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					                                   DRS Fee Schedule (updated February 2012)
CPT     Modifier Status     Rate
0025T                       0.00
0092T     62                0.00
0099T                       0.00
0099T     50                0.00
0144T     TC              206.34
0144T     26               44.60
0192T                       0.00
0192T     WA                0.00
100                       417.24
10021                     120.06
10021     WA               67.28
10022                     132.55
10022     WA               63.06
10060                      84.48
10061                     152.05
10061     WA              378.81
10120                      95.16
10140                     127.92
10160                      89.29
10180                     194.93
10180     WA              450.97
102                       463.60
103                       350.00
104                       185.44
11000                      41.97
11010     51              178.62
11041     WA              446.00
11042                      75.24
11042     51               32.93
11042     WA              446.00
11043     WA              274.30
11043                     204.87
11044     58              267.76
11044                     267.76
11047                      78.80
11047     58               78.80
11055                      34.35
11056                      51.67
11057                      60.08
11100                      72.23
11101                      26.74
1112                      254.98
1120         324.52
11200         64.19
1130         185.44
11310         67.90
1140         811.30
11400         98.46
11400   51    49.23
11401        115.33
11401   WA   378.81
11402   51    45.38
11402        132.13
11402   WA   131.88
11403   WA   113.57
11403   51    56.48
11403        148.92
11404   WA   204.10
11404        181.30
11406        209.07
11406   WA   378.81
11420         96.03
11421        123.06
11422        137.73
11423        163.65
11426        262.21
11440        115.69
11441        139.31
11441   WA   344.93
11442        151.55
11442   51    54.47
11443   51    72.12
11443        186.04
11444   WA   344.93
11444        302.75
11446        307.25
11446   WA   378.81
11450   WA   450.97
11450        273.85
11451   WA   450.97
1150         649.04
1160         185.44
11602        168.82
11603        186.42
11604        204.54
11606        267.36
11606   WA   266.85
11623        211.05
11641        183.51
11642        212.61
11642   WA   463.56
11643   51    66.75
11643        246.14
11644        311.30
11644   WA   463.57
11646        420.30
11646   WA   450.97
1170         463.60
11719         17.45
11720         23.81
11721         40.90
11730         82.19
11750        142.04
11750   WA   450.97
11765        118.92
11770   WA   485.41
11770        217.05
11771   WA   313.30
11771        410.86
11772   WA   485.41
11772        507.40
1180         185.44
1190         208.62
11900         40.98
11952        127.50
11952   80    21.34
11954        152.43
11960        699.08
11960   WA   551.00
11971        315.61
11971   WA   551.00
11976        145.97
120          370.88
1200         278.16
12001        157.63
1202         278.16
12020        191.65
12032        221.90
12035        305.29
12041        179.42
12042        210.53
12051        200.80
12051   51   114.52
12052        210.35
12052   51   118.90
12052   WA   463.57
12053        225.51
1210         417.24
1212         463.60
1214         695.40
1215         410.29
1220         278.16
1230         417.24
1232         394.06
1234         533.14
124          185.44
1250         324.52
126          185.44
1260         301.34
1270         463.60
1272         324.52
1274         370.88
13120        275.72
13120   wa    98.14
13121        295.77
13132        423.59
13132   WA   313.30
13150        327.17
13150   51    72.27
13151        347.64
13152        501.65
13160        646.29
13160   58   646.29
13160   51   389.46
1320         324.52
1340         185.44
1360         347.70
1380         185.44
1382         301.34
1390         208.62
1392         370.88
140          417.24
1400         324.52
1402         486.78
14020   WA   472.69
14020        554.86
1404         394.06
14040        573.49
14040   WA   485.41
14040   51   286.75
14041        789.53
14060   WA   287.23
14060        624.93
14061        853.38
142          463.60
1420         208.62
1430         231.80
14300   WA   653.61
14301        868.34
1432         347.70
144          463.60
1440         347.70
1442         324.52
1444         370.88
145          463.60
1462         254.98
1464         231.80
147          463.60
1470         394.06
1472         254.98
1474         254.98
148          162.26
1480         394.06
1482         440.42
1484         440.42
1486         486.78
1490         185.44
1500         463.60
15004        323.91
1502         370.88
15050        363.92
15050   WA   287.23
15100        768.05
15100   WA   287.23
15101        192.88
15120        736.05
1520         324.52
15200   WA   287.23
15200        663.31
1522         254.98
15240   WA   485.41
15240        683.94
15240   47   543.07
15260   51   395.48
15260   WA    66.75
15260        709.74
15261   WA   287.23
15261        196.03
15574        673.14
15574   WA   551.00
15576         644.63
15576   WA    326.04
15620   WA    551.00
15620         359.01
15732        1295.06
15732   52   1295.06
15732   WA   1103.73
15732   51    647.53
15732   59   1295.06
15738        1290.65
15740         722.63
15760         656.96
15760   WA    287.23
15770   51    259.25
15770   52    537.80
15770         537.80
15775         259.36
15782         305.42
15782   WA    491.16
15821   50    501.22
15822   80     72.84
15822   79    362.44
15822   50    546.33
15822   WA    326.04
15822         364.22
15823         532.84
15823   WA    440.70
15823   50    799.26
15850           0.00
15850   WA     94.87
15852          94.51
15860         136.78
15877   50      0.00
15935         926.25
15999           0.00
160           370.88
16020          73.80
1610          347.70
162           394.06
1620          185.44
1622          254.98
1630          394.06
1634          579.50
1636          718.58
1638          602.68
164           162.26
1650          370.88
1652         463.60
1654         417.24
1656         602.68
1670         231.80
1680         162.26
1682         231.80
170          370.88
17000         55.07
17003         14.33
1710         324.52
17106   WA   378.81
17106        335.53
17108   WA   551.00
17108        827.58
17110         78.35
17111   51    48.82
1712         254.98
1714         301.34
1716         254.98
172          370.88
17250         59.67
17262        149.24
17264        167.55
17271        118.84
17272        145.31
1730         162.26
17304        553.70
17305        233.19
17311        536.67
17312        314.21
1732         231.80
174          324.52
1740         324.52
1742         370.88
1744         440.42
1756         463.60
1758         347.70
176          440.42
1760         486.78
1770         417.24
1772         370.88
1780         208.62
1782         231.80
17999          0.00
1810         440.42
1820         208.62
1830         394.06
1832          486.78
1840          463.60
1842          324.52
1844          231.80
1850          208.62
1852          231.80
1860          162.26
190           509.96
19000          98.99
19100         119.59
19101   WA    485.41
19101         275.83
19102         190.20
19102   WA    274.30
19103         653.78
19120   WA    485.41
19120   50    410.39
19120         367.51
19125   WA    485.41
19125         395.28
1916          254.98
19162   WA    551.00
19180         624.36
19180   WA    653.61
192           556.32
1920          347.70
1922          301.34
1926          215.40
19290   50    254.40
19290         146.95
19295         109.68
19316         673.72
19316   WA    673.72
19318        1926.92
19318   WA    551.00
19318   50   2890.38
19328   WA    392.47
19328         392.47
19328   51    196.24
19330   WA    485.41
19350   50   1222.29
19350         814.86
19350   WA    386.75
19357        1180.12
19380         618.98
19380   WA    618.98
19499           0.00
1961           218.82
1990             0.00
1992             0.00
1996            87.44
1999             0.00
20206          211.51
20240   WA     450.97
20500          240.10
20501          128.10
20525   WA     313.30
20525          438.98
20550           52.30
20550   50      48.89
20550   WA      52.86
20550   51      16.29
20551           68.11
20552    50     74.40
20552           55.83
20552    51     27.92
20553           49.62
20600           46.65
20600   51      23.33
20600   WA      20.50
20605           51.00
20610   50      65.80
20610   WA      62.53
20610           61.78
20610    59     42.89
20610    58     61.78
20610    79     61.78
20610   5879    61.78
20610    51     30.89
20612           50.44
20650          167.66
20650   WA     529.48
20660          203.07
20670    58    288.10
20670          288.10
20670   5878   288.10
20670    WA    450.97
20680          506.83
20680    22    506.83
20680    50    760.25
20680    51    253.42
20680    52    506.83
20680    58    506.83
20680    59    506.83
20680   80    101.37
20680   82    101.37
20680   WA    485.41
20690         271.90
20692         372.06
20694         389.96
20694   WA    485.41
20900   wa    968.92
20900         461.40
20900   50    692.40
20900   51    230.80
20900   59    293.28
20902         525.64
20902   51    262.82
20902   80     88.03
20902   WA    653.60
20924         450.47
20924   WA    326.04
20926         380.92
20926   WA    551.00
20930           0.00
20931         176.67
20931   79     72.16
20931   80     35.33
20936   62      0.00
20936           0.00
20936   79      0.00
20936   80      0.00
20937         206.42
20937   62    103.21
20937   80     41.28
20937   81     41.28
20938         223.34
20938   80     44.66
20956        3071.79
20962        2818.67
20975         226.06
20999           0.00
210           857.66
21070         548.22
21080        1808.05
21085         730.57
21085   76    730.57
21086        1501.59
21086   WA      0.00
21110         429.00
21121         636.51
21141   WA   1019.41
21141        1541.17
21142        1601.96
21142   WA   1166.28
21147        2967.97
21182   WA    326.04
21182        4395.52
21188        3258.32
21188   51   1629.16
21193        1704.19
21193   50   2556.28
21193   WA   1033.68
21194   WA   1230.45
21194        1400.58
21196        2920.99
212           185.44
21206   WA   1029.08
21208         872.26
21210         845.33
21210   WA   1033.68
21230   WA    485.41
21230         774.82
21230   80    154.96
21235         632.13
21235   51    292.85
21240   50   2567.34
21240        1711.56
21240   WA    386.75
21243        1394.00
21245         985.01
21245   51    452.75
21245   80    168.77
21245   WA    551.00
21248         950.45
21248   47    950.45
21248   WA   1033.69
21256        1406.41
21260        1435.35
21260   80    287.07
21261        1843.06
21267        1305.30
21267   WA    551.00
21280         477.26
21299           0.00
21299   WA      0.00
21337         272.11
21337   WA    485.41
21387         601.59
21390         801.57
21390   WA    551.00
21395         797.73
21395   80    184.18
214           394.06
21407   51    259.81
21462        1285.20
21470        1207.87
21499           0.00
215           800.00
21501         302.24
21550         198.44
21552   wa      0.00
21552         405.06
21556         351.58
21556   WA    463.57
216           973.56
21600         612.17
21615         733.58
218           764.94
21899           0.00
21925         447.64
21925   WA    463.56
21930         374.65
21930   WA    378.81
220           486.78
222           417.24
22212        1292.62
22216         328.47
22222   51    662.63
22325   51    571.25
22327        1485.39
22327   51    742.69
22524   wa   3010.82
22548        1905.55
22551        1526.54
22551   WA      0.00
22552         357.27
22554   79    830.81
22554        1549.93
22554   51    774.96
22554   59   1549.93
22554   80    309.99
22554   WA    463.56
22556        1999.59
22558        2241.48
22558   51     1120.74
22558   WA      551.00
22585   WA      463.56
22585           414.89
22585    51     158.87
22585    79     218.55
22585    80      84.39
22595          1609.01
22600          1525.78
22600    51     762.89
22600    62     762.89
22600    80     305.15
22610          1334.71
22612   5180    176.26
22612          1762.63
22612    51     881.32
22612   5181    176.26
22612    62     881.31
22612    79    1762.63
22612    80     333.94
22612    WA       0.00
22614    80      91.37
22614           456.88
22614    51     228.44
22614    59     456.88
22614   5979    456.88
22614    62     228.44
22614    81      91.37
22630    80     425.51
22630    51    1063.79
22630          2127.59
22630    59    2127.59
22630    62    1276.55
22630    81     425.51
22632           395.39
22632    51     395.39
22632    80      79.07
22632    81      79.07
22800           832.28
22800   wa     1215.32
22802          2026.61
22810          1807.57
22830    78     703.80
22830           887.48
22830    51     443.74
22840           718.17
22840    51     359.09
22840   80   143.63
22840   81   143.63
22841          0.00
22842        728.23
22842   62   364.11
22842   79   728.23
22842   80   145.64
22842   81   145.64
22843        731.93
22845        686.98
22845   79   474.32
22845   80   163.80
22845   WA     0.00
22845   59   686.98
22845   81   137.40
22846        718.98
22850   51   309.25
22851        496.37
22851   59   496.37
22851   62   297.82
22851   80    99.27
22851   81    99.27
22852   80   138.20
22852        691.02
22852   51   295.27
22852   59   691.02
22852   WA     0.00
22899          0.00
22899   59     0.00
22900        334.26
22900   51   216.16
22999          0.00
23075        227.59
23076        489.75
23076   WA   378.81
23120        715.56
23120   51   357.78
23120   WA   551.00
23130        650.14
23130   51   361.72
23130   WA   744.78
23180        641.25
23350   WA   152.19
23350        164.19
23350   51    23.22
23410   WA   485.41
23410        863.27
23410   51    431.64
23412         987.92
23412   WA    450.97
23415         658.47
23415   51    274.99
23415   WA    663.99
23420        1109.50
23420   80    221.90
23420   WA   1033.68
23430         663.57
23430   WA    653.60
23440         693.10
23440   WA    693.10
23450         968.98
23450   WA    450.97
23455        1336.28
23455   WA    921.53
23460        1340.44
23462        1209.88
23462   WA    450.97
23470        1335.47
23470   80    267.09
23472        3208.70
23472   80    641.74
23480         732.52
23485         908.86
23485   WA    326.04
23500         243.74
23515   51    256.77
23515         513.54
23515   WA    313.30
23550         578.49
23550   59    578.49
23550   wa    718.42
23552         574.48
23552   WA    450.97
23615         703.80
23615   WA   1352.30
23616        1017.07
23616   WA   1352.30
23630         597.25
23660         506.12
23700   WA    551.00
23700         175.79
23700   51     73.73
23700   59    249.21
23802        1008.72
23929             0.00
23929   WA        0.00
23935   59      422.98
24075           319.18
24076           414.29
24076   WA      266.85
24077           797.86
24101           510.42
24101   WA      551.00
24130           481.20
24130   WA      485.41
24138   WA      450.97
24145           525.41
24145   wa      968.92
24200   51       52.22
24201           455.96
24201    59     455.96
24341           570.94
24356           570.25
24356   51      285.13
24356   82      114.05
24356   WA      529.47
24400           706.36
24400   WA      784.06
24430          1095.08
24430   WA      266.85
24435          1218.21
24435   WA      266.85
24515           919.20
24615           683.94
24650           264.48
24665   5951    270.29
24930           648.48
24930   WA      648.48
24999             0.00
25000           361.47
25000   51      180.74
25000   WA      360.60
25066           322.41
25066   wa      704.77
25075           347.17
25101   WA      485.41
25101           317.31
25101    51     158.65
25107           573.73
25107   WA      529.47
25110   WA      388.12
25110         388.12
25111         292.04
25111   51    146.02
25111   WA    485.41
25112   WA    386.75
25112         356.39
25115         821.90
25119   WA    450.97
25145   WA    450.97
25240   82     77.47
25240   WA    653.60
25240         437.36
25240   51    193.66
25260   wa    688.76
25270         649.95
25295         672.01
25295   51    174.26
25295   80     69.70
25295   WA    529.48
25300         626.76
25300   WA    287.23
25301         600.20
25301   WA    287.23
25310         761.96
25310   WA    551.00
25320         859.83
25320   WA    529.47
25350         820.35
25360         794.04
25360   51    397.02
25360   WA    510.00
25365         777.80
25390   WA    529.47
25390         937.83
25405        1147.40
25405   WA    485.41
25415   WA   1071.03
25420        1399.01
25420   WA    450.97
25440         723.05
25440   WA    653.60
25445         595.65
25445   WA    717.00
25445   80    119.13
25447         698.82
25447   80    139.76
25447   WA    440.70
25515           609.38
25515   WA      718.42
25545           546.01
25545   59      403.34
25545   wa     1339.27
25600           247.01
25609           609.38
25609   WA     1023.17
25628   WA      551.00
25628           590.95
25685           614.46
25800           846.04
25810   WA      744.79
25810           849.94
25999             0.00
26010    58     211.90
26010    59     211.90
26010   5979    211.90
26040           263.16
26040   WA      551.00
26045           800.37
26045   59      800.37
26045   WA      529.48
26055           582.64
26055   51      111.40
26055   59      582.64
26055   79      582.64
26055   WA      378.81
26060   WA      378.81
26080   51      124.38
26080           448.25
26080   WA      653.60
26110   WA      485.41
26115           588.68
26116           412.53
26116   WA      485.41
26121   WA      530.32
26121           638.74
26123           673.69
26123   51      336.85
26123   59      673.69
26123   80      134.73
26123   WA      551.00
26125           271.48
26125    59     271.48
26125    80      54.29
26135    51     217.38
26135   80    86.95
26145        445.53
26160        539.92
26160   WA     0.00
26180        379.89
26210        379.10
26210   WA   463.56
26230   59   416.83
26350   80    87.34
26350   51   218.37
26350   WA   204.10
26350        743.49
26352   WA   810.41
26352        810.41
26356        887.40
26356   WA   630.00
26358        930.88
26358   WA   485.41
26373        735.97
26410        594.93
26410   WA   529.47
26418        591.13
26418   WA   485.41
26426   51   261.74
26428        676.40
26428   51   338.20
26433        552.26
26440   wa   552.07
26440        539.12
26442        865.00
26442   WA   287.23
26442   51   202.40
26442   80    80.96
26445        626.19
26445   51   139.81
26445   80    55.92
26445   WA   287.23
26471          0.00
26474        598.32
26478   WA   620.44
26478        630.87
26480        647.71
26480   WA   510.00
26480   51   344.37
26485        828.20
26490        763.65
26490   WA   529.48
26517        803.80
26520   51   179.19
26520   80    71.67
26520   WA   287.23
26520        688.05
26525        693.08
26525   WA   287.23
26531        802.46
26531   51   401.23
26531   WA   551.00
26540        658.76
26540   80    96.32
26540   WA   326.04
26546        850.96
26565        674.39
26565   51   231.00
26565   80    92.40
26565   WA   551.00
26567        892.16
26567   wa   888.08
26593        586.23
26593   51   170.40
26593   80    68.16
26600        249.23
26615        392.46
26615   51   196.23
26615   WA   551.00
26665        523.84
26665   51   261.92
26665   WA   517.07
26715   51   180.93
26715   80    72.37
26735        618.51
26820        765.25
26820   WA   787.87
26842        769.29
26842   WA   630.00
26843        882.84
26843   WA   529.48
26844   WA   529.48
26844        999.81
26850   WA   326.04
26850        687.18
26850   80    84.32
26852        768.46
26910        552.73
26951   51   264.42
26951   wa    538.74
26951         528.85
26952         648.96
26952   WA    386.75
26989           0.00
26990         545.59
26990   79    545.59
26992         863.77
26992   WA      0.00
27001   50    666.24
27030   79    757.66
27047         529.51
27047   WA    274.30
27048         411.40
27048   WA    551.00
27066   WA    746.78
27071   WA      0.00
27080         419.17
27090         733.88
27091        1636.27
27093         178.87
27093   50    874.61
27093   WA    197.21
27096         434.54
27096   50    358.73
27096   WA    197.10
27125        1300.75
27130        2129.46
27130   80    425.89
27130   82   2129.46
27130   WA   1766.89
27132        1435.76
27132   80    287.15
27134   WA      0.00
27134        2900.59
27134   80    580.12
27137        2388.67
27137   80    477.73
27170   59   1018.64
27244        1250.85
27250         598.27
27254        1129.64
27254   WA   1129.64
27266         509.69
27266   WA    463.56
27284        1403.07
27299           0.00
27301           496.82
27301    51     388.76
27303           566.71
27303    78     531.61
27303    51     265.80
27310          1093.90
27310   WA      653.60
27327           374.36
27327    51     187.18
27328           369.41
27328   WA      266.85
27331   WA      551.00
27332           683.17
27332   WA      551.00
27333   WA      551.00
27337           374.00
27337   wa        0.00
27339           624.74
27339   WA        0.00
27340           321.30
27340   78      317.79
27340   WA      551.00
27345           427.23
27345   WA      653.61
27347           406.90
27350           643.52
27350   WA      551.00
27355           527.89
27355   51      263.95
27355   WA      530.43
27360           952.57
27372           521.41
27380    79     553.82
27380    59     553.82
27380           553.82
27380   5979    553.82
27385           555.03
27385   wa      682.16
27386           731.62
27386   wa      682.16
27395   51      362.83
27405           538.64
27405   wa     1349.80
27407           828.65
27407    80     165.73
27407    59     828.65
27409          1099.68
27409   wa     1053.03
27418           836.06
27422   WA     1033.68
27422           837.20
27425   WA      551.00
27425   51      219.14
27425           438.28
27427           762.31
27428           976.00
27428   WA      653.61
27429          1022.90
27429    59    1022.90
27429   5979   1022.90
27429    79    1022.90
27437           773.96
27438           949.35
27442          1005.78
27442   22     1005.78
27442   80      201.15
27442   WA      485.41
27446           996.69
27446   WA     1008.94
27447   80      412.59
27447          2063.03
27447   79     2063.03
27447   WA      326.04
27450   80      226.93
27450          1134.66
27455           909.87
27457          1089.89
27457    80     217.97
27470          1027.83
27470   WA     1034.41
27472   80      293.59
27472          1467.95
27486          1153.53
27487          2405.66
27488          1629.12
27488   80      325.84
27495   AA     1051.49
27495   WA     1001.09
27495          1051.49
27506          1109.13
27506   WA      386.75
27524           820.03
27570           129.23
27570   WA      450.97
27570    51     102.22
27590           737.66
27594           462.62
27596           654.31
27596    80     129.86
27599             0.00
27606           235.27
27610           563.37
27610   WA      266.85
27612           493.26
27612    51     246.63
27619           679.43
27635           581.08
27640   WA      463.57
27640           806.03
27641           656.10
27647           953.75
27647   wa     1002.63
27650           682.65
27650   WA      287.23
27652           757.31
27652   WA      326.04
27654   WA      326.04
27654           767.67
27675           475.90
27675   WA      475.63
27685           524.54
27685    WA     485.41
27685   5051    375.24
27687           426.23
27687   WA      378.81
27690           558.47
27691   WA      551.00
27691           882.62
27695           529.32
27698   WA      485.41
27698           769.85
27700   WA      485.41
27702   wa        0.00
27702           875.01
27707           337.76
27709           867.30
27709   78      663.93
27709   WA      463.56
27720           947.97
27720   WA      783.30
27724          1213.25
27724    80     242.65
27725          1018.42
27758          1003.96
27758   WA      653.61
27792           546.16
27792   WA      551.00
27814           710.94
27814   WA      313.30
27823           899.58
27870           999.31
27870   51      461.62
27870   80      199.86
27870   WA      653.60
27880   WA        0.00
27880           995.92
27881          1008.89
27884           523.42
27884   WA      485.41
27886           591.65
27886   2258    591.65
27886    80     117.93
27888           867.87
27899             0.00
28002   51      173.63
28002   WA      313.30
28002           347.26
28005           639.52
28008           362.04
28008   51      258.64
28008   WA      551.00
28022           517.42
28035           416.97
28035   WA      551.00
28039           416.61
28039   WA        0.00
28045   WA      450.97
28045           387.59
28046           708.42
28046   WA      551.00
28060   WA      551.00
28060           416.70
28080           336.50
28080    59     336.50
28080   5979    336.50
28080    WA     485.41
28080    79     336.50
28090    51     256.92
28090   WA      529.47
28090           371.82
28104           411.29
28110           380.55
28110   WA      485.41
28111   WA      363.94
28111           433.25
28113           412.93
28113   WA      485.41
28114           780.65
28114   WA      485.41
28116   59      464.24
28116           543.61
28118           470.01
28118   WA      485.41
28119           417.71
28119   WA      485.41
28122           547.77
28124           434.68
28126           314.81
28153           322.00
28160           334.61
28160    59     334.61
28192           392.90
28193           459.00
28226           406.96
28226   5979    406.96
28226    79     406.96
28232    51     150.97
28232           320.27
28234           323.97
28238           568.97
28238   WA      313.30
28240           356.66
28240   80      102.89
28240   WA      463.57
28250           449.36
28250   WA      450.97
28262          1100.00
28285           377.82
28285   5979    377.82
28285    79     377.82
28285    WA     551.00
28285    59     377.82
28286             0.00
28288           407.45
28288   WA      551.00
28289           542.78
28290           455.21
28290   wa      568.14
28292           535.80
28292    79     535.80
28292    WA     463.56
28292   5979    535.80
28292    59     535.80
28293           719.56
28293   WA      529.48
28296           654.20
28296   WA      551.00
28297           674.49
28297   WA      754.20
28300           808.66
28304           705.28
28306           468.70
28307           628.31
28308           409.40
28308   WA      551.00
28315           383.78
28322           664.09
28465           534.43
28470           238.84
28485   WA      551.00
28485           409.15
28525           569.13
28531           399.83
28531   WA      529.47
28555           627.01
28705          1147.01
28715   51      320.22
28715   80      185.29
28715   WA     1770.00
28715           926.45
28725    22     765.08
28725    80     153.02
28725           765.08
28725   WA      653.60
28730           709.33
28730   WA      709.33
28735           746.48
28737   WA     1123.26
28737           609.00
28740           699.12
28740   WA      551.00
28755   WA      551.00
28755        412.33
28760   WA   551.00
28800        532.21
28810        400.13
28820   WA   450.97
28820        423.08
28825        400.40
28825   WA   274.30
28899          0.00
29065         75.85
29065   58    75.85
29075         70.00
29075   58    70.00
29085         74.72
29105         69.38
29105   59    69.38
29125         55.49
29125   51    28.41
29125   50    53.78
29126         98.10
29130         34.31
29131         45.03
29345        188.69
29365         98.97
29405         72.54
29405   58    72.54
29425         78.93
29440         44.43
29445   wa     0.00
29445        111.43
29515   51    28.75
29515         56.29
29540   50    57.09
29540         38.06
29550         31.88
29580         50.10
29590         45.81
29700         51.30
29705         56.07
29799          0.00
29805   WA   313.30
29805        423.18
29805   51   196.51
29806        945.14
29806   WA   313.30
29807        920.45
29807   51   460.23
29807   WA     313.30
29815   59     398.96
29822   59     624.62
29822          624.62
29822   WA     551.00
29823          695.88
29823    51    347.94
29823   5980    69.59
29823    80     59.18
29823    WA    551.00
29823    59    695.88
29824          579.53
29824    51    284.42
29824   5180    56.88
29824    80    115.91
29824    WA    440.70
29825          725.64
29825   59     725.64
29825   80     145.13
29825   WA     529.48
29825   51     362.82
29826   51     304.73
29826          764.94
29826   5180    60.95
29826    80    152.99
29826    WA    551.00
29827          977.55
29827   51     488.78
29827   80     195.51
29827   WA     440.70
29834          453.23
29834   WA     326.04
29838   51     273.74
29838   WA     529.47
29838          622.29
29840          448.62
29840   WA     529.47
29843   WA     424.93
29843          424.93
29844    51    223.44
29844          446.87
29845          542.97
29845   59     542.97
29845   80     108.59
29845   82     108.59
29845   WA     345.22
29846          642.41
29846   59     642.40
29846   82     128.49
29846   WA     529.47
29848          395.72
29848   WA     551.00
29866          927.61
29870          358.41
29870   WA     551.00
29870   51     182.04
29871          621.43
29873          445.57
29873   WA     457.29
29874          591.28
29874   51     355.50
29874   WA     551.00
29875          540.83
29875   WA     446.16
29876   59     659.22
29876          659.22
29876   51     329.61
29876   WA     551.00
29877   WA     551.00
29877   59     618.75
29877          618.75
29877    51    309.38
29879   5879   539.97
29879    59    415.17
29879    79    673.74
29879    WA    551.00
29879          673.74
29879   5979   673.74
29880    52    358.14
29880          712.40
29880   59     712.40
29880   79     712.40
29880   WA     551.00
29881          652.30
29881    50    978.45
29881    51    326.15
29881    59    537.69
29881   5979   652.30
29881    WA    653.61
29881    80    220.47
29882    51    359.21
29882    WA    551.00
29882    80    143.68
29882          718.43
29883           799.25
29884   80      120.59
29884   WA      313.30
29884           602.94
29885           638.35
29885   WA      551.00
29887           726.35
29887   WA      551.00
29888   80      240.22
29888          1201.11
29888   82      240.22
29888   WA      551.00
29888   51      600.55
29889          1035.83
29889   80      185.75
29889   WA      551.00
29891           557.03
29891   WA      760.74
29893           452.76
29893   WA      529.48
29894           463.94
29894   WA      326.04
29894   51      301.85
29898   51      350.74
29898   WA      326.04
29899             0.00
29999             0.00
300             347.70
30100           103.23
30115           299.23
30115   WA      450.97
30117           265.41
30117   WA      266.85
30124   wa        0.00
30124           234.03
30130           244.79
30130   5051    183.60
30130    51     122.39
30140    51     164.84
30140    WA     551.00
30140           262.01
30140    50     459.40
30200            85.81
30450          1383.17
30460           673.68
30460   WA      551.00
30462          1451.86
30520           477.62
30520   WA      551.00
30580           493.18
30580   51      246.59
30580   WA      551.00
30600   WA      551.00
30600           444.06
30620           480.38
30801           147.59
30802           230.51
30802   51      115.26
30802   WA      156.76
30901           101.92
30999             0.00
31020           248.23
31030           479.64
31032           533.69
31032   WA      551.00
31075           713.60
31081          1156.68
31081    62     722.92
31084          1101.45
31085          1156.68
31085   51      578.34
31200   WA      485.41
31201           556.22
31205           641.94
31205   51      393.30
31205   WA      313.30
31230          1717.91
31230    80     343.58
31231           158.73
31237           291.74
31237   58      237.61
31237   WA      463.57
31239   WA      653.61
31239   79      640.90
31239   80      128.18
31240           177.78
31240   WA      463.57
31254   51      411.78
31254   WA      378.81
31254           397.97
31255           597.93
31255    50     896.89
31255   5051    448.45
31255    WA     485.41
31255    51     502.70
31256    51     158.09
31256    50     396.21
31256   5051    198.11
31256    WA     485.41
31256           264.14
31267           403.83
31267   51      209.72
31267   WA      313.30
31276           579.59
31276   5051    434.70
31276    51     339.53
31276    WA     485.41
31287    WA     529.47
31287           811.53
31288    51     226.05
31288           393.94
31292          1458.13
31299             0.00
31500           107.76
31505            73.86
31512   WA      378.81
31525           227.84
31535           247.59
31535   WA      463.57
31536           288.00
31536   WA      378.81
31540   WA      378.81
31540           353.60
31541           344.56
31541   WA      378.81
31570           336.34
31571           332.10
31575           104.10
31578           248.75
31579           211.60
31599             0.00
31600           339.16
31611           436.77
31612            77.79
31622   WA      378.81
31622           242.81
31622    51      98.20
31625    51     110.74
31625           304.02
31628           325.38
31628   WA      274.30
31899           0.00
320           417.24
322           139.08
32405          90.04
32440        1544.00
32480   80    290.10
32480        1450.51
32484        1608.96
32999           0.00
33010         117.50
33207         674.59
33207   WA   1019.41
33208         683.88
33210         244.12
33213         369.58
33217         472.96
33405        1977.31
33405   80    395.47
33413        2624.60
33425        1490.91
33430        2960.30
33430   80    592.06
33511        3088.49
33512        3307.54
33514        3801.19
33518         394.32
33519         590.92
33519   80    118.18
33521         788.45
33530         294.47
33533        2604.20
33533   80    520.84
33534        3037.43
33535        3261.97
33572         220.19
33863        2378.05
33999           0.00
350           463.60
35081        1480.31
352           301.34
35226         802.18
35301        1358.74
35331        1449.34
35471         710.41
35556        1666.94
35606        1842.96
35631   51   1187.17
35631   59   1702.64
35645        1114.36
35646        1907.28
35646   80    381.45
35647        1718.45
35647   51    859.23
35656        1051.84
35661        1523.31
35666        1160.94
35681          73.38
35875         659.57
36000   59     13.23
36000          26.50
36010         376.47
36011         154.83
36015         190.88
36100         173.44
36140         106.51
36200   59    176.97
36200   WA    744.79
36200         176.97
36215   51    115.11
36215         230.21
36215   59    230.21
36215   WA    378.81
36216         261.56
36216   51    130.78
36216   59    261.56
36216   76    261.56
36216   WA   2062.43
36217   WA   2062.43
36217         311.89
36218          50.08
36218   76     49.73
36245   50    358.74
36245   WA    378.81
36245         239.16
36246         261.56
36299           0.00
36405          19.71
36430          37.74
36468           0.00
36470         127.98
36471         161.93
36471   50    242.89
36475        1944.66
36475   WA   1323.65
36478        1778.24
36478   50   2667.36
36500         178.49
36556         281.73
36569         312.34
36571        1298.38
36600          27.96
36620          56.60
36620   59     56.60
36800         168.72
36825   WA    653.61
36825         657.89
36832   WA    378.81
36860         158.34
37200         195.90
37202         317.90
37202   51    153.75
37600         740.60
37609         269.59
37735         695.09
37735   WA    326.04
37760         735.64
37765         436.57
37765   50    654.86
37766         486.26
37799           0.00
38220   51     66.94
38220   WA    131.69
38220         171.12
38221   51     69.21
38221   wa     96.01
38221         138.43
38500         268.52
38500   WA    450.97
38510         431.60
38510   WA    450.97
38520         514.68
38525   WA    349.09
38525         345.11
38724        1059.59
38740         550.41
38999           0.00
39010         847.75
39400         389.86
39499           0.00
39599           0.00
400           347.70
402           417.24
404           463.60
40490         107.14
40490   WA     61.20
40500         364.00
40510         405.27
40510   WA    485.41
40520         421.60
40520   WA    485.41
406           649.04
40720         872.97
40720   WA    551.00
40799           0.00
40810         128.45
40812   WA    463.56
40812         195.46
40814         289.26
40814   WA    463.56
40842         621.51
40899           0.00
410           208.62
41112   WA    450.97
41599           0.00
41805         137.29
41805   WA    378.81
41806         223.00
41823         318.97
41827         315.44
41827   WA    463.57
41828         267.48
41830         289.62
41874   WA      0.00
41874         272.76
41899           0.00
41899   WA      0.00
42106         203.01
42145         610.57
42145   WA    744.78
42210         971.63
42210   wa   1273.84
42235         483.41
42235   WA    450.97
42299           0.00
42310         136.79
42330         193.38
42335   WA    232.72
42335         255.46
42410        542.93
42410   WA   942.14
42410   80   108.58
42440        548.63
42440   WA   551.00
42440   80   109.72
42450        363.57
42600        376.60
42699          0.00
42800        126.69
42804   WA   378.81
42821   WA   477.67
42821        300.42
42826        264.15
42826   WA   551.00
42830        185.04
42831   WA   551.00
42836        225.60
42836   WA   653.60
42960        155.65
42961        374.38
42962        471.36
42962   WA   551.00
42970        327.38
42999          0.00
43200   51    96.27
43200        192.53
43217   WA   204.10
43217        341.50
43220        147.62
43226        164.23
43226   WA   378.81
43235        256.55
43235   51    84.16
43235   WA   378.81
43235   59   255.83
43238        260.87
43239        292.29
43239   51   149.57
43239   WA   378.81
43245   51   119.06
43245        238.12
43245   WA   463.56
43246        304.33
43247        237.80
43247   WA   176.91
43249   51    90.34
43249   WA    463.56
43249         203.54
43255         306.71
43260         364.29
43260   WA    463.57
43262         439.79
43262   WA    463.57
43280        1190.79
43280   WA    463.56
43282        1536.60
43450         135.18
43450   WA    333.00
43450   51     67.59
43458         346.09
43499           0.00
43501   51    514.43
43501   80    170.12
43621        1926.42
43644        1523.22
43659           0.00
43760   WA    378.81
43775           0.00
43842        1137.38
43842   80    250.80
43842   82    227.48
43846   22    737.96
43846   80    158.80
43870         523.51
43999           0.00
44005         852.58
44005   79    892.10
44015         157.41
44110         636.49
44120         893.63
44139         100.97
44140        1174.44
44140   80    234.87
44143        1248.13
44145        1381.82
44147        1473.57
44155        1648.00
44160        1287.49
44204        1357.42
44205        1094.16
44205   wa   4011.29
44207        1497.03
44207   80    299.40
44227        1471.56
44227   wa      0.00
44310   51    368.47
44310   80    136.85
44320         933.43
44345         822.70
44345   WA    653.60
44361         330.26
44361   WA    224.15
44369   WA    463.56
44369         374.92
44388         276.80
44388   WA    224.15
44620         649.67
44620   80    129.93
44625         826.94
44625   WA    802.61
44625   80    165.38
44626        1315.24
44626   81    263.04
44626   80    263.05
44626   79   1315.24
44626   wa      0.00
44640        1116.31
44799           0.00
44899           0.00
450           301.34
45020         291.68
45020   WA    266.85
45108         279.21
45108   WA    446.00
45123         734.45
45123   80    177.42
452           509.96
45300          63.19
45303         640.26
45305         126.24
45330   WA    344.92
45330         108.73
45331         139.35
45331   WA    204.10
45333         223.37
45355   WA    378.81
45378         339.03
45378   WA    378.81
45380   52    400.50
45380   59    400.50
45380         400.50
45380   WA    378.81
45383         520.14
45383   WA    463.57
45384   51    199.20
45384         398.40
45384   59    398.40
45384   WA    224.15
45385         454.65
45385   WA    378.81
45386         514.78
45395   80    346.69
45395        1733.45
454           162.26
45505         453.32
45505   WA    551.00
45560         575.32
45999           0.00
46060         398.61
46060   WA    266.85
46083         136.20
46200         291.05
46200   WA    463.56
46255         367.61
46255   WA    485.41
46260   WA    450.97
46260         488.02
46261         543.19
46270   WA    450.97
46275         379.45
46280   WA    266.85
46280         452.00
46288         479.96
46288   WA    344.93
46600          71.12
46700         489.68
46700   WA    551.00
46900         159.42
46917   WA    344.92
46917         372.31
46924         390.98
46924   WA    204.10
46930   WA    625.69
46936   WA    304.03
46945         251.01
46945   WA    148.83
46947   wa   1049.15
46947         329.37
46999           0.00
470           370.88
47000   WA    450.97
47000         179.26
47001         127.84
472           602.68
47399           0.00
474           672.22
47525   WA    378.81
47562   51    205.76
47562         783.85
47562   80    120.73
47562   WA    551.00
47563   WA    551.00
47563   80    167.94
47563         839.74
47579   WA      0.00
47600         868.65
47600   51    257.00
47605   51    374.32
47605         785.26
47605   80    149.73
47610         992.82
47715        1008.12
47999           0.00
48999           0.00
49000   WA    551.00
49000         673.66
49085   WA    551.00
49250         374.34
49255         621.13
49320         377.52
49320   51    188.76
49320   78    377.52
49320   80     75.50
49320   WA    551.00
49321   51    139.50
49322         417.43
49322   WA    653.60
49329           0.00
49505   81     85.91
49505   22    461.40
49505   50    609.37
49505   WA    551.00
49505         429.52
49507         799.32
49507   WA    653.60
49520         521.62
49520   50    745.79
49520   80     99.43
49520   AA    497.19
49520   WA    551.00
49525         477.30
49525   WA    326.04
49550   WA    551.00
49550         471.79
49560   80    114.59
49560   WA    551.00
49560   51    559.15
49560         620.31
49561   80    128.44
49561         753.98
49561   WA    653.60
49565   WA    551.00
49565         622.60
49566         772.66
49566   WA   1339.00
49568   80     56.46
49568   WA    551.00
49568         282.27
49570   WA    551.00
49570         338.66
49572         380.83
49572   WA   1175.26
49585         357.60
49585   59    266.81
49585   WA    551.00
49585   51    178.80
49587         417.56
49587   WA    551.00
49650         409.41
49650   WA    463.57
49651         482.29
49651   wa   1432.65
49652         656.35
49652   wa   2544.98
49653         823.03
49653   wa   2544.98
49656   wa      0.00
49656         757.28
49659           0.00
49659   WA      0.00
49900         812.13
49999           0.00
500           811.30
50080        1455.82
50081   wa   2676.21
50081         881.02
50220        1174.04
50220   51    587.02
50220   WA    905.79
50230   80    311.51
50230        1557.58
50236        1327.82
50390         111.90
50392         123.26
50392   wa    532.30
50393         149.98
50393   wa    761.83
50546        1218.70
50590   WA    326.04
50590         701.31
50684         532.19
51102         213.42
51600         224.97
51605         377.91
51610         672.57
51610   WA    344.93
51700          87.75
51701          53.19
51702          68.69
51725         194.74
51726         323.05
51726   26     85.95
51726   WA    378.81
51727         259.23
51727   WA      0.00
51729         296.48
51736          42.67
51741          70.27
51741   51     35.13
51784         194.02
51784   58    194.02
51785         210.55
51792         240.36
51797   59    256.97
51797         256.97
51798          13.07
51798   58     13.07
51840         714.24
51840   80   142.85
51845   WA   551.00
51845        738.49
51980        616.69
51980   51   308.35
51990        779.54
51990   51   389.77
520          278.16
52000   51    62.02
52000   80    24.80
52000        187.76
52000   WA   378.81
52005   51    85.08
52005   WA   378.81
52005        286.86
52005   59   170.16
52100   WA     0.00
522          162.26
52204        209.99
52204   WA   485.41
52214        415.52
52214   51   207.76
52224   WA   485.41
52224        307.34
52235        466.33
52235   WA   313.30
52240   WA   287.23
52240        759.38
52260   WA   463.57
52260        223.93
52270        338.25
52270   WA   463.56
52276        356.50
52276   80    71.30
52276   WA   485.41
52281   WA   485.41
52281        350.80
52281   51    95.00
52283   51   155.89
52285        272.68
52285   WA   485.41
52310        223.61
52310   WA   551.00
52318        634.68
52318   51   317.34
52320        267.92
52320   WA   744.79
52330   WA   551.00
52332        225.38
52332   50   338.07
52332   51   112.69
52332   WA   326.04
52351        304.98
52351   wa   659.00
52352   wa   709.41
52352        392.49
52353   WA   888.10
52353        412.00
524          162.26
52500        567.88
52601        871.03
52601   WA   551.00
52640   WA   551.00
52640        464.57
528          370.88
530          347.70
532          347.70
53230        631.41
534          348.00
53601         80.19
53605         64.24
53660         71.11
53899          0.00
540          741.76
54161   WA   463.56
54161        192.62
542          718.58
54520   50   608.52
54530        473.00
546          718.58
54640        540.59
54640   WA   653.61
548          718.58
54840        292.38
54840   51   146.19
54860        378.93
54860   WA   545.56
55040        374.77
55040   WA   485.41
55060        316.11
55500        363.38
55500   wa   611.21
55520        416.54
55520   WA   485.41
55530         398.25
55540         464.43
55700         202.09
55845   82    414.30
55845   80    414.30
55845        2071.53
55899           0.00
560          1159.00
562          1274.90
56303   WA    551.00
56303         429.94
56304         385.17
56304   WA    326.04
56352   22   1118.44
56405          99.89
56501         118.45
56501   51     59.23
56515         189.85
566             0.00
56605          95.11
56620         504.34
567             0.00
56740         248.29
56740   WA    515.15
56821         138.53
57061         103.43
57065         227.44
57065   51    113.72
57065   80     45.49
57100          82.63
57160          70.58
57180   WA    378.81
57210   51    186.78
57210         373.56
57240         477.18
57240   80     95.44
57250   WA    551.00
57250         443.78
57260         626.07
57260   51    313.04
57265         770.27
57267         230.76
57270         686.82
57280         858.33
57282   wa    463.65
57282         645.92
57283         626.50
57288   51    431.83
57288         863.67
57288   WA   1061.15
57292         740.35
57410         134.03
57410   51     67.02
57425         881.89
57452         103.65
57454         147.03
57460   WA    463.56
57460         308.13
57500         125.07
57510         125.68
57511         134.52
57520         317.64
57520   WA    450.97
57522         273.68
57522   51    136.84
57522   WA    450.97
580           767.00
58100         101.86
58120   50    321.90
58120         214.60
58120   WA    485.41
58120   51    107.30
58140   80    187.66
58140         837.05
58150   82    197.42
58150         987.10
58150   51    493.55
58150   WA    326.04
58150   80    181.54
58152   80    199.58
58152        1119.73
58200   80    167.41
58200        1173.64
58210        1622.48
58260         795.00
58260   80    159.00
58260   WA    326.04
58262         855.84
58263         936.48
58267         972.90
58340         519.66
58340   WA    138.24
58350          88.62
58400         432.83
58541         778.80
58542         869.84
58545   WA    813.39
58545         813.39
58550   WA   1033.69
58550         980.62
58550   80    196.12
58552         885.80
58552   WA    611.65
58552   80    109.73
58554        1185.25
58554   80    237.05
58555         242.29
58558   51    155.42
58558         310.85
58558   WA    313.30
58563         377.28
58563   WA   1033.69
58571   wa      0.00
58571         927.31
58660         721.71
58660   WA    744.78
58661         581.06
58661   WA    605.10
58662         656.09
58662   WA    440.70
58720         692.18
58720   80    138.44
58720   WA    551.00
58740         767.11
58925   WA    744.79
58925         653.29
58925   62    326.64
58925   22    653.29
58940         498.94
58951        1158.52
58956   51    567.11
58956        1134.22
58990           0.00
58999           0.00
59400        1690.00
59510        1859.00
59899           0.00
600           602.68
60100         105.62
60210   51    306.97
60220         699.48
60220   WA    326.04
60240         991.39
60240   80    198.27
60240   WA    838.07
60271         866.61
60271   80    173.32
60280         480.58
60280   WA    485.41
604           672.22
60500         825.31
60512         203.71
60520        1249.83
60699           0.00
61055         127.32
61070          68.62
61070   58     69.01
61210         337.33
61330        1368.91
61333        1875.11
61343        2364.52
61458        2147.12
61458   80    429.93
61510        2063.03
61512        2358.74
61518   WA      0.00
61518        2238.05
61520        3777.49
61520   62   1888.75
61521   WA      0.00
61521        3244.83
61531        1428.30
61548   80    365.86
61548   WA    326.04
61548        1829.32
61583   51   1312.51
61584   WA    622.12
61584        3110.63
61584   51   1555.31
61586   51    784.90
61586   WA   1752.45
61586        1732.23
61591        3224.10
61595        1895.57
61595   62    947.99
61595   80    247.05
61600        1841.77
61600   51    920.88
61601        2016.06
61605        2121.86
61615   62   1014.14
61615   80    268.28
61615        2028.28
61618        1031.28
61619   51    748.07
61624        1422.79
61710        1598.12
61710   80    319.63
61750        1101.55
61770   51    710.31
61770        1420.63
61885   51    239.38
620           602.68
62120        1532.04
62121        1382.23
62121   62    691.12
62140         992.43
62141        1224.55
62143         967.94
62180        1269.16
622           672.22
62223        1058.70
62230         767.93
62230   WA    224.15
62256         468.50
62258   58    887.33
62270         144.01
62270   WA    378.81
62272         173.24
62273         172.19
62273   WA    378.81
62274   59     78.44
62284   WA    378.81
62284         218.96
62289   51     43.02
62290         338.45
62290   WA    529.48
62290   51     74.88
62291   WA    308.44
62291         298.00
62291   51    184.57
62310         231.30
62310   59    231.80
62310   WA    529.47
62311         224.29
62311   59      224.29
62311   WA      529.47
62318           258.55
62319           235.86
62319   WA      204.10
62319   59      214.97
62362   59      457.07
62626           296.52
630             556.32
63001          1493.33
63001    80     298.66
63005          1465.46
63012          1403.73
63012    62     701.86
63012    51     701.87
63017          1323.51
63020          1273.19
63030    51     597.50
63030   5980    238.99
63030          1195.01
63030    50    1792.51
63030   5059   1792.51
63030   5079   1792.51
63030    59    1195.01
63030    80     238.99
63030    WA     326.04
63035           275.69
63035    50     413.53
63035   5059    413.53
63035   5079    413.53
63035    80      55.13
63035    59     275.69
63035    51     137.84
63040          2338.31
63042          1653.73
63042   5059   2480.60
63042    51     545.87
63042    80     330.75
63042    WA     529.48
63043             0.00
63044             0.00
63044    50       0.00
63044    80       0.00
63045          3808.46
63047    WA     313.30
63047    51    1078.41
63047   5979   1117.52
63047    80     431.36
63047    59    1117.52
63047          2156.82
63047   5180    215.68
63047   5181    215.68
63048    81      57.94
63048           289.72
63048    51     144.86
63048    59     289.72
63048   5979    289.72
63048    80      57.94
63056          1248.35
63056    80     249.67
63064          1815.12
63075    59    1655.10
63075    79     850.82
63075          1655.10
63075   51      827.55
63075   80      331.02
63075   wa        0.00
63076   80       70.83
63076           354.17
63076    79     160.94
63076    51      89.04
63077          1503.84
63078           222.66
63081          1923.00
63081   80      364.80
63081   WA      529.47
63081   51      961.50
63082           346.77
63082    51     173.39
63085          1678.61
63172          1077.44
632             533.14
63200          1219.33
63271          1758.22
63272          1507.75
63272    82     301.55
63277          1261.71
63290          2211.50
63301    62     946.17
634             394.06
63650   51      182.82
63650   58      365.64
63650   WA      274.30
63650           365.64
63655         648.80
63655   WA   4013.85
63660   WA    333.00
63685         416.90
63685   51    208.45
63685   WA    274.30
63685   58    416.90
63688         336.59
63688   58    336.23
63688   51    166.29
63688   WA    204.10
63706        2212.21
63740         919.02
64400         108.27
64405         100.54
64405   WA      0.00
64413          99.71
64415         149.69
64415   59     53.46
64415   55     53.46
64417         156.53
64420         160.75
64421         240.87
64421   WA    224.15
64425         131.12
64425   59    131.12
64425   50    196.68
64435         141.30
64442   51     40.29
64445   51     30.08
64445         144.78
64447          72.39
64447   59     74.23
64448          69.91
64450          90.17
64450   51     33.20
64450   59     66.40
64470         230.19
64470   WA    344.92
64472         184.17
64475         206.31
64475   WA      0.00
64476         194.11
64479         315.35
64480         138.02
64483   50    498.59
64483         319.39
64483   WA   204.10
64484        142.78
64484   51    79.62
64490        175.58
64491         87.40
64492         88.29
64493        136.52
64494         78.89
64495         80.09
64510        151.45
64510   WA   450.97
64520   WA   333.00
64520        201.09
64550   wa     0.00
64550         19.20
64612        160.57
64612   50   240.85
64612   51    80.28
64613        172.17
64622   WA   344.93
64640        243.74
64704        364.44
64708        496.95
64708   WA   287.23
64718        500.22
64718   59   500.22
64718   79   282.70
64718   80    92.93
64718   82    92.93
64718   WA   463.56
64718   51   219.02
64719        319.58
64719   WA   446.00
64721   80    67.75
64721   WA   485.41
64721   59   266.21
64721        338.75
64721   50   508.12
64721   51   169.38
64721   79   266.21
64722        390.65
64722   WA   485.41
64727        240.83
64727   WA   551.00
64750   WA   744.78
64761        400.45
64774        361.08
64774   WA    485.41
64774   51    165.98
64784         608.36
64784   58    608.36
64784   80    121.67
64784   51    304.18
64790         688.01
64790   80     95.59
64790   WA    313.30
64818         686.70
64831   51    297.92
64834   51    299.48
64835   59      0.00
64836         682.46
64856         846.20
64857         887.61
64868         997.85
64999           0.00
65091         326.04
65091   WA    326.04
65093   WA    326.04
65093         591.40
65101         532.61
65101   WA    687.28
65103         643.35
65103   WA    326.04
65105         699.73
65105   WA    326.04
65110        1010.61
65110   WA    326.04
65112        1180.83
65125         421.16
65130         606.76
65130   WA    485.41
65140         674.41
65140   WA    529.47
65155         709.45
65155   WA    287.23
65175         554.51
65175   WA    287.23
65210          58.97
65220          47.06
65222          60.35
65235         575.03
65235   WA    463.56
65260   51    369.60
65265   51    405.93
65280   WA    326.04
65280         558.40
65285         814.36
65285   WA    959.41
65286   78    543.79
65286         543.79
65286   79    543.79
65400         512.63
65400   WA    224.15
65400   51    240.88
65420   50    144.60
65420   WA    224.15
65420         404.85
65426   51    159.24
65426   82     88.87
65426         444.33
65426   WA    224.15
65430   79    217.87
65430         217.87
65435          78.30
65435   51     18.14
65436         350.65
65436   51    175.32
65600         313.34
65710         899.78
65710   WA    326.04
65710   82    872.75
65730         943.53
65730   80    188.70
65730   82    129.06
65730   WA    326.04
65750        1190.54
65750   WA    326.04
65750   80    238.10
65755   82    249.97
65755   WA    326.04
65755        1249.82
65756           0.00
65756   WA      0.00
65760        2212.21
65772         587.30
65772   WA    346.52
65775         541.66
65780   WA    731.38
65780   82    142.50
65780         712.47
65780   51    356.24
65782         967.12
65782   82    967.12
65800   WA    224.15
65800         147.10
65800   51     73.55
65805         147.10
65805   51     27.57
65805   WA    224.15
65805   50    220.65
65810         448.30
65810   WA    551.00
65815         465.64
65815   51    232.82
65815   WA    224.15
65850   WA    326.04
65850         706.40
65855         423.01
65855   55    423.01
65855   WA    326.04
65855   50    634.52
65860   WA    224.15
65860         262.36
65865   WA    326.04
65865         442.19
65870   51    235.87
65870   WA    451.85
65870         471.74
65875         491.78
65875   51    245.89
65875   59    491.00
65875   WA    386.75
65920         603.98
65920   51    134.92
65920   WA    326.04
65930         559.29
65930   WA    326.04
66020   WA    224.15
66030   WA    224.15
66150   WA    326.04
66155   WA    326.04
66160   WA    326.04
66170         869.43
66170   59    869.43
66170   50   1304.15
66170   51    249.07
66170   82     99.63
66170   WA    326.04
66172        1066.29
66172   80    131.41
66172   82    657.05
66172   WA    326.04
66180   51    231.53
66180   82    186.25
66180         931.25
66180   WA    326.04
66180   80    121.89
66185   51    165.05
66185         577.44
66185   WA    446.00
66185   82     66.02
66250   WA    326.04
66250         478.09
66250   78    478.09
66250   79    478.09
66600   WA    326.04
66605         779.55
66625   51    200.84
66625         424.48
66625   WA    326.04
66680         382.45
66682         478.98
66682   WA    326.04
66682   51    153.77
66710         352.23
66710   WA    224.15
66711         477.44
66720   WA    463.56
66720         367.43
66761   51    265.95
66761         531.90
66761   WA    224.15
66762         395.07
66770         394.62
66820   WA    340.25
66820         380.02
66821   50    335.56
66821   79    223.71
66821         223.71
66821   WA    224.15
66821   55    223.71
66821   54    223.71
66825   WA    326.04
66825   51    176.40
66825   54    352.80
66825    55     352.80
66825           642.62
66830           553.93
66830   WA      551.00
66840   WA      326.04
66840           631.44
66840    51     315.72
66850           658.48
66850   51      329.24
66850   62      329.24
66850   WA      326.04
66852   51      204.22
66852           647.33
66852   WA      326.04
66920   WA      326.04
66920           579.93
66940           601.51
66940   WA      326.04
66982          1350.00
66982    51     199.63
66982    54    1111.07
66982   5479   1111.07
66982    55     277.76
66982   5579    277.76
66982    79    1350.00
66982    WA     524.50
66984   5579    277.76
66984    74    1350.00
66984          1350.00
66984    51     675.00
66984    54    1111.07
66984   5479   1111.07
66984    55     277.76
66984    58    1350.00
66984    59    1350.00
66984    WA     524.50
66984    79    1350.00
66985    62     281.69
66985           563.38
66985   54      553.56
66985   WA      326.04
66985   55      553.56
66985   51      276.78
66985   79      553.56
66986           768.42
66986   55      786.99
66986   WA      326.04
66999             0.00
66999   WA        0.00
670            1182.18
67005   WA      326.04
67005           742.37
67005   51      371.18
67010   WA      326.04
67010           615.22
67010   51      221.13
67015   WA      266.85
67015           515.92
67025    51     189.58
67025           725.53
67028   79      308.69
67028   WA        0.00
67028           308.69
67028    51      53.92
67028    78     308.69
67028    59     308.69
67028    50     463.04
67031           361.56
67031   WA      266.85
67036   62      613.47
67036          1026.93
67036   51      513.46
67036   WA      326.04
67036   79     1026.93
67039   WA      326.04
67039           962.19
67039   51      291.60
67040   51      512.05
67040   59     1113.41
67040   79     1113.41
67040   WA      326.04
67040          1113.41
67041   5179    495.29
67041           990.57
67041   51      495.28
67041   WA     2024.61
67042          1134.76
67042   WA     1540.44
67043          1190.51
67043   WA     1327.29
67101           608.34
67101    51     304.17
67105           543.03
67105   WA      326.04
67105   78    543.03
67107         983.45
67107   51    458.32
67107   WA    326.04
67108        1601.96
67108   76   1601.96
67108   78   1601.96
67108   WA    326.04
67108   79   1601.96
67108   51    800.98
67110   WA    582.12
67110   51    174.49
67110   79    837.76
67110         837.76
67112   51    669.74
67112        1339.48
67112   WA   1033.69
67113   78   1307.04
67113   WA   1540.44
67113   79   1307.04
67113        1307.04
67115         358.88
67115   WA    358.88
67120         629.52
67120   WA    326.04
67120   51    148.99
67121   58    880.27
67121         880.27
67121   51    440.14
67121   81    176.06
67121   WA    274.30
67141   WA    326.04
67141   59    347.97
67141         434.28
67141   51    217.14
67145         393.43
67145   51    196.72
67145   79    393.43
67208         449.18
67208   WA    224.15
67210   79    539.84
67210   51    269.92
67210         539.84
67210   WA    326.04
67218        1162.77
67220         824.09
67221   79    360.24
67221         360.24
67221   50    540.36
67225          26.30
67227         458.76
67227   WA    224.15
67228   58    942.08
67228   51    209.82
67228   WA    224.15
67228         838.41
67228   50   1257.62
67228   79    419.64
67255   82    142.09
67255   79    710.46
67255   WA    529.48
67255         710.46
67255   51    355.23
67255   55    855.80
67299           0.00
67311   51    229.13
67311         462.99
67311   WA    326.04
67311   50    794.92
67312   51    345.87
67312   WA    326.04
67312         571.91
67312   50    986.73
67314         523.41
67314   50    703.60
67314   WA    326.04
67314   51    234.53
67316         636.56
67316   WA    326.04
67318   WA    653.60
67318         548.32
67320   WA    287.23
67331   51    108.26
67332   50    690.64
67332   51    230.21
67332   WA    287.23
67332         460.43
67334         323.85
67335   WA    132.96
67335         239.73
67335   51    119.86
67340         507.16
67340   51    253.58
67340   WA    386.75
67340   50    461.55
67343         519.68
67343   51    150.08
67399           0.00
67400         781.23
67400   WA    326.04
67412   WA    326.04
67412         786.76
67413   WA    440.70
67413         778.09
67413   51    286.92
67414         882.00
67414   51    412.64
67414   WA    701.84
67420   WA    326.04
67420        1377.36
67445        1062.89
67445   WA    744.79
67450   51    592.08
67450        1184.16
67500          57.09
67500   WA     74.91
67505          61.48
67515          49.90
67515   51     11.81
67550         790.62
67550   WA    386.75
67560         807.10
67560   WA    326.04
67570        1020.50
67599   51      0.00
67599           0.00
67710         350.78
67715   WA    224.15
67800         134.37
67801         400.31
67805         264.15
67810         175.72
67820   50     15.58
67820          70.31
67820   51     18.61
67825   WA    450.97
67825         138.51
67840         251.71
67850         174.79
67875         282.07
67875   51    141.04
67875   wa    266.58
67880   50    120.89
67880         460.39
67880   WA    224.15
67882   WA    313.30
67882         552.89
67900   WA    287.23
67900   51    176.63
67900         578.84
67900   50    529.90
67901   WA    224.15
67901         475.54
67901   76    475.54
67902   WA    287.23
67902         480.05
67903         613.65
67904   WA    287.23
67904         646.66
67904   51    323.33
67904   50    759.81
67908         483.68
67908   50    733.47
67908   WA    653.61
67911         398.27
67911   WA    224.15
67911   50    565.60
67912         882.60
67912   WA    839.48
67916   WA    386.75
67916         587.35
67917   51    336.74
67917         673.47
67917   WA    287.23
67917   50   1010.21
67921   WA    287.23
67921         427.16
67923   WA    287.23
67923         594.87
67924   51    301.87
67924         517.77
67924   50    776.65
67924   WA    287.23
67938   51    101.85
67950         492.32
67950   51    246.16
67961   WA    287.23
67961   51    275.24
67961        550.47
67966   WA   287.23
67966        523.56
67971        610.81
67971   WA   529.47
67973        792.95
67974   WA   799.28
67975   WA   287.23
67975        574.93
67999   wa     0.00
67999          0.00
68020        238.34
68020   WA    99.15
68100        158.71
68100   WA    83.32
68110        265.53
68110   WA   202.78
68115        271.82
68115   WA   463.56
68200         42.15
68200   78    42.15
68320        418.55
68320   51   183.97
68320   WA   266.85
68326   51   283.50
68326        567.00
68326   WA   386.75
68328   WA   653.61
68328        631.03
68330   WA   653.61
68330        494.16
68335        532.78
68340        511.80
68362   WA   266.85
68362        531.58
68399          0.00
68399   51     0.00
68440   51   172.52
68530        752.65
68540        800.81
68540   WA   529.48
68700        576.41
68700   WA   224.15
68720        611.43
68720   WA   287.23
68760        196.33
68761   51    81.86
68761         163.72
68761   50     89.43
68761   E2     50.42
68761   E4     50.42
68801          66.61
68801   51     33.30
68801   WA     99.94
68811         197.58
68815         684.23
68815   51    342.12
68840         101.24
68840   WA    100.69
68899           0.00
69105         108.37
69145   WA    266.85
69145         224.56
69200         105.88
69205         100.49
69205   WA    224.15
69210   50     66.22
69210          44.15
69220         107.62
69222         177.76
69222   WA    463.57
69310         690.23
69320        1280.65
69320   WA   1033.69
69399           0.00
69401          66.81
69420         344.92
69420   WA    224.15
69421   WA    266.85
69424         196.19
69433         159.82
69433   50    239.73
69436   51     76.05
69436         151.07
69436   50    143.76
69436   WA    266.85
69440         497.54
69440   WA    287.23
69450         447.68
69450   59    447.68
69501   51    324.77
69501   62    324.77
69502         780.40
69502   WA    326.04
69505        1158.32
69505   WA    551.00
69511   WA    326.04
69511         844.11
69550         696.19
69602   WA   1033.68
69602        1112.88
69610         347.03
69620         572.84
69620   WA    326.04
69631         701.17
69631   59    701.17
69631   79    701.17
69631   WA    326.04
69632         809.72
69632   WA    326.04
69633         773.41
69633   WA    326.04
69635         819.95
69635   WA    326.04
69636         952.11
69636   WA    326.04
69637         945.89
69637   WA    326.04
69641         800.05
69641   59    800.05
69641   WA    326.04
69641   51    457.46
69642        1045.63
69642   WA    326.04
69643        1378.05
69643   51    541.80
69643   WA    326.04
69643   80    275.61
69644   WA    326.04
69644        1049.15
69645        1015.11
69645   WA    326.04
69646        1107.12
69646   WA    326.04
69650         614.99
69660   WA    326.04
69660         740.43
69661   WA    326.04
69661         969.53
69662   WA   1053.22
69662         948.70
69666         665.77
69667   WA    326.04
69667         621.45
69710           0.00
69710   WA    326.04
69714         854.02
69714   50   1281.03
69714   51    480.59
69715   51    602.24
69799           0.00
69910        1042.87
69930        1071.61
69930   51    535.80
69930   WA    326.04
69949           0.00
69970        1762.44
69979           0.00
69990         233.13
700           394.06
70010         203.61
70010   TC    158.94
70030          22.18
70030   26     16.78
70030   TC     13.72
70100          26.15
70100   TC     17.32
70110   TC     20.90
70110          33.00
70110   26     12.11
70130   TC     26.61
70130   26     16.45
70130          43.06
70140          30.11
70140   26      9.21
70140   TC     20.90
70150   26     12.81
70160   TC     17.32
70160          25.78
70190          31.18
70190   TC     20.90
702           278.16
70200   TC     26.61
70200          40.16
70200   26     13.55
70210          29.36
70210   26      8.46
70210   TC     20.90
70220   TC    26.61
70220         38.72
70220   26    12.11
70250         32.63
70250   TC    20.90
70250   26    11.73
70260         46.48
70260   26    16.45
70260   TC    30.03
70300         14.66
70300   TC     9.14
70320         37.60
70320   TC    26.61
70328         25.17
70328   TC    16.34
70330         40.30
70330   26    11.73
70332   26    27.46
70332   TC    70.58
70332         97.55
70336   TC   330.72
70336        448.92
70336   26    72.19
70350   TC    12.41
70350         21.20
70350   76    18.74
70355         29.50
70355   26    10.24
70355   TC    19.26
70360         22.18
70360   26     8.46
70360   TC    13.72
70450        200.55
70450   26    41.67
70450   TC   158.89
70460   26    55.22
70460        245.30
70460   TC   190.08
70470   26    61.91
70470   TC   237.93
70470        299.84
70480   TC   158.89
70480        221.50
70480   26    62.61
70481        257.40
70481   26    67.32
70481   TC   190.08
70482   TC   237.93
70482        308.52
70482   26    70.59
70486   TC   158.89
70486        214.48
70486   26    55.59
70487        253.43
70487   26    63.36
70487   TC   190.08
70488   26    69.14
70488   TC   237.93
70488        307.07
70490        221.50
70490   26    62.61
70490   TC   158.89
70491   TC   190.08
70491   26    67.32
70491        257.40
70492        308.52
70492   TC   237.93
70492   26   108.31
70496   TC   355.88
70496        567.88
70498   TC   374.28
70498        442.04
70498   26    86.16
70540   26    71.28
70540   TC   373.65
70540        472.12
70542        527.22
70543        934.72
70543   26   104.73
70543   TC   829.99
70544        435.22
70544   TC   375.69
70544   26    58.49
70545        479.49
70545   TC   424.49
70545   26    55.01
70546        832.74
70546   26    88.05
70546   TC   744.69
70547        435.22
70548        435.22
70549        832.74
70551   26    72.52
70551        449.25
70551   TC    376.73
70552         539.32
70552   TC    452.02
70552   26     87.30
70553   50   1429.06
70553   26    115.48
70553         952.71
70553   TC    837.24
70559   26    156.65
70559   TC      0.00
71010          24.52
71010   26      8.84
71010   TC     15.68
71015   TC     17.32
71015          27.60
71020          31.55
71020   TC     20.90
71020   26     10.66
71021   26     13.18
71021   TC     24.97
71021          38.15
71022   TC     24.97
71022          40.13
71023   TC     26.29
71023   26     18.75
71030   TC     26.61
71030          41.61
71034          71.05
71035          26.15
71035   TC     17.32
71035   26      8.80
71100          29.92
71100   TC     19.26
71100   26     10.67
71101          35.71
71101   26     13.18
71101   TC     22.53
71110   26     13.18
71110          39.79
71110   TC     26.61
71111          47.26
71111   26     15.55
71111   TC     30.04
71120   TC     21.88
71120          31.79
71250   TC    198.74
71250   26     56.67
71260        298.24
71260   TC   237.93
71260   26    60.31
71270        364.86
71270   26    67.92
71270   TC   296.77
71275        505.61
71275   TC   388.56
71550        499.29
71552        937.65
71555        465.48
72010         56.94
72010   TC    34.61
72020   26     7.39
72020         21.11
72020   TC    13.72
72040   TC    20.24
72040         30.90
72040   26    10.66
72050   26    15.15
72050         45.19
72050   TC    30.03
72052         55.56
72052   TC    37.88
72052   26    17.67
72069         27.47
72069   26    10.74
72070         32.53
72070   TC    21.88
72070   26    10.66
72072         35.63
72072   26    10.66
72072   TC    24.97
72074         41.35
72074   TC    30.69
72074   26    10.66
72080   TC    22.53
72080   26    10.81
72080         33.34
72090   TC    22.53
72090         36.24
72090   26    13.71
72100         33.34
72100   TC    22.53
72100   26    10.81
72110   26    15.15
72110         45.84
72110    50     15.89
72110    TC     30.69
72114    26     17.98
72114    TC     39.85
72114           57.83
72120    26     10.78
72120    TC     30.03
72120           40.85
72125    26     56.67
72125          255.40
72125    TC    198.74
72126          297.16
72126    26     59.23
72126    TC    237.93
72127    TC    296.77
72127          359.44
72127    26     61.91
72128          208.34
72128    26     56.67
72128    TC    198.74
72129    26     55.05
72129          297.16
72130    TC    296.77
72130          359.44
72130    26     61.91
72131    26     56.67
72131    TC    198.74
72131          255.40
72132          297.64
72132    26     59.71
72132    TC    237.93
72133    26     62.24
72133          359.77
72133    TC    297.54
72141          455.04
72141    26     78.31
72141    TC    376.73
72142          546.66
72142    26     94.64
72142    TC    452.02
72146    26     77.98
72146    TC    418.06
72146          496.04
72146   TC50   627.09
72147          546.34
72148    26     72.52
72148          490.58
72148   TC   418.06
72149   TC   452.02
72149        539.80
72149   26    87.78
72156   TC   837.24
72156   26   125.76
72156        963.00
72157        963.00
72157   26   125.76
72157   TC   837.24
72158   TC   837.24
72158        952.87
72158   26   115.63
72159          0.00
72170         25.78
72170   77    17.02
72170   TC    17.32
72170   26     8.46
72190   TC    22.53
72190   26    10.28
72190         32.82
72191   TC   400.79
72191   26    88.28
72191        489.08
72192   26    53.40
72192        252.13
72192   TC   198.74
72193        286.92
72193   TC   230.25
72193   26    56.67
72194   26    59.56
72194   TC   285.30
72194        344.86
72195   26    72.08
72195   TC   373.67
72195        457.34
72196   TC   449.24
72196        533.41
72196   26    84.16
72197   TC   557.05
72197        941.35
72197   26   103.37
72198   TC   375.69
72200         25.78
72200   26     8.55
72200   TC    17.32
72202         30.11
72202    TC     20.90
72220    26      8.46
72220    TC     19.26
72220           27.72
72240          204.10
72240    26     44.23
72240    TC    159.87
72255          189.04
72255    26     43.92
72255    TC    145.13
72265    TC    137.17
72265          177.43
72265    26     40.27
72265   2652    40.27
72265    52     78.60
72270    26     64.30
72270          269.56
72270    TC    205.26
72275          107.61
72275    26     35.53
72285    59      0.00
72285    TC    281.70
72285    58    337.71
72285          337.87
72285    26     56.17
72295          304.50
72295    26     40.59
72295    51    152.25
72295    TC    263.90
730            347.70
73000    26      7.76
73000    TC     17.32
73000           25.08
73010           25.78
73010    26      8.46
73010    TC     17.32
73014     0     30.04
73020           23.07
73020    26      7.39
73020    50     34.60
73020    TC     15.68
73020    59     23.07
73030    26      8.84
73030    59     28.10
73030   50tc    28.89
73030   5026    13.26
73030    50     40.07
73030    TC    19.26
73030          28.10
73040    26    26.67
73040    TC    70.54
73040          97.20
73050    26    10.07
73050    TC    22.53
73050          32.60
73060    TC    19.26
73060    26     8.46
73060          27.72
73070    50    37.06
73070    TC    17.32
73070    26     7.39
73070          24.71
73080    26     8.46
73080    50    41.58
73080          27.72
73080    TC    19.26
73090          25.08
73090    26     7.76
73090    TC    17.32
73100          24.58
73100    26     8.24
73100    TC    16.34
73100    50    36.87
73100    59    16.64
73110          26.11
73110   2650   12.69
73110    26     8.46
73110    50    35.07
73110    TC    17.64
73115          80.21
73115    TC    53.22
73120    26     7.76
73120    50    36.15
73120    TC    16.34
73120          24.10
73130          26.11
73130    26     8.46
73130   2650   12.69
73130    50    35.07
73130    TC    17.64
73140    50    30.04
73140          20.03
73140    26     6.32
73140    TC    13.72
73200          219.81
73200    26     53.40
73200    TC    166.41
73202          309.40
73202    TC    249.69
73212   650     98.35
73218          457.10
73218    26     65.57
73218    TC    373.65
73220    TC    829.99
73220          935.03
73220    26    105.04
73221    TC    373.65
73221    26     65.57
73221          439.21
73222    26     78.75
73222    TC    398.17
73222          527.17
73223    26    104.73
73223    TC    829.99
73223          624.86
73320          318.99
73500    26      8.46
73500           28.33
73500    50     42.49
73500   2676     8.46
73500    TC     15.68
73510    50     44.55
73510    26     10.44
73510    TC     19.26
73510           29.70
73510    80      5.94
73520    50     35.46
73520    TC     22.53
73520    26     12.96
73520           35.49
73525    TC     57.89
73525    26     26.80
73530           29.92
73530    26     14.25
73540           29.33
73540    TC     19.26
73550           27.72
73550    TC     19.26
73550    26      8.46
73560           25.93
73560   5026    12.93
73560    26     8.62
73560    50    38.90
73560    59     0.00
73560    TC    17.32
73562    26     8.99
73562   5026   13.48
73562    TC    19.26
73562    50    37.56
73562          28.25
73564          32.03
73564    50    32.22
73564    TC    20.90
73564    26    11.14
73565          24.95
73565    TC    28.34
73565    26    18.40
73590    TC    17.32
73590          25.78
73590    26     8.46
73590    50    38.67
73590    59    25.78
73600    50    36.15
73600    26     7.76
73600          24.10
73600    TC    16.34
73610    50    39.16
73610   2650   12.69
73610    TC    17.64
73610    26     8.46
73610   5026   12.69
73610          26.11
73620    50    58.27
73620    26     7.76
73620    59    24.10
73620          24.10
73620    TC    16.34
73630   2650   12.69
73630          26.11
73630    50    35.07
73630    TC    17.64
73630    26     8.46
73650    TC    15.68
73650          23.44
73650    26     7.76
73660          20.03
73660    26     6.31
73660    TC    13.72
73700          219.81
73700    26     53.40
73700    TC    166.41
73701    26     56.67
73701          255.40
73701    TC    198.74
73706    TC    360.53
73706    26     82.56
73706    50    528.39
73718    26     65.57
73718          474.99
73718    TC    372.80
73720          935.03
73720    26    105.04
73720    TC    829.99
73721   2650    98.36
73721          439.21
73721    26     65.57
73721    50    658.82
73721    59    439.21
73721   TC50    98.36
73721    TC    373.65
73722    26     78.90
73722    TC    453.77
73722          527.37
73723    TC    447.39
73723    26    106.20
73723          934.72
73725    TC    375.69
73725          465.85
740            208.62
74000    26      8.84
74000           26.15
74000    TC     17.32
74010    26     11.36
74010           30.62
74010    TC     19.26
74020    TC     20.90
74020    26     13.18
74020           34.07
74022    26     15.70
74022           40.67
74022    TC     24.97
74150    26     58.11
74150    TC    190.08
74150          248.19
74160    26     61.91
74160   TC   230.25
74160        292.16
74170        353.37
74170   TC   285.30
74170   26    68.07
74175   TC   400.79
74175        493.09
74175   26    92.30
74176   26    77.78
74176        136.90
74176   tc   116.01
74177   26    81.56
74177        302.89
74177   tc   221.33
74178        382.76
74181   TC   374.57
74181        445.86
74181   26    71.45
74182        580.75
74183   26   110.13
74183        941.35
74183   TC   831.22
74185        464.78
74185   26    88.05
74185   TC   376.73
74220         62.24
74220   26    22.62
74220   TC    39.85
74230   26    26.13
74230   TC    43.93
74230         69.91
74240         82.89
74240   26    33.90
74240   TC    48.99
74241         83.87
74241   26    33.90
74241   TC    49.97
74245        124.74
74245   TC    80.18
74245   26    44.56
74246         89.41
74246   26    33.90
74246   TC    55.51
74247         90.87
74247   26    33.90
74247   TC    56.97
74249        131.43
74249   26    44.56
74250         67.02
74250   TC    43.93
74250   26    23.09
74270   TC    57.63
74270         91.53
74270   26    33.90
74280   TC    75.27
74280   26    48.53
74280        123.80
74291   26     9.91
74291         23.63
74291   TC    13.72
74300   26    17.67
74300   52    65.76
74300         82.19
74300   TC    49.31
74328   26    34.28
74330   26    44.19
74330   TC   106.30
74330        150.49
74400   26    23.84
74400         80.81
74400   TC    56.97
74410         89.64
74410   26    23.84
74410   TC    65.80
74415   TC    71.19
74415         95.03
74415   26    23.84
74420   26    17.67
74420        105.53
74420   TC    87.85
74430   26    15.85
74455         69.45
74455   TC    53.22
74455   26    16.23
74456   TC     0.00
74710         35.64
74710   TC    20.26
74710   26    15.38
750          324.52
750     P3   324.52
752          370.88
754          440.42
756          440.42
75605   26    56.25
75625        479.37
75625   26    55.92
75630   26    88.33
75630   TC   441.40
75630        529.73
75635   26    95.87
75635        373.17
75635   TC   277.30
75650   26    72.89
75650        496.34
75657   TC     0.00
75657          0.00
75660   26    64.38
75662        506.27
75662   26    82.82
75665        487.83
75665   26    64.21
75671   26    81.51
75671        504.96
75671   TC   423.45
75676   TC   422.45
75676   26    65.37
75680   TC   423.45
75680   26    81.51
75680        504.96
75685   76   428.94
75685   TC   423.45
75685   26    64.06
75685        487.50
75710   26    56.07
75716   TC   423.45
75716        487.50
75716   26    64.06
75774   26    18.00
75774        441.45
75774   TC   423.45
75809         49.70
75809   26    23.09
75809   TC    26.61
75820   26    34.28
75820         66.27
75820   TC    32.00
75822   26    51.95
75827   26    55.59
75833   26    72.89
75833        496.34
75880         66.51
75893          449.80
75893    26     26.36
75894          875.97
75894    26     64.21
75896    26     64.71
75898    26     80.83
75966    26     65.04
75970    26     41.21
75970          421.15
76000    26      8.14
76000    TC     43.93
76000           52.06
76001          120.68
76001    26     32.83
76001    TC     87.85
76005    TC     43.93
76080    26     26.66
76080           61.95
76080    TC     35.60
76082    TC     13.91
76082    26      3.07
76098           21.48
76098    26      7.76
76098    TC     13.72
76100           70.45
76100    26     28.55
76100    TC     41.96
76101    26     28.55
76140    TC     18.59
76140           30.98
76376    TC    112.17
76376          122.30
76376    26     10.13
76377    TC    115.50
76377    26     39.84
76380          165.73
76380    TC    117.58
76380    26     48.21
76390            0.00
76499    TC      0.00
76499            0.00
76506    TC     48.01
76506           80.32
76511    TC     37.26
76511           73.24
76512           74.55
76512   50TC    67.67
76512   26    34.61
76512   TC    45.11
76514         11.23
76516         61.20
76516   TC    37.26
76519   26    28.49
76519   TC    37.26
76519         61.20
76519   79    58.19
76536   26    27.43
76536        184.62
76536   TC    48.01
76645         62.26
76645   TC    35.60
76645   26    26.67
76700   TC    66.46
76700        106.30
76700   26    39.85
76705   TC    48.01
76705   26    29.19
76705         77.19
76770   26    36.42
76770   TC    66.46
76770        102.88
76775   26    28.55
76775         76.49
76775   TC    48.01
76778        102.88
76778   TC    66.46
76805   26    62.51
76805   TC    73.97
76805        119.72
76830   26    33.90
76830         85.16
76830   TC    51.26
76830   51    42.58
76831   26    35.70
76831         86.95
76831   51    43.48
76831   TC    51.26
76856   26    33.90
76856         85.16
76856   TC    51.26
76857   26    18.75
76857   tc    68.91
76857         71.02
76870         82.64
76870   TC     51.26
76870   26     31.38
76872          96.43
76872   TC     62.38
76872   26    112.47
76925   26      0.00
76942   26     32.98
76942   TC     84.62
76942         117.60
76975   TC     51.26
76975          91.28
76977          30.30
76986         146.97
76998   TC    106.49
76998   26     58.43
76999   TC      0.00
76999           0.00
770           719.34
77002          63.87
77002   26     25.26
77003          63.41
77003   26     25.21
77003   TC     37.65
77012         164.30
77052   26      2.69
77055          44.75
77056   TC     46.74
77056   26      0.00
77056          85.63
77057          71.69
77057   TC     40.25
77057   26     31.44
77073   26     13.47
77073   TC     21.46
77073          31.22
77080   TC     83.52
77261          69.66
77261   TC     40.35
77263         156.34
77280   TC    116.60
77280         150.55
77290         294.33
77290   26     75.35
77290   TC    218.98
77295   26     76.67
77295        1160.69
77295   TC    937.01
77299   26     0.00
77299          0.00
77299   TC     0.00
77300   26    30.31
77300         75.54
77300   TC    45.23
77310   TC    78.54
77310        129.64
77315   26    75.35
77315        164.51
77315   TC    89.81
77321        182.41
77321   26    46.38
77326   26    45.31
77331         59.07
77331   26    42.41
77332         71.27
77332   26    26.56
77334   26    59.98
77334        169.23
77334   TC   109.25
77336        100.26
77336   TC    21.94
77370        117.25
77399   TC     0.00
77399          0.00
77399   26     0.00
77401         59.92
77403         59.92
77411         70.21
77412         78.54
77413         78.54
77414         78.54
77416         78.54
77416   TC    37.98
77417         19.91
77427        160.55
77431         91.06
77431   26     0.00
77432        401.15
77470   26   101.32
77470        476.41
77499          0.00
77499   26     0.00
77499   TC     0.00
77761   26   180.79
77789         69.56
77789   TC    36.61
77790         67.76
77790   26    51.10
77790   TC    37.63
77799          0.00
77799   26     0.00
77799   TC     0.00
78000         42.19
78000   26     9.54
78000   TC    32.65
78001         56.73
78001   26    17.88
78003   26    92.01
78006        465.00
78006   26    44.68
78006   TC    80.18
78007        111.41
78007   26    43.07
78007   TC    86.87
78010         80.67
78010   26    26.78
78010   TC    61.55
78015   26    55.95
78070   26    40.39
78099   TC     0.00
78099          0.00
78099   26     0.00
78102   26    38.05
78103        143.76
78104        176.48
78104   TC   137.17
78192   26     0.00
78193   TC     0.00
78195   26    59.14
78199          0.00
78199   26     0.00
78199   TC     0.00
78201   26    34.72
78215        122.81
78215   TC    98.65
78220        149.42
78220   26    35.71
78223   26    55.04
78223   TC   123.29
78223        164.59
78264        177.37
78299          0.00
78299   26     0.00
78299   TC     0.00
78300   26    44.38
78300   TC    83.93
78300        114.56
78305        164.06
78305   26    57.32
78305   TC   123.29
78306        186.07
78306   26    57.16
78306   TC   143.71
78315        211.15
78315   26    50.30
78315   TC   160.85
78320   26    51.70
78350         30.15
78399          0.00
78399   26     0.00
78399   TC     0.00
78445   26    24.16
78445   TC    62.86
78445         87.02
78451          0.00
78452   26    74.47
78452        312.63
78452   TC   351.84
78453        239.11
78454        339.11
78460        122.06
78461        219.80
78461   26    76.62
78461   TC   268.11
78464        291.83
78464   26    56.00
78465        468.94
78465   26    79.56
78465   TC   396.49
78472        234.31
78472   26    48.81
78472   TC   185.50
78473        350.11
78478         83.55
78478   26    30.98
78478   TC    52.57
78480   26    30.98
78480         83.55
78480   TC    52.57
78483        337.86
78483   TC   264.39
78494        295.46
78499          0.00
78499   TC     0.00
78499   26     0.00
78580   26    42.99
78585   26    66.24
78587   26    53.78
78596        300.01
78596   TC   237.93
78599          0.00
78599   26     0.00
78599   TC     0.00
78601        139.22
78601   26    24.91
78601   TC   114.31
78607   26    60.91
78607        281.53
78645   26    28.13
78650        186.07
78699          0.00
78699   26     0.00
78699   TC     0.00
78700        124.57
78700   TC   102.55
78704        169.51
78704   TC   133.09
78707   26    52.31
78707   TC   150.08
78708        209.59
78708   26    59.51
78708   TC   150.08
78710        231.19
78710   26    32.46
78710   TC   198.74
78715   TC    53.22
78725   26    18.59
78725   TC    60.24
78730   26    18.00
78740   26    28.06
78799          0.00
78799   26     0.00
78799   TC     0.00
78802        228.69
78805   26    56.04
78805   TC   130.51
78805         122.65
78806         258.90
78806   26     68.37
78806   TC    216.36
78815        2160.15
78815   26    121.60
78815   TC   2038.27
78816        2160.15
78999           0.00
78999   26      0.00
78999   TC      0.00
790           440.42
79000         175.92
79000   26    130.59
79000   TC     95.58
79005         149.13
79005   26     89.04
79005   TC     87.91
79101         185.31
792           764.94
794           649.04
796           472.00
797           451.31
79999           0.00
79999   TC      0.00
800           370.88
80002          11.56
80003          16.18
80004          15.54
80005          17.52
80006          17.37
80007          18.13
80008          18.75
80009          19.18
80010          19.24
80011          19.56
80012          20.04
80016          23.59
80018          23.64
80031          29.76
80047           0.00
80048          16.09
80048   26      0.00
80048   TC      0.00
80050   26      0.00
80050   TC      0.00
80050          80.22
80051          9.21
80051   26     0.00
80051   TC     0.00
80053         13.88
80053   26     0.00
80053   TC     0.00
80060          0.00
80061         40.84
80061   26     0.00
80069         11.40
80074         62.53
80076         10.73
80076   26     0.00
80076   TC     0.00
80090        127.18
80099          0.00
80100         28.47
80101         29.73
80101   26     0.00
80102          0.00
80104          0.00
80150         33.43
80156         32.22
80158         40.00
80162         29.46
80164         29.79
80168         22.83
80170   26    14.08
80170   tc     9.39
80172         36.13
80178         14.37
80184         24.93
80185         28.92
80186         48.94
80188         37.44
80192         34.56
80198         31.00
802            0.00
80202          0.00
80202   26    11.64
80299         29.26
80438         66.15
80439          0.00
80500         21.16
80500   26     0.00
810          231.80
81000          7.00
81000   26     0.00
81001          6.22
81001   26     0.00
81001   TC     0.00
81002   26     0.00
81002         10.00
81002   TC     0.00
81003         12.61
81003   26     0.00
81003   TC     2.94
81005          4.78
81015          6.73
81025         14.02
81050          6.64
81099         16.39
820          347.70
82009          5.94
82010          0.00
82024         50.71
82040         10.42
82042         11.47
82043         44.67
82044         28.93
82055         24.61
82055   26     0.00
82055   TC     0.00
82075          0.00
82085         22.39
82088         92.02
82103         28.78
82104   26     0.00
82104   TC     0.00
82104          0.00
82105         36.19
82105   26     0.00
82105   TC     0.00
82108          0.00
82128         29.67
82131         23.94
82140   26     0.00
82140   TC     0.00
82140         20.68
82145         21.87
82150         14.37
82150   26     0.00
82150   TC     0.00
82157         41.55
82164        32.37
82172        37.23
82175        42.90
82205        24.93
82247         6.59
82248         6.59
82270         5.58
82272         0.00
82300         0.00
82306        63.97
82310        11.47
82310   26    0.00
82310   TC    0.00
82330        30.22
82330   26   19.57
82340        13.36
82355        16.42
82370         0.00
82374         9.87
82375        27.33
82378        41.85
82380        21.52
82382        38.13
82384        55.27
82390        23.67
82390   26    0.00
82390   TC    0.00
82397        65.83
82435         7.63
82436         0.00
82438        10.93
82465         9.66
82465   26    0.00
82465   TC    0.00
82480        17.37
82486        41.77
82491         0.00
82492        23.71
82507        39.47
82525        27.33
82530        23.72
82533        35.76
82540        10.51
82541         0.00
82550        14.46
82552        29.08
82553   26    0.00
82553        38.34
82565   TC    0.00
82565        11.29
82565   26    0.00
82570        11.47
82575        20.94
82595         9.57
82607   TC    0.00
82607        33.43
82607   26    0.00
82608        32.83
82615         0.00
82626        33.18
82652        84.45
82668        40.08
82670        61.54
82671         0.00
82672        47.01
82679         0.00
82728        30.24
82728   26    0.00
82728   TC    0.00
82746        32.13
82746   26    0.00
82746   TC    0.00
82747        57.15
82784        20.64
82785   26    0.00
82785        36.19
82800        18.76
82803        42.90
82803   26   27.71
82805        58.41
82810        11.46
82820        31.50
82941        38.01
82944         9.55
82945         5.14
82945   26    0.00
82945   TC    0.00
82947         8.71
82947   26    0.00
82947   TC    0.00
82948         6.99
82948   26    0.00
82950        10.54
82951        28.56
82952          8.94
82953          0.00
82961          0.00
82962          7.00
82962   26     0.00
82977         15.58
82977   26     0.00
82977   TC     0.00
82985         33.43
830          278.16
83001         41.23
83002         42.01
83003         36.63
83013         85.50
83015         41.29
83018         28.76
83020         27.07
83020   26     0.00
83021         25.41
83036         16.05
83036   26     0.00
83036   TC     0.00
83050         16.09
83060         10.86
832          417.24
83497         28.56
83498         39.68
83516         15.15
83518          0.00
83519         29.11
83520         28.71
83520   26     0.00
83520   TC     0.00
83525         24.72
83540         10.39
83540   26     0.00
83540   TC     0.00
83550         19.38
83550   26     0.00
83550   TC     0.00
83586         18.17
83605         14.02
83615         13.80
83625         28.09
83655         26.80
83690         15.28
83690   26     0.00
83690   TC     0.00
83700          0.00
83718         18.16
83719         25.80
83721          7.18
83721   59     7.18
83735         14.94
83735   26     0.00
83735   TC     0.00
83825          0.00
83835         24.05
83873         37.86
83873   26     0.00
83873   TC     0.00
83874   26     0.00
83880         49.56
83880   26     0.00
83883         34.23
83885          0.00
83890          8.74
83891          5.26
83892          5.69
83894          8.74
83896          5.69
83898        156.96
83902          9.97
83904         22.01
83912          5.69
83916          0.00
83916   26     0.00
83916   TC     0.00
83921         23.16
83925         27.38
83930         14.65
83935          8.95
83945         28.56
83970         91.53
83986          0.00
840          463.60
84060         16.18
84066         21.69
84075         11.47
84100         10.50
84100   26     0.00
84100   TC     0.00
84105          0.00
84110         11.99
84120         32.05
84132         10.09
84132   26    17.27
84133          9.55
84134         19.15
84134   26    11.73
84144         29.61
84146         42.96
84153         42.40
84154         25.89
84155          8.11
84156          0.00
84157          0.00
84157   26     0.00
84157   TC     0.00
84160         11.47
84165   TC     0.00
84165         24.69
84165   26    24.31
84166          0.00
842          162.26
84207         61.54
84210         14.26
84238         78.19
84244         48.70
84295   26     6.32
84295         10.54
84300         10.78
84305   TC     0.00
84305          0.00
84311          9.83
84392          0.00
844          625.86
84402         36.14
84403   26     0.00
84403         57.25
84425         46.86
84432         79.72
84436         15.25
84436   26     0.00
84436   TC     0.00
84437          7.63
84439         20.16
84439   26     0.00
84443         37.26
84443   26     0.00
84443   TC     0.00
84446         30.52
84449         26.28
84450         11.47
84460         11.59
84466          0.00
84478         12.73
84478   26     0.00
84478   TC     0.00
84479         14.35
84479   26     0.00
84479   TC     0.00
84480         30.52
84481         24.05
84484         12.92
84484   26     0.00
84520          8.76
84520   26     0.00
84520   TC     0.00
84540          0.00
84550          9.60
84560         10.54
84585         34.32
84590         22.72
846          788.12
84630         16.02
84681         46.12
84702         33.37
84703         16.53
84703   26     0.00
84703   TC     0.00
848          927.20
84999         10.35
85002          9.82
85004          0.00
85007          7.63
85007   26     0.00
85008          7.63
85009          8.25
85013          5.25
85014          5.23
85014   26     0.00
85018   26     0.00
85018          5.23
85025         17.10
85025   26     0.00
85025   TC     0.00
85027         14.35
85027   26    0.00
85027   TC    0.00
85032         0.00
85041         6.51
85044         9.55
85045         0.00
85048         5.56
85049         0.00
85060        23.88
85097        92.95
85210        18.43
85220         0.00
85230         0.00
85240         0.00
85244        44.14
85245         0.00
85246         0.00
85250         0.00
85260         0.00
85300        23.80
85302        26.65
85335        26.28
85345         0.00
85362         0.00
85379        13.36
85384         0.00
85390   26   24.31
85441         9.30
85460        17.10
85520        19.11
85549        26.62
85576        45.49
85597         0.00
85610         8.73
85610   26    0.00
85610   TC    0.00
85611         5.18
85613        13.58
85651         7.84
85651   26    0.00
85652         3.83
85652   26    0.00
85660        11.04
85670         3.74
85730        13.30
85730   26    0.00
85730   TC    0.00
85732         14.35
85999         10.35
860          370.88
86003          7.41
86003   26     0.00
86005         11.32
86035   TC     0.00
86038         17.15
86038   26     0.00
86038   TC     0.00
86039         27.67
86039   26     0.00
86039   TC     0.00
86060         16.18
86063         12.82
86068          0.00
86140         11.47
86140   26     0.00
86141          0.00
86147        110.77
86160         27.91
86160   91    27.91
86161         15.76
86162         28.83
86171         10.83
862          579.50
86200          0.00
86225   91    18.04
86225         30.52
86226         63.99
86235         39.04
86235   91    39.04
86255         26.28
86255   26    19.08
86255   TC     0.00
86256         26.65
86256   26    19.02
86256   TC     7.63
86280         18.25
86293         25.54
86304         27.32
86308         11.47
86316         46.36
86317         33.24
86318         42.99
86320         48.99
86329         31.21
86331         26.28
86334         29.33
86340         20.01
86340   26     0.00
86340   TC     0.00
86361          0.00
86376         32.47
864          417.24
86403         23.82
86403   26     0.00
86403   TC     0.00
86430         12.39
86430   26     0.00
86430   TC     0.00
86431         12.39
86431   26    12.39
86480         87.22
86580          8.81
86590         23.86
86592          9.46
86592   TC     0.00
86592   26     0.00
86593          9.78
866          602.68
86606          0.00
86609         13.33
86611         13.36
86617         21.98
86618         45.09
86644         31.80
86645         48.69
86663         32.59
86664         35.79
86665         45.73
86671         73.68
86677         51.51
86682         33.00
86687         11.02
86689         68.07
86689   26     0.00
86689   TC     0.00
86694          0.00
86695         12.44
86695   TC     0.00
86696   TC     0.00
86696         25.41
86698          0.00
86701         19.69
86703         30.45
86704         15.83
86704   26     0.00
86704   TC     0.00
86705          0.00
86705   26     0.00
86705   TC     0.00
86706   26     0.00
86706          0.00
86706   TC     0.00
86707          0.00
86708          0.00
86708   26     0.00
86708   TC     0.00
86709          0.00
86709   26     0.00
86709   TC     0.00
86735         17.13
86762         31.80
86765         18.29
86777         18.90
86778          0.00
86787         41.05
86790          0.00
868          695.40
86800         34.50
86803         19.94
86803   26     0.00
86803   TC     0.00
86804         30.49
86807         56.16
86812         55.27
86817        142.78
86849         30.00
86850         14.50
86850   26     0.00
86870         37.50
86885          8.12
86885   26     0.00
86886         11.47
86890          0.00
86900          6.70
86900   26     0.00
86901         10.50
86901   26     0.00
86920         22.50
86920   26    13.50
86921         30.00
86922         67.50
86923          0.00
86940         18.31
86941         27.96
86999         18.64
870          301.34
87015         12.12
87040         22.92
87040   26     0.00
87045         20.94
87045   26     0.00
87046          3.10
87070         19.09
87070   26     0.00
87070   TC     0.00
87075   26     0.00
87075         20.98
87076          0.00
87077         10.60
87077   26     0.00
87081         14.35
87086         17.10
87086   26     0.00
87086   TC     0.00
87088         11.44
87088   26     6.86
87088   tc     0.00
87101         14.23
87102         16.96
87102   26     0.00
87103         19.68
87106         22.92
87116         23.83
87116   TC     0.00
87116   26     0.00
87147   26     4.44
87147          7.41
87177         16.30
87181          2.77
87184         15.28
87185          0.00
87186         19.17
87186   26     0.00
87187         22.03
872          463.60
87205          9.46
87205   26     0.00
87205   TC     0.00
87206         11.89
87210          9.46
87220          6.06
87230         41.49
873          463.60
87324         15.75
87327         11.83
87328         11.83
87338         13.30
87339         17.18
87340          0.00
87340   26     0.00
87340   TC     0.00
87341          0.00
87350          0.00
87390         23.16
87400         17.18
87430          0.00
87449          0.00
87476   26    50.27
87490          0.00
87491          0.00
87517          0.00
87521          0.00
87522         60.28
87536        160.00
87590          0.00
87591          0.00
87797          0.00
87797   90     0.00
87798          0.00
87798   90     0.00
87801   26     0.00
87801   TC     0.00
87804          0.00
87880          0.00
87899          0.00
87902        338.00
87999          0.00
880          811.30
88099          0.00
88104         46.06
88104   26    29.39
88104   59    46.06
88106         41.80
88106   26    33.88
88107   26    40.11
88107   TC    21.24
88108         48.02
88108   26    29.39
88112   26    61.73
88112   TC    48.15
88141         21.72
88142          0.00
88147         13.87
88148          6.97
88150         11.47
88150   26     0.00
88151   26    17.95
88155         13.27
88155   26     0.00
88160         49.38
88161         48.07
88161   26    26.17
88164   26    13.87
88164          6.79
88164   TC    13.87
88173        110.37
88175          0.00
88180         73.50
88180   26    20.80
88184         43.56
88185         21.27
88188   26     0.00
88188   TC     0.00
88188         73.51
88189   26     0.00
88199          0.00
88199   26     0.00
882          602.68
88233          0.00
88237          0.00
88262          0.00
88264          0.00
88271          0.00
88273          0.00
88275          0.00
88291          0.00
88299         22.00
88300   59    20.37
88300         20.37
88300   26    14.67
88300   TC     8.00
88302         34.72
88302   26    30.79
88304         37.13
88304   26    15.31
88304   76    30.04
88304   TC    25.49
88305   59    85.84
88305   26    65.59
88305         85.84
88305   77    85.84
88305   TC    46.41
88307   26    93.81
88307        148.05
88309        193.90
88309   26   119.38
88311         15.81
88311   26    12.71
88312   26    30.78
88312         64.78
88312   tc    58.20
88313         47.16
88313   26    26.40
88313   tc    48.58
88314         48.13
88314   26    51.90
88319        132.45
88321         76.13
88321   26     0.00
88325        177.03
88329         54.88
88331         77.87
88331   26    62.21
88331   59    76.96
88332         48.99
88332   26    35.62
88342        118.11
88342   26    44.46
88346   26    44.83
88348   26   310.50
88358        180.78
88399          0.00
89050         10.98
89051         11.97
89051   26     0.00
89051   TC     0.00
89055     0.00
89060    15.97
89125     9.60
89190    10.54
902     278.16
904     556.32
90471    13.33
90472    13.33
90515     0.00
906     556.32
90605     0.00
90632    62.94
90658     7.50
90703    12.86
90707    34.93
90713     0.00
90715     0.00
90716    75.00
90732    19.58
90746    48.00
90749     0.00
90780   102.63
90788    20.24
908     463.60
90801   150.00
90802   152.87
90804    61.82
90805    68.12
90806    93.11
90807    99.24
90808   139.09
90809   144.09
90810    66.26
90811    74.52
90812   100.32
90813   105.64
90814   145.82
90815   149.83
90816    62.33
90817    67.98
90818    93.91
90819    98.73
90821   139.78
90823    67.10
90845    86.58
90846    90.36
90847   110.26
90853         30.36
90857         33.64
90862         48.86
90875         44.68
90876         69.50
90887          0.00
90889          0.00
90899          0.00
90901         50.46
90999          0.00
90999   LL     0.00
910          254.98
91010   26   101.89
91110          0.00
91122        267.38
912          347.70
91299          0.00
914          347.70
916          254.98
918          347.70
920          254.98
92002         64.56
92004        117.92
92004   25    49.00
92004   57   117.92
92012         58.53
92012   24    35.69
92012   25    28.46
92012   57    28.47
92014         86.52
92014   24    35.69
92014   25    88.34
92014   57    88.34
92015         44.29
92018        129.28
92018   WA   224.15
92020         24.76
92020   24    15.04
92025         26.31
92060         49.62
92060   22   250.00
92065         31.79
92070         61.61
92081         41.55
92082         54.35
92083         62.48
92100         75.87
92120         64.57
92132         24.08
92133         29.59
92133   26    19.54
92133   TC    10.05
92134   26    26.67
92134         40.04
92134   TC    13.39
92136         78.63
92136   26    28.48
92136   TC    38.10
92140         49.57
922          324.52
92225         21.54
92225   50    32.28
92226         19.34
92226   50    21.00
92230         77.33
92235        127.31
92235   50   190.96
92235   57    63.31
92240        169.86
92250   50   109.98
92250         73.32
92250   25    19.33
92270         82.19
92270   26    41.98
92275        101.45
92280   26    21.39
92283         33.80
92284         84.82
92285         42.77
92285   50    29.68
92286        135.33
92287        103.91
92310         55.12
92311         79.54
92312         85.60
92313         72.60
92314          0.00
92315         48.03
92316         58.25
92317         54.16
92325         12.91
92326         71.77
92340          0.00
92341          0.00
92342          0.00
92354        189.50
92355         92.26
92370         20.69
924          347.70
92499          0.00
92502        127.97
92504         22.90
92506        118.25
92507         56.68
92508         26.87
92511        134.68
92516         45.47
92520         45.35
92526         75.14
92531          7.00
92532          0.00
92533          0.00
92541         47.28
92542         47.45
92543         28.10
92544         37.64
92545         34.89
92546         70.16
92547         38.54
92548        125.32
92550         19.29
92551         17.58
92552         15.01
92552   59    15.01
92553         22.51
92555         12.72
92556         19.57
92556   59    19.57
92557   25   120.80
92557        120.80
92557   32   120.80
92557   52   120.80
92557   59   120.80
92561         24.47
92563         12.72
92565         13.37
92567   52    18.70
92567         18.70
92568         12.72
92570         28.79
92571         13.05
92572           3.10
92577          24.63
92582          24.80
92584          84.68
92585         137.99
92585   26     72.37
92585   59      0.00
92585   TC     65.67
92586          58.44
92586   59     58.44
92587          51.84
92587   26      7.30
92588          69.24
92588   26     19.16
92590          66.50
92591         105.00
92591   25    105.00
92592          66.50
92593         105.00
92595           0.00
92596          20.21
92597          88.16
926           301.34
92603          74.02
92604          49.16
92607         106.09
92608          22.69
92609          52.95
92610          95.33
92611         113.60
92620          38.24
92621           9.06
92626          70.36
92626   59      0.00
92630           0.00
92700           0.00
928           347.70
92960         303.38
92971          92.23
92980        1616.46
92980   WA      0.00
92981         209.64
92982         790.29
92982   51    284.46
92984         210.01
930           347.70
93000          25.25
93000   21    23.49
93000   26     0.00
93000   TC     0.00
93005         15.03
93010         12.00
93010   25    12.00
93015        102.32
93015   26    38.07
93015   TC    64.25
93016         25.68
93016   26    38.07
93017         56.97
93018         29.37
93024        115.39
93040         12.90
93041         10.61
93042          8.56
932          347.70
93224        145.71
93225         41.79
93225   TC     0.00
93226         73.79
93226   TC     0.00
93227         37.43
93268        268.06
93270          0.00
93271        199.62
93272         26.22
93278   26    25.57
93278         56.73
93278   TC    51.36
93306        219.95
93306   26    64.33
93307        176.87
93307   26    54.69
93307   TC   130.12
93308         94.57
93312        237.96
93312   26   109.52
93320         77.36
93320   26    39.34
93320   TC    58.11
93321         45.58
93321   26     9.77
93325   TC    98.42
93325        102.17
93325   26    52.98
93350   TC     59.90
93350         184.36
93350   26    100.28
934           579.50
93503         164.22
93503   59    133.82
93571   26     91.70
936           649.04
93609         418.86
93609   26    353.71
93620         872.13
93620   26    602.06
93621         809.52
93623         300.00
93623   26    145.82
93624         322.89
93624   26    255.80
93641         544.60
93641   WA      0.00
93650        1500.00
93651         829.56
93652         902.13
93660         151.43
93660   26     95.85
93701          38.86
93740           0.00
93798          26.64
93799           0.00
938           324.52
93880         165.29
93880   26     39.42
93880   TC    135.25
93882         117.55
93882   26     20.29
93882   TC     97.26
93922          74.77
93922   26     12.59
93923         119.09
93923   26     29.94
93924         146.43
93925         187.11
93925   26     28.97
93926         132.87
93926   26     19.43
93926   TC    113.44
93930         149.42
93965   TC     88.35
93965         76.06
93965   26    25.32
93970        162.33
93970   26    33.84
93970   TC   128.49
93971        115.13
93971   26    22.32
93971   TC    92.80
93975        266.20
93975   26    89.77
93976   26    55.75
93976        193.01
93976   TC   138.16
940          185.44
94010   26    11.81
94010         28.72
94010   TC    21.05
94060   26    15.52
94060         49.29
94060   TC    34.29
94070        122.05
94150          6.95
942          231.80
94200         18.96
94250         25.68
94250   26     5.65
94375         31.99
94375   26    20.61
944          417.24
94620        104.90
94640         12.13
94660         50.58
94664         15.58
94681        102.47
94750         53.51
94760         12.33
94761         20.08
94762         33.87
94770         61.46
94799          0.00
948          231.80
950          185.44
95000          0.00
95001          0.00
95002          0.00
95004          3.42
95010         16.32
95015          10.42
95024           5.06
95028           8.00
95044           7.02
95070          75.21
95115          12.74
95117          16.66
95144           7.30
95165           8.94
95170           7.59
95199           0.00
952           231.80
95800         183.08
95805         608.34
95805   26     92.86
95805   TC    515.48
95806         167.38
95807         451.08
95807   26    144.93
95808         529.37
95810         696.75
95810   26    182.50
95810   TC    524.56
95811         754.06
95811   26    185.51
95811   TC    568.55
95812         170.68
95812   26     55.81
95812   TC    118.95
95813   TC    143.21
95813         228.62
95813   26     89.96
95816         197.00
95816   26     56.14
95816   TC     89.20
95819         165.00
95819   26     56.14
95819   TC    107.19
95822         187.00
95829        1261.25
95831          21.73
95832          19.16
95833          32.42
95851          18.23
95852          12.77
95857          40.05
95860   WA      0.00
95860   TC    34.00
95860        134.00
95860   26    51.35
95860   52   134.00
95861        250.00
95861   26    80.67
95861   TC    49.62
95863        305.00
95864        164.23
95864   26   103.84
95864   TC    60.40
95867         61.15
95867   26    41.91
95868        250.00
95868   26    64.97
95869        104.00
95870         26.71
95870   26    19.20
95870   59    26.71
95900         58.34
95900   TC    36.29
95900   26    22.05
95900   50    51.79
95900   59    34.53
95903         62.60
95903   26    31.21
95903   59    36.49
95903   TC    31.38
95904         49.46
95904   50    44.49
95904   26    17.76
95904   59    29.66
95904   TC    31.71
95920        156.07
95920   26   112.15
95920   TC    43.96
95925         65.06
95925   26    46.02
95925   TC    30.70
95926   26    28.34
95926         63.29
95926   TC    30.70
95930   26    22.61
95930         60.15
95930   TC    84.46
95933         56.95
95934         34.88
95934   26    26.83
95934   50    69.76
95934   TC     7.17
95936         36.20
95937         44.84
95937   26    33.41
95950        293.18
95950   26    78.85
95951   26   311.41
95951        910.72
95956        586.12
95957        160.74
95957   26   102.96
95957   TC    57.78
95961        201.38
95961   26   157.46
95971   58    43.33
95972         98.54
95972   51    49.27
95972   58     0.00
95999          0.00
96101         83.93
96102         38.62
96103         26.51
96105         60.67
96110          8.99
96111        135.56
96116         95.42
96118   59   125.00
96118        125.00
96119        125.00
96119   59   125.00
96120         65.15
96360         50.42
96365         56.17
96366         18.84
96372         18.62
96374         17.69
96375         20.20
96376          0.00
96379          0.00
96415         33.13
96549         35.00
96900         16.01
96912         44.60
96920        295.50
97001         69.61
97002   59   36.78
97002        36.78
97002   25   36.78
97003        73.86
97004        42.34
97010         8.33
97012        14.07
97014        11.71
97014   52    0.00
97016        13.21
97018         9.46
97022        13.70
97024         8.40
97026         4.31
97032        14.87
97033        19.17
97034        13.23
97035        11.59
97036        21.40
97039        13.67
97065   51   15.85
97110        26.58
97110   59   26.58
97112   59   17.59
97112        26.92
97113        30.13
97116        23.09
97124        20.75
97124   59   13.98
97139        14.61
97140        24.87
97140   59   24.87
97150        16.28
97530        27.20
97530   59   27.20
97532        30.00
97533        24.43
97535        27.90
97537        25.79
97542        27.94
97545         0.00
97546         0.00
97597        44.34
97601        35.47
97602         0.00
97605        31.70
97605   51   15.85
97606         37.69
97701          8.61
97750   59    26.92
97750         26.92
97755          0.00
97760         28.49
97761         26.41
97762         32.31
97799          0.00
97802         15.53
97803         22.91
97804          6.37
98925         27.75
98926         38.31
98928         58.95
98940         24.81
98941         34.39
98942         44.88
98943          0.00
98960          0.00
99000          3.00
99001          0.00
99002          0.00
99024   25     0.00
99024          0.00
99024   55     0.00
99050          0.00
99056          0.00
99058          0.00
99070          0.00
99071          0.00
99078          0.00
99080         15.00
99082          0.84
99090          0.00
99100          0.00
99116         13.68
99135   25     0.00
99140          0.00
99143          0.00
99144          0.00
99149          0.00
99183        244.89
99183   59   244.89
99195         14.70
99199          0.00
99201   25    33.55
99201           33.46
99202    25     40.47
99202           59.62
99203    25     60.07
99203           88.53
99203    57     60.07
99204          125.91
99204    25     83.99
99205          160.72
99205    25    113.31
99205    57    160.72
99211           19.26
99211    25     11.75
99212           34.77
99212    24     34.77
99212    25     23.49
99212    55     34.77
99212    57     23.49
99212    80      6.95
99213    57     37.00
99213           48.53
99213    24     48.53
99213    25     37.00
99214    80     15.23
99214           76.19
99214    24     76.19
99214    25     76.19
99214    59     76.19
99215          125.00
99215    24    125.00
99215    25    125.00
99215    57     76.72
99217           63.39
99218           62.78
99219          104.99
99220    25    148.68
99221           63.44
99222          105.65
99223    25    125.05
99223          147.51
99223   2558   125.05
99223    57    125.05
99231           31.73
99231    24     31.73
99232           52.30
99232    57     52.30
99232    58     52.30
99233           74.31
99233    57     74.31
99234          130.30
99235          171.98
99236          190.86
99238           66.22
99238   2558    66.22
99239           90.47
99241           45.93
99241    25     39.67
99242           84.20
99242    25     79.31
99242    57     63.29
99243          111.53
99243    25     82.36
99243    57     82.36
99244    57    116.18
99244          158.65
99244    25    116.18
99245          205.52
99245    57    156.31
99251    24     41.17
99251           41.17
99252           67.18
99253           91.89
99254          132.96
99255          182.84
99281           19.50
99282           30.00
99282    25     30.00
99283           57.98
99284           90.34
99284    25     90.34
99285          141.35
99291          228.13
99292          102.40
99305          112.19
99306            0.00
99307           28.06
99308           54.85
99315           55.91
99341           54.34
99343          118.29
99344          153.58
99345          190.39
99347           41.75
99348           71.04
99349        110.52
99350        160.77
99351         41.29
99354         93.48
99363          0.00
99385          0.00
99386         88.08
99394         38.00
99395        103.57
99396          0.00
99401         26.45
99404          0.00
99406         12.45
99407         23.59
99412         11.93
99420          0.00
99429          0.00
99455          0.00
99456          0.00
99499          0.00
99500          0.00
99509          0.00
99600          0.00
99601          0.00
99999   99   244.00
A4206          0.22
A4207          0.22
A4209          0.22
A4210          0.00
A4211          0.00
A4212          0.00
A4215          0.89
A4216          0.45
A4221         22.64
A4222         46.73
A4230          0.00
A4232          2.54
A4245          0.00
A4247          0.00
A4250          0.00
A4253         31.22
A4258         18.05
A4259         10.95
A4262          0.00
A4263          0.00
A4263   E2     0.00
A4263   E4     0.00
A4265   15.00
A4300    0.00
A4305    0.00
A4306    0.00
A4310    7.72
A4332    0.12
A4335    0.00
A4351    3.75
A4357    8.25
A4358    2.70
A4362    2.94
A4364    2.93
A4371    3.83
A4385    5.10
A4402    1.39
A4406    5.74
A4407    8.76
A4409    6.53
A4410    9.04
A4414    4.93
A4420    0.00
A4425    3.76
A4450    0.11
A4455    1.22
A4456    0.22
A4495    0.00
A4510    0.00
A4520    0.00
A4550    0.00
A4554    0.00
A4556   12.14
A4557   17.94
A4562   47.78
A4565    9.93
A4570    0.00
A4580   33.20
A4590   33.20
A4595   28.81
A4604   60.40
A4616    0.00
A4624    2.24
A4630    5.31
A4636    2.00
A4637    2.25
A4641    0.00
A4647    0.00
A4649    0.00
A4660    57.20
A4663     0.00
A4670     0.00
A4772    31.22
A4927     0.20
A5054     1.79
A5061     3.52
A5062     2.22
A5063     2.70
A5105    38.24
A5120     0.24
A5500    59.36
A5501   178.04
A5503    26.40
A5504    26.40
A5505    26.40
A5506    26.40
A5512    29.06
A5513    43.37
A6025     0.00
A6154    14.38
A6204     6.53
A6206     1.79
A6210    16.38
A6217     0.00
A6222     2.13
A6223     2.42
A6242     6.07
A6248    16.24
A6250     0.00
A6251     1.99
A6257     1.53
A6258     4.52
A6259    10.94
A6260     0.00
A6402     0.12
A6446     0.37
A6450     0.00
A6454     0.81
A6530     0.00
A6533     0.00
A6534     0.00
A6549     0.00
A6550    24.80
A7000     8.62
A7003     2.60
A7027   195.85
A7028         52.02
A7029         21.25
A7030   NU   188.66
A7031   NU    69.77
A7032         40.53
A7033         25.71
A7034        120.11
A7034   NU   120.11
A7035   NU    37.29
A7036   NU    15.96
A7037         41.20
A7037   NU    41.20
A7038   NU     5.39
A7039   NU    13.09
A7044        109.31
A7046   NU    19.51
A9150          0.00
A9270          0.00
A9279          0.00
A9281          0.00
A9300          0.00
A9500          0.00
A9502          0.00
A9503          0.00
A9505          0.00
A9516          0.00
A9517          0.00
A9530          0.00
A9537          0.00
A9552          0.00
A9561          0.00
A9569          0.00
A9579          0.00
A9900          0.00
A9901          0.00
A9999          0.00
C1300        461.10
C1713          0.00
C1762          0.00
C1769          0.00
C1776          0.00
c1780        350.00
C1781          0.00
C1783          0.00
C1874          0.00
C1876          0.00
C1894          0.00
C2625     0.00
C9257     0.00
D0120    26.37
D0123   358.00
D0140    30.32
D0150    52.74
D0160     0.00
D0180     0.00
D0210    59.23
D0220     9.23
D0230     6.59
D0240    15.82
D0270     9.23
D0272    26.37
D0274    17.00
D0277     0.00
D0290    39.55
D0310    98.88
D0320   131.84
D0321    79.10
D0330    45.62
D0340    48.78
D0470    46.14
D0999     0.00
D1110    36.91
D1120    26.37
D1204    13.18
D1206     0.00
D1330    11.87
D1351    19.78
D1520   164.80
D2140    56.69
D2150    79.10
D2160    85.70
D2161    92.29
D2330    56.16
D2331    78.58
D2332   100.29
D2335   123.41
D2391     0.00
D2392   134.28
D2393   135.76
D2394     0.00
D2520     0.00
D2620     0.00
D2630     0.00
D2642     0.00
D2643     0.00
D2644     0.00
D2740     0.00
D2750   259.56
D2751   553.73
D2752   259.56
D2790   259.56
D2791   527.36
D2792     0.00
D2920    32.43
D2930   118.66
D2931   131.84
D2940    32.96
D2950    72.51
D2951    18.46
D2952   143.18
D2954    97.04
D2960   115.49
D2961   161.63
D2962   276.86
D2980    69.34
D3110    27.68
D3120    15.82
D3220    59.33
D3221   138.43
D3310   252.08
D3320   336.19
D3330   448.00
D3346   276.86
D3347   369.15
D3348   461.44
D3410   207.78
D4210   203.04
D4211    39.55
D4240   304.00
D4241   277.25
D4249     0.00
D4260   364.14
D4341    79.10
D4342    38.00
D4355     0.00
D4381     0.00
D4910    57.68
D4999     0.00
D5110   527.36
D5120   527.36
D5130   593.28
D5140        593.28
D5211        436.38
D5212        436.38
D5213        738.30
D5214        738.30
D5225          0.00
D5226        131.84
D5261        404.70
D5281        131.84
D5310         28.50
D5311         54.15
D5410         19.78
D5411         19.78
D5421         19.78
D5422         19.78
D5510         53.26
D5520         35.15
D5610         66.70
D5620          0.00
D5630        111.01
D5640         69.34
D5650         91.23
D5660        131.84
D5710        249.44
D5711        249.44
D5721        249.44
D5730         57.68
D5731         57.68
D5740          0.00
D5741          0.00
D5750        167.70
D5751        167.70
D5760        154.78
D5761        154.78
D5810        231.00
D5811        205.00
D5820        101.02
D5821        335.70
D5850         45.62
D5851         45.62
D5860        397.10
D5860   3      0.00
D5862          0.00
D5875          0.00
D5899        511.28
D5915       2053.54
D5931       1205.55
D5932   2590.13
D5982    490.98
D5988      0.00
D5999      0.00
D6010   1200.00
D6053      0.00
D6055      0.00
D6056      0.00
D6066      0.00
D6078      0.00
D6080      0.00
D6210      0.00
D6211    329.60
D6240    259.56
D6241    448.26
D6242    259.56
D6245      0.00
D6250      0.00
D6251    369.15
D6545    369.15
D6548      0.00
D6740      0.00
D6750    259.56
D6751    527.36
D6752    259.56
D6790      0.00
D6791    395.52
D6930     64.61
D6950      0.00
D6972     97.04
D6973    129.17
D6999      0.00
D7111     64.96
D7140     52.74
D7210     98.88
D7220     98.88
D7230    131.84
D7240    177.98
D7241    197.76
D7250     72.51
D7260    357.28
D7280     55.10
D7285    129.96
D7286     54.35
D7310    152.65
D7311      0.00
D7320     57.68
D7321     75.60
D7340     77.90
D7410    157.52
D7450    249.44
D7451    498.62
D7461   1340.82
D7465     39.06
D7471    200.00
D7472    295.58
D7473    241.70
D7485      0.00
D7510     58.39
D7530    132.32
D7550     81.91
D7740    425.83
D7840    701.10
D7850    779.00
D7858      0.00
D7860   1977.60
D7880    553.73
D7912    284.05
D7920      0.00
D7940   3164.16
D7944   1197.00
D7945   1197.00
D7946    957.60
D7947   1197.00
D7948   1437.35
D7950   1558.00
D7953      0.00
D7960     90.52
D7963      0.00
D7970    158.21
D7971    114.14
D7991      0.00
D7999      0.00
D8090      0.00
D8210    421.89
D8651     92.29
D9110     26.37
D9120      0.00
D9215      6.59
D9217      4.75
D9220    161.63
D9221     46.14
D9230     18.05
D9248      0.00
D9310         39.55
D9430         14.50
D9610          0.00
D9630          0.00
D9910          0.00
D9920          0.00
D9930          0.00
D9940        131.84
D9950        115.49
D9951         13.18
D9999          0.00
DRG            0.00
DRG35   9      0.00
DRG39   7      0.00
DRG54   4      0.00
E0100         18.50
E0105         38.50
E0110         97.98
E0111   NU    53.26
E0112         36.00
E0114         43.00
E0116         21.50
E0118          0.00
E0130         56.89
E0135         61.56
E0140         70.00
E0141         70.00
E0141   LL    12.00
E0143        115.89
E0144        303.75
E0147   RR    52.02
E0147        387.12
E0147   LL    38.72
E0148        121.55
E0149   NU   213.53
E0154         75.71
E0155         19.40
E0156         26.43
E0158         32.86
E0159         17.87
E0163         76.00
E0165        106.00
E0168        144.38
E0176        101.24
E0177        101.24
E0178        101.24
E0179          9.97
E0181         300.00
E0185         306.01
E0186           0.00
E0188          18.00
E0188   NU     26.43
E0189          51.96
E0191           2.50
E0191   LL      2.50
E0192         351.06
E0193           0.00
E0196           0.00
E0197         179.65
E0215          48.00
E0217   NU    496.47
E0218   NU      0.00
E0218           0.00
E0235         110.00
E0240           0.00
E0240   LL      0.00
E0241          25.00
E0242          75.00
E0243          15.00
E0244          50.00
E0244   NU     50.00
E0245          25.00
E0246          20.00
E0247           0.00
E0248           0.00
E0249          84.66
E0255   LL     79.50
E0255         795.00
E0256           0.00
E0260   LL    110.00
E0260        1100.00
E0261           0.00
E0261   LL    130.62
E0265        1100.00
E0266        1000.00
E0270           0.00
E0271         100.00
E0272         100.00
E0274          95.00
E0277           0.00
E0291           0.00
E0292           0.00
E0303   RR    275.10
E0305   LL     10.00
E0305         100.00
E0310         125.50
E0315           0.00
E0425   LL     20.90
E0430           0.00
E0431   RR     31.42
E0431           0.00
E0443          18.20
E0444          18.20
E0470           0.00
E0555          26.00
E0561   NU    107.00
E0562   NU    307.55
E0562   RR     30.11
E0570         188.76
E0574           0.00
E0575         672.00
E0600           0.00
E0601   NU    900.00
E0601   RR    111.71
E0607         200.00
E0620         874.39
E0621          74.00
E0625         580.00
E0627         315.44
E0628         315.44
E0630         620.00
E0635           0.00
E0636           0.00
E0637        2104.97
E0650         720.22
E0650   RR     88.87
E0651         802.29
E0652   NU   5056.67
E0652   RR    523.95
E0660         150.90
E0667         295.17
E0668         421.48
E0673   NU    268.17
E0675   RR    384.55
E0705   NU     57.88
E0710           0.00
E0720         375.00
E0720   LL     62.50
E0730         331.66
E0730   LL     75.00
E0730   NU    347.71
E0740           4.29
E0745           0.00
E0745   LL    101.00
E0747   LL    327.72
E0747        3364.35
E0748        3342.55
E0748   NU   3577.94
E0770           0.00
E0776          72.39
E0776   LL     15.85
E0781   LL    252.64
E0781   NU   2526.40
E0782   LL    394.84
E0782   NU   4180.54
E0784           0.00
E0784   NU      0.00
E0791   LL    301.60
E0840          58.00
E0840   LL      5.80
E0850          55.00
E0855   NU    502.63
E0860          45.00
E0870          45.00
E0910         125.00
E0910   LL     12.50
E0935   LL     18.43
E0935   NU      0.00
E0935   RR     22.73
E0936           0.00
E0940         175.00
E0942          30.00
E0944          25.00
E0944   LL      2.50
E0945   LL      3.60
E0945          35.94
E0946           0.00
E0947         578.46
E0950          99.15
E0951          17.18
E0951   NU     17.97
E0952   NU     17.04
E0955         202.18
E0955   NU    202.18
E0956   NU      0.00
E0956          98.58
E0959          50.00
E0960          90.98
E0961          20.00
E0967          77.00
E0970          27.00
E0971          47.00
E0973          99.77
E0973   NU     99.77
E0974          50.00
E0978          29.00
E0981           0.00
E0981   NU     42.71
E0982          43.80
E0986   NU   4864.24
E0990          41.00
E0992          54.00
E0994          16.82
E0995          36.00
E1002        4113.02
E1004        4869.05
E1005         133.35
E1007   NU   8741.27
E1007        8741.27
E1008        8742.05
E1010        1143.79
E1015   NU    114.70
E1016         134.07
E1020   NU    255.58
E1028         206.54
E1028   NU    206.54
E1050         600.00
E1060         717.00
E1060   LL     71.70
E1086           0.00
E1087   LL    120.67
E1088           0.00
E1088   LL    143.81
E1089           0.00
E1090           0.00
E1090   LL    129.88
E1092         660.00
E1093         585.00
E1130         400.00
E1130   LL     40.00
E1140         475.00
E1150         550.00
E1160         465.00
E1172         450.00
E1220           0.00
E1220   LL      0.00
E1223         475.00
E1223   LL     47.50
E1224         550.00
E1226   NU    545.65
E1226   RR     56.16
E1228           0.00
E1230        2163.83
E1230   LL    160.00
E1234   NU   1928.95
E1240         660.00
E1240   LL     66.00
E1260         585.00
E1260   LL     58.50
E1280         660.00
E1285   LL     50.00
E1296         468.97
E1297          88.92
E1298         404.09
E1300           0.00
E1390           0.00
E1390   RR    198.45
E1399           0.00
E1399   NU      0.00
E1399   LL      0.00
E1630           0.00
E1820          81.74
E2100         643.19
E2201         373.10
E2203         503.00
E2205          32.67
E2206          40.68
E2207   NU     43.35
E2210   NU      6.55
E2211   NU     40.91
E2212   NU      5.88
E2213          30.41
E2213   NU     30.41
E2214           0.00
E2215   NU     10.08
E2218   NU      0.00
E2219   NU     41.85
E2220   NU     29.95
E2221   NU     25.55
E2300           0.00
E2300   NU      0.00
E2301   NU      0.00
E2310        1170.24
E2310   NU   1170.24
E2311        2369.20
E2311   NU   2369.20
E2313         336.27
E2313   NU      0.00
E2321        2342.55
E2323          69.16
E2323   NU     69.16
E2330   NU   3093.89
E2331           0.00
E2360         112.34
E2361         142.40
E2363         189.91
E2363   NU    189.91
E2365         114.53
E2366   NU    244.08
E2367   NU    379.27
E2370        8052.84
E2371   NU    136.42
E2373         738.13
E2374           0.00
E2375   NU    856.56
E2376         378.89
E2377         485.71
E2377   NU    485.71
E2381          68.94
E2383         137.45
E2384   NU     80.91
E2385   NU     49.50
E2386   NU    150.51
E2387   NU     67.49
E2391   NU     20.50
E2392           0.00
E2394          69.46
E2395          57.28
E2402        1551.85
E2510        7106.66
E2512           0.00
E2599           0.00
E2601          88.65
E2603         223.04
E2604         188.41
E2605         321.69
E2606   NU    419.93
E2607         295.60
E2609   NU      0.00
E2611        312.35
E2613        393.04
E2613   NU   393.04
E2614        492.26
E2614   NU   492.26
E2615   NU   452.32
E2619         51.32
E2620        547.70
E2620   NU   547.70
E2622        299.68
E2624        302.14
G0008          0.00
G0101         34.39
g0103          0.00
G0108         27.35
G0109         15.88
G0151          0.00
G0152          0.00
G0154          0.00
G0156          0.00
G0180         46.44
G0204        152.12
G0206         45.44
G0268         20.84
G0275         13.23
G0283         10.57
G0289   80    17.19
G0289         85.93
G0290          0.00
G0291          0.00
G0378          0.00
G0399          0.00
G0431         94.05
H0001          0.00
H0004          0.00
H0031          0.00
H0032          0.00
IP100   DG     0.00
IP200   DG     0.00
J0150         34.80
J0152         66.56
J0280          5.00
J0330          3.28
J0461          0.02
J0583          2.88
J0585          4.62
J0640         27.00
J0670         1.85
J0690         5.00
J0696        15.84
J0698        14.39
J0702         4.45
J0702   50    6.67
J0713         3.74
J0730         5.00
J0744         3.79
J0780        10.22
J0800        83.15
J0945         5.00
J1000         1.70
J1020         2.40
J1030         6.11
J1040         7.40
J1040   50   11.10
J1051         5.48
J1055        53.54
J1070         4.43
J1094         0.25
J1100         5.41
J1200         5.00
J1245        30.00
J1250         6.71
J1260        13.85
J1335        28.65
J1410        55.04
J1580         5.00
J1626         7.09
J1642         0.00
J1644         9.25
J1645        14.04
J1650         6.11
J1652         7.40
J1750        12.52
J1790         3.45
J1840         5.00
J1885        10.57
J1940         5.00
J1960         3.37
J2001         0.17
J2010         6.13
J2060        15.20
J2150         1.02
J2175         3.00
J2180         4.02
J2250     2.54
J2270     0.75
J2275     4.39
J2300     2.43
J2360     4.85
J2405     8.05
J2510     8.58
J2543     5.13
J2550     4.00
J2560     2.40
J2765     2.37
J2778   405.63
J2780     1.99
J2785     0.00
J2795     0.06
J2805     0.00
J2912     7.75
J2920     3.45
J2930     9.25
J3010     2.79
J3070     4.67
J3300     3.21
J3301     6.26
J3302     8.81
J3303     2.48
J3360     1.65
J3370     5.00
J3396     9.90
J3410     1.08
J3420     7.00
J3480     0.00
J3490     0.00
J3590     0.00
J7030    10.00
J7040    10.00
J7042     8.45
J7050    10.00
J7060    10.00
J7070    10.00
J7120    10.51
J7321   132.69
J7325    11.95
J7620     0.00
J9000   200.00
J9035    57.08
J9040   200.00
J9060     4.96
J9190          25.00
J9208         134.55
J9209          31.45
J9217         500.58
J9260         200.00
J9280         200.00
J9293         321.52
J9305          58.74
J9310         611.03
J9360         200.00
J9999         200.00
K0001   LL     52.10
K0001           0.00
K0004           0.00
K0004   LL    127.47
K0005        1763.39
K0006           0.00
K0006   LL      0.00
K0007   LL    169.55
K0007           0.00
K0009           0.00
K0010           0.00
K0011           0.00
K0011   RR    512.28
K0012           0.00
K0014           0.00
K0014   NU      0.00
K0017          46.20
K0019          16.42
K0020          46.46
K0037          43.58
K0038          23.14
K0038   NU     23.14
K0040          76.24
K0040   NU     76.24
K0041          55.57
K0042          34.74
K0043          19.53
K0044          16.64
K0045          51.19
K0052          92.44
K0053          92.32
K0056          95.10
K0065   NU     44.46
K0069          95.30
K0070         183.16
K0072          62.72
K0077          61.73
K0081          38.80
K0108           0.00
k0108   NU      0.00
K0114         723.19
K0116        1730.82
K0195           0.00
K0552           2.65
K0656         136.24
K0669           0.00
K0739          13.41
K0800   NU   1292.77
K0800        1292.77
K0801   NU   2084.22
k0806   NU   1563.91
K0807        2147.61
K0808   NU   3671.60
K0816   RR    336.74
K0822           0.00
K0823           0.00
K0825   NU      0.00
K0850           0.00
K0851   NU      0.00
K0855           0.00
K0856           0.00
K0856   NU      0.00
K0856   RR    567.23
K0858           0.00
K0860   NU      0.00
K0861           0.00
K0861   NU      0.00
K0862           0.00
K0868   NU      0.00
K0868           0.00
K0877           0.00
K0879           0.00
K0884           0.00
KO577           0.00
L0120          24.24
L0140          49.18
L0150          81.35
L0160         157.19
L0172         106.09
L0174         206.79
L0180         309.85
L0190         401.24
L0460         829.51
L0462   1136.56
L0464   1353.07
L0486   1473.83
L0621     75.19
L0625     44.59
L0627    394.25
L0628     72.72
L0631      0.00
L0633    275.03
L0637   1025.56
L0638   1264.72
L0972    100.08
L0974    151.29
L0980     17.53
L1040     66.76
L1200   1356.46
L1220    190.61
L1499      0.00
L1620    100.86
L1652    341.82
L1660    171.76
L1680   1084.26
L1686    686.66
L1810     80.52
L1820    108.30
L1830     65.85
L1832    457.65
L1840    850.47
L1843    726.19
L1844   1256.23
L1845    705.06
L1846    870.73
L1850    250.55
L1860    823.25
L1885    775.35
L1902     80.12
L1904    353.98
L1906     90.53
L1907    455.42
L1910    337.57
L1920    272.48
L1930    247.55
L1932    855.68
L1940    381.17
L1945    696.82
L1950    562.61
L1951    728.08
L1960    417.24
L1970    535.64
L1971    449.46
L1990    335.54
L2005   3930.31
L2020    878.96
L2035   1257.93
L2036   1467.53
L2037   1253.79
L2106    629.90
L2108    875.12
L2114    493.59
L2116    591.33
L2180    117.53
L2182     86.36
L2184    112.20
L2188    263.70
L2200     50.00
L2210     50.60
L2220     65.76
L2230     60.78
L2232     87.95
L2240     62.95
L2250    267.48
L2260    155.72
L2265    118.20
L2270     40.43
L2275     98.35
L2280    340.86
L2320    168.96
L2330    313.27
L2335    171.01
L2340    417.19
L2350    714.74
L2360     51.93
L2370    220.91
L2375    127.42
L2385    130.17
L2390     82.40
L2395    157.03
L2397     88.23
L2405     70.57
L2415    131.29
L2425    127.75
L2430    116.00
L2492     96.37
L2495     39.24
L2500         276.91
L2510         847.09
L2525         917.60
L2526         552.29
L2530         178.32
L2540         338.52
L2550         216.19
L2620         235.51
L2624         267.65
L2627        1290.44
L2628        1287.64
L2630         220.41
L2640         289.77
L2650         108.83
L2680         160.36
L2750          82.73
L2755         105.77
L2768         118.48
L2780          50.94
L2785          23.86
L2795          73.71
L2800          80.29
L2810          65.45
L2820          65.37
L2830          70.72
L2840          43.85
L2850          50.15
L2999           0.00
L3000         247.83
L3001         104.34
L3002         127.44
L3003         137.45
L3010         137.45
L3020   59    156.52
L3020         156.52
L3030          60.20
L3031           0.00
L3040          37.12
L3050          37.12
L3060          58.19
L3070          25.09
L3080          25.09
L3100          25.09
L3150          32.90
L3170          40.14
L3215           0.00
L3216         137.32
L3217   106.93
L3219     0.00
L3221   175.59
L3222   129.75
L3224    44.26
L3225    58.37
L3230   309.05
L3250     0.00
L3251   324.17
L3252   210.71
L3253   100.18
L3260     0.00
L3265     0.00
L3300    31.17
L3310    65.87
L3320   109.64
L3332    59.69
L3334    31.17
L3350     5.20
L3360     5.20
L3370    40.13
L3390    39.13
L3400    12.69
L3410    12.69
L3420     5.20
L3430   145.88
L3450    83.27
L3455    32.11
L3460     7.50
L3465    17.31
L3480    49.16
L3485    21.39
L3500    37.00
L3510    23.08
L3530    25.09
L3540    25.00
L3580    12.06
L3595    33.11
L3600    19.04
L3610    51.20
L3620    19.04
L3630    50.62
L3640    51.94
L3649     0.00
L3650    49.05
L3720   558.89
L3760   368.36
L3806    358.40
L3807    197.29
L3808    276.85
L3900    962.85
L3906    291.06
L3908     44.14
L3912     91.82
L3925     42.38
L3956      0.00
L3962    566.12
L3980    288.52
L3982    444.32
L3984    266.21
L3995     31.42
L3999      0.00
L4030    495.73
L4045    246.93
L4080     76.14
L4090     86.01
L4110     70.64
L4205      0.00
L4210      0.00
L4350     69.19
L4360    208.43
L4386    128.33
L4392     19.06
L4396    145.51
L5000    761.69
L5010   1226.75
L5020   2475.48
L5050   2319.92
L5060   2945.38
L5100   2279.69
L5105   2786.00
L5150   3320.85
L5160   3493.94
L5200   3036.50
L5210   2940.00
L5230   3342.16
L5250   4524.65
L5280   4680.07
L5301   2211.76
L5321   3085.71
L5331   5224.82
L5450    435.64
L5500   1150.85
L5505   1859.84
L5510   1368.21
L5530   1589.14
L5540   1707.18
L5560   2053.17
L5570   2027.15
L5580   2263.47
L5585   2270.92
L5590   2221.93
L5611   1292.11
L5613   1990.24
L5614   1368.38
L5616   1452.27
L5617    510.30
L5618    444.32
L5620    444.32
L5622    444.32
L5624    585.00
L5626    585.00
L5628    585.00
L5629    339.82
L5630    414.83
L5631    469.82
L5632    178.07
L5634    249.07
L5636    204.34
L5637    308.91
L5642    512.45
L5643   1342.49
L5644    565.08
L5645    641.18
L5646    570.38
L5647    637.93
L5648    622.16
L5649   1948.55
L5650    459.41
L5651   1284.13
L5652    407.91
L5653    477.78
L5654    316.15
L5655    245.95
L5656    304.83
L5658    291.59
L5661    488.03
L5665    438.85
L5666     74.85
L5668    107.98
L5670    290.15
L5671    461.09
L5672    239.14
L5673    587.53
L5676    378.48
L5677    527.22
L5678     42.46
L5679    489.59
L5680    261.77
L5681   1066.68
L5682    511.72
L5683   1089.08
L5684     43.16
L5685    123.06
L5686     43.33
L5688     61.59
L5690     86.53
L5692    142.08
L5694    193.98
L5695    174.38
L5696    178.02
L5697     64.38
L5698     95.98
L5700   2297.57
L5701   2759.22
L5702   3490.83
L5704    429.83
L5705    768.01
L5706    752.87
L5707   1116.35
L5711    434.79
L5712    455.65
L5714    472.50
L5722    729.78
L5724   1614.00
L5728   1987.29
L5781   3244.65
L5782   3420.58
L5785    464.55
L5790    768.85
L5795   1148.09
L5810    431.09
L5811    638.58
L5812    483.22
L5814   3011.66
L5816    777.29
L5818    779.37
L5822   1365.67
L5824    1465.07
L5826    2532.42
L5828    2264.70
L5830    1670.18
L5840    2813.48
L5845    1453.47
L5848     871.99
L5850     136.79
L5855     275.65
L5856   23097.62
L5910     387.27
L5920     567.35
L5925     359.29
L5930    2729.48
L5940     536.37
L5950     831.92
L5960    1030.84
L5962     508.76
L5964     751.06
L5968    3314.34
L5970     182.54
L5971     205.10
L5972     343.61
L5973   15676.01
L5974     212.57
L5975     375.95
L5976     486.81
L5978     272.93
L5979    1829.90
L5980    3145.13
L5981    2401.93
L5982     564.00
L5984     539.18
L5985     228.98
L5986     536.47
L5987    5833.57
L5988    1619.98
L5990    1471.18
L5999       0.00
L6000    1200.35
L6020    1201.28
L6050    1845.45
L6100    1893.37
L6110    2009.86
L6120    2266.11
L6200    2554.83
L6250    2649.39
L6300   3190.40
L6310   2561.61
L6320   1541.11
L6370   1780.89
L6400   2262.38
L6500   2805.98
L6580   1317.83
L6584   1785.42
L6586   1975.73
L6600    200.57
L6605    198.05
L6611      0.00
L6615    155.70
L6616     66.18
L6620    269.03
L6623    606.96
L6624   3434.89
L6628    413.98
L6629    142.34
L6630    230.45
L6632     52.10
L6635    177.43
L6637    388.86
L6638   2505.96
L6641    156.42
L6645    323.00
L6650    339.16
L6655     74.26
L6660     82.78
L6665     49.25
L6670     51.28
L6672    142.69
L6675    100.06
L6676    105.19
L6680    248.09
L6682    242.91
L6684    279.54
L6686    519.73
L6687    462.58
L6688    546.73
L6689    572.11
L6691    276.83
L6692    570.62
L6693   2302.20
L6694    660.81
L6695    550.65
L6697   1199.72
L6698     518.60
L6703     362.56
L6704     653.14
L6707    1291.40
L6708     932.88
L6721    2145.13
L6805     383.82
L6810     199.46
L6881    3315.24
L6882    2514.77
L6884    2405.70
L6890     147.84
L6895     447.81
L6900    1239.97
L6905    1202.18
L6915     502.05
L6925    6205.50
L6935    6940.42
L6955   10520.58
L6965   15154.66
L7007    4138.41
L7009    4222.48
L7180   32758.24
L7260    3118.11
L7261    3368.10
L7360     193.12
L7364     423.09
L7366     573.95
L7367     315.70
L7368     409.27
L7400       0.00
L7401       0.00
L7403       0.00
L7404       0.00
L7405     662.98
L7499       0.00
L7510       0.00
L7520       0.00
L7600       0.00
L8000      30.09
L8010       0.00
L8030     267.52
L8035    3341.43
L8042    2730.23
L8045    2032.58
L8400      13.47
L8410      18.47
L8415      18.75
L8417      60.97
L8420      16.68
L8430      18.31
L8435      19.34
L8440      35.43
L8460      61.64
L8465      52.16
L8470      13.47
L8480      13.47
L8485       8.92
L8499       0.00
L8500     623.48
L8610     532.01
L8612     514.07
L8614   16189.65
L8615     410.95
L8616      95.71
L8619    7487.15
L8624     146.90
L8629       0.00
L8680     372.49
L8690    4334.46
L8699       0.00
L9900       0.00
M0076       0.00
P3000      15.14
P7001      17.84
P9615       3.00
Q0081       0.00
Q0084      59.07
Q0091      36.28
Q0092       9.12
Q0181       0.00
Q4010       0.00
Q4021       0.00
Q4038       0.00
Q4046      32.12
Q9966       0.00
Q9967       0.00
R0075       0.00
S0020       0.00
S0077       0.00
S0395       0.00
S0512       0.00
S0516       0.00
S0592       0.00
S0810         0.00
S0830         0.00
S8424         0.00
S8450         0.00
S9090         0.00
S9123         0.00
S9124         0.00
S9131         0.00
S9140         0.00
S9455         0.00
S9460         0.00
S9465         0.00
S9470         0.00
S9500         0.00
S9501         0.00
S9502         0.00
T1012         0.00
V0100        57.00
V0120        35.00
V0799        21.50
V1045        21.50
V2020        53.99
V2020   22    0.00
V2025        48.25
V2100        47.50
V2101        44.13
V2102        49.06
V2103        29.19
V2104        34.51
V2105        33.80
V2106        46.45
V2107        43.53
V2108        42.70
V2109        40.95
V2111        46.04
V2112        59.53
V2113        64.07
V2114        72.68
V2115        79.10
V2121        80.96
V2199         0.00
V2200        54.64
V2201        50.01
V2202        56.83
V2203        46.63
V2204        47.46
V2205        49.53
V2206    50.62
V2207    47.16
V2208    52.36
V2209    69.04
V2210    59.19
V2211    59.23
V2212    61.16
V2213    65.35
V2214    67.15
V2215    76.58
V2218   112.81
V2219    65.50
V2220    65.50
V2299     0.00
V2300    62.01
V2301    81.21
V2302    81.60
V2303    58.94
V2304    57.54
V2305    80.28
V2306    85.72
V2307    64.43
V2308    75.39
V2311    85.87
V2312    86.96
V2313    90.83
V2315    95.69
V2318   117.64
V2319    65.50
V2320    65.50
V2399     0.00
V2410    84.84
V2430    98.26
V2499     0.00
V2500    81.49
V2501   132.39
V2510   142.50
V2511   152.60
V2512   210.10
V2513   169.12
V2520   150.00
V2521   154.83
V2522   188.95
V2523   147.59
V2530   244.22
V2531   439.07
V2599     0.00
V2600      0.00
V2610      0.00
V2615      0.00
V2623   1400.00
V2624     64.05
V2625    307.63
V2626    213.33
V2627   1500.00
V2628    302.14
V2629      0.00
V2630    350.00
V2632    350.00
V2700     42.48
V2710     63.78
V2715     10.53
V2718     26.15
V2730     22.55
V2744     17.95
V2745     11.22
V2750     20.41
V2755     28.24
V2756      0.00
V2760     14.53
V2762     48.34
V2780     10.05
V2781      0.00
V2782     52.20
V2783     58.86
V2784     41.01
V2785      0.00
V2786      0.00
V2787      0.00
V2788      0.00
V2790      0.00
V2797      0.00
V2799      0.00
V3610      0.00
V5010      0.00
V5011      0.00
V5014      0.00
V5020      0.00
V5030    465.00
V5040      0.00
V5050    600.00
V5060    600.00
V5090      0.00
V5100      0.00
V5110           0.00
V5130         600.00
V5140        1200.00
V5150           0.00
V5160           0.00
V5170           0.00
V5180         525.00
V5200           0.00
V5210           0.00
V5220         525.00
V5230           0.00
V5240           0.00
V5241           0.00
V5249           0.00
V5251           0.00
V5252           0.00
V5253           0.00
V5254           0.00
V5255           0.00
V5256           0.00
V5257           0.00
V5258           0.00
V5258   50      0.00
V5259           0.00
V5260           0.00
V5261           0.00
V5264           0.00
V5265           0.00
V5266           0.00
V5267           0.00
V5268           0.00
V5269           0.00
V5271           0.00
V5272           0.00
V5273           0.00
V5274           0.00
V5275          40.00
V5298           0.00
V5299           0.00
           DRS Fee Schedule (updated February 2012)
Description
Pacemetry - measurement of the thickness of the cornea
Tda (artificial disc), anterior approach, including diskectomy to prepare interspace;each additional interspace (add-on code - s
Implantation of intrastromal corneal ring segments
Implantation of intrastromal corneal ring segments
Ct heart wo dye; qual calc
Ct heart wo dye; qual calc
external approach
External approach
Anesthesia for procedures on salivary glands, inlcuding biopsy
Fine needle aspiration; without imaging guidance
Fine needle aspiration; without imaging guidance
Fine needle aspiration; with imaging guidance
Fine needle aspiration; with imaging guidance
Incision and drainage of abscess (eg, carbuncle, suppurative *hidradenitis, and other cutaneous or subcutaneous abscesses);
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, and other cutaneous or subcutaneous abscesses);
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscesses);
Incision and removal of foreign body, subcutaneous tissues; *simple
Incision and drainage of hematoma, seroma or fluid collection
Puncture aspiration of abscess, hematoma, bulla, or cyst
Incision and drainage, complex, postoperative wound infection
Incision and drainage, complex, postoperative wound infection
Anesthesia for procedures involving plastic repair of cleft lip.
Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)
Anesthesia for electroconvulsive therapy
Debridement of extensive eczematous or infected skin; *up to 10% of body surface
Debridement including removal of foreign material associated with open fracture(s) and/or dislocation(s); skin and subcutane
Debridement; skin full thickness
Debridement; skin, and subcutaneous tis skin, and subcutaneous tissue
Debridement; skin, and subcutaneous tissue
Debridement; skin, and subcutaneous tissue
Debridement; skin, subcutaneous tissue, and muscle
Debridement; skin, subcutaneous tissue, skin, subcutaneous tissue, and muscle
Debridement; skin, subcutaneous tissue, skin, subcutaneous tissue, muscle, and bone
Debridement; skin, subcutaneous tissue, skin, subcutaneous tissue, muscle, and bone
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion
Paring or cutting of benign hyperkeratotic lesion (eg. com or callus); 2 to 4 lesions
Paring or cutting of benign hyperkeratoic lesion (eg. corn or callus); morethan four lesions
Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed single lesion
Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed (separate
Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior illiac crest.
Anesthesia for procedures on bony pelvis
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
Anesthesia for body cast application or revision
Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm
Anesthesia for interpelviabdominal (hind quarter) amputation
Excision, benign lesion, including margin, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 c
Excision, benigh lesion, including margin, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 c
Excised diameter, diameter 0.6 to 1.0 cm
Excised diameter 0.6 to 1.0 cm
Excised diameter 1.1 to 2.0 cm
Excised diameter 1.1 to 2.0 cm
Excised diameter 1.1 to 2.0 c.m
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk arms or legs; excised diameter 2.1 to
Excised diameter 2.1 to 3.0 cm
Excised diameter 2.1 to 3.0 cm
Excision, benign lesion including margins, except skin tag(unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to
Excised diameter 3.1 to 4.0 cm
Excised diamter over 4.0
Excised diameter over 4.0 cm
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised
Excised diamter 0.6 to 1.0c
Excised diameter 1.1 to 2.0 cm
Excised diameter 2.1 to 3.0
Excised diameter over 4.0cm
Excised dia. 0.5cm or less
Excised dia. 0.6 to 1.0cm
Excised diameter 0.6 to 1.0 cm
Excised dia. 1.1 to 2.0cm
Excised diameter 1.1 to 2.0 cm
Excised diameter 2.1 to 3.0 cm
Excised dia. 2.1 to 3.0cm
Excised diameter 3.1 to 4.0 c.m.
Excised dia. 3.1 to 4.0cm
Excised dia. over 4.0 cm
Excised diameter over 4.0 cm
Excision of skin and subcutaneous tissue for hidradenitis, axillary;
Excision of skin and subcutaneous tissue for hidradenitis, axillary;
Excision of skin and subcutaneous tissue for hidradenitis, axillary;
Anesthesia for radical procedures for tumor of pelvis, except hind quarter amputation
Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint
Excised diameter 1.1 to 2.0 cm
Excised diameter 2.1 to 3.0 cm
Excised diameter 3.1 to 4.0 cm
Excised diameter over 4.0 cm
Excised diameter over 4.0 cm
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0
Excised diameter 0.6 to 1.0 cm
Excised diameter 1.1 to 2.0 cm
Excised diameter 1.1 to 2.0 cm
Excised diameter 2.1 to 3.0 cm
Excised diameter 2.1 to 3.0 cm
Excised diameter 3.1 to 4.0 cm
Excised diameter 3.1 to 4.0 cm
Excised diameter over 4.0 cm
Excised diameter over 4.0 cm
Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
Trimming of nondystrophic nails, any number
Debridement of nail(s) by any method(s):
Debridement of nail(s) by any method(s); six or more
Avulsion of nail plate, partial or complete, simple; single
Excision of nail and nail matrix, partial or complete, (eg, ingrown or deformed nail) for permanent removal
Excision of nail and nail matrix, partial or complete, (eg, ingrown or defo
Wedge excision of skin of nail fold (eg. for ingrown toenail)
Excision of pilonidal cyst or sinus; simple
Excision of pilonidal cyst or sinus; simple
Excision of pilonidal cyst or sinus; extensive
Excision of pilonidal cyst or sinus; extensive
Excision of pilonidal cyst or sinus; complicated
Excision of pilonidal cyst or sinus; complicated
Anesthesia for obturator neurectomy; extrapelvic
Anesthesia for obturator neurectomy; intrapelvic
Injection, intralesional; up to and incl *up to and including seven lesions
Subcutaneous injection of ''filling'' material (eg, silicone); 5.1 to 10 cc
Subcutaneous injection of filling material (eg, silicone); 5.1 to 10 cc
Subcutaneous injection of ''filling'' material (eg, silicone); over 10 cc
Insertion of tissue expander(s) for other than breast, including subsequent expansion
Insertion of tissue expander (s)
Removal of tissue expander(s) without insertion of prosthesis
Removal of tissue expander(s) without insertion of prosthesis
Removal implantable contraceptive capsules
Anesthesia for procedures on external, middle, and inner ear including biopsy;
Anesthesia for all closed procedures involving hip joint
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and fe
Anesthesia for arthroscopic procedures of hip joint
Treatment of superficial wound dehiscence; simple closure
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
12.6 cm to 20.0 cm
Repair, intermediate, wounds of the neck, hands, feet and/or external genitalia;2.5 cm or less
2.6 cm to 7.5 cm
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
2.6 cm to 5.0 cm
2.6 cm to 5.0 cm
2.6 cm to 5.0 cm
5.1 cm to 7.5 cm
Anesthesia for open procedures involving hip joint; not otherwise specified
Anesthesia for open procedures involving hip joint; hip disarticulation
Total hip arthroplasty
Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty
Anesthesia for all closed procedures involving upper 2/3 of femur
Anesthesia for open procedures involving upper 2/3 of femur; not otherwise specified
Anesthesia for open procedures involving upper 2/3 of femur; amputation
Anesthesia for open procedures involving upper 2/3 of femur; radical resection
Anesthesia for procedures on external, middle, and inner ear including biopsy;
Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg
Anesthesia for procedures on external, middle, and inner ear including biopsy;
Anesthesia for all procedures involving veins of upper leg, including exploration
Anesthesia for procedures involving arteries of upper leg, including bypass graft;
Anesthesia for procedures involving arteries of upper leg, including bypass graft;
Anesthesia for procedures involving arteries of upper leg, including bypass graft;
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet 2.6 cm to 7.5 cm
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
Reapir complex, eyelids, nose, ears, and/or lips; 1.0 cm or less
Repair complex, eyelids, nose, ears, and/or lips; 1.0 cm or less
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm
Secondary closure of surgical wound or dehiscence, extensive or complicated
Secondary closure of surgical wound or dehiscence, extensive or complicated
Secondary closure of surgical wound or dehiscence, extensive or complicated
Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area
Anesthesia for all closed procedures on lower 1/3 of femur
Anesthesia for all open procedures on lower 1/3 of femur
Anesthesia for all closed procedures on knee joint
Anesthesia for diagnostic arthroscopic procedures of knee joint
Anesthesia for all closed procedures on upper ends of tibia, fibula, and/or patella
Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella
Anesthesia for procedures on eye; not otherwise specified
Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified
Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty
Adjacent tissue transfer or rearrangement, scalp, arms, and/or legs; defect 10 sq cm or less
Adjacent tissue transfer or rearrangement, scalp, arms, and/or legs; defect 10 sq cm or less
Anesthesia for open procedures on knee joint; disarticulation at knee
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips;
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips;
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips;
Anesthesia for procedures on eye; lens lens surgery
Anesthesia for all cast applications, removal, or repair involving knee joint
Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified
Adjacent tissue transfer or rearrangement, more than 30 sq cm, unusual or complicated, any area
Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula
Anesthesia for procedures on eye; corne corneal transplant
Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified
Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy, with or without patch g
Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneury
Vitreoretinal surgery
Anesthesia for all closed procedures on lower leg, ankle, and foot
Anesthesia for arthroscopic procedures of ankle and/or foot
Anesthesia for procedures on eye; iridectomy
Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified
Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot;
Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot;
Anesthesia for procedures on eye; ophth ophthalmoscopy
Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified
Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection
Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula
Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement
Anesthesia for lower leg cast application, removal, or repair
Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified
SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION of open wounds, burn eschar, or scar (including subcu
Anesthesia for procedures on arteries of lower leg, including bypass graft;
Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on
Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children (except
Split graft; trunk, scalp, arms, legs, hands, and/or feet (except mult dig)
Split graft, trunk, scalp, arms, legs, hands, and/or feet (except multiple digits);
Split-thickness authograft, face scalp, eyelids, mouth neck, ears, orbits, genitalia, hands feet, and/or multiple digits; first 100 s
Anesthesia for procedures on veins of lower leg; not otherwise specified
Full thickness graft, free, including direct closure of donor site, trunk;
Full thickness graft, free, including direct closure of donor site, trunk;
Anesthesia for procedures on veins of lower leg; venous thrombectomy, direct or catheter
Full thickness graft, free, including direct closure of donor site, forehea
Full thickness graft, free, including direct closure of donor site; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands,
Full thickness graft, free, including direct closure of donor site; foreheaad, cheeks, chin, mouth, neck, axillae, genitalia, hands
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips: 20 sq cm or less
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq. cm or less
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips;
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips;
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips;
Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia,
Formation of direct or tubed pedicle, with or without transfer; forehead,
Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips or intraoral
Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips or intraoral
Intermediate ''delay'' of any flap, primary ''delay'' of small flap, or sectioning pedicle of tubed or direct flap;
Intermediate ''delay'' of any flap, primary ''delay'' of small flap, or sectioning pedicle of tubed or direct flap;
Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levat
Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter, sternocleidomastoid,
Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter, sternocleidomastoid,
Muscel, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levat
Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temp- oralis, masseter muscle, sternocleidomastoid, leva
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity
Flap; island pedicle
Graft; composite (full thickness of ext composite (full thickness of external ear or nasal ala),
Graft; composite (full thickness of external ear or nasal ala),
Graft; derma-fat-fascia
Graft; derma-fat-fascia
Graft; derma-fat-fascia derma-fat-fascia
Punch graft for hair transplant; 1 to 1 1 to 15 punch grafts
Dermabrasion; regional, other than face regional, other than face
Dermabrasion; regional, other than face
Blepharoplasty, lower eyelid; with extensive herniated fat pad
Blepharoplasty, upper eyelid;
Blepharoplasty, upper eyelid;
Blepharoplasty, upper eyelid; bilateral procedure
Blepharoplasty, upper eyelid;
Blepharoplasty, upper eyelid;
Blepharoplasty, upper eyelid; with exce with excessive skin weighting down lid
Blepharoplasty, upper eyelid; with excessive skin weighting down lid
Blepharoplasty, upper eyelid; with excessive skin weigting down lid
Removal of sutures under anesthesia (other than local), same surgeon.
Removal of sutures under anesthesia (other than local), same surgeon.
Dressing change (for other than burns) under anesthesia (other than local)
Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft
Suction assisted lipectomy; trunk
Excision, sacral pressure ulcer, with local or regional skin flap closure
Unlisted procedure, excision pressure ulcer
Anesthesia for procedures on nose and accessory sinuses; not otherwise specified
Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)
Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla
Anesthesia for procedures on nose and accessory sinuses; radical surgery
Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder j
Anesthesia for diagnostic arthroscopic procedures of shoulder joint
Anesthesia for open or surgical procedures on humerial head and neck, sternoclavicular joint, acromioclavicular joint, and sho
Anesthesia for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint;
Anesthesia for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint;
Anesthesia for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint;
Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue
Anesthesia for procedures on arteries of shoulder and axilla; not otherwise specified
Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm
Anesthesia for procedures on arteries of shoulder and axilla; bypass graft
Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft
Anesthesia for all procedures on veins of shoulder and axilla
Anesthesia for shoulder cast application, removal or repair; not otherwise specified
Anesthesia for shoulder cast application, removal or repair; shoulder spica
Anesthesia for intraoral procedures, including biopsy; not otherwise specified
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettment), premalignant lesions (eg, act
Second through 14 lesions, each (list separately in addition to code for first lesion)
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow;
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than
15 or more lesions
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow;
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow;
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow;
Anesthesia for intraoral procedures, including biopsy; repair of cleft palate
Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)
Destruction, malignant lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm
Destruction, malignant lesion, any method, trunk, arms or legs; lesion diameter 3.1 to 4.0 cm
Destruction, malignant lesion, any method, scalp, neck, hands, feet, genitalia;
lesion diameter 1.1 to 2.0cm
Anesthesia for all closed procedures on humerus and elbow
Chemosurgery (mohs micrographic technique), including removal of all gross tumor, surgical excision of tissue specimens, ma
Chemosurgery (mohs' technique); second second stage, fixed or fresh tissue, up to 5 specimens
Mohs mirographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color codin
each additional stage after the first stage, up to 5 tissue blocks
Anesthesia for diagnostic arthroscopic procedures of elbow joint
Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor
Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified
Anesthesia for open procedures on humerus and elbow; osteotomy of humerus
Anesthesia for open procedures on humerus and elbow; repair of nonunion or malunion of humerus
Anesthesia for open procedures on humerus and elbow; radical procedures
Anesthesia for open procedures on humerus and elbow; excision of cyst or tumor of humerus
Anesthesia for intraoral procedures, including biopsy; radical surgery
Anesthesia for open procedures on humerus and elbow; total elbow replacement
Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified
Anesthesia for procedures on arteries of upper arm and elbow; embolectomy
Anesthesia for procedures on veins of upper arm and elbow; not otherwise specified
Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy
Unlisted procedure, skin, mucous membrane and subcutaneous tissue
Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand
Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones
Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not oth
Anesthesia for open procedures on radius, ulna, wrist, or hand bones;
Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified
Anesthesia for procedures on arteries of forearm, wrist, and hand; embolectomy
Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis)
Anesthesia for procedures on veins of forearm, wrist, and hand; not otherwise specified
Anesthesia for procedures on veins of forearm, wrist, and hand; phleborrhaphy
Anesthesia for forearm, wrist, or hand cast application, removal, or repair
Anesthesia for procedures on facial bones or skull; not otherwise specifiednot otherwise specified
Puncture aspiration of cyst of breast;
Biopsy of breast; needle core (separate (separate procedure)
Biopsy of breast; incisional
Biopsy of breast; incisional incisional
Biopsy of breast; percutaneous, needle cor
Biopsy of breast; percutaneous, needle cor
Percutaneous, automated vacuum assisted or rotating biopsy device, using imaging guidance
Excision of cyst, fibroadenoma, or other benign or malignant tumor aberrant breast tissue, duct lesion or nipple lesion (excep
Excision of cyst, fibroadenoma, or other benign or malignant tumor aberrant breast tissue, duct lesion or nipple lesion (excep
Excision of cyst, fibroadenoma, or other benign or malignant tumor aberrant breast tissue, duct lesion or nipple lesion (excep
Excision of breat lesion identified by pre-op placement of radiological mar
Excision of breast lesion identified by preop placement of radiological mar
Anesthesia for diagnostic arteography/venography
Mastectomy, partial; with axillary lymphadenectomy
Mastectomy, simple, complete
Mastectomy, simple, complete
Anesthesia for procedures on facial bones; radical surgery (including prognathism)
Anesthesia for cardiac catheterization including coronary angiography and and ventriculography (not to include swan-ganz ca
Anesthesia for non-invasive or radiation radiation therapy
Anesthesia for therapeutic interventional radiologic procedure involving the arterial system; intracranial, intracardiac or aorti
Preoperative placement of needle location wire, breast
Preoperative placement of needle localization wire, breast;
Image guided placement, metallic localization clip, percutaneous, during breast biopsy (list separately in addition to code for
Mastopexy
Mastopexy
Reduction mammaplasty
Reduction mammaplasty
Reduction mammoplasty
Removal of intact mammary implant
Removal of intact mammary implant
Removal of intact mammary implant
Removal of mammary implant material
Nipple/areola reconstruction
Nipple/areola reconstruction
Nipple/areola reconstruction
Breast-reconstruction, immediate or delayed with tissue expander, including subsequent expansion
Revision of reconstructed breast
Revision of reconstructed breast
Unlisted procedure, breast
Anesthesia for cesarean delivery only
Physiological support for harvesting of organ(s) from brain-dead patient
Anethesia for diagnostic or therapeutic nerve blocks and injections; prone position
Daily hospital management of epidural or subarachnoid continuous drug administration
Unlisted anesthesia procedure(s)
Biopsy, muscle, percutaneous needle
Biopsy, excisional; superficial (eg, ilium, sternum, spinous process, ribs,
Injection of sinus tract; therapeutic (separate procedure)
Injection of sinus tract; diagnostic (si diagnostic (sinogram)
Removal of foreign body in muscle or tendon sheath; deep or complicated
Removal of foreign body in muscle or tendon sheath; deep or complicated
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
Injection(s); tendon sheath, ligament
Injection(s); tendon sheath, ligament
Injection(s); tendon sheath, ligament
Single tendon origin/insertion
Injection(s); sigle or multiple trigger point(s), one or two muslce(s)
Injection(s); sigle or multiple trigger point(s), one or two muslce(s)
Injection(s); sigle or multiple trigger point(s), one or two muslce(s)
single or multiple trigger point(s), three or more muscle(s)
Arthrocentesis, aspiration and/or injecttion; small joint or bursa (eg, fingers, toes)
Arthrocentesis, aspiration and/or injection; small joint
Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)
Arthrocentesis, aspiration and/or injecttion; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elb
Arthrocentesis, aspiration and/or injecttion; *major joint or bursa (eg, shoulder, hip, knee joint,
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
Arthrocentesis, aspiration and/or injecttion; *major joint or bursa (eg, shoulder, hip, knee joint,
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
Arthrocentesis, aspiration and/or injecttion; *major joint or bursa (eg, shoulder, hip, knee joint,
major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
Aspiration and/or injection of ganglion cyst(s) any location
Insertion of wire or pin with applicatioon of skeletal traction, *including removal (separate procedure)
Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)
Application of cranial tongs, caliper, or stereotatic frame, including removal (separate procedure)
Removal of implant; superficial, (eg, buried wire, pin or rod)(separate procedure)
Removal of implant; superficial, (eg, buried wire, pin or rod)(separate procedure)
Removal of implant; superficial, (eg, buried wire, pin or rod)(separate procedure)
Removal of implant; superficial, (eg, buried wire, pin or rod) (separate procedure)
Removal of implant; deep, (eg, buried w deep, (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Removal of implant; deep, (eg buried wire, pin, screw, metal band, rod or plate)
Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Removal of implant; deep, (eg, buried wire, pin, screw, metal band nail, or rod or plate)
Removal of implant; deep, (eg buried wire, pin, screw, metal band, nail, rod or plate)
Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Removal of implant; deep, (eg buried wire, pin, screw, metal band, rod or plate)
Removal of implant; deep (eg. buried w deep) buried wire, pin, screw, metal
Removal of implant; deep, (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Removal of implant; deep, (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Application of uniplane (pins or wires in one plane), unilateral, external fixation system
Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli
Removal, under anesthesia, of external ixation system
Removal, under anesthesia, of external fixation system
Bone graft, any donor area; minor or small (eg, dowel or button)
Bone graft, any donor area; minor or small (eg, dowel or button)
Bone graft, any donor area; minor or small (eg, dowel or button)
Bone graft, any donor area; minor or small (eg, dowel or button)
Bone graft; any donor area; minor or small (eg, dowel or button)
Bone graft, any donor area; major or large
Bone graft, any donor area; major or large
Bone graft, any donor area; major or large
Bone graft, any donor area; major or large
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
Tissue grafts, other (eg, paratenon, fat, dermis)
Tissue grafts, other (eg, paratenon, fat, dermis)
Allograft for spine surgery only; morselized (List separately in addition to code for primary procedure)
Allograft for spine surgery only: structural (List separately in addition to code for primary procedure)
Allograft for spine surgery only; structural
Allograft for spine surgery only: structural
Autograph for spine surgery only (includes harvesting the graft); local (eg, ribs spinous process, or laminar fragments) obtaine
Autograph for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtain
Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtaine
Autograph for spine surgery only (includes harvesting the graft); local (eg, ribs spinous process, or laminar fragments) obtaine
Autograph for spine surgery only (includes harvesting the graft); morselized (through separate skin or facial incision)
Autograph for spine surgery only (includes harvesting the graft); morselized (through separate skin or fasical incision)
Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fasical incision
Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fasical incision
Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tyricortical (through separate skin or f
Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tyricortical (through separate skin or f
Bone graft w/microvascular anastomosis; i
Other than fibula, iliac crest, or metatarsal
Electrical stimulation to aid bone healing; invasive (operative)
Unlisted procedure, musculoskeletal system, general
Anesthesia for intracranial procedures; not otherwise specified
Coronoidectomy (separate procedure)
Impression and custom preparation; definitve obturator prothesis
Impression and custom preparation; oral surgical splint
Impression and custom preparation; oral surgical splint
Impression and custom preparation; auricular prosthesis
Impression and custom preparation; auricular prosthesis
Application of interdental fixation device for conditions other than fracture or dislocation, includes removal
Genioplasty; sliding osteotomy, single piece
Reconstruction midface, lefort i; single piece, segment movement in any direction (eg, for long face syndrome), without bone
Reconstruction mid-face lafort 1;single peice;w/o bone graft
Reconstruction midface, lefort i; two pi
Reconstruction midface, lefort i; two pi
Reconstruction midface, lefort i; three or more pieces, any direction, requiring bone grafts (includes obtaining autografts)
Reconstruction of orbital walls, rims, orehead, nasoethmoid complex follow
Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tum
Reconstruction midface, osteotomies (other than lefort type) and bone grafts (includes obtaining autografts)
Reconstruction midface, osteotomies (other than lefort type) and bone grafts (including obtaining autografts)
Reconstruction of mandibular ramus, horizontal, vertical, "c" or "l" osteotomy; without bone graft
Reconstruction of mandibular ramus, horizontal, vertical, "c" or "l" osteotomy; without bone graft
Reconstruction of mandibular ramus, horizontal, vertical, "c" or "l" osteotomy; without bone graft
Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomywith bone graft (including obtaining graft)
Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; with bone graft (includes obtaining graft)
Reconstruction of mandibular ramus, sagittal split; with internal rigid fixation
Anesthesia for intracranial procedures; subdural taps
Osteotomy, maxilla, segmental (eg, wassmund or schuchard)
Osteoplasty, facial bones; augmentation augmentation (autograft, allograft, or prosthetic implant)
Graft, bone; nasal, maxillary or malar
Graft, bone; nasal, maxillary or malar
Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)
Graft; rib cartilage, autogenous, to fa rib cartilage, autogenous, to face, chin, nose or ear
Graft; rib cartilage, autogenous, to fa rib cartilage, autogenous, to face, chin, nose or ear
Graft; ear cartilage to nose or ear (in ear cartilage to nose or ear (includes obtaining graft)
Graft; ear cartilage, autogenous, to nose or ear (includes obtaing graft)
Arthroplasty, temporomandibular joint, with or without autograft
Arthroplasty, temporomandibular joint, with or without autograft
Arthroplasty, temporomandibular joint, with or without autograft
Arthroplasty, temporomandibular joint, with prosthetic joint replacement
Reconstruction of mandible or maxilla, subperiosteal implant; partial
Reconstruction of mandible or maxilla, subperiosteal implant; partial
Reconstruction of mandible or maxilla, subperiosteal implant; partial
Reconstruction of mandible or maxilla, sb-penosteal implant; partial
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder);
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder);
Reconstruction of mandible or maxilla, endosteal implant (eg blade, cylinder);
Reconstruction of orbit withosteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, microophtha
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extrac
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extrac
Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts;
Orbital repositioning penorbital osteotomies, unilateral, with bone grafts;
Medial canthoplasty
Unlisted craniofacial and maxillofacial procedure
unlisted craniofacial and maxillofacial procedure
Closed treatment of nasal septal fracture, with or without stabilization
Treatment of closed nasal septal fracture
combined approach
Open treatment of orbital floor "blowout" fracture; periorbital approach, with alloplastic or other implant
Open treatment of orbital floor "blowout" fracture; periorbital approach, with alloplastic or other implant
Open treatment of orbital floor "blowout" fracture; periorbital approach with bone graft (includes obtaining graft)
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)
Anesthesia for intracranial procedures; burr holes
with implant
Open treatment of mandibular fracture; with interdental fixation
Open treatment of complicated mandibular fracture by multiple surgical approaches including intrnal fixation, and/or wiring i
Unlisted orthopedic procedure, head
Cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;
Biopsy, soft tissue of neck or thorax
Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 3 cm or greater
Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 3 cm or greater
Excision tumor, soft tissue of neck or thorax subfascial; intramuscular
Excision benign tumor; deep, sufascial thorax; deep subfascial, intramuscular
Anesthesia for intracranial procedures; vascular procedures
Excision of rib, partial
Excision first and/or cervical rib; *
Anesthesia for intracranial procedures; procedures in sitting position
Unlisted procedure, neck or thorax
Biopsy, soft tissue of back or flank; deep
Biopsy, soft tissue of back or flank; deep
Excision, tumor, soft tissue of back or flank
Excision, tumor, soft tissue of back or flank
Cerebrospinal fluid shunting procedures
Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic
Open treatment and/or reduction of vertebral fracture(s) and/or dis- location(s) (including os odontoideum), anterior approa
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebra o
Open treatment and/or reduction of vertebral fracture(s) and/or dis- location(s), posterior approach, one fractured vertebra
lumbar
Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with bone graft, with or without
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal
cervical below c2; each additional interspace
Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompressio
Arthrodesis, anterior interbody technique; cervical below c2, with bone graft
Arthrodesis, anterior interbody technique; cervical below c2, with bone graft
Arthrodesis, anterior interbody technique; cervical below c2, with bone graft
Arthrodesis, anterior interbody technique; cervical below c2, with bone graft
Arthrodesis, anterior interbody technique
Arthrodesis, anterior interbody technique; thoracic, with local bone (eg, rib) and/or bone allograft
Arthrodesis, anterior interbody technique; lumbar, with bone graft
Arthrodesis, anterior interbody technique; lumbar, with bone graft
Arthrodesis, anterior interbody technique; including minimal diskectomy to
Arthrodesis, anterior or anterolateral, each add'l interspace (list separately in addition to single level
Arthrodesis, anterior or anterolateral, each additional interspace (list separately in addition to single level
Arthrodesis, anterior or anterolateral, each add'l interspace (list separately in addition to single level)
Each additional interspace; arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (o
Arthodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression
Arthrodesis, posterior technique, atlas-axis (c1-c2)
Arthrodesis, posterior technique, cervical below c2 segment, local bone or bone allograft and/or internal fixation
Arthrodesis, posterior technique, cervical below c2 segment, local bone or bone allograft and/or internal fixation
Arthrodesis, posterior technique, cervical below c2 segment, localbone or bone allograft and/or internal fixation
Arthrodesis, posterior technique, cervical below c2 segment, local bone or bone allograft and/or internal fixation
Thoracic (with lateral transverse technique, when performed)
Arthrodesis, posterior or posterolateral technique, with local bone or bone allograft and/or internal fixation;
Lumbar (with lateral transverse technique, when performed)
lumbar (with transverse technique, when performed)
Arthrodesis, posterior or posterolateral technique, with local bone or bone allograft and/or internal fixation;
Arthrodesis, posterior or posterolateral technique, with local bone or bone
Arthrodesis, posterior or posterolateral technique, with local bone or bone allograft and/or internal fixation;
Lumbar (with or w/o lateral transverse technique)
Lumbar (with or without lateral transverse technique)
Arthrodesis, posterior or posterolateral technique, single level; each add'
Arthrodesis, posterior or posterolateral
Arthrodesis, posterior or posterolateral
Arthrodesis, posterior or posterolateral
Arthrodesis, posterior or posterolateral
Arthrodesis, posterior or posterolateral
Arthrodesis, posterior or posterolateral technique, single level; each add'
Arthrodesis, posterior interbody technique, with local bone or bone allograft and/or interal wire fixation, lumbar
Arthrodesis, posterior interbody technique, with local bone or bone allograft and/or internal wire fixation, lumbar
Arthrodesis, posterior interbody technique, with local bone or bone allograft and/or internal wire fixation, lumbar
Arthrodesis, posterior interbody technique, with local bone or bone allograft and/or internal wire fixation, lumbar
Arthrodesis, posterior interbody technique, with local bone or bone allograft and/or internal wire fixation, lumbar
Arthrodesis, posterior interbody technique, with local bone or bone allograft and/or interal wire fixation, lumbar
Each additional interspace; in addition to primary procedure code 22630
Each additional interspace; in addition to primary procedure code 22630
Each additional interspace; in addition to primary procedure code 22630
Each additional interspace; in addition to primary procedure code 22630
arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
Arthrodesis, posterior, for spinal deformity, with or without cast, with bone graft;
Arthrodesis, anterior for spinal deformity, with or without case; 4 to 7 vertebral segments
Exploration of spinal fusion
Exploration of spinal fusion
Exploration of spinal fusion
Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial t
Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial t
Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial t
Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial t
Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure)
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 verteb
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 verteb
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 verteb
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 verteb
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 verteb
Posterior segmental instrumentation; 7 to 12 verterbral segments (List separately in addition to code for primary procedure)
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)
Anterior instrumentation; 2 to 3 vertebral segments
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)
Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure)
Removal of posterior nonsegmental instrumentation (eg, harrington rod)
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowell(s), methymethacrylate) to
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowell(s), methymethacrylate) to
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowell(s), methymethacrylate) to
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowell(s), methymethacrylate) to
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowell(s), methymethacrylate) to
Removal of posterior segmental instrumentation
Removal of posterior segmental instrumentation
Removal of posterior segmental instrumentation
Removal of posterior segmental instrumentation
Removal of posterior segmental instrumentation
Unlisted procedure, spine
Unlisted procedure, spine
Excision, tumor, soft tissue of abdominal wall, subfasial (eg, intramuscular); less than 5 cm
Excision, abdominal wall tumor, subfascial (eg, desmoid)
Unlisted procedure, abdomen, musculoskeletal system
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm
Excision, tumor, shoulder area; subfascial intramuscular; less than 5 cm
Excision, tumor, shoulder area; deep, subfascial or intramuscular
Claviculectomy; partial
Claviculectomy; partial
Claviculectomy; partial
Acromioplasty or acromionectomy, partial
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release
Acromioplasty or acromionectomy, partial
Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis), clavicle
Injection procedure for shoulder arthrography or enhanced ct/mri shoulder
Injection procedure for shoulder arthrography or enhanced ct/mri shoulder arthrography
Injection procedure for shoulder arthrography
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute
Repair of ruptured musculotendinous cuff (eg, rotator cuff); open; acute
Repair of ruptured musclotendinous cuff (eg, rotator cuff) open; acute
Repair of ruptured supraspinatus tendon (rotator cuff) or musculotendinous cuff;
Repair of ruptured supraspinatus tendon (rotator cuff) or musculotendinous
Coracoacromial ligament release, with or without acromioplasty
Coracoacromial ligament release, with or without acromioplasty
Coracoacromial ligament release, with or without acromioplasty
Repair of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
Repair of complete shoulder (rotator) cuff avulsion, chronic (includess acr
Repair of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
Tenodesis of long tendon of biceps
Tenodesis of long tendon of biceps
Resection or transplantation of long tendon of biceps
Resection or transplantation of long tendon of biceps
Capsulorrhaphy, anterior: putti-platt procedure or magnuson type operation
Capsulorrhaphy for recurrent dislocation; anterior; putti-platt procedure or magnuson type operation
Capsulorrhaphy for recurrent dislocation, anterior;
Capsulorrhaphy for recurrent dislocation anterior; bankart type operation with or without stapling
Capsulorrhaphy, anterior, any type; with bone block *
Capsulorrhaphy for recurrent dislocation, anterior, any type;
Capsulorrhaphy for recurrent dislocation, anterior, any type; with coracoid process transfer
Arthroplasty with proximal humeral implant (eg, neer type operation)
Arthroplasty with proximal humeral implant (eg, neer type operation)
Arthroplasty with glenoid and proximal humeral replacement (eg, total shoulder)
Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
Osteotomy, clavicle, with or without internal fixation;
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion
Closed treatment of clavicular fracture; without manipulation
Open treatment of clavicular fracture includes internal fixation, when performed
Open treatment of clavicular fracture includes internal fixation, when performed
Open treatment of clavicular fracture includes internal fixation, when performed
Open treatment of acromioclavicular dislocation, acute or chronic;
Open treatment of acromioclavicular dislocation, acute or chronic;
Open treatment of acromioclavicular dislocation, acute or chronic;
Open treatment of closed or open acromioclavicular dislocation, acute or chronic;
Open treatment of closed or open acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, inclu
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, inclu
with proximal humeral prosthetic replacement
with proximal humeral prosthetic replacement
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed
Open treatment of acute shoulder dislocer dislocation
Open treatment of closed or open distal fibular fracture (lateral malleolus), with fixation
Manipulation under anesthesia, shoulder joint, including *application of fixation apparatus (dislocation excluded)
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
with autogenous graft (includes obtaining graft)
Unlisted procedure, shoulder
Unlisted procedure, shoulder
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow
Excision,tumor, soft tissue of upper arm or elbow area subcutaneous; less than 3 cm
Excision, tumor, upper arm or elbow area; subfascial intramuscular; less than 5 cm
Excision, tumor, upper arm or elbow area; deep, subfascial or intramuscular
Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; less than 5 cm
Arthrotomy, elbow; with joint explorati with joint exploration, with or without
Arthrotomy, elbow; with joint exploration, with or without
Excision, radial head
Excision, radial head
Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process
partial excision (craterization, saucerization, or diaphysectomy) bone (eg. osteomyelitis), radial head or neck
partial excision (craterization, saucerization, or diaphysectomy) bone (eg. osteomyelitis), radial head or neck
Removal of foreign body, upper arm or elbow area; subcutaneous
Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
deep (subfacial or intramuscular)
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis); with partial ostectomy
Fasciotomy, lateral or medial (eg, tennis elbow or epicondyloitis); with partial ostectomy
Fasciotomy, lateral or medical (eg, tennis elbow or epicondylitis); with partial ostectomy
Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis); with partial ostectomy
Osteotomy, humerus, with or without internal fixation
Osteotomy, humerus, with or without internal fixation
Repair of nonunion or malunion, humerus; without graft (eg, compression technique)
Repair of nonunion or malunion, humerus; without graft (eg, compression technique)
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)
Open treatment of humeral shaft fracture with plate/screws, with or withoutcerclage
Treatment of open monteggia type of fracture dislocation at elbow (fracture
Closed treatment of radial head or neck fracture; without manipulation
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;
Amputation, arm through humerus; re-amputation
Amputation, arm through humerus; re-amputation
Unlisted procedure, humerus or elbow
Tendon sheath incision; at radial styloid (eg, for dequervain's disease)
Tendon sheath incision; at radial styloid (eg, for dequervain's disease
Incision, extensor tendon sheath, wrist (eg, dequervains disease)
Biopsy, soft tissue of forearm and/or wrist; deep
Biopsy, soft tissue of forearm and/or wrist; deep
Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous; less than 3 cm
Arthrotomy, wrist joint; with joint exploration, with or without
with joint exploration, with or without biopsy, with or without removal of loose or foreign body
with joint exploration, with or without biopsy, with or without removal of loose or foreign body
Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex
Arthrotomy, distal radioulnar joint including repair of triangular cartliage, comlex
Excision, lesion of tendon sheath, forearm and/or wrist
Excision, lesion of tendon sheath, forearm and/or wrist
Excision of ganglion, wrist (dorsal or volar); primary
Excision of ganglion, wrist (dorsal or volar); primary
Excision of ganglion, wrist (dorsal or volar); primary
Excision of ganglion, wrist (dorsal or volar); recurrent
Excision of ganglion, wrist (dorsal or volar); recurrent
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, tbc,
Synovectomy, extensor tendon sheath, wist, single compartment;
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist
Excision distal ulna partial or complete (eg, darrach type or matched resection)
Excision distal ulna partial or complete (eg, darrach type or matched resection)
Excision distal ulna partial or complete (eg, darrach type or matched resection)
Excision distal ulna partial or complete (eg, darrach type or matched resection)
Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle.
Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each te
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each te
Tenolysis, flexor or extensor tendon, foreare and/or wrist, singleeach tendon
Tenodesis at wrist; flexors of fingers flexors of fingers
Tenodesis at wrist; flexors of fingers
Tenodesis at wrist; extensors of finger extensors of fingers
Tenodesis at wrist; extensors of fingers
Tendon transplantation or transfer, flexor or extensor, forearm and/or wris
Tendon transplantation or transfer, flexor or extensor, forearm and/or wris
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, liament repair, tendon transfer or graft) (includessynovectom
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, liga ment repair, tendon transfer or graft) (includes synovect
Osteotomy, radius; distalthird
Osteotomy; ulna
Osteotomy; ulna
Osteotomy; ulna
Radius AND ulna
Osteoplasty, radius or ulna; shortening
Osteoplasty, radius or ulna; shortening
With autograft (includes obtaining graft)
Repair of nonunion or malunion, radius or ulna; with iliac or other autograft (includes obtaining graft)
Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)
Repair of nonunion or malunion, radius and ulna; with iliac or other autograft (includes obtaining graft)
Repair of nonunion or malunion, radius and ulna; with iliac or other autograft (includes obtaining graft)
Repair of nonunion, scaphoid (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fi
Repair of nonunion, scaphoid (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fi
Arthroplasty with prosthetic replacement; trapezium
Arthroplasty with prosthetic replacement; trapezium
Arthroplasty with prosthetic replacement; trapezium
Arthroplasty, interposition, intercarpal or carpometacarpal joints
Arthroplasty, interposition, intercarpal or carpometacarpal joints
Arthroplasty, interposition, intercarpal or carpometacarpal joints
Open treatment of radial shaft fracture, includes interanl fixation, when performed
Open treatment of radial shaft fracture, includes interanl fixation, when performed
open treatment of ulnar shaft fracture, includes internal fixation, when performed
open treatment of ulnar shaft fracture, includes internal fixation, when performed
open treatment of ulnar shaft fracture, includes internal fixation, when performed
Closed treatment of distal radial fracture, or epiphyseal separation, includes closed treatment of fracture of ulnar styloid whe
with internal fixation of 3 or more fragments
with internal fixation of 3 or more fragments
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed
Open treatment of trans-scaphoperilunar type of fracture dislocation.
Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); without bone graft
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)
Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion);
Unlisted procedure, forearm or wrist
Drainage of finger abscess; simple
Drainage of finger abscess; simple
Drainage of finger abscess; simple
Fasciotomy, palmer, dor dupuytren's contracture; closed (subctaneous)
Fasciotomy, palmar, for dupuytren's contracture; closed (subcutaneous)
Fasciotomy, palmer (eg. dupuytren's contracture); open partial
Fasciotomy, palmer (eg. dupuytren's contracture); open partial
Fasciotomy, palmar (eg, dupuytren's contracture); open partial
Tendon sheath incision (eg, for trigger finger)
Tendon sheath incision (eg, for trigger finer)
Tendon sheath incision (eg, for trigger finger)
Tendon sheath incision (eg, for trigger finger)
Tendon sheath incision for trigger finger
Tenotomy, subcutaneous, single, each digit
Removal of implant; deep, (eg, buried wire, pin, screw, metal band, nail, rod or plate)
Removal of implant; deep, (eg, buried wire, pin, screw, metal band nail, rod or plate)
Removal of implant; deep, (eg, buried wire, pin, screw, metal band nail, rod or plate)
Arthrotomy for synovial biopsy; interphalangeal joint, each
Excision, tumor or vascular malformation, soft tissue of hand or finger; subcutaneous; less than 1.5 cm
Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial intramuscular; less than 1.5 cm
Excision, tumor or vascular malformation, hand or finger; deep, subfascial, intramuscular
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);
Fasciectomy, palmar, with or without z-plasty, other local tissue re- arrangement, or skin grafting (includes obtaining graft); p
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrange
Fasciectomy, partial palmar with release
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);
Fasciectomy, palmar, with or without z-plasty, other local tissue re- arrangement, or skin grafting (includes obtaining graft); p
Fasciectomy, palmar, with or without z-plasty, other local tissue rearrange
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction,
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction,
Synovectomy tendon sheath, radical (tenosynovectomy), flexor, palm or finger, single, each digit
Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger
Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion),
Excision of tendon, finger, flexor or extensor, each tendon
Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger;
Excision or curettage of bone cyst or benign tumor of proximal, middle or distal phalanx of finger;
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal.
Flexor tendon repair or advancement, single, not in "no man's land"
Flexor tendon repair or advancement, single, not in ''no man's land'';
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary w
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary w
Repair or advancement, flexor tendon, no in zone 2 digital flexor tendon sheath; secondary with free graft (includes obtaining
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath; secondary with free graft (includes obtainin
Repair of advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft,
Repair of advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft,
Flexor tendon repair or advancement, acuteplace svc
Flexor tendon repair or advancement single
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon
Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon
Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon
Repair extensor tendon, finger, primary or secondary; without freegraft, each tendon
Extensor tendon repair, dorsum of finger, single, primary or secondary;
Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s),
Repair of extensor tensdon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), eac
Repair of extensor tensdon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), eac
Extensor tendon repair, distal insertion ("mallet finger"), open, primary or secondary repair;
Tenolysis, flexor tendon; palm or finger, each tendon
Tenolysis, flexor tendon; palm or finger, each tendon
Tenolysis, simple, flexor tendon; palm palm and finger, each tendon
Tenolysis, simple, flexor tendon; palm and finger, each tendon
Tenolysis, simple, flexor tendon; palm palm and finger, each tendon
Tenolysis, simple, flexor tendon; palm and finger, each tendon
Tenolysis, extensor tendon, hand or finger; each tendon
Tenolysis, extensor tendon, dorsum of hand or finger; each tendon
Tenolysis, extensor tendon, dorsum of hand or finger; each tendon
Tenolysis, extensor tendon, dorsum of hand or finger; each tendon
Tenodesis; of proximal interphalangeal joint, each joint
Tenodesis; for distal joint stabilizati for distal joint stabilization
Lengthening of tendon, flexor, hand or finger, each tendon
Lengthening of tendon, flexor, hand or finger, each tendon
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
Tendon transfer or transplant, palmar, single, each tendon; without free tendon graft
Opponens plasty; sublimis tendon transfer type
Opponens plasty; sublimis tendon transfer type
Capsulodesis for m-p joint stabilization; two digits
Capsulectomy or capsulotomy for contracture; metacarpophalangeal joint, single, each
Capsulectomy or capsulotomy for contracture; metacarpophalangeal joint, sin
Capsulectomy or capsulotomy for contracture; metacarpophalangeal joint, single, each
Capsulectomy or capsulotomy for contracture; metacarpophalangeal joint, single, each
Capsulectomy or capsulotomy for contracture; interphalangeal joint, single, each
Capsulectomy or capsulotomy for contracture; interphalangeal joint, single, each
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, single, each
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, single, each
Arthropolasty, metacarpophalangeal joint; with prosthetic implant,single, ea
Primary repair of collateral ligament, metacarpophalangeal joint;
Primary repair of collateral ligament, metacarpophalangeal joint;
Primary repair of collateral ligament, metacarpophalangeal joint;
Repair non-union, metacarpal or phalanx, (includes obtaining bone graft with or without external or internal fixation)
Osteotomy for correction of deformity; metacarpal
Osteotomy for correction of deformity; metacarpal
Osteotomy for correction of deformity; metacarpal
Osteotomy for correction of deformity; metacarpal
Osteotomy; phalanx of finger, each
Osteotomy; phalanx of finger, each
Release, intrinsic muscles of hand (specify
Release, intrinsic muscles of hand (specify)
Release, intrinsic muscles of hand (specify
Closed treatment of metacarpal fracture, single; without manipulation, each bone
Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone
Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone
Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone
Open treatment of carpometacarpal fracture dislocation, thumb (bennett fracture) includes internal fixation, when performe
carpometacarpal fracture dislocation, thumb (bennett fracture) includes internal fixation, when performed
Open treatment of carpometacarpal fracture dislocation, thumb (bennett fracture) includes internal fixation, when performe
Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed
Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed
Open treatment of phalangeal shaft fracture, proximal or middle phalax, finger or thumb, includes internal fixation, when per
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, joint,digit, other than thumb each.
Arthrodesis, carpometacarpal joint, digits, other than thumb
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)
Arthrodesis, metacarpophalangeal joint, w/ or w/o internal fixation;
Arthrodesis, metacarpophalangeal joint, with or w/o internal fixation
Arthrodesis, metacarpophalangeal joint, with or w/o internal fixation
Arthrodesis, metacarpophalangeal joint, w/ or w/o internal fixation; with a
Amputation, metacarpal, with finger or thumb, single, with or without interosseous transfer
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancem
Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancem
Unlisted procedure, hands or fingers
Incision and drainage, pelvis or hip joint area; deep abscess or hematoma
Incision and drainage, pelvis or hip joint area; deep abscess or hematoma
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)
Tenotomy, adductor of hip, open
Arthrotomy, hip, with drainage (eg, infection)
Excision, tumor, soft tissue of pelvis and hip area; subcutaneous; less than 3 cm
Excision, tumor, pelvis and hip area; subcutaneous tissue
Excision, tumor, pelvis and hip area; subfascial; (eg, intramuscular); less than 5 cm
Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular
deep, with or without autograft
Deep (subfascial or intramuscular)
Coccygectomy, primary
Removal of hip prosthesis; (separate pr (separate procedure)
Removal of hip prosthesis; complicated, complicated, including ''total hip'' and methylmethacrylate,
Injection procedure for hip arthrography; without anesthesia
Injection procedure for hip arthorgraphy; without anesthesia
Injection procedure for hip arthography; without anesthesia
Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography w
Injection procedure for sacroiliac joint, arth anesthetic /steroid, with image guidance (fluoroscopy or CT) including arthrograp
Injection procedure for sacroliliac joint
Partial hip replacement, prosthesis (eg prosthesis (eg, femoral stem prosthesis, bipolar arthroplasty)
Arthroplasty, acetabular and proximal femoral prosthetic replacement (totalhip arthroplasty), withor without autograft or all
Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip replacement),
Arthroplasty, acetabular nd proximal femoral prothetic replacement (total hip replacement)
Arthoplasty, acetabular and proximal femoral prosthetic replacement )total hip replacement), with or without autograft or al
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
Conversion of previous hip surgery to total hip arthroplasty, with or with-out autograft or allograft
Revision of total hip arthroplasty;both components, with or without autograft or allograft
Revision of total hip arthroplasty; bot both components, with or without autograft or allograft
Revision of total hip arthroplasty; bot both components, with or without autograft or allograft
Revision of total hip arthroplasty; ace acetabular component only, with or without autograft or allograft
Revision of total hip arthroplasty; ace acetabular component only, with or without autograft or allograft
Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)
Treatment of intertrochanteric, pertrochanteric or subtrochanteric femoral fracture,
Closed treatment of hip dislocation, traumatic; without anesthesia
Open treatment of hip dislocaiton, traumatic, with acetabular wall and femoral head fracture, with or without internal or ext
Open treatment of hip dislocaiton, traumatic, with acetabular wall and femoral head fracture, with or without internal or ext
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia
Treatment of auaumatic hip dislocation arthoplasty dislcation; requiring regional or general anesthesia
Arthrodesis, hip joint (includes obtaining graft);
Unlisted procedure, pelvis or hip joint
Incision and drainage of deep abscess, infected bursa, or hematoma, thigh or knee region
Incision and drainage of deep abscess, infected bursa, or hematoma, thigh or knee region
Incision, deep, with opening of bone cor
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)
Incision, deep, with opening of bone cor
Arthrotomy, knee, for infection, with exploration, drainage or remmoval of foreign body
Arthrotomy, knee, for infection, with exploration, drainage or removal of foreign body
Excision, tumor, soft tissue of thigh or knee area; subcutaneous; less than 3 cm
Excision, tumor, soft tissue of thigh or knee area; subcutaneous; less than 3 cm
Excision, tumor, thigh or knee area; subfascial (eg, intramuscular); less than 5 cm
Excision, tumor, thigh or knee area; deep, subfascial, or intramuscular
Arthrotomy, knee with joint exploration, with or without biopsy, with or without removal
Arthrotomy, knee, with excision of semilunar cartilage (meniscectomy);
Arthrotomy, knee, for excision of semilunar cartilage (memiscectomy); medical or lateral
Arthrotomy, knee, for excision of semilunar cartilage (meniscectomy); medial and lateral
Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater
Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater
Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramusculuar); 5 cm or greater
Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater
Excision, prepatellar bursa
Excision, prepatellar bursa
Excision, prepatellar bursa
Excision of synovial cyst of popliteal space (baker's cyst)
Excision of synovial cyst of popliteal space (eg, baker's cyst)
Excision of lesion of meniscus or capsul
Patellectomy or hemipatellectomy
Patellectomy or hemipatellectomy
Excision or curettage of bone cyst or benign tumor of femur
Excision or curettage of bone cyst or benign tumor of femur
Excision or curettage of bone cyst or benign tumor of femur
Partial excision (craterization, saucerization, or diaphysectomy)bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or
Removal of foreign body, deep, this region or knee area
Suture of infrapatellar tendon; primary
Suture of infrapatellar tendon; primary
Suture of infrapatellar tendon; primary primary
Suture of infrapatellar tendon; primary
Suture of quadriceps or hamstring muscle rupture; primary
Suture of quadriceps or hamstring muscle rupture; primary
secondary reconstruction, including fascial or tendon graft
secondary reconstruction, including fascial or tendon graft
Lengthening of hamstring tendon; multiple tendons, bilateral
Repair, primary, torn ligament and/or capsule, knee; collateral
Repair, primary, torn ligament and/or capsule, knee; collateral
Cruciate
Cruciate
Cruciate
Repair, primary, torn ligament and/or c ligament and/or capsule, knee;
Repair, primary, torn ligament and/or c ligament and/or capsule, knee;
Anterior tibial tubercleplasty (eg. for chondromalacia patellae)
Reconstruction for recurrent dislocating patella; with extensor realignment and/or muscle advancement
Reconstruction for recurrent dislocating patella; with extensor realignmentand/or muscle advancement
Lateral retinacular release open
Lateral retinacular release (any method)
Lateral retinacular release open
Ligamentous reconstruction (augmentation), knee extra-articular
Ligamentous reconstruction (augmentation), knee; intra-articular (open)
Ligamentous reconstruction (augmentation), knee; intra-articular (open)
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
Arthroplasty, patella; without prosthesis
Arthroplasty; patella; with prosthesis
Arthroplasty, knee, femoral condyles or tibial plateaus
Arthroplasty, knee, femoral condyles or tibial plateaus
Arthroplasty, knee, femoral condyles or tibial plateaus
Arthroplasty, knee, femoral condyles or tibial plateaus
Arthroplasty, knee, condyle and plateau; medial or lateral compartment
Arthroplasty, knee, condyle and plateau; medial or lateral compartment
Arthroplasty, knee, condyle and plateau; assist. phy. medial and lateral compartments with or without patella
Medial and lateral compartments with or without patella resurfacing (total knee arthroplasty)
Medial and lateral compartments with or without patella resurfacing (total knee arthroplasty)
Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella
Osteotomy, femur, shaft or supracondylar; with fixation
Osteotomy, femur, shaft or supracondylar; with fixation
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of
Ostetomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus (bowleg) or genu valgus (
Ostetomy, proximal tibia, including fibular excision or osteotomy includes correction of genu varus (bowleg) or genu valgus (k
Repair, nonunion or malunion, femur, distal to head and neck; without graft(eg, compression technique)
Repair, nonunion or malunion, femur
Repair, nonunion or malunion, femur, distal to head and neck;
Repair, nonunion or malunion, femur, distal to head and neck;
Revision of total knee arthroplasty, with or without allograft; one component
Revision of total knee arthroplasty, with or without allograft; all components
Removal of knee prosthesis, including "total knee," methylmethacrylate and insertion of spacer, when applicable
Removal of knee prosthesis, including "total knee," methylmethacrylate and insertion of spacer, when applicable
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femur
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or
Open treatment of patellar fracture, with internal fixation and/orpartial or complete patellectomy and soft tissue repair
Manipulation of knee joint under general anesthesia *(includes application of traction or other fixation devices)
Manipulation of knee joint under general anesthesia *(includes application of traction or other fixation devices)
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices
Amputation, thigh, through femur, any level;
Secondary closure or scar revision
Amputation, thigh, through femur, any level; reamputation
re-amputation
Unlisted procedure, femur or knee
general anesthesia
Arthrotomy, ankle, for infection, with exploration, drainage or removal of foreign body
Arthrotomy, ankle, for infection, with exploration, drainage or removal of foreign body
Arthrotomy, posterior capsular release, ankle, with or without achilles tendon lengthening
Arthrotomy, posterior capsular release, ankle, with or without achilles
Excision, tumor, leg or ankle area; subfascial (eg, intramuscular); less than 5 cm
Excision or curettage of bone cyst or benign tumor, tibia or fibula;
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis or exostosis); tibia
Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); tibia
fibula
radical resection of tumor, bone: talus or calcaneus
radical resection of tumor, bone: talus or calcaneus
Repair, primary, open or percutaneous, ruptured achilles tendon
Repair, primary, open or percutaneous, ruptured achilles tendon
Repair, primary, open or percutaneous, ruptured achilles tendon; with graft
Repair, primary, open or percutaneous, ruptured achilles tendon; with graft
Repair, secondary, ruptured achilles tendonwith or without graft
Repair, secondary, ruptured achilles tendonwith or without graft
Repair, dislocating peroneal tendons; without fibular osteotomy
Repair, dislocating peroneal tendons; without fibular osteotomy
Lengthening or shortening of tendon, leg or ankle; single (separate procedure)
Lengthening or shortening of tendon, leg or ankle; single (separate procedure)
Lengthening or shortening of tendon, leg or ankle; single tendon
Gastrocnemius recession (eg, strayer procedure)
Gastrocnemius recession (eg, strayer procedure)
Transfer or transplant of single tendon (with muscle redirection or rerouting);
Transfer or transplant of single tendon (with muscle redirection or rerouting);
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial throu
Suture, primary, torn, ruptured or severed ligament, ankle;
Suture, secondary repair, torn, ruptured or severed ligament, ankle; collateral (eg, watson-jone procedure)
Suture, secondary repair, torn, ruptured or severed ligament, ankle, collateral (eg, watson-jones
Arthroplasty, ankle
Arthroplasty, ankle: with implant (total ankle)
Arthroplasty, ankle: with implant (total ankle)
Osteotomy; fibula fibula
Osteotomy; tibia and fibula
Osteotomy; tibia and fibula
Osteotomy; tibia and fibula
Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)
Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)
Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)
Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method
Open treatment of tibial shaft fracture, (with or without fibular fracture)with plate/screws, with or without cerclage
Open treatment of tibial shaft fracture, (with or without fibular fracture)with plate/screws, with or without cerclage
Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed
Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed
Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and
Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and
Open treatment of trimalleolar ankle fracture, with fixation of posterior lip
Arthrodesis, ankle, open
Arthrodesis, ankle, open
Arthrodesis, ankle, open
Arthrodesis, ankle, open
Amputation, leg, through tibia and fibula
Amputation, leg, through tibia and fibula;
Amputation, leg, through tibia and fibula; wiht immediate fitting technique including application of first cast
Amputation leg, through tibia and fibula; secondary closure or scar revision
Amputation leg, through tibia and fibula; secondary closure or scar revision
Amputation leg, through tibia and fibula; reamputation
Amputation leg, through tibia and fibula; reamputation
Amputation leg, through tibia and fibula; reamputation
Amputation, ankle, through malleoli of tibia and fibula (eg, syme, pirogoff type procdures), with plastic closure and resection
Unlisted procedure, leg or ankle
Incision and drainage below fascia, with or without tendon sheath involve- ment, foot; single bursal space
Incision and drainage below fascia, withor without tendon sheath involve- ment, foot; single bursal space
Incision and drainage below fascia, withor without tendon sheath involve- ment, foot; single bursal space
Incision, deep, with opening of bone cortex (eg, for osteomyelitisor bone abscess), foot
Fasciotomy, foot and/or toe
Fasciotomy, foot and/or toe
Fasciotomy, foot and/or toe
Replantation, digit, excluding thumb (includes distal tip to sublimits tendon insertion), complete amputation
Tarsal tunnel release (posterior tibial nerve decompression)
Tarsal tunnel release (posterior tibial nerve decompression)
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater
Excision, tumor, foot; deep, subfascial, intramuscular
Excision, tumor, soft tissue of foot or toe, subfascial; (eg, intramuscular); less than 1.5 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; less than 3 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot
Fasciectomy, excision of plantar fascia; partial (separate procedure)
Fasciectomy, excision of plantar fascia;
Excision of interdigital (morton) neuroma, single, each
Excision of interdigital (morton) neuroma, single, each
Excision of interdigital (morton) neuroma, single, each
Excision of interdigital (morton) neuroma, single, each
Excision of interdigital (morton) neuroma, single, each
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganlion); foot
Excision of lesion of tendon or fibrous sheath or capsule (including synovectomy) (cyst or ganglion);
Excision of lesion of tendon or fibrous sheath or capsule (including synovectomy) (cyst or ganglion);
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;
Ostectomy, partial excision, fifth metatarsal head (bunionette) separate procedure
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
Ostectomy, complete excision; first metatarsal head
Ostectomy, complete excision; first met first metatarsal head
Ostectomy, complete excision; fifth met fifth metatarsal head
Ostectomy, complete excision; fifth metatarsal head
Ostectomy, complete excision; all metat all metatarsal heads, with partial proximal phalangectomy,
Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy,
Ostectomy, excision of tarsal coalition
Ostectomy, excision of tarsal coalition
Ostectomy, calcaneus;
Ostectomy, calcaneus;
Ostectomy, calcaneus; for spur, with or for spur, with or without plantar fascial release
Ostectomy, calcaneus for spur, with or without plantar fascial release
Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis or tarsal bossing),
Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis or dorsal bossing), phalanx of to
Resection, partial or complete, phalangeal base, single toe, each
Resection, head of phalanx, toe
Hemiphalangectomy or interphalangeal joint excision, toe, single, each
Hemiphalangectomy or interphalangeal joint excision, toe, single, each
Removal of foreign body, foot; deep deep
Removal of foreign body, foot; complicated
Tenolysis, extensor, foot; multiple tendons
Tenolysis, extensor, foot; multiple tendons
Tenolysis, extensor, foot; multiple tendons
Tentomy, open, flexor; toe, single (separate procedure)
Tentomy, open, flexor; toe, single (separate procedure)
Tenotomy, open, extensor, foot or toe
Recontruction (advancement) posterior tibial tendon with excision of accessory tarsal navicular bone (eg kidner type procedu
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, kinder type proce
Tenotomy, lengthening, or release, abductor hallucis muscle
Tenotomy, lengthening, or release, abductor hallucis muscle
Tenotomy, lengthening, or release, abductor hallucis muscle
Division of plantar fascia and muscle (''steindler stripping'') (separate procedure)
Division of plantar fascia and muscle (''steindler stripping'') (separate procedure)
Capsulotomy, midfoot; extensive, includ extensive, including posterior talotibial
Correction, Hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
Correction, Hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
Correction, Hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
Hammertoe operation; one toe (eg, interphalangeal fusion,
Correction, Hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)
Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)
Ostectomy, partial, exostectomy or condylectomy, single, metatarsal head, first through fifth,
Ostectomy, partial, exostectomy or condylectomy single, metatarsal head, first through fifth, each metataral head,
Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint
Hallux valgus (bunion) correction, with or without sesamoidectomy; simple exostectomy (silver type procedure)
Hallux valgus (bunion) correction, with or without sesamoidectomy; simple exostectomy (silver type procedure)
Hallux valgus (bunion) correction, with or without sesamoidectomy; keller, mcbride or mayo type procedure
Hallux valgus (bunion) correction, with or without sesamoidectomy; keller, mcbride or mayo type procedure
Hallux valgus (bunion) correction, with or without sesamoidectomy; keller, mcbride or mayo type procedure
Hallux valgus (bunion) correction, with or without sesamoidectomy; keller, mcbride or mayo type procedure
Hallux valgus (bunion) correction, with or without sesamoidectomy; keller, mcbride or mayo type procedure
Hallux valgus (bunion) correction, with or without sesamoidectomy;resectionof joint with implant
Hallux valgus (bunion) correction, with or without sesamoidectomy; resection of joint with implant
Hallux valgus (bunion) correction, with or without sesamoidectomy; with metatarsal osteotomy (eg, mitchell, chevron, or
Hallux valgus (bunion) correction, with or without sesamoidectomy; with metatarsal osteotomy (eg, mitchell, chevron, or
Lapidus-tupe procedure
Lapidus-tupe procedure
Osteotomy; calcaneus (dwyer or chambers calcaneus (dwyer or chambers type
Osteotomy, tarsal bones, other than calcaneus or talus;
Osteotomy, metatarsal, base or shaft, single, with or without lengthening, for shortening or angular correction;
Osteotomy, metatarsal, base or shaft, single, with or without lengthening, for shortening or angular correction;
Osteotomy, metatarsal, base or shaft, single, with or without lengthening, for shortening or angular correction;
Osteotomy, metatarsal, base or shaft, single, with or without lengthening, for shortening or angular correction;
Sesamoidectomy, first toe (separate procedure)
Repair of nonunion or malunion; metatar metatarsal, with or without bone graft
Open treatment of tarsal bone fracture (except talus and calcaneus), includes interal fixation,
Closed treatment of metatarsal fracture; without manipulation, each
Open treatment of metatarsal fracture, includes internal fixation, when performed, each
Open treatment of metatarsal fracture, includes internal fixation, when performed, each
Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each
Open treatment of sesamoid fracture, with or without internal fixation
Open treatment of sesamoid fracture, with or without internal fix-ation
Open treatment of tarsal bone dislocation, includes internal fixation, when performed
Pantalar arthrodesis
Arthrodesis; triple
 triple arthrodesis
Triple arthrodesis
Triple arthrodesis
Subtalar arthrodesis
Subtalar arthrodesis
Subtalar arthrodesis
Subtalar arthrodesis
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse
Arthrodesis, midtarsal or tarshometatarsal, multiple or transversewith osteotomy as for flatfoot correction
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuniform (eg, miller type procedure)
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuniform (eg, miller type procedure)
Arthrodesis, midtarsal or tarsometatarsal, single joint
Arthrodesis, midtarsal or tarsometatarsal, single joint
Arthrodesis, great toe; interphalangeal joint
Arthrodesis, great toe; interphalangeal interphalangeal joint
Arthrodesis, great toe, interphalangeal joint, with extensor hallucis longus transfer to first
Amputation, foot; midtarsal (chopart ty midtarsal (chopart type procedure)
Amputation, metatarsal, with toe, single
Amputation, toe; metatarsophalangeal joint
Amputation, toe; metatarsophalangeal joint
Amputation, toe; interphalangeal joint interphalangeal joint
Amputation, toe; interphalangeal joint
Unlisted procedure, foot or toes
Application; shoulder to hand (long arm shoulder to hand (long arm)
Application; shoulder to hand (long arm)
Application; elbow to finger (short arm elbow to finger (short arm)
Application; elbow to finger (short arm elbow to finger (short arm)
Application; hand and lower forearm (gauntlet)
application of long arm splint (shoulder to hand)
application of long arm splint (shoulder to hand)
Application of short arm splint (forearm to hand); static
Application of short arm splint (forearm to hand); static
Application of short arm splint (forearm to hand); static
Application of short arm splint (forearm to hand); dynamic
Application of finger splint; static static
Application of finger splint; dynamic
Application of long leg cast (thigh to toes):
Application of cylinder cast (thigh to ankle)
Application of short leg cast (below knee to toes);
Application of short leg cast (below knee to toes);
Application of short leg cast (below knee to toes); walking or ambulatory type
Adding walker to previously applied cast
Application of rigid total contact leg cast
Application of rigid total contact leg cast
Application of short leg splint (calf to foot)
Application of short leg splint (calf to foot)
ankle and/or foot
Ankle and/or foot
Strapping; toes toes
Strapping; unna boot unna boot
Denis-browne splint strapping
Removal or bivalving; gauntlet, boot or gauntlet, boot or body cast
Removal or bivalving; full arm or full full arm or full leg cast
Unlisted procedure, casting or strapping
Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, shoulder, diagnostic, with or w/o synovial biopsy (separate procedure)
Arthroscopy, shoulder, surgical; capsulorrhaphy
Arthroscopy, shoulder, surgical; capsulorrhaphy
Arthroscopy, shoulder, surgical; repair of slap lesion
Arthroscopy, shoulder, surgical, repair of slap lesion
Arthroscopy, shoulder, surgical; repair of slap lesion
Arthroscopy, shoulder, diagnostic, with or without synovial biopsy(separateprocedure)
Arthroscopy, shoulder, surgical; debridement, limited
Arthroscopy, shoulder, surgical; debridement, limited
Arthroscopy, shoulder, surgical; debridement, limited
Arthroscopy, shoulder, surgical; debrid debridement, extensive
Arthroscopy, shoulder, surgical; debridement, extensive
Arthroscopy, shoulder, surgical; debridement, extensive
Arthroscopy, shoulder, surgical; debridment, extensive
Arthroscopy, shoulder, surgical; debridement, extensive
Arthroscopy, shoulder, surgical; debridement, extensive
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (mumford procedure)
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (mumford procedure)
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (mumford procedure)
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
Arthroscopy, shoulder, surgical, with lysis and resection of adhesions, with or without manipulation
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
Arthorscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
Decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (i.e., arch) release, when perf
Decompression of subacromial space with partial acromioplasty, w/ coracoacromial lig (i.e., arch) release, when perf (list sep
Decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (i.e., arch) release, when perf
Decompression of subacromial space with partial acromioplasty with coracoacrmial ligament (ie, arch) release, when perform
Arthroscopy shoulder, decompression of subacromial space with partial acrom
Arthroscopy, shoulder, surgical; with rotator cuff repair
Arthroscopy, shoulder, surgical, with rotator cuff repair
Arthroscopy, shoulder, surgical; with rotator cuff repair
Arthroscopy, shoulder, surgical; with rotator cuff repair
Arthroscopy, elbow, surgical; with removal of loose body or foreign body
Arthroscopy, elbow, surgical; with removal of loose body or foreign body
Arthroscopy, elbow, surgical; debridement, extensive
Arthroscopy, elbow, surgical; debridement, extensive
Arthroscopy, elbow, surgical; debridement, extensive
Arthroscopy, wrist, diagnostic, withh or without synovial biopsy (separate procedure)
Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, wrist, surgical; for infection, lavage and drainage
Arthroscopy, wrist, surgical; for infection, lavage and drainage
Arthroscopy, wrist, surgical; synovectomy, partial
Arthroscopy, wrist, surgical; synovectomy, partial
Arthroscopy, wrist, surgical; synovecto synovectomy, complete
Arthroscopy, wrist, surgical; synovecto synovectomy, complete
Arthroscopy, wrist, surgical; synovectomy, complete
Arthroscopy, wrist, surgical; synovectomy, complete
Arthroscopy, wrist, surgical; synovecto synovectomy, complete
Arthroscopy, wrist, surgical; excision of triangular fibrocartliage and/or joint debridement
Arthroscopy, wrist, surgical; excision of triangular fibrocartliage and/or joint debridment
Arthroscopy, wrist, surgical; excision of triangular fibrocartliage and/or joint debridement
Excision and/or repair of trianglar fibrocartilage and/or joint debridement
Arthroscopy, wrist, surgical; with release of transverse carpal ligament
Arthroscopy, wrist, surgical; with release of transverse carpal ligament
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty)(includes harvesting of the autograft[s])
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
Arthorscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, knee, surgical; for infection, lavage and drainage
Arthoscopy, knee, surgical; with lateral release
Arthoscopy, knee, surgical; with lateral release
Arthroscopy, knee, surgical; for remova for removal of loose body or foreign body (eg, osteochondritis
Arthroscopy, knee, surgical; for remova for removal of loose body or foreign body (eg, osteochondritis
Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis
Arthroscopy, knee, surgical; synovectom synovectomy, limited (eg, plica or shelf resection)
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection)
Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)
Arthroscopy, knee, surgical; synovectom synovectomy, major, two or more compartments (eg, medial or lateral)
synovectomy, major, two or more compartments (eg, medial or lateral)
Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
Arthroscopyp; knee, surgical; debridement/shaving of articular cartliage
Arthroscopy, knee, surgical; debridemen debridement/shaving of articular cartilage (chondroplasty)
Arthroscopy, knee, surgical; debridemen debridement/shaving of articular cartilage (chondroplasty)
abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture
Arthroscopy, knee, surgical;abrasion arthrplasty (includes chondroplasty where necessary) or multiple drilling or microfractur
Arthroscopy, knee, surgical; abrasion a abrasion arthroplasty (includes chondroplasty where necessary)
Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary)
Arthroscopy, knee, surgical; abrasion a abrasion arthroplasty (includes chondroplasty where necessary)
Arthroscopy, knee, surgical;abrasion arthrplasty (includes chondroplasty where necessary) or multiple drilling or microfractur
With meniscectomy (medial and lateral, including any meniscal shaving) including debridement/shaving of articular cartilage
with meniscectomy (medial AND lateral, incl any mensical shaving) incl debridement/shaving of articular cartilage (chondropl
with meniscectomy (medial and laberal, including any meniscal shaving) including debridement/shaving of articular cartilage
with meniscectomy (medial and lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (
Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving)
with meniscectomy (medial or lateral including any meniscal shaving) including debridement/shaving of articular cartilage (ch
with meniscectomy (medial OR lateral, including any meniscal shaving), in cluding debridement/shaving of articular cartilage
with meniscectomy (medial or lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (ch
with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (c
with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (c
Arthroscopy, knee, surgical; with meniscectomy (medial or lateral including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscectomy (medial or lateral including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscus repair (medical or lateral)
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral)
Arthroscopy, knee, surgical; with menis with meniscus repair (medial or lateral)
Arthroscopy, knee, surgical; with menis with meniscus repair (medial or lateral)
Arthroscopy, knee, surgical; with meniscus repair (meidal and lateral)
Arthroscopy, knee, surgical; with lysis or adhesions with or without manipulation (separate procedure)
Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
Arthroscopy, knee, surgical; with lysis with lysis of adhesions with or without manipulation
Arthroscopy, knee, surgical; drilling f drilling for osteochondritis dissecans with bone grafting
Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting
Arthroscopy, knee, surgical; drilling f drilling for intact osteochondritis dissecans lesion with
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with
Arthroscopically aided anterior cruciate ligament replair/augmentation or
Arthroscopically aided anterior cruciate ligament repair/ augmentation or reconstruction
Arthroscopically aided anterior cruciate ligament repair/ augmentation or reconstruction
Arthroscopically aided anterior cruciate ligament repair/ augmentation or reconstruction
Arthroscopically aided anterior cruciate ligament repair/augmentation or re
Arthroscopically aided posterior cruciate ligament repair/augmentation or r
Arthroscopically aided posterior cruciate ligament repair/augmentation or
Arthroscopically aided posterior cruciate ligament repair/augmentation or
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect
Endoscopic plantar fasciotomy
Endoscopic plantar fasciotomy
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose or foreign body.
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
with ankle arthrodesis
Unlisted procedure, arthroscopy
Anesthesia for all procedures on integumentary system of neck, including subcutaneous tissue
Biopsy, intranasal
Excision, nasal polyp(s), extensive
Excision, nasal polyp(s), extensive
Excision or destruction (eg, laser), , intranasal lesion; internal approach
Excision, intranasal lesion; internal approach
Excision dermoid cyst, nose: simple, skin, subcutaneous
Excision dermoid cyst, nose: simple, skin, subcutaneous
Excision inferior turbinate, partial or complete, any method
Excision inferior turbinate, partial or complete, any method
Excision inferior turbinate, partial or complete, any method
Submucous resection turbinate, partial or complete, any method
Submucous resection turbinate, partial or complete
Submucous resection inferior turbinate, partial or complete, any method
Submucous resection turbinate, partial or complete
Injection into turbinate(s), therapeutic
Rhinoplasty, secondary; major revision (nasal tip and osteotomies)
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate,
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate,
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar
Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft
Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft
Repair fistula; oromaxillary (combine w oromaxillary (combine with 31030 if
Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)
Repair fistula; oromaxillary (combine with 31030 if
Repair fistula; oronasal
Repair fistula; oronasal oronasal
Septal or other intranasal dermatoplasty (does not include obtaining graft)
Ablation, soft tissue of inferior turbinates, unilateral orbilateral, any method (eg electrocautery, radiofrequency ablation, or t
Intramural (ie, submucosal)
Intramural (ie, submucosal)
Cautery and/or ablation, mucosa of turbinates, unilateral or bilateral, any method, (separate procedure), intramural
Control nasal hemorrhage, anteerior, simple (cauterization)
Unlisted procedure, nose
Sinusotomy, maxillary (antrotomy); intr intranasal
Sinusotomy, maxillary (antrotomy); radi radical (caldwell-luc) without removal of antrochoanal polyps
Sinusotomy, maxillary (antrotomy); radi radical (caldwell-luc) with removal of antrochoanal polyps
Sinusotomy, maxillary (antrotomy); radical (caldwell-luc) with removal of antrochoanal polyps
Sinusotomy frontal; transorbital, unila transorbital, unilateral (for mucocele or osteoma,
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (9includes ablation)
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision ( includes ablation)
Sinusotomy frontal; obliterative, with obliterative, with osteoplastic flap, brow incision
Sinusotomy frontal; obiterative, with osteoplastic flap, coronal incision
Csinusotomy frontal; obiterative, with osteoplastic frap, coronal incision
Ethmoidectomy; intranasal, anterior
Ethmoidectomy; intranasal, total intranasal, total
Ethmoidectomy; extranasal, total
Ethmoidectomy; extranasal, total
Ethmoidectomy; extranasal, total
Maxillectomy; with orbital exenteration with orbital exenteration (en bloc)
Maxillectomy; with orbital exenteration with orbital exenteration (en bloc)
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)
Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy
Nasal/sinus endoscopy, surgicial; with dscryocystorhinostomy
Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy
Nasal/sinus endoscopy, surgical; with concha bullosa resection
Nasal/sinus endoscopy, surgical; with concha bullosa resection
Nasal endoscopy, surgical; with ethmoid with ethmoidectomy, partial
Nasal endoscopy, surgical; with ethmoidectomy, partial
Nasal endoscopy, surgical; with ethmoid with ethmoidectomy, partial
Nasal endoscopy, surgical; with ethmoid with ethmoidectomy, anterior and posterior (total)
Nasal endoscopy, surgical; with ethmoidectomy, anterior and posterior (total)
Nasal/sinus endoscopy, surgical with ethmoidectomy, total (anterior and posterior)
Nasal endoscopy, surgical; with ethmoidectomy; anterior and posterior (total)
Nasal endoscopy, surgical; with ethmoid with ethmoidectomy, anterior and posterior (total)
Nasal endoscopy, surgical; with maxilla with maxillary antrostomy
Nasal endoscopy, surgical; with maxillary antrostomy
Nasal/sinus endoscopy, surgical, with maxillary antrostomy;
Nasal endoscopy, surgical; with maxillary antrostomy
Nasal endoscopy, surgical; with maxilla with maxillary antrostomy
Maxillary sinus endoscopy, surgical; with removal of mucous membrane and/or polyps
Maxillary sinus endoscopy, surgical; with removal of mucous membrane and/or polyps
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal oftissue from maxillary sinus
Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of
Nasal/sinusendoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus
Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of
Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of
Nasal/sinus endoscopy, surgical, with sphenoidotomy;
Nasal/sinus endoscopy, surgical, with sphenoidotomy;
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from
Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression
Unlisted procedure, accessory sinuses
Intubation, endotracheal, emergency procedure
Laryngoscopy, indirect; diagnostic (separate procedure)
Laryngoscopy, indirect (separate procedure); with removal of lesion
Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn
Larynogoscopy, direct, operative, with biopsy
Larynogoscopy, direct, operative, with biopsy
Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope
Laryngoscopy, direct, operative, with biopsy; with operating microscope
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscop
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;
Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;
Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope
Laryngoscopy, flexible fiberoptic; diagnostic
Laryngoscopy, flexible fiberoptic; with with removal of lesion
Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy
Unlisted procedure, larynx
Tracheostomy, planned (seperate procedure)
Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis
Tracheal puncture, percutaneous for transtrachael aspiration and/or injection
Bronchoscopy; diagnostic, (flexible or rigid), with or without cell
Bronchoscopy; rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when perform
Bronchoscopy; rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when perform
Bronchoscopy; with biopsy
With bronchial or endobronchial biopsy(s), single or multiple sites
With transbronchial lung biopsy(s), single lobe
Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with transbronchial lung biopsy(s), single lobe
Unlisted procedure, trachea, bronchi
Anesthesia for all procedures on esophagus, thyroid, larynx, trachea, and lymphatic system of neck; not otherwise specified,
Anesthesia for all procedures on esophagus, thyroid, larynx, trachea, and lymphatic system of neck;
Biopsy, lung or mediastinum, percutaneous needle
Removal of lung, pneumonectomy
Removal of lung, other than pneumonectomy; single lobe (lobectomy)
Removal of lung, other than pneumonectomy; single lobe (lobectomy)
single segment (segmentectomy)
Unlisted procedure, lungs and pleura
Pericardiocentesis; initial *initial
ventricular
Insertion of permanent pacemaker with transvenous electrode(s);
atrial and ventricular
Insertion or replacement of temporary ansvenous single chamber cardiac electrode, or pacemaker catheter (sep procedure)
with existing dual leads
Insertion of 2 transvenous electrodes, permanent pacemaker or cardiovascular-defibrillator
Replacement, aortic valve, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve
Replacement, aortic valve, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve
By translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (ross procedure)
Valvuloplasty, mitral valve with cardio
Replacement, mitral valve, with cardiopulmonary bypass
Replacement, mitral valve, with cardiopulmonary bypass
Coronary artery bypass, vein only; two coronary venous grafts
Coronary artery bypass, vein only; three coronary venous grafts
Coronary artery bypass, vein only; five coronary venous grafts
Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts (List separately in addition to code for pr
Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (List separately in addition to code for
Coronary artery bypass, using venous graft(s) and arterial graft(s); three venous grafts (List separately in addition to code for
Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (List separately in addition to code for p
Reoperation, coronary artery bypass procedure or valve procedure, more than one month after original operation
Coronary artery bypass, using arterial graft(s); single arterial graft
Coronary artery bypass, using arterial graft(s); single arterial graft
Coronary artery bypass, using arterial graft(s); two coronary arterial grafts
Coronary artery bypass, using arterial graft(s); three coronary arterial grafts
Coronary endarterectomy, open, any method, performed in conjunction with coronary artery bypass procedure, each vessel
Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with aortic root replacement using co
Unlisted procedure, cardiac surgery
Anesthesia for procedures on major vessels of neck; not otherwise specified
For aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal area; direct repair of aneur, pseudoaneurysm,
Anesthesia for procedures on major vessels of neck; simple ligation
Repair blood vessel, direct; lower extr lower extremity
Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision
Thromboendarterectomy, with or without patch graft; abdominal aorta
Transluminal angioplasty, percutaneous; renal or visceral artery
Bypass graft, with vein; femoral-poplit femoral-popliteal
Bypass graft, with other than vein; car carotid-subclavian
Bypass graft, with other than vein; aor aortoceliac, aortomesenteric, aortorenal
Bypass graft, with other than vein; aor aortoceliac, aortomesenteric, aortorenal
Bypass graft, with other than vein; sublavian-vertebral
Aortobifemoral
Bypass graft, with other than vein; aor aortofemoral or bifemoral
Bypass graft with other than vein; aortofemoral
Bypass graft with other than vein; aortofemoral
Bypass graft, with other than vein; femoral-popliteal
Bypass graft, with other than vein; fem femoral-femoral
Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure).
Thrombectomy of arterial or venous graft;
Introduction of needle or intracatheter, vein
Introduction of needle or intracatheter,, vein
Introduction of catheter, superior or inferior vena cava
Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)
Selective catheter placement, each segmental or subsegmental pulmonary artery
Introduction of needle or intracatheter, carotid or vertebral artery
Introduction of needle or intracatheter; extremity artery
Introduction of catheter, aorta
Introduction of catheter, aorta
Introduction of catheter, aorta
Selective catheter placement, arterial system
Selective catheter placement, arterial system; each order thoracic or bracheocephalic
Selective catheter placement, arterial system; each order thoracic or bracheocephalic
Selective catheter placement, arterial system; each first order thoracic or bracniocephalic branch,
Selective catheter placement, arterial system; initial second order thoracic or bracheocephalic
Selective catheter placement, arterial system; initial second order thoracic or bracheocephalic branch, within a vascular famil
Selective cathether placement, arterial system; initial second order thoracic or bracheocephalic branch, within a vascular fam
Selective catheter placement, arterial system; initial second order thoracic or bracheocephalic
Selective catheter placement, arterial system; initial second order thoracic or bracheocephalic branch, within a vascular famil
Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a
Selective catheter placement, arterial system; initial third order or more selective thoracic or
Selective catheter placement, arterial system, additional second order, third order, and beyond,
Selective catheter placement, arterial system, additional second order, third order, and beyond,
Selective cather placement, arterial system; each first order abdominal, pelvic or lower extremity artery branch, within a vasc
Selective catheter placement, arterial system; each first order abdominal
Selective catheter placement, arterial system; each first order abdominal, pelvic or lower
initial second order abdominal, pelvic or lower extremity artery branch, within a vascular family
Unlisted procedure, vascular injection
scalp vein
Transfusion, blood or blood components
Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); limb or trunk
Injection of sclerosing solution; single vein
Injection of sclerosing solution; multiple veins, same leg
Injection of sclerosing solution; multiple veins, same leg
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous
Endovenous ablation therapy of incompetent vein; first vein treated
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, laser; first vei
Venous catheterization for selective organ blood sampling
Insertion of non-tunneled centrally inserted central venous cather; age 5 years or older
Insertionof peripherally inserted central venous catheter (picc), without subcutaneous port or pump; age 5 years or older
Insertion of peripherally inserted central venous access device, with sub- cutaneous port; age 5 years or older
Arterial puncture, withdrawal of blood ffor diagnosis
Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure);
Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure);
Insertion of cannula for hemodialysis, other purpose; vein to vein
Creaton of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft
Creaton of arteriovenous fistula by other than direct arteriovenous anastomosis (seperate procedure); autogenous graft
Revision of an arteriovenous fistula, with or without thrombectomy, autogenous or nonautogenous graft
Cannula declotting (separate procedure) without balloon catheter
Transcatheter biopsy
Transcatheter therapy, infusion other than for thrombolysis, any type (eg, spasmolytic, vasconstrictive)
Transcatheter therapy, infusion other than for thromboysis, any type (eg,
Ligation; external carotid artery
Ligation or biopsy, temporal artery
Ligation and division and complete stripping of long and short saphenous ve
Ligation and division and complete stripping of long or short saphenous vei
Ligation of perforator veins, subfascial, radical (linton type, skin graft, when performed, open, 1 leg
Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions
Stab phelbectomy of vericose veins, one extremity; 10-20 stab incesions
more than 20 incisions
Unlisted procedure, vascular surgery
Bone marrow; aspiration only
Bone marrow; aspiration only
Bone marrow; aspiration only
biopsy, needle or trocar
biopsy, needle or trocar
biopsy, needle or trocar
Biopsy or excision of lymph node (2); superficial (separate procedure)
Biopsy or excision of lymph node(s); superficial (separate procedure)
Biopsy or excision of lymph node(s); deep cervical node(s)
Biopsy or excision of lymph node(s); deep cervical node(s)
Open, deep cervical node(s) with excision scalene fat pad
Biopsy or excision of lymph node(s); open, deep axillary node(s)
Biopsy or excision of lymph node(s); open, deep axillary node(s)
Cervical lymphadenectomy (modified radical neck dissection)
Axillary lymphadenectomy; superficial superficial
Unlisted procedure, hemic or lymphatic system
Mediastinotomy with exploration, drainage, or removal of foreign body;
Mediastinoscopy, includes biopsy(ies), when performed
Unlisted procedure, mediastinum
Unlisted procedure, diaphragm
Anesthesia for procedures on anterior integumentary system of chest, including subcutaneous tissue; not otherwise specified
Anesthesia for procedures on anterior integumentary system of chest, including subcutaneous tissue;
Anesthesia for procedures on anterior integumentary system of chest, including subcutaneous tissue;
Biopsy of lip
Biopsy of the lip
Vermilionectomy (lip shave), with mucosal advancement
Excision of lip; transverse wedge excis transverse wedge excision with primary closure
Excision of lip; transverse wedge excision with primary closure
Excision of lip; v-excision with primar v-excision with primary direct linear closure
Excision of lip; v-excision with primary direct linear closure
Anesthesia for procedures on anterior integumentary system of chest, including subcutaneous tissue;
Plastic repair of cleft lip; secondary, secondary, by recreation of defect and reclosure
Plastic repair of cleft lip/nasal deform
Unlisted procedure, lips
Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair
Excision of lesion of mucosa and submucosa, vstibule of mouth; with simple repair
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair
Excision of lision of mucosa and submucosa, vestibule of mouth; with complex repair
Vestibuloplasty; posterior, unilateral
Unlisted procedure, vestibule of mouth
Anesthesia for procedures on anterior integumentary system of chest, including subcutaneous tissue;
Excision of lesion of tongue with closure; anterior two-thirds
Unlisted procedure, tongue, floor of mouth
Removal of embedded foreign body from dentoalveolar structures; soft tissues
Removal of embedded foreign body from dentoalveolar structures soft tissues
Removal of embedded foreign body from dentoalveolar structures; bone
Excision of osseous tuberosities, dentoalveolar structures
With complex repair
With complex repair
Excision of hyperplastic alveolar mucosa, each quadrant
Alveolectomy, including curettage of osteitis or sequestrectomy
Alveololasty, each quadrant (specify)
Alveololasty, each quadrant (specify)
Unlisted procedure, dentoalveolar structures
Unlisted procedure, dentoalveolar structures
Excision, lesion of palate, uvula; with with simple primary closure
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty,
Palatoplasty for cleft palate, with closure of alveolar ridge;
Palatoplasty for cleft palate, with bone graft to alveolar ridge (includes obtaining graft)
Repair of anterior palate, including vomer flap
Repair of anterior palate, including vomer flap
Unlisted procedure, palate, uvula
Drainage of abscess; submaxillary or sublingual, intraoral
Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral
Sialolithotomy; submandibular (submaxillary), complicated, intraoral
Sialolithotomy; submandibular (submaxillary), complicated, intraoral
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection
Excision of submandibular (submaxillary) gland
Excision of submandibular (submaxillary) gland
Excision of submandibular (submaxillary) gland
Excision of sublingual gland
Closure salivary fistula
Unlisted procedure, salivary glands or ducts
Biopsy; oropharynx oropharynx
Biopsy nasopharynx, visible lesion, simple
Tonsillectomy and adenoidectomy; age 12 or over
Tonsillectomy and adenoidectomy; age 12 age 12 or over
Tonsillectomy, primary or secondary; age 12 or over
Tonsillectomy, primary or secondary; age 12 or over
Adenoidectomy, primary; under age 12 under age 12
Adenoidectomy, primary; age 12 or over
Adenoidectomy, secondary; age 12 or over
Adenoidectomy, secondary; age 12 or over
Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy);
Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy);
Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy);
Control oropharyngeal hemorrhage, primary or secondary (eg, posttonsillectomy);
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, w
Unlisted procedure, pharynx, adenoids, or tonsils
Esophagoscopy, rigid or flexible; diagnostic, with or without collection ofspecimen(s) by brushing or washing (separate proced
Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen)s)
Esophagoscopy, rigid or flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
Esophagoscopy, rigid or flexible;with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
Esophagoscopy, rigid or flexible with balloon dilation, (less than 30 mm diameter)
Esophagoscopy, rigid or flexible with in insertion of guide wire followed by dilation over guide wire
Esophagoscopy, rigid or flexible with in insertion of guide wire followed by dilation over guide wire
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, andeither the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; d
Upper gastrointestinal endoscopy including exophagus, stomach, and either the duodenum and/or jejunum as appropriate; w
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; w
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
With dilation of gastric outlet for obstruction (eg, balloon, guide wire, bougie)
With dilation of gastric outlet for obstruction (eg, balloon, guide wire, bougie)
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or the jejunum as appropriat
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duedenum and/or jejunum as appropriate; w
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; w
Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; w
Upper gastrointestinal endoscopy including esophagus
Endoscopic retrograde cholangiopancreatography (ercp), diagnostic with or without biopsy and/or collection of
Endoscopic retrogrande cholangiopancreatography (ercp), diagnostic with or without biopsy and/or collection of specimen(s)
Endoscopic retrograde cholangiopancreatography (ercp); with sphincterotomy/papillotomy
Endoscopic retrograde choloangiopancreatography (ercp); with sphincterotomy/papillotomy
Laparoscopy, surgical, esophagogastric fun
Laparoscopy, surgical, esophagogastric fun
laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh
Dilation of esophagus, by unguided sound or bougie, *single or multiple passes
Dilation of esophagus, by unguided sound or bougie, single or multiple passes
Dilation of esophagus, by unguided sound or bougie, single or multiple passes
Dilation of esophagus with balloon (30 mm diameter or larger) for achalasia
Unlisted procedure, esophagus
Gastrotomy; with suture repair of bleed with suture repair of bleeding ulcer or esophagogastric laceration
Gastrotomy; with suture repair of bleed with suture repair of bleeding ulcer or esophagogastric laceration
With roux-en y reconstruction
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy
Unlisted laparoscopy procedure, stomach
Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance
longitudinal gastrectomy (i.e. sleeve gastrectomy)
Gastric restrictive procedure, w/o gastric bypass, for morbid obesity; vertical-banded gastroplasty
Gastric restrictive procedure, w/o gastric bypass, for morbid obesity; vertical-banded gastroplasty
Gastric restrictive procedure, w/o gastric bypass, for morbid obesity; vertical-banded gastroplasty
Gastric restrictive procedure, with gastricbypas for morbid oesity; with short limb (less than 100 cm) roux-en-y gastroenteros
Gastric restrictive procedure, with gastricbypass for morbid obesity;
Closure of gastrostomy, surgical
Unlisted procedure, stomach
Enterolysis (freeing of intestinal adhesion) for acute bowel obstruction (separate procedure)
Enterolysis (freeing of intestinal adhesion) for acute bowel obstruction (separate procedure)
Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (list separately in addition to prim
Excision of one or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single en
Enterectomy, resection of small intestine; single resection and anastomosis
Mobilization of splenic flexure performed in conjunction with partial colectomy (list seperately)
Colectomy, partial; with anastomosis with anastomosis
Colectomy, partial; with anastomosis with anastomosis
Colectomy, partial; with end colostomy with end colostomy and closure of distal segment
Colectomy, partial; with coloproctostom with coloproctostomy (low pelvic anastomosis)
Colectomy, partial; abdominal and trans abdominal and transanal approach
Colectomy, total, abdominal, with proctectomy; with ileostomy
Colectomy, partial, with removal of terminal ileum with ileocolostomy
colectomy, partial, with anastomosis
colectomy, partial, with removal of terminal ileum
colectomy, partial, with removal of terminal ileum
colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastromosis)
colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastromosis)
Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis
Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis
Ileostomy or jejunostomy, non-tube
Ileostomy or jejunostomy, non-tube
Colostomy or skin level cecostomy (do not report in conjection with 44141, 44144, 44146, 44605, 45100, 45119, 45126, 4556
Revision of colostomy; complicated (reconstruction in depth)
Revision of colostomy; complicated (reconstruction in depth)
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum;
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum;
Small intestinal endoscopy, enteroscopy beyond second portion of duodenumn not including ileum; with ablation of tumor(s
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum not including ileum; with abation of tumor(s),
Colonoscopy through stoma; diagnostic, with or without collection of speci
Colonoscopy through stoma; diagnositic, with or without collection of specimen(s) by brushing or
Closure of enterostomy, large or small intestine
Closure of enterostomy, large or small intestine
Closure of enterostomy, large or small intestine; with resection and anastomosis
Closure of enterrostomy, large or small intestine; with resection and anastomosis
Closure of enterostomy, large or small intestine; with resection and anastomosis
Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of hartmann type pro
Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of hartmann type pro
Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of hartmann type pro
Closure of enterostomy, large or small intestine; with resection and anastromosis (eg, closure of hartmann type procedure)
Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of hartmann type pro
Closure of intestinal custaneous fistula
Unlisted procedure, intestine
Unlisted procedure, meckel's diverticulum and the mesentery
Anesthesia for procedures on clavicle and scapula; not otherwise specified
Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess
Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess
Anorectal myomectomy
Anorectal myomectomy
Proctectomy, partial, without anastomosis, perineal approach
Proctectomy, partial, without anastomosis, perineal approach
Anesthesia for procedures on clavicle and scapula; radical surgery
Proctosigmoidoscopy rigid; diagnostic with or without collection of specimen(s) by
Proctosigmoidoscopy rigid with dilation any method
Proctosigmoidoscopy, rigid; with biopsy, single or multiple
Sigmoidoscopy, flexible fiberoptic with or without collection of specimen(s) by brushing or washing (separate procedure)
Sigmoidoscopy, flexible fiberoptic with with or without collection of specimen(s) by
Sigmoidoscopy, flexible with biopsy; single or mulitple
Sigmoidoscopy, flexible with biopsy; single or multiple
Sigmoidoscopy, flexible with removal of of tumor(s), polyp(s), or other lesion(s)
Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple
Colonoscopy, fiberoptic, beyond splenic flexure; diagnostic , with or without colon decompression
Colonoscopy, fiberoptic, beyond splenic flexure; diagnostic procedure
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumorspolyp(s), or other lesion(s) not amenable to remova
Colonoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy foceps, bipolar ca
Colonoscopy,flexible, proximal to splenic flexure;with removal of tumor(s),polyp(s), or other lesion(s) by hot biopsy forceps o
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s),
Colonoscopy,flexible, proximal to splenic flexure;with removal of tumor(s),polyp(s), or other lesion(s) by hot biopsy forceps o
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s),
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s)
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s)
with dilation by balloon, 1 or more strictures
Laparoscopy, surgical; protectomy, complete, combine abdominoperineal, with colostomy
Laparoscopy, surgical; protectomy, complete, combine abdominoperineal, with colostomy
Anesthesia for procedures on clavicle and scapula; biopsy of clavicle
Proctoplasty; for prolapse of mucous me for prolapse of mucous membrane
Proctoplasty; for prolapse of mucous membrane
Repair of rectocele (separate procedure)
Unlisted procedure, rectum
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy, submuscular
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy, submuscular
Incision of thrombosed hemorrhoid, external
Fissurectomy, including sphincterotomy, when performed
Fissurectomy, with or without sphincterotomy
Hemorrhoidectomy internal and external, single coumn/group;
Hemorrhoidectomy internal and external, simple;
Hemorrhoidectomy, internal and external, complex or extensive;
Hemorrhoidectomy, internal and external, 2 or more columns/groups
Hemorrhoidectomy, internal and external, complex or extensive;
Surgical treatment of anal fistula (fist (fistulectomy/fistulotomy); subcutaneous
Intersphincteric
Surgical treatment of anal fistula (fist (fistulectomy/fistulotomy); complex or multiple
Transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed
Closure of anal fistula w/rectal advancement flap
Closure of anal fistula w/rectal advancement flap
Anoscopy; diagnostic with or without collection of specimen(s) by brushing or washing (separate procedure)
Anoplasty, plastic operation for stricture; adult
Anoplasty, plastic operation for stricture; adult
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle) simple; chemical
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum, contagiosum, herpetic vesicle), simple; laser surgery
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum, herpetic vesicle), extensive (eg, laser surgery, electrosu
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum con- tagiosum, herpetic vesicle), extensive (eg, laser surg
Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)
Destruction of hermorrhoids, any method; internal and external
Hemorrhoidectomy, internal, by litigation other than rubber band, single hemorrhoid column/group
Hemorrhoidectomy, internal, by litigation other than rubber band, single hemorrhoid column/group
Hemorrhoidopexy (eg. for prolapsing internal hemorrhoids) by stapling
Hemorrhoidopexy (eg. for prolapsing internal hemorrhoids) by stapling
Unlisted procedure, anus
Anesthesia for partial rib resection; not otherwise specified
Biopsy of liver, percutaneous needle
Biopsy of liver, needle; percutaneous
Biopsy of liver, needle; when done for indicated purpose at time of other than major procedure
Anesthesia for partial rib resection; thoracoplasty (any type)
Unlisted procedure, liver
Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum)
Change of percutaneous biliary drainage catheter
Laparoscopy surgical; cholecystectomy
Laparoscopy, surgical; cholecystectomy
Laparoscopy, surgical; cholecystectomy
Laparoscopy, surgical, cholecystectomy
Laparoscopy, surgical, cholecystectomy, w/c
Laparoscopy, surgical; cholecystectomy w/c
Laparoscopy, surgical; cholecystectomy w/c
Unlisted laparoscopy procedure, biliary tract
Cholescystectomy
Cholecystectomy;
Cholecystectomy; with cholangiography
Cholecystectomy; with cholangiography with cholangiography
Cholecystectomy; with cholangiography
Cholecystectomy with exploration of common duct;
Excision of choledochal cyst
Unlisted procedure, biliary tract
Unlisted procedure, pancreas
Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)
Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)
Removal of peritoneal foreign body from peritoneal cavity
umbilectomy, omphalectomy, excision of umbilicus (separate procedure)
Omentectomy, epiploectomy, resection of omentum (separate procedure)
Laparoscopy, abdomen, peritoneum, omentum, diagnostic, with or without collection of specimen(s) by brushing or washing
Laparoscopy, abdomen, peritoneum, omentum, diagnostic, with or without collection of specimen(s) by brushing or washing
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or was
Laparoscopy, abdomen, peritoneum, omentum; d
Laparoscopy, surgical, abdomen, peritomeum, d
Laparoscopy, surgical; with biopsy (single or multiple)
Laparoscopy, surgical, abdomen, peritoneum
Laparoscopy, surgical, abdomen, peritoneum
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum
Repair initial inguinal hernia, age 5 years or over; reducible
Repair initial inguinal hernia, age 5 or over; reducible
Repair initial inguinal hernia, age 5 or over; reducible
Repair initial inguinal hernia, age 5 or over; reducible
Repair initial inguinal hernia, age 5 or over; reducible
Repair initial inguinal hernia, age 5 yrs or over; incarcerated or strangulated
Repair initial inguinal hernia, age 5 yrs or over; incarcerated or strangulated
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; reducible
Repair recurrent inguinal hernia, any age; reducible
Repair inguinal hernia, sliding, any age *
Repair inguinal hernia, sliding, any age
Repair initial femoral hernia, any age; reducible
Repair initial femoral hernia, any age; reducible
Repair initial incisional hernia; reducible *
Repair initial incisional hernia; reducible (separate procedure)
Repair initial incisional hernia; reducible *
Repair initial incisional hernia; reducible *
Repair initial incesional hernia; incarcerated or strangulated
Repair initial incisional hernia; incarcerated or strangulated
Repair initial incisional hernia; incarcerated or strangulated
Repair recurrent incisional hernia; reducible (separate procedure)
Repair recurrent incisional hernia; reducible *
Repair recurrent incisional or ventral hernia; incarcerated or strangulated
Repair recurrent incisional or ventral hernia; incarcerated or strangulated
Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for n
Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for n
Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for n
Repair epigastric hernia, (eg, properitoneal fat); reducible
Repair epigastric hernia, (eg, properitoneal fat); reducible
Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated
incarcerated or stangulated
Repair umbilical hernia, age 5 years or over; reducible
Repair umbilical hernia, age 5 years or over; reducible
Repair umbilical hernia, age 5 years or over; reducible
Repair umbilical hernia, age 5 years or older; reducable
Repair umbilical hernia, age 5 or over: incarcerated or strangulated
Repair umbilical hernia, age 5 years or over; incarcerated or strangulated
Laproscopy, surgical; repair initial inguinal hernia
Laparoscopy, surgical, repair initial ingu
Laparoscopy, surgical; repair recurrent inguinal hernia
Laparoscopy, surgical; repair recurrent inguinal hernia
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epgastric hernia (includes mesh insertion, when performed); redu
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epgastric hernia (includes mesh insertion, when performed); redu
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); inc
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); inc
Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible
Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible
Unlisted laparoscopy, hernioplasty
Unlisted laparoscopy, hernioplasty,
Suture, secondary, of abdominal wall for eviscretation or dehiscene
Unlisted procedure, abdomen, peritoneum and omentum
Anesthesia for all procedures on esophagus
Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting or
Percutaneous nephrostolithotomy or pyelostolithotom, with or without dilation, endoscopy, lithotripsy, stenting or basket ex
Percutaneous nephrostolithotomy or pyelostolithotom, with or without dilation, endoscopy, lithotripsy, stenting or basket ex
Nephrectomy, including partial ureterectomy, any open approach including rib resection;
Nephrectomy, including partial ureterectomy, any approach including rib resection;
Nephrectomy, including partial ureterectomy, any approach including rib resection;
Nephrectomy, including partial ureterectomy, any approach including rib resection;
Nephrectomy, including partial ureterectomy, any approach including rib resection;
Nephrectomy with total ureterectomy and bladder cuff; through s seperate incision
Aspiration and/or injection of renal cysst or pelvis by needle, *percutaneous
Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous
Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous
Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous
Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous
Laparoscopy, surgical; nephrectomy, including partial ureterectomy
Lithotripsy, extracorporeal shock wave
Lithotripsy, extracorporeal shock wave
Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter
Aspiration of bladder; with insertion of suprapubic catheter
Injection procedure for cystography or vvoiding urethrocystography
Injection procedure and placement of chain for contrast and/or chain urethrocystography
Injection procedure for retrograde urethrocystography
Injection procedure for retrograde urethrocystography
Bladder irrigation, simple, lavage and/oor instillation
Insertion of non-indwelling bladder catheter
Insertion of temporary indwelling bladder catheter, simple
Simple cystometrogram
Complex cystometrogram (ie, calibrated electronic equipment)
Complex cystometrogram (ie, calibrated electronic equipment)
Complex cystometrogram (eg, calibrated electronic equipment)
with urethral presure profile studies, any technique
with urethral presure profile studies, any technique
Complex cystometrogram; with voiding pressure studies and urethral pressure profile studies, any technique
Simple uroflowmetry (ufr) (eg, stop-watch flow rate, mechanical uroflowmeter)
Complex uroflowmetry (eg, calibrated electronic equipment)
Complex uroflowmetry (eg, calibrated electronic equipment)
Electromyography studies (emg) of anal or urethral sphincter, other than needle, any technique
Electromyography studies (emg) of anal or urethral sphincter, other than needle, any technique
Needle electromyography studies (emg) of anal or urethral sphincter, any technique
Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time)
Voiding pressure studies, intra-abdominal (ie' rectal, gastric, intraperiotoneal) (List separately in additon to code for primary p
Voiding pressure studies, intra-abdominal (ie' rectal, gastric, intraperiotoneal) (List separately in additon to code for primary p
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging
Anterior vesicourethropexy, or urethropexy (marshall-marchetti-krantz type);
Anterior vesicourethropexy, or urethropexy (marshall-marchetti-drantz type)
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg stamey, raz,
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, stamey, raz, modified pereyra)
Cutaneous vesicostomy
Cutaneous vesicostomy
Laproscopy, surgical; urethral suspension
Laproscopy, surgical; urethral suspension
Anesthesia for closed chest procedures (including esophagoscopy, bronchoscopy, thoracoscopy);
Cystourethroscopy (separate procedure)
Cystourethroscopy (separate procedure)
Cystourethroscopy (separate procedure)
Cystourethroscopy (separate procedure)
Cystourethroscopy, with uretheral catheterization, with or without irrigation
Cystourethroscopy, with ureteral catheterization, with or without irrigation,
Cystourethroscopy, with ureteral cathet with ureteral catheterization, with or without irrigation,
Cystourethroscopy, with ureteral catheterization, with or without irrigation
Cystourethroscopy, hospital;
Anesthesia for closed chest procedures (including esophagoscopy, bronchoscopy, thoracoscopy);
Cystourethroscopy, with biopsies
Cystourethroscopy, with biopsy
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra,
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra,
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of minor (less than 0.5 cm)
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of minor (less than 0.5 cm)
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of;
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; medium bladder tumor(s) (2
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of;
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of;
Cystourethroscopy, iwth dilation of bladder for interstitial cystitis;
Cystourethroscopy, iwth dilation of bladder for interstitial cystitis;
Cystourethroscopy, with internal urethrotomy; female
Cystourethroscopy, with internal urethrotomy; female
Cystourethroscopy with direct vision internal urethrotomy
Cystourethroscopy with direct vision internal urethrotomy
Cystourethroscopy with direct vision internal urethrotomy
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy and injection
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy and injection
Cystourethroscopy, with calibration and/or dilation of urethral stricture o
Cystourethroscopy, with steroid injection into stricture
Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, ureth
Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, ureth
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure);
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure);
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments, simple;
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (o
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus
Cystourethroscopy, with insertion of indwelling ureteral stent (eg, gibbons or double-j type)
(bilateral) cystourethroscopy, with insertion of indwelling ureteral stent (eg, gibbons or double-j type)
Cystourethroscopy, with insertion of indwelling ureteral stent (eg, gibbons
Cystourethroscopy, with insertion of indwelling ureteral stent (eg, gibbons or double-j type)
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
Cystourethroscopy, w/reteroscopy/pyelosc
Cystourethroscopy, w/reteroscopy/pyelosc
Cytostourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (uretal catheterization is included)
Cytostourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (uretal catheterization is included)
Anesthesia for closed chest procedures (including esophagoscopy, bronchoscopy, thoracoscopy);
Transurethral resection of bladder neck (separate procedure)
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meato
Transurethral resection of prostate, in- cluding control of postop bleed
Transurethral resection; of postoperative bladder neck contracture
Transurethral resection; of postoperati of postoperative bladder neck contracture
Mediastinoscopy and diagnostic thoracosopy not utilizing one lung ventilation
Anesthesia for permanent transvenous pacemaker insertion
Anesthesia for access to central venous circulation
Excision of urethral diverticulum (separate procedure); female
Anesthesia for transvenous insertion or replacement of cardioverter/defribrillator
Dilation of urethral stricture by passagge of sound *or urethral dilator, male;
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal)
Dilation of female urethra including supppository and/or *instillation;
Unlisted procedure, urinary system
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum; not otherwise specified
Circumcision, surgical excision other than clampor dorsal slit; except new
Circumcision, surgical excision other than clamp or dorsal slit; older than 28 days of age
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum;
Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach
Orchiectomy, radical, for tumor; inguinal approach
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum;
Orchiopexy, inguinal approach with or without hernia repair
Orchiopexy, inguinal approach with or without hernia repair
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum;
Excision of spermatocele, with or with epididymectomy
Excision of spermatocele, with or without epididymectomy
Epididymectomy; unilateral
Ipididymectormy; unilateral
Excision of hydrocele; unilateral unilateral
Excision of hydrocele; unilateral
Repair of tunica vaginalis hydrocele (bottle type)
Excision of hydrocele of spermatic cord, unilateral
Exision of hydrocele of spermatic cord, unilateral
Excision of lesion of spermatic cord (separate procedure)
Excision of lesion of spermatic cord (separate procedure)
Excision of varicocele or ligation of spermatic veins for varicocele;
hernia repair
Biopsy, prostate; needle or punch, sing needle or punch, single or multiple, any approach
Prostatectomy. retropubic radical: with bilateral pelvic lymphadenectomy
Prostatectomy, retropubic radical; with with bilateral pelvic lymphadenectomy, including external
Prostatectomy, retropubic radical; with with bilateral pelvic lymphadenectomy, including external
Unlisted procedure, male genital system
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator
with pump oxygenator, age 1 yr. or older, for all non-coronary bypass procedures (eg, valve procedures) or for re-operation f
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
Laparoscopy, surgical; with lysis of adhesions
Laparoscopy, surgical; with lysis of adhesions
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)
Incision and drainage of vulva or perineal abscess
Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery,cryosrugery, chemosurgery)
Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery,cryosrugery, chemosurgery)
Extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
Anesthesia for direct coronary artery bypass grafting; without pump oxygenator
Biopsy of vulva or perineum (separate procedure); one lesion
Vulvectomy; simple; partial *
with pump oxygenator
Excision of Bartholin's gland or cyst
Excision of Bartholin's gland or cyst
Colposcopy of the vulva; with biopsy(s)
Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosur-gery, cryosurgery, chemosurgery)
Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosur-gery, cryosurgery, chemosurgery)
Destruction of vaginal lesion(s); extensive any method
Biopsy of vaginal mucosa; simple (separate procedure)
Insertion of pessary
Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal
Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)
Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstertical)
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (separate procedure)
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (separate procedure)
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy
Combined anteroposterior colporrhaphy;
Combined anteroposterior colporrhaphy;
Combined anteroposterior colporrhaphy; with enterocele repair
Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal app
Repair of enterocele, abdominal approach (separate procedure)
Colpopexy, abdominal approach
Sacrospinous ligament fixation for prolapse of vagina *
Sacrospinous ligament fixation for prolapse of vagina *
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)
Sling operation for stress incontinence
Sling operation for stress incontinence (eg, fascia or synthetic)
Sling operation for stress incontinence (eg, fascia or synthetic) (for laparoscopic approach, use 51992)
Construction of artificial vagina; with with graft
Pelvic exam under anesthesia (other than local)
Pelvic exam under anesthesia (other than local)
Laparoscopy, surgical, colpopexy (suspension of vaginal apex)
Colposcopy of the cervix including upper/adjacent vagina
With biopsy(s) of of the cervix and endocervical curettage
With loop electrode biopsy(s) of the cervix
With loop electrode biopsy(s) of the cervix
Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)
Cautery of cervix; electro or thermal
Cauterization of cervix; cryocautery, i *cryocautery, initial or repeat
Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or
Biopsy of cervix, circumferential (cone), with or without dilation and curettage, with or without sturmdorff type repair
Conization of cervix, with or without fulguration with or without dilation and curettage,
Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrod
Conization of cervix, with or without fulguration with or without dilation and curettage,
Anesthesia for heart transplant or heart/lung transplant
Endometrial and/or endocervical sampling (biopsy), without cervical dilation, any method
Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)
Dilation and curettage, diagnostic and/or therapeutic (nonobstretrical)
Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)
Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less and/o
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 grams or less and/o
Total hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
Total hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
Total abdominal hysterectomy (corpus and cervix), with our without removal of tube(s), with or without removal of ovary(s)
Total hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
Total hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
Total hysterectomy (corpus and cervix), with or without removal of tube(s)
Total hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);
Total abdominal hysterectomy, including partial vaginectomy, with para- aortic and pelvic lymph node sampling, with or with
Total abdominal hysterectomy, including partial vaginectomy, with para- aortic and pelvic lymph node sampling, with or with
Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy),
Vaginal hysterectomy, for uterus 250 grams or less
Vaginal hysterectomy; for uterus 250 grams or less
Vaginal hysterectomy for uterus 250 grams or less
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s)
Vaginal hysterectomy: with removal of tube(s), and/or ovary(s), with repair of enterocele
Vaginal hysterectomy; with colpo-urethro
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (sis) or hysterosalpingog
Catheterization and introduction of saline or contrast material for hyserosonography or hysterosalpingography
Chromotubation of oviduct, including materials
Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less
Laparascopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
Laproscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or remova
Laproscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 kilograms or less and/or rem
Laparoscopy, surgical; w/vaginal hysterectomy, for uterus 250 grams or less
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 grams or less
Laproscopy, surgical; w/vaginal hysterectomy, for uterus 250 grams or less
Laparoscopy, surgical, with vaginal hyterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s)
Labaroscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s)
Hysteroscopy, diagnostic (separate procedure)
Hysteroscopy, surgical; w/sampling (biopsy)
Hysteroscopy, surgical; w/sampling (biopsy)
Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without d & c
With endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)
Laparoscopy, surgical, with total hystererctomy, for uterus 250g or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical, with total hystererctomy, for uterus 250g or less; with removal of tube(s) and/or ovary(s)
Laparoscopy, surgical with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
Laparoscopy, surgical with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)
Laparascopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method
Laparascopy, surgical; with fulguration or excision of lesions of the ovary, pelvic visera, or peritoneal surface by any method
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)
Salpingo-oophorectomy, complete or partial; unilateral or bilateral (separate procedure)
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (sep pr
Lysis of adhesions (salpingolysis, ovariolysis)
Ovarian cystectomy, unilateral or bilateral
Ovarian cystectomy, unilateral or bilateral
Ovarian cystectomy, unilateral or bilateral
Ovarian cystectomy, unilateral or bilateral
Oophorectomy, partial or total, unilateral or bilateral;
with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy
Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy
Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy
Hysteroscopy; diagnostic diagnostic
Unlisted procedure, female genital system (nonobstetrical)
Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartu
Routine obstetric care including antepartum care, cesarean delivery, and postpartum care
Unlisted procedure, maternity care and delivery
Anesthesia for procedures on cervical spine and cord; not otherwise specified
Biopsy thyroid, percutaneuous core needle
Partial thyroid lobectomy, unilateral; withor without isthmusectomy
Total thyroid lobectomy, unilateral; with or without isthmusectomy
Total thyroid lobectomy, unilateral;
Thyroidectomy, total or complete
Thyroidectomy, total or complete
Thyroidectomy, total or complete
cervical approach
cervical approach
Excision of thyroglossal duct cyst or sinus;
Excision of thyroglossal duct cyst or sinus;
Procedures with patient in the sitting position
Parathyroidectomy or exploration of parathyroid(s)
Parathyroid autotransplantation (list seperately in addition to code for primary procedure)
Thymectomy, partial or total: transcervical approach (separate procedure)
Unlisted procedure, endocrine system
With injection of medication or other substance for diagnosis or treatment (eg, c1-c2)
Puncture of shunt tubing or reservoir foor aspiration *or injection procedure
Puncture of shunt tubing or reservoir for aspiration or injection procedure
Burr hole(s); for implanting ventricular catheter, reservoir, EE electrode(s), pressure recording device, or other cerebral moni
Decompression of orbit only, transcranial approach
Exploration of orbit (transcranial approach); with removal of lesion
Craniectomy, suboccipital with cervical laminectomy for decompression of me
Crainiectomy, suboccipital; for exploration or decompression of cranial nerves
Crainictomy, suboccipital; for exploration or decompression of cranial nerves
Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma
Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
Craniectomy for excision of brain tumor, infratentorial or posterior fossa;except meningioma, cerebellopontine angle tumor,
Craniectomy for excision of brain tumor, infratentorial or posterior fossa;except meningioma, cerebellopontine angle tumor,
Craniectomy for excision of brain tumor, infratentorial or posterior fossa
Cranietomy for excision of brain tumor, infratentorial or posterior fossa
Craniectomy for excision of brain tumor, infratentorial or posterior fossa;midline tumor at base of skull
Craniectomy for excision of brain tumor, infratentorial or posterior fossa;midline tumor at base of skull
Subdural implanation of strip electrodes through one or more burr or trephine hole(s)
Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, non stereotactic
Hypophysectomy or excision of pituitary tumor, transnasal or transseptal
Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic
Anterior cranial fossa; intradural, including unilateral or bi- frontal craniotomy, elevation or resection of frontal lobe,
Orbitocranial approach to anterior cranial fossa; extradural, including supraorbital ridge osteotomy and elevation of frontal a
Orbitocranial approach to anterior cranial fossa; extradural, including supraorbital ridge osteotomy and elevation of frontal a
Orbitocranial approach to anterior cranial fossa; extradural, including supraorbital ridge osteotomy and elevation of frontal a
Bicoronal, transzygomatic and/or lefort i osteotomy approach to anterior cranial fossa with or without internal fixation, witho
Bicoronal, transzygomatic and/or lefort i osteotomy approach to anterior cranial fossa with or without interal fixation, withou
Bicoronal, transzygomatic and/or lefort i osteotomy approach to anterior cranial fossa with or without internal fixation, witho
Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, caverous s
Transtemporal approach to posterior cranial fossa, jugular foramen or mid- line skull base, including mastoidectomy, decomp
Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompr
Transtemporal approach to posterior cranial fossa, jugular foramen or mid- line skull base, including mastoidectomy, decomp
Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural
Resection or excision of neoplastic, vascular or infectious lesionof base of anterior cranial fossa; extradural
Resection or excision of enoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural re
Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa,
Resection or excision of neoplastic, vascular or infectious lesion of base posterior cranial fossa, jugular foramen, foramen ma
Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen m
Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen m
Secondary repair of dura for csf leak, anterior middle or posterior cranial fossa following surgery
By local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure,
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure,
Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion
Stereotactic localization, any method, including burr hole(s); with insertion of catheter(s) for brachytherapy
Stereotactic localization, any method, including burr hole(s); with insertion of catheter(s) for brachytherapy
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection
Anesthesia for procedures on thoracic spine and cord; not otherwise specified
Repair of encephalocele, skull vault, including cranioplasty
Craniotomy for repair of encephalocele, skull base
Craniotomy for repair of encephalocele, skull base two surgeons
Cranioplasty for skull defect; up to 5 up to 5 cm diameter
Cranioplasty for skull defect; larger than 5 cm diameter
Replacement of bone flap or prosthetic plate of skull
Vertriculocisternostomy (torkildsen type op)
Anesthesia for procedures on thoracic spine and cord; thoracolumbar sympathectomy
Ventriculo-peritoneal, -plkeural, other terminus
Replacement or revision of csf shunt, obstructed valve, or distal catheter in shunt system
Replacement or revision of csf shunt, obstructed valve, or distal catheter in shunt system
Removal of complete csf shunt system; with replacement by similar or other
Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation
Spinal puncture, lumbar, diagnostic
Spinal puncture, lumbar, diagnostic
Spinal puncture, therapeutic, for drainaage of spinal fluid *(by needle or catheter)
Injection, lumbar epidural, of blood or clot patch
Injection, lumbar epidural, of blood or clot patch
Injection of anesthetic substance (including narcotics), diagnostic or ther
Injection procedure for myelography and/or computed tomography, spinal (other than C1-C2 and posterior fossa)
Injection procedure for myelography and/or computed tomography, spinal (other than C1-C2 and posterior fossa)
Injection of substance other than anesthhetic, contrast, *or neurolytic solutions;
Injection procedure for diskography, each level; lumbar
Injection procedure for diskography, each level; lumbar
Injection procedure for diskography, each level; lumbar
Injection procedure for diskography, each level; cervical
Injection procedure for diskography, each level; cervical
Injection procedure for diskography, each leve; cervical or thoracic
Injection, single (not via indwelling catheter), not including neurolytic substances, with or without contrast (for either localiza
Injection of diagnostic or therapeutic substance(s) (including anestheic, antispasmodic, opioid, steroid, other solution), not in
Inject, single (not via indwelling catheter)
lumbar, or sacral (caudal)
Lumbar, or sacral (caudal)
Inject, single(not via indwelling catheter)
Injection, including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic sub
Lumbar, sacral (caudal), injection, including catheter placement, con- tinuous infustion or intermittent bolus, not including ne
Lumbar, sacral (caudal), injection, including catheter placement, con- tinuous infusion or intermittent bolus, not including neu
Lumbar, or sacral (caudal)
Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation o
cervical or thoracic, single level
Anesthesia for procedures in lumbar region; not otherwise specified
Laminectomy for exploration/decompression of spinal cord and/or cauda equin
Laminectomy for exploration/decompression of spinal cord and/or cauda equin
Laminectomy for exploration/decompression of spinal cord and/or cauda equina, one or two segments;
Laminectomy with removal of abnormal facetsand/or pars inter-articularis wi
Laminectomy with removal of abnormal facetsand/or pars inter-articularis wi
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve ro
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotom
Laminotomy (hemilaminectomy), for decompression of nerve root(s), including partial facetectomy, foraminotomy and/or
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
1 interspace, lumbar
each additional interspace, cervical or lumbar (list separately in addition to code for primary procedure
each additional interspace, cervical or lumbar (list separately in addition to code for primary procedure
each additional interspace, cervical or lumbar (list seperately in addition to code for primary procedure
each additional interspace, cervical or lumbar (list seperately in addition to code for primary procedure
each additional interspace, cervical or lumbar (list seperately in addition to code for primary procedure
each additional interspace, cervical or lumbar (list seperately in addition to code for primary procedure
each additional interspace, cervical or lumbar (list seperately in addition to code for primary procedure
Laminotomy (hemilaminectomy), for decompression of nerve root(s), including partial facetectomy, foraminotomy and/or
Laminotomy (hemilaminectomy), for decompression of nerve root(s), including partial facetectomy, foraminotomy and/or
Lumbar; laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy
Lumbar; laminoty (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and
Laminotomy (hemilaminectomy), for decompression of nerve root(s), including partial facetectomy, foramintomy and/or exc
Lumbar; laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy
Each additional cervical interspace; laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial fa
Each additional lumbar interspace; laminotomy, with decompression of nerve root(s), including partial facetectomy, foramino
Each additional lumbar interspace; laminotomy, with decompression of nerve root(s), including partial facetectomy, foramino
Each additional lumbar interspace; laminotomy, with decompression of nerve root(s), including partial facetectomy, foramino
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Lumbar; laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equin
Lumbar; laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equin
Lumbar; laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equin
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Lumbar; laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equin
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Lumbar; laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equin
Lumbar; laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equin
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Laminectomy, including unilater or bilateral complete facetecomy or fora- minotomy for decompression of spinal cord, cauda
Laminectomy, including unilater or bilateral complete facetecomy or fora- minotomy for decompression of spinal cord, cauda
Laminectomy, including unilateral or bilateral complete facetectomy or foraminotomy for decompression of spinal cord,
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s)(eg, herniated invertebral disk) single
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disk), s
Costovertebral approach for decompression of spinal cord or nerve root(s), (eg, herniated intervertebral disk), thoracic;
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s_), including osteophytectomy;
Diskectomy, anterior, with decompression of spinal cord and/or nerve roots,including osteophytectomy; cervical, single inter
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osteophytectomy;
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osteophytectomy;
Diskectomy, anterior, for decompression ofspinal cord and/or nerve roots
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osteophytectomy;
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s)including osteophytectomy; cervical, each additio
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osteophytectomy;
Cervical, each additional interspace; diskectomy, anterior, with decompression of spinal cord and/or root(s), including osteop
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osterophytectomy;
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osteophytectomy;
Diskectomy, anterior, for decompression of spinal cord and/or nerve root(s), including osteophytectomy;
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach for decompression of spinal cord and
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach
Vertebral corpectomy (vertebral body resection), partial or com- plete, anterior approach for decompression of spinal cord a
Vertiebral corpectomy (vertebral body resection), partial or complete, anterior approach for decompression of spinal cord an
Vertebral corpectomy, partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); t
Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space
Anesthesia for procedures in lumbar region; lumbar sympathectomy
Laminectomy, for release of tethered spinal cord, lumbar
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic
lumbar
lumbar
Extradural, lumbar
Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level
Vertebral corpectomy, partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthor
Anesthesia for procedures in lumbar region; chemonucleolysis
Percutaneous implantation of neurostimulator electrode array, epidural
Perc utaneous implantation of neurostimulator electrode array, epidural
Percutaneous implantation of neurostimulator eletrode array, epidural
Percutaneous implantation of neurostimulator electrode array, epidural
Laminectomy for implantation of neurostimulator electrodes, plate/paddle epidural
Laminectomy for implantation of neurostimulator electrodes, plate/paddle epidural
Revision or removal of spinal neurostimulator electrode percutaneous array(s) or plate/paddle(s)
Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling
Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling
Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling
Insertion or replacement of spinal neutostimulator pulse generator or receiver, direct or inductive coupling
Revision or removal of implanted surgical spinal neurostimulator pulse generator or receiver
Revision or removal of implanted surgical spinal neurostimulator pulse generator or receiver
Revision or removal of implanted spinal neurostimulator pulse generator or receiver
Revision or removal of implanted surgical spinal neurostimulator pulse generator or receiver
Repair of myelomeningocele; larger than larger than 5 cm diameter
Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other, including laminectomy
Injection, anesthetic agent; trigeminal *trigeminal nerve, any division or branch
Injection, anesthetic agent; great occipital nerve
Injection, anesthetic agent; great occipital nerve
Injection, anesthetic agent; cervical plexus
Injection, anesthetic agent; brachial plexus, single
Brachial plexus, single
Brachial plexus, single
Injection, anesthetic agent; axillary nerve
Injection, anesthetic agent; intercostal nerve, single
Injection, anesthetic agent; *intercostal nerves, multiple, regional block
Injection, anesthetic agent; *intercostal nerves, multiple, regional block
Injection, anesthetic agent; il ioinguinal, il iohypogastric nerves
Injection, anesthetic agent; intercostal nerves, multiple, regional block
 injection, anesthetic agent; il ioinguinal, il iohypogastric
Injection, anesthetic agent; paracervica *paracervical (uterine) nerve
Injection, anesthetic agent; paravertebr facet joint nerve, lumbar, single
Sciatic nerve, single
Sciatic nerve, single
Injection, anesthetic agent; femoral nerve, single
Injection, anesthetic agent; femoral nerve, single
femoral nerve, continuous infusion by catheter (including catheter placement)
Injection, anesthetic agent; other peripheral nerve or branch
Injection, anesthetic agent; other peripheral nerve or branch
Injection, anesthetic agent; other peripheral nerve or branch
Inject, anesthetic agent/steroid, paravert
Inject, anesthetic agent/steroid, paravert
Inject, anesthetic agent/steroid, paravert
Inject, anesthetic agent/steroid, paravert
Inject, anesthetic agent/steroid, paravert
Inject, anesthetic agent/steroid, paravert
Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or thoracic, single level
Injection, anesthetic agent and/or steroid transforaminal epidural; cervical or thoracic, each additional level
Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level
Injection, anesthetic agent and/or steroid, transfomainal epidural; lumbar or sacral, single level
Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level
Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, each additional level (list separately in a
Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, each additional level (list separately in a
Injection(s), diagnostic or therapeutic agent, paravertebral facet joint with image guidance, cervical or thoracic; single level
Injection(s), diagnostic or therapeutic agent, paravertebral facet joint with image guidance, cervical or thoracic; second level
Injection(s), diagnostic or therapeutic agent, paravertebral facet joint with image guidance, cervical or thoracic; third and any
Injecton(s), diag. or therapeutic agent, paravertebral facet joint with image guidance (fluoroscopy or CT), lumbar or sacral; sin
injections, diagnostic or therapeutic agent, paravertebral facetjoint with image guidance, lumbar or sacral, second level
injections, diagnostic or therapeutic agent, paravertebral facetjoint with image guidance, lumbar or sacral, third and any addi
Injection, anesthetic agent; stellate ga *stellate ganglion (cervical sympathetic)
Injection, anesthetic agent; *stellate ganglion (cervical sympathetic)
Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)
Injection, anesthetic agent
Application of surface neurostimulator
Application of surface (transcutaneous) neurostimulator
Destruction by neurolytic agent (chemodenervation of muscle endplate; muscles enervated by facial nerve
Destruction by neurolytic agent (chemodenervation of muscle endplate; muscles enervated by facial nerve
Destruction by neurolytic agent (chemodenervation of muscle endplate; muscles enervated by facial nerve
Chemodenervation of muscle(s); neck muscle(s) (eg, for spasmodic torticollis, spasmodic dysphonia)
Destruction by neurolytic agent; paravertebral facet joint nerve, lumbar single level
Destruction by neurolytic agent; other other peripheral nerve or branch
Neuroplasty; nerve of hand or foot
Neuroplasty, major peripheral nerve, arm or leg; other than specified
Neuroplasty, major peripheral nerve, arm orleg; other than specified
Neuroplasty and/or transposition; ulnar ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at elbow
Neuroplast and/or transpositioning; ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at elbow
Neuroplasty and/or transposition; ulnar nerve at wrist
Neuroplasty and/or transposition; ulnar nerve at wrist
Neuroplasty and/or transposition; median nerve at carpal tunnel
Neuroplasty and/or transposition; median nerve at carpal tunnel
Neuroplasty and/or transposition; median nerve at carpal tunnel.
Neuroplasty and/or transposition; media median nerve at carpal tunnel
Neuroplasty and/oir transposition; media nerve at carpal tunnel
Neuroplasty and/or transposition; media median nerve at carpal tunnel
Neuroplasty and/or trasposition; median nerve at carpal tunnel
Decompression; unspecified nerve(s) (sp unspecified nerve(s) (specify)
Decompession; unspecified nerve(s) (specify)
Internal neurolysis, requiring use of operating microscope (list separately in addition to
Internal neurolysis, requiring use of operating microscope (list separately in addition to
Orbitotomy with bone flap, lateral approach (eg, kroenlein); for exploration, with or without biopsy
Transection or avulsion of; pudenal ner
Excision of neuroma; cutaneous nerve, surgically identifiable
Excision of neuroma; cutaneous nerve, surgically identifiable
Excision of neuroma; cutaneous nerve, surgically identifiable
Excision of neuroma; major peripherial nerve, except sciatic
Excision of neuroma; major peripherial nerve, except sciatic
Excision of neuroma; major peripherial nerve, except sciatic
Excision of neuroma; major peripherial nerve, except sciatic
Excision of neurofibroma or neurolemmoma; major peripheral nerve
Excision of neurofibroma or neurolemmoma; major peripheral nerve
Excision of neurofibroma or neurolemmoma; major peripheral nerve
Sympathectomy, lumbar
Suture of digital nerve, hand or foot; one nerve
Suture of one nerve; hand or foot, common sensory nerve
Median motor thenar
Suture of one nerve, hand or foot; ulnar motor
Suture of major peripheral nerve, arm or leg, except sciatic; including transposition
Suture of major peripheral nerve, arm or leg, except sciatic;
Anastomosis; facial - hypoglossal
Unlisted procedure, nervous system
Evisceration Ocular Contents; Without Implant
Evisceration of ocular contents; without implant
Evisceration of ocular contents; with implant
With Implant
Enucleation of eye; without implant
Enucleation of eye; without implant
With Implant, Muscles Not Attached To Implant
Enucleation of eye; with implant, muscles not attached to implant
With Implant, Muscles Attached To Implant
Enucleation of eye; with implant, muscles attached to implant
Exenteration of orbit (does not include skin graft), removal of orbital contents; only
Exenteration of orbit (does not include skin graft), removal of orbital contents;
Exenteration of orbit (does not include skin graft), removal of orbital contents; with terapeutic removal of bone
Modification of ocular implant with placement or replacement or pegs (eg, drilling receptacle for prosthesis appendage
Insertion of ocular implant secondary
Insertion of ocular implant secondary
Insertion of ocular implant secondary; after enucleation, muscles attached to implant
Insertion of ocular implant secondary; after enucleation, muscles attached to implant
Reinsertion of ocular implant; with use with use of foreign material for reinforcement and/or
Reinsertion of ocular implant; with use of foreign material for reinforcement and/or
Removal of ocular implant
Removal of ocular implant
Removal of foreign body, external eye; connjunctival embedded (includes concretions), subconjunctival, or scleral nonperfora
Removal of foreign body, external eye; *corneal, without slit lamp
Removal of foreign body, external eye; *corneal, with slit lamp
Removal of foreign body, intraocular; from anterior chamber of eye or lens
Removal of foreign body, intraocular; from anterior chamber or lens
Removal of foreign body, intraocular; from posterior segment, magnetic ex- traction, anterior or posterior route
Removal of foreign body, intraocular; from poterior segment, nonmagnetic extraction
Repair of laceration; cornea and/or sclera, perforating, not involving uveal
Repair of laceration; cornea and/or scl cornea and/or sclera, perforating, not involving uveal
Cornea and/or sclera, perforating, with reposition or resection of uveal tissue
Cornea and/or sclera, perforating, with reposition or resection of uveal tissue
Repair of laceration; application of tissue glue, wounds of cornea and/or sclera
Repair of laceration; application of tissue glue, wounds of cornea and/or sclera
Repair of laceration; application of tissue glue, wounds of cornea and/or sclera
Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium
Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium
Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium
Excision or transposition of pterygium; without graft
Excision or transposition of pterygium; without graft
Excision or transposition of pterygium; without graft
Excision or transposition of pterygium; with graft
Excision or transposition of pterygium; with graft
Excision or transposition of pterygium; with graft
Excision or transposition of pterygium; with graft
Scraping of cornea, diagnostic, for smeaar and/or culture
Scraping of cornea, diagnostic, for smeaar and/or culture
Removal of corneal epithelium; with or w *with or without
Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage)
Removal of corneal epithelium; with app with application of chelating agent (eg, edta)
Removal of corneal epithelium; with app with application of chelating agent (eg, edta)
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo)
Keratoplasty (corneal transplant), anterior lamellar
Keratoplasty (corneal transplant), anterior lamellar
Keratoplasty (corneal transplant), anterior lamellar
Keratoplasty (corneal transplant), penetrating (except in aphakia or pseudophakia), includes autografts, and fresh or preserve
Keratoplasty (corneal transplant), penetrating (except in aphakia or pseudophakia), includes autografts, and fresh or preserve
Keratoplasty (corneal transplant), penetrating (except in aphakia or pseudophakia), includes autografts, and fresh or preserve
Keratoplasty (corneal transplant), penetrating (except in aphakia or pseudophakia), includes autografts, and fresh or preserve
Keratoplasty (corneal transplant), penetrating (in aphakia), includes autografts and fresh or preserved homografts
Keratoplasty (corneal transplant), penetrating (in aphakia), includes autografts and fresh or preserved homografts
Keratoplsty (corneal transplant), penetrating (in aphakia), includes auto- grafts and fresh or preserved homografts
Keratoplasty (corneal transplant); penetrating (in pseudophakia)
Keratoplasty (corneal transplant); penetrating
Keratoplasty (corneal transplant); penetrating (in pseudophakia)
Keratoplasty, endothelial
Keratoplasty, endothelial
Keratomileusis
Corneal relaxing incision for correction of surgically induced astigmatism
Corneal relaxing incision for correction or surgically induced astigmatism
Corneal wedge resection for correction of surgically induced astigmatism
Ocular surface reconstruction; amniotic membrane transplantation
Ocular surface reconstruction; amniotic membrane transplantation
Ocular surface reconstruction; amniotic membrane transplantation
Ocular surface reconstruction; amniotic membrane transplantation
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)
Paracentesis of anterior chamber of eye
Paracentisis of anterior chamber of eye (separate procedure) w/diagnostic
 paracentisis of anterior chamber of eye (separate procedure) w/diagnostic
Paracentesis of anterior chamber of eye (separate procedure); *with therapeutic release of aqueous
Paracentesis of anterior chamber of eye (separate procedure); withtherapeutic release of aqueous
Paracentesis of anterior chamber of eye (separate procedure); *with therapeutic release of aqueous
Paracentesis of anterior chamber of eye (separate procedure); with therapeutic release of aqueous
Paracentesis of anterior chamber of eye (separate proced); with removal of
Paracentesis of anterior chamber of eye (separate proced); with removal of
Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air
Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air inj
Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air
Trabeculotomy ab externo
Trabeculotomy ab externo
Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)
Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)
Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)
Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)
Severing adhesions of anterior segment, laser technique (separate procedure)
Severing adhesions of anterior segment, laser technique (separate procedure)
Severing adhesions of anterior segment
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)
Anterior synechiae, except goniosynechiae; severing adhesion of anterior segment of eye, incisional technique (withor withou
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid); posterior synec
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid); posterior synec
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid); posterior synec
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid); posterior synec
Removal of implanted material, anterior segment of eye
Removal of implanted material, anterior segment eye
Removal of implanted material, anterior segment eye
Removal of blood clot, anterior segment of eye
Removal of blood clot, anterior segment eye
Injection, anterior chamber (separate procedure); air or liquid
Injection, anterior chamber (separate procedure); *medication
Fistulization of sclera for glaucoma; trephination with iridectomy
Fistulization of sclera for glaucoma; thermocauterization with iridectomy
Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy
Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery
Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery
Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery
Fistulization of sclera for glaucoma; trabeculectomy ab externo
Fistulization of sclera for glaucuma
Fistulization of sclera for glaucoma; trabeculectomy ab externo
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous oscular surgery or trauma (includ
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous oscular surgery or trauma (includ
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous
Aqueous shunt to extraocular reservoir, (eg, molteno, schocket, denver-drupin)
Aqueous shunt to extraocular reservoir (eg, molteno, schocket, denver-krupin)
Aqueous shunt to extraocular reservoir, (eg, molteno, schocket, denver-krupin)
Aqueous shunt to extraocular reservoir
Aqueous shunt to extracular reservoir (eg, molteno, schocket, denver-krupin
Revision of aqueous shunt to extraocular reservoir
Revision of aqueous shunt to extraocular reservoir
Revision of aqueous shunt to extraocular reservoir
Revision of aqueous shunt to extraocular reservoir
Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure
Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure
Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure
Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure
Iridectomy, with corneoscleral or corneal section; for removal of lesion
with cyclectomy
Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)
Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)
Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)
Repair of iris, ciliary body (as for iridodialysis)(for reposition or resection of uveal tissue with perforating wound of cornea or
Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, mccannel suture)
Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, mccannel suture)
Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, mccannel suture)
Ciliary body destruction; cyclophotocoagulation
Ciliary body destruction; cyclophotocoagulation
Cyclophotocoagulation, endoscopic
Ciliary body destruction; cryotherapy
Ciliary body destruction; cryotherapy
Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (one or more sessions)
Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (one or more sessions)
Iridotomy by photocoagulation (one or more sessions) (eg, for glaucoma)
Coreoplasty by photocoagulation (one or more sessions) (eg, for improvement of vision)
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)
Discission of secondary membranous cataract (opacified posterior lens cap- sule and/or interior hyaloid); stab incision techniq
Discission of secondary membraneous cataract ("after cataract") and/or anterior hyaloid;
Discission of secondary membraneous (bilateral)
Discission of secondary membraneous cataract ("after cataract") and/or anterior hyaloid;
Discission of secondary membraneous cataract ("after cataract") and/or anterior hyaloid;
Discission of secondary membraneous cataract ("after cataract") and/or anterior hyaloid;
Discission of secondary membraneous cataract (after cataract) and/or anterior hyaloid;
Discission of secondary membraneous cataract (after cataract)
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)
Removal of secondary membranous cataract (after cataract), with corneoscler
Removal of secondary membranous cataract (after cataract), with corneoscler
Removal of lens material; aspiration technique, one or more stages
Removal of lens material; aspiration te aspiration technique, one or more stages
Removal of lens material; aspriation technique, one or more stages
Removal of lens material; phacofragment phacofragmentation technique (mechanical or
Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification)k with aspiratio
Removal of lens material; phacogragmentation technique (mechanical or ultrasonic)(eg, phacoemulsification), with aspiration
Removal of lens material; phacofragmentation technique (mechanical or
Removal of lens material; pars plana roach, with or without vitrectomy
Removal of lens material; pars plana roach, with or without vitrectomy
Removal of lens material; aspiration technique, one or more stages, pars plana approach,
Extraction of lens with or without iridectomy; intracapsular, with or without enzymes
Extraction of lens with or without iridectomy; intracapsular, with or without enzymes
Extraction of lens with or without iridectomy; extracapsular (other than 66840, 66850, 66915)
Extraction of lens with or without iridectomy; extracapsular (other than 66840, 66850, 66915)
Extracapsular cataract removal w/insertion of intraocular lens prothesis manual or mechanical technique (eg, irrigation and a
Extracapsular cataract removal w/insertion
Extracapsular cataract removal w/insertion of intraocular lens prothesis manual or mechanical technique (eg, irrigation and a
Extracapsular cataract removal w/insertion of intraocular lens prothesis manual or mechanical technique (eg, irrigation and a
Extracapsular cataract removal w/insertion of intraocular lens prothesis manual or mechanical technique (eg, irrigation and a
Extracapsular cataract removal w/insertion of intraocular lens prothesis manual or mechanical technique (eg, irrigation and a
Extracapsular cataract removal w/insertion of intraocular lens prothesis manual or mechanical technique (eg, irrigation and a
Extracapsular cataract removal with insertion of intraocular lens prothesis (one stage procedure), manual or mechanical tech
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure)
Extracapsular Cataract Removal W/Insertion Of Intraocular lens
Extracapsular Cataract Removal W/Insertion Of Intraocul
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure),
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure),
Extracapsular Cataract Removal W/Insertion Of Intraocul
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure),
Extracapsular Cataract Removal W/Insertion Of Intraocular lens
Extracapsular Cataract Removal W/Insertion Of Intraocular
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or phacoemulsifica
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure)
Insertion of intraocular lens prothesis (secondary implant), not associated with concurrent cataract removal
Insertion of intraocular lens prosthesis (secondary implant) not associated with
Insertion of intraocular lens prosthesis (secondary implant) not associatedwith
Insertion of intraocular lens subsequent to cataract removal (separate procedure)
Insertion of intraocular lens prosthesis (secondary implant) not associatedwith
Inseetion of intraocular lens prosthesis (secondary implant) not associatedwith concurrent cataract removal
Insertion of intraocular lens prosthesis (secondary implant) not associatedwith concurrent cataract removal
Exchange of intraocular lens
Exchange of intraocular lens
Exchange of intraocular lens
Unlisted procedure, anterior segment of eye
Unlisted procedure, anterior segment of eye
Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)
Removal of vitreous, anterior approach (open sky technique or limbal incision);
Removal of vitreous, anterior approach (open sky technique or limbal incision);
Removal of vitreous; anterior approach (open sky technique or limbal incisi
Removal of vitreous, anterior approach (open sky technique or limbal incision);
Removal of vitreous, anterior approach (open sky technique or limbal incision);
Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal
Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)
Aspiration or release of vitreous, subretinal or choroidal fluid, pars plan
Injection of vitreous substitute, pars plana approach; (sep procedure), ex
Injection of vitreous substitute, pars plana approach (separate procedure), excludes air or balanced salt
Intravitreal injection of a pharmacologic agent (separate procedure)
Intravitreal injection of a pharmacologic agent (separate procedure)
Intravitreal injection of a pharmacologic agent (separate procedure)
Intravitreal injection of a pharmacologic agent (separate procedure)
Intravitreal injection of a pharmacologic agent (separate procedure)
Intravitreal injection of a pharmacologic agent (separate procedure)
Intervitreal injection of a pharmacologic agent (separate procedure)
Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (one or more stages)
Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery
Virectomy, mechanical, pars plana approach
Vitrectomy, mechanical, pars plana approach;
Vitrectomy, mechanical, pars plana approach
Vitrectomy, mechanical, pars plana approach;
Vitrectomy, mechanical, pars plana approach;
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)
Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)
Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)
Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)
Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular
with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if per
with removal of subretinal membrane (eg, choroidal neovascularization), includs, if performed, intraocular tamponade (ie, air
with removal of subretinal membrane (eg, choroidal neovascularization), includs, if performed, intraocular tamponade (ie, air
Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without
Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without
Repair of retinal detachment, one or more sessions; photocoagulation (laser or xenon arc, one or more sessions),
Repair of retinal detachment, one or more sessions; photocoagulation (laser or xenon arc, one or more sessions),
Repair of retinal detachment, one or more sessions; photocoagulation (laser or xenon arc, one or more sessions),
Repair of retinal detachment, one or more sessions; scleral buckling (such as lamellar excision, imbrication
Repair of retinal, one or more sessions; scleral buckling (such as lamellar excision, imbrication
Repair of retinal detachment, one or more sessions; scleral buckling (such as lamellar excision, imbrication
Repair of retinal detachment, one or more sessions; with vitrectomy, any method, with or without air tamponade, may
Repair of retinal detachment, one or more sessions; with vitrectomy, any method, with or without air tamponade, may includ
Repair of retinal detachment, one or more sessions; with vitrectomy, any method, with or without air tamponade, may
Repair of retinal detachment, one or more sessions; with vitrectomy, any method, with or without air tamponade, may
Repair of retinal detachment, one or more sessions; with vitrectomy, any method, with or without air tamponade, may includ
Repair of retinal detachment, one or more sessions; with vitrectomy, any method, with or without air tamponade, may
Repair of retinal detachment, one or more session; by injection of air or other gas (eg, pneumatic retinopexy)
Repair of retinal detachment, one or more session; by injection of air or
Repair of retinal detachment, one or more session; by injection of air or other gas (eg, pneumatic retinopexy)
Repair of retinal detachment, one or more session; by injection of air or other gas (eg, pneumatic retinopexy)
Repair of retinal detachment, one or more sessions; previously operated upon, any technique
Repair of retinal detachment, one or more sessions; previously operated upon, any technique
Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repa
Repair of complex retinal detachment, with vitrectomy and membrane peeling, may include air, gas, or silicone oil tamponace
Repair of complex retinal detachment, with vitrectomy and membrane peeling, may include air, gas, or silicone oil tamponace
Repair of complex retinal detachment, with vitrectomy and membrane peeling, may include air, gas, or silicone oil tamponan
Repair of complex retinal detachment, with vitrectomy and membrane peeling, may include air, gas, or silicone oil tamponace
Release of encircling material (posterior segment)
Release of encircling material (posterior segment)
Removal of implanted material, posterior segment; extraocular
Removal of implanted material, posterior segment; extraocular
Removal of implanted material, posterior segment; extraocular
Removal of implanted material, posterior segment; intraocular
Removal of implanted material, posterior segment; intraocular
Removal of implanted material, posterior segment; intraocular
Removal of implanted material, posterior segment; intraocular
Removal of implanted material, posterior segment; intraocular
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration)without drainage, one or more sessions;
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions;
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions; cryothera
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions;
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions;
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions;
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions;
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions; photocoagula
Destruction of localized lesion of retina (eg, maculopathy, choriodopathy, small tumors), one or more sessions; photocoagula
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions;
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions;
Destruction of localized lesion of retina (eg, maculopathy, choroidopathy, small tumors), one or more sessions;
Destruction of localized lesion of choroid
Distruction local lesion choroid - choroid
Distruction local lesion choroid - choroid
Distruction local lesion choroid
Destruction of localized lesion of choroid (eg, choroidal neovasculariza- tion); photodynamic therapy, second eye, at single se
Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; cryotherapy, diathermy
Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; cryotherapy, diathermy
Treatment of extensive or progressive retinopathy, one more more sessions; (eg, diabetic retinopathy), photocoagulation
Treatment of extensive or progressive retinopathy, one more more sessions; (eg, diabetic retinopathy), photocoagulation
Treatment of extensive or progressive retinopathy, one more more sessions; (eg, diabetic retinopathy), photocoagulation
Treatment of extensive or progressive retinopathy, one more more sessions; (eg, diabetic retinopathy), photocoagulation
Treatment of extensive or progressive retinopathy, one more more sessions; (eg, diabetic retinopathy), photocoagulation
Treatment of extensive or progressive retinopathy, one more more sessions; (eg, diabetic retinopathy), photocoagulation
Scleral reinforcement (separate procedure) with graft
Scleral reinforcement (separate procedure); with graft
Scleral reinforcement (separate procedure); with graft
Scleral reinforcement (separate procedure); with graft
Scleral reinforcement (separate procedure); with graft
Scleral reinforcement (separate procedure); with graft
Unlisted procedure, posterior segment
Strabismus surgery on patient not previously operated on, any procedure, an
Strabismus surgery on patient not previously operated on, any procedure, any muscle (may include minor displacement,
Strabismus surgery on patient not previously operated on, any procedure, any muscle (may include minor displacement,
Strabismus surgery on patient not previously operated on, any procedure, any muscle (may include minor displacement,
Strambismus surgery, recession or resectously operated on, any procedure, any muscle (may include minor displacement,
Strabismus surgery on patient not previously operated on, any procedure, any muscle (may include minor displacement,
Strabismus surgery, recession or resectously operated on, any procedure, any muscle (may include minor displacement,
Strabismus surgery, recession or resectously operated on, any procedure, any muscle (may include minor displacement,
Strabismus surgery, recession or resection procedure (patient not previously operated on); one vertical
Strabismus surgery, recession or resection procedure (patient not previously operated on); one vertical
Strabismus surgery, recession or resection procedure (patient not previously operated on);
Strabismus surgery, recession or resection procedure (patient not prev. operated on); one vertical
Strayismus surgery, recession or resection procedure (patient not previously operated on); two or more
Strabismus surgery, recession or resection procedure (patient not previously operated on); two or more
Strayismus surgery, any procedure (patient not previously operatedon), superior oblique muscle
Strayismus surgery, any procedure (patient not previously operated on), superior oblique muscle
Transposition of extraocular muscle (eg, for paretic muscle), one or more stages, one or more muscles, with displacement
Strabismus sugery on patient with previous eye surgery or injury that did not involve the extraocular muscles (list separately
Strabismus surgery on patient previously operated on; involving reoperationof muscles
Strabismus surgery on patient previously operated on; involving reoperation
Strabismus surgery on patient previously operated on; involving reoperation of muscles
Strabismus surgery on patient previously operated on; involving reoperation of muscles
Strabismus surgery by posterior fixation suture technique with or without muscle recession
Placement of adjustable suture(s) durinsbismus surgery
Placement of adjustable suture(s) durinbismus surgery
Placement of adjustable suture(s) durinbismus surgery
Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s)
Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s)
Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s)
Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s)
Release of extensive scar tissue without detaching extraocular muscle (separate procedure)
Release of extensive scar tissue without detaching extraocular muscle (seperate procedure)
Unlisted procedure, ocular muscle
Orbitotomy without bone flap (frontal or
Orbitotomy without bone flap (frontal or)
Orbitotomy without bone flap (frontal approach); with removal of lesion
Orbitotomy without bone flap (frontal ap
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body
Orbitotomy without bone flap (frontal or transconjuctival approach) with removal of foreign body
Orbitotomy without bone flap (frontal or transconjunctival approach) with removal of foreign body
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression
with removal of bone for decompression
Orbitotomy with bone flap or window, lat
Orbitotomy with bone flap or window , lat
Orbitotomy with bone flap or window,lat
Orbitotomy with flap or window, lat
Orbitotomy with bone flap, lateral approach (eg, kroenelin); for exploration, with or without biopsy
Orbitotomy with bone flap, lateral approach (eg, kroenlein); for exploration, with or without biopsy
Retrobulbar injection; medication (separ *medication (separate
Retrobulbar injection; medication (separate procedure, does not include supply of medication)
Retrobulbar injection; alcohol alcohol
Injection of medication or other substance into tenoon's capsule
Injection of therapeutic agent into tenoon's capsule
Orbital implant (implant outside muscle cone); insertion
Orbital implant (implant outside muscle cone); insertion
Orbital implant (implant outside muscle)
Orbital implant (implant outside muscle)
Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)
Unlisted procedure, orbit
Unlisted procedure, orbit
Severing of tarsorrhaphy
Canthotomy (separate procedure)
Excision of chalazion; single single
Excision of chalazion; multiple, same lid
Excision of chalazion; multiple, different lids
Biopsy of eyelid
Correction of trichiasis; epilation, by *epilation, by forceps only
Correction of trichiasis; epilation, by *epilation, by forceps only
Correction of trichiasis; epilation, by forceps only
Correction of trichiasis; epilation by other than forceps (eg, by electro surgery or cryotherapy, laser surgery)
Correction of trichiasis; epilation by other than forceps (eg, by electro surgery or cryotherapy, laser surgery)
Excision of lesion of eyelid (except chaalazion) without closure *or with simple direct closure
Destruction of lesion of lid margin (up to 1 cm)
Temporary closure of eyelids by suture (eg, frost suture)
Temporary closure of eyelids by suture
Temporary closure of eyelids by suture (eg, frost suture)
Construction of intermarginal adhesions, median tarsorrhaphy
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate
Construction of intermarginal adhesions, median tarsorrhaphy or canthorrhaphy; with transposition of tarsal plate
Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)
Repair of brow ptosis (supraciliary, mid-forehead or coronal approach
Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)
Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)
Repair of blepharoptosis;frontalis muscle technique with suture or other material (eg, banked fascia)
Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia)
Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia)
Frontalis muscle technique with fascial sling (includes obtaining fascia)
Repair of blepharoptosis; frontalis muscle technique with autologous facial sling (includes obtaining fascia)
Repair of blepharoptosis; (tarso)levato (tarso)levator resection, internal approach
Repair of blepharoptosis; (tarso)levator resection, external approach
Repair of blepharoptosis; (tarso)levato (tarso)levator resection, external approach
Repair of blepharoptosis; (tarso) levator resection or advancement, external approach
(tarso) levator resection or advancement, internal approach
Repair of blepharoptosis; conjunctivo-ta conjunctiivo-tarso-mullar's muscle-levator resection
Repair of blepharoptosis; conjunctivo-tarso-muller's muscle-levator resection (eg, fasanella-servat type)
Repair of blepharoptosis; conjunctivo-ta conjunctivo-tarso-muller's muscle-levator resection (eg, fasanella-servat type)
Correction of lid retraction
Correction of lid retraction
Correction of lid retraction
Correction of lagophthalmos, with implantation of upper eye lid load (eg, gold weight)
Correction of lagophthalmos, with implantation of upper eye lid load (eg, gold weight)
Repair of ectropion; excision tarsal wedge
Excision tarsal wedge
Repair of ectropion; blepharoplasty, extensive (eg, kuhnt-szymanowski or tarsal strip operations)
Extensive (eg, tarsal strip operations)
Repair of ectropion; blepharoplasty, extensive (eg, kuhnt-szymanowski operation)
Repair of ectropion; blepharoplasty, extensive (eg, kuhni-szymanowski or tarsal strip operations)
Repair of entropion; suture
Repair of entropion; suture suture
Repair of entropion; blepharoplasty, excision tarsal wedge
Repair of entropion; blepharoplasty, ex blepharoplasty, excision tarsal wedge
Repair of entropin; blepharoplasty, ex blepharoplasty, extensive (eg, wheeler operation)
Extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)
Extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)
Repair of entropion; blepharoplasty, extensive (eg, wheeler operation)
Removal of embedded foreign body; eyelid
Canthoplasty (reconstruction of canthus)
Canthoplasty (reconstruction of canthus)
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation
Excisionand repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for s
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid;
Reconstruction of eyelid, full thickness by transfer of tarsoconjuctival flap from opposing eyelid; up to two-thirds of eyelid, on
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid;
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stag
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid;
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid;
Unlisted procedure, eyelids
Unlisted procedure, eyelids
Incision of conjunctiva, drainage of cyst
Incision of conjunctiva, drainage of cyst
Biopsy of conjunctiva
Biopsy of conjunctiva
Excision of lesion, conjunctiva; up to 1 cm
Excision of lesion,conjunctiva; up to 1 cm
Excision of lesion, conjunctiva; over 1 cm
Excision of lesion, conjunctiva; over 1 cm
Subconjunctival injection
Subconjunctival injection
Conjunctivoplasty; with conjunctival gr with conjunctival graft or
Conjunctivoplasty; with conjunctival graft or extensive rearrangement
Conjunctivoplasty; with conjunctival graft or
Conjunctivoplasty; reconstruction cul-de-sac w/conjuctival graft of extensive rearrangement
Conjunctivoplasty; reconstruction cul-de-sa w/ conjctival graft or extensi
Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement
Conjunctivoplasty, with buccal mucous membrane graft (includes obtaining graft)
Conjunctivoplasty, with buccal mucous membrane graft (includes obtaining graft)
Repair of symblepharon; conjunctivoplasty, without graft
Repair of symblepharon; conjunctivoplasty, without graft
Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)
Repair of symblepharon; division of sym division of symblepharon with or without insertion of conformer or
Conjunctival flap; total (such as gunderson thin flap or purse string flap)
Conjunctival flap; total (such as gunde total (such as gunderson thin flap or purse string flap)
Unlisted procedure, conjunctiva
Unlisted procedure, conjunctiva
Snip incision of lacrimal punctum
Removal of foreign body or dacryolith, lacrimal passages
Excision of lacrimal gland tumor; frontal approach
Excision of lacrimal gland tumor; frontal approach
Plastic repair of canaliculi
Plastic repair of canaliculi
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)
Closure of lacrimal punctum; by thermocauterization, ligation, or laser surgery
Closure of the lacrimal punctum, by plug each
Closure of the lacrimal punctum, by plug each
Closure of the lacrimal punctum; by plug, each
Closure of the lacrimal punctum, by plug, each, lower left eyelid
Closure of the lacrimal punctum, by plug, each, lower right eyelid
Dilation of lacrimal punctum, w/ or w/o i
Dilation of lacrimal punctum, w/ or w/o irrigation
Dilation of lacrimal punctum, w/or w/o irrigation
Probing of nasolacrimal duct, with our without irrigation; requiring general anesthesia
Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent
Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent
Probing of lacrimal canaliculi, w/ or w/o irrigation
Probing of lacrimal canaliculi, w/ or w/o irrigation
Unlisted procedure, lacrimal system
Biopsy external auditory canal
Excision soft tissue lesion, external auditory canal
Excision soft tissue lesion, external auditory canal
Removal foreign body from external auditory canal; without general anesthesia
Removal foreign body from external auditory canal; with general anesthesia
Removal foreign body from external auditory canal; with general anesthesia
Removal impacted cerumen (separate procedure), one or both ears
Removal impacted cerumen (separate procedure), one or both ears
Debridement, mastoidectomy cavity, simple (eg, routine cleaning)
Debridement, mastoidectomy cavity, complete
Debridement, mastoidectomy cavity, complex (eg, eith anesthesia or more than routine cleaning)
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection), (separate procedure)
Reconstruction external auditory canal for congenital atresia, single stage
Reconstruction external auditory canal for congenital atresia, single stage
Unlisted procedure, external ear
Eustachian tube inflation, transnasal; without catheterization
Myringotomy including aspiration and/or eustachian tube *inflation
Myringotomy including aspiration and/or eustachian tube *inflation
Myringotomy including aspiration and/ or eustachian tube inflation requiring general anesthesia
Ventilating tube removal requiring general anesthesia
Tympanostomy (requiring insertion of venntilating tube), local or *topical anesthesia
Tympanostomy (requiring insertion of venntilating tube), local or topical anesthesia
Tympanostomy (requiring insertion of ventilating tube), general anesthesia
Tympanostomy (requiring insertion of ventilating tube), general anesthesia
Tympanostomy (requiring insertion of ventilating tube), general anesthesia
Tympanostomy (requiring insertion of ventilating tube), general anesthesia
Middle ear exploration through postauricular or ear canal incision
Middle ear exploration through postauricular or ear canal incision
Tympanolysis, transcanal
Tympanolysis, transcanal
Transmastoid antrotomy (simple mastoidectomy)
Transmastoid antrotomy (simple mastoidectomy)
Mastoidectomy; complete complete
Mastoidectomy; complete
Mastoidectomy; modified radical modified radical
Mastoidectomy; modified radical
Mastoidectomy; radical
Mastoidectomy; radical radical
Excision aural glomus tumor; transcanal transcanal
Revision mastoidectomy; resulting in modified radical mastoidectomy
Revision mastoidectomy; resulting in modified radical mastoidectomy
Tympanic membrane repair, with or without site preparation or perforation for closure with or without patch
Myringoplasty (surgery confined to drumhead and donor area)
Myringoplasty (surgery confined to drumhead and donor area)
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery tympanic membrane repair); without ossicular
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy
Tympanoplasy with mastoidectomy (including canalplasty, middle ear surgery,tympanic membrane repair); with intact or rec
Tympanoplasty with mastoidectomy (including canalplasty
Tympanoplasty with mastoidectomy (including canalplasty
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair);
Stapes mobilization
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;
Revision of stapedectomy or stapedotomy
Revision of stapedectomy or stapedotomy
Repair oval window fistula
Repair round window fistula
Repair round window fistula
Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone
Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone (replacement procedure i
Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlea
Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlea
Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlea
With mastoidectomy implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external spee
Unlisted procedure, middle ear
Labyrinthectomy; with mastoidectomy
Cochlear device implantation, with or without mastoidectomy
Cochlear device implantation, with or without mastoidectomy
Cochlear device implantation, with or with out mastoidectomy
Unlisted procedure, inner ear
Removal of tumor, temporal bone
Unlisted procedure, temporal bone, middle fossa approach
Use of operating microscope
Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified
Myelography, posterior fossa, radiological supervision and
Myelography, posterior fossa, radiological supervision and
Radiologic examination, eye, for detect for detection of foreign body
Radiologic examination, eye, for detection of foreign body
Radiologic examination, eye, for detect for detection of foreign body
Radiologic examination, mandible; parti partial, less than four
Radiologic examination, mandible; parti partial, less than four
Radiologic examination, mandible; compl complete, minimum of four views
Radiologic examination, mandible; compl complete, minimum of four views
Radiologic examination, mandible; complete, minimum of four views
Radiologic examination, mastoids; compl complete, minimum of three views per side
Radiologic examination, mastoids; complete, minimum of three views per side
Radiologic examination, mastoids; compl complete, minimum of three views per side
Radiologic examination, facial bones; less than three views
Radiologic examination, facial bones; less than three views
Radiologic examination, facial bones; less than three views
Radiologic examination, facial bones; complete, minimum of three views
Radiologic examination, nasal bones, complete, minimum of three views
Radiologic examination, nasal bones, complete, minimum of three views
Radiologic examination; optic foramina optic foramina
Radiologic examination; optic foramina optic foramina
Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy
Radiologic exam; orbits, complete, minimum of four views
Radiologic exam; orbits, complete, minimum of four views
Radiologic examination; orbits, complete, minimum of four views
Radiologic examination, sinuses, paranasal, less than three views
Radiologic examination, sinuses, paranasal,less than three views
Radiologic examination, sinuses, paranasal, less than three views
Radiologic examination, sinuses, paranasal, complete, minimum of three views
Radiologic examination, sinuses, paranasal, complete, minimum of three views
Radiologic examination, sinuses, paranasal, complete, minimum of three views
Radiologic examination, skull; less than four views
Radiologic examination, skull; less tha less than four views, with or
Radiologic examination, skull; less than four views, with or
Complete, minimum of four views
Radiologic examination, skull; complete, minimum of four views, with or without stereo
Radiologic examination, skull; complete complete, minimum of four views, with or without stereo
Radiologic examination, teeth; single v single view
Radiologic examination, teeth; single v single view
Radiologic examination, teeth; complete complete, full mouth
Radiologic examination, teeth; complete complete, full mouth
Radiologic examination, temporomandibular joint, open and closed mouth;
Radiologic examination, temporomandibular joint, open and closed mouth;
Radiologic examination, temporomandibular joint, open and closed mouth;
Radiologic examination, temporomandibular joint, open and closed mouth;
Temporomandibular joint arthorography, radiological supervision and interpretation
Temporomandibular joint arthrography, radiological supervision and interpretation
Temporomandibular joint arthrography, radiological supervision and interpretation
magnetic resonance (eg, proton) imaging, temporomandibular joint(s)
Magnetic resonance (eg, proton) imaging, temporomandibular joint
Magnetic reasonance (eg, proton) imaging, temporomandibular joint
Cephalogram, orthodontic
Cephalogram, orthodontic
Cephalogram, orthodontic
Orthopantogram (eg, panoramic x-ray);
Orthopantogram (eg, panoramic x-ray);
Orthopantogram (eg, panoramic x-ray);
Radiologic examination; neck, soft tiss neck, soft tissue
Radiologic examination; neck, soft tissue
Radiologic examination; neck, soft tiss neck, soft tissue
Computerized tomography, head or brain; without contrast material
Computed tomography, head;or brain; without contrast material
Computed tomography, head or brain; without contrast material
Computerized axial tomography, head;or brain with contrast material(s)
Computerized axial tomography, head or brain; with contrast material(s)
Computerized axial tomography, head or brain; with contrast material(s)
Computerized axial tomography, head;or brain without contrast material, followed by
Computerized axial tomography, head or brain; without contrast material, followed by
Computerized axial tomography, head or brain; without contrast material, followed by
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear;
Computerized tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material
Computed tomography, orbit, ella, or posterior fossa or outer, middle, or inner ear;
Computerized axial tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear;
Computerized axial tomography, orbit, ella, or posterior fossa or outer, middle, or inner ear;
Computerized axial tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear;
Computerized axial tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear;
Computerized axial tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear;
Computerized axial tomography, orbit, ella, or posterior fossa or outer, middle, or inner ear;
Computed tomography, maxillofacial area; without contrast material
Computerized tomography, maxillofacial area; without contrast material
Computed tomography, maxilloacial area; without contrast material
Computerized axial tomography, maxillofacial area; with contrast material(s)
Computerized axial tomography, maxilloacial area; with contrast material(s)
Computerized axial tomography, maxillofacial area; with contrast material(s)
Computerized axial tomography, maxilloacial area; without contrast material, followed by contrast material(s)
Computerized axial tomography, maxillofacial area; without contrast material, followed by contrast material(s)
Computerized axial tomography, maxillofacial area; without contrast material, followed by contrast material(s)
Computerized tomography, soft tissue neck; without contrast material
Computed tomography, soft issue neck; without contrast material
Computed tomography, soft tissue neck; without contrast material
Computerized axial tomography, soft tissue neck; with contrast material(s)
Computerized axial tomography, soft issue neck; with contrast material(s)
Computerized axial tomography, soft tissue neck; with contrast material(s)
Computerized axial tomography, soft tissue neck; without contrast material followed by contrast material(s)
Computerized axial tomography, soft tissue neck; without contrast material followed by contrast material(s)
Computerized axial tomography, soft tissue neck; without contrast material followed by contrast material(s)
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image
Magnetic resonance (eg,proton) imaging); orbit, face, and neck
Magnetic resonance (eg, proton) imaging; orbit, face, and neck
Magnetic resonance (eg, proton) imaging; orbit, face, and/or neck; without contrast material(s)
Magnetic resonance (proton) imaging, orbit
Magnetic resonance (eg. proton) imaging, orbit, face and neck; without contrast material(s), followed by contrast material(s)
Without contrast material(s), followed by contrast material(s) andfurther sequences
Without contrast material(s), followed by contrast material(s) andfurther sequences
Magnetic resonance angiography, head; without contrast
Magnetic resonance angiography, head; without contrast
Magnetic resonance angiography, head; without contrast material(s)
with contrast material
with contrast material(s)
with contrast material(s)
Magnetic resonance angiography, head, without contrast material(s), followed by contrast material(s) and further sequences
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences
Magnetic resonance angiography, neck; without contrast material(s)
Magnetic resonance angiography, neck; with contract material(s)
Magnetic resonance angiography neck; without contrast material(s), followed by contrast material(s) and further sequences
Magnetic resonance (eg, proton) imaging, brain (including brain stem);
Magnetic resonance (eg, proton) imaging, brain (including brain stem);
Magnetic resonance (eg, proton) imaging, brain (including brain stem);
Magnetic resonance (eg, proton) imaging, brain (including brain stem);
Magnetic resonance (eg, proton) imaging, brain (including brain stem);
Magnetic resonance (eg, proton) imaging, brain (including brain stem);
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast mater
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material,
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast
Without contrast material(s), followed by contrast material(s) and further sequences; magnetic resonance (eg, proton) imagin
Without contrast material(s), followed by contrast material(s) and further sequences; magnetic resonance (eg, proton) imagin
Radiologic Examination,Chest;Single View,Frontal
Radiologic examination, chest; single view, frontal
Radiologic examination, chest; single v single view, frontal
Radiologic examination, chest; stereo, stereo, frontal
Stereo,Frontal
Radiologic Exam,Chest,2 Views,Frontal & Lateral;
Radiologic examination, chest, two views, frontal and lateral;
Radiologic examination, chest; s, frontal and lateral;
Radiologic examination, chest; two vies, frontal and lateral; with apical lordotic procedure
Radiologic examination, chest, two views, frontal and lateral; with apical lordotic procedure
Radiologic examination, chest, two views, frontal and lateral; with apical lordotic procedure
Radiologic examination, chest, two views, frontal and lateral; with oblique projections
Radiologic examination, chest, two views, frontal and lateral; with oblique projections
radiological examination, chest, two vis, frontal and lateral; with fluoroscopy
Radiological examination, chest, two vis, frontal and lateral; with fluoroscopy
Radiologic examination, chest, complete, minimum of four views;
Radiologic examination, chest, complete, minimum of four views;
Radiologic examination, chest, complete, minimum of four views; with fluoroscopy
Radiologic examination, chest, special views (eg, lateral decubitus, bucky studies)
Radiologic examination, chest, special views (eg, lateral decubitus, bucky studies)
Radiologic examination, chest, special views (eg, lateral decubitus, bucky studies)
Radiologic examination, ribs, unilateral; two views
Radiologic examination, ribs, unilateral; two views
Radiologic examination, ribs, unilaterl; two views
Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of three views
Radiologic examination, ribs, unilaterl; including posteroanterior chest, minimum of three views
Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of three views
Radiologic examination, ribs, bilatera; three views
Radiologic examination, ribs, bilateral; three views
Radiologic examination, ribs, bilateral; three views
Radiologic examination, ribs, bilatera; including posteroanterior chest, minimum of four views
Radiologic examination, ribs, bilatera; including posteroanterior chest, minimum of four views
Radiologic examination, ribs, bilatera; including posteroanterior chest, minimum of four views
Radiologic examination; sternum, minimu sternum, minimum of two views
Radiologic examination; sternum, minimu sternum, minimum of two views
Computerized axial tomography, thorax; without contract material
Computerized axial tomography, thorax; without contrast material
Computerized axial tomography, thorax; with contrast material(s)
Computerized axial tomography, thorax; with contrast material(s)
Computerized axial tomography, thorax; with contrast material(s)
Computerized axial tomography, thorax; without contrast material, followed by contrast material(s) and further sections
Computed tomography, thorax; without contrast material, followed by contrast material(s) and further sections
Computed tomography, thorax; without contrast material, followed by contrast material(s) and further sections
Computed tomographic angiography, chest, (noncoronary), with contrast material(s), including noncontrast images, if perform
Computed tomographic angiography, chest, (noncoronary), with contrast material(s), including noncontrast images, if perform
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy), without contr
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilarand mediastinal lymphadenopathy); without contr
Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)
Radiologic examination, spine, entire, survey study, anteroposterior and lateral
Radiologic examination, spine, entire, survey study, anteroposterior and lateral
Radiologic examination, spine, single iew, specify level
Radiologic examination, spine, single view, specify level
Radiologic examination, spine, single view, specify level
Radiologic examination, spine, cervical; anteroposterior and
Radiologic examination, spine, cervical; anteroposterior and
Radiologic examination, spine, cervica; anteroposterior and
Radiologic examination, spine, cervica; minimum of four views
Radiologic examination, spine, cervical; minimum of four views
Radiologic examination, spine, cervical; minimum of four views
Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension
Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension
Radiologic examination, spine, cervica; complete, including oblique and flexion and/or extension
Radiologic exam, spine, thoracolumbar, standing (scoliosis)
Radiologic exam, spine, thoracolumbar, standing (scoliosis)
Radiologic examination, spine; thoracic thoracic, anteroposterior and
Radiologic examination, spine; thoracic thoracic, anteroposterior and
Radiologic examination, spine; thoracic, anteroposterior and
Radiologic examination, spine; thoracic thoracic, anteroposterior and lateral, including swimmer's view of
Radiologic examination, spine; thoracic, anteroposterior and lateral, including swimmer's view of
Radiologic examination, spine; thoracic thoracic, anteroposterior and lateral, including swimmer's view of
Radiologic examination, spine; thoracic thoracic, complete, including obliques, minimum of four views
Radiologic examination, spine; thoracic thoracic, complete, including obliques, minimum of four views
Radiologic examination, spine; thoracic, minimum of four views
Radiologic examination, spine; thoracol thoracolumbar, anteroposterior and lateral
Radiologic examination, spine; thoracolumbar, anteroposterior and lateral
Radiologic examination, spine; thoracol thoracolumbar, anteroposterior and lateral
Radiologic examination, spine; scoliosi scoliosis study, including supine and erect studies
Radiologic examination, spine; scoliosi scoliosis study, including supine and erect studies
Radiologic examination, spine; scoliosis study, including supine and erect studies
Radiologic examination, spine, lumbosacral; anteroposterior
Radiologic examination, spine, lumbosacral; anteroposterior
Radiologic examination, spine, lumbosaral; anteroposterior
Radiologic examination, spine, lumbosaral; complete, with oblique views
Radiologic examination, spine, lumbosacral; complete, with oblique views
Radiologic examination, spine; minimum of four views
Radiologic examination, spine, lumbosacral; complete, with oblique views
complete, including bending views, minimum of 6 views
complete, including bending views, minimum of 6 views
complete, including bending views, minimum of 6 views
bending views only, 2 or 3 views
bending views only, 2 or 3 views
bending views only, 2 or 3 views
Computerized axial tomography, cervica spine; without contrast material
Computerized tomography, cervical spine; without contrast material
Computerized axial tomography, cervical spine; without contrast material
Computerized axial tomography, cervical spine; with contrast material
Computerized axial tomography, cervica spine; with contrast material
Computerized axial tomography, cervical spine; with contrast material
Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections
Computerized axial tomography, cervical spine; without contrast material, followed by contrast material(s)
Computerized axial tomography, cervical spine; without contrast material, followed by contrast material(s)
Computerized axial tomography, thoraci spine; without contrast material
Computerized axial tomography, thoraci spine; without contrast material
Computerized axial tomography, thoracic spine; without contrast material
Computed tomography, thoracic spine; with contrast material
Computerized axial tomography, thoracic spine; with contrast material
Computerized axial tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sectio
Computerized axial tomography, thoracic spine; without contrast material, followed by contrast material(s)
Computerized axial tomography, thoracic spine; without contrast material, followed by contrast material(s)
Computerized axial tomography, lumbar pine; without contrast material
Computerized axial tomography, lumbar spine; without contrast material
Computerized tomography, lumbar spine; without contrast material
Computerized axial tomography, lumbar spine; with contrast material
Computerized axial tomography, lumbar pine; with contrast material
Computerized axial tomography, lumbar spine; with contrast material
Computerized axial tomography, lumbar spine; without contrast material, followed by contrast material(s)
Computerized axial tomography, lumbar spine; without contrast material, followed by contrast material(s)
Computerized axial tomography, lumbar spine; without contrast material, followed by contrast material(s)
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical;
Magnetic resonance (eg,proton) imaging,, spinal canal and contents, cervical;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic;
Magnetic resonance (eg, portion) imaging, spinal canal and contents, thoracic; with contract material(s)
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar;
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material,
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material,
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by
Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)
Radiologic examination, pelvis; anterop anteroposterior only
Radiologic examination, pelvis; anterop anteroposterior only
Radiologic examination, pelvis; anterop anteroposterior only
Radiologic examination, pelvis; anteroposterior only
Radiologic examination, pelvis; complet complete, minimum of three views
Radiologic examination, pelvis; complete, minimum of three views
Radiologic examination, pelvis; complet complete, minimum of three views
Computed tomographic angigraphy, pelvis, with contrast material(s), including noncontrast images, if performed, and image
Computed tomographic angigraphy, pelvis, with contrast material(s), including noncontrast images, if performed, and image
Computed tomographic angigraphy, pelvis, with contrast material(s), including noncontrast images, if performed, and image
Computed tomography, pelvis; without contrast material
Computerized tomography, pelvis; without contrast material
Computed tomography, pelvis; without contrast material
Computerized axial tomography, pelvis; with contrast material(s)
Computerized axial tomography, pelvis; with contrast material(s)
Computerized axial tomography, pelvis; with contrast material(s)
Computerized axial tomography, pelvis; without contrast material, followed by contrast
Computerized axial tomography, pelvis; without contrast material, followed by contrast
Computerized axial tomography, pelvis; without contrast material, followed by contrast
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) --- reading of mri only
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) --- taking of mri only
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)
Magnetic resonance (eg, proton) imaging, pelvis
Magnetic resonance (eg, proton) imaging, pelvis
Magnetic resonance (eg, proton) imaging, pelvis
Without contrast material(s), followed by contrast material(s) and further sequences
Without contrast material(s), followed by contrast material(s) and further sequences
Without contrast material(s), followed by contrast material(s) and further sequences
Magnetic resonance angiography, pelvis, with or without contrast material(s)
Radiologic examination, sacroiliac joints; less than three
Radiologic examination, sacroiliac joints; less than three views
Radiologic examination, sacroiliac joints; less than three
Radiologic examination, sacroiliac joints; three or more views
Radiologic examination, sacroiliac joints; three or more views
Radiologic examination, sacrum and cocyx, minimum of two views
Radiologic examination, sacrum and coccyx, minimum of two views
Radiologic examination, sacrum and coccyx, minimum of two views
Myelography, cervical, radiological supervision and interpretation
Myelography, cervical, radiological supervision and interpretation
Myelography, cervical, radiological supervision and interpretation
Myelography, thoracic, radiological supervision and interpretation
Myelography, thoracic, radiological supervision and interpretation
Myelography, thoracic, radiological supervision and interpretation
Myelography, lumbosacral, radiological supervision and interpretation
Myelography, lumbosacral, radiological supervision and interpretation
Myelography, lumbosacral, radiological supervision and interpretation
Myelography, lumbosacral, radiological supervision and interpretation
Myelography, lumbosacral, radiological supervision and interpretation
Myelography, entire spinal canal, radiological supervision and
Myelography, two or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiolo
Myelography, entire spinal canal, radiological supervision and
Epidurography, radiological supervision and interpretation
Epidurography, radiological supervision and interpretation
Diskography, cervical or thoracic, radiological supervision and interpretation
Diskography, cervical, radiological supervision and interpretation
Diskography, cervical or thoracic, radiological supervision and interpretation
Diskography, cervical, radiological supervision and interpretation
Diskography, cervical, radiological surpervision and interpretation
Diskography, lumbar, radiological supervision and interpretation
Diskography, lumbar, radiological supervision and interpretation
Diskography, lumbar, radiological; supervision and interpretation
Diskography, lumbar, radiological supervision and interpretation
Anesthesia for procedures on upper posterior abdominal wall
Radiologic examination; clavicle, complete
Radiologic examination; clavicle, compl clavicle, complete
Radiologic examination; clavicle, compl clavicle, complete
Radiologic examination; scapula, comple scapula, complete
Radiologic examination; scapula, complete
Radiologic examination; scapula, comple scapula, complete
Radiologic examination, finger or fingers, minimum of two views
Radiologic examination, shoulder; one v one view
Radiologic examination, shoulder; one view
Radiologic examination, shoulder; one v one view
Radiologic examination, shoulder; one v one view
Radiologic examination, shoulder; one view
Radiologic examination, shoulder; complete, minimum of two views
Radiologic examination, shoulder; complete, minimum of two views
Radiologic examination, shoulder; complete, minimum of two views
Radiologic examination, shoulder; complete, minimum of two views
Radiologic examination, shoulder; complete, minimum of two views
Radiologic examination, shoulder; compl complete, minimum of two views
Radiologic examination, shoulder; compl complete, minimum of two views
Radiologic examination, shoulder, arthrography; radiological supervision
Radiologic examination, shoulder, arthrography; radiological supervision
Radiologic examination, shoulder, arthrography; radiological supervision
Radiologic examination; acromioclavicular joints, bilateral,
Radiologic examination; acromioclavicul acromioclavicular joints, bilateral,
Radiologic examination; acromioclavicul acromioclavicular joints, bilateral,
Radiologic examination; humerus, minimu humerus, minimum of two views
Radiologic examination; humerus, minimum of two views
Radiologic examination; humerus, minimu humerus, minimum of two views
Radiological exam, elbow; 2 views
Radiologic examination, elbow; anteropo anteroposterior and lateral
Radiologic examination, elbow; anteroposterior and lateral
Radiologic examination, elbow; anteropo anteroposterior and lateral
Radiologic examination, elbow; complete, minimum of three views
Radiologic examination, elbow; complete, minimum of three views
Radiologic examination, elbow; complete, minimum of three views
Radiologic examination, elbow; complete complete, minimum of three views
Radiologic examination; forearm, antero forearm, anteroposterior and lateral
Radiologic examination; forearm, anteroposterior and lateral
Radiologic examination; forearm, antero forearm, anteroposterior and lateral
Radiologic examination, wrist; anteroposterior and lateral
Radiologic examination, wrist; anteroposterior and lateral
Radiologic examination, wrist; anteropo anteroposterior and lateral
Radiologic examination, wrist; two views
Radiologic examination, wrist; two views
Radiologic examination, wrist; complete, minimum of three views.
Radiologic examination, wrist; complete, minimum of three views.
Radiologic examination, wrist; complete, minimum of three views
Radiologic examination, wrist; complete complete, minimum of three views
Radiologic examination, wrist; complete complete, minimum of three views
Radiologic examination, wrist, arthrography; radiological supervision
Radiologic examination, wrist, arthrography; radiological supervision
Radiologic examination, hand; two views
Radiologic examination, hand; two views
Radiologic examination, hand; two views two views
Radiologic examination, hand; two views two views
Radiologic examination, hand; minimum o minimum of three views
Radiologic examination, hand; minimum of three views
Radiologic examination, hand; minimum of three views
Radiologic examination; hand; minimum of three views
Radiologic examination, hand; minimum o minimum of three views
Radiologic examination, finger or fingers, minimum of two views
Radiologic examination, finger or fingers, minimum of two views
Radiologic examination, finger or fingrs, minimum of two views
Radiologic examination, finger or fingers, minimum of two views
Computed tomography, upper extremity; without contrast material
Computed tomography, upper etremity; without contrast material
Computerized axial tomography, upper extremity; without contrast material
Computerized axial tomography, upper extremity; without contrast material, followed by contrast material(s) and
Computerized axial tomography, upper extremity; without contrast material, followed by contrast material(s) and
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance imaging, upper extremity, other than joint; without contrast material(s)
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)
Magnetic resonance (eg proton) imaging, upper extremity, other than joint; without contrast material(s)
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint;without contrast material(s), followed by contras
Magnetic resosnance (eg, proton) imaging, upper extremity, other than joint
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint
Magnetic resonance (eg, proton) imaging, any joint of upper extremity
Magnetic resonance (eg, proton) imaging, any joint of upper extremity
Magnetic resonance (eg, proton) imaging, any joint of upper extremity
Magnetic resonance (eg, proton)imaging, any joing of upper extremity; with contrast material(s)
Mri (eg, proton) imaging, any joining of upper extremity; with contrast material(s)
Mri (eg, proton) imaging, any joining of upper extremity; with contrast material(s)
Magnetic resonance imaging, joint, upper extremity
Magnetic resonance imaging, joint, upper extremity
Magnetic resonance (eg, proton)imaging, any joing of upper extremity; with contrast material(s)
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint
Radiologic examination, hip; unilateral, one view
Radiologic examination, hip; unilateral unilateral, one view
Radiologic exam, hip; unilateral, one view
Radiologic examination, hip; unilateral, one view
Radiologic examination, hip; unilateral unilateral, one view
Radiologic examination, hip; complete, complete, minimum of two views
Radiologic examination, hip; complete, minimum of two views
Radiologic examination, hip; complete, complete, minimum of two views
Radiologic examination, hip; complete, complete, minimum of two views
Radiologic examination, hip; complete, complete, minimum of two views
Radiologic examination, hips, bilateral, minimum of two views of each hip, including anteroposterior view of pelvis
Radiologic examination, hips, bilateral, minimum of two views of each hip, including anteroposterior view of pelvis
Radiologic examination, hips, bilatera, minimum of two views of each hip, including anteroposterior view of pelvis
Radiologic examination, hips, bilateral, minimum of two views of each hip, including anteroposterior view of pelvis
Radiologic examination, HIP, arthography, radiological supervision and interpretation
Radiologic examination, HIP, arthography, radiological supervision and interpretation
Radiologic exam, HIP, during operative procedure
Radiologic examination, hip, during oprative procedure
Radiologic examination, pelvis and hips, infant or child, minimum of two views
Radiologic examination, pelvis and hips, infant or child, minimum of two views
Radiologic examination, femur, anteroposterior and lateral views
Radiologic examination, femur, anteroposterior and lateral views
Radiologic examination, femur, anteropsterior and lateral views
Radiologic examination, knee; anteropos anteroposterior and lateral
Radiologic examination, knee; anteropos anteroposterior and lateral
Radiologic examination, knee; anteropos anteroposterior and lateral
Radiologic examination, knee; anteroposterior and lateral
Radiologic examination; knee; one or two views
Radiologic examination, knee; anteropos anteroposterior and lateral
Radiologic examination, knee; anteroposterior and lateral, with oblique(s), minimum of
Radiologic examination, knee; anteroposterior and lateral, with oblique(s), minimum of 3 views
Radiologic examination, knee; anteropos anteroposterior and lateral, with oblique(s), minimum of
Radiologic examination, knee; anteroposterior and lateral, with oblique(s), minimum of 3 views
Radiologic examination, knee; anteropos anteroposterior and lateral, with oblique(s), minimum of
Radiologic examination, knee; complete, complete, including oblique(s), and tunnel, and/or
Radiologic examination, knee; complete, four or more views
Radiologic examination, knee; complete, complete, including oblique(s), and tunnel, and/or
Radiologic examination, knee; complete, complete, including oblique(s), and tunnel, and/or
Radiologic examination, knee; both knees, standing anteroposterior
Radiologic examination, knee; both knees, standing anteroposterior
Radiologic examination, knee; both knees, standing anteroposterior
Radiologic examination; tibia and fibul tibia and fibula, anteroposterior and
Radiologic examination; tibia and fibul tibia and fibula, anteroposterior and
Radiologic examination; tibia and fibula, anteroposterior and
Radiologic examination; tibia and fibul tibia and fibula, anteroposterior and
Radiologic examination; tibia and fibul tibia and fibula, anteroposterior and
Radiologic examination, ankle; two views
Radiologic examination, ankle; anteroposterior and lateral
Radiologic examination, ankle; anteropo anteroposterior and lateral
Radiologic examination, ankle; anteropo anteroposterior and lateral
Radiologic examination, ankle; complete, minimum of three views
Radiologic examination, ankle; complete, minimum of three views
Radiologic examination, ankle; complete complete, minimum of three views
Radiologic examination, ankle; complete, minimum of three views
Radiologic examination, ankle; complete, minimum of three views
Radiologic examination, ankle; complete, minimum of three views
Radiologic exam, foot; anteroposterior and lateral
Radiologic examination, foot; anteroposterior and lateral
Radiologic examination, foot; anteroposterior and lateral views
Radiologic examination, foot; anteropos anteroposterior and lateral
Radiologic examination, foot; anteropos anteroposterior and lateral
Radiologic examination, foot; complete, minimum of three views
Radiologic examination, foot; complete, complete, minimum of three views
Radiologic exam, foot; complete, minimum of three views
Radiologic examination, foot; complete, complete, minimum of three views
Radiologic examination, foot; complete, minimum of three views
Radiologic examination; calcaneus, mini calcaneus, minimum of two views
Radiologic examination; calcaneus, mini calcaneus, minimum of two views
Radiologic examination; calcaneus, minimum of two views
Radiologic examination; toe or toes, mi toe or toes, minimum of two views
Radiologic examination; toe or toes, minimum of two views
Radiologic examination; toe or toes, mi toe or toes, minimum of two views
Computerized tomography, lower extremity; without contrast material
Computed tomography, lower etremity; without contrast material
Computed tomography, lower extremity; without contrast material
Computerized axial tomography, lower extremity; with contrast material(s)
Computerized axial tomography, lower extremity; with contrast material(s)
Computerized axial tomography, lower extremity; with contrast material(s)
Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed,
Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed,
Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed,
Magnetic resonance (eg, proton) imaging, lower extemity other than joint; without contrast material(s)
Magnetic resonance (eg, proton) imaging, lower extemity other than joint; without contrast material(s)
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)
Magnetic resonance (eg, proton) imaging, lower extremity, other than joint
Magnetic resonance (eg, proton) imaging, lower extremity, other than joint
Magnetic resonance (eg, proton) imaging, lower extremity, other than joint
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance (eg, proton) imaging, any joint of lower extremity
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast materials(s)
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast materials(s)
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast ma
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast ma
Without contrast material(s) followed by contrast martials(s) and further sequences
Magnetic resonance angiography, lower extremity, with or without contrast material(s)
Magnetic resonance angiography, lower extremity, with or without contrast material(s)
Anesthesia for upper gastrointestinal endoscopic procedures
Radiologic examination, abdomen; single anteroposterior view
Radiologic examination, abdomen; single single anteroposterior view
Radiologic examination, abdomen; single single anteroposterior view
Radiologic examination, abdomen; anteroposterior and additional oblique and cone views
Radiologic examination, abdomen; antero anteroposterior and additional oblique and cone views
Radiologic examination, abdomen; antero anteroposterior and additional oblique and cone views
Radiologic examination, abdomen; comple complete, including decubitus and/or erect views
Radiologic examination, abdomen; complete, including decubitus and/or erect views
Radiologic examination, abdomen; comple complete, including decubitus and/or erect views
Complete acute abdomen series, including supine, erect, and/or decubitus views, single view chest
Complete acute abdomen series, including supine, erect, and/or decubitus views, single view chest
Complete acute abdomen series, including supine, erect, and/or decubitus views, single view chest
Computed tomography, abdomen without contrast material
Computed tomography, abdomen; without contrast material
Computerized tomography, abdomen; without contrast material
Computerized axial tomography, abdomen with contrast material(s)
Computerized axial tomography, abdomen; with contrast material(s)
Computerized axial tomography, abdomen; with contrast material(s)
Computerized axial tomography, abdomen; without contrast material, followed by
Computerized axial tomography, abdomen; without contrast material, followed by
Computerized axial tomography, abdomen without contrast material, followed by
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and im
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and im
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and im
Computed tomography, abdomen and pelvis; without contrast material
Ct abdomen&pelvis w/contrast
Computed tomography, abdomen and pelvis; without contrast material
Ct abdomen&pelvis w/contrast
Ct abdomen&pelvis w/contrast
Ct abdomen&pelvis w/contrast
computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast ma
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s).
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)
Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)
Magnetic resonance imaging, abdomen; w/o contrast
Magnetic resonance imaging, abdomen; w/o contract
Magnetic resonance imaging, abdomen; w/o contrast
Magnetic resonance angiography, abdomen, with or w/o contrast material(s)
Magnetic resonance angiography, abdomen, with or w/o contrast material(s)
Magnetic resonance angiography, abdomen, with or w/o contrast material(s)
Radiologic examination; esophagus esophagus
Radiologic examination; esophagus
Radiologic examination; esophagus esophagus
Cineradiography, pharynx and/or esophaphagus, with cineradiography and/or video
Swallowing function, pharynx and/or esophagus, with cineradiography and/or video
Swallowing function, with cineradiography/videoradiography
Radiologic examination, gastrointestinal tract, upper; with or
Radiologic examination, gastrointestinl tract, upper; with or
Radiologic examination, gastrointestinal tract, upper; with or
Radiologic examination, gastrointestinal tract, upper; with or without delayed films, with kub
Radiologic examination, gastrointestinl tract, upper; with or without delayed films, with kub
Radiologic examination, gastrointestinal tract, upper; with or without delayed films, with kub
With small intestine, includes multiple serial films
Radiologic examination, gastrointestinal tract, upper; with small bowel, includes multiple serial films
Radiologic examination, gastrointestinl tract, upper; with small bowel, includes multiple serial films
Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, wit
Radiological examination, gastrointestnal tract, upper, air contrast, with specific high density barium, effervescent agent, with
Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, wit
Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, wit
Radiological examination, gastrointestnal tract, upper, air contrast, with specific high density barium, effervescent agent, with
Radiological examination, gastrointestinal tract, upper, air contrast, with specific high density barium, effervescent agent, wit
With small intestine follow-through
Radiological examination, gastrointestnal tract, upper, air contrast, with specific high density barium, effervescent agent, with
Radiologic examination, small intestine, includes multiple serial films
Radiologic examination, small bowel, includes multiple serial films
Radiologic examination, small bowel, icludes multiple serial films
Radiologic examination, colon; contrast (eg, barium) enema, with or without kub
Radiologic examination, colon; contrast (eg, barium) enema, with or without kub
Radiologic examination, colon; contrast (eg, barium) enema, with or without kub
Radiologic examination, colon; air cont air contrast with specific high density barium,
Radiologic examination, colon; air contrast with specific high density barium,
Radiologic examination, colon; air cont air contrast with specific high density barium,
Cholecystography, oral contrast; additional or repeat examination or multiple day
Cholecystography, oral contrast; additi additional or repeat examination or multiple day
Cholecystography, oral contrast; additi additional or repeat examination or multiple day
Cholangiography; and/or pancreatography; intraoperative, radiologic supervision
Cholangiography and/or pancreatography; intraoperative, radiologic supervision and interpretation.
Cholangiography and/or pancreatography; intraoperative, radiologic supervision and interpretation.
Cholangiography and/or pancreatography; intraoperative, radiologic supervision
Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation
Combined endoscopic catheterization of the biliary and pancreatic ductal systems,
Combined endoscopic catheterization of the biliary and pancreatic ductal systems,
Combined endoscopic catheterization of the biliary and pancreatic ductal systems,
Urography (pyelography), intravenous, ith or without kub;
Urography (pyelography), intravenous, with or without kub; with or without tomography
Urography (pyelography), intravenous, with or without kub; with or without tomography
Urography, infusion, drip technique and/or bolus technique;
Urography, infusion, drip technique; a/or bolus technique;
Urography, infusion, drip technique and/or bolus technique;
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
Urography, infusion, drip technique; /or bolus technique; with nephrotomography
Urography, retrograde, with or withoutkub
Urography, retrograde, with or without kub
Urography, retrograde, with or without kub
Cystography, minimum of three views; radiological supervision and interpretation
Urethrocystography, voiding, radiologic radiological supervision and
Urethrocystography, voiding, radiologic radiological supervision and
Urethrocystography, voiding, radiologic radiological supervision and
Urethrocystography, voiding; complete p complete procedure
Pelvimetry, with or without placental localization
Pelvimetry, with or without placental localization
Pelvimetry, with or without placental localization
Anesthesia for hernia repairs in upper abdomen; not otherwise specified
Anethesia for hernia repairs in upper abdomen; not othewise specified
Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence
Anesthesia for hernia repairs in upper abdomen; omphalocele
Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia
Aortography, thoracic, by serialography, radiological supervision and
Aortography, abdominal, by serialography; radiological supervision and interpretation
Aortography, abdominal, by serialograph; radiological supervision and interpretation
Aortography, abdominal plus bilateral liofemoral lower extremity, catheter, by serialography, radiological supervision and
Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and
Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast materia
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast materia
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast materia
Angiography, cervicocerebral, catheter including vessel origin;
Angiography, cervicocerebral, catheter, including vessel origin; complete procedure
Angiography, cervicocerebral, selective catheter, including vessel origin;
Angiography, cervicocerebral, selective catheter, including vessel origin;
Angiography, carotid, cerebral, unilat, unilateral, selective; radiological supervision and interpretation
Angiography, external carotid, bilateral, selective, radiological supervision and interpretation
Angiography, carotid, cerebral, bilateral, selective; radiological supervision and interpretation
Angiography, carotid, cerebral, unilateral, radiological supervision and interpretation
Angiography, carotid, cerebral, unilatral; radiological supervision and
Angiography, carotid, cerebral, bilateral, radiological supervision and
Angiography, carotid, cerebral, bilateral; radiological supervision and
Angiography, carotid, cerebral, bilateral; radiological supervision and
Angiography, carotid, cervical, unilateral, radiological supervision and interpretation
Angiography, carotid, cervical, unilateral, radiological supervision and interpretation
Angiography, carotid, cervical, bilateral; radiological supervision and
Angiography, carotid, cervical, bilateral, radiological supervision and
Angiography, carotid, cervical, bilateral; radiological supervision and
Angiography, vertebral; cervical and/or intracranial, radiological supervision and interpretation
Angiography, vertebral; cervical and/or intracranial, radiological supervision and interpretation
Angiography, vertebral; cervical and/or intracranical, radiological supervision and interpretation
Angiography, vertebral; cervical and/or intracranial, radiological supervision and interpretation
Angiography, extremity, unilateral; radiological supervision and
Angiography, extremity, bilateral; radiological supervision and
Angiography, extremity, bilateral; radiological supervision and
Angiography, extremity, bilateral; radiologicla supervision and
Angiography, selective, each additional vessel studied after basic examination;
Angiography, selective, each additional vessel studied after basic examination;
Angiography, selective, each additional vessel studied after basic examination;
Shuntogram for investigation of previously placed indwelling nonvascular
Shuntogram for investigation of previously placed indwelling nonvascular sh
Shuntogram for investigation of previously placed indwelling nonvascular sh
Venography, extremity, unilateral; radiological supervision and
Venography, extremity, unilateral; radiological supervision and
Venography, extremity, unilateral; radiological supervision and
Venography, extremity, bilateral; radiological supervision and
Venography, caval, superior with seriallography; radiologicla supervision
Venography, renal, bilateral, selective; radiological supervision and
Venography, renal, bilateral, selective; radiological supervision and
Venography, orbital, radiological supervision and interpretation
Venous sampling through catheter with or without angiography (eg, for parathyroid hormone, renin),
Venous sampling through catheter with or without angiography (eg, for parathyroid hormone, renin)
Transcatheter therapy, embolization, any moethod, radiological supervision and interpretation
Transcatheter therapy, embolization, any method, radiological
Transcatheter therapy, infusion, any method (eg, thrombolysis other than coronary),
Angiogram through existing catheter fo follow-up study for transcatheter therapy, embolization or
Transluminal angioplasty, any method, renal or other visceral artery, radiological supervision and interpretation
Transcatheter biopsy, radiological supervision and interpretation
Transcatheter biopsy, radiological supervision and interpretation
Fluoroscopy (separate procedure), othe one hour physician time, other than 71023 or 71034
Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy)
Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy)
Fluoroscopy, physician time more than one hour, assisting a non-radiologic physician (eg, nephrostolithotomy, ercp,
Fluoroscopy, physician time more than one hour, assisting a non- radiologic physician (eg, nephrostolithotomy, ercp,
Fluoroscopy, physician time more than one hour, assisting a non-radiologic physician (eg, nephrostolithotomy, ercp,
Fluoroscopic guidance/localization of needle or catheter tip for spine or paraspinoius diagnostic or theraputic injection proce
Radiologic examination, fistula or sinus tract study; radiological supervision and interpretation
Radiologic examination, fistula or sinus tract study; radiological supervision and interpretation
Radiologic examination, fistula or sinus tract study; radiological supervision and interpretation
Computer aided detection (computer algorithm analysis of digital image data for lesion detection) with further physician revi
Computer aided detection (computer algorithm analysis of digital image data for lesion detection) with further physician revi
Radiological examination, surgical specimen
Radiological examination, surgical specimen
Radiological examination, surgical specimen
Radiologic examination, single plane body section (eg, tomography), other than with urography
Radiologic examination, single plane bdy section (eg, tomography), other than with urography
Radiologic examination, single plane body section (eg, tomography), other than with urography
Radiologic examination, complex motion(ie, hypercycloidal) body section (eg, mastoid polytomography), other than
Consultation on x-ray examination made elsewhere, written report
Consultation on x-ray examination made elsewhere, written report
3d rendering with interpretation and reporting of computed tomography, mri,ultrasound or other tomographic modality; not
3d rendering with interpretation and reporting of computed tomography, mag-netic resonance imaging, ultrasound or other
3d rendering with interpretation and reporting of computed tomography, mag-netic resonance imaging, ultrasound or other
3d rendering with interpretation and reporting of computed tomography, mri, ultrasound or other tomographic modality; req
3d rendering with interpretation and reporting of computed tomography, mri,ultrasound or other tomography modality; req
Computerized tomography, limited or localized follow-up study
Computerized tomography, limited or localized follow-up study
Computed tomography, limited or localized follow-up study
Magnetic resonance spectroscopy
Unlisted diagnostic radiographic procedure
Unlisted diagnostic radiographic procedure
Echoencephalography, real time with image documentation (gray scale)(for determination of ventricular size, delineation of c
Echoencephalography, real time with image documentation (gray scale)(for determination of ventricular size, delineation of c
Ophthalmic ultrasound, echography; a-mo a-mode, with amplitude quantification
Ophthalmic ultrasound, echography; a-mo a-mode, with amplitude quantification
Ophthalmic ultrasound, echography; cont contact b-scan
Ophthalmic ultrasound, echography; cont contact b-scan - Bilateral
Opthalmic ultrasound, echography
Ophthalmic ultrasound, echography; cont contact b-scan
Opthalmic ultrasound, echography, diagnostic; corneal pachymetry,unilateralor bilateral (determination of corneal thickness)
Ophthalmic biometry by ultrasound echography, a-mode;
Ophthalmic biometry by ultrasound echography, a-mode;
Opthalmic biometry by ultra sound echography, a-mode;
Ophthalmic biometry by ultrasound echography, a-mode;
Ophthalmic biometry by ultrasound echography, a-mode;
Ophthalmic biometry by ultrasound echography, a-scan; with introcular lens power calculation
Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation
Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation
Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation
Ultrasound, breat(s) (unilateral or bilateral), real time with image documentation
Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation
Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation
Ultrasound, abdominal, real time with image documentation; complete
Ultrasound, abdominal, real time with image documentation; complete
Ultrasound, abdominal, real time with image documentation; complete
Echography, abdominal, b-scan and/or real time with image documentation;
Echography, abdominal, b-scan and/or ral time with image documentation;
Echography, abdominal, b-scan and/or real time with image documentation;
Ultrasound, retroperitoneal (eg, renal aorta, nodes), real time with image documentation; complete
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete
Echography, retroperitoneal (eg, renal aorta, nodes), b-scan and/or real time with image documentation;
Echography, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real time with image documentation;
Echography, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real time with image documentation;
Ultrasound, transplanted kidney, b-scan and/or real time with image documentation, with or without duplex doppler study
Echography of transplanted kidney, b-scan and/or real time with image documentation, with or without duplex doppler studi
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (>or = 1
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (>or = 1
Ultrasound, pregnant uterus, eal time with image documentation; fetal and and maternal evaluation after first trimester (>or
Echography, transvaginal
Ultrasound, transvaginal
Echography, transvaginal
Ultrasound, transvaginal
Hysterosonography, with or without color flow doppler.
Saline infusion sonohysterography (sis), including color flow dopplor, whenperformed
Saline infusion sonohysterography (sis), including color flow dopplor, whenperformed
Hysterosonography, with or without color flow doppler.
Ultrasound, pelvic (non-obstetric), real time with image documentation; complete
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete
Echography, pelvic (non-obstetric) b-scan and/or real time with image documentation;
Echography, pelvic (non-obstetric) b-scan and/or real time with image documentation;
Echography, pelvic (non-obstetric) b-scan and/or real time with image documentation;
Ultrasound, crotum and contents
Echography, scrotum and contents
Echography, scrotum and contents
Ultrasound, transrectal
Echography, transrectal
Echography, transrectal
Imaging, peripheral (eg, b-scan, dopple(eg, b-scan, doppler or real-time scan)
Ultrasonic guidance for needle biopsy; radiological supervision and
Ultrasonic guidance for needle biopsy; radiological supervision and
Ultrasonic guidance for needle biopsy; radiological supervision and
Gastrointestinal endoscopic ultrasound, radiological supervision and interpretation
Gastrointestinal endoscopic ultrasound, radiological supervision and interpretation
Ultrasound bone density measurement and interpretation, peripheral site(s), any method
Echography, intraoperative
Ultrasonic guidance, intraoperative
Ultrasonic guidance, intraoperative
Unlisted ultrasound procedure (eg, diagnostic interventional)
Unlisted ultrasound procedure (eg, diagnostic, interventional)
Anesthesia for all procedures on major abdominal blood vessels
Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device)
Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device)
See CPT Book - this code cannot be billed with various other codes.
See CPT Book - this code cannot be billed with various other codes.
See CPT Book - this code cannot be billed with various other codes.
Computed tomography guidance for needle placement (eg biopsy, aspiration, injection, localization device), radiological supe
Computer-aided detection with further physician review for interpretation with or without digitization of film radiographic im
Mamorgraphy; unilateral
Mammography; bilateral
Mammography; bilateral
Mammography; bilateral
Screening mammography, bilateral (2 view film study of each breast)
Screening mammography, bilateral (2-view film study of each breast)
Screening mammography, bilaterial (2 view film study of each breast)
Radiographic absorptiometry (eg, photodensitometry, radiogrammetry), 1 or more sites.
Radiographic absorptiometry (eg, photodensitometry, radiogrammetry), 1 or more sites.
Radiographic absorptiometry (eg, photodensitometry, radiogrammetry), 1 or more sites.
Dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)
Therapeutic radiology treatment planning; simple
Therapeutic radiology treatment planning; simple
Therapeutic radiology treatment planning; complex
Therapeutic radiology simulation-aided field setting; simple
Therapeutic radiology simulation-aided field setting; simple
Therapeutic radiology simulation-aided field setting; complex
Therapeutic radiology simulation aidedfield setting; complex
Therapeutic radiology simulation-aided field setting; complex
Therapeutic radiology simulation-aided field setting; three-dimensional
Therapeutic radiology simulation-aided field setting; three-dimensional
Therapeutic radiology simulation-aided field setting; three-dimensional
Unlisted procedure, therapeutic radiolgy clinical treatment planning
Unlisted procedure, therapeutic radiology clinical treatment planning
Unlisted procedure, therapeutic radiology clinical treatment planning
Basic radiation dosimetry calculation,central axis depth dose, tdf, nsd, gap calculation, off axis factor, tissue inhomogeneity
Basic radiation dosimetry calculation, central axis depth dose calculation,tdf, nsd, gap calculation, off axis factor, tissue inhom
Basic radiation dosimetry calculation, central axis depth dose, tdf, nsd, gap calculation, off axis factor, tissue inhomogeneity
Teletherapy, isodose plan (whether hand or computer calculated); intermediate (three or more treatment ports directed to a
Teletherapy, isodose plan (whether hand or computer calculated); intermediate (three or more treatment ports directed to a
Teletherapy, isodose plan (whether han or computer calculated); complex (mantle or inverted y, tangential ports, the use of
Teletherapy, isodose plan (whether hand or computer calculated); complex (mantle or inverted y, tangential ports, the use of
Teletherapy, isodose plan (whether hand or computer calculated); complex (mantle or inverted y, tangential ports, the use of
Special teletherapy port plan, particles, hemi-body, total body
Special teletherapy port plan, particls, hemi-body, total body
Brachytherapy isodose calculation; simple (calculation made from single plane, one to four
Special dosimetry (eg, tld, microdosimetry) (specify)
Special dosimetry (eg, tld, microdosimtry) (specify)
Treatment devices, design and construction; simple (simple block, simple bolus)
Treatment devices, design and construction; simple (simple block, simple bolus)
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators,
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators,
Treatment devices, design and construction; complex (irregular blocks, special shields, compensators,
Continuing medical radiation physics consultation in support of therapeutic radiologist, including continuing quality
Continuing medical radiation physics consultation in support of therapeutic radiologist, including continuing quality
Special medical radiation physics consultation
Unlisted procedure, medical radiation physics, dosimetry and treatment devices
Unlisted procedure, medical radiation physics, dosimetry and treatment devices
Unlisted procedure, medical radiation physics, dosimetry. and treatment devices
Radiation treatment delivery, superficial and/or ortho voltage
Radiation treatment delivery, single atment area, single port or parallel opposed ports, simple blocks
Radiation treatment delivery, two separate treatement areas, three or more ports on a single treatment area, use of
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational
Radiation treatment delivery, three or ore separate treatment areas, custom blocking, tangential ports, wedges, rotational
Radiation treatment delivery, three or ore separate treatment areas, custom blocking, tangential ports, wedges, rotational
Radiation treatment delivery, three or ore separate treatment areas, custom blocking, tangential ports, wedges, rotational
Radiation treatment delivery, three or ore separate treatment areas, custom blocking, tangential ports, wedges, rotational
Therapeutic radiology port film(s)
Radiation treatment management, five trmt
Radiation therapy management with complete course of therapy consisting of one or two fractions only
Radiation therapy management with complete course of therapy consisting of one or two fractions only
Stereotactic radiation treatment management of cranial lesion(s)(complete course of treatment consisting of one session)
Special treatment procedure (eg, totalbody irradiation, hemibody irradiation, per oral, vaginal cone irradiation)
Special treatment procedure (eg, total body irradiation, hermibody irradiation, per oral, vaginal cone irradiation)
Unlisted procedure, therapeutic radiology clinical treatment management
Unlisted procedure, therapeutic radiology clinical treatment management
Unlisted procedure, therapeutic radiology clinical treatment management
Intracavitary radioelement application; simple
Surface application of radioelement
Surface application of radioelement
Supervision, handling, loading of radioelement
Supervision, handling, loading of radioelement
Supervision, handling, loading of radioelement
Unlisted procedure, clinical brachytherapy
Unlisted procedure, clinical brachytherapy
Unlisted procedure, clinical brachytherapy
Thyroid uptake; single determination single determination
Thyroid uptake; single determination
Thyroid uptake; single determination single determination
Thyroid uptake; multiple determinations multiple determinations
Thyroid uptake; multiple determinations
Thyroid uptake; stimulation, suppression or discharge (not including initia
Thyroid imaging, with uptake; single de single determination
Thyroid imaging, with uptake; single determination
Thyroid imaging, with uptake; single de single determination
Thyroid imaging, with uptake; multiple multiple determinations
Thyroid imaging, with uptake; multiple determinations
Thyroid imaging, with uptake; multiple multiple determinations
Thyroid imaging; only
Thyroid imaging; only
Thyroid imaging; only
Thyroid carcinoma metastases imaging; imited area (eg, neck and chest only)
Parathryroid imaging
Unlisted endocrine procedure, diagnostic nuclear medicine
Unlisted endocrine procedure, diagnostic nuclear medicine
Unlisted endocrine procedure, diagnostic nuclear medicine
Bone marrow imaging; limited area
Bone marrow imaging; multiple areas
Bone marrow imaging; whole body whole body
Bone marrow imaging; whole body whole body
White blood cell localization, limited limited area scanning
White blood cell localization; whole bo whole body
Lymphatics and lymph glands imaging
Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine
Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine
Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine
Liver imaging; static only
Liver and spleen imaging; static only static only
Liver and spleen imaging; static only static only
Liver function study with hepatobiliary agents, with serial images
Liver function study with hepatobiliary agents with serial images
Hepatobiliary ductal system imaging, icluding gallbladder
Hepatobiliary ductal system imaging, including gallbladder
Hepatobiliary ductal system imaging, including gallbladder
Gastric emptying study
Unlisted gastrointestinal procedure, diagnostic nuclear medicine
Unlisted gastrointestinal procedure, diagnostic nuclear medicine
Unlisted gastrointestinal procedure, diagnostic nuclear medicine
Bone imaging; limited area (eg, skull, pelvis)
Bone imaging; limited area (eg, skull, limited area (eg, skull, pelvis)
Bone imaging; limited area (eg, skull, limited area (eg, skull, pelvis)
Bone imaging; multiple areas multiple areas
Bone imaging; multiple areas
Bone imaging; multiple areas multiple areas
Bone imaging; whole body whole body
Bone imaging; whole body
Bone imaging; whole body whole body
Bone imaging; by three phase technique by three phase technique
Bone imaging; by three phase technique by three phase technique
Bone imaging; by three phase technique by three phase technique
Bone imaging tomographic (spect); super tomographic (spect)
Bone density (bone mineral content) study, one or more sites; single photon absorptiometry
Unlisted musculoskeletal procedure, diagnostic nuclear medicine
Unlisted musculoskeletal procedure, diagnostic nuclear medicine
Unlisted musculoskeletal procedure, diagnostic nuclear medicine
Vascular flow imaging (ie, angiography venography)
Vascular flow imaging (ie, angiography,venography)
Vascular flow imaging (ie, angiography,venography)
Myocardial perfusion imaging, tomographic, single study, at rest or stress
Multiple studies, at rest and/or stress and/or redistribution and/or rest reinjection
Multiple studies, at rest and/or stress and/or redistribution and/or rest reinjection
Multiple studies, at rest and/or stress and/or redistribution and/or rest reinjection
Myocardial perfusion imaging, planar, single study
multiple studies, at rest, and/or stress and/or redistribution and/or rest reinjection
Myocardial perfusion imaging; (planar) sdy,at rest or stress (exercise and
Myocardial perfusion imaging; multiple studies, at rest and/or stress (exercise and/or pharmacologic),
Myocardial perfusion imaging; multiple studies, resting and/or stress (exercise and/or pharmacologic),
Myocardial perfusion imaging; multiple studies, at rest and/or stress (exercise and/or pharmacologic),
Myocardial perfusion imaging; tomographic (spect) single study at rest or stress (exercise and/or
Myocardial perfusion imaging; tomographic (spect) single study at rest or stress (exercise and/or
Myocardial perfusion imaging; tomographic (spect) multiple studies, at rest and/or stress (exercise and/or
Myocardial perfusion imaging; tomographic (spect) multiple studies, resting and/or stress (exercise and/or
Myocardial perfusion imaging; tomographic (spect) multiple studies, at rest and/or stress (exercise and/or
Cardiac blood imaging, gated equilibrium, single study at rest or stress (exercise and/or pharmacologic), wall motion study plu
Cardiac blood imaging, gated equilibrium, single study at rest or stress (exercise and/or pharmacologic), wall motion study plu
Cardiac blood imaging, gated equilibrium, single study at rest or stress (exercise and/or pharmacologic), wall motion study plu
Cardiac blood pool imaging gated e
Myocardial perfusion study with wall motion, qualitative
Myocardial perfusion study with wall motion, qualitative or quantitative study (list separately in
Myocardial perfusion study with wall motion, qualitative
Myocardial perfusion study with ejection fraction (list separately in add t
Myocardial perfusion study with ejection
Myocardial perfusion study with ejection
Cardiac blood pool imaging, first pass technique: multiple studies, at rest and during stress (exercise and/or
Cardiac blood pool imaging, first pass technique: multiple studies, at rest and during stress (exercise and/or
Cardiac blood pool imaging, gated equil
Unlisted cardiovascular procedure, diagnostic nuclear medicine
Unlisted cardiovascular procedure, diagnostic nuclear medicine
Unlisted cardiovascular procedure, diaostic nuclear medicine
Pulmonary perfusion imaging; particulate
Pulmonary perfusion imaging, particulae, with ventilation; rebreathing and washout, with or without single breath
Pulmonary ventilation imaging, aerosol multiple projections (eg, anterior, posterior,
Pulmonary quantitative differential function (ventilation/perfusion) study
Pulmonary quantitative differential function (ventilation/perfusion) study
Unlisted respiratory procedure, diagnostic nuclear medicine
Unlisted respiratory procedure, diagnostic nuclear medicine
Unlisted respiratory procedure, diagnostic nuclear medicine
Brain imaging, less than 4 static views; with vascular flow
Brain imaging, less than 4 static views; with vascular flow
Brain imaging, less than 4 static views; with vascular flow
Brain imaging, tomographic (SPECT)
Brain imaging, tomographic (SPECT)
Cerebrospinal fluid flow, imaging; including introduction of material);
Cerebrospinal fluid leakage detection and localization
Unlisted nervous system procedure, diagnostic nuclear medicine
Unlisted nervous system procedure, diagnostic nuclear medicine
Unlisted nervous system procedure, diagnostic nuclear medicine
Kidney imaging; static only static only
Kidney imaging; morphology
Kidney imaging; with function study (ie with function study (ie, imaging renogram)
Kidney imaging; with function study (ie with function study (ie, imaging renogram)
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention
Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin
Single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor
Single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor
Kidney imaging morphology; tomographic (spect)
Kidney imaging morphology; tomographic (spect)
Kidney imaging morphology; tomographic (spect)
Kidney vascular flow only
Kidney function study only (ie; blood
Kidney function study only
Urinary bladder residual study (list separately in addition to code for primary procedure)
Urinary bladder residual study ding cystogram)
Unlisted genitourinary procedure, diagnostic nuclear medicine
Unlisted genitourinary procedure, diagnostic nuclear medicine
Unlisted genitourinary procedure, diagnostic nuclear medicine
Whole body, single day imaging
Abscess localization; limited area
radiopharmaceutical localization of inflammatory process; limited area
radiopharmaceutical localization of inflammatory process; limited area
Radionuclide localization of abscess; whole body
Abscess localization; whole body
Radionuclide localization of abscess; whole body
(PET) imaging with (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh
(PET) imaging with (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh
(PET) imaging with (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh
(PET) imaging with (CT) for attenuation correction and anatomical localization imaging; whole body
Unlisted miscellaneous procedure, diagnostic nuclear medicine
Unlisted miscellaneous procedure, diagnostic nuclear medicine
Unlisted miscellaneous procedure, diagnostic nuclear medicine
Anesthesia for intraperitoneal procedures in upper abdomen, including laparoscopy; not otherwise specified
Radiopharmaceutical therapy, hyperthyroidism; initial, including evaluation of patient
Radionuclide therapy,hyperthyroidism,in initial, including
Radiopharmaceutical therapy, hyperthyroidism; initial, including evaluation of patient
Radiopharmaceutical therpy, by oral administration
Radiopharmaceutical therapy, by oral administration
Radiopharmaceutical therapy, by oral administration
Radiopharmaceutical therapy, by intravenous administration
Partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)
Anesthesia for intraperitoneal procedures in upper abdomen, including bowel shunts;
Anesthesia for intraperitoneal procedures in upper abdomen, including bowel shunts;
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid o
Unlisted radiopharmaceutical therapeutic procedure
Unlisted radiopharmaceutical therapeutic procedure
Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified
Automated multichannel test; 1 or 2 clinical chemistry test(s)
Automated multichannel test; 3 clinical chemistry tests
Automated multichannel test; 4 clinical chemistry tests
Automated multichannel test; 5 clinical chemistry tests
Automated multichannel test; 6 clinical chemistry tests
Automated multichannel test; 7 clinical chemistry tests
Automated multichannel test; 8 clinical chemistry tests
Automated multichannel test; 9 clinical chemistry tests
Automated multichannel test; 10 clinical chemistry tests
Automated multichannel test; 11 clinical chemistry tests
Automated multichannel test; 12 clinical chemistry tests
Automated multichannel test; 13-16 clinical chemistry tests
Automated multichannel test; 17-18 clinical chemistry tests
Therapeutic quantitative drug monitoring in body fluids and/or excreta;
Basic metabolic panel (calcium, ionized). Panel must include the following: Calcium, carbon dioxide, chloride, creatinine, gluco
Basic metobolic panel (Calcium, total) Panal must include: 82310, 82374, 82435, 82565, 82947, 84132, 84295, and 84520
Basic metobolic panel (Calcium, total) Panal must include: 82310, 82374, 82435, 82565, 82947, 84132, 84295, and 84520
Basic metobolic panel (Calcium, total) Panal must include: 82310, 82374, 82435, 82565, 82947, 84132, 84295, and 84520
General health panel
General health panel
General health panel
Electrolyte panel
Electrolyte panel
Electrolyte panel
Comprehensive metabolic panel - this panel must include the following: 82040, 82247, 82310, 82374, 82435, 82565, 82947, 8
Comprehensive metabolic panel
General health panel
Hypertension panel
Lipid panel
Lipid panel
Renal, function panel
Acute hepatitis panel
Hepatic function panel
Heptatic function panel
Hepatic function panel
Torch antibody panel *
Unlisted panel
Drug, screen; multiple drug classes, eac each procedure
Drug screen; single class, each drug class
Drug screen, qualitative; single drug class method (eg, immunoassay, enzyme assay), each drug class
Drug confirmation, each procedure
Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure
Amikacin
Carbamazepine
Cyclosporine
Digoxin
Dipropylacetic acid (valproic acid)
Theraputic drug assays - ethosuximide
Gentamicin
Gentamicin
Gold
Lithium
Phenobarbital
Phenytoin; total
Phenytoin; free
Primidone
Procainamide; with metabolites (eg.n-ace (eg, n-acetyl procainamide)
Theophylline
Anesthesia for procedures on lower anterior abdominal wall; panniculectomy
Vancomycin
Vancomycin
Quantitation of drug, not elsewhere specified
Throtropin releasing hormone (trh) stimu stimulation panel; one hour
Thyrotropin relasing hormone stimulation panel; 2 hours
Clinical pathology consultation; limite limited, without review of patient's history and
Clinical pathology consultation; limited, without review of patient's history and
Anesthesia for intestinal endoscopic procedures
Urinalysis by dip stick or tablet reagennt for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite,ph, protein,
Urinalysis by dip stick or tablet reagennt for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite,ph, protein,
Urinalysis by dip stick or tablet reagen
Urinalysis by dip stick or tabletreagent for bilirubim
Urinalysis by dip stick or tablet reagen
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose,...; non-automated, without microscopy
Urinalysis by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukpcutes, nitrite, ph,
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose,...; non-automated, without microscopy
Urinalysis, by dip stick or tablet reafent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, ph,
Automated, without microscopy; urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocy
Automated, without mictroscopy; urinalysis, by dip stick or tablet reagent for the bilirubin, glucose, hemoglobin, ketones, leu
Urinalysis; qualitative or semiquantitative except immunoassays
Urinalysis; microscopic only microscopic only
Urine pregnancy test, by visual color co comparison methods
Volume measurement for timed collection, each
Unlisted urinalysis procedure
Anesthesia for procedures on lower posterior abdominal wall
Acetone or other ketone bodies, serum; qualitative
Acetone or other ketone bodies, serum; quantitative
Adrenocorticotropic hormone (acth)
Albumin; serum, plasma or whole blood
Albumin; urine, quantitative *
Albumin; urine, microalbumin, quantitative
Albumin; urine, microalbumin, semiquantitive
Alcohol (ethanol), any specimen except breath
Alcohol (ethanol); any specimen except breath
Alcohol (ethanol); any specimen except breath
Alcohol (ethanol); breath
Aldolase *
Aldosterone *
Alpha-1-antitrypsin; total
Alpha-1-antitrypsin; phenotype
Alpha-1-antitrypsin; phenotype
Alpha-1-antitrypsin; phenotype
Alpha-fetoprotein; serum
Alpha-fetoprotein; serum
Alpha-fetoprotein; serum
Aliminum
Amino acids, qualitative
Amino acids, quantitative, each
Ammonia
Ammonia
Ammonia
Amphetamine or methamphetamine
Amylase
Amylase
Amylase
Androstenedione
Angiotensin i - converting enzyme (ace)
Apolipoprotein, each
Arsenic *
Barbiturates, not elsewhere specified *
Bilirubin; total
Bilirubin; direct
Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determinatio
Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determination, performed for other tha
Cadmium
Vitamin D; 25 hydroxy, includes fraction(s), if performed
Calcium; total *
Calcium; total
Calcium; total
Calcium; ionized *
ionized
Calcium; urine quantitative, timed specimen
Calculus; qualitative analysis
Calculus; x-ray diffraction
Carbon dioxide (bicarbonate)
Carboxyhemoglobin; quantitative
Carcinoembryonic antigen (cea)
Carotene
Catecholamines; total urine *
Catecholamines (dopamine, norepinephrine, epinephrine); fractionated
Ceruloplasmin
Ceruloplasmin
Ceruloplasmin
Chemiluminescent assay
Chloride; blood *
Chloride; urine
Chloride; other source
Cholesterol, serum; total
Cholesterol, serum or whole blood, total
Cholesterol, serum or whole blood, total
Cholinesterase; serum
Chromatography, quantitative; column (eg, gass-liquid or high performance liquid
Chromatography, quantitative, column (et, gas liquid or HPLC); single analyte not elsewhere specified, single stationary and m
Multiple analytes, single stationary and mobile phase
Citrate
Copper *
Cortisol; free
Cortisol; total *
Creatine *
Column chromatography/mass spectrometry (eg, gc/ms, or hpls/ms), analyte not elsewhere specified; qualitative, single stat
Creatine kinase (ck), (cpk); total *
Creatine phosphokinase (cpk), blood; isoenzymes
MB fraction only
MB fraction only
Creatinine; blood
Creatinine; blood *
Ceatinine; blood
Creatinine; other source
Creatinine; clearance
Cryoglobulin
Cyanocobalamin (vitimin b-12);
Cyanocobalamin (vitamin b-12); *
Cyanocobalamin (vitamin b-12);
Cyanocobalamin (vitamin b-12); unsaturated binding capacity
Cystine and homocystine, urine, qualitative
Dehydroepiandrosterone (dehea)
1,25-dihydroxy, includes fraction(s), if performed
Erythropoietin
Estradiol
Estrogens; fractionated
Estrogens; total
Estrone
Ferritin
Ferritin
Ferritin
Folic acid; serum *
Folic acid; serum
Folic acid; serum
Folic acid; rbc
Gammaglobulin, (immunoglobulin); iga, igd, igg, igm, each,
Gammaglobulin, ige
igE
Gases, blood; ph only
Gases, blood; any combination of ph, pc02, po2, c02, hc02 (includign calculated 02 saturation);
Gases, blood, any combination of pH, PCO2, pO2, CO2, HCO3
Gases, blood any combination of ph, pc02 p02, c02, hc02 (including calculated 02 saturation;
Gases, blood, any combination of ph, pco2, po2, co2, hc03 (including calculated 02 saturation)
Hemoglobin-oxygen affinity (po2 for 50% hemoglobin saturation with oxygen)
Gastrin
Glucosamine
Glucose, body fluid, other than blood
Glucose, body fluid, other than blood
Glucose, body fluid, other than blood
Glucose; quantitative *
Glucose; quantitative
Glucose; quantitative
Glucose; blood, reagent strip *
Glucose; blood,reagent strip
Glucose; post glucose dose (includes glucose dose)
Glucose; tolerance test (gtt), three specimens (includes glucose)
Glucose; tolerance test, each additional beyond three specimens
Glucose; tolbutamide tolerance test.
Glucose tolerance test, intravenous
Glucose, blood, by glucose monitoring devise(s) cleared by the fda specifically for home use
Glucose, blood, by glucose monitoring devise(s) cleared by the fda specifically for home use
Glutamyltransferase, gamma (ggt)
Glutamyltransferase, gamma (ggt)
Glutamyltransferase, gamma (ggt)
Glycated protein
Anesthesia for hernia repairs in lower abdomen; not otherwise specified
Gonadotropin, follicle stimulating hormo hormone (fsh)
Gonadotropin, luteinizing hormone
Growth hormone, human (hgh)
Helicobacter pylori, analysis for urease activity, non-radioactive isotope
Heavy metal (arsenic, barium, beryllium bismuth, antimony, mercury);
Heavy metal (eg, arsenic, barium, beryllium, bismuth, antimony, mercury); quantative, each
Hemoglobin fractionation and quantitation; electrophoresis
Hemoglobin fractionation and quantitation; electrophoresis
chromatography
Hemoglobin; glycated (a1c) (for fecal hemoglobin detection by immunoassay, use 82274)
Hemoglobin; glycated (a1c) (for fecal hemoglobin detection by immunoassay, use 82274)
Hemoglobin; glycated (a1c) (for fecal hemoglobin detection by immunoassay, use 82274)
Hemoglobin; methemoglobin, quantitative
Hemoglobin; sulfhemoglobin, quantitative
Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias
Hydroxyindolacetic acid, 5-(hiaa)
Hydroxyprogesterone, 17-d
Immunoassay for analyte other than infectious agent antibody or infectious agent antigen, qualitative or semiquantitative, m
qualitaive or semiquantitative, single step method (eg, reagent strip)
quantitative, by radioimmunoasay (eg, ria)
quantitative, not otherwise specified
Immunoassay, analyte, quantitative; not otherwise specified
Immunoassay, analyte, quantitative; not otherwise specified
Insulin; total
Iron *
Iron
Iron
Iron binding capacity *
Iron binding capacity
Iron binding capacity
Ketosteroids, 17-(17-ks); total
Lactate (lactate acid)
Lactic dehydrogenase (ld), (ldh) *
Lactate dehydrogenase (ld), (ldh); isoenzymes, separation and quantitation
Lead *
Lipase
Lipase
Lipase
Lipoprotein, blood; electrophoretic sepearation and quantitation
Lipoprotein, direct measurement; high density cholesterol (hdl cholesterol)
Lipoprotein, direct measurement; vldl cholesterol
Lipoprotein, direct measurement; ldl cholesterol
Lipoprotein, direct measurement; ldl cholesterol
Magnesium *
Magnesium
Magnesium
Mercury, quantitative
Metanephrines
Myelin basic protein, cerebrospinal fluid
Myelin basic protein, cerebrospinal fluid
Myelin basic protein, cerebrospinal fluid
Myoglobin
Natriuretic peptide
Natriuretic peptide
Nephelometry, each analyte not elsewhere specified
Nickel
Molecular diagnostics; molecular isolation or extraction, each nucleic acid type (ie, DNA or RNA
isolation or extraction of highly purified nucleic acid, each nucleic acid type (ie, DNA or RNA)
enzymatic digestion, each enzyme treatment
separation by gel electrophoresis (eg, agarose, polyacrylamide) each nucleic acid preparation
Nuclear molecular diagnostics; nucleic acid probe, each
Molecular diagnostics; amplification, target, each nucleic acid sequence.
Molecular diagnostics; reverse transcrip
Molecule mutation identify
Nucletic molecular diagnostics; interpretation and report
Oligoclonal immune (oligoclonal bands)
Oligoclonal immune (oligoclonal bands)
Oligoclonal immune (oligoclonal bands)
Organic acid, single, quantitative
Opiate(s), drug and metabolites, each procedure
Osmolality; blood
Osmolality; urine
Oxalate
Parathormone (parathyroid hormone)
Ph; body fluid, not otherwise specified
Anesthesia for intraperitoneal procedures in lower abdomen, including laparoscopy; not otherwise specified
Phosphatase, acid; total *
Phosphatase, acid; prostatic *
Phosphatase, alkaline
Phosphorus inorganic (phosphate); *
Phosphourus inorganic (phosphate);
Phosphorus inorganic (phosphate);
Phosphorus inorganic (phosphate); urine
Porphobilinogen, urine; quantitative
Porphyrins; urine; quantitation and fractionation
Potassium; serum, plasma or whole blood
Potassium; serum, plasma or whole blood
Potassium; urine
Prealbumin
Prealbumin
Progesterone
Prolactin
Prostate specific antigen (psa)
Prostate specific antigen (PSA); free
Protein, total, except by refractometry; serum, plasma or whole blood
Protein, total, except by refractomery; urine
Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)
Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)
Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)
Protein,total, by refractometric, any source
Protein, total, serum; electrophoretic fractionation and quantitation
Protein, electrophoretic fractionation and quantitation
Protein, total, serum; electrophoretic fractionation and quantitation
Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)
Anesthesia for intraperitoneal procedures in lower abdomen; amniocentesis
Pyridoxal phosphate (vitamin b-6)
Pyruvate
Receptor assay; non-endocrine (specify receptor)
Renin;
Sodium; serum, plasma or whole blood
Sodium; serum, plasma or whole blood
Sodium; urine
Somatomedin
Somatomedin
spectrophotometry, analyte not elsewhere specified
Sulfate, urine (sulfhemoglobin, see hemoglobin, 83055, 83060) (t-3, see 84479-84481) (t-4, see 84436-84439)
Anesthesia for intraperitoneal procedures in lower abdomen; abdominoperineal resection
Testosterone; free
Testosterone; total
Testosterone; total
Thiamine (vitamin b-1)
Thyroglobulin
Thyroxine, total
Thyroxine, total
Thyroxine, total
Thyroxine; requiring elution (eg, neonatal)
Thyroxine, free
Thryoxine; free
Thyroid stimulating hormone (tsh)
Thyroid stimulating hormone (tsh)
Thyroid stimulating hormone (tsh)
Tocopherol alpha (vitamin e)
Transcortin (cortisol binding globulin)
Transferase; aspartate amino (ast) (sgot) *
Transferase; alanine amino (alt) (sgpt) *
Transferrin (iron binding capacity, use 83550)
Triglycerides
Triglycerides
Triglycerides
Tridothyronine (t-3), resin uptake
Thyroid hormone (t3 or t4) uptake or th
Thyroid hormone (t3 or t4) uptake or th
Tridothyronine (t-3); total (tt-3)
Tridothyronine (t-3); free
Troponin, quantitative
Troponin, quantitative
Urea nitrogen, quantitative *
Urea nitrogen, quantative
Urea nitrogen, quantative
Ura nitrogen, urine
Uric acid; blood
Uric acid; other source
Vanillymandelic acid (vma), urine
Vitamin a
Anesthesia for intraperitoneal procedures in lower abdomen; radical hysterectomy
Assay of Zinc
C-peptide
Gonadotropin, chorionic (hcg) quantitative
Gonadotropin, chorionic; qualitative
Gonadotropin, chorionic; qualitative
Gonadotropin, chorionic; qualitative
Anesthesia for intraperitoneal procedures in lower abdomen; pelvic exenteration
Unlisted chemistry procedure
Bleeding time *
Blood count; automated differential wbc count
Blood smear, microscopic exam with manual differential wbc count
Blood smear, microscopic exam with manual differential wbc count
Blood smear microscopic exam without manual differential wbc count
Manual differential wbc count, buffy coat
Blood count; spun microhematocrit
Hematocrit (hct)
Hematocrit (hct)
Hemoglobin (hgb)
Hemoglobin (hgb)
Complete (cbc), automated (hgb, hct, rbc, wbc and platelet count)
Complete (cbc), automated (hgb, rbc, wbc and platelet count) and automated differential wbc count
Complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
Complete (cbc), automated (hgb, hct, rbc, wbc and platelet count)
Complete (cbc), automated (hgb, hct, rbc, wbc, and platelet count)
Complete (cbc), automated (hgb, hct, rbc, wbc and platelet count)
Blood count; manual cell cunt (erythrocyte, leukocyte, or platelet) each
Red blood cell (rbc) automated
Reticulocyte, manual
Blood count; reticulocyte, automated
Leukocyte (wbc), automated
Blood count; platelet, automated
Blood smear, peripheral, interpretation by physician with written report
Bone marrow, smear interpretation
Clotting; factor ii, prothrombin, specific
Factor v (acg or proaccelerin), labile factor
Clotting; factor vii (proconvertin, stable factor)
Clotting; factor viii (ahg), one stage
Clotting; factor viii related antigen *
Clotting; factor VIII, VW factor, ristocetin cofactor
Clotting; factor vii, vw factor antigen
Factor ix (ptc or christmas)
Clotting; factor x (stuart-prower)
Clotting inhibitors or anticoagulants; antithrombin iii, activity
Clotting inhibitors or anticoagulants; protein c, antigen
Factor inhibitor test
Coagulation time; lee and white
Fibrin(ogen) degredation (split) products (fdp(fsp); agglutination slide, semiquantitative
Fibrin degradation products, d-dimer; quantitative
Fibrinogen; activity
Fibrinolysins or coagulopathy screen, interpretation and report
Heinz bodies; direct
Hemoglobin or rbcs, fetal, for fetomaternal hemorrhage; differential lysis (kleihauer-betke)
heparin assay
Muramidase
Platelet; aggregation (in vitro), any agent
Osmotic fragility, rbc; incubated
Prothrombin time;
Prothrombin time
Prothrombin time;
Prothrombin time; substitution, plasma fractions, each
Russell viper venom time (includes venom): diluted
Sedimentation rate, erythrocyte; non-automated
Sedimentation rate, erythrocyte; non-automated
Sedimentation rate, erythrocyte; automated
Sedimentation rate, erythrocyte; automated
Sickling of rbc, reduction, slide method
Thrombin time; plasma
Thromboplastin time, partial (ptt); plasma or whole blood
Thromboplastin time, partial (ptt); plasma
Thromboplastin time, partial (ptt); plasma or whole blood
Thromboplastin time, partial (ptt); substitution, plasma fractions, each
Unlisted hematology procedure
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract;
Allergin specific ige; quantitative or semiquantitative, each allergen
Allergen specific IgE; quantitative or semiquantitative, each allergen
Allergen specific ige; qualitative, multiallergen screen (dipstick or disk)
Antinuclear antibodies (ANA)
Antinuclear antibodies (ana)
Antinuclear antibodies (ana)
Antinuclear antibodies (ana)
Antinuclear antibodies (ana); titer
Antinucliear antibodies (ana); titer
Antinuclear antibodies (ana); titer
Antistreptolysin 0; titer
Antistreptolysin 0; screen
Blood compatibility test; crossmatch by crossmatch by immediate spin and antihuman globulin technique,
C-reactive protein
C-reactive protein
C-reactive protein; hih sensitivity (hscrp)
Cardiolipin (phospholipid) antibody
Complement; antigen, each component
Complement; antigen, each component
Complement; functional activity, each component
Complement; total hemolytic (ch50)
Complement fixation tests, each antigen
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract;
Cyclic citrullinated peptide, antibody
Deoxyribonuleic acid (dna) antibody native or double stranded
Deoxyribonucleic acid (dna) antibody native or double stranded
Deoxyribonucleic acid (dna) antibody; single stranded
Extractable nuclear antigen, antibody to any method (eg, nrnp, ss-a, ss-b,sm, rnp, sc170,
Extractable nuclear antigen, antibody to any method (eg, nrnp, ss-a, ss-b, sm, rnp, sc170
Fluorescent antibody; screen, each anti antibody
Fluorescent noninfectious agent antibody; screen, each antibody
Fluorescent noninfectious agent antibody; screen, each antibody
Fluorescent antibody; titer, each antibody
Fluorescent antibody; titer, each antibody
Fluorescent antibody; titer, each antibody
Hemagglutination inhibition test (hai) *
Hepatitis be antigen (hbeag)
Ca 125
Heterophile antibodies; screening
Immunoassay for tumor antigen (eg, cancer antigen 125), each
Immunoassay for infectious agent antobody, quantitative, not elsewhere specified
Immunoassay to infectious agent antibody, qualitative or semiquantitative, single step method
Immunoelectrophoresis; serum *
Immunodiffusion; not elsewhere specified *
Immunodiffusion; gel diffusion, qualitative (ouchterlony), each
Immunofixation electrophorsis
Intrinsic factor antibodies
Intrinsic factor antibodies
Intrinsic factor antibodies
Cd4 count
Microsomal antibodies (eg, thyroid or liver-kidney), each
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract;
Particle agglutination; screen, each antibody *
Particle agglutination; screen, each antibody
Particle agglutination; screen, each antibody
Rheumatoid factor, qualitative
Rheumatoid factor; qualitative
Rheumatoid factor; qualitative
Rheumatoid factor; quantitative
Rheumatoid factor; quantitative
Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon
Skin test; tuberculosis, intradermal tuberculosis, intradermal
Streptokinase, antibody
Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
quantitative
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract;
Antibody; aspergillus
Antibody; bacterium not elsewhere specified
Bartonella
Antibody; borrelia burgdorferi (lyme disease) confirmatory test (eg, western blot or immunblot)
Antibody; borellia bufgdorferi (lyme dis (lyme disease)
Antibody; cytomegalovirus (cmv)
Antibody: cytomegalovirus (cmv), igm
Antibody; epstein-barr (eb) virus, early antigen (ea)
Antibody; epstein-barr (eb) virus, nucle nuclear antigen (ebna)
Antibody; epstein-barr (eb) virus, viral capsid (vca)
Antibody; fungus, not elsewhere specified
Antibody; helicobacter pylori
Antibody; helminth, not elsewhere specified
Htlv-i
Htlv or hiv antibody, confirmatory test (eg, western blot)
Htlv or hiv antibody, confirmatory test (eg, western blot)
Htlv or hiv antibody, confirmatory test (eg, western blot)
Antibody; herpes simplex, non-specific type test
Antobody; herpes simplex, type 1
Antobody; herpes simplex, type 1
Antobody; herpes simplex, type 2
Antobody; herpes simplex, type 2
Antibody; histoplasma
Antibody; hiv-1
Antibody; hiv-1 and hiv-2, single assay
Hepatitis b core antibody (hbcab); igg and igm
Hepatitus b core antibody (hbcab); igg and igm
Hepatitis b core antibody (hbcab); igg and igm
Igm antibody
Igm antibody
Igm antibody
Hepatitis b surface antibody
Hepatitis b surface antibody
Hepatitis b surface antibody
Hepatitis be antibody
Hepatitis a - igg and igm
Hepatitis a - igg and igm
Hepatitis a - igg and igm
Hepititis a - lgm antibody
Hepatitis a - igm antibody
Hepatitis a - igm antibody
Antibody; mumps
Antibody; rubella
Rubeola
Toxoplasma
Toxoplasma, igm
Antibody; varicella-zoster
Antibody; virus, not elsewhere specified
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract;
Thyroglobulin antibody
Hepatitis c antibody
Hepatitis c antibody
Hepatitis c antibody
Hepatitis c anitbody: confirmatory test
Serum screening for cytotoxic percent reactive antibody (pra): quick method
Hla typing, a, b, or c (eg, a10, b7, b2 (eg, a10, b7, b27), single antigen
Hla typing, dr/do, multiple antigens *
Unlisted immunology procedure
Antibody screen, rbc, each serum technique
Antibody screen, rbc, each serum technique
Antibody identification, rbc antibodies, each panel for each serum technique
Antihuman globulin test (coombs test); indirect, qualitative, each reagent red cell
Antihuman globulin test (coombs test); indirect, qualitative, each reagent red cell
Antihuman globulintest (coombs test); indirect, each antibody titer
Autologous blood or component
Blood typing; abo
Blood typing, apo
Blood typing; rh(d)
Blood typing, rh
Compatibility test each unit; immediate spin technique
Compatibility test each unit; immediate spin technique
Compatibility test each unit; incubation technique
Compatibility test each unit; antiglobul antiglobulin technique
Compatibility test each unit; electronic
Hemolysins and agglutinins, auto, screen each
Hemolysins and agglutinins, auto, screen each; incubated
Unlisted transfusion medicine procedure
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract;
Concentration (any type), for parasites, ova, or tubercle bacillus (tb, afb)
Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (including anaerobic culture,, if app
Culture, bacterial, definitives; blood (includes anaerobic screen)
Stool, aerobic, with isolation and preliminary exam (eg, kia, lia), salmoneella and shigella species.
Culture, bacterial, definitive; stool
Stool, aerobic, additional pathogens, isolation and presumptive identification of isolates
Any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
Culture, bacterial; any other source except urine, blood or stool, aerobic,with isolation and presumptive identification of isola
Culture, bacterial; any other source except urine, blood or stool, aerobic,with isolation and presumptive identification of isola
Culture, bacterial; any source, except blood, anaerobic with isoloation and presumtive identification isolates
Any source, except blood, anaerobic with isolation and presumptive identification of isolates
anaerobic isolate, additional methods required for definitive identification, each isolate
Aerobic isolate, additional methods required for definitive identification, each isolate
Aerobic isolate, additional methods required for definitive identification,each isolate
Culture, bacterial, screening only, for single organisms
Culture, bacterial, urine; quantitative, colony count
Culture, bacterial, urine; quantitative, colony count
Culture, bacterial, urine; quantitative, colony count
Culture, bacterial; with isoloation and presumptive identification of each isolate, urine
Culture, bacterial; with isoloation and presumptive identification of each isolate, urine
Culture, bacterial; with isoloation and presumptive identification of each isolate, urine
Culture, fungi, isolation; skin
Culture, fungi, isolation; other source (except blood)
Culture, fungi (mold or yeast) isolation, with preseumptive identification of isolates; other source (except blood)
Culture, fungi, isolation; blood
Culture, fungi, definitive identification of each fungus
Culture, tubercle or other acid-fast bacilli (eg, tb, afb, mycobacteria);
Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identificatio
Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identificatio
Culture, typing; immunologic method, other than immunofluoresence (eg, agglutination grouping), per antiserum
Culture, typing; immunologic method, other than immunofluoresence (eg, agglutination grouping), per antiserum
Ova and parasites, direct smears, concentration and identification
Sensitivity studies, antibiotic; agar diffusion method,
Sensitivity studies, antibiotic; disk method, per plate (12 or less disks)
Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme
Sensitivity studies, antibiotic; microtiter, minimum inhibitory concentration (mic),
Sensitivity studies, anitbiotic; microtiter, minimum inhibitory concentration (mic),
Sensitivity studies, antibiotic; minimum bactericidal concentration (mbc) (use in addition
Anesthesia for lithotripsy, extracorporeal shock wave
Smear, primary source, with interpretation; routine stain
Smear, primary source with interpretation; gram or giemsa stain for bacteria, fungi, or cell types
Smear, primary source with interpretation; gram or giemsa stain for bacteria, fungi, or cell types
Smear, primary source, with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, or
Smear, primary source, with interpretation; wet mount with simple stain, for
Tissue exam for fungi (eg, koh slide)
Toxin or antitoxin assay, tissue culture (eg, clostridium difficile toxin)
Anesthesia for lithotripsy, extracorporeal shock wave; without water bath
Infectious agent antigen detection by enzyme immunoassy technique. qualitative or semiquantitative, multiple step method;
Cryptococcus neoformans; infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantit
Cryptosporidium
Helicobacter pylori, stool
Helicobacter pylori
Hepatitis b surface antigen
Hepatitis b surface antigen
Hepatitis b surface antigen
Hepatitis b surface antigen (hbsag) neutralization; infectious agent anti- gen detection by enzyme immunoassay technique, q
Hepatitus be antigen
Hiv-1
Influenza, A or B, each
Streptococcus, group a, infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitativ
Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative; multiple step method
Borrelia burgdorferi, quantification
Chlamydia trachomatis, direct probe technique
Chlamydia trachomatis, amplified probe technique
Hepatitis b virus, quantification
Hepatitis c, amplified probe technique.
Hepatitis c, quantification
Viral load
Neisseria gonorrhoeae, direct probe technique
Neisseria gonorrhoeae, amplified probe technique
Infectious agent detection by nucleic acid (dna or rna); not otherwise specified, direct probe technique
Infectious agent detection by nucleic acid (dna or rna): not otherwise specified, direct probe technique
Not otherwise specified, amplified probe technique
Not otherwise specified, amplified probe technique
Infectious agent detection by nucleic acid (dna or rna),multiple organisms;amplified probe(s) technique
Infectious aent detection by necleic acid (dna or rna), multiple organisms;amplified probe(s) technique
Infectious agent antigen detection by immunoassay with direct optical ob- servation; influenza
Streptococcus, group a
Infectious agent detection by immunoassay with direct optical observation; not otherwise specified
Infectious agent genotype; hepatitis c
Unlisted microbiology procedure
Anesthesia for procedures on major lower abdominal vessels; not otherwise specified
Unlisted necropsy (autopsy) procedure
Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretationn
Cytopathology, fluids, washings or bruhings, with centrifugation except cervical or vaginal;
Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation
Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation
Cytopathology, fluids, washings or brushings, except for cervical or vaginal; simple filter method with interpretation
Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears and simple filter preparation with interpretat
Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears and simple filter preparation with interpretat
Cytopathology, fluids, washings or brushings, with centrifugation except cervical or vaginal;
Cytopathology fluids washing or brus hings, with centrifugation except cervical or vaginal;
Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), exc
Cytopathology, selective cellular enhancement technique with interpretation(eg, liquid based slide preparation method), exc
Cytopathology
Cytopathology, cervical or vaginal (any reporting system), collected in perservative fluid, automated thin layer preparation; m
Cytpath c/ vag automated
Cytpath c/ vag auto rescreen
Cytopathology, smears, cervical or vaginal, up to three smears;
Cytopathology, smears, cervical or vaginal (eg, papanicolaou), up to three smears;
Cytology; smears, cervical or vaginal nal (eg, papanicolaou), up to three smears;
Cytopathology, smears, cervical or vaginal (eg, papanicolaou), up to three smears;
Cytopathology, smears, cervical or vaginal (eg, papanicolaou), up to three smears;
Cytopathology, smears, any other source screening and interpretation
Cytopathology, any other source; prepar preparation, screening and interpretation
Cytopathology, any other source; preparation, screening and interpretation
Cypath tbs c/ vag manual
Cypath tbs c/vag manual
Cypath tbs c/vag manual
Evaluation of fine needle aspirate with or without preparation of smears;
Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer preparation with screening by automa
Flow cytometry; each cell surface marke each cell surface marker
Flow cytometry cachell surface marker each cell surface marker
Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker
Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (list separate
Flow cytometry, interpretation; 9 to 15 markers
Flow cytometry, interpretation; 9 to 15 markers
Flow cytometry, interpretation; 9 to 15 markers
16 or more markers
Unlisted cytopathology procedure
Unlisted cytopathology procedure
Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy.
Tissue culture for neoplastic disorders; bone marrow, blood cells
Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding
Chromosome analysis; analyze 20-25 cells
Molecular cytogenetics; dna probe, each (eg, fish)
Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells
Cytogenetics and molecular cytogenetics, interpretation and report
Unlisted cytogenetic study
Surgical pathology, gross examination onlly
Surgical pathology, gross examination only
Surgical pathology, gross examination nly
Surgical pathology, gross exam only
Surgical pathology, gross and microscopic examination of presumptively normal tissue(s), for identification
Surgical pathology, gross and microscoic examination of presumptively normal tissue(s), for identification
Surgical pathology, gross and microscopic exam
Surgical pathology, gross and microscopic examination of presumptively abno
Surgical pathology; gross and microscopic exam of presumptively abnormal
Surgical pathology gross and microscopic examinatin of presumtively abnorma
Surgical pathology, gross and microscopic examination
Surgical pathology, gross and microscoic examination of presumptively abnormal tissue(s);
Surgical pathology, gross and microscopic examination
Surgical pathology, gross and microscopic examination
Surgical pathology, gross and microscopic exam of presumptively abnormal tissue(s);
Surgical pathology, gross and microscoic examination of presumptively abnormal tissue(s);
Surgical pathology, gross and microscopic examination of presumptively abnormal tissue(s);
Surgical pathology, gross and microscopic examination of presumptively abnormal tissue(s);
Surgical pathology, gross and microscoic examination of presumptively abnormal tissue(s);
Decalcification procedure (list separately in addition to code for surgical pathology examination)
Decalcification proc surg path ely in addition to code for surgical pathology examination)
Special stains including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine
Special stains including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver(-,
Special stains including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine sil
Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, immunocytochemist
Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, immunocytochemist
Group II, all other (EG, iron trichrome), except stain for microorganisms, stains for enzyme constituents, immunocytochemist
histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)
histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)
Group III, for enzyme constituents
Consultation and report on referred slides prepared elsewhere
Consultation and report on referred slides prepared elsewhere
Consultation, comprehensive, with review of records and specimens, with report on referred meaterial
Pathology consultation during surgery
Consultation during surgery; with froze with frozen section(s), single specimen
Consultatioln during surgery with froze with frozen section(s), single specimen
Consultation during surgery; with froze section(s), single specimen
Consultation during surgery; each addit each additional tissue block with frozen section(s)
Consultation during surgery; each additional tissue block with frozen section(s)
Immunohistochemistry (including tissue immunoperoxidase), each antibody
Immunocytochemistry (including tissue) mmunoperoxidase), each antibody
Immunofluorescent study;each antibody direct method
Electron microscopy; diagnostic
Tumor (eg, dna ploidy)
Unlisted surgical pathology procedure
Cell count, miscellaneous body fluids (eg, csf, joint fluid), except blood;
Cell count, miscellaneous body fluids (eg, csf, joint fluid), except blood;
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid,joint fluid)except blood; with differential count
Cell count, miscellanous body fluids (eg, cerebrospinal fluid, joint fluid)except blood; with different count
Leukocyte assessment, fecal, qualitative or semiquantitative
Crystal identification by compensated polarizing lens analysis, synovial fluid
Fat stain, feces, urine, or sputum
Nasal smear for eosinophils
Anesthesia for; anorectal procedure
Anesthesia for procedures on perineal integumentary system (including biopsy of male genital system);
Immunization administration (includes percutaneous, intradermal, subcutaneous, intramuscular and jet injections); one vacci
Immunization administration (includes percutaneous,intradermal, subcutaneous, intramuscular and jet injections); each addi
Emergency department service, new patient; intermediate service
Anesthesia for procedures on perineal integumentary system (including biopsy of male genital system);
Initial consultation; intermediate intermediate
Hepatitis A vaccine, adult dosage, for intramuscular use
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use
Tetanus toxoid absorbed, for intramuscular use
Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use
Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use.
Tetanus, diphtheria toxoids and acellular pertussis vaccine
Varicella virus vaccine, live, for subcutaneous use
Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individu
Hepatitis B vaccine, adult dosage, for intramuscular use
Unlisted vaccine/toxoid
Iv infusion for therapy/diagnosis, administered by physician or under direct supervision of physician; up to one hour
Intramuscular injection of antibiotic (specify)
Anesthesia for procedures on perineal integumentary system (including biopsy of male genital system);
Psychiatric diagnostic interview examination
Interactive psychiatric diagnostic interview
Individual psychotherapy, insight orient
Individual psychotherapy, insight orient
Individual psychotherapy, insight orient
Individual psychotherapy, insight orient
Individual psychotherapy, insight orient
Individual psychotherapy, insight orient
Individual psychotherapy, interactive
Individual psychotherapy, interactive
Individual psychotherapy, interactive
Individual psychotherapy, interactive
Individual psychotherapy, interactive
Individual psychotherapy, interactive
Individual psychotherapy, insight oriented
Individual psychotherapy, insight oriented
Individual psychotherapy, insight oriented
Individual psychotherapy, insight oriented
Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or
Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of n
Medical psychoanalysis
Family psychotherapy (without the patient present)
Family psychotherapy (conjoint psychothpsychotherapy) by a physician, with continuing medical diagnostic eval, and drug ma
Group medical psychotherapy (other than of a multiple-family group) by a physician, with continuing medical diagnostic
Interactive group psychotherapy
Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psych
Individual psychophysiological therapy incorporating biofeed 20-30 mins.
Individual psycholphysiological therapy, incorporating biofeed 45-50 mins.
Interpretation or explanation of results of psychiatric, or ther medical examination and procedures, or other accumulated dat
Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative
Unlisted psychiatric service or procedure
Biofeedback
Unlisted dialysis procedure, in hospitalized or out-patient
Dialysis supplies (rental) lized or out-patient
Anesthesia for transurethral procedures (including urethrocystoscopy);
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and re
Gastrointestinal tract imaging, with physician interpretation and report
Anorectal manometry
Anesthesia for transurethral procedures (including urethrocystoscopy);
Unlisted diagnostic gastroenterology procedure
Anesthesia for transurethral procedures (including urethrocystoscopy);
Anesthesia for transurethral procedures (including urethrocystoscopy);
Anesthesia for transurethral procedures (including urethrocystoscopy);
Anesthesia for procedures on male external genitalia; (including open urethral procedures); not otherwise specified
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;
Ophthalmological services, medical examination and evaluation with initiation of diagnostic and treatment program; compre
Ophthalmological services: medical exam and eval with initiation of diagnostic and treatment program
Ophthalmological services, medical examination and evaluation with initiation of diagnostic and treatment program; compre
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment
Ophthalmological services; medical exam and eval, with initiation or continuation of diagnostic and threatment
Opthalmological services; medical exam and eval, with initiation or continuation of diagnostic and treatment
Ophthalmological services: medical exam and eval, with initiation or continuation of diagnostic and treatment
Ophthalmological services, medical examination and evaluation, with initiation or continuation of diagnostic and treatment p
Ophthalmological services; medical exam and eval, with initiation or continuation of diagnostic and treatment
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment p
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment
Determination of refractive state
Opthalmological examination and evaluation under general anesthesia with or
Opthalmological examination and evaluation
Gonioscopy with medical diagnostic evaluation (separate procedure)
Gonioscopy with medical diagnostic eval (separate procedure)
Computerized corneal topography, unilateral or bilateral, with interpretation and report
Sensorimotor examination with medical diagnostic evaluation (separate procedure)
Sensorimotor exam with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with inte
Orthoptic and/or pleoptic training, with continuing medical direction and evaluation
Fitting of contact lens for treatment of disease, including supply of lens
Visual field examination with medical diagnostic evaluation; limited examination (eg, tangent screen, autoplot, arc
Visual field examination with medical diagnostic evaluation; intermediate examination (eg, multistimulus level, full
Visual field exam with medical diagnostic eval; extended, quantitative peri
Serial tonometry with medical diagnostic evaluation (separate procedure), one or more sessions, same day
Tonography with medical diagnostic evaluation, recording indentation tonometer method or perilimbal suction method
Cmptr ophth dx img ant segmt
cmptr ophth img optic nerve
cmptr ophth img optic nerve
cmptr ophth img optic nerve
cptr ophth dx img post segmt
cptr ophth dx img post segmt
cptr ophth dx img post segmt
Ophthalmic biometry/partial coherence
Ophthalmic biometry/partial coherence
Ophthalmicic biometry by partial coherence interferometry with intraocular lens power calculation
Provocative tests for glaucoma, with medical diagnostic evaluation, without tonography
Anesthesia for procedures on male external genitalia; seminal vesicles
Ophthalmoscopy, extended as for retinal detachment (may include use of contact lens, drawing or sketch, and/or fundus
Ophthalmoscopy, extended as for retinal detachment (may include use of contact lens, drawing or sketch, and/or fundus
Ophthalmoscopy, extended as for retinal detachment (may include use of contact lens, drawing or sketch, and/or fundus
Opthalmoscopy, extended as for retinal detachment, (may include use of cont
Fluorescein angioscopy with medical diagnostic evaluation;
Fluorescein angiography (includes multiframe imaging) with medical diagnostic evaluation
Fluorescein angiography (includes multiframe imaging) with medical diagnostic evaluation
Fluorescein angiography (includes multiframe imaging) with medical diagnostic evaluation
Indocyanine-green angiography (includes multiframe imaging) with interpretation and report
Fundus photography with medical diagnostic evaluation; *
Fundus photography with medical diagnostic evaluation; *
Fundus photography with medical diagnostic evalutation
Electro-oculography, with medical diagnostic evaluation
Electro-oculography, with medical diagnostic evaluation
Electroretinography, with medical diagnostic evaluation
Visually evoked potential (response) study, with medical diagnostic evaluation
Color vision examination, extended, eg, anomaloscope or equivalent
Dark adaptation examination, with medical diagnostic evaluation
External ocular photography with medical diagnostic evaluation for documentation of medical progress
External ocular photography with medical diagnostic evaluation for documentation of medical progress
Special anterior segment photography with medical diagnostic evaluation;
special anterior segment photography with interpretation and report; with fluorescein angiography
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation;
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation;
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation;
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation;
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and
Corneal lens for aphikia, one eye; prescription of optical and physical characteristics of contact lens, with medical supervision
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and
corneoscleral lens
Modification of contact lens (separate procedure), with medical supervision of adaptation
Replacement of contact lens
Fitting of spectacles, except for aphakia; monofocal
Fitting of spectacles, except for aphakia; bifocal
Fitting of spectacles, except for aphakia; multifocal, other than bifocal
Fitting of spectacle mounted low vision aid; single element system
Fitting of spectacle mounted low vision aid; telescopic or other compound lens system
Repair and refitting spectacles; except for aphakia
Anesthesia for procedures on male external genitalia; undescended testis, unilateral or bilateral
Unlisted ophthalmological service or procedure
Otolaryngologic examination under general anesthesia
Binocular microscopy (separate diagnostic procedure)
Evaluation of speech, language, voice, communication, and/or auditory processing
Treatment of speech, language, voice communication and/or auditory processing disorder; individual
Speech, language, voice, communication, and/or auditory processingdisorder (includes aural rehabilitation); group, two or mo
Nasopharyngoscopy with endoscope (separate procedure)
Facial nerve function studies (eg, electroneuronography)
Laryngeal function studies (ie, aerodynamic testing and acoustic testing)
Treatment of swallowing dysfunction and
Spontaneous nystagmus, including gaze
Positional nystagmus test
Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes four tests)
Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording
Positional nystagmus test, minimum of 4 positions, with recording
Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes four tests), with recording
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording
Oscillating tracking test, with recording
Torsion swing test, with recording
Use of vertical electrodes in any or all of above tests counts as one additional test
Computerized dynamic posturography
Tympanometry and reflex threshold measurements
Screening test, pure tone, air only
Pure tone audiometry (threshold); air only
Pure tone audiometry (threshold); air only
Pure tone audiometry (threshold); air a air and bone
Speech audiometry; threshold only threshold only
Speech audiometry; threshold; with speech recognition
Speech audiometry; threshold; with speech recognition
Basic comprehensive audiometry (92553 and 92556 combined), (pure tone, air and bone, and speech, threshold and discrimi
Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined).
Basic comprehensive audiometry (92553 and 92556 combined), (pure tone, air and bone, and speech, threshold and discrem
Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined).
Basic comprehensive audiometry (92553 and 92556 combined), (pure tone, air and bone, and speech, threshold and discrimi
Bekesy audiometry; diagnostic diagnostic
Tone decay test
Stenger test, pure tone
Tympanometry
Tympanometry
Acoustic reflex testing; threshold
Acoustic immittance testing, includes tympanometry, acoustic reflex threshold testing, and acoustic reflex decay testing
Filtered speech test
Staggered spondaic word test
Stenger test, speech
Conditioning play audiometry
Electrocochleography
Brainstem evoked response recording
Brainstem evoked response recording
Brainstem evoked response recording
Brainstem evoked response recording
Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited
Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited
Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products)
Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products)
Evoked otoacoustic emissions; comprehensive or diagnositc evaluation (comparison of transient and
Evoked otoacoustic emissions; comprehensive or diagnositc evaluation (comparison of transient and
Hearing aid examination and selection; monaural
Hearing aid examination and selection; binaural
Hearing aid examination and selection; binaural
Hearing aid check - mono.
Hearing aid check; binaural binaural
Electroacoustic evaluation for hearing aid; binaural
Ear protector attenuation measurements
Eval for use and/or fitting of voice prosthetic or augmentative/alternativecommunication device to supplement oral speech
Anesthesia for procedures on male external genitalia; radical orchiectomy, inguinal
Diagnostic analysis of chochlear implant, age 7 yrs or older; with programming
Subsequent reprogramming
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with pati
Therapeutic services for the use of speech-generating device, including programming and modification
Evaluation of oral and pharyngeal swallowing function
Motion fluoroscopic evaluation of swallowing function by cine or video recording
Evaluation of central auditory function, with report; initial 60 minutes
each additional 15 minutes (List separately in addition to code for primary procedure)
Evaluation of auditory rehabilitation status; first hour
Eval of auditory rehab status; first hour
Auditory rehabilitation; prelingual hearing loss
Unlisted otorhinolarynogological service or procedure
Anesthesia for procedures on male external genitalia; radical orchiectomy, abdominal
Cardioversion, elective, electrical conversion of arrhythmia, external
external
Transcatheter placement of an intracoronary stent(s), percutaneous with or without other therapeutic intervention, any met
Transcathether placement of an intracoronary stent(s), precutaneous with orwithout other therapeutic intervention, any me
each additional vessle (list separately in addition to code for primary procedure)
Percutaneous transluminal coronary ballon angioplasty; single vessel
Percutaneous transluminal coronary ballon angioplasty; single vessel
Percutaneous transluminal coronary angioplasty; each additional vessel
Anesthesia for procedures on male external genitalia; orchiopexy, unilateral or bilateral
Electrocardiogram, routine ecg with at least 12 leads; with interpretation and report
Electrocardiogram, routine ecg with at least 12 leads; with interpretation and report
Electrocardiogram, routine ecg with at least 12 leads; with iterpretation and report
Electrocardiogram, routine ecg with at least 12 leads; with interpretation and report
Electrocardiogram, routine ecg with at least 12 leads; tracing only, without interpretation and report
Electrocardiogram, routine ecg with at least 12 leads; interpretation and report only
Electrocardiogram, routine ecg with at least 12 leads; interpretation and report only
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise; continuous electrocardiographic
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise;
Cardiovascular stress test using maximal or submaximal treadmill or bicycleexercise, continious electrocardiographic monitor
Cardiovascular stress test using maximal or submaximal treadmill or bicycleexercise, continuous electrocardiographic monito
Cardiovascular stress test using maximal or submaximal treadmill or bicycleexercise, continuous electrocardiographic monito
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise;
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise;
Ergonovine provocation test
Rhythm ecg, one to three leads; with in with interpretation and report
Rhythm ecg, one to three leads; tracing tracing only without interpretation and report
Rhythm ecg, one to three leads; interpr interpretation and report only
Anesthesia for procedures on male external genitalia; complete amputation of penis
Wearable electrocardiographic rhythm derived monitoring for 24 hours by continuous original waveform recording and stora
Electrocardiographic monitoring for 24 hours by continuous original ecg waveform recording and storage, with visual
Recording (includes hook-up, recording, and disconnection); electrocardio- graphic monitoring for 24 hours by continuous ori
Electrocardiographic monitoring for 24 hours by continous originalecg waveform recording and storage, with visual superimp
Scanning analysis with report; electrocardiographic monitoring for 24 hoursby continuous original ecg waveform recording an
Electrocardiographic monitoring for 24 hours by continuous original ecg waveform recording and storage, with visual
Wearable patient activated electrocardiographic rhythm derived event recording with presymptom or memory loop, 24-hour
Recording (includes connection, recording, and disconnection); patient demand single or multiple event recording with presy
Monitoring, receipt of transmissions, and analysis; patient demand single or multiple event recording with presymptom mem
Physician review and interpretation only; patient demand single or multiple event recording with presymtom memory loop, 2
Signal-averaged electrocardiography (saecg), with or without ecg
Signal-averaged electrocariography (saecg), with or without ecg
Signal-averaged electrocariography (saecg), with or without ecg
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, co
Echocardiography, transthoracic, real-time image documentation (2D), includes M-mode recording, when performed, comple
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording when performed com
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording when performed com
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording when performed com
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed , fo
Echocardiography, real time with image documentation (2d) (with or without m-mode recording), transesophageal;
Echocardiography, real time with image documentation (2d) (with or without) m-mode recording, transesophageal
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display;
Doppler echocardiography nd/or continuous wave with spectral display;
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display;
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display;
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; follow-up or limited study
Doppler color flow velocity mapping (list separately in addition to code for echocardiography 76825, 76826, 76827
Doppler color flow velocity mapping (list separately in addition to code for echocardiography 76825, 76826, 76827,
Doppler color flow velocity mapping (list separately in addition to code for echocardiography 93307, 93308,
Echocardiography, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and c
Echocardiography, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and c
Echocardiography, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and c
Anesthesia for procedures on male external genitalia; radical amputation of penis with bilateral inguinal lymphadenectomy
Insertion and placement of flow directed catheter (eg, swan-ganz) for monitoring purposes
Insertion and placement of flow directed catheter (eg, sawn-ganz) for monitoring purposes
intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement during coronary angiography
Anesthesia for procedures on male external genitalia; radical amputation of penis with bilateral inguinal and iliac
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to
Comphrehensive electrophysiologic eval including insertion and repositioning of multiple electrode catheters with induction o
Comphrehensive electrophysicologic eval including insertion and reposition ing of multiple electrodes catheters with inductio
With left atrial pacing and recording from coronary sinus or left atrium (list separately in addition to code for primary procedu
Programmed stimulation and pacing after intravenous drug infusion (list seperately in addition to code for primary procedure
Programmed stimulation and pacing after intravenous drug infusion (list seperately in addition to code for primary procedure
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempte
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempte
Electrophysiologic evaluation of cardioverter-defibrillator leads (includes defibrillation threshold testing and sensing
Electrophysicologic eval of cardioverter-defibrillator leads (in- cludes defibrillation threshold testing and sensing
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete
Intracardiac catheter ablation of arrhythmogenic focus; for treat-ment of supraventricular tachycardia by ablation of fast or s
Intracardiac catheter ablation of arrhythmogenic focus; for treatment of ventricular tachycardia
Autonomic nervous system evaluation of c cardiovascular function with tilt table
Evalutation of cardiovascular function with tilt table evaluation, with continuous ecg monitoring and intermittent blood press
Biompedance-derived physiologic cardiovascular analysis
Temperature gradient studies
Physician services for outpatient cardiac rehabilitation; with continuous ecg monitoring (per session)
Unlisted cardiovascular service or procedure
Anesthesia for procedures on male external genitalia; insertion of penile prosthesis (perineal approach)
Duplex scan of extracranial arteries; complete bilateral study
Duplex scan of extracranial arteries; complete bilateral study
Duplex scan of extracranial arteries; complete bilateral study
Duplex scan of extracranial arteries; unilateral or limited study
Duplex scan of extracranial arteries; unilateral or limited study
Duplex scan of extracranial arteries; unilateral or limited study
Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial
Non-invasive physiologic studies of upper or lower extremity arteries, single level, bilateral (eg, ankle/brachial indices, dopple
Noninvasive physiologic studies of upper or lower extremity arteries, multiple levels or with provocative functional maneuver
Noninvasive physiological of the upper and lower extremity arteries
Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study
Noninvasive physiologic studies of extremity veins, complete bilateral study
Non-invasive physiologic studies of extremity veins, complete bilateral study (eg, doppler waveform analysis with responses
Non-invasive physiologic studies of extremity veins, complete bilateral study (eg, doppler waveform analysis with responses
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study
Duplex scan of extremity veins including responses to compression and othermaneuvers; complete bilateral study
Duplex scan of extremity veins including responses to comp. & other mane
Duplex scan of extremity veins including responses to compression and other maneuvers;
Duplex scan of extremity veins including responses to compression and other maneuvers; unilater or limited study
Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, and/or retroperitoneal organs;
Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, and/or retroperitoneal organs; complete study
Duplex scan of arterial flow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperineal organs; limited st
Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limite
Duplex scan of arterial flow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperineal organs; limited st
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), and/or maximal
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), and/or maximal
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), and/or maximal vo
Brochospasm evaluation; spirometry as in 94010, before and after brochodilator (aerosol or parenteral)
Bronchospasm evaluation: spirometry as in 94010, before and after bronchodilator (aerosol or parenteral) or exercise
Bronchospasm evaluation; spirometry as in 94010, before and after bronchodilator (aerosol or parenteral)
Prolonged postexposure evaluation of bronchospasm with multiple spirometric determinations after test dose of
Vital capacity, total (separate procedure)
Colpotomy, vaginectomy, colporrhaphy, and open urethral procedures
Maximum breathing capacity, maximal voluntary ventilation
Expired gas collection, quantitative, single procedure (separate procedure)
Expired gas collection, quanttitative, single procedure (separate procedure)
Respiratory flow volume loop
Respiratory flow volume loop
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium);
Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exer- cise test for bronchospasm with pre- and post-spiom
Pressurized inhalation treatment for acute airway obstruction or for sputuminduction for diagnostic purposes eg with an aero
Continuous positive airway pressure ventilation (cpap), initiation and management
Demonstration and/or eval of patient utilzation of an aerosol generator, nebulizer, metered dose inhaler or ippb device.
Oxygen uptake, expired gas analysis; including co2 output, percentage oxygen extracted
Pulmonary compliance study, (eg, plethysmography, volume and pressure meassurements)
Noninvasive ear or pulse oximetry for oxygen saturation; single determination
Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)
Carbon dioxide, expired gas determination by infrared analyzer
Unlisted pulmonary service or procedure
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium);
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium);
Percutaneous tests (scratch, puncture, prick) with allergenic extracts;
Percutaneous tests (scratch, puncture, prick) with allergenic extracts;
Percutaneous tests (scratch, puncture, prick) with allergenic extracts;
Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction,
Percutaneous tests (scratch, puncture, prick) sequential and incremental, with drugs, biologicals or venoms, immediate type
Intracutaneious (intradermal) tests, sequential and incremental, with drugs, biologicals, or venoms, immediate type reaction,
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report
Intracutaneous (intradermal) tests with allergenic extracts, delayed type
Patch or application tests (specify number of tests)
Inhalation bronchial challenge testing (not including necessary pulmonary function tests);
Professional services for allergen immunotherapy not including provision of allergenic extracts;
Professional services for allergen immunotherpay not including provision of allergenic extracts; two or more injections
Professional services for the supervision of preparation and provision of antigens for allegen immunotherapy; single dose via
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or mult
Whole body extract of biting insect or other arthropod; professional services for the supervision of preparation and provision
Unlisted allergy/clinical immunologic service or procedure
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium);
Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis, and sleep time.
Multiple sleep latency testing (mslt)_ recording analysis and interpretatio
Multiple sleep latency testing (mslt), recording analysis and interpretatio
Multiple sleep latency testing (mslt) recording analysis and interpretation
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort
Sleep study, 3 or more parameters of sleep other than sleep staging, attended by a technologist
Sleep study, 3 or more parameters of sleep
Polysommography; sleep staging with 1-3 additional parameters of sleep, att
Polysomnography; sleep staging with 4 or more additional parameters of sleep,
Polysomnography; sleep staging with 4 or more additional parameters of sleep,
Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
Polysomnography, sleep staging with four or more additional parameters
Polysomnography, sleep staging with four or more additional parameters
Polysomnography, sleep staging with four or more additional parameters
Electroencephalogram (eeg) extended monitoring; 41-60 minutes
Electroencephalogram (eeg) extended monitoring; 41-60 minutes
Electroencephalogram (eeg) extended monitoring; 41 - 60 minutes
Electroencephalogram (eeg) extended monitoring; greater than one hour
Electroencephalogram (EEG) extended monitoring; greater than one hour
Electroencephalogram (eeg) extended monitoring; greater than one hour
Electroencephalogram (eeg), including recording awake and drowsy
Electroencephalogram (eeg) including recording awake and drowsy
Electroencephalogram (eeg) including recording awake and drowsy
Including recording awake, and asleep,
Including recording awake and asleep
Including recording awake and asleep
Recording in coma or sleep only
Electrocorticogram at surgery (seperate procedure)
Muscle testing, manual (separate procedure); extremity (excluding hand) tru
Muscle testing, manual (separate procedure); hand (with or without comparison with normal side)
Muscle testing, manual (separate procedure); total evaluation of body, excluding hands
Range of motion measurements and report (separate procedure); each extremity, (excluding hand) or each trunk section (spi
Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side
Tensilon test for myasthenia gravis;
Needle electromyography, one extremity with our without related paraspinal areas
Needle electromyography; one extremity a and related paraspinal areas
Needle electromyography; one extremity a and related paraspinal areas
Needle electromyography; one extremity a and related paraspinal areas
Needle electromyography; one extremity and related paraspinal areas
Needle electromyography; two extremities and related paraspinal areas
Needle electromyography; two extremities and related paraspinal areas
Needle electromyography; two extremities and related paraspinal areas
Needle electromyography; three extremities and related paraspinal areas
Needle electromyography; four extremities and related paraspinal areas
Needle electromyography; four extremities and related paraspinal areas
Needle electromyography, four extremities with or without related paraspinal areas
Cranial nerve supplied muscle(s), unilateral
Cranial nerve supplied muscle(s), unilateral
Needle electromyography, cranial nerve supplied, bilateral
Needle electromyography, cranial nerve supplied, bilateral
Thoracic paraspinal muscles (excluding t1 or t12)
Limited study of muscles in one extremity or non-limb (axial) muscles (uni-lateral or bilateral), other than thoracic paraspinal,
Limited study of muscles in one extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal,
Limited study of muscles in one extremity or non-limb (axial) muscles (uni-lateral or bilateral), other than thoracic paraspinal,
Nerve conduction, velocity and/or latency study; motor, each nerve
Nerve conduction, velocity and/or latency study; motor, each nerve
Nerve conduction, velocity and/or latency study; motor, each nerve
Nerve conduction, velocity and/or latency study; motor, each nerve
Nerve conduction, velocity and/or latency study; motor, each nerve
Nerve conduction, amplitude and latency
Nerve conduction, amplitude and latency/velocity study
Nerve conduction, amplitude and latency
Nerve conduction, amplitude and latency
Sensory, each nerve
Nerve conduction, velocity and/or latency study; sensory, each nerve
Nerve conduction, velocity and/or latency study; sensory, each nerve
Sensory, each nerve
Nerve conduction, velocity and/or latency study; sensory, each nerve
Intraoperative neurophysiology testing, per hour
Intraoperative neurophysiology testing, per hour
Intraoperative neurophysiology testing, per hour (list sepately in addition to code for primary procedure
Somatosensory testing (eg, cerebral evoked potentials), one or more nerves
Somatosensory testing (eg, cerebral evoked potentials), one or more nerves
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the
Short-latency somatosensory evoked potential study, in lower limbs
Short-latency somatosensory evoked poten
In lower limbs; short-latency somatosensory evoked potential study, stim- ulation of any/all peripheral nerves or skin sites, re
Visual evoked potential (vep) testing
Visual evoked potential (vep) testing
Visual evoked potential (vep) testing
Orbicularis oculi (blink) reflex, by ele
H-reflex, amplitude and latency study
H-reflex, amplitude and latency study; record gastroncnemius/soleus muscle
H-reflex, amplitude and latency study
H-reflex, amplitude and latency study
H-reflex, amplitude and latency study
Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any one method
Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve; any one method
Monitoring for identification and lateralization of cerebral seizure focus by attached electrodes;
Monitoring for localization of cerebral seizure focus, by attached electrodes or radiotelemetry;
Monitoring for localization of cerebral seizure focus, by attached electrodes or radiotelemetry; combined electroencephalogr
Monitoring for identification and lateralization of s, cerebral seizure focus by attached electrodes;
Monitoring for localization of cerebral seizure focus by cable or radio. 16 or more channel telemetry: electroencephalographi
Digital analysis of electroencephalogram (eeg)(eg, for epileptic spike analysis)
Digital analysis of electroencephalogram (eeg) (eg, for epileptic spike analysis)
Digital analysis of electroencephalogram (eeg) (eg, flor epileptic spike analysis) (list separately in addition to code for primary
Functional cortical mapping by stimulation of electrodes on brain surface, or of depth electrodes, to provoke seizures
Functional cortical mapping by stimulation of electrodes on brain surface, or of depth electrodes, to provoke seizures
Simple spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/transm
Complex spinal cord, or peripheral (ie, peripheral nerve, autonomic nerve, sacral nerve, neuromuscular) (except cranial nerve
Complex spinal cord, or peripheral (ie, peripheral nerve, autonomic nerve, sacral nerve, neuromuscular) (except cranial nerve
Complex spinal cord, or peripheral (ie, peripheral nerve, autonomic nerve, sacral nerve, neuromuscular) (except cranial nerve
Unlisted neurological or neuromuscular diagnostic procedure
Psychological testing, per hour of the psychologist’s or physician’s time with the patient and time interpreting test res
Psychological testing (includes psychodiagnostic assessment of emotionalityintellectual abilities, personality and psychopatho
Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopath
Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehen
Developmental screening, with interpretation and report, per standardized instrument form;
Developmental testing, (includes assessment of motor, language, social, adaptive, and/or cognitive functioning by standardiz
Neurobehavioral status exam, per hour of the psychologist's or hysician's time, both face-to-face time with the patient and ti
Neuropsychological testing, per hour of the psychologist's or physician's time, both face-to-face time with the patient and tim
Neuropsychological testing, per hour of the psychologist's or physician's time, both face-to-face time with the patient and tim
Neurophyschological testing, with qualified health care professional interpretation and report, administered by technician, pe
Neurophyschological testing, with qualified health care professional interpretation and report, administered by technician, pe
Neuropsychological testing, per hour
Intravenous infusion, hydration; initial, 31 minutes to 1 hour
Intravenous infusion, for therapy, prophylaxix, or diagnosis (specify substance or drug); initial, up to 1 hour
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
Intravenous push, single or initial substance/drug
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential push of a new substa
each add'l sequential intravenous push of the same substance/drug provided in a facility
Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or indusion
Chemotheraphy administration, intravenous infusion techinque; each additional hour (list separately in addition to code for p
Unlisted chemotherapy procedure
Actinotherapy (ultraviolet light)
Photochemotherapy; psoralens and ultrav psoralens and ultraviolet a (puva)
Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm
Physical therapy evaluation
Physical therapy reevaluation
Physical therapy reevaluation
Physical therapy reevaluation
Occupational therapy evaluation
Occupational therapy re-evaluation
Application hot or cold packs *
Physical medicine treatment to one area; traction, mechanical
Physical medicine treatment to one area; electrical stimulation (unattended)
Physical medicine treatment to one area (reduced services)
Physical medicine treatment to one area; vasopneumatic devices
Physical medicine treatment to one area; paraffin bath
Physical medicine treatment to one area; whirlpool
Application of a modality to one or more areas; diathermy (eg, microwave)
infrared
Application of a modality to one or more area; electrical stimulation (manual), each 15 minutes
Application of a modality to one or more areas; iontophoresis, each 15 minutes
Application of a modality to one or more areas; contrast baths, ea. 15 min.
Application of a modality to one or more areas; ultrasound, each 15 minutes
Application of a modality to one or more areas, hubbard tank, each 15 mins.
Unlisted modality (specify type and time if constant attendance) *
Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessme
Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance,
Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range
Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordinatio
Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sittin
Therapeutic procedure, one or more areas, each 15 minutes; aquatic therapy with
Physical medicine treatment to one area, initial 30 minutes, each visit;
Therapeutic procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement
Therapeutic procedure, one or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement
Therapeutic procedure, one or more areas, each 15 minutes; unlisted therapeutic procedure (specify)
Manual therapy techniques, one or more regions, each 15 minutes
Manual therapy techniques, one or more regions, each 15 minutes
Therapeutic procedure(s), group (2 or more individuals)
Therapeutic activities, direct (one on one) patient contact by the provider (use of dynamic activities to improve functional
Therapeutic activities, direct (one on one) patient contact by the provider (use of dynamic activities to improve functional
Develop/congnitive skills to improve attention, memory, problem solving, (includes compensatory training), direct (one-to-on
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, d
Self care/home management training (eg, activities of daily living(adl) andcompensatory training, meal preparation, safety pr
Community/work reintegration training leg, shopping, transportation, money management, avocational activities and/or wor
Wheelchair management (eg, assessment, fitting, training), each 15 minutes
Work hardening/conditioning; initial 2 hours
Work hardening/conditioning; each add'l hour
Removal of devitalized tissue from wound(s), selective debridement, without anesthesia (eg, high pressure waterjet with/wit
Removal of devitalized tissue from wond; selective debridement, without anesthesia (eg, high pressure waterjet, sharp select
Removal of devitalized tissue from wound; non-selective debridement, with- out anesthesia
Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessme
Nagative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s)
Negative pressure wound therapy, including topical application(s), wound assessment, and instruction(s) for ongoing care, pe
Office visit, including one of the following tests or measurements, with report
Physical performance test or measurement (eg, musculoskeletal, functional
Physical performance test or measurement, with written report, each 15 minutes
Assistive technology assessment direct one-on-one
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), low
Prosthetic training, upper and/or lower extremity(s), each 15 minutes
checkout for orthotic/prosthetic use, established patient,
Unlisted physical medicine/rehabilitation service or procedure
Medical nutrition therapy; initial assess
Re-Assessment and intervention, individual, face-to-face with the patient, each 15 minutes
Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes
Osteopathic manipulative treatment (omt); 1 to 2 body regions involved
Osteopathic manipulative treatment (omt); 3 to 4 body regions involved
Osteopathic manipulative treatment (omt); seven to eight body regions involved
Chiropractic manipulative treatment
Chiropractic manipulative treatment
Chiropractic manipulative treatment
Chiropractic manipulative treatment
Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized
Handling and/or conveyance of specimen for transfer from the physician's office to a laboratory
Handling and/or conveyance of specimen for transfer from the patient in other than a physician's office to a
Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, des
Postoperative follow-up visit, included in global service
Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management servi
Postoperative follow-up visit, included in global service
Services provided in office at times other than regularly scheduled office hours, or days when the office is normally closed, in
Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service
Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic se
Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office vi
Educational supplies, such as books, tapes, and pamphlets, provided by the physician for the patient's education at cost to ph
Physician educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions)
Special reports such as insurance forms, or the review of medical data to clarify a patient's status--more than the information
Unusual travel (eg, transportation and escort of a patient)
Analysis of clinical data stored in computers (eg, ecgs, blood pressures, hematologic data)
Anesthesia for patient of extreme age,younger than 1 year and older than 70
Anesthesia complicated by utilization of total body hypothermia
Anesthesia complicated by utilization of controlled hypotension
Anesthesia complicated by emergency conditions(specify)
Moderate sedation services provided by the same physician performing the diagnostic or therapeutic service that the sedatio
Moderate sedation services provided by the same physician performing the diagnostic or therapeutic service that the secatio
Moderate sedation services, provided by a physician other than the health care professional . . . ; age 5 years or older, first 30
Physician attendance and supervision of hyperbaric oxygen therapy, per session
Physician attendance and supervision of hyperbaric oxygen therapy, per session
Phlebotomy, therapeutic (separate procedure)
Unlisted special service or report
Office visit
Office Or Other Outpatient Visit For Eval & Management
Office or other outpatient visit for the evaluation and management of a new patient which requires these three key compone
Office Or Other Outpatient Visit For Eval & Management
Office or other outpatient visit for the eval and management of a new patient which requires these three components;
Office Or Other Outpatient Visit For Eval & Management
Office or other outpatient visit for the eval and management of a new patient which requires these three key components
Ofice or other outpatient visit for the eval and management of a new patient, which requires these 3 key components: comp
Office or other outpatient visit for the evaluation and management of a new patient which requires these three key compone
Office or other outpatient visit for the evaluation and management of a new patient which requires these three components:
Office or other outpatient visit for the evaluation and mangement of a new patient which requires these three key componen
Office or other outpatient visit for the evaluation and management of a new patient which requires these three components:
Office Or Other Outpatient Visit For Eval & Management
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presen
Office Or Other Outpatient Visit For The Eval & Managem
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office Or Other Outpatient Visit For The Eval & Managem
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and managementof an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an establishedpatient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an establishedpatient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient
Office or other outpatient visit for the evaluation and management of an established patient (25 = same day of surgery)
Office or other outpatient visit for the evaluation and management of an established patient
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or other outpatient visit for the evaluation and management of an established patient which requires at least two of th
Office or outpatient visit for the evaluation and management of an established patient which requires at least two of these
Observation care discharge day management
Initial observation care, per day, for the eval and management of a patient which requires these 3 components: A detailed or
Initial observation casre, per day, for the evaluation and management of a patient, which requires these three key componen
Initial observation care, per day, for the evaluation and management of a patient, which requires these three key component
Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components;
Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components;
Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components;
Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components;
Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components;
Initial hospital care, per day, for the evaluation and management of a patient which requires these three key components;
Sebsequent hospital care, per day, for he evaluation and management of a patient. which requires at least two of these three
Sebsequent hospital care, per day, for he evaluation and management of a patient. which requires at least two of these three
Subsequent hospital care, per day, for he evaluation and management of a patient. which requires at least two of these three
Subsequent hospital care, per day, for he evaluation and management of a patient which requires at least two of these three
Sebsequent hospital care, per day, for he evaluation and management of a patient. which requires at least two of these three
Sebsequent hospital care, per day, for he evaluation and management of a patient. which requires at least two of these three
Sebsequent hospital care, per day, for he evaluation and management of a patient. which requires at least two of these three
Observation or inpatient hospital care for evaluation
Observation or inpatient hospital care
Observation or inpatient hospital care
Hospital discharge day management; 30 minutes or less
Hospital discharge day management; 30 minutes or less
Hospital discharge day management; more than 30 minutes
Office consultation for a new or established patient, which requires these three key components; a problem focused history;
Office consultation for a new or establised patient, which requires these three components; a problem focused history; a pro
Office consultation for a new or established patient, which requires these three key components: an expanded problem
Office consultation for a new or established patient, which requires three key components.
Office consultation for a new or established patient, which requires these three key components; an expanded problem
Office consultation for a new or established patient, which requires these three key components: a detailed history;
Office consultation for a new or established patient, which requires these 3 key components; a detailed history;
Office consultation for a new or established patient, which requires these three key components: a detailed hisotry, a detaile
Office consultation for a new or established patient, which requires these 3 key components; a comprehensive history;
Office consultation for a new or established patient, which requires these three key components: a comprehensive history;
Office consultation for a new or established patient, which re- quires these 3 key components; a comprehensive history;
Office consultation for a new or established patient, which requires these three key components: a comprehensive history;
Office consulation for a new or established patient, which requires these three key components; a comprehensive history
Initial inpatient consultation for a new or established patient, which requires these three key components: a problem focused
Inpatient consultation for a new or established patient, which requires these three key components: a problem focused
Inpatient consultation for a new or established patient, which requires these three key components: an expanded problem
Inpatient consultation for a new or established patient, which requires these three key components: a detailed history;
Inpatient consultation for a new or established patient, which requires three key components: a comprehensive history;
Inpatient consultation for a new or established patient, which requires these three key components: a comprehensive history
Emergency department visit for the evaluation and management of a patient, which requires these three key components:
Emergency department visit for the evaluation and management of a patient, which requires these three key components:
Emergency department visit for the evaluation and management of a patient, which requires these three key components;
Emergency department visit for the evaluation and management of a patient, which requires these three key components:
Emergency department visit for the evaluation and management of a patient, which requires these three key components:
Emergency department visit for the evaluation and management of a patient; within global after surgery
Emergency department visit for the evaluation and management of a patient, which requires these three key components wi
Critical care, evaluation and management of the critically ill or critically injured patient,
Critical care, including the diagnostic and therapeutic services and direction of care of critically ill or multiply injured or comat
Initial nursing facility care, per day, for the evaluation and management of a patient, which requires three key components
Initial nursing facility care, per day, for the eval and management of a patient
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires 2 of 3 key compon
Subsequent nursing facility care, per day, for the eval and management of a patient, which requires at least 2 of these 3 comp
Nursing facility discharge day management; 30 minutes or less
Home visit for the eval and management of a new patient. which requires these three components: expanded prob focused h
Home visit for the evaluation and management of a new patient, which re- quires these three key components: a dteailed his
Home visit; eval & management of a new patient, with requires comprehensivehistory, comprehensive exam, medical decisio
Home visit for the eval and management of a new patient, which requires these three key components: comp history, comp e
Home visit for the eval and management of an established patient, which requires at least two of these three key component
Home visit, eval & mgmt of an established patient, that requires expanded problem focused interval history, expanded exam
Home visit for the eval and management of an established patient, which re-quires at least two of these three key componen
Home visit for the evaluation and management of an established patient, which requires at least two of these three key comp
Home visit for the eval and management of an established patient, which re-quires at least 2 of these 3 key components; a pr
Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service, first hour
Antigoagulant management for an outpatient taking warfarin, physician review and interpretation of INR testing, patient inst
18-39 years. Initial comprehensive preventive medicine evaluation and management of an individual including an age and gen
40-64 years; initial comprehensive preventive medicine evaluation and management of an individual including an age and gen
Periodic reevaluation and management of a healthy individual requiring a comprehensive history, comprehensive examinatio
18-39 years; initial comprehensive preventive medicine evaluation and management of an individual including an age and gen
40-64 years; periodic comprehensive preventive medicine.
Preventive medicine counseling and/or risk factor reduction interventions(s) provided to an individual (separate procedure);
Counseling and/or risk factor reduction intervention(s) provided to a healthy individual(s)
Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes
smoking and tobacco use cessation counseling visit; intensive, greater than ten minutes
Counseling and/or risk factor reduction intervention(s) provided to a healty individuals in a group setting; approx. 60 mins.
Administration and interpretation of health risk assessment instrument (eg, health hazard appraisal).
Unlisted medicine procedure
Work related or disability exam
Work related or medical disability examination by other than the treating physician that includes: completion of a medical his
Unlisted evaluation and management service
Home visit/prenatal monitor-assessment
Home visit for assistance with activities of daily living and personal care
Unlisted home visit service or procedure
Home infusion/speciality drug administration, per visit (up to 2 hours)
Dental Surg
Syringe with needle, sterile, 1cc or less, each
Syringe with needle, sterile 2cc
Syringe with needle, sterile 5 cc or greater, each
Needle-free injection device, each
Supplies for self-administered injection
Non-coring needles or stylet with or without catheter
Needle sterile, any size, each
Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Supplies for maintenance of drug infusion catheter, per week (list drug separately)
Infusion supplies for external drug infusion pump, per cassette or bag (li st drugs separately)
Infusion set for external insulin pump, non needle cannula type
Syringe with needle for external insulin pump, sterile, 3cc
Alcohol wipes, per box
Betadine or iodine swabs/wipes, per box
Urine test or reagent strips or tablets (100 tablets or strips)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
Spring powered device for lancet, each
Lancets, per box
Temporary, absorbable lacrimal duct implant, each
Permanent, long term, non-dissolvable lacrimal duct implant, each
Permanent, long term, non-dissolvable lacrimal duct implant, each, lower left eyelid
Permanent, long term, non-dissolvable lacrimal duct implant, each lower right eyelid
Paraffin
Implantable access catheter, (eg, venous, arterial, epidural, subarachnoid, or peritoneal, etc) external access
Disposable drug delivery system, flow rate of 50 ml or greater per hour
disposable drug delivery system, flow rate of less than 50 ml per hour
Insertion tray without drainage bag and without catheter (accessories only)
Lubricant, individual sterile packet, each
Incontinence supply; miscellaneous
Intermittent urinary catheter; straight tip
Urinary drainage bag
Urinary leg bag
Ostomy skin barrier
Ostomy skin bond or cement
Ostomy skin barrier, powder, per oz.
Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-in convexity, each
Ostomy lubricant
Ostomy skin barrier, pectin-based, paste, per ounce
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4x4 inches or smaller, e
Ostomy skin barrier; with flange (solid, flexible, or accordion), extended wear, without built-in convexity, 4 x 4 each
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inch
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
Ostomy supplies necessary for the care of the ostomy and not part of the set
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
Tape, non-waterproof, per 18 square inches
Adhesive remover or solvent (for tape, cement or other adhesive)
Adhesive remover, wipes, any type, each
Surgical stockings thigh length, each
Surgical stockings; full length, each
Incontinence garment, any type (e.g. brief, diaper) each
Surgical trays
Disposable underpads, all sizes, (e.g., chux's)
Electrodes, (e.g., apnea monitor) per pair
Lead wires, (e.g., apnea monitor)
Pessary, non-rubber, any type
Slings
Splint
Cast supplies (e.g. plaster)
Special casting materials (e.g. fibergla light cast
Tens supplies, 2 lead per month
Tubing with integrated heating element for use with positive airway pressure device
Tubing (oxygen), per foot
Tracheal suction catheter, any type, each
Replacement batteries. medically necessary, transcustaneous electrical stimulator, owned by patient
Replacement, handgrip, cane, crutch or walker, each
Replacement, tip, cane, crutch, walker, each
Radiopharmaceutical, diagnostic, not otherwise classified
Supply of paramagnetic contrast material, eg., gadolinium
Surgical supplies not elsewhere classified
Sphygmomanometer/blood pressure apparatus with cuff and stethoscpoe
Blood pressure cuff only
Automatic blood pressure monitor
Dextrostick or glucose test strips, per box
Gloves, sterile or non-sterile, per pair
Ostomy pouch, closed; for use on barrier with flange (2 piece), each
Pouch, drainable; with barrier attached (1 piece)
Pouch, drainable; without barrier attached (1 piece)
Pouch, drainable; for use on barrier with flange (2 piece system)
Urinary suspensory with leg bag, with or without tube, each
Skin barrier, wipes or swabs, each
For diabetics only, fitting (including follow-up) custom preparation and supply of off-the-shelf depth-inlay
For diabetics only, fitting (including follow-up), custom preparaion and suppy of shoe molded from cast(s) of patient's foot (cu
For diabetics only, modification (including fitting) of off-the- shelf depth-inlay shoe or custom-moulded shoe with roller or rig
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), pe
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with matatarsal ba
For diabetics only, modification (including fitting(s) of off-the-shelf depth-inlay shoe or custom-moulded shoe with off-set hee
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit
For diabetics only, multiple density insert, direct formed, molded to foot or other external heat source of 230 degrees fahren
Gel sheet for dermal or epidermal application, (eg, silicone, hydrogel, other), each
Wound pouch, each
Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in, with any size adhesive border, ea
Contact layer, sterile, 16 sq. in. or less, each dressing
Foam dressing, wound cover, sterile, pad size more than 16 sq in. but less than or equal to 48 sq. in., without adhesive border
Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but lessthan or equal to 48 sq. in., without adhesive borde
Gauze, impreg. other than water, 16 sq inch
Gauze, impreg, hydrogel, for direct wound contact, pad size greater than 16sq. in., each dressing
Hydrogel dressing, wound cov, 16 sq in or
Hydrogel dressing, wound filler, gel, per fluid ounce
Skin sealants, protectants, moisturizers, ointments, any type, any size
Specialty absorptive dressing, wound cover,pad size 16 sq. in. or less, w/o
Transparent film, 16 sq in. or less, each dressing
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing.
Transparent film, more than 48 sq. in., each dressing
Wound cleansers, any type, any size
Gauze, non-impreg, sterile 16 sq. in or less
Conforming bandage, non-elastic, sterile, width less than three inches, per yard.
Light compression bandace, elastic per yard
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches
Compression burn garment, not otherwise classified
gradient compression stocking, thigh length, 18-30 mmHg, each
Gradient compression stocking, thigh length, 30-40 mmhg, each
Gradient compression stocking, not otherwise specified
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories.
Canister, disposable, used with suction pump, each
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
Combination oral/nasal mask, used with continuous positive airway pressure device, each
Oral cushion for combination oral/nasal mask, replacement only, each
Nasal pillows for combination oral/nasal mask, replacement only, pair
Full face mask used with positive airway pressure device, each
Face mask interface, replacement for full face mask, each
Cushion for use on nasal mask interface, replacement only, each
Pillow for use on nasal cannula type interface, replacement only, pair
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap
Headgear used with positive airway pressure device
Chinstrap used with positive airway pressure device
Tubing used with positive airway pressure device
Tubing used with positive airway pressure device
Filter, disposable, used with positive airway pressure device
Filter, nondisposable, used with positive aireay pressure device
Oral interface used with positive airway pressure device, each
Water chamber for humidifier used with positive airway pressure devide, replacement, each
Non-prescription drugs
Non covered service or item
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not oth
Reaching/grabbing device, any type, any length,
Exercise equipment
Technetium tc-99m sestamibi, diagnostic, per study dose, up to 40 millicuries
Technetium tc-99m tetrofosmin, diagnostic, per study dose, up to 40 millicuries
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
Thallium tl-201 thallous chloride, diagnostic, per millicurie
Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 micro- curies
Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml
Miscellaneous DME supply, accessory, and/or service component of another HCPCS code
Dme delivery, set up, and/or dispensing service componenet of another hcpcscode
Miscellaneous dme supply or accessory, not otherwise specified.
Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)
connective tissue, human (includes fascia lata)
Guide wire
Joint device (implantable)
Lens, intraocular (new technology)
Mesh (implantable)
Ocular implant, aqueous drainage assist device
Stent
Stent
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser
Stent, non-coronary, temporary, with delivery system
Injection, bevacizumab, 0.25mg
Periodic Oral Exam
Filling
Limited exam - problem focused
Comprehensive oral exam
Detailed and extensive oral evaluation - problem focused, by report
Comprehensive periodontal eval - new or established patient
Intraoral - Complete Series (Including Bitewing)
Intraoral - Single, First Film
Intraoral- periapical each additional film
Intraoral- occlusal film
Intraoral bitewing - single film (posterior teeth only)
Intraoral bitewing - two films (right and left posterior teeth only)
Bitewings-Four
Vertical bitewings - 7 to 8 films
Posteroanterior and/or lateral skull and facial bone, survey film
Sialography (single film)
Temperomandibular joint arthrogram,w/injuding injection
Other temperomandibular joint films, by report
Panoramic film
Cephalometric film
Diagnostic casts (study models)
Unspecified diagonstic procedure, by report
Prophylaxis, adult, annual (beginning at age 16)
Prophylaxis, child (without fluoride)
Dispensing home care fluoride (radiation therapy only)
Topical Fluoride varnish; therapeutic application for moderate to high caries risk patients
Oral hygiene instruction
Sealants (ada accepted materials) tooth numbers 03, 14, 19, 30 through age 8
Space maintainer, removable-unilateral (anterior permanent teeth only, prior
Amalgam- one surface, permanent tooth
Amalgam-two surfaces, (any 2 spaces s
Amalgam- three surfaces, (any 3 surface, same tooth, same date of service),
Amalgam- four or more surfaces (same tooth same date of service), permanent tooth
Resin-one surface (anterior teeth only-facial or buccal, separate from d2331 or d2335),
Resin-two interproximal surfaces (anterior teeth only, typical class iii),
Resin-three contiguous surfaces, interproximal (must include up to 1/3 of facial or
Resin - four or more surfaces or involving incisal angle (anterior teeth only),
Resin-based composite - one surface, posterior
Resin-based composite - two surfaces, posterior
Resin-based composite - three surfaces, posterior
Resin-based composite - four or more surfaces, posterior
Inlay - metallic; two surfaces
Inlay - porcelain/ceramic; two surfaces
Inlay - porcelain/ceramic; three or more surfaces
Onlay - porcelain/ceramic; two surfaces
Onlay - porcelain/ceramic; three surfaces
Onlay - porcelain/ceramic; four or more surfaces
Porcelain
Crown-porcelain fused to high noble metal
Crown-porcelain fused to predominantly base metal (bwx, pa)
Crown-porcelain fused to noble metal
Crown - full cast high noble metal (gold)
Crown - full cast predominantly base metal (bwx, pa)
Crown - full cast noble metal
Recement crown
Prefabricated stainless steel crown deciduous tooth
Prefabricated stainless steel crown permrmanent tooth
Protective restoration
Crown build-up, including any pins (bwx, pa)
Pin retention-per tooth, in addition to restoration (bxw, pa)
Post and core in addition to crown, indirectly fabricated
Prefabricated post and core in addition to crown (bwx, pa)
Labial veneer (resin laminate - chairside with narrative (bwx, pa)
Labial veneer (resin laminate); laboratory
Labial veneer (porcelain laminate-laboratory) with narrative (bwx, pa)
Crown repair, by report
Pulp cap - direct (excluding final restoration)
Pulp cap -indirect (excluding final restoration)
Therapeutic pulpotomy (excluding final rstoration), removal of pulp coronal to the dentinocemental junction and application
Pulpectomy - deciduous tooth root canal, one or more canals (excluding final restoration)
Anterior (excluding final restoration) tooth numbers 6 through 11 and 22 through 27 only
Bicuspid (excluding final restoration) (bwx, pa)
Molar (excluding final restoration) (bwx, pa)
Retreatment-anterior (br,bwx, pa)
Retreatment-bicuspid (br, bwx, pa)
Retreatment of previous root canal therapy; molar (br, bwx, pa)
Apicoectomy/periradicular surgery-anterior teeth only (pa)
Gingivectomy or gingivoplasty, four or more continguous teeth or bounded teeth spaces per quandrant
Gingivecotomy or gingivoplasty, one to three continguous teeth or bounded teeth spaces per quandrant
Gingival flap procedure, including root planing; four or more contiguous teeth or bounded teeth spaces per quandrant
Gingival flap procedure, including root planning - four or more contiguous teeth or tooth bounded spaces per quadrant
Clinical crown lengthening - hard tissue
Osseous surgery (including flap entry and closure); four or more contiguousteeth or bounded teeth spaces per quandrant
Periodontal scaling and root planing; four or more teeth per quandrant
Periodontal scaling and root planing ul quandrant
Full mouth debridement/comprehnsive eval
Localized delivery of antimicrobial agents via a controlled-released vehicle into diseased crevicular tissue, per tooth, by repor
Periodontawl maintenance procedures following active therapy (periodontal prophylasix)
Unspecified peridontal procedure; by report
Complete upper denture (once every 5 years) *
Complete lower denture (once every 5 years)
Immediate upper denture includes one office reline
Immediate lower denture includes one office reline
Upper partial-resin base (including any conventional clasps, rests and teeth)
Lower partial-resin base (including any conventional clasps, rests and teeth)
Upper partial-cast metal base with resin saddles (including any conventional clasps, rests
Lower partial-cast metal base with resin saddles (including any conventional clasps, rests
Maxillary partial denture - flexible base (including any clasps, rests and teeth).
Mandibular partial denture - flexible base (including any clasps, rests and teeth)
Upper partial denture - with crome palatal bar and two claps, cast base
Unilateral partial denture-one piece predominantly base metal casting (frame),
Each additional clasp with rest
Each additional saddle (2 or more teeth)
Adjust complete denture-upper
Adjust complete denture-lower
Adjust partial denture - upper
Adjust partial denture - lower
Repair broken complete denture base
Replace missing or broken teeth-completete denture (each tooth)
Repair resin saddle or base (partial denture)
Repair to cast framework
Repair or replace broken clasp
Replace broken teeth - partial denture - per tooth
Add tooth to existing partial denture
Add clasp to existing partial denture
Rebase complete upper denture
Rebase complete lower denture
Rebase lower partial denture
Reline complete maxillary denture (chairside)
Reline complete mandibular denture (chairside)
Reline maxillary partial denture
Reline mandibular partial denture (chairside)
Reline upper complete denture (laboratory)
Reline lower complete denture (laboratory)
Reline upper partial denture (laboratory)
Reline lower partial denture (laboratory)
Temporary complete denture (upper)
Interim complete denture (mandibular)
Temprary partial - stay plate denture (upper)
Interim partial denture (mandibular)
Tissue conditioning - upper - per denture unit
Tissue conditioning - lower-per denture unit
Overdenture - complete, by report
Overdenture - complete, by report
Precision attachment, by report
Modification of removable prothesis following implant surgery
Unspecified removable prosthodontic proc
Orbital prosthesis
Obturator prosthesis, surgical
Obturator prosthesis, definitive
Surgical stent
Surgical splint
Unspecified maxillofacial prosthesis, by report
Surg placement of implant body-endosteal
Implant/abutment supported removable denture for completely edentulous arch
Connecting bar - implant supported or abutment supported
Prefabricated abutment - includes placement
Implant supported porcelain fused to metal crown (titanium, titanium alloy, high noble metal)
Implant/abutment supported fixed denture for completely edentulous arch
Implant maintenance procedures, including: removal of prosthesis, cleansing of prosthesis and abutmen reinsertion of prosth
Pontic; cast high noble metal
Pontic - cast predominantly base metal (bwx)(pa)
Pontic - porcelain fused to high noble metal
Pontic - porcelain fused to predominantly base metal (bwx) (pa)
Pontic - porcelain fused to noble metal
Pontic; porcelain/ceramic
Pontic-resin with high noble metal
Pontic - resin cured to predominantly base metal (bwx)(pa)
Retainer-cast metal for acid etched fixed prosthesis (bwx)
Retainer - porcelain/ceramic for resin bonded fixed prosthesis
Crown; porcelain/ceramic
Crown - porcelain fused to high noble metal
Crown - porcelain fused to predominantlyase metal
Crown-porcelain fused to noble metal
Crown; full cast high noble metal
Crown - full cast predominantly base metal
Recement bridge (twelve months from date of original insertion or by other than original attending)
Precision attachment
Prefabricated post and core in addition to fixed partial denture retainer
Core build up for retainer, including any pins.
Unspecified, fixed prosthodontic procedure, by report
Extraction, coronal remnants - deciduous tooth
Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
Surgical removal of erupted tooth requiring removal of bone and/or section of tooth, and evaluation of mucoperiosteal flap
Removal of impacted tooth - soft tissue
Removal of impacted tooth - partially bony
Removal of impacted tooth-completely bony
Removal of impacted tooth - completely bony, with unusual surgical complication
Surgical removal of residual tooth roots (cutting procedure)
Oral antral fistual closure
Surgical exposure of impacted or unerupted tooth for ortho- dontic reasons (including orthodontic attachments)
Biopsy of oral tissue; hard (bone, tooth)
Biopsy of oral tissue - soft
Alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant
Alveoplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant
Alveoloplasty not in conjunction with extractions - per quadrant
Alveoloplasty not in conjunction with extractions - on to three teeth or tooth spaces, per quadrant
Vestibuloplasty - ridge extension (secondary epithelialization)
Excision of benign lesion up to 1.25 cm
Removal of odontogenic cyst or tumor - lesion diameter up to 1.25 cm
Removal of odontogenic cyst or tumor - lesion diameter over 1.25 cm
Removal of nonodontogenic cyst or tumor,- lesion diameter over 1.25 cm
Destruction of lesion(s) by physical methods: electrosurgery, chemotherapy, cryotherapy, or laser
Mesenchymal origin: fibroma, myxoma, hemangioma, neuro-fibroma, torus, (pal
Removal of torus mandibularis
Removal of torus mandibularis
Surgical reduction of osseous tuberosity
Incision and drainage of abscess intraororal soft tissue
Removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue
Sequestrectomy for osteomyelitis
Mandible-closed reduction- by report
Condylectomy right
Meniscectomy right
Joint reconstruction
Arthrotomy right
Occlusal orthotic appliance
Suture - over 5 cm
Skin graft (identify defect covered, location, and type of graft)
Osteoplasty for orthognathic deformities
Osteotomy-segmented or subapical
Osteotomy - body of mandible
Lefort i (maxilla - total)
Lefort i (maxilla - segmented)
Lefort ii or lefort iii (osteoplasty of fasical bones for midface hypoplasia or retrusion) - without bone graft
Osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous by report
Bone replacement graft for ridge preservation - per site
Frenulectomy (frenectomy or frenotomy) - separate procedure not incidental to another procedure
Frenuloplasty
Excision of hyperplastic tissue, per arcch
Excision of pericoronal gingiva
Coronoidectomy
Unspecified oral surgery procedure, by report
Comprehensive orthodontic treatment; of the adult dentition
Removable appliance therapy
Monthly adjustment fee for all fixed ortho cases
Palliative(emergency)treatment of dentalal pain - minor procedures
Fixed partial denture sectioning
Local anesthesia in conjunction with operative or surgical procedures
Local anesthesia lower right quadrant
Start up and first 30 minutes of anesthetic *
General anesthesia - each addtl 15 minutes
Inhalation of nitrous oxide/analgesia, anxiolysis
Non-intravenous conscious sedation (Anesthesia)
Consultation-diagnostic service provided by dentist or physician other than requesting dentist or physician
Office visit for observation (regular hrsulary scheduled hours)
Theraputic parenteral drug, single administration
Other drugs and/or medicaments, by report
Application of desensitizing medicament
Behavior management, by report
Treatment of complications (postsurgical) - unusual circumstances, by report
Occlusal guards (bruxism splints)
Occlusion analysis (mounted case)
Occlusal adjustment-limited per tooth
Unspecified adjunctive procedure, by report
Uterine & adnexa proc dor non-malignacy w/o cc
Uterine and adnexa proc for non-malignancy w/o cc
Coagulation disorders
Major joint replacement or reattachment of lower extremity
Cane, includes canes of all materials, adjustable or fixed with tip
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tip
Crutch, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
Crutch, forearm, includes crutches of various materials, adjustable or fixed, each with tip and handgrip
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips
Crutches underarm, aluminum, adjustable or fixed, pair, with pads, tips and handgrips
Crutch underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
Crutch substitute, lower leg platform, with or without wheels, each
Walker, rigid (pickup), adjustable or fixed height
Walker, folding (pickup), adjustable or fixed height
Walker, wheeled, with or without seat
Walker, rigid, wheeled, adjustable or fixed height
Walker, rigid, wheeled, adjustable or fixed height
Walker, folding, wheeled, adjustable or fixed height
Walker, enclosed, four sided framed rigid or folding, wheeled with posterior seat
Walker; heavy duty; multiple braking system, variable wheel resistance
Walker, heavy duty, multiple breaking system, variable wheel resistance
Walker, heavy duty, multiple breaking system, variable wheel resistance
Walker, heavy duty, without wheels, rigid or folding, any type, each
Walker, heavy duty, wheeled, rigid or folding, any type, each
Platform attachment, walker, each
Wheel attachment, rigid pick-up walker attachments
Seat attachment, walker
Leg extensions for a walker, per set of four (4)
Brake attachment for wheeled walker, replacement, each
Commode chair , mobile or stationary, with fixed arms
Commode chair, mobile or stationary, with detachable arms
Commode chair, extra wide/heavy duty, stat
Air pressure pad or cushion, nonpositiong
Water pressure pad or cushion, nonpositiong
Gel pressure pad or cushion, nonpositiong
Dry pressure pad or cushion, nonpositiong (e.g., eggcrate)
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
Gel or gel-like presure pad for mattress *
Air pressure mattress
Synthetic sheepskin pad
Synthetic sheepskin pad
Lambswool sheepskin pad, any size
Heel or elbow protector, each
Heel or elbow protector, each
Low pressure and positioning equalization pad for wheelchair
Powered air flotation bed (low air loss therapy)
Gel pressure mattress
Air pressure pad for mattress
Electric heat pad, moist
Water circulating heat pad with pump
Water circulating cold pad with pump
Water circulating cold pad with pump
Paraffin bath unit, portable (see medical supply code a4265 for paraffin)
Bath and toilet aids
Bath and toilet aids
Bath tub wall rail, each
Bath tub rail, floor base
Toilet rail, each
Raised toilet seat
Raised toilet seat
Tub stool or bench
Transfer tub rail attachment
Transfer bench for tub or toilet with or without commode opening
Transfer bench, heavy duty, for tub or toilet withor without commode opening
Pad for water circulating heat unit
Hospital bed, with side rails, variable height (hi-lo), with matress
Hospital bed, with side rails, variable height (hi-lo), with matress
Hospital bed, variable height, hi-lo with any type side rails, without mattress
Hospital bed, with side rails, semi-electric, head and foot adjustment, with mattress
Hospital bed, with side rails, semi-electric, (head and foot adjustment), with mattress
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
Hospital bed, total electric with siderails (head, foot and height adjustments, with mattress)
Hospital bed, with side rails, total electric head, foot, and height adjustments, without mattress
Hospital bed, institutional type includes: oscillating, circulating and stryker frame bed with mattress
Mattress, innerspring
Mattress, foam rubber
Over-bed table
Alternating pressure mattress or ankle
Hospital bed, fixed height, without side rails, without mattress
Hospital bed, variable height, hi-lo without side rails, with mattress
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 lbs.
Bed side rails, half length
Bed side rails, half length
Bed side rails, full length
Bed accessories: boards or tables, any type (non-covered)
Stationary compressed gas system, includes regulator with flow gauge, humidifier, cannula or mask and tubing
Portable gaseous oxygen system, includes regulator with flow gauge, humidifier, cannula or mask and tubing
Portable gaseous oxygen system - rental only
Portable gaseous oxygen system
Portable oxygen contents, per unit
Portable oxygen contents, liquid (for use with portable liquid systems when no stationary gas or liquid system is used)
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, eg., nasa
Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter
Humidifier, non-heated, used with positive airway pressure device
Humidifier, heated, used with positive airway pressure device
 humidifier, heated, used with positive airway pressure device
Nebulizer, with compressor ss pulmo-aid
Ultrasonic/electronic aerosol generator with small volume nebulizer
Nebulizer; ultrasonic
Respiratory suction pump, homemodel, portable or sationary, electric
Continuous airway pressure (cpap) device
Continuous airway pressure (cpap) device
Home blood glucose monitor
Skin piercing device for collection of capillary blood.
Sling or seat, patient lift, canvas or nylon
Patient lift, bathroom or toilet, not otherwise classified
Seat lift mechanism incorporated into a combination lift-chair mechanism
Separate seat lift mechanism for use with patient owned furniture-electric
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s), or pad(s)
Patient lift, electric with seat or sling
Multipositional patient support system, with integraged lift, patient accessible controls
Combination sit to stand system, any size, including pediatric, with seatlift feature, with or without wheels
Pneumatic compressor; non-segmental home model
Pneumatic compressor; non-segmental home model - rental per day
Pneumatic compressor, segmental home model (lymphedema pump) without calibrated gradient pressure
Pneumatic compressor, segmental home model (lymphedema pump) with calibrated gradient pressure
Pneumatic compressor, segmential home model (lymphedema pump) withcalibrated gradient pressure
Non-segmental pneumatic appliance for usic compressor, full leg
Segmental pneumatic appliance for use wial pneumatic compressor, leg
Segmental pneumatic appliance for use wial pneumatic compressor, arm
Segmental gradient pressure pneumatic appliance, half leg
Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral s
Transfer device, any type
Restraints, any type (body, chest, wrist or ankle) (non-covered)
(tens) devide, two lead, localized stimulation
(tens) devide, two lead, localized stimulation
Tens, four lead, (larger area/multiple nerve stimulation)
Tens, four lead, larger area/multiple nerve stimulation
Tens, four lead, (larger area/multiple nerve stimulation)
Incontinance treatment system, pelvic floor stimulator, monitor, sensor and/or trainer
Neuromuscular stimulant, electronic shock unit, (non-clinical model) purchase price
Neuromuscular stimulant, electronic shock unit, non-clinical model
Osteogenesis stimulator (non-invasive)
Osteogenesis stimulator (non-invasive)
Osteogenisis stimulator, electrical, surgically implanted
Osteogenisis stimulator; electrical, noninvasive, spinal applications
Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not o
Iv pole
Iv pole
External ambulatory infusion pump with diminstrative equipment
Ambulatory infusion pump, single or multiple channels, with administrative equipment, worn by patient
Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)
Infusion pump, implantable, non-programmable (includes all components, eg, pump, catheter, connectors, etc
External ambulatory infusion pump, insul
External ambulatory infusion pump, insul
Parenteral infusion pump, stationary
Traction frame, attached to headboard, cimple cervical traction
Traction frame, attached to headboard, cimple cervical traction
Traction stand, free standing, cervical traction
Cervical traction equipment not requiring additional stand or frame
Traction equipment, overdoor, cervical
Traction frame, attached to footboard, eimple extremity traction, (e.g. buck's)
Trapeze equipment, fracture frame and other orthopedic devices
Trapeze bars, a/k/a/ patient helper, attached to bed with grab bar
Passive motion exercise device
Continuous passive motion exercise device for use on knee only
Continuous passive motion exercise device for use on knee only rental only - per day
Continuous passibe motion exercise device for use other than kneww.
Trapeze bar, free standing, complete with grab bar
Cervical head harness/halter
Pelvic belt/harness/boot
Pelvic belt/harness/boot
Extremity belt/harness
Extremity belt/harness
Fracture, frame, dual with cross bars, attached to bed, (e.g. balken, 4 poster)
Fracture frame, attachments for complex pelvic traction
Wheelchair accessory, tray, each
Heel, loopholder, any type, with or without ankle strap, each
Heel loop/holder, any type, with or without ankle strap, each
Toe loop/holder; any type
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
Wheelchair accessory, headread, cushioned, any type, including fixed mounting hardware, each
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
Manual wheelchair accessory, adapter for amputee, each
Wheelchair accessory, shoulder harness/straps or chest strap, including anytype mounting hardware
Brake extension, for wheelchair
Manual wheelchair accessory, hand rim with projections, any type, each
No.2 footplates, except for elevating leg rest
Manual wheelchair accessory, anti-tipping device, each
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each
Manual wheelchair accessory, anti-rollback device, each
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
Wheelchair accessory, seat upholstery, replacement only, each
Wheelchair accessory, seat upholstery, replacement only, each
Wheelchair accessory, back upholstery, replacement only, each
Manual wheelchair accessory, push activated power assist, each
Wheelchair accessory, elevating leg rest, complete assembly, each
Manual wheelchair accessory, solid seat insert
Arm rest, each
Wheelchair accessory, calf rest/pad, each
Wheelchair accessory, power seating system, tilt only
Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
Replacement, batteries for medically necessary electric wheelchair owned by the patient
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
Wheelchair accessory, power seating system, combination tilt and recline with power shear reduction
Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair
Shock absorber for manual wheelchair, each
Shock absorber for power wheelchair, each
Residual limb support system for wheelchair
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface o
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface o
Wheelchair - fully-reclining
Fully-reclining wheelchair, detachable arms (desk or full length), swing away detachable elevating leg rests
Fully-reclining wheelchair, detachable arms (desk or full length), swing away detachable elevating leg rests
Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests
High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating legs rests
High strength lightweight wheelchair; detachable arms desk or full length, swing away detachable elevating leg rests
High strength lightweight wheelchair, detachable elevating leg rests
High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
High strength lightweight, wheelchair, detachable arms desk or full length, swing away detachable foot rests
High strength lightweight, wheelchair, detachable arms desk or full length, swing away detachable foot rests
Wide heavy duty wheel chair, detachable arms desk or full length, swing away detachable elevating leg rests
Wide heavy duty wheelchair, detachable arms,desk or full length arms, swing away detachable footrests
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
Wheelchair, detachable arms, desk or full length, swing away detachable footrests
Wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
Wheelchair, fixed full length arms, swing away detachable elevating legrests
Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest
Specially sized or constructed wheelchairs (indicate brand name, model number, and justification)
Specially sized or constructed wheelchairs (indicate brand name, model number, and justification)
Wheelchair with detachable arms, footrests
Wheelchair with detachable arms, footrests
Wheelchair with detachable arms, elevating leg rests
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ***********purchase**********
Wheelchair accessory, manual fully reclining back, (recline greater than 80degrees), each *************rental***********
Special back height for wheelchair
Power operated vehicle, (3 wheel non-highway) indicate brand name and model number
Power operated vehicle, (3 wheel non-highway) indicate brand name and model number
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seat-ing system
Lightweight wheelchair, detachable arms,(desk or full length) swing away detachable elevating legrest
Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable elevating legrest
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest
Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests
Heavy duty wheelchair, fixed full length arms, swing away detachable footrest
Special wheelchair seat height from floor
Special wheelchair; seat depth, by upholstery
Special wheelchair seat depth and/or width, by construction
Whirlpool, portable (overtub type) (non-covered)
Oxygen concentrator, single delivery port, capable of delivering 85 percentor greater oxygen concerntration at the prescribed
Oxygen concentrator, single delivert port, capable of delivering 85 percentor greater oxygen concentration at the prescribed
Durable medical equipment, not otherwise classified
Durable medical equipment, not otherwise classified
Durable medical equipment, not otherwise classified
Reciprocating peritoneal dialysis system
Replacement soft interface material, dynamic adjustable extension/flexion device
Blood glucose monitor with integrated voice synthesizer
Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches
Manual wheel chair accessory, nonstandard seat frame depth, 20 to less than 22 inches.
Manual wheelchair accessory, handrim without projections, (includes ergonomic or contoured), any type, replacement only,
Manual wheelchair accessory, wheel lock assembly, complete, each
Wheelchair accessory, crutch and cane holder, each.
Wheelchair accessory, bearings, any type, replacement only, each
Manual wheelchair accessory, pneumatic propulsion tire, any size, each
Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
Manual wheelchair accessory, insert for pneumatic propulsion tire (re- moveable), any type, any size, each
Manual wheelchair accessory, insert for pneumatic propulsion tire (re- moveable), any type, any size, each
Manual wheelchair accessory, pneumatic caster tire, any size,
Manual wheelchair accessory, tube for pneumatic caster tire, any size, each
Manual wheelchair accessory, foam propulsion tire, any size, each
Manual wheelchair accessory, foam caster tire, any size, each
Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, each
Manual wheelchair accessory, solid (rubber/plastic) caster tiere (re- moveable), any size, each
Power wheelchair accessory, power seat elevation system.
Power wheelchair accessory, power seat elevation system.
Power wheelchair accessory, power standing system
Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, incl
Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, incl
Power wheelchair accessory, electronic connection between wheelchair con- troller and two or more power seating system m
Power wheelchair accessory, electronic connection between wheelchair con- troller and two or more power seating system m
Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting
Power wheelchair accessory, harness for upgrade to expandable controller, including all
Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mech
Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated
Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated
Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electro
Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware.
Power wheelchair accessory, 22 nf non-sealed lead acid battery, each
Power wheelchair accessory, 22 nf sealed lead acit battery, each (eg., gel cell, absorbed glassmat)
Power wheelchair accessory, group 24 sealed acid battery, each (eg., gel cell, absorbed glassmat)
Power wheelchair accessory, group 24 sealed acid battery, each (eg., gel cell, absorbed glassmat)
Power wheelchair accessory, u-1 sealed lead acid battery, each (eg., gel cell, absorbed glassmat)
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each.
Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each
Power wheelchair comp9onent, motor and gear box combination, replacement only
Power wheelchair accessory, group 27 sealed lead acid battery, (e.g. gel cell, absorbed glass mat), each
Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting
Power wheelchair accessory, hand or chin control interface, standard remote joystick
Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replaceme
Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement on
Power wheelchair accessory, expandable controller, including all related electronics and moutning hardware, upgrade provid
Power wheelchair accessory, expandable controller, including all related electronics and moutning hardware, upgrade provid
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each.
Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each
Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
Power wheelchair accessory, insert for pneumatic drive wheel tire, any size, replacement only, each
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
Power wheelchair accessory, solid caster tire with integrated wheel, any size, replacement
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each.
Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each
Negative pressure wound therapy electrical pump, stationary or portable
Speech generating device, synthesized speech
Accessory for speech enerating device, mounting system
Accessory for speech generating device, not otherwise specified
General use wheelchair seat cushion, width less than 22 inches, any depth
Skin protection wheelchair seat cushion, width less than 22 inches, any depth
Skin portection wheelchair seat cushion, width 22 inches or greater, any depth
Positioning wheelchair seat cushion, width less than 22 inches, any depth
Positioning wheelchair seat cushion, width 22 in. or greater, any depth
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
Custom fabricated wheelchair seat cushion, any size
General use wheelchair back cushion, width less than 22 inches, any height,including any type mounting hardware
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware
positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type of mounting hardw
Positioning wheelchair back cushion, posterior-lateral width less than 22 inches, any height, including any type mounting hard
Replacement cover for wheelchair seat cushion or back cushion, each
Positioning wheelchair back cushion, planar back with lateral suppoers, width less than 22 inches, any height, including any ty
Positioning wheelchair back cushion, planar back with lateral suppoers, width less than 22 inches, any height, including any ty
skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
Skin protecting and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
Administration of influenza virus vaccine
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Prostate cancer screening; prostate specific antigen test
Diabetes outpatient self-management training services, individual, per 30 minutes
Diabetes self-mgmt training services, group ses
Services of physical therapist in home
Services of occupational therapist in home health setting, each 15 minutes
Services of skilled nurse in home health setting, each 15 mins.
Services of home health aid in home health
physican certification services for Medicare-covered services provided by a participating home health agency (patient not pre
Dianostic mammography, producing direct digital image, bilateral, all views
Diagnostic mammography, producing direct digital image, unilateral, all views
Removal of impacted cerumen (one or both ears) by physician on same date ofservice as audiologic function testing.
Renal artery angiography (uilateral or bilateral) performed at the time of cardiac catheterization, includes catheter placemen
Electrical stimulation (unattended), to one or more areas for indication(s)other than wound care, as part of a therapy plan of
Arthroscopy, knee, surgical, for removal of loose body, foreign body, de- bridement/shaving of articular cartilage (chrondropl
Arthorscopy, knee, surgical, for removal of loose body, foreign body, de- bridement/shaving of articular cartilage (chondropla
Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic interventi
Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other theraputic interventio
hospital observation service, per hour
Home sleep test (HST) with type III portable monitor, unattended: minimum of 4 channels: 2 respiratory movement/airflow,
Drug screen, qualitative; multiple drug classes by high complexity test method, per patient encounter
Alcohol and/or drug assessment
Behavorial health counseling and therapy, per 15 minutes
Mental health assessment, by non-physician
Mental health service plan development by non-physician
Inpatient hospital stay - DRG
In-Patient Surgery
Injection, adenosine for therapeutic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9
Injection, adenosine for diagnositic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a
Injection, aminophyllin up to 250 mg
Injection, succinylcholine chloride, (Anectine), up to 20 mg
Injection, atrophine sufate, per .01 MG
Injection, bivalirudin, 1 mg
Botulinum toxin type a, per each unit
Injection, calcium leucovorin, per 50 mgg
Injection, carbocaine
Injection, cefazolin sodium, ancef, kefzol, up to 500 mg
Injection, ceftriaxone sodium, per 250mgg
Cefotaxime sodium, {claforan}, per gram
Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg
Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg
Injection, ceftazidime, per 500 mg
Injection, chlor-trimeton, chlorpheniramine maleate, up to 200 mg
Injection, ciprofoxacin for intravenous infusion, 200 mg
Injection, compazine, up to 10mg
Injection, corticotropin, up to 40 units
Injection, dehist
Injection, depo-estradiol cypionate
Injection, depo-medrol, 20 mg
Injection methylprednisolone acetate
Injection, depo-medrol, 80 mg
Injection, depo-medrol, 80 mg
Injection, medroxyprogesterone acetate, 50 mg
Injection, medroxyprogesterone acetate for contraceptive use, 150 mg
Injection, depo-testosterone cypionate, up to 100 mg
Injection, dexamethasone acetate, 1 mg
Injection, dexamethosone, up to 4mg/ml
Injection, diphenhydramine hcl, benadryl, up to 50 mg
Injection, dipyridamole, per 10 mg
Injection, dobutamine, hydrochloride per 250 mg
Injection, dolasetron mesylate, 10 mg
Injection, ertapenem sodium, 500 MG
Injection, estrogen, conjugated, per 25 mg
Injection, garamycin, gentamicin up to 80 mg
Injection, granisetron hydrochloride, 100 mcg
Injection, heprin sodium, (heprin lock flush), per 10 units
Injection, heparin sodium, per 1,000 units
Injection, dalteparin sodium, per 2500 iu
Injection, enoxaparin sodium, 10 mg
Injection, fondaparinux sodium, 0.5 mg
Injection, iron dextran, 50 mg
Injection, droperidol, up to 5mg
Injection, kantrex, kanamycin sulfate, up to 500 mg
Injection, ketorolac tromethamine, per 1 per 15 mg
Injection, lasix, up to 20 mg
Injection, levo-dromoran, up to 2 mg
Injection, lidocaine hci for intravenous infusion, 10 mg
Injection, lincomycin hc1, up to 300 mg
Injec, lorazepam, 2 mg
Injection, mannitol, 25% in 50 ml
Injection, meperidine hydrocholride, per 100 mg
Injection, mepergan, up to 50 mg
Injection, midazolam hydrochloride, per
Injection, morphine sulfate, up to 10mg
Injection, morphine sulfate (preservative- free sterile solution), per 10 mg
Injection, nalbuphine hydrochloride, per 10 mg
Injection, norflex, up to 60 mg
Injection, ondansetron hydrochloride, pe
Injection, penicillin, procaine aqueous, up to 600,000 units
Injection, piperacillin sodium/taxobactam sodium, 1 gram/0.125 grams (1.125 grams)
Injection, phenergan, up to 50 mg
Injection, phenobarbital, up to 120 mg
Injection, metoclopramide hcl, up to 10 mg
Injection, ranibizumab, 0.1 mg
Injection, ranitidine hydrochloride, 25m
Injection, regadenoson, 0.1 mg
Injection, ropivacaine hydrochloride, 1mg
Injection, sincalide, 5 micrograms
Injection, sodium chloride, 0.9%, per 2 ml
Injection, solu-medrol, up to 40 mg
Injection, solu-medrol, up to 125 mg
Injection, fentanyl citrate, up to 2 ml
Injection, talwin, up to 30 mg
Injection, triamcinolone, per mg
Injection triamcinolone acetonide, per 10mg
Injection triamcinolone diacetate, per 5 mg
Injection, triamcinolone hexacetonide
Injection, valium, up to 5 mg
Injection, vancocin hcl, up to 500 mg
Injection, verteporfin, 0.1 mg mcm: 35-100, 45-30
Injection, vistaril, up to 25 mg
Injection, vitamin b- 12, up to 1000 mcg
Injection, potassium chloride, per 2 meq
Unclassified drugs
Unclassified biologics
Infusion, normal saline solution , 1000 cc
Infusion, normal saline solution , sterile (500 ml=1 unit)
5% dextrose/normal salline solution (500 ml = 1 unit)
Infusion, normal saline solution , 250 cc
Infusion, d5w, 500 cc
Infusion, d5w, 1000 cc
Ringers lactate infusion, up to 1000 cc
Hyaluronana or derivative, Hyalgan or Supartz, for intra-articular injection, per dose
Hyaluronan or derivative, synvisc or Synvisc-One, for intra-articular
albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA approved final product, non-compounded, administered
Doxorubicin hcl, 10 mg
Injection, bevacizumab, 10 mg
Bleyomycin sulfate, 15 units
Cisplatin, {patinol}, powder or solution, per 10 mg
Fluorouracil, 500 mg
Ifosfomide, 1 gm
Mesna, 200 mg
Leuprolide acetate, (for depot suspension, 7.5mg)
Methotrexate sodium, 50 mg
Mitomycin, 5 mg
Injection, mitoxantrone hydrochloride, p
Injection, pemetrexed, 10 mg
Injection, rituximab, 100mg
Vinblastine sulfate, 1 mg
Not otherwise classified, antineoplastic drugs
Standard wheel chair rental
Standard wheel chair
High strength, light weight wheelchair
High strength, lightweight wheelchair
Ultra lightweight wheelchair
Heavy duty wheel chair
Extra heavy duty wheelchair, rental
Extra heavy duty wheelchair, rental
Extra heavy duty wheelchair
Other manual wheelchair/base
Standard - weight frame motorized power wheel chair
Wheelchair,standard - weight frame motorized/power
Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor d
Lightweight portable motorized/power wheelchair.
Other motorized/power wheelchair base
Other motorized/power wheelchair base
Detachable, adjustable height armrest, upper portion, each
Arm pad, each
Fixed, adjustable height armrest, pair
High mount flip-up footrest.
Leg strap, each
Leg strap, each
Adjustable angle footplate, each
Adjustable angle footplate, each
Large size footplate, each
Standard size footplate, each
Foot rest, lower extension tube, each
Foot rest, upper hanger bracket, each
Footrest, complete assembly
Swingaway, detachable foot rests, each
Elevating footrests, articulating, each
Seat height less than 17" or equal to or greater than 21" for a high stren gth, lightweight, or ultralightweight wheelchair.
Spoke protectors, each
Rear wheel assembly, complete, with solid tire, spokes or molded, each
With pneumatic tire, spokes or molded, each
Front caster assembly, complete; with semi-pneumatic tire, each
Front caster assembly, complete, with solid tire, each
Wheel lock assembly; complete
Other accessories
Other accessories
Back support system for use with a wheelchair
Seating system, combined back and seat module, custom fabricated for attachment to wheelchair base
Elevating leg rests, pair
Supplies for external drug infusion pump, syringe type cartridge, sterile, each
Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth.
Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criterion or no written coding verification
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a tech, labor
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds
Power operated vehicle, group one heavy duty, patient weight capacity 301 - 450 pounds
Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 lbs.
Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds.
Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds.
Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 lbs, monthly rate.
power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 301 to 450 pounds
Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more
PURCHASE OF: Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to
PURCHASE OF: Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to
RENTAL RATE FOR: Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity u
Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 lbs.
Power wheelchair; group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 lbs
Power wheelchair, group 3 standard, multiple power option, sling/solid seat back, patient weight capacity up to and including
Power wheelchair, group 3 standard, multiple power option, sling/solid seat back, patient weight capacity up to and including
Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 lbs.
Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pou
Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pou
Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 3
Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and includin
Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic am
Cervical, flexible, non-adjustable (foam collar)
Cervical, semi-rigid, adjustable (plastic collar)
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)
Cervical, semi-rigid, wire frame occipital/mandibular support
Cervical collar, semi-rigid thermoplastic foam, two piece
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension
Cervical, multiple post collar, occupital/mandibular supports; adjustable
Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)
Tlso, tripanar control, modular segmented spinal system, two rigid plastic shells, prosterior extends from the sacrococcygeal
TLSO, triplanar control, modular segmental spinal system, three rigid plastic shells, posterior extends from the sacrococcygea
TLSO, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal jun
Tlso, triplaner control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sa
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary p
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels posterior extends from l-1 to below l-5 vertebra, pro
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacroococcygeal junction to T-9 verte
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junct
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal ju
LSO, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal juntion to
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacro
Lso, corset front
Tlso, full corset
Peroneal straps, pair
Additions to ctlso or scloiosis orthoses, lumbar or lumbar rib pad
Thoracic-lumbar-sacral-orthoses (tlso), inclusive of furnishing initial orthosis only
Additions to tlso, (low profile) anterior thoracic extension
Unlisted procedure for spinal orthosis
Ho, abduction control of hip joints, flexible, pavlik harness
Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustm
Ho, abduction control of hip joints, static, plastic, custom fitted
Ho, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho
Ho, abduction control of hip joint, post-operative hip abduction type, custom fitted
Ko, elastic with joints
Ko, elastic with condylar pads and joints, with or without patellar contro l, prefabricated, includes fitting and adjustment
Ko, immobilizer, canvas longitudinal
Knee orthosis, adjustable knee joints (unicentric or poly centric), positional orthosis, rigid support, prefabricated, includes fitt
Ko, derotation, medial-lateral, anterior cruciate ligament, custom fabricated to patient model
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-late
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-late
Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-la
Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint, (unicentric or polycentric), medial-la
Swedish type, pre-fabricated, includes fitting and adjustment - knee orthosis
Ko, modification of supracondylar prosthetic socket, molded to patient model (sk)
Ko, single or double upright, thigh and calf, with functional active resistance control
Afo, ankle gauntlet, custom fitted
Afo, molded ankle gauntlet, molded to patient model
Afo, multiligamentos ankle support
Afo; supramalleolar with straps, with or without interface/pads, custom fabricated
Afo, posterior, single bar, clasp attachment to shoe counter
Afo, single upright with static or adjustable stop (phelps or perlstein type)
Ankle foot orthosis; plastic or other material, prefabricated, includes fitting and adjustment
Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment
Afo, molded to patient model, plastic
Kafo, molded to patient model, plastic, rigid anterior tibial section (floor reaction)
Ankle foot orthosis; spiral, (irm type), plastic, custom fabricated
Ankle foot orthosis; spiral, plastic or other material, prefabricated, includes fitting and adjustment.
Afo, posterior solid ankle, molded to patient model, plastic
Afo, plastic molded to patient model, with ankle joint
Ankle foot orthosis; plastic or other material with ankle joint, pre- fabricated, includes fitting and adjustment
Afo, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar "bk" orthosis)
Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, mec
Kafo, double upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar "ak" orthosis)
Kafo, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment
Knee angle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, cu
Knee ankle foot orthosis, full plastic, single upright, withor without freemotion knee, with or without free motion ankle, custo
Afo, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, molded to patient
Afo, fracture orthosis, tibial fracture cast orthosis, molded to patient model
Afo, fracture orthosis, tibial fracture orthosis, semi-rigid custom fitted
Afo, fracture orthosis, tibial fracture orthosis, rigid custom fitted
Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints
Addition to lower extremity fracture orthosis, drop lock knee joint
Addition to lower extremity fracture orthosis, limited motion knee joint
Addition to lower extremity fracture orthosis, quadrilateral brim
Additions to lower extremity, limited ankle motion, each joint
Additions to lower extremity, dorsiflexion assist (plantar flexion resist), each joint
Additions to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint
Additions to lower extremity, split flat caliper stirrups, and plate attachment
Addition to lower extremity orthosis, rockeer bottom for total contact ankle foot orthosis, for custom babricated orthosis onl
Additions to lower extremity, round caliper and plate attach- ment
Additions to lower extremity, foot plate, molded to patient model, stirrup attachment
Additions to lower extremity, reinforced solid stirrup (scott-craig type)
Addition to lower extremity, long tongue stirrup
Additions to lower extremity, varus/valgus correction ("t") strap, padded/lined or malleolus pad
Addition to lower extremity, varus/valgus correction. plastic modification, padded/lined
Additions to lower extremity, molded inner boot
Addition to lower extremity, non-molded lacer, for custom fabricated orthosonly
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
Addition to lower extremity, anterior swing band
Additions to lower extremity, pre-tibial shell, molded to patient model
Additions to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)
Additions to lower extremity, extended steel shank
Addition to lower extremity, patten bottom
Addition to lower extremity, torsion control, straight knee joint, each
Addition to lower extremity, straight knee joint, heavy duty, each joint
Addition to lower extremity, offset knee joint, each joint
Addition to lower extremity, offset knee joint, heavy duty, each joint
Addition to lower extremity orthosis, suspension sleeve
Addition to knee joint, drop lock, each
Addition to knee joint, cam lock (seiss, french, bail types) each joint
Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint
Addition to knee joint, ratchet lock for right knee joint; polycentric joint, each joint
lift loop for drop lock ring
Additions to lower extremity, offset knee joint, knee control, strap or pad
Additions to lower extremity, thigh/weight bearing, gulteal/ ischial weight bearing, ring
Additions to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model
Addition to lower extremity, thigh/weight bearing ischial containment/narrow m-l brim molded to patient model
Addition to lower extremity, thigh/weight bearing; ischial containment/narrow M-L brim, custom fitted
Additions to lower extremity, thigh-weight bearing, lacer, non-molded
Additions to lower extremity, thigh/weight bearing, lacer, molded to patient model
Additions to lower extremity, thigh/weight bearing, high roll cuff
Additions to lower extremity, pelvic control, hip joint, heavy duty, each
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
Addition to lower extremity, pelvic control; metal frame, reciprocating hip joint and cables
Additions to lower extremity, pelvic control, band and belt unilateral
Additions to lower extremity, pelvic control, band and belt bilateral
Additions to lower extremity, pelvic and thoracic control, gluteal pad, each
Addition to lower extremity, thoracic control; lateral support uprights
Addition to lower extremity orthosis, plating chrome or nickel, per bar
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segme
Orthotic side bar disconnect device, per bar
Addition to lower extremity orthosis, non-corrosive finish, per bar
Addition to lower extremity orthosis, drop lock retainer, each
Addition to lower extremity orthosis, knee control, full kneecap
Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis on
Addition to lower extremity orthosis, knee control, condylar pad
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
Addition to lower extremity orthosis
Unlisted procedures for lower extremity orthoses
Foot, insert, removable, molded to patient model, "ucb" type, berkeley shell, each
Foot insert, removable-molded to patient model, spenco, each
Foot insert, removable-molded to patient model, plastazote or equal, each
Foot insert, removable-molded to patient model, silicone gel, each
Foot, insert, removable, molded to patient model, longitudinal arch support, each
Foot, insert, removable, molded to patient model, longitudinal/metatarsal supports each
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal supports, each
Foot, insert, removable, formed to patient foot, each
Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/
Arch support, removable, premolded
Foot, arch support, removable, premolded, metatarsal, each
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
Foot, arch support, nonremovable attached to shoe, longitudinal, each
Foot, arch support, nonremovable attached to shoe, metatarsal, each
Hallus-valgus night dynamic splint
Foot, rotation positioning device, withorowne type), clamped to shoe
Foot, plastic, silicone or equal, heel stabilizer, each
Orthopedic footwear, ladies shoe, oxford, each
Orthopedic footwear, ladies shoes, depth inlay, each
Orthopedic footwear, ladies shoe, hightop, depth inlay, each
Orthopedic footwear, mens shoe, oxford, each
Orthopedic footwear, mens shoe, depth inlay, each
Orthopedic footwear, mens shoe, hightop, depth inlay, each
Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)
Orthopedic footwear, man's shoe, oxford, used as an itegral part of a brace (orthosis)
Orthopedic footwear, custom shoe, depth inlay, each
Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
Foot, shoe molded to patient model, silicone shoe, each
Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each
Foot, molded shoe plastazote (or similar) custom fitted, each
Ambulatory surgical boot-each
Plastazote sandal-each
Lifts, elevation, heel, tapered to metatarsals, per inch
Lifts, elevation, heel and sole, neoprene, per inch
Lifts, elevation, heel and sole, cork, per inch
Lifts, elevation, inside shoe, tapered, up to one-half inch
Lifts, elevation, heel, per inch
Heel wedge
Sole wedge, outside sole
Sole wedge; between sole
Outflare wedge
Metatarsal bar wedge, rocker
Metatarsal bar wedge, between sole
Full sole and heel wedge, between sole
Heel, counter, plastic reinforced
Heel, sach cushion type
Heel, new leather, standard
Heel, new rubber, standard
Heel, thomas with wedge
Heel, pad and depression for spur
Heel, pad, removable for spur
Miscellaneous shoe additions, insole, leather
Miscellaneous shoe additions, insole, rubber
Miscellaneous shoe additions, sole, half
Miscellaneous shoe additions, sole, full
Miscellaneous shoe additions, convert instep to velco closure
Miscellaneous shoe additions, march bar
Transfers of an orthosis from one shoe to another, caliper plate existing
Transfers of an orthosis from one shoe to another, caliper plate new
Transfers of an orthosis from one shoe to another, solid stirrup existing
Transfers of an orthosis from one shoe to another, solid stirrup new
Transfers of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes
Unlisted procedures for foot orthopedic shoes, shoe modifications and transfers
Shoulder orthoses, (so), figure of "8" design abduction re- strainer
Eo, double upright with forearm/arm cuffs, free motion
Elbow orthosis; with adjustable position locking joint(s), prefabricated, includes fitting and adjustment
Wrist-hand-finger-orthoses (WHFO); includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include
Wrist-hand-finger-orthoses; without joint(s), prefabricated, includes fitting and adjustment, any type
Wrist hand figer orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting a
Whfo, dynamic flexor hinge, reciprocal wrist extension/flexion, finger flexion/extension, wrist or finger drive
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Whfo, wrist extension control (cock-up), canvas or leather design, non-molded
Whfo, flexion glove with elastic finger control
Finger orthosis, proximal interphalangeal (PIP)/distal interphalangeal (DIP), non torsion joint/spring, extension/flexion
Addition of joint to upper extremity orthosis, any material; per joint
Shouler-elbow-wrist-hand orthoses; abduction positioning, Erbs palsey design, prefabricated, includesin fitting and adjustmen
Upper extremity fracture orthosis, humeral
Upper extremity fracture orthosis, radius/ulnar
Upper extremity fracture orthosis, wrist
Addition to upper extremity orthosis, sock, fracture or equal, each
Unlisted procedures for upper limb orthosis
Replace quadrilateral socket brim; custom fitted
Replace non-molded thigh lacer, for custom fabricated orthosis only
Replace metal bands kafo-afo, proximal thigh
Replace metal bands kafo-afo, calf or distal thigh
Replace leather cuff kafo-afo, calf or distal thigh
Repair of orthotic device, labor component
Repair of orthotic device, repair or replace minor parts
Ankle control orthosis, stirrup style, rigid, includes any type interface (eg, pneumatic, gel), prefabricated, includes fitting and
Walking boot, pneumatic, with or without joints, with or without interface material, prefabricated, includes fitting and adjust
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, includs fitting and adj
Replace soft interface material, ankle c
Static ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, pressure reduction, may be used
Partial foot, shoe insert with longitudinal arch, toe filler
Partial foot, molded socket, ankle height, with toe filler
Partial foot, molded socket, tibial tubercle height, with toe filler
Ankle, symes, molded socket, sach foot
Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot
Below knee, molded socket, shin, sach foot
Below knee, plastic socket, joints and thigh lacer, sach foot
Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot
Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot
Above knee, molded socket, single axis constant friction knee, shin, sach foot
Above knee, short prosthesis, no knee joint ("stubbies"), with foot blocks, no ankle joints, each
Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
Hip disarticulation; canadian type, molded socket, hip joint, single axis constant friction knee, shin, sach foot
Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
Below knee, molded socket, sach foot, endoskeletal system including soft cover and finishing
Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee
Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot
Immediate post surgical or early fitting, application of non- weight bearing rigid dressing, below knee
Initial, below knee "ptb" type socket, "usmc" or equal pylon, no cover, sach foot, plaster socket, direct formed
Initial, above knee - knee disarticulation, ischial level socket, "usmc" or equal pylon, no cover, sach foot plaster socket, direct
Preparatory, below knee "ptb" type socket, "usmc" or equal pylon, no cover, sach foot plaster socket, molded to model
Preparatory, below knee "ptb" type socket, "usmc" or equal pylon, no cover, sach foot, thermoplastic or equal, molded to mo
Preparatory, below knee "ptb" type socket, "usmc" or equal pylon, no cover, sach foot, laminated socket, molded to model
Prepartory, above knee - knee disarticulation, ischial level socket, non- alignable system, pylon, no cover, sach foot; plaster so
Preparatory, above knee-knee disarticulation, ischial level socket, "usmc" or equal pylon, no cover, sach foot, thermoplastic
Preparatory, above knee-knee disarticulation ischial level socket, "usmc" or equal pylon, no cover, sach foot, thermoplastic
Preparatory, above knee-knee disarticulartion, ischial level socket, "usmc" or equal pylon, no cover, sach foot, prefabricated a
Preparatory, above knee-knee disarticulation ischial level socket, "usmc" or equal pylon no cover, sach foot, laminated
Addition to lower extremity, above knee-knee disarticulation, ohc 4-bar linkage, with friction swing phase control
Addition to lower extremity, above knee-knee disarticulation, ohc 4-bar linkage, with hydraulic swing phase control
Additions to lower extremity, above knee-knee disarticulation, 4-bar linkage, with pneumatic swing phase control
Additions to lower extremity, above knee, universal multiplex system, friction swing phase control
Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each
Additions to lower extremity, test socket, symes
Additions to lower extremity, test socket, below knee
Additions to lower extremity, test socket, knee disarticulat- ion
Additions to lower extremity, test socket, above knee
Additions to lower extremity, test socket, hip disarticulation
Additions to lower extremity, test socket, hemipelvectomy
Addition to lower extremity, below knee, acrylic socket
Additions to lower extremity, symes type, expandable wall socket
Addition to lower extremity, above knee or knee disarticulation, acrylic socket
Additions to lower extremity, symes type, "ptb" brim design socket
Addition to lower extremity, symes type; posterior opening (canadian) socket
Additions to lower extremity, symes type, medial opening socket
Addition to lower extremity, below knee, total contact
Additions to lower extremity, above knee, leather socket
Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
Additions to lower extremity, above knee, wood socket
Addition to lower extremity, below knee, flexible inner socket, external frame
Additions to lower extremity, below knee, air, fluid, gel or equal, cushionsocket
Addition to lower extremity, below knee suction socket
Additions to lower extremity, above knee, air, fluid gel or equal, cushion socket
Addition to lower extremity, ischial containment/narrow m-l socket
Additions to lower extremity, total contact, above knee or knee disarticulation socket
Addition to lower extremity, above knee, flexible inner socket, external frame
Additions to lower extremity, suction suspension, above knee or knee disarticulation, socket
Additions to lower extremity, knee disarticulation, expandable wall socket
Additions to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
Additions to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)
Additions to lower extremity, socket insert, knee disarticul- ation, (kemblo, aliplast, plastazote or equal)
Additions to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
Addition to lower extremity, socket insert, multi-durometer symes
Addition to lower extremity, socket insert, multi-durometer, below knee
Additions to lower extremity, below knee, cuff suspension
Additions to lower extremity, below knee, molded distal cushion
Additions to lower extremity, below knee, molded supraconydular suspension ("pts" or similar)
Addition to lower extremity; below knee/above knee suspension locking mechanism (shuttle, lanyard or equal) excludes sock
Additions to lower extremity, below knee, removable medial brim suspension
Addition to lower extremity; below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, s
Additions to lower extremity, below knee, knee joints, single axis, pair
Addition to lower extremity, below knee, knee joints, polycentric, pair
Additions to lower extremity, below knee, joint covers, pair
Addition to lower extremity; below knee/above knee, custom fabricated from existing mold or prefabricated socket insert, si
Additions to lower extremity, below knee, thigh lacer, non- molded
Below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastome
Additions to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
Below knee/above knee, custome fabricated socket insert for other than congental or atypical traumatic amputee, silicone ge
Additions to lower extremity, below knee, fork strap
Addition to lower extremity prothesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
Additions to lower extremity, below knee, back check (extens- ion control)
Additions to lower extremity, below knee, waist belt, webbing
Additions to lower extremity, below knee, waist belt, padded and lined
Additions to lower extremity, above knee, pelvic control belt, light
Additions to lower extremity, above knee, pelvic control belt, padded and lined
Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
Additions to lower extremity, above knee or knee disarticulat- ion, pelvic joint
Additions to lower extremity, above knee or knee disarticulat- ion, pelvic band
Additions to lower extremity, above knee or knee disarticulat- ion, silesian bandage
Replacement, socket, below knee, molded to patient model
Replacement, socket, above knee/knee disarticulation, including attachment plate, moded to patient model
Replacement, socket, hip disarticulation, including hip joint, molded to patient model
Replacement, custom shaped protective cover, below knee *
Replacement, custom shaped protective cover, above knee
Replacement, custom shaped protective cover, knee disarticulation
Custom shaped protective cover, hip disarticulation
Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material
Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control
Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
Addition, exoskeletal knee-shin system, single axis, fluid swing phase control
Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control
Addition to lower limb prothesis, vacuum pump, residual limb volume management and moisture evacuation system
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy
Additions exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
Additions exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
Additions endoskeletal knee-shin system, single axis, manual lock
Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material
Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
Addition, endoskeletal knee-shin system, single axis, variable friction swing phase control
Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock
Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control
Addition, endoskeletal knee-shin system, single axis; pneumatic swing, friction stance phase control
Addition, endoskeletal knee-shin system, single axis, fluid swing phase control
Hydraulic swing phase control, with miniature high activity frame
Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control
Addition, endoskeletal knee-shin system, 4-bar linkage or multiaxial, pneumatic swing phase control
Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
Addition to endoskeletal knee-shin system, fluid stance extension, dampen- ing feature, with or without adjustability
Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
Hip disarticulation, mechanical hip extension assist
Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance pha
Addition, endoskeletal system, below knee, alignable system
Addition, endoskeletal system, above knee or hip disarticulation, alignable system
Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation manual
Addition, endoskeletal system high acti
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
Addition, endoskeletal system, below knee, flexible protective outer surface covering system
Addition, endoskeletal system, above knee, flexible protective outer surface covering system
Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature
All lower extremity prostheses, foot, external keel, sach foot
All lower extremity prosthesis, solid ankle cushion keel (SACH) foot, replacement only
All lower extremity prostheses, flexible keel foot (safe, sten, bock dynamic or equal)
Endoskeletal andle foot system, microprocessor controlled feature, dorsiflexion and/cor plantar flexion control, includes pow
All lower extremity prostheses, foot, single axis ankle/foot
All lower extremity prosthesis, comb sing
All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)
All lower extremity prostheses, foot, multiaxial ankle/foot (creissinger or equal)
All lower extremity prosthesis, multiaxial ankle/foot, dynamic response
All lower extremity prosthese, flex foot system
All lower extremity prosthesis, flex-walk system or equal
All exoskeletal lower extremity prostheses, axial rotation unit
All endoskeletal lower extremity prosthesis, axial rotation unit with or without adjustability
All endoskeletal lower extremity prosthesis
All lower extremity prosthese, multi-axial rotation unit (mcp or equal)
All lower extremity prosthesis, shank fo
All lower extremity prosthesis, comb vert
Addition to lower extremity pros. adj. heel
Unlisted procedures for lower extremity prosthesis
Partial hand, thumb remaining
Partial hand, no finger remaining
Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
Below elbow, molded socket, flexible elbow hinge, triceps pad
Below elbow, molded socket, (muenster or northwestern sus- pension types)
Below elbow, molded double wall split socket, step-up hinges, half cuff
Elbow disarticulation, molded socket, outside locking hinge, forearm
Above elbow, molded double wall socket, internal locking elbow, forearm
Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
Shoulder disarticulation, passive restoration (complete prosthesis)
Shoulder disarticulation, passive restoration (shoulder cap only)
Interscapular thoracic, passive restoration (shoulder cap only)
Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping.
Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure
Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harn
Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fai
Upper extremity additions, polycentric hinge, pair
Upper extremity additions, single pivot hinge, pair
Addition to upper extremity prosthesis, external powered, additional switch, any type
Upper extremity additions, disconnect locking wrist unit
Upper extremity addition, additional disconnect insert for locking wrist unit, each
Upper extremity additions, flexion/extension wrist unit, with or without friction
upper extremity addition, spring assisted rotational wrist unit with latch release
Upper arm extremity addition, flexion/extension and rotation wrist unit
Upper extremity addition, quick disconnect hook adapter, otto bock or equal
Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal
Upper extremity additions, stainless steel, any wrist
Upper extremity addition, latex suspension sleeve, each
Upper extremity additions, lift assist for elbow
Upper extremity addition, nudge control elbow lock
Upper extremity addtion to prosthesis, electric locking feature, only for use with manually powered elbow
Upper extremity addition, excursion amplifier, pulley type
Upper extremity additions, shoulder flexion-abduction joint, each
Upper extremity additions, shoulder universal joint, each
Upper extremity additions, standard control cable, extra
Upper extremity additions, heavy duty control cable
Upper extremity additions, teflon, or equal, cable lining
Upper extremity additions, hook to hand, cable adapter
Upper extremity additions, harness, chest or shoulder, saddle type
Upper extremity addition, harness, (eg, figure of 8 type), single cable design
Upper extremity addition, harness, (eg, figure of 8 type), dual cable design
Upper extremity additions, test socket, wrist disarticulat- ion or below elbow
Upper extremity additions, test socket, elbow disarticulat- ion or above elbow
Upper extremity additions, test socket, shoulder dis- articulation or interscapular thoracic
Upper extremity addition, suction socket
Upper extremity addition, frame type socket, below elbow or wrist disarticulation
Upper extremity addition, frame type socket, above elbow or elbow disarticulation
Upper extremity addition, frame type socket, shoulder disarticulation
Upper extremity addition, removable insert, each
Upper extremity addition, silicone gel insert or equal, each
Upper extremity addition, external lockin
Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, so
Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, so
Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital
Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert
Terminal device, passive hand/mitt, any material, any size
Terminal device, sport/recreational/work attachment, any material, any size
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined
Terminal device, hand, mechanical, voluntary opening, any material, any size
Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
Addition to terminal device, modifier wrist unit
Addition to terminal device, precision pinch device
Automatic grasp feature, addition to upper limb electric prosthetic terminal device
Microprocessor control feature, addition to upper limb prothetic terminal device
Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power.
Addition to upper extremity prothesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
Addition ot upper extremity prosthesis, vlove for termianl device, any material, custom fabricated
Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
Hand restoration (casts, shading and measurements included), partial hand; with glove, multiple fingers remaining
Hand restoration (shading, and measurements included), replacement glove for above
Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, ca
Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, tw
Otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device; above elbow
Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section
Electric hand, switch or myoelectric controlled, adult
Electric hook, switch,or myoelectric controlled, adult
Electronic elbow; microprocessor sequential control of elbow and terminal device.
Electronic wrist rotator, otto bock or equal
Electronic wrist rotator, for utah arm
Six volt battery, each
Twelve volt battery, each
Battery charger, twelve volt, each
Lithium ion battery, replacement
Lithium ion battery charger, replacement only
Addition to upper extremity prothesis; below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)
Addition to upper extremity prosthesis; above elbow disarticulation, ultra-light material (titanium, carbon fiber or equal)
Addition to upper extremity prothesis; below elbow/wrist disarticulation, acrylic material
Addition to upper extremity prothesis; above elbow disarticulation, acrylic material
Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material
Unlisted procedures for upper extremity prosthesis
Repair prosthetic device, repair or replace minor parts
Repair prosthetic device, labor component
Prosthetic donning sleeve, any material, each
Breast prostheses, mastectomy bra
Breast prosthesis, mastectomy sleeve
Breast prosthesis, silicone or equal
custom breast prosthesis, post mastectomy, molded to patient model
Orbital prothesis, provided by nonphysician
Auricular prosthesis, provided by a non-physician
Prosthetic sheath, below knee, each
Prosthetic sheath, above knee, each
Prosthetic sheath, upper limb, each
Prosthetic sheath/sock, including a gel
Prosthetic sock, wool, below knee, each
Prosthetic sock, wool, above knee, each
Prosthetic sock, wool, upper limb, each
Prosthetic shrinker, below knee, each
Prosthetic shrinker, above knee, each
Prothetic shrinker; upper limb, each
Stump sock, single ply, fitting, below knee, each
Stump sock, single ply, fitting, above knee, each
Stump sock, single ply, fitting, upper limb, each
Unlisted procedure for miscellaneous prosthetic services
Artifical larynx, any type
Ocular implant
Aqueous shunt
Cochlear device, includes all internal and external components
Headset/headpiece for use with cochlear implant device, replacement
Microphone for use with cochlear implant device, replacement
Cochlear implant, external speech processor and controller, integrated system, replacement
Lithium ion battery for use with cochlear implant device speech processor, ear level, replacement, each
Transmitting coil and cable, integrated, for use with cochlear implant device, replacement
Implantable neurostimulator electrode, each
Auditory osseointegrated device, includes all all internal and external components
Prosthetic implant, not otherwise specified
Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code
Prolotherapy
Scrn, papanicolaou smr by tech w/phy supr
Culture, bacterial, urine; quantitative, sensitivity study
Catheterization for collection of specimen(s) (multiple patients)
Infusion therapy, using other than chemotherapeutic drugs, per visit
Chemotherapy administration by infusion technique only, per visit
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
Set-up portable x-ray equipment
Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv an
Cast supplies, short arm cast, adult (11 years +) fiberglass
Cast supplies, short arm splint, adult (11 years +), plaster
Cast supplies, short leg cast, adult (11 years +), fiberglass
cast supplies, short leg splint, adult, fiberglass
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more tha
Injection, bupivicaine hci, 30 ml
Injection, clindamycin phosphate, 300 mg
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic
Daily wear specialty contact lens, per lens
Safety eyeglss frames
Comprehensive contact lens eval
Photorefractive keratectomy (PRK)
Ultrasound pachymetry to determine corneal thickness, with interpretation and report, unilateral
Gradient pressure aid (sleeve), ready made
Splint, prefabricated, digit
Vertebral axial decompression, per session
Nursing care, in the home; by registered nurse, per hour
Nursing care, in the home; by licensed practical nurse, per hour
Physical therapy; in the home, per diem
Diabetic management program; follow-up visit to non-md provider
Diabetic mgmt prg, group session
Diabetic management program, nurse visit
Diabetic management program; dietician visit
Nutritional counseling, dietitian visit
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; one every 24 hours; administrative services, professional p
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative servcies, professional p
Alcohol and/or substance abuse services, skills development
Visual examination, with refraction
Contact lens re-evaluation exam, includes biomicroscopic evalua- tion, multiple opthalmoscopies, pupil, cornea and lid evalua
Dispensing, Not Otherwise Classified
Fitting of contact lens or fitting of artificial eye
Frames, Purchases
Frames, purchased. unusual size
Deluxe Frame
Sphere, single vision, plano to plus or minus 4.00, per lens
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere,
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens
Spherocylinder, single vision, plus or minus 7.25 to plus or minus12.00d sphere; 4.25 to 6.00d cylinder, per lens
Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens
Lenticular, (myodisc), per lens, single vision
Lenticular lens, per lens, single
Not otherwise classified, single vision lens
Bifocal, Plus/Minus 4.00D
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d,per lens
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.000sphere, 2.12 to 4.000 cylinder, per lens
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere; 4.25 to 6.00d cylinder, per lens
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder,per lens
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.ood sphere,2.25 to 4.000 cylinder, per lens
Spherocylinder, bifocal, sphere over plus or minus 12.ood, per lens
Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens
Lenticular (myodisc), per lens, bifocal
Aniseikonic, per lens, bifocal
Bifocal seg width over 28mm
Bifocal add over 3.25d
Specialty bifocal (by report)
Sphere, trifocal, plano to plus or minus 4.00d, per lens
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens
Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d dylinder, per lens
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
Spherocylinder, trifocal, plus or minus 7.25 to plus or 12.00d sphere; 2.25 to 4.00d cylinder, per lens
Spherocylinder, trifocal, plus or minus 7.25 to plus or 12.00d sphere; 4.25 to 6.00d cylinder, per lens
Lenticular, (myodisc), per lens, trifocal
Aniseikonic lens, trifocal
Trifocal seg width over 28 mm
Trifocal add over 3.25d
Specialty trifocal (by report)
Variable asphericity lens, single vision, full field glass or plastic, per lens
Variable asphericity lens, bifocal, full field, glass or plastic, per lens
Not otherwise classified, variable sphericity lens
Contact lens, pmma; spherical, per lens
Contact lens, pmma; toric or prism ballast, per lens
Contact lens, gas permeable, spherical, per lens
Contact lens, gas permeable, toric, prism ballast, per lens
Contact lens, gas permeable, bifocal, per lens
Contact lens, gas permeable, extended wear, per lens
Contact lens hydrophilic, spherical, per lens
Contact lens hydrophilic, toric, or prism ballast, per lens
Contact lens hydrophilic, bifocal, per lens
Contact lens hydrophilic, extended wear, per lens
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)
Contact lens, scleral, gas permeable, per lens (for contact lens modifi- cation, see 92325)
Not otherwise classified, contact lens
Hand held low vision aids and other nonspectacle mounted aids
Single lens spectacle mounted low vision aids
Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound
Prosthetic eye, plastic, custom
Polishing/resurfacing of ocular prosthesis
Enlargement of ocular prosthesis
Reduction of ocular prosthesis
Scleral cover shell
Fabrication and fitting of ocular conformer
Not otherwise classified, prosthetic eye
Anterior chamber intraocular lens
Posterior chamber intraocular lens
Balance lens, per lens
Slab off prism, glass or plastic. per lens
Prism, per lens
Press-on lens, fresnell prism, per lens
Special base curve, glass or plastic,per lens
Tint, photochromatic, per lens
Addition to lens, tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens
Anti-reflective coating, per lens
U-v lens, per lens
eye glass case
Scratch resistant coating, per lens
Polarization, any lens material, per lens
Oversize lens, per lens
Progressive lens, per lens
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excluding polycarbonate, per lens
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens
Lens, polycarbonate, or equal, any index, per lens
Processing, preserving and interpretating corneal tissue
specialty occupational multifocal lens, per lens
Astigmatism correcting function of intraocular lens
Presbyopia correcting function of intraocular lens
Amniotic membrane for surgical reconstruction, per procedure
Vision supply, accessory and/or service component of another HCPCS vision code.
Vision service, miscellaneous
Single lens spectacle mounted low vision aids
Assessment for hearing aid
Fitting/orientation/checking of hearing aid.
Repair/modification of a hearing aid
Conformity evaluation.
Hearing aid, monaural, body worn, air conduction
Hearing aid, monaural, body worn, bone conduction
Hearing aid, monaural, in the ear
Hearing aid, monaural, behind the ear
Dispensing fee
Hearing aid, bilateral, body worn
Dispensing fee, bilateral
Binaural, in the ear
Binaural; behind the ear,
Binaural, glasses
Dispensing fee, binaural
Hearing aid, cros, in the ear
Hearing aid, cros, behind the ear
Dispensing fee, cros
Hearing aid, bicros, in the ear
Hearing aid, bicros, behind the ear
Hearing aid, bicros, glasses
dispensing fee, BICROS
Dispensing fee, monaural hearing aid, any type
Hearing aid, analog, binaural, itc
Hearing aid, digitally programmable analog, binaural, itc
Hearing aid, digitally programmable, binaural, ite
Hearing aid, digitally programmable, binaural, bte
Hearing aid, digital, monaural, cic
Hearing aid, digital, monaural, ite
Hearing aid, digital, monaural, ite
Hearing aid, digital, monaural, bte
Hearing aid, digital, binaural, cic
Hearing aid, digital, binaural, cic
Hearing aid, digital, binaural, itc
Hearing aid, digital, binaural, ite
Hearing aid, digital, binaural, bte
Ear mold/insert, not disposable, any type
Ear mold/insert, disposable, any type
Battery for use in hearing device
Hearing aid supplies/accessories
Assistive Listening Device, telephone amplifier, any type
Assistive listening device, alerting, any type
Assistive listening device, television caption decoder
Assistive listening device, TDD
Assistive listening device, for use with cochlear implant
Assistive learning device, not otherwise specified
Ear impressions, each
Hearing aid, not otherwise classified
Hearing services, micellaneous
Service Type
    EYE
    SUR
    SUR
    SUR
    LAB
    LAB
     Sur
    OSF
    ANS
    SUR
    OSF
    SUR
    OSF
    SUR
    SUR
    OSF
    SUR
    SUR
    SUR
    SUR
    OSF
    ANS
    ANS
    ANS
    SUR
    SUR
    OSF
    SUR
    SUR
    OSF
    OSF
    SUR
    SUR
    SUR
    SUR
    SUR
    SUR
    SUR
    SUR
    SUR
    SUR
    ANS
ANS
SUR
ANS
SUR
ANS
SUR
SUR
SUR
OSF
SUR
SUR
OSF
OSF
SUR
SUR
OSF
SUR
SUR
OSF
SUR
SUR
SUR
SUR
SUR
SUR
SUR
OSF
SUR
SUR
SUR
SUR
OSF
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ANS
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OSF
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OSF
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OSF
ANS
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SUR
SUR
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OSF
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OSF
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OSF
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OSF
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ANS
ANS
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SUR
SUR
SUR
SUR
OSF
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OSF
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ANS
ANS
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ANS
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SUR
SUR
SUR
SUR
SUR
SUR
SUR
SUR
OSF
SUR
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
SUR
SUR
SUR
SUR
OSF
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SUR
SUR
SUR
SUR
SUR
SUR
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
OSF
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ANS
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OSF
SUR
SUR
OSF
SUR
SUR
ANS
ANS
ANS
OSF
SUR
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
SUR
ANS
SUR
OSF
SUR
OSF
SUR
SUR
ANS
OSF
SUR
ANS
OSF
SUR
SUR
SUR
OSF
SUR
OSF
SUR
SUR
OSF
SUR
OSF
OSF
SUR
SUR
SUR
OSF
SUR
SUR
SUR
SUR
SUR
OSF
SUR
SUR
SUR
SUR
SUR
OSF
SUR
SUR
SUR
SUR
OSF
SUR
SUR
OSF
SUR
SUR
OSF
SUR
SUR
SUR
SUR
SUR
ANS
SUR
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
SUR
SUR
ANS
OSF
SUR
OSF
SUR
SUR
SUR
ANS
ANS
ANS
ANS
SUR
SUR
SUR
SUR
SUR
ANS
SUR
SUR
SUR
SUR
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
SUR
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
ANS
SUR
SUR
OSF
SUR
SUR
OSF
SUR
OSF
SUR
SUR
OSF
SUR
ANS
OSF
SUR
OSF
ANS
ANS
ANS
ANS
SUR
SUR
SUR
SUR
SUR
SUR
OSF
SUR
OSF
SUR
SUR
OSF
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SUR
SUR
SUR
SUR
OSF
SUR
ANS
ANS
ANS
ANS
ANS
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OSF
SUR
SUR
OSF
SUR
SUR
SUR
OSF
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SUR
SUR
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SUR
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SUR
OSF
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SUR
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SUR
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SUR
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SUR
SUR
SUR
SUR
AST
SUR
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SUR
SUR
SUR
SUR
SUR
ANS
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SUR
SUR
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SUR
OSF
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OSF
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OSF
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OSF
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OSF
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OSF
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OSF
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OSF
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ANS
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OSF
ANS
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DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
 Ort
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
 Ort
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
PRO
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
PRO
DMP
PRO
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
PRO
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
PRO
THP
LAB
LAB
LAB
 IVT
CHM
LAB
XRY
MED
MED
MED
DMP
MED
 INJ
 INJ
XRY
 INJ
 INJ
MED
DMP
DMP
 EYE
EYE
XRY
DMP
MED
SUR
OTH
THP
THP
DRV
DRV
DRV
DRV
DRV
HHC
 IVT
HHC
MED
EYE
EYE
DMP
EYE
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
EYE
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
EYE
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
 Vis
DMP
DMP
DMP
EYE
EAR
EAR
EAR
EAR
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
EAR
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
DMP
EAR
DMP
DMP
DMP
DMP
DMP
DMP

				
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posted:8/10/2012
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