | NA | 0.41 | 1.47 | NA | ZZZ |
| 76815 | A | Ob us, limited, fetus(s) | 0.65 | 1.66 | NA | 0.10 | 2.41 | NA | XXX | |
| 76815 | 26 | A | Ob us, limited, fetus(s) | 0.65 | 0.23 | 0.23 | 0.02 | 0.90 | 0.90 | XXX |
| 76815 | TC | A | Ob us, limited, fetus(s) | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76816 | A | Ob us, follow-up, per fetus | 0.85 | 1.44 | NA | 0.08 | 2.37 | NA | XXX | |
| 76816 | 26 | A | Ob us, follow-up, per fetus | 0.85 | 0.32 | 0.32 | 0.02 | 1.19 | 1.19 | XXX |
| 76816 | TC | A | Ob us, follow-up, per fetus | 0.00 | 1.12 | NA | 0.06 | 1.18 | NA | XXX |
| 76817 | A | Transvaginal us, obstetric | 0.75 | 1.80 | NA | 0.08 | 2.63 | NA | XXX | |
| 76817 | 26 | A | Transvaginal us, obstetric | 0.75 | 0.28 | 0.28 | 0.02 | 1.05 | 1.05 | XXX |
| 76817 | TC | A | Transvaginal us, obstetric | 0.00 | 1.52 | NA | 0.06 | 1.58 | NA | XXX |
| 76818 | A | Fetal biophys profile w/nst | 1.05 | 2.00 | NA | 0.15 | 3.20 | NA | XXX | |
| 76818 | 26 | A | Fetal biophys profile w/nst | 1.05 | 0.38 | 0.38 | 0.05 | 1.48 | 1.48 | XXX |
| 76818 | TC | A | Fetal biophys profile w/nst | 0.00 | 1.62 | NA | 0.10 | 1.72 | NA | XXX |
| 76819 | A | Fetal biophys profil w/o nst | 0.77 | 1.90 | NA | 0.12 | 2.79 | NA | XXX | |
| 76819 | 26 | A | Fetal biophys profil w/o nst | 0.77 | 0.28 | 0.28 | 0.02 | 1.07 | 1.07 | XXX |
| 76819 | TC | A | Fetal biophys profil w/o nst | 0.00 | 1.62 | NA | 0.10 | 1.72 | NA | XXX |
| 76825 | A | Echo exam of fetal heart | 1.67 | 2.58 | NA | 0.18 | 4.43 | NA | XXX | |
| 76825 | 26 | A | Echo exam of fetal heart | 1.67 | 0.60 | 0.60 | 0.07 | 2.34 | 2.34 | XXX |
| 76825 | TC | A | Echo exam of fetal heart | 0.00 | 1.98 | NA | 0.11 | 2.09 | NA | XXX |
| 76826 | A | Echo exam of fetal heart | 0.83 | 1.00 | NA | 0.09 | 1.92 | NA | XXX | |
| 76826 | 26 | A | Echo exam of fetal heart | 0.83 | 0.29 | 0.29 | 0.04 | 1.16 | 1.16 | XXX |
| 76826 | TC | A | Echo exam of fetal heart | 0.00 | 0.71 | NA | 0.05 | 0.76 | NA | XXX |
| 76827 | A | Echo exam of fetal heart | 0.58 | 1.95 | NA | 0.14 | 2.67 | NA | XXX | |
| 76827 | 26 | A | Echo exam of fetal heart | 0.58 | 0.22 | 0.22 | 0.02 | 0.82 | 0.82 | XXX |
| 76827 | TC | A | Echo exam of fetal heart | 0.00 | 1.73 | NA | 0.12 | 1.85 | NA | XXX |
| 76828 | A | Echo exam of fetal heart | 0.56 | 1.34 | NA | 0.10 | 2.00 | NA | XXX | |
| 76828 | 26 | A | Echo exam of fetal heart | 0.56 | 0.22 | 0.22 | 0.02 | 0.80 | 0.80 | XXX |
| 76828 | TC | A | Echo exam of fetal heart | 0.00 | 1.12 | NA | 0.08 | 1.20 | NA | XXX |
| 76830 | A | Transvaginal us, non-ob | 0.69 | 1.75 | NA | 0.14 | 2.58 | NA | XXX | |
| 76830 | 26 | A | Transvaginal us, non-ob | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 76830 | TC | A | Transvaginal us, non-ob | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76831 | A | Echo exam, uterus | 0.72 | 1.78 | NA | 0.12 | 2.62 | NA | XXX | |
| 76831 | 26 | A | Echo exam, uterus | 0.72 | 0.26 | 0.26 | 0.02 | 1.00 | 1.00 | XXX |
| 76831 | TC | A | Echo exam, uterus | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76856 | A | Us exam, pelvic, complete | 0.69 | 1.75 | NA | 0.14 | 2.58 | NA | XXX | |
| 76856 | 26 | A | Us exam, pelvic, complete | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 76856 | TC | A | Us exam, pelvic, complete | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76857 | A | Us exam, pelvic, limited | 0.38 | 1.70 | NA | 0.08 | 2.16 | NA | XXX | |
| 76857 | 26 | A | Us exam, pelvic, limited | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 76857 | TC | A | Us exam, pelvic, limited | 0.00 | 1.57 | NA | 0.06 | 1.63 | NA | XXX |
| 76870 | A | Us exam, scrotum | 0.64 | 1.73 | NA | 0.14 | 2.51 | NA | XXX | |
| 76870 | 26 | A | Us exam, scrotum | 0.64 | 0.21 | 0.21 | 0.04 | 0.89 | 0.89 | XXX |
| 76870 | TC | A | Us exam, scrotum | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76872 | A | Us, transrectal | 0.69 | 2.09 | NA | 0.15 | 2.93 | NA | XXX | |
| 76872 | 26 | A | Us, transrectal | 0.69 | 0.23 | 0.23 | 0.05 | 0.97 | 0.97 | XXX |
| 76872 | TC | A | Us, transrectal | 0.00 | 1.86 | NA | 0.10 | 1.96 | NA | XXX |
| 76873 | A | Echograp trans r, pros study | 1.55 | 2.59 | NA | 0.26 | 4.40 | NA | XXX | |
| 76873 | 26 | A | Echograp trans r, pros study | 1.55 | 0.49 | 0.49 | 0.10 | 2.14 | 2.14 | XXX |
| 76873 | TC | A | Echograp trans r, pros study | 0.00 | 2.10 | NA | 0.16 | 2.26 | NA | XXX |
| 76880 | A | Us exam, extremity | 0.59 | 1.63 | NA | 0.12 | 2.34 | NA | XXX | |
| 76880 | 26 | A | Us exam, extremity | 0.59 | 0.20 | 0.20 | 0.04 | 0.83 | 0.83 | XXX |
| 76880 | TC | A | Us exam, extremity | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76885 | A | Us exam infant hips, dynamic | 0.74 | 1.77 | NA | 0.14 | 2.65 | NA | XXX | |
| 76885 | 26 | A | Us exam infant hips, dynamic | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 76885 | TC | A | Us exam infant hips, dynamic | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76886 | A | Us exam infant hips, static | 0.62 | 1.64 | NA | 0.12 | 2.38 | NA | XXX | |
| 76886 | 26 | A | Us exam infant hips, static | 0.62 | 0.21 | 0.21 | 0.04 | 0.87 | 0.87 | XXX |
| 76886 | TC | A | Us exam infant hips, static | 0.00 | 1.43 | NA | 0.08 | 1.51 | NA | XXX |
| 76930 | A | Echo guide, cardiocentesis | 0.67 | 1.78 | NA | 0.12 | 2.57 | NA | XXX | |
| 76930 | 26 | A | Echo guide, cardiocentesis | 0.67 | 0.26 | 0.26 | 0.02 | 0.95 | 0.95 | XXX |
| 76930 | TC | A | Echo guide, cardiocentesis | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76932 | A | Echo guide for heart biopsy | 0.67 | 1.78 | NA | 0.12 | 2.57 | NA | XXX | |
| 76932 | 26 | A | Echo guide for heart biopsy | 0.67 | 0.26 | 0.26 | 0.02 | 0.95 | 0.95 | XXX |
| 76932 | TC | A | Echo guide for heart biopsy | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76936 | A | Echo guide for artery repair | 1.99 | 6.98 | NA | 0.47 | 9.44 | NA | XXX | |
| 76936 | 26 | A | Echo guide for artery repair | 1.99 | 0.66 | 0.66 | 0.13 | 2.78 | 2.78 | XXX |
| 76936 | TC | A | Echo guide for artery repair | 0.00 | 6.32 | NA | 0.34 | 6.66 | NA | XXX |
| 76937 | A | Us guide, vascular access | 0.30 | 0.47 | NA | 0.15 | 0.92 | NA | ZZZ | |
| 76937 | 26 | A | Us guide, vascular access | 0.30 | 0.10 | 0.10 | 0.05 | 0.45 | 0.45 | ZZZ |
| 76937 | TC | A | Us guide, vascular access | 0.00 | 0.37 | NA | 0.10 | 0.47 | NA | ZZZ |
| 76940 | A | Us guide, tissue ablation | 2.00 | 2.17 | NA | 0.42 | 4.59 | NA | XXX | |
| 76940 | 26 | A | Us guide, tissue ablation | 2.00 | 0.65 | 0.65 | 0.13 | 2.78 | 2.78 | XXX |
| 76940 | TC | A | Us guide, tissue ablation | 0.00 | 1.52 | NA | 0.29 | 1.81 | NA | XXX |
| 76941 | A | Echo guide for transfusion | 1.34 | 2.00 | NA | 0.15 | 3.49 | NA | XXX | |
| 76941 | 26 | A | Echo guide for transfusion | 1.34 | 0.47 | 0.47 | 0.07 | 1.88 | 1.88 | XXX |
| 76941 | TC | A | Echo guide for transfusion | 0.00 | 1.53 | NA | 0.08 | 1.61 | NA | XXX |
| 76942 | A | Echo guide for biopsy | 0.67 | 2.76 | NA | 0.15 | 3.58 | NA | XXX | |
| 76942 | 26 | A | Echo guide for biopsy | 0.67 | 0.22 | 0.22 | 0.05 | 0.94 | 0.94 | XXX |
| 76942 | TC | A | Echo guide for biopsy | 0.00 | 2.54 | NA | 0.10 | 2.64 | NA | XXX |
| 76945 | A | Echo guide, villus sampling | 0.67 | 1.76 | NA | 0.12 | 2.55 | NA | XXX | |
| 76945 | 26 | A | Echo guide, villus sampling | 0.67 | 0.23 | 0.23 | 0.04 | 0.94 | 0.94 | XXX |
| 76945 | TC | A | Echo guide, villus sampling | 0.00 | 1.53 | NA | 0.08 | 1.61 | NA | XXX |
| 76946 | A | Echo guide for amniocentesis | 0.38 | 1.66 | NA | 0.11 | 2.15 | NA | XXX | |
| 76946 | 26 | A | Echo guide for amniocentesis | 0.38 | 0.14 | 0.14 | 0.01 | 0.53 | 0.53 | XXX |
| 76946 | TC | A | Echo guide for amniocentesis | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76948 | A | Echo guide, ova aspiration | 0.38 | 1.65 | NA | 0.12 | 2.15 | NA | XXX | |
| 76948 | 26 | A | Echo guide, ova aspiration | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 76948 | TC | A | Echo guide, ova aspiration | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76950 | A | Echo guidance radiotherapy | 0.58 | 1.50 | NA | 0.11 | 2.19 | NA | XXX | |
| 76950 | 26 | A | Echo guidance radiotherapy | 0.58 | 0.19 | 0.19 | 0.04 | 0.81 | 0.81 | XXX |
| 76950 | TC | A | Echo guidance radiotherapy | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 76965 | A | Echo guidance radiotherapy | 1.34 | 6.01 | NA | 0.37 | 7.72 | NA | XXX | |
| 76965 | 26 | A | Echo guidance radiotherapy | 1.34 | 0.42 | 0.42 | 0.08 | 1.84 | 1.84 | XXX |
| 76965 | TC | A | Echo guidance radiotherapy | 0.00 | 5.59 | NA | 0.29 | 5.88 | NA | XXX |
| 76970 | A | Ultrasound exam follow-up | 0.40 | 1.19 | NA | 0.08 | 1.67 | NA | XXX | |
| 76970 | 26 | A | Ultrasound exam follow-up | 0.40 | 0.13 | 0.13 | 0.02 | 0.55 | 0.55 | XXX |
| 76970 | TC | A | Ultrasound exam follow-up | 0.00 | 1.06 | NA | 0.06 | 1.12 | NA | XXX |
| 76975 | A | GI endoscopic ultrasound | 0.81 | 1.80 | NA | 0.14 | 2.75 | NA | XXX | |
| 76975 | 26 | A | GI endoscopic ultrasound | 0.81 | 0.28 | 0.28 | 0.04 | 1.13 | 1.13 | XXX |
| 76975 | TC | A | GI endoscopic ultrasound | 0.00 | 1.52 | NA | 0.10 | 1.62 | NA | XXX |
| 76977 | A | Us bone density measure | 0.05 | 0.85 | NA | 0.06 | 0.96 | NA | XXX | |
| 76977 | 26 | A | Us bone density measure | 0.05 | 0.02 | 0.02 | 0.01 | 0.08 | 0.08 | XXX |
| 76977 | TC | A | Us bone density measure | 0.00 | 0.83 | NA | 0.05 | 0.88 | NA | XXX |
| 76986 | A | Ultrasound guide intraoper | 1.20 | 3.02 | NA | 0.22 | 4.44 | NA | XXX | |
| 76986 | 26 | A | Ultrasound guide intraoper | 1.20 | 0.40 | 0.40 | 0.08 | 1.68 | 1.68 | XXX |
| 76986 | TC | A | Ultrasound guide intraoper | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 76999 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76999 | 26 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76999 | TC | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77261 | A | Radiation therapy planning | 1.39 | 0.51 | 0.51 | 0.07 | 1.97 | 1.97 | XXX | |
| 77262 | A | Radiation therapy planning | 2.11 | 0.75 | 0.75 | 0.11 | 2.97 | 2.97 | XXX | |
| 77263 | A | Radiation therapy planning | 3.14 | 1.12 | 1.12 | 0.16 | 4.42 | 4.42 | XXX | |
| 77280 | A | Set radiation therapy field | 0.70 | 3.70 | NA | 0.22 | 4.62 | NA | XXX | |
| 77280 | 26 | A | Set radiation therapy field | 0.70 | 0.22 | 0.22 | 0.04 | 0.96 | 0.96 | XXX |
| 77280 | TC | A | Set radiation therapy field | 0.00 | 3.48 | NA | 0.18 | 3.66 | NA | XXX |
| 77285 | A | Set radiation therapy field | 1.05 | 5.93 | NA | 0.35 | 7.33 | NA | XXX | |
| 77285 | 26 | A | Set radiation therapy field | 1.05 | 0.34 | 0.34 | 0.05 | 1.44 | 1.44 | XXX |
| 77285 | TC | A | Set radiation therapy field | 0.00 | 5.59 | NA | 0.30 | 5.89 | NA | XXX |
| 77290 | A | Set radiation therapy field | 1.56 | 7.02 | NA | 0.42 | 9.00 | NA | XXX | |
| 77290 | 26 | A | Set radiation therapy field | 1.56 | 0.49 | 0.49 | 0.07 | 2.12 | 2.12 | XXX |
| 77290 | TC | A | Set radiation therapy field | 0.00 | 6.53 | NA | 0.35 | 6.88 | NA | XXX |
| 77295 | A | Set radiation therapy field | 4.56 | 29.48 | NA | 1.70 | 35.74 | NA | XXX | |
| 77295 | 26 | A | Set radiation therapy field | 4.56 | 1.45 | 1.45 | 0.22 | 6.23 | 6.23 | XXX |
| 77295 | TC | A | Set radiation therapy field | 0.00 | 28.03 | NA | 1.48 | 29.51 | NA | XXX |
| 77299 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77299 | 26 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77299 | TC | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77300 | A | Radiation therapy dose plan | 0.62 | 1.55 | NA | 0.11 | 2.28 | NA | XXX | |
| 77300 | 26 | A | Radiation therapy dose plan | 0.62 | 0.20 | 0.20 | 0.04 | 0.86 | 0.86 | XXX |
| 77300 | TC | A | Radiation therapy dose plan | 0.00 | 1.35 | NA | 0.07 | 1.42 | NA | XXX |
| 77301 | A | Radiotherapy dose plan, imrt | 7.99 | 30.57 | NA | 1.70 | 40.26 | NA | XXX | |
| 77301 | 26 | A | Radiotherapy dose plan, imrt | 7.99 | 2.54 | 2.54 | 0.22 | 10.75 | 10.75 | XXX |
| 77301 | TC | A | Radiotherapy dose plan, imrt | 0.00 | 28.03 | NA | 1.48 | 29.51 | NA | XXX |
| 77305 | A | Teletx isodose plan simple | 0.70 | 2.10 | NA | 0.15 | 2.95 | NA | XXX | |
| 77305 | 26 | A | Teletx isodose plan simple | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| 77305 | TC | A | Teletx isodose plan simple | 0.00 | 1.87 | NA | 0.11 | 1.98 | NA | XXX |
| 77310 | A | Teletx isodose plan intermed | 1.05 | 2.68 | NA | 0.18 | 3.91 | NA | XXX | |
| 77310 | 26 | A | Teletx isodose plan intermed | 1.05 | 0.34 | 0.34 | 0.05 | 1.44 | 1.44 | XXX |
| 77310 | TC | A | Teletx isodose plan intermed | 0.00 | 2.34 | NA | 0.13 | 2.47 | NA | XXX |
| 77315 | A | Teletx isodose plan complex | 1.56 | 3.15 | NA | 0.21 | 4.92 | NA | XXX | |
| 77315 | 26 | A | Teletx isodose plan complex | 1.56 | 0.49 | 0.49 | 0.07 | 2.12 | 2.12 | XXX |
| 77315 | TC | A | Teletx isodose plan complex | 0.00 | 2.66 | NA | 0.14 | 2.80 | NA | XXX |
| 77321 | A | Special teletx port plan | 0.95 | 4.37 | NA | 0.26 | 5.58 | NA | XXX | |
| 77321 | 26 | A | Special teletx port plan | 0.95 | 0.31 | 0.31 | 0.05 | 1.31 | 1.31 | XXX |
| 77321 | TC | A | Special teletx port plan | 0.00 | 4.06 | NA | 0.21 | 4.27 | NA | XXX |
| 77326 | A | Brachytx isodose calc simp | 0.93 | 2.67 | NA | 0.18 | 3.78 | NA | XXX | |
| 77326 | 26 | A | Brachytx isodose calc simp | 0.93 | 0.30 | 0.30 | 0.05 | 1.28 | 1.28 | XXX |
| 77326 | TC | A | Brachytx isodose calc simp | 0.00 | 2.37 | NA | 0.13 | 2.50 | NA | XXX |
| 77327 | A | Brachytx isodose calc interm | 1.39 | 3.92 | NA | 0.25 | 5.56 | NA | XXX | |
| 77327 | 26 | A | Brachytx isodose calc interm | 1.39 | 0.44 | 0.44 | 0.07 | 1.90 | 1.90 | XXX |
| 77327 | TC | A | Brachytx isodose calc interm | 0.00 | 3.48 | NA | 0.18 | 3.66 | NA | XXX |
| 77328 | A | Brachytx isodose plan compl | 2.09 | 5.63 | NA | 0.36 | 8.08 | NA | XXX | |
| 77328 | 26 | A | Brachytx isodose plan compl | 2.09 | 0.66 | 0.66 | 0.11 | 2.86 | 2.86 | XXX |
| 77328 | TC | A | Brachytx isodose plan compl | 0.00 | 4.97 | NA | 0.25 | 5.22 | NA | XXX |
| 77331 | A | Special radiation dosimetry | 0.87 | 0.78 | NA | 0.07 | 1.72 | NA | XXX | |
| 77331 | 26 | A | Special radiation dosimetry | 0.87 | 0.28 | 0.28 | 0.05 | 1.20 | 1.20 | XXX |
| 77331 | TC | A | Special radiation dosimetry | 0.00 | 0.50 | NA | 0.02 | 0.52 | NA | XXX |
| 77332 | A | Radiation treatment aid(s) | 0.54 | 1.52 | NA | 0.09 | 2.15 | NA | XXX | |
| 77332 | 26 | A | Radiation treatment aid(s) | 0.54 | 0.17 | 0.17 | 0.02 | 0.73 | 0.73 | XXX |
| 77332 | TC | A | Radiation treatment aid(s) | 0.00 | 1.35 | NA | 0.07 | 1.42 | NA | XXX |
| 77333 | A | Radiation treatment aid(s) | 0.84 | 2.17 | NA | 0.16 | 3.17 | NA | XXX | |
| 77333 | 26 | A | Radiation treatment aid(s) | 0.84 | 0.27 | 0.27 | 0.05 | 1.16 | 1.16 | XXX |
| 77333 | TC | A | Radiation treatment aid(s) | 0.00 | 1.90 | NA | 0.11 | 2.01 | NA | XXX |
| 77334 | A | Radiation treatment aid(s) | 1.24 | 3.65 | NA | 0.23 | 5.12 | NA | XXX | |
| 77334 | 26 | A | Radiation treatment aid(s) | 1.24 | 0.39 | 0.39 | 0.06 | 1.69 | 1.69 | XXX |
| 77334 | TC | A | Radiation treatment aid(s) | 0.00 | 3.26 | NA | 0.17 | 3.43 | NA | XXX |
| 77336 | A | Radiation physics consult | 0.00 | 2.99 | NA | 0.16 | 3.15 | NA | XXX | |
| 77370 | A | Radiation physics consult | 0.00 | 3.50 | NA | 0.18 | 3.68 | NA | XXX | |
| 77399 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77399 | 26 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77399 | TC | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77401 | A | Radiation treatment delivery | 0.00 | 1.78 | NA | 0.11 | 1.89 | NA | XXX | |
| 77402 | A | Radiation treatment delivery | 0.00 | 1.78 | NA | 0.11 | 1.89 | NA | XXX | |
| 77403 | A | Radiation treatment delivery | 0.00 | 1.78 | NA | 0.11 | 1.89 | NA | XXX | |
| 77404 | A | Radiation treatment delivery | 0.00 | 1.78 | NA | 0.11 | 1.89 | NA | XXX | |
| 77406 | A | Radiation treatment delivery | 0.00 | 1.78 | NA | 0.11 | 1.89 | NA | XXX | |
| 77407 | A | Radiation treatment delivery | 0.00 | 2.09 | NA | 0.12 | 2.21 | NA | XXX | |
| 77408 | A | Radiation treatment delivery | 0.00 | 2.09 | NA | 0.12 | 2.21 | NA | XXX | |
| 77409 | A | Radiation treatment delivery | 0.00 | 2.09 | NA | 0.12 | 2.21 | NA | XXX | |
| 77411 | A | Radiation treatment delivery | 0.00 | 2.09 | NA | 0.12 | 2.21 | NA | XXX | |
| 77412 | A | Radiation treatment delivery | 0.00 | 2.34 | NA | 0.13 | 2.47 | NA | XXX | |
| 77413 | A | Radiation treatment delivery | 0.00 | 2.34 | NA | 0.13 | 2.47 | NA | XXX | |
| 77414 | A | Radiation treatment delivery | 0.00 | 2.34 | NA | 0.13 | 2.47 | NA | XXX | |
| 77416 | A | Radiation treatment delivery | 0.00 | 2.34 | NA | 0.13 | 2.47 | NA | XXX | |
| 77417 | A | Radiology port film(s) | 0.00 | 0.59 | NA | 0.04 | 0.63 | NA | XXX | |
| 77418 | A | Radiation tx delivery, imrt | 0.00 | 18.05 | NA | 0.13 | 18.18 | NA | XXX | |
| 77427 | A | Radiation tx management, x5 | 3.31 | 1.05 | 1.05 | 0.17 | 4.53 | 4.53 | XXX | |
| 77431 | A | Radiation therapy management | 1.81 | 0.68 | 0.68 | 0.08 | 2.57 | 2.57 | XXX | |
| 77432 | A | Stereotactic radiation trmt | 7.92 | 2.91 | 2.91 | 0.40 | 11.23 | 11.23 | XXX | |
| 77470 | A | Special radiation treatment | 2.09 | 11.85 | NA | 0.70 | 14.64 | NA | XXX | |
| 77470 | 26 | A | Special radiation treatment | 2.09 | 0.66 | 0.66 | 0.11 | 2.86 | 2.86 | XXX |
| 77470 | TC | A | Special radiation treatment | 0.00 | 11.19 | NA | 0.59 | 11.78 | NA | XXX |
| 77499 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77499 | 26 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77499 | TC | C | Radiation therapy management | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 77522 | C | Proton trmt, simple w/comp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77523 | C | Proton trmt, intermediate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77525 | C | Proton treatment, complex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77600 | R | Hyperthermia treatment | 1.56 | 3.55 | NA | 0.26 | 5.37 | NA | XXX | |
| 77600 | 26 | R | Hyperthermia treatment | 1.56 | 0.49 | 0.49 | 0.10 | 2.15 | 2.15 | XXX |
| 77600 | TC | R | Hyperthermia treatment | 0.00 | 3.06 | NA | 0.16 | 3.22 | NA | XXX |
| 77605 | R | Hyperthermia treatment | 2.09 | 4.74 | NA | 0.38 | 7.21 | NA | XXX | |
| 77605 | 26 | R | Hyperthermia treatment | 2.09 | 0.66 | 0.66 | 0.16 | 2.91 | 2.91 | XXX |
| 77605 | TC | R | Hyperthermia treatment | 0.00 | 4.08 | NA | 0.22 | 4.30 | NA | XXX |
| 77610 | R | Hyperthermia treatment | 1.56 | 3.56 | NA | 0.24 | 5.36 | NA | XXX | |
| 77610 | 26 | R | Hyperthermia treatment | 1.56 | 0.50 | 0.50 | 0.08 | 2.14 | 2.14 | XXX |
| 77610 | TC | R | Hyperthermia treatment | 0.00 | 3.06 | NA | 0.16 | 3.22 | NA | XXX |
| 77615 | R | Hyperthermia treatment | 2.09 | 4.74 | NA | 0.33 | 7.16 | NA | XXX | |
| 77615 | 26 | R | Hyperthermia treatment | 2.09 | 0.66 | 0.66 | 0.11 | 2.86 | 2.86 | XXX |
| 77615 | TC | R | Hyperthermia treatment | 0.00 | 4.08 | NA | 0.22 | 4.30 | NA | XXX |
| 77620 | R | Hyperthermia treatment | 1.56 | 3.57 | NA | 0.23 | 5.36 | NA | XXX | |
| 77620 | 26 | R | Hyperthermia treatment | 1.56 | 0.51 | 0.51 | 0.07 | 2.14 | 2.14 | XXX |
| 77620 | TC | R | Hyperthermia treatment | 0.00 | 3.06 | NA | 0.16 | 3.22 | NA | XXX |
| 77750 | A | Infuse radioactive materials | 4.90 | 2.91 | NA | 0.28 | 8.09 | NA | 090 | |
| 77750 | 26 | A | Infuse radioactive materials | 4.90 | 1.57 | 1.57 | 0.21 | 6.68 | 6.68 | 090 |
| 77750 | TC | A | Infuse radioactive materials | 0.00 | 1.34 | NA | 0.07 | 1.41 | NA | 090 |
| 77761 | A | Apply intrcav radiat simple | 3.80 | 3.62 | NA | 0.33 | 7.75 | NA | 090 | |
| 77761 | 26 | A | Apply intrcav radiat simple | 3.80 | 1.10 | 1.10 | 0.19 | 5.09 | 5.09 | 090 |
| 77761 | TC | A | Apply intrcav radiat simple | 0.00 | 2.52 | NA | 0.14 | 2.66 | NA | 090 |
| 77762 | A | Apply intrcav radiat interm | 5.71 | 5.45 | NA | 0.46 | 11.62 | NA | 090 | |
| 77762 | 26 | A | Apply intrcav radiat interm | 5.71 | 1.83 | 1.83 | 0.27 | 7.81 | 7.81 | 090 |
| 77762 | TC | A | Apply intrcav radiat interm | 0.00 | 3.62 | NA | 0.19 | 3.81 | NA | 090 |
| 77763 | A | Apply intrcav radiat compl | 8.56 | 7.22 | NA | 0.64 | 16.42 | NA | 090 | |
| 77763 | 26 | A | Apply intrcav radiat compl | 8.56 | 2.72 | 2.72 | 0.41 | 11.69 | 11.69 | 090 |
| 77763 | TC | A | Apply intrcav radiat compl | 0.00 | 4.50 | NA | 0.23 | 4.73 | NA | 090 |
| 77776 | A | Apply interstit radiat simpl | 4.65 | 3.14 | NA | 0.42 | 8.21 | NA | 090 | |
| 77776 | 26 | A | Apply interstit radiat simpl | 4.65 | 0.96 | 0.96 | 0.29 | 5.90 | 5.90 | 090 |
| 77776 | TC | A | Apply interstit radiat simpl | 0.00 | 2.18 | NA | 0.13 | 2.31 | NA | 090 |
| 77777 | A | Apply interstit radiat inter | 7.47 | 6.61 | NA | 0.61 | 14.69 | NA | 090 | |
| 77777 | 26 | A | Apply interstit radiat inter | 7.47 | 2.36 | 2.36 | 0.39 | 10.22 | 10.22 | 090 |
| 77777 | TC | A | Apply interstit radiat inter | 0.00 | 4.25 | NA | 0.22 | 4.47 | NA | 090 |
| 77778 | A | Apply interstit radiat compl | 11.17 | 8.69 | NA | 0.84 | 20.70 | NA | 090 | |
| 77778 | 26 | A | Apply interstit radiat compl | 11.17 | 3.54 | 3.54 | 0.57 | 15.28 | 15.28 | 090 |
| 77778 | TC | A | Apply interstit radiat compl | 0.00 | 5.15 | NA | 0.27 | 5.42 | NA | 090 |
| 77781 | A | High intensity brachytherapy | 1.66 | 20.91 | NA | 1.14 | 23.71 | NA | 090 | |
| 77781 | 26 | A | High intensity brachytherapy | 1.66 | 0.53 | 0.53 | 0.08 | 2.27 | 2.27 | 090 |
| 77781 | TC | A | High intensity brachytherapy | 0.00 | 20.38 | NA | 1.06 | 21.44 | NA | 090 |
| 77782 | A | High intensity brachytherapy | 2.49 | 21.18 | NA | 1.18 | 24.85 | NA | 090 | |
| 77782 | 26 | A | High intensity brachytherapy | 2.49 | 0.80 | 0.80 | 0.12 | 3.41 | 3.41 | 090 |
| 77782 | TC | A | High intensity brachytherapy | 0.00 | 20.38 | NA | 1.06 | 21.44 | NA | 090 |
| 77783 | A | High intensity brachytherapy | 3.72 | 21.56 | NA | 1.24 | 26.52 | NA | 090 | |
| 77783 | 26 | A | High intensity brachytherapy | 3.72 | 1.18 | 1.18 | 0.18 | 5.08 | 5.08 | 090 |
| 77783 | TC | A | High intensity brachytherapy | 0.00 | 20.38 | NA | 1.06 | 21.44 | NA | 090 |
| 77784 | A | High intensity brachytherapy | 5.60 | 22.16 | NA | 1.33 | 29.09 | NA | 090 | |
| 77784 | 26 | A | High intensity brachytherapy | 5.60 | 1.78 | 1.78 | 0.27 | 7.65 | 7.65 | 090 |
| 77784 | TC | A | High intensity brachytherapy | 0.00 | 20.38 | NA | 1.06 | 21.44 | NA | 090 |
| 77789 | A | Apply surface radiation | 1.12 | 0.82 | NA | 0.06 | 2.00 | NA | 000 | |
| 77789 | 26 | A | Apply surface radiation | 1.12 | 0.37 | 0.37 | 0.04 | 1.53 | 1.53 | 000 |
| 77789 | TC | A | Apply surface radiation | 0.00 | 0.45 | NA | 0.02 | 0.47 | NA | 000 |
| 77790 | A | Radiation handling | 1.05 | 0.84 | NA | 0.07 | 1.96 | NA | XXX | |
| 77790 | 26 | A | Radiation handling | 1.05 | 0.34 | 0.34 | 0.05 | 1.44 | 1.44 | XXX |
| 77790 | TC | A | Radiation handling | 0.00 | 0.50 | NA | 0.02 | 0.52 | NA | XXX |
| 77799 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77799 | 26 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77799 | TC | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78000 | A | Thyroid, single uptake | 0.19 | 1.04 | NA | 0.07 | 1.30 | NA | XXX | |
| 78000 | 26 | A | Thyroid, single uptake | 0.19 | 0.07 | 0.07 | 0.01 | 0.27 | 0.27 | XXX |
| 78000 | TC | A | Thyroid, single uptake | 0.00 | 0.97 | NA | 0.06 | 1.03 | NA | XXX |
| 78001 | A | Thyroid, multiple uptakes | 0.26 | 1.40 | NA | 0.08 | 1.74 | NA | XXX | |
| 78001 | 26 | A | Thyroid, multiple uptakes | 0.26 | 0.09 | 0.09 | 0.01 | 0.36 | 0.36 | XXX |
| 78001 | TC | A | Thyroid, multiple uptakes | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 78003 | A | Thyroid suppress/stimul | 0.33 | 1.08 | NA | 0.07 | 1.48 | NA | XXX | |
| 78003 | 26 | A | Thyroid suppress/stimul | 0.33 | 0.11 | 0.11 | 0.01 | 0.45 | 0.45 | XXX |
| 78003 | TC | A | Thyroid suppress/stimul | 0.00 | 0.97 | NA | 0.06 | 1.03 | NA | XXX |
| 78006 | A | Thyroid imaging with uptake | 0.49 | 2.56 | NA | 0.15 | 3.20 | NA | XXX | |
| 78006 | 26 | A | Thyroid imaging with uptake | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78006 | TC | A | Thyroid imaging with uptake | 0.00 | 2.39 | NA | 0.13 | 2.52 | NA | XXX |
| 78007 | A | Thyroid image, mult uptakes | 0.50 | 2.76 | NA | 0.16 | 3.42 | NA | XXX | |
| 78007 | 26 | A | Thyroid image, mult uptakes | 0.50 | 0.17 | 0.17 | 0.02 | 0.69 | 0.69 | XXX |
| 78007 | TC | A | Thyroid image, mult uptakes | 0.00 | 2.59 | NA | 0.14 | 2.73 | NA | XXX |
| 78010 | A | Thyroid imaging | 0.39 | 1.96 | NA | 0.13 | 2.48 | NA | XXX | |
| 78010 | 26 | A | Thyroid imaging | 0.39 | 0.13 | 0.13 | 0.02 | 0.54 | 0.54 | XXX |
| 78010 | TC | A | Thyroid imaging | 0.00 | 1.83 | NA | 0.11 | 1.94 | NA | XXX |
| 78011 | A | Thyroid imaging with flow | 0.45 | 2.57 | NA | 0.15 | 3.17 | NA | XXX | |
| 78011 | 26 | A | Thyroid imaging with flow | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 78011 | TC | A | Thyroid imaging with flow | 0.00 | 2.42 | NA | 0.13 | 2.55 | NA | XXX |
| 78015 | A | Thyroid met imaging | 0.67 | 2.82 | NA | 0.18 | 3.67 | NA | XXX | |
| 78015 | 26 | A | Thyroid met imaging | 0.67 | 0.23 | 0.23 | 0.04 | 0.94 | 0.94 | XXX |
| 78015 | TC | A | Thyroid met imaging | 0.00 | 2.59 | NA | 0.14 | 2.73 | NA | XXX |
| 78016 | A | Thyroid met imaging/studies | 0.82 | 3.78 | NA | 0.22 | 4.82 | NA | XXX | |
| 78016 | 26 | A | Thyroid met imaging/studies | 0.82 | 0.29 | 0.29 | 0.04 | 1.15 | 1.15 | XXX |
| 78016 | TC | A | Thyroid met imaging/studies | 0.00 | 3.49 | NA | 0.18 | 3.67 | NA | XXX |
| 78018 | A | Thyroid met imaging, body | 0.86 | 5.75 | NA | 0.33 | 6.94 | NA | XXX | |
| 78018 | 26 | A | Thyroid met imaging, body | 0.86 | 0.30 | 0.30 | 0.04 | 1.20 | 1.20 | XXX |
| 78018 | TC | A | Thyroid met imaging, body | 0.00 | 5.45 | NA | 0.29 | 5.74 | NA | XXX |
| 78020 | A | Thyroid met uptake | 0.60 | 1.52 | NA | 0.16 | 2.28 | NA | ZZZ | |
| 78020 | 26 | A | Thyroid met uptake | 0.60 | 0.21 | 0.21 | 0.02 | 0.83 | 0.83 | ZZZ |
| 78020 | TC | A | Thyroid met uptake | 0.00 | 1.31 | NA | 0.14 | 1.45 | NA | ZZZ |
| 78070 | A | Parathyroid nuclear imaging | 0.82 | 2.11 | NA | 0.15 | 3.08 | NA | XXX | |
| 78070 | 26 | A | Parathyroid nuclear imaging | 0.82 | 0.28 | 0.28 | 0.04 | 1.14 | 1.14 | XXX |
| 78070 | TC | A | Parathyroid nuclear imaging | 0.00 | 1.83 | NA | 0.11 | 1.94 | NA | XXX |
| 78075 | A | Adrenal nuclear imaging | 0.74 | 5.72 | NA | 0.33 | 6.79 | NA | XXX | |
| 78075 | 26 | A | Adrenal nuclear imaging | 0.74 | 0.27 | 0.27 | 0.04 | 1.05 | 1.05 | XXX |
| 78075 | TC | A | Adrenal nuclear imaging | 0.00 | 5.45 | NA | 0.29 | 5.74 | NA | XXX |
| 78099 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78099 | 26 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78099 | TC | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78102 | A | Bone marrow imaging, ltd | 0.55 | 2.24 | NA | 0.14 | 2.93 | NA | XXX | |
| 78102 | 26 | A | Bone marrow imaging, ltd | 0.55 | 0.20 | 0.20 | 0.02 | 0.77 | 0.77 | XXX |
| 78102 | TC | A | Bone marrow imaging, ltd | 0.00 | 2.04 | NA | 0.12 | 2.16 | NA | XXX |
| 78103 | A | Bone marrow imaging, mult | 0.75 | 3.44 | NA | 0.21 | 4.40 | NA | XXX | |
| 78103 | 26 | A | Bone marrow imaging, mult | 0.75 | 0.26 | 0.26 | 0.04 | 1.05 | 1.05 | XXX |
| 78103 | TC | A | Bone marrow imaging, mult | 0.00 | 3.18 | NA | 0.17 | 3.35 | NA | XXX |
| 78104 | A | Bone marrow imaging, body | 0.80 | 4.36 | NA | 0.26 | 5.42 | NA | XXX | |
| 78104 | 26 | A | Bone marrow imaging, body | 0.80 | 0.27 | 0.27 | 0.04 | 1.11 | 1.11 | XXX |
| 78104 | TC | A | Bone marrow imaging, body | 0.00 | 4.09 | NA | 0.22 | 4.31 | NA | XXX |
| 78110 | A | Plasma volume, single | 0.19 | 1.02 | NA | 0.07 | 1.28 | NA | XXX | |
| 78110 | 26 | A | Plasma volume, single | 0.19 | 0.07 | 0.07 | 0.01 | 0.27 | 0.27 | XXX |
| 78110 | TC | A | Plasma volume, single | 0.00 | 0.95 | NA | 0.06 | 1.01 | NA | XXX |
| 78111 | A | Plasma volume, multiple | 0.22 | 2.67 | NA | 0.15 | 3.04 | NA | XXX | |
| 78111 | 26 | A | Plasma volume, multiple | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 78111 | TC | A | Plasma volume, multiple | 0.00 | 2.59 | NA | 0.14 | 2.73 | NA | XXX |
| 78120 | A | Red cell mass, single | 0.23 | 1.82 | NA | 0.12 | 2.17 | NA | XXX | |
| 78120 | 26 | A | Red cell mass, single | 0.23 | 0.08 | 0.08 | 0.01 | 0.32 | 0.32 | XXX |
| 78120 | TC | A | Red cell mass, single | 0.00 | 1.74 | NA | 0.11 | 1.85 | NA | XXX |
| 78121 | A | Red cell mass, multiple | 0.32 | 3.03 | NA | 0.15 | 3.50 | NA | XXX | |
| 78121 | 26 | A | Red cell mass, multiple | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 78121 | TC | A | Red cell mass, multiple | 0.00 | 2.92 | NA | 0.14 | 3.06 | NA | XXX |
| 78122 | A | Blood volume | 0.45 | 4.78 | NA | 0.26 | 5.49 | NA | XXX | |
| 78122 | 26 | A | Blood volume | 0.45 | 0.16 | 0.16 | 0.02 | 0.63 | 0.63 | XXX |
| 78122 | TC | A | Blood volume | 0.00 | 4.62 | NA | 0.24 | 4.86 | NA | XXX |
| 78130 | A | Red cell survival study | 0.61 | 3.07 | NA | 0.18 | 3.86 | NA | XXX | |
| 78130 | 26 | A | Red cell survival study | 0.61 | 0.21 | 0.21 | 0.04 | 0.86 | 0.86 | XXX |
| 78130 | TC | A | Red cell survival study | 0.00 | 2.86 | NA | 0.14 | 3.00 | NA | XXX |
| 78135 | A | Red cell survival kinetics | 0.64 | 5.11 | NA | 0.29 | 6.04 | NA | XXX | |
| 78135 | 26 | A | Red cell survival kinetics | 0.64 | 0.22 | 0.22 | 0.04 | 0.90 | 0.90 | XXX |
| 78135 | TC | A | Red cell survival kinetics | 0.00 | 4.89 | NA | 0.25 | 5.14 | NA | XXX |
| 78140 | A | Red cell sequestration | 0.61 | 4.15 | NA | 0.25 | 5.01 | NA | XXX | |
| 78140 | 26 | A | Red cell sequestration | 0.61 | 0.20 | 0.20 | 0.04 | 0.85 | 0.85 | XXX |
| 78140 | TC | A | Red cell sequestration | 0.00 | 3.95 | NA | 0.21 | 4.16 | NA | XXX |
| 78160 | A | Plasma iron turnover | 0.33 | 3.80 | NA | 0.23 | 4.36 | NA | XXX | |
| 78160 | 26 | A | Plasma iron turnover | 0.33 | 0.12 | 0.12 | 0.04 | 0.49 | 0.49 | XXX |
| 78160 | TC | A | Plasma iron turnover | 0.00 | 3.68 | NA | 0.19 | 3.87 | NA | XXX |
| 78162 | A | Radioiron absorption exam | 0.45 | 3.40 | NA | 0.18 | 4.03 | NA | XXX | |
| 78162 | 26 | A | Radioiron absorption exam | 0.45 | 0.19 | 0.19 | 0.01 | 0.65 | 0.65 | XXX |
| 78162 | TC | A | Radioiron absorption exam | 0.00 | 3.21 | NA | 0.17 | 3.38 | NA | XXX |
| 78170 | A | Red cell iron utilization | 0.41 | 5.47 | NA | 0.33 | 6.21 | NA | XXX | |
| 78170 | 26 | A | Red cell iron utilization | 0.41 | 0.14 | 0.14 | 0.05 | 0.60 | 0.60 | XXX |
| 78170 | TC | A | Red cell iron utilization | 0.00 | 5.33 | NA | 0.28 | 5.61 | NA | XXX |
| 78172 | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78172 | 26 | A | Total body iron estimation | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 78172 | TC | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78185 | A | Spleen imaging | 0.40 | 2.51 | NA | 0.15 | 3.06 | NA | XXX | |
| 78185 | 26 | A | Spleen imaging | 0.40 | 0.14 | 0.14 | 0.02 | 0.56 | 0.56 | XXX |
| 78185 | TC | A | Spleen imaging | 0.00 | 2.37 | NA | 0.13 | 2.50 | NA | XXX |
| 78190 | A | Platelet survival, kinetics | 1.09 | 6.12 | NA | 0.37 | 7.58 | NA | XXX | |
| 78190 | 26 | A | Platelet survival, kinetics | 1.09 | 0.39 | 0.39 | 0.07 | 1.55 | 1.55 | XXX |
| 78190 | TC | A | Platelet survival, kinetics | 0.00 | 5.73 | NA | 0.30 | 6.03 | NA | XXX |
| 78191 | A | Platelet survival | 0.61 | 7.56 | NA | 0.41 | 8.58 | NA | XXX | |
| 78191 | 26 | A | Platelet survival | 0.61 | 0.20 | 0.20 | 0.04 | 0.85 | 0.85 | XXX |
| 78191 | TC | A | Platelet survival | 0.00 | 7.36 | NA | 0.37 | 7.73 | NA | XXX |
| 78195 | A | Lymph system imaging | 1.20 | 4.50 | NA | 0.28 | 5.98 | NA | XXX | |
| 78195 | 26 | A | Lymph system imaging | 1.20 | 0.41 | 0.41 | 0.06 | 1.67 | 1.67 | XXX |
| 78195 | TC | A | Lymph system imaging | 0.00 | 4.09 | NA | 0.22 | 4.31 | NA | XXX |
| 78199 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78199 | 26 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78199 | TC | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78201 | A | Liver imaging | 0.44 | 2.52 | NA | 0.15 | 3.11 | NA | XXX | |
| 78201 | 26 | A | Liver imaging | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 78201 | TC | A | Liver imaging | 0.00 | 2.37 | NA | 0.13 | 2.50 | NA | XXX |
| 78202 | A | Liver imaging with flow | 0.51 | 3.07 | NA | 0.16 | 3.74 | NA | XXX | |
| 78202 | 26 | A | Liver imaging with flow | 0.51 | 0.18 | 0.18 | 0.02 | 0.71 | 0.71 | XXX |
| 78202 | TC | A | Liver imaging with flow | 0.00 | 2.89 | NA | 0.14 | 3.03 | NA | XXX |
| 78205 | A | Liver imaging (3D) | 0.71 | 6.18 | NA | 0.35 | 7.24 | NA | XXX | |
| 78205 | 26 | A | Liver imaging (3D) | 0.71 | 0.25 | 0.25 | 0.04 | 1.00 | 1.00 | XXX |
| 78205 | TC | A | Liver imaging (3D) | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 78206 | A | Liver image (3d) with flow | 0.96 | 6.27 | NA | 0.16 | 7.39 | NA | XXX | |
| 78206 | 26 | A | Liver image (3d) with flow | 0.96 | 0.34 | 0.34 | 0.05 | 1.35 | 1.35 | XXX |
| 78206 | TC | A | Liver image (3d) with flow | 0.00 | 5.93 | NA | 0.11 | 6.04 | NA | XXX |
| 78215 | A | Liver and spleen imaging | 0.49 | 3.12 | NA | 0.16 | 3.77 | NA | XXX | |
| 78215 | 26 | A | Liver and spleen imaging | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78215 | TC | A | Liver and spleen imaging | 0.00 | 2.95 | NA | 0.14 | 3.09 | NA | XXX |
| 78216 | A | Liver spleen image/flow | 0.57 | 3.69 | NA | 0.20 | 4.46 | NA | XXX | |
| 78216 | 26 | A | Liver spleen image/flow | 0.57 | 0.20 | 0.20 | 0.02 | 0.79 | 0.79 | XXX |
| 78216 | TC | A | Liver spleen image/flow | 0.00 | 3.49 | NA | 0.18 | 3.67 | NA | XXX |
| 78220 | A | Liver function study | 0.49 | 3.91 | NA | 0.21 | 4.61 | NA | XXX | |
| 78220 | 26 | A | Liver function study | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78220 | TC | A | Liver function study | 0.00 | 3.74 | NA | 0.19 | 3.93 | NA | XXX |
| 78223 | A | Hepatobiliary imaging | 0.84 | 3.96 | NA | 0.24 | 5.04 | NA | XXX | |
| 78223 | 26 | A | Hepatobiliary imaging | 0.84 | 0.28 | 0.28 | 0.05 | 1.17 | 1.17 | XXX |
| 78223 | TC | A | Hepatobiliary imaging | 0.00 | 3.68 | NA | 0.19 | 3.87 | NA | XXX |
| 78230 | A | Salivary gland imaging | 0.45 | 2.33 | NA | 0.15 | 2.93 | NA | XXX | |
| 78230 | 26 | A | Salivary gland imaging | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 78230 | TC | A | Salivary gland imaging | 0.00 | 2.18 | NA | 0.13 | 2.31 | NA | XXX |
| 78231 | A | Serial salivary imaging | 0.52 | 3.37 | NA | 0.19 | 4.08 | NA | XXX | |
| 78231 | 26 | A | Serial salivary imaging | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX |
| 78231 | TC | A | Serial salivary imaging | 0.00 | 3.18 | NA | 0.17 | 3.35 | NA | XXX |
| 78232 | A | Salivary gland function exam | 0.47 | 3.72 | NA | 0.19 | 4.38 | NA | XXX | |
| 78232 | 26 | A | Salivary gland function exam | 0.47 | 0.17 | 0.17 | 0.01 | 0.65 | 0.65 | XXX |
| 78232 | TC | A | Salivary gland function exam | 0.00 | 3.55 | NA | 0.18 | 3.73 | NA | XXX |
| 78258 | A | Esophageal motility study | 0.74 | 3.14 | NA | 0.18 | 4.06 | NA | XXX | |
| 78258 | 26 | A | Esophageal motility study | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 78258 | TC | A | Esophageal motility study | 0.00 | 2.89 | NA | 0.14 | 3.03 | NA | XXX |
| 78261 | A | Gastric mucosa imaging | 0.69 | 4.36 | NA | 0.26 | 5.31 | NA | XXX | |
| 78261 | 26 | A | Gastric mucosa imaging | 0.69 | 0.25 | 0.25 | 0.04 | 0.98 | 0.98 | XXX |
| 78261 | TC | A | Gastric mucosa imaging | 0.00 | 4.11 | NA | 0.22 | 4.33 | NA | XXX |
| 78262 | A | Gastroesophageal reflux exam | 0.68 | 4.51 | NA | 0.26 | 5.45 | NA | XXX | |
| 78262 | 26 | A | Gastroesophageal reflux exam | 0.68 | 0.24 | 0.24 | 0.04 | 0.96 | 0.96 | XXX |
| 78262 | TC | A | Gastroesophageal reflux exam | 0.00 | 4.27 | NA | 0.22 | 4.49 | NA | XXX |
| 78264 | A | Gastric emptying study | 0.78 | 4.41 | NA | 0.26 | 5.45 | NA | XXX | |
| 78264 | 26 | A | Gastric emptying study | 0.78 | 0.27 | 0.27 | 0.04 | 1.09 | 1.09 | XXX |
| 78264 | TC | A | Gastric emptying study | 0.00 | 4.14 | NA | 0.22 | 4.36 | NA | XXX |
| 78267 | X | Breath tst attain/anal c-14 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78268 | X | Breath test analysis, c-14 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78270 | A | Vit B-12 absorption exam | 0.20 | 1.62 | NA | 0.11 | 1.93 | NA | XXX | |
| 78270 | 26 | A | Vit B-12 absorption exam | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 78270 | TC | A | Vit B-12 absorption exam | 0.00 | 1.55 | NA | 0.10 | 1.65 | NA | XXX |
| 78271 | A | Vit b-12 absrp exam, int fac | 0.20 | 1.72 | NA | 0.11 | 2.03 | NA | XXX | |
| 78271 | 26 | A | Vit b-12 absrp exam, int fac | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 78271 | TC | A | Vit b-12 absrp exam, int fac | 0.00 | 1.65 | NA | 0.10 | 1.75 | NA | XXX |
| 78272 | A | Vit B-12 absorp, combined | 0.27 | 2.43 | NA | 0.14 | 2.84 | NA | XXX | |
| 78272 | 26 | A | Vit B-12 absorp, combined | 0.27 | 0.10 | 0.10 | 0.01 | 0.38 | 0.38 | XXX |
| 78272 | TC | A | Vit B-12 absorp, combined | 0.00 | 2.33 | NA | 0.13 | 2.46 | NA | XXX |
| 78278 | A | Acute GI blood loss imaging | 0.99 | 5.23 | NA | 0.30 | 6.52 | NA | XXX | |
| 78278 | 26 | A | Acute GI blood loss imaging | 0.99 | 0.34 | 0.34 | 0.05 | 1.38 | 1.38 | XXX |
| 78278 | TC | A | Acute GI blood loss imaging | 0.00 | 4.89 | NA | 0.25 | 5.14 | NA | XXX |
| 78282 | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78282 | 26 | A | GI protein loss exam | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 78282 | TC | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78290 | A | Meckel's divert exam | 0.68 | 3.29 | NA | 0.20 | 4.17 | NA | XXX | |
| 78290 | 26 | A | Meckel's divert exam | 0.68 | 0.23 | 0.23 | 0.04 | 0.95 | 0.95 | XXX |
| 78290 | TC | A | Meckel's divert exam | 0.00 | 3.06 | NA | 0.16 | 3.22 | NA | XXX |
| 78291 | A | Leveen/shunt patency exam | 0.88 | 3.38 | NA | 0.21 | 4.47 | NA | XXX | |
| 78291 | 26 | A | Leveen/shunt patency exam | 0.88 | 0.30 | 0.30 | 0.05 | 1.23 | 1.23 | XXX |
| 78291 | TC | A | Leveen/shunt patency exam | 0.00 | 3.08 | NA | 0.16 | 3.24 | NA | XXX |
| 78299 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78299 | 26 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78299 | TC | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78300 | A | Bone imaging, limited area | 0.62 | 2.71 | NA | 0.18 | 3.51 | NA | XXX | |
| 78300 | 26 | A | Bone imaging, limited area | 0.62 | 0.21 | 0.21 | 0.04 | 0.87 | 0.87 | XXX |
| 78300 | TC | A | Bone imaging, limited area | 0.00 | 2.50 | NA | 0.14 | 2.64 | NA | XXX |
| 78305 | A | Bone imaging, multiple areas | 0.83 | 3.96 | NA | 0.23 | 5.02 | NA | XXX | |
| 78305 | 26 | A | Bone imaging, multiple areas | 0.83 | 0.28 | 0.28 | 0.04 | 1.15 | 1.15 | XXX |
| 78305 | TC | A | Bone imaging, multiple areas | 0.00 | 3.68 | NA | 0.19 | 3.87 | NA | XXX |
| 78306 | A | Bone imaging, whole body | 0.86 | 4.58 | NA | 0.27 | 5.71 | NA | XXX | |
| 78306 | 26 | A | Bone imaging, whole body | 0.86 | 0.29 | 0.29 | 0.05 | 1.20 | 1.20 | XXX |
| 78306 | TC | A | Bone imaging, whole body | 0.00 | 4.29 | NA | 0.22 | 4.51 | NA | XXX |
| 78315 | A | Bone imaging, 3 phase | 1.02 | 5.15 | NA | 0.30 | 6.47 | NA | XXX | |
| 78315 | 26 | A | Bone imaging, 3 phase | 1.02 | 0.35 | 0.35 | 0.05 | 1.42 | 1.42 | XXX |
| 78315 | TC | A | Bone imaging, 3 phase | 0.00 | 4.80 | NA | 0.25 | 5.05 | NA | XXX |
| 78320 | A | Bone imaging (3D) | 1.04 | 6.30 | NA | 0.36 | 7.70 | NA | XXX | |
| 78320 | 26 | A | Bone imaging (3D) | 1.04 | 0.37 | 0.37 | 0.05 | 1.46 | 1.46 | XXX |
| 78320 | TC | A | Bone imaging (3D) | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 78350 | A | Bone mineral, single photon | 0.22 | 0.83 | NA | 0.06 | 1.11 | NA | XXX | |
| 78350 | 26 | A | Bone mineral, single photon | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 78350 | TC | A | Bone mineral, single photon | 0.00 | 0.76 | NA | 0.05 | 0.81 | NA | XXX |
| 78351 | N | Bone mineral, dual photon | +0.30 | 1.72 | 0.12 | 0.01 | 2.03 | 0.43 | XXX | |
| 78399 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78399 | 26 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78399 | TC | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78414 | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78414 | 26 | A | Non-imaging heart function | 0.45 | 0.16 | 0.16 | 0.02 | 0.63 | 0.63 | XXX |
| 78414 | TC | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78428 | A | Cardiac shunt imaging | 0.78 | 2.56 | NA | 0.17 | 3.51 | NA | XXX | |
| 78428 | 26 | A | Cardiac shunt imaging | 0.78 | 0.30 | 0.30 | 0.04 | 1.12 | 1.12 | XXX |
| 78428 | TC | A | Cardiac shunt imaging | 0.00 | 2.26 | NA | 0.13 | 2.39 | NA | XXX |
| 78445 | A | Vascular flow imaging | 0.49 | 2.04 | NA | 0.13 | 2.66 | NA | XXX | |
| 78445 | 26 | A | Vascular flow imaging | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78445 | TC | A | Vascular flow imaging | 0.00 | 1.87 | NA | 0.11 | 1.98 | NA | XXX |
| 78455 | A | Venous thrombosis study | 0.73 | 4.25 | NA | 0.25 | 5.23 | NA | XXX | |
| 78455 | 26 | A | Venous thrombosis study | 0.73 | 0.25 | 0.25 | 0.04 | 1.02 | 1.02 | XXX |
| 78455 | TC | A | Venous thrombosis study | 0.00 | 4.00 | NA | 0.21 | 4.21 | NA | XXX |
| 78456 | A | Acute venous thrombus image | 1.00 | 4.35 | NA | 0.34 | 5.69 | NA | XXX | |
| 78456 | 26 | A | Acute venous thrombus image | 1.00 | 0.35 | 0.35 | 0.05 | 1.40 | 1.40 | XXX |
| 78456 | TC | A | Acute venous thrombus image | 0.00 | 4.00 | NA | 0.29 | 4.29 | NA | XXX |
| 78457 | A | Venous thrombosis imaging | 0.77 | 2.92 | NA | 0.18 | 3.87 | NA | XXX | |
| 78457 | 26 | A | Venous thrombosis imaging | 0.77 | 0.26 | 0.26 | 0.04 | 1.07 | 1.07 | XXX |
| 78457 | TC | A | Venous thrombosis imaging | 0.00 | 2.66 | NA | 0.14 | 2.80 | NA | XXX |
| 78458 | A | Ven thrombosis images, bilat | 0.90 | 4.37 | NA | 0.25 | 5.52 | NA | XXX | |
| 78458 | 26 | A | Ven thrombosis images, bilat | 0.90 | 0.33 | 0.33 | 0.04 | 1.27 | 1.27 | XXX |
| 78458 | TC | A | Ven thrombosis images, bilat | 0.00 | 4.04 | NA | 0.21 | 4.25 | NA | XXX |
| 78459 | C | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78459 | 26 | R | Heart muscle imaging (PET) | 1.50 | 0.57 | 0.57 | 0.05 | 2.12 | 2.12 | XXX |
| 78459 | TC | C | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78460 | A | Heart muscle blood, single | 0.86 | 2.67 | NA | 0.17 | 3.70 | NA | XXX | |
| 78460 | 26 | A | Heart muscle blood, single | 0.86 | 0.30 | 0.30 | 0.04 | 1.20 | 1.20 | XXX |
| 78460 | TC | A | Heart muscle blood, single | 0.00 | 2.37 | NA | 0.13 | 2.50 | NA | XXX |
| 78461 | A | Heart muscle blood, multiple | 1.23 | 5.17 | NA | 0.31 | 6.71 | NA | XXX | |
| 78461 | 26 | A | Heart muscle blood, multiple | 1.23 | 0.43 | 0.43 | 0.06 | 1.72 | 1.72 | XXX |
| 78461 | TC | A | Heart muscle blood, multiple | 0.00 | 4.74 | NA | 0.25 | 4.99 | NA | XXX |
| 78464 | A | Heart image (3d), single | 1.09 | 7.48 | NA | 0.42 | 8.99 | NA | XXX | |
| 78464 | 26 | A | Heart image (3d), single | 1.09 | 0.38 | 0.38 | 0.05 | 1.52 | 1.52 | XXX |
| 78464 | TC | A | Heart image (3d), single | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 78465 | A | Heart image (3d), multiple | 1.46 | 12.35 | NA | 0.68 | 14.49 | NA | XXX | |
| 78465 | 26 | A | Heart image (3d), multiple | 1.46 | 0.52 | 0.52 | 0.06 | 2.04 | 2.04 | XXX |
| 78465 | TC | A | Heart image (3d), multiple | 0.00 | 11.83 | NA | 0.62 | 12.45 | NA | XXX |
| 78466 | A | Heart infarct image | 0.69 | 2.87 | NA | 0.18 | 3.74 | NA | XXX | |
| 78466 | 26 | A | Heart infarct image | 0.69 | 0.25 | 0.25 | 0.04 | 0.98 | 0.98 | XXX |
| 78466 | TC | A | Heart infarct image | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 78468 | A | Heart infarct image (ef) | 0.80 | 3.96 | NA | 0.23 | 4.99 | NA | XXX | |
| 78468 | 26 | A | Heart infarct image (ef) | 0.80 | 0.28 | 0.28 | 0.04 | 1.12 | 1.12 | XXX |
| 78468 | TC | A | Heart infarct image (ef) | 0.00 | 3.68 | NA | 0.19 | 3.87 | NA | XXX |
| 78469 | A | Heart infarct image (3D) | 0.92 | 5.56 | NA | 0.32 | 6.80 | NA | XXX | |
| 78469 | 26 | A | Heart infarct image (3D) | 0.92 | 0.32 | 0.32 | 0.04 | 1.28 | 1.28 | XXX |
| 78469 | TC | A | Heart infarct image (3D) | 0.00 | 5.24 | NA | 0.28 | 5.52 | NA | XXX |
| 78472 | A | Gated heart, planar, single | 0.98 | 5.88 | NA | 0.35 | 7.21 | NA | XXX | |
| 78472 | 26 | A | Gated heart, planar, single | 0.98 | 0.35 | 0.35 | 0.05 | 1.38 | 1.38 | XXX |
| 78472 | TC | A | Gated heart, planar, single | 0.00 | 5.53 | NA | 0.30 | 5.83 | NA | XXX |
| 78473 | A | Gated heart, multiple | 1.47 | 8.80 | NA | 0.48 | 10.75 | NA | XXX | |
| 78473 | 26 | A | Gated heart, multiple | 1.47 | 0.51 | 0.51 | 0.06 | 2.04 | 2.04 | XXX |
| 78473 | TC | A | Gated heart, multiple | 0.00 | 8.29 | NA | 0.42 | 8.71 | NA | XXX |
| 78478 | A | Heart wall motion add-on | 0.62 | 1.79 | NA | 0.12 | 2.53 | NA | XXX | |
| 78478 | 26 | A | Heart wall motion add-on | 0.62 | 0.23 | 0.23 | 0.02 | 0.87 | 0.87 | XXX |
| 78478 | TC | A | Heart wall motion add-on | 0.00 | 1.56 | NA | 0.10 | 1.66 | NA | XXX |
| 78480 | A | Heart function add-on | 0.62 | 1.79 | NA | 0.12 | 2.53 | NA | XXX | |
| 78480 | 26 | A | Heart function add-on | 0.62 | 0.23 | 0.23 | 0.02 | 0.87 | 0.87 | XXX |
| 78480 | TC | A | Heart function add-on | 0.00 | 1.56 | NA | 0.10 | 1.66 | NA | XXX |
| 78481 | A | Heart first pass, single | 0.98 | 5.61 | NA | 0.32 | 6.91 | NA | XXX | |
| 78481 | 26 | A | Heart first pass, single | 0.98 | 0.37 | 0.37 | 0.04 | 1.39 | 1.39 | XXX |
| 78481 | TC | A | Heart first pass, single | 0.00 | 5.24 | NA | 0.28 | 5.52 | NA | XXX |
| 78483 | A | Heart first pass, multiple | 1.47 | 8.43 | NA | 0.47 | 10.37 | NA | XXX | |
| 78483 | 26 | A | Heart first pass, multiple | 1.47 | 0.54 | 0.54 | 0.06 | 2.07 | 2.07 | XXX |
| 78483 | TC | A | Heart first pass, multiple | 0.00 | 7.89 | NA | 0.41 | 8.30 | NA | XXX |
| 78491 | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78491 | 26 | I | Heart image (pet), single | +1.50 | 0.59 | 0.59 | 0.06 | 2.15 | 2.15 | XXX |
| 78491 | TC | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78492 | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78492 | 26 | I | Heart image (pet), multiple | +1.87 | 0.74 | 0.74 | 0.07 | 2.68 | 2.68 | XXX |
| 78492 | TC | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78494 | A | Heart image, spect | 1.19 | 7.51 | NA | 0.35 | 9.05 | NA | XXX | |
| 78494 | 26 | A | Heart image, spect | 1.19 | 0.41 | 0.41 | 0.05 | 1.65 | 1.65 | XXX |
| 78494 | TC | A | Heart image, spect | 0.00 | 7.10 | NA | 0.30 | 7.40 | NA | XXX |
| 78496 | A | Heart first pass add-on | 0.50 | 7.28 | NA | 0.32 | 8.10 | NA | ZZZ | |
| 78496 | 26 | A | Heart first pass add-on | 0.50 | 0.18 | 0.18 | 0.02 | 0.70 | 0.70 | ZZZ |
| 78496 | TC | A | Heart first pass add-on | 0.00 | 7.10 | NA | 0.30 | 7.40 | NA | ZZZ |
| 78499 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78499 | 26 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78499 | TC | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78580 | A | Lung perfusion imaging | 0.74 | 3.69 | NA | 0.22 | 4.65 | NA | XXX | |
| 78580 | 26 | A | Lung perfusion imaging | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 78580 | TC | A | Lung perfusion imaging | 0.00 | 3.44 | NA | 0.18 | 3.62 | NA | XXX |
| 78584 | A | Lung V/Q image single breath | 0.99 | 3.54 | NA | 0.22 | 4.75 | NA | XXX | |
| 78584 | 26 | A | Lung V/Q image single breath | 0.99 | 0.33 | 0.33 | 0.05 | 1.37 | 1.37 | XXX |
| 78584 | TC | A | Lung V/Q image single breath | 0.00 | 3.21 | NA | 0.17 | 3.38 | NA | XXX |
| 78585 | A | Lung V/Q imaging | 1.09 | 6.02 | NA | 0.36 | 7.47 | NA | XXX | |
| 78585 | 26 | A | Lung V/Q imaging | 1.09 | 0.37 | 0.37 | 0.06 | 1.52 | 1.52 | XXX |
| 78585 | TC | A | Lung V/Q imaging | 0.00 | 5.65 | NA | 0.30 | 5.95 | NA | XXX |
| 78586 | A | Aerosol lung image, single | 0.40 | 2.73 | NA | 0.16 | 3.29 | NA | XXX | |
| 78586 | 26 | A | Aerosol lung image, single | 0.40 | 0.13 | 0.13 | 0.02 | 0.55 | 0.55 | XXX |
| 78586 | TC | A | Aerosol lung image, single | 0.00 | 2.60 | NA | 0.14 | 2.74 | NA | XXX |
| 78587 | A | Aerosol lung image, multiple | 0.49 | 2.98 | NA | 0.16 | 3.63 | NA | XXX | |
| 78587 | 26 | A | Aerosol lung image, multiple | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78587 | TC | A | Aerosol lung image, multiple | 0.00 | 2.81 | NA | 0.14 | 2.95 | NA | XXX |
| 78588 | A | Perfusion lung image | 1.09 | 3.58 | NA | 0.24 | 4.91 | NA | XXX | |
| 78588 | 26 | A | Perfusion lung image | 1.09 | 0.37 | 0.37 | 0.06 | 1.52 | 1.52 | XXX |
| 78588 | TC | A | Perfusion lung image | 0.00 | 3.21 | NA | 0.18 | 3.39 | NA | XXX |
| 78591 | A | Vent image, 1 breath, 1 proj | 0.40 | 3.00 | NA | 0.16 | 3.56 | NA | XXX | |
| 78591 | 26 | A | Vent image, 1 breath, 1 proj | 0.40 | 0.14 | 0.14 | 0.02 | 0.56 | 0.56 | XXX |
| 78591 | TC | A | Vent image, 1 breath, 1 proj | 0.00 | 2.86 | NA | 0.14 | 3.00 | NA | XXX |
| 78593 | A | Vent image, 1 proj, gas | 0.49 | 3.63 | NA | 0.20 | 4.32 | NA | XXX | |
| 78593 | 26 | A | Vent image, 1 proj, gas | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78593 | TC | A | Vent image, 1 proj, gas | 0.00 | 3.46 | NA | 0.18 | 3.64 | NA | XXX |
| 78594 | A | Vent image, mult proj, gas | 0.53 | 5.17 | NA | 0.27 | 5.97 | NA | XXX | |
| 78594 | 26 | A | Vent image, mult proj, gas | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 78594 | TC | A | Vent image, mult proj, gas | 0.00 | 4.99 | NA | 0.25 | 5.24 | NA | XXX |
| 78596 | A | Lung differential function | 1.27 | 7.52 | NA | 0.43 | 9.22 | NA | XXX | |
| 78596 | 26 | A | Lung differential function | 1.27 | 0.42 | 0.42 | 0.06 | 1.75 | 1.75 | XXX |
| 78596 | TC | A | Lung differential function | 0.00 | 7.10 | NA | 0.37 | 7.47 | NA | XXX |
| 78599 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78599 | 26 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78599 | TC | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78600 | A | Brain imaging, ltd static | 0.44 | 3.04 | NA | 0.16 | 3.64 | NA | XXX | |
| 78600 | 26 | A | Brain imaging, ltd static | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 78600 | TC | A | Brain imaging, ltd static | 0.00 | 2.89 | NA | 0.14 | 3.03 | NA | XXX |
| 78601 | A | Brain imaging, ltd w/flow | 0.51 | 3.58 | NA | 0.20 | 4.29 | NA | XXX | |
| 78601 | 26 | A | Brain imaging, ltd w/flow | 0.51 | 0.17 | 0.17 | 0.02 | 0.70 | 0.70 | XXX |
| 78601 | TC | A | Brain imaging, ltd w/flow | 0.00 | 3.41 | NA | 0.18 | 3.59 | NA | XXX |
| 78605 | A | Brain imaging, complete | 0.53 | 3.60 | NA | 0.20 | 4.33 | NA | XXX | |
| 78605 | 26 | A | Brain imaging, complete | 0.53 | 0.19 | 0.19 | 0.02 | 0.74 | 0.74 | XXX |
| 78605 | TC | A | Brain imaging, complete | 0.00 | 3.41 | NA | 0.18 | 3.59 | NA | XXX |
| 78606 | A | Brain imaging, compl w/flow | 0.64 | 4.10 | NA | 0.25 | 4.99 | NA | XXX | |
| 78606 | 26 | A | Brain imaging, compl w/flow | 0.64 | 0.22 | 0.22 | 0.04 | 0.90 | 0.90 | XXX |
| 78606 | TC | A | Brain imaging, compl w/flow | 0.00 | 3.88 | NA | 0.21 | 4.09 | NA | XXX |
| 78607 | A | Brain imaging (3D) | 1.23 | 7.01 | NA | 0.41 | 8.65 | NA | XXX | |
| 78607 | 26 | A | Brain imaging (3D) | 1.23 | 0.43 | 0.43 | 0.06 | 1.72 | 1.72 | XXX |
| 78607 | TC | A | Brain imaging (3D) | 0.00 | 6.58 | NA | 0.35 | 6.93 | NA | XXX |
| 78608 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78609 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78610 | A | Brain flow imaging only | 0.30 | 1.69 | NA | 0.11 | 2.10 | NA | XXX | |
| 78610 | 26 | A | Brain flow imaging only | 0.30 | 0.11 | 0.11 | 0.01 | 0.42 | 0.42 | XXX |
| 78610 | TC | A | Brain flow imaging only | 0.00 | 1.58 | NA | 0.10 | 1.68 | NA | XXX |
| 78615 | A | Cerebral vascular flow image | 0.42 | 4.02 | NA | 0.23 | 4.67 | NA | XXX | |
| 78615 | 26 | A | Cerebral vascular flow image | 0.42 | 0.16 | 0.16 | 0.02 | 0.60 | 0.60 | XXX |
| 78615 | TC | A | Cerebral vascular flow image | 0.00 | 3.86 | NA | 0.21 | 4.07 | NA | XXX |
| 78630 | A | Cerebrospinal fluid scan | 0.68 | 5.28 | NA | 0.31 | 6.27 | NA | XXX | |
| 78630 | 26 | A | Cerebrospinal fluid scan | 0.68 | 0.23 | 0.23 | 0.04 | 0.95 | 0.95 | XXX |
| 78630 | TC | A | Cerebrospinal fluid scan | 0.00 | 5.05 | NA | 0.27 | 5.32 | NA | XXX |
| 78635 | A | CSF ventriculography | 0.61 | 2.80 | NA | 0.16 | 3.57 | NA | XXX | |
| 78635 | 26 | A | CSF ventriculography | 0.61 | 0.24 | 0.24 | 0.02 | 0.87 | 0.87 | XXX |
| 78635 | TC | A | CSF ventriculography | 0.00 | 2.56 | NA | 0.14 | 2.70 | NA | XXX |
| 78645 | A | CSF shunt evaluation | 0.57 | 3.64 | NA | 0.20 | 4.41 | NA | XXX | |
| 78645 | 26 | A | CSF shunt evaluation | 0.57 | 0.20 | 0.20 | 0.02 | 0.79 | 0.79 | XXX |
| 78645 | TC | A | CSF shunt evaluation | 0.00 | 3.44 | NA | 0.18 | 3.62 | NA | XXX |
| 78647 | A | Cerebrospinal fluid scan | 0.90 | 6.25 | NA | 0.35 | 7.50 | NA | XXX | |
| 78647 | 26 | A | Cerebrospinal fluid scan | 0.90 | 0.32 | 0.32 | 0.04 | 1.26 | 1.26 | XXX |
| 78647 | TC | A | Cerebrospinal fluid scan | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 78650 | A | CSF leakage imaging | 0.61 | 4.87 | NA | 0.26 | 5.74 | NA | XXX | |
| 78650 | 26 | A | CSF leakage imaging | 0.61 | 0.21 | 0.21 | 0.02 | 0.84 | 0.84 | XXX |
| 78650 | TC | A | CSF leakage imaging | 0.00 | 4.66 | NA | 0.24 | 4.90 | NA | XXX |
| 78660 | A | Nuclear exam of tear flow | 0.53 | 2.30 | NA | 0.14 | 2.97 | NA | XXX | |
| 78660 | 26 | A | Nuclear exam of tear flow | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 78660 | TC | A | Nuclear exam of tear flow | 0.00 | 2.12 | NA | 0.12 | 2.24 | NA | XXX |
| 78699 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78699 | 26 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78699 | TC | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78700 | A | Kidney imaging, static | 0.45 | 3.21 | NA | 0.18 | 3.84 | NA | XXX | |
| 78700 | 26 | A | Kidney imaging, static | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 78700 | TC | A | Kidney imaging, static | 0.00 | 3.06 | NA | 0.16 | 3.22 | NA | XXX |
| 78701 | A | Kidney imaging with flow | 0.49 | 3.74 | NA | 0.20 | 4.43 | NA | XXX | |
| 78701 | 26 | A | Kidney imaging with flow | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78701 | TC | A | Kidney imaging with flow | 0.00 | 3.57 | NA | 0.18 | 3.75 | NA | XXX |
| 78704 | A | Imaging renogram | 0.74 | 4.22 | NA | 0.25 | 5.21 | NA | XXX | |
| 78704 | 26 | A | Imaging renogram | 0.74 | 0.25 | 0.25 | 0.04 | 1.03 | 1.03 | XXX |
| 78704 | TC | A | Imaging renogram | 0.00 | 3.97 | NA | 0.21 | 4.18 | NA | XXX |
| 78707 | A | Kidney flow/function image | 0.96 | 4.81 | NA | 0.28 | 6.05 | NA | XXX | |
| 78707 | 26 | A | Kidney flow/function image | 0.96 | 0.33 | 0.33 | 0.05 | 1.34 | 1.34 | XXX |
| 78707 | TC | A | Kidney flow/function image | 0.00 | 4.48 | NA | 0.23 | 4.71 | NA | XXX |
| 78708 | A | Kidney flow/function image | 1.21 | 4.89 | NA | 0.29 | 6.39 | NA | XXX | |
| 78708 | 26 | A | Kidney flow/function image | 1.21 | 0.41 | 0.41 | 0.06 | 1.68 | 1.68 | XXX |
| 78708 | TC | A | Kidney flow/function image | 0.00 | 4.48 | NA | 0.23 | 4.71 | NA | XXX |
| 78709 | A | Kidney flow/function image | 1.41 | 4.95 | NA | 0.30 | 6.66 | NA | XXX | |
| 78709 | 26 | A | Kidney flow/function image | 1.41 | 0.47 | 0.47 | 0.07 | 1.95 | 1.95 | XXX |
| 78709 | TC | A | Kidney flow/function image | 0.00 | 4.48 | NA | 0.23 | 4.71 | NA | XXX |
| 78710 | A | Kidney imaging (3D) | 0.66 | 6.15 | NA | 0.35 | 7.16 | NA | XXX | |
| 78710 | 26 | A | Kidney imaging (3D) | 0.66 | 0.22 | 0.22 | 0.04 | 0.92 | 0.92 | XXX |
| 78710 | TC | A | Kidney imaging (3D) | 0.00 | 5.93 | NA | 0.31 | 6.24 | NA | XXX |
| 78715 | A | Renal vascular flow exam | 0.30 | 1.69 | NA | 0.11 | 2.10 | NA | XXX | |
| 78715 | 26 | A | Renal vascular flow exam | 0.30 | 0.11 | 0.11 | 0.01 | 0.42 | 0.42 | XXX |
| 78715 | TC | A | Renal vascular flow exam | 0.00 | 1.58 | NA | 0.10 | 1.68 | NA | XXX |
| 78725 | A | Kidney function study | 0.38 | 1.92 | NA | 0.12 | 2.42 | NA | XXX | |
| 78725 | 26 | A | Kidney function study | 0.38 | 0.13 | 0.13 | 0.01 | 0.52 | 0.52 | XXX |
| 78725 | TC | A | Kidney function study | 0.00 | 1.79 | NA | 0.11 | 1.90 | NA | XXX |
| 78730 | A | Urinary bladder retention | 0.36 | 1.59 | NA | 0.10 | 2.05 | NA | XXX | |
| 78730 | 26 | A | Urinary bladder retention | 0.36 | 0.13 | 0.13 | 0.02 | 0.51 | 0.51 | XXX |
| 78730 | TC | A | Urinary bladder retention | 0.00 | 1.46 | NA | 0.08 | 1.54 | NA | XXX |
| 78740 | A | Ureteral reflux study | 0.57 | 2.31 | NA | 0.14 | 3.02 | NA | XXX | |
| 78740 | 26 | A | Ureteral reflux study | 0.57 | 0.19 | 0.19 | 0.02 | 0.78 | 0.78 | XXX |
| 78740 | TC | A | Ureteral reflux study | 0.00 | 2.12 | NA | 0.12 | 2.24 | NA | XXX |
| 78760 | A | Testicular imaging | 0.66 | 2.90 | NA | 0.18 | 3.74 | NA | XXX | |
| 78760 | 26 | A | Testicular imaging | 0.66 | 0.22 | 0.22 | 0.04 | 0.92 | 0.92 | XXX |
| 78760 | TC | A | Testicular imaging | 0.00 | 2.68 | NA | 0.14 | 2.82 | NA | XXX |
| 78761 | A | Testicular imaging/flow | 0.71 | 3.45 | NA | 0.21 | 4.37 | NA | XXX | |
| 78761 | 26 | A | Testicular imaging/flow | 0.71 | 0.24 | 0.24 | 0.04 | 0.99 | 0.99 | XXX |
| 78761 | TC | A | Testicular imaging/flow | 0.00 | 3.21 | NA | 0.17 | 3.38 | NA | XXX |
| 78799 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78799 | 26 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78799 | TC | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78800 | A | Tumor imaging, limited area | 0.66 | 3.63 | NA | 0.22 | 4.51 | NA | XXX | |
| 78800 | 26 | A | Tumor imaging, limited area | 0.66 | 0.22 | 0.22 | 0.04 | 0.92 | 0.92 | XXX |
| 78800 | TC | A | Tumor imaging, limited area | 0.00 | 3.41 | NA | 0.18 | 3.59 | NA | XXX |
| 78801 | A | Tumor imaging, mult areas | 0.79 | 4.51 | NA | 0.26 | 5.56 | NA | XXX | |
| 78801 | 26 | A | Tumor imaging, mult areas | 0.79 | 0.27 | 0.27 | 0.04 | 1.10 | 1.10 | XXX |
| 78801 | TC | A | Tumor imaging, mult areas | 0.00 | 4.24 | NA | 0.22 | 4.46 | NA | XXX |
| 78802 | A | Tumor imaging, whole body | 0.86 | 5.85 | NA | 0.34 | 7.05 | NA | XXX | |
| 78802 | 26 | A | Tumor imaging, whole body | 0.86 | 0.30 | 0.30 | 0.04 | 1.20 | 1.20 | XXX |
| 78802 | TC | A | Tumor imaging, whole body | 0.00 | 5.55 | NA | 0.30 | 5.85 | NA | XXX |
| 78803 | A | Tumor imaging (3D) | 1.09 | 6.96 | NA | 0.40 | 8.45 | NA | XXX | |
| 78803 | 26 | A | Tumor imaging (3D) | 1.09 | 0.38 | 0.38 | 0.05 | 1.52 | 1.52 | XXX |
| 78803 | TC | A | Tumor imaging (3D) | 0.00 | 6.58 | NA | 0.35 | 6.93 | NA | XXX |
| 78804 | A | Tumor imaging, whole body | 1.07 | 4.66 | NA | 0.34 | 6.07 | NA | XXX | |
| 78804 | 26 | A | Tumor imaging, whole body | 1.07 | 0.37 | 0.37 | 0.04 | 1.48 | 1.48 | XXX |
| 78804 | TC | A | Tumor imaging, whole body | 0.00 | 4.29 | NA | 0.30 | 4.59 | NA | XXX |
| 78805 | A | Abscess imaging, ltd area | 0.73 | 3.66 | NA | 0.22 | 4.61 | NA | XXX | |
| 78805 | 26 | A | Abscess imaging, ltd area | 0.73 | 0.25 | 0.25 | 0.04 | 1.02 | 1.02 | XXX |
| 78805 | TC | A | Abscess imaging, ltd area | 0.00 | 3.41 | NA | 0.18 | 3.59 | NA | XXX |
| 78806 | A | Abscess imaging, whole body | 0.86 | 6.75 | NA | 0.39 | 8.00 | NA | XXX | |
| 78806 | 26 | A | Abscess imaging, whole body | 0.86 | 0.30 | 0.30 | 0.04 | 1.20 | 1.20 | XXX |
| 78806 | TC | A | Abscess imaging, whole body | 0.00 | 6.45 | NA | 0.35 | 6.80 | NA | XXX |
| 78807 | A | Nuclear localization/abscess | 1.09 | 6.97 | NA | 0.40 | 8.46 | NA | XXX | |
| 78807 | 26 | A | Nuclear localization/abscess | 1.09 | 0.39 | 0.39 | 0.05 | 1.53 | 1.53 | XXX |
| 78807 | TC | A | Nuclear localization/abscess | 0.00 | 6.58 | NA | 0.35 | 6.93 | NA | XXX |
| 78810 | N | Tumor imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78810 | 26 | N | Tumor imaging (PET) | +1.93 | 0.74 | 0.74 | 0.11 | 2.78 | 2.78 | XXX |
| 78810 | TC | N | Tumor imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78890 | B | Nuclear medicine data proc | +0.05 | 1.33 | NA | 0.07 | 1.45 | NA | XXX | |
| 78890 | 26 | B | Nuclear medicine data proc | +0.05 | 0.02 | 0.02 | 0.01 | 0.08 | 0.08 | XXX |
| 78890 | TC | B | Nuclear medicine data proc | +0.00 | 1.31 | NA | 0.06 | 1.37 | NA | XXX |
| 78891 | B | Nuclear med data proc | +0.10 | 2.66 | NA | 0.14 | 2.90 | NA | XXX | |
| 78891 | 26 | B | Nuclear med data proc | +0.10 | 0.04 | 0.04 | 0.01 | 0.15 | 0.15 | XXX |
| 78891 | TC | B | Nuclear med data proc | +0.00 | 2.62 | NA | 0.13 | 2.75 | NA | XXX |
| 78990 | I | Provide diag radionuclide(s) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | 26 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78999 | TC | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79000 | A | Init hyperthyroid therapy | 1.80 | 3.22 | NA | 0.22 | 5.24 | NA | XXX | |
| 79000 | 26 | A | Init hyperthyroid therapy | 1.80 | 0.60 | 0.60 | 0.08 | 2.48 | 2.48 | XXX |
| 79000 | TC | A | Init hyperthyroid therapy | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79001 | A | Repeat hyperthyroid therapy | 1.05 | 1.67 | NA | 0.12 | 2.84 | NA | XXX | |
| 79001 | 26 | A | Repeat hyperthyroid therapy | 1.05 | 0.36 | 0.36 | 0.05 | 1.46 | 1.46 | XXX |
| 79001 | TC | A | Repeat hyperthyroid therapy | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 79020 | A | Thyroid ablation | 1.81 | 3.22 | NA | 0.22 | 5.25 | NA | XXX | |
| 79020 | 26 | A | Thyroid ablation | 1.81 | 0.60 | 0.60 | 0.08 | 2.49 | 2.49 | XXX |
| 79020 | TC | A | Thyroid ablation | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79030 | A | Thyroid ablation, carcinoma | 2.10 | 3.33 | NA | 0.24 | 5.67 | NA | XXX | |
| 79030 | 26 | A | Thyroid ablation, carcinoma | 2.10 | 0.71 | 0.71 | 0.10 | 2.91 | 2.91 | XXX |
| 79030 | TC | A | Thyroid ablation, carcinoma | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79035 | A | Thyroid metastatic therapy | 2.52 | 3.50 | NA | 0.25 | 6.27 | NA | XXX | |
| 79035 | 26 | A | Thyroid metastatic therapy | 2.52 | 0.88 | 0.88 | 0.11 | 3.51 | 3.51 | XXX |
| 79035 | TC | A | Thyroid metastatic therapy | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79100 | A | Hematopoetic nuclear therapy | 1.32 | 3.08 | NA | 0.20 | 4.60 | NA | XXX | |
| 79100 | 26 | A | Hematopoetic nuclear therapy | 1.32 | 0.46 | 0.46 | 0.06 | 1.84 | 1.84 | XXX |
| 79100 | TC | A | Hematopoetic nuclear therapy | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79200 | A | Intracavitary nuclear trmt | 1.99 | 3.31 | NA | 0.22 | 5.52 | NA | XXX | |
| 79200 | 26 | A | Intracavitary nuclear trmt | 1.99 | 0.69 | 0.69 | 0.08 | 2.76 | 2.76 | XXX |
| 79200 | TC | A | Intracavitary nuclear trmt | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79300 | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79300 | 26 | A | Interstitial nuclear therapy | 1.60 | 0.56 | 0.56 | 0.08 | 2.24 | 2.24 | XXX |
| 79300 | TC | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79400 | A | Nonhemato nuclear therapy | 1.96 | 3.29 | NA | 0.24 | 5.49 | NA | XXX | |
| 79400 | 26 | A | Nonhemato nuclear therapy | 1.96 | 0.67 | 0.67 | 0.10 | 2.73 | 2.73 | XXX |
| 79400 | TC | A | Nonhemato nuclear therapy | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79403 | A | Hematopoetic nuclear therapy | 2.25 | 5.19 | NA | 0.24 | 7.68 | NA | XXX | |
| 79403 | 26 | A | Hematopoetic nuclear therapy | 2.25 | 0.90 | 0.90 | 0.10 | 3.25 | 3.25 | XXX |
| 79403 | TC | A | Hematopoetic nuclear therapy | 0.00 | 4.29 | NA | 0.14 | 4.43 | NA | XXX |
| 79420 | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79420 | 26 | A | Intravascular nuclear ther | 1.51 | 0.49 | 0.49 | 0.07 | 2.07 | 2.07 | XXX |
| 79420 | TC | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79440 | A | Nuclear joint therapy | 1.99 | 3.34 | NA | 0.24 | 5.57 | NA | XXX | |
| 79440 | 26 | A | Nuclear joint therapy | 1.99 | 0.72 | 0.72 | 0.10 | 2.81 | 2.81 | XXX |
| 79440 | TC | A | Nuclear joint therapy | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX |
| 79900 | C | Provide ther radiopharm(s) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79999 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79999 | 26 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79999 | TC | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 80500 | A | Lab pathology consultation | 0.37 | 0.22 | 0.16 | 0.01 | 0.60 | 0.54 | XXX | |
| 80502 | A | Lab pathology consultation | 1.33 | 0.62 | 0.58 | 0.06 | 2.01 | 1.97 | XXX | |
| 83020 | 26 | A | Hemoglobin electrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 83912 | 26 | A | Genetic examination | 0.37 | 0.15 | 0.15 | 0.01 | 0.53 | 0.53 | XXX |
| 84165 | 26 | A | Electrophoreisis of proteins | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 84181 | 26 | A | Western blot test | 0.37 | 0.14 | 0.14 | 0.01 | 0.52 | 0.52 | XXX |
| 84182 | 26 | A | Protein, western blot test | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 85060 | A | Blood smear interpretation | 0.45 | 0.20 | 0.20 | 0.02 | 0.67 | 0.67 | XXX | |
| 85097 | A | Bone marrow interpretation | 0.94 | 1.75 | 0.41 | 0.04 | 2.73 | 1.39 | XXX | |
| 85390 | 26 | A | Fibrinolysins screen | 0.37 | 0.15 | 0.15 | 0.01 | 0.53 | 0.53 | XXX |
| 85396 | A | Clotting assay, whole blood | 0.37 | NA | 0.17 | 0.04 | NA | 0.58 | XXX | |
| 85576 | 26 | A | Blood platelet aggregation | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 86077 | A | Physician blood bank service | 0.94 | 0.46 | 0.41 | 0.04 | 1.44 | 1.39 | XXX | |
| 86078 | A | Physician blood bank service | 0.94 | 0.49 | 0.40 | 0.04 | 1.47 | 1.38 | XXX | |
| 86079 | A | Physician blood bank service | 0.94 | 0.49 | 0.41 | 0.04 | 1.47 | 1.39 | XXX | |
| 86255 | 26 | A | Fluorescent antibody, screen | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 86256 | 26 | A | Fluorescent antibody, titer | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86320 | 26 | A | Serum immunoelectrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86325 | 26 | A | Other immunoelectrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86327 | 26 | A | Immunoelectrophoresis assay | 0.42 | 0.19 | 0.19 | 0.01 | 0.62 | 0.62 | XXX |
| 86334 | 26 | A | Immunofixation procedure | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86485 | C | Skin test, candida | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86490 | A | Coccidioidomycosis skin test | 0.00 | 0.29 | NA | 0.02 | 0.31 | NA | XXX | |
| 86510 | A | Histoplasmosis skin test | 0.00 | 0.32 | NA | 0.02 | 0.34 | NA | XXX | |
| 86580 | A | TB intradermal test | 0.00 | 0.26 | NA | 0.02 | 0.28 | NA | XXX | |
| 86585 | A | TB tine test | 0.00 | 0.21 | NA | 0.01 | 0.22 | NA | XXX | |
| 86586 | C | Skin test, unlisted | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87164 | 26 | A | Dark field examination | 0.37 | 0.12 | 0.12 | 0.01 | 0.50 | 0.50 | XXX |
| 87207 | 26 | A | Smear, special stain | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 88104 | A | Cytopathology, fluids | 0.56 | 0.75 | NA | 0.04 | 1.35 | NA | XXX | |
| 88104 | 26 | A | Cytopathology, fluids | 0.56 | 0.25 | 0.25 | 0.02 | 0.83 | 0.83 | XXX |
| 88104 | TC | A | Cytopathology, fluids | 0.00 | 0.50 | NA | 0.02 | 0.52 | NA | XXX |
| 88106 | A | Cytopathology, fluids | 0.56 | 0.62 | NA | 0.04 | 1.22 | NA | XXX | |
| 88106 | 26 | A | Cytopathology, fluids | 0.56 | 0.25 | 0.25 | 0.02 | 0.83 | 0.83 | XXX |
| 88106 | TC | A | Cytopathology, fluids | 0.00 | 0.37 | NA | 0.02 | 0.39 | NA | XXX |
| 88107 | A | Cytopathology, fluids | 0.76 | 0.98 | NA | 0.06 | 1.80 | NA | XXX | |
| 88107 | 26 | A | Cytopathology, fluids | 0.76 | 0.34 | 0.34 | 0.04 | 1.14 | 1.14 | XXX |
| 88107 | TC | A | Cytopathology, fluids | 0.00 | 0.64 | NA | 0.02 | 0.66 | NA | XXX |
| 88108 | A | Cytopath, concentrate tech | 0.56 | 0.81 | NA | 0.04 | 1.41 | NA | XXX | |
| 88108 | 26 | A | Cytopath, concentrate tech | 0.56 | 0.25 | 0.25 | 0.02 | 0.83 | 0.83 | XXX |
| 88108 | TC | A | Cytopath, concentrate tech | 0.00 | 0.56 | NA | 0.02 | 0.58 | NA | XXX |
| 88112 | A | Cytopath, cell enhance tech | 1.18 | 1.98 | NA | 0.08 | 3.24 | NA | XXX | |
| 88112 | 26 | A | Cytopath, cell enhance tech | 1.18 | 0.51 | 0.51 | 0.06 | 1.75 | 1.75 | XXX |
| 88112 | TC | A | Cytopath, cell enhance tech | 0.00 | 1.47 | NA | 0.02 | 1.49 | NA | XXX |
| 88125 | A | Forensic cytopathology | 0.26 | 0.26 | NA | 0.02 | 0.54 | NA | XXX | |
| 88125 | 26 | A | Forensic cytopathology | 0.26 | 0.12 | 0.12 | 0.01 | 0.39 | 0.39 | XXX |
| 88125 | TC | A | Forensic cytopathology | 0.00 | 0.14 | NA | 0.01 | 0.15 | NA | XXX |
| 88141 | A | Cytopath, c/v, interpret | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| 88160 | A | Cytopath smear, other source | 0.50 | 0.92 | NA | 0.04 | 1.46 | NA | XXX | |
| 88160 | 26 | A | Cytopath smear, other source | 0.50 | 0.22 | 0.22 | 0.02 | 0.74 | 0.74 | XXX |
| 88160 | TC | A | Cytopath smear, other source | 0.00 | 0.70 | NA | 0.02 | 0.72 | NA | XXX |
| 88161 | A | Cytopath smear, other source | 0.50 | 0.88 | NA | 0.04 | 1.42 | NA | XXX | |
| 88161 | 26 | A | Cytopath smear, other source | 0.50 | 0.22 | 0.22 | 0.02 | 0.74 | 0.74 | XXX |
| 88161 | TC | A | Cytopath smear, other source | 0.00 | 0.66 | NA | 0.02 | 0.68 | NA | XXX |
| 88162 | A | Cytopath smear, other source | 0.76 | 0.68 | NA | 0.06 | 1.50 | NA | XXX | |
| 88162 | 26 | A | Cytopath smear, other source | 0.76 | 0.34 | 0.34 | 0.04 | 1.14 | 1.14 | XXX |
| 88162 | TC | A | Cytopath smear, other source | 0.00 | 0.34 | NA | 0.02 | 0.36 | NA | XXX |
| 88172 | A | Cytopathology eval of fna | 0.60 | 0.66 | NA | 0.04 | 1.30 | NA | XXX | |
| 88172 | 26 | A | Cytopathology eval of fna | 0.60 | 0.27 | 0.27 | 0.02 | 0.89 | 0.89 | XXX |
| 88172 | TC | A | Cytopathology eval of fna | 0.00 | 0.39 | NA | 0.02 | 0.41 | NA | XXX |
| 88173 | A | Cytopath eval, fna, report | 1.39 | 1.75 | NA | 0.08 | 3.22 | NA | XXX | |
| 88173 | 26 | A | Cytopath eval, fna, report | 1.39 | 0.60 | 0.60 | 0.06 | 2.05 | 2.05 | XXX |
| 88173 | TC | A | Cytopath eval, fna, report | 0.00 | 1.15 | NA | 0.02 | 1.17 | NA | XXX |
| 88180 | A | Cell marker study | 0.36 | 1.43 | NA | 0.03 | 1.82 | NA | XXX | |
| 88180 | 26 | A | Cell marker study | 0.36 | 0.16 | 0.16 | 0.01 | 0.53 | 0.53 | XXX |
| 88180 | TC | A | Cell marker study | 0.00 | 1.27 | NA | 0.02 | 1.29 | NA | XXX |
| 88182 | A | Cell marker study | 0.77 | 1.59 | NA | 0.08 | 2.44 | NA | XXX | |
| 88182 | 26 | A | Cell marker study | 0.77 | 0.34 | 0.34 | 0.04 | 1.15 | 1.15 | XXX |
| 88182 | TC | A | Cell marker study | 0.00 | 1.25 | NA | 0.04 | 1.29 | NA | XXX |
| 88199 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88199 | 26 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88199 | TC | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88291 | A | Cyto/molecular report | 0.52 | 0.28 | 0.28 | 0.02 | 0.82 | 0.82 | XXX | |
| 88299 | C | Cytogenetic study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88300 | A | Surgical path, gross | 0.08 | 0.28 | NA | 0.02 | 0.38 | NA | XXX | |
| 88300 | 26 | A | Surgical path, gross | 0.08 | 0.04 | 0.04 | 0.01 | 0.13 | 0.13 | XXX |
| 88300 | TC | A | Surgical path, gross | 0.00 | 0.24 | NA | 0.01 | 0.25 | NA | XXX |
| 88302 | A | Tissue exam by pathologist | 0.13 | 0.69 | NA | 0.03 | 0.85 | NA | XXX | |
| 88302 | 26 | A | Tissue exam by pathologist | 0.13 | 0.06 | 0.06 | 0.01 | 0.20 | 0.20 | XXX |
| 88302 | TC | A | Tissue exam by pathologist | 0.00 | 0.63 | NA | 0.02 | 0.65 | NA | XXX |
| 88304 | A | Tissue exam by pathologist | 0.22 | 0.87 | NA | 0.03 | 1.12 | NA | XXX | |
| 88304 | 26 | A | Tissue exam by pathologist | 0.22 | 0.10 | 0.10 | 0.01 | 0.33 | 0.33 | XXX |
| 88304 | TC | A | Tissue exam by pathologist | 0.00 | 0.77 | NA | 0.02 | 0.79 | NA | XXX |
| 88305 | A | Tissue exam by pathologist | 0.75 | 1.74 | NA | 0.06 | 2.55 | NA | XXX | |
| 88305 | 26 | A | Tissue exam by pathologist | 0.75 | 0.34 | 0.34 | 0.02 | 1.11 | 1.11 | XXX |
| 88305 | TC | A | Tissue exam by pathologist | 0.00 | 1.40 | NA | 0.04 | 1.44 | NA | XXX |
| 88307 | A | Tissue exam by pathologist | 1.59 | 2.65 | NA | 0.13 | 4.37 | NA | XXX | |
| 88307 | 26 | A | Tissue exam by pathologist | 1.59 | 0.69 | 0.69 | 0.07 | 2.35 | 2.35 | XXX |
| 88307 | TC | A | Tissue exam by pathologist | 0.00 | 1.96 | NA | 0.06 | 2.02 | NA | XXX |
| 88309 | A | Tissue exam by pathologist | 2.28 | 3.25 | NA | 0.16 | 5.69 | NA | XXX | |
| 88309 | 26 | A | Tissue exam by pathologist | 2.28 | 1.00 | 1.00 | 0.10 | 3.38 | 3.38 | XXX |
| 88309 | TC | A | Tissue exam by pathologist | 0.00 | 2.25 | NA | 0.06 | 2.31 | NA | XXX |
| 88311 | A | Decalcify tissue | 0.24 | 0.20 | NA | 0.02 | 0.46 | NA | XXX | |
| 88311 | 26 | A | Decalcify tissue | 0.24 | 0.11 | 0.11 | 0.01 | 0.36 | 0.36 | XXX |
| 88311 | TC | A | Decalcify tissue | 0.00 | 0.09 | NA | 0.01 | 0.10 | NA | XXX |
| 88312 | A | Special stains | 0.54 | 1.35 | NA | 0.03 | 1.92 | NA | XXX | |
| 88312 | 26 | A | Special stains | 0.54 | 0.24 | 0.24 | 0.02 | 0.80 | 0.80 | XXX |
| 88312 | TC | A | Special stains | 0.00 | 1.11 | NA | 0.01 | 1.12 | NA | XXX |
| 88313 | A | Special stains | 0.24 | 1.09 | NA | 0.02 | 1.35 | NA | XXX | |
| 88313 | 26 | A | Special stains | 0.24 | 0.11 | 0.11 | 0.01 | 0.36 | 0.36 | XXX |
| 88313 | TC | A | Special stains | 0.00 | 0.98 | NA | 0.01 | 0.99 | NA | XXX |
| 88314 | A | Histochemical stain | 0.45 | 0.89 | NA | 0.04 | 1.38 | NA | XXX | |
| 88314 | 26 | A | Histochemical stain | 0.45 | 0.20 | 0.20 | 0.02 | 0.67 | 0.67 | XXX |
| 88314 | TC | A | Histochemical stain | 0.00 | 0.69 | NA | 0.02 | 0.71 | NA | XXX |
| 88318 | A | Chemical histochemistry | 0.42 | 0.80 | NA | 0.02 | 1.24 | NA | XXX | |
| 88318 | 26 | A | Chemical histochemistry | 0.42 | 0.19 | 0.19 | 0.01 | 0.62 | 0.62 | XXX |
| 88318 | TC | A | Chemical histochemistry | 0.00 | 0.61 | NA | 0.01 | 0.62 | NA | XXX |
| 88319 | A | Enzyme histochemistry | 0.53 | 1.89 | NA | 0.04 | 2.46 | NA | XXX | |
| 88319 | 26 | A | Enzyme histochemistry | 0.53 | 0.23 | 0.23 | 0.02 | 0.78 | 0.78 | XXX |
| 88319 | TC | A | Enzyme histochemistry | 0.00 | 1.66 | NA | 0.02 | 1.68 | NA | XXX |
| 88321 | A | Microslide consultation | 1.30 | 0.82 | 0.56 | 0.05 | 2.17 | 1.91 | XXX | |
| 88323 | A | Microslide consultation | 1.35 | 1.44 | NA | 0.08 | 2.87 | NA | XXX | |
| 88323 | 26 | A | Microslide consultation | 1.35 | 0.59 | 0.59 | 0.06 | 2.00 | 2.00 | XXX |
| 88323 | TC | A | Microslide consultation | 0.00 | 0.85 | NA | 0.02 | 0.87 | NA | XXX |
| 88325 | A | Comprehensive review of data | 2.22 | 2.90 | 0.97 | 0.10 | 5.22 | 3.29 | XXX | |
| 88329 | A | Path consult introp | 0.67 | 0.63 | 0.30 | 0.02 | 1.32 | 0.99 | XXX | |
| 88331 | A | Path consult intraop, 1 bloc | 1.19 | 0.98 | NA | 0.09 | 2.26 | NA | XXX | |
| 88331 | 26 | A | Path consult intraop, 1 bloc | 1.19 | 0.52 | 0.52 | 0.05 | 1.76 | 1.76 | XXX |
| 88331 | TC | A | Path consult intraop, 1 bloc | 0.00 | 0.46 | NA | 0.04 | 0.50 | NA | XXX |
| 88332 | A | Path consult intraop, add'l | 0.59 | 0.50 | NA | 0.04 | 1.13 | NA | XXX | |
| 88332 | 26 | A | Path consult intraop, add'l | 0.59 | 0.26 | 0.26 | 0.02 | 0.87 | 0.87 | XXX |
| 88332 | TC | A | Path consult intraop, add'l | 0.00 | 0.24 | NA | 0.02 | 0.26 | NA | XXX |
| 88342 | A | Immunohistochemistry | 0.85 | 1.35 | NA | 0.06 | 2.26 | NA | XXX | |
| 88342 | 26 | A | Immunohistochemistry | 0.85 | 0.37 | 0.37 | 0.04 | 1.26 | 1.26 | XXX |
| 88342 | TC | A | Immunohistochemistry | 0.00 | 0.98 | NA | 0.02 | 1.00 | NA | XXX |
| 88346 | A | Immunofluorescent study | 0.86 | 1.44 | NA | 0.06 | 2.36 | NA | XXX | |
| 88346 | 26 | A | Immunofluorescent study | 0.86 | 0.37 | 0.37 | 0.04 | 1.27 | 1.27 | XXX |
| 88346 | TC | A | Immunofluorescent study | 0.00 | 1.07 | NA | 0.02 | 1.09 | NA | XXX |
| 88347 | A | Immunofluorescent study | 0.86 | 1.76 | NA | 0.06 | 2.68 | NA | XXX | |
| 88347 | 26 | A | Immunofluorescent study | 0.86 | 0.36 | 0.36 | 0.04 | 1.26 | 1.26 | XXX |
| 88347 | TC | A | Immunofluorescent study | 0.00 | 1.40 | NA | 0.02 | 1.42 | NA | XXX |
| 88348 | A | Electron microscopy | 1.51 | 8.47 | NA | 0.13 | 10.11 | NA | XXX | |
| 88348 | 26 | A | Electron microscopy | 1.51 | 0.65 | 0.65 | 0.06 | 2.22 | 2.22 | XXX |
| 88348 | TC | A | Electron microscopy | 0.00 | 7.82 | NA | 0.07 | 7.89 | NA | XXX |
| 88349 | A | Scanning electron microscopy | 0.76 | 9.99 | NA | 0.10 | 10.85 | NA | XXX | |
| 88349 | 26 | A | Scanning electron microscopy | 0.76 | 0.34 | 0.34 | 0.04 | 1.14 | 1.14 | XXX |
| 88349 | TC | A | Scanning electron microscopy | 0.00 | 9.65 | NA | 0.06 | 9.71 | NA | XXX |
| 88355 | A | Analysis, skeletal muscle | 1.85 | 2.60 | NA | 0.14 | 4.59 | NA | XXX | |
| 88355 | 26 | A | Analysis, skeletal muscle | 1.85 | 0.80 | 0.80 | 0.08 | 2.73 | 2.73 | XXX |
| 88355 | TC | A | Analysis, skeletal muscle | 0.00 | 1.80 | NA | 0.06 | 1.86 | NA | XXX |
| 88356 | A | Analysis, nerve | 3.02 | 2.87 | NA | 0.19 | 6.08 | NA | XXX | |
| 88356 | 26 | A | Analysis, nerve | 3.02 | 1.27 | 1.27 | 0.12 | 4.41 | 4.41 | XXX |
| 88356 | TC | A | Analysis, nerve | 0.00 | 1.60 | NA | 0.07 | 1.67 | NA | XXX |
| 88358 | A | Analysis, tumor | 0.95 | 1.38 | NA | 0.19 | 2.52 | NA | XXX | |
| 88358 | 26 | A | Analysis, tumor | 0.95 | 1.23 | 1.23 | 0.12 | 2.30 | 2.30 | XXX |
| 88358 | TC | A | Analysis, tumor | 0.00 | 0.15 | NA | 0.07 | 0.22 | NA | XXX |
| 88361 | A | Immunohistochemistry, tumor | 0.94 | 2.59 | NA | 0.19 | 3.72 | NA | XXX | |
| 88361 | 26 | A | Immunohistochemistry, tumor | 0.94 | 0.41 | 0.41 | 0.12 | 1.47 | 1.47 | XXX |
| 88361 | TC | A | Immunohistochemistry, tumor | 0.00 | 2.18 | NA | 0.07 | 2.25 | NA | XXX |
| 88362 | A | Nerve teasing preparations | 2.17 | 4.40 | NA | 0.14 | 6.71 | NA | XXX | |
| 88362 | 26 | A | Nerve teasing preparations | 2.17 | 0.93 | 0.93 | 0.08 | 3.18 | 3.18 | XXX |
| 88362 | TC | A | Nerve teasing preparations | 0.00 | 3.47 | NA | 0.06 | 3.53 | NA | XXX |
| 88365 | A | Tissue hybridization | 0.93 | 2.21 | NA | 0.06 | 3.20 | NA | XXX | |
| 88365 | 26 | A | Tissue hybridization | 0.93 | 0.41 | 0.41 | 0.04 | 1.38 | 1.38 | XXX |
| 88365 | TC | A | Tissue hybridization | 0.00 | 1.80 | NA | 0.02 | 1.82 | NA | XXX |
| 88371 | 26 | A | Protein, western blot tissue | 0.37 | 0.13 | 0.13 | 0.01 | 0.51 | 0.51 | XXX |
| 88372 | 26 | A | Protein analysis w/probe | 0.37 | 0.17 | 0.17 | 0.01 | 0.55 | 0.55 | XXX |
| 88380 | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88380 | 26 | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88380 | TC | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88399 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88399 | 26 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88399 | TC | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 89060 | 26 | A | Exam,synovial fluid crystals | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 89100 | A | Sample intestinal contents | 0.60 | 1.60 | 0.22 | 0.02 | 2.22 | 0.84 | XXX | |
| 89105 | A | Sample intestinal contents | 0.50 | 2.24 | 0.17 | 0.02 | 2.76 | 0.69 | XXX | |
| 89130 | A | Sample stomach contents | 0.45 | 1.74 | 0.13 | 0.02 | 2.21 | 0.60 | XXX | |
| 89132 | A | Sample stomach contents | 0.19 | 1.48 | 0.06 | 0.01 | 1.68 | 0.26 | XXX | |
| 89135 | A | Sample stomach contents | 0.79 | 1.59 | 0.25 | 0.04 | 2.42 | 1.08 | XXX | |
| 89136 | A | Sample stomach contents | 0.21 | 1.60 | 0.09 | 0.01 | 1.82 | 0.31 | XXX | |
| 89140 | A | Sample stomach contents | 0.94 | 2.06 | 0.28 | 0.04 | 3.04 | 1.26 | XXX | |
| 89141 | A | Sample stomach contents | 0.85 | 2.72 | 0.34 | 0.04 | 3.61 | 1.23 | XXX | |
| 90281 | I | Human ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90283 | I | Human ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90287 | I | Botulinum antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90288 | I | Botulism ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90291 | I | Cmv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90296 | E | Diphtheria antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90371 | E | Hep b ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90375 | E | Rabies ig, im/sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90376 | E | Rabies ig, heat treated | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90378 | X | Rsv ig, im, 50mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90379 | I | Rsv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90384 | I | Rh ig, full-dose, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90385 | E | Rh ig, minidose, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90386 | I | Rh ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90389 | I | Tetanus ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90393 | E | Vaccina ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90396 | E | Varicella-zoster ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90399 | I | Immune globulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90471 | A | Immunization admin | 0.00 | 0.21 | NA | 0.01 | 0.22 | NA | XXX | |
| 90472 | A | Immunization admin, each add | 0.00 | 0.14 | NA | 0.01 | 0.15 | NA | ZZZ | |
| 90473 | N | Immune admin oral/nasal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90474 | N | Immune admin oral/nasal addl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 90476 | E | Adenovirus vaccine, type 4 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90477 | E | Adenovirus vaccine, type 7 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90581 | E | Anthrax vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90585 | E | Bcg vaccine, percut | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90586 | E | Bcg vaccine, intravesical | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90632 | E | Hep a vaccine, adult im | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90634 | E | Hep a vacc, ped/adol, 3 dose | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90645 | E | Hib vaccine, hboc, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90646 | E | Hib vaccine, prp-d, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90647 | E | Hib vaccine, prp-omp, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90648 | E | Hib vaccine, prp-t, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90655 | X | Flu vaccine, 6-35 mo, im | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90658 | X | Flu vaccine, 3 yrs, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90659 | D | Flu vaccine, whole, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90660 | X | Flu vaccine, nasal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90665 | E | Lyme disease vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90669 | N | Pneumococcal vacc, ped 5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90675 | E | Rabies vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90676 | E | Rabies vaccine, id | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90680 | E | Rotovirus vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90690 | E | Typhoid vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90691 | E | Typhoid vaccine, im | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90693 | E | Typhoid vaccine, akd, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90698 | E | Dtap-hib-ip vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90700 | E | Dtap vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90701 | E | Dtp vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90702 | E | Dt vaccine 7, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90703 | E | Tetanus vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90704 | E | Mumps vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90705 | E | Measles vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90706 | E | Rubella vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90707 | E | Mmr vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90708 | E | Measles-rubella vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90710 | E | Mmrv vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90712 | E | Oral poliovirus vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90713 | E | Poliovirus, ipv, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90715 | E | Tdap vaccine 7 im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90716 | E | Chicken pox vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90717 | E | Yellow fever vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90718 | E | Td vaccine 7, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90719 | E | Diphtheria vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90720 | E | Dtp/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90721 | E | Dtap/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90723 | I | Dtap-hep b-ipv vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90725 | E | Cholera vaccine, injectable | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90727 | E | Plague vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90732 | X | Pneumococcal vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90733 | E | Meningococcal vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90734 | E | Meningococcal vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90735 | E | Encephalitis vaccine, sc | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90743 | X | Hep b vacc, adol, 2 dose, im | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90746 | X | Hep b vaccine, adult, im | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 90748 | I | Hep b/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90749 | E | Vaccine toxoid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90780 | A | IV infusion therapy, 1 hour | 0.17 | 2.15 | NA | 0.07 | 2.39 | NA | XXX | |
| 90781 | A | IV infusion, additional hour | 0.17 | 0.46 | NA | 0.04 | 0.67 | NA | ZZZ | |
| 90782 | T | Injection, sc/im | 0.17 | 0.32 | NA | 0.01 | 0.50 | NA | XXX | |
| 90783 | T | Injection, ia | 0.17 | 0.32 | NA | 0.02 | 0.51 | NA | XXX | |
| 90784 | T | Injection, iv | 0.17 | 0.80 | NA | 0.04 | 1.01 | NA | XXX | |
| 90788 | T | Injection of antibiotic | 0.17 | 0.27 | NA | 0.01 | 0.45 | NA | XXX | |
| 90799 | C | Ther/prophylactic/dx inject | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90801 | A | Psy dx interview | 2.80 | 1.17 | 0.94 | 0.07 | 4.04 | 3.81 | XXX | |
| 90802 | A | Intac psy dx interview | 3.01 | 1.20 | 0.98 | 0.08 | 4.29 | 4.07 | XXX | |
| 90804 | A | Psytx, office, 20-30 min | 1.21 | 0.49 | 0.38 | 0.04 | 1.74 | 1.63 | XXX | |
| 90805 | A | Psytx, off, 20-30 min w/em | 1.37 | 0.50 | 0.42 | 0.04 | 1.91 | 1.83 | XXX | |
| 90806 | A | Psytx, off, 45-50 min | 1.86 | 0.70 | 0.60 | 0.05 | 2.61 | 2.51 | XXX | |
| 90807 | A | Psytx, off, 45-50 min w/em | 2.02 | 0.70 | 0.63 | 0.06 | 2.78 | 2.71 | XXX | |
| 90808 | A | Psytx, office, 75-80 min | 2.79 | 1.03 | 0.91 | 0.08 | 3.90 | 3.78 | XXX | |
| 90809 | A | Psytx, off, 75-80, w/em | 2.95 | 1.00 | 0.92 | 0.08 | 4.03 | 3.95 | XXX | |
| 90810 | A | Intac psytx, off, 20-30 min | 1.32 | 0.50 | 0.42 | 0.04 | 1.86 | 1.78 | XXX | |
| 90811 | A | Intac psytx, 20-30, w/em | 1.48 | 0.57 | 0.46 | 0.04 | 2.09 | 1.98 | XXX | |
| 90812 | A | Intac psytx, off, 45-50 min | 1.97 | 0.79 | 0.64 | 0.06 | 2.82 | 2.67 | XXX | |
| 90813 | A | Intac psytx, 45-50 min w/em | 2.13 | 0.77 | 0.67 | 0.06 | 2.96 | 2.86 | XXX | |
| 90814 | A | Intac psytx, off, 75-80 min | 2.90 | 1.11 | 0.99 | 0.08 | 4.09 | 3.97 | XXX | |
| 90815 | A | Intac psytx, 75-80 w/em | 3.06 | 1.05 | 0.95 | 0.08 | 4.19 | 4.09 | XXX | |
| 90816 | A | Psytx, hosp, 20-30 min | 1.25 | NA | 0.46 | 0.04 | NA | 1.75 | XXX | |
| 90817 | A | Psytx, hosp, 20-30 min w/em | 1.41 | NA | 0.45 | 0.04 | NA | 1.90 | XXX | |
| 90818 | A | Psytx, hosp, 45-50 min | 1.89 | NA | 0.69 | 0.05 | NA | 2.63 | XXX | |
| 90819 | A | Psytx, hosp, 45-50 min w/em | 2.05 | NA | 0.65 | 0.06 | NA | 2.76 | XXX | |
| 90821 | A | Psytx, hosp, 75-80 min | 2.83 | NA | 1.01 | 0.07 | NA | 3.91 | XXX | |
| 90822 | A | Psytx, hosp, 75-80 min w/em | 2.99 | NA | 0.95 | 0.08 | NA | 4.02 | XXX | |
| 90823 | A | Intac psytx, hosp, 20-30 min | 1.36 | NA | 0.48 | 0.04 | NA | 1.88 | XXX | |
| 90824 | A | Intac psytx, hsp 20-30 w/em | 1.52 | NA | 0.49 | 0.04 | NA | 2.05 | XXX | |
| 90826 | A | Intac psytx, hosp, 45-50 min | 2.01 | NA | 0.73 | 0.05 | NA | 2.79 | XXX | |
| 90827 | A | Intac psytx, hsp 45-50 w/em | 2.16 | NA | 0.69 | 0.06 | NA | 2.91 | XXX | |
| 90828 | A | Intac psytx, hosp, 75-80 min | 2.94 | NA | 1.07 | 0.08 | NA | 4.09 | XXX | |
| 90829 | A | Intac psytx, hsp 75-80 w/em | 3.10 | NA | 0.99 | 0.08 | NA | 4.17 | XXX | |
| 90845 | A | Psychoanalysis | 1.79 | 0.58 | 0.55 | 0.05 | 2.42 | 2.39 | XXX | |
| 90846 | R | Family psytx w/o patient | 1.83 | 0.65 | 0.65 | 0.05 | 2.53 | 2.53 | XXX | |
| 90847 | R | Family psytx w/patient | 2.21 | 0.82 | 0.76 | 0.06 | 3.09 | 3.03 | XXX | |
| 90849 | R | Multiple family group psytx | 0.59 | 0.27 | 0.24 | 0.01 | 0.87 | 0.84 | XXX | |
| 90853 | A | Group psychotherapy | 0.59 | 0.25 | 0.23 | 0.01 | 0.85 | 0.83 | XXX | |
| 90857 | A | Intac group psytx | 0.63 | 0.30 | 0.26 | 0.02 | 0.95 | 0.91 | XXX | |
| 90862 | A | Medication management | 0.95 | 0.40 | 0.32 | 0.02 | 1.37 | 1.29 | XXX | |
| 90865 | A | Narcosynthesis | 2.84 | 1.59 | 0.89 | 0.08 | 4.51 | 3.81 | XXX | |
| 90870 | A | Electroconvulsive therapy | 1.88 | 0.79 | 0.79 | 0.05 | 2.72 | 2.72 | 000 | |
| 90871 | N | Electroconvulsive therapy | +2.72 | 1.07 | 1.07 | 0.07 | 3.86 | 3.86 | 000 | |
| 90875 | N | Psychophysiological therapy | +1.20 | 0.90 | 0.46 | 0.04 | 2.14 | 1.70 | XXX | |
| 90876 | N | Psychophysiological therapy | +1.90 | 1.16 | 0.73 | 0.05 | 3.11 | 2.68 | XXX | |
| 90880 | A | Hypnotherapy | 2.19 | 1.04 | 0.69 | 0.06 | 3.29 | 2.94 | XXX | |
| 90882 | N | Environmental manipulation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90885 | B | Psy evaluation of records | +0.97 | 0.37 | 0.37 | 0.02 | 1.36 | 1.36 | XXX | |
| 90887 | B | Consultation with family | +1.48 | 0.82 | 0.56 | 0.04 | 2.34 | 2.08 | XXX | |
| 90889 | B | Preparation of report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90899 | C | Psychiatric service/therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90901 | A | Biofeedback train, any meth | 0.41 | 0.66 | 0.14 | 0.02 | 1.09 | 0.57 | 000 | |
| 90911 | A | Biofeedback peri/uro/rectal | 0.89 | 1.61 | 0.31 | 0.05 | 2.55 | 1.25 | 000 | |
| 90918 | I | ESRD related services, month | +11.16 | 7.34 | 7.34 | 0.36 | 18.86 | 18.86 | XXX | |
| 90919 | I | ESRD related services, month | +8.53 | 4.07 | 4.07 | 0.29 | 12.89 | 12.89 | XXX | |
| 90920 | I | ESRD related services, month | +7.26 | 3.81 | 3.81 | 0.23 | 11.30 | 11.30 | XXX | |
| 90921 | I | ESRD related services, month | +4.46 | 2.48 | 2.48 | 0.14 | 7.08 | 7.08 | XXX | |
| 90922 | I | ESRD related services, day | +0.37 | 0.22 | 0.22 | 0.01 | 0.60 | 0.60 | XXX | |
| 90923 | I | Esrd related services, day | +0.28 | 0.13 | 0.13 | 0.01 | 0.42 | 0.42 | XXX | |
| 90924 | I | Esrd related services, day | +0.24 | 0.12 | 0.12 | 0.01 | 0.37 | 0.37 | XXX | |
| 90925 | I | Esrd related services, day | +0.15 | 0.08 | 0.08 | 0.01 | 0.24 | 0.24 | XXX | |
| 90935 | A | Hemodialysis, one evaluation | 1.22 | NA | 0.67 | 0.04 | NA | 1.93 | 000 | |
| 90937 | A | Hemodialysis, repeated eval | 2.11 | NA | 0.98 | 0.07 | NA | 3.16 | 000 | |
| 90939 | X | Hemodialysis study, transcut | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90940 | X | Hemodialysis access study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90945 | A | Dialysis, one evaluation | 1.28 | NA | 0.70 | 0.05 | NA | 2.03 | 000 | |
| 90947 | A | Dialysis, repeated eval | 2.16 | NA | 1.01 | 0.07 | NA | 3.24 | 000 | |
| 90989 | X | Dialysis training, complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90993 | X | Dialysis training, incompl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90997 | A | Hemoperfusion | 1.84 | NA | 1.41 | 0.06 | NA | 3.31 | 000 | |
| 90999 | C | Dialysis procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91000 | A | Esophageal intubation | 0.73 | 0.33 | NA | 0.05 | 1.11 | NA | 000 | |
| 91000 | 26 | A | Esophageal intubation | 0.73 | 0.25 | 0.25 | 0.04 | 1.02 | 1.02 | 000 |
| 91000 | TC | A | Esophageal intubation | 0.00 | 0.08 | NA | 0.01 | 0.09 | NA | 000 |
| 91010 | A | Esophagus motility study | 1.25 | 2.71 | NA | 0.12 | 4.08 | NA | 000 | |
| 91010 | 26 | A | Esophagus motility study | 1.25 | 0.43 | 0.43 | 0.06 | 1.74 | 1.74 | 000 |
| 91010 | TC | A | Esophagus motility study | 0.00 | 2.28 | NA | 0.06 | 2.34 | NA | 000 |
| 91011 | A | Esophagus motility study | 1.50 | 3.20 | NA | 0.12 | 4.82 | NA | 000 | |
| 91011 | 26 | A | Esophagus motility study | 1.50 | 0.53 | 0.53 | 0.06 | 2.09 | 2.09 | 000 |
| 91011 | TC | A | Esophagus motility study | 0.00 | 2.67 | NA | 0.06 | 2.73 | NA | 000 |
| 91012 | A | Esophagus motility study | 1.46 | 3.34 | NA | 0.14 | 4.94 | NA | 000 | |
| 91012 | 26 | A | Esophagus motility study | 1.46 | 0.51 | 0.51 | 0.07 | 2.04 | 2.04 | 000 |
| 91012 | TC | A | Esophagus motility study | 0.00 | 2.83 | NA | 0.07 | 2.90 | NA | 000 |
| 91020 | A | Gastric motility | 1.44 | 2.93 | NA | 0.13 | 4.50 | NA | 000 | |
| 91020 | 26 | A | Gastric motility | 1.44 | 0.48 | 0.48 | 0.07 | 1.99 | 1.99 | 000 |
| 91020 | TC | A | Gastric motility | 0.00 | 2.45 | NA | 0.06 | 2.51 | NA | 000 |
| 91030 | A | Acid perfusion of esophagus | 0.91 | 2.40 | NA | 0.06 | 3.37 | NA | 000 | |
| 91030 | 26 | A | Acid perfusion of esophagus | 0.91 | 0.33 | 0.33 | 0.04 | 1.28 | 1.28 | 000 |
| 91030 | TC | A | Acid perfusion of esophagus | 0.00 | 2.07 | NA | 0.02 | 2.09 | NA | 000 |
| 91032 | A | Esophagus, acid reflux test | 1.21 | 4.10 | NA | 0.12 | 5.43 | NA | 000 | |
| 91032 | 26 | A | Esophagus, acid reflux test | 1.21 | 0.41 | 0.41 | 0.06 | 1.68 | 1.68 | 000 |
| 91032 | TC | A | Esophagus, acid reflux test | 0.00 | 3.69 | NA | 0.06 | 3.75 | NA | 000 |
| 91033 | A | Prolonged acid reflux test | 1.30 | 4.16 | NA | 0.17 | 5.63 | NA | 000 | |
| 91033 | 26 | A | Prolonged acid reflux test | 1.30 | 0.45 | 0.45 | 0.06 | 1.81 | 1.81 | 000 |
| 91033 | TC | A | Prolonged acid reflux test | 0.00 | 3.71 | NA | 0.11 | 3.82 | NA | 000 |
| 91052 | A | Gastric analysis test | 0.79 | 2.19 | NA | 0.06 | 3.04 | NA | 000 | |
| 91052 | 26 | A | Gastric analysis test | 0.79 | 0.28 | 0.28 | 0.04 | 1.11 | 1.11 | 000 |
| 91052 | TC | A | Gastric analysis test | 0.00 | 1.91 | NA | 0.02 | 1.93 | NA | 000 |
| 91055 | A | Gastric intubation for smear | 0.94 | 2.37 | NA | 0.07 | 3.38 | NA | 000 | |
| 91055 | 26 | A | Gastric intubation for smear | 0.94 | 0.27 | 0.27 | 0.05 | 1.26 | 1.26 | 000 |
| 91055 | TC | A | Gastric intubation for smear | 0.00 | 2.10 | NA | 0.02 | 2.12 | NA | 000 |
| 91060 | A | Gastric saline load test | 0.45 | 0.30 | NA | 0.04 | 0.79 | NA | 000 | |
| 91060 | 26 | A | Gastric saline load test | 0.45 | 0.14 | 0.14 | 0.02 | 0.61 | 0.61 | 000 |
| 91060 | TC | A | Gastric saline load test | 0.00 | 0.16 | NA | 0.02 | 0.18 | NA | 000 |
| 91065 | A | Breath hydrogen test | 0.20 | 1.96 | NA | 0.03 | 2.19 | NA | 000 | |
| 91065 | 26 | A | Breath hydrogen test | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | 000 |
| 91065 | TC | A | Breath hydrogen test | 0.00 | 1.89 | NA | 0.02 | 1.91 | NA | 000 |
| 91100 | A | Pass intestine bleeding tube | 1.08 | NA | 0.29 | 0.07 | NA | 1.44 | 000 | |
| 91105 | A | Gastric intubation treatment | 0.37 | NA | 0.09 | 0.02 | NA | 0.48 | 000 | |
| 91110 | A | Gi tract capsule endoscopy | 3.64 | 21.13 | NA | 0.09 | 24.86 | NA | XXX | |
| 91110 | 26 | A | Gi tract capsule endoscopy | 3.64 | 1.30 | 1.30 | 0.02 | 4.96 | 4.96 | XXX |
| 91110 | TC | A | Gi tract capsule endoscopy | 0.00 | 19.83 | NA | 0.07 | 19.90 | NA | XXX |
| 91122 | A | Anal pressure record | 1.77 | 6.06 | NA | 0.20 | 8.03 | NA | 000 | |
| 91122 | 26 | A | Anal pressure record | 1.77 | 0.60 | 0.60 | 0.12 | 2.49 | 2.49 | 000 |
| 91122 | TC | A | Anal pressure record | 0.00 | 5.46 | NA | 0.08 | 5.54 | NA | 000 |
| 91123 | B | Irrigate fecal impaction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91132 | C | Electrogastrography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91132 | 26 | A | Electrogastrography | 0.52 | 0.19 | 0.19 | 0.04 | 0.75 | 0.75 | XXX |
| 91132 | TC | C | Electrogastrography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91133 | C | Electrogastrography w/test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91133 | 26 | A | Electrogastrography w/test | 0.66 | 0.24 | 0.24 | 0.04 | 0.94 | 0.94 | XXX |
| 91133 | TC | C | Electrogastrography w/test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91299 | 26 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | TC | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92002 | A | Eye exam, new patient | 0.88 | 0.96 | 0.35 | 0.02 | 1.86 | 1.25 | XXX | |
| 92004 | A | Eye exam, new patient | 1.67 | 1.68 | 0.68 | 0.04 | 3.39 | 2.39 | XXX | |
| 92012 | A | Eye exam established pat | 0.67 | 1.02 | 0.29 | 0.01 | 1.70 | 0.97 | XXX | |
| 92014 | A | Eye exam treatment | 1.10 | 1.38 | 0.46 | 0.02 | 2.50 | 1.58 | XXX | |
| 92015 | N | Refraction | +0.38 | 1.49 | 0.15 | 0.01 | 1.88 | 0.54 | XXX | |
| 92018 | A | New eye exam treatment | 2.50 | NA | 1.08 | 0.04 | NA | 3.62 | XXX | |
| 92019 | A | Eye exam treatment | 1.31 | NA | 0.56 | 0.04 | NA | 1.91 | XXX | |
| 92020 | A | Special eye evaluation | 0.37 | 0.33 | 0.16 | 0.01 | 0.71 | 0.54 | XXX | |
| 92060 | A | Special eye evaluation | 0.69 | 0.72 | NA | 0.02 | 1.43 | NA | XXX | |
| 92060 | 26 | A | Special eye evaluation | 0.69 | 0.29 | 0.29 | 0.01 | 0.99 | 0.99 | XXX |
| 92060 | TC | A | Special eye evaluation | 0.00 | 0.43 | NA | 0.01 | 0.44 | NA | XXX |
| 92065 | A | Orthoptic/pleoptic training | 0.37 | 0.54 | NA | 0.02 | 0.93 | NA | XXX | |
| 92065 | 26 | A | Orthoptic/pleoptic training | 0.37 | 0.15 | 0.15 | 0.01 | 0.53 | 0.53 | XXX |
| 92065 | TC | A | Orthoptic/pleoptic training | 0.00 | 0.39 | NA | 0.01 | 0.40 | NA | XXX |
| 92070 | A | Fitting of contact lens | 0.70 | 1.08 | 0.32 | 0.01 | 1.79 | 1.03 | XXX | |
| 92081 | A | Visual field examination(s) | 0.36 | 0.85 | NA | 0.02 | 1.23 | NA | XXX | |
| 92081 | 26 | A | Visual field examination(s) | 0.36 | 0.15 | 0.15 | 0.01 | 0.52 | 0.52 | XXX |
| 92081 | TC | A | Visual field examination(s) | 0.00 | 0.70 | NA | 0.01 | 0.71 | NA | XXX |
| 92082 | A | Visual field examination(s) | 0.44 | 1.15 | NA | 0.02 | 1.61 | NA | XXX | |
| 92082 | 26 | A | Visual field examination(s) | 0.44 | 0.19 | 0.19 | 0.01 | 0.64 | 0.64 | XXX |
| 92082 | TC | A | Visual field examination(s) | 0.00 | 0.96 | NA | 0.01 | 0.97 | NA | XXX |
| 92083 | A | Visual field examination(s) | 0.50 | 1.33 | NA | 0.02 | 1.85 | NA | XXX | |
| 92083 | 26 | A | Visual field examination(s) | 0.50 | 0.22 | 0.22 | 0.01 | 0.73 | 0.73 | XXX |
| 92083 | TC | A | Visual field examination(s) | 0.00 | 1.11 | NA | 0.01 | 1.12 | NA | XXX |
| 92100 | A | Serial tonometry exam(s) | 0.92 | 1.26 | 0.37 | 0.02 | 2.20 | 1.31 | XXX | |
| 92120 | A | Tonography eye evaluation | 0.81 | 1.04 | 0.32 | 0.02 | 1.87 | 1.15 | XXX | |
| 92130 | A | Water provocation tonography | 0.81 | 1.23 | 0.37 | 0.02 | 2.06 | 1.20 | XXX | |
| 92135 | A | Opthalmic dx imaging | 0.35 | 0.78 | NA | 0.02 | 1.15 | NA | XXX | |
| 92135 | 26 | A | Opthalmic dx imaging | 0.35 | 0.16 | 0.16 | 0.01 | 0.52 | 0.52 | XXX |
| 92135 | TC | A | Opthalmic dx imaging | 0.00 | 0.62 | NA | 0.01 | 0.63 | NA | XXX |
| 92136 | A | Ophthalmic biometry | 0.54 | 1.75 | NA | 0.08 | 2.37 | NA | XXX | |
| 92136 | 26 | A | Ophthalmic biometry | 0.54 | 0.25 | 0.25 | 0.01 | 0.80 | 0.80 | XXX |
| 92136 | TC | A | Ophthalmic biometry | 0.00 | 1.50 | NA | 0.07 | 1.57 | NA | XXX |
| 92140 | A | Glaucoma provocative tests | 0.50 | 0.94 | 0.21 | 0.01 | 1.45 | 0.72 | XXX | |
| 92225 | A | Special eye exam, initial | 0.38 | 0.22 | 0.16 | 0.01 | 0.61 | 0.55 | XXX | |
| 92226 | A | Special eye exam, subsequent | 0.33 | 0.21 | 0.15 | 0.01 | 0.55 | 0.49 | XXX | |
| 92230 | A | Eye exam with photos | 0.60 | 1.67 | 0.20 | 0.02 | 2.29 | 0.82 | XXX | |
| 92235 | A | Eye exam with photos | 0.81 | 2.93 | NA | 0.08 | 3.82 | NA | XXX | |
| 92235 | 26 | A | Eye exam with photos | 0.81 | 0.37 | 0.37 | 0.02 | 1.20 | 1.20 | XXX |
| 92235 | TC | A | Eye exam with photos | 0.00 | 2.56 | NA | 0.06 | 2.62 | NA | XXX |
| 92240 | A | Icg angiography | 1.10 | 7.03 | NA | 0.08 | 8.21 | NA | XXX | |
| 92240 | 26 | A | Icg angiography | 1.10 | 0.49 | 0.49 | 0.02 | 1.61 | 1.61 | XXX |
| 92240 | TC | A | Icg angiography | 0.00 | 6.54 | NA | 0.06 | 6.60 | NA | XXX |
| 92250 | A | Eye exam with photos | 0.44 | 1.73 | NA | 0.02 | 2.19 | NA | XXX | |
| 92250 | 26 | A | Eye exam with photos | 0.44 | 0.20 | 0.20 | 0.01 | 0.65 | 0.65 | XXX |
| 92250 | TC | A | Eye exam with photos | 0.00 | 1.53 | NA | 0.01 | 1.54 | NA | XXX |
| 92260 | A | Ophthalmoscopy/dynamometry | 0.20 | 0.29 | 0.09 | 0.01 | 0.50 | 0.30 | XXX | |
| 92265 | A | Eye muscle evaluation | 0.81 | 1.88 | NA | 0.04 | 2.73 | NA | XXX | |
| 92265 | 26 | A | Eye muscle evaluation | 0.81 | 0.28 | 0.28 | 0.02 | 1.11 | 1.11 | XXX |
| 92265 | TC | A | Eye muscle evaluation | 0.00 | 1.60 | NA | 0.02 | 1.62 | NA | XXX |
| 92270 | A | Electro-oculography | 0.81 | 1.56 | NA | 0.06 | 2.43 | NA | XXX | |
| 92270 | 26 | A | Electro-oculography | 0.81 | 0.34 | 0.34 | 0.04 | 1.19 | 1.19 | XXX |
| 92270 | TC | A | Electro-oculography | 0.00 | 1.22 | NA | 0.02 | 1.24 | NA | XXX |
| 92275 | A | Electroretinography | 1.01 | 1.93 | NA | 0.04 | 2.98 | NA | XXX | |
| 92275 | 26 | A | Electroretinography | 1.01 | 0.42 | 0.42 | 0.02 | 1.45 | 1.45 | XXX |
| 92275 | TC | A | Electroretinography | 0.00 | 1.51 | NA | 0.02 | 1.53 | NA | XXX |
| 92283 | A | Color vision examination | 0.17 | 0.83 | NA | 0.02 | 1.02 | NA | XXX | |
| 92283 | 26 | A | Color vision examination | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 92283 | TC | A | Color vision examination | 0.00 | 0.76 | NA | 0.01 | 0.77 | NA | XXX |
| 92284 | A | Dark adaptation eye exam | 0.24 | 2.31 | NA | 0.02 | 2.57 | NA | XXX | |
| 92284 | 26 | A | Dark adaptation eye exam | 0.24 | 0.09 | 0.09 | 0.01 | 0.34 | 0.34 | XXX |
| 92284 | TC | A | Dark adaptation eye exam | 0.00 | 2.22 | NA | 0.01 | 2.23 | NA | XXX |
| 92285 | A | Eye photography | 0.20 | 1.07 | NA | 0.02 | 1.29 | NA | XXX | |
| 92285 | 26 | A | Eye photography | 0.20 | 0.09 | 0.09 | 0.01 | 0.30 | 0.30 | XXX |
| 92285 | TC | A | Eye photography | 0.00 | 0.98 | NA | 0.01 | 0.99 | NA | XXX |
| 92286 | A | Internal eye photography | 0.66 | 3.37 | NA | 0.03 | 4.06 | NA | XXX | |
| 92286 | 26 | A | Internal eye photography | 0.66 | 0.30 | 0.30 | 0.01 | 0.97 | 0.97 | XXX |
| 92286 | TC | A | Internal eye photography | 0.00 | 3.07 | NA | 0.02 | 3.09 | NA | XXX |
| 92287 | A | Internal eye photography | 0.81 | 2.69 | 0.31 | 0.02 | 3.52 | 1.14 | XXX | |
| 92310 | N | Contact lens fitting | +1.17 | 1.12 | 0.45 | 0.04 | 2.33 | 1.66 | XXX | |
| 92311 | A | Contact lens fitting | 1.08 | 1.18 | 0.35 | 0.04 | 2.30 | 1.47 | XXX | |
| 92312 | A | Contact lens fitting | 1.26 | 1.16 | 0.49 | 0.04 | 2.46 | 1.79 | XXX | |
| 92313 | A | Contact lens fitting | 0.92 | 1.16 | 0.29 | 0.02 | 2.10 | 1.23 | XXX | |
| 92314 | N | Prescription of contact lens | +0.69 | 0.94 | 0.27 | 0.01 | 1.64 | 0.97 | XXX | |
| 92315 | A | Prescription of contact lens | 0.45 | 0.95 | 0.16 | 0.01 | 1.41 | 0.62 | XXX | |
| 92316 | A | Prescription of contact lens | 0.68 | 1.00 | 0.30 | 0.01 | 1.69 | 0.99 | XXX | |
| 92317 | A | Prescription of contact lens | 0.45 | 1.05 | 0.15 | 0.01 | 1.51 | 0.61 | XXX | |
| 92325 | A | Modification of contact lens | 0.00 | 0.39 | NA | 0.01 | 0.40 | NA | XXX | |
| 92326 | A | Replacement of contact lens | 0.00 | 1.64 | NA | 0.06 | 1.70 | NA | XXX | |
| 92330 | A | Fitting of artificial eye | 1.08 | 1.08 | 0.33 | 0.05 | 2.21 | 1.46 | XXX | |
| 92335 | A | Fitting of artificial eye | 0.45 | 1.01 | 0.17 | 0.01 | 1.47 | 0.63 | XXX | |
| 92340 | N | Fitting of spectacles | +0.37 | 0.70 | 0.14 | 0.01 | 1.08 | 0.52 | XXX | |
| 92341 | N | Fitting of spectacles | +0.47 | 0.74 | 0.18 | 0.01 | 1.22 | 0.66 | XXX | |
| 92342 | N | Fitting of spectacles | +0.53 | 0.76 | 0.21 | 0.01 | 1.30 | 0.75 | XXX | |
| 92352 | B | Special spectacles fitting | +0.37 | 0.73 | 0.14 | 0.01 | 1.11 | 0.52 | XXX | |
| 92353 | B | Special spectacles fitting | +0.50 | 0.78 | 0.19 | 0.02 | 1.30 | 0.71 | XXX | |
| 92354 | B | Special spectacles fitting | +0.00 | 8.89 | NA | 0.10 | 8.99 | NA | XXX | |
| 92355 | B | Special spectacles fitting | +0.00 | 4.34 | NA | 0.01 | 4.35 | NA | XXX | |
| 92358 | B | Eye prosthesis service | +0.00 | 0.97 | NA | 0.05 | 1.02 | NA | XXX | |
| 92370 | N | Repair adjust spectacles | +0.32 | 0.55 | 0.13 | 0.02 | 0.89 | 0.47 | XXX | |
| 92371 | B | Repair adjust spectacles | +0.00 | 0.62 | NA | 0.02 | 0.64 | NA | XXX | |
| 92390 | N | Supply of spectacles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92391 | N | Supply of contact lenses | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92392 | I | Supply of low vision aids | +0.00 | 3.79 | 3.79 | 0.02 | 3.81 | 3.81 | XXX | |
| 92393 | I | Supply of artificial eye | +0.00 | 11.76 | 11.76 | 0.57 | 12.33 | 12.33 | XXX | |
| 92395 | I | Supply of spectacles | +0.00 | 1.28 | 1.28 | 0.10 | 1.38 | 1.38 | XXX | |
| 92396 | I | Supply of contact lenses | +0.00 | 2.16 | 2.16 | 0.07 | 2.23 | 2.23 | XXX | |
| 92499 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92499 | 26 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92499 | TC | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92502 | A | Ear and throat examination | 1.51 | NA | 1.13 | 0.07 | NA | 2.71 | 000 | |
| 92504 | A | Ear microscopy examination | 0.18 | 0.49 | 0.09 | 0.01 | 0.68 | 0.28 | XXX | |
| 92506 | A | Speech/hearing evaluation | 0.86 | 2.61 | 0.40 | 0.05 | 3.52 | 1.31 | XXX | |
| 92507 | A | Speech/hearing therapy | 0.52 | 1.13 | 0.24 | 0.02 | 1.67 | 0.78 | XXX | |
| 92508 | A | Speech/hearing therapy | 0.26 | 0.52 | 0.12 | 0.01 | 0.79 | 0.39 | XXX | |
| 92510 | I | Rehab for ear implant | +1.50 | 2.08 | 0.82 | 0.07 | 3.65 | 2.39 | XXX | |
| 92511 | A | Nasopharyngoscopy | 0.84 | 3.14 | 0.79 | 0.04 | 4.02 | 1.67 | 000 | |
| 92512 | A | Nasal function studies | 0.55 | 1.08 | 0.18 | 0.02 | 1.65 | 0.75 | XXX | |
| 92516 | A | Facial nerve function test | 0.43 | 0.89 | 0.22 | 0.02 | 1.34 | 0.67 | XXX | |
| 92520 | A | Laryngeal function studies | 0.76 | 0.50 | 0.38 | 0.04 | 1.30 | 1.18 | XXX | |
| 92526 | A | Oral function therapy | 0.55 | 1.66 | 0.20 | 0.02 | 2.23 | 0.77 | XXX | |
| 92531 | B | Spontaneous nystagmus study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92532 | B | Positional nystagmus test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92533 | B | Caloric vestibular test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92534 | B | Optokinetic nystagmus test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92541 | A | Spontaneous nystagmus test | 0.40 | 0.97 | NA | 0.04 | 1.41 | NA | XXX | |
| 92541 | 26 | A | Spontaneous nystagmus test | 0.40 | 0.19 | 0.19 | 0.02 | 0.61 | 0.61 | XXX |
| 92541 | TC | A | Spontaneous nystagmus test | 0.00 | 0.78 | NA | 0.02 | 0.80 | NA | XXX |
| 92542 | A | Positional nystagmus test | 0.33 | 1.06 | NA | 0.03 | 1.42 | NA | XXX | |
| 92542 | 26 | A | Positional nystagmus test | 0.33 | 0.16 | 0.16 | 0.01 | 0.50 | 0.50 | XXX |
| 92542 | TC | A | Positional nystagmus test | 0.00 | 0.90 | NA | 0.02 | 0.92 | NA | XXX |
| 92543 | A | Caloric vestibular test | 0.10 | 0.53 | NA | 0.02 | 0.65 | NA | XXX | |
| 92543 | 26 | A | Caloric vestibular test | 0.10 | 0.05 | 0.05 | 0.01 | 0.16 | 0.16 | XXX |
| 92543 | TC | A | Caloric vestibular test | 0.00 | 0.48 | NA | 0.01 | 0.49 | NA | XXX |
| 92544 | A | Optokinetic nystagmus test | 0.26 | 0.84 | NA | 0.03 | 1.13 | NA | XXX | |
| 92544 | 26 | A | Optokinetic nystagmus test | 0.26 | 0.12 | 0.12 | 0.01 | 0.39 | 0.39 | XXX |
| 92544 | TC | A | Optokinetic nystagmus test | 0.00 | 0.72 | NA | 0.02 | 0.74 | NA | XXX |
| 92545 | A | Oscillating tracking test | 0.23 | 0.79 | NA | 0.03 | 1.05 | NA | XXX | |
| 92545 | 26 | A | Oscillating tracking test | 0.23 | 0.11 | 0.11 | 0.01 | 0.35 | 0.35 | XXX |
| 92545 | TC | A | Oscillating tracking test | 0.00 | 0.68 | NA | 0.02 | 0.70 | NA | XXX |
| 92546 | A | Sinusoidal rotational test | 0.29 | 1.80 | NA | 0.03 | 2.12 | NA | XXX | |
| 92546 | 26 | A | Sinusoidal rotational test | 0.29 | 0.13 | 0.13 | 0.01 | 0.43 | 0.43 | XXX |
| 92546 | TC | A | Sinusoidal rotational test | 0.00 | 1.67 | NA | 0.02 | 1.69 | NA | XXX |
| 92547 | A | Supplemental electrical test | 0.00 | 1.15 | NA | 0.06 | 1.21 | NA | ZZZ | |
| 92548 | A | Posturography | 0.50 | 3.19 | NA | 0.15 | 3.84 | NA | XXX | |
| 92548 | 26 | A | Posturography | 0.50 | 0.26 | 0.26 | 0.02 | 0.78 | 0.78 | XXX |
| 92548 | TC | A | Posturography | 0.00 | 2.93 | NA | 0.13 | 3.06 | NA | XXX |
| 92551 | N | Pure tone hearing test, air | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92552 | A | Pure tone audiometry, air | 0.00 | 0.44 | NA | 0.04 | 0.48 | NA | XXX | |
| 92553 | A | Audiometry, air bone | 0.00 | 0.66 | NA | 0.06 | 0.72 | NA | XXX | |
| 92555 | A | Speech threshold audiometry | 0.00 | 0.37 | NA | 0.04 | 0.41 | NA | XXX | |
| 92556 | A | Speech audiometry, complete | 0.00 | 0.57 | NA | 0.06 | 0.63 | NA | XXX | |
| 92557 | A | Comprehensive hearing test | 0.00 | 1.19 | NA | 0.12 | 1.31 | NA | XXX | |
| 92559 | N | Group audiometric testing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92560 | N | Bekesy audiometry, screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92561 | A | Bekesy audiometry, diagnosis | 0.00 | 0.72 | NA | 0.06 | 0.78 | NA | XXX | |
| 92562 | A | Loudness balance test | 0.00 | 0.40 | NA | 0.04 | 0.44 | NA | XXX | |
| 92563 | A | Tone decay hearing test | 0.00 | 0.37 | NA | 0.04 | 0.41 | NA | XXX | |
| 92564 | A | Sisi hearing test | 0.00 | 0.47 | NA | 0.05 | 0.52 | NA | XXX | |
| 92565 | A | Stenger test, pure tone | 0.00 | 0.39 | NA | 0.04 | 0.43 | NA | XXX | |
| 92567 | A | Tympanometry | 0.00 | 0.52 | NA | 0.06 | 0.58 | NA | XXX | |
| 92568 | A | Acoustic reflex testing | 0.00 | 0.37 | NA | 0.04 | 0.41 | NA | XXX | |
| 92569 | A | Acoustic reflex decay test | 0.00 | 0.40 | NA | 0.04 | 0.44 | NA | XXX | |
| 92571 | A | Filtered speech hearing test | 0.00 | 0.38 | NA | 0.04 | 0.42 | NA | XXX | |
| 92572 | A | Staggered spondaic word test | 0.00 | 0.09 | NA | 0.01 | 0.10 | NA | XXX | |
| 92573 | A | Lombard test | 0.00 | 0.35 | NA | 0.04 | 0.39 | NA | XXX | |
| 92575 | A | Sensorineural acuity test | 0.00 | 0.30 | NA | 0.02 | 0.32 | NA | XXX | |
| 92576 | A | Synthetic sentence test | 0.00 | 0.44 | NA | 0.05 | 0.49 | NA | XXX | |
| 92577 | A | Stenger test, speech | 0.00 | 0.72 | NA | 0.07 | 0.79 | NA | XXX | |
| 92579 | A | Visual audiometry (vra) | 0.00 | 0.73 | NA | 0.06 | 0.79 | NA | XXX | |
| 92582 | A | Conditioning play audiometry | 0.00 | 0.73 | NA | 0.06 | 0.79 | NA | XXX | |
| 92583 | A | Select picture audiometry | 0.00 | 0.89 | NA | 0.08 | 0.97 | NA | XXX | |
| 92584 | A | Electrocochleography | 0.00 | 2.49 | NA | 0.21 | 2.70 | NA | XXX | |
| 92585 | A | Auditor evoke potent, compre | 0.50 | 2.08 | NA | 0.16 | 2.74 | NA | XXX | |
| 92585 | 26 | A | Auditor evoke potent, compre | 0.50 | 0.22 | 0.22 | 0.02 | 0.74 | 0.74 | XXX |
| 92585 | TC | A | Auditor evoke potent, compre | 0.00 | 1.86 | NA | 0.14 | 2.00 | NA | XXX |
| 92586 | A | Auditor evoke potent, limit | 0.00 | 1.86 | NA | 0.14 | 2.00 | NA | XXX | |
| 92587 | A | Evoked auditory test | 0.13 | 1.38 | NA | 0.12 | 1.63 | NA | XXX | |
| 92587 | 26 | A | Evoked auditory test | 0.13 | 0.07 | 0.07 | 0.01 | 0.21 | 0.21 | XXX |
| 92587 | TC | A | Evoked auditory test | 0.00 | 1.31 | NA | 0.11 | 1.42 | NA | XXX |
| 92588 | A | Evoked auditory test | 0.36 | 1.64 | NA | 0.14 | 2.14 | NA | XXX | |
| 92588 | 26 | A | Evoked auditory test | 0.36 | 0.17 | 0.17 | 0.01 | 0.54 | 0.54 | XXX |
| 92588 | TC | A | Evoked auditory test | 0.00 | 1.47 | NA | 0.13 | 1.60 | NA | XXX |
| 92589 | A | Auditory function test(s) | 0.00 | 0.53 | NA | 0.06 | 0.59 | NA | XXX | |
| 92590 | N | Hearing aid exam, one ear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92591 | N | Hearing aid exam, both ears | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92592 | N | Hearing aid check, one ear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92593 | N | Hearing aid check, both ears | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92594 | N | Electro hearng aid test, one | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92595 | N | Electro hearng aid tst, both | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92596 | A | Ear protector evaluation | 0.00 | 0.59 | NA | 0.06 | 0.65 | NA | XXX | |
| 92597 | A | Oral speech device eval | 0.86 | 1.69 | 0.45 | 0.05 | 2.60 | 1.36 | XXX | |
| 92601 | A | Cochlear implt f/up exam 7 | 0.00 | 3.41 | NA | 0.07 | 3.48 | NA | XXX | |
| 92602 | A | Reprogram cochlear implt 7 | 0.00 | 2.36 | NA | 0.07 | 2.43 | NA | XXX | |
| 92603 | A | Cochlear implt f/up exam 7 | 0.00 | 2.23 | NA | 0.07 | 2.30 | NA | XXX | |
| 92604 | A | Reprogram cochlear implt 7 | 0.00 | 1.47 | NA | 0.07 | 1.54 | NA | XXX | |
| 92605 | B | Eval for nonspeech device rx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92606 | B | Non-speech device service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92607 | A | Ex for speech device rx, 1hr | 0.00 | 3.22 | NA | 0.05 | 3.27 | NA | XXX | |
| 92608 | A | Ex for speech device rx addl | 0.00 | 0.67 | NA | 0.05 | 0.72 | NA | XXX | |
| 92609 | A | Use of speech device service | 0.00 | 1.60 | NA | 0.04 | 1.64 | NA | XXX | |
| 92610 | A | Evaluate swallowing function | 0.00 | 3.44 | NA | 0.08 | 3.52 | NA | XXX | |
| 92611 | A | Motion fluoroscopy/swallow | 0.00 | 3.44 | NA | 0.08 | 3.52 | NA | XXX | |
| 92612 | A | Endoscopy swallow tst (fees) | 1.27 | 2.71 | 0.67 | 0.08 | 4.06 | 2.02 | XXX | |
| 92613 | A | Endoscopy swallow tst (fees) | 0.71 | 0.39 | 0.39 | 0.05 | 1.15 | 1.15 | XXX | |
| 92614 | A | Laryngoscopic sensory test | 1.27 | 2.41 | 0.61 | 0.08 | 3.76 | 1.96 | XXX | |
| 92615 | A | Eval laryngoscopy sense tst | 0.63 | 0.36 | 0.36 | 0.05 | 1.04 | 1.04 | XXX | |
| 92616 | A | Fees w/laryngeal sense test | 1.88 | 3.29 | 0.97 | 0.08 | 5.25 | 2.93 | XXX | |
| 92617 | A | Interprt fees/laryngeal test | 0.79 | 0.44 | 0.44 | 0.05 | 1.28 | 1.28 | XXX | |
| 92700 | C | Ent procedure/service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92950 | A | Heart/lung resuscitation cpr | 3.79 | NA | 0.98 | 0.25 | NA | 5.02 | 000 | |
| 92953 | A | Temporary external pacing | 0.23 | NA | 0.23 | 0.01 | NA | 0.47 | 000 | |
| 92960 | A | Cardioversion electric, ext | 2.25 | 6.66 | 1.17 | 0.10 | 9.01 | 3.52 | 000 | |
| 92961 | A | Cardioversion, electric, int | 4.59 | NA | 2.09 | 0.21 | NA | 6.89 | 000 | |
| 92970 | A | Cardioassist, internal | 3.51 | NA | 1.07 | 0.21 | NA | 4.79 | 000 | |
| 92971 | A | Cardioassist, external | 1.77 | NA | 0.85 | 0.07 | NA | 2.69 | 000 | |
| 92973 | A | Percut coronary thrombectomy | 3.28 | NA | 1.29 | 0.14 | NA | 4.71 | ZZZ | |
| 92974 | A | Cath place, cardio brachytx | 3.00 | NA | 1.18 | 0.17 | NA | 4.35 | ZZZ | |
| 92975 | A | Dissolve clot, heart vessel | 7.24 | NA | 2.81 | 0.27 | NA | 10.32 | 000 | |
| 92977 | A | Dissolve clot, heart vessel | 0.00 | 8.08 | NA | 0.46 | 8.54 | NA | XXX | |
| 92978 | A | Intravasc us, heart add-on | 1.80 | 5.29 | NA | 0.31 | 7.40 | NA | ZZZ | |
| 92978 | 26 | A | Intravasc us, heart add-on | 1.80 | 0.71 | 0.71 | 0.07 | 2.58 | 2.58 | ZZZ |
| 92978 | TC | A | Intravasc us, heart add-on | 0.00 | 4.58 | NA | 0.24 | 4.82 | NA | ZZZ |
| 92979 | A | Intravasc us, heart add-on | 1.44 | 2.86 | NA | 0.18 | 4.48 | NA | ZZZ | |
| 92979 | 26 | A | Intravasc us, heart add-on | 1.44 | 0.56 | 0.56 | 0.05 | 2.05 | 2.05 | ZZZ |
| 92979 | TC | A | Intravasc us, heart add-on | 0.00 | 2.30 | NA | 0.13 | 2.43 | NA | ZZZ |
| 92980 | A | Insert intracoronary stent | 14.82 | NA | 6.07 | 0.86 | NA | 21.75 | 000 | |
| 92981 | A | Insert intracoronary stent | 4.16 | NA | 1.64 | 0.24 | NA | 6.04 | ZZZ | |
| 92982 | A | Coronary artery dilation | 10.96 | NA | 4.55 | 0.63 | NA | 16.14 | 000 | |
| 92984 | A | Coronary artery dilation | 2.97 | NA | 1.16 | 0.17 | NA | 4.30 | ZZZ | |
| 92986 | A | Revision of aortic valve | 21.77 | NA | 11.62 | 1.37 | NA | 34.76 | 090 | |
| 92987 | A | Revision of mitral valve | 22.67 | NA | 12.01 | 1.42 | NA | 36.10 | 090 | |
| 92990 | A | Revision of pulmonary valve | 17.31 | NA | 9.63 | 1.09 | NA | 28.03 | 090 | |
| 92992 | C | Revision of heart chamber | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 92993 | C | Revision of heart chamber | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 92995 | A | Coronary atherectomy | 12.07 | NA | 4.98 | 0.70 | NA | 17.75 | 000 | |
| 92996 | A | Coronary atherectomy add-on | 3.26 | NA | 1.28 | 0.19 | NA | 4.73 | ZZZ | |
| 92997 | A | Pul art balloon repr, percut | 11.98 | NA | 4.85 | 0.76 | NA | 17.59 | 000 | |
| 92998 | A | Pul art balloon repr, percut | 5.99 | NA | 2.21 | 0.37 | NA | 8.57 | ZZZ | |
| 93000 | A | Electrocardiogram, complete | 0.17 | 0.51 | NA | 0.03 | 0.71 | NA | XXX | |
| 93005 | A | Electrocardiogram, tracing | 0.00 | 0.45 | NA | 0.02 | 0.47 | NA | XXX | |
| 93010 | A | Electrocardiogram report | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX | |
| 93012 | A | Transmission of ecg | 0.00 | 6.04 | NA | 0.18 | 6.22 | NA | XXX | |
| 93014 | A | Report on transmitted ecg | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX | |
| 93015 | A | Cardiovascular stress test | 0.75 | 1.98 | NA | 0.13 | 2.86 | NA | XXX | |
| 93016 | A | Cardiovascular stress test | 0.45 | 0.17 | 0.17 | 0.01 | 0.63 | 0.63 | XXX | |
| 93017 | A | Cardiovascular stress test | 0.00 | 1.69 | NA | 0.11 | 1.80 | NA | XXX | |
| 93018 | A | Cardiovascular stress test | 0.30 | 0.12 | 0.12 | 0.01 | 0.43 | 0.43 | XXX | |
| 93024 | A | Cardiac drug stress test | 1.17 | 1.57 | NA | 0.13 | 2.87 | NA | XXX | |
| 93024 | 26 | A | Cardiac drug stress test | 1.17 | 0.45 | 0.45 | 0.05 | 1.67 | 1.67 | XXX |
| 93024 | TC | A | Cardiac drug stress test | 0.00 | 1.12 | NA | 0.08 | 1.20 | NA | XXX |
| 93025 | A | Microvolt t-wave assess | 0.75 | 8.18 | NA | 0.13 | 9.06 | NA | XXX | |
| 93025 | 26 | A | Microvolt t-wave assess | 0.75 | 0.29 | 0.29 | 0.02 | 1.06 | 1.06 | XXX |
| 93025 | TC | A | Microvolt t-wave assess | 0.00 | 7.89 | NA | 0.11 | 8.00 | NA | XXX |
| 93040 | A | Rhythm ECG with report | 0.16 | 0.20 | NA | 0.02 | 0.38 | NA | XXX | |
| 93041 | A | Rhythm ECG, tracing | 0.00 | 0.15 | NA | 0.01 | 0.16 | NA | XXX | |
| 93042 | A | Rhythm ECG, report | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX | |
| 93224 | A | ECG monitor/report, 24 hrs | 0.52 | 3.63 | NA | 0.24 | 4.39 | NA | XXX | |
| 93225 | A | ECG monitor/record, 24 hrs | 0.00 | 1.24 | NA | 0.08 | 1.32 | NA | XXX | |
| 93226 | A | ECG monitor/report, 24 hrs | 0.00 | 2.19 | NA | 0.14 | 2.33 | NA | XXX | |
| 93227 | A | ECG monitor/review, 24 hrs | 0.52 | 0.20 | 0.20 | 0.02 | 0.74 | 0.74 | XXX | |
| 93230 | A | ECG monitor/report, 24 hrs | 0.52 | 3.90 | NA | 0.26 | 4.68 | NA | XXX | |
| 93231 | A | Ecg monitor/record, 24 hrs | 0.00 | 1.52 | NA | 0.11 | 1.63 | NA | XXX | |
| 93232 | A | ECG monitor/report, 24 hrs | 0.00 | 2.18 | NA | 0.13 | 2.31 | NA | XXX | |
| 93233 | A | ECG monitor/review, 24 hrs | 0.52 | 0.20 | 0.20 | 0.02 | 0.74 | 0.74 | XXX | |
| 93235 | A | ECG monitor/report, 24 hrs | 0.45 | 2.79 | NA | 0.15 | 3.39 | NA | XXX | |
| 93236 | A | ECG monitor/report, 24 hrs | 0.00 | 2.62 | NA | 0.14 | 2.76 | NA | XXX | |
| 93237 | A | ECG monitor/review, 24 hrs | 0.45 | 0.17 | 0.17 | 0.01 | 0.63 | 0.63 | XXX | |
| 93268 | A | ECG record/review | 0.52 | 7.47 | NA | 0.28 | 8.27 | NA | XXX | |
| 93270 | A | ECG recording | 0.00 | 1.24 | NA | 0.08 | 1.32 | NA | XXX | |
| 93271 | A | Ecg/monitoring and analysis | 0.00 | 6.04 | NA | 0.18 | 6.22 | NA | XXX | |
| 93272 | A | Ecg/review, interpret only | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX | |
| 93278 | A | ECG/signal-averaged | 0.25 | 1.25 | NA | 0.12 | 1.62 | NA | XXX | |
| 93278 | 26 | A | ECG/signal-averaged | 0.25 | 0.10 | 0.10 | 0.01 | 0.36 | 0.36 | XXX |
| 93278 | TC | A | ECG/signal-averaged | 0.00 | 1.15 | NA | 0.11 | 1.26 | NA | XXX |
| 93303 | A | Echo transthoracic | 1.30 | 4.35 | NA | 0.28 | 5.93 | NA | XXX | |
| 93303 | 26 | A | Echo transthoracic | 1.30 | 0.48 | 0.48 | 0.05 | 1.83 | 1.83 | XXX |
| 93303 | TC | A | Echo transthoracic | 0.00 | 3.87 | NA | 0.23 | 4.10 | NA | XXX |
| 93304 | A | Echo transthoracic | 0.75 | 2.23 | NA | 0.15 | 3.13 | NA | XXX | |
| 93304 | 26 | A | Echo transthoracic | 0.75 | 0.28 | 0.28 | 0.02 | 1.05 | 1.05 | XXX |
| 93304 | TC | A | Echo transthoracic | 0.00 | 1.95 | NA | 0.13 | 2.08 | NA | XXX |
| 93307 | A | Echo exam of heart | 0.92 | 4.23 | NA | 0.27 | 5.42 | NA | XXX | |
| 93307 | 26 | A | Echo exam of heart | 0.92 | 0.36 | 0.36 | 0.04 | 1.32 | 1.32 | XXX |
| 93307 | TC | A | Echo exam of heart | 0.00 | 3.87 | NA | 0.23 | 4.10 | NA | XXX |
| 93308 | A | Echo exam of heart | 0.53 | 2.16 | NA | 0.15 | 2.84 | NA | XXX | |
| 93308 | 26 | A | Echo exam of heart | 0.53 | 0.21 | 0.21 | 0.02 | 0.76 | 0.76 | XXX |
| 93308 | TC | A | Echo exam of heart | 0.00 | 1.95 | NA | 0.13 | 2.08 | NA | XXX |
| 93312 | A | Echo transesophageal | 2.20 | 4.58 | NA | 0.39 | 7.17 | NA | XXX | |
| 93312 | 26 | A | Echo transesophageal | 2.20 | 0.79 | 0.79 | 0.10 | 3.09 | 3.09 | XXX |
| 93312 | TC | A | Echo transesophageal | 0.00 | 3.79 | NA | 0.29 | 4.08 | NA | XXX |
| 93313 | A | Echo transesophageal | 0.95 | NA | 0.21 | 0.06 | NA | 1.22 | XXX | |
| 93314 | A | Echo transesophageal | 1.25 | 4.26 | NA | 0.34 | 5.85 | NA | XXX | |
| 93314 | 26 | A | Echo transesophageal | 1.25 | 0.47 | 0.47 | 0.05 | 1.77 | 1.77 | XXX |
| 93314 | TC | A | Echo transesophageal | 0.00 | 3.79 | NA | 0.29 | 4.08 | NA | XXX |
| 93315 | C | Echo transesophageal | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX | |
| 93315 | 26 | A | Echo transesophageal | 2.78 | 1.02 | 1.02 | 0.12 | 3.92 | 3.92 | XXX |
| 93315 | TC | C | Echo transesophageal | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX |
| 93316 | A | Echo transesophageal | 0.95 | NA | 0.24 | 0.06 | NA | 1.25 | XXX | |
| 93317 | C | Echo transesophageal | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX | |
| 93317 | 26 | A | Echo transesophageal | 1.83 | 0.67 | 0.67 | 0.07 | 2.57 | 2.57 | XXX |
| 93317 | TC | C | Echo transesophageal | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX |
| 93318 | C | Echo transesophageal intraop | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93318 | 26 | A | Echo transesophageal intraop | 2.20 | 0.47 | 0.47 | 0.07 | 2.74 | 2.74 | XXX |
| 93318 | TC | C | Echo transesophageal intraop | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93320 | A | Doppler echo exam, heart | 0.38 | 1.87 | NA | 0.13 | 2.38 | NA | ZZZ | |
| 93320 | 26 | A | Doppler echo exam, heart | 0.38 | 0.15 | 0.15 | 0.01 | 0.54 | 0.54 | ZZZ |
| 93320 | TC | A | Doppler echo exam, heart | 0.00 | 1.72 | NA | 0.12 | 1.84 | NA | ZZZ |
| 93321 | A | Doppler echo exam, heart | 0.15 | 1.18 | NA | 0.09 | 1.42 | NA | ZZZ | |
| 93321 | 26 | A | Doppler echo exam, heart | 0.15 | 0.06 | 0.06 | 0.01 | 0.22 | 0.22 | ZZZ |
| 93321 | TC | A | Doppler echo exam, heart | 0.00 | 1.12 | NA | 0.08 | 1.20 | NA | ZZZ |
| 93325 | A | Doppler color flow add-on | 0.07 | 2.94 | NA | 0.22 | 3.23 | NA | ZZZ | |
| 93325 | 26 | A | Doppler color flow add-on | 0.07 | 0.03 | 0.03 | 0.01 | 0.11 | 0.11 | ZZZ |
| 93325 | TC | A | Doppler color flow add-on | 0.00 | 2.91 | NA | 0.21 | 3.12 | NA | ZZZ |
| 93350 | A | Echo transthoracic | 1.48 | 2.34 | NA | 0.15 | 3.97 | NA | XXX | |
| 93350 | 26 | A | Echo transthoracic | 1.48 | 0.57 | 0.57 | 0.02 | 2.07 | 2.07 | XXX |
| 93350 | TC | A | Echo transthoracic | 0.00 | 1.77 | NA | 0.13 | 1.90 | NA | XXX |
| 93501 | A | Right heart catheterization | 3.02 | 18.11 | NA | 1.24 | 22.37 | NA | 000 | |
| 93501 | 26 | A | Right heart catheterization | 3.02 | 1.15 | 1.15 | 0.19 | 4.36 | 4.36 | 000 |
| 93501 | TC | A | Right heart catheterization | 0.00 | 16.96 | NA | 1.05 | 18.01 | NA | 000 |
| 93503 | A | Insert/place heart catheter | 2.91 | NA | 0.68 | 0.19 | NA | 3.78 | 000 | |
| 93505 | A | Biopsy of heart lining | 4.37 | 3.68 | NA | 0.44 | 8.49 | NA | 000 | |
| 93505 | 26 | A | Biopsy of heart lining | 4.37 | 1.69 | 1.69 | 0.28 | 6.34 | 6.34 | 000 |
| 93505 | TC | A | Biopsy of heart lining | 0.00 | 1.99 | NA | 0.16 | 2.15 | NA | 000 |
| 93508 | A | Cath placement, angiography | 4.09 | 14.73 | NA | 0.90 | 19.72 | NA | 000 | |
| 93508 | 26 | A | Cath placement, angiography | 4.09 | 2.09 | 2.09 | 0.25 | 6.43 | 6.43 | 000 |
| 93508 | TC | A | Cath placement, angiography | 0.00 | 12.64 | NA | 0.65 | 13.29 | NA | 000 |
| 93510 | A | Left heart catheterization | 4.32 | 39.26 | NA | 2.57 | 46.15 | NA | 000 | |
| 93510 | 26 | A | Left heart catheterization | 4.32 | 2.18 | 2.18 | 0.27 | 6.77 | 6.77 | 000 |
| 93510 | TC | A | Left heart catheterization | 0.00 | 37.08 | NA | 2.30 | 39.38 | NA | 000 |
| 93511 | A | Left heart catheterization | 5.02 | 38.55 | NA | 2.54 | 46.11 | NA | 000 | |
| 93511 | 26 | A | Left heart catheterization | 5.02 | 2.45 | 2.45 | 0.31 | 7.78 | 7.78 | 000 |
| 93511 | TC | A | Left heart catheterization | 0.00 | 36.10 | NA | 2.23 | 38.33 | NA | 000 |
| 93514 | A | Left heart catheterization | 7.04 | 39.24 | NA | 2.68 | 48.96 | NA | 000 | |
| 93514 | 26 | A | Left heart catheterization | 7.04 | 3.14 | 3.14 | 0.45 | 10.63 | 10.63 | 000 |
| 93514 | TC | A | Left heart catheterization | 0.00 | 36.10 | NA | 2.23 | 38.33 | NA | 000 |
| 93524 | A | Left heart catheterization | 6.94 | 50.36 | NA | 3.36 | 60.66 | NA | 000 | |
| 93524 | 26 | A | Left heart catheterization | 6.94 | 3.19 | 3.19 | 0.43 | 10.56 | 10.56 | 000 |
| 93524 | TC | A | Left heart catheterization | 0.00 | 47.17 | NA | 2.93 | 50.10 | NA | 000 |
| 93526 | A | Rt Lt heart catheters | 5.98 | 51.28 | NA | 3.39 | 60.65 | NA | 000 | |
| 93526 | 26 | A | Rt Lt heart catheters | 5.98 | 2.82 | 2.82 | 0.37 | 9.17 | 9.17 | 000 |
| 93526 | TC | A | Rt Lt heart catheters | 0.00 | 48.46 | NA | 3.02 | 51.48 | NA | 000 |
| 93527 | A | Rt Lt heart catheters | 7.27 | 50.50 | NA | 3.39 | 61.16 | NA | 000 | |
| 93527 | 26 | A | Rt Lt heart catheters | 7.27 | 3.33 | 3.33 | 0.46 | 11.06 | 11.06 | 000 |
| 93527 | TC | A | Rt Lt heart catheters | 0.00 | 47.17 | NA | 2.93 | 50.10 | NA | 000 |
| 93528 | A | Rt Lt heart catheters | 8.99 | 51.22 | NA | 3.50 | 63.71 | NA | 000 | |
| 93528 | 26 | A | Rt Lt heart catheters | 8.99 | 4.05 | 4.05 | 0.57 | 13.61 | 13.61 | 000 |
| 93528 | TC | A | Rt Lt heart catheters | 0.00 | 47.17 | NA | 2.93 | 50.10 | NA | 000 |
| 93529 | A | Rt, lt heart catheterization | 4.79 | 49.46 | NA | 3.23 | 57.48 | NA | 000 | |
| 93529 | 26 | A | Rt, lt heart catheterization | 4.79 | 2.29 | 2.29 | 0.30 | 7.38 | 7.38 | 000 |
| 93529 | TC | A | Rt, lt heart catheterization | 0.00 | 47.17 | NA | 2.93 | 50.10 | NA | 000 |
| 93530 | A | Rt heart cath, congenital | 4.22 | 18.90 | NA | 1.34 | 24.46 | NA | 000 | |
| 93530 | 26 | A | Rt heart cath, congenital | 4.22 | 1.94 | 1.94 | 0.29 | 6.45 | 6.45 | 000 |
| 93530 | TC | A | Rt heart cath, congenital | 0.00 | 16.96 | NA | 1.05 | 18.01 | NA | 000 |
| 93531 | A | R l heart cath, congenital | 8.34 | 52.05 | NA | 3.57 | 63.96 | NA | 000 | |
| 93531 | 26 | A | R l heart cath, congenital | 8.34 | 3.59 | 3.59 | 0.55 | 12.48 | 12.48 | 000 |
| 93531 | TC | A | R l heart cath, congenital | 0.00 | 48.46 | NA | 3.02 | 51.48 | NA | 000 |
| 93532 | A | R l heart cath, congenital | 9.99 | 51.44 | NA | 3.56 | 64.99 | NA | 000 | |
| 93532 | 26 | A | R l heart cath, congenital | 9.99 | 4.27 | 4.27 | 0.63 | 14.89 | 14.89 | 000 |
| 93532 | TC | A | R l heart cath, congenital | 0.00 | 47.17 | NA | 2.93 | 50.10 | NA | 000 |
| 93533 | A | R l heart cath, congenital | 6.69 | 49.98 | NA | 3.45 | 60.12 | NA | 000 | |
| 93533 | 26 | A | R l heart cath, congenital | 6.69 | 2.81 | 2.81 | 0.52 | 10.02 | 10.02 | 000 |
| 93533 | TC | A | R l heart cath, congenital | 0.00 | 47.17 | NA | 2.93 | 50.10 | NA | 000 |
| 93539 | A | Injection, cardiac cath | 0.40 | NA | 0.16 | 0.01 | NA | 0.57 | 000 | |
| 93540 | A | Injection, cardiac cath | 0.43 | NA | 0.17 | 0.01 | NA | 0.61 | 000 | |
| 93541 | A | Injection for lung angiogram | 0.29 | NA | 0.11 | 0.01 | NA | 0.41 | 000 | |
| 93542 | A | Injection for heart x-rays | 0.29 | NA | 0.11 | 0.01 | NA | 0.41 | 000 | |
| 93543 | A | Injection for heart x-rays | 0.29 | NA | 0.12 | 0.01 | NA | 0.42 | 000 | |
| 93544 | A | Injection for aortography | 0.25 | NA | 0.10 | 0.01 | NA | 0.36 | 000 | |
| 93545 | A | Inject for coronary x-rays | 0.40 | NA | 0.16 | 0.01 | NA | 0.57 | 000 | |
| 93555 | A | Imaging, cardiac cath | 0.81 | 6.62 | NA | 0.38 | 7.81 | NA | XXX | |
| 93555 | 26 | A | Imaging, cardiac cath | 0.81 | 0.32 | 0.32 | 0.04 | 1.17 | 1.17 | XXX |
| 93555 | TC | A | Imaging, cardiac cath | 0.00 | 6.30 | NA | 0.34 | 6.64 | NA | XXX |
| 93556 | A | Imaging, cardiac cath | 0.83 | 10.26 | NA | 0.55 | 11.64 | NA | XXX | |
| 93556 | 26 | A | Imaging, cardiac cath | 0.83 | 0.33 | 0.33 | 0.04 | 1.20 | 1.20 | XXX |
| 93556 | TC | A | Imaging, cardiac cath | 0.00 | 9.93 | NA | 0.51 | 10.44 | NA | XXX |
| 93561 | A | Cardiac output measurement | 0.50 | 0.68 | NA | 0.08 | 1.26 | NA | 000 | |
| 93561 | 26 | A | Cardiac output measurement | 0.50 | 0.16 | 0.16 | 0.02 | 0.68 | 0.68 | 000 |
| 93561 | TC | A | Cardiac output measurement | 0.00 | 0.52 | NA | 0.06 | 0.58 | NA | 000 |
| 93562 | A | Cardiac output measurement | 0.16 | 0.37 | NA | 0.05 | 0.58 | NA | 000 | |
| 93562 | 26 | A | Cardiac output measurement | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | 000 |
| 93562 | TC | A | Cardiac output measurement | 0.00 | 0.32 | NA | 0.04 | 0.36 | NA | 000 |
| 93571 | A | Heart flow reserve measure | 1.80 | 5.26 | NA | 0.37 | 7.43 | NA | ZZZ | |
| 93571 | 26 | A | Heart flow reserve measure | 1.80 | 0.68 | 0.68 | 0.13 | 2.61 | 2.61 | ZZZ |
| 93571 | TC | A | Heart flow reserve measure | 0.00 | 4.58 | NA | 0.24 | 4.82 | NA | ZZZ |
| 93572 | A | Heart flow reserve measure | 1.44 | 2.80 | NA | 0.34 | 4.58 | NA | ZZZ | |
| 93572 | 26 | A | Heart flow reserve measure | 1.44 | 0.50 | 0.50 | 0.21 | 2.15 | 2.15 | ZZZ |
| 93572 | TC | A | Heart flow reserve measure | 0.00 | 2.30 | NA | 0.13 | 2.43 | NA | ZZZ |
| 93580 | A | Transcath closure of asd | 17.97 | NA | 7.21 | 1.37 | NA | 26.55 | 000 | |
| 93581 | A | Transcath closure of vsd | 24.39 | NA | 9.66 | 1.37 | NA | 35.42 | 000 | |
| 93600 | A | Bundle of His recording | 2.12 | 2.79 | NA | 0.26 | 5.17 | NA | 000 | |
| 93600 | 26 | A | Bundle of His recording | 2.12 | 0.83 | 0.83 | 0.13 | 3.08 | 3.08 | 000 |
| 93600 | TC | A | Bundle of His recording | 0.00 | 1.96 | NA | 0.13 | 2.09 | NA | 000 |
| 93602 | A | Intra-atrial recording | 2.12 | 1.95 | NA | 0.21 | 4.28 | NA | 000 | |
| 93602 | 26 | A | Intra-atrial recording | 2.12 | 0.83 | 0.83 | 0.14 | 3.09 | 3.09 | 000 |
| 93602 | TC | A | Intra-atrial recording | 0.00 | 1.12 | NA | 0.07 | 1.19 | NA | 000 |
| 93603 | A | Right ventricular recording | 2.12 | 2.51 | NA | 0.24 | 4.87 | NA | 000 | |
| 93603 | 26 | A | Right ventricular recording | 2.12 | 0.82 | 0.82 | 0.13 | 3.07 | 3.07 | 000 |
| 93603 | TC | A | Right ventricular recording | 0.00 | 1.69 | NA | 0.11 | 1.80 | NA | 000 |
| 93609 | A | Map tachycardia, add-on | 4.99 | 4.67 | NA | 0.80 | 10.46 | NA | ZZZ | |
| 93609 | 26 | A | Map tachycardia, add-on | 4.99 | 1.95 | 1.95 | 0.63 | 7.57 | 7.57 | ZZZ |
| 93609 | TC | A | Map tachycardia, add-on | 0.00 | 2.72 | NA | 0.17 | 2.89 | NA | ZZZ |
| 93610 | A | Intra-atrial pacing | 3.02 | 2.52 | NA | 0.31 | 5.85 | NA | 000 | |
| 93610 | 26 | A | Intra-atrial pacing | 3.02 | 1.16 | 1.16 | 0.21 | 4.39 | 4.39 | 000 |
| 93610 | TC | A | Intra-atrial pacing | 0.00 | 1.36 | NA | 0.10 | 1.46 | NA | 000 |
| 93612 | A | Intraventricular pacing | 3.02 | 2.78 | NA | 0.32 | 6.12 | NA | 000 | |
| 93612 | 26 | A | Intraventricular pacing | 3.02 | 1.16 | 1.16 | 0.21 | 4.39 | 4.39 | 000 |
| 93612 | TC | A | Intraventricular pacing | 0.00 | 1.62 | NA | 0.11 | 1.73 | NA | 000 |
| 93613 | A | Electrophys map 3d, add-on | 6.99 | NA | 2.76 | 0.63 | NA | 10.38 | ZZZ | |
| 93615 | A | Esophageal recording | 0.99 | 0.59 | NA | 0.06 | 1.64 | NA | 000 | |
| 93615 | 26 | A | Esophageal recording | 0.99 | 0.27 | 0.27 | 0.04 | 1.30 | 1.30 | 000 |
| 93615 | TC | A | Esophageal recording | 0.00 | 0.32 | NA | 0.02 | 0.34 | NA | 000 |
| 93616 | A | Esophageal recording | 1.49 | 0.74 | NA | 0.09 | 2.32 | NA | 000 | |
| 93616 | 26 | A | Esophageal recording | 1.49 | 0.42 | 0.42 | 0.07 | 1.98 | 1.98 | 000 |
| 93616 | TC | A | Esophageal recording | 0.00 | 0.32 | NA | 0.02 | 0.34 | NA | 000 |
| 93618 | A | Heart rhythm pacing | 4.25 | 5.66 | NA | 0.51 | 10.42 | NA | 000 | |
| 93618 | 26 | A | Heart rhythm pacing | 4.25 | 1.68 | 1.68 | 0.27 | 6.20 | 6.20 | 000 |
| 93618 | TC | A | Heart rhythm pacing | 0.00 | 3.98 | NA | 0.24 | 4.22 | NA | 000 |
| 93619 | A | Electrophysiology evaluation | 7.31 | 10.94 | NA | 0.93 | 19.18 | NA | 000 | |
| 93619 | 26 | A | Electrophysiology evaluation | 7.31 | 3.20 | 3.20 | 0.46 | 10.97 | 10.97 | 000 |
| 93619 | TC | A | Electrophysiology evaluation | 0.00 | 7.74 | NA | 0.47 | 8.21 | NA | 000 |
| 93620 | C | Electrophysiology evaluation | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | 000 | |
| 93620 | 26 | A | Electrophysiology evaluation | 11.57 | 4.86 | 4.86 | 0.72 | 17.15 | 17.15 | 000 |
| 93620 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | 000 |
| 93621 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93621 | 26 | A | Electrophysiology evaluation | 2.10 | 0.82 | 0.82 | 0.18 | 3.10 | 3.10 | ZZZ |
| 93621 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93622 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93622 | 26 | A | Electrophysiology evaluation | 3.10 | 1.21 | 1.21 | 0.81 | 5.12 | 5.12 | ZZZ |
| 93622 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93623 | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93623 | 26 | A | Stimulation, pacing heart | 2.85 | 1.12 | 1.12 | 0.18 | 4.15 | 4.15 | ZZZ |
| 93623 | TC | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93624 | A | Electrophysiologic study | 4.80 | 4.19 | NA | 0.43 | 9.42 | NA | 000 | |
| 93624 | 26 | A | Electrophysiologic study | 4.80 | 2.20 | 2.20 | 0.30 | 7.30 | 7.30 | 000 |
| 93624 | TC | A | Electrophysiologic study | 0.00 | 1.99 | NA | 0.13 | 2.12 | NA | 000 |
| 93631 | A | Heart pacing, mapping | 7.59 | 8.95 | NA | 1.42 | 17.96 | NA | 000 | |
| 93631 | 26 | A | Heart pacing, mapping | 7.59 | 2.78 | 2.78 | 0.80 | 11.17 | 11.17 | 000 |
| 93631 | TC | A | Heart pacing, mapping | 0.00 | 6.17 | NA | 0.62 | 6.79 | NA | 000 |
| 93640 | A | Evaluation heart device | 3.51 | 8.56 | NA | 0.64 | 12.71 | NA | 000 | |
| 93640 | 26 | A | Evaluation heart device | 3.51 | 1.36 | 1.36 | 0.22 | 5.09 | 5.09 | 000 |
| 93640 | TC | A | Evaluation heart device | 0.00 | 7.20 | NA | 0.42 | 7.62 | NA | 000 |
| 93641 | A | Electrophysiology evaluation | 5.92 | 9.52 | NA | 0.79 | 16.23 | NA | 000 | |
| 93641 | 26 | A | Electrophysiology evaluation | 5.92 | 2.32 | 2.32 | 0.37 | 8.61 | 8.61 | 000 |
| 93641 | TC | A | Electrophysiology evaluation | 0.00 | 7.20 | NA | 0.42 | 7.62 | NA | 000 |
| 93642 | A | Electrophysiology evaluation | 4.88 | 9.42 | NA | 0.61 | 14.91 | NA | 000 | |
| 93642 | 26 | A | Electrophysiology evaluation | 4.88 | 2.22 | 2.22 | 0.19 | 7.29 | 7.29 | 000 |
| 93642 | TC | A | Electrophysiology evaluation | 0.00 | 7.20 | NA | 0.42 | 7.62 | NA | 000 |
| 93650 | A | Ablate heart dysrhythm focus | 10.49 | NA | 4.45 | 0.66 | NA | 15.60 | 000 | |
| 93651 | A | Ablate heart dysrhythm focus | 16.23 | NA | 6.35 | 1.03 | NA | 23.61 | 000 | |
| 93652 | A | Ablate heart dysrhythm focus | 17.65 | NA | 6.91 | 1.11 | NA | 25.67 | 000 | |
| 93660 | A | Tilt table evaluation | 1.89 | 2.43 | NA | 0.09 | 4.41 | NA | 000 | |
| 93660 | 26 | A | Tilt table evaluation | 1.89 | 0.74 | 0.74 | 0.07 | 2.70 | 2.70 | 000 |
| 93660 | TC | A | Tilt table evaluation | 0.00 | 1.69 | NA | 0.02 | 1.71 | NA | 000 |
| 93662 | C | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93662 | 26 | A | Intracardiac ecg (ice) | 2.80 | 1.11 | 1.11 | 0.49 | 4.40 | 4.40 | ZZZ |
| 93662 | TC | C | Intracardiac ecg (ice) | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | ZZZ |
| 93668 | N | Peripheral vascular rehab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93701 | A | Bioimpedance, thoracic | 0.17 | 1.02 | NA | 0.02 | 1.21 | NA | XXX | |
| 93701 | 26 | A | Bioimpedance, thoracic | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 93701 | TC | A | Bioimpedance, thoracic | 0.00 | 0.95 | NA | 0.01 | 0.96 | NA | XXX |
| 93720 | A | Total body plethysmography | 0.17 | 0.76 | NA | 0.07 | 1.00 | NA | XXX | |
| 93721 | A | Plethysmography tracing | 0.00 | 0.71 | NA | 0.06 | 0.77 | NA | XXX | |
| 93722 | A | Plethysmography report | 0.17 | 0.05 | 0.05 | 0.01 | 0.23 | 0.23 | XXX | |
| 93724 | A | Analyze pacemaker system | 4.88 | 5.90 | NA | 0.46 | 11.24 | NA | 000 | |
| 93724 | 26 | A | Analyze pacemaker system | 4.88 | 1.92 | 1.92 | 0.22 | 7.02 | 7.02 | 000 |
| 93724 | TC | A | Analyze pacemaker system | 0.00 | 3.98 | NA | 0.24 | 4.22 | NA | 000 |
| 93727 | A | Analyze ilr system | 0.52 | 0.20 | 0.20 | 0.06 | 0.78 | 0.78 | XXX | |
| 93731 | A | Analyze pacemaker system | 0.45 | 0.67 | NA | 0.06 | 1.18 | NA | XXX | |
| 93731 | 26 | A | Analyze pacemaker system | 0.45 | 0.18 | 0.18 | 0.02 | 0.65 | 0.65 | XXX |
| 93731 | TC | A | Analyze pacemaker system | 0.00 | 0.49 | NA | 0.04 | 0.53 | NA | XXX |
| 93732 | A | Analyze pacemaker system | 0.92 | 0.87 | NA | 0.08 | 1.87 | NA | XXX | |
| 93732 | 26 | A | Analyze pacemaker system | 0.92 | 0.36 | 0.36 | 0.04 | 1.32 | 1.32 | XXX |
| 93732 | TC | A | Analyze pacemaker system | 0.00 | 0.51 | NA | 0.04 | 0.55 | NA | XXX |
| 93733 | A | Telephone analy, pacemaker | 0.17 | 0.80 | NA | 0.07 | 1.04 | NA | XXX | |
| 93733 | 26 | A | Telephone analy, pacemaker | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 93733 | TC | A | Telephone analy, pacemaker | 0.00 | 0.73 | NA | 0.06 | 0.79 | NA | XXX |
| 93734 | A | Analyze pacemaker system | 0.38 | 0.50 | NA | 0.03 | 0.91 | NA | XXX | |
| 93734 | 26 | A | Analyze pacemaker system | 0.38 | 0.15 | 0.15 | 0.01 | 0.54 | 0.54 | XXX |
| 93734 | TC | A | Analyze pacemaker system | 0.00 | 0.35 | NA | 0.02 | 0.37 | NA | XXX |
| 93735 | A | Analyze pacemaker system | 0.74 | 0.73 | NA | 0.08 | 1.55 | NA | XXX | |
| 93735 | 26 | A | Analyze pacemaker system | 0.74 | 0.29 | 0.29 | 0.04 | 1.07 | 1.07 | XXX |
| 93735 | TC | A | Analyze pacemaker system | 0.00 | 0.44 | NA | 0.04 | 0.48 | NA | XXX |
| 93736 | A | Telephonic analy, pacemaker | 0.15 | 0.69 | NA | 0.07 | 0.91 | NA | XXX | |
| 93736 | 26 | A | Telephonic analy, pacemaker | 0.15 | 0.06 | 0.06 | 0.01 | 0.22 | 0.22 | XXX |
| 93736 | TC | A | Telephonic analy, pacemaker | 0.00 | 0.63 | NA | 0.06 | 0.69 | NA | XXX |
| 93740 | B | Temperature gradient studies | +0.16 | 0.20 | NA | 0.02 | 0.38 | NA | XXX | |
| 93740 | 26 | B | Temperature gradient studies | +0.16 | 0.04 | 0.04 | 0.01 | 0.21 | 0.21 | XXX |
| 93740 | TC | B | Temperature gradient studies | +0.00 | 0.16 | NA | 0.01 | 0.17 | NA | XXX |
| 93741 | A | Analyze ht pace device sngl | 0.80 | 0.99 | NA | 0.06 | 1.85 | NA | XXX | |
| 93741 | 26 | A | Analyze ht pace device sngl | 0.80 | 0.32 | 0.32 | 0.02 | 1.14 | 1.14 | XXX |
| 93741 | TC | A | Analyze ht pace device sngl | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 93742 | A | Analyze ht pace device sngl | 0.91 | 1.03 | NA | 0.06 | 2.00 | NA | XXX | |
| 93742 | 26 | A | Analyze ht pace device sngl | 0.91 | 0.36 | 0.36 | 0.02 | 1.29 | 1.29 | XXX |
| 93742 | TC | A | Analyze ht pace device sngl | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 93743 | A | Analyze ht pace device dual | 1.03 | 1.14 | NA | 0.08 | 2.25 | NA | XXX | |
| 93743 | 26 | A | Analyze ht pace device dual | 1.03 | 0.40 | 0.40 | 0.04 | 1.47 | 1.47 | XXX |
| 93743 | TC | A | Analyze ht pace device dual | 0.00 | 0.74 | NA | 0.04 | 0.78 | NA | XXX |
| 93744 | A | Analyze ht pace device dual | 1.18 | 1.13 | NA | 0.08 | 2.39 | NA | XXX | |
| 93744 | 26 | A | Analyze ht pace device dual | 1.18 | 0.46 | 0.46 | 0.04 | 1.68 | 1.68 | XXX |
| 93744 | TC | A | Analyze ht pace device dual | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 93760 | N | Cephalic thermogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93762 | N | Peripheral thermogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93770 | B | Measure venous pressure | +0.16 | 0.08 | NA | 0.02 | 0.26 | NA | XXX | |
| 93770 | 26 | B | Measure venous pressure | +0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 93770 | TC | B | Measure venous pressure | +0.00 | 0.03 | NA | 0.01 | 0.04 | NA | XXX |
| 93784 | A | Ambulatory BP monitoring | 0.38 | 1.55 | NA | 0.03 | 1.96 | NA | XXX | |
| 93786 | A | Ambulatory BP recording | 0.00 | 0.91 | NA | 0.01 | 0.92 | NA | XXX | |
| 93788 | A | Ambulatory BP analysis | 0.00 | 0.51 | NA | 0.01 | 0.52 | NA | XXX | |
| 93790 | A | Review/report BP recording | 0.38 | 0.13 | 0.13 | 0.01 | 0.52 | 0.52 | XXX | |
| 93797 | A | Cardiac rehab | 0.18 | 0.37 | 0.07 | 0.01 | 0.56 | 0.26 | 000 | |
| 93798 | A | Cardiac rehab/monitor | 0.28 | 0.49 | 0.11 | 0.01 | 0.78 | 0.40 | 000 | |
| 93799 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93799 | 26 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93799 | TC | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93875 | A | Extracranial study | 0.22 | 1.66 | NA | 0.12 | 2.00 | NA | XXX | |
| 93875 | 26 | A | Extracranial study | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 93875 | TC | A | Extracranial study | 0.00 | 1.58 | NA | 0.11 | 1.69 | NA | XXX |
| 93880 | A | Extracranial study | 0.60 | 4.18 | NA | 0.40 | 5.18 | NA | XXX | |
| 93880 | 26 | A | Extracranial study | 0.60 | 0.21 | 0.21 | 0.05 | 0.86 | 0.86 | XXX |
| 93880 | TC | A | Extracranial study | 0.00 | 3.97 | NA | 0.35 | 4.32 | NA | XXX |
| 93882 | A | Extracranial study | 0.40 | 3.01 | NA | 0.27 | 3.68 | NA | XXX | |
| 93882 | 26 | A | Extracranial study | 0.40 | 0.14 | 0.14 | 0.05 | 0.59 | 0.59 | XXX |
| 93882 | TC | A | Extracranial study | 0.00 | 2.87 | NA | 0.22 | 3.09 | NA | XXX |
| 93886 | A | Intracranial study | 0.94 | 4.47 | NA | 0.45 | 5.86 | NA | XXX | |
| 93886 | 26 | A | Intracranial study | 0.94 | 0.37 | 0.37 | 0.06 | 1.37 | 1.37 | XXX |
| 93886 | TC | A | Intracranial study | 0.00 | 4.10 | NA | 0.39 | 4.49 | NA | XXX |
| 93888 | A | Intracranial study | 0.62 | 3.02 | NA | 0.32 | 3.96 | NA | XXX | |
| 93888 | 26 | A | Intracranial study | 0.62 | 0.23 | 0.23 | 0.05 | 0.90 | 0.90 | XXX |
| 93888 | TC | A | Intracranial study | 0.00 | 2.79 | NA | 0.27 | 3.06 | NA | XXX |
| 93922 | A | Extremity study | 0.25 | 1.93 | NA | 0.15 | 2.33 | NA | XXX | |
| 93922 | 26 | A | Extremity study | 0.25 | 0.09 | 0.09 | 0.02 | 0.36 | 0.36 | XXX |
| 93922 | TC | A | Extremity study | 0.00 | 1.84 | NA | 0.13 | 1.97 | NA | XXX |
| 93923 | A | Extremity study | 0.45 | 3.00 | NA | 0.27 | 3.72 | NA | XXX | |
| 93923 | 26 | A | Extremity study | 0.45 | 0.15 | 0.15 | 0.05 | 0.65 | 0.65 | XXX |
| 93923 | TC | A | Extremity study | 0.00 | 2.85 | NA | 0.22 | 3.07 | NA | XXX |
| 93924 | A | Extremity study | 0.50 | 3.76 | NA | 0.31 | 4.57 | NA | XXX | |
| 93924 | 26 | A | Extremity study | 0.50 | 0.17 | 0.17 | 0.06 | 0.73 | 0.73 | XXX |
| 93924 | TC | A | Extremity study | 0.00 | 3.59 | NA | 0.25 | 3.84 | NA | XXX |
| 93925 | A | Lower extremity study | 0.58 | 4.87 | NA | 0.40 | 5.85 | NA | XXX | |
| 93925 | 26 | A | Lower extremity study | 0.58 | 0.20 | 0.20 | 0.05 | 0.83 | 0.83 | XXX |
| 93925 | TC | A | Lower extremity study | 0.00 | 4.67 | NA | 0.35 | 5.02 | NA | XXX |
| 93926 | A | Lower extremity study | 0.39 | 3.49 | NA | 0.27 | 4.15 | NA | XXX | |
| 93926 | 26 | A | Lower extremity study | 0.39 | 0.13 | 0.13 | 0.04 | 0.56 | 0.56 | XXX |
| 93926 | TC | A | Lower extremity study | 0.00 | 3.36 | NA | 0.23 | 3.59 | NA | XXX |
| 93930 | A | Upper extremity study | 0.46 | 3.85 | NA | 0.41 | 4.72 | NA | XXX | |
| 93930 | 26 | A | Upper extremity study | 0.46 | 0.16 | 0.16 | 0.04 | 0.66 | 0.66 | XXX |
| 93930 | TC | A | Upper extremity study | 0.00 | 3.69 | NA | 0.37 | 4.06 | NA | XXX |
| 93931 | A | Upper extremity study | 0.31 | 2.82 | NA | 0.26 | 3.39 | NA | XXX | |
| 93931 | 26 | A | Upper extremity study | 0.31 | 0.11 | 0.11 | 0.02 | 0.44 | 0.44 | XXX |
| 93931 | TC | A | Upper extremity study | 0.00 | 2.71 | NA | 0.24 | 2.95 | NA | XXX |
| 93965 | A | Extremity study | 0.35 | 1.86 | NA | 0.14 | 2.35 | NA | XXX | |
| 93965 | 26 | A | Extremity study | 0.35 | 0.12 | 0.12 | 0.02 | 0.49 | 0.49 | XXX |
| 93965 | TC | A | Extremity study | 0.00 | 1.74 | NA | 0.12 | 1.86 | NA | XXX |
| 93970 | A | Extremity study | 0.68 | 3.97 | NA | 0.46 | 5.11 | NA | XXX | |
| 93970 | 26 | A | Extremity study | 0.68 | 0.23 | 0.23 | 0.06 | 0.97 | 0.97 | XXX |
| 93970 | TC | A | Extremity study | 0.00 | 3.74 | NA | 0.40 | 4.14 | NA | XXX |
| 93971 | A | Extremity study | 0.45 | 2.86 | NA | 0.31 | 3.62 | NA | XXX | |
| 93971 | 26 | A | Extremity study | 0.45 | 0.15 | 0.15 | 0.04 | 0.64 | 0.64 | XXX |
| 93971 | TC | A | Extremity study | 0.00 | 2.71 | NA | 0.27 | 2.98 | NA | XXX |
| 93975 | A | Vascular study | 1.80 | 5.82 | NA | 0.56 | 8.18 | NA | XXX | |
| 93975 | 26 | A | Vascular study | 1.80 | 0.60 | 0.60 | 0.13 | 2.53 | 2.53 | XXX |
| 93975 | TC | A | Vascular study | 0.00 | 5.22 | NA | 0.43 | 5.65 | NA | XXX |
| 93976 | A | Vascular study | 1.21 | 3.46 | NA | 0.37 | 5.04 | NA | XXX | |
| 93976 | 26 | A | Vascular study | 1.21 | 0.40 | 0.40 | 0.07 | 1.68 | 1.68 | XXX |
| 93976 | TC | A | Vascular study | 0.00 | 3.06 | NA | 0.30 | 3.36 | NA | XXX |
| 93978 | A | Vascular study | 0.65 | 3.58 | NA | 0.43 | 4.66 | NA | XXX | |
| 93978 | 26 | A | Vascular study | 0.65 | 0.22 | 0.22 | 0.06 | 0.93 | 0.93 | XXX |
| 93978 | TC | A | Vascular study | 0.00 | 3.36 | NA | 0.37 | 3.73 | NA | XXX |
| 93979 | A | Vascular study | 0.44 | 2.65 | NA | 0.29 | 3.38 | NA | XXX | |
| 93979 | 26 | A | Vascular study | 0.44 | 0.15 | 0.15 | 0.05 | 0.64 | 0.64 | XXX |
| 93979 | TC | A | Vascular study | 0.00 | 2.50 | NA | 0.24 | 2.74 | NA | XXX |
| 93980 | A | Penile vascular study | 1.25 | 4.78 | NA | 0.42 | 6.45 | NA | XXX | |
| 93980 | 26 | A | Penile vascular study | 1.25 | 0.41 | 0.41 | 0.08 | 1.74 | 1.74 | XXX |
| 93980 | TC | A | Penile vascular study | 0.00 | 4.37 | NA | 0.34 | 4.71 | NA | XXX |
| 93981 | A | Penile vascular study | 0.44 | 4.61 | NA | 0.33 | 5.38 | NA | XXX | |
| 93981 | 26 | A | Penile vascular study | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 93981 | TC | A | Penile vascular study | 0.00 | 4.46 | NA | 0.31 | 4.77 | NA | XXX |
| 93990 | A | Doppler flow testing | 0.25 | 3.42 | NA | 0.25 | 3.92 | NA | XXX | |
| 93990 | 26 | A | Doppler flow testing | 0.25 | 0.09 | 0.09 | 0.02 | 0.36 | 0.36 | XXX |
| 93990 | TC | A | Doppler flow testing | 0.00 | 3.33 | NA | 0.23 | 3.56 | NA | XXX |
| 94010 | A | Breathing capacity test | 0.17 | 0.67 | NA | 0.03 | 0.87 | NA | XXX | |
| 94010 | 26 | A | Breathing capacity test | 0.17 | 0.05 | 0.05 | 0.01 | 0.23 | 0.23 | XXX |
| 94010 | TC | A | Breathing capacity test | 0.00 | 0.62 | NA | 0.02 | 0.64 | NA | XXX |
| 94014 | A | Patient recorded spirometry | 0.52 | 0.77 | NA | 0.03 | 1.32 | NA | XXX | |
| 94015 | A | Patient recorded spirometry | 0.00 | 0.60 | NA | 0.01 | 0.61 | NA | XXX | |
| 94016 | A | Review patient spirometry | 0.52 | 0.17 | 0.17 | 0.02 | 0.71 | 0.71 | XXX | |
| 94060 | A | Evaluation of wheezing | 0.31 | 1.12 | NA | 0.07 | 1.50 | NA | XXX | |
| 94060 | 26 | A | Evaluation of wheezing | 0.31 | 0.10 | 0.10 | 0.01 | 0.42 | 0.42 | XXX |
| 94060 | TC | A | Evaluation of wheezing | 0.00 | 1.02 | NA | 0.06 | 1.08 | NA | XXX |
| 94070 | A | Evaluation of wheezing | 0.60 | 2.99 | NA | 0.12 | 3.71 | NA | XXX | |
| 94070 | 26 | A | Evaluation of wheezing | 0.60 | 0.19 | 0.19 | 0.02 | 0.81 | 0.81 | XXX |
| 94070 | TC | A | Evaluation of wheezing | 0.00 | 2.80 | NA | 0.10 | 2.90 | NA | XXX |
| 94150 | B | Vital capacity test | +0.07 | 0.48 | NA | 0.02 | 0.57 | NA | XXX | |
| 94150 | 26 | B | Vital capacity test | +0.07 | 0.03 | 0.03 | 0.01 | 0.11 | 0.11 | XXX |
| 94150 | TC | B | Vital capacity test | +0.00 | 0.45 | NA | 0.01 | 0.46 | NA | XXX |
| 94200 | A | Lung function test (MBC/MVV) | 0.11 | 0.44 | NA | 0.03 | 0.58 | NA | XXX | |
| 94200 | 26 | A | Lung function test (MBC/MVV) | 0.11 | 0.03 | 0.03 | 0.01 | 0.15 | 0.15 | XXX |
| 94200 | TC | A | Lung function test (MBC/MVV) | 0.00 | 0.41 | NA | 0.02 | 0.43 | NA | XXX |
| 94240 | A | Residual lung capacity | 0.26 | 0.65 | NA | 0.06 | 0.97 | NA | XXX | |
| 94240 | 26 | A | Residual lung capacity | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94240 | TC | A | Residual lung capacity | 0.00 | 0.57 | NA | 0.05 | 0.62 | NA | XXX |
| 94250 | A | Expired gas collection | 0.11 | 0.65 | NA | 0.02 | 0.78 | NA | XXX | |
| 94250 | 26 | A | Expired gas collection | 0.11 | 0.03 | 0.03 | 0.01 | 0.15 | 0.15 | XXX |
| 94250 | TC | A | Expired gas collection | 0.00 | 0.62 | NA | 0.01 | 0.63 | NA | XXX |
| 94260 | A | Thoracic gas volume | 0.13 | 0.57 | NA | 0.05 | 0.75 | NA | XXX | |
| 94260 | 26 | A | Thoracic gas volume | 0.13 | 0.04 | 0.04 | 0.01 | 0.18 | 0.18 | XXX |
| 94260 | TC | A | Thoracic gas volume | 0.00 | 0.53 | NA | 0.04 | 0.57 | NA | XXX |
| 94350 | A | Lung nitrogen washout curve | 0.26 | 0.75 | NA | 0.05 | 1.06 | NA | XXX | |
| 94350 | 26 | A | Lung nitrogen washout curve | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94350 | TC | A | Lung nitrogen washout curve | 0.00 | 0.67 | NA | 0.04 | 0.71 | NA | XXX |
| 94360 | A | Measure airflow resistance | 0.26 | 0.69 | NA | 0.07 | 1.02 | NA | XXX | |
| 94360 | 26 | A | Measure airflow resistance | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94360 | TC | A | Measure airflow resistance | 0.00 | 0.61 | NA | 0.06 | 0.67 | NA | XXX |
| 94370 | A | Breath airway closing volume | 0.26 | 0.72 | NA | 0.03 | 1.01 | NA | XXX | |
| 94370 | 26 | A | Breath airway closing volume | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94370 | TC | A | Breath airway closing volume | 0.00 | 0.64 | NA | 0.02 | 0.66 | NA | XXX |
| 94375 | A | Respiratory flow volume loop | 0.31 | 0.61 | NA | 0.03 | 0.95 | NA | XXX | |
| 94375 | 26 | A | Respiratory flow volume loop | 0.31 | 0.10 | 0.10 | 0.01 | 0.42 | 0.42 | XXX |
| 94375 | TC | A | Respiratory flow volume loop | 0.00 | 0.51 | NA | 0.02 | 0.53 | NA | XXX |
| 94400 | A | CO2 breathing response curve | 0.40 | 0.84 | NA | 0.07 | 1.31 | NA | XXX | |
| 94400 | 26 | A | CO2 breathing response curve | 0.40 | 0.12 | 0.12 | 0.01 | 0.53 | 0.53 | XXX |
| 94400 | TC | A | CO2 breathing response curve | 0.00 | 0.72 | NA | 0.06 | 0.78 | NA | XXX |
| 94450 | A | Hypoxia response curve | 0.40 | 0.68 | NA | 0.04 | 1.12 | NA | XXX | |
| 94450 | 26 | A | Hypoxia response curve | 0.40 | 0.12 | 0.12 | 0.02 | 0.54 | 0.54 | XXX |
| 94450 | TC | A | Hypoxia response curve | 0.00 | 0.56 | NA | 0.02 | 0.58 | NA | XXX |
| 94620 | A | Pulmonary stress test/simple | 0.64 | 2.42 | NA | 0.12 | 3.18 | NA | XXX | |
| 94620 | 26 | A | Pulmonary stress test/simple | 0.64 | 0.20 | 0.20 | 0.02 | 0.86 | 0.86 | XXX |
| 94620 | TC | A | Pulmonary stress test/simple | 0.00 | 2.22 | NA | 0.10 | 2.32 | NA | XXX |
| 94621 | A | Pulm stress test/complex | 1.42 | 2.06 | NA | 0.16 | 3.64 | NA | XXX | |
| 94621 | 26 | A | Pulm stress test/complex | 1.42 | 0.43 | 0.43 | 0.06 | 1.91 | 1.91 | XXX |
| 94621 | TC | A | Pulm stress test/complex | 0.00 | 1.63 | NA | 0.10 | 1.73 | NA | XXX |
| 94640 | A | Airway inhalation treatment | 0.00 | 0.32 | NA | 0.02 | 0.34 | NA | XXX | |
| 94642 | C | Aerosol inhalation treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94656 | A | Initial ventilator mgmt | 1.22 | 1.18 | 0.32 | 0.07 | 2.47 | 1.61 | XXX | |
| 94657 | A | Continued ventilator mgmt | 0.83 | 1.00 | 0.25 | 0.04 | 1.87 | 1.12 | XXX | |
| 94660 | A | Pos airway pressure, CPAP | 0.76 | 0.66 | 0.24 | 0.04 | 1.46 | 1.04 | XXX | |
| 94662 | A | Neg press ventilation, cnp | 0.76 | NA | 0.24 | 0.02 | NA | 1.02 | XXX | |
| 94664 | A | Evaluate pt use of inhaler | 0.00 | 0.32 | NA | 0.04 | 0.36 | NA | XXX | |
| 94667 | A | Chest wall manipulation | 0.00 | 0.54 | NA | 0.05 | 0.59 | NA | XXX | |
| 94668 | A | Chest wall manipulation | 0.00 | 0.46 | NA | 0.02 | 0.48 | NA | XXX | |
| 94680 | A | Exhaled air analysis, o2 | 0.26 | 1.89 | NA | 0.07 | 2.22 | NA | XXX | |
| 94680 | 26 | A | Exhaled air analysis, o2 | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94680 | TC | A | Exhaled air analysis, o2 | 0.00 | 1.81 | NA | 0.06 | 1.87 | NA | XXX |
| 94681 | A | Exhaled air analysis, o2/co2 | 0.20 | 2.62 | NA | 0.13 | 2.95 | NA | XXX | |
| 94681 | 26 | A | Exhaled air analysis, o2/co2 | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 94681 | TC | A | Exhaled air analysis, o2/co2 | 0.00 | 2.55 | NA | 0.12 | 2.67 | NA | XXX |
| 94690 | A | Exhaled air analysis | 0.07 | 1.97 | NA | 0.05 | 2.09 | NA | XXX | |
| 94690 | 26 | A | Exhaled air analysis | 0.07 | 0.02 | 0.02 | 0.01 | 0.10 | 0.10 | XXX |
| 94690 | TC | A | Exhaled air analysis | 0.00 | 1.95 | NA | 0.04 | 1.99 | NA | XXX |
| 94720 | A | Monoxide diffusing capacity | 0.26 | 1.00 | NA | 0.07 | 1.33 | NA | XXX | |
| 94720 | 26 | A | Monoxide diffusing capacity | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94720 | TC | A | Monoxide diffusing capacity | 0.00 | 0.92 | NA | 0.06 | 0.98 | NA | XXX |
| 94725 | A | Membrane diffusion capacity | 0.26 | 2.92 | NA | 0.13 | 3.31 | NA | XXX | |
| 94725 | 26 | A | Membrane diffusion capacity | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94725 | TC | A | Membrane diffusion capacity | 0.00 | 2.84 | NA | 0.12 | 2.96 | NA | XXX |
| 94750 | A | Pulmonary compliance study | 0.23 | 1.35 | NA | 0.05 | 1.63 | NA | XXX | |
| 94750 | 26 | A | Pulmonary compliance study | 0.23 | 0.07 | 0.07 | 0.01 | 0.31 | 0.31 | XXX |
| 94750 | TC | A | Pulmonary compliance study | 0.00 | 1.28 | NA | 0.04 | 1.32 | NA | XXX |
| 94760 | T | Measure blood oxygen level | 0.00 | 0.04 | NA | 0.02 | 0.06 | NA | XXX | |
| 94761 | T | Measure blood oxygen level | 0.00 | 0.07 | NA | 0.06 | 0.13 | NA | XXX | |
| 94762 | A | Measure blood oxygen level | 0.00 | 0.40 | NA | 0.10 | 0.50 | NA | XXX | |
| 94770 | A | Exhaled carbon dioxide test | 0.15 | 1.67 | NA | 0.08 | 1.90 | NA | XXX | |
| 94770 | 26 | A | Exhaled carbon dioxide test | 0.15 | 0.04 | 0.04 | 0.01 | 0.20 | 0.20 | XXX |
| 94770 | TC | A | Exhaled carbon dioxide test | 0.00 | 1.63 | NA | 0.07 | 1.70 | NA | XXX |
| 94772 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94772 | 26 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94772 | TC | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94799 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94799 | 26 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94799 | TC | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95004 | A | Percut allergy skin tests | 0.00 | 0.10 | NA | 0.01 | 0.11 | NA | XXX | |
| 95010 | A | Percut allergy titrate test | 0.15 | 0.33 | 0.06 | 0.01 | 0.49 | 0.22 | XXX | |
| 95015 | A | Id allergy titrate-drug/bug | 0.15 | 0.15 | 0.06 | 0.01 | 0.31 | 0.22 | XXX | |
| 95024 | A | Id allergy test, drug/bug | 0.00 | 0.15 | NA | 0.01 | 0.16 | NA | XXX | |
| 95027 | A | Id allergy titrate-airborne | 0.00 | 0.15 | NA | 0.01 | 0.16 | NA | XXX | |
| 95028 | A | Id allergy test-delayed type | 0.00 | 0.24 | NA | 0.01 | 0.25 | NA | XXX | |
| 95044 | A | Allergy patch tests | 0.00 | 0.21 | NA | 0.01 | 0.22 | NA | XXX | |
| 95052 | A | Photo patch test | 0.00 | 0.26 | NA | 0.01 | 0.27 | NA | XXX | |
| 95056 | A | Photosensitivity tests | 0.00 | 0.18 | NA | 0.01 | 0.19 | NA | XXX | |
| 95060 | A | Eye allergy tests | 0.00 | 0.35 | NA | 0.02 | 0.37 | NA | XXX | |
| 95065 | A | Nose allergy test | 0.00 | 0.21 | NA | 0.01 | 0.22 | NA | XXX | |
| 95070 | A | Bronchial allergy tests | 0.00 | 2.29 | NA | 0.02 | 2.31 | NA | XXX | |
| 95071 | A | Bronchial allergy tests | 0.00 | 2.93 | NA | 0.02 | 2.95 | NA | XXX | |
| 95075 | A | Ingestion challenge test | 0.95 | 0.83 | 0.38 | 0.04 | 1.82 | 1.37 | XXX | |
| 95078 | A | Provocative testing | 0.00 | 0.26 | NA | 0.02 | 0.28 | NA | XXX | |
| 95115 | A | Immunotherapy, one injection | 0.00 | 0.38 | NA | 0.02 | 0.40 | NA | 000 | |
| 95117 | A | Immunotherapy injections | 0.00 | 0.50 | NA | 0.02 | 0.52 | NA | 000 | |
| 95120 | I | Immunotherapy, one injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95125 | I | Immunotherapy, many antigens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95130 | I | Immunotherapy, insect venom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95131 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95132 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95133 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95134 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95144 | A | Antigen therapy services | 0.06 | 0.15 | 0.02 | 0.01 | 0.22 | 0.09 | 000 | |
| 95145 | A | Antigen therapy services | 0.06 | 0.33 | 0.02 | 0.01 | 0.40 | 0.09 | 000 | |
| 95146 | A | Antigen therapy services | 0.06 | 0.44 | 0.03 | 0.01 | 0.51 | 0.10 | 000 | |
| 95147 | A | Antigen therapy services | 0.06 | 0.42 | 0.02 | 0.01 | 0.49 | 0.09 | 000 | |
| 95148 | A | Antigen therapy services | 0.06 | 0.58 | 0.03 | 0.01 | 0.65 | 0.10 | 000 | |
| 95149 | A | Antigen therapy services | 0.06 | 0.81 | 0.03 | 0.01 | 0.88 | 0.10 | 000 | |
| 95165 | A | Antigen therapy services | 0.06 | 0.20 | 0.02 | 0.01 | 0.27 | 0.09 | 000 | |
| 95170 | A | Antigen therapy services | 0.06 | 0.14 | 0.02 | 0.01 | 0.21 | 0.09 | 000 | |
| 95180 | A | Rapid desensitization | 2.01 | 1.52 | 0.82 | 0.05 | 3.58 | 2.88 | 000 | |
| 95199 | C | Allergy immunology services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 95250 | A | Glucose monitoring, cont | 0.00 | 3.82 | NA | 0.01 | 3.83 | NA | XXX | |
| 95805 | A | Multiple sleep latency test | 1.88 | 16.26 | NA | 0.41 | 18.55 | NA | XXX | |
| 95805 | 26 | A | Multiple sleep latency test | 1.88 | 0.66 | 0.66 | 0.07 | 2.61 | 2.61 | XXX |
| 95805 | TC | A | Multiple sleep latency test | 0.00 | 15.60 | NA | 0.34 | 15.94 | NA | XXX |
| 95806 | A | Sleep study, unattended | 1.66 | 3.81 | NA | 0.38 | 5.85 | NA | XXX | |
| 95806 | 26 | A | Sleep study, unattended | 1.66 | 0.53 | 0.53 | 0.07 | 2.26 | 2.26 | XXX |
| 95806 | TC | A | Sleep study, unattended | 0.00 | 3.28 | NA | 0.31 | 3.59 | NA | XXX |
| 95807 | A | Sleep study, attended | 1.66 | 11.67 | NA | 0.48 | 13.81 | NA | XXX | |
| 95807 | 26 | A | Sleep study, attended | 1.66 | 0.53 | 0.53 | 0.06 | 2.25 | 2.25 | XXX |
| 95807 | TC | A | Sleep study, attended | 0.00 | 11.14 | NA | 0.42 | 11.56 | NA | XXX |
| 95808 | A | Polysomnography, 1-3 | 2.65 | 12.91 | NA | 0.53 | 16.09 | NA | XXX | |
| 95808 | 26 | A | Polysomnography, 1-3 | 2.65 | 0.93 | 0.93 | 0.11 | 3.69 | 3.69 | XXX |
| 95808 | TC | A | Polysomnography, 1-3 | 0.00 | 11.98 | NA | 0.42 | 12.40 | NA | XXX |
| 95810 | A | Polysomnography, 4 or more | 3.52 | 17.02 | NA | 0.56 | 21.10 | NA | XXX | |
| 95810 | 26 | A | Polysomnography, 4 or more | 3.52 | 1.18 | 1.18 | 0.14 | 4.84 | 4.84 | XXX |
| 95810 | TC | A | Polysomnography, 4 or more | 0.00 | 15.84 | NA | 0.42 | 16.26 | NA | XXX |
| 95811 | A | Polysomnography w/cpap | 3.79 | 18.45 | NA | 0.59 | 22.83 | NA | XXX | |
| 95811 | 26 | A | Polysomnography w/cpap | 3.79 | 1.27 | 1.27 | 0.16 | 5.22 | 5.22 | XXX |
| 95811 | TC | A | Polysomnography w/cpap | 0.00 | 17.18 | NA | 0.43 | 17.61 | NA | XXX |
| 95812 | A | Eeg, 41-60 minutes | 1.08 | 3.91 | NA | 0.16 | 5.15 | NA | XXX | |
| 95812 | 26 | A | Eeg, 41-60 minutes | 1.08 | 0.45 | 0.45 | 0.05 | 1.58 | 1.58 | XXX |
| 95812 | TC | A | Eeg, 41-60 minutes | 0.00 | 3.46 | NA | 0.11 | 3.57 | NA | XXX |
| 95813 | A | Eeg, over 1 hour | 1.73 | 4.93 | NA | 0.18 | 6.84 | NA | XXX | |
| 95813 | 26 | A | Eeg, over 1 hour | 1.73 | 0.70 | 0.70 | 0.07 | 2.50 | 2.50 | XXX |
| 95813 | TC | A | Eeg, over 1 hour | 0.00 | 4.23 | NA | 0.11 | 4.34 | NA | XXX |
| 95816 | A | Eeg, awake and drowsy | 1.08 | 3.14 | NA | 0.15 | 4.37 | NA | XXX | |
| 95816 | 26 | A | Eeg, awake and drowsy | 1.08 | 0.46 | 0.46 | 0.05 | 1.59 | 1.59 | XXX |
| 95816 | TC | A | Eeg, awake and drowsy | 0.00 | 2.68 | NA | 0.10 | 2.78 | NA | XXX |
| 95819 | A | Eeg, awake and asleep | 1.08 | 3.69 | NA | 0.15 | 4.92 | NA | XXX | |
| 95819 | 26 | A | Eeg, awake and asleep | 1.08 | 0.46 | 0.46 | 0.05 | 1.59 | 1.59 | XXX |
| 95819 | TC | A | Eeg, awake and asleep | 0.00 | 3.23 | NA | 0.10 | 3.33 | NA | XXX |
| 95822 | A | Eeg, coma or sleep only | 1.08 | 4.35 | NA | 0.18 | 5.61 | NA | XXX | |
| 95822 | 26 | A | Eeg, coma or sleep only | 1.08 | 0.45 | 0.45 | 0.05 | 1.58 | 1.58 | XXX |
| 95822 | TC | A | Eeg, coma or sleep only | 0.00 | 3.90 | NA | 0.13 | 4.03 | NA | XXX |
| 95824 | C | Eeg, cerebral death only | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95824 | 26 | A | Eeg, cerebral death only | 0.74 | 0.32 | 0.32 | 0.06 | 1.12 | 1.12 | XXX |
| 95824 | TC | C | Eeg, cerebral death only | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX |
| 95827 | A | Eeg, all night recording | 1.08 | 2.70 | NA | 0.18 | 3.96 | NA | XXX | |
| 95827 | 26 | A | Eeg, all night recording | 1.08 | 0.40 | 0.40 | 0.04 | 1.52 | 1.52 | XXX |
| 95827 | TC | A | Eeg, all night recording | 0.00 | 2.30 | NA | 0.14 | 2.44 | NA | XXX |
| 95829 | A | Surgery electrocorticogram | 6.20 | 31.30 | NA | 0.39 | 37.89 | NA | XXX | |
| 95829 | 26 | A | Surgery electrocorticogram | 6.20 | 2.33 | 2.33 | 0.37 | 8.90 | 8.90 | XXX |
| 95829 | TC | A | Surgery electrocorticogram | 0.00 | 28.97 | NA | 0.02 | 28.99 | NA | XXX |
| 95830 | A | Insert electrodes for EEG | 1.70 | 3.37 | 0.73 | 0.08 | 5.15 | 2.51 | XXX | |
| 95831 | A | Limb muscle testing, manual | 0.28 | 0.34 | 0.13 | 0.01 | 0.63 | 0.42 | XXX | |
| 95832 | A | Hand muscle testing, manual | 0.29 | 0.25 | 0.12 | 0.01 | 0.55 | 0.42 | XXX | |
| 95833 | A | Body muscle testing, manual | 0.47 | 0.45 | 0.23 | 0.01 | 0.93 | 0.71 | XXX | |
| 95834 | A | Body muscle testing, manual | 0.60 | 0.50 | 0.28 | 0.02 | 1.12 | 0.90 | XXX | |
| 95851 | A | Range of motion measurements | 0.16 | 0.37 | 0.08 | 0.01 | 0.54 | 0.25 | XXX | |
| 95852 | A | Range of motion measurements | 0.11 | 0.26 | 0.05 | 0.01 | 0.38 | 0.17 | XXX | |
| 95857 | A | Tensilon test | 0.53 | 0.61 | 0.23 | 0.02 | 1.16 | 0.78 | XXX | |
| 95858 | A | Tensilon test myogram | 1.56 | 1.06 | NA | 0.09 | 2.71 | NA | XXX | |
| 95858 | 26 | A | Tensilon test myogram | 1.56 | 0.67 | 0.67 | 0.05 | 2.28 | 2.28 | XXX |
| 95858 | TC | A | Tensilon test myogram | 0.00 | 0.39 | NA | 0.04 | 0.43 | NA | XXX |
| 95860 | A | Muscle test, one limb | 0.96 | 1.45 | NA | 0.06 | 2.47 | NA | XXX | |
| 95860 | 26 | A | Muscle test, one limb | 0.96 | 0.42 | 0.42 | 0.04 | 1.42 | 1.42 | XXX |
| 95860 | TC | A | Muscle test, one limb | 0.00 | 1.03 | NA | 0.02 | 1.05 | NA | XXX |
| 95861 | A | Muscle test, 2 limbs | 1.54 | 1.42 | NA | 0.12 | 3.08 | NA | XXX | |
| 95861 | 26 | A | Muscle test, 2 limbs | 1.54 | 0.68 | 0.68 | 0.06 | 2.28 | 2.28 | XXX |
| 95861 | TC | A | Muscle test, 2 limbs | 0.00 | 0.74 | NA | 0.06 | 0.80 | NA | XXX |
| 95863 | A | Muscle test, 3 limbs | 1.87 | 1.75 | NA | 0.13 | 3.75 | NA | XXX | |
| 95863 | 26 | A | Muscle test, 3 limbs | 1.87 | 0.81 | 0.81 | 0.07 | 2.75 | 2.75 | XXX |
| 95863 | TC | A | Muscle test, 3 limbs | 0.00 | 0.94 | NA | 0.06 | 1.00 | NA | XXX |
| 95864 | A | Muscle test, 4 limbs | 1.99 | 2.66 | NA | 0.19 | 4.84 | NA | XXX | |
| 95864 | 26 | A | Muscle test, 4 limbs | 1.99 | 0.87 | 0.87 | 0.07 | 2.93 | 2.93 | XXX |
| 95864 | TC | A | Muscle test, 4 limbs | 0.00 | 1.79 | NA | 0.12 | 1.91 | NA | XXX |
| 95867 | A | Muscle test cran nerv unilat | 0.79 | 0.93 | NA | 0.08 | 1.80 | NA | XXX | |
| 95867 | 26 | A | Muscle test cran nerv unilat | 0.79 | 0.35 | 0.35 | 0.04 | 1.18 | 1.18 | XXX |
| 95867 | TC | A | Muscle test cran nerv unilat | 0.00 | 0.58 | NA | 0.04 | 0.62 | NA | XXX |
| 95868 | A | Muscle test cran nerve bilat | 1.18 | 1.21 | NA | 0.10 | 2.49 | NA | XXX | |
| 95868 | 26 | A | Muscle test cran nerve bilat | 1.18 | 0.51 | 0.51 | 0.05 | 1.74 | 1.74 | XXX |
| 95868 | TC | A | Muscle test cran nerve bilat | 0.00 | 0.70 | NA | 0.05 | 0.75 | NA | XXX |
| 95869 | A | Muscle test, thor paraspinal | 0.37 | 0.38 | NA | 0.03 | 0.78 | NA | XXX | |
| 95869 | 26 | A | Muscle test, thor paraspinal | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 95869 | TC | A | Muscle test, thor paraspinal | 0.00 | 0.22 | NA | 0.02 | 0.24 | NA | XXX |
| 95870 | A | Muscle test, nonparaspinal | 0.37 | 0.38 | NA | 0.03 | 0.78 | NA | XXX | |
| 95870 | 26 | A | Muscle test, nonparaspinal | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 95870 | TC | A | Muscle test, nonparaspinal | 0.00 | 0.22 | NA | 0.02 | 0.24 | NA | XXX |
| 95872 | A | Muscle test, one fiber | 1.50 | 1.23 | NA | 0.10 | 2.83 | NA | XXX | |
| 95872 | 26 | A | Muscle test, one fiber | 1.50 | 0.63 | 0.63 | 0.05 | 2.18 | 2.18 | XXX |
| 95872 | TC | A | Muscle test, one fiber | 0.00 | 0.60 | NA | 0.05 | 0.65 | NA | XXX |
| 95875 | A | Limb exercise test | 1.10 | 1.46 | NA | 0.11 | 2.67 | NA | XXX | |
| 95875 | 26 | A | Limb exercise test | 1.10 | 0.46 | 0.46 | 0.05 | 1.61 | 1.61 | XXX |
| 95875 | TC | A | Limb exercise test | 0.00 | 1.00 | NA | 0.06 | 1.06 | NA | XXX |
| 95900 | A | Motor nerve conduction test | 0.42 | 1.29 | NA | 0.03 | 1.74 | NA | XXX | |
| 95900 | 26 | A | Motor nerve conduction test | 0.42 | 0.19 | 0.19 | 0.01 | 0.62 | 0.62 | XXX |
| 95900 | TC | A | Motor nerve conduction test | 0.00 | 1.10 | NA | 0.02 | 1.12 | NA | XXX |
| 95903 | A | Motor nerve conduction test | 0.60 | 1.21 | NA | 0.04 | 1.85 | NA | XXX | |
| 95903 | 26 | A | Motor nerve conduction test | 0.60 | 0.26 | 0.26 | 0.02 | 0.88 | 0.88 | XXX |
| 95903 | TC | A | Motor nerve conduction test | 0.00 | 0.95 | NA | 0.02 | 0.97 | NA | XXX |
| 95904 | A | Sense nerve conduction test | 0.34 | 1.11 | NA | 0.03 | 1.48 | NA | XXX | |
| 95904 | 26 | A | Sense nerve conduction test | 0.34 | 0.15 | 0.15 | 0.01 | 0.50 | 0.50 | XXX |
| 95904 | TC | A | Sense nerve conduction test | 0.00 | 0.96 | NA | 0.02 | 0.98 | NA | XXX |
| 95920 | A | Intraop nerve test add-on | 2.11 | 2.25 | NA | 0.24 | 4.60 | NA | ZZZ | |
| 95920 | 26 | A | Intraop nerve test add-on | 2.11 | 0.94 | 0.94 | 0.17 | 3.22 | 3.22 | ZZZ |
| 95920 | TC | A | Intraop nerve test add-on | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | ZZZ |
| 95921 | A | Autonomic nerv function test | 0.90 | 0.70 | NA | 0.06 | 1.66 | NA | XXX | |
| 95921 | 26 | A | Autonomic nerv function test | 0.90 | 0.33 | 0.33 | 0.04 | 1.27 | 1.27 | XXX |
| 95921 | TC | A | Autonomic nerv function test | 0.00 | 0.37 | NA | 0.02 | 0.39 | NA | XXX |
| 95922 | A | Autonomic nerv function test | 0.96 | 0.77 | NA | 0.06 | 1.79 | NA | XXX | |
| 95922 | 26 | A | Autonomic nerv function test | 0.96 | 0.40 | 0.40 | 0.04 | 1.40 | 1.40 | XXX |
| 95922 | TC | A | Autonomic nerv function test | 0.00 | 0.37 | NA | 0.02 | 0.39 | NA | XXX |
| 95923 | A | Autonomic nerv function test | 0.90 | 2.08 | NA | 0.06 | 3.04 | NA | XXX | |
| 95923 | 26 | A | Autonomic nerv function test | 0.90 | 0.37 | 0.37 | 0.04 | 1.31 | 1.31 | XXX |
| 95923 | TC | A | Autonomic nerv function test | 0.00 | 1.71 | NA | 0.02 | 1.73 | NA | XXX |
| 95925 | A | Somatosensory testing | 0.54 | 1.14 | NA | 0.08 | 1.76 | NA | XXX | |
| 95925 | 26 | A | Somatosensory testing | 0.54 | 0.23 | 0.23 | 0.02 | 0.79 | 0.79 | XXX |
| 95925 | TC | A | Somatosensory testing | 0.00 | 0.91 | NA | 0.06 | 0.97 | NA | XXX |
| 95926 | A | Somatosensory testing | 0.54 | 1.15 | NA | 0.08 | 1.77 | NA | XXX | |
| 95926 | 26 | A | Somatosensory testing | 0.54 | 0.24 | 0.24 | 0.02 | 0.80 | 0.80 | XXX |
| 95926 | TC | A | Somatosensory testing | 0.00 | 0.91 | NA | 0.06 | 0.97 | NA | XXX |
| 95927 | A | Somatosensory testing | 0.54 | 1.16 | NA | 0.10 | 1.80 | NA | XXX | |
| 95927 | 26 | A | Somatosensory testing | 0.54 | 0.25 | 0.25 | 0.04 | 0.83 | 0.83 | XXX |
| 95927 | TC | A | Somatosensory testing | 0.00 | 0.91 | NA | 0.06 | 0.97 | NA | XXX |
| 95930 | A | Visual evoked potential test | 0.35 | 1.43 | NA | 0.02 | 1.80 | NA | XXX | |
| 95930 | 26 | A | Visual evoked potential test | 0.35 | 0.15 | 0.15 | 0.01 | 0.51 | 0.51 | XXX |
| 95930 | TC | A | Visual evoked potential test | 0.00 | 1.28 | NA | 0.01 | 1.29 | NA | XXX |
| 95933 | A | Blink reflex test | 0.59 | 1.03 | NA | 0.08 | 1.70 | NA | XXX | |
| 95933 | 26 | A | Blink reflex test | 0.59 | 0.24 | 0.24 | 0.02 | 0.85 | 0.85 | XXX |
| 95933 | TC | A | Blink reflex test | 0.00 | 0.79 | NA | 0.06 | 0.85 | NA | XXX |
| 95934 | A | H-reflex test | 0.51 | 0.44 | NA | 0.04 | 0.99 | NA | XXX | |
| 95934 | 26 | A | H-reflex test | 0.51 | 0.22 | 0.22 | 0.02 | 0.75 | 0.75 | XXX |
| 95934 | TC | A | H-reflex test | 0.00 | 0.22 | NA | 0.02 | 0.24 | NA | XXX |
| 95936 | A | H-reflex test | 0.55 | 0.46 | NA | 0.04 | 1.05 | NA | XXX | |
| 95936 | 26 | A | H-reflex test | 0.55 | 0.24 | 0.24 | 0.02 | 0.81 | 0.81 | XXX |
| 95936 | TC | A | H-reflex test | 0.00 | 0.22 | NA | 0.02 | 0.24 | NA | XXX |
| 95937 | A | Neuromuscular junction test | 0.65 | 0.61 | NA | 0.04 | 1.30 | NA | XXX | |
| 95937 | 26 | A | Neuromuscular junction test | 0.65 | 0.27 | 0.27 | 0.02 | 0.94 | 0.94 | XXX |
| 95937 | TC | A | Neuromuscular junction test | 0.00 | 0.34 | NA | 0.02 | 0.36 | NA | XXX |
| 95950 | A | Ambulatory eeg monitoring | 1.51 | 4.47 | NA | 0.53 | 6.51 | NA | XXX | |
| 95950 | 26 | A | Ambulatory eeg monitoring | 1.51 | 0.64 | 0.64 | 0.10 | 2.25 | 2.25 | XXX |
| 95950 | TC | A | Ambulatory eeg monitoring | 0.00 | 3.83 | NA | 0.43 | 4.26 | NA | XXX |
| 95951 | C | EEG monitoring/videorecord | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX | |
| 95951 | 26 | A | EEG monitoring/videorecord | 5.99 | 2.57 | 2.57 | 0.24 | 8.80 | 8.80 | XXX |
| 95951 | TC | C | EEG monitoring/videorecord | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX |
| 95953 | A | EEG monitoring/computer | 3.08 | 7.64 | NA | 0.55 | 11.27 | NA | XXX | |
| 95953 | 26 | A | EEG monitoring/computer | 3.08 | 1.29 | 1.29 | 0.12 | 4.49 | 4.49 | XXX |
| 95953 | TC | A | EEG monitoring/computer | 0.00 | 6.35 | NA | 0.43 | 6.78 | NA | XXX |
| 95954 | A | EEG monitoring/giving drugs | 2.45 | 4.29 | NA | 0.18 | 6.92 | NA | XXX | |
| 95954 | 26 | A | EEG monitoring/giving drugs | 2.45 | 1.05 | 1.05 | 0.12 | 3.62 | 3.62 | XXX |
| 95954 | TC | A | EEG monitoring/giving drugs | 0.00 | 3.24 | NA | 0.06 | 3.30 | NA | XXX |
| 95955 | A | EEG during surgery | 1.01 | 2.33 | NA | 0.23 | 3.57 | NA | XXX | |
| 95955 | 26 | A | EEG during surgery | 1.01 | 0.36 | 0.36 | 0.06 | 1.43 | 1.43 | XXX |
| 95955 | TC | A | EEG during surgery | 0.00 | 1.97 | NA | 0.17 | 2.14 | NA | XXX |
| 95956 | A | Eeg monitoring, cable/radio | 3.08 | 14.14 | NA | 0.56 | 17.78 | NA | XXX | |
| 95956 | 26 | A | Eeg monitoring, cable/radio | 3.08 | 1.30 | 1.30 | 0.13 | 4.51 | 4.51 | XXX |
| 95956 | TC | A | Eeg monitoring, cable/radio | 0.00 | 12.84 | NA | 0.43 | 13.27 | NA | XXX |
| 95957 | A | EEG digital analysis | 1.98 | 2.56 | NA | 0.20 | 4.74 | NA | XXX | |
| 95957 | 26 | A | EEG digital analysis | 1.98 | 0.85 | 0.85 | 0.08 | 2.91 | 2.91 | XXX |
| 95957 | TC | A | EEG digital analysis | 0.00 | 1.71 | NA | 0.12 | 1.83 | NA | XXX |
| 95958 | A | EEG monitoring/function test | 4.24 | 3.50 | NA | 0.35 | 8.09 | NA | XXX | |
| 95958 | 26 | A | EEG monitoring/function test | 4.24 | 1.75 | 1.75 | 0.22 | 6.21 | 6.21 | XXX |
| 95958 | TC | A | EEG monitoring/function test | 0.00 | 1.75 | NA | 0.13 | 1.88 | NA | XXX |
| 95961 | A | Electrode stimulation, brain | 2.97 | 2.63 | NA | 0.29 | 5.89 | NA | XXX | |
| 95961 | 26 | A | Electrode stimulation, brain | 2.97 | 1.32 | 1.32 | 0.22 | 4.51 | 4.51 | XXX |
| 95961 | TC | A | Electrode stimulation, brain | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | XXX |
| 95962 | A | Electrode stim, brain add-on | 3.21 | 2.70 | NA | 0.28 | 6.19 | NA | ZZZ | |
| 95962 | 26 | A | Electrode stim, brain add-on | 3.21 | 1.39 | 1.39 | 0.21 | 4.81 | 4.81 | ZZZ |
| 95962 | TC | A | Electrode stim, brain add-on | 0.00 | 1.31 | NA | 0.07 | 1.38 | NA | ZZZ |
| 95965 | C | Meg, spontaneous | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95965 | 26 | A | Meg, spontaneous | 7.99 | 3.42 | 3.42 | 0.37 | 11.78 | 11.78 | XXX |
| 95965 | TC | C | Meg, spontaneous | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95966 | C | Meg, evoked, single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95966 | 26 | A | Meg, evoked, single | 3.99 | 1.73 | 1.73 | 0.18 | 5.90 | 5.90 | XXX |
| 95966 | TC | C | Meg, evoked, single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95967 | C | Meg, evoked, each add'l | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 95967 | 26 | A | Meg, evoked, each add'l | 3.49 | 1.33 | 1.33 | 0.16 | 4.98 | 4.98 | ZZZ |
| 95967 | TC | C | Meg, evoked, each add'l | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 95970 | A | Analyze neurostim, no prog | 0.45 | 0.17 | 0.15 | 0.04 | 0.66 | 0.64 | XXX | |
| 95971 | A | Analyze neurostim, simple | 0.78 | 0.28 | 0.23 | 0.07 | 1.13 | 1.08 | XXX | |
| 95972 | A | Analyze neurostim, complex | 1.50 | 0.59 | 0.49 | 0.21 | 2.30 | 2.20 | XXX | |
| 95973 | A | Analyze neurostim, complex | 0.92 | 0.39 | 0.35 | 0.08 | 1.39 | 1.35 | ZZZ | |
| 95974 | A | Cranial neurostim, complex | 3.00 | 1.29 | 1.29 | 0.18 | 4.47 | 4.47 | XXX | |
| 95975 | A | Cranial neurostim, complex | 1.70 | 0.73 | 0.73 | 0.08 | 2.51 | 2.51 | ZZZ | |
| 95990 | A | Spin/brain pump refil main | 0.00 | 1.50 | NA | 0.06 | 1.56 | NA | XXX | |
| 95991 | A | Spin/brain pump refil main | 0.77 | 1.43 | 0.19 | 0.06 | 2.26 | 1.02 | XXX | |
| 95999 | C | Neurological procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96000 | A | Motion analysis, video/3d | 1.80 | NA | 0.55 | 0.02 | NA | 2.37 | XXX | |
| 96001 | A | Motion test w/ft press meas | 2.15 | NA | 0.66 | 0.02 | NA | 2.83 | XXX | |
| 96002 | A | Dynamic surface emg | 0.41 | NA | 0.15 | 0.02 | NA | 0.58 | XXX | |
| 96003 | A | Dynamic fine wire emg | 0.37 | NA | 0.14 | 0.04 | NA | 0.55 | XXX | |
| 96004 | A | Phys review of motion tests | 2.14 | 0.95 | 0.95 | 0.10 | 3.19 | 3.19 | XXX | |
| 96100 | A | Psychological testing | 0.00 | 1.77 | NA | 0.18 | 1.95 | NA | XXX | |
| 96105 | A | Assessment of aphasia | 0.00 | 1.77 | NA | 0.18 | 1.95 | NA | XXX | |
| 96110 | A | Developmental test, lim | 0.00 | 0.19 | NA | 0.18 | 0.37 | NA | XXX | |
| 96111 | A | Developmental test, extend | 2.60 | 1.07 | NA | 0.18 | 3.85 | NA | XXX | |
| 96115 | A | Neurobehavior status exam | 0.00 | 1.77 | NA | 0.18 | 1.95 | NA | XXX | |
| 96117 | A | Neuropsych test battery | 0.00 | 1.77 | NA | 0.18 | 1.95 | NA | XXX | |
| 96150 | A | Assess lth/behave, init | 0.50 | 0.19 | 0.18 | 0.02 | 0.71 | 0.70 | XXX | |
| 96151 | A | Assess hlth/behave, subseq | 0.48 | 0.18 | 0.17 | 0.02 | 0.68 | 0.67 | XXX | |
| 96152 | A | Intervene hlth/behave, indiv | 0.46 | 0.17 | 0.16 | 0.02 | 0.65 | 0.64 | XXX | |
| 96153 | A | Intervene hlth/behave, group | 0.10 | 0.04 | 0.04 | 0.01 | 0.15 | 0.15 | XXX | |
| 96154 | A | Interv hlth/behav, fam w/pt | 0.45 | 0.17 | 0.16 | 0.02 | 0.64 | 0.63 | XXX | |
| 96155 | N | Interv hlth/behav fam no pt | +0.44 | 0.18 | 0.17 | 0.02 | 0.64 | 0.63 | XXX | |
| 96400 | A | Chemotherapy, sc/im | 0.17 | 1.12 | NA | 0.01 | 1.30 | NA | XXX | |
| 96405 | A | Intralesional chemo admin | 0.52 | 2.35 | 0.24 | 0.02 | 2.89 | 0.78 | 000 | |
| 96406 | A | Intralesional chemo admin | 0.80 | 3.10 | 0.30 | 0.02 | 3.92 | 1.12 | 000 | |
| 96408 | A | Chemotherapy, push technique | 0.17 | 2.91 | NA | 0.06 | 3.14 | NA | XXX | |
| 96410 | A | Chemotherapy,infusion method | 0.17 | 4.16 | NA | 0.08 | 4.41 | NA | XXX | |
| 96412 | A | Chemo, infuse method add-on | 0.17 | 0.74 | NA | 0.07 | 0.98 | NA | ZZZ | |
| 96414 | A | Chemo, infuse method add-on | 0.17 | 5.22 | NA | 0.08 | 5.47 | NA | XXX | |
| 96420 | A | Chemotherapy, push technique | 0.17 | 2.81 | NA | 0.08 | 3.06 | NA | XXX | |
| 96422 | A | Chemotherapy,infusion method | 0.17 | 5.19 | NA | 0.08 | 5.44 | NA | XXX | |
| 96423 | A | Chemo, infuse method add-on | 0.17 | 1.96 | NA | 0.02 | 2.15 | NA | ZZZ | |
| 96425 | A | Chemotherapy,infusion method | 0.17 | 4.73 | NA | 0.08 | 4.98 | NA | XXX | |
| 96440 | A | Chemotherapy, intracavitary | 2.37 | 8.42 | 1.24 | 0.14 | 10.93 | 3.75 | 000 | |
| 96445 | A | Chemotherapy, intracavitary | 2.20 | 8.54 | 1.19 | 0.08 | 10.82 | 3.47 | 000 | |
| 96450 | A | Chemotherapy, into CNS | 1.89 | 7.32 | 1.10 | 0.07 | 9.28 | 3.06 | 000 | |
| 96520 | A | Port pump refill main | 0.17 | 3.94 | NA | 0.06 | 4.17 | NA | XXX | |
| 96530 | A | Syst pump refill main | 0.17 | 2.86 | NA | 0.06 | 3.09 | NA | XXX | |
| 96542 | A | Chemotherapy injection | 1.42 | 4.43 | 0.66 | 0.06 | 5.91 | 2.14 | XXX | |
| 96545 | B | Provide chemotherapy agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96549 | C | Chemotherapy, unspecified | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96567 | A | Photodynamic tx, skin | 0.00 | 0.98 | NA | 0.04 | 1.02 | NA | XXX | |
| 96570 | A | Photodynamic tx, 30 min | 1.10 | NA | 0.37 | 0.05 | NA | 1.52 | ZZZ | |
| 96571 | A | Photodynamic tx, addl 15 min | 0.55 | NA | 0.20 | 0.02 | NA | 0.77 | ZZZ | |
| 96900 | A | Ultraviolet light therapy | 0.00 | 0.48 | NA | 0.02 | 0.50 | NA | XXX | |
| 96902 | B | Trichogram | +0.41 | 0.25 | 0.16 | 0.01 | 0.67 | 0.58 | XXX | |
| 96910 | A | Photochemotherapy with UV-B | 0.00 | 1.07 | NA | 0.04 | 1.11 | NA | XXX | |
| 96912 | A | Photochemotherapy with UV-A | 0.00 | 1.34 | NA | 0.05 | 1.39 | NA | XXX | |
| 96913 | A | Photochemotherapy, UV-A or B | 0.00 | 1.78 | NA | 0.10 | 1.88 | NA | XXX | |
| 96920 | A | Laser tx, skin 250 sq cm | 1.15 | 7.67 | 0.56 | 0.11 | 8.93 | 1.82 | 000 | |
| 96921 | A | Laser tx, skin 250-500 sq cm | 1.17 | 7.74 | 0.57 | 0.11 | 9.02 | 1.85 | 000 | |
| 96922 | A | Laser tx, skin 500 sq cm | 2.10 | 8.48 | 1.04 | 0.19 | 10.77 | 3.33 | 000 | |
| 96999 | C | Dermatological procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97001 | A | Pt evaluation | 1.20 | 0.73 | 0.45 | 0.06 | 1.99 | 1.71 | XXX | |
| 97002 | A | Pt re-evaluation | 0.60 | 0.43 | 0.24 | 0.02 | 1.05 | 0.86 | XXX | |
| 97003 | A | Ot evaluation | 1.20 | 0.86 | 0.40 | 0.06 | 2.12 | 1.66 | XXX | |
| 97004 | A | Ot re-evaluation | 0.60 | 0.60 | 0.20 | 0.02 | 1.22 | 0.82 | XXX | |
| 97005 | I | Athletic train eval | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97006 | I | Athletic train reeval | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97010 | B | Hot or cold packs therapy | +0.06 | 0.05 | NA | 0.01 | 0.12 | NA | XXX | |
| 97012 | A | Mechanical traction therapy | 0.25 | 0.14 | NA | 0.01 | 0.40 | NA | XXX | |
| 97014 | I | Electric stimulation therapy | +0.18 | 0.19 | 0.19 | 0.01 | 0.38 | 0.38 | XXX | |
| 97016 | A | Vasopneumatic device therapy | 0.18 | 0.19 | NA | 0.01 | 0.38 | NA | XXX | |
| 97018 | A | Paraffin bath therapy | 0.06 | 0.11 | NA | 0.01 | 0.18 | NA | XXX | |
| 97020 | A | Microwave therapy | 0.06 | 0.06 | NA | 0.01 | 0.13 | NA | XXX | |
| 97022 | A | Whirlpool therapy | 0.17 | 0.22 | NA | 0.01 | 0.40 | NA | XXX | |
| 97024 | A | Diathermy treatment | 0.06 | 0.09 | NA | 0.01 | 0.16 | NA | XXX | |
| 97026 | A | Infrared therapy | 0.06 | 0.06 | NA | 0.01 | 0.13 | NA | XXX | |
| 97028 | A | Ultraviolet therapy | 0.08 | 0.07 | NA | 0.01 | 0.16 | NA | XXX | |
| 97032 | A | Electrical stimulation | 0.25 | 0.16 | NA | 0.01 | 0.42 | NA | XXX | |
| 97033 | A | Electric current therapy | 0.26 | 0.28 | NA | 0.02 | 0.56 | NA | XXX | |
| 97034 | A | Contrast bath therapy | 0.21 | 0.16 | NA | 0.01 | 0.38 | NA | XXX | |
| 97035 | A | Ultrasound therapy | 0.21 | 0.11 | NA | 0.01 | 0.33 | NA | XXX | |
| 97036 | A | Hydrotherapy | 0.28 | 0.33 | NA | 0.01 | 0.62 | NA | XXX | |
| 97039 | A | Physical therapy treatment | 0.20 | 0.10 | NA | 0.01 | 0.31 | NA | XXX | |
| 97110 | A | Therapeutic exercises | 0.45 | 0.28 | NA | 0.04 | 0.77 | NA | XXX | |
| 97112 | A | Neuromuscular reeducation | 0.45 | 0.30 | NA | 0.02 | 0.77 | NA | XXX | |
| 97113 | A | Aquatic therapy/exercises | 0.44 | 0.40 | NA | 0.04 | 0.88 | NA | XXX | |
| 97116 | A | Gait training therapy | 0.40 | 0.24 | NA | 0.02 | 0.66 | NA | XXX | |
| 97124 | A | Massage therapy | 0.35 | 0.23 | NA | 0.01 | 0.59 | NA | XXX | |
| 97139 | A | Physical medicine procedure | 0.21 | 0.20 | NA | 0.01 | 0.42 | NA | XXX | |
| 97140 | A | Manual therapy | 0.43 | 0.26 | NA | 0.02 | 0.71 | NA | XXX | |
| 97150 | A | Group therapeutic procedures | 0.27 | 0.18 | NA | 0.02 | 0.47 | NA | XXX | |
| 97504 | A | Orthotic training | 0.45 | 0.33 | NA | 0.04 | 0.82 | NA | XXX | |
| 97520 | A | Prosthetic training | 0.45 | 0.28 | NA | 0.02 | 0.75 | NA | XXX | |
| 97530 | A | Therapeutic activities | 0.44 | 0.32 | NA | 0.02 | 0.78 | NA | XXX | |
| 97532 | A | Cognitive skills development | 0.44 | 0.21 | NA | 0.01 | 0.66 | NA | XXX | |
| 97533 | A | Sensory integration | 0.44 | 0.24 | NA | 0.01 | 0.69 | NA | XXX | |
| 97535 | A | Self care mngment training | 0.45 | 0.33 | NA | 0.02 | 0.80 | NA | XXX | |
| 97537 | A | Community/work reintegration | 0.45 | 0.27 | NA | 0.01 | 0.73 | NA | XXX | |
| 97542 | A | Wheelchair mngment training | 0.45 | 0.28 | NA | 0.01 | 0.74 | NA | XXX | |
| 97545 | R | Work hardening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97546 | R | Work hardening add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 97601 | A | Wound(s) care, selective | 0.50 | 0.49 | NA | 0.05 | 1.04 | NA | XXX | |
| 97602 | B | Wound(s) care non-selective | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97703 | A | Prosthetic checkout | 0.25 | 0.41 | NA | 0.02 | 0.68 | NA | XXX | |
| 97750 | A | Physical performance test | 0.45 | 0.30 | NA | 0.02 | 0.77 | NA | XXX | |
| 97755 | A | Assistive technology assess | 0.62 | 0.29 | NA | 0.02 | 0.93 | NA | XXX | |
| 97780 | N | Acupuncture w/o stimul | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97781 | N | Acupuncture w/stimul | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97799 | C | Physical medicine procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97802 | A | Medical nutrition, indiv, in | 0.00 | 0.47 | NA | 0.01 | 0.48 | NA | XXX | |
| 97803 | A | Med nutrition, indiv, subseq | 0.00 | 0.47 | NA | 0.01 | 0.48 | NA | XXX | |
| 97804 | A | Medical nutrition, group | 0.00 | 0.19 | NA | 0.01 | 0.20 | NA | XXX | |
| 98925 | A | Osteopathic manipulation | 0.45 | 0.33 | 0.14 | 0.01 | 0.79 | 0.60 | 000 | |
| 98926 | A | Osteopathic manipulation | 0.65 | 0.42 | 0.25 | 0.02 | 1.09 | 0.92 | 000 | |
| 98927 | A | Osteopathic manipulation | 0.87 | 0.51 | 0.30 | 0.04 | 1.42 | 1.21 | 000 | |
| 98928 | A | Osteopathic manipulation | 1.03 | 0.60 | 0.35 | 0.04 | 1.67 | 1.42 | 000 | |
| 98929 | A | Osteopathic manipulation | 1.19 | 0.68 | 0.37 | 0.05 | 1.92 | 1.61 | 000 | |
| 98940 | A | Chiropractic manipulation | 0.45 | 0.24 | 0.12 | 0.01 | 0.70 | 0.58 | 000 | |
| 98941 | A | Chiropractic manipulation | 0.65 | 0.30 | 0.18 | 0.02 | 0.97 | 0.85 | 000 | |
| 98942 | A | Chiropractic manipulation | 0.87 | 0.36 | 0.24 | 0.04 | 1.27 | 1.15 | 000 | |
| 98943 | N | Chiropractic manipulation | +0.40 | 0.24 | 0.16 | 0.01 | 0.65 | 0.57 | XXX | |
| 99000 | B | Specimen handling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99001 | B | Specimen handling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99002 | B | Device handling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99024 | B | Postop follow-up visit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99025 | F | Initial surgical evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99026 | N | In-hospital on call service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99027 | N | Out-of-hosp on call service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99050 | B | Medical services after hrs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99052 | B | Medical services at night | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99054 | B | Medical servcs, unusual hrs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99056 | B | Non-office medical services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99058 | B | Office emergency care | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99070 | B | Special supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99071 | B | Patient education materials | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99075 | N | Medical testimony | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99078 | B | Group health education | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99080 | B | Special reports or forms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99082 | C | Unusual physician travel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99090 | B | Computer data analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99091 | B | Collect/review data from pt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99100 | B | Special anesthesia service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99116 | B | Anesthesia with hypothermia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99135 | B | Special anesthesia procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99140 | B | Emergency anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99141 | B | Sedation, iv/im or inhalant | +0.80 | 1.92 | 0.38 | 0.05 | 2.77 | 1.23 | XXX | |
| 99142 | B | Sedation, oral/rectal/nasal | +0.60 | 0.99 | 0.31 | 0.04 | 1.63 | 0.95 | XXX | |
| 99170 | A | Anogenital exam, child | 1.75 | 1.72 | 0.52 | 0.08 | 3.55 | 2.35 | 000 | |
| 99172 | N | Ocular function screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99173 | N | Visual acuity screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99175 | A | Induction of vomiting | 0.00 | 1.40 | NA | 0.10 | 1.50 | NA | XXX | |
| 99183 | A | Hyperbaric oxygen therapy | 2.34 | 4.75 | 0.72 | 0.14 | 7.23 | 3.20 | XXX | |
| 99185 | A | Regional hypothermia | 0.00 | 0.64 | NA | 0.04 | 0.68 | NA | XXX | |
| 99186 | A | Total body hypothermia | 0.00 | 1.79 | NA | 0.45 | 2.24 | NA | XXX | |
| 99190 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99191 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99192 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99195 | A | Phlebotomy | 0.00 | 0.44 | NA | 0.02 | 0.46 | NA | XXX | |
| 99199 | C | Special service/proc/report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99201 | A | Office/outpatient visit, new | 0.45 | 0.50 | 0.16 | 0.02 | 0.97 | 0.63 | XXX | |
| 99202 | A | Office/outpatient visit, new | 0.88 | 0.79 | 0.32 | 0.06 | 1.73 | 1.26 | XXX | |
| 99203 | A | Office/outpatient visit, new | 1.34 | 1.13 | 0.48 | 0.10 | 2.57 | 1.92 | XXX | |
| 99204 | A | Office/outpatient visit, new | 2.00 | 1.51 | 0.71 | 0.12 | 3.63 | 2.83 | XXX | |
| 99205 | A | Office/outpatient visit, new | 2.67 | 1.80 | 0.95 | 0.14 | 4.61 | 3.76 | XXX | |
| 99211 | A | Office/outpatient visit, est | 0.17 | 0.39 | 0.06 | 0.01 | 0.57 | 0.24 | XXX | |
| 99212 | A | Office/outpatient visit, est | 0.45 | 0.54 | 0.16 | 0.02 | 1.01 | 0.63 | XXX | |
| 99213 | A | Office/outpatient visit, est | 0.67 | 0.70 | 0.24 | 0.04 | 1.41 | 0.95 | XXX | |
| 99214 | A | Office/outpatient visit, est | 1.10 | 1.05 | 0.40 | 0.05 | 2.20 | 1.55 | XXX | |
| 99215 | A | Office/outpatient visit, est | 1.77 | 1.34 | 0.65 | 0.08 | 3.19 | 2.50 | XXX | |
| 99217 | A | Observation care discharge | 1.28 | NA | 0.53 | 0.06 | NA | 1.87 | XXX | |
| 99218 | A | Observation care | 1.28 | NA | 0.43 | 0.06 | NA | 1.77 | XXX | |
| 99219 | A | Observation care | 2.14 | NA | 0.72 | 0.10 | NA | 2.96 | XXX | |
| 99220 | A | Observation care | 2.99 | NA | 1.03 | 0.13 | NA | 4.15 | XXX | |
| 99221 | A | Initial hospital care | 1.28 | NA | 0.45 | 0.06 | NA | 1.79 | XXX | |
| 99222 | A | Initial hospital care | 2.14 | NA | 0.74 | 0.10 | NA | 2.98 | XXX | |
| 99223 | A | Initial hospital care | 2.99 | NA | 1.04 | 0.12 | NA | 4.15 | XXX | |
| 99231 | A | Subsequent hospital care | 0.64 | NA | 0.23 | 0.02 | NA | 0.89 | XXX | |
| 99232 | A | Subsequent hospital care | 1.06 | NA | 0.37 | 0.04 | NA | 1.47 | XXX | |
| 99233 | A | Subsequent hospital care | 1.51 | NA | 0.52 | 0.06 | NA | 2.09 | XXX | |
| 99234 | A | Observ/hosp same date | 2.56 | NA | 1.00 | 0.13 | NA | 3.69 | XXX | |
| 99235 | A | Observ/hosp same date | 3.41 | NA | 1.29 | 0.16 | NA | 4.86 | XXX | |
| 99236 | A | Observ/hosp same date | 4.26 | NA | 1.59 | 0.21 | NA | 6.06 | XXX | |
| 99238 | A | Hospital discharge day | 1.28 | NA | 0.54 | 0.05 | NA | 1.87 | XXX | |
| 99239 | A | Hospital discharge day | 1.75 | NA | 0.74 | 0.06 | NA | 2.55 | XXX | |
| 99241 | A | Office consultation | 0.64 | 0.65 | 0.22 | 0.05 | 1.34 | 0.91 | XXX | |
| 99242 | A | Office consultation | 1.29 | 1.05 | 0.46 | 0.11 | 2.45 | 1.86 | XXX | |
| 99243 | A | Office consultation | 1.72 | 1.39 | 0.63 | 0.12 | 3.23 | 2.47 | XXX | |
| 99244 | A | Office consultation | 2.58 | 1.83 | 0.92 | 0.16 | 4.57 | 3.66 | XXX | |
| 99245 | A | Office consultation | 3.42 | 2.29 | 1.24 | 0.19 | 5.90 | 4.85 | XXX | |
| 99251 | A | Initial inpatient consult | 0.66 | NA | 0.25 | 0.05 | NA | 0.96 | XXX | |
| 99252 | A | Initial inpatient consult | 1.32 | NA | 0.50 | 0.10 | NA | 1.92 | XXX | |
| 99253 | A | Initial inpatient consult | 1.82 | NA | 0.68 | 0.11 | NA | 2.61 | XXX | |
| 99254 | A | Initial inpatient consult | 2.64 | NA | 0.99 | 0.13 | NA | 3.76 | XXX | |
| 99255 | A | Initial inpatient consult | 3.64 | NA | 1.35 | 0.18 | NA | 5.17 | XXX | |
| 99261 | A | Follow-up inpatient consult | 0.42 | NA | 0.16 | 0.02 | NA | 0.60 | XXX | |
| 99262 | A | Follow-up inpatient consult | 0.85 | NA | 0.31 | 0.04 | NA | 1.20 | XXX | |
| 99263 | A | Follow-up inpatient consult | 1.27 | NA | 0.45 | 0.05 | NA | 1.77 | XXX | |
| 99271 | A | Confirmatory consultation | 0.45 | 0.55 | 0.16 | 0.04 | 1.04 | 0.65 | XXX | |
| 99272 | A | Confirmatory consultation | 0.84 | 0.82 | 0.31 | 0.07 | 1.73 | 1.22 | XXX | |
| 99273 | A | Confirmatory consultation | 1.19 | 1.10 | 0.44 | 0.08 | 2.37 | 1.71 | XXX | |
| 99274 | A | Confirmatory consultation | 1.73 | 1.36 | 0.64 | 0.11 | 3.20 | 2.48 | XXX | |
| 99275 | A | Confirmatory consultation | 2.31 | 1.64 | 0.84 | 0.12 | 4.07 | 3.27 | XXX | |
| 99281 | A | Emergency dept visit | 0.33 | NA | 0.09 | 0.02 | NA | 0.44 | XXX | |
| 99282 | A | Emergency dept visit | 0.55 | NA | 0.15 | 0.04 | NA | 0.74 | XXX | |
| 99283 | A | Emergency dept visit | 1.24 | NA | 0.31 | 0.10 | NA | 1.65 | XXX | |
| 99284 | A | Emergency dept visit | 1.95 | NA | 0.47 | 0.14 | NA | 2.56 | XXX | |
| 99285 | A | Emergency dept visit | 3.06 | NA | 0.72 | 0.23 | NA | 4.01 | XXX | |
| 99288 | B | Direct advanced life support | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99289 | A | Ped crit care transport | 4.79 | NA | 1.91 | 0.17 | NA | 6.87 | XXX | |
| 99290 | A | Ped crit care transport addl | 2.40 | NA | 0.83 | 0.08 | NA | 3.31 | ZZZ | |
| 99291 | A | Critical care, first hour | 3.99 | 2.34 | 1.28 | 0.17 | 6.50 | 5.44 | XXX | |
| 99292 | A | Critical care, add'l 30 min | 2.00 | 0.81 | 0.64 | 0.08 | 2.89 | 2.72 | ZZZ | |
| 99293 | A | Ped critical care, initial | 15.98 | NA | 4.96 | 0.84 | NA | 21.78 | XXX | |
| 99294 | A | Ped critical care, subseq | 7.99 | NA | 2.49 | 0.28 | NA | 10.76 | XXX | |
| 99295 | A | Neonate crit care, initial | 18.46 | NA | 5.39 | 0.84 | NA | 24.69 | XXX | |
| 99296 | A | Neonate critical care subseq | 7.99 | NA | 2.55 | 0.28 | NA | 10.82 | XXX | |
| 99298 | A | Ic for lbw infant 1500 gm | 2.75 | NA | 0.93 | 0.12 | NA | 3.80 | XXX | |
| 99299 | A | Ic, lbw infant 1500-2500 gm | 2.50 | NA | 0.95 | 0.12 | NA | 3.57 | XXX | |
| 99301 | A | Nursing facility care | 1.20 | 0.67 | 0.40 | 0.05 | 1.92 | 1.65 | XXX | |
| 99302 | A | Nursing facility care | 1.61 | 0.95 | 0.54 | 0.06 | 2.62 | 2.21 | XXX | |
| 99303 | A | Nursing facility care | 2.01 | 1.16 | 0.67 | 0.07 | 3.24 | 2.75 | XXX | |
| 99311 | A | Nursing fac care, subseq | 0.60 | 0.47 | 0.20 | 0.02 | 1.09 | 0.82 | XXX | |
| 99312 | A | Nursing fac care, subseq | 1.00 | 0.65 | 0.34 | 0.04 | 1.69 | 1.38 | XXX | |
| 99313 | A | Nursing fac care, subseq | 1.42 | 0.84 | 0.47 | 0.05 | 2.31 | 1.94 | XXX | |
| 99315 | A | Nursing fac discharge day | 1.13 | 0.70 | 0.37 | 0.05 | 1.88 | 1.55 | XXX | |
| 99316 | A | Nursing fac discharge day | 1.50 | 0.90 | 0.51 | 0.06 | 2.46 | 2.07 | XXX | |
| 99321 | A | Rest home visit, new patient | 0.71 | 0.35 | NA | 0.02 | 1.08 | NA | XXX | |
| 99322 | A | Rest home visit, new patient | 1.01 | 0.46 | NA | 0.04 | 1.51 | NA | XXX | |
| 99323 | A | Rest home visit, new patient | 1.28 | 0.55 | NA | 0.05 | 1.88 | NA | XXX | |
| 99331 | A | Rest home visit, est pat | 0.60 | 0.32 | NA | 0.02 | 0.94 | NA | XXX | |
| 99332 | A | Rest home visit, est pat | 0.80 | 0.38 | NA | 0.04 | 1.22 | NA | XXX | |
| 99333 | A | Rest home visit, est pat | 1.00 | 0.45 | NA | 0.04 | 1.49 | NA | XXX | |
| 99341 | A | Home visit, new patient | 1.01 | 0.48 | NA | 0.06 | 1.55 | NA | XXX | |
| 99342 | A | Home visit, new patient | 1.52 | 0.68 | NA | 0.06 | 2.26 | NA | XXX | |
| 99343 | A | Home visit, new patient | 2.27 | 0.95 | NA | 0.08 | 3.30 | NA | XXX | |
| 99344 | A | Home visit, new patient | 3.03 | 1.18 | NA | 0.12 | 4.33 | NA | XXX | |
| 99345 | A | Home visit, new patient | 3.78 | 1.44 | NA | 0.14 | 5.36 | NA | XXX | |
| 99347 | A | Home visit, est patient | 0.76 | 0.39 | NA | 0.04 | 1.19 | NA | XXX | |
| 99348 | A | Home visit, est patient | 1.26 | 0.71 | NA | 0.05 | 2.02 | NA | XXX | |
| 99349 | A | Home visit, est patient | 2.02 | 1.04 | NA | 0.07 | 3.13 | NA | XXX | |
| 99350 | A | Home visit, est patient | 3.03 | 1.40 | NA | 0.12 | 4.55 | NA | XXX | |
| 99354 | A | Prolonged service, office | 1.77 | 0.75 | 0.66 | 0.07 | 2.59 | 2.50 | ZZZ | |
| 99355 | A | Prolonged service, office | 1.77 | 0.73 | 0.62 | 0.07 | 2.57 | 2.46 | ZZZ | |
| 99356 | A | Prolonged service, inpatient | 1.71 | NA | 0.62 | 0.07 | NA | 2.40 | ZZZ | |
| 99357 | A | Prolonged service, inpatient | 1.71 | NA | 0.63 | 0.07 | NA | 2.41 | ZZZ | |
| 99358 | B | Prolonged serv, w/o contact | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99359 | B | Prolonged serv, w/o contact | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99360 | X | Physician standby services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99361 | B | Physician/team conference | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99362 | B | Physician/team conference | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99371 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99372 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99373 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99374 | B | Home health care supervision | +1.10 | 0.70 | 0.41 | 0.05 | 1.85 | 1.56 | XXX | |
| 99375 | I | Home health care supervision | +1.73 | 1.55 | 1.55 | 0.07 | 3.35 | 3.35 | XXX | |
| 99377 | B | Hospice care supervision | +1.10 | 0.70 | 0.41 | 0.05 | 1.85 | 1.56 | XXX | |
| 99378 | I | Hospice care supervision | +1.73 | 1.94 | 1.94 | 0.07 | 3.74 | 3.74 | XXX | |
| 99379 | B | Nursing fac care supervision | +1.10 | 0.70 | 0.70 | 0.04 | 1.84 | 1.84 | XXX | |
| 99380 | B | Nursing fac care supervision | +1.73 | 1.00 | 1.00 | 0.06 | 2.79 | 2.79 | XXX | |
| 99381 | N | Prev visit, new, infant | +1.19 | 1.50 | 0.45 | 0.05 | 2.74 | 1.69 | XXX | |
| 99382 | N | Prev visit, new, age 1-4 | +1.36 | 1.54 | 0.52 | 0.05 | 2.95 | 1.93 | XXX | |
| 99383 | N | Prev visit, new, age 5-11 | +1.36 | 1.48 | 0.52 | 0.05 | 2.89 | 1.93 | XXX | |
| 99384 | N | Prev visit, new, age 12-17 | +1.53 | 1.55 | 0.59 | 0.06 | 3.14 | 2.18 | XXX | |
| 99385 | N | Prev visit, new, age 18-39 | +1.53 | 1.55 | 0.59 | 0.06 | 3.14 | 2.18 | XXX | |
| 99386 | N | Prev visit, new, age 40-64 | +1.88 | 1.74 | 0.72 | 0.07 | 3.69 | 2.67 | XXX | |
| 99387 | N | Prev visit, new, 65 over | +2.06 | 1.87 | 0.79 | 0.07 | 4.00 | 2.92 | XXX | |
| 99391 | N | Prev visit, est, infant | +1.02 | 1.02 | 0.39 | 0.04 | 2.08 | 1.45 | XXX | |
| 99392 | N | Prev visit, est, age 1-4 | +1.19 | 1.09 | 0.45 | 0.05 | 2.33 | 1.69 | XXX | |
| 99393 | N | Prev visit, est, age 5-11 | +1.19 | 1.06 | 0.45 | 0.05 | 2.30 | 1.69 | XXX | |
| 99394 | N | Prev visit, est, age 12-17 | +1.36 | 1.13 | 0.52 | 0.05 | 2.54 | 1.93 | XXX | |
| 99395 | N | Prev visit, est, age 18-39 | +1.36 | 1.16 | 0.52 | 0.05 | 2.57 | 1.93 | XXX | |
| 99396 | N | Prev visit, est, age 40-64 | +1.53 | 1.25 | 0.59 | 0.06 | 2.84 | 2.18 | XXX | |
| 99397 | N | Prev visit, est, 65 over | +1.71 | 1.36 | 0.66 | 0.06 | 3.13 | 2.43 | XXX | |
| 99401 | N | Preventive counseling, indiv | +0.48 | 0.62 | 0.19 | 0.01 | 1.11 | 0.68 | XXX | |
| 99402 | N | Preventive counseling, indiv | +0.98 | 0.87 | 0.37 | 0.02 | 1.87 | 1.37 | XXX | |
| 99403 | N | Preventive counseling, indiv | +1.46 | 1.09 | 0.56 | 0.04 | 2.59 | 2.06 | XXX | |
| 99404 | N | Preventive counseling, indiv | +1.95 | 1.32 | 0.75 | 0.05 | 3.32 | 2.75 | XXX | |
| 99411 | N | Preventive counseling, group | +0.15 | 0.18 | 0.06 | 0.01 | 0.34 | 0.22 | XXX | |
| 99412 | N | Preventive counseling, group | +0.25 | 0.25 | 0.10 | 0.01 | 0.51 | 0.36 | XXX | |
| 99420 | N | Health risk assessment test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99429 | N | Unlisted preventive service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99431 | A | Initial care, normal newborn | 1.17 | NA | 0.38 | 0.05 | NA | 1.60 | XXX | |
| 99432 | A | Newborn care, not in hosp | 1.26 | 0.90 | 0.40 | 0.07 | 2.23 | 1.73 | XXX | |
| 99433 | A | Normal newborn care/hospital | 0.62 | NA | 0.20 | 0.02 | NA | 0.84 | XXX | |
| 99435 | A | Newborn discharge day hosp | 1.50 | NA | 0.50 | 0.06 | NA | 2.06 | XXX | |
| 99436 | A | Attendance, birth | 1.50 | NA | 0.46 | 0.06 | NA | 2.02 | XXX | |
| 99440 | A | Newborn resuscitation | 2.93 | NA | 0.94 | 0.13 | NA | 4.00 | XXX | |
| 99450 | N | Life/disability evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99455 | R | Disability examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99456 | R | Disability examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99499 | C | Unlisted em service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99500 | I | Home visit, prenatal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99501 | I | Home visit, postnatal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99502 | I | Home visit, nb care | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99503 | I | Home visit, resp therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99504 | I | Home visit mech ventilator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99505 | I | Home visit, stoma care | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99506 | I | Home visit, im injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99507 | I | Home visit, cath maintain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99509 | I | Home visit day life activity | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| 99511 | I | Home visit, fecal/enema mgmt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99512 | I | Home visit for hemodialysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99551 | F | Home infus, pain mgmt, iv/sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99552 | F | Hm infus pain mgmt, epid/ith | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99553 | F | Home infuse, tocolytic tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99554 | F | Home infus, hormone/platelet | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99555 | F | Home infuse, chemotheraphy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99556 | F | Home infus, antibio/fung/vir | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99557 | F | Home infuse, anticoagulant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99558 | F | Home infuse, immunotherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99559 | F | Home infus, periton dialysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99560 | F | Home infus, entero nutrition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99561 | F | Home infuse, hydration tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99562 | F | Home infus, parent nutrition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99563 | F | Home admin, pentamidine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99564 | F | Hme infus, antihemophil agnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99565 | F | Home infus, proteinase inhib | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99566 | F | Home infuse, iv therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99567 | F | Home infuse, sympath agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99568 | F | Home infus, misc drug, daily | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99569 | F | Home infuse, each addl tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99600 | I | Home visit nos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99601 | I | Home infusion/visit, 2 hrs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99602 | I | Home infusion, each addtl hr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4890 | R | Repair/maint cont hemo equip | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0150 | R | Comprehensve oral evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0240 | R | Intraoral occlusal film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0250 | R | Extraoral first film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0260 | R | Extraoral ea additional film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0270 | R | Dental bitewing single film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0272 | R | Dental bitewings two films | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0274 | R | Dental bitewings four films | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0277 | R | Vert bitewings-sev to eight | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0460 | R | Pulp vitality test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0472 | R | Gross exam, prep report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0473 | R | Micro exam, prep report | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| D0480 | R | Cytopath smear prep report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0502 | R | Other oral pathology procedu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0999 | R | Unspecified diagnostic proce | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1510 | R | Space maintainer fxd unilat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1515 | R | Fixed bilat space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1520 | R | Remove unilat space maintain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1525 | R | Remove bilat space maintain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1550 | R | Recement space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2970 | R | Temporary- fractured tooth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2999 | R | Dental unspec restorative pr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D3460 | R | Endodontic endosseous implan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D3999 | R | Endodontic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4260 | R | Osseous surgery per quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4263 | R | Bone replce graft first site | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4264 | R | Bone replce graft each add | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4268 | R | Surgical revision procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4270 | R | Pedicle soft tissue graft pr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4271 | R | Free soft tissue graft proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4273 | R | Subepithelial tissue graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4355 | R | Full mouth debridement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4381 | R | Localized chemo delivery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5911 | R | Facial moulage sectional | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5912 | R | Facial moulage complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5951 | R | Feeding aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5983 | R | Radiation applicator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5984 | R | Radiation shield | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5985 | R | Radiation cone locator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5987 | R | Commissure splint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D6920 | R | Dental connector bar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7111 | R | Coronal remnants deciduous t | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7140 | R | Extraction erupted tooth/exr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7210 | R | Rem imp tooth w mucoper flp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7220 | R | Impact tooth remov soft tiss | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7230 | R | Impact tooth remov part bony | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7240 | R | Impact tooth remov comp bony | 0.00 | 0.00 | 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 | 0.00 | 0.00 | YYY | |
| D7250 | R | Tooth root removal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7260 | R | Oral antral fistula closure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7261 | R | Primary closure sinus perf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7291 | R | Transseptal fiberotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7940 | R | Reshaping bone orthognathic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9110 | R | Tx dental pain minor proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9230 | R | Analgesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9248 | R | Sedation (non-iv) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9630 | R | Other drugs/medicaments | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9930 | R | Treatment of complications | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9940 | R | Dental occlusal guard | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9950 | R | Occlusion analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9951 | R | Limited occlusal adjustment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9952 | R | Complete occlusal adjustment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0001 | X | Drawing blood for specimen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0008 | X | Admin influenza virus vac | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0009 | X | Admin pneumococcal vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0010 | X | Admin hepatitis b vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0027 | X | Semen analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0030 | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0030 | 26 | A | PET imaging prev PET single | 1.50 | 0.58 | 0.58 | 0.05 | 2.13 | 2.13 | XXX |
| G0030 | TC | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0031 | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0031 | 26 | A | PET imaging prev PET multple | 1.87 | 0.72 | 0.72 | 0.07 | 2.66 | 2.66 | XXX |
| G0031 | TC | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0032 | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0032 | 26 | A | PET follow SPECT 78464 singl | 1.50 | 0.54 | 0.54 | 0.06 | 2.10 | 2.10 | XXX |
| G0032 | TC | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0033 | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0033 | 26 | A | PET follow SPECT 78464 mult | 1.87 | 0.74 | 0.74 | 0.07 | 2.68 | 2.68 | XXX |
| G0033 | TC | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0034 | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0034 | 26 | A | PET follow SPECT 76865 singl | 1.50 | 0.57 | 0.57 | 0.06 | 2.13 | 2.13 | XXX |
| G0034 | TC | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0035 | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0035 | 26 | A | PET follow SPECT 78465 mult | 1.87 | 0.73 | 0.73 | 0.07 | 2.67 | 2.67 | XXX |
| G0035 | TC | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0036 | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0036 | 26 | A | PET follow cornry angio sing | 1.50 | 0.56 | 0.56 | 0.05 | 2.11 | 2.11 | XXX |
| G0036 | TC | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0037 | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0037 | 26 | A | PET follow cornry angio mult | 1.87 | 0.71 | 0.71 | 0.07 | 2.65 | 2.65 | XXX |
| G0037 | TC | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0038 | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0038 | 26 | A | PET follow myocard perf sing | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0038 | TC | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0039 | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0039 | 26 | A | PET follow myocard perf mult | 1.87 | 0.71 | 0.71 | 0.08 | 2.66 | 2.66 | XXX |
| G0039 | TC | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0040 | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0040 | 26 | A | PET follow stress echo singl | 1.50 | 0.59 | 0.59 | 0.05 | 2.14 | 2.14 | XXX |
| G0040 | TC | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0041 | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0041 | 26 | A | PET follow stress echo mult | 1.87 | 0.73 | 0.73 | 0.06 | 2.66 | 2.66 | XXX |
| G0041 | TC | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0042 | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0042 | 26 | A | PET follow ventriculogm sing | 1.50 | 0.61 | 0.61 | 0.05 | 2.16 | 2.16 | XXX |
| G0042 | TC | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0043 | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0043 | 26 | A | PET follow ventriculogm mult | 1.87 | 0.75 | 0.75 | 0.07 | 2.69 | 2.69 | XXX |
| G0043 | TC | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0044 | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0044 | 26 | A | PET following rest ECG singl | 1.50 | 0.59 | 0.59 | 0.05 | 2.14 | 2.14 | XXX |
| G0044 | TC | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0045 | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0045 | 26 | A | PET following rest ECG mult | 1.87 | 0.72 | 0.72 | 0.07 | 2.66 | 2.66 | XXX |
| G0045 | TC | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0046 | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0046 | 26 | A | PET follow stress ECG singl | 1.50 | 0.59 | 0.59 | 0.05 | 2.14 | 2.14 | XXX |
| G0046 | TC | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0047 | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0047 | 26 | A | PET follow stress ECG mult | 1.87 | 0.73 | 0.73 | 0.07 | 2.67 | 2.67 | XXX |
| G0047 | TC | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0101 | A | CA screen;pelvic/breast exam | 0.45 | 0.52 | 0.17 | 0.01 | 0.98 | 0.63 | XXX | |
| G0102 | A | Prostate ca screening; dre | 0.17 | 0.39 | 0.06 | 0.01 | 0.57 | 0.24 | XXX | |
| G0103 | X | Psa, total screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0104 | A | CA screen;flexi sigmoidscope | 0.96 | 2.20 | 0.52 | 0.06 | 3.22 | 1.54 | 000 | |
| G0105 | A | Colorectal scrn; hi risk ind | 3.69 | 6.04 | 1.58 | 0.24 | 9.97 | 5.51 | 000 | |
| G0105 | 53 | A | Colorectal scrn; hi risk ind | 0.96 | 2.20 | 0.52 | 0.06 | 3.22 | 1.54 | 000 |
| G0106 | A | Colon CA screen;barium enema | 0.99 | 2.57 | NA | 0.18 | 3.74 | NA | XXX | |
| G0106 | 26 | A | Colon CA screen;barium enema | 0.99 | 0.33 | 0.33 | 0.05 | 1.37 | 1.37 | XXX |
| G0106 | TC | A | Colon CA screen;barium enema | 0.00 | 2.24 | NA | 0.13 | 2.37 | NA | XXX |
| G0107 | X | CA screen; fecal blood test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0108 | A | Diab manage trn per indiv | 0.00 | 0.84 | NA | 0.01 | 0.85 | NA | XXX | |
| G0109 | A | Diab manage trn ind/group | 0.00 | 0.48 | NA | 0.01 | 0.49 | NA | XXX | |
| G0110 | R | Nett pulm-rehab educ; ind | 0.90 | 0.70 | 0.30 | 0.04 | 1.64 | 1.24 | XXX | |
| G0111 | R | Nett pulm-rehab educ; group | 0.27 | 0.29 | 0.14 | 0.01 | 0.57 | 0.42 | XXX | |
| G0112 | R | Nett;nutrition guid, initial | 1.72 | 1.20 | 0.66 | 0.06 | 2.98 | 2.44 | XXX | |
| G0113 | R | Nett;nutrition guid,subseqnt | 1.29 | 0.83 | 0.41 | 0.05 | 2.17 | 1.75 | XXX | |
| G0114 | R | Nett; psychosocial consult | 1.20 | 0.49 | 0.37 | 0.04 | 1.73 | 1.61 | XXX | |
| G0115 | R | Nett; psychological testing | 1.20 | 0.64 | 0.37 | 0.05 | 1.89 | 1.62 | XXX | |
| G0116 | R | Nett; psychosocial counsel | 1.11 | 1.01 | 0.34 | 0.05 | 2.17 | 1.50 | XXX | |
| G0117 | T | Glaucoma scrn hgh risk direc | 0.45 | 0.71 | 0.19 | 0.02 | 1.18 | 0.66 | XXX | |
| G0118 | T | Glaucoma scrn hgh risk direc | 0.17 | 0.52 | 0.07 | 0.01 | 0.70 | 0.25 | XXX | |
| G0120 | A | Colon ca scrn; barium enema | 0.99 | 2.57 | NA | 0.18 | 3.74 | NA | XXX | |
| G0120 | 26 | A | Colon ca scrn; barium enema | 0.99 | 0.33 | 0.33 | 0.05 | 1.37 | 1.37 | XXX |
| G0120 | TC | A | Colon ca scrn; barium enema | 0.00 | 2.24 | NA | 0.13 | 2.37 | NA | XXX |
| G0121 | A | Colon ca scrn not hi rsk ind | 3.69 | 6.04 | 1.58 | 0.24 | 9.97 | 5.51 | 000 | |
| G0121 | 53 | A | Colon ca scrn not hi rsk ind | 0.96 | 2.20 | 0.52 | 0.06 | 3.22 | 1.54 | 000 |
| G0122 | N | Colon ca scrn; barium enema | +0.99 | 2.57 | 2.57 | 0.18 | 3.74 | 3.74 | XXX | |
| G0122 | 26 | N | Colon ca scrn; barium enema | +0.99 | 0.38 | 0.38 | 0.05 | 1.42 | 1.42 | XXX |
| G0122 | TC | N | Colon ca scrn; barium enema | +0.00 | 2.19 | 2.19 | 0.13 | 2.32 | 2.32 | XXX |
| G0123 | X | Screen cerv/vag thin layer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0124 | A | Screen c/v thin layer by MD | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| G0125 | C | PET image pulmonary nodule | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX | |
| G0125 | 26 | A | PET image pulmonary nodule | 1.50 | 0.52 | 0.52 | 0.06 | 2.08 | 2.08 | XXX |
| G0125 | TC | C | PET image pulmonary nodule | 0.00 | 0.00 | NA | 0.00 | 0.00 | NA | XXX |
| G0127 | R | Trim nail(s) | 0.17 | 0.25 | 0.07 | 0.01 | 0.43 | 0.25 | 000 | |
| G0128 | R | CORF skilled nursing service | 0.08 | 0.03 | 0.03 | 0.01 | 0.12 | 0.12 | XXX | |
| G0130 | A | Single energy x-ray study | 0.22 | 0.88 | NA | 0.06 | 1.16 | NA | XXX | |
| G0130 | 26 | A | Single energy x-ray study | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| G0130 | TC | A | Single energy x-ray study | 0.00 | 0.81 | NA | 0.05 | 0.86 | NA | XXX |
| G0141 | A | Scr c/v cyto,autosys and md | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| G0143 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| G0145 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| G0148 | X | Scr c/v cyto, autosys, rescr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0166 | A | Extrnl counterpulse, per tx | 0.07 | 3.58 | 0.03 | 0.01 | 3.66 | 0.11 | XXX | |
| G0167 | D | Hyperbaric oz tx;no md reqrd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0168 | A | Wound closure by adhesive | 0.45 | 1.92 | 0.16 | 0.01 | 2.38 | 0.62 | 000 | |
| G0173 | X | Stereo radoisurgery,complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0175 | X | OPPS Service,sched team conf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0176 | X | OPPS/PHP;activity therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0177 | X | OPPS/PHP; train educ serv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0179 | A | MD recertification HHA PT | 0.45 | 1.07 | NA | 0.01 | 1.53 | NA | XXX | |
| G0180 | A | MD certification HHA patient | 0.67 | 1.29 | NA | 0.02 | 1.98 | NA | XXX | |
| G0181 | A | Home health care supervision | 1.73 | 1.52 | NA | 0.07 | 3.32 | NA | XXX | |
| G0182 | A | Hospice care supervision | 1.73 | 1.71 | NA | 0.07 | 3.51 | NA | XXX | |
| G0186 | C | Dstry eye lesn,fdr vssl tech | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0202 | A | Screeningmammographydigital | 0.70 | 2.79 | NA | 0.11 | 3.60 | NA | XXX | |
| G0202 | 26 | A | Screeningmammographydigital | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| G0202 | TC | A | Screeningmammographydigital | 0.00 | 2.56 | NA | 0.07 | 2.63 | NA | XXX |
| G0204 | A | Diagnosticmammographydigital | 0.87 | 2.81 | NA | 0.12 | 3.80 | NA | XXX | |
| G0204 | 26 | A | Diagnosticmammographydigital | 0.87 | 0.29 | 0.29 | 0.05 | 1.21 | 1.21 | XXX |
| G0204 | TC | A | Diagnosticmammographydigital | 0.00 | 2.52 | NA | 0.07 | 2.59 | NA | XXX |
| G0206 | A | Diagnosticmammographydigital | 0.70 | 2.25 | NA | 0.11 | 3.06 | NA | XXX | |
| G0206 | 26 | A | Diagnosticmammographydigital | 0.70 | 0.23 | 0.23 | 0.05 | 0.98 | 0.98 | XXX |
| G0206 | TC | A | Diagnosticmammographydigital | 0.00 | 2.02 | NA | 0.06 | 2.08 | NA | XXX |
| G0210 | C | PET img wholebody dxlung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0210 | 26 | A | PET img wholebody dxlung | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0210 | TC | C | PET img wholebody dxlung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0211 | C | PET img wholbody init lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0211 | 26 | A | PET img wholbody init lung | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0211 | TC | C | PET img wholbody init lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0212 | C | PET img wholebod restag lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0212 | 26 | A | PET img wholebod restag lung | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0212 | TC | C | PET img wholebod restag lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0213 | C | PET img wholbody dx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0213 | 26 | A | PET img wholbody dx | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0213 | TC | C | PET img wholbody dx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0214 | C | PET img wholebod init | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0214 | 26 | A | PET img wholebod init | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0214 | TC | C | PET img wholebod init | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0215 | C | PETimg wholebod restag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0215 | 26 | A | PETimg wholebod restag | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0215 | TC | C | PETimg wholebod restag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0216 | C | PET img wholebod dx melanoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0216 | 26 | A | PET img wholebod dx melanoma | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0216 | TC | C | PET img wholebod dx melanoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0217 | C | PET img wholebod init melan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0217 | 26 | A | PET img wholebod init melan | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0217 | TC | C | PET img wholebod init melan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0218 | C | PET img wholebod restag mela | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0218 | 26 | A | PET img wholebod restag mela | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0218 | TC | C | PET img wholebod restag mela | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0219 | N | PET img wholbod melano nonco | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0219 | 26 | N | PET img wholbod melano nonco | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0219 | TC | N | PET img wholbod melano nonco | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0220 | C | PET img wholebod dx lymphoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0220 | 26 | A | PET img wholebod dx lymphoma | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0220 | TC | C | PET img wholebod dx lymphoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0221 | C | PET imag wholbod init lympho | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0221 | 26 | A | PET imag wholbod init lympho | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0221 | TC | C | PET imag wholbod init lympho | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0222 | C | PET imag wholbod resta lymph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0222 | 26 | A | PET imag wholbod resta lymph | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0222 | TC | C | PET imag wholbod resta lymph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0223 | C | PET imag wholbod reg dx head | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0223 | 26 | A | PET imag wholbod reg dx head | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0223 | TC | C | PET imag wholbod reg dx head | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0224 | C | PET imag wholbod reg ini hea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0224 | 26 | A | PET imag wholbod reg ini hea | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0224 | TC | C | PET imag wholbod reg ini hea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0225 | C | PET whol restag headneckonly | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0225 | 26 | A | PET whol restag headneckonly | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0225 | TC | C | PET whol restag headneckonly | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0226 | C | PET img wholbody dx esophagl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0226 | 26 | A | PET img wholbody dx esophagl | 1.50 | 0.53 | 0.53 | 0.05 | 2.08 | 2.08 | XXX |
| G0226 | TC | C | PET img wholbody dx esophagl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0227 | C | PET img wholbod ini esophage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0227 | 26 | A | PET img wholbod ini esophage | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0227 | TC | C | PET img wholbod ini esophage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0228 | C | PET img wholbod restg esopha | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0228 | 26 | A | PET img wholbod restg esopha | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0228 | TC | C | PET img wholbod restg esopha | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0229 | C | PET img metaboloc brain pres | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0229 | 26 | A | PET img metaboloc brain pres | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0229 | TC | C | PET img metaboloc brain pres | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0230 | C | PET myocard viability post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0230 | 26 | A | PET myocard viability post | 1.50 | 0.53 | 0.53 | 0.05 | 2.08 | 2.08 | XXX |
| G0230 | TC | C | PET myocard viability post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0231 | C | PET WhBD colorec; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0231 | 26 | A | PET WhBD colorec; gamma cam | 1.50 | 0.51 | 0.51 | 0.05 | 2.06 | 2.06 | XXX |
| G0231 | TC | C | PET WhBD colorec; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0232 | C | PET whbd lymphoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0232 | 26 | A | PET whbd lymphoma; gamma cam | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0232 | TC | C | PET whbd lymphoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0233 | C | PET whbd melanoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0233 | 26 | A | PET whbd melanoma; gamma cam | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0233 | TC | C | PET whbd melanoma; gamma cam | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| G0234 | 26 | A | PET WhBD pulm nod; gamma cam | 1.50 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | XXX |
| G0234 | TC | C | PET WhBD pulm nod; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0236 | F | Digital film convert diag ma | +0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| G0236 | 26 | F | Digital film convert diag ma | +0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| G0236 | TC | F | Digital film convert diag ma | +0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| G0237 | A | Therapeutic procd strg endur | 0.00 | 0.47 | NA | 0.02 | 0.49 | NA | XXX | |
| G0238 | C | Oth resp proc, indiv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0239 | C | Oth resp proc, group | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0242 | X | Multisource photon ster plan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0243 | X | Multisour photon stero treat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0244 | E | Observ care by facility topt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0245 | R | Initial foot exam pt lops | 0.88 | 0.79 | 0.32 | 0.06 | 1.73 | 1.26 | XXX | |
| G0246 | R | Followup eval of foot pt lop | 0.45 | 0.54 | 0.16 | 0.02 | 1.01 | 0.63 | XXX | |
| G0247 | R | Routine footcare pt w lops | 0.50 | 0.51 | 0.21 | 0.06 | 1.07 | 0.77 | ZZZ | |
| G0248 | R | Demonstrate use home inr mon | 0.00 | 6.75 | NA | 0.01 | 6.76 | NA | XXX | |
| G0249 | R | Provide test material,equipm | 0.00 | 3.91 | NA | 0.01 | 3.92 | NA | XXX | |
| G0250 | R | MD review interpret of test | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX | |
| G0251 | E | Linear acc based stero radio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0252 | N | PET imaging initial dx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0252 | 26 | N | PET imaging initial dx | +1.50 | 0.60 | 0.60 | 0.04 | 2.14 | 2.14 | XXX |
| G0252 | TC | N | PET imaging initial dx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0253 | C | PET image brst dection recur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0253 | 26 | A | PET image brst dection recur | 1.87 | 0.71 | 0.71 | 0.08 | 2.66 | 2.66 | XXX |
| G0253 | TC | C | PET image brst dection recur | 0.00 | 0.00 | 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 | 0.00 | 0.00 | XXX | |
| G0254 | 26 | A | PET image brst eval to tx | 1.87 | 0.71 | 0.71 | 0.08 | 2.66 | 2.66 | XXX |
| G0254 | TC | C | PET image brst eval to tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0255 | N | Current percep threshold tst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0255 | 26 | N | Current percep threshold tst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0255 | TC | N | Current percep threshold tst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0256 | D | Prostate brachy w palladium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0257 | E | Unsched dialysis ESRD pt hos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0258 | E | IV infusion during obs stay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0259 | E | Inject for sacroiliac joint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0260 | E | Inj for sacroiliac jt anesth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0261 | D | Prostate brachy w iodine see | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0262 | D | Sm intestinal image capsule | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0262 | 26 | D | Sm intestinal image capsule | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0262 | TC | D | Sm intestinal image capsule | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0263 | E | Adm with CHF, CP, asthma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0264 | E | Assmt otr CHF, CP, asthma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0265 | X | Cryopresevation Freeze+stora | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0266 | X | Thawing + expansion froz cel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0267 | X | Bone marrow or psc harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0268 | A | Removal of impacted wax md | 0.61 | 0.63 | 0.25 | 0.05 | 1.29 | 0.91 | 000 | |
| G0269 | B | Occlusive device in vein art | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0270 | A | MNT subs tx for change dx | 0.00 | 0.47 | NA | 0.01 | 0.48 | NA | XXX | |
| G0271 | A | Group MNT 2 or more 30 mins | 0.00 | 0.19 | NA | 0.01 | 0.20 | NA | XXX | |
| G0272 | D | Naso/oro gastric tube pl MD | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| G0273 | D | Pretx planning, non-Hodgkins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0273 | 26 | D | Pretx planning, non-Hodgkins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0273 | TC | D | Pretx planning, non-Hodgkins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0274 | D | Radiopharm tx, non-Hodgkins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0274 | 26 | D | Radiopharm tx, non-Hodgkins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0274 | TC | D | Radiopharm tx, non-Hodgkins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0275 | A | Renal angio, cardiac cath | 0.25 | NA | 0.10 | 0.01 | NA | 0.36 | ZZZ | |
| G0278 | A | Iliac art angio,cardiac cath | 0.25 | NA | 0.10 | 0.01 | NA | 0.36 | ZZZ | |
| G0279 | C | Excorp shock tx, elbow epi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0280 | C | Excorp shock tx other than | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0281 | A | Elec stim unattend for press | 0.18 | 0.11 | NA | 0.01 | 0.30 | NA | XXX | |
| G0282 | N | Elect stim wound care not pd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0283 | A | Elec stim other than wound | 0.18 | 0.11 | NA | 0.01 | 0.30 | NA | XXX | |
| G0288 | A | Recon, CTA for surg plan | 0.00 | 10.66 | NA | 0.18 | 10.84 | NA | XXX | |
| G0289 | A | Arthro, loose body + chondro | 1.48 | NA | 0.56 | 0.33 | NA | 2.37 | ZZZ | |
| G0290 | E | Drug-eluting stents, single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0291 | E | Drug-eluting stents,each add | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0292 | E | Adm exp drugs,clinical trial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0293 | E | Non-cov surg proc,clin trial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0294 | E | Non-cov proc, clinical trial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0295 | N | Electromagnetic therapy onc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0296 | C | PET imge restag thyrod cance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0296 | 26 | A | PET imge restag thyrod cance | 1.87 | 0.71 | 0.71 | 0.08 | 2.66 | 2.66 | XXX |
| G0296 | TC | C | PET imge restag thyrod cance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0297 | X | Insert single chamber/cd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0298 | X | Insert dual chamber/cd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0299 | X | Inser/repos single icd+leads | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0300 | X | Insert reposit lead dual+gen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0302 | X | Pre-op service LVRS complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0303 | X | Pre-op service LVRS 10-15dos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0304 | X | Pre-op service LVRS 1-9 dos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0305 | X | Post op service LVRS min 6 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0306 | X | CBC/diffwbc w/o platelet | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0307 | X | CBC without platelet | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0308 | A | ESRD related svc 4+mo2yrs | 12.74 | 8.54 | 8.54 | 0.42 | 21.70 | 21.70 | XXX | |
| G0309 | A | ESRD related svc 2-3mo2yrs | 10.61 | 7.10 | 7.10 | 0.36 | 18.07 | 18.07 | XXX | |
| G0310 | A | ESRD related svc 1 visit2yr | 8.49 | 5.68 | 5.68 | 0.28 | 14.45 | 14.45 | XXX | |
| G0311 | A | ESRD related svs 4+mo 2-11yr | 9.73 | 4.72 | 4.72 | 0.34 | 14.79 | 14.79 | XXX | |
| G0312 | A | ESRD relate svs 2-3 mo 2-11y | 8.11 | 3.92 | 3.92 | 0.29 | 12.32 | 12.32 | XXX | |
| G0313 | A | ESRD related svs 1 mon 2-11y | 6.49 | 3.14 | 3.14 | 0.22 | 9.85 | 9.85 | XXX | |
| G0314 | A | ESRD related svs 4+ mo 12-19 | 8.28 | 4.42 | 4.42 | 0.27 | 12.97 | 12.97 | XXX | |
| G0315 | A | ESRD related svs 2-3mo 12-19 | 6.90 | 3.67 | 3.67 | 0.23 | 10.80 | 10.80 | XXX | |
| G0316 | A | ESRD relate svs 1 vist 12-19 | 5.52 | 2.94 | 2.94 | 0.17 | 8.63 | 8.63 | XXX | |
| G0317 | A | ESRD related svs 4+mo 20+yrs | 5.09 | 2.86 | 2.86 | 0.17 | 8.12 | 8.12 | XXX | |
| G0318 | A | ESRD related svs 2-3 mo 20+y | 4.24 | 2.38 | 2.38 | 0.14 | 6.76 | 6.76 | XXX | |
| G0319 | A | ESRD related svs 1 visit 20+ | 3.39 | 1.90 | 1.90 | 0.11 | 5.40 | 5.40 | XXX | |
| G0320 | A | ESRD related svs home under2 | 10.61 | 7.10 | 7.10 | 0.36 | 18.07 | 18.07 | XXX | |
| G0321 | A | ESRD related svs home mo2ys | 6.90 | 3.67 | 3.67 | 0.23 | 10.80 | 10.80 | XXX | |
| G0322 | A | ESRD relate svs home mo12-19 | 8.11 | 3.92 | 3.92 | 0.29 | 12.32 | 12.32 | XXX | |
| G0323 | A | ESRD related svs home mo 20+ | 4.24 | 2.38 | 2.38 | 0.14 | 6.76 | 6.76 | XXX | |
| G0324 | A | ESRD related svs home/dy2y | 0.35 | 0.24 | 0.24 | 0.01 | 0.60 | 0.60 | XXX | |
| G0325 | A | ESRD relate home/dy 2-11 yr | 0.23 | 0.12 | 0.12 | 0.01 | 0.36 | 0.36 | XXX | |
| G0326 | A | ESRD relate home/dy 12-19y | 0.27 | 0.13 | 0.13 | 0.01 | 0.41 | 0.41 | XXX | |
| G0327 | A | ESRD relate home/dy 20+yrs | 0.14 | 0.08 | 0.08 | 0.01 | 0.23 | 0.23 | XXX | |
| G0328 | X | Fecal blood scrn immunoassay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0338 | X | Linear accelerator stero pln | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0339 | X | Robot lin-radsurg com, first | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0340 | X | Robot linear steroradio max5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G3001 | X | Admin + supply, tositumomab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9001 | X | MCCD, initial rate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9002 | X | MCCD,maintenance rate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9003 | X | MCCD, risk adj hi, initial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9004 | X | MCCD, risk adj lo, initial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9005 | X | MCCD, risk adj, maintenance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9006 | X | MCCD, Home monitoring | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9007 | X | MCCD, sch team conf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9008 | X | Mccd,phys coor-care ovrsght | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9009 | X | MCCD, risk adj, level 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9010 | X | MCCD, risk adj, level 4 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9011 | X | MCCD, risk adj, level 5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9012 | X | Other Specified Case Mgmt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G9016 | N | Demo-smoking cessation coun | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0064 | A | Visit for drug monitoring | 0.37 | 0.34 | 0.12 | 0.01 | 0.72 | 0.50 | XXX | |
| P3001 | A | Screening pap smear by phys | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| Q0035 | A | Cardiokymography | 0.17 | 0.45 | NA | 0.03 | 0.65 | NA | XXX | |
| Q0035 | 26 | A | Cardiokymography | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| Q0035 | TC | A | Cardiokymography | 0.00 | 0.38 | NA | 0.02 | 0.40 | NA | XXX |
| Q0091 | A | Obtaining screen pap smear | 0.37 | 0.66 | 0.14 | 0.01 | 1.04 | 0.52 | XXX | |
| Q0092 | A | Set up port xray equipment | 0.00 | 0.32 | NA | 0.01 | 0.33 | NA | XXX | |
| Q3014 | X | Telehealth facility fee | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0070 | C | Transport portable x-ray | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0075 | C | Transport port x-ray multipl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0076 | B | Transport portable EKG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5299 | R | Hearing service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 1 1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. | ||||||||||
| 2 Copyright 2003 American Dental Association. All rights reserved. | ||||||||||
| 3 + Indicates RVUs are not used for Medicare payment. | ||||||||||
----------
1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2 Copyright 2003 American Dental Association. All rights reserved.3 + Indicates RVUs are not used for Medicare payment.
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Non- facility PE RVUs | Facility PE RVUs | Mal- practice RVUs | Non- facility total | Facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|
| 11400 | A | Exc tr-ext b9+marg 0.5 cm | 0.85 | 2.00 | 0.89 | 0.07 | 2.92 | 1.81 | 010 | |
| 11401 | A | Exc tr-ext b9+marg 0.6-1 cm | 1.23 | 2.07 | 1.03 | 0.11 | 3.41 | 2.37 | 010 | |
| 11402 | A | Exc tr-ext b9+marg 1.1-2 cm | 1.51 | 2.25 | 1.10 | 0.14 | 3.90 | 2.75 | 010 | |
| 11403 | A | Exc tr-ext b9+marg 2.1-3 cm | 1.79 | 2.42 | 1.33 | 0.19 | 4.40 | 3.31 | 010 | |
| 11404 | A | Exc tr-ext b9+marg 3.1-4 cm | 2.06 | 2.73 | 1.41 | 0.22 | 5.01 | 3.69 | 010 | |
| 11406 | A | Exc tr-ext b9+marg 4.0 cm | 2.76 | 3.10 | 1.67 | 0.30 | 6.16 | 4.73 | 010 | |
| 11420 | A | Exc h-f-nk-sp b9+marg 0.5 | 0.98 | 1.77 | 0.94 | 0.10 | 2.85 | 2.02 | 010 | |
| 11421 | A | Exc h-f-nk-sp b9+marg 0.6-1 | 1.42 | 2.08 | 1.12 | 0.13 | 3.63 | 2.67 | 010 | |
| 11422 | A | Exc h-f-nk-sp b9+marg 1.1-2 | 1.63 | 2.27 | 1.34 | 0.17 | 4.07 | 3.14 | 010 | |
| 11423 | A | Exc h-f-nk-sp b9+marg 2.1-3 | 2.01 | 2.61 | 1.46 | 0.21 | 4.83 | 3.68 | 010 | |
| 11424 | A | Exc h-f-nk-sp b9+marg 3.1-4 | 2.43 | 2.82 | 1.61 | 0.25 | 5.50 | 4.29 | 010 | |
| 11426 | A | Exc h-f-nk-sp b9+marg 4 cm | 3.77 | 3.52 | 2.11 | 0.41 | 7.70 | 6.29 | 010 | |
| 11440 | A | Exc face-mm b9+marg 0.5 cm | 1.06 | 2.28 | 1.33 | 0.10 | 3.44 | 2.49 | 010 | |
| 11441 | A | Exc face-mm b9+marg 0.6-1 cm | 1.48 | 2.40 | 1.51 | 0.13 | 4.01 | 3.12 | 010 | |
| 11442 | A | Exc face-mm b9+marg 1.1-2 cm | 1.72 | 2.59 | 1.58 | 0.17 | 4.48 | 3.47 | 010 | |
| 11443 | A | Exc face-mm b9+marg 2.1-3 cm | 2.29 | 2.97 | 1.83 | 0.22 | 5.48 | 4.34 | 010 | |
| 11444 | A | Exc face-mm b9+marg 3.1-4 cm | 3.14 | 3.54 | 2.19 | 0.30 | 6.98 | 5.63 | 010 | |
| 11446 | A | Exc face-mm b9+marg 4 cm | 4.48 | 4.11 | 2.78 | 0.36 | 8.95 | 7.62 | 010 | |
| 11600 | A | Exc tr-ext mlg+marg 0.5 cm | 1.31 | 2.65 | 0.98 | 0.11 | 4.07 | 2.40 | 010 | |
| 11601 | A | Exc tr-ext mlg+marg 0.6-1 cm | 1.80 | 2.72 | 1.23 | 0.14 | 4.66 | 3.17 | 010 | |
| 11602 | A | Exc tr-ext mlg+marg 1.1-2 cm | 1.95 | 2.86 | 1.27 | 0.16 | 4.97 | 3.38 | 010 | |
| 11603 | A | Exc tr-ext mlg+marg 2.1-3 cm | 2.19 | 3.11 | 1.33 | 0.19 | 5.49 | 3.71 | 010 | |
| 11604 | A | Exc tr-ext mlg+marg 3.1-4 cm | 2.40 | 3.41 | 1.40 | 0.22 | 6.03 | 4.02 | 010 | |
| 11606 | A | Exc tr-ext mlg+marg 4 cm | 3.42 | 4.11 | 1.75 | 0.34 | 7.87 | 5.51 | 010 | |
| 11620 | A | Exc h-f-nk-sp mlg+marg 0.5 | 1.19 | 2.62 | 0.96 | 0.11 | 3.92 | 2.26 | 010 | |
| 11621 | A | Exc h-f-nk-sp mlg+marg 0.6-1 | 1.76 | 2.73 | 1.25 | 0.14 | 4.63 | 3.15 | 010 | |
| 11622 | A | Exc h-f-nk-sp mlg+marg 1.1-2 | 2.09 | 3.00 | 1.39 | 0.18 | 5.27 | 3.66 | 010 | |
| 11623 | A | Exc h-f-nk-sp mlg+marg 2.1-3 | 2.61 | 3.36 | 1.59 | 0.24 | 6.21 | 4.44 | 010 | |
| 11624 | A | Exc h-f-nk-sp mlg+marg 3.1-4 | 3.06 | 3.79 | 1.78 | 0.30 | 7.15 | 5.14 | 010 | |
| 11626 | A | Exc h-f-nk-sp mlg+mar 4 cm | 4.29 | 4.70 | 2.40 | 0.42 | 9.41 | 7.11 | 010 | |
| 11640 | A | Exc face-mm malig+marg 0.5 | 1.35 | 2.69 | 1.12 | 0.12 | 4.16 | 2.59 | 010 | |
| 11641 | A | Exc face-mm malig+marg 0.6-1 | 2.16 | 3.06 | 1.54 | 0.18 | 5.40 | 3.88 | 010 | |
| 11642 | A | Exc face-mm malig+marg 1.1-2 | 2.59 | 3.44 | 1.73 | 0.22 | 6.25 | 4.54 | 010 | |
| 11643 | A | Exc face-mm malig+marg 2.1-3 | 3.10 | 3.85 | 1.96 | 0.29 | 7.24 | 5.35 | 010 | |
| 11644 | A | Exc face-mm malig+marg 3.1-4 | 4.02 | 4.74 | 2.47 | 0.40 | 9.16 | 6.89 | 010 | |
| 11646 | A | Exc face-mm mlg+marg 4 cm | 5.94 | 5.81 | 3.49 | 0.55 | 12.30 | 9.98 | 010 | |
| 20982 | A | Ablate, bone tumor(s) perq | 7.27 | 105.35 | 2.99 | 0.69 | 113.31 | 10.95 | 000 | |
| 21030 | A | Excise max/zygoma b9 tumor | 4.49 | 6.84 | 4.31 | 0.72 | 12.05 | 9.52 | 090 | |
| 21040 | A | Excise mandible lesion | 4.49 | 6.87 | 4.14 | 0.23 | 11.59 | 8.86 | 090 | |
| 21685 | A | Hyoid myotomy suspension | 12.98 | NA | 10.09 | 1.52 | NA | 24.59 | 090 | |
| 21742 | C | Repair stern/nuss w/o scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21743 | C | Repair sternum/nuss w/scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 22532 | A | Lat thorax spine fusion | 23.96 | NA | 14.82 | 4.56 | NA | 43.34 | 090 | |
| 22533 | A | Lat lumbar spine fusion | 23.09 | NA | 13.48 | 3.84 | NA | 40.41 | 090 | |
| 22534 | A | Lat thor/lumb, add'l seg | 5.99 | NA | 3.04 | 1.18 | NA | 10.21 | ZZZ | |
| 31622 | A | Dx bronchoscope/wash | 2.78 | 4.17 | 0.89 | 0.17 | 7.12 | 3.84 | 000 | |
| 31623 | A | Dx bronchoscope/brush | 2.88 | 5.05 | 0.89 | 0.17 | 8.10 | 3.94 | 000 | |
| 31624 | A | Dx bronchoscope/lavage | 2.88 | 4.28 | 0.90 | 0.16 | 7.32 | 3.94 | 000 | |
| 31625 | A | Bronchoscopy w/biopsy(s) | 3.36 | 5.37 | 1.26 | 0.19 | 8.92 | 4.81 | 000 | |
| 31628 | A | Bronchoscopy/lung bx, each | 3.80 | 5.53 | 1.34 | 0.17 | 9.50 | 5.31 | 000 | |
| 31629 | A | Bronchoscopy/needle bx, each | 3.36 | NA | 1.22 | 0.16 | NA | 4.74 | 000 | |
| 31630 | A | Bronchoscopy dilate/fx repr | 3.81 | NA | 2.00 | 0.36 | NA | 6.17 | 000 | |
| 31631 | A | Bronchoscopy, dilate w/stent | 4.36 | NA | 2.02 | 0.37 | NA | 6.75 | 000 | |
| 31632 | A | Bronchoscopy/lung bx, add'l | 1.03 | 0.76 | 0.32 | 0.17 | 1.96 | 1.52 | ZZZ | |
| 31633 | A | Bronchoscopy/needle bx add'l | 1.32 | 0.91 | 0.40 | 0.17 | 2.40 | 1.89 | ZZZ | |
| 31635 | A | Bronchoscopy w/fb removal | 3.67 | NA | 1.67 | 0.25 | NA | 5.59 | 000 | |
| 31640 | A | Bronchoscopy w/tumor excise | 4.93 | NA | 2.35 | 0.45 | NA | 7.73 | 000 | |
| 33310 | A | Exploratory heart surgery | 18.48 | NA | 9.65 | 2.73 | NA | 30.86 | 090 | |
| 33315 | A | Exploratory heart surgery | 22.34 | NA | 10.95 | 3.50 | NA | 36.79 | 090 | |
| 34805 | A | Endovasc abdo repair w/pros | 21.85 | NA | 9.46 | 1.99 | NA | 33.30 | 090 | |
| 35510 | A | Artery bypass graft | 22.97 | NA | 10.17 | 2.10 | NA | 35.24 | 090 | |
| 35512 | A | Artery bypass graft | 22.47 | NA | 10.00 | 2.10 | NA | 34.57 | 090 | |
| 35522 | A | Artery bypass graft | 21.73 | NA | 9.74 | 2.10 | NA | 33.57 | 090 | |
| 35525 | A | Artery bypass graft | 20.60 | NA | 9.35 | 2.10 | NA | 32.05 | 090 | |
| 35697 | A | Reimplant artery each | 3.00 | NA | 1.03 | 0.41 | NA | 4.44 | ZZZ | |
| 36511 | A | Apheresis wbc | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36512 | A | Apheresis rbc | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36513 | A | Apheresis platelets | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36514 | A | Apheresis plasma | 1.74 | NA | 0.71 | 0.07 | NA | 2.52 | 000 | |
| 36515 | A | Apheresis, adsorp/reinfuse | 1.74 | NA | 0.73 | 0.07 | NA | 2.54 | 000 | |
| 36516 | A | Apheresis, selective | 1.22 | NA | 0.51 | 0.07 | NA | 1.80 | 000 | |
| 36555 | A | Insert non-tunnel cv cath | 2.68 | 6.00 | 0.82 | 0.21 | 8.89 | 3.71 | 000 | |
| 36556 | A | Insert non-tunnel cv cath | 2.50 | 5.85 | 0.74 | 0.10 | 8.45 | 3.34 | 000 | |
| 36557 | A | Insert tunneled cv cath | 5.09 | 13.56 | 2.58 | 0.59 | 19.24 | 8.26 | 010 | |
| 36558 | A | Insert tunneled cv cath | 4.79 | 13.45 | 2.47 | 0.59 | 18.83 | 7.85 | 010 | |
| 36560 | A | Insert tunneled cv cath | 6.24 | 29.19 | 2.96 | 0.59 | 36.02 | 9.79 | 010 | |
| 36561 | A | Insert tunneled cv cath | 5.99 | 29.11 | 2.87 | 0.59 | 35.69 | 9.45 | 010 | |
| 36563 | A | Insert tunneled cv cath | 6.19 | 38.09 | 2.98 | 0.68 | 44.96 | 9.85 | 010 | |
| 36565 | A | Insert tunneled cv cath | 5.99 | 22.15 | 2.87 | 0.59 | 28.73 | 9.45 | 010 | |
| 36566 | A | Insert tunneled cv cath | 6.49 | 22.95 | 3.04 | 0.59 | 30.03 | 10.12 | 010 | |
| 36568 | A | Insert tunneled cv cath | 1.92 | 8.19 | 0.59 | 0.21 | 10.32 | 2.72 | 000 | |
| 36569 | A | Insert tunneled cv cath | 1.82 | 7.39 | 0.57 | 0.16 | 9.37 | 2.55 | 000 | |
| 36570 | A | Insert tunneled cv cath | 5.31 | 40.27 | 2.64 | 0.59 | 46.17 | 8.54 | 010 | |
| 36571 | A | Insert tunneled cv cath | 5.29 | 35.64 | 2.63 | 0.59 | 41.52 | 8.51 | 010 | |
| 36575 | A | Repair tunneled cv cath | 0.67 | 3.35 | 0.26 | 0.59 | 4.61 | 1.52 | 000 | |
| 36576 | A | Repair tunneled cv cath | 3.19 | 7.71 | 1.76 | 0.59 | 11.49 | 5.54 | 010 | |
| 36578 | A | Replace tunneled cv cath | 3.49 | 10.54 | 2.20 | 0.59 | 14.62 | 6.28 | 010 | |
| 36580 | A | Replace tunneled cv cath | 1.31 | 6.76 | 0.41 | 0.16 | 8.23 | 1.88 | 000 | |
| 36581 | A | Replace tunneled cv cath | 3.43 | 13.27 | 1.84 | 0.59 | 17.29 | 5.86 | 010 | |
| 36582 | A | Replace tunneled cv cath | 5.19 | 26.63 | 2.76 | 0.59 | 32.41 | 8.54 | 010 | |
| 36583 | A | Replace tunneled cv cath | 5.24 | 13.13 | 2.77 | 0.59 | 18.96 | 8.60 | 010 | |
| 36584 | A | Replace tunneled cv cath | 1.20 | 7.23 | 0.54 | 0.16 | 8.59 | 1.90 | 000 | |
| 36585 | A | Replace tunneled cv cath | 4.79 | 35.46 | 2.62 | 0.59 | 40.84 | 8.00 | 010 | |
| 36589 | A | Removal tunneled cv cath | 2.27 | 2.20 | 1.41 | 0.25 | 4.72 | 3.93 | 010 | |
| 36590 | A | Removal tunneled cv cath | 3.30 | 6.41 | 1.64 | 0.41 | 10.12 | 5.35 | 010 | |
| 36595 | A | Mech remov tunneled cv cath | 3.59 | 19.71 | 1.46 | 0.28 | 23.58 | 5.33 | 000 | |
| 36596 | A | Mech remov tunneled cv cath | 0.75 | 4.39 | 0.49 | 0.05 | 5.19 | 1.29 | 000 | |
| 36597 | A | Reposition venous catheter | 1.21 | 3.18 | 0.43 | 0.07 | 4.46 | 1.71 | 000 | |
| 36838 | A | Dist revas ligation, hemo | 20.60 | NA | 9.36 | 2.99 | NA | 32.95 | 090 | |
| 37765 | A | Phleb veins - extrem - to 20 | 7.34 | NA | 4.55 | 0.48 | NA | 12.37 | 090 | |
| 37766 | A | Phleb veins - extrem 20+ | 9.29 | NA | 5.26 | 0.48 | NA | 15.03 | 090 | |
| 37785 | A | Ligate/divide/excise vein | 3.83 | 5.14 | 2.64 | 0.49 | 9.46 | 6.96 | 090 | |
| 38207 | I | Cryopreserve stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38208 | I | Thaw preserved stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38209 | I | Wash harvest stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38210 | I | T-cell depletion of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38211 | I | Tumor cell deplete of harvst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38212 | I | Rbc depletion of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38213 | I | Platelet deplete of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38214 | I | Volume deplete of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38215 | I | Harvest stem cell concentrte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 43235 | A | Uppr gi endoscopy, diagnosis | 2.39 | 5.04 | 1.07 | 0.16 | 7.59 | 3.62 | 000 | |
| 43237 | A | Endoscopic us exam, esoph | 3.98 | NA | 1.61 | 0.27 | NA | 5.86 | 000 | |
| 43238 | A | Uppr gi endoscopy w/us fn bx | 5.02 | NA | 1.97 | 0.27 | NA | 7.26 | 000 | |
| 43242 | A | Uppr gi endoscopy w/us fn bx | 7.30 | NA | 2.78 | 0.35 | NA | 10.43 | 000 | |
| 43259 | A | Endoscopic ultrasound exam | 5.19 | NA | 2.04 | 0.27 | NA | 7.50 | 000 | |
| 43752 | A | Nasal/orogastric w/stent | 0.68 | 0.26 | 0.26 | 0.02 | 0.96 | 0.96 | 000 | |
| 47133 | C | Removal of donor liver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 47140 | A | Partial removal, donor liver | 54.92 | NA | 22.74 | 4.80 | NA | 82.46 | 090 | |
| 47141 | A | Partial removal, donor liver | 67.40 | NA | 27.39 | 4.80 | NA | 99.59 | 090 | |
| 47142 | A | Partial removal, donor liver | 74.89 | NA | 29.97 | 4.80 | NA | 109.66 | 090 | |
| 53500 | A | Urethrlys, transvag w/ scope | 12.19 | NA | 6.19 | 0.89 | NA | 19.27 | 090 | |
| 57425 | A | Laparoscopy, surg, colpopexy | 15.73 | NA | 6.69 | 1.74 | NA | 24.16 | 090 | |
| 58545 | A | Laparoscopic myomectomy | 14.58 | NA | 7.19 | 1.75 | NA | 23.52 | 090 | |
| 58546 | A | Laparo-myomectomy, complex | 18.97 | NA | 8.98 | 1.75 | NA | 29.70 | 090 | |
| 58550 | A | Laparo-asst vag hysterectomy | 14.17 | NA | 7.31 | 1.74 | NA | 23.22 | 090 | |
| 58552 | A | Laparo-vag hyst incl t/o | 15.98 | NA | 8.02 | 1.74 | NA | 25.74 | 090 | |
| 58553 | A | Laparo-vag hyst, complex | 18.97 | NA | 8.97 | 1.48 | NA | 29.42 | 090 | |
| 58554 | A | Laparo-vag hyst w/t/o, compl | 21.97 | NA | 10.46 | 1.48 | NA | 33.91 | 090 | |
| 59070 | A | Transabdom amnioinfus w/ us | 5.24 | 5.12 | 2.41 | 0.28 | 10.64 | 7.93 | 000 | |
| 59072 | A | Umbilical cord occlud w/ us | 8.99 | NA | 3.13 | 0.68 | NA | 12.80 | 000 | |
| 59074 | A | Fetal fluid drainage w/ us | 5.24 | 4.61 | 2.41 | 0.28 | 10.13 | 7.93 | 000 | |
| 59076 | A | Fetal shunt placement, w/ us | 8.99 | NA | 3.13 | 0.68 | NA | 12.80 | 000 | |
| 59897 | C | Fetal invas px w/ us | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 61537 | A | Removal of brain tissue | 24.96 | NA | 14.45 | 6.49 | NA | 45.90 | 090 | |
| 61538 | A | Removal of brain tissue | 26.77 | NA | 15.38 | 6.49 | NA | 48.64 | 090 | |
| 61539 | A | Removal of brain tissue | 32.03 | NA | 17.85 | 7.98 | NA | 57.86 | 090 | |
| 61540 | A | Removal of brain tissue | 29.96 | NA | 17.48 | 7.98 | NA | 55.42 | 090 | |
| 61543 | A | Removal of brain tissue | 29.18 | NA | 16.46 | 7.37 | NA | 53.01 | 090 | |
| 61566 | A | Removal of brain tissue | 30.95 | NA | 17.42 | 6.49 | NA | 54.86 | 090 | |
| 61567 | A | Incision of brain tissue | 35.45 | NA | 20.73 | 6.49 | NA | 62.67 | 090 | |
| 61863 | A | Implant neuroelectrode | 18.97 | NA | 9.21 | 4.79 | NA | 32.97 | 090 | |
| 61864 | A | Implant neuroelectrde, add'l | 4.49 | NA | 2.29 | 1.13 | NA | 7.91 | ZZZ | |
| 61867 | A | Implant neuroelectrode | 31.29 | NA | 13.81 | 4.79 | NA | 49.89 | 090 | |
| 61868 | A | Implant neuroelectrde, add'l | 7.91 | NA | 4.03 | 1.21 | NA | 13.15 | ZZZ | |
| 63101 | A | Removal of vertebral body | 31.95 | NA | 19.34 | 5.69 | NA | 56.98 | 090 | |
| 63102 | A | Removal of vertebral body | 31.95 | NA | 19.34 | 5.69 | NA | 56.98 | 090 | |
| 63103 | A | Remove vertebral body add-on | 3.89 | NA | 2.01 | 0.76 | NA | 6.66 | ZZZ | |
| 64449 | A | N block inj, lumbar plexus | 3.00 | NA | 0.97 | 0.10 | NA | 4.07 | 010 | |
| 64517 | A | N block inj, hypogas plxs | 2.20 | 2.70 | 0.87 | 0.13 | 5.03 | 3.20 | 000 | |
| 64680 | A | Injection treatment of nerve | 2.62 | 5.97 | 1.28 | 0.18 | 8.77 | 4.08 | 010 | |
| 64681 | A | Injection treatment of nerve | 3.54 | 8.71 | 2.10 | 0.18 | 12.43 | 5.82 | 010 | |
| 65780 | A | Ocular reconst, transplant | 10.23 | NA | 9.94 | 0.35 | NA | 20.52 | 090 | |
| 65781 | A | Ocular reconst, transplant | 17.64 | NA | 13.31 | 0.35 | NA | 31.30 | 090 | |
| 65782 | A | Ocular reconst, transplant | 14.98 | NA | 11.66 | 0.35 | NA | 26.99 | 090 | |
| 67912 | A | Correction eyelid w/ implant | 5.67 | 20.38 | 5.27 | 0.28 | 26.33 | 11.22 | 090 | |
| 68371 | A | Harvest eye tissue, alograft | 4.89 | NA | 4.62 | 0.21 | NA | 9.72 | 010 | |
| 70557 | 26 | A | Mri brain w/o dye | 2.90 | 0.98 | 0.98 | 0.08 | 3.96 | 3.96 | XXX |
| 70558 | 26 | A | Mri brain w/ dye | 3.20 | 1.08 | 1.08 | 0.10 | 4.38 | 4.38 | XXX |
| 70559 | 26 | A | Mri brain w/o w/ dye | 3.20 | 1.08 | 1.08 | 0.12 | 4.40 | 4.40 | XXX |
| 75901 | 26 | A | Remove cva device obstruct | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 75902 | 26 | A | Remove cva lumen obstruct | 0.39 | 0.13 | 0.13 | 0.02 | 0.54 | 0.54 | XXX |
| 75998 | 26 | A | Fluoroguide for vein device | 0.38 | 0.13 | 0.13 | 0.05 | 0.56 | 0.56 | ZZZ |
| 76082 | 26 | A | Computer mammogram add-on | 0.06 | 0.02 | 0.02 | 0.01 | 0.09 | 0.09 | ZZZ |
| 76083 | 26 | A | Computer mammogram add-on | 0.06 | 0.02 | 0.02 | 0.01 | 0.09 | 0.09 | ZZZ |
| 76514 | 26 | A | Echo exam of eye, thickness | 0.17 | 0.08 | 0.08 | 0.01 | 0.26 | 0.26 | XXX |
| 76937 | 26 | A | Us guide, vascular access | 0.30 | 0.10 | 0.10 | 0.05 | 0.45 | 0.45 | ZZZ |
| 78800 | 26 | A | Tumor imaging, limited area | 0.66 | 0.22 | 0.22 | 0.04 | 0.92 | 0.92 | XXX |
| 78801 | 26 | A | Tumor imaging, mult areas | 0.79 | 0.27 | 0.27 | 0.04 | 1.10 | 1.10 | XXX |
| 78802 | 26 | A | Tumor imaging, whole body | 0.86 | 0.30 | 0.30 | 0.04 | 1.20 | 1.20 | XXX |
| 78803 | 26 | A | Tumor imaging (3D) | 1.09 | 0.38 | 0.38 | 0.05 | 1.52 | 1.52 | XXX |
| 78804 | 26 | A | Tumor imaging, whole body | 1.07 | 0.37 | 0.37 | 0.04 | 1.48 | 1.48 | XXX |
| 79100 | 26 | A | Hematopoetic nuclear therapy | 1.32 | 0.46 | 0.46 | 0.06 | 1.84 | 1.84 | XXX |
| 79400 | 26 | A | Nonhemato nuclear therapy | 1.96 | 0.67 | 0.67 | 0.10 | 2.73 | 2.73 | XXX |
| 79403 | 26 | A | Hematopoetic nuclear therapy | 2.25 | 0.90 | 0.90 | 0.10 | 3.25 | 3.25 | XXX |
| 85396 | A | Clotting assay, whole blood | 0.37 | NA | 0.17 | 0.04 | NA | 0.58 | XXX | |
| 88112 | 26 | A | Cytopath, cell enhance tech | 1.18 | 0.51 | 0.51 | 0.06 | 1.75 | 1.75 | XXX |
| 88342 | 26 | A | Immunohistochemistry | 0.85 | 0.37 | 0.37 | 0.04 | 1.26 | 1.26 | XXX |
| 88358 | 26 | A | Analysis, tumor | 0.95 | 1.23 | 1.23 | 0.12 | 2.30 | 2.30 | XXX |
| 88361 | 26 | A | Immunohistochemistry, tumor | 0.94 | 0.41 | 0.41 | 0.12 | 1.47 | 1.47 | XXX |
| 91110 | 26 | A | Gi tract capsule endoscopy | 3.64 | 1.30 | 1.30 | 0.02 | 4.96 | 4.96 | XXX |
| 93784 | A | Ambulatory BP monitoring | 0.38 | 1.55 | NA | 0.03 | 1.96 | NA | XXX | |
| 93786 | A | Ambulatory BP recording | 0.00 | 0.91 | NA | 0.01 | 0.92 | NA | XXX | |
| 93788 | A | Ambulatory BP analysis | 0.00 | 0.51 | NA | 0.01 | 0.52 | NA | XXX | |
| 93790 | A | Review/report BP recording | 0.38 | 0.13 | 0.13 | 0.01 | 0.52 | 0.52 | XXX | |
| 95990 | A | Spin/brain pump refil main | 0.00 | 1.50 | NA | 0.06 | 1.56 | NA | XXX | |
| 95991 | A | Spin/brain pump refil main | 0.77 | 1.43 | 0.19 | 0.06 | 2.26 | 1.02 | XXX | |
| 96110 | A | Developmental test, lim | 0.00 | 0.19 | NA | 0.18 | 0.37 | NA | XXX | |
| 96111 | A | Developmental test, extend | 2.60 | 1.07 | NA | 0.18 | 3.85 | NA | XXX | |
| 97537 | A | Community/work reintegration | 0.45 | 0.27 | NA | 0.01 | 0.73 | NA | XXX | |
| 97755 | A | Assistive technology assess | 0.62 | 0.29 | NA | 0.02 | 0.93 | NA | XXX | |
| G0308 | A | ESRD related svc 4+mo2yrs | 12.74 | 8.54 | 8.54 | 0.42 | 21.70 | 21.70 | XXX | |
| G0309 | A | ESRD related svc 2-3mo2yrs | 10.61 | 7.10 | 7.10 | 0.36 | 18.07 | 18.07 | XXX | |
| G0310 | A | ESRD related svc 1 visit2yr | 8.49 | 5.68 | 5.68 | 0.28 | 14.45 | 14.45 | XXX | |
| G0311 | A | ESRD related svs 4+mo 2-11yr | 9.73 | 4.72 | 4.72 | 0.34 | 14.79 | 14.79 | XXX | |
| G0312 | A | ESRD relate svs 2-3 mo 2-11y | 8.11 | 3.92 | 3.92 | 0.29 | 12.32 | 12.32 | XXX | |
| G0313 | A | ESRD related svs 1 mon 2-11y | 6.49 | 3.14 | 3.14 | 0.22 | 9.85 | 9.85 | XXX | |
| G0314 | A | ESRD related svs 4+ mo 12-19 | 8.28 | 4.42 | 4.42 | 0.27 | 12.97 | 12.97 | XXX | |
| G0315 | A | ESRD related svs 2-3mo 12-19 | 6.90 | 3.67 | 3.67 | 0.23 | 10.80 | 10.80 | XXX | |
| G0316 | A | ESRD relate svs 1 vist 12-19 | 5.52 | 2.94 | 2.94 | 0.17 | 8.63 | 8.63 | XXX | |
| G0317 | A | ESRD related svs 4+mo 20+yrs | 5.09 | 2.86 | 2.86 | 0.17 | 8.12 | 8.12 | XXX | |
| G0318 | A | ESRD related svs 2-3 mo 20+y | 4.24 | 2.38 | 2.38 | 0.14 | 6.76 | 6.76 | XXX | |
| G0319 | A | ESRD related svs 1 visit 20+ | 3.39 | 1.90 | 1.90 | 0.11 | 5.40 | 5.40 | XXX | |
| G0320 | A | ESRD related svs home under2 | 10.61 | 7.10 | 7.10 | 0.36 | 18.07 | 18.07 | XXX | |
| G0321 | A | ESRD related svs home mo2ys | 6.90 | 3.67 | 3.67 | 0.23 | 10.80 | 10.80 | XXX | |
| G0322 | A | ESRD relate svs home mo12-19 | 8.11 | 3.92 | 3.92 | 0.29 | 12.32 | 12.32 | XXX | |
| G0323 | A | ESRD related svs home mo 20+ | 4.24 | 2.38 | 2.38 | 0.14 | 6.76 | 6.76 | XXX | |
| G0324 | A | ESRD related svs home/dy2y | 0.35 | 0.24 | 0.24 | 0.01 | 0.60 | 0.60 | XXX | |
| G0325 | A | ESRD relate home/dy 2-11 yr | 0.23 | 0.12 | 0.12 | 0.01 | 0.36 | 0.36 | XXX | |
| G0326 | A | ESRD relate home/dy 12-19y | 0.27 | 0.13 | 0.13 | 0.01 | 0.41 | 0.41 | XXX | |
| G0327 | A | ESRD relate home/dy 20+yrs | 0.14 | 0.08 | 0.08 | 0.01 | 0.23 | 0.23 | XXX | |
| 1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. | ||||||||||
| 2 Copyright 2003 American Dental Association. All rights reserved. | ||||||||||
| 3 + Indicates RVUs are not used for Medicare payment. | ||||||||||
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[FR Doc. 03-32323 Filed 12-31-03; 8:45 am]
BILLING CODE 4120-01-C