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2005 NH MEDICAID FEE SCHEDULE - COVERED PROCEDURES (THAT ARE NOT MANUALLY PRICED)
PRICING
PROC TOS MOD 1 MOD 2 MOD 3 MOD 4 PROCEDURE DESCRIPTION PA IND PAC FEE BEGIN DTE PRICING END DTE
00100 7 ANESTH. FOR PROCEDURES ON SALIVARY GLANDS,INCLUDING BIOPSY N 3 $13.45 06/01/1994 12/31/2299
00102 7 ANESTH. PLASTIC REPAIR CLEFT LIP N 3 $13.45 06/01/1994 12/31/2299
00103 7 ANESTHESIA FOR RECONSTRUCTIVE PROCEDURES OF EYELID N 3 $13.45 01/01/1999 12/31/2299
00104 7 ANESTH. ELECTROCONVULSIVE THERAPY N 3 $13.45 06/01/1994 12/31/2299
00120 7 ANESTHESIA FOR PROCEDURES ON EXTERNAL,MIDDLE,AND INNER EAR INC.BI N 3 $13.45 01/01/1999 12/31/2299
00124 7 ANESTH. OTOSCOPY N 3 $13.45 06/01/1994 12/31/2299
00126 7 ANESTH. TYMPANOTOMY N 3 $13.45 06/01/1994 12/31/2299
00140 7 ANESTHESIA FOR PROCEDURES ON EYE;NOT OTHERWISE SPECIFIED N 3 $13.45 01/01/2000 12/31/2299
00142 7 ANESTH. LENS SURGERY N 3 $13.45 06/01/1994 12/31/2299
00144 7 ANESTHESIA FOR PROCEDURES ON EYE N 3 $13.45 06/01/1994 12/31/2299
00145 7 ANESTHESIA FOR PROCEDURES ON EYE;VITREORETINAL SURGERY N 3 $13.45 06/01/1994 12/31/2299
00147 7 IRIDECTOMY - ANESTHESIA N 3 $13.45 01/01/1999 12/31/2299
00148 7 ANESTH. OPHTHALMOSCOPY N 3 $13.45 06/01/1994 12/31/2299
00160 7 ANESTHESIA FOR PROCEDURES ON NOSE AND ACCESSORY SINUSES;NOC N 3 $13.45 01/01/1999 12/31/2299
00162 7 ANESTH. RADICAL SURGERY-NOSE N 3 $13.45 06/01/1994 12/31/2299
00164 7 ANESTH. BIOPSY SOFT TISSUE-NOSE N 3 $13.45 06/01/1994 12/31/2299
00170 7 ANESTH. INTRAORAL NOC N 3 $13.45 06/01/1994 12/31/2299
00172 7 ANESTH. REPAIR OF CLEFT PALATE N 3 $13.45 06/01/1994 12/31/2299
00174 7 ANESTH. EXISION OF RETROPHARYNGEAL TUMOR N 3 $13.45 06/01/1994 12/31/2299
00176 7 ANESTH. RADICAL SURGERY-INTRAORAL N 3 $13.45 06/01/1994 12/31/2299
00190 7 ANESTH. PROCS. ON FACIAL BONES OR SKULL;NOC N 3 $13.45 06/01/1994 12/31/2299
00192 7 ANESTH. RADICAL SURGERY-FACIAL BONES N 3 $13.45 06/01/1994 12/31/2299
00210 7 ANESTHESIA FOR INTRACRANIAL PROCEDURES;NOT OTHERWISE SPECIFIED N 3 $13.45 01/01/1999 12/31/2299
00212 7 ANESTH. SUBDURAL TAPS-INTERCRANIAL N 3 $13.45 06/01/1994 12/31/2299
00214 7 ANESTH. BURR HOLES-INTERCRANIAL N 3 $13.45 06/01/1994 12/31/2299
00215 7 ELEVATION OF DEPRESSED SKULL FRACTURE, EXTRADURAL(SIMPLE OR COMP. N 3 $13.45 01/01/1999 12/31/2299
00216 7 ANESTH. VASCULAR PROCS-INTERCRANIAL N 3 $13.45 06/01/1994 12/31/2299
00218 7 ANESTH. INTERCRANIAL PROCS. IN SITTING POSITION N 3 $13.45 06/01/1994 12/31/2299
00220 7 SPINAL FLUID SHUNTING PROCEDURES N 3 $13.45 01/01/1999 12/31/2299
00222 7 ANESTH. ELECTROCOAGULATION OF INTRACRANIAL NERVE N 3 $13.45 06/01/1994 12/31/2299
00300 7 ANESTH. INTEGUMENTARY SYST.-NECK, ALL PROCS. N 3 $13.45 06/01/1994 12/31/2299
00320 7 ANESTH. ALL PROCS.ESOPHAGUS,THYR,LARY,TRACH,LYMPH 1YR OLDER N 3 $13.45 06/01/1994 12/31/2299
00322 7 ANESTH. NEEDLE BIOPSY-THYROID N 3 $13.45 06/01/1994 12/31/2299
00326 7 ANESTH. FOR ALL PROCS ON LARYNX AND TRACH IN CHILD LESS 1YR N 3 $13.45 01/01/2003 12/31/2299
00350 7 ANESTH. PROCS. ON MAJOR VESSELS-NECK NOC N 3 $13.45 06/01/1994 12/31/2299
00352 7 ANESTH. SIMPLE LIGATION-NECK VESSEL N 3 $13.45 06/01/1994 12/31/2299
00400 7 ANESTH. INTEG. SYST. ANTERIOR CHEST NOC N 3 $13.45 06/01/1994 12/31/2299
00402 7 ANESTH. RECONSTRUCTIVE PROCS. BREAST N 3 $13.45 06/01/1994 12/31/2299
00404 7 ANESTH. RADICAL, MODIFIED PROCS. BREAST N 3 $13.45 06/01/1994 12/31/2299
00406 7 ANESTH. RADICAL,MODIFIED PROCS. BREAST W NODE DIS. N 3 $13.45 06/01/1994 12/31/2299
00410 7 ELECTRICAL CONVERSION OF ARRHYTHMIAS N 3 $13.45 01/01/2000 12/31/2299
00450 7 ANESTH. PROCS. ON CLAVICLE-SCAPULA NOC N 3 $13.45 06/01/1994 12/31/2299
00452 7 ANESTH. RADICAL SURGERY-CLAVICLE-SCAPULA N 3 $13.45 06/01/1994 12/31/2299
00454 7 ANESTH. BIOPSY OF CLAVICLE N 3 $13.45 06/01/1994 12/31/2299
00470 7 ANESTHESIA FOR PARTIAL RIB RESECTION;NOT OTHERWISE SPECIFIED N 3 $13.45 06/01/1994 12/31/2299
00472 7 ANESTH. THORACOPLASTY (ANY TYPE) N 3 $13.45 06/01/1994 12/31/2299
00474 7 ANESTH. RADICAL PROCS. RIBS N 3 $13.45 06/01/1994 12/31/2299
00500 7 ANESTH. ESOPHAGUS-ALL PROCS. N 3 $13.45 06/01/1994 12/31/2299
00520 7 ANESTH CLOSED CHST PROC (INC ESOPHAG,BROCHO,DIAG THORACOSCOPY) N 3 $13.45 06/01/1994 12/31/2299
00522 7 ANESTH. NEEDLE BIOPSY-PLEURA N 3 $13.45 06/01/1994 12/31/2299
00524 7 ANESTH. PNEUMOCENTESIS N 3 $13.45 06/01/1994 12/31/2299
00528 7 ANESTH. MEDIASTINOSCOPY AND DIAGNOSTIC THORACOSCOPY N 3 $13.45 06/01/1994 12/31/2299
00529 7 MEDIASTINOSCOPY AND DIAGNOSTIC THORACOSCOPY NOT UTILIZING ONE LUN N 3 $13.45 01/01/2004 12/31/2299
00530 7 ANESTHESIA FOR PERMANENT TRANSVENOUS PACEMAKER INSERTION N 3 $13.45 06/01/1994 12/31/2299
00532 7 ANESTHESIA FOR ACCESS TO CENTRAL VENOUS CIRCULATION N 3 $13.45 06/01/1994 12/31/2299
00534 7 ANESTHESIA FOR TRANSVENOUS INSERTION OR REPLACEMENT OF PACING N 3 $13.45 06/01/1994 12/31/2299
00537 7 ANESTHESIA FOR CARDIAC ELECTOPHSIO PROC INCLUDING RADIOFREQUENCY N 3 $13.45 01/01/2001 12/31/2299
00539 7 ANESTH FOR TRACH. BRONC RECONSTRUCTION N 3 $13.45 01/01/2003 12/31/2299
00540 7 ANESTH THRCTMY PROC, LUNGS,PLEURA,DIAPHRAGM & MEDIASTINUM N 3 $13.45 06/01/1994 12/31/2299
00541 7 ANEST THORAC , LUNGS,PLEURA, DIAPHGRAGM UTIL. ONE LUNG VENT N 3 $13.45 01/01/2003 12/31/2299
00542 7 ANESTH. DECORTICATION-LUNG,PLEURA ETC. N 3 $13.45 06/01/1994 12/31/2299
00546 7 ANESTH. PULM/NARY RESECTION W THORACOPLASTY N 3 $13.45 06/01/1994 12/31/2299
00548 7 ANESTH. INTRATHORACIC REP. TRACHEA-BRONCHI TRAUMA N 3 $13.45 06/01/1994 12/31/2299
00550 7 ANESTHESIA FOR STERNAL DEBRIDEMENT N 3 $13.45 01/01/2002 12/31/2299
00560 7 ANESTH. PROCS. HEART,PERICARD,GRT VESLS WO PUMP OX N 3 $13.45 06/01/1994 12/31/2299
00561 7 ANES FOR PROCS ON HEART, PERICARDIL SAC AND GREAT VESSELS OF CHES N 3 $13.45 01/01/2005 12/31/2299
00562 7 ANESTH. PROCS. HEART,PERICARD,GRT VESLS W PUMP OXY N 3 $13.45 06/01/1994 12/31/2299
00563 7 ANESTHESIA PROCEDURES ON HEART,PERICARDIUM,AND GREAT VESS... N 3 $13.45 01/01/2001 12/31/2291
00566 7 ANESTHESIA FOR DIRECT CORONARY ARTERY BYPASS GRAFTING W/O P OXY N 3 $13.45 01/01/2001 12/31/2291
00580 7 ANESTH. HEART OR HEART/LUNG TRANSPLANT N 3 $13.45 06/01/1994 12/31/2299
00600 7 ANESTH. PROCS. CERVICAL SPINE &CORD NOC N 3 $13.45 06/01/1994 12/31/2299
00604 7 ANESTH. FOR PROCEDURES ON CERVICAL SPINE AND CORD/SITTING POSITIO N 3 $13.45 06/01/1994 12/31/2299
00620 7 ANESTH. PROCS. THORACIC SPINE & CORD NOC N 3 $13.45 06/01/1994 12/31/2299
00622 7 ANESTH. THORACOLUMBAR SYMPATHECTOMY N 3 $13.45 06/01/1994 12/31/2299
00630 7 ANESTH. PROCS. IN LUMBAR REGION NOC N 3 $13.45 06/01/1994 12/31/2299
00632 7 ANESTH. LUMBAR SYMPATHECTOMY N 3 $13.45 06/01/1994 12/31/2299
00634 7 ANESTH. LUMBAR CHEMONUCLEOLYSIS N 3 $13.45 06/01/1994 12/31/2299
00635 7 ANESTHESIA FOR PROCEDURES IN LUMBAR REGION;DIAG OR THERAPEUTIC N 3 $13.45 01/01/2001 12/31/2291
00640 7 ANES FOR MAN OF SPINE OR CLOSED PROC ON CERV, THORAC, LUMBAR N 3 $13.45 01/01/2003 12/31/2299
00670 7 ANESTH. EXTENSIVE SPINE & CORD PROCS. N 3 $13.45 06/01/1994 12/31/2299
00700 7 ANESTH. PROCS. UPPER ANTERIOR ABDOMINAL WALL NOC N 3 $13.45 06/01/1994 12/31/2299
00702 7 ANESTH. PERCUTANEOUS LIVER BIOPSY N 3 $13.45 06/01/1994 12/31/2299
00730 7 ANESTH. PROCS. UPPER POSTERIOR ABDOMINAL WALL N 3 $13.45 06/01/1994 12/31/2299
00740 7 ANESTH. UPPER GASTROINTESTINAL ENDOSCOPIC PROCS. N 3 $13.45 06/01/1994 12/31/2299
00750 7 ANESTH. HERNIA REPAIRS UPPER ABDOMEN NOC N 3 $13.45 06/01/1994 12/31/2299
00752 7 ANESTH. LUMBAR/VENTRAL HERNIAS-WOUND DEHISCENCE N 3 $13.45 06/01/1994 12/31/2299
00754 7 ANESTH. OMPHALOCELE N 3 $13.45 06/01/1994 12/31/2299
00756 7 ANESTH. TRANSABDOMINAL REPAIR-DIAPHRAGMATIC HERNIA N 3 $13.45 06/01/1994 12/31/2299
00770 7 ANESTH. PROCS. MAJOR ABDOMINAL BLOOD VESSELS N 3 $13.45 06/01/1994 12/31/2299
0077T 7 IMPLANTING AND SECURING CEREBRAL THERMAL PERFUSION PROBE N 3 $13.45 01/01/2005 12/31/2299
0078T 7 ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSM, PSEUDOANEURYSM N 3 $13.45 01/01/2005 12/31/2299
00790 3 ANEST FR INTRPTNL PROCS UPP ABD INC BWL SHNT NOS N 3 $6.25 01/01/1984 12/31/2299
00790 7 ANESTH. INTRAPERITONEAL PROCS. UPPER ABDOMEN NOC N 3 $13.45 06/01/1994 12/31/2299
00792 7 ANESTH. PARTIAL HEPATECTOMY-NOT LIVER BIOPSY N 3 $13.45 06/01/1994 12/31/2299
00794 7 ANESTH. PANCREATECTOMY-PARTIAL OR TOTAL N 3 $13.45 06/01/1994 12/31/2299
00796 7 ANESTH. LIVER TRANSPLANT N 3 $13.45 06/01/1994 12/31/2299
00797 7 ANESTHESIA, GATRIC RESTRICTIVE PROC FOR MORBID OBESITY N 3 $13.45 01/01/2002 12/31/2299
00800 7 ANESTH. PROCS. LOWER ANTERIOR ABDOMINAL WALL NOC N 3 $13.45 06/01/1994 12/31/2299
00802 7 ANESTH. PANNICULECTOMY N 3 $13.45 06/01/1994 12/31/2299
00806 7 ANESTH. LAPAROSCOPIC PROC. N 3 $13.45 06/02/1994 12/31/2299
0080T 7 ENDOVASCULAR REPAIR OR ABDOMINAL AORTIC ANEURYSM, PSEUDOANEURYSM N 3 $13.45 01/01/2005 12/31/2299
00810 7 ANESTH. INTESTINAL ENDOSCOPIC PROCS. N 3 $13.45 06/01/1994 12/31/2299
0081T 7 PLACEMENT OF VISCERAL EXT PROSTHESIS FOR ENDORVASCULAR REPIRT OF N 3 $13.45 01/01/2005 12/31/2299
00820 7 ANESTH.PROCS. LOWER POSTERIOR ABDOMINAL WALL N 3 $13.45 06/01/1994 12/31/2299
00830 7 ANESTHESIA HERNIA REPAIR LOW ABDOMEN NOC N 3 $13.45 06/01/1994 12/31/2299
00832 7 ANESTH. VENTRAL & INCISIONAL HERNIAS N 3 $13.45 06/01/1994 12/31/2299
00834 7 ANES FOR HERNIA REPAIRS IN THE LOWER ABDOMEN UNDER 1 YR N 3 $13.45 01/01/2003 12/31/2299
00836 7 ANES FOR HERNIA REPAIRS IN LOWER AB LESS THAN 37 WEEKS N 3 $13.45 01/01/2003 12/31/2299
00840 7 ANESTH. INTRAPERITONEAL PROCS. LOWER ABDOMEN NOC N 3 $13.45 06/01/1994 12/31/2299
00842 7 ANESTH. AMNIOCENTESIS N 3 $13.45 06/01/1994 12/31/2299
00844 7 ANESTH. ABDOMINOPERINEAL RESECTION N 3 $13.45 06/01/1994 12/31/2299
00846 7 ANESTH. RADICAL HYSTERECTOMY N 3 $13.45 06/01/1994 12/31/2299
00848 7 ANESTH. PELVIC EXENTERATION N 3 $13.45 06/01/1994 12/31/2299
00850 7 ANESTH. CESAREAN SECTION N 3 $13.45 06/01/1994 12/31/2299
00851 7 ANESTHESIA FOR INTRAPRAPERIONEAL PRCEDURES IN LOWER ABDOMEN N 3 $13.45 01/02/2002 12/31/2299
00855 7 ANESTH. CESAREAN HYSTERECTOMY N 3 $13.45 06/01/1994 12/31/2299
00857 7 ANESTH. CONTINUOUS LUMBAR ANALGSIA-LABOR/C'SECTION N 3 $13.45 06/01/1994 12/31/2299
00860 7 ANESTH. EXTRAPERIT. PROCS. LWR.ABD.-URINARY NOC N 3 $13.45 06/01/1994 12/31/2299
00862 7 ANESTH. RENAL PROCS. INCLU. UPR 1/3 URETER N 3 $13.45 06/01/1994 12/31/2299
00864 7 ANESTH. TOTAL CYSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
00865 7 ANESTHESIA EXTRA PERITONEAL PROC LOW ABDMN,INC URIN TRCT,F N 3 $13.45 01/01/1996 12/31/2299
00866 7 ANESTH. ADRENALECTOMY N 3 $13.45 06/01/1994 12/31/2299
00868 7 ANESTH. RENAL TRANSPLANT (RECIPIENT) N 3 $13.45 06/01/1994 12/31/2299
00870 7 ANESTH. CYSTOLITOTOMY N 3 $13.45 06/01/1994 12/31/2299
00872 7 ANESTH. LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE N 3 $13.45 06/01/1994 12/31/2299
00873 7 ANESTHESIA FOR LITHOTRIPSY, EXTRACORPOREAL SHOCK W N 3 $13.45 06/01/1994 12/31/2299
00880 7 ANESTH. PROCS. MAJOR LOWER ABDOMINAL VESSELS NOC N 3 $13.45 06/01/1994 12/31/2299
00882 7 ANESTH. INFERIOR VENA CAVA LIGATION N 3 $13.45 06/01/1994 12/31/2299
00902 7 ANESTH. ANORECTAL PROC. N 3 $13.45 06/01/1994 12/31/2299
00904 7 ANESTH. RADICAL PERINEAL PROC. N 3 $13.45 06/01/1994 12/31/2299
00906 7 ANESTH. VULVECTOMY N 3 $13.45 06/01/1994 12/31/2299
00908 7 ANESTH. PERINEAL PROSTATECTOMY N 3 $13.45 06/01/1994 12/31/2299
00910 7 ANESTH. TRANSURETHRAL PROC. NOC N 3 $13.45 06/01/1994 12/31/2299
00912 7 ANESTH. TRANSURETHRAL RESECTION-BLADDER TUMORS N 3 $13.45 06/01/1994 12/31/2299
00914 7 ANESTH. TRANSURETHRAL RESCTION-PROSTATE N 3 $13.45 06/01/1994 12/31/2299
00916 7 ANESTH. POST-TRANSURETHRAL RESECTION BLEEDING N 3 $13.45 06/01/1994 12/31/2299
00918 7 ANESTHESIA FOR TRANSURETHRAL PROCEDURES (INCLUDING N 3 $13.45 06/01/1994 12/31/2299
00920 7 ANESTH. PROCS. MALE EXTERNAL GENITALIA NOC N 3 $13.45 06/01/1994 12/31/2299
00921 7 ANES FOR PROC ON MALE GENITALIA,VASTECTOMY UNI/BILAT N 3 $13.45 01/01/2003 12/31/2299
00922 7 ANESTH. SEMINAL VESICLES N 3 $13.45 06/01/1994 12/31/2299
00924 7 ANESTH. UNDESCENDED TESTIS UNI/BILATERAL N 3 $13.45 06/01/1994 12/31/2299
00926 7 ANESTH. RADICAL ORCHIECTOMY-INGUINAL N 3 $13.45 06/01/1994 12/31/2299
00928 7 ANESTH. RADICAL ORCHIECTOMY-ABDOMINAL N 3 $13.45 06/01/1994 12/31/2299
00930 7 ANESTH. ORCHIOPEXY UNI/BILATERAL N 3 $13.45 06/01/1994 12/31/2299
00932 7 ANESTH. COMPLETE AMPUTATION-PENIS N 3 $13.45 06/01/1994 12/31/2299
00934 7 ANESTH. RADICAL AMPUT. PENIS W BILAT LYMPHADONCTMY N 3 $13.45 06/01/1994 12/31/2299
00936 7 ANESTH. RADICAL AMPUT. PENIS W BI.ING&ILIAC LYMPH. N 3 $13.45 06/01/1994 12/31/2299
00938 7 ANESTH. INSERTION-PENILE PROSTHESIS N 3 $13.45 06/01/1994 12/31/2299
00940 7 ANESTH. VAGINAL PROCS. NOC N 3 $13.45 06/01/1994 12/31/2299
00942 7 ANESTH. FOR VAGINAL PROCEDURES INCLUDING BIOPSY OF LABIA, VAGINA N 3 $13.45 06/01/1994 12/31/2299
00944 7 ANESTH. VAGINAL HYSTERECTOMY N 3 $13.45 06/01/1994 12/31/2299
00948 7 ANESTH. CERVICAL CERCLAGE N 3 $13.45 06/01/1994 12/31/2299
00950 7 ANESTH. CULDOSCOPY N 3 $13.45 06/01/1994 12/31/2299
00952 7 ANESTH. HYSTEROSCOPY AND/OR HYSTEROSALPINGOGRAPHY N 3 $13.45 06/01/1994 12/31/2299
01112 7 ANESTHESIA FOR BONE MARROW ASPIRATION AND/OR BIOPSY ANT OR POST N 3 $13.45 01/01/2001 12/31/2291
01120 7 ANESTHESIA FOR PROCEDURES ON BONY PELVIS N 3 $13.45 06/01/1994 12/31/2299
01130 7 ANESTH. BODY CAST APPLICATION/REVISION N 3 $13.45 06/01/1994 12/31/2299
01140 7 ANESTH. INTERPELVIABDOMINAL AMPUT. (HIND QUARTER) N 3 $13.45 06/01/1994 12/31/2299
01150 7 ANESTH. RADICAL PROCS. PELVIC TUMOR X HIND QTR AMP N 3 $13.45 06/01/1994 12/31/2299
01160 7 ANESTH. CLOSED PROCS. SYMPHYSIS PUBIS/SACRO JOINT N 3 $13.45 06/01/1994 12/31/2299
01170 7 ANESTH. OPEN PROCS. SYMPHYSIS PUBIS/SACRO JOINT N 3 $13.45 06/01/1994 12/31/2299
01180 7 ANESTH. OBTURATOR NEURECTOMY EXTRAPELVIC N 3 $13.45 06/01/1994 12/31/2299
01190 7 ANESTH. OBTURATOR NEURECTOMY INTRAPELVIC N 3 $13.45 06/01/1994 12/31/2299
01200 7 ANESTH. CLOSED PROCS. HIP JOINT N 3 $13.45 06/01/1994 12/31/2299
01202 7 ANESTHESIA FOR ARTHROSCOPIC PROC OF HIP JOINT N 3 $13.45 01/01/2003 12/31/2299
01210 7 ANESTH. OPEN PROCS. HIP JOINT NOC N 3 $13.45 06/01/1994 12/31/2299
01212 7 ANESTH. HIP DISARTICULATION N 3 $13.45 06/01/1994 12/31/2299
01214 7 ANESTH. TOTAL HIP REPLACEMENT/REVISION N 3 $13.45 06/01/1994 12/31/2299
01215 7 ANESTHESIA FOR OPEN PROCEDURES INVOLVONG HIP JOINT;REV TOT HIP N 3 $13.45 01/01/2001 12/31/2291
01220 7 ANESTH. ALL CLOSED PROCS. UPPER 2/3 FEMUR N 3 $13.45 06/01/1994 12/31/2299
01230 7 ANESTH. OPEN PROCS. UPPER 2/3 FEMUR NOC N 3 $13.45 06/01/1994 12/31/2299
01232 7 ANESTH. AMPUTATION UPPER 2/3 FEMUR N 3 $13.45 06/01/1994 12/31/2299
01234 7 ANESTH. RADICAL RESECTION UPPER 2/3 FEMUR N 3 $13.45 06/01/1994 12/31/2299
01250 7 ANESTH. ALL PROCS. NERVES,MUSC,TENDS,FASCIA UP LEG N 3 $13.45 06/01/1994 12/31/2299
01260 7 ANESTH. ALL PROCS. VEINS UPPER LEG INC. EXPLOR. N 3 $13.45 06/01/1994 12/31/2299
01270 7 ANESTH. PROCS. ARTERIES UPPER LEG INCL.BYPASS NOC N 3 $13.45 06/01/1994 12/31/2299
01272 7 ANESTH. FEMORAL ARTERY LIGATION N 3 $13.45 06/01/1994 12/31/2299
01274 7 ANESTH. FEMORAL ARTERY EMBOLECTOMY N 3 $13.45 06/01/1994 12/31/2299
01320 7 ANESTH. ALL PROCS. NERVE,MUSCLE ETC. KNEE/POPLIT. N 3 $13.45 06/01/1994 12/31/2299
01340 7 ANESTH. ALL CLOSED PROCS. LOWER 1/3 FEMUR N 3 $13.45 06/01/1994 12/31/2299
01360 7 ANESTH. ALL OPEN PROCS. LOWER 1/3 FEMUR N 3 $13.45 06/01/1994 12/31/2299
01380 7 ANESTH. ALL CLOSED PROCS. KNEE JOINT N 3 $13.45 06/01/1994 12/31/2299
01382 7 ANESTH. ARTHROSCOPIC PROCS. KNEE JOINT N 3 $13.45 06/01/1994 12/31/2299
01390 7 ANESTH. ALL CLOSED PROCS. UPR END TIBIA,FIB/PATELL N 3 $13.45 06/01/1994 12/31/2299
01392 7 ANESTH. ALL OPEN PROCS. UPR TIBIA,FIB/PATELLA N 3 $13.45 06/01/1994 12/31/2299
01400 7 ANESTH. OPEN PROCS. KNEE JOINT NOC N 3 $13.45 06/01/1994 12/31/2299
01402 7 ANESTH. TOTAL KNEE REPLACEMENT N 3 $13.45 06/01/1994 12/31/2299
01404 7 ANESTH. DISARTICULATION KNEE N 3 $13.45 06/01/1994 12/31/2299
01420 7 ANESTH. ALL CAST APPLIC,REMOVE,REPAIR KNEE N 3 $13.45 06/01/1994 12/31/2299
01430 7 ANESTH. PROCS. VEINS KNEE/POPLITEAL AREA NOC N 3 $13.45 06/01/1994 12/31/2299
01432 7 ANESTH. ARTERIOVENOUS FISTULA KNEE/POPLITEAL N 3 $13.45 06/01/1994 12/31/2299
01440 7 ANESTH. PROCS. ARTERIES KNEE/POPLITEAL NOC N 3 $13.45 06/01/1994 12/31/2299
01442 7 ANESTH. POPLITEAL THROMBOENDARTERECTOMY W/WO GRAFT N 3 $13.45 06/01/1994 12/31/2299
01444 7 ANESTH. POPLITEAL EXCISION,GRAFT/REP. OCCLUS/ANEUR N 3 $13.45 06/01/1994 12/31/2299
01462 7 ANESTH. ALL CLOSED PROCS. LOWER LEG,ANKLE,FOOT N 3 $13.45 06/01/1994 12/31/2299
01464 7 ANESTH. ARTHROSCOPIC PROCS. ANKLE JOINT N 3 $13.45 06/01/1994 12/31/2299
01470 7 ANESTH. PROCS. NERVE,MUSCLE ETC. LWR LEG,ANK,FTNOC N 3 $13.45 06/01/1994 12/31/2299
01472 7 ANESTH. REPAIR RUPTURED ACHILLES TEND. W/WO GRAFT N 3 $13.45 06/01/1994 12/31/2299
01474 7 ANESTH. GASTROCNEMIUS RECESSION N 3 $13.45 06/01/1994 12/31/2299
01480 7 ANESTH. OPEN PROCS. BONES LWR LEG,ANKLE,FOOT NOC N 3 $13.45 06/01/1994 12/31/2299
01482 7 ANESTH. RADICAL RESECTION LWR LEG,ANKLE,FOOT N 3 $13.45 06/01/1994 12/31/2299
01484 7 ANESTH. OSTEOTOMY/OSTEOPLASTY TIBIA/FIBULA N 3 $13.45 06/01/1994 12/31/2299
01486 7 ANESTH. TOTAL ANKLE REPLACEMENT N 3 $13.45 06/01/1994 12/31/2299
01490 7 ANESTH. LOWER LEG CAST APPLICATION,REMOVAL,REPAIR N 3 $13.45 06/01/1994 12/31/2299
01500 7 ANSETH. PROCS. ARTERIES LOWER LEG INCL BYPASS NOC N 3 $13.45 06/01/1994 12/31/2299
01502 7 ANESTH. EMBOLECTOMY LOWER LEG DIRECT/CATHETER N 3 $13.45 06/01/1994 12/31/2299
01520 7 ANESTH. PROCS. VEINS LOWER NOC N 3 $13.45 06/01/1994 12/31/2299
01522 7 ANESTH. VENOUS THROMBECTOMY LOWER LEG DIRECT/CATH. N 3 $13.45 06/01/1994 12/31/2299
01610 7 ANESTH. ALL PROCS. NERVE,MUSCLE,TEND,ETC SHLD/AXIL N 3 $13.45 06/01/1994 12/31/2299
01620 7 ANESTH. ALL CLOSED PROCS. HUMER,STERNO/ACRCLAV/SHL N 3 $13.45 06/01/1994 12/31/2299
01622 7 ANESTH. ARTHROSCOPIC PROCS. SHOULDER JOINT N 3 $13.45 06/01/1994 12/31/2299
01630 7 ANESTH. OPEN PROCS. HUMER,STERN/ACROCLAV/SHLDR NOC N 3 $13.45 06/01/1994 12/31/2299
01632 7 ANESTH. RADICAL RESECTION HUMER.CLAVICLE,SHLDR N 3 $13.45 06/01/1994 12/31/2299
01634 7 ANESTH. SHOULDER DISARTICULATION N 3 $13.45 06/01/1994 12/31/2299
01636 7 ANESTH. INTERTHORACOSCAPULAR AMPUT. FOREQUARTER N 3 $13.45 06/01/1994 12/31/2299
01638 7 ANESTH. TOTAL SHOULDER REPLACEMENT N 3 $13.45 06/01/1994 12/31/2299
01650 7 ANETH. PROCS. ARTERIES SHOULDER-AXILLA NOC N 3 $13.45 06/01/1994 12/31/2299
01652 7 ANESTH. AXILLARY-BRACHIAL ANEURYSM N 3 $13.45 06/01/1994 12/31/2299
01654 7 ANESTH. BYPASS GRAFT SHOULDER/AXILLA N 3 $13.45 06/01/1994 12/31/2299
01656 7 ANESTH. AXILLARY-FEMORAL BYPASS GRAFT N 3 $13.45 06/01/1994 12/31/2299
01670 7 ANESTH. ALL PROCS. VEINS SHOULDER/AXILLA N 3 $13.45 06/01/1994 12/31/2299
01680 7 ANESTH. CAST APPLICATION, REMOVE, REPAIR SHLDR NOC N 3 $13.45 06/01/1994 12/31/2299
01682 7 ANESTH. SHOULDER SPICA N 3 $13.45 06/01/1994 12/31/2299
01710 7 ANESTH. PROCS. NERVE,MUSC,TEND ETC. UPR ARM-ELBNOC N 3 $13.45 06/01/1994 12/31/2299
01712 7 ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TEND N 3 $13.45 06/01/1994 12/31/2299
01714 7 ANESTH. TENOPLASTY ELBOW TO SHOULDER N 3 $13.45 06/01/1994 12/31/2299
01716 7 ANESTH. TENODESIS RUPTURE LONG TENDON BICEPS N 3 $13.45 06/01/1994 12/31/2299
01730 7 ANESTH. ALL CLOSED PROCS. HUMEROUS-ELBOW N 3 $13.45 06/01/1994 12/31/2299
01732 7 ANESTH. ARTHROSCOPIC PROCS. ELBOW JOINT N 3 $13.45 06/01/1994 12/31/2299
01740 7 ANESTH. OPEN PROCS. HUMERUS-ELBOW NOC N 3 $13.45 06/01/1994 12/31/2299
01742 7 ANESTH. OSTEOTOMY HUMERUS N 3 $13.45 06/01/1994 12/31/2299
01744 7 ANESTH. REPAIR NONUNION/MALUNION HUMERUS N 3 $13.45 06/01/1994 12/31/2299
01756 7 ANESTH. RADICAL PROCS. HUMERUS-ELBOW N 3 $13.45 06/01/1994 12/31/2299
01758 7 ANESTH. EXCISION CYST/TUMOR HUMERUS N 3 $13.45 06/01/1994 12/31/2299
01760 7 ANESTH. TOTAL ELBOW REPLACEMENT N 3 $13.45 06/01/1994 12/31/2299
01770 7 ANESTH. PROCS. ARTERIES UPPER ARM/ELBOW NOC N 3 $13.45 06/01/1994 12/31/2299
01772 7 ANESTH. EMBOLECTOMY UPPER ARM/ELBOW N 3 $13.45 06/01/1994 12/31/2299
01780 7 ANESTH. PROCS. VEINS UPPER ARM/ELBOW NOC N 3 $13.45 06/01/1994 12/31/2299
01782 7 ANESTH. PHLEBORRAPHY UPPER ARM/ELBOW N 3 $13.45 06/01/1994 12/31/2299
01810 7 ANESTH. ALL PROCS. NERVE,MUSCLE ETC F'ARM,WRST,HND N 3 $13.45 06/01/1994 12/31/2299
01820 7 ANES CLSD PROCDS RAD ULN WRST HND BNS N 3 $13.45 06/01/1994 12/31/2299
01829 7 ANES DIAG ARTHROSCOPIC PROC ON WRIST N 3 $13.45 01/01/2003 12/31/2299
01830 7 ANESTH. OPEN PROCS. RAD,ULNA,WRIST,HAND BONES NOC N 3 $13.45 06/01/1994 12/31/2299
01832 7 ANESTH. TOTAL WRIST REPLACEMENT N 3 $13.45 06/01/1994 12/31/2299
01840 7 ANESTH. PROCS. ARTERIES F'ARM,WRIST,HAND NOC N 3 $13.45 06/01/1994 12/31/2299
01842 7 ANESTH. EMBOLECTOMY F'ARM,WRIST,HAND N 3 $13.45 06/01/1994 12/31/2299
01844 7 ANESTH. VASCULAR SHUNT/SHUNT REVISION ANY TYPE N 3 $13.45 06/01/1994 12/31/2299
01850 7 ANESTH. PROCS. VEINS F'ARM,WRIST,HAND NOC N 3 $13.45 06/01/1994 12/31/2299
01852 7 ANESTH. PHLEBORRAPHY F'ARM,WRIST,HAND N 3 $13.45 06/01/1994 12/31/2299
01860 7 ANESTH. CAST APPLIC,REMOVE,REP-F'ARM,WRIST,HAND N 3 $13.45 06/01/1994 12/31/2299
01905 7 ANESTH FOR MYELOGRAPHY, DISKOGRAPHY, VERTROPLASTY N 3 $13.45 01/01/2002 12/31/2299
01916 7 ANESTH. ARTERIOGRAMS,NEEDLE-CAROTID/VERTEBRAL N 3 $13.45 06/01/1994 12/31/2299
01920 7 ANESTH. CARDIAC CATH.INCL.CORON.ARTER-VENT-OGRAPHY N 3 $13.45 06/01/1994 12/31/2299
01922 7 ANESTHESIA FOR COMP AX TOMO SCANNING N 3 $13.45 06/01/1994 12/31/2299
01924 7 ANESTHESIA FOR THERAPEUTIC INTER RADIOLOGIC PROCEDURES N 3 $13.45 01/02/2002 12/31/2299
01925 7 ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES N 3 $13.45 01/01/2002 12/31/2299
01926 7 ANESTHSIA FOR THERAPEUTIC INTERVENTIONAL READILOGI PROCEDURES N 3 $13.45 01/01/2003 12/31/2299
01930 7 ANESSTHESIA FOR THERAPEUTIC INTERVENTION RADIOLOGIC PROCEDURES N 3 $13.45 01/02/2002 12/31/2299
01931 7 ANESTHESIA FOR THERAPEUTIC INTERVENTIONAL RADIOLOGIC PROCEDURES N 3 $13.45 01/02/2002 12/31/2299
01932 7 ANESTHESIA FOR THERAPEUTIC INTERVENTIONL RADIOLOGIC PROCEDURES N 3 $13.45 01/02/2002 12/31/2299
01933 7 ANESTHESIA FOR THERAPEUATIC INTERVENTIONAL READOLOGIC PROCEDURES N 3 $13.45 01/02/2002 12/31/2299
01951 7 ANESTHESIA FOR SECOND AND THIRD DEGREE BURN EXCIS OR DEBRIDEME N 3 $13.45 01/01/2001 12/31/2291
01952 7 ANESTHESIA FOR SECOND AND THIRD DEGREE BURN EXCIS.OR DEBRIDEM. N 3 $13.45 01/01/2001 12/31/2299
01953 2 ANESTHESIA FOR SECOND AND THIRD DEGREE BURRN EXCIS.OR DEBRIDEM N 3 $13.45 01/01/2001 12/31/2299
01958 7 ANESTHESIA FOR EXTERNAL CEPHALIC,VERSION PROCEDURE N 3 $13.45 01/01/2004 12/31/2299
01960 7 ANESTHESIA FOR VAGINAL DELIVERY ONLY N 3 $13.45 01/01/2002 12/31/2299
01961 7 ANESTHESIA FOR, CESAREAN DELIVERY ONLY N 3 $13.45 01/02/2002 12/31/2299
01962 7 ANESTHESIA FOR URGENT HYSTERECTOMY FOLLOWING DELIVERY N 3 $13.45 01/01/2002 12/31/2299
01963 7 ANESTHESIA FOR CESAREAN HYSTERECTOMY W/O LABOR ANALG/ANESTH CARE N 3 $13.45 01/02/2002 12/31/2299
01964 7 ANESTHESIA FOR ABORTION PROCEDURES N 3 $13.45 01/01/2002 12/31/2299
01967 7 NEURAXIAL LABOR ANALGESIA/ANESTH FOR PLNND DELIVERY N 3 $13.45 01/01/2002 12/31/2299
01968 7 CESAREAN DELIVERY FOLLOWING NEURAXIAL LABOR ANALGESIA/ANESTH N 3 $13.45 01/01/2002 12/31/2299
01969 7 CESAREAN HYSTERECTOMY FOLLOWING NEURAXIAL LABOR ANALGESIA/ANESTH N 3 $13.45 01/01/2002 12/31/2299
01990 7 ANESTH. PHYSIO. SUPPORT ORGAN HARVEST-BRAIN DEAD N 3 $13.45 06/01/1994 12/31/2299
01991 7 ANEST DIAG/THER NERVE BLOCKS/INJ O/T PRONE POSITION N 3 $13.45 01/01/2003 12/31/2299
01992 7 ANES DIAG/THER NERVE BLOCKS /INJ PRONE POSITION N 3 $13.45 01/01/2003 12/31/2299
01995 7 ANESTH. REG. IV ADMIN. LOCAL AGENT UPPER/LOWER EXT N 3 $13.45 06/01/1994 12/31/2299
01996 1 DAILY MNGMNT OF EPIDURAL OR SUBARACHNOID DRUG ADMINISTRATION N 3 $15.00 01/01/1984 12/31/2299
01996 7 DAILY MANAGEMENT OF EPIDURAL OR SUBARACHNOID DRUG N 3 $13.45 06/01/1994 12/31/2299
01999 7 UNLISTED ANESTH PROCEDURE(S) N 3 $13.45 06/01/1994 12/31/2299
10021 1 FINE NEEDLE ASPRIATION WITHOUT IMAGING GUIDANCE N 3 $51.81 01/01/2002 12/31/2299
10021 2 FINE NEEDLE ASPIRATION, W/O IMAGING GUIDANCE N 3 $10.88 01/01/2002 01/09/2200
10022 2 FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE N 3 $54.47 01/01/2002 12/31/2299
10040 2 ACNE SURGERY(COMEDONES, CYSTS PUSTULES) N 3 $41.00 01/01/1995 12/31/2299
10040 7 ACNE SURGERY(COMEDONES, CYSTS PUSTULES N 3 $13.45 06/01/1994 12/31/2299
10060 2 I&D ABCESS(CARBUNCLE,HIDRADENITIS)SIMPLE N 3 $39.00 01/01/1995 12/31/2299
10060 7 I&D ABCESS(CARBUNCLE,HIDRADENITIS)SIMPLE N 3 $13.45 06/01/1994 12/31/2299
10061 2 INCISION AND DRAINAGE OF ABSCESS;COMPLICATED N 3 $67.68 01/02/1996 12/31/2299
10061 7 INCISION AND DRAINAGE OF ABSCESS;COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
10080 2 INCISION AND DRAINAGE OF PILONIDAL CYST;SIMPLE N 3 $18.50 01/01/1971 12/31/2299
10080 7 INCISION AND DRAINAGE OF PILONIDAL CYST;SIMPLE N 3 $13.45 06/01/1994 12/31/2299
10081 2 INCISION AND DRAINAGE OF PILONIDAL CYST;COMPLICATE N 3 $75.00 01/01/1984 12/31/2299
10081 7 INCISION AND DRAINAGE OF PILONIDAL CYST;COMPLICATE N 3 $13.45 06/01/1994 12/31/2299
10120 2 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS N 3 $12.50 01/01/1971 12/31/2299
10120 7 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
10121 2 I&D OF FOREIGN BODY COMPLICATED N 3 $57.00 01/02/1992 12/31/2299
10121 7 I&D OF FOREIGN BODY COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
10121 F I&D OF FOREIGN BODY COMPLICATED N 3 $306.00 03/01/2004 12/31/2299
10138 7 ANESTH. ALL CLOSED PROCS. KNEE JOINT N 3 $13.45 06/01/1994 12/31/2299
10140 2 INCISION AND DRAINAGE OF HEMATOMA;SIMPLE N 3 $9.00 01/01/1971 12/31/2299
10140 7 INCISION AND DRAINAGE OF HEMATOMA;SIMPLE N 3 $13.45 06/01/1994 12/31/2299
10160 2 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, O N 3 $7.00 01/01/1973 12/31/2299
10160 7 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, O N 3 $13.45 06/01/1994 12/31/2299
10180 2 INCISION DRAINAGE COMPLX POST OP WND INFECTION N 3 $84.00 01/02/1996 12/31/2299
10180 7 INCISION DRAINAGE COMPLX POST OP WND INFECTION N 3 $13.45 06/01/1994 12/31/2299
10180 F INCISION DRAINAGE COMPLX POST OP WND INFECTION N 3 $306.00 03/01/2004 12/31/2299
11000 2 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN N 3 $33.00 01/01/1995 12/31/2299
11001 2 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN N 3 $5.00 01/01/1973 12/31/2299
11001 7 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SK N 3 $13.45 06/01/1994 12/31/2299
11004 2 DEBRIDEMENT OF SKIN SUBCUTANEOUS TISSUE MUSCLE AND FASCIA FOR NEC N 3 $340.04 01/01/2005 12/31/2299
11004 7 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCEL AND FASCIA FOR N N 3 $13.45 01/01/2005 12/31/2299
11005 2 DEBRIDEMENT OF SKIN SUBCUTANEOUS TISSUE MUSCEL AND FASCIA FOR NEC N 3 $463.31 01/01/2005 12/31/2299
11005 7 DEBRIDEMENT OF SKIN SUBCUTANEOUS TSSUE MUSCEL AND FASCAI FOR NEC N 3 $13.45 01/01/2005 12/31/2299
11006 2 DEBRIDEMENT OF SKIN SUBCUTANEOUS TISSUE MUSCLE AND FASCAI FOR NEC N 3 $427.63 01/01/2005 12/31/2299
11006 7 DEBRIDEMENT OF SKIN SUBCUTANEOUS TISSUE MUSCLE AND FASCIA FOR NEC N 3 $13.45 01/01/2005 12/31/2299
11008 2 REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR NECROT N 3 $174.02 01/01/2005 12/31/2299
11008 7 REMOVAL OF PROS MATERIAL OR MESH, ABDOMINAL WALL FOR NECROTIZING N 3 $13.45 01/01/2005 12/31/2299
11010 2 DEBRIDE SKIN,REMOVAL OF FOREIGN MATERIAL ASSOC.W/OPEN FRACTURE(S) N 3 $207.67 01/01/1997 12/31/2299
11010 7 DEBRIDE SKIN ASSOC W/OPEN FRACTURES AND/OR DISLOCATION(S) N 3 $13.45 01/01/1997 12/31/2299
11010 F DEBRIDE SKIN,REMOVAL OF FOREIGN MATERIAL ASSOC.W/OPEN FRACTURE(S) N 3 $306.00 03/01/2004 12/31/2299
11011 2 DEBRIDE SKIN/MUSCLE, FX N 3 $247.49 01/01/1997 12/31/2299
11011 7 DEBRIDE SKIN/MUSCLE, FX N 3 $13.45 01/01/1997 12/31/2299
11011 F DEBRIDE SKIN/MUSCLE, FX N 3 $306.00 03/01/2004 12/31/2299
11012 2 DEBRIDE SKIN/MUSCLE/BONE, FX N 3 $343.98 01/01/1997 12/31/2299
11012 7 DEBRIDE SKIN/MUSCLE/BONE, FX N 3 $13.45 01/01/1997 12/31/2299
11012 F DEBRIDE SKIN/MUSCLE/BONE, FX N 3 $306.00 03/01/2004 12/31/2299
11040 2 DEBRIDEMENT; SKIN; PARTIAL THICKNESS N 3 $25.00 01/02/1992 12/31/2299
11040 7 DEBRIDEMENT; SKIN, PARTIAL THICKNESS N 3 $13.45 06/01/1994 12/31/2299
11041 2 DEBRIDEMENT; SKIN FULL THICKNESS N 3 $20.00 01/02/1994 12/31/2299
11041 7 DEBRIDMENT SKIN N 3 $13.45 06/01/1994 12/31/2299
11042 2 DEBRIDEMENT; SKIN AND SUBCUTANEOUS TISSUE N 3 $25.00 01/01/1984 12/31/2299
11042 7 DEBRID SKIN SUCUT N 3 $13.45 06/01/1994 12/31/2299
11042 F DEBRIDEMENT; SKIN AND SUBCUTANEOUS TISSUE N 3 $306.00 03/01/2004 12/31/2299
11043 2 DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, AND MUSCLE N 3 $137.74 01/01/2003 12/31/2299
11043 7 DEBRIDEMENT SKIN SUBCU AND MUSCLE N 3 $13.45 06/01/1994 12/31/2299
11043 F DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, AND MUSCLE N 3 $306.00 03/01/2004 12/31/2299
11044 2 DEBRIED SKIN SUBCU. TISSUE, MUSCLE & BONE N 3 $40.00 01/01/1988 12/31/2299
11044 7 DEBRIDEMENT SK SUBCU MUSCL BONE N 3 $13.45 06/01/1994 12/31/2299
11044 F DEBRIED SKIN SUBCU. TISSUE, MUSCLE & BONE N 3 $306.00 03/01/2004 12/31/2299
11055 2 PARING/CUTTING OF BENIGN HYPERKERATOTI C LESION(CORN/CALLUS)SINGL N 3 $9.92 01/01/1999 12/31/2299
11055 7 PARING/CUTTING BENIGN HYPERKERATOTI C LESION(CORN/CALLUS SINGLE N 3 $13.45 01/01/1998 12/31/2299
11056 2 PARING/CUTTING BENIGN HYPERKERATOTI C LESION(CORN/CALLUS 2-4LEASI N 3 $14.12 01/01/1998 12/31/2299
11056 7 PARING/CUTTING BENIGN HYPERKERATOTI C LESION CORN/CALLUS 2-4 N 3 $13.45 01/01/1998 12/31/2299
11057 2 PARING/CUTTIN BENIGN HYPERKERATOTI C LESIONS CORN/CALLUS OVER 4 N 3 $15.17 01/01/1998 12/31/2299
11057 7 PARING/CUTTIN BENIGN HYPERKERATOTI C LESION(CORN/CALLUS OVER 4 N 3 $13.45 01/01/1998 12/31/2299
11100 2 BIOPSY SUBCU. SKIN /MUCOUS MEMBRANE W/SIMPLE CLOS. N 3 $15.00 01/01/1971 12/31/2299
11100 7 BIOPSY SUBCU. SKIN OR MUCOUS MEMBRANE W/ SIM. CLOS N 3 $13.45 06/01/1994 12/31/2299
11101 2 BIOP. SUBCU/MUCOUS MEMB. SIMPLE CLOS. EA. ADD. LESION N 3 $5.00 01/01/1985 12/31/2299
11101 7 BIOPSY SUBCU./MUCOUS MEMB. SIMPLE CLOS EA. ADD LES N 3 $13.45 06/01/1994 12/31/2299
11200 2 EXC. SKIN TAGS ANY AREA UPTO 15 N 3 $25.00 01/01/1988 12/31/2299
11200 7 EXC SKIN TAGS ANY AREA UPTO 15 N 3 $13.45 06/01/1994 12/31/2299
11201 2 REMOVAL OF SKIN TAGS,MULTIPLE FIBROCUTANEOUS TAGS EA.ADD.10 LESIO N 3 $14.40 01/02/1992 12/31/2299
11201 7 EXC SKIN TAGS EA ADD. 10TAGS N 3 $13.45 06/01/1994 12/31/2299
11300 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SNGL .5CM N 3 $22.00 01/02/1992 12/31/2299
11301 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $34.00 01/01/1993 12/31/2299
11302 2 SHAVING OF EPIDERMAL OR LESION 1.1 CM -2.0 CM N 3 $40.00 01/02/1992 12/31/2299
11303 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $52.54 01/01/1993 12/31/2299
11305 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $28.44 01/01/1993 12/31/2299
11306 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $36.04 01/02/1994 12/31/2299
11307 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $40.46 01/01/1993 12/31/2299
11308 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $69.26 01/01/1993 12/31/2299
11310 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $30.24 01/01/1993 12/31/2299
11311 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $37.72 01/01/1993 12/31/2299
11312 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $55.16 01/01/1993 12/31/2299
11313 2 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESI N 3 $91.39 01/01/1993 12/31/2299
11400 2 EXC BENIGN LES. INC MARGINS XCEPT SKIN TAG < .5CM TRUNK ARMS LE N 3 $25.00 01/02/1992 12/31/2299
11400 7 EXC BENIGN LESION UPTO .5CM TRUNK ARMS OR LEGS N 3 $13.45 06/01/1994 12/31/2299
11401 2 EXC BENIGN LESION INC MARGINS .5 TO 1.CM TRUNK ARMS OR LEGS N 3 $22.50 01/01/1971 12/31/2299
11401 7 EXC BENIGN LESION INC MARGINS .5 TO 1.CM TRUNK ARMS OR LEGS. N 3 $13.45 06/01/1994 12/31/2299
11402 2 EXC LESION BENIGN INC MARGINS 1.CM TO2.CM TRUNK ARMS OR LEGS N 3 $28.00 01/01/1971 12/31/2299
11402 7 EXC LESION BENIGN INC MARGINS 1CM TO 2.CM TRUNK ARMS OR LEGS N 3 $13.45 06/01/1994 12/31/2299
11403 2 EXC BENIGN LESION INC MARGINS 2.CM TO 3.CM TRUNK ARMS OF LEGS N 3 $32.00 01/01/1985 12/31/2299
11403 7 EXC BENIGN LESION INC MARGINS 2.CM TO 3.CM TRUNK ARMS OR LEGS N 3 $13.45 06/01/1994 12/31/2299
11404 2 EXC BENIGN LESION INC MARGINS 3.CM TO 4.CM TRUNK ARMS OR LEGS N 3 $35.00 01/01/1985 12/31/2299
11404 7 EXC BENIGN LESION INC MARGINS 3.CM TO 4.CM TRUNK ARMS OR LEGS N 3 $13.45 06/01/1994 12/31/2299
11404 F EXC BENIGN LESION 3.CM TO 4.CM TRUNK ARMS OR LEGS N 3 $225.80 03/01/2004 12/31/2299
11406 2 EXC BENIGN LESION INC MARGINS OVER 4CM TRUNK ARMS OR LEGS N 3 $120.00 01/02/1996 12/31/2299
11406 7 EXC BENIGN LESION INC MARGINS OVER 4CM TRUNK ARMS OR LEGS N 3 $13.45 06/01/1994 12/31/2299
11406 F EXC BENIGN LESION OVER 4CM TRUNK ARMS OR LEGS N 3 $306.00 03/01/2004 12/31/2299
11420 2 EXC BENIGN LESION INC MARGINS UP TO .5CM SCALP NECK HAND FEET N 3 $15.00 01/01/1971 12/31/2299
11420 7 EXC BENIGN LESION INC MARGINS UP TO .5CM SCALP NECK HANDS FEET N 3 $13.45 06/01/1994 12/31/2299
11421 2 EXC BEN. LESION INC MARGINS .5-1CM SCALP NECK HAND FEET GENITALI N 3 $60.00 01/02/1994 12/31/2299
11421 7 EXC BEN. LES. INC MARGINS .5-1CM SCALP NECK HANDS FEET GENITAL N 3 $13.45 06/01/1994 12/31/2299
11422 2 EXC BEN LESION INC MARGINS 1CM-2CM SCALP NECK HAND FEET GENITA N 3 $37.50 01/01/1973 12/31/2299
11422 7 EXC BEN. LESION INC MARGINS 1CM TO 2CM SCALP NECK HAND FEET N 3 $13.45 06/01/1994 12/31/2299
11423 2 EXC BENIGN LES INC MARGINS .2.-3.CM SCALP NECK HAND FEET GENITA N 3 $42.00 01/01/1985 12/31/2299
11423 7 EXC BENIGN LES. INC MARGINS 2.-3.CM SCALP NECK HAND FEET GENIT N 3 $13.45 06/01/1994 12/31/2299
11424 2 EXC BENIGN LES INC MARGINS 3.1-4.0 CM SCALP NECK HAND FEET GENIT N 3 $96.00 01/02/1994 12/31/2299
11424 7 EXC BENIGN LES. INC MARGINS 3.1-4.0CM SCALP NECK HAND FEET GENIT N 3 $13.45 06/01/1994 12/31/2299
11424 F EXC BENIGN LES. 3.-4.CM SCALP NECK HAND FEET N 3 $306.00 03/01/2004 12/31/2299
11426 2 EXC BEN LESION INC MARGINS 4CM/OVER SCALP NECK HAND FEET GEN. N 3 $90.00 01/02/1991 12/31/2299
11426 7 EXC BENIGN LES. INC MARGINS OVER 4CM SCALP NECK HND FOOT GENIT N 3 $13.45 06/01/1994 12/31/2299
11426 F EXC BEN LESION 4CM/OVER SCALP NECK HAND FEET GEN. N 3 $306.00 03/01/2004 12/31/2299
11440 2 EXC BENIGN LES INC MARGINS TO .5CM FACE EAR ELIDS NOSE LIPS MUCO N 3 $30.00 01/01/1975 12/31/2299
11440 7 EXCISION, OTHER BENIGN LESION INC MARGINS FACE,EARS,EYELIDS,N N 3 $13.45 06/01/1994 12/31/2299
11441 2 EXCISION, OTHER BENIGN LESION INC MARGINS;FACE,EARS,EYELIDS,NO N 3 $60.00 01/02/1996 12/31/2299
11441 7 EXCISION, OTHER BENIGN LESION INC MARGINS ;FACE,EARS,EYELIDS,NO N 3 $13.45 06/01/1994 12/31/2299
11442 2 EXCISION, OTHER BENIGN LESION INC MARGINS;FACE,EARS,EYELIDS,NO N 3 $65.00 01/02/1994 12/31/2299
11442 7 EXCISION, OTHER BENIGN LESION INC MARGINS;FACE,EARS,EYELIDS,NO N 3 $13.45 06/01/1994 12/31/2299
11443 2 EXCISION, OTHER BENIGN LESION INC MARGINS ;FACE,EARS,EYELIDS,NO N 3 $55.00 01/01/1985 12/31/2299
11443 7 EXCISION, OTHER BENIGN LESION INC MARGINS;FACE,EARS,EYELIDS,NO N 3 $13.45 06/01/1994 12/31/2299
11444 2 EXCISION, OTHER BENIGN LESION INC MARGINS;FACE,EARS,EYELIDS,NO N 3 $120.00 01/02/1995 12/31/2299
11444 7 EXCISION, OTHER BENIGN LESION INC MARGINS;FACE,EARS,EYELIDS,NO N 3 $13.45 06/01/1994 12/31/2299
11444 F EXCISION, OTHER BENIGN LESION;FACE,EARS,EYELIDS,NO N 3 $225.80 03/01/2004 12/31/2299
11446 2 EXE BENIGN LESION INC MARGINS OVER 4. CM FACE EYELID LIPS ECT N 3 $100.00 01/01/1984 12/31/2299
11446 7 EXE BENIGN LESION INC MARGINS OVER 4. CM FACE EYELID LIPS ECT N 3 $13.45 06/01/1994 12/31/2299
11446 F EXE BENIGN LESION OVER 4. CM FACE EYELID LIPS ECT N 3 $306.00 03/01/2004 12/31/2299
11450 2 EXC SUBCU TISSUE-HIDRADINITIS AXILLARY PRIME CLOS N 3 $135.00 01/02/1997 12/31/2299
11450 7 EXC SUBCU TISSUE-HIDRADINITIS AXILLARY PRIME CLOS N 3 $13.45 06/01/1994 12/31/2299
11450 F EXC SUBCU TISSUE-HIDRADINITIS AXILLARY PRIME CLOS N 3 $306.00 03/01/2004 12/31/2299
11451 2 EXC SUBCU TISSUE-HIDRADENITIS AXILLARY OTHER CLO N 3 $130.00 01/02/1992 12/31/2299
11451 7 EXC SUBCU TISSUE-HIDRADENITIS AXILLARY OTHER CLO N 3 $13.45 06/01/1994 12/31/2299
11451 F EXC SUBCU TISSUE-HIDRADENITIS AXILLARY OTHER CLO N 3 $306.00 03/01/2004 12/31/2299
11462 2 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENTIS, INGUINA N 3 $112.00 01/02/1998 12/31/2299
11462 7 EXC SUBCU TISSUE-HIDRADENITIS INGUNIAL PRIME CLO N 3 $13.45 06/01/1994 12/31/2299
11462 F EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENTIS, INGUINA N 3 $306.00 03/01/2004 12/31/2299
11463 7 EXC SUBCU TISSUE-HIDRADINITIS INGUNIAL-OTHER CLOS N 3 $13.45 06/01/1994 12/31/2299
11463 F EXC SUBCU TISSUE -HIDRADINITIS INGUNIAL-OTHER CLOS N 3 $306.00 03/01/2004 12/31/2299
11470 2 EXC SUBCU TISSUE-HIDRADENITIS PERIANAL/UMBILICAL N 3 $65.00 01/01/1984 12/31/2299
11470 7 EXC SUBCU TISSUE-HIDRADENITIS PERIANAL/UMBILICAL N 3 $13.45 06/01/1994 12/31/2299
11470 F EXC SUBCU TISSUE-HIDRADENITIS PERIANAL/UMBILICAL N 3 $306.00 03/01/2004 12/31/2299
11471 7 EXC SUBCU TISSUE-HIDRADENITIS PERIANAL/UMBILICAL N 3 $13.45 06/01/1994 12/31/2299
11471 F EXC SUBCU TISSUE-HIDRADENITIS PERIANAL/UMBILICAL N 3 $306.00 03/01/2004 12/31/2299
11600 2 EXCISION, MALIGNANT LESION INC MARGINS- TRUNK, ARMS, OR LEGS; N 3 $30.00 01/01/1973 12/31/2299
11600 7 EXCISION, MALIGNANT LESION INC MARGINS TRUNK, ARMS, OR LEGS; N 3 $13.45 06/01/1994 12/31/2299
11601 2 EXCISION MALIG LESION INC MARGINS TRUNK ARMS OR LEGS DIAM.6-1CM N 3 $40.00 01/01/1973 12/31/2299
11601 7 EXCISION, MALIGNANT LESION INC MARGINS -TRUNK, ARMS, OR LEGS; N 3 $13.45 06/01/1994 12/31/2299
11602 2 EXCISION, MALIGNANT LESION INC MARGINS- TRUNK, ARMS, OR LEGS; N 3 $50.00 01/01/1973 12/31/2299
11602 7 EXCISION, MALIG LESION INC MARGINS TRUNK, ARMS, OR LEGS; N 3 $13.45 06/01/1994 12/31/2299
11603 2 EXCISION, MALIGNANT LESION INC MARGINS- TRUNK, ARMS, OR LEGS; N 3 $60.00 01/01/1984 12/31/2299
11603 7 EXCISION, MALIGNANT LESION INC MARGINS - TRUNK, ARMS, OR LEGS; N 3 $13.45 06/01/1994 12/31/2299
11604 2 EXCISION, MALIGNANT LESION INC MARGINS -TRUNK, ARMS, OR LEGS; N 3 $65.00 01/01/1984 12/31/2299
11604 7 EXCISION, MALIGNANT LESION INC MARGINS - TRUNK, ARMS, OR LEGS; N 3 $13.45 06/01/1994 12/31/2299
11604 F EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS; N 3 $306.00 03/01/2004 12/31/2299
11606 2 EXCISION, MALIGNANT LESION INC MARGINS - TRUNK, ARMS, OR LEGS; N 3 $90.00 01/01/1984 12/31/2299
11606 7 EXCISION, MALIGNANT LESION INC MARGINS -TRUNK, ARMS, OR LEGS; N 3 $13.45 06/01/1994 12/31/2299
11606 F EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR LEGS; N 3 $306.00 03/01/2004 12/31/2299
11620 2 EXCISION, MALIG LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GENI N 3 $50.00 01/01/1971 12/31/2299
11620 7 EXCISION, MALIG LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GENI N 3 $13.45 06/01/1994 12/31/2299
11621 2 EXCISION, MALIG LESION INC MARGINS -SCALP, NECK, HANDS, FEET,GENI N 3 $75.00 01/01/1971 12/31/2299
11621 7 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $13.45 06/01/1994 12/31/2299
11622 2 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $100.00 01/01/1973 12/31/2299
11622 7 EXCISION, MALIGN LESION INC MARGINS-SCALP, NECK, HANDS, FEET,GEN N 3 $13.45 06/01/1994 12/31/2299
11623 2 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $110.00 01/01/1984 12/31/2299
11623 7 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $13.45 06/01/1994 12/31/2299
11624 2 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $120.00 01/01/1984 12/31/2299
11624 7 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $13.45 06/01/1994 12/31/2299
11624 F EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FE N 3 $306.00 03/01/2004 12/31/2299
11626 2 EXCISION, MALIGN LESION INC MARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $150.00 01/01/1984 12/31/2299
11626 7 EXCISION, MALIGN LESION INCMARGINS- SCALP, NECK, HANDS, FEET,GEN N 3 $13.45 06/01/1994 12/31/2299
11626 F EXCISION, MALIGNANT LESION, SCALP, NECK, HANDS, FE N 3 $306.00 03/01/2004 12/31/2299
11640 2 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $75.00 01/01/1973 12/31/2299
11640 7 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $13.45 06/01/1994 12/31/2299
11641 2 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,L N 3 $100.00 01/01/1973 12/31/2299
11641 7 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $13.45 06/01/1994 12/31/2299
11642 2 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $125.00 01/01/1971 12/31/2299
11642 7 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $13.45 06/01/1994 12/31/2299
11643 2 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, N N 3 $130.00 01/01/1984 12/31/2299
11643 7 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $13.45 06/01/1994 12/31/2299
11643 8 EXCISION, MALIG LESION INC MARGINS- FACE, EARS, EYELIDS,NOSE,LI N 3 $26.00 01/01/1984 12/31/2299
11644 2 EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, N N 3 $130.00 01/01/1984 12/31/2299
11644 7 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $13.45 06/01/1994 12/31/2299
11644 8 EXCISION, MALIGN LESION INC MARGINS-FACE, EARS, EYELIDS, NOSE,LI N 3 $26.00 01/01/1989 12/31/2299
11644 F EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, N N 3 $306.00 03/01/2004 12/31/2299
11646 2 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $175.00 01/01/1984 12/31/2299
11646 7 EXCISION, MALIGN LESION INC MARGINS- FACE, EARS, EYELIDS, NOSE,LI N 3 $13.45 06/01/1994 12/31/2299
11646 F EXCISION, MALIGNANT LESION, FACE, EARS, EYELIDS, N N 3 $306.00 03/01/2004 12/31/2299
11700 7 DEBRIDEMENT OF NAILS, MANUAL; FIVE OR LESS N 3 $13.45 06/01/1994 12/31/2299
11701 7 DEBRIDEMENT OF NAILS, MANUAL; EACH ADDITIONAL, FIV N 3 $13.45 06/01/1994 12/31/2299
11710 2 DEBRIDEMENT OF NAILS, ELECTRIC GRINDER; FIVE OR LE N 3 $14.25 10/01/1989 12/31/2299
11710 3 DEBRIDEMENT OF NAILS; ELECTRIC GRINDER; FIVE OR LS N 3 $14.25 03/12/1991 12/31/2299
11711 2 DEBRIDEMENT OF NAILS, ELECTRIC GRINDER; EACH ADDIT N 3 $10.00 01/01/1992 12/31/2299
11719 2 TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER N 3 $6.50 01/01/1998 12/31/2299
11719 7 TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER N 3 $13.45 01/01/1998 12/31/2299
11720 2 DEBRIDMENT NAILS ONE TO FIVE ANY METHOD N 3 $15.93 01/01/1997 12/31/2299
11721 2 DEBRIDMENT NAILS ANY METHOD SIX OR MORE N 3 $26.87 01/01/1997 12/31/2299
11730 2 AVULSION OF NAIL PLATE, PART OR COMP SIMPLE N 3 $22.00 01/02/1993 12/31/2299
11730 7 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPL N 3 $13.45 06/01/1994 12/31/2299
11732 2 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE;EACH ADDITION N 3 $6.00 01/01/1984 12/31/2299
11732 7 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPL N 3 $13.45 06/01/1994 12/31/2299
11740 2 EVACUATION OF SUBUNGUAL HEMATOMA N 3 $7.00 01/01/1984 12/31/2299
11740 7 EVACUATION OF SUBUNGUAL HEMATOMA N 3 $13.45 06/01/1994 12/31/2299
11750 2 EXC OF NAIL & NAIL MATRIX PART OR COMPL N 3 $90.00 01/02/1995 12/31/2299
11750 7 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPL N 3 $13.45 06/01/1994 12/31/2299
11752 2 WITH AMPUTATION OF TUFT OF DISTAL PHALANX N 3 $65.00 01/01/1984 12/31/2299
11752 7 WITH AMPUTATION OF TUFT OF DISTAL PHALANX N 3 $13.45 06/01/1994 12/31/2299
11755 2 BIOPSY OF NAIL UNIT, ANY METHOD (EG, PLATE, BED, M N 3 $49.64 01/01/1994 12/31/2299
11760 2 RECONSTRUCTION OF NAIL BED;SIMPLE N 3 $20.00 01/01/1984 12/31/2299
11760 7 RECONSTRUCTION OF NAIL BED;SIMPLE N 3 $13.45 06/01/1994 12/31/2299
11762 2 RECONSTRUCTION OF NAIL BED;COMPLICATED N 3 $132.00 01/01/1997 12/31/2299
11762 7 RECONSTRUCTION OF NAIL BED;COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
11765 2 WDGE EXCISN OF SKIN OF NAIL FLD (INGRN TOENAIL) N 3 $25.00 01/01/1984 12/31/2299
11765 7 WDGE EXCISN OF SKIN OF NAIL FLD (INGRN TOENAIL) N 3 $13.45 06/01/1994 12/31/2299
11770 2 EXCISION OF PILONIDAL CYST OR SINUS;SIMPLE N 3 $50.00 01/01/1979 12/31/2299
11770 7 EXCISION OF PILONIDAL CYST OR SINUS;SIMPLE N 3 $13.45 06/01/1994 12/31/2299
11770 F EXCISION OF PILONIDAL CYST OR SINUS;SIMPLE N 3 $351.00 03/01/2004 12/31/2299
11771 2 EXCISION OF PILONIDAL CYST OR SINUS;EXTENSIVE N 3 $100.00 01/01/1988 12/31/2299
11771 7 EXCISION OF PILONIDAL CYST OR SINUS;EXTENSIVE N 3 $13.45 06/01/1994 12/31/2299
11771 F EXCISION OF PILONIDAL CYST OR SINUS;EXTENSIVE N 3 $351.00 03/01/2004 12/31/2299
11772 2 EXCISION OF PILONIDAL CYST OR SINUS;COMPLICATED N 3 $100.00 01/01/1984 12/31/2299
11772 7 EXCISION OF PILONIDAL CYST OR SINUS;COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
11772 F EXCISION OF PILONIDAL CYST OR SINUS;COMPLICATED N 3 $351.00 03/01/2004 12/31/2299
11900 2 INJECTION, INTRALESIONAL; UP TO AND INCLUDING SEVE N 3 $10.00 01/01/1971 12/31/2299
11900 7 INJECTION, INTRALESIONAL; UP TO AND INCLUDING SEVE N 3 $13.45 06/01/1994 12/31/2299
11901 2 INJECTION, INTRALESIONAL; MORE THAN SEVEN LESIONS N 3 $21.00 01/02/1992 12/31/2299
11901 7 INJECTION, INTRALESIONAL; MORE THAN SEVEN LESIONS N 3 $13.45 06/01/1994 12/31/2299
11920 2 TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE O N 3 $72.18 01/01/2004 12/31/2299
11921 2 TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE O N 3 $87.60 01/01/2002 12/31/2299
11922 2 TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE O N 3 $18.77 01/01/2002 12/31/2299
11960 2 INSRTN/TISSUE EXPNDRS, FOR OTHER THAN BREAST, INCL SUBS EXPAN N 3 $309.00 07/01/1994 12/31/2299
11960 7 INSERTION OF TISSUE EXPANDER N 3 $13.45 06/01/1994 12/31/2299
11960 F INSERTION OF TISSUE EXPANDER N 3 $306.00 03/01/2004 12/31/2299
11970 2 REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT PROS N 3 $318.00 01/02/1992 12/31/2299
11970 7 REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT PROS N 3 $13.45 06/01/1994 12/31/2299
11970 F REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT PROS N 3 $351.00 03/01/2004 12/31/2299
11971 2 REMOVAL OF TISSUE EXPANDER(S) WITHOUT INSERTION OF N 3 $189.50 01/01/2004 12/31/2299
11971 7 REMOVAL OF TISSUE EXPANDER(S) WITHOUT INSERTION OF N 3 $13.45 06/01/1994 12/31/2299
11971 F REMOVAL OF TISSUE EXPANDER(S) WITHOUT INSERTION OF N 3 $225.80 03/01/2004 12/31/2299
11975 2 INSERTION OR REINSERTION, IMPLANTABLE CONTRACEPTIV N 3 $50.00 09/01/1992 12/31/2299
11975 7 INSERTION OR REINSERTION, IMPLANTABLE CONTRACEPTIV N 3 $13.45 06/01/1994 12/31/2299
11976 2 REMOVAL WITHOUT REINSERTION, IMPLANTABLE CONTRACEP N 3 $50.00 01/01/1992 12/31/2299
11976 7 REMOVAL WITHOUT REINSERTION, IMPLANTABLE CONTRACEP N 3 $13.45 06/01/1994 12/31/2299
11977 2 REMOVAL WITH REINSERTION, IMPLANTABLE CONTRACEPTIV N 3 $100.00 09/01/1999 12/31/2299
11980 2 SUBCUTANEOUS HORMONE PELLET IMPLANT (ESTRADIOL&/OR TESTOSTERONE) N 3 $68.15 01/01/2000 12/31/2299
11981 2 INSERTION, NON BIODEGRADABLE DRUG DELIVERY IMPLANT N 3 $69.55 01/01/2002 12/31/2299
11982 2 REMOVAL NON BIODEGRADABLE DRUG DELIVERY IMPLANT N 3 $79.19 01/01/2002 12/31/2299
11983 2 REMOVAL WITH REINSERTION, NON BIODEGRADABLE DRUG DELIVERY IMPLANT N 3 $127.90 01/01/2002 12/31/2299
12001 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $25.00 01/02/1992 12/31/2299
12001 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $13.45 06/01/1994 12/31/2299
12002 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $36.75 01/02/1992 12/31/2299
12002 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $13.45 06/01/1994 12/31/2299
12004 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $30.00 01/01/1971 12/31/2299
12004 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $13.45 06/01/1994 12/31/2299
12005 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $45.00 01/01/1984 12/31/2299
12005 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $13.45 06/01/1994 12/31/2299
12005 F SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $306.00 03/01/2004 12/31/2299
12006 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $60.00 01/01/1984 12/31/2299
12006 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $13.45 06/01/1994 12/31/2299
12006 F SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $306.00 03/01/2004 12/31/2299
12007 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $154.68 01/01/2004 12/31/2299
12007 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $13.45 06/01/1994 12/31/2299
12007 F SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK N 3 $306.00 03/01/2004 12/31/2299
12011 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $16.00 08/01/1979 12/31/2299
12011 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $13.45 06/01/1994 12/31/2299
12013 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $25.00 01/01/1984 12/31/2299
12014 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $35.00 01/01/1984 12/31/2299
12014 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $13.45 06/01/1994 12/31/2299
12015 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $45.00 01/01/1984 12/31/2299
12015 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $13.45 06/01/1994 12/31/2299
12016 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $50.00 01/01/1984 12/31/2299
12016 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $13.45 06/01/1994 12/31/2299
12016 F SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $306.00 03/01/2004 12/31/2299
12017 2 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $100.00 01/01/1984 12/31/2299
12017 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $13.45 06/01/1994 12/31/2299
12017 F SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $306.00 03/01/2004 12/31/2299
12018 7 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $13.45 06/01/1994 12/31/2299
12018 F SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, N 3 $306.00 03/01/2004 12/31/2299
12020 2 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE N 3 $68.40 01/02/1992 12/31/2299
12020 7 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE N 3 $13.45 06/01/1994 12/31/2299
12020 F TREATMENT OF SUPERFICIAL WOUND DEHISCENCE N 3 $225.80 03/01/2004 12/31/2299
12021 2 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE N 3 $82.12 01/01/2004 12/31/2299
12021 7 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE N 3 $13.45 06/01/1994 12/31/2299
12021 F TREATMENT OF SUPERFICIAL WOUND DEHISCENCE N 3 $225.80 03/01/2004 12/31/2299
12031 2 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $20.00 01/01/1984 12/31/2299
12031 7 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $13.45 06/01/1994 12/31/2299
12032 2 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $27.00 01/01/1984 12/31/2299
12032 7 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $13.45 06/01/1994 12/31/2299
12034 2 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $35.00 01/01/1984 12/31/2299
12034 7 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $13.45 06/01/1994 12/31/2299
12034 F LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $306.00 03/01/2004 12/31/2299
12035 2 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $45.00 01/01/1984 12/31/2299
12035 7 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $13.45 06/01/1994 12/31/2299
12035 F LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $306.00 03/01/2004 12/31/2299
12036 2 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $60.00 01/01/1984 12/31/2299
12036 7 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $13.45 06/01/1994 12/31/2299
12036 F LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $306.00 03/01/2004 12/31/2299
12037 2 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $222.10 01/01/2004 12/31/2299
12037 7 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $13.45 06/01/1994 12/31/2299
12037 F LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, TRUNK A N 3 $306.00 03/01/2004 12/31/2299
12041 2 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $20.00 01/01/1984 12/31/2299
12041 7 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $13.45 06/01/1994 12/31/2299
12042 2 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $78.00 01/02/1997 12/31/2299
12042 7 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $13.45 06/01/1994 12/31/2299
12044 2 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $45.00 01/01/1984 12/31/2299
12044 7 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $13.45 06/01/1994 12/31/2299
12044 F LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $306.00 03/01/2004 12/31/2299
12045 2 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $55.00 01/01/1984 12/31/2299
12045 7 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $13.45 06/01/1994 12/31/2299
12045 F LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $306.00 03/01/2004 12/31/2299
12046 2 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $70.00 01/01/1984 12/31/2299
12046 7 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $13.45 06/01/1994 12/31/2299
12046 F LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $306.00 03/01/2004 12/31/2299
12047 7 LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $13.45 06/01/1994 12/31/2299
12047 F LAYER CLOSURE OF WOUNDS OF NECK, HANDS, FEET AND/O N 3 $306.00 03/01/2004 12/31/2299
12051 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $66.00 07/01/1994 12/31/2299
12051 7 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $13.45 06/01/1994 12/31/2299
12052 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $84.00 07/01/1994 12/31/2299
12052 7 LAYER CLOSURE FACIAL WOUND 2.5CM TO 5.0CM N 3 $13.45 06/01/1994 12/31/2299
12053 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $55.00 01/01/1984 12/31/2299
12053 7 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $13.45 06/01/1994 12/31/2299
12054 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $156.00 01/02/1994 12/31/2299
12054 7 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $13.45 06/01/1994 12/31/2299
12054 F LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $306.00 03/01/2004 12/31/2299
12055 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $90.00 01/01/1984 12/31/2299
12055 7 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $13.45 06/01/1994 12/31/2299
12055 F LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $306.00 03/01/2004 12/31/2299
12056 2 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $100.00 01/01/1984 12/31/2299
12056 7 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $13.45 06/01/1994 12/31/2299
12056 F LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $306.00 03/01/2004 12/31/2299
12057 7 LAYER CLOSURE OF WOUNDS OF FACE, EARS, EYELIDS, NO N 3 $13.45 06/01/1994 12/31/2299
13100 2 COMPLEX REPAIR OF WOUND SKIN GRAFTS 1.0-2.5CM N 3 $100.00 01/01/1984 12/31/2299
13100 7 COMPLEX REPAIR OF WOUND SKIN GRAFTS 1.0-2.5CM N 3 $13.45 06/01/1994 12/31/2299
13100 F COMPLEX REPAIR OF WOUND SKIN GRAFTS 1.0-2.5CM N 3 $306.00 03/01/2004 12/31/2299
13101 2 CMPLX REPR WOUND TRUNK 2.5 TO 7.5 CM N 3 $150.00 01/01/1984 12/31/2299
13101 7 COMPLEX REPAIR OF WOUND SKIN GRAFT 1.0-2.5CM N 3 $13.45 06/01/1994 12/31/2299
13101 F CMPLX REPR WOUND TRUNK 2.5 TO 7.5 CM N 3 $351.00 03/01/2004 12/31/2299
13102 2 REPAIR COMPLEX TRUNK EA ADD -5CM (LIST IN ADD TO PRIMARY PROC) N 3 $44.81 01/01/2000 12/31/2299
13120 2 COMPLEX REPAIR SCALP ARMS LEGS 1.0 TO 2.5 CM N 3 $125.00 01/01/1984 12/31/2299
13120 7 COMPLEX REPAIR SCALP ARMS LEGS 1.0 TO 2.5CM N 3 $13.45 06/01/1994 12/31/2299
13120 F COMPLEX REPAIR SCALP ARMS LEGS 1.0 TO 2.5 CM N 3 $306.00 03/01/2004 12/31/2299
13121 2 COMPLEX REPAIR SCALP ARMS LEGS 2.5 CM TO 7.5CM N 3 $225.00 01/01/1984 12/31/2299
13121 7 COMPLEX REPAIR SCALP ARMS LEGS 2.5CM TO 7.5CM N 3 $13.45 06/01/1994 12/31/2299
13121 F COMPLEX REPAIR SCALP ARMS LEGS 2.5 CM TO 7.5CM N 3 $351.00 03/01/2004 12/31/2299
13122 2 REPAIR COMPLEX SCALP ARMS &/OR LEGS EA ADD -5CM (LIST ADD TO PROC N 3 $52.09 01/01/2000 12/31/2299
13131 2 COMPLEX REPAIR FACE NECK HAND FEET GEN 1CM TO 2.5 N 3 $114.00 08/01/1991 12/31/2299
13131 7 COMPLEX REPAIR FACE NECK HAND FEET GEN 1CM TO 2.5 N 3 $13.45 06/01/1994 12/31/2299
13131 F COMPLEX REPAIR FACE NECK HAND FEET GEN 1CM TO 2.5 N 3 $306.00 03/01/2004 12/31/2299
13132 2 COMPLEX REPAIR FACE NECK HAND FEET GEN 2.5CM-7.5CM N 3 $220.00 01/02/1995 12/31/2299
13132 7 COMPLEX REPAIR FACE NECK HAND FEET GEN 2.5CM-7.5CM N 3 $13.45 06/01/1994 12/31/2299
13132 F COMPLEX REPAIR FACE NECK HAND FEET GEN 2.5CM-7.5CM N 3 $351.00 03/01/2004 12/31/2299
13133 2 REPAIR COMPLEX FOREHEAD/CHEECKS/CHIN/MOUTH/NECK/AXILLAE/GENITALIA N 3 $76.98 01/01/2000 12/31/2299
13150 2 COMPLEX REPAIR FACE UP TO 1.0 CM N 3 $150.00 01/01/1984 12/31/2299
13150 7 COMPLEX REPAIR FACE UP TO 1.0 CM N 3 $13.45 06/01/1994 12/31/2299
13150 F COMPLEX REPAIR FACE UP TO 1.0 CM N 3 $351.00 03/01/2004 12/31/2299
13151 2 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; N 3 $175.00 01/02/1996 12/31/2299
13151 7 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; N 3 $13.45 06/01/1994 12/31/2299
13151 F REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; N 3 $351.00 03/01/2004 12/31/2299
13152 2 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; N 3 $300.00 01/01/1984 12/31/2299
13152 7 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; N 3 $13.45 06/01/1994 12/31/2299
13152 F REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; N 3 $351.00 03/01/2004 12/31/2299
13153 2 REPAIR COMPLEX EYELIDS/NOSE/EARS/&OR LIPS EA ADD -5CM ADD TO PRIM N 3 $84.73 01/01/2000 12/31/2299
13160 2 SECNDRY CLSUR;SRGCL WOUND/DEHISCE EXTNSV/CMPLICTED N 3 $100.00 01/01/1984 12/31/2299
13160 7 SECNDRY CLSUR;SRGCL WOUND/DEHISCE EXTNSV/CMPLICTED N 3 $13.45 06/01/1994 12/31/2299
13160 8 SECNDRY CLSUR;SRGCL WOUND/DEHISCE EXTNSV/CMPLICTED N 3 $20.00 01/01/1984 12/31/2299
13160 F SECNDRY CLSUR;SRGCL WOUND/DEHISCE EXTNSV/CMPLICTED N 3 $306.00 03/01/2004 12/31/2299
14000 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $100.00 01/01/1973 12/31/2299
14000 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $13.45 06/01/1994 12/31/2299
14000 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $306.00 03/01/2004 12/31/2299
14001 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $150.00 01/01/1973 12/31/2299
14001 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $13.45 06/01/1994 12/31/2299
14001 8 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $30.00 01/01/1973 12/31/2299
14001 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; N 3 $351.00 03/01/2004 12/31/2299
14020 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $150.00 01/01/1973 12/31/2299
14020 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $13.45 06/01/1994 12/31/2299
14020 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $351.00 03/01/2004 12/31/2299
14021 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $200.00 01/01/1973 12/31/2299
14021 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $13.45 06/01/1994 12/31/2299
14021 8 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $40.00 01/01/1973 12/31/2299
14021 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, N 3 $351.00 03/01/2004 12/31/2299
14040 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD,CHEEKS,CHIN N 3 $348.00 01/02/1997 12/31/2299
14040 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEA N 3 $13.45 06/01/1994 12/31/2299
14040 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD,CHEEKS,CHIN N 3 $306.00 03/01/2004 12/31/2299
14041 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEA N 3 $250.00 01/01/1979 12/31/2299
14041 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEA N 3 $13.45 06/01/1994 12/31/2299
14041 8 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEA N 3 $50.00 01/01/1973 12/31/2299
14041 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEA N 3 $351.00 03/01/2004 12/31/2299
14060 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $250.00 01/01/1973 12/31/2299
14060 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $13.45 06/01/1994 12/31/2299
14060 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $351.00 03/01/2004 12/31/2299
14061 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $350.00 01/01/1973 12/31/2299
14061 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $13.45 06/01/1994 12/31/2299
14061 8 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $70.00 01/01/1973 12/31/2299
14061 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS N 3 $351.00 03/01/2004 12/31/2299
14300 2 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, MORE TH N 3 $490.00 07/01/1994 12/31/2299
14300 7 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, MORE TH N 3 $13.45 06/01/1994 12/31/2299
14300 F ADJACENT TISSUE TRANSFER OR REARRANGEMENT, MORE TH N 3 $432.00 03/01/2004 12/31/2299
14350 2 FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION N 3 $396.00 01/02/1995 12/31/2299
14350 7 FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION N 3 $13.45 06/01/1994 12/31/2299
14350 8 FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION N 3 $79.00 01/02/1995 12/31/2299
14350 F FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION N 3 $351.00 03/01/2004 12/31/2299
15000 2 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF N 3 $120.00 01/02/1995 12/31/2299
15000 7 EXCISIONAL PREPARATION OR CREATION OF RECIPIENT SI N 3 $13.45 06/01/1994 12/31/2299
15000 F SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF N 3 $306.00 03/01/2004 12/31/2299
15001 2 SURGICAL PREPARATION OF OPEN WONDS, BURNS OR SCAR ON INFANT/CHILD N 3 $39.79 01/01/1999 12/31/2299
15050 2 PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER SMALL UL N 3 $38.00 08/01/1979 12/31/2299
15050 7 PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER SMALL UL N 3 $13.45 06/01/1994 12/31/2299
15050 F PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER SMALL UL N 3 $306.00 03/01/2004 12/31/2299
15100 2 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $315.00 01/02/1997 12/31/2299
15100 7 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $13.45 06/01/1994 12/31/2299
15100 8 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $63.00 01/02/1997 12/31/2299
15100 F SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $306.00 03/01/2004 12/31/2299
15101 2 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $86.00 01/02/1997 12/31/2299
15101 7 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $13.45 06/01/1994 12/31/2299
15101 F SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS, HANDS, AND/ N 3 $351.00 03/01/2004 12/31/2299
15120 2 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS, GENITALIA,HANDSD N 3 $400.00 01/02/1995 12/31/2299
15120 7 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS, GEN N 3 $13.45 06/01/1994 12/31/2299
15120 8 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS, GEN N 3 $80.00 01/02/1995 12/31/2299
15120 F SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS, GENITALIA,HANDSD N 3 $306.00 03/01/2004 12/31/2299
15121 2 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS,ORBITS,GENITALIA,HA N 3 $50.00 01/01/1973 12/31/2299
15121 7 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS, GEN N 3 $13.45 06/01/1994 12/31/2299
15121 F SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK, EARS,ORBITS,GENITALIA,HA N 3 $351.00 03/01/2004 12/31/2299
15200 2 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSU N 3 $100.00 01/01/1973 12/31/2299
15200 7 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSU N 3 $13.45 06/01/1994 12/31/2299
15200 F FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSU N 3 $351.00 03/01/2004 12/31/2299
15201 2 FULL THICKNESS GRAFT,FREE,INCLUDING DIRECT CLOSURE DONOR SITE,TRU N 3 $50.00 01/01/1973 12/31/2299
15201 7 FULL THICKNESS GRAFT,FREE,INCLUDING DIRECT CLOSURE N 3 $13.45 06/01/1994 12/31/2299
15201 F FULL THICKNESS GRAFT,FREE,INCLUDING DIRECT CLOSURE DONOR SITE,TRU N 3 $306.00 03/01/2004 12/31/2299
15220 2 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $150.00 01/01/1973 12/31/2299
15220 7 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $13.45 06/01/1994 12/31/2299
15220 F FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $306.00 03/01/2004 12/31/2299
15221 2 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF DONOR SITE N 3 $75.00 01/01/1973 12/31/2299
15221 7 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $13.45 06/01/1994 12/31/2299
15221 F FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF DONOR SITE N 3 $306.00 03/01/2004 12/31/2299
15240 2 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $200.00 01/01/1979 12/31/2299
15240 7 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $13.45 06/01/1994 12/31/2299
15240 F FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $351.00 03/01/2004 12/31/2299
15241 2 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF DONOR SITE N 3 $100.00 01/01/1973 12/31/2299
15241 7 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $13.45 06/01/1994 12/31/2299
15241 F FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF DONOR SITE N 3 $351.00 03/01/2004 12/31/2299
15260 2 FULL THICKNESS GRAFT, FREE, INCLUDING DIR CLOSURE N 3 $346.00 01/02/1993 12/31/2299
15260 7 FULL THICKNESS GRAFT, FREE, INCLUDING DIR CLOSURE N 3 $13.45 06/01/1994 12/31/2299
15260 F FULL THICKNESS GRAFT, FREE, INCLUDING DIR CLOSURE N 3 $306.00 03/01/2004 12/31/2299
15261 2 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF DONOR SITE,NOS N 3 $125.00 01/01/1973 12/31/2299
15261 7 FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF N 3 $13.45 06/01/1994 12/31/2299
15261 F FULL THICKNESS GRAFT,FREE,INCLUDING DIR CLOSURE OF DONOR SITE,NOS N 3 $306.00 03/01/2004 12/31/2299
15342 2 APPLICATION OF BILAMINATE SKIN SUBSTIT/NEODERMIS:25SQ CM N 3 $83.00 01/01/2001 12/31/2005
15342 3 APPLIC.OF BILAMINATE SKINSUB.NEODERMIS N 3 $83.00 01/01/2001 12/31/2299
15342 7 APPLICATION OF BILAMINATE SKIN SUBSTITUTE/NEODERMIS:25SQ CM N 3 $13.45 01/01/2001 12/31/2005
15343 2 APPLICATION OF BILAMINATE SKIN SUBSTITUTE /NEODERMIS EACH ADD N 3 $14.20 01/01/2001 12/31/2005
15350 2 APPLICATION OF ALLOGRAFT, SKIN; 100 SQ CM OR LESS N 3 $150.00 01/02/1995 12/31/2005
15350 7 APPLICATION OF ALLOGRAFT (HOMOGRAFT), SKIN N 3 $13.45 06/01/1994 12/31/2005
15350 F APPLICATION OF ALLOGRAFT, SKIN; 100 SQ CM OR LESS N 3 $306.00 03/01/2004 12/31/2299
15351 2 APPLICATION OF ALLOGRAFT SKIN EACH ADDITIONAL 100 SQCM N 3 $34.90 01/01/1999 12/31/2005
15351 F APPLICATION OF ALLOGRAFT SKIN EACH ADDITIONAL 100 SQCM N 3 $306.00 03/01/2004 12/31/2299
15400 2 APPLICATION OF XENOGRAFT (HETEROGRAFT), SKIN 100 SQ CM OR LESS N 3 $40.00 01/01/1984 12/31/2299
15400 7 APPLICATION OF XENOGRAFT (HETEROGRAFT), SKIN N 3 $13.45 06/01/1994 12/31/2299
15400 F APPLICATION OF XENOGRAFT (HETEROGRAFT), SKIN 100 SQ CM OR LESS N 3 $306.00 03/01/2004 12/31/2299
15401 2 APPLICATION OF XENOGRAFT SKIN 100 SQCM N 3 $34.90 01/01/1999 12/31/2299
15401 F APPLICATION OF XENOGRAFT SKIN 100 SQCM N 3 $306.00 03/01/2004 12/31/2299
15570 2 FLAPS (SKIN AND/OR DEEP TISSUES) N 3 $309.00 01/02/1992 12/31/2299
15570 7 FLAPS (SKIN AND/OR DEEP TISSUES) N 3 $13.45 06/01/1994 12/31/2299
15570 F FLAPS (SKIN AND/OR DEEP TISSUES) N 3 $351.00 03/01/2004 12/31/2299
15572 7 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITH N 3 $13.45 06/01/1994 12/31/2299
15572 F FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITH N 3 $351.00 03/01/2004 12/31/2299
15574 7 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITH N 3 $13.45 06/01/1994 12/31/2299
15574 F FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITH N 3 $351.00 03/01/2004 12/31/2299
15576 2 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITH N 3 $404.78 01/01/2002 12/31/2299
15576 7 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITH N 3 $13.45 06/01/1994 12/31/2299
15600 2 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $115.50 01/01/1973 12/31/2299
15600 7 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $13.45 06/01/1994 12/31/2299
15600 F INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $351.00 03/01/2004 12/31/2299
15610 2 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $125.00 01/01/1973 12/31/2299
15610 7 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $13.45 06/01/1994 12/31/2299
15610 F INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $351.00 03/01/2004 12/31/2299
15620 2 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $150.00 01/01/1973 12/31/2299
15620 7 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $13.45 06/01/1994 12/31/2299
15620 F INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $432.00 03/01/2004 12/31/2299
15630 2 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $150.00 01/01/1973 12/31/2299
15630 7 INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $13.45 06/01/1994 12/31/2299
15630 F INTERMEDIATE ''DELAY'' OF ANY FLAP, PRIMARY ''DELA N 3 $351.00 03/01/2004 12/31/2299
15650 2 TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP (EG,AB N 3 $225.00 01/01/1984 12/31/2299
15650 7 TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP (EG,AB N 3 $13.45 06/01/1994 12/31/2299
15650 F TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP (EG,AB N 3 $495.00 03/01/2004 12/31/2299
15732 2 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP N 3 $704.27 01/01/2002 12/31/2299
15732 7 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP N 3 $13.45 06/01/1994 12/31/2299
15732 8 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP N 3 $132.45 01/01/2004 12/31/2299
15732 F MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP N 3 $351.00 03/01/2004 12/31/2299
15734 2 MUSCLE, MYOCUT OR FASC FLAP ; TRUNK N 3 $400.00 01/01/1985 12/31/2299
15734 7 MUSCLE, MYOCUT OR FASC FLAP ; TRUNK N 3 $13.45 06/01/1994 12/31/2299
15734 8 MUSCLE, MYOCUT OR FASC FLAP ; TRUNK N 3 $80.00 01/01/1985 12/31/2299
15734 F MUSCLE, MYOCUT OR FASC FLAP ; TRUNK N 3 $351.00 03/01/2004 12/31/2299
15736 7 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP N 3 $13.45 06/01/1994 12/31/2299
15738 2 MUSCLE MYOCUTANEOUS OF FSCCTNS FLAP LOWER EXTRMTY N 3 $300.00 01/01/1984 12/31/2299
15738 7 MUSCLE MYOCUTANEOUS OF FSCCTNS FLAP LOWER EXTRMTY N 3 $13.45 06/01/1994 12/31/2299
15738 8 MUSCLE MYOCUTANEOUS OF FSCCTNS FLAP LOWER EXTRMTY N 3 $60.00 01/01/1984 12/31/2299
15738 F MUSCLE MYOCUTANEOUS OF FSCCTNS FLAP LOWER EXTRMTY N 3 $351.00 03/01/2004 12/31/2299
15740 2 GRAFT; ISLAND PEDICLE FLAP N 3 $300.00 01/01/1973 12/31/2299
15740 7 GRAFT; ISLAND PEDICLE FLAP N 3 $13.45 06/01/1994 12/31/2299
15740 F GRAFT; ISLAND PEDICLE FLAP N 3 $306.00 03/01/2004 12/31/2299
15750 2 GRAFT; NEUROVASCULAR PEDICLE FLAP N 3 $250.00 01/01/1973 12/31/2299
15750 7 GRAFT; NEUROVASCULAR PEDICLE FLAP N 3 $13.45 06/01/1994 12/31/2299
15750 8 GRAFT; NEUROVASCULAR PEDICLE FLAP N 3 $50.00 01/01/1973 12/31/2299
15750 F GRAFT; NEUROVASCULAR PEDICLE FLAP N 3 $306.00 03/01/2004 12/31/2299
15755 2 FREE FLAP(MICROVASCULAR TRANSFER) N 3 $1,200.00 01/02/1992 12/31/2299
15755 7 FREE FLAP(MICROVASCULAR TRANSFER) N 3 $13.45 06/01/1994 12/31/2299
15755 8 FREE FLAP(MIRCOVASCULAR TRANSFER) N 3 $240.00 01/02/1992 12/31/2299
15756 2 FREE MUSCLE/MYOCUTANEOUS FLAP W MICROVASCULAR ANASTOMOSIS N 3 $1,500.00 01/02/1998 12/31/2299
15756 7 FREE MUSCLE/MYOCUTANEOUS FLAP WMICROVASCULAR ANASTOMOSIS N 3 $13.45 01/01/1997 12/31/2299
15756 8 FREE MUSCLE/MYOCUTANEOUS FLAP WMICROVASCULAR ANASTOMOSIS N 3 $300.00 01/02/1998 12/31/2299
15757 2 FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS N 3 $1,624.52 01/01/1997 12/31/2299
15757 7 FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS N 3 $13.45 01/01/1997 12/31/2299
15757 8 FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS N 3 $324.90 01/01/1997 12/31/2299
15758 2 FREE FASCIAL FLAP W/ MICROVASCULAR ANASTOMOSIS N 3 $1,624.52 01/01/1997 12/31/2299
15758 7 FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS N 3 $13.45 01/01/1997 12/31/2299
15758 8 FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS N 3 $324.90 01/01/1997 12/31/2299
15760 2 GRAFT; COMPOSITE, INCLUDING PRIMARY CLOSURE, DONOR Y 3 $396.00 01/02/1997 12/31/2299
15760 7 GRAFT; COMPOSITE, INCLUDING PRIMARY CLOSURE, DONOR Y 3 $13.45 06/01/1994 12/31/2299
15760 F GRAFT; COMPOSITE, INCLUDING PRIMARY CLOSURE, DONOR N 3 $306.00 03/01/2004 12/31/2299
15770 2 GRAFT; DERMA-FAT-FASCIA N 3 $300.00 01/01/1973 12/31/2299
15770 7 GRAFT; DERMA-FAT-FASCIA N 3 $13.45 06/01/1994 12/31/2299
15770 8 GRAFT; DERMA-FAT-FASCIA N 3 $60.00 01/01/1984 12/31/2299
15770 F GRAFT; DERMA-FAT-FASCIA N 3 $351.00 03/01/2004 12/31/2299
15775 7 PUNCH GRAFT FOR HAIR TRANSPLANT; 1 TO 15 N 3 $13.45 06/01/1994 12/31/2299
15776 7 PUNCH GRAFT FOR HAIR TRANSPLANT; MORE THAN 15 N 3 $13.45 06/01/1994 12/31/2299
15780 2 DERMABRASION;TOTAL FACE (EG,FOR ACNE SCARRING,FINE WRINKLING,RHYT N 3 $183.00 12/11/1998 12/31/2299
15780 7 ABRASION OF SKIN FOR REMOVAL OF SCARS, TATTOOS, OR N 3 $13.45 06/01/1994 12/31/2299
15781 7 ABRASION OF SKIN FOR REMOVAL OF SCARS,TATTOOS,KERA N 3 $13.45 06/01/1994 12/31/2299
15782 7 REMOVAL OF SCAR REGIONAL OTHER THAN FACIAL AREA N 3 $13.45 06/01/1994 12/31/2299
15783 7 DERMABRASION N 3 $13.45 06/01/1994 12/31/2299
15785 7 ABRASION OF SKIN FOR REMOVAL OF SCARS, TATTOOS, AC N 3 $13.45 06/01/1994 12/31/2299
15786 7 ABRASION; SINGLE LESION (EG,KERATOSIS,SCAR) N 3 $13.45 06/01/1994 12/31/2299
15787 7 ABRASION; EACH ADDITIONAL FOUR LESIONS OR LESS N 3 $13.45 06/01/1994 12/31/2299
15800 7 ABRASION OF SKIN, TOTAL FACE, COMBINED WITH SUPERF N 3 $13.45 06/01/1994 12/31/2299
15810 7 SALABRASION; TO 20 SQ CM N 3 $13.45 06/01/1994 12/31/2005
15811 7 SALABRASION; 20 SQ CM AND OVER N 3 $13.45 06/01/1994 12/31/2005
15820 7 BLEPHAROPLASTY, LOWER EYELID; N 3 $13.45 06/01/1994 12/31/2299
15821 7 BLEPHAROPLASTY, LOWER EYELID; WITH EXTENSIVE HERNI N 3 $13.45 06/01/1994 12/31/2299
15822 7 BLEPHAROPLASTY, UPPER EYELID; N 3 $13.45 06/01/1994 12/31/2299
15822 F BLEPHAROPLASTY, UPPER EYELID; N 3 $351.00 03/01/2004 12/31/2299
15823 2 BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN Y 3 $360.00 01/02/1996 12/31/2299
15823 7 BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN N 3 $13.45 06/01/1994 12/31/2299
15823 8 BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN N 3 $72.00 01/02/1996 12/31/2299
15823 F BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN N 3 $495.00 03/01/2004 12/31/2299
15831 2 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE ( Y 3 $558.00 03/01/1997 12/31/2299
15831 7 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE ( N 3 $13.45 01/01/1996 12/31/2299
15831 8 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE ( N 3 $112.00 03/01/1997 12/31/2299
15831 F EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE ( N 3 $351.00 03/01/2004 12/31/2299
15839 2 EXCISION, EXCESSIVE SKIN N 3 $392.98 01/01/2004 12/31/2299
15839 7 ANESTHESIOLOGIST EXCISION EXCESS TISSUE & SKIN OTH N 3 $13.45 06/01/1994 12/31/2299
15840 2 GRAFT FOR FACIAL NERVE PARALSIS INC OBTAIN GRAFT N 3 $600.00 01/01/1984 12/31/2299
15840 7 GRAFT FOR FACIAL NERVE PARALYSIS; FREE FASCIA GRAF N 3 $13.45 06/01/1994 12/31/2299
15840 F GRAFT FOR FACIAL NERVE PARALSIS INC OBTAIN GRAFT N 3 $432.00 03/01/2004 12/31/2299
15841 2 GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE GRAF N 3 $625.00 01/01/1984 12/31/2299
15841 7 GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE GRAF N 3 $13.45 06/01/1994 12/31/2299
15841 F GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE GRAF N 3 $432.00 03/01/2004 12/31/2299
15842 7 GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE GRAF N 3 $13.45 06/01/1994 12/31/2299
15845 2 GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE N 3 $650.00 01/01/1984 12/31/2299
15845 7 GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE N 3 $13.45 06/01/1994 12/31/2299
15845 F GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE N 3 $432.00 03/01/2004 12/31/2299
15850 2 REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LO N 3 $20.00 02/02/1992 12/31/2299
15850 7 REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LO N 3 $13.45 06/01/1994 12/31/2299
15851 2 REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LO N 3 $10.00 01/01/1984 12/31/2299
15851 7 REMOVAL OF SUTURES UNDER ANES OTHER THAN LOCAL N 3 $13.45 06/01/1994 12/31/2299
15852 2 DRESSING CHANGE-OTHER THAN BURNS-W/ANESTHESIA N 3 $30.00 01/01/1984 12/31/2299
15852 7 DRESSING CHANGE OTHER THAN BURNS-W/ANESTHESIA N 3 $13.45 06/01/1994 12/31/2299
15860 2 IV INJ OF AGENT TO TEST BLOOD FLOW IN FLAP-GRAFT N 3 $15.00 01/01/1984 12/31/2299
15875 7 SUCTION ASSISTED LIPECTOMY, ANY SITE(S) N 3 $13.45 06/01/1994 12/31/2299
15876 7 SUCTION ASSISTED LIPECTOMY N 3 $13.45 06/01/1994 12/31/2299
15876 F SUCTION ASSISTED LIPECTOMY N 3 $351.00 03/01/2004 12/31/2299
15877 7 SUCTION ASSISTED LIPECTOMY N 3 $13.45 06/01/1994 12/31/2299
15877 F SUCTION ASSISTED LIPECTOMY N 3 $351.00 03/01/2004 12/31/2299
15878 7 SUCTION ASSISTED LIPECTOMY N 3 $13.45 06/01/1994 12/31/2299
15878 F SUCTION ASSISTED LIPECTOMY N 3 $351.00 03/01/2004 12/31/2299
15879 7 SUCTION ASSISTED LIPECTOMY N 3 $13.45 06/01/1994 12/31/2299
15879 F SUCTION ASSISTED LIPECTOMY N 3 $351.00 03/01/2004 12/31/2299
15920 2 EXC COCCYGEAL PRESSURE ULCER W/COCCYGECTOMY N 3 $175.00 01/01/1984 12/31/2299
15920 7 EXC COCCYGEAL PRESSURE ULCER W/COCCYGECTOMY N 3 $13.45 06/01/1994 12/31/2299
15920 F EXC COCCYGEAL PRESSURE ULCER W/COCCYGECTOMY N 3 $351.00 03/01/2004 12/31/2299
15922 2 EXC COCCYGEAL ULCER W/COCCYGECTOMY SKIN FLAP CL N 3 $250.00 01/01/1984 12/31/2299
15922 7 EXC COCCYGEAL ULCER W/COCCYGECTOMY SKIN FLAP CL N 3 $13.45 06/01/1994 12/31/2299
15922 F EXC COCCYGEAL ULCER W/COCCYGECTOMY SKIN FLAP CL N 3 $432.00 03/01/2004 12/31/2299
15931 2 REMOV PRESUR ULCER N 3 $369.12 01/01/2004 12/31/2299
15931 7 EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTU N 3 $13.45 06/01/1994 12/31/2299
15931 F REMOV PRESUR ULCER N 3 $351.00 03/01/2004 12/31/2299
15932 7 EXCISION, SACRAL DECUBITUS ULCER; WITH OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15933 2 EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $175.00 01/01/1984 12/31/2299
15933 7 EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15933 F EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $351.00 03/01/2004 12/31/2299
15934 2 EXCISION, SACRAL PRESSURE ULCER, WITH LOCAL OR REG N 3 $480.00 01/02/1994 12/31/2299
15934 7 EXCISION, SACRAL PRESSURE ULCER, WITH LOCAL OR REG N 3 $13.45 06/01/1994 12/31/2299
15934 8 EXCISION, SACRAL PRESSURE ULCER, WITH LOCAL OR REG N 3 $96.00 01/02/1994 12/31/2299
15934 F EXCISION, SACRAL PRESSURE ULCER, WITH LOCAL OR REG N 3 $351.00 03/01/2004 12/31/2299
15935 2 EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $250.00 01/01/1984 12/31/2299
15935 7 EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15935 F EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $432.00 03/01/2004 12/31/2299
15936 2 EXCISION, SACRAL PRESSURE ULCER,IN PREPARATION FOR MUSCLE OR MYOC N 3 $175.00 01/01/1984 12/31/2299
15936 7 EXCISION, SACRAL PRESSURE ULCER, WITH OTHER FLAP C N 3 $13.45 06/01/1994 12/31/2299
15936 F EXCISION, SACRAL PRESSURE ULCER,IN PREPARATION FOR MUSCLE OR MYOC N 3 $432.00 03/01/2004 12/31/2299
15937 2 EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $250.00 01/01/1984 12/31/2299
15937 7 EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15937 F EXC SACRAL PRESSURE ULCER WITH OSTECTOMY N 3 $432.00 03/01/2004 12/31/2299
15940 2 EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUT N 3 $75.00 01/01/1984 12/31/2299
15940 7 EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUT N 3 $13.45 06/01/1994 12/31/2299
15940 8 EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUT N 3 $76.83 01/01/2005 12/31/2299
15940 F EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUT N 3 $351.00 03/01/2004 12/31/2299
15941 2 EXCISION, ISCHIAL DECUBITUS ULCER; WITH OSTECTOMY N 3 $150.00 01/01/1984 12/31/2299
15941 7 EXCISION, ISCHIAL DECUBITUS ULCER; WITH OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15941 F EXCISION, ISCHIAL DECUBITUS ULCER; WITH OSTECTOMY N 3 $351.00 03/01/2004 12/31/2299
15942 7 EXCISION, ISCHIAL DECUBITUS ULCER; SKIN AND MUSCLE N 3 $13.45 06/01/1994 12/31/2299
15943 7 EXCISION, ISCHIAL DECUBITUS ULCER; SKIN AND MUSCLE N 3 $13.45 06/01/1994 12/31/2299
15944 2 EXCISION, ISCHIAL PRESSURE ULCER, WITH LOCAL OR RE N 3 $150.00 01/01/1984 12/31/2299
15944 7 EXCISION, ISCHIAL PRESSURE ULCER, WITH LOCAL OR RE N 3 $13.45 06/01/1994 12/31/2299
15944 F EXCISION, ISCHIAL PRESSURE ULCER, WITH LOCAL OR RE N 3 $351.00 03/01/2004 12/31/2299
15945 2 EXCISION, ISCHIAL PRESSURE ULCER, WITH LOCAL OR RE N 3 $225.00 01/01/1984 12/31/2299
15945 7 EXCISION, ISCHIAL PRESSURE ULCER, WITH LOCAL OR RE N 3 $13.45 06/01/1994 12/31/2299
15945 F EXCISION, ISCHIAL PRESSURE ULCER, WITH LOCAL OR RE N 3 $432.00 03/01/2004 12/31/2299
15946 2 EXCIS.ISCHIAL PRESSURE ULCER WITH OSTECTOMY IN PREPARATION FOR MU N 3 $325.00 01/01/1984 12/31/2299
15946 7 EXCIS, ISCHIAL PRESSURE ULCER,W/OSTECTOMY,W/MUSCLE N 3 $13.45 06/01/1994 12/31/2299
15946 8 EXCIS, ISCHIAL PRESSURE ULCER,W/OSTECTOMY,W/MUSCLE N 3 $65.00 01/01/1984 12/31/2299
15946 F EXCIS.ISCHIAL PRESSURE ULCER WITH OSTECTOMY IN PREPARATION FOR MU N 3 $432.00 03/01/2004 12/31/2299
15950 2 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMAR N 3 $75.00 01/01/1984 12/31/2299
15950 7 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMAR N 3 $13.45 06/01/1994 12/31/2299
15950 F EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMAR N 3 $351.00 03/01/2004 12/31/2299
15951 2 EXC TROCHANTERIC PRESSURE ULCER W/OSTECTOMY N 3 $150.00 01/01/1984 12/31/2299
15951 7 EXC TROCHANTERIC PRESSURE ULCER W/OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15951 F EXC TROCHANTERIC PRESSURE ULCER W/OSTECTOMY N 3 $432.00 03/01/2004 12/31/2299
15952 2 EXC TROCHANTERIC PRESSURE ULCER W/SKIN FLAP CLOSE N 3 $432.00 01/02/1994 12/31/2299
15952 7 EXC TROCHANTERIC PRESSURE ULCER W/SKIN FLAP CLOSE N 3 $13.45 06/01/1994 12/31/2299
15952 F EXC TROCHANTERIC PRESSURE ULCER W/SKIN FLAP CLOSE N 3 $351.00 03/01/2004 12/31/2299
15953 2 EXCISION, TROCHANTERIC PRESSURE ULCER, W/ LOCAL RO N 3 $225.00 01/01/1984 12/31/2299
15953 7 EXCISION, TROCHANTERIC PRESSURE ULCER, W/ LOCAL RO N 3 $13.45 06/01/1994 12/31/2299
15953 F EXCISION, TROCHANTERIC PRESSURE ULCER, W/ LOCAL RO N 3 $432.00 03/01/2004 12/31/2299
15956 2 EXCIS, TROCHANTERIC PRESSURE ULCER, W/MUSCLE OR MYOCUTANEOUS FLAP N 3 $300.00 01/01/1984 12/31/2299
15956 7 EXCIS, TROCHANTERIC PRESSURE ULCER, W/MUSCLE OR MY N 3 $13.45 06/01/1994 12/31/2299
15956 F EXCIS, TROCHANTERIC PRESSURE ULCER, W/MUSCLE OR MYOCUTANEOUS FLAP N 3 $351.00 03/01/2004 12/31/2299
15958 2 EXC TROCHANERIC PRESSURE ULCER W/OSTECTOMY N 3 $350.00 01/01/1984 12/31/2299
15958 7 EXC TROCHANERIC PRESSURE ULCER W/OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
15958 8 EXC TROCHANERIC PRESSURE ULCER W/OSTECTOMY N 3 $70.00 01/01/1984 12/31/2299
15958 F EXC TROCHANERIC PRESSURE ULCER W/OSTECTOMY N 3 $432.00 03/01/2004 12/31/2299
15999 7 EXC PRESSURE ULCER NOC N 3 $13.45 06/01/1994 12/31/2299
16000 2 INITIAL TREATMENT FIRST DEGREE BURN LOCAL N 3 $10.00 08/01/1979 12/31/2299
16010 2 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $15.00 01/01/1979 12/31/2005
16010 7 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $13.45 06/01/1994 12/31/2005
16015 2 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $75.00 01/01/1984 12/31/2005
16015 7 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $13.45 06/01/1994 12/31/2005
16015 F DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $306.00 03/01/2004 12/31/2299
16020 2 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $21.00 01/02/1996 12/31/2299
16025 2 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $40.00 01/01/1984 12/31/2299
16030 2 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUEN N 3 $50.00 01/01/1984 12/31/2299
16035 2 ESCHAROTOMY N 3 $121.66 01/01/2003 12/31/2299
16035 7 ESCHAROTOMY;INITIAL INCISION N 3 $13.45 06/01/1994 12/31/2299
16036 2 ESCHAROTOMY;EACH ADD.INCISION N 3 $52.94 01/01/2001 12/31/2299
17000 2 DESTRUCTION BY ANY METHOD,INCLUDING LASER,BENIGN OR PREMALIG.LESI N 3 $21.42 03/01/2004 12/31/2299
17003 2 DESTR.ANY METH.BENIGN/PREMALIGNANT LESIONS/W/LOCAL ANES.2-14LESIO N 3 $6.16 01/01/1998 12/31/2299
17003 7 DESTR.BENIGN/PREMALIGNANT LESIONS W/LOCAL ANESTHESIA 2-14 LESIONS N 3 $13.45 01/01/1998 12/31/2299
17004 2 DESTRUCTION BY ANY METHOD, INCLUDING LASER, WITH OR WITHOUT SURGI N 3 $111.10 01/01/1998 12/31/2299
17004 7 DESTR.BENIGN/PREMALIGNANT LESIONS INCLU.LOCAL ANESTHESIA;15ORMORE N 3 $13.45 01/01/1998 12/31/2299
17106 2 DESTRUT CUTANEOUS VASCULAR PROLIF LESIONS;< 10SQCM N 3 $150.00 01/01/1996 12/31/2299
17107 2 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS/LASER TEC N 3 $300.00 01/01/1996 12/31/2299
17107 7 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LE N 3 $13.45 06/01/1994 12/31/2299
17108 2 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS/LASER N 3 $570.00 01/01/1996 12/31/2299
17108 7 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LE N 3 $13.45 06/01/1994 12/31/2299
17110 2 DESTROY ANY METHOD UP TO 15 WARTS MILIA ECT N 3 $13.45 03/01/2004 12/31/2299
17110 7 DEST ANY METHD FLT WARTS OR MOLLUS CONT UP TO 15 N 3 $13.45 06/01/1994 12/31/2299
17111 2 DESTR,ANY METHOD,FLAT WARTS,MOLLUSCUM,CONTAGIOSUM,MILA 15 OR MORE N 3 $33.07 01/01/1998 12/31/2299
17111 7 DESTRUC.ANY METHOD FLAT WARTS,MOLLUSCUM,CONTAGIOSUM,MILIA;15ORMOR N 3 $13.45 01/01/1998 12/31/2299
17250 2 CHEMICAL CAUTERIZATION OF A WOUND N 3 $18.00 01/01/1996 12/31/2299
17250 7 CHEMICAL CAUTERIZATION OF A WOUND N 3 $13.45 06/01/1994 12/31/2299
17260 2 DESTRUCTION, MALIGNANT LESIONS N 3 $39.90 01/01/2003 12/31/2299
17260 7 DESTRUCTION, MALIGNANT LESIONS N 3 $13.45 06/01/1994 12/31/2299
17261 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $45.00 01/02/1992 12/31/2299
17261 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $13.45 06/01/1994 12/31/2299
17262 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $67.79 01/01/2004 12/31/2299
17262 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $13.45 06/01/1994 12/31/2299
17263 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $97.19 01/02/1994 12/31/2299
17263 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $13.45 06/01/1994 12/31/2299
17264 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $13.45 06/01/1994 12/31/2299
17266 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, TRUNK, N 3 $13.45 06/01/1994 12/31/2299
17270 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $64.46 01/01/2002 12/31/2299
17270 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $13.45 06/01/1994 12/31/2299
17271 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $60.00 01/02/1995 12/31/2299
17271 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $13.45 06/01/1994 12/31/2299
17271 8 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $12.00 01/02/1995 12/31/2299
17272 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $74.99 01/01/2002 12/31/2299
17272 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $13.45 06/01/1994 12/31/2299
17273 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $13.45 06/01/1994 12/31/2299
17274 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $13.45 06/01/1994 12/31/2299
17276 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, SCALP, N 3 $13.45 06/01/1994 12/31/2299
17280 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $57.60 01/01/2002 12/31/2299
17280 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $13.45 06/01/1994 12/31/2299
17281 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $72.00 01/02/1994 12/31/2299
17281 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $13.45 06/01/1994 12/31/2299
17282 2 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $170.00 01/02/1995 12/31/2299
17282 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $13.45 06/01/1994 12/31/2299
17282 8 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $34.00 01/02/1995 12/31/2299
17283 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $13.45 06/01/1994 12/31/2299
17284 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $13.45 06/01/1994 12/31/2299
17286 7 DESTRUCTION, MALIGNANT LESION, ANY METHOD, FACE, E N 3 $13.45 06/01/1994 12/31/2299
17300 2 CHEMOSURGERY INCLUD REMOVE LESION & MICROSC DELINE N 3 $125.00 01/01/1973 12/31/2299
17300 7 CHEMOSURGERY INCLUD REMOVE LESION & MICROSC DELINE N 3 $13.45 06/01/1994 12/31/2299
17301 2 CHEMOSURGERY INCLUD REMOVE LESION & MICROSC DELINE N 3 $40.00 01/01/1973 12/31/2299
17301 7 CHEMOSURGERY INCLUD REMOVE LESION & MICROSC DELINE N 3 $13.45 06/01/1994 12/31/2299
17302 7 CHEMOSURGERY (MOHS TYPE TECHNIQUE), MALIGNANCIES O N 3 $13.45 06/01/1994 12/31/2299
17304 2 CHEMOSURG OF WOUND INC REMOV TUMOR N 3 $100.00 01/01/1984 12/31/2299
17304 7 CHEMOSURG OF WOUND INC REMOVAL OF TUMOR N 3 $13.45 06/01/1994 12/31/2299
17305 2 CHEMSURG (MOHR'S TECH) INC. REMOV. TUMOR 2ND STAGE N 3 $40.00 01/01/1984 12/31/2299
17305 7 CHEMOSURG MOHS TECH INC REMOV TUMOR 2ND STAGE N 3 $13.45 06/01/1994 12/31/2299
17306 2 CHEMOSURG MOHS TECH INC REMOV TUMOR 3RD STAGE N 3 $40.00 01/01/1984 12/31/2299
17306 7 CHEMSURG MOHS TECH INC REMOV TUMOR 3RD STAGE N 3 $13.45 06/01/1994 12/31/2299
17307 2 CHEMOSURG MOHS TECH INC REMOV TUMOR EA ADD STAGE N 3 $40.00 01/01/1984 12/31/2299
17307 7 CHEMOSURG MOHS TECH INC REMOV TUMOR EA ADD STAGE N 3 $13.45 06/01/1994 12/31/2299
17310 2 CHEMOSURG MOHS TECH OVER 5 SPEC RX ANY STAGE N 3 $5.00 01/01/1984 12/31/2299
17310 7 CHEMOSURG MOHS TECH OVER 5 SPEC RX ANY STAGE N 3 $13.45 06/01/1994 12/31/2299
17340 2 CRYOTHERAPY (CO2 SLUSH, LIQUID N2) N 3 $12.00 01/02/1992 12/31/2299
17360 2 CHEMICAL EXFOLIATION FOR ACNE N 3 $8.00 01/01/1984 12/31/2299
17999 7 UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBC N 3 $13.45 06/01/1994 12/31/2299
19000 2 PUNCTURE ASPIRATION OF CYSTS OF BREST-1ST CYST N 3 $10.50 01/01/1971 12/31/2299
19001 2 PUNCTURE ASPIRATION OF CYST OF BREAST;EACH ADDITIONAL CYST N 3 $5.00 01/01/1984 12/31/2299
19001 7 PUNCTURE ASPIRATION BREST CYST-EA ADD CYST N 3 $13.45 06/01/1994 12/31/2299
19020 2 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, N 3 $30.00 08/01/1979 12/31/2299
19020 7 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
19020 F MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, N 3 $306.00 03/01/2004 12/31/2299
19030 2 INJECTION PROCEDURE ONLY FOR MAMMARY DUCTOGRAM OR N 3 $15.00 01/01/1984 12/31/2299
19100 2 BIOPSY OF BREAST; NEEDLE N 3 $42.00 01/02/1995 12/31/2299
19100 7 ANESTHESIA FOR BIOPSY OF BREAST PERCUTANEOUS,NEEDLE CORE N 3 $13.45 01/02/1995 12/31/2299
19100 F BIOPSY OF BREAST; NEEDLE N 3 $225.80 03/01/2004 12/31/2299
19101 2 BIOPSY OF BREAST; INCISIONAL N 3 $75.00 01/01/1971 12/31/2299
19101 7 BIOPSY OF BREAST; OPEN INCISIONAL N 3 $13.45 06/01/1994 12/31/2299
19101 F BIOPSY OF BREAST; INCISIONAL N 3 $306.00 03/01/2004 12/31/2299
19102 2 BIOPSY OF BREAST;PERCUT.NEEDLE CORE,USING IMAGING GUIDANCE N 3 $155.20 01/01/2001 12/31/2299
19102 F BIOPSY OF BREAST;PERCUT.NEEDLE CORE,USING IMAGING GUIDANCE N 3 $306.00 03/01/2004 12/31/2299
19103 2 BIOPSY OF BREAST;PERCUT.AUTOM.VAC.ASSISTED OR ROTAT.BIOPSY DEVI N 3 $311.94 01/01/2001 12/31/2299
19103 F BIOPSY OF BREAST;PERCUT.AUTOM.VAC.ASSISTED OR ROTAT.BIOPSY DEVI N 3 $306.00 03/01/2004 12/31/2299
19110 2 NIPPLE EXPLORATION,W OR W/OUT EXCISION N 3 $75.00 01/01/1984 12/31/2299
19110 7 NIPPLE EXPLORATION,W OR W/O EXCISION N 3 $13.45 06/01/1994 12/31/2299
19110 F NIPPLE EXPLORATION,W OR W/OUT EXCISION N 3 $306.00 03/01/2004 12/31/2299
19112 2 EXCISION OF LACTIFEROUS DUCT FISTULA N 3 $120.00 01/02/1992 12/31/2299
19112 7 EXCISION OF LACTIFEROUS DUCT FISTULA N 3 $13.45 06/01/1994 12/31/2299
19112 F EXCISION OF LACTIFEROUS DUCT FISTULA N 3 $351.00 03/01/2004 12/31/2299
19120 2 EXCISION OF CYST, FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR N 3 $100.00 01/01/1971 12/31/2299
19120 7 EXCISION OF CYST, FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR N 3 $13.45 06/01/1994 12/31/2299
19120 F EXCISION OF CYST, FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR N 3 $351.00 03/01/2004 12/31/2299
19125 2 EXCISION OF BREAST LESION IDENTIFIED BY PRE-OPERATATIVE PLACEMENT N 3 $190.37 01/01/1994 12/31/2299
19125 7 EXCISION OF BREAST LESION INDENTIFIED BY PRE-OPERATIVE PLACEMENT N 3 $13.45 07/01/1994 12/31/2299
19125 F EXCISION OF BREAST LESION IDENTIFIED BY PRE-OPERATATIVE PLACEMENT N 3 $351.00 03/01/2004 12/31/2299
19126 2 EXCISION OF BREAST LESION IDENTIFIED BY PRE-OPERATIVE PLACEMENT O N 3 $95.36 01/01/1994 12/31/2299
19126 7 EXCISION OF BREAST LESION IDENTIFIED BY PRE-OPERAT N 3 $13.45 07/01/1994 12/31/2299
19126 F EXCISION OF BREAST LESION IDENTIFIED BY PRE-OPERATIVE PLACEMENT O N 3 $351.00 03/01/2004 12/31/2299
19140 2 MASTECTOMY FOR GYNECOMASTIA THROUGH CIRCUMAREOLAR N 3 $250.00 01/03/1995 12/31/2299
19140 7 MASTECTOMY FOR GYNECOMASTIA THROUGH CIRCUMAREOLAR N 3 $13.45 06/01/1994 12/31/2299
19140 F MASTECTOMY FOR GYNECOMASTIA THROUGH CIRCUMAREOLAR N 3 $432.00 03/01/2004 12/31/2299
19141 7 MASTECTOMY FOR GYNECOMASTIA THROUGH CIRCUMAREOLAR N 3 $13.45 06/01/1994 12/31/2299
19160 2 MASTECTOMY, PARTIAL (QUADRECTOMY OR MORE); N 3 $150.00 01/01/1971 12/31/2299
19160 7 MASTECTOMY, PARTIAL (QUADRECTOMY OR MORE); N 3 $13.45 06/01/1994 12/31/2299
19160 8 MASTECTOMY, PARTIAL (QUADRECTOMY OR MORE); N 3 $30.00 01/01/1984 12/31/2299
19160 F MASTECTOMY, PARTIAL (QUADRECTOMY OR MORE); N 3 $351.00 03/01/2004 12/31/2299
19162 2 MASTECTOMY PARTIAL W AXILLARY LYMPHADENECTOMY N 3 $250.00 01/01/1984 12/31/2299
19162 7 MASTECTOMY PARTIAL W AXILLARY LYMPHADENECTOMY N 3 $13.45 06/01/1994 12/31/2299
19162 8 MASTECTOMY PARTIAL W AXILLARY LYMPHADENECTOMY N 3 $50.00 09/27/1991 12/31/2299
19162 F MASTECTOMY PARTIAL W AXILLARY LYMPHADENECTOMY N 3 $495.00 03/01/2004 12/31/2299
19180 2 MASTECTOMY, SIMPLE, COMPLETE N 3 $350.00 01/02/1997 12/31/2299
19180 7 MASTECTOMY, SIMPLE, COMPLETE N 3 $13.45 06/01/1994 12/31/2299
19180 8 MASTECTOMY, SIMPLE, COMPLETE N 3 $70.00 01/02/1997 12/31/2299
19180 F MASTECTOMY, SIMPLE, COMPLETE N 3 $432.00 03/01/2004 12/31/2299
19182 2 MASTECTOMY, SUBCUTANEOUS N 3 $250.00 01/01/1971 12/31/2299
19182 7 MASTECTOMY, SUBCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
19182 8 MASTECTOMY, SUBCUTANEOUS N 3 $50.00 01/01/1971 12/31/2299
19182 F MASTECTOMY, SUBCUTANEOUS N 3 $432.00 03/01/2004 12/31/2299
19200 2 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, A N 3 $427.50 01/01/1971 12/31/2299
19200 7 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, A N 3 $13.45 06/01/1994 12/31/2299
19200 8 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, A N 3 $85.00 01/01/1973 12/31/2299
19220 2 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, A N 3 $650.00 01/01/1971 12/31/2299
19220 7 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, A N 3 $13.45 06/01/1994 12/31/2299
19220 8 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, A N 3 $130.00 01/01/1971 12/31/2299
19240 2 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY L N 3 $400.00 01/01/1973 12/31/2299
19240 7 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY L N 3 $13.45 06/01/1994 12/31/2299
19240 8 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY L N 3 $80.00 01/01/1973 12/31/2299
19260 2 EXCISION OF CHEST WALL TUMOR INCLUDING RIBS N 3 $300.00 01/01/1984 12/31/2299
19260 7 EXCISION OF CHEST WALL TUMOR INCLUDING RIBS N 3 $13.45 06/01/1994 12/31/2299
19271 2 EXC CHEST WALL TUMOR W/PLASTIC RECONSTRUCT N 3 $350.00 01/01/1984 12/31/2299
19271 7 EXC CHEST WALL TUMOR W/PLASTIC RECONSTRUCT N 3 $13.45 06/01/1994 12/31/2299
19271 8 EXC CHEST WALL TUMOR W/PLASTIC RECONSTRUCT N 3 $70.00 01/01/1984 12/31/2299
19272 2 EXC CHEST WALL TUMOR W/MEDIAL LYMPH AND RECONST N 3 $400.00 01/01/1984 12/31/2299
19272 7 EXC CHEST WALL TUMOR W/MEDIAL LYMPH AND RECONST N 3 $13.45 06/01/1994 12/31/2299
19290 2 PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE N 3 $32.64 01/01/1993 12/31/2299
19290 7 INTRODUCTION N 3 $13.45 06/01/1994 12/31/2299
19290 F PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE N 3 $225.80 03/01/2004 12/31/2299
19291 2 PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE BREAST;EACH N 3 $18.08 01/01/1993 12/31/2299
19291 7 PREOP PLACEMENT OF NEEDLE LOCALIZATION WIRE,BREAST N 3 $13.45 06/01/1994 12/31/2299
19291 F PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE BREAST;EACH N 3 $225.80 03/01/2004 12/31/2299
19295 2 IMAGE GUIDED PLACEMENT,METAL.CLIP,PERCUTDURING BREAST BIOPSY N 3 $62.04 01/01/2001 12/31/2299
19296 6 PLACEMENT OF RADIOTHERAPY AFTERLOADING BALLOON CATHETER INTO THE N 3 $126.05 01/01/2005 12/31/2299
19297 6 PLACEMENT OF RADIOTHERAPY AFTERLOADING BALLOON CATH N 3 $57.73 01/01/2005 12/31/2299
19298 6 PLACEMENT OF RADIOTHERAPY AFTERLOADING BRACHYTHERAPY N 3 $202.03 01/01/2005 12/31/2299
19316 2 MASTOPEXY N 3 $540.00 01/02/1998 12/31/2299
19316 F MASTOPEXY N 3 $432.00 03/01/2004 12/31/2299
19318 2 REDUCTION MAMMAPLASTY Y 3 $708.00 01/02/1998 12/31/2299
19318 7 REDUCTION MAMMAPLASTY N 3 $13.45 06/01/1994 12/31/2299
19318 8 REDUCTION MAMMAPLASTY Y 3 $142.00 01/02/1998 12/31/2299
19318 F REDUCTION MAMMAPLASTY N 3 $432.00 03/01/2004 12/31/2299
19325 F MAMMAPLASTY, AUGMENTATION; WITH PROSTHETIC IMPLANT N 3 $495.00 03/01/2004 12/31/2299
19328 2 REMOVAL OF INTACT MAMMARY IMPLANT Y 3 $258.65 01/01/2004 12/31/2299
19328 7 REMOVAL OF INTACT MAMMARY IMPLANT Y 3 $13.45 06/01/1994 12/31/2299
19328 F REMOVAL OF INTACT MAMMARY IMPLANT N 3 $225.80 03/01/2004 12/31/2299
19330 2 REMOVAL OF BREAST IMPLANT MATERIAL N 3 $273.00 01/02/1995 12/31/2299
19330 7 REMOVAL OF BREAST IMPLANT MATERIAL N 3 $13.45 06/01/1994 12/31/2299
19330 8 REMOVAL OF BREAST IMPLANT MATERIAL N 3 $55.00 01/02/1995 12/31/2299
19330 F REMOVAL OF BREAST IMPLANT MATERIAL N 3 $225.80 03/01/2004 12/31/2299
19331 7 REMOVAL OF MAMMARY IMPLANT MATERIAL; BILATERAL N 3 $13.45 06/01/1994 12/31/2299
19340 2 MASTOPEXY/MASTECTOMY ORRECONSTRUCT W/IMPLANT Y 3 $229.79 01/01/2004 12/31/2299
19340 7 MASTOPEXY/MASTECTOMY OR RECONSTRUCT W/IMPLANT Y 3 $13.45 06/01/1994 12/31/2299
19340 F MASTOPEXY/MASTECTOMY ORRECONSTRUCT W/IMPLANT N 3 $306.00 03/01/2004 12/31/2299
19342 2 DELAYED INSERT OF IMPLANT POST MASTOPEXY ECT Y 3 $510.00 01/02/1998 12/31/2299
19342 7 DELAYED INSERT OF IMPLANT POST MASTOPEXY ECT Y 3 $13.45 06/01/1994 12/31/2299
19342 F DELAYED INSERT OF IMPLANT POST MASTOPEXY ECT N 3 $351.00 03/01/2004 12/31/2299
19350 2 NIPPLE/AREOLA RECONSTRUCTION Y 3 $468.22 01/01/2004 12/31/2299
19350 7 NIPPLE/AREOLA RECONSTRUCTION Y 3 $13.45 06/01/1994 12/31/2299
19350 F NIPPLE/AREOLA RECONSTRUCTION N 3 $432.00 03/01/2004 12/31/2299
19355 7 CORRECTION OF INVERTED NIPPLES N 3 $13.45 06/01/1994 12/31/2299
19355 F CORRECTION OF INVERTED NIPPLES N 3 $432.00 03/01/2004 12/31/2299
19357 2 BREAST RECONSTRUCTION, IMMEDIATE OR DELAYED, WITH N 3 $720.00 01/02/1994 12/31/2299
19357 7 BREAST RECONSTRUCTION, IMMEDIATE OR DELAYED, WITH N 3 $13.45 06/01/1994 12/31/2299
19357 F BREAST RECONSTRUCTION, IMMEDIATE OR DELAYED, WITH N 3 $495.00 03/01/2004 12/31/2299
19361 2 BREAST RECONSTRUCTION WITH LATISSIMUS DORSI FLAP, Y 3 $966.00 01/02/1994 12/31/2299
19361 7 BREAST RECONSTRUCTION WITH LATISSIMUS DORSI FLAP, N 3 $13.45 06/01/1994 12/31/2299
19361 8 BREAST RECONSTRUCTION WITH LATISSIMUS DORSI FLAP, Y 3 $193.00 01/02/1994 12/31/2299
19364 2 BREAST RECONSTRUCTION WITH FREE FLAP Y 3 $1,038.00 01/02/1998 12/31/2299
19364 7 BREAST RECONSTRUCTION WITH FREE FLAP Y 3 $13.45 06/01/1994 12/31/2299
19364 8 BREAST RECONSTRUCTION WITH FREE FLAP Y 3 $208.00 01/02/1998 12/31/2299
19366 2 BREAST RECONSTRUCTION WITH OTHER TECHNIQUE Y 3 $912.00 01/02/1994 12/31/2299
19366 7 BREAST RECONSTRUCTION WITH OTHER TECHNIQUE Y 3 $13.45 06/01/1994 12/31/2299
19366 8 BREAST RECONSTRUCTION WITH OTHER TECHNIQUE Y 3 $182.00 01/02/1994 12/31/2299
19366 F BREAST RECONSTRUCTION WITH OTHER TECHNIQUE N 3 $495.00 03/01/2004 12/31/2299
19367 2 BREAST RECONSTRUCTION WITH TRAM; SINGLE PEDICLE Y 3 $1,127.00 01/01/1995 12/31/2299
19368 2 BREAST RECONSTRUCTION WITH MICROVASCULAR ANASTOMOSIS Y 3 $1,275.00 01/01/1995 12/31/2299
19369 2 BREAST RECONSTRUCTION WITH TRAM - DOUBLE PEDICLE Y 3 $1,218.00 01/01/1995 12/31/2299
19371 2 PERIPROSTHETIC CAPSULOTOMY, BREAST N 3 $422.00 01/02/1995 12/31/2299
19371 8 PERIPROSTHETIC CAPSULOTOMY, BREAST N 3 $84.00 01/02/1995 12/31/2299
19371 F PERIPROSTHETIC CAPSULOTOMY, BREAST N 3 $432.00 03/01/2004 12/31/2299
19380 2 REVISION OF RECONSTRUCTED BREAST Y 3 $450.00 01/02/1996 12/31/2299
19380 7 REVISION OF RECONSTRUCTED BREAST Y 3 $13.45 01/02/1995 12/31/2299
19380 8 REVISION OF RECONSTRUCTED BREAST Y 3 $90.00 01/02/1996 12/31/2299
19380 F REVISION OF RECONSTRUCTED BREAST N 3 $495.00 03/01/2004 12/31/2299
19499 7 UNLISTED PROCEDURE, BREAST N 3 $13.45 06/01/1994 12/31/2299
20000 2 INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTEOMYELITIS;SUPER N 3 $10.00 01/01/1971 12/31/2299
20000 7 INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTE N 3 $13.45 06/01/1994 12/31/2299
20005 2 INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTE N 3 $50.00 01/01/1984 12/31/2299
20005 7 INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTE N 3 $13.45 06/01/1994 12/31/2299
20005 F INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTE N 3 $306.00 03/01/2004 12/31/2299
20010 2 INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTE N 3 $50.00 01/01/1984 12/31/2299
20010 7 INCISION OF SOFT TISSUE ABSCESS, SECONDARY TO OSTE N 3 $13.45 06/01/1994 12/31/2299
20100 8 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE) NECK N 3 $76.31 01/01/1996 12/31/2299
20101 2 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE) CHEST N 3 $120.59 01/01/1996 12/31/2299
20101 8 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE) CHEST N 3 $24.12 01/01/1996 12/31/2299
20102 2 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE)ABD/FLNK/BCK N 3 $147.69 01/01/1996 12/31/2299
20102 7 ANESTHESIA,EXPLORATION OF PENETRATING WOUND(SEPARATE PROC)ABD/FLN N 3 $13.45 01/01/1998 12/31/2299
20102 8 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE)ABD/FLNK/BCK N 3 $29.54 01/01/1996 12/31/2299
20103 2 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE)EXTREMITY N 3 $198.73 01/01/1996 12/31/2299
20103 8 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE)EXTREMITY N 3 $39.75 01/01/1996 12/31/2299
20150 2 EXCISISION EPIPHYSEAL BAR W/OR W/O AUTOGENEOUS SOFT TISSUE GRAFT N 3 $650.26 01/01/1997 12/31/2299
20150 7 EXCISE EPIPHYSEAL BAR W/ OR W/O AUTOGENOUS SOFT TISSUE N 3 $13.45 01/01/1997 12/31/2299
20150 8 EXCISE EPIPHYSEAR BAR, W/ OR W/O AUTOGENOUS SOFT TISSUE GRAFT N 3 $130.06 01/01/1997 12/31/2299
20200 2 BIOPSY, MUSCLE; SUPERFICIAL N 3 $40.00 01/01/1979 12/31/2299
20200 7 BIOPSY, MUSCLE; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
20200 F BIOPSY, MUSCLE; SUPERFICIAL N 3 $306.00 03/01/2004 12/31/2299
20205 2 BIOPSY, MUSCLE; DEEP N 3 $75.00 01/01/1984 12/31/2299
20205 7 BIOPSY, MUSCLE; DEEP N 3 $13.45 06/01/1994 12/31/2299
20205 F BIOPSY, MUSCLE; DEEP N 3 $351.00 03/01/2004 12/31/2299
20206 2 BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE N 3 $25.00 01/01/1984 12/31/2299
20206 7 BIOPSY, MUSCLE N 3 $13.45 06/01/1994 12/31/2299
20206 F BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE N 3 $225.80 03/01/2004 12/31/2299
20220 2 BIOPSY, BONE, TROCAR OR NEEDLE; SUPERFICIAL N 3 $30.00 01/01/1973 12/31/2299
20220 7 BIOPSY, BONE, TROCAR OR NEEDLE; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
20220 F BIOPSY, BONE, TROCAR OR NEEDLE; SUPERFICIAL N 3 $225.80 03/01/2004 12/31/2299
20225 2 BIOPSY, BONE, TROCAR OR NEEDLE; DEEP N 3 $100.00 01/01/1973 12/31/2299
20225 7 BIOPSY, BONE, TROCAR OR NEEDLE; DEEP N 3 $13.45 06/01/1994 12/31/2299
20225 F BIOPSY, BONE, TROCAR OR NEEDLE; DEEP N 3 $306.00 03/01/2004 12/31/2299
20240 2 BIOPSY, BONE EXCISIONAL;SUPERFICIAL N 3 $75.00 01/01/1971 12/31/2299
20240 7 BIOPSY, EXCISIONAL; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
20240 F BIOPSY, BONE EXCISIONAL;SUPERFICIAL N 3 $306.00 03/01/2004 12/31/2299
20245 2 BIOPSY, EXCISIONAL; DEEP N 3 $125.00 01/01/1973 12/31/2299
20245 7 BIOPSY, EXCISIONAL; DEEP N 3 $13.45 06/01/1994 12/31/2299
20245 F BIOPSY, EXCISIONAL; DEEP N 3 $351.00 03/01/2004 12/31/2299
20250 2 BIOPSY, VERTEBRAL BODY, OPEN; THORACIC N 3 $125.00 01/01/1984 12/31/2299
20250 7 BIOPSY, VERTEBRAL BODY, OPEN; THORACIC N 3 $13.45 06/01/1994 12/31/2299
20250 F BIOPSY, VERTEBRAL BODY, OPEN; THORACIC N 3 $351.00 03/01/2004 12/31/2299
20251 2 BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL N 3 $150.00 01/01/1984 12/31/2299
20251 7 BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL N 3 $13.45 06/01/1994 12/31/2299
20251 8 BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL N 3 $46.50 01/01/2003 12/31/2299
20251 F BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL N 3 $351.00 03/01/2004 12/31/2299
20500 2 INJECTION OF SINUS TRACT; THERAPEUTIC N 3 $10.00 01/01/1973 12/31/2299
20501 2 INJECTION OF SINUS TRACT; DIAGNOSTIC N 3 $21.00 01/02/1994 12/31/2299
20520 2 REMOVAL OF FOREIGN BODY IN MUSCLE; SIMPLE N 3 $30.00 01/01/1979 12/31/2299
20520 7 REMOVAL OF FOREIGN BODY IN MUSCLE; SIMPLE N 3 $13.45 06/01/1994 12/31/2299
20525 2 REMOVAL OF FOREIGN BODY IN MUSCLE; DEEP OR COMPLIC N 3 $75.00 01/01/1984 12/31/2299
20525 7 REMOVAL OF FOREIGN BODY IN MUSCLE; DEEP OR COMPLIC N 3 $13.45 06/01/1994 12/31/2299
20525 F REMOVAL OF FOREIGN BODY IN MUSCLE; DEEP OR COMPLIC N 3 $351.00 03/01/2004 12/31/2299
20526 1 INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC CORTICOSTEROID CARPA N 3 $36.94 01/01/2002 12/31/2299
20526 2 INJECTION,THERAPEUTIC(EG LOCAL ANESTH,CORTICOS,CARPEL TUNNEL N 3 $39.05 01/01/2002 12/31/2299
20550 2 INJECTION, TENDON SHEATH, LIGAMENT, TRIGGER POINTS OR GANGION CYS N 3 $38.51 01/01/2002 12/31/2299
20550 3 INJECTION,TENDON SHEATH, LIGAMEN, TRIGGER POINTS N 3 $10.00 04/30/1991 12/31/2299
20550 7 INJECTION, TENDON SHEATH, LIGAMENT, TRIGGER POINTS N 3 $13.45 06/01/1994 12/31/2299
20551 1 INJECTION, TENDON ORIGIN/INSERTION N 3 $36.94 01/01/2002 12/31/2299
20551 2 INJECTN,THERAPETC,EG LOCAL ANESTH CORTESTEROID,SNGL TENDON N 3 $33.33 01/01/2002 12/31/2299
20551 7 INJECTN,THERPETC(EG LOCL ANEST,CORTICOSTERIOD,SNGL TENDON N 3 $13.45 01/01/2002 12/31/2299
20552 2 INJECTION SINGLE OR MULTIPLE TRIGGER POINT(S) ONE OR TWO MUSCLE N 3 $36.94 01/01/2002 12/31/2299
20552 7 INJECTN, SNGL OR MULT TRIGGER PNTS, 1 OR 2 MUSCLES N 3 $13.45 01/01/2002 12/31/2299
20553 2 INJECTION: SINGLE OR MULTIPLE TRIGGER POINT THRE OR MORE MUSCLE N 3 $36.94 01/01/2002 12/31/2299
20553 7 INJECTION,SINGLE OR MULTIPLE TRIGGER POINT 3 OR MORE MUSCLES N 3 $13.45 01/01/2002 12/31/2299
20600 2 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; SMALL N 3 $13.00 01/02/1994 12/31/2299
20600 7 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; SMALL N 3 $13.45 06/01/1994 12/31/2299
20605 2 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; INTER N 3 $15.00 01/01/1979 12/31/2299
20605 7 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; INTER N 3 $13.45 06/01/1994 12/31/2299
20610 2 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; MAJOR N 3 $22.00 01/02/1996 12/31/2299
20610 3 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION;MAJOR N 3 $18.00 01/31/1991 12/31/2299
20610 7 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; MAJOR N 3 $13.45 06/01/1994 12/31/2299
20612 2 ASPIRATION &/OR INJ GANGLION CYST(S) ANY LOCATION N 3 $33.83 01/01/2003 12/31/2299
20615 2 ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYS N 3 $30.00 01/01/1984 12/31/2299
20615 7 ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYS N 3 $13.45 06/01/1994 12/31/2299
20650 2 INSERTION OF WIRE OR PIN FOR SKELETAL TRACTION, IN N 3 $107.33 01/01/1999 12/31/2299
20650 7 INSERTION OF WIRE OR PIN FOR SKELETAL TRACTION, IN N 3 $13.45 06/01/1994 12/31/2299
20650 F INSERTION OF WIRE OR PIN FOR SKELETAL TRACTION, IN N 3 $351.00 03/01/2004 12/31/2299
20660 2 APPLICATION OF TONGS OR CALIPER, INCLUDING REMOVAL N 3 $75.00 01/01/1973 12/31/2299
20660 7 APPLICATION OF TONGS OR CALIPER, INCLUDING REMOVAL N 3 $13.45 06/01/1994 12/31/2299
20661 2 APPLICATION OF HALO; CRANIAL N 3 $50.00 01/01/1984 12/31/2299
20661 7 APPLICATION OF HALO; CRANIAL N 3 $13.45 06/01/1994 12/31/2299
20662 2 APPLICATION OF HALO; PELVIC N 3 $50.00 01/01/1984 12/31/2299
20662 7 APPLICATION OF HALO; PELVIC N 3 $13.45 06/01/1994 12/31/2299
20663 2 APPLICATION OF HALO; FEMORAL N 3 $50.00 01/01/1984 12/31/2299
20663 7 APPLICATION OF HALO; FEMORAL N 3 $13.45 06/01/1994 12/31/2299
20664 2 APPLY HALO,INCL.REMOVAL,CRANIAL,6OR MORE PINS(PEDI;W/GEN.ANESTH N 3 $261.50 01/01/1998 12/31/2299
20664 7 APPLY HALO,INC.REMOVAL,CRANIAL,6 OR MORE PINS;PEDIATRIC,W/GENANES N 3 $13.45 01/01/1998 12/31/2299
20664 8 APPLY HALO,INC.REMOVAL,CRANIAL,6OR MORE PINS,PEDIATRIC.W/GENANEST N 3 $52.30 01/01/1998 12/31/2299
20665 2 REMOVAL OF TONGS OR HALO APPLIED BY ANOTHER PHYSIC N 3 $10.00 08/01/1979 12/31/2299
20665 7 REMOVAL OF TONGS OR HALO APPLIED BY ANOTHER PHYSIC N 3 $13.45 06/01/1994 12/31/2299
20670 2 REMOVAL OF IMPLANT; SUPERFICIAL,(EG.BURIED WIRE, PIN OR ROD) N 3 $54.00 01/02/1998 12/31/2299
20670 7 REMOVAL OF IMPLANT; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
20670 F REMOVAL OF IMPLANT; SUPERFICIAL,(EG.BURIED WIRE, PIN OR ROD) N 3 $225.80 03/01/2004 12/31/2299
20680 2 REMOVAL OF IMPLANT; DEEP N 3 $150.00 01/03/1992 12/31/2299
20680 7 REMOVAL OF IMPLANT; DEEP N 3 $13.45 06/01/1994 12/31/2299
20680 8 REMOVAL OF IMPLANT; DEEP N 3 $33.00 01/02/1994 12/31/2299
20680 F REMOVAL OF IMPLANT; DEEP N 3 $351.00 03/01/2004 12/31/2299
20690 2 APPLICATION OF EXTERNAL FIXATION SYSTEM (EG,HOFFMA N 3 $65.00 01/01/1984 12/31/2299
20690 7 APPLICATION OF EXTERNAL FIXATION SYSTEM (EG,HOFFMA N 3 $13.45 06/01/1994 12/31/2299
20690 8 APPLICATION OF EXTERNAL FIXATION SYS - HOFFMAN N 3 $13.00 01/01/1984 12/31/2299
20690 F APPLICATION OF EXTERNAL FIXATION SYSTEM (EG,HOFFMA N 3 $306.00 03/01/2004 12/31/2299
20692 2 APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE N 3 $254.10 01/02/1992 12/31/2299
20692 7 APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE N 3 $13.45 06/01/1994 12/31/2299
20692 8 APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE N 3 $50.00 01/01/1992 12/31/2299
20692 F APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE N 3 $351.00 03/01/2004 12/31/2299
20693 2 ADJUSTMENT OR REVISION OF EXTERNAL FIXATION SYSTEM N 3 $160.00 01/01/1984 12/31/2299
20693 7 ADJUSTMENT OR REVISION OF EXTERNAL FIXATION SYSTEM N 3 $13.45 06/01/1994 12/31/2299
20693 F ADJUSTMENT OR REVISION OF EXTERNAL FIXATION SYSTEM N 3 $351.00 03/01/2004 12/31/2299
20694 2 REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SY N 3 $150.60 01/02/1992 12/31/2299
20694 7 REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SY N 3 $13.45 06/01/1994 12/31/2299
20694 8 REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SY N 3 $30.00 01/01/1992 12/31/2299
20694 F REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SY N 3 $225.80 03/01/2004 12/31/2299
20750 7 REPAIR N 3 $13.45 06/01/1994 12/31/2299
20802 7 REPLANTATION, ARM; COMPLETE N 3 $13.45 06/01/1994 12/31/2299
20804 7 REIMPLANTATION, ARM; INCOMPLETE N 3 $13.45 06/01/1994 12/31/2299
20805 7 REPLANTATION, FOREARM (INCLUDES RADIUS AND ULNA TO N 3 $13.45 06/01/1994 12/31/2299
20806 7 REPLANTATION, FOREARM (INCLUDES RADIUS AND ULNA TO N 3 $13.45 06/01/1994 12/31/2299
20808 7 REPLANTATION, HAND; COMPLETE N 3 $13.45 06/01/1994 12/31/2299
20812 7 REIMPLANTATION, HAND; INCOMPLETE N 3 $13.45 06/01/1994 12/31/2299
20816 2 REPLANTATION, DIGIT; COMPLETE N 3 $700.00 01/01/1984 12/31/2299
20816 7 REPLANTATION, DIGIT; COMPLETE N 3 $13.45 06/01/1994 12/31/2299
20820 2 REIMPLANTATION, DIGIT; INCOMPLETE N 3 $700.00 01/01/1984 12/31/2299
20820 7 REIMPLANTATION, DIGIT; INCOMPLETE N 3 $13.45 06/01/1994 12/31/2299
20822 7 REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES DIS N 3 $13.45 06/01/1994 12/31/2299
20823 7 REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES DIS N 3 $13.45 06/01/1994 12/31/2299
20824 7 REPLANTATION, THUMB (INCLUDES CARPOMETACARPAL JOIN N 3 $13.45 06/01/1994 12/31/2299
20826 7 REPLANTATION, THUMB (INCLUDES CARPOMETACARPAL JOIN N 3 $13.45 06/01/1994 12/31/2299
20827 7 REPLANTATION, THUMB (INCLUDES DISTAL TIP TO MP JOI N 3 $13.45 06/01/1994 12/31/2299
20828 7 REPLANTATION, THUMB (INCLUDES DISTAL TIP TO MP JOI N 3 $13.45 06/01/1994 12/31/2299
20832 7 REPLANTATION, LEG; COMPLETE N 3 $13.45 06/01/1994 12/31/2299
20834 7 REPLANTATION, LEG; INCOMPLETE (NONVIABLE EXTREMITY N 3 $13.45 06/01/1994 12/31/2299
20838 7 REPLANTATION, FOOT; COMPLETE N 3 $13.45 06/01/1994 12/31/2299
20840 7 REPLANTATION, FOOT; INCOMPLETE (NONVIABLE EXTREMIT N 3 $13.45 06/01/1994 12/31/2299
20900 2 BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL N 3 $60.00 01/01/1973 12/31/2299
20900 7 BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL N 3 $13.45 06/01/1994 12/31/2299
20900 8 BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL N 3 $7.20 01/01/1984 12/31/2299
20900 F BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL N 3 $351.00 03/01/2004 12/31/2299
20902 2 BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE N 3 $290.00 01/02/1994 12/31/2299
20902 7 BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE N 3 $13.45 06/01/1994 12/31/2299
20902 8 BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE N 3 $24.00 01/01/1984 12/31/2299
20902 F BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE N 3 $432.00 03/01/2004 12/31/2299
20910 2 CARTILAGE GRAFT; COSTOCHONDRAL N 3 $120.00 01/01/1973 12/31/2299
20910 7 CARTILAGE GRAFT; COSTOCHONDRAL N 3 $13.45 06/01/1994 12/31/2299
20910 F CARTILAGE GRAFT; COSTOCHONDRAL N 3 $351.00 03/01/2004 12/31/2299
20912 2 CARTILAGE GRAFT; NASAL SEPTUM N 3 $75.00 01/01/1984 12/31/2299
20912 7 CARTILAGE GRAFT; NASAL SEPTUM N 3 $13.45 06/01/1994 12/31/2299
20912 F CARTILAGE GRAFT; NASAL SEPTUM N 3 $351.00 03/01/2004 12/31/2299
20920 2 FASCIA LATA GRAFT; BY STRIPPER N 3 $65.00 01/01/1984 12/31/2299
20920 7 FASCIA LATA GRAFT; BY STRIPPER N 3 $13.45 06/01/1994 12/31/2299
20920 F FASCIA LATA GRAFT; BY STRIPPER N 3 $432.00 03/01/2004 12/31/2299
20922 2 FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, N 3 $150.00 01/01/1984 12/31/2299
20922 7 FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, N 3 $13.45 06/01/1994 12/31/2299
20922 F FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, N 3 $351.00 03/01/2004 12/31/2299
20924 2 TENDON GRAFT, FROM A DISTANCE N 3 $150.00 01/01/1984 12/31/2299
20924 7 TENDON GRAFT, FROM A DISTANCE N 3 $13.45 06/01/1994 12/31/2299
20924 8 TENDON GRAFT, FROM A DISTANCE N 3 $59.94 01/01/2003 12/31/2299
20924 F TENDON GRAFT, FROM A DISTANCE N 3 $432.00 03/01/2004 12/31/2299
20926 2 TISSUE GRAFTS, OTHER N 3 $198.00 01/02/1995 12/31/2299
20926 7 TISSUE GRAFTS, OTHER N 3 $13.45 06/01/1994 12/31/2299
20926 F TISSUE GRAFTS, OTHER N 3 $432.00 03/01/2004 12/31/2299
20930 2 ALLOGRAFT FOR SPINE SURGERY ONLY; MORSELIZED N 3 $120.00 01/01/1997 12/31/2299
20930 8 ALLOGRAFT FOR SPINE SURGERY ONLY; STRUCTURAL N 3 $24.00 01/01/1997 12/31/2299
20931 2 ALLOGRAFT FOR SPINE SURGERY ONLY; STRUCTURAL N 3 $93.84 01/01/1996 12/31/2299
20931 8 ALLOGRAFT FOR SPINE SURGERY ONLY; STRUCTURAL N 3 $18.77 01/01/1996 12/31/2299
20936 2 AUTOGRAFT FOR SPINE SURGERY ONLY; OBTAINED FROM SAME INCISION N 3 $100.00 01/01/1997 12/31/2299
20936 8 AUTOGRAFT FOR SPINE SURGERY ONLY; OBTAINED FROM SAME INCISION N 3 $20.00 01/01/1997 12/31/2299
20937 2 AUTOGRAFT FOR SPINE SURGERY ONLY; MORSELIZED N 3 $144.67 01/01/1996 12/31/2299
20937 8 AUTOGRAFT FOR SPINE SURGERY ONLY; MORSELIZED N 3 $28.93 01/01/1996 12/31/2299
20938 2 AUTOGRAFT FOR SPINE SURGERY ONLY; STRUCTURAL N 3 $156.47 01/01/1996 12/31/2299
20938 8 AUTOGRAFT FOR SPINE SURGERY ONLY; STRUCTURAL N 3 $31.29 01/01/1996 12/31/2299
20950 2 MONITORING OF INTERSTITIAL FLUID PRESS (EG WICK CA N 3 $40.00 01/01/1984 12/31/2299
20950 7 MONITORING OF INTERSTITIAL FLUID PRESS (EG WICK CA N 3 $13.45 06/01/1994 12/31/2299
20955 2 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; FIBULA N 3 $1,879.66 01/01/1997 12/31/2299
20955 7 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; FIBULA N 3 $13.45 06/01/1994 12/31/2299
20955 8 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; FIBULA N 3 $375.94 01/01/1997 12/31/2299
20956 2 BONE GRAFT W/MICROVASCULAR ANASTOMOSIS; ILIAC CREST N 3 $1,625.83 01/01/1997 12/31/2299
20956 7 BONE GRAFT W/MICROVASCULAR ANASTOMOSIS; ILIAC CREST N 3 $13.45 01/01/1997 12/31/2299
20956 8 BONE GRAFT W/MICROVASCULAR ANASTOMOSIS; ILIAC CREST N 3 $325.16 01/01/1997 12/31/2299
20957 2 BONE GRAFT W/MICROVASCULAR ANASTOMOSIS; METATARSAL N 3 $1,684.37 01/01/1997 12/31/2299
20957 7 BONE GRAFT W/MICROVASCULAR ANASTOMOSIS; METATARSAL N 3 $13.45 01/01/1997 12/31/2299
20957 8 BONE GRAFT W/MICROVASCULAR ANASTOMOSIS; METATARSAL N 3 $336.88 01/01/1997 12/31/2299
20960 7 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; RIB N 3 $13.45 06/01/1994 12/31/2299
20962 2 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS;OTHER THAN FIBULA,ILIAC N 3 $1,625.83 01/01/1997 12/31/2299
20962 7 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; OTHER B N 3 $13.45 06/01/1994 12/31/2299
20962 8 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS;OTHER THAN FIBULA,ILIAC N 3 $325.16 01/01/1997 12/31/2299
20969 2 FREE OSTEOCUTANEOUS FLAP W/MICROVASCULAR ANAST;OTH N 3 $2,104.63 01/01/1997 12/31/2299
20969 7 FREE OSTEOCUTANEOUS FLAP W/MICROVASCULAR ANAST;OTH N 3 $13.45 06/01/1994 12/31/2299
20969 8 FREE OSTEOCUTANEOUS FLAP W/MICROVASCULAR ANAST;OTH N 3 $420.92 01/01/1997 12/31/2299
20970 2 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS;ILIAC CRE N 3 $2,061.71 01/01/1997 12/31/2299
20970 7 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTO N 3 $13.45 06/01/1994 12/31/2299
20970 8 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTO N 3 $412.34 01/01/1997 12/31/2299
20971 7 FREE OSTEOCUTANEOUS FLAP W/MICROVASCULAR ANASTOMOS N 3 $13.45 06/01/1994 12/31/2299
20972 7 FREE OSTEOCUTANEOUS FLAP W/MICROVASCULAR ANASTOMOS N 3 $13.45 06/01/1994 12/31/2299
20973 7 FREE OSTEOCUTANEOUS FLAP W/MICRO ANASTOM GR TOE N 3 $13.45 06/01/1994 12/31/2299
20975 2 ELECTRICAL STIMULATION TO AID BONE HEALING; INVASI N 3 $175.00 01/01/1997 12/31/2299
20975 F ELECTRICAL STIMULATION TO AID BONE HEALING; INVASI N 3 $306.00 03/01/2004 12/31/2299
20979 2 LOW INTENSITY ULTRASOUND STIMULATION TO AID BONE HEALING NONINVAS N 3 $9.59 01/01/2000 12/31/2299
20982 4 ABLATION BONE TUMOR(S) EG OSTEOID OSTEOMA METASTASIS RADIOFREQUEN N 3 $1,426.46 01/01/2004 12/31/2299
20999 7 UNLISTED PROCEDURE, MUSCULOSKELETAL SYSTEM, GENERA N 3 $13.45 06/01/1994 12/31/2299
21010 2 ARTHROTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $275.00 01/01/1984 12/31/2299
21010 7 ARTHROTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
21010 F ARTHROTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $306.00 03/01/2004 12/31/2299
21015 2 (SKULL, FACIAL BONES AND TEMPOROMANDIBULAR JOINT) N 3 $287.71 01/01/2003 12/31/2299
21015 7 (SKULL, FACIAL BONES AND TEMPOROMANDIBULAR JOINT) N 3 $13.45 06/01/1994 12/31/2299
21015 F (SKULL, FACIAL BONES AND TEMPOROMANDIBULAR JOINT) N 3 $351.00 03/01/2004 12/31/2299
21025 2 EXCISN BONE (FOR OSTEMYLITIS/BONE ABSCESS); MANDIB N 3 $150.00 01/01/1984 12/31/2299
21025 7 EXCISN BONE (FOR OSTEMYLITIS/BONE ABSCESS); MANDIB N 3 $13.45 06/01/1994 12/31/2299
21025 8 EXCISN BONE (FOR OSTEMYLITIS/BONE ABSCESS); MANDIB N 3 $30.00 01/01/1984 12/31/2299
21025 F EXCISN BONE (FOR OSTEMYLITIS/BONE ABSCESS); MANDIB N 3 $306.00 03/01/2004 12/31/2299
21026 7 EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE AB N 3 $13.45 06/01/1994 12/31/2299
21026 F EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE AB N 3 $306.00 03/01/2004 12/31/2299
21029 7 REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BO N 3 $13.45 06/01/1994 12/31/2299
21029 F REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BO N 3 $306.00 03/01/2004 12/31/2299
21030 2 EXCISION OF BENIGN TUMOR OR CYST OF FACIAL BONE OT N 3 $125.00 01/01/1984 12/31/2299
21030 7 EXCISION OF BENIGN TUMOR OR CYST OF FACIAL BONE OT N 3 $13.45 06/01/1994 12/31/2299
21031 2 EXCISION OF TORUS MANDIRULARIS N 3 $100.00 01/01/1984 12/31/2299
21031 7 EXCISION OF TORUS MANDIBULARIS N 3 $13.45 06/01/1994 12/31/2299
21032 7 EXCISION OF MAXILLARY TORUS PALATINUS N 3 $13.45 06/01/1994 12/31/2299
21034 2 EXCISION OF MALIGNANT TUMOR OF FACIAL BONE OTHER T N 3 $225.00 01/01/1984 12/31/2299
21034 7 EXCISION OF MALIGNANT TUMOR OF FACIAL BONE OTHER T N 3 $13.45 06/01/1994 12/31/2299
21034 F EXCISION OF MALIGNANT TUMOR OF FACIAL BONE OTHER T N 3 $351.00 03/01/2004 12/31/2299
21040 2 EXCISION OF BENIGN CYST OR TUMOR OF MANDIBLE; SIMP N 3 $125.00 01/01/1973 12/31/2299
21040 7 EXCISION OF BENIGN CYST OR TUMOR OF MANDIBLE; SIMP N 3 $13.45 06/01/1994 12/31/2299
21040 F EXCISION OF BENIGN CYST OR TUMOR OF MANDIBLE; SIMP N 3 $306.00 03/01/2004 12/31/2299
21041 7 EXCISION OF BENIGN CYST OR TUMOR OF MANDIBLE; COMP N 3 $13.45 06/01/1994 12/31/2299
21044 2 EXCISION OF MALIGNANT TUMOR OF MANDIBLE; N 3 $300.00 01/01/1984 12/31/2299
21044 7 EXCISION OF MALIGNANT TUMOR OF MANDIBLE; N 3 $13.45 06/01/1994 12/31/2299
21044 F EXCISION OF MALIGNANT TUMOR OF MANDIBLE; N 3 $306.00 03/01/2004 12/31/2299
21045 2 EXCISION OF MALIGNANT TUMOR OF MANDIBLE; RADICAL R N 3 $450.00 01/01/1984 12/31/2299
21045 7 EXCISION OF MALIGNANT TUMOR OF MANDIBLE; RADICAL R N 3 $13.45 06/01/1994 12/31/2299
21046 2 EXCISION BENIGN TUMOR/CYST MANDIBLE INTRA ORAL OSTEOTOMY N 3 $538.18 01/01/2003 12/31/2299
21047 2 EXCIS BENIGN TUMOR/CYST MANDIBLE EXTRA ORAL OSTEOTOMY N 3 $660.28 01/01/2003 12/31/2299
21048 2 EXC BENIGN TUMOR/CYST MAXILLA INTRA ORAL OSTEOTOMY N 3 $553.84 01/01/2003 12/31/2299
21049 2 EXCIS BENIGN TUMOR/CYST MAXILLA EXTRA ORAL OSTEOTOMY N 3 $627.22 01/01/2003 12/31/2299
21050 2 ARTHRECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $450.00 01/01/1973 12/31/2299
21050 7 ARTHRECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
21050 8 ARTHRECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $90.00 01/01/1973 12/31/2299
21050 F ARTHRECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $351.00 03/01/2004 12/31/2299
21060 2 MENISCECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $450.00 01/01/1973 12/31/2299
21060 7 MENISCECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
21060 8 MENISCECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $90.00 01/01/1973 12/31/2299
21060 F MENISCECTOMY, TEMPOROMANDIBULAR JOINT; UNILATERAL N 3 $306.00 03/01/2004 12/31/2299
21070 2 CORONOIDECTOMY (SEPARATE PROCEDURE); UNILATERAL N 3 $400.00 01/01/1984 12/31/2299
21070 7 CORONOIDECTOMY (SEPARATE PROCEDURE); UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
21070 F CORONOIDECTOMY (SEPARATE PROCEDURE); UNILATERAL N 3 $351.00 03/01/2004 12/31/2299
21076 2 IMPRESSION & CUSTOM PREPARATION;SURGICAL OBTURATOR PROSTHESIS N 3 $758.03 01/01/1996 12/31/2299
21077 2 IMPRESSION & CUSTOM PREPARATION ORBITAL PROSTHESE N 3 $1,906.46 01/01/1996 12/31/2299
21079 2 IMPRESSION AND CUSTOM PREPARATION;INTERIM OBTURATOR PROSTHESIS N 3 $1,225.31 01/01/1997 12/31/2299
21079 7 (SKULL, FACIAL BONES AND TEMPOROMANDIBULAR JOINT) N 3 $13.45 06/01/1994 12/31/2299
21079 8 IMPRESSION AND CUSTOM PREPARATION;INTERIM OBTURATOR PROSTHESIS N 3 $245.06 01/01/1997 12/31/2299
21080 2 IMPRESSION AND CUSTOM PREPARATION;DEFINITIVE OBTRUATOR PROSTHESIS N 3 $1,376.51 01/01/1997 12/31/2299
21080 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21080 8 IMPRESSION AND CUSTOM PREPARATION;DEFINITIVE OBTURATOR PROSTHESIS N 3 $275.30 01/01/1997 12/31/2299
21081 2 IMPRESSION AND CUSTOM PREPARATION;MANDIBULAR RESECTION PROSTHESIS N 3 $1,254.34 01/01/1997 12/31/2299
21081 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21081 8 IMPRESSION AND CUSTOM PREPARATION;MANDIBULAR RESECTION PROSTHESIS N 3 $250.86 01/01/1997 12/31/2299
21082 2 IMPRESSION AND CUSTOM PREPARATION;PALATAL AUGMENTATION PROSTHESIS N 3 $1,144.20 01/01/1997 12/31/2299
21082 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21082 8 IMPRESSION AND CUSTOM PREPARATION;PALATAL AUGMENTATION PROSTHESIS N 3 $228.84 01/01/1997 12/31/2299
21083 2 IMPRESSION AND CUSTOM PREPARATION;PALATAL LIFT PROSTHESIS N 3 $1,058.54 01/01/1997 12/31/2299
21083 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21083 8 IMPRESSION AND CUSTOM PREPARATION;PALATAL LIFT PROSTHESIS N 3 $211.70 01/01/1997 12/31/2299
21085 2 IMPRESSION AND CUSTOM PREPARATION;ORAL SURGICAL SPLINT N 3 $315.57 01/01/2002 12/31/2299
21085 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21086 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21087 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21088 7 IMPRESSION AND CUSTOM PREPARATION; N 3 $13.45 06/01/1994 12/31/2299
21089 7 UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE N 3 $13.45 06/01/1994 12/31/2299
21100 2 APPLICATION OF HALO TYPE APPLIANCE FOR MAXILLOFACI N 3 $50.00 01/01/1973 12/31/2299
21100 7 APPLICATION OF HALO TYPE APPLIANCE FOR MAXILLOFACI N 3 $13.45 06/01/1994 12/31/2299
21100 F APPLICATION OF HALO TYPE APPLIANCE FOR MAXILLOFACI N 3 $306.00 03/01/2004 12/31/2299
21110 2 APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CON N 3 $50.00 01/01/1984 12/31/2299
21110 7 APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CON N 3 $13.45 06/01/1994 12/31/2299
21116 2 INJECTION PROC. FOR TEMPOROMANDIBULAR ARTHROTOMGRA N 3 $20.00 01/01/1984 12/31/2299
21120 7 (SKULL, FACIAL BONES AND TEMPOROMANDIBULAR JOINT) N 3 $13.45 06/01/1994 12/31/2299
21121 7 GENIOPLASTY; N 3 $13.45 06/01/1994 12/31/2299
21122 7 GENIOPLASTY; N 3 $13.45 06/01/1994 12/31/2299
21122 F GENIOPLASTY; N 3 $495.00 03/01/2004 12/31/2299
21123 7 GENIOPLASTY; N 3 $13.45 06/01/1994 12/31/2299
21123 F GENIOPLASTY; N 3 $495.00 03/01/2004 12/31/2299
21125 7 AUGMENTATION, MANDIBULAR BODY OR ANGLE; N 3 $13.45 06/01/1994 12/31/2299
21127 7 AUGMENTATION, MANDIBULAR BODY OR ANGLE; N 3 $13.45 06/01/1994 12/31/2299
21127 F AUGMENTATION, MANDIBULAR BODY OR ANGLE; N 3 $495.00 03/01/2004 12/31/2299
21137 7 REDUCTION FOREHEAD; N 3 $13.45 06/01/1994 12/31/2299
21138 7 REDUCTION FOREHEAD; N 3 $13.45 06/01/1994 12/31/2299
21139 7 REDUCTION FOREHEAD; N 3 $13.45 06/01/1994 12/31/2299
21141 2 RECONSTRUCTION MIDFACE; WITHOUT BONE GRAFT N 3 $809.86 01/01/1996 12/31/2299
21141 7 RECONSTRUCTION MIDFACE;WITHOUT BONE GRAFT N 3 $13.45 01/01/1996 12/31/2299
21141 8 RECONSTRUCTION MIDFACE; WITHOUT BONE GRAFT N 3 $161.97 01/01/1996 12/31/2299
21142 2 RECONSTRUCTION MIDFACE; TWO PIECES; WITHOUT BONE GRAFT N 3 $839.82 01/01/1996 12/31/2299
21142 8 RECONSTRUCITON MIDFACE; TWO PIECES; WITHOUT BONE GRAFT N 3 $167.96 01/01/1996 12/31/2299
21143 2 RECONSTRUCITON MIDFACE; 3 OR MORE PIECES, WITHOUT BONE GRAFT N 3 $872.98 01/01/1996 12/31/2299
21143 8 RECONSTRUCTION MIDFACE; 3 OR MORE PIECES; WITHOUT BONE GRAFT N 3 $174.60 01/01/1996 12/31/2299
21144 7 RECONSTRUCTION MIDFACE, LEFORT I; N 3 $13.45 06/01/1994 12/31/2299
21145 7 RECONSTRUCTION MIDFACE, LEFORT I; N 3 $13.45 06/01/1994 12/31/2299
21146 7 RECONSTRUCTION MIDFACE, LEFORT I; N 3 $13.45 06/01/1994 12/31/2299
21147 7 RECONSTRUCTION MIDFACE, LEFORT I; N 3 $13.45 06/01/1994 12/31/2299
21150 7 RECONSTRUCTION MIDFACE, LEFORT II; N 3 $13.45 06/01/1994 12/31/2299
21151 7 RECONSTRUCTION MIDFACE, LEFORT II; N 3 $13.45 06/01/1994 12/31/2299
21154 7 RECONSTRUCTION MIDFACE, LEFORT III (EXTRACRANIAL), N 3 $13.45 06/01/1994 12/31/2299
21155 7 RECONSTRUCTION MIDFACE, LEFORT III (EXTRACRANIAL), N 3 $13.45 06/01/1994 12/31/2299
21159 7 RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTR N 3 $13.45 06/01/1994 12/31/2299
21160 7 RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTR N 3 $13.45 06/01/1994 12/31/2299
21172 7 RECONSTRUCTION SUPERIOR-LATERAL ORBITAL RIM AND LO N 3 $13.45 06/01/1994 12/31/2299
21175 2 RECONSTRUCTION,BIFRONTAL,SUPERIOR-LATERAL ORBITAL RIMS AND LOWER N 3 $1,380.00 01/02/1994 12/31/2299
21175 7 RECON,BI-FRONTAL,SUP-LAT ORB RIMS AND LOW FRHEAD N 3 $13.45 06/01/1994 12/31/2299
21175 8 RECONSTRUCTION,BIFRONTAL,SUPERIOR-LATERAL ORBITAL RIMS AND LOWER N 3 $276.00 01/02/1994 12/31/2299
21179 2 RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND N 3 $924.00 01/02/1994 12/31/2299
21179 7 RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND N 3 $13.45 06/01/1994 12/31/2299
21180 7 RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND N 3 $13.45 06/01/1994 12/31/2299
21181 7 REMOVAL BY CONTOURING OF BENIGN TUMOR OF CRANIAL B N 3 $13.45 06/01/1994 12/31/2299
21181 F REMOVAL BY CONTOURING OF BENIGN TUMOR OF CRANIAL B N 3 $495.00 03/01/2004 12/31/2299
21182 2 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, N N 3 $1,226.19 01/01/2002 12/31/2299
21182 7 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, N N 3 $13.45 06/01/1994 12/31/2299
21183 7 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, N N 3 $13.45 06/01/1994 12/31/2299
21184 7 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, N N 3 $13.45 06/01/1994 12/31/2299
21188 7 RECONSTRUCTION MIDFACE, OSTEOTOMIES (OTHER THAN LE N 3 $13.45 06/01/1994 12/31/2299
21193 2 RECONSTRUCTION OF MANDIBULAR RAMI,HORIZ/VERT,C/L OSTETMY W/O GRFT N 3 $550.00 01/01/1996 12/31/2299
21193 7 RECONSTRUCTION OF MANDIBULAR RAMUS, HORIZONTAL, VERTICAL N 3 $13.45 06/01/1994 12/31/2299
21194 7 RECONSTRUCTION OF MANDIBULAR RAMUS, HORIZONTAL, VERTICAL,C N 3 $13.45 06/01/1994 12/31/2299
21195 7 RECONSTRUCTION OF MANDIBULAR RAMUS, SAGITTAL SPLIT N 3 $13.45 06/01/1994 12/31/2299
21196 2 RECONSTRUCTION OF MANDIBULAR RAMUS, SAGITTAL SPLIT N 3 $788.15 01/01/2002 12/31/2299
21196 7 RECONSTRUCTION OF MANDIBULAR RAMUS, SAGITTAL SPLIT N 3 $13.45 06/01/1994 12/31/2299
21198 2 OSTEOTOMY, MANDIBLE, SEGMENTAL N 3 $649.52 01/01/2005 12/31/2299
21198 7 OSTEOTOMY, MANDIBLE, SEGMENTAL N 3 $13.45 06/01/1994 12/31/2299
21199 2 OSTEOTOMY MANDIBLE SEGMENT.W/GENIOGLOSSESADVANCEMENT N 3 $633.05 01/01/2001 12/31/2299
21206 2 OSTEOPLASTY FOR PROGNATHISM, MICROGNATHISM, OR APE N 3 $425.00 01/01/1984 12/31/2299
21206 7 OSTEOPLASTY FOR PROGNATHISM, MICROGNATHISM, OR APE N 3 $13.45 06/01/1994 12/31/2299
21206 F OSTEOPLASTY FOR PROGNATHISM, MICROGNATHISM, OR APE N 3 $495.00 03/01/2004 12/31/2299
21208 2 OSTEOPLASTY, FACIAL BONES N 3 $418.04 01/01/2003 12/31/2299
21208 7 OSTEOPLASTY, FACIAL BONES N 3 $13.45 06/01/1994 12/31/2299
21208 F OSTEOPLASTY, FACIAL BONES N 3 $495.00 03/01/2004 12/31/2299
21209 7 OSTEOPLASTY, FACIAL BONES N 3 $13.45 06/01/1994 12/31/2299
21209 F OSTEOPLASTY, FACIAL BONES N 3 $495.00 03/01/2004 12/31/2299
21210 2 GRAFT, BONE; NASAL, MAXILLARY AND MALAR AREAS N 3 $300.00 01/01/1984 12/31/2299
21210 7 GRAFT, BONE; NASAL, MAXILLARY AND MALAR AREAS N 3 $13.45 06/01/1994 12/31/2299
21210 F GRAFT, BONE; NASAL, MAXILLARY AND MALAR AREAS N 3 $495.00 03/01/2004 12/31/2299
21215 2 GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT) N 3 $300.00 01/01/1984 12/31/2299
21215 7 GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT) N 3 $13.45 06/01/1994 12/31/2299
21215 F GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT) N 3 $495.00 03/01/2004 12/31/2299
21230 2 GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, N N 3 $450.00 01/01/1973 12/31/2299
21230 7 GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, N N 3 $13.45 06/01/1994 12/31/2299
21230 8 GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, N N 3 $90.00 01/01/1973 12/31/2299
21230 F GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, N N 3 $495.00 03/01/2004 12/31/2299
21235 2 GRAFT; EAR CARTILAGE TO NOSE OR EAR N 3 $372.00 01/02/1997 12/31/2299
21235 7 GRAFT; EAR CARTILAGE TO NOSE OR EAR N 3 $13.45 06/01/1994 12/31/2299
21235 8 GRAFT; EAR CARTILAGE TO NOSE OR EAR N 3 $74.00 01/02/1997 12/31/2299
21235 F GRAFT; EAR CARTILAGE TO NOSE OR EAR N 3 $495.00 03/01/2004 12/31/2299
21240 2 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT N 3 $250.00 08/01/1979 12/31/2299
21240 7 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT N 3 $13.45 06/01/1994 12/31/2299
21240 8 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT N 3 $50.00 08/01/1979 12/31/2299
21240 F ARTHROPLASTY, TEMPOROMANDIBULAR JOINT N 3 $432.00 03/01/2004 12/31/2299
21241 2 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT; BILATERAL N 3 $450.00 01/01/1984 12/31/2299
21241 7 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT; BILATERAL N 3 $13.45 06/01/1994 12/31/2299
21242 2 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, W/ALLOPLAST N 3 $300.00 01/01/1984 12/31/2299
21242 7 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, W/ALLOPLAST N 3 $13.45 06/01/1994 12/31/2299
21242 F ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, W/ALLOPLAST N 3 $495.00 03/01/2004 12/31/2299
21243 7 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTH N 3 $13.45 06/01/1994 12/31/2299
21243 F ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTH N 3 $495.00 03/01/2004 12/31/2299
21244 2 RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSO N 3 $520.12 01/01/2004 12/31/2299
21244 7 RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSO N 3 $13.45 06/01/1994 12/31/2299
21244 F RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSO N 3 $495.00 03/01/2004 12/31/2299
21245 7 RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTE N 3 $13.45 06/01/1994 12/31/2299
21245 F RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTE N 3 $495.00 03/01/2004 12/31/2299
21246 7 RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTE N 3 $13.45 06/01/1994 12/31/2299
21246 F RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTE N 3 $495.00 03/01/2004 12/31/2299
21247 7 RECONSTRUCTION OF MANDIBULAR CONDYLE WITH BONE AND N 3 $13.45 06/01/1994 12/31/2299
21248 7 RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL I N 3 $13.45 06/01/1994 12/31/2299
21248 F RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL I N 3 $495.00 03/01/2004 12/31/2299
21249 7 RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL I N 3 $13.45 06/01/1994 12/31/2299
21249 F RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL I N 3 $495.00 03/01/2004 12/31/2299
21255 7 RECONSTRUCTION OF ZYGOMATIC ARCH AND GLENOID FOSSA N 3 $13.45 06/01/1994 12/31/2299
21256 2 RECONSTRUCTION OF ORBIT WITH OSTEOTOMIES (EXTRACRA N 3 $800.00 01/02/1994 12/31/2299
21256 7 RECONSTRUCTION OF ORBIT WITH OSTEOTOMIES (EXTRACRA N 3 $13.45 06/01/1994 12/31/2299
21260 2 PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, N 3 $500.00 01/01/1984 12/31/2299
21260 7 PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, N 3 $13.45 06/01/1994 12/31/2299
21261 7 ORBITAL HYPERTELORISM CORRECTION (PERIORBITAL) OST N 3 $13.45 06/01/1994 12/31/2299
21263 7 ORBITAL HYPERTELORISM CORRECTION (PERIORBITAL) OST N 3 $13.45 06/01/1994 12/31/2299
21267 7 ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UN N 3 $13.45 06/01/1994 12/31/2299
21267 F ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UN N 3 $495.00 03/01/2004 12/31/2299
21268 7 ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UN N 3 $13.45 06/01/1994 12/31/2299
21270 7 RECONSTRUCTION FOR TREACHER COLLINS SYNDROME (PERI N 3 $13.45 06/01/1994 12/31/2299
21270 F RECONSTRUCTION FOR TREACHER COLLINS SYNDROME (PERI N 3 $495.00 03/01/2004 12/31/2299
21275 2 SECONDARY REVISION OF ORBITOCRANIOFACIAL RECONSTRU N 3 $477.56 01/01/2004 12/31/2299
21275 7 SECONDARY REVISION OF ORBITOCRANIOFACIAL RECONSTRU N 3 $13.45 06/01/1994 12/31/2299
21275 F SECONDARY REVISION OF ORBITOCRANIOFACIAL RECONSTRU N 3 $495.00 03/01/2004 12/31/2299
21280 7 MEDIAL CANTHOPLASTY N 3 $13.45 06/01/1994 12/31/2299
21280 F MEDIAL CANTHOPLASTY N 3 $495.00 03/01/2004 12/31/2299
21282 2 LATERAL CANTHOPEXY N 3 $185.11 01/01/2003 12/31/2299
21282 7 LATERAL CANTHOPEXY N 3 $13.45 06/01/1994 12/31/2299
21282 F LATERAL CANTHOPEXY N 3 $495.00 03/01/2004 12/31/2299
21295 7 REDUCT OF MASSETER MUSCLE(EG, TREAT OF BENIGN MASS N 3 $13.45 06/01/1994 12/31/2299
21295 F REDUCT OF MASSETER MUSCLE(EG, TREAT OF BENIGN MASS N 3 $225.80 03/01/2004 12/31/2299
21296 7 REDUCT OF MASSETER MUSCLE(EG, TREAT OF BENIGN MASS N 3 $13.45 06/01/1994 12/31/2299
21296 F REDUCT OF MASSETER MUSCLE(EG, TREAT OF BENIGN MASS N 3 $225.80 03/01/2004 12/31/2299
21299 7 UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE N 3 $13.45 06/01/1994 12/31/2299
21300 7 TREATMENT OF CLOSED SKULL FRACTURE WITHOUT OPERATI N 3 $13.45 06/01/1994 12/31/2299
21300 F TREATMENT OF CLOSED SKULL FRACTURE WITHOUT OPERATI N 3 $306.00 03/01/2004 12/31/2299
21310 2 TREATMENT OF CLOSED OR OPEN NASAL FRACTURE WITHOUT N 3 $15.00 01/01/1973 12/31/2299
21310 7 TREATMENT OF CLOSED OR OPEN NASAL FRACTURE WITHOUT N 3 $13.45 06/01/1994 12/31/2299
21310 F TREATMENT OF CLOSED OR OPEN NASAL FRACTURE WITHOUT N 3 $306.00 03/01/2004 12/31/2299
21315 2 MANIPULATIVE TREATMENT, NASAL BONE FRACTURE, WITHO N 3 $37.75 08/01/1979 12/31/2299
21315 7 MANIPULATIVE TREATMENT, NASAL BONE FRACTURE, WITHO N 3 $13.45 06/01/1994 12/31/2299
21315 F MANIPULATIVE TREATMENT, NASAL BONE FRACTURE, WITHO N 3 $306.00 03/01/2004 12/31/2299
21320 2 MANIPULATIVE TREATMENT, NASAL BONE FRACTURE, WITH N 3 $118.00 01/02/1997 12/31/2299
21320 7 MANIPULATIVE TREATMENT, NASAL BONE FRACTURE, WITH N 3 $13.45 06/01/1994 12/31/2299
21320 F MANIPULATIVE TREATMENT, NASAL BONE FRACTURE, WITH N 3 $306.00 03/01/2004 12/31/2299
21325 2 OPEN TREATMENT OF NASAL FRACTURE; UNCOMPLICATED N 3 $100.00 01/01/1973 12/31/2299
21325 7 OPEN TREATMENT OF NASAL FRACTURE; UNCOMPLICATED N 3 $13.45 06/01/1994 12/31/2299
21325 F OPEN TREATMENT OF NASAL FRACTURE; UNCOMPLICATED N 3 $432.00 03/01/2004 12/31/2299
21330 2 OPEN TREATMENT OF NASAL FRACTURE;COMPLICATED,WITH N 3 $237.50 01/01/1973 12/31/2299
21330 7 OPEN TREATMENT OF NASAL FRACTURE;COMPLICATED,WITH N 3 $13.45 06/01/1994 12/31/2299
21330 F OPEN TREATMENT OF NASAL FRACTURE;COMPLICATED,WITH N 3 $495.00 03/01/2004 12/31/2299
21334 7 OPEN TRTMNT OF COMPLICATED (EF, COMMINUTED OR INVO N 3 $13.45 06/01/1994 12/31/2299
21335 2 OPEN TREATMENT OF NASAL FRACTURE;WITH CONCOMITANT N 3 $325.00 01/01/1984 12/31/2299
21335 7 OPEN TREATMENT OF NASAL FRACTURE;WITH CONCOMITANT N 3 $13.45 06/01/1994 12/31/2299
21335 F OPEN TREATMENT OF NASAL FRACTURE;WITH CONCOMITANT N 3 $495.00 03/01/2004 12/31/2299
21336 2 OPEN TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR W N 3 $177.13 01/01/1993 12/31/2299
21336 7 OPEN TRTMNT OF NASAL SEPTAL FRACTURE, W OR W/O STA N 3 $13.45 06/01/1994 12/31/2299
21336 F OPEN TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR W N 3 $432.00 03/01/2004 12/31/2299
21337 2 TREATMENT OF CLOSED NASAL SEPTAL FRACTURE N 3 $50.00 01/01/1984 12/31/2299
21337 7 TREATMENT OF CLOSED NASAL SEPTAL FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21337 F TREATMENT OF CLOSED NASAL SEPTAL FRACTURE N 3 $306.00 03/01/2004 12/31/2299
21338 2 OPEN TREATMENT OF NASOETHMOID FRACTURE W/O EXTERNA N 3 $125.00 01/01/1984 12/31/2299
21338 7 OPEN TREATMENT OF NASOETHMOID FRACTURE W/O EXTERNA N 3 $13.45 06/01/1994 12/31/2299
21338 F OPEN TREATMENT OF NASOETHMOID FRACTURE W/O EXTERNA N 3 $432.00 03/01/2004 12/31/2299
21339 2 OPEN TREATMENT OF NASOETHMOID FRACTURE WITH EXTERN N 3 $200.00 01/01/1984 12/31/2299
21339 7 OPEN TREATMENT OF NASOETHMOID FRACTURE WITH EXTERN N 3 $13.45 06/01/1994 12/31/2299
21339 F OPEN TREATMENT OF NASOETHMOID FRACTURE WITH EXTERN N 3 $495.00 03/01/2004 12/31/2299
21340 2 TREATMENT OF CLOSED/OPEN NASOETHMOID COMPLEX FRACT N 3 $250.00 01/01/1984 12/31/2299
21340 7 TREATMENT OF CLOSED/OPEN NASOETHMOID COMPLEX FRACT N 3 $13.45 06/01/1994 12/31/2299
21340 F TREATMENT OF CLOSED/OPEN NASOETHMOID COMPLEX FRACT N 3 $432.00 03/01/2004 12/31/2299
21343 2 OPEN TREATMENT OF CLOSED OR OPEN DEPRESSED FRONTAL N 3 $540.00 01/02/1995 12/31/2299
21343 7 OPEN TREATMENT OF CLOSED OR OPEN DEPRESSED FRONTAL N 3 $13.45 06/01/1994 12/31/2299
21344 2 OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR I N 3 $543.06 01/01/1993 12/31/2299
21345 2 TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFOR N 3 $402.00 01/02/1995 12/31/2299
21345 7 TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFOR N 3 $13.45 06/01/1994 12/31/2299
21345 F TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFOR N 3 $495.00 03/01/2004 12/31/2299
21346 2 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE ( N 3 $300.00 01/01/1973 12/31/2299
21346 7 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE ( N 3 $13.45 06/01/1994 12/31/2299
21346 8 OPEN TREAT NASOMAX FRAC LEFORT II TYPE W INT FIX N 3 $60.00 01/01/1973 12/31/2299
21347 2 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE ( N 3 $650.00 01/01/1984 12/31/2299
21347 7 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE ( N 3 $13.45 06/01/1994 12/31/2299
21348 2 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE ( N 3 $272.92 01/01/1993 12/31/2299
21348 7 OPEN TRTMENT OF NASOMAZILLARY COMPLEX FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21355 2 MANIPULATIVE TREATMENT OF CLOSED OR OPEN FRACTURE N 3 $30.00 01/01/1973 12/31/2299
21355 7 MANIPULATIVE TREATMENT OF CLOSED OR OPEN FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21355 F MANIPULATIVE TREATMENT OF CLOSED OR OPEN FRACTURE N 3 $351.00 03/01/2004 12/31/2299
21356 2 OPEN TREATMENT OF DEPRESSED ZYGOMATIC ARCH FRACTUR N 3 $184.45 01/01/1993 12/31/2299
21356 7 OPEN TRTMENT OF DERESSED ZYGOMATIC ARCH FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21360 2 OPEN TREATMENT OF CLOSED OR OPEN DEPRESSED MALAR F N 3 $348.00 01/02/1995 12/31/2299
21360 7 OPEN TREATMENT OF CLOSED OR OPEN DEPRESSED MALAR F N 3 $13.45 06/01/1994 12/31/2299
21360 8 OPEN TREATMENT OF CLOSED OR OPEN DEPRESSED MALAR F N 3 $35.00 01/01/1984 12/31/2299
21365 2 OPEN TREATMENT OF CLOSED OR OPEN COMPLICATED; MULT N 3 $325.00 01/01/1973 12/31/2299
21365 7 OPEN TREATMENT OF CLOSED OR OPEN COMPLICATED; MULT N 3 $13.45 06/01/1994 12/31/2299
21366 2 OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR I N 3 $343.49 01/01/1993 12/31/2299
21366 7 OPEN TRTMNT OF COMPLICATED (EG, COMINUTED OR INVOL N 3 $13.45 06/01/1994 12/31/2299
21380 7 TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTURE WI N 3 $13.45 06/01/1994 12/31/2299
21385 2 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $300.00 01/01/1973 12/31/2299
21385 7 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $13.45 06/01/1994 12/31/2299
21385 8 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $60.00 01/01/1973 12/31/2299
21386 2 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $200.00 01/01/1984 12/31/2299
21386 7 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $13.45 06/01/1994 12/31/2299
21387 2 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $350.00 01/01/1984 12/31/2299
21387 7 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $13.45 06/01/1994 12/31/2299
21390 2 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $350.00 01/01/1973 12/31/2299
21390 7 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $13.45 06/01/1994 12/31/2299
21390 8 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $70.00 01/01/1973 12/31/2299
21395 2 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $450.00 01/01/1973 12/31/2299
21395 7 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $13.45 06/01/1994 12/31/2299
21395 8 OPEN TREATMENT OF ORBITAL FLOOR ''BLOWOUT'' FRACTU N 3 $90.00 01/01/1973 12/31/2299
21400 2 TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOWOUT'' N 3 $50.00 01/01/1984 12/31/2299
21400 F TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOWOUT'' N 3 $306.00 03/01/2004 12/31/2299
21401 2 TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOWOUT'' N 3 $100.00 01/01/1984 12/31/2299
21401 7 TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOWOUT'' N 3 $13.45 06/01/1994 12/31/2299
21401 F TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOWOUT'' N 3 $351.00 03/01/2004 12/31/2299
21406 2 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOW N 3 $140.00 01/01/1984 12/31/2299
21406 7 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOW N 3 $13.45 06/01/1994 12/31/2299
21407 2 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOW N 3 $390.00 01/02/1995 12/31/2299
21407 7 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOW N 3 $13.45 06/01/1994 12/31/2299
21408 2 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT ''BLOW N 3 $351.53 01/01/1993 12/31/2299
21408 7 OPEN TRTMNT OF FRACTURE OF ORBIT,EXCEPT BLOWOUT N 3 $13.45 06/01/1994 12/31/2299
21421 2 TREATMENT OF PALATAL OR ALVEOLAR RIDGE FRACTURES ( N 3 $200.00 01/01/1984 12/31/2299
21421 7 TREATMENT OF PALATAL OR ALVEOLAR RIDGE FRACTURES ( N 3 $13.45 06/01/1994 12/31/2299
21421 8 TREATMENT OF PALATAL OR ALVEOLAR RIDGE FRACTURES ( N 3 $40.00 08/13/1991 12/31/2299
21421 F TREATMENT OF PALATAL OR ALVEOLAR RIDGE FRACTURES ( N 3 $432.00 03/01/2004 12/31/2299
21422 2 TREATMENT OF PALATAL OR ALVEOLAR RIDGE FRACTURES ( N 3 $400.00 01/01/1984 12/31/2299
21422 7 TREATMENT OF PALATAL OR ALVEOLAR RIDGE FRACTURES ( N 3 $13.45 06/01/1994 12/31/2299
21423 2 OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (L N 3 $392.49 01/01/1993 12/31/2299
21423 7 OPEN TRTMNT OF PALATAL OR MAZILLARY FRACTURE I TYP N 3 $13.45 06/01/1994 12/31/2299
21431 2 TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III T N 3 $200.00 01/01/1984 12/31/2299
21431 7 TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III T N 3 $13.45 06/01/1994 12/31/2299
21432 2 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $600.00 01/01/1984 12/31/2299
21432 7 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $13.45 06/01/1994 12/31/2299
21433 2 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $600.00 01/01/1984 12/31/2299
21433 7 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $13.45 06/01/1994 12/31/2299
21435 2 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $625.00 01/01/1984 12/31/2299
21435 7 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $13.45 06/01/1994 12/31/2299
21436 2 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT N 3 $810.95 01/01/1993 12/31/2299
21436 7 OPEN TRTMNT OF CRANIOFACIL SEPARATION LEFORT 3 TYP N 3 $13.45 06/01/1994 12/31/2299
21440 2 MANIPULATIVE TREATMENT OF ALVEOLAR RIDGE FRACTURE N 3 $158.65 01/01/2003 12/31/2299
21440 7 MANIPULATIVE TREATMENT OF ALVEOLAR RIDGE FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21440 F MANIPULATIVE TREATMENT OF ALVEOLAR RIDGE FRACTURE N 3 $351.00 03/01/2004 12/31/2299
21445 7 OPEN TREATMENT OF ALVEOLAR RIDGE FRACTURE (SEPARAT N 3 $13.45 06/01/1994 12/31/2299
21445 F OPEN TREATMENT OF ALVEOLAR RIDGE FRACTURE (SEPARAT N 3 $432.00 03/01/2004 12/31/2299
21450 2 TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $75.00 01/01/1984 12/31/2299
21450 7 TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $13.45 06/01/1994 12/31/2299
21450 F TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $351.00 03/01/2004 12/31/2299
21451 2 TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $150.00 01/01/1984 12/31/2299
21451 7 TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $13.45 06/01/1994 12/31/2299
21451 8 TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $30.00 01/01/1984 12/31/2299
21451 F TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTURE;WI N 3 $432.00 03/01/2004 12/31/2299
21452 2 TREATMENT OF OPEN MANDIBULAR FRACTURE W/O MANIPULA N 3 $75.00 01/01/1984 12/31/2299
21452 7 TREATMENT OF OPEN MANDIBULAR FRACTURE W/O MANIPULA N 3 $13.45 06/01/1994 12/31/2299
21452 F TREATMENT OF OPEN MANDIBULAR FRACTURE W/O MANIPULA N 3 $306.00 03/01/2004 12/31/2299
21453 2 CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION N 3 $300.00 01/02/1997 12/31/2299
21453 7 WITH MANIPULATION N 3 $13.45 06/01/1994 12/31/2299
21453 F CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION N 3 $351.00 03/01/2004 12/31/2299
21454 2 OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $150.00 01/01/1984 12/31/2299
21454 7 OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $13.45 06/01/1994 12/31/2299
21454 8 OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $30.00 01/01/1984 12/31/2299
21454 F OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $495.00 03/01/2004 12/31/2299
21461 2 OPEN TRTM OF CLOSED OR OPEN MANDIBULAR FX N 3 $400.00 01/01/1984 12/31/2299
21461 7 OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $13.45 06/01/1994 12/31/2299
21461 F OPEN TRTM OF CLOSED OR OPEN MANDIBULAR FX N 3 $432.00 03/01/2004 12/31/2299
21462 2 OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $400.00 01/01/1973 12/31/2299
21462 7 OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $13.45 06/01/1994 12/31/2299
21462 F OPEN TREATMENT OF CLOSED OR OPEN MANDIBULAR FRACTU N 3 $495.00 03/01/2004 12/31/2299
21465 2 OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE N 3 $400.00 01/01/1984 12/31/2299
21465 7 OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21465 F OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE N 3 $432.00 03/01/2004 12/31/2299
21470 2 OPEN TREATMENT OF COMPLICATED CLOSED OR OPEN MANDI N 3 $275.00 01/01/1984 12/31/2299
21470 7 OPEN REDUCTION OF COMPLICATED CLOSED OR OPEN MANDI N 3 $13.45 06/01/1994 12/31/2299
21480 2 UNCOMPLICATED TREATMENT OF TEMPOROMANDIBULAR DISLO N 3 $30.00 08/01/1979 12/31/2299
21480 7 UNCOMPLICATED TREATMENT OF TEMPOROMANDIBULAR DISLO N 3 $13.45 06/01/1994 12/31/2299
21480 F UNCOMPLICATED TREATMENT OF TEMPOROMANDIBULAR DISLO N 3 $225.80 03/01/2004 12/31/2299
21485 2 COMPLICATED MANIPULATIVE TREATMENT OF TEMPOROMANDI N 3 $50.00 01/01/1984 12/31/2299
21485 7 COMPLICATED MANIPULATIVE TREATMENT OF TEMPOROMANDI N 3 $13.45 06/01/1994 12/31/2299
21485 F COMPLICATED MANIPULATIVE TREATMENT OF TEMPOROMANDI N 3 $306.00 03/01/2004 12/31/2299
21490 2 OPEN TREATMENT OF TEMPOROMANDIBULAR DISLOCATION N 3 $200.00 08/01/1979 12/31/2299
21490 7 OPEN TREATMENT OF TEMPOROMANDIBULAR DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
21490 F OPEN TREATMENT OF TEMPOROMANDIBULAR DISLOCATION N 3 $351.00 03/01/2004 12/31/2299
21493 2 TREATMENT OF CLOSED OR OPEN HYOID FRACTURE; WITHOU N 3 $25.00 01/01/1984 12/31/2005
21493 7 TREATMENT OF CLOSED OR OPEN HYOID FRACTURE; WITHOU N 3 $13.45 06/01/1994 12/31/2005
21493 F TREATMENT OF CLOSED OR OPEN HYOID FRACTURE; WITHOU N 3 $351.00 03/01/2004 12/31/2299
21494 2 TREATMENT OF CLOSED OR OPEN HYOID FRACTURE; WITH M N 3 $50.00 01/01/1984 12/31/2005
21494 7 TREATMENT OF CLOSED OR OPEN HYOID FRACTURE; WITH M N 3 $13.45 06/01/1994 12/31/2005
21494 F TREATMENT OF CLOSED OR OPEN HYOID FRACTURE; WITH M N 3 $432.00 03/01/2004 12/31/2299
21495 2 OPEN TREATMENT OF CLOSED OR OPEN HYOID FRACTURE N 3 $150.00 01/01/1984 12/31/2299
21495 7 OPEN TREATMENT OF CLOSED OR OPEN HYOID FRACTURE N 3 $13.45 06/01/1994 12/31/2299
21497 2 INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACTURE N 3 $150.00 01/01/1984 12/31/2299
21497 7 INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACT N 3 $13.45 06/01/1994 12/31/2299
21497 F INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACTURE N 3 $306.00 03/01/2004 12/31/2299
21499 7 UNLISTED PROCEDURE, HEAD N 3 $13.45 06/01/1994 12/31/2299
21501 2 INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA; N 3 $50.00 01/01/1984 12/31/2299
21501 7 INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA; N 3 $13.45 06/01/1994 12/31/2299
21501 F INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA; N 3 $306.00 03/01/2004 12/31/2299
21502 2 INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA; W N 3 $150.00 01/01/1973 12/31/2299
21502 7 INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA; W N 3 $13.45 06/01/1994 12/31/2299
21502 F INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA; W N 3 $306.00 03/01/2004 12/31/2299
21510 2 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $150.00 01/01/1984 12/31/2299
21510 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
21511 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
21550 2 EXCISIONAL BIOPSY, SOFT TISSUES N 3 $50.00 01/01/1984 12/31/2299
21550 7 EXCISIONAL BIOPSY, SOFT TISSUES N 3 $13.45 06/01/1994 12/31/2299
21555 2 EXCISION BENIGN TUMOR; SUBCUTANEOUS N 3 $150.00 02/02/1995 12/31/2299
21555 7 EXCISION BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
21555 F EXCISION BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
21556 2 EXCISION BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUSC N 3 $150.00 01/01/1984 12/31/2299
21556 7 EXCISION BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUSC N 3 $13.45 06/01/1994 12/31/2299
21556 F EXCISION BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUSC N 3 $306.00 03/01/2004 12/31/2299
21557 2 RAD RESEC TUMOR (MALIGN NEOPLSM) SFT TISS NCK THOR N 3 $432.00 01/02/1994 12/31/2299
21557 7 RAD RESEC TUMOR (MALIGN NEOPLSM) SFR TISS NCK THOR N 3 $13.45 06/01/1994 12/31/2299
21600 2 EXCISION OF RIB, PARTIAL N 3 $150.00 01/01/1973 12/31/2299
21600 7 EXCISION OF RIB, PARTIAL N 3 $13.45 06/01/1994 12/31/2299
21600 F EXCISION OF RIB, PARTIAL N 3 $306.00 03/01/2004 12/31/2299
21610 2 COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE) N 3 $150.00 08/01/1979 12/31/2299
21610 7 COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
21610 8 COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE) N 3 $30.00 08/01/1979 12/31/2299
21610 F COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE) N 3 $306.00 03/01/2004 12/31/2299
21615 2 EXCISION FIRST AND/OR CERVICAL RIB FOR OUTLET COMP N 3 $325.00 01/01/1984 12/31/2299
21615 7 EXCISION FIRST AND/OR CERVICAL RIB FOR OUTLET COMP N 3 $13.45 06/01/1994 12/31/2299
21615 8 EXCISION FIRST AND/OR CERVICAL RIB FOR OUTLET COMP N 3 $65.00 01/01/1984 12/31/2299
21616 2 EXCISION FIRST AND/OR CERVICAL RIB FOR OUTLET COMP N 3 $375.00 01/01/1984 12/31/2299
21616 7 EXCISION FIRST AND/OR CERVICAL RIB FOR OUTLET COMP N 3 $13.45 06/01/1994 12/31/2299
21620 2 OSTECTOMY OF STERNUM, PARTIAL N 3 $200.00 07/01/1988 12/31/2299
21620 7 OSTECTOMY OF STERNUM, PARTIAL N 3 $13.45 06/01/1994 12/31/2299
21627 2 STERNAL DEBRIDEMENT N 3 $100.00 07/01/1988 12/31/2299
21627 7 ANESTHESIA,STERNAL DEBRIDEMENT N 3 $13.45 01/02/1996 12/31/2299
21630 7 RADICAL RESECTION OF STERNUM; FOR TUMOR N 3 $13.45 06/01/1994 12/31/2299
21632 7 RADICAL RESECTION OF STERNUM FOR TUMOR; WITH MEDIA N 3 $13.45 06/01/1994 12/31/2299
21685 2 HYOID MYOTOMY AND SUSPENSION N 3 $553.67 01/01/2004 12/31/2299
21700 2 DIVISION OF SCALENUS ANTICUS; WITHOUT RESECTION OF N 3 $250.00 01/01/1973 12/31/2299
21700 7 DIVISION OF SCALENUS ANTICUS; WITHOUT RESECTION OF N 3 $13.45 06/01/1994 12/31/2299
21700 8 DIVISION OF SCALENUS ANTICUS; WITHOUT RESECTION OF N 3 $50.00 01/01/1973 12/31/2299
21700 F DIVISION OF SCALENUS ANTICUS; WITHOUT RESECTION OF N 3 $306.00 03/01/2004 12/31/2299
21705 2 DIVISION OF SCALENUS ANTICUS; WITH RESECTION OF CE N 3 $300.00 08/01/1979 12/31/2299
21705 7 DIVISION OF SCALENUS ANTICUS; WITH RESECTION OF CE N 3 $13.45 06/01/1994 12/31/2299
21705 8 DIVISION OF SCALENUS ANTICUS; WITH RESECTION OF CE N 3 $60.00 01/01/1973 12/31/2299
21720 2 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $200.00 01/01/1973 12/31/2299
21720 7 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $13.45 06/01/1994 12/31/2299
21720 8 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $40.00 01/01/1984 12/31/2299
21720 F DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $351.00 03/01/2004 12/31/2299
21725 2 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $225.00 01/01/1973 12/31/2299
21725 7 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $13.45 06/01/1994 12/31/2299
21725 F DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, O N 3 $351.00 03/01/2004 12/31/2299
21740 2 RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARIN N 3 $650.00 01/01/1973 12/31/2299
21740 7 RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARIN N 3 $13.45 06/01/1994 12/31/2299
21740 8 RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARIN N 3 $130.00 01/01/1973 12/31/2299
21750 2 CLOSURE OF STERNOTOMY SEPARATION WITH OR WITHOUT D N 3 $352.00 01/02/1992 12/31/2299
21750 7 CLOSURE OF STERNOTOMY SEPARATION WITH OR WITHOUT D N 3 $13.45 06/01/1994 12/31/2299
21750 8 CLOSURE OF STERNOTOMY SEPARATION WITH OR WITHOUT D N 3 $82.95 01/01/2004 12/31/2299
21800 2 TREATMENT OF RIB FRACTURE; CLOSED, UNCOMPLICATED, N 3 $22.00 01/01/1971 12/31/2299
21800 F TREATMENT OF RIB FRACTURE; CLOSED, UNCOMPLICATED, N 3 $225.80 03/01/2004 12/31/2299
21805 2 TREATMENT OF RIB FRACTURE; OPEN OR COMPLICATED, EA N 3 $35.00 01/01/1984 12/31/2299
21805 7 TREATMENT OF RIB FRACTURE; OPEN OR COMPLICATED, EA N 3 $13.45 06/01/1994 12/31/2299
21805 F TREATMENT OF RIB FRACTURE; OPEN OR COMPLICATED, EA N 3 $306.00 03/01/2004 12/31/2299
21810 2 TREATMENT OF RIB FRACTURE; CLOSED OR OPEN REQUIRIN N 3 $100.00 01/01/1984 12/31/2299
21810 7 TREATMENT OF RIB FRACTURE; CLOSED OR OPEN REQUIRIN N 3 $13.45 06/01/1994 12/31/2299
21820 2 TREATMENT OF STERNUM FRACTURE; CLOSED N 3 $25.00 01/01/1984 12/31/2299
21820 F TREATMENT OF STERNUM FRACTURE; CLOSED N 3 $225.80 03/01/2004 12/31/2299
21825 2 TREATMENT OF STERNUM FRACTURE; OPEN N 3 $100.00 01/01/1984 12/31/2299
21825 7 TREATMENT OF STERNUM FRACTURE; OPEN N 3 $13.45 06/01/1994 12/31/2299
21899 7 UNLISTED PROCEDURE, NECK OR THORAX N 3 $13.45 06/01/1994 12/31/2299
21920 2 BPSY SFT TISSUE BACK OR FLANK SUPERFICIAL N 3 $50.00 07/01/1988 12/31/2299
21925 2 BIOPSY SFT TISSUE BACK FLANK DEEP N 3 $150.00 07/01/1988 12/31/2299
21925 F BIOPSY SFT TISSUE BACK FLANK DEEP N 3 $306.00 03/01/2004 12/31/2299
21930 2 EXCISION TUMOR SFT TISSUE BACK FLANK N 3 $240.00 01/02/1996 12/31/2299
21930 7 EXCISION TUMOR SOFT TISSUE BACK FLANK N 3 $13.45 06/01/1994 12/31/2299
21930 F EXCISION TUMOR SFT TISSUE BACK FLANK N 3 $306.00 03/01/2004 12/31/2299
21935 2 RADICAL RESECT TUMOR (MAL NEOP) SFT TISS BCK FLANK N 3 $720.67 01/01/2002 12/31/2299
21935 F RADICAL RESECT TUMOR (MAL NEOP) SFT TISS BCK FLANK N 3 $351.00 03/01/2004 12/31/2299
22100 2 PART EXCSN OF POST VERTEBRL CMPNT FOR BONY LESION, 1 VRTBRT SGMNT N 3 $200.00 01/01/1996 12/31/2299
22100 7 PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS N 3 $13.45 06/01/1994 12/31/2299
22101 2 PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS N 3 $200.00 01/01/1984 12/31/2299
22101 7 PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS N 3 $13.45 06/01/1994 12/31/2299
22102 2 PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS N 3 $200.00 01/01/1984 12/31/2299
22102 7 PARTIAL RESECTION OF VERTEBRAL COMPONENT, SPINOUS N 3 $13.45 06/01/1994 12/31/2299
22103 2 PARTIAL EXCISION OF POSTERIOR VERTEBRAL CMPONENT; EA ADDL SEGMENT N 3 $121.33 01/01/1996 12/31/2299
22103 8 PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT,EA ADDL SEGMENT N 3 $27.27 01/01/1996 12/31/2299
22105 7 PARTIAL RESECTION OF VERTEBRAL COMPONENT FOR TUMOR N 3 $13.45 06/01/1994 12/31/2299
22106 7 PARTIAL RESECTION OF VERTEBRAL COMPONENT FOR TUMOR N 3 $13.45 06/01/1994 12/31/2299
22107 7 PARTIAL RESECTION OF VERTEBRAL COMPONENT FOR TUMOR N 3 $13.45 06/01/1994 12/31/2299
22110 2 PART EXCISION OF VRTRBRL BONDY FOR BONY LESION, W/O DECOMPRESSION N 3 $300.00 01/01/1996 12/31/2299
22110 7 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION);CERV N 3 $13.45 06/01/1994 12/31/2299
22111 2 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION)WITH N 3 $300.00 01/01/1984 12/31/2299
22111 7 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION)WITH N 3 $13.45 06/01/1994 12/31/2299
22112 2 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); THO N 3 $300.00 01/01/1984 12/31/2299
22112 7 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); THO N 3 $13.45 06/01/1994 12/31/2299
22113 2 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); WIT N 3 $300.00 01/01/1984 12/31/2299
22113 7 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); WIT N 3 $13.45 06/01/1994 12/31/2299
22114 2 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); LUM N 3 $300.00 01/01/1984 12/31/2299
22114 7 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); LUM N 3 $13.45 06/01/1994 12/31/2299
22115 2 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); WIT N 3 $300.00 01/01/1984 12/31/2299
22115 7 PARTIAL EXCISION OF VERTEBRAE (CRATERIZATION); WIT N 3 $13.45 06/01/1994 12/31/2299
22116 2 PARTIAL EXCISION OF VERTEBRAL BODY;EA ADDL VERTEBRAL SEGMENT N 3 $120.12 01/01/1996 12/31/2299
22116 8 PARTIAL EXCISION OF VERTEBRAL BODY; EA ADDL VERTEBRAL SEGMENT N 3 $24.02 01/01/1996 12/31/2299
22135 7 (CERVICAL, THORACIC, AND LUMBAR SPINE) N 3 $13.45 06/01/1994 12/31/2299
22140 7 RECONSTRUCT SPINE W/BONE GRAFT SINGLE VERTEBRA N 3 $13.45 06/01/1994 12/31/2299
22141 7 RECONSTRUCT SPINE W/BONE GRAFT SINGLE VERTEBRA N 3 $13.45 06/01/1994 12/31/2299
22142 7 RECONSTRUCT SPINE W/BONE GRAFT OR METHYL LUMBAR N 3 $13.45 06/01/1994 12/31/2299
22148 7 HARVEST BONE AUTOGRAFT-RECONSTRUCT VERTEBRA N 3 $13.45 06/01/1994 12/31/2299
22206 7 OSTEOTOMY OF SPINE FOR CORRECTION FIXED DEFORMITY; N 3 $13.45 06/01/1994 12/31/2299
22207 7 OSTEOTOMY OF SPINE FOR CORRECTION FIXED DEFORMITY; N 3 $13.45 06/01/1994 12/31/2299
22210 2 OSTOTMY SPN POSTERIOR/OLATERAL, 1 VRTRBRL SGMT, CERVICAL N 3 $800.00 01/01/1996 12/31/2299
22210 7 OSTEOTOMY CERV SPINE POST APPRCH SINGLE SEGMENT N 3 $13.45 06/01/1994 12/31/2299
22210 8 OSTEOTOMY CERV SPINE POST APPRCH SINGLE SEGMENT N 3 $160.00 07/01/1988 12/31/2299
22212 2 OSTOTMY SPN POST APRCH FOR CORR DFMTY SNGL SEC THO N 3 $800.00 07/01/1988 12/31/2299
22212 7 OSTEOTOMY THOR SPINE POST APPRCH SINGLE SEGMENT N 3 $13.45 06/01/1994 12/31/2299
22212 8 OSTEOTOMY THOR SPINE POST APPRCH SINGLE SEGMENT N 3 $160.00 07/01/1988 12/31/2299
22214 2 OSTOTMY SPN POST APRCH FOR CORR DFMTY SNCL SEC LUM N 3 $800.00 07/01/1988 12/31/2299
22214 7 OSTEOTOMY LUMB SPINE POST APPRCH SINGLE SEGMENT N 3 $13.45 06/01/1994 12/31/2299
22214 8 OSTEOTOMY LUMB SPINE POST APPRCH SINGLE SEGMENT N 3 $160.00 07/01/1988 12/31/2299
22216 2 OSTEOTOMY OF SPINE; VERTEBRAL SEGMENT; EA. ADD'L SEGMENT N 3 $294.37 01/01/1996 12/31/2299
22216 8 OSTEOTOMY OF SPINE; VERTEBRAL SEGMENT; EA. ADD'L SEGMENT N 3 $58.87 01/01/1996 12/31/2299
22220 2 OSTOTMY SPN,INCL DSKCTMY, ANTER APPRCH, 1 VRTRBRL SGMT, CERVICAL N 3 $800.00 01/01/1996 12/31/2299
22220 7 OSTEOTOMY CERV SPINE ANT APPRCH SINGLE SEGMENT N 3 $13.45 06/01/1994 12/31/2299
22220 8 OSTEOTOMY CERV SPINE ANT APPRCH SINGLE SEGMENT N 3 $160.00 07/01/1988 12/31/2299
22222 2 OSTOTMY SPN ANTR APRCH FOR CORR DFMTY SNGL SEC THO N 3 $800.00 07/01/1988 12/31/2299
22222 7 OSTEOTOMY THOR SPINE ANT APPROACH SINGLE SEGMENT N 3 $13.45 06/01/1994 12/31/2299
22222 8 OSTEOTOMY THOR SPINE ANT APPROACH SINGLE SEGMENT N 3 $160.00 07/01/1988 12/31/2299
22224 2 OSTOTMY SPN ANTR APRCH FOR CORR DFMTY SNGL SEC LUM N 3 $800.00 07/01/1988 12/31/2299
22224 7 OSTEOTOMY OF LUMB SPINE ANT APPRCH SINGLE SEGMENT N 3 $13.45 06/01/1994 12/31/2299
22224 8 OSTEOTOMY OF LUMBAR SPINE ONE SEGMNT ANT APPROACH N 3 $160.00 07/01/1988 12/31/2299
22226 2 OSTEOTOMY OF SPINE; EA. ADD'L SEGMENT N 3 $294.37 01/01/1996 12/31/2299
22226 8 OSTEOTOMY OF SPINE; EA. ADD'L SEGMENT N 3 $58.87 01/01/1996 12/31/2299
22230 2 OSTOTMY SPN FOR CRCTN DEFOR EACH ADDNTL SEG N 3 $200.00 07/01/1988 12/31/2299
22250 7 PROPHYLACTIC TREATMENT (PLATING AND/OR WIRING) WIT N 3 $13.45 06/01/1994 12/31/2299
22251 7 PROPHYLACTIC TREATMENT (PLATING AND/OR WIRING) WIT N 3 $13.45 06/01/1994 12/31/2299
22305 2 TREATMENT OF VERTEBRAL PROCESS FRACTURE, EACH N 3 $100.00 01/01/1984 12/31/2299
22305 7 TREATMENT OF VERTEBRAL PROCESS FRACTURE, EACH N 3 $13.45 06/01/1994 12/31/2299
22305 F TREATMENT OF VERTEBRAL PROCESS FRACTURE, EACH N 3 $225.80 03/01/2004 12/31/2299
22310 2 CLOSED TRTMNT OF VRTRBRL FRACTURE, NO MANIP, INC. CAST/BRACE N 3 $100.00 01/01/1996 12/31/2299
22310 7 TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR DISLOC N 3 $13.45 06/01/1994 12/31/2299
22310 F CLOSED TRTMNT OF VRTRBRL FRACTURE, NO MANIP, INC. CAST/BRACE N 3 $225.80 03/01/2004 12/31/2299
22315 2 CLOSED TRTMT OF VRTRBRL FRCTR/DISLOC W/ CAST/BRAC W/-W/O ANSTHSIA N 3 $175.00 01/01/1996 12/31/2299
22315 7 TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR DISLOC N 3 $13.45 06/01/1994 12/31/2299
22315 F CLOSED TRTMT OF VRTRBRL FRCTR/DISLOC W/ CAST/BRAC W/-W/O ANSTHSIA N 3 $306.00 03/01/2004 12/31/2299
22318 2 OPEN TX/REDUC ODONTOID FRAC/DISLOC ANT APPROACH INC PLACE INT FIX N 3 $882.27 01/01/2000 12/31/2299
22318 7 OPEN TX/REDUC ODONTOID FRAC/DISLOC ANT APPROACH INCL PLACE INT FI N 3 $13.45 01/01/2000 12/31/2299
22318 8 OPEN TX/REDUC ODONTOID FRAC/DISLOC ANT APPROACH INCL PLACE INT FI N 3 $176.45 01/01/2000 12/31/2299
22319 2 OPEN TX/REDUC ODONTOID FRAC/DISLOC ANT APPROACH INCL INT FIX W/GR N 3 $996.92 01/01/2000 12/31/2299
22319 7 OPEN TX/REDUC ODONTOID FRAC/DISLOC ANT APPROACH INCL INT FIX W/GR N 3 $13.45 01/01/2000 12/31/2299
22319 8 OPEN TX/REDUC ODONTOID FRAC/DISLOC ANT APPROACH INCL INT FIX W/GR N 3 $199.38 01/01/2000 12/31/2299
22325 2 OPEN TRTMNT OF VRTRBRL FRACT/DISLOC, POST APPRCH, 1 VERT/SGMNT N 3 $600.00 01/01/1996 12/31/2299
22325 7 OPEN TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR N 3 $13.45 06/01/1994 12/31/2299
22325 8 OPEN TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR N 3 $120.00 01/01/1973 12/31/2299
22326 2 OPEN TRTMNT OF VRTRBRL FRACT/DISLOC,POST APPRCH, 1 VRT/SGMT THORA N 3 $600.00 01/01/1996 12/31/2299
22326 7 OPEN TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR N 3 $13.45 06/01/1994 12/31/2299
22326 8 OPEN TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR N 3 $120.00 01/01/1984 12/31/2299
22327 2 OPEN TRTMNT OF VERT FRACT/DISLOC, POST APPRCH 1 VRT/SGMT CERVICAL N 3 $600.00 01/01/1996 12/31/2299
22327 7 OPEN TREATMENT OF VERTEBRAL BODY FRACTURE AND/OR N 3 $13.45 06/01/1994 12/31/2299
22328 2 OPEN TREATMENT OF VERTEBRAL FRACTURES; EA. ADD'L FRACTURED VERTBR N 3 $239.01 01/01/1996 12/31/2299
22328 8 OPEN TREATMENT OF VERTEBRAL FRACTURES; EA. ADD'L FRACTURED VERTEB N 3 $47.80 01/01/1996 12/31/2299
22330 7 OPEN TREATMENT AND FUSION, CERVICAL SPINE; POSTERI N 3 $13.45 06/01/1994 12/31/2299
22330 8 OPEN TREATMENT AND FUSION, CERVICAL SPINE; POSTERI N 3 $140.00 01/01/1973 12/31/2299
22335 7 OPEN TREATMENT AND FUSION, CERVICAL SPINE; POSTERI N 3 $13.45 06/01/1994 12/31/2299
22335 8 OPEN TREATMENT AND FUSION, CERVICAL SPINE; POSTERI N 3 $155.00 01/01/1973 12/31/2299
22345 7 OPEN TREATMENT AND FUSION, CERVICAL SPINE; ANTERIO N 3 $13.45 06/01/1994 12/31/2299
22345 8 OPEN TREATMENT AND FUSION, CERVICAL SPINE; ANTERIO N 3 $150.00 01/01/1973 12/31/2299
22355 7 OPEN TREATMENT AND FUSION, POSTERIOR,WITH LOCAL BO N 3 $13.45 06/01/1994 12/31/2299
22355 8 OPEN TREATMENT AND FUSION, POSTERIOR,WITH LOCAL BO N 3 $130.00 01/01/1973 12/31/2299
22356 7 OPEN TREATMENT AND FUSION, POSTERIOR,WITH LOCAL BO N 3 $13.45 06/01/1994 12/31/2299
22360 7 OPEN TREATMENT & FUSION,POSTERIOR,WITH ILIAC OR OT N 3 $13.45 06/01/1994 12/31/2299
22360 8 OPEN TREATMENT & FUSION,POSTERIOR,WITH ILIAC OR OT N 3 $180.00 01/01/1984 12/31/2299
22361 7 OPEN TREATMENT & FUSION,POSTERIOR WITH ILIAC OR OT N 3 $13.45 06/01/1994 12/31/2299
22361 8 OPEN TREATMENT & FUSION,POSTERIOR WITH ILIAC OR OT N 3 $150.00 01/01/1973 12/31/2299
22370 7 OPEN TREATMENT & FUSION,POSTEROLATERAL OR ANTEROLA N 3 $13.45 06/01/1994 12/31/2299
22371 7 OPEN TREATMENT & FUSION,POSTEROLATERAL OR ANTEROLA N 3 $13.45 06/01/1994 12/31/2299
22379 7 HARRINGTON ROD TECHNIQUE N 3 $13.45 06/01/1994 12/31/2299
22505 2 MANIPULATION OF SPINE REQUIRING ANESTHESIA, ANY RE N 3 $40.00 03/01/1987 12/31/2299
22505 7 MANIPULATION OF SPINE REQUIRING ANESTHESIA, ANY RE N 3 $13.45 06/01/1994 12/31/2299
22505 F MANIPULATION OF SPINE REQUIRING ANESTHESIA, ANY RE N 3 $306.00 03/01/2004 12/31/2299
22520 2 PERCUT.VERTEBRO.ONE VERTEB.BODY UNILATERAL OR BILAT.INJ.THORACIC N 3 $314.22 01/01/2001 12/31/2299
22521 2 PERCUT.VERTEB.ONE VERTEB.BODY UNILAT.OR BILAT.INJ.LUMB. N 3 $294.80 01/01/2001 12/31/2299
22522 2 PERCUT.VERTEB.ONE VERTEB.BODY UNILAT.OR BILAT.INJECTION N 3 $102.73 01/01/2001 12/31/2299
22532 2 ARTHRODESIS LATERAL EXTRACAVITARY TECHNIQUE INCLUDING MINI N 3 $968.93 01/01/2004 12/31/2299
22533 2 ARTHRODESIS LATERAL EXTRACAVITARY TECHNIQUE N 3 $904.28 01/01/2004 12/31/2299
22534 2 ARTHRODESIS, LATERAL EXTRACAVITARY TECHNIQUE INCLUDING MINIMAL DI N 3 $227.68 01/01/2004 12/31/2299
22546 8 OPEN TREATMENT OF HUMERAL SUPRACONDYLAR WITH INTERCONDYLAR EXTENS N 3 $114.00 01/02/1994 12/31/2299
22548 2 ARTHRDS, ANTR TRNSRL/EXTRLRL TECH, CLIVUS C1-C2 W/-W/O EXCISION N 3 $700.00 01/01/1996 12/31/2299
22548 7 ARTHRDSIS ANT TROR OR XTRORL C1-C2 W BN GFT W WO O N 3 $13.45 06/01/1994 12/31/2299
22548 8 ARTHRDSIS ANT TROR OR XTRORL C1-C2 W BN GFT W WO O N 3 $140.00 01/01/1984 12/31/2299
22550 7 ARTHRODESIS WITH DISKECTOMY, CERVICAL,POSTERIOR;LO N 3 $13.45 06/01/1994 12/31/2299
22550 8 ARTHRODESIS WITH DISKECTOMY, CERVICAL,POSTERIOR;LO N 3 $140.00 01/01/1973 12/31/2299
22552 7 ARTHRODESIS WITH DISKECTOMY, CERVICAL,POSTERIOR;WI N 3 $13.45 06/01/1994 12/31/2299
22552 8 ARTHRODESIS WITH DISKECTOMY, CERVICAL,POSTERIOR,WI N 3 $160.00 01/01/1973 12/31/2299
22554 2 ARTHRDS,ANTER INTRBDY TECH, MIN DSKCTMY TO PREP INTRSPC, CERVICAL N 3 $700.00 01/01/1996 12/31/2299
22554 7 ARTRODIS ANT BODY TECH CERV BLOW C-2 W BNE GRAFT N 3 $13.45 06/01/1994 12/31/2299
22554 8 ARTRODIS ANT BODY TECH CERV BLOW C-2 W BNE GRAFT N 3 $240.00 01/01/1984 12/31/2299
22555 7 ARTHRODESIS WITH DISKECTOMY, CERVICAL, ANTERIOR,WI N 3 $13.45 06/01/1994 12/31/2299
22555 8 ARTHRODESIS WITH DISKECTOMY, CERVICAL, ANTERIOR,WI N 3 $140.00 01/01/1974 12/31/2299
22556 2 ARTHRDSIS,ANTER INTER TECH, MIN DISKCTMY TO PREP INTRSPC, THRACIC N 3 $600.00 01/01/1996 12/31/2299
22556 7 ARTHRODESIS, THORACIC, WITH LOCAL BONE RIB N 3 $13.45 06/01/1994 12/31/2299
22558 2 ARTHRDES, ANT INTER TECH,MIN DSKCTMY TO PREP INTRSPC, LUMBAR N 3 $600.00 01/01/1996 12/31/2299
22558 7 ARTHRODESIS, LUMBAR, WITH BONE GRAFT N 3 $13.45 06/01/1994 12/31/2299
22558 8 ARTHRODESIS, LUMBAR WITH BONE GRAFT N 3 $120.00 01/02/1993 12/31/2299
22560 7 ARTHRODESIS WITH DISKECTOMY, LUMBAR OR THORACIC,PO N 3 $13.45 06/01/1994 12/31/2299
22560 8 ARTHRODESIS WITH DISKECTOMY, LUMBAR OR THORACIC,PO N 3 $130.00 01/01/1973 12/31/2299
22561 7 ARTHRODESIS WITH DISKECTOMY, LUMBAR OR THORACIC;WI N 3 $13.45 06/01/1994 12/31/2299
22561 8 ARTHRODESIS WITH DISKECTOMY, LUMBAR OR THORACIC;WI N 3 $140.00 08/01/1979 12/31/2299
22565 7 ARTHRODESIS WITH DISKECTOMY, LOWER LUMBAR SPINE, A N 3 $13.45 06/01/1994 12/31/2299
22565 8 ARTHRODESIS WITH DISKECTOMY, LOWER LUMBAR SPINE, A N 3 $113.00 08/01/1979 12/31/2299
22585 2 ARTHRDES, ANT INTER TECH, MIN DSKCTMY TO PREP INTRSPC, EA INTRSPC N 3 $75.00 01/01/1996 12/31/2299
22585 7 ARTHRODESIS EACH ADDT'L INTRSPACE IN ADD TO SNG LE N 3 $13.45 06/01/1994 12/31/2299
22585 8 ARTHRODESIS EA ADDT'L INTRSPACE IN ADD TO SNGLE LE N 3 $15.00 01/01/1984 12/31/2299
22590 2 ARTHRDSIS, POST TECHNIQUE, CRANIOCERVICAL (OCCIPUT C-2_) N 3 $700.00 01/01/1996 12/31/2299
22590 7 ARTHRDSIS POST TEC CRNOCRVCL OCC-C2 W BNE GRFT FIX N 3 $13.45 06/01/1994 12/31/2299
22590 8 ARTHRDSIS POST TEC CRNOCRVCL OCC - C2 W BN GFT FIX N 3 $140.00 01/01/1984 12/31/2299
22595 2 ARTHODESIS, POSTERIOR TECHNIQUE, ATLAS-AXIS (C1-C2) N 3 $700.00 01/01/1997 12/31/2299
22595 7 ARTHORDESIS POST TECH ATLASAXIS W/BONE GRAFT N 3 $13.45 06/01/1994 12/31/2299
22595 8 ARTHRODESIS,POSTERIOR TECHNIQUE, CRANIOCERVICAL (OCCIPUT-C-2) N 3 $221.00 01/02/1994 12/31/2299
22600 2 ARTHDSIS, POSTERIOR/OLATERAL TECH, 1 LEVEL, CERVICAL BELOW C2 SEG N 3 $700.00 01/01/1996 12/31/2299
22600 7 CERVICAL FUSION, POSTERIOR APPROACH, BELOW C1 LEVE N 3 $13.45 06/01/1994 12/31/2299
22600 8 CERVICAL FUSION, POSTERIOR APPROACH, BELOW C1 LEVE N 3 $120.00 01/01/1973 12/31/2299
22605 2 CERVICAL FUSION, POSTERIOR APPROACH, BELOW C1 LEVE N 3 $700.00 01/01/1973 12/31/2299
22605 7 CERVICAL FUSION, POSTERIOR APPROACH, BELOW C1 LEVE N 3 $13.45 06/01/1994 12/31/2299
22605 8 CERVICAL FUSION, POSTERIOR APPROACH, BELOW C1 LEVE N 3 $140.00 01/01/1973 12/31/2299
22610 2 ARTHODES, POSTERIOR/OLATERAL TECH, 1 LEVEL THORACIC N 3 $800.00 01/01/1996 12/31/2299
22610 7 ARTHRODESIS,POST TECHNQ,W/LOCAL BONE ALLOGRFT;THOR N 3 $13.45 06/01/1994 12/31/2299
22612 2 ARTHODES, POSTERIOR/OLATERAL TECH, 1 LEVEL, LUMBAR N 3 $1,260.00 01/01/1996 12/31/2299
22612 7 ARTHRODESIS LUMBAR SPINE N 3 $13.45 06/01/1994 12/31/2299
22612 8 ARTRDSIS POST POSTLAT TECH W BNE GRFT FIXAT LUMBAR N 3 $252.00 01/02/1992 12/31/2299
22614 2 ARTHRODESIS; SINGLE LEVEL; EA. ADDL VERTEBRAL SEGMENT N 3 $324.00 01/02/1996 12/31/2299
22614 8 ARTHRODESIS; SINGLE LEVEL; EA. ADD'L VERTEBRAL SEGMENT N 3 $64.80 01/01/1996 12/31/2299
22615 7 CERVICAL FUSION, ANTERIOR APPROACH (C3-T1) WITH IL N 3 $13.45 06/01/1994 12/31/2299
22615 8 CERVICAL FUSION, ANTERIOR APPROACH (C3-T1) WITH IL N 3 $140.00 01/01/1973 12/31/2299
22617 2 ATLAS-AXIS FUSION (C1-C2 OR C3) WITH ILIAC OR OTHE N 3 $0.00 07/01/1988 12/31/2299
22617 7 ATLAS-AXIS FUSION (C1-C2 OR C3) WITH ILIAC OR OTHE N 3 $13.45 06/01/1994 12/31/2299
22617 8 ATLAS-AXIS FUSION (C1-C2 OR C3) WITH ILIAC OR OTHE N 3 $140.00 01/01/1984 12/31/2299
22620 2 CERVICOCRANIAL FUSION (OCCIPUT THROUGH C2) WITH IL N 3 $700.00 01/01/1984 12/31/2299
22620 7 CERVICOCRANIAL FUSION (OCCIPUT THROUGH C2) WITH IL N 3 $13.45 06/01/1994 12/31/2299
22625 7 ARTHORDESIS,POSTERIOR,POST OR LAT TRANS PROC TECH N 3 $13.45 06/01/1994 12/31/2299
22630 2 ARTHODESIS, POSTERIOR INTERBODY TECHNIQUE, 1 INTERSPACE, LUMBAR N 3 $1,020.00 01/01/1996 12/31/2299
22630 7 ARTRODIS POST INT TECH W BONE OR INT FIX LUMBAR N 3 $13.45 06/01/1994 12/31/2299
22630 8 ARTRODIS POST INT TECH W BONE OR INT FIX LUMBAR N 3 $204.00 01/02/1995 12/31/2299
22632 2 ARTHRODESIS; EA. ADD'L INTERSPACE N 3 $271.18 01/01/1996 12/31/2299
22632 8 ARTHRODESIS; EA. ADD'L INTERSPACE N 3 $54.24 01/01/1996 12/31/2299
22640 7 THORACIC OR LUMBAR FUSION, POSTERIOR OR POSTEROLAT N 3 $13.45 06/01/1994 12/31/2299
22640 8 THORACIC OR LUMBAR FUSION, POSTERIOR OR POSTEROLAT N 3 $120.00 01/01/1973 12/31/2299
22645 7 THORACIC OR LUMBAR FUSION, POSTERIOR OR POSTEROLAT N 3 $13.45 06/01/1994 12/31/2299
22645 8 THORACIC OR LUMBAR FUSION, POSTERIOR OR POSTEROLAT N 3 $140.00 01/01/1973 12/31/2299
22655 7 THORACIC OR LUMBAR FUSION;POSTERIOR,WITH ILIAC OR N 3 $13.45 06/01/1994 12/31/2299
22655 8 THORACIC OR LUMBAR FUSION;POSTERIOR,WITH ILIAC OR N 3 $160.00 01/01/1973 12/31/2299
22670 7 THORACIC OR LUMBAR FUSION;LATERAL,WITH ILIAC OR OT N 3 $13.45 06/01/1994 12/31/2299
22670 8 THORACIC OR LUMBAR FUSION;LATERAL,WITH ILIAC OR OT N 3 $160.00 01/01/1973 12/31/2299
22680 7 THORACIC OR LUMBAR FUSION;ANTEROLATERAL OR ANTERIO N 3 $13.45 06/01/1994 12/31/2299
22680 8 THORACIC OR LUMBAR FUSION;ANTEROLATERAL OR ANTERIO N 3 $160.00 01/01/1973 12/31/2299
22700 7 LUMBAR SPINE FUSION; ANTERIOR INTERBODY FUSION N 3 $13.45 06/01/1994 12/31/2299
22700 8 LUMBAR SPINE FUSION; ANTERIOR INTERBODY FUSION N 3 $120.00 01/01/1973 12/31/2299
22720 7 LUMBAR SPINE FUSION; POSTERIOR, HARRINGTON OR KNOD N 3 $13.45 06/01/1994 12/31/2299
22720 8 LUMBAR SPINE FUSION; POSTERIOR, HARRINGTON OR KNOD N 3 $150.00 01/01/1973 12/31/2299
22730 7 ARTHRODESIS, PRIMARY OR REPAIR OF PSEUDARTHROSIS; N 3 $13.45 06/01/1994 12/31/2299
22730 8 ARTHRODESIS, PRIMARY OR REPAIR OF PSEUDARTHROSIS; N 3 $30.00 01/01/1973 12/31/2299
22735 7 ARTHRODESIS, PRIMARY OR REPAIR OF PSEUDARTHROSIS; N 3 $13.45 06/01/1994 12/31/2299
22800 2 ARTHRDES, POST FOR SPINE DEFORM, W/-W/O CAST,UP TO 6 VERT SEGMENT N 3 $807.00 01/01/1996 12/31/2299
22800 7 ARTHRODESIS,PRIMARY FOR SCOLIOSIS(W-W/O POSTOP CAS N 3 $13.45 06/01/1994 12/31/2299
22800 8 ARTHRODESIS,PRIMARY FOR SCOLIOSIS(W-W/O POSTOP CAS N 3 $170.00 01/01/1984 12/31/2299
22801 7 ARTHRODESIS, PRIMARY FOR SCOLIOSIS, 6 OR LESS VERT N 3 $13.45 06/01/1994 12/31/2299
22801 8 ARTHRODESIS, PRIMARY FOR SCOLIOSIS, 6 OR LESS VERT N 3 $185.00 01/01/1973 12/31/2299
22802 2 ARTHODESIS, POSTERIOR FOR SPINE DEFORM, 2/-W/O CAST,4-7 SEGMENTS N 3 $1,308.00 01/01/1996 12/31/2299
22802 7 ARTHRODESIS,PRIMARY FOR SCOLIOSIS(W-W/O POSTOP CAS N 3 $13.45 06/01/1994 12/31/2299
22802 8 ARTHRODESIS,PRIMARY FOR SCOLIOSIS(W-W/O POSTOP CAS N 3 $300.00 01/02/1994 12/31/2299
22803 7 ARTHRODESIS, PRIMARY FOR SCOLIOSIS, 7 OR MORE VERT N 3 $13.45 06/01/1994 12/31/2299
22804 2 ARTHRODESIS; 13 OR MORE VERTEBRAL SEGMENTS N 3 $1,666.68 01/01/1996 12/31/2299
22804 7 ARTHRODESIS; 13 OR MORE VERTEBRAL SEGMENTS N 3 $13.45 01/01/1996 12/31/2299
22804 8 ARTHRODESIS; 13 OR MORE VERTEBRAL SEGMENTS N 3 $333.34 01/01/1996 12/31/2299
22808 2 ARTHRODESIS; ANTERIOR; 2 TO 3 VERTEBRAL SEGMENTS N 3 $1,141.25 01/01/1996 12/31/2299
22808 7 ANESTHESIA, ARTHRODESIS;ANTERIOR;2TO3 VERTEBRAL SEGMENTS N 3 $13.45 01/01/1996 12/31/2299
22808 8 ARTHRODESIS; ANTERIOR; 2 TO 3 VERTEBRAL SEGMENTS N 3 $228.25 01/01/1996 12/31/2299
22810 2 ARTHRODESIS ANT/SPINE DEFORM W/WO CAST 4-7 VERT N 3 $1,032.00 01/02/1993 12/31/2299
22810 7 ARTHRODESIS ANT/SPINE DEFORM W/WO CAST 4-7 VERT N 3 $13.45 06/01/1994 12/31/2299
22810 8 ARTHRODESIS ANT/SPINE DEFORM W/WO CAST 4-7 VERT N 3 $180.00 01/01/1984 12/31/2299
22812 2 ARTHRODES, ANTERIOR, SPINE DEFORM, W/-W/O CAST, 8+ VERT SEGMENTS N 3 $900.00 01/01/1996 12/31/2299
22812 7 ARTRODS FOR SP DEF ANT W WO CAST GRAFT 8 OR MOR VR N 3 $13.45 06/01/1994 12/31/2299
22812 8 ARTRODS FOR SP DEF ANT W WO CAST GRAFT 8 OR MOR VR N 3 $180.00 01/01/1984 12/31/2299
22818 2 KYPECTOMY,CIRCUMF.EXPOS.SPINE&RESEC.VERTEBRAL SEG. 1 OR 2 SEGMENT N 3 $1,380.80 01/01/1998 12/31/2299
22818 7 KYPHECTOMY,CIRCUM.EXPOSURE OF SPINE/RESEC.VERTEBRAL SEG.1OR2 SEGM N 3 $13.45 01/01/1998 12/31/2299
22818 8 KYPHECTOMY,CIRCUM.EXPOS. SPINE&RESEC.VERTREBRAL SEG. 1 OR 2 SEGME N 3 $276.16 01/01/1998 12/31/2299
22819 2 KYPHECTOMY,CIRCUM.EXPOS.SPINE&RESEC.VERTEBRAL SEG.3 OR MORE N 3 $1,472.74 01/01/1998 12/31/2299
22819 7 KYPHECTOMY,CIRCUM.EXPOS.SPINE&RESEC.VERTEBRAL SEGMENTS 3OR MORE N 3 $13.45 01/01/1998 12/31/2299
22819 8 KYPHECTOMY,CIRCUM.EXPOS.SPINE&RESEC.VERTEBRAL SEGMENTS 3 OR MORE N 3 $294.54 01/01/1998 12/31/2299
22830 2 EXPLORATION OF SPINAL FUSION N 3 $630.00 01/02/1995 12/31/2299
22830 7 EXPLORATION OF SPINAL FUSION N 3 $13.45 06/01/1994 12/31/2299
22830 8 EXPLORATION OF SPINAL FUSION N 3 $126.00 01/02/1995 12/31/2299
22840 2 POSTERIOR NON SEGMENT INSTRMNTAT.(1 HARRINGTON ROD TECHNIQUE) N 3 $738.00 01/01/1996 12/31/2299
22840 7 POSTERIOR INSTRUMENTATION; (EG,HARRINGTON ROD TECH N 3 $13.45 06/01/1994 12/31/2299
22840 8 POSTERIOR INSTRUMENTATION; (EG,HARRINGTON ROD TECH N 3 $100.00 01/01/1973 12/31/2299
22841 2 INTERNAL SPINAL FIXATION BY WIRING OF SPINOUS PROCESSES N 3 $500.00 01/01/1997 12/31/2299
22841 8 INTERNAL SPINAL FIXATION BY WIRING OF SPINOUS PROCESSES N 3 $100.00 01/01/1997 12/31/2299
22842 2 PEDICLE FIXATION, 2 RODS W/MULT HOOK&SUBLAM WIRE,3-6 VERT SEGMENT N 3 $810.00 01/01/1996 12/31/2299
22842 7 POSTERIOR INSTMNTATION SE6 WIRING E6 LUQUE TECHN N 3 $13.45 06/01/1994 12/31/2299
22842 8 SEGMENTAL WIRING EG LUQUETECH LIST SPTLY N 3 $162.00 01/02/1992 12/31/2299
22843 2 PSOTERIOR SEGMENTAL INSTRUMENTATION 3-6 VERTEBRAL SEGMENTS N 3 $464.75 01/01/1996 12/31/2299
22843 8 POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VERTEBRAL SEGMENTS N 3 $92.95 01/01/1996 12/31/2299
22844 2 POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR MORE VERTEBRAL SEGMENTS N 3 $567.92 01/01/1996 12/31/2299
22844 8 POSTERIOR SEGMENTAL INSTRUMENTATION - 13+ VERTEBRAL SEGMENTS N 3 $113.58 01/01/1996 12/31/2299
22845 2 ANTERIOR INSTRUMENTATION; 3 VERTEBRAL SEGMENTS N 3 $600.00 01/01/1996 12/31/2299
22845 7 ANTERIOR INSTRUMENTATION; (EG, DWYER INSTRUMENTATI N 3 $13.45 06/01/1994 12/31/2299
22845 8 ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS N 3 $147.00 01/02/1994 12/31/2299
22846 2 ANTERIOR INSTRUMENTATION; 4-7 VERTEBRAL SEGMENTS N 3 $429.14 01/01/1996 12/31/2299
22846 8 ANTERIOR INSTRUMENTATION; 4-7 VERTEBRAL SEGMENTS N 3 $85.83 01/01/1996 12/31/2299
22847 2 ANTERIOR INSTRUMENTATION; 8 OR MORE VERTEBRAL SEGMENTS N 3 $476.78 01/01/1996 12/31/2299
22847 8 ANTERIOR INSTRUMENTATION; 8 OR MORE VERTEBRAL SEGMENTS N 3 $95.36 01/01/1996 12/31/2299
22848 2 PELVIC FIXATION OTHER THAN SACRUM N 3 $310.97 01/01/1996 12/31/2299
22848 8 PELVIC FIXATION OTHER THAN SACRUM N 3 $62.19 01/01/1996 12/31/2299
22849 2 REINSERTION OF SPINAL FIXATION DEVICE N 3 $654.00 01/02/1995 12/31/2299
22849 7 REINSERTION OF SPINAL FIXATION DEVICE N 3 $13.45 06/01/1994 12/31/2299
22849 8 REINSERTION OF SPINAL FIXATION DEVICE N 3 $131.00 01/02/1995 12/31/2299
22850 2 REMOVAL OF POSTERIOR INSTRUMENTATION (EG, HARRINGT N 3 $300.00 01/01/1984 12/31/2299
22850 7 REMOVAL OF POSTERIOR INSTRUMENTATION (EG, HARRINGT N 3 $13.45 06/01/1994 12/31/2299
22850 8 REMOVAL OF POSTERIOR INSTRUMENTATION (EG, HARRINGT N 3 $91.00 01/02/1994 12/31/2299
22851 2 APPLICATION OF PROSTHETIC DEVICE TO VERTEBRAL DEFECT OR INTERSPAC N 3 $347.82 01/01/1996 12/31/2299
22851 8 APPLICATION OF PROSTHETIC DEVICE TO VERTEBRAL DEFECT OR INTERSPAC N 3 $69.56 01/01/1996 12/31/2299
22852 2 RMVL POST SEG INSTRUMENTATION N 3 $486.00 01/02/1995 12/31/2299
22852 7 RMVL POST SEG INSTRUMENTATION N 3 $13.45 06/01/1994 12/31/2299
22852 8 RMVL POST SEG INSTRUMENTATION N 3 $97.00 01/02/1995 12/31/2299
22855 2 REMOVAL OF ANTERIOR INSTRUMENTATION (EG, DWYER DEV N 3 $300.00 01/01/1984 12/31/2299
22855 7 REMOVAL OF ANTERIOR INSTRUMENTATION (EG, DWYER DEV N 3 $13.45 06/01/1994 12/31/2299
22855 8 REMOVAL OF ANTERIOR INSTRUMENTATION (EG, DWYER DEV N 3 $128.49 01/01/2005 12/31/2299
22899 7 UNLISTED PROCEDURE, SPINE N 3 $13.45 06/01/1994 12/31/2299
22900 2 EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL N 3 $125.00 01/01/1984 12/31/2299
22900 7 EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL N 3 $13.45 06/01/1994 12/31/2299
22900 8 EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL N 3 $25.00 01/01/1984 12/31/2299
22900 F EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL N 3 $432.00 03/01/2004 12/31/2299
22910 2 ABDOMINAL FASCIAL TRANSPLANTS, BILATERAL N 3 $500.00 01/01/1973 12/31/2299
22910 7 ABDOMINAL FASCIAL TRANSPLANTS, BILATERAL N 3 $13.45 06/01/1994 12/31/2299
22910 8 ABDOMINAL FASCIAL TRANSPLANTS, BILATERAL N 3 $100.00 01/01/1973 12/31/2299
22999 7 UNLISTED PROCEDURE, ABDOMEN, MUSCULOSKELETAL SYSTE N 3 $13.45 06/01/1994 12/31/2299
23000 2 REMOVAL OF SUBDELTOID (OR INTRATENDINOUS) CALCAREOUS DEPOSITS N 3 $150.00 01/01/1973 12/31/2299
23000 7 REMOVAL OF SUBDELTOID (OR INTRATENDINOUS) CALCAREO N 3 $13.45 06/01/1994 12/31/2299
23000 F REMOVAL OF SUBDELTOID (OR INTRATENDINOUS) CALCAREOUS DEPOSITS N 3 $306.00 03/01/2004 12/31/2299
23020 2 CAPSULAR CONTRACTURE RELEASE (SEVER TYPE) FOR ERB' N 3 $275.00 01/01/1973 12/31/2299
23020 7 CAPSULAR CONTRACTURE RELEASE (SEVER TYPE) FOR ERB' N 3 $13.45 06/01/1994 12/31/2299
23020 8 CAPSULAR CONTRACTURE RELEASE (SEVER TYPE) FOR ERB' N 3 $55.00 01/01/1973 12/31/2299
23020 F CAPSULAR CONTRACTURE RELEASE (SEVER TYPE) FOR ERB' N 3 $306.00 03/01/2004 12/31/2299
23030 7 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $13.45 06/01/1994 12/31/2299
23030 F INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $225.80 03/01/2004 12/31/2299
23031 2 INCISION AND DRAINAGE; INFECTED BURSA N 3 $20.00 01/01/1984 12/31/2299
23031 7 INCISION AND DRAINAGE; INFECTED BURSA N 3 $13.45 06/01/1994 12/31/2299
23031 F INCISION AND DRAINAGE; INFECTED BURSA N 3 $351.00 03/01/2004 12/31/2299
23035 2 INCISION,BONE CORTEX (EG SEVER TYPE PROCEDURE N 3 $150.00 01/01/1984 12/31/2299
23035 7 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $13.45 06/01/1994 12/31/2299
23035 F INCISION,BONE CORTEX (EG SEVER TYPE PROCEDURE N 3 $351.00 03/01/2004 12/31/2299
23036 2 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $175.00 01/01/1984 12/31/2299
23036 7 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $13.45 06/01/1994 12/31/2299
23040 2 ARTHROTOMY GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE OR N 3 $275.00 01/01/1973 12/31/2299
23040 7 ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL O N 3 $13.45 06/01/1994 12/31/2299
23040 8 ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL O N 3 $50.00 01/01/1973 12/31/2299
23040 F ARTHROTOMY GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE OR N 3 $351.00 03/01/2004 12/31/2299
23042 2 ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL O N 3 $300.00 01/01/1984 12/31/2299
23042 7 ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL O N 3 $13.45 06/01/1994 12/31/2299
23044 2 ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL OF FOREIGN BODY N 3 $150.00 01/01/1984 12/31/2299
23044 7 ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL O N 3 $13.45 06/01/1994 12/31/2299
23044 F ARTHROTOMY WITH EXPLORATION, DRAINAGE OR REMOVAL OF FOREIGN BODY N 3 $432.00 03/01/2004 12/31/2299
23065 2 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $50.00 01/01/1984 12/31/2299
23066 2 BIOPSY, SOFT TISSUES; DEEP N 3 $150.00 01/01/1984 12/31/2299
23066 F BIOPSY, SOFT TISSUES; DEEP N 3 $306.00 03/01/2004 12/31/2299
23075 2 EXCISION,SOFT TISSUE TUMOR,SHOULDER AREA SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
23075 F EXCISION,SOFT TISSUE TUMOR,SHOULDER AREA SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
23076 2 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $150.00 01/01/1984 12/31/2299
23076 7 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $13.45 06/01/1994 12/31/2299
23076 F EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $306.00 03/01/2004 12/31/2299
23077 2 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $707.29 01/01/2002 12/31/2299
23077 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
23077 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
23100 2 ARTHROTOMY GLENOHUMERAL JOINT, INCLUDING BIOPSY N 3 $275.00 01/01/1973 12/31/2299
23100 7 ARTHROTOMY FOR BIOPSY, GLENOHUMERAL JOINT N 3 $13.45 06/01/1994 12/31/2299
23100 F ARTHROTOMY GLENOHUMERAL JOINT, INCLUDING BIOPSY N 3 $306.00 03/01/2004 12/31/2299
23101 2 ARTHROTOMY ACROMIOCLAVICULAR JOINT OR STERNOCLAVICULAR JOINT N 3 $275.00 01/01/1984 12/31/2299
23101 7 ARTHROTOMY FOR BIOPSY OR FOR EXCISION OF TORN CART N 3 $13.45 06/01/1994 12/31/2299
23101 F ARTHROTOMY ACROMIOCLAVICULAR JOINT OR STERNOCLAVICULAR JOINT N 3 $495.00 03/01/2004 12/31/2299
23105 2 ARTHROTOMY;GLENOHUMERAL JOINT, WITH SYNOVECTOMY,WITH OR W/OUT BIO N 3 $400.00 08/01/1979 12/31/2299
23105 7 ARTHROTOMY FOR SYNOVECTOMY; GLENOHUMERAL JOINT N 3 $13.45 06/01/1994 12/31/2299
23105 8 ARTHROTOMY FOR SYNOVECTOMY; GLENOHUMERAL JOINT N 3 $80.00 08/01/1979 12/31/2299
23105 F ARTHROTOMY;GLENOHUMERAL JOINT, WITH SYNOVECTOMY,WITH OR W/OUT BIO N 3 $432.00 03/01/2004 12/31/2299
23106 2 ARTHROTOMY STERNOCLAVICULAR JOINT,WITH SYNOVECTOMY,W/WO BIOPSY N 3 $275.00 01/01/1984 12/31/2299
23106 7 ARTHROTOMY FOR SYNOVECTOMY; ACROMIOCLAVICULAR, STE N 3 $13.45 06/01/1994 12/31/2299
23106 F ARTHROTOMY STERNOCLAVICULAR JOINT,WITH SYNOVECTOMY,W/WO BIOPSY N 3 $432.00 03/01/2004 12/31/2299
23107 7 ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT EXPLORA N 3 $13.45 06/01/1994 12/31/2299
23107 F ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT EXPLORA N 3 $432.00 03/01/2004 12/31/2299
23110 2 EXCISION, SUBACROMIAL (SUBDELTOID) BURSA N 3 $150.00 01/01/1973 12/31/2299
23110 7 EXCISION, SUBACROMIAL (SUBDELTOID) BURSA N 3 $13.45 06/01/1994 12/31/2299
23120 2 CLAVICULECTOMY; PARTIAL N 3 $228.00 01/02/1992 12/31/2299
23120 7 CLAVICULECTOMY; PARTIAL N 3 $13.45 06/01/1994 12/31/2299
23120 8 CLAVICULECTOMY; PARTIAL N 3 $55.00 01/02/1994 12/31/2299
23120 F CLAVICULECTOMY; PARTIAL N 3 $495.00 03/01/2004 12/31/2299
23125 2 CLAVICULECTOMY; TOTAL N 3 $215.00 08/01/1979 12/31/2299
23125 7 CLAVICULECTOMY; TOTAL N 3 $13.45 06/01/1994 12/31/2299
23125 8 CLAVICULECTOMY; TOTAL N 3 $43.00 08/01/1979 12/31/2299
23125 F CLAVICULECTOMY; TOTAL N 3 $495.00 03/01/2004 12/31/2299
23130 2 ACROMIOPLASTY OR ACROMIONECTOMY,PARTIAL,W/WO CORACOACROMIAL LIGAM N 3 $215.00 08/01/1979 12/31/2299
23130 7 ACROMIONECTOMY, PARTIAL OR TOTAL N 3 $13.45 06/01/1994 12/31/2299
23130 8 ACROMIONECTOMY, PARTIAL OR TOTAL N 3 $42.50 01/01/1973 12/31/2299
23130 F ACROMIOPLASTY OR ACROMIONECTOMY,PARTIAL,W/WO CORACOACROMIAL LIGAM N 3 $495.00 03/01/2004 12/31/2299
23140 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $150.00 01/01/1973 12/31/2299
23140 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
23140 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $432.00 03/01/2004 12/31/2299
23145 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $225.00 01/01/1973 12/31/2299
23145 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
23145 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $45.00 01/01/1973 12/31/2299
23145 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $495.00 03/01/2004 12/31/2299
23146 2 EXCISION OR CURETTAGE OF BONE CYST;WITH HOMOGENOUS N 3 $175.00 01/01/1984 12/31/2299
23146 7 EXCISION OR CURETTAGE OF BONE CYST;WITH HOMOGENOUS N 3 $13.45 06/01/1994 12/31/2299
23146 F EXCISION OR CURETTAGE OF BONE CYST;WITH HOMOGENOUS N 3 $495.00 03/01/2004 12/31/2299
23150 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $426.54 01/01/2000 12/31/2299
23150 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
23150 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $85.30 01/01/2000 12/31/2299
23150 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $432.00 03/01/2004 12/31/2299
23155 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $195.00 01/01/1984 12/31/2299
23155 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
23155 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $495.00 03/01/2004 12/31/2299
23156 2 EXCISION OR CURETTAGE OF BONE CYST;WITH HOMOGENOUS N 3 $200.00 01/01/1984 12/31/2299
23156 7 EXCISION OR CURETTAGE OF BONE CYST;WITH HOMOGENOUS N 3 $13.45 06/01/1994 12/31/2299
23156 F EXCISION OR CURETTAGE OF BONE CYST;WITH HOMOGENOUS N 3 $495.00 03/01/2004 12/31/2299
23170 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $125.00 01/01/1984 12/31/2299
23170 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
23170 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $306.00 03/01/2004 12/31/2299
23171 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $150.00 01/01/1984 12/31/2299
23171 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
23172 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $125.00 01/01/1984 12/31/2299
23172 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
23172 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $306.00 03/01/2004 12/31/2299
23173 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $150.00 01/01/1984 12/31/2299
23173 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
23174 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS,H N 3 $300.00 01/01/1984 12/31/2299
23174 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS,H N 3 $13.45 06/01/1994 12/31/2299
23174 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS,H N 3 $306.00 03/01/2004 12/31/2299
23175 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS,H N 3 $350.00 01/01/1984 12/31/2299
23175 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS,H N 3 $13.45 06/01/1994 12/31/2299
23180 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZATION OR DIAPHSE N 3 $125.00 01/01/1984 12/31/2299
23180 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
23180 8 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $25.00 01/01/1984 12/31/2299
23180 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZATION OR DIAPHSE N 3 $432.00 03/01/2004 12/31/2299
23181 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $150.00 01/01/1984 12/31/2299
23181 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
23182 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZATION OR DIAPHYS N 3 $125.00 01/01/1984 12/31/2299
23182 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
23182 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZATION OR DIAPHYS N 3 $432.00 03/01/2004 12/31/2299
23183 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $150.00 01/01/1984 12/31/2299
23183 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
23184 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $125.00 01/01/1973 12/31/2299
23184 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
23184 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $432.00 03/01/2004 12/31/2299
23185 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $150.00 01/01/1984 12/31/2299
23185 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
23190 2 OSTECTOMY OF SCAPULA, PARTIAL N 3 $175.00 01/01/1973 12/31/2299
23190 7 OSTECTOMY OF SCAPULA, PARTIAL N 3 $13.45 06/01/1994 12/31/2299
23190 F OSTECTOMY OF SCAPULA, PARTIAL N 3 $432.00 03/01/2004 12/31/2299
23195 2 RESECTION HUMERAL HEAD N 3 $275.00 01/01/1984 12/31/2299
23195 7 RESECTION HUMERAL HEAD N 3 $13.45 06/01/1994 12/31/2299
23195 F RESECTION HUMERAL HEAD N 3 $495.00 03/01/2004 12/31/2299
23200 2 RADICAL RESECTION FOR TUMOR; CLAVICLE N 3 $400.00 01/01/1984 12/31/2299
23200 7 RADICAL RESECTION FOR TUMOR; CLAVICLE N 3 $13.45 06/01/1994 12/31/2299
23210 2 RADICAL RESECTION FOR TUMOR; SCAPULA N 3 $450.00 01/01/1984 12/31/2299
23210 7 RADICAL RESECTION FOR TUMOR; SCAPULA N 3 $13.45 06/01/1994 12/31/2299
23220 2 RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; N 3 $450.00 01/01/1984 12/31/2299
23220 7 RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; N 3 $13.45 06/01/1994 12/31/2299
23221 2 RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; WIT N 3 $550.00 01/01/1984 12/31/2299
23221 7 RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; WIT N 3 $13.45 06/01/1994 12/31/2299
23222 2 RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; WIT N 3 $600.00 01/01/1984 12/31/2299
23222 7 RADICAL RESECTION FOR TUMOR, PROXIMAL HUMERUS; WIT N 3 $13.45 06/01/1994 12/31/2299
23330 2 REMOVAL OF FOREIGN BODY; SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
23330 F REMOVAL OF FOREIGN BODY; SUBCUTANEOUS N 3 $225.80 03/01/2004 12/31/2299
23331 2 REMOVAL OF FOREIGN BODY; DEEP PROSTHETIC REMOVAL N 3 $275.00 01/01/1973 12/31/2299
23331 7 REMOVAL OF FOREIGN BODY; DEEP PROSTHETIC REMOVAL N 3 $13.45 06/01/1994 12/31/2299
23331 8 REMOVAL OF FOREIGN BODY; DEEP PROSTHETIC REMOVAL N 3 $55.00 01/01/1973 12/31/2299
23331 F REMOVAL OF FOREIGN BODY; DEEP PROSTHETIC REMOVAL N 3 $225.80 03/01/2004 12/31/2299
23332 2 REMOVAL OF FOREIGN BODY; COMPLICATED, INCLUDING "T N 3 $300.00 01/01/1984 12/31/2299
23332 7 REMOVAL OF FOREIGN BODY; COMPLICATED, INCLUDING "T N 3 $13.45 06/01/1994 12/31/2299
23350 2 INJECTION PROCEDURE FOR SHOULDER ARTHROGRAPHY N 3 $26.00 01/02/1994 12/31/2299
23350 7 INJECTION PROCEDURE FOR SHOULDER ARTHROGRAPHY N 3 $13.45 06/01/1994 12/31/2299
23395 2 MUSCLE TRANSFER, ANY TYPE FOR PARALYSIS OF SHOULDE N 3 $400.00 01/01/1984 12/31/2299
23395 7 MUSCLE TRANSFER, ANY TYPE FOR PARALYSIS OF SHOULDE N 3 $13.45 06/01/1994 12/31/2299
23395 F MUSCLE TRANSFER, ANY TYPE FOR PARALYSIS OF SHOULDE N 3 $495.00 03/01/2004 12/31/2299
23397 2 MUSCLE TRANSFER, ANY TYPE FOR PARALYSIS OF SHOULDE N 3 $550.00 01/01/1984 12/31/2299
23397 7 MUSCLE TRANSFER, ANY TYPE FOR PARALYSIS OF SHOULDE N 3 $13.45 06/01/1994 12/31/2299
23397 F MUSCLE TRANSFER, ANY TYPE FOR PARALYSIS OF SHOULDE N 3 $495.00 03/01/2004 12/31/2299
23400 2 SCAPULOPEXY N 3 $475.00 01/01/1984 12/31/2299
23400 7 SCAPULOPEXY N 3 $13.45 06/01/1994 12/31/2299
23400 F SCAPULOPEXY N 3 $495.00 03/01/2004 12/31/2299
23405 2 TENOMYOTOMY; SINGLE N 3 $100.00 01/01/1984 12/31/2299
23405 7 TENOMYOTOMY; SINGLE N 3 $13.45 06/01/1994 12/31/2299
23405 F TENOMYOTOMY; SINGLE N 3 $306.00 03/01/2004 12/31/2299
23406 2 TENOMYOTOMY; MULTIPLE THROUGH SAME INCISION N 3 $150.00 01/01/1984 12/31/2299
23406 7 TENOMYOTOMY; MULTIPLE THROUGH SAME INCISION N 3 $13.45 06/01/1994 12/31/2299
23406 F TENOMYOTOMY; MULTIPLE THROUGH SAME INCISION N 3 $306.00 03/01/2004 12/31/2299
23410 2 REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $350.00 01/01/1973 12/31/2299
23410 7 REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $13.45 06/01/1994 12/31/2299
23410 8 REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $70.00 01/01/1973 12/31/2299
23410 F REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $495.00 03/01/2004 12/31/2299
23412 2 REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $690.00 01/02/1995 12/31/2299
23412 7 REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $13.45 06/01/1994 12/31/2299
23412 8 REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $138.00 01/02/1995 12/31/2299
23412 F REPAIR OF RUPTURED SUPRASPINATUS TENDON OR MUSCULO N 3 $495.00 03/01/2004 12/31/2299
23415 2 CORACOACROMIAL LIGAMENT RELEASE FOR CHRONIC RUPTUR N 3 $150.00 01/01/1984 12/31/2299
23415 7 CORACOACROMIAL LIGAMENT RELEASE FOR CHRONIC RUPTUR N 3 $13.45 06/01/1994 12/31/2299
23415 8 CORACOACROMIAL LIGAMENT RELEASE FOR CHRONIC RUPTUR N 3 $30.00 01/01/1984 12/31/2299
23415 F CORACOACROMIAL LIGAMENT RELEASE FOR CHRONIC RUPTUR N 3 $495.00 03/01/2004 12/31/2299
23420 2 REPAIR OF COMPLETE SHOULDER CUFF AVULSION, CHRONIC N 3 $702.00 01/02/1997 12/31/2299
23420 7 REPAIR OF COMPLETE SHOULDER CUFF AVULSION, CHRONIC N 3 $13.45 06/01/1994 12/31/2299
23420 8 REPAIR OF COMPLETE SHOULDER CUFF AVULSION, CHRONIC N 3 $140.00 01/02/1997 12/31/2299
23420 F REPAIR OF COMPLETE SHOULDER CUFF AVULSION, CHRONIC N 3 $495.00 03/01/2004 12/31/2299
23430 2 TENODESIS FOR RUPTURE OF LONG TENDON OF BICEPS N 3 $300.00 01/01/1973 12/31/2299
23430 7 TENODESIS FOR RUPTURE OF LONG TENDON OF BICEPS N 3 $13.45 06/01/1994 12/31/2299
23430 8 TENODESIS FOR RUPTURE OF LONG TENDON OF BICEPS N 3 $60.00 01/01/1973 12/31/2299
23430 F TENODESIS FOR RUPTURE OF LONG TENDON OF BICEPS N 3 $432.00 03/01/2004 12/31/2299
23440 2 RESECTION OR TRANSPLANTATION OF LONG TENDON OF BIC N 3 $300.00 01/01/1984 12/31/2299
23440 7 RESECTION OR TRANSPLANTATION OF LONG TENDON OF BIC N 3 $13.45 06/01/1994 12/31/2299
23440 F RESECTION OR TRANSPLANTATION OF LONG TENDON OF BIC N 3 $432.00 03/01/2004 12/31/2299
23450 2 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $425.00 06/01/1988 12/31/2299
23450 7 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
23450 8 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $70.00 01/01/1971 12/31/2299
23450 F CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $495.00 03/01/2004 12/31/2299
23455 2 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $475.00 01/01/1973 12/31/2299
23455 7 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
23455 8 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $95.00 01/01/1973 12/31/2299
23455 F CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $495.00 03/01/2004 12/31/2299
23460 2 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $500.00 01/01/1973 12/31/2299
23460 7 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
23460 8 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $100.00 01/01/1973 12/31/2299
23460 F CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $495.00 03/01/2004 12/31/2299
23462 2 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $450.00 01/01/1984 12/31/2299
23462 7 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
23462 F CAPSULORRHAPHY FOR RECURRENT DISLOCATION, ANTERIOR N 3 $495.00 03/01/2004 12/31/2299
23465 2 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, POSTERIO N 3 $747.78 01/02/1997 12/31/2299
23465 7 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, POSTERIO N 3 $13.45 06/01/1994 12/31/2299
23465 8 CAPSULORRHAPHY FOR RECURRENT DISLOCATION, POSTERIO N 3 $150.00 01/02/1997 12/31/2299
23465 F CAPSULORRHAPHY FOR RECURRENT DISLOCATION, POSTERIO N 3 $495.00 03/01/2004 12/31/2299
23466 2 CAPSULORRHAPHY FOR RECURRENT DISLOCATION WITH ANY N 3 $600.00 01/01/1992 12/31/2299
23466 7 CAPSULORRHAPHY FOR RECURRENT DISLOCATION WITH ANY N 3 $13.45 06/01/1994 12/31/2299
23466 8 CAPSULORRHAPHY FOR RECURRENT DISLOCATION WITH ANY N 3 $120.00 01/01/1992 12/31/2299
23466 F CAPSULORRHAPHY FOR RECURRENT DISLOCATION WITH ANY N 3 $495.00 03/01/2004 12/31/2299
23470 2 ARTHROPLASTY WITH PROXIMAL HUMERAL IMPLANT N 3 $500.00 01/01/1984 12/31/2299
23470 7 ARTHROPLASTY WITH PROXIMAL HUMERAL IMPLANT N 3 $13.45 06/01/1994 12/31/2299
23470 8 ARTHROPLASTY WITH PROXIMAL HUMERAL IMPLANT N 3 $100.00 01/01/1984 12/31/2299
23472 2 ARTHROPLASTY WITH GLENOID AND PROXIMAL HUMERAL REP N 3 $500.00 01/01/1973 12/31/2299
23472 7 ARTHROPLASTY WITH GLENOID AND PROXIMAL HUMERAL REP N 3 $13.45 06/01/1994 12/31/2299
23472 8 ARTHROPLASTY WITH GLENOID AND PROXIMAL HUMERAL REP N 3 $100.00 01/01/1973 12/31/2299
23480 2 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $250.00 01/01/1973 12/31/2299
23480 7 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $13.45 06/01/1994 12/31/2299
23480 8 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $50.00 01/01/1973 12/31/2299
23480 F OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $432.00 03/01/2004 12/31/2299
23485 2 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $325.00 01/01/1973 12/31/2299
23485 7 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $13.45 06/01/1994 12/31/2299
23485 8 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $65.00 01/01/1973 12/31/2299
23485 F OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXA N 3 $495.00 03/01/2004 12/31/2299
23490 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
23490 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
23491 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
23491 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
23500 2 TREATMENT OF CLOSED CLAVICULAR FRACTURE; WITHOUT M N 3 $25.00 01/01/1971 12/31/2299
23500 7 TREATMENT OF CLOSED CLAVICULAR FRACTURE; WITHOUT M N 3 $13.45 06/01/1994 12/31/2299
23500 F TREATMENT OF CLOSED CLAVICULAR FRACTURE; WITHOUT M N 3 $225.80 03/01/2004 12/31/2299
23505 2 TREATMENT OF CLOSED CLAVICULAR FRACTURE;WITH MANIP N 3 $40.00 01/01/1971 12/31/2299
23505 7 TREATMENT OF CLOSED CLAVICULAR FRACTURE;WITH MANIP N 3 $13.45 06/01/1994 12/31/2299
23505 F TREATMENT OF CLOSED CLAVICULAR FRACTURE;WITH MANIP N 3 $225.80 03/01/2004 12/31/2299
23515 2 OPEN TREATMENT OF CLOSED OR OPEN CLAVICULAR WITH O N 3 $150.00 01/01/1973 12/31/2299
23515 7 OPEN TREATMENT OF CLOSED OR OPEN CLAVICULAR WITH O N 3 $13.45 06/01/1994 12/31/2299
23515 8 OPEN TREATMENT OF CLOSED OR OPEN CLAVICULAR WITH O N 3 $30.00 01/01/1973 12/31/2299
23515 F OPEN TREATMENT OF CLOSED OR OPEN CLAVICULAR WITH O N 3 $351.00 03/01/2004 12/31/2299
23520 2 TREATMENT OF CLOSED STERNOCLAVICULAR DISLOCATION; N 3 $50.00 01/01/1984 12/31/2299
23520 7 TREATMENT OF CLOSED STERNOCLAVICULAR DISLOCATION; N 3 $13.45 06/01/1994 12/31/2299
23520 F TREATMENT OF CLOSED STERNOCLAVICULAR DISLOCATION; N 3 $225.80 03/01/2004 12/31/2299
23525 2 TREATMENT OF CLOSED STERNOCLAVICULAR DISLOCATION; N 3 $70.00 01/01/1973 12/31/2299
23525 7 TREATMENT OF CLOSED STERNOCLAVICULAR DISLOCATION; N 3 $13.45 06/01/1994 12/31/2299
23525 F TREATMENT OF CLOSED STERNOCLAVICULAR DISLOCATION; N 3 $225.80 03/01/2004 12/31/2299
23530 2 OPEN TREATMENT OF CLOSED OR OPEN STERNOCLAVICULAR N 3 $250.00 01/01/1973 12/31/2299
23530 7 OPEN TREATMENT OF CLOSED OR OPEN STERNOCLAVICULAR N 3 $13.45 06/01/1994 12/31/2299
23530 F OPEN TREATMENT OF CLOSED OR OPEN STERNOCLAVICULAR N 3 $351.00 03/01/2004 12/31/2299
23532 2 OPEN TREATMENT OF CLOSED OR OPEN STERNOCLAVICULAR N 3 $275.00 01/01/1984 12/31/2299
23532 7 OPEN TREATMENT OF CLOSED OR OPEN STERNOCLAVICULAR N 3 $13.45 06/01/1994 12/31/2299
23532 F OPEN TREATMENT OF CLOSED OR OPEN STERNOCLAVICULAR N 3 $432.00 03/01/2004 12/31/2299
23540 2 TREATMENT OF CLOSED ACROMIOCLAVICULAR DISLOCATION; N 3 $45.00 01/01/1984 12/31/2299
23540 7 TREATMENT OF CLOSED ACROMIOCLAVICULAR DISLOCATION; N 3 $13.45 06/01/1994 12/31/2299
23540 F TREATMENT OF CLOSED ACROMIOCLAVICULAR DISLOCATION; N 3 $225.80 03/01/2004 12/31/2299
23545 2 TREATMENT OF CLOSED ACROMIOCLAVICULAR DISLOCATION; N 3 $60.00 01/01/1973 12/31/2299
23545 7 TREATMENT OF CLOSED ACROMIOCLAVICULAR DISLOCATION; N 3 $13.45 06/01/1994 12/31/2299
23545 F TREATMENT OF CLOSED ACROMIOCLAVICULAR DISLOCATION; N 3 $225.80 03/01/2004 12/31/2299
23550 2 OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $300.00 01/01/1973 12/31/2299
23550 7 OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $13.45 06/01/1994 12/31/2299
23550 8 OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $60.00 01/01/1973 12/31/2299
23550 F OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $351.00 03/01/2004 12/31/2299
23552 2 OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $325.00 01/01/1984 12/31/2299
23552 7 OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $13.45 06/01/1994 12/31/2299
23552 F OPEN TREATMENT OF CLOSED OR OPEN ACROMIOCLAVICULAR N 3 $432.00 03/01/2004 12/31/2299
23570 2 TREATMENT OF CLOSED SCAPULAR FRACTURE; WITHOUT MAN N 3 $20.00 01/01/1973 12/31/2299
23570 7 TREATMENT OF CLOSED SCAPULAR FRACTURE; WITHOUT MAN N 3 $13.45 06/01/1994 12/31/2299
23570 F TREATMENT OF CLOSED SCAPULAR FRACTURE; WITHOUT MAN N 3 $225.80 03/01/2004 12/31/2299
23575 2 TREATMENT OF CLOSED SCAPULAR FRACTURE; WITH MANIPU N 3 $56.00 01/01/1971 12/31/2299
23575 7 TREATMENT OF CLOSED SCAPULAR FRACTURE; WITH MANIPU N 3 $13.45 06/01/1994 12/31/2299
23575 F TREATMENT OF CLOSED SCAPULAR FRACTURE; WITH MANIPU N 3 $225.80 03/01/2004 12/31/2299
23585 2 OPEN TREATMENT OF CLOSED OR OPEN SCAPULAR FRACTURE N 3 $300.00 08/01/1979 12/31/2299
23585 7 OPEN TREATMENT OF CLOSED OR OPEN SCAPULAR FRACTURE N 3 $13.45 06/01/1994 12/31/2299
23585 8 OPEN TREATMENT OF CLOSED OR OPEN SCAPULAR FRACTURE N 3 $60.00 08/01/1979 12/31/2299
23585 F OPEN TREATMENT OF CLOSED OR OPEN SCAPULAR FRACTURE N 3 $351.00 03/01/2004 12/31/2299
23600 2 TREATMENT OF CLOSED HUMERAL (SURGICAL OR ANATOMICA N 3 $150.00 01/02/1995 12/31/2299
23600 7 TREATMENT OF CLOSED HUMERAL (SURGICAL OR ANATOMICA N 3 $13.45 06/01/1994 12/31/2299
23600 F TREATMENT OF CLOSED HUMERAL (SURGICAL OR ANATOMICA N 3 $225.80 03/01/2004 12/31/2299
23605 2 TREATMENT OF CLOSED HUMERAL (SURGICAL OR ANATOMICA N 3 $125.00 01/01/1973 12/31/2299
23605 7 TREATMENT OF CLOSED HUMERAL (SURGICAL OR ANATOMICA N 3 $13.45 06/01/1994 12/31/2299
23605 F TREATMENT OF CLOSED HUMERAL (SURGICAL OR ANATOMICA N 3 $306.00 03/01/2004 12/31/2299
23615 2 OPEN TREATMENT OF CLOSED OR OPEN HUMERAL FRACTURE, N 3 $350.00 08/01/1979 12/31/2299
23615 7 OPEN TREATMENT OF CLOSED OR OPEN HUMERAL FRACTURE, N 3 $13.45 06/01/1994 12/31/2299
23615 8 OPEN TREATMENT OF CLOSED OR OPEN HUMERAL FRACTURE, N 3 $70.00 08/01/1979 12/31/2299
23615 F OPEN TREATMENT OF CLOSED OR OPEN HUMERAL FRACTURE, N 3 $432.00 03/01/2004 12/31/2299
23616 2 OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR AN N 3 $860.92 01/01/1993 12/31/2299
23616 7 OPEN TRTMNT OF PROXIMAL HUMERAL (SURGICAL OR ANATO N 3 $13.45 06/01/1994 12/31/2299
23616 F OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR AN N 3 $432.00 03/01/2004 12/31/2299
23620 2 TREATMENT OF CLOSED GREATER TUBEROSITY FRACTURE; W N 3 $138.00 01/02/1995 12/31/2299
23620 F TREATMENT OF CLOSED GREATER TUBEROSITY FRACTURE; W N 3 $225.80 03/01/2004 12/31/2299
23625 2 TREATMENT OF CLOSED GREATER TUBEROSITY FRACTURE; W N 3 $100.00 08/01/1979 12/31/2299
23625 7 TREATMENT OF CLOSED GREATER TUBEROSITY FRACTURE; W N 3 $13.45 06/01/1994 12/31/2299
23625 F TREATMENT OF CLOSED GREATER TUBEROSITY FRACTURE; W N 3 $306.00 03/01/2004 12/31/2299
23630 2 OPEN TREAT OF CLOSED OR OPEN GREATER TUBEROSITY FR N 3 $250.00 08/01/1979 12/31/2299
23630 7 OPEN TREAT OF CLOSED OR OPEN GREATER TUBEROSITY FR N 3 $13.45 06/01/1994 12/31/2299
23630 F OPEN TREAT OF CLOSED OR OPEN GREATER TUBEROSITY FR N 3 $495.00 03/01/2004 12/31/2299
23650 2 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH MAN N 3 $30.00 08/01/1979 12/31/2299
23650 F TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH MAN N 3 $225.80 03/01/2004 12/31/2299
23655 2 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH MAN N 3 $40.00 08/01/1979 12/31/2299
23655 7 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH MAN N 3 $13.45 06/01/1994 12/31/2299
23655 F TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH MAN N 3 $225.80 03/01/2004 12/31/2299
23660 2 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $350.00 01/01/1973 12/31/2299
23660 7 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $13.45 06/01/1994 12/31/2299
23660 8 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $70.00 01/01/1973 12/31/2299
23660 F OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $351.00 03/01/2004 12/31/2299
23665 2 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH FRA N 3 $75.00 01/01/1984 12/31/2299
23665 7 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH FRA N 3 $13.45 06/01/1994 12/31/2299
23665 F TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH FRA N 3 $306.00 03/01/2004 12/31/2299
23670 2 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $300.00 01/01/1973 12/31/2299
23670 7 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $13.45 06/01/1994 12/31/2299
23670 8 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $60.00 01/01/1973 12/31/2299
23670 F OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $351.00 03/01/2004 12/31/2299
23675 2 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH SUR N 3 $100.00 01/01/1973 12/31/2299
23675 7 TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH SUR N 3 $13.45 06/01/1994 12/31/2299
23675 F TREATMENT OF CLOSED SHOULDER DISLOCATION, WITH SUR N 3 $306.00 03/01/2004 12/31/2299
23680 2 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $350.00 01/01/1973 12/31/2299
23680 7 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $13.45 06/01/1994 12/31/2299
23680 8 OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $70.00 01/01/1973 12/31/2299
23680 F OPEN TREATMENT OF CLOSED OR OPEN SHOULDER DISLOCAT N 3 $351.00 03/01/2004 12/31/2299
23700 2 MANIPULATION UNDER ANESTHESIA, INCLUDING APPLICATI N 3 $120.00 01/02/1996 12/31/2299
23700 7 MANIPULATION UNDER ANESTHESIA, INCLUDING APPLICATI N 3 $13.45 06/01/1994 12/31/2299
23700 F MANIPULATION UNDER ANESTHESIA, INCLUDING APPLICATI N 3 $225.80 03/01/2004 12/31/2299
23800 2 ARTHRODESIS, SHOULDER JOINT; WITH OR WITHOUT LOCAL N 3 $500.00 01/01/1973 12/31/2299
23800 7 ARTHRODESIS, SHOULDER JOINT; WITH OR WITHOUT LOCAL N 3 $13.45 06/01/1994 12/31/2299
23800 8 ARTHRODESIS, SHOULDER JOINT; WITH OR WITHOUT LOCAL N 3 $100.00 01/01/1973 12/31/2299
23800 F ARTHRODESIS, SHOULDER JOINT; WITH OR WITHOUT LOCAL N 3 $432.00 03/01/2004 12/31/2299
23802 2 ARTHRODESIS, SHOULDER JOINT; WITH PRIMARY AUTOGENO N 3 $400.00 01/01/1984 12/31/2299
23802 7 ARTHRODESIS, SHOULDER JOINT; WITH PRIMARY AUTOGENO N 3 $13.45 06/01/1994 12/31/2299
23802 F ARTHRODESIS, SHOULDER JOINT; WITH PRIMARY AUTOGENO N 3 $495.00 03/01/2004 12/31/2299
23900 2 INTERTHORACOSCAPULAR AMPUTATION (FOREQUARTER) N 3 $600.00 01/01/1973 12/31/2299
23900 7 INTERTHORACOSCAPULAR AMPUTATION (FOREQUARTER) N 3 $13.45 06/01/1994 12/31/2299
23900 8 INTERTHORACOSCAPULAR AMPUTATION (FOREQUARTER) N 3 $120.00 01/01/1973 12/31/2299
23920 2 DISARTICULATION OF SHOULDER; N 3 $450.00 01/01/1973 12/31/2299
23920 7 DISARTICULATION OF SHOULDER; N 3 $13.45 06/01/1994 12/31/2299
23920 8 DISARTICULATION OF SHOULDER; N 3 $90.00 01/01/1973 12/31/2299
23921 2 DISARTICULATION OF SHOULDER; SECONDARY CLOSURE OR N 3 $80.00 01/01/1984 12/31/2299
23921 7 DISARTICULATION OF SHOULDER; SECONDARY CLOSURE OR N 3 $13.45 06/01/1994 12/31/2299
23921 F DISARTICULATION OF SHOULDER; SECONDARY CLOSURE OR N 3 $351.00 03/01/2004 12/31/2299
23929 7 UNLISTED PROCEDURE, SHOULDER N 3 $13.45 06/01/1994 12/31/2299
23930 2 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $50.00 01/01/1984 12/31/2299
23930 7 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $13.45 06/01/1994 12/31/2299
23930 F INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $225.80 03/01/2004 12/31/2299
23931 2 INCISION AND DRAINAGE; INFECTED BURSA N 3 $25.00 01/01/1984 12/31/2299
23931 7 INCISION AND DRAINAGE; INFECTED BURSA N 3 $13.45 06/01/1994 12/31/2299
23931 F INCISION AND DRAINAGE; INFECTED BURSA N 3 $306.00 03/01/2004 12/31/2299
23935 2 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $100.00 01/01/1984 12/31/2299
23935 7 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $13.45 06/01/1994 12/31/2299
23935 F INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $306.00 03/01/2004 12/31/2299
23936 2 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $100.00 01/01/1984 12/31/2299
23936 7 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $13.45 06/01/1994 12/31/2299
24000 2 ARTHROTOMY, ELBOW, WITH EXPLORATION, DRAINAGE OR R N 3 $217.00 08/01/1979 12/31/2299
24000 7 ARTHROTOMY, ELBOW, WITH EXPLORATION, DRAINAGE OR R N 3 $13.45 06/01/1994 12/31/2299
24000 8 ARTHROTOMY, ELBOW, WITH EXPLORATION, DRAINAGE OR R N 3 $40.00 01/01/1973 12/31/2299
24000 F ARTHROTOMY, ELBOW, WITH EXPLORATION, DRAINAGE OR R N 3 $432.00 03/01/2004 12/31/2299
24001 2 ARTHROTOMY,ELBOW,WITH EXPLORATION,DRAINAGE OR REMO N 3 $240.00 01/01/1984 12/31/2299
24001 7 ARTHROTOMY,ELBOW,WITH EXPLORATION,DRAINAGE OR REMO N 3 $13.45 06/01/1994 12/31/2299
24006 2 ARTHROTOMY OF THE ELBOW, WITH CAPSULAR EXCISION FO N 3 $423.52 01/01/2001 12/31/2299
24006 7 ARTHROTOMY OF ELBOW WITH CAPSULAR EXICISN FOR CAPS N 3 $13.45 06/01/1994 12/31/2299
24065 2 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $50.00 01/01/1984 12/31/2299
24065 7 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
24066 2 BIOPSY, SOFT TISSUES; DEEP N 3 $150.00 01/01/1984 12/31/2299
24066 7 BIOPSY, SOFT TISSUES; DEEP N 3 $13.45 06/01/1994 12/31/2299
24066 F BIOPSY, SOFT TISSUES; DEEP N 3 $306.00 03/01/2004 12/31/2299
24075 2 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
24075 7 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
24075 F EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
24076 2 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $150.00 01/01/1984 12/31/2299
24076 7 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $13.45 06/01/1994 12/31/2299
24076 F EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $306.00 03/01/2004 12/31/2299
24077 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
24077 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
24100 2 ARTHROTOMY, ELBOW; FOR SYNOVIAL BIOPSY ONLY N 3 $250.00 01/01/1973 12/31/2299
24100 7 ARTHROTOMY, ELBOW; FOR SYNOVIAL BIOPSY ONLY N 3 $13.45 06/01/1994 12/31/2299
24100 F ARTHROTOMY, ELBOW; FOR SYNOVIAL BIOPSY ONLY N 3 $225.80 03/01/2004 12/31/2299
24101 2 ARTHROTOMY, ELBOW;WITH JOINT EXPLO, WITH OR W/OUT N 3 $400.00 01/01/1984 12/31/2299
24101 7 ARTHROTOMY, ELBOW;WITH JOINT EXPLO,WITH OR W/OUT B N 3 $13.45 06/01/1994 12/31/2299
24101 8 ARTHROTOMY, ELBOW;WITH JOINT EXPLO,WITH OR W/OUT B N 3 $80.00 01/01/1984 12/31/2299
24101 F ARTHROTOMY, ELBOW;WITH JOINT EXPLO, WITH OR W/OUT N 3 $432.00 03/01/2004 12/31/2299
24102 2 ARTHROTOMY, ELBOW; FOR SYNOVECTOMY N 3 $350.00 01/01/1973 12/31/2299
24102 7 ARTHROTOMY, ELBOW; FOR SYNOVECTOMY N 3 $13.45 06/01/1994 12/31/2299
24102 8 ARTHROTOMY, ELBOW; FOR SYNOVECTOMY N 3 $70.00 01/01/1973 12/31/2299
24102 F ARTHROTOMY, ELBOW; FOR SYNOVECTOMY N 3 $432.00 03/01/2004 12/31/2299
24105 2 EXCISION, OLECRANON BURSA N 3 $120.00 01/01/1973 12/31/2299
24105 7 EXCISION, OLECRANON BURSA N 3 $13.45 06/01/1994 12/31/2299
24105 F EXCISION, OLECRANON BURSA N 3 $351.00 03/01/2004 12/31/2299
24110 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $237.50 01/01/1973 12/31/2299
24110 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
24110 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $47.50 01/01/1973 12/31/2299
24110 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $306.00 03/01/2004 12/31/2299
24115 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $312.50 01/01/1973 12/31/2299
24115 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
24115 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $62.50 01/01/1973 12/31/2299
24115 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
24116 2 EX OR CURETTAGE OF BONE CYST OR BENIGN TUMOR;WITH N 3 $275.00 01/01/1984 12/31/2299
24116 7 EX OR CURETTAGE OF BONE CYST OR BENIGN TUMOR;WITH N 3 $13.45 06/01/1994 12/31/2299
24116 F EX OR CURETTAGE OF BONE CYST OR BENIGN TUMOR;WITH N 3 $351.00 03/01/2004 12/31/2299
24120 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $200.00 01/01/1973 12/31/2299
24120 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
24120 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $40.00 01/01/1973 12/31/2299
24120 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
24125 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $250.00 01/01/1973 12/31/2299
24125 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
24125 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $50.00 01/01/1973 12/31/2299
24125 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
24126 2 EX OR CURETTAGE OF BONE CYST OR BENIGN TUMOR;WITH N 3 $230.00 01/01/1984 12/31/2299
24126 7 EX OR CURETTAGE OF BONE CYST OR BENIGN TUMOR;WITH N 3 $13.45 06/01/1994 12/31/2299
24126 F EX OR CURETTAGE OF BONE CYST OR BENIGN TUMOR;WITH N 3 $351.00 03/01/2004 12/31/2299
24130 2 EXCISION, RADIAL HEAD N 3 $175.00 01/01/1973 12/31/2299
24130 7 EXCISION, RADIAL HEAD N 3 $13.45 06/01/1994 12/31/2299
24130 8 EXCISION, RADIAL HEAD N 3 $35.00 01/01/1973 12/31/2299
24130 F EXCISION, RADIAL HEAD N 3 $351.00 03/01/2004 12/31/2299
24134 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $125.00 01/01/1984 12/31/2299
24134 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
24134 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $306.00 03/01/2004 12/31/2299
24135 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $150.00 01/01/1984 12/31/2299
24135 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $13.45 06/01/1994 12/31/2299
24136 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $125.00 01/01/1984 12/31/2299
24136 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
24136 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $306.00 03/01/2004 12/31/2299
24137 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $150.00 01/01/1984 12/31/2299
24137 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $13.45 06/01/1994 12/31/2299
24138 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $125.00 01/01/1984 12/31/2299
24138 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $13.45 06/01/1994 12/31/2299
24138 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS, N 3 $306.00 03/01/2004 12/31/2299
24139 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS;W N 3 $150.00 01/01/1984 12/31/2299
24139 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $13.45 06/01/1994 12/31/2299
24140 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $175.00 01/01/1973 12/31/2299
24140 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
24140 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $351.00 03/01/2004 12/31/2299
24144 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $190.00 01/01/1984 12/31/2299
24144 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
24145 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $120.00 01/01/1984 12/31/2299
24145 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
24145 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $351.00 03/01/2004 12/31/2299
24146 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $135.00 01/01/1984 12/31/2299
24146 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
24147 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $175.00 01/01/1984 12/31/2299
24147 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
24147 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $306.00 03/01/2004 12/31/2299
24148 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $200.00 01/01/1984 12/31/2299
24148 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
24149 2 RADICAL RESECTION OF CAPSULE/SOFT TISSUE/HETEROTOPIC BONE ELBOW N 3 $662.83 01/01/1997 12/31/2299
24149 7 RADICAL RESECTION OF ELBOW N 3 $13.45 01/01/1997 12/31/2299
24149 8 RADICAL RESECTION OF ELBOW N 3 $132.56 01/01/1997 12/31/2299
24150 2 RADICAL RESECTION FOR TUMOR, SHAFT OR DISTAL HUMER N 3 $475.00 01/01/1984 12/31/2299
24150 7 RADICAL RESECTION FOR TUMOR, SHAFT OR DISTAL HUMER N 3 $13.45 06/01/1994 12/31/2299
24151 2 RADICAL RESECTION FOR TUMOR, SHAFT OR DISTAL HUMER N 3 $525.00 01/01/1984 12/31/2299
24151 7 RADICAL RESECTION FOR TUMOR, SHAFT OR DISTAL HUMER N 3 $13.45 06/01/1994 12/31/2299
24152 2 RADICAL RESECTION FOR TUMOR, RADIAL HEAD OR NECK; N 3 $475.00 01/01/1984 12/31/2299
24152 7 RADICAL RESECTION FOR TUMOR, RADIAL HEAD OR NECK; N 3 $13.45 06/01/1994 12/31/2299
24153 2 RADICAL RESECTION FOR TUMOR, RADIAL HEAD OR NECK;W N 3 $525.00 01/01/1984 12/31/2299
24153 7 RADICAL RESECTION FOR TUMOR, RADIAL HEAD OR NECK;W N 3 $13.45 06/01/1994 12/31/2299
24155 2 RESECTION OF ELBOW JOINT (ARTHRECTOMY) N 3 $400.00 01/01/1984 12/31/2299
24155 7 RESECTION OF ELBOW JOINT (ARTHRECTOMY) N 3 $13.45 06/01/1994 12/31/2299
24155 F RESECTION OF ELBOW JOINT (ARTHRECTOMY) N 3 $351.00 03/01/2004 12/31/2299
24160 2 IMPLANT REMOVAL; ELBOW JOINT N 3 $250.00 01/01/1984 12/31/2299
24160 7 IMPLANT REMOVAL; ELBOW JOINT N 3 $13.45 06/01/1994 12/31/2299
24160 F IMPLANT REMOVAL; ELBOW JOINT N 3 $306.00 03/01/2004 12/31/2299
24164 2 IMPLANT REMOVAL; RADIAL HEAD N 3 $175.00 01/01/1984 12/31/2299
24164 7 IMPLANT REMOVAL; RADIAL HEAD N 3 $13.45 06/01/1994 12/31/2299
24164 F IMPLANT REMOVAL; RADIAL HEAD N 3 $351.00 03/01/2004 12/31/2299
24200 2 REMOVAL OF FOREIGN BODY; SUBCUTANEOUS N 3 $42.00 01/02/1994 12/31/2299
24201 2 REMOVAL OF FOREIGN BODY; DEEP N 3 $125.00 01/01/1984 12/31/2299
24201 7 REMOVAL OF FOREIGN BODY; DEEP N 3 $13.45 06/01/1994 12/31/2299
24201 F REMOVAL OF FOREIGN BODY; DEEP N 3 $306.00 03/01/2004 12/31/2299
24220 2 INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY N 3 $20.00 01/01/1984 12/31/2299
24300 2 MANIPULATION, ELBOW UNDER ANESTHESIA N 3 $211.77 01/01/2002 12/31/2299
24301 2 MUSCLE OR TENDON TRANSFER, ANY TYPE, SINGLE N 3 $200.00 01/01/1984 12/31/2299
24301 7 MUSCLE OR TENDON TRANSFER, ANY TYPE, SINGLE N 3 $13.45 06/01/1994 12/31/2299
24301 F MUSCLE OR TENDON TRANSFER, ANY TYPE, SINGLE N 3 $432.00 03/01/2004 12/31/2299
24305 2 TENDON LENGTHENING; SINGLE, EACH N 3 $240.00 01/02/1994 12/31/2299
24305 7 TENDON LENGTHENING; SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
24305 F TENDON LENGTHENING; SINGLE, EACH N 3 $432.00 03/01/2004 12/31/2299
24310 2 TENOTOMY, OPEN, ELBOW TO SHOULDER; SINGLE, EACH N 3 $125.00 01/01/1973 12/31/2299
24310 7 TENOTOMY, OPEN, ELBOW TO SHOULDER; SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
24310 F TENOTOMY, OPEN, ELBOW TO SHOULDER; SINGLE, EACH N 3 $351.00 03/01/2004 12/31/2299
24320 2 TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR WITHOUT N 3 $300.00 01/01/1984 12/31/2299
24320 7 TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR WITHOUT N 3 $13.45 06/01/1994 12/31/2299
24320 F TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR WITHOUT N 3 $351.00 03/01/2004 12/31/2299
24330 2 FLEXOR-PLASTY, ELBOW, (EG, STEINDLER TYPE ADVANCEM N 3 $200.00 01/01/1973 12/31/2299
24330 7 FLEXOR-PLASTY, ELBOW, (EG, STEINDLER TYPE ADVANCEM N 3 $13.45 06/01/1994 12/31/2299
24330 F FLEXOR-PLASTY, ELBOW, (EG, STEINDLER TYPE ADVANCEM N 3 $351.00 03/01/2004 12/31/2299
24331 2 FLEXOR-PLASTY, ELBOW, (EG, STEINDLER TYPE ADVANCEM N 3 $270.00 01/01/1984 12/31/2299
24331 7 FLEXOR-PLASTY, ELBOW, (EG, STEINDLER TYPE ADVANCEM N 3 $13.45 06/01/1994 12/31/2299
24331 F FLEXOR-PLASTY, ELBOW, (EG, STEINDLER TYPE ADVANCEM N 3 $351.00 03/01/2004 12/31/2299
24332 2 TENOLYSIS, TRICEPS N 3 $290.35 11/01/2002 12/31/2299
24340 2 TENODESIS FOR RUPTURE OF BICEPS TENDON AT ELBOW N 3 $350.00 01/01/1973 12/31/2299
24340 7 TENODESIS FOR RUPTURE OF BICEPS TENDON AT ELBOW N 3 $13.45 06/01/1994 12/31/2299
24340 F TENODESIS FOR RUPTURE OF BICEPS TENDON AT ELBOW N 3 $351.00 03/01/2004 12/31/2299
24341 2 REPAIR,TENDON/MUSCLE,UPPER ARM/ELBOW,EA.TENDON/MUSCLE PRIM OR SEC N 3 $366.50 01/01/1997 12/31/2299
24341 7 REPAIR TENDON/MUSCLE ARM N 3 $13.45 01/01/1997 12/31/2299
24341 8 REPAIR TENDON/MUSCLE ARM N 3 $73.30 01/01/1997 12/31/2299
24341 F REPAIR,TENDON/MUSCLE,UPPER ARM/ELBOW,EA.TENDON/MUSCLE PRIM OR SEC N 3 $351.00 03/01/2004 12/31/2299
24342 2 REINSERTION OF RUPTURED BICEPS TENDON, DISTAL, WIT N 3 $420.00 01/02/1992 12/31/2299
24342 7 REINSERTION OF RUPTURED BICEPS TENDON, DISTAL, WIT N 3 $13.45 06/01/1994 12/31/2299
24342 F REINSERTION OF RUPTURED BICEPS TENDON, DISTAL, WIT N 3 $351.00 03/01/2004 12/31/2299
24343 1 REPAIR LATERAL COLLATERAL N 3 $383.88 01/01/2002 12/31/2299
24343 2 REPAIR LATERAL COLLATERAL LIGAMENT, ELBOW W/LOCAL TISSUE N 3 $383.88 01/01/2002 12/31/2299
24344 2 RECONSTRUCTION LATERAL COLLATERAL LIGAMENT, ELBOW, W/TENDON GRAFT N 3 $577.93 01/01/2002 12/31/2299
24344 8 RECONSTRUCTION LATERAL COLLATERAL LIGAMENT, ELBOW WITH TENDON N 3 $577.93 01/01/2002 12/31/2299
24345 2 REPAIR MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE N 3 $383.88 01/01/2002 12/31/2299
24345 F REPAIR MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE N 3 $306.00 03/01/2004 12/31/2299
24346 2 RECON MEDIAL COLLAT LIGAMENT, ELBOW W/ TENDON GRAFT N 3 $577.93 01/01/2002 12/31/2299
24346 7 OPEN TRTMNT OF HUMERAL SUPRACONDYLAR OR TRANSCOND N 3 $13.45 06/01/1994 12/31/2299
24350 2 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $150.00 01/01/1973 12/31/2299
24350 7 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $13.45 06/01/1994 12/31/2299
24350 F FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $351.00 03/01/2004 12/31/2299
24351 2 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $150.00 01/01/1984 12/31/2299
24351 7 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $13.45 06/01/1994 12/31/2299
24351 F FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $351.00 03/01/2004 12/31/2299
24352 2 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $180.00 01/01/1984 12/31/2299
24352 7 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $13.45 06/01/1994 12/31/2299
24352 F FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $351.00 03/01/2004 12/31/2299
24354 2 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $180.00 01/01/1984 12/31/2299
24354 7 FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $13.45 06/01/1994 12/31/2299
24354 F FASCIOTOMY, LATERAL OR MEDIAL (EG, ''TENNIS ELBOW' N 3 $351.00 03/01/2004 12/31/2299
24356 2 FASCIOTOMY LAT OR MED W PART OSTECTOMY N 3 $200.00 01/01/1984 12/31/2299
24356 7 FASCIOTOMY LAT OR MED W PART OSTECTOMY N 3 $13.45 06/01/1994 12/31/2299
24356 8 FASCIOTOMY LAT OR MED W PART OSTECTOMY N 3 $40.00 01/01/1984 12/31/2299
24356 F FASCIOTOMY LAT OR MED W PART OSTECTOMY N 3 $351.00 03/01/2004 12/31/2299
24360 2 ARTHROPLASTY, ELBOW; WITH MEMBRANE N 3 $325.00 01/01/1984 12/31/2299
24360 7 ARTHROPLASTY, ELBOW; WITH MEMBRANE N 3 $13.45 06/01/1994 12/31/2299
24360 8 ARTHROPLASTY, ELBOW; WITH MEMBRANE N 3 $65.00 01/01/1990 12/31/2299
24360 F ARTHROPLASTY, ELBOW; WITH MEMBRANE N 3 $495.00 03/01/2004 12/31/2299
24361 2 ARTHROPLASTY ELBOW W DISTAL HUMERAL PROSTH REPLACE N 3 $350.00 01/01/1984 12/31/2299
24361 7 ARTHROPLASTY ELBOW W DISTAL HUMERAL PROSTH REPLACE N 3 $13.45 06/01/1994 12/31/2299
24361 F ARTHROPLASTY ELBOW W DISTAL HUMERAL PROSTH REPLACE N 3 $495.00 03/01/2004 12/31/2299
24362 2 ARTHROPLASTY, ELBOW; WITH IMPLANT AND FASCIA LATA N 3 $425.00 01/01/1984 12/31/2299
24362 7 ARTHROPLASTY, ELBOW; WITH IMPLANT AND FASCIA LATA N 3 $13.45 06/01/1994 12/31/2299
24362 F ARTHROPLASTY, ELBOW; WITH IMPLANT AND FASCIA LATA N 3 $495.00 03/01/2004 12/31/2299
24363 2 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXI N 3 $450.00 01/01/1973 12/31/2299
24363 7 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXI N 3 $13.45 06/01/1994 12/31/2299
24363 8 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXI N 3 $90.00 01/01/1973 12/31/2299
24363 F ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXI N 3 $495.00 03/01/2004 12/31/2299
24365 2 ARTHROPLASTY, RADIAL HEAD; N 3 $235.00 01/01/1984 12/31/2299
24365 7 ARTHROPLASTY, RADIAL HEAD; N 3 $13.45 06/01/1994 12/31/2299
24365 F ARTHROPLASTY, RADIAL HEAD; N 3 $495.00 03/01/2004 12/31/2299
24366 2 ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT N 3 $235.00 01/01/1984 12/31/2299
24366 7 ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT N 3 $13.45 06/01/1994 12/31/2299
24366 8 ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT N 3 $81.24 01/01/2004 12/31/2299
24366 F ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT N 3 $495.00 03/01/2004 12/31/2299
24400 2 OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXAT N 3 $300.00 01/01/1973 12/31/2299
24400 7 OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXAT N 3 $13.45 06/01/1994 12/31/2299
24400 8 OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXAT N 3 $60.00 01/01/1973 12/31/2299
24400 F OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXAT N 3 $432.00 03/01/2004 12/31/2299
24410 2 MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON INTRAMEDU N 3 $350.00 01/01/1973 12/31/2299
24410 7 MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON INTRAMEDU N 3 $13.45 06/01/1994 12/31/2299
24410 8 MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON INTRAMEDU N 3 $70.00 01/01/1973 12/31/2299
24410 F MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON INTRAMEDU N 3 $432.00 03/01/2004 12/31/2299
24420 2 OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENIN N 3 $420.00 01/01/1973 12/31/2299
24420 7 OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENIN N 3 $13.45 06/01/1994 12/31/2299
24420 8 OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENIN N 3 $84.00 01/01/1973 12/31/2299
24420 F OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENIN N 3 $351.00 03/01/2004 12/31/2299
24430 2 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT G N 3 $425.00 01/01/1973 12/31/2299
24430 7 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT G N 3 $13.45 06/01/1994 12/31/2299
24430 8 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT G N 3 $85.00 01/01/1973 12/31/2299
24430 F REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT G N 3 $351.00 03/01/2004 12/31/2299
24435 2 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIA N 3 $500.00 01/01/1973 12/31/2299
24435 7 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIA N 3 $13.45 06/01/1994 12/31/2299
24435 8 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIA N 3 $100.00 01/01/1973 12/31/2299
24435 F REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIA N 3 $432.00 03/01/2004 12/31/2299
24470 2 HEMIEPIPHYSEAL ARREST (EG, FOR CUBITUS VARUS OR VA N 3 $175.00 01/01/1973 12/31/2299
24470 7 HEMIEPIPHYSEAL ARREST (EG, FOR CUBITUS VARUS OR VA N 3 $13.45 06/01/1994 12/31/2299
24470 F HEMIEPIPHYSEAL ARREST (EG, FOR CUBITUS VARUS OR VA N 3 $351.00 03/01/2004 12/31/2299
24495 2 DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL A N 3 $175.00 01/01/1984 12/31/2299
24495 7 DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL A N 3 $13.45 06/01/1994 12/31/2299
24495 8 DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL A N 3 $35.00 01/02/1984 12/31/2299
24495 F DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL A N 3 $306.00 03/01/2004 12/31/2299
24498 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
24498 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
24500 2 TREATMENT OF CLOSED HUMERAL SHAFT FRACTURE; WITHOU N 3 $75.00 01/01/1971 12/31/2299
24500 7 TREATMENT OF CLOSED HUMERAL SHAFT FRACTURE; WITHOU N 3 $13.45 06/01/1994 12/31/2299
24500 F TREATMENT OF CLOSED HUMERAL SHAFT FRACTURE; WITHOU N 3 $225.80 03/01/2004 12/31/2299
24505 2 TREATMENT OF CLOSED HUMERAL SHAFT FRACTURE; WITH M N 3 $125.00 01/01/1984 12/31/2299
24505 7 TREATMENT OF CLOSED HUMERAL SHAFT FRACTURE; WITH M N 3 $13.45 06/01/1994 12/31/2299
24505 F TREATMENT OF CLOSED HUMERAL SHAFT FRACTURE; WITH M N 3 $225.80 03/01/2004 12/31/2299
24515 2 OPEN TREATMENT OF CLOSED OR OPEN HUMERAL SHAFT FRA N 3 $275.00 01/01/1971 12/31/2299
24515 7 OPEN TREATMENT OF CLOSED OR OPEN HUMERAL SHAFT FRA N 3 $13.45 06/01/1994 12/31/2299
24515 8 OPEN TREATMENT OF CLOSED OR OPEN HUMERAL SHAFT FRA N 3 $50.00 01/01/1971 12/31/2299
24515 F OPEN TREATMENT OF CLOSED OR OPEN HUMERAL SHAFT FRA N 3 $432.00 03/01/2004 12/31/2299
24516 2 OPEN TREATMENT OF HUMERAL SHAFT FRACTURE, WITH INS N 3 $525.85 01/01/2003 12/31/2299
24516 7 OPEN TRTMNT OF HUMERAL SHAFT FRACT, WITH INSERTION N 3 $13.45 06/01/1994 12/31/2299
24516 8 OPEN TRTMNT OF HUMERAL SHAFT FRACT, WITH INSERTION N 3 $108.76 01/01/2003 12/31/2299
24530 2 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $150.00 01/01/1997 12/31/2299
24530 7 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $13.45 06/01/1994 12/31/2299
24530 F TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $225.80 03/01/2004 12/31/2299
24535 2 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $125.00 01/01/1973 12/31/2299
24535 7 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $13.45 06/01/1994 12/31/2299
24535 F TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $225.80 03/01/2004 12/31/2299
24538 2 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $342.00 01/02/1992 12/31/2299
24538 7 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $13.45 06/01/1994 12/31/2299
24538 8 TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $84.00 01/02/1994 12/31/2299
24538 F TREATMENT OF CLOSED SUPRACONDYLAR OR TRANSCONDYLAR N 3 $306.00 03/01/2004 12/31/2299
24545 2 OPEN TREATMENT OF CLOSED OR OPEN SUPRACONDYLAR FRA N 3 $250.00 01/01/1973 12/31/2299
24545 7 OPEN TREATMENT OF CLOSED OR OPEN SUPRACONDYLAR FRA N 3 $13.45 06/01/1994 12/31/2299
24545 8 OPEN TREATMENT OF CLOSED OR OPEN SUPRACONDYLAR FRA N 3 $50.00 01/01/1973 12/31/2299
24545 F OPEN TREATMENT OF CLOSED OR OPEN SUPRACONDYLAR FRA N 3 $432.00 03/01/2004 12/31/2299
24546 2 OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCO N 3 $576.00 01/02/1994 12/31/2299
24546 8 OPEN TREATMENT OF HUMERAL SUUPRACONDYLAR OR TRANSCO N 3 $115.00 01/02/1994 12/31/2299
24546 F OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCO N 3 $495.00 03/01/2004 12/31/2299
24560 2 TREATMENT OF CLOSED EPICONDYLAR FRACTURE, MEDIAL O N 3 $25.00 01/01/1971 12/31/2299
24560 7 TREATMENT OF CLOSED EPICONDYLAR FRACTURE, MEDIAL O N 3 $13.45 06/01/1994 12/31/2299
24560 F TREATMENT OF CLOSED EPICONDYLAR FRACTURE, MEDIAL O N 3 $225.80 03/01/2004 12/31/2299
24565 2 TREATMENT OF CLOSED EPICONDYLAR FRACTURE, MEDIAL O N 3 $94.00 01/01/1971 12/31/2299
24565 7 TREATMENT OF CLOSED EPICONDYLAR FRACTURE, MEDIAL O N 3 $13.45 06/01/1994 12/31/2299
24565 F TREATMENT OF CLOSED EPICONDYLAR FRACTURE, MEDIAL O N 3 $306.00 03/01/2004 12/31/2299
24566 2 PERCUTANEOUS SKELETAL FIXATION OF HUMERAL EPICONDY N 3 $255.25 01/01/1994 12/31/2299
24566 7 ANESTHESIA, PERCUTANEOUS SKELETAL FIXATION OF HUMERAL EPICONDYLAR N 3 $13.45 01/01/1994 12/31/2299
24566 F PERCUTANEOUS SKELETAL FIXATION OF HUMERAL EPICONDY N 3 $306.00 03/01/2004 12/31/2299
24575 2 OPEN TREATMENT OF CLOSED OR OPEN EPICONDYLAR FRACT N 3 $175.00 08/01/1979 12/31/2299
24575 7 OPEN TREATMENT OF CLOSED OR OPEN EPICONDYLAR FRACT N 3 $13.45 06/01/1994 12/31/2299
24575 8 OPEN TREATMENT OF CLOSED OR OPEN EPICONDYLAR FRACT N 3 $37.50 01/01/1973 12/31/2299
24575 F OPEN TREATMENT OF CLOSED OR OPEN EPICONDYLAR FRACT N 3 $351.00 03/01/2004 12/31/2299
24576 2 TREATMENT OF CLOSED CONDYLAR FRACTURE, MEDIAL OR L N 3 $40.00 01/01/1984 12/31/2299
24576 F TREATMENT OF CLOSED CONDYLAR FRACTURE, MEDIAL OR L N 3 $225.80 03/01/2004 12/31/2299
24577 2 TREATMENT OF CLOSED CONDYLAR FRACTURE, MEDIAL OR L N 3 $80.00 01/01/1984 12/31/2299
24577 7 TREATMENT OF CLOSED CONDYLAR FRACTURE, MEDIAL OR L N 3 $13.45 06/01/1994 12/31/2299
24577 F TREATMENT OF CLOSED CONDYLAR FRACTURE, MEDIAL OR L N 3 $225.80 03/01/2004 12/31/2299
24579 2 OPEN TREATMENT OF CLOSED OR OPEN CONDYLAR FRACTURE N 3 $325.00 01/02/1992 12/31/2299
24579 7 OPEN TREATMENT OF CLOSED OR OPEN CONDYLAR FRACTURE N 3 $13.45 06/01/1994 12/31/2299
24579 8 OPEN TREATMENT OF CLOSED OR OPEN CONDYLAR FRACTURE N 3 $35.00 01/01/1984 12/31/2299
24579 F OPEN TREATMENT OF CLOSED OR OPEN CONDYLAR FRACTURE N 3 $351.00 03/01/2004 12/31/2299
24582 2 PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR N 3 $316.99 01/01/1994 12/31/2299
24582 F PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR N 3 $306.00 03/01/2004 12/31/2299
24586 2 OPEN TREATMENT OF CLOSED OR OPEN COMMINUTED ELBOW N 3 $350.00 01/01/1984 12/31/2299
24586 7 OPEN TREATMENT OF CLOSED OR OPEN COMMINUTED ELBOW N 3 $13.45 06/01/1994 12/31/2299
24586 F OPEN TREATMENT OF CLOSED OR OPEN COMMINUTED ELBOW N 3 $432.00 03/01/2004 12/31/2299
24587 2 OPEN TREATMENT OF CLOSED OR OPEN COMMINUTED ELBOW N 3 $365.00 01/01/1984 12/31/2299
24587 7 OPEN TREATMENT OF CLOSED OR OPEN COMMINUTED ELBOW N 3 $13.45 06/01/1994 12/31/2299
24587 F OPEN TREATMENT OF CLOSED OR OPEN COMMINUTED ELBOW N 3 $495.00 03/01/2004 12/31/2299
24600 2 TREATMENT OF CLOSED ELBOW DISLOCATION; WITHOUT ANE N 3 $90.00 01/02/1993 12/31/2299
24600 F TREATMENT OF CLOSED ELBOW DISLOCATION; WITHOUT ANE N 3 $225.80 03/01/2004 12/31/2299
24605 2 TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING A N 3 $50.00 08/01/1979 12/31/2299
24605 7 TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING A N 3 $13.45 06/01/1994 12/31/2299
24605 F TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING A N 3 $306.00 03/01/2004 12/31/2299
24615 2 OPEN TREATMENT OF CLOSED OR OPEN ELBOW DISLOCATION N 3 $300.00 08/01/1979 12/31/2299
24615 7 OPEN TREATMENT OF CLOSED OR OPEN ELBOW DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
24615 8 OPEN TREATMENT OF CLOSED OR OPEN ELBOW DISLOCATION N 3 $60.00 08/01/1979 12/31/2299
24615 F OPEN TREATMENT OF CLOSED OR OPEN ELBOW DISLOCATION N 3 $351.00 03/01/2004 12/31/2299
24620 2 TREATMENT OF CLOSED MONTEGGIA TYPE OF FRACTURE DIS N 3 $270.00 01/02/1996 12/31/2299
24620 7 TREAT OF CLOSED MONTEGGIA TYPE OF FRACTURE,DISLOC N 3 $13.45 06/01/1994 12/31/2299
24620 F TREATMENT OF CLOSED MONTEGGIA TYPE OF FRACTURE DIS N 3 $306.00 03/01/2004 12/31/2299
24635 2 OPEN TREATMENT OF CLOSED OR OPEN MONTEGGIA TYPE OF N 3 $462.00 01/02/1992 12/31/2299
24635 7 OPEN TREATMENT OF CLOSED OR OPEN MONTEGGIA TYPE OF N 3 $13.45 06/01/1994 12/31/2299
24635 8 OPEN TREATMENT OF CLOSED OR OPEN MONTEGGIA TYPE OF N 3 $60.00 01/01/1973 12/31/2299
24635 F OPEN TREATMENT OF CLOSED OR OPEN MONTEGGIA TYPE OF N 3 $351.00 03/01/2004 12/31/2299
24640 2 TREATMENT OF RADIAL HEAD SUBLUXATION IN CHILD, "NU N 3 $20.00 08/01/1979 12/31/2299
24640 7 TREATMENT OF RADIAL HEAD SUBLUXATION IN CHILD, "NU N 3 $13.45 06/01/1994 12/31/2299
24650 2 TREATMENT OF CLOSED RADIAL HEAD OR NECK FRACTURE; N 3 $50.00 01/01/1973 12/31/2299
24650 7 TREATMENT OF CLOSED RADIAL HEAD OR NECK FRACTURE; N 3 $13.45 06/01/1994 12/31/2299
24655 2 TREATMENT OF CLOSED RADIAL HEAD OR NECK FRACTURE; N 3 $75.00 01/01/1971 12/31/2299
24655 7 TREATMENT OF CLOSED RADIAL HEAD OR NECK FRACTURE; N 3 $13.45 06/01/1994 12/31/2299
24655 F TREATMENT OF CLOSED RADIAL HEAD OR NECK FRACTURE; N 3 $225.80 03/01/2004 12/31/2299
24665 2 OPEN TREAT OF CLOSED OR OPEN RADIAL HEAD OR NECK F N 3 $200.00 01/01/1973 12/31/2299
24665 7 OPEN TREAT OF CLOSED OR OPEN RADIAL HEAD OR NECK F N 3 $13.45 06/01/1994 12/31/2299
24665 8 OPEN TREAT OF CLOSED OR OPEN RADIAL HEAD OR NECK F N 3 $40.00 01/01/1973 12/31/2299
24665 F OPEN TREAT OF CLOSED OR OPEN RADIAL HEAD OR NECK F N 3 $432.00 03/01/2004 12/31/2299
24666 2 OPEN TREAT OF CLOSED OR OPEN RAD HD OR NECK FRAC W N 3 $300.00 01/01/1984 12/31/2299
24666 7 OPEN TREAT OF CLOSED OR OPEN RAD HD OR NECK FRAC W N 3 $13.45 06/01/1994 12/31/2299
24666 8 OPEN TREAT OF CLOSED OR OPEN RAD HD OR NECK FRAC W N 3 $60.00 01/01/1984 12/31/2299
24666 F OPEN TREAT OF CLOSED OR OPEN RAD HD OR NECK FRAC W N 3 $432.00 03/01/2004 12/31/2299
24670 2 TREATMENT OF CLOSED ULNAR FRACTURE, PROXIMAL END ( N 3 $20.00 01/01/1971 12/31/2299
24670 7 TREATMENT OF CLOSED ULNAR FRACTURE, PROXIMAL END ( N 3 $13.45 06/01/1994 12/31/2299
24670 F TREATMENT OF CLOSED ULNAR FRACTURE, PROXIMAL END ( N 3 $225.80 03/01/2004 12/31/2299
24675 2 TREATMENT OF CLOSED ULNAR FRACTURE, PROXIMAL END ( N 3 $75.00 01/01/1974 12/31/2299
24675 7 TREATMENT OF CLOSED ULNAR FRACTURE, PROXIMAL END ( N 3 $13.45 06/01/1994 12/31/2299
24675 F TREATMENT OF CLOSED ULNAR FRACTURE, PROXIMAL END ( N 3 $225.80 03/01/2004 12/31/2299
24685 2 OPEN TREAT. OF CLOS OR OPEN ULNAR FRAC, PROX END ( N 3 $125.00 01/01/1973 12/31/2299
24685 7 OPEN TREAT. OF CLOS OR OPEN ULNAR FRAC, PROX END ( N 3 $13.45 06/01/1994 12/31/2299
24685 8 OPEN TREAT. OF CLOS OR OPEN ULNAR FRAC, PROX END ( N 3 $25.00 01/01/1973 12/31/2299
24685 F OPEN TREAT. OF CLOS OR OPEN ULNAR FRAC, PROX END ( N 3 $351.00 03/01/2004 12/31/2299
24700 2 MANIPULATION UNDER GENERAL ANESTHESIA (INCLUDES AP N 3 $25.00 01/01/1973 12/31/2299
24700 7 MANIPULATION UNDER GENERAL ANESTHESIA (INCLUDES AP N 3 $13.45 06/01/1994 12/31/2299
24800 2 ARTHRODESIS, ELBOW JOINT; WITH OR W/O LOCAL OR HOM N 3 $400.00 01/01/1973 12/31/2299
24800 7 ARTHRODESIS, ELBOW JOINT; WITH OR W/O LOCAL OR HOM N 3 $13.45 06/01/1994 12/31/2299
24800 8 ARTHRODESIS, ELBOW JOINT; WITH OR W/O LOCAL OR HOM N 3 $80.00 01/01/1973 12/31/2299
24800 F ARTHRODESIS, ELBOW JOINT; WITH OR W/O LOCAL OR HOM N 3 $432.00 03/01/2004 12/31/2299
24802 2 ARTHRODESIS, ELBOW JOINT; W/ PRIMARY AUTOGENOUS BO N 3 $400.00 01/01/1984 12/31/2299
24802 7 ARTHRODESIS, ELBOW JOINT; W/ PRIMARY AUTOGENOUS BO N 3 $13.45 06/01/1994 12/31/2299
24802 F ARTHRODESIS, ELBOW JOINT; W/ PRIMARY AUTOGENOUS BO N 3 $495.00 03/01/2004 12/31/2299
24813 2 PLACEM.OF FEMOR.PROSTHET.GRAFT DURING ENDOVASCULAR AORT.ANEUR. N 3 $161.41 01/01/2001 12/31/2299
24900 2 AMPUTATION, ARM THROUGH HUMERUS; WITH PRIMARY CLOS N 3 $250.00 01/01/1973 12/31/2299
24900 7 AMPUTATION, ARM THROUGH HUMERUS; WITH PRIMARY CLOS N 3 $13.45 06/01/1994 12/31/2299
24900 8 AMPUTATION, ARM THROUGH HUMERUS; WITH PRIMARY CLOS N 3 $50.00 01/01/1973 12/31/2299
24920 2 AMPUTATION, ARM THROUGH HUMERUS; OPEN, FLAP OR CIR N 3 $225.00 01/01/1973 12/31/2299
24920 7 AMPUTATION, ARM THROUGH HUMERUS; OPEN, FLAP OR CIR N 3 $13.45 06/01/1994 12/31/2299
24920 8 AMPUTATION, ARM THROUGH HUMERUS; OPEN, FLAP OR CIR N 3 $45.00 01/01/1973 12/31/2299
24925 2 AMPUTATION, ARM THROUGH HUMERUS; SECONDARY CLOSURE N 3 $75.00 01/01/1973 12/31/2299
24925 7 AMPUTATION, ARM THROUGH HUMERUS; SECONDARY CLOSURE N 3 $13.45 06/01/1994 12/31/2299
24925 F AMPUTATION, ARM THROUGH HUMERUS; SECONDARY CLOSURE N 3 $351.00 03/01/2004 12/31/2299
24930 2 AMPUTATION, ARM THROUGH HUMERUS; REAMPUTATION N 3 $175.00 08/01/1979 12/31/2299
24930 7 AMPUTATION, ARM THROUGH HUMERUS; REAMPUTATION N 3 $13.45 06/01/1994 12/31/2299
24931 2 AMPUTATION, ARM N 3 $300.00 01/01/1984 12/31/2299
24931 7 AMPUTATION, ARM THROUGH HUMERUS; WITH IMPLANT N 3 $13.45 06/01/1994 12/31/2299
24935 2 STUMP ELONGATION N 3 $300.00 01/01/1984 12/31/2299
24935 7 STUMP ELONGATION N 3 $13.45 06/01/1994 12/31/2299
24940 2 CINEPLASTY, UPPER EXTREMITY, COMPLETE PROCEDURE N 3 $325.00 01/01/1984 12/31/2299
24940 7 CINEPLASTY, UPPER EXTREMITY, COMPLETE PROCEDURE N 3 $13.45 06/01/1994 12/31/2299
24999 7 UNLISTED PROCEDURE, HUMERUS OR ELBOW N 3 $13.45 06/01/1994 12/31/2299
25000 2 TENDON SHEATH INCISION; AT RADIAL STYLOID FOR DEQU N 3 $110.00 01/01/1973 12/31/2299
25000 7 TENDON SHEATH INCISION; AT RADIAL STYLOID FOR DEQU N 3 $13.45 06/01/1994 12/31/2299
25000 F TENDON SHEATH INCISION; AT RADIAL STYLOID FOR DEQU N 3 $351.00 03/01/2004 12/31/2299
25001 2 INCISE FELXOR RARPI RADIALIS N 3 $176.65 01/01/2002 12/31/2299
25020 2 DECOMPRESSION FASCIOTOMY, FLEXOR AND/OR EXTENSOR C N 3 $105.00 01/01/1984 12/31/2299
25020 7 DECOMPRESSION FASCIOTOMY, FLEXOR AND/OR EXTENSOR C N 3 $13.45 06/01/1994 12/31/2299
25020 8 DECOMPRESSION FASCIOTOMY, FLEXOR AND/OR EXTENSOR C N 3 $50.00 01/02/1994 12/31/2299
25020 F DECOMPRESSION FASCIOTOMY, FLEXOR AND/OR EXTENSOR C N 3 $351.00 03/01/2004 12/31/2299
25023 7 DECOMP FASCIOTOMY, FLEX AND/OR EXTENS COMPART W/DE N 3 $13.45 06/01/1994 12/31/2299
25024 2 DECOMPRESSION FACIOTOMY FOREARM AND/OR WRIST FLEXOR AND EXTENSOR N 3 $407.72 01/01/2002 12/31/2299
25024 F DECOMPRESSION FACIOTOMY FOREARM AND/OR WRIST FLEXOR AND EXTENSOR N 3 $351.00 03/01/2004 12/31/2299
25025 2 DECOMPRESSION FASCIOTOMY FOREARM AND/OR WRIST, FLEXOR AND EXTENSO N 3 $658.01 01/01/2003 12/31/2299
25028 2 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $100.00 01/01/1984 12/31/2299
25028 7 I&D DEEP ABCESS OR HEMATOMA FOREAM OR WRIST N 3 $13.45 06/01/1994 12/31/2299
25028 F INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $225.80 03/01/2004 12/31/2299
25031 7 I&D INFECTED BURSA-FOREARM OR WRIST N 3 $13.45 06/01/1994 12/31/2299
25031 F INCISION AND DRAINAGE; INFECTED BURSA N 3 $306.00 03/01/2004 12/31/2299
25035 2 INCISION, DEEP, WITH OPENING OF CORTEX (EG, FOR OS N 3 $100.00 01/01/1984 12/31/2299
25035 7 INCISION, DEEP, WITH OPENING OF CORTEX (EG, FOR OS N 3 $13.45 06/01/1994 12/31/2299
25035 8 INCISION, DEEP, WITH OPENING OF CORTEX (EG, FOR OS N 3 $20.00 01/01/1984 12/31/2299
25035 F INCISION, DEEP, WITH OPENING OF CORTEX (EG, FOR OS N 3 $306.00 03/01/2004 12/31/2299
25036 2 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $100.00 01/01/1984 12/31/2299
25036 7 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $13.45 06/01/1994 12/31/2299
25040 2 ARTHROTOMY W/EXPLOR, DRAIN, OR REM OF LOOS OR FORE N 3 $125.00 01/01/1973 12/31/2299
25040 7 ARTHROTOMY W/EXPLOR, DRAIN, OR REM OF LOOS OR FORE N 3 $13.45 06/01/1994 12/31/2299
25040 F ARTHROTOMY W/EXPLOR, DRAIN, OR REM OF LOOS OR FORE N 3 $495.00 03/01/2004 12/31/2299
25041 2 ARTHROTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL N 3 $125.00 01/01/1984 12/31/2299
25041 7 ARTHROTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL N 3 $13.45 06/01/1994 12/31/2299
25065 2 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $50.00 01/01/1984 12/31/2299
25065 7 ANESTHESIA, BIOPSY, SOFT TISSUES, SUPERFICIAL N 3 $13.45 01/02/1995 12/31/2299
25066 2 BIOPSY, SOFT TISSUES; DEEP N 3 $150.00 01/01/1984 12/31/2299
25066 7 BIOPSY FOREARM OR WRIST DEEP N 3 $13.45 06/01/1994 12/31/2299
25066 F BIOPSY, SOFT TISSUES; DEEP N 3 $306.00 03/01/2004 12/31/2299
25075 2 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
25075 7 ANESTH FOR EXCISION BENIGN SUBCUTAN TUMOR WRST/ARM N 3 $13.45 06/01/1994 12/31/2299
25075 F EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
25076 2 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $150.00 01/01/1984 12/31/2299
25076 7 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $13.45 06/01/1994 12/31/2299
25076 F EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL OR INTRAM N 3 $351.00 03/01/2004 12/31/2299
25077 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
25077 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
25085 2 CAPSULOTOMY, WRIST (EG, FOR CONTRACTURE) N 3 $125.00 01/01/1984 12/31/2299
25085 7 CAPSULOTOMY, WRIST (EG, FOR CONTRACTURE) N 3 $13.45 06/01/1994 12/31/2299
25085 8 CAPSULOTOMY, WRIST (EG, FOR CONTRACTURE) N 3 $73.21 01/01/2003 12/31/2299
25085 F CAPSULOTOMY, WRIST (EG, FOR CONTRACTURE) N 3 $351.00 03/01/2004 12/31/2299
25100 2 ARTHROTOMY, WRIST JOINT; FOR BIOPSY N 3 $125.00 01/01/1973 12/31/2299
25100 7 ARTHROTOMY, WRIST JOINT; FOR BIOPSY N 3 $13.45 06/01/1994 12/31/2299
25100 F ARTHROTOMY, WRIST JOINT; FOR BIOPSY N 3 $306.00 03/01/2004 12/31/2299
25101 2 ARTHROTOMY, WRIST JOINT; W/EXPLO, W/ OR W/O BIOPSY N 3 $125.00 01/01/1984 12/31/2299
25101 7 ARTHROTOMY, WRIST JOINT; W/EXPLO, W/ OR W/O BIOPSY N 3 $13.45 06/01/1994 12/31/2299
25101 F ARTHROTOMY, WRIST JOINT; W/EXPLO, W/ OR W/O BIOPSY N 3 $351.00 03/01/2004 12/31/2299
25105 2 ARTHROTOMY, WRIST JOINT; FOR SYNOVECTOMY N 3 $150.00 08/01/1979 12/31/2299
25105 7 ARTHROTOMY, WRIST JOINT; FOR SYNOVECTOMY N 3 $13.45 06/01/1994 12/31/2299
25105 F ARTHROTOMY, WRIST JOINT; FOR SYNOVECTOMY N 3 $432.00 03/01/2004 12/31/2299
25107 2 ARTHROTOMY, DISTAL RADIOULNAR JOINT FOR EXCISION T N 3 $125.00 01/01/1984 12/31/2299
25107 7 ARTHROTOMY, DISTAL RADIOULNAR JOINT FOR EXCISION T N 3 $13.45 06/01/1994 12/31/2299
25107 F ARTHROTOMY, DISTAL RADIOULNAR JOINT FOR EXCISION T N 3 $351.00 03/01/2004 12/31/2299
25110 2 EXCISION, LESION OF TENDON SHEATH N 3 $85.00 08/01/1979 12/31/2299
25110 7 EXCISION, LESION OF TENDON SHEATH N 3 $13.45 06/01/1994 12/31/2299
25110 F EXCISION, LESION OF TENDON SHEATH N 3 $351.00 03/01/2004 12/31/2299
25111 2 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRI N 3 $125.00 08/01/1979 12/31/2299
25111 7 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRI N 3 $13.45 06/01/1994 12/31/2299
25111 F EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRI N 3 $351.00 03/01/2004 12/31/2299
25112 2 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); REC N 3 $85.00 01/01/1984 12/31/2299
25112 7 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); REC N 3 $13.45 06/01/1994 12/31/2299
25112 F EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); REC N 3 $432.00 03/01/2004 12/31/2299
25115 2 RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FO N 3 $250.00 01/01/1973 12/31/2299
25115 7 RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FO N 3 $13.45 06/01/1994 12/31/2299
25115 F RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FO N 3 $432.00 03/01/2004 12/31/2299
25116 2 RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FO N 3 $250.00 01/01/1984 12/31/2299
25116 7 RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FO N 3 $13.45 06/01/1994 12/31/2299
25116 F RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FO N 3 $432.00 03/01/2004 12/31/2299
25118 2 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $140.00 01/01/1971 12/31/2299
25118 7 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $13.45 06/01/1994 12/31/2299
25118 8 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $28.00 08/01/1979 12/31/2299
25118 F SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $306.00 03/01/2004 12/31/2299
25119 2 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $125.00 01/01/1984 12/31/2299
25119 7 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $13.45 06/01/1994 12/31/2299
25119 F SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE N 3 $351.00 03/01/2004 12/31/2299
25120 2 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $175.00 01/01/1973 12/31/2299
25120 7 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $13.45 06/01/1994 12/31/2299
25120 8 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $35.00 01/01/1973 12/31/2299
25120 F EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $351.00 03/01/2004 12/31/2299
25125 2 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $250.00 01/01/1973 12/31/2299
25125 7 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $13.45 06/01/1994 12/31/2299
25125 8 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $50.00 01/01/1973 12/31/2299
25125 F EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $351.00 03/01/2004 12/31/2299
25126 2 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $225.00 01/01/1984 12/31/2299
25126 7 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $13.45 06/01/1994 12/31/2299
25126 F EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $351.00 03/01/2004 12/31/2299
25130 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $150.00 01/01/1973 12/31/2299
25130 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
25130 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
25135 2 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $175.00 01/01/1973 12/31/2299
25135 7 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $13.45 06/01/1994 12/31/2299
25135 8 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $35.00 01/01/1973 12/31/2299
25135 F EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $351.00 03/01/2004 12/31/2299
25136 2 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $135.00 01/01/1984 12/31/2299
25136 7 EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $13.45 06/01/1994 12/31/2299
25136 F EXCIS OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF N 3 $351.00 03/01/2004 12/31/2299
25145 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $125.00 01/01/1984 12/31/2299
25145 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $13.45 06/01/1994 12/31/2299
25145 F SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $306.00 03/01/2004 12/31/2299
25146 2 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $125.00 01/01/1984 12/31/2299
25146 7 SEQUESTRECTOMY FOR OSTEOMYELITIS OR BONE ABSCESS; N 3 $13.45 06/01/1994 12/31/2299
25150 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $125.00 01/01/1973 12/31/2299
25150 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
25150 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $306.00 03/01/2004 12/31/2299
25151 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $125.00 01/01/1984 12/31/2299
25151 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
25151 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $306.00 03/01/2004 12/31/2299
25153 2 PARTIAL EXCIS OF BONE (CRATERIZ, SAUCERIZ OR DIAPH N 3 $125.00 01/01/1984 12/31/2299
25153 7 PARTIAL EXCIS OF BONE (CRATERIZ, SAUCERIZ OR DIAPH N 3 $13.45 06/01/1994 12/31/2299
25170 7 RADICAL RESECTION FOR TUMOR, RADIUS OR ULNA N 3 $13.45 06/01/1994 12/31/2299
25175 2 RECONSTRUCTION,BIFRONTAL,SUPERIOR-LATERAL ORBITAL RIMS AND LOWER N 3 $1,380.00 01/02/1994 12/31/2299
25210 2 CARPECTOMY; ONE BONE N 3 $175.00 01/01/1973 12/31/2299
25210 7 CARPECTOMY; ONE BONE N 3 $13.45 06/01/1994 12/31/2299
25210 8 CARPECTOMY; ONE BONE N 3 $35.00 01/01/1984 12/31/2299
25210 F CARPECTOMY; ONE BONE N 3 $351.00 03/01/2004 12/31/2299
25215 2 CARPECTOMY; ALL BONES OR PROXIMAL ROW N 3 $250.00 01/01/1973 12/31/2299
25215 7 CARPECTOMY; ALL BONES OR PROXIMAL ROW N 3 $13.45 06/01/1994 12/31/2299
25215 8 CARPECTOMY; ALL BONES OR PROXIMAL ROW N 3 $50.00 01/01/1973 12/31/2299
25215 F CARPECTOMY; ALL BONES OR PROXIMAL ROW N 3 $432.00 03/01/2004 12/31/2299
25230 2 RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE) N 3 $125.00 01/01/1973 12/31/2299
25230 7 RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
25230 F RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE) N 3 $432.00 03/01/2004 12/31/2299
25240 2 EXCISION DISTAL ULNA (DARRACH TYPE PROCEDURE) N 3 $150.00 01/01/1999 12/31/2299
25240 7 EXCISION DISTAL ULNA (DARRACH TYPE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
25240 F EXCISION DISTAL ULNA (DARRACH TYPE PROCEDURE) N 3 $432.00 03/01/2004 12/31/2299
25246 2 INJECTION PROCEDURE FOR WRIST ARTHROGRAPHY N 3 $41.00 01/01/1994 12/31/2299
25248 2 EXPLORATION FOR REMOVAL OF DEEP FOREIGN BODY N 3 $125.00 01/01/1984 12/31/2299
25248 7 EXPLORATION FOR REMOVAL OF DEEP FOREIGN BODY N 3 $13.45 06/01/1994 12/31/2299
25248 F EXPLORATION FOR REMOVAL OF DEEP FOREIGN BODY N 3 $306.00 03/01/2004 12/31/2299
25250 2 REMOVAL OF WRIST PROSTHESIS; (SEPARATE PROCEDURE) N 3 $200.00 01/01/1984 12/31/2299
25250 7 REMOVAL OF WRIST PROSTHESIS; (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
25250 F REMOVAL OF WRIST PROSTHESIS; (SEPARATE PROCEDURE) N 3 $225.80 03/01/2004 12/31/2299
25251 2 COMPLICATED, INCLUDING "TOTAL WRIST" N 3 $250.00 01/01/1984 12/31/2299
25251 7 COMPLICATED, INCLUDING "TOTAL WRIST" N 3 $13.45 06/01/1994 12/31/2299
25251 F COMPLICATED, INCLUDING TOTAL WRIST N 3 $225.80 03/01/2004 12/31/2299
25259 2 MANIPULATION, WRIST, UNDER ANESTHESIA N 3 $209.31 01/02/2002 12/31/2299
25260 2 REPAIR, TENDON OR MUSCLE, FLEXOR; PRIMARY, SINGLE, N 3 $300.00 01/02/1997 12/31/2299
25260 7 REPAIR, TENDON OR MUSCLE, FLEXOR; PRIMARY, SINGLE, N 3 $13.45 06/01/1994 12/31/2299
25260 8 REPAIR, TENDON OR MUSCLE, FLEXOR; PRIMARY, SINGLE, N 3 $60.00 01/02/1996 12/31/2299
25260 F REPAIR, TENDON OR MUSCLE, FLEXOR; PRIMARY, SINGLE, N 3 $432.00 03/01/2004 12/31/2299
25263 2 REPAIR TENDON OR MUSCLE FLEXOR; SECONDARY, SINGL N 3 $175.00 01/02/1984 12/31/2299
25263 7 REPAIR TENDON OR MUSCLE, FLEXOR; SECONDARY, SINGL N 3 $13.45 06/01/1994 12/31/2299
25263 F REPAIR TENDON OR MUSCLE FLEXOR; SECONDARY, SINGL N 3 $306.00 03/01/2004 12/31/2299
25265 2 REPAIR, TENDON OR MUSCLE, FLEXOR; SECONDARY, W/FRE N 3 $225.00 01/01/1984 12/31/2299
25265 7 REPAIR, TENDON OR MUSCLE, FLEXOR; SECONDARY, W/FRE N 3 $13.45 06/01/1994 12/31/2299
25265 F REPAIR, TENDON OR MUSCLE, FLEXOR; SECONDARY, W/FRE N 3 $351.00 03/01/2004 12/31/2299
25270 2 REPAIR, TENDON OR MUSCLE, EXTENSOR; PRIMARY, SINGLE,EACH TENDON O N 3 $120.00 01/01/1997 12/31/2299
25270 7 REPAIR, TENDON OR MUSCLE, EXTENSOR; PRIMARY, SINGL N 3 $13.45 06/01/1994 12/31/2299
25270 8 REPAIR, TENDON OR MUSCLE, EXTENSOR; PRIMARY, SINGL N 3 $24.00 01/01/1984 12/31/2299
25270 F REPAIR, TENDON OR MUSCLE, EXTENSOR; PRIMARY, SINGLE,EACH TENDON O N 3 $432.00 03/01/2004 12/31/2299
25272 2 REPAIR, TENDON OR MUSCLE, EXTENSOR; SECONDARY, SIN N 3 $145.00 01/01/1984 12/31/2299
25272 7 REPAIR, TENDON OR MUSCLE, EXTENSOR; SECONDARY, SIN N 3 $13.45 06/01/1994 12/31/2299
25272 F REPAIR, TENDON OR MUSCLE, EXTENSOR; SECONDARY, SIN N 3 $351.00 03/01/2004 12/31/2299
25274 2 REPAIR, TENDON OR MUSCLE, EXTENSOR, SECONDARY, W/ N 3 $595.64 01/01/2002 12/31/2299
25274 7 REPAIR, TENDON OR MUSCLE, EXTENSOR, SECONDARY, W/ N 3 $13.45 06/01/1994 12/31/2299
25274 F REPAIR, TENDON OR MUSCLE, EXTENSOR, SECONDARY, W/ N 3 $432.00 03/01/2004 12/31/2299
25275 2 REPAIR, TENDOR SHEATH, EXTENSOR, FOREARM AND/OR WRIST WITH FREE N 3 $370.37 01/01/2002 12/31/2299
25275 F REPAIR, TENDOR SHEATH, EXTENSOR, FOREARM AND/OR WRIST WITH FREE N 3 $432.00 03/01/2004 12/31/2299
25280 2 LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TE N 3 $150.00 01/01/1984 12/31/2299
25280 7 LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TE N 3 $13.45 06/01/1994 12/31/2299
25280 8 LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TE N 3 $30.00 01/01/1984 12/31/2299
25280 F LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TE N 3 $432.00 03/01/2004 12/31/2299
25290 2 TENOTOMY, OPEN, SINGLE, FLEXOR OR EXTENSOR TENDON, N 3 $105.00 01/01/1984 12/31/2299
25290 7 TENOTOMY, OPEN, SINGLE, FLEXOR OR EXTENSOR TENDON, N 3 $13.45 06/01/1994 12/31/2299
25290 F TENOTOMY, OPEN, SINGLE, FLEXOR OR EXTENSOR TENDON, N 3 $351.00 03/01/2004 12/31/2299
25295 2 TENOLYSIS, SINGLE FLEXOR OR EXTENSOR TENDON, EACH N 3 $125.00 01/01/1997 12/31/2299
25295 7 TENOLYSIS, SINGLE FLEXOR OR EXTENSOR TENDON, EACH N 3 $13.45 06/01/1994 12/31/2299
25295 F TENOLYSIS, SINGLE FLEXOR OR EXTENSOR TENDON, EACH N 3 $351.00 03/01/2004 12/31/2299
25300 2 TENODESIS AT WRIST; FLEXORS OF FINGERS N 3 $200.00 01/01/1997 12/31/2299
25300 7 TENODESIS AT WRIST; FLEXORS OF FINGERS N 3 $13.45 06/01/1994 12/31/2299
25300 F TENODESIS AT WRIST; FLEXORS OF FINGERS N 3 $351.00 03/01/2004 12/31/2299
25301 2 TENODESIS AT WRIST; EXTENSORS OF FINGERS N 3 $175.00 01/01/1984 12/31/2299
25301 7 TENODESIS AT WRIST; EXTENSORS OF FINGERS N 3 $13.45 06/01/1994 12/31/2299
25301 F TENODESIS AT WRIST; EXTENSORS OF FINGERS N 3 $351.00 03/01/2004 12/31/2299
25310 2 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTE N 3 $420.00 01/02/1996 12/31/2299
25310 7 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTE N 3 $13.45 06/01/1994 12/31/2299
25310 8 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTE N 3 $84.00 01/02/1996 12/31/2299
25310 F TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTE N 3 $351.00 03/01/2004 12/31/2299
25312 2 TENDON TRANSPLANT OR TRANSFER, FLEXOR OR EXTENSOR, N 3 $200.00 01/01/1984 12/31/2299
25312 7 TENDON TRANSPLANT OR TRANSFER, FLEXOR OR EXTENSOR, N 3 $13.45 06/01/1994 12/31/2299
25312 F TENDON TRANSPLANT OR TRANSFER, FLEXOR OR EXTENSOR, N 3 $432.00 03/01/2004 12/31/2299
25315 2 FLEXOR ORIGIN SLIDE FOR CEREBRAL PALSY; N 3 $200.00 01/01/1984 12/31/2299
25315 7 FLEXOR ORIGIN SLIDE FOR CEREBRAL PALSY; N 3 $13.45 06/01/1994 12/31/2299
25315 F FLEXOR ORIGIN SLIDE FOR CEREBRAL PALSY; N 3 $351.00 03/01/2004 12/31/2299
25316 2 FLEXOR ORIGIN SLIDE FOR CEREBRAL PALSY; WITH TENDO N 3 $200.00 01/01/1984 12/31/2299
25316 7 FLEXOR ORIGIN SLIDE FOR CEREBRAL PALSY; WITH TENDO N 3 $13.45 06/01/1994 12/31/2299
25316 F FLEXOR ORIGIN SLIDE FOR CEREBRAL PALSY; WITH TENDO N 3 $351.00 03/01/2004 12/31/2299
25320 2 CAPSULORRHAPHY OR RECONSTRUCTION, CAPSULECTOMY, WR N 3 $280.00 01/01/1984 12/31/2299
25320 7 CAPSULORRHAPHY OR RECONSTRUCTION, CAPSULECTOMY, WR N 3 $13.45 06/01/1994 12/31/2299
25320 F CAPSULORRHAPHY OR RECONSTRUCTION, CAPSULECTOMY, WR N 3 $351.00 03/01/2004 12/31/2299
25330 2 ARTHROPLASTY, WRIST; N 3 $225.00 01/01/1984 12/31/2299
25330 7 ARTHROPLASTY, WRIST; N 3 $13.45 06/01/1994 12/31/2299
25331 2 ARTHROPLASTY, WRIST; WITH IMPLANT N 3 $275.00 01/01/1984 12/31/2299
25331 7 ARTHROPLASTY, WRIST; WITH IMPLANT N 3 $13.45 06/01/1994 12/31/2299
25331 8 ARTHROPLASTY, WRIST; WITH IMPLANT N 3 $40.00 01/01/1973 12/31/2299
25332 2 ARTHROPLASTY, WRIST;W OR W/O INTERPOSITION,W OR W/O INTERNAL FX N 3 $530.99 01/01/1997 12/31/2299
25332 7 ARTHROPLASTY, WRIST; PSEUDARTHROSIS TYPE WITH INTE N 3 $13.45 06/01/1994 12/31/2299
25332 8 ARTHROPLASTY, WRIST;W OR W/O INTERPOSITION,W OR W/O EXT/INT FX N 3 $106.20 01/01/1997 12/31/2299
25332 F ARTHROPLASTY, WRIST;W OR W/O INTERPOSITION,W OR W/O INTERNAL FX N 3 $495.00 03/01/2004 12/31/2299
25335 7 TRANSPOSITION & REALIGNMENT OF HAND OVER ULNA W OR N 3 $13.45 06/01/1994 12/31/2299
25335 F TRANSPOSITION & REALIGNMENT OF HAND OVER ULNA W OR N 3 $351.00 03/01/2004 12/31/2299
25337 2 RECONSTRUCTION OF UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR JOINT N 3 $444.00 01/01/1995 12/31/2299
25337 7 ANESTHESIA,RECONSTRUCTION OF UNSTABLE DISTAL ULNA OR DISTAL RADIO N 3 $13.45 01/01/1999 12/31/2299
25337 F RECONSTRUCTION OF UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR JOINT N 3 $495.00 03/01/2004 12/31/2299
25350 2 OSTEOTOMY, RADIUS; DISTAL THIRD N 3 $250.00 01/01/1973 12/31/2299
25350 7 OSTEOTOMY, RADIUS; DISTAL THIRD N 3 $13.45 06/01/1994 12/31/2299
25350 8 OSTEOTOMY, RADIUS; DISTAL THIRD N 3 $50.00 01/01/1973 12/31/2299
25350 F OSTEOTOMY, RADIUS; DISTAL THIRD N 3 $351.00 03/01/2004 12/31/2299
25355 2 OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD N 3 $300.00 01/01/1973 12/31/2299
25355 7 OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD N 3 $13.45 06/01/1994 12/31/2299
25355 8 OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD N 3 $60.00 01/01/1973 12/31/2299
25355 F OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD N 3 $351.00 03/01/2004 12/31/2299
25360 2 OSTEOTOMY; ULNA N 3 $250.00 01/01/1997 12/31/2299
25360 7 OSTEOTOMY; ULNA N 3 $13.45 06/01/1994 12/31/2299
25360 8 OSTEOTOMY; ULNA N 3 $50.00 01/01/1973 12/31/2299
25360 F OSTEOTOMY; ULNA N 3 $351.00 03/01/2004 12/31/2299
25365 2 OSTEOTOMY; RADIUS AND ULNA N 3 $450.00 01/01/1997 12/31/2299
25365 7 OSTEOTOMY; RADIUS AND ULNA N 3 $13.45 06/01/1994 12/31/2299
25365 8 OSTEOTOMY; RADIUS AND ULNA N 3 $90.00 01/01/1973 12/31/2299
25365 F OSTEOTOMY; RADIUS AND ULNA N 3 $351.00 03/01/2004 12/31/2299
25370 2 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $300.00 01/01/1997 12/31/2299
25370 7 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $13.45 06/01/1994 12/31/2299
25370 8 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $60.00 01/01/1973 12/31/2299
25370 F MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $351.00 03/01/2004 12/31/2299
25375 2 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $350.00 01/01/1997 12/31/2299
25375 7 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $13.45 06/01/1994 12/31/2299
25375 8 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $70.00 01/01/1973 12/31/2299
25375 F MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMED N 3 $432.00 03/01/2004 12/31/2299
25390 2 OSTEOPLASTY, RADIUS OR ULNA; SHORTENING N 3 $300.00 01/01/1984 12/31/2299
25390 7 OSTEOPLASTY, RADIUS OR ULNA; SHORTENING N 3 $13.45 06/01/1994 12/31/2299
25390 8 OSTEOPLASTY, RADIUS OR ULNA; SHORTENING N 3 $94.00 01/02/1994 12/31/2299
25390 F OSTEOPLASTY, RADIUS OR ULNA; SHORTENING N 3 $351.00 03/01/2004 12/31/2299
25391 2 OSTEOPLASTY, RADIUS OR ULNA; LENGTHENING WITH AUTO N 3 $268.00 01/01/1997 12/31/2299
25391 7 OSTEOPLASTY, RADIUS OR ULNA; LENGTHENING WITH AUTO N 3 $13.45 06/01/1994 12/31/2299
25391 8 OSTEOPLASTY, RADIUS OR ULNA; LENGTHENING WITH AUTO N 3 $54.00 01/01/1973 12/31/2299
25391 F OSTEOPLASTY, RADIUS OR ULNA; LENGTHENING WITH AUTO N 3 $432.00 03/01/2004 12/31/2299
25392 2 OSTEOPLASTY, RADIUS AND ULNA; SHORTENING N 3 $360.00 01/01/1984 12/31/2299
25392 7 OSTEOPLASTY, RADIUS AND ULNA; SHORTENING N 3 $13.45 06/01/1994 12/31/2299
25392 F OSTEOPLASTY, RADIUS AND ULNA; SHORTENING N 3 $351.00 03/01/2004 12/31/2299
25393 2 OSTEOPLASTY, RADIUS AND ULNA; LENGTHENING WITH AUT N 3 $400.00 01/01/1984 12/31/2299
25393 7 OSTEOPLASTY, RADIUS AND ULNA; LENGTHENING WITH AUT N 3 $13.45 06/01/1994 12/31/2299
25393 F OSTEOPLASTY, RADIUS AND ULNA; LENGTHENING WITH AUT N 3 $432.00 03/01/2004 12/31/2299
25394 2 OSTEOPLASTY, CARPLA BONE SHORTENING N 3 $431.92 01/01/2002 12/31/2299
25400 2 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $350.00 01/01/1997 12/31/2299
25400 7 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $13.45 06/01/1994 12/31/2299
25400 8 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $70.00 01/01/1973 12/31/2299
25400 F REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $351.00 03/01/2004 12/31/2299
25405 2 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $382.00 01/01/1997 12/31/2299
25405 7 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $13.45 06/01/1994 12/31/2299
25405 8 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $85.00 01/01/1973 12/31/2299
25405 F REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; W/ N 3 $432.00 03/01/2004 12/31/2299
25415 2 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $500.00 01/01/1997 12/31/2299
25415 7 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $13.45 06/01/1994 12/31/2299
25415 8 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $100.00 01/01/1973 12/31/2299
25415 F REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $351.00 03/01/2004 12/31/2299
25420 2 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $575.00 01/01/1997 12/31/2299
25420 7 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $13.45 06/01/1994 12/31/2299
25420 8 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $115.00 01/01/1973 12/31/2299
25420 F REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; W N 3 $432.00 03/01/2004 12/31/2299
25425 2 REPAIR OF DEFECT WITH AUTOGENOUS BONE GRAFT; RADIU N 3 $425.00 01/01/1984 12/31/2299
25425 7 REPAIR OF DEFECT WITH AUTOGENOUS BONE GRAFT; RADIU N 3 $13.45 06/01/1994 12/31/2299
25425 F REPAIR OF DEFECT WITH AUTOGENOUS BONE GRAFT; RADIU N 3 $351.00 03/01/2004 12/31/2299
25426 2 REPAIR OF DEFECT WITH AUTOGENOUS BONE GRAFT; RADIU N 3 $500.00 01/01/1984 12/31/2299
25426 7 REPAIR OF DEFECT WITH AUTOGENOUS BONE GRAFT; RADIU N 3 $13.45 06/01/1994 12/31/2299
25426 F REPAIR OF DEFECT WITH AUTOGENOUS BONE GRAFT; RADIU N 3 $432.00 03/01/2004 12/31/2299
25430 2 INSERTION OF VASCULAR DEDICLE INTO CARPAL BONE EG HARII PROCEDURE N 3 $383.07 01/01/2002 12/31/2299
25431 2 REPAIR ON NONUNION OF CARPAL BONE (EXCL CARPARL SCAPHOID (NAVIC) N 3 $377.23 01/02/2002 12/31/2299
25440 2 REPAIR OF NONUNION, SCAPHOID (NAVICULAR) BONE, W O N 3 $350.00 01/01/1997 12/31/2299
25440 7 REPAIR OF NONUNION, SCAPHOID (NAVICULAR) BONE, W O N 3 $13.45 06/01/1994 12/31/2299
25440 8 REPAIR OF NONUNION, SCAPHOID (NAVICULAR) BONE, W O N 3 $70.00 01/01/1973 12/31/2299
25440 F REPAIR OF NONUNION, SCAPHOID (NAVICULAR) BONE, W O N 3 $432.00 03/01/2004 12/31/2299
25441 2 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL R N 3 $200.00 01/01/1984 12/31/2299
25441 7 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL R N 3 $13.45 06/01/1994 12/31/2299
25441 F ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL R N 3 $495.00 03/01/2004 12/31/2299
25442 2 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL U N 3 $225.00 01/01/1984 12/31/2299
25442 7 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL U N 3 $13.45 06/01/1994 12/31/2299
25442 F ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL U N 3 $495.00 03/01/2004 12/31/2299
25443 2 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; SCAPHOID N 3 $260.00 01/01/1984 12/31/2299
25443 7 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; SCAPHOID N 3 $13.45 06/01/1994 12/31/2299
25443 F ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; SCAPHOID N 3 $495.00 03/01/2004 12/31/2299
25444 2 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; LUNATE N 3 $260.00 01/01/1984 12/31/2299
25444 7 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; LUNATE N 3 $13.45 06/01/1994 12/31/2299
25444 F ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; LUNATE N 3 $495.00 03/01/2004 12/31/2299
25445 2 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIU N 3 $260.00 01/01/1984 12/31/2299
25445 7 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIU N 3 $13.45 06/01/1994 12/31/2299
25445 F ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIU N 3 $495.00 03/01/2004 12/31/2299
25446 2 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL R N 3 $600.00 01/01/1984 12/31/2299
25446 7 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL R N 3 $13.45 06/01/1994 12/31/2299
25446 F ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL R N 3 $495.00 03/01/2004 12/31/2299
25447 2 INTERPOSITION ARTHROPLASTY: INTERCARP/CARPOMETACAR N 3 $225.00 01/01/1984 12/31/2299
25447 7 INTERPOSITION ARTHROPLASTY: INTERCARP/CARPOMETACAR N 3 $13.45 06/01/1994 12/31/2299
25447 8 INTERPOSITION ARTHROPLASTY: INTERCARP/CARPOMETACAR N 3 $45.00 01/01/1984 12/31/2299
25447 F INTERPOSITION ARTHROPLASTY: INTERCARP/CARPOMETACAR N 3 $495.00 03/01/2004 12/31/2299
25449 2 ARTHROPLASTY WITH REMOVAL OF IMPLANT N 3 $240.00 01/01/1984 12/31/2299
25449 7 ARTHROPLASTY WITH REMOVAL OF IMPLANT N 3 $13.45 06/01/1994 12/31/2299
25449 F ARTHROPLASTY WITH REMOVAL OF IMPLANT N 3 $495.00 03/01/2004 12/31/2299
25450 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $150.00 01/01/1997 12/31/2299
25450 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $13.45 06/01/1994 12/31/2299
25450 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $75.00 01/02/1994 12/31/2299
25450 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $351.00 03/01/2004 12/31/2299
25455 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $200.00 01/01/1997 12/31/2299
25455 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $13.45 06/01/1994 12/31/2299
25455 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $40.00 01/01/1973 12/31/2299
25455 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $351.00 03/01/2004 12/31/2299
25490 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
25490 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
25491 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
25491 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
25492 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
25492 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
25500 2 TREATMENT OF CLOSED RADIAL SHAFT FRACTURE; WITHOUT N 3 $25.00 01/01/1997 12/31/2299
25500 7 TREATMENT OF CLOSED RADIAL SHAFT FRACTURE; WITHOUT N 3 $13.45 06/01/1994 12/31/2299
25505 2 TREATMENT OF CLOSED RADIAL SHAFT FRACTURE; WITH MANIPULATION N 3 $100.00 01/01/1997 12/31/2299
25505 7 TREATMENT OF CLOSED RADIAL SHAFT FRACTURE; WITH MA N 3 $13.45 06/01/1994 12/31/2299
25505 F TREATMENT OF CLOSED RADIAL SHAFT FRACTURE; WITH MANIPULATION N 3 $225.80 03/01/2004 12/31/2299
25515 2 OPEN TREATMENT OF CLOSED OR OPEN RADIAL SHAFT FRACTURE N 3 $200.00 01/01/1997 12/31/2299
25515 7 OPEN TREATMENT OF CLOSED OR OPEN RADIAL SHAFT FRAC N 3 $13.45 06/01/1994 12/31/2299
25515 8 OPEN TREATMENT OF CLOSED OR OPEN RADIAL SHAFT FRAC N 3 $40.00 01/01/1973 12/31/2299
25515 F OPEN TREATMENT OF CLOSED OR OPEN RADIAL SHAFT FRACTURE N 3 $351.00 03/01/2004 12/31/2299
25520 2 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE, WITH DISLOCATION N 3 $238.73 01/01/1993 12/31/2299
25520 7 CLOSED TRTMNT OF RADIAL SHAFT FRACTURE WITH DISLOC N 3 $13.45 06/01/1994 12/31/2299
25520 F CLOSED TREATMENT OF RADIAL SHAFT FRACTURE, WITH DISLOCATION N 3 $225.80 03/01/2004 12/31/2299
25525 2 OPEN TREATMENT OF RADIAL SHAFT FRACTURE, WITH INTERNAL/EXTERNAL N 3 $464.02 01/01/1993 12/31/2299
25525 7 OPEN TRTMT RAD SHAFT FX W/INTERNAL PERC SKEL N 3 $13.45 06/01/1994 12/31/2299
25525 F OPEN TREATMENT OF RADIAL SHAFT FRACTURE, WITH INTERNAL/EXTERNAL N 3 $432.00 03/01/2004 12/31/2299
25526 2 OPEN TREATMENT OF RADIAL SHAFT FRACTURE, WITH INTE N 3 $493.38 01/01/1993 12/31/2299
25526 7 OPEN TRTMT RAD SHAFT FX W/INTERNAL CART N 3 $13.45 06/01/1994 12/31/2299
25526 F OPEN TREATMENT OF RADIAL SHAFT FRACTURE, WITH INTE N 3 $495.00 03/01/2004 12/31/2299
25530 2 TREATMENT OF CLOSED ULNAR SHAFT FRACTURE; WITHOUT MANIPULATION N 3 $25.00 01/01/1997 12/31/2299
25530 7 TREATMENT OF CLOSED ULNAR SHAFT FRACTURE; WITHOUT N 3 $13.45 06/01/1994 12/31/2299
25535 2 TREATMENT OF CLOSED ULNAR SHAFT FRACTURE; WITH MANIPULATION N 3 $80.00 01/01/1997 12/31/2299
25535 7 TREATMENT OF CLOSED ULNAR SHAFT FRACTURE; WITH MAN N 3 $13.45 06/01/1994 12/31/2299
25535 F TREATMENT OF CLOSED ULNAR SHAFT FRACTURE; WITH MANIPULATION N 3 $225.80 03/01/2004 12/31/2299
25545 2 OPEN TREATMENT OF CLOSED OR OPEN ULNAR SHAFT FRACTURE N 3 $200.00 01/01/1997 12/31/2299
25545 7 OPEN TREATMENT OF CLOSED OR OPEN ULNAR SHAFT FRACT N 3 $13.45 06/01/1994 12/31/2299
25545 8 OPEN TREATMENT OF CLOSED OR OPEN ULNAR SHAFT FRACT N 3 $40.00 01/01/1973 12/31/2299
25545 F OPEN TREATMENT OF CLOSED OR OPEN ULNAR SHAFT FRACTURE N 3 $351.00 03/01/2004 12/31/2299
25560 2 TREATMENT OF CLOSED RADIAL AND ULNAR SHAFT FRACTURE N 3 $115.00 01/02/1996 12/31/2299
25560 7 TREATMENT OF CLOSED RADIAL AND ULNAR SHAFT FRACTUR N 3 $13.45 06/01/1994 12/31/2299
25565 2 TRTMT OF CLOSED RADIAL & ULNAR SHAFT FX N 3 $235.00 01/02/1998 12/31/2299
25565 7 TREATMENT OF CLOSED RADIAL AND ULNAR SHAFT FRACTUR N 3 $13.45 06/01/1994 12/31/2299
25565 8 TREATMENT OF CLOSED RADIAL AND ULNAR SHAFT FRACTUR N 3 $58.06 01/01/2004 12/31/2299
25565 F TRTMT OF CLOSED RADIAL & ULNAR SHAFT FX N 3 $306.00 03/01/2004 12/31/2299
25574 2 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES N 3 $346.94 01/01/1993 12/31/2299
25574 7 OPEN TRTMT OF RADIAL AND ULNAR SHAFT FRACT W/INTER N 3 $13.45 06/01/1994 12/31/2299
25574 8 OPEN TRTMT OF RADIAL AND ULNAR SHAFT FRACT W/INTER N 3 $72.48 01/01/2003 12/31/2299
25574 F OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES N 3 $351.00 03/01/2004 12/31/2299
25575 2 OPEN TREATMENT OF CLOSED OR OPEN RADIAL AND ULNAR N 3 $270.00 01/01/1997 12/31/2299
25575 7 OPEN TREATMENT OF CLOSED OR OPEN RADIAL AND ULNAR N 3 $13.45 06/01/1994 12/31/2299
25575 8 OPEN TREATMENT OF CLOSED OR OPEN RADIAL AND ULNAR N 3 $60.00 01/01/1973 12/31/2299
25575 F OPEN TREATMENT OF CLOSED OR OPEN RADIAL AND ULNAR N 3 $351.00 03/01/2004 12/31/2299
25600 2 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE LEG (EG COLLES OR SMIT N 3 $104.00 01/02/1996 12/31/2299
25600 7 TRT OF CLOSED DISTAL RADIAL FRAC (COLLES/SMITH) OR N 3 $13.45 06/01/1994 12/31/2299
25605 2 TRT OF CLOSED DISTAL RADIAL FRAC (COLLES/SMITH) OR N 3 $243.00 01/02/1996 12/31/2299
25605 7 TRT OF CLOSED DISTAL RADIAL FRAC (COLLES/SMITH) OR N 3 $13.45 06/01/1994 12/31/2299
25605 8 TRT OF CLOSED DISTAL RADIAL FRAC (COLLES/SMITH) OR N 3 $62.26 01/01/2004 12/31/2299
25605 F TRT OF CLOSED DISTAL RADIAL FRAC (COLLES/SMITH) OR N 3 $351.00 03/01/2004 12/31/2299
25611 2 TRT OF CLOS, COMPLEX, DISTAL RADIAL FRAC W OR W/O N 3 $200.00 01/01/1997 12/31/2299
25611 7 TRT OF CLOS, COMPLEX, DISTAL RADIAL FRAC W OR W/O N 3 $13.45 06/01/1994 12/31/2299
25611 F TRT OF CLOS, COMPLEX, DISTAL RADIAL FRAC W OR W/O N 3 $351.00 03/01/2004 12/31/2299
25620 2 OPEN TRT OF CLOSED OR OPEN DISTAL RADIAL FRAC, W/ N 3 $402.96 01/02/1995 12/31/2299
25620 7 OPEN TRT OF CLOSED OR OPEN DISTAL RADIAL FRAC, W/ N 3 $13.45 06/01/1994 12/31/2299
25620 8 OPEN TRT OF CLOSED OR OPEN DISTAL RADIAL FRAC, W/ N 3 $40.00 01/01/1973 12/31/2299
25620 F OPEN TRT OF CLOSED OR OPEN DISTAL RADIAL FRAC, W/ N 3 $495.00 03/01/2004 12/31/2299
25622 2 TREATMENT OF CLOSED CARPAL SCAPHOID (NAVICULAR) FR N 3 $201.00 01/02/1996 12/31/2299
25622 7 TREATMENT OF CLOSED CARPAL SCAPHOID (NAVICULAR) FR N 3 $13.45 06/01/1994 12/31/2299
25624 2 TREATMENT OF CLOSED CARPAL SCAPHOID (NAVICULAR) FRACTURE WITH MAN N 3 $100.00 01/01/1997 12/31/2299
25624 7 TREATMENT OF CLOSED CARPAL SCAPHOID (NAVICULAR) FR N 3 $13.45 06/01/1994 12/31/2299
25624 F TREATMENT OF CLOSED CARPAL SCAPHOID (NAVICULAR) FRACTURE WITH MAN N 3 $306.00 03/01/2004 12/31/2299
25628 2 OPEN TREATMENT OF CLOSED OR OPEN CARPAL SCAPHOID FRACTURE N 3 $150.00 01/01/1997 12/31/2299
25628 7 OPEN TREATMENT OF CLOSED OR OPEN CARPAL SCAPHOID F N 3 $13.45 06/01/1994 12/31/2299
25628 8 OPEN TREATMENT OF CLOSED OR OPEN CARPAL SCAPHOID F N 3 $30.00 01/01/1973 12/31/2299
25628 F OPEN TREATMENT OF CLOSED OR OPEN CARPAL SCAPHOID FRACTURE N 3 $351.00 03/01/2004 12/31/2299
25630 2 TREATMENT OF CLOSED CARPAL BONE FRACTURE (EXCLUDING CARPAL SCAPHO N 3 $25.00 01/01/1997 12/31/2299
25630 7 TREATMENT OF CLOSED CARPAL BONE FRACTURE (EXCLUDIN N 3 $13.45 06/01/1994 12/31/2299
25635 2 TREATMENT OF CLOSED CARPAL BONE FRACTURE WITH MANIPULATION EACH B N 3 $100.00 01/01/1997 12/31/2299
25635 7 TREATMENT OF CLOSED CARPAL BONE FRACTURE (EXCLUDIN N 3 $13.45 06/01/1994 12/31/2299
25635 F TREATMENT OF CLOSED CARPAL BONE FRACTURE WITH MANIPULATION EACH B N 3 $225.80 03/01/2004 12/31/2299
25645 2 OPEN TREATMENT OF CLOSED OR OPEN CARPAL BONE FRACTURE EXCLUDING N 3 $142.00 01/01/1997 12/31/2299
25645 7 OPEN TREATMENT OF CLOSED OR OPEN CARPAL BONE FRAC N 3 $13.45 06/01/1994 12/31/2299
25645 8 OPEN TREATMENT OF CLOSED OR OPEN CARPAL BONE FRAC N 3 $30.00 01/01/1973 12/31/2299
25645 F OPEN TREATMENT OF CLOSED OR OPEN CARPAL BONE FRACTURE EXCLUDING N 3 $351.00 03/01/2004 12/31/2299
25650 2 TREATMENT OF CLOSED ULNAR STYLOID FRACTURE N 3 $50.00 01/01/1984 12/31/2299
25650 7 TREATMENT OF CLOSED ULNAR STYLOID FRACTURE N 3 $13.45 06/01/1994 12/31/2299
25651 2 PERCUTANEOUS SKELETAL FIXATION OF ULNAR STYLOID FRACTURE N 3 $226.07 01/01/2002 12/31/2299
25660 2 TREATMENT OF CLOSED RADIOCARPAL OR INTERCARPAL DISLOCATION N 3 $30.00 01/01/1997 12/31/2299
25660 7 TREATMENT OF CLOSED RADIOCARPAL OR INTERCARPAL DIS N 3 $13.45 06/01/1994 12/31/2299
25660 F TREATMENT OF CLOSED RADIOCARPAL OR INTERCARPAL DISLOCATION N 3 $225.80 03/01/2004 12/31/2299
25670 7 OPEN TREATMENT OF CLOSED OR OPEN RADIOCARPAL OR IN N 3 $13.45 06/01/1994 12/31/2299
25670 F OPEN TREATMENT OF CLOSED OR OPEN RADIOCARPAL OR INTERCARPAL N 3 $351.00 03/01/2004 12/31/2299
25675 2 TREATMENT OF CLOSED DISTAL RADIOULNAR DISLOCATION N 3 $100.00 01/01/1984 12/31/2299
25675 7 TREATMENT OF CLOSED DISTAL RADIOULNAR DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
25675 F TREATMENT OF CLOSED DISTAL RADIOULNAR DISLOCATION N 3 $225.80 03/01/2004 12/31/2299
25676 2 OPEN TREATMENT OF CLOSED OR OPEN DISTAL RADIOULNAR DISLOCATION N 3 $200.00 01/01/1997 12/31/2299
25676 7 OPEN TREATMENT OF CLOSED OR OPEN DISTAL RADIOULNAR N 3 $13.45 06/01/1994 12/31/2299
25676 8 OPEN TREATMENT OF CLOSED OR OPEN DISTAL RADIOULNAR N 3 $40.00 08/01/1979 12/31/2299
25676 F OPEN TREATMENT OF CLOSED OR OPEN DISTAL RADIOULNAR DISLOCATION N 3 $306.00 03/01/2004 12/31/2299
25680 2 TREATMENT OF CLOSED TRANS-SCAPHOPERILUNAR TYPE OF N 3 $150.00 01/01/1973 12/31/2299
25680 7 TREATMENT OF CLOSED TRANS-SCAPHOPERILUNAR TYPE OF N 3 $13.45 06/01/1994 12/31/2299
25680 F TREATMENT OF CLOSED TRANS-SCAPHOPERILUNAR TYPE OF N 3 $306.00 03/01/2004 12/31/2299
25685 2 OPEN TREATMENT OF CLOSED OR OPEN TRANS-SCAPHOPERIL N 3 $250.00 01/01/1973 12/31/2299
25685 7 OPEN TREATMENT OF CLOSED OR OPEN TRANS-SCAPHOPERIL N 3 $13.45 06/01/1994 12/31/2299
25685 8 OPEN TREATMENT OF CLOSED OR OPEN TRANS-SCAPHOPERIL N 3 $50.00 01/01/1973 12/31/2299
25685 F OPEN TREATMENT OF CLOSED OR OPEN TRANS-SCAPHOPERIL N 3 $351.00 03/01/2004 12/31/2299
25690 2 TREATMENT OF LUNATE DISLOCATION, WITH MANIPULATION N 3 $130.00 01/01/1984 12/31/2299
25690 7 TREATMENT OF LUNATE DISLOCATION, WITH MANIPULATION N 3 $13.45 06/01/1994 12/31/2299
25690 F TREATMENT OF LUNATE DISLOCATION, WITH MANIPULATION N 3 $225.80 03/01/2004 12/31/2299
25695 2 OPEN TREATMENT OF LUNATE DISLOCATION N 3 $200.00 01/01/1984 12/31/2299
25695 7 OPEN TREATMENT OF LUNATE DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
25695 F OPEN TREATMENT OF LUNATE DISLOCATION N 3 $306.00 03/01/2004 12/31/2299
25700 2 MANIPULATION OF JOINT UNDER GENERAL ANESTHESIA N 3 $25.00 01/01/1973 12/31/2299
25700 7 MANIPULATION OF JOINT UNDER GENERAL ANESTHESIA N 3 $13.45 06/01/1994 12/31/2299
25800 2 ARTHRODESIS, WRIST JOINT; WITHOUT BONE GRAFT N 3 $300.00 01/01/1984 12/31/2299
25800 7 ARTHRODESIS, WRIST JOINT; WITHOUT BONE GRAFT N 3 $13.45 06/01/1994 12/31/2299
25800 F ARTHRODESIS, WRIST JOINT; WITHOUT BONE GRAFT N 3 $432.00 03/01/2004 12/31/2299
25805 2 ARTHRODESIS, WRIST JOINT; WITH SLIDING GRAFT N 3 $300.00 01/01/1973 12/31/2299
25805 7 ARTHRODESIS, WRIST JOINT; WITH SLIDING GRAFT N 3 $13.45 06/01/1994 12/31/2299
25805 8 ARTHRODESIS, WRIST JOINT; WITH SLIDING GRAFT N 3 $60.00 01/01/1973 12/31/2299
25805 F ARTHRODESIS, WRIST JOINT; WITH SLIDING GRAFT N 3 $495.00 03/01/2004 12/31/2299
25810 2 ARTHRODESIS, WRIST JOINT; W/ ILIAC OR OTHER AUTOGE N 3 $400.00 01/01/1999 12/31/2299
25810 7 ARTHRODESIS, WRIST JOINT; W/ ILIAC OR OTHER AUTOGE N 3 $13.45 06/01/1994 12/31/2299
25810 8 ARTHRODESIS, WRIST JOINT; W/ ILIAC OR OTHER AUTOGE N 3 $80.00 01/01/1973 12/31/2299
25810 F ARTHRODESIS, WRIST JOINT; W/ ILIAC OR OTHER AUTOGE N 3 $495.00 03/01/2004 12/31/2299
25811 7 ANESTHESIA,APPLICATION OF PROSTHETIC DEVICE TO VERTEBRAL DEFECT N 3 $13.45 01/01/1998 12/31/2299
25820 7 INTERCARPAL FUSION N 3 $13.45 06/01/1994 12/31/2299
25820 F INTERCARPAL FUSION N 3 $432.00 03/01/2004 12/31/2299
25825 2 INTERCARPAL FUSION W GRFT N 3 $250.00 01/01/1984 12/31/2299
25825 7 INTERCARPAL FUSION W GRFT N 3 $13.45 06/01/1994 12/31/2299
25825 8 INTERCARPAL FUSION;W/OUT BONE GRAFT N 3 $50.00 01/01/1984 12/31/2299
25825 F INTERCARPAL FUSION W GRFT N 3 $495.00 03/01/2004 12/31/2299
25830 2 DISTAL RADIOULNAR JOINT ARTHRODESIS & SEGMENTAL RESECTION OF ULNA N 3 $594.15 01/01/2004 12/31/2299
25830 F DISTAL RADIOULNAR JOINT ARTHRODESIS & SEGMENTAL RESECTION OF ULNA N 3 $495.00 03/01/2004 12/31/2299
25900 2 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; N 3 $225.00 01/01/1973 12/31/2299
25900 7 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; N 3 $13.45 06/01/1994 12/31/2299
25900 8 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; N 3 $45.00 01/01/1973 12/31/2299
25905 2 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; OPEN N 3 $200.00 01/01/1973 12/31/2299
25905 7 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; OPEN N 3 $13.45 06/01/1994 12/31/2299
25905 8 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; OPEN N 3 $40.00 01/01/1973 12/31/2299
25907 2 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; SECO N 3 $75.00 01/01/1973 12/31/2299
25907 7 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; SECO N 3 $13.45 06/01/1994 12/31/2299
25907 F AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; SECO N 3 $351.00 03/01/2004 12/31/2299
25909 2 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; REAM N 3 $150.00 08/01/1975 12/31/2299
25909 7 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; REAM N 3 $13.45 06/01/1994 12/31/2299
25915 2 KRUKENBERG PROCEDURE N 3 $250.00 01/01/1984 12/31/2299
25915 7 KRUKENBERG PROCEDURE N 3 $13.45 06/01/1994 12/31/2299
25920 2 DISARTICULATION THROUGH WRIST; N 3 $200.00 01/01/1973 12/31/2299
25920 7 DISARTICULATION THROUGH WRIST; N 3 $13.45 06/01/1994 12/31/2299
25920 8 DISARTICULATION THROUGH WRIST; N 3 $40.00 01/01/1973 12/31/2299
25922 2 DISARTICULATION THROUGH WRIST; SECONDARY CLOSURE O N 3 $100.00 01/01/1984 12/31/2299
25922 7 DISARTICULATION THROUGH WRIST; SECONDARY CLOSURE O N 3 $13.45 06/01/1994 12/31/2299
25922 F DISARTICULATION THROUGH WRIST; SECONDARY CLOSURE O N 3 $351.00 03/01/2004 12/31/2299
25924 2 DISARTICULATION THROUGH WRIST; REAMPUTATION N 3 $200.00 01/01/1984 12/31/2299
25924 7 DISARTICULATION THROUGH WRIST; REAMPUTATION N 3 $13.45 06/01/1994 12/31/2299
25927 2 TRANSMETACARPAL AMPUTATION; N 3 $250.00 01/01/1973 12/31/2299
25927 7 TRANSMETACARPAL AMPUTATION; N 3 $13.45 06/01/1994 12/31/2299
25929 2 TRANSMETACARPAL AMPUTATION; SECONDARY CLOSURE OR S N 3 $85.00 01/01/1984 12/31/2299
25929 7 TRANSMETACARPAL AMPUTATION; SECONDARY CLOSURE OR S N 3 $13.45 06/01/1994 12/31/2299
25929 F TRANSMETACARPAL AMPUTATION; SECONDARY CLOSURE OR S N 3 $351.00 03/01/2004 12/31/2299
25931 2 TRANSMETACARPAL AMPUTATION; REAMPUTATION N 3 $250.00 01/01/1984 12/31/2299
25931 7 TRANSMETACARPAL AMPUTATION; REAMPUTATION N 3 $13.45 06/01/1994 12/31/2299
25999 7 UNLISTED PROCEDURE, FOREARM OR WRIST N 3 $13.45 06/01/1994 12/31/2299
26010 2 DRAINAGE OF FINGER ABSCESS; SIMPLE N 3 $18.00 01/01/1973 12/31/2299
26010 7 DRAINAGE OF FINGER ABSCESS; SIMPLE N 3 $13.45 06/01/1994 12/31/2299
26011 2 DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON N 3 $50.00 08/01/1979 12/31/2299
26011 7 DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON N 3 $13.45 06/01/1994 12/31/2299
26011 8 DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON N 3 $41.55 01/01/2003 12/31/2299
26011 F DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON N 3 $225.80 03/01/2004 12/31/2299
26020 2 DRAINAGE OF TENDON SHEATH, ONE DIGIT AND/OR PALM N 3 $125.00 08/01/1979 12/31/2299
26020 7 DRAINAGE OF TENDON SHEATH, ONE DIGIT AND/OR PALM N 3 $13.45 06/01/1994 12/31/2299
26020 F DRAINAGE OF TENDON SHEATH, ONE DIGIT AND/OR PALM N 3 $306.00 03/01/2004 12/31/2299
26025 2 DRAINAGE OF PALMAR BURSA; SINGLE, ULNAR OR RADIAL N 3 $125.00 01/01/1973 12/31/2299
26025 7 DRAINAGE OF PALMAR BURSA; SINGLE, ULNAR OR RADIAL N 3 $13.45 06/01/1994 12/31/2299
26025 F DRAINAGE OF PALMAR BURSA; SINGLE, ULNAR OR RADIAL N 3 $225.80 03/01/2004 12/31/2299
26030 2 DRAINAGE OF PALMAR BURSA; MULTIPLE OR COMPLICATED N 3 $170.00 01/01/1984 12/31/2299
26030 7 DRAINAGE OF PALMAR BURSA; MULTIPLE OR COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
26030 F DRAINAGE OF PALMAR BURSA; MULTIPLE OR COMPLICATED N 3 $306.00 03/01/2004 12/31/2299
26032 2 DRAINAGE OF PALMAR BURSA; WITH SUCTION IRRIGATION N 3 $140.00 01/01/1984 12/31/2299
26034 2 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $125.00 01/01/1984 12/31/2299
26034 7 INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $13.45 06/01/1994 12/31/2299
26034 8 INCISION,DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $25.00 01/01/1984 12/31/2299
26034 F INCISION, DEEP, WITH OPENING OF CORTEX FOR OSTEOMY N 3 $306.00 03/01/2004 12/31/2299
26035 2 DECOMPRESSION FINGERS AND/OR HAND, INJECTION INJUR N 3 $384.61 01/01/2003 12/31/2299
26035 7 DECOMPRESSION FINGERS AND/OR HAND, INJECTION INJUR N 3 $13.45 06/01/1994 12/31/2299
26037 2 DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES 26035) N 3 $301.79 01/01/2003 12/31/2299
26037 7 DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES 26035) N 3 $13.45 06/01/1994 12/31/2299
26040 2 FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; C N 3 $75.00 08/01/1979 12/31/2299
26040 7 FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; C N 3 $13.45 06/01/1994 12/31/2299
26040 F FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; C N 3 $432.00 03/01/2004 12/31/2299
26045 2 FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; O N 3 $125.00 01/01/1973 12/31/2299
26045 7 FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; O N 3 $13.45 06/01/1994 12/31/2299
26045 F FASCIOTOMY, PALMAR, FOR DUPUYTREN'S CONTRACTURE; O N 3 $351.00 03/01/2004 12/31/2299
26055 2 TENDON SHEATH INCISION FOR TRIGGER FINGER N 3 $100.00 01/02/1973 12/31/2299
26055 7 TENDON SHEATH INCISION FOR TRIGGER FINGER N 3 $13.45 06/01/1994 12/31/2299
26055 8 TENDON SHEATH INCISION FOR TRIGGER FINGER N 3 $56.19 01/01/2004 12/31/2299
26055 F TENDON SHEATH INCISION FOR TRIGGER FINGER N 3 $306.00 03/01/2004 12/31/2299
26060 2 TENOTOMY, SUBCUTANEOUS, SINGLE, EACH DIGIT N 3 $10.00 01/01/1973 12/31/2299
26060 7 TENOTOMY, SUBCUTANEOUS, SINGLE, EACH DIGIT N 3 $13.45 06/01/1994 12/31/2299
26060 F TENOTOMY, SUBCUTANEOUS, SINGLE, EACH DIGIT N 3 $306.00 03/01/2004 12/31/2299
26070 2 ARTHROTOMY WITH EXPLOR, DRAIN OR REMOVAL OF LOOSE N 3 $125.00 01/01/1973 12/31/2299
26070 7 ARTHROTOMY WITH EXPLOR, DRAIN OR REMOVAL OF LOOSE N 3 $13.45 06/01/1994 12/31/2299
26070 F ARTHROTOMY WITH EXPLOR, DRAIN OR REMOVAL OF LOOSE N 3 $306.00 03/01/2004 12/31/2299
26075 2 ARTHROTOMY W/EXPLOR, DRAIN OR REMOV OF LOOSE OR FO N 3 $125.00 01/01/1973 12/31/2299
26075 7 ARTHROTOMY W/EXPLOR, DRAIN OR REMOV OF LOOSE OR FO N 3 $13.45 06/01/1994 12/31/2299
26075 F ARTHROTOMY W/EXPLOR, DRAIN OR REMOV OF LOOSE OR FO N 3 $432.00 03/01/2004 12/31/2299
26080 2 ARTHROTOMY W/EXPLOR, DRAIN OR REMOV OF LOOSE OR FO N 3 $100.00 01/01/1973 12/31/2299
26080 7 ARTHROTOMY W/EXPLOR, DRAIN OR REMOV OF LOOSE OR FO N 3 $13.45 06/01/1994 12/31/2299
26080 F ARTHROTOMY W/EXPLOR, DRAIN OR REMOV OF LOOSE OR FO N 3 $432.00 03/01/2004 12/31/2299
26100 2 ARTHROTOMY FOR SYNOVIAL BIOPSY; CARPOMETACARPAL JO N 3 $125.00 01/01/1973 12/31/2299
26100 7 ARTHROTOMY FOR SYNOVIAL BIOPSY; CARPOMETACARPAL JO N 3 $13.45 06/01/1994 12/31/2299
26100 F ARTHROTOMY FOR SYNOVIAL BIOPSY; CARPOMETACARPAL JO N 3 $306.00 03/01/2004 12/31/2299
26105 2 ARTHROTOMY FOR SYNOVIAL BIOPSY; METACARPOPHALANGEA N 3 $125.00 01/01/1973 12/31/2299
26105 7 ARTHROTOMY FOR SYNOVIAL BIOPSY; METACARPOPHALANGEA N 3 $13.45 06/01/1994 12/31/2299
26105 F ARTHROTOMY FOR SYNOVIAL BIOPSY; METACARPOPHALANGEA N 3 $225.80 03/01/2004 12/31/2299
26110 2 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JO N 3 $100.00 01/01/1973 12/31/2299
26110 7 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JO N 3 $13.45 06/01/1994 12/31/2299
26110 F ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JO N 3 $225.80 03/01/2004 12/31/2299
26115 2 EXCISION OF BENIGN TUMOR; SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
26115 F EXCISION OF BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
26116 2 .XCISION OF BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAM N 3 $150.00 01/01/1984 12/31/2299
26116 7 EXCISION OF BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAM N 3 $13.45 06/01/1994 12/31/2299
26116 F .XCISION OF BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAM N 3 $306.00 03/01/2004 12/31/2299
26117 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
26117 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
26121 2 FASCIECTOMY, PALM ONLY, W OR W/O Z/PLASTY, OTHER TISSUE REARRANGE N 3 $438.55 01/01/1997 12/31/2299
26121 7 FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $13.45 06/01/1994 12/31/2299
26121 8 FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $87.72 01/01/1997 12/31/2299
26121 F FASCIECTOMY, PALM ONLY, W OR W/O Z/PLASTY, OTHER TISSUE REARRANGE N 3 $432.00 03/01/2004 12/31/2299
26123 2 FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $540.00 01/02/1994 12/31/2299
26123 7 FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $13.45 06/01/1994 12/31/2299
26123 F FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $432.00 03/01/2004 12/31/2299
26125 2 FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $176.68 01/01/2005 12/31/2299
26125 7 FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $13.45 06/01/1994 12/31/2299
26125 F FASCIECTOMY, PALMAR, WITH OR WITHOUT Z-PLASTY, OTH N 3 $432.00 03/01/2004 12/31/2299
26130 2 SYNOVECTOMY, CARPOMETACARPAL JOINT N 3 $125.00 01/01/1973 12/31/2299
26130 7 SYNOVECTOMY, CARPOMETACARPAL JOINT N 3 $13.45 06/01/1994 12/31/2299
26130 F SYNOVECTOMY, CARPOMETACARPAL JOINT N 3 $351.00 03/01/2004 12/31/2299
26135 2 SYNOVECTOMY METACARPOPHALANGEAL JOINT INCLUD INTRI N 3 $125.00 01/01/1973 12/31/2299
26135 7 SYNOVECTOMY METACARPOPHALANGEAL JOINT INCLUD INTRI N 3 $13.45 06/01/1994 12/31/2299
26135 F SYNOVECTOMY METACARPOPHALANGEAL JOINT INCLUD INTRI N 3 $432.00 03/01/2004 12/31/2299
26140 2 SYNOVECTOMY PROXIMAL INTERPHALANGEAL JOINT, INCLUD N 3 $100.00 01/01/1973 12/31/2299
26140 7 SYNOVECTOMY PROXIMAL INTERPHALANGEAL JOINT, INCLUD N 3 $13.45 06/01/1994 12/31/2299
26140 F SYNOVECTOMY PROXIMAL INTERPHALANGEAL JOINT, INCLUD N 3 $306.00 03/01/2004 12/31/2299
26145 2 SYNOVECTOMY TENDON SHEATH, RADICAL (TENOSYNOVECTOM N 3 $130.00 01/01/1971 12/31/2299
26145 7 SYNOVECTOMY TENDON SHEATH, RADICAL (TENOSYNOVECTOM N 3 $13.45 06/01/1994 12/31/2299
26145 8 SYNOVECTOMY TENDON SHEATH, RADICAL (TENOSYNOVECTOM N 3 $59.55 01/01/2004 12/31/2299
26145 F SYNOVECTOMY TENDON SHEATH, RADICAL (TENOSYNOVECTOM N 3 $351.00 03/01/2004 12/31/2299
26160 2 EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $55.00 08/01/1979 12/31/2299
26160 7 EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $13.45 06/01/1994 12/31/2299
26160 F EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $351.00 03/01/2004 12/31/2299
26170 2 EXCISION OF TENDON, PALM, FLEXOR, SINGLE (SEPARATE N 3 $100.00 08/01/1979 12/31/2299
26170 7 EXCISION OF TENDON, PALM, FLEXOR, SINGLE (SEPARATE N 3 $13.45 06/01/1994 12/31/2299
26170 F EXCISION OF TENDON, PALM, FLEXOR, SINGLE (SEPARATE N 3 $351.00 03/01/2004 12/31/2299
26180 2 EXCISION OF TENDON, FINGER, FLEXOR (SEPARATE PROC) N 3 $75.00 01/01/1976 12/31/2299
26180 7 EXCISION OF TENDON, FINGER, FLEXOR (SEPARATE PROC) N 3 $13.45 06/01/1994 12/31/2299
26180 F EXCISION OF TENDON, FINGER, FLEXOR (SEPARATE PROC) N 3 $351.00 03/01/2004 12/31/2299
26185 2 SESAMOIDECTOMY,THUMB OR FINGER (SEPARATE PROCEDURE) N 3 $228.31 01/01/1997 12/31/2299
26185 7 SESAMOIDECTOMY,THUMB OR FINGER (SEPARATE PROCEDURE) N 3 $13.45 01/01/1997 12/31/2299
26185 8 SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE PROCEDURE) N 3 $45.66 01/01/1997 12/31/2299
26185 F SESAMOIDECTOMY,THUMB OR FINGER (SEPARATE PROCEDURE) N 3 $432.00 03/01/2004 12/31/2299
26200 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $150.00 01/01/1973 12/31/2299
26200 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
26200 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $306.00 03/01/2004 12/31/2299
26205 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $175.00 01/01/1973 12/31/2299
26205 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
26205 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
26206 2 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF ME N 3 $115.00 01/01/1984 12/31/2299
26206 7 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF ME N 3 $13.45 06/01/1994 12/31/2299
26210 2 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $125.00 01/01/1973 12/31/2299
26210 7 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $13.45 06/01/1994 12/31/2299
26210 F EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $306.00 03/01/2004 12/31/2299
26215 2 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $150.00 01/01/1984 12/31/2299
26215 7 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $13.45 06/01/1994 12/31/2299
26215 F EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $351.00 03/01/2004 12/31/2299
26216 2 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $110.00 01/01/1984 12/31/2299
26216 7 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF PR N 3 $13.45 06/01/1994 12/31/2299
26230 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $150.00 01/01/1973 12/31/2299
26230 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
26230 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $495.00 03/01/2004 12/31/2299
26235 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $125.00 01/01/1973 12/31/2299
26235 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
26235 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $351.00 03/01/2004 12/31/2299
26236 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $85.00 01/01/1984 12/31/2299
26236 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
26236 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $351.00 03/01/2004 12/31/2299
26250 2 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, METACARPA N 3 $150.00 01/01/1984 12/31/2299
26250 7 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, METACARPA N 3 $13.45 06/01/1994 12/31/2299
26250 F RADICAL RESECTION (OSTECTOMY) FOR TUMOR, METACARPA N 3 $351.00 03/01/2004 12/31/2299
26255 2 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, METACARPA N 3 $200.00 01/01/1984 12/31/2299
26255 7 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, METACARPA N 3 $13.45 06/01/1994 12/31/2299
26255 F RADICAL RESECTION (OSTECTOMY) FOR TUMOR, METACARPA N 3 $351.00 03/01/2004 12/31/2299
26260 2 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $150.00 01/01/1984 12/31/2299
26260 7 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $13.45 06/01/1994 12/31/2299
26260 F RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $351.00 03/01/2004 12/31/2299
26261 2 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $190.00 01/01/1984 12/31/2299
26261 7 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $13.45 06/01/1994 12/31/2299
26261 8 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $0.00 01/01/1973 12/31/2299
26261 F RADICAL RESECTION (OSTECTOMY) FOR TUMOR, PROXIMAL N 3 $351.00 03/01/2004 12/31/2299
26262 2 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, DISTAL PH N 3 $180.00 01/01/1984 12/31/2299
26262 7 RADICAL RESECTION (OSTECTOMY) FOR TUMOR, DISTAL PH N 3 $13.45 06/01/1994 12/31/2299
26262 F RADICAL RESECTION (OSTECTOMY) FOR TUMOR, DISTAL PH N 3 $306.00 03/01/2004 12/31/2299
26320 2 REMOVAL OF IMPLANT FROM FINGER OR HAND N 3 $140.00 01/01/1984 12/31/2299
26320 7 REMOVAL OF IMPLANT FROM FINGER OR HAND N 3 $13.45 06/01/1994 12/31/2299
26320 F REMOVAL OF IMPLANT FROM FINGER OR HAND N 3 $306.00 03/01/2004 12/31/2299
26340 2 MANIPULATION, FINGER JOINT, UNDER ANESTHESIA EACH JOINT N 3 $160.61 01/02/2002 12/31/2299
26350 2 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $175.00 01/01/2004 12/31/2299
26350 7 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $13.45 06/01/1994 12/31/2299
26350 8 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $35.00 01/01/1984 12/31/2299
26350 F FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $225.80 03/01/2004 12/31/2299
26352 2 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $260.00 01/01/1984 12/31/2299
26352 7 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $13.45 06/01/1994 12/31/2299
26352 F FLEXOR TENDON REPAIR OR ADVANCE, SINGL, NOT IN NO N 3 $432.00 03/01/2004 12/31/2299
26356 2 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, IN NO MAN' N 3 $300.00 01/02/1992 12/31/2299
26356 7 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, IN NO MAN' N 3 $13.45 06/01/1994 12/31/2299
26356 8 FLEXOR TENDON REPAIR OR ADUANCE, SINGL, IN HO MAN' N 3 $35.00 01/01/1984 12/31/2299
26356 F FLEXOR TENDON REPAIR OR ADVANCE, SINGL, IN NO MAN' N 3 $432.00 03/01/2004 12/31/2299
26357 7 FLEXOR TENDON REPAIR OR ADVANCEMENT, SINGLE, IN N 3 $13.45 06/01/1994 12/31/2299
26357 F FLEXOR TENDON REPAIR OR ADVANCEMENT, SINGLE, IN N 3 $432.00 03/01/2004 12/31/2299
26358 2 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, IN NO MAN' N 3 $250.00 01/01/1984 12/31/2299
26358 7 FLEXOR TENDON REPAIR OR ADVANCE, SINGL, IN NO MAN' N 3 $13.45 06/01/1994 12/31/2299
26358 F FLEXOR TENDON REPAIR OR ADVANCE, SINGL, IN NO MAN' N 3 $432.00 03/01/2004 12/31/2299
26370 2 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $175.00 01/01/1984 12/31/2299
26370 7 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $13.45 06/01/1994 12/31/2299
26370 8 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $35.00 01/01/1984 12/31/2299
26370 F PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $432.00 03/01/2004 12/31/2299
26372 2 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $150.00 01/01/1984 12/31/2299
26372 7 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $13.45 06/01/1994 12/31/2299
26372 F PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $432.00 03/01/2004 12/31/2299
26373 2 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $125.00 01/01/1984 12/31/2299
26373 7 PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $13.45 06/01/1994 12/31/2299
26373 F PROFUNDUS TENDON REPAIR OR ADVANCEMENT, WITH INTAC N 3 $351.00 03/01/2004 12/31/2299
26390 2 FLEXOR TENDON EXCISION, IMPLANTATION OF PLASTIC TU N 3 $200.00 08/01/1979 12/31/2299
26390 7 FLEXOR TENDON EXCISION, IMPLANTATION OF PLASTIC TU N 3 $13.45 06/01/1994 12/31/2299
26390 F FLEXOR TENDON EXCISION, IMPLANTATION OF PLASTIC TU N 3 $432.00 03/01/2004 12/31/2299
26392 2 REMOVAL OF TUBE OR ROD AND INSERTION OF TENDON GRA N 3 $250.00 08/01/1979 12/31/2299
26392 7 REMOVAL OF TUBE OR ROD AND INSERTION OF TENDON GRA N 3 $13.45 06/01/1994 12/31/2299
26392 F REMOVAL OF TUBE OR ROD AND INSERTION OF TENDON GRA N 3 $351.00 03/01/2004 12/31/2299
26410 2 EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PR N 3 $150.00 01/02/1992 12/31/2299
26410 7 EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PR N 3 $13.45 06/01/1994 12/31/2299
26410 F EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PR N 3 $351.00 03/01/2004 12/31/2299
26412 2 EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PR N 3 $90.00 08/01/1979 12/31/2299
26412 7 EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PR N 3 $13.45 06/01/1994 12/31/2299
26412 F EXTENSOR TENDON REPAIR, DORSUM OF HAND, SINGLE, PR N 3 $351.00 03/01/2004 12/31/2299
26415 2 EXTENSOR TENDON EXCISION, IMPLANTATION OF PLASTIC N 3 $598.21 01/01/2002 12/31/2299
26415 7 EXTENSOR TENDON EXCISION, IMPLANTATION OF PLASTIC N 3 $13.45 06/01/1994 12/31/2299
26415 F EXTENSOR TENDON EXCISION, IMPLANTATION OF PLASTIC N 3 $432.00 03/01/2004 12/31/2299
26416 2 REMOVAL OF TUBE OR ROD AND INSERTION OF EXTENSOR T N 3 $646.10 01/01/2002 12/31/2299
26416 7 REMOVAL OF TUBE OR ROD AND INSERTION OF EXTENSOR T N 3 $13.45 06/01/1994 12/31/2299
26416 F REMOVAL OF TUBE OR ROD AND INSERTION OF EXTENSOR T N 3 $351.00 03/01/2004 12/31/2299
26418 2 EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, N 3 $50.00 08/01/1979 12/31/2299
26418 7 EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, N 3 $13.45 06/01/1994 12/31/2299
26418 F EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, N 3 $432.00 03/01/2004 12/31/2299
26420 2 EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, N 3 $175.00 08/01/1979 12/31/2299
26420 7 EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, N 3 $13.45 06/01/1994 12/31/2299
26420 F EXTENSOR TENDON REPAIR, DORSUM OF FINGER, SINGLE, N 3 $432.00 03/01/2004 12/31/2299
26426 2 EXTENSOR TENDON REPAIR, CENTRAL SLIP REPAIR, SECON N 3 $200.00 01/01/1984 12/31/2299
26426 7 EXTENSOR TENDON REPAIR, CENTRAL SLIP REPAIR, SECON N 3 $13.45 06/01/1994 12/31/2299
26426 F EXTENSOR TENDON REPAIR, CENTRAL SLIP REPAIR, SECON N 3 $351.00 03/01/2004 12/31/2299
26428 2 EXTENSOR TENDON REPAIR, CENTRAL SLIP REPAIR, SECON N 3 $270.00 01/01/1984 12/31/2299
26428 7 EXTENSOR TENDON REPAIR, CENTRAL SLIP REPAIR, SECON N 3 $13.45 06/01/1994 12/31/2299
26428 F EXTENSOR TENDON REPAIR, CENTRAL SLIP REPAIR, SECON N 3 $351.00 03/01/2004 12/31/2299
26432 2 EXTENSOR TENDON REPAIR, DISTAL INSERTION (''MALLET N 3 $70.00 01/01/1984 12/31/2299
26432 7 EXTENSOR TENDON REPAIR, DISTAL INSERTION (''MALLET N 3 $13.45 06/01/1994 12/31/2299
26432 F EXTENSOR TENDON REPAIR, DISTAL INSERTION (''MALLET N 3 $351.00 03/01/2004 12/31/2299
26433 2 EXTENSOR TENDON REPAIR, OPEN, PRIMARY OR SECONDARY N 3 $100.00 01/01/1984 12/31/2299
26433 7 EXTENSOR TENDON REPAIR, OPEN, PRIMARY OR SECONDARY N 3 $13.45 06/01/1994 12/31/2299
26433 F EXTENSOR TENDON REPAIR, OPEN, PRIMARY OR SECONDARY N 3 $351.00 03/01/2004 12/31/2299
26434 2 EXTENSOR TENDON REPAIR, OPEN, PRIMARY OR SECONDARY N 3 $125.00 01/02/1984 12/31/2299
26434 7 EXTENSOR TENDON REPAIR, OPEN, PRIMARY OR SECONDARY N 3 $13.45 06/01/1994 12/31/2299
26434 F EXTENSOR TENDON REPAIR, OPEN, PRIMARY OR SECONDARY N 3 $351.00 03/01/2004 12/31/2299
26437 2 EXTENSOR TENDON REALIGNMENT, HAND N 3 $424.19 01/01/2004 12/31/2299
26437 7 EXTENSOR TENDON REALIGNMENT, HAND N 3 $13.45 06/01/1994 12/31/2299
26437 F EXTENSOR TENDON REALIGNMENT, HAND N 3 $351.00 03/01/2004 12/31/2299
26440 2 TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM OR FINGER, N 3 $150.00 01/01/2005 12/31/2299
26440 7 TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM OR FINGER, N 3 $13.45 06/01/1994 12/31/2299
26440 F TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM OR FINGER, N 3 $351.00 03/01/2004 12/31/2299
26442 2 TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM AND FINGER, N 3 $225.00 01/01/1984 12/31/2299
26442 7 TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM AND FINGER, N 3 $13.45 06/01/1994 12/31/2299
26442 F TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM AND FINGER, N 3 $351.00 03/01/2004 12/31/2299
26445 2 TENOLYSIS, EXTENSOR TENDON, DORSUM OF HAND OR FING N 3 $115.00 01/01/1984 12/31/2299
26445 7 TENOLYSIS, EXTENSOR TENDON, DORSUM OF HAND OR FING N 3 $13.45 06/01/1994 12/31/2299
26445 F TENOLYSIS, EXTENSOR TENDON, DORSUM OF HAND OR FING N 3 $351.00 03/01/2004 12/31/2299
26449 2 TENOLYSIS, COMPLEX, EXTENSOR TENDON, DORSUM OF HAN N 3 $250.00 01/01/1984 12/31/2299
26449 7 TENOLYSIS, COMPLEX, EXTENSOR TENDON, DORSUM OF HAN N 3 $13.45 06/01/1994 12/31/2299
26449 F TENOLYSIS, COMPLEX, EXTENSOR TENDON, DORSUM OF HAN N 3 $351.00 03/01/2004 12/31/2299
26450 2 TENOTOMY, FLEXOR, SINGLE, PALM, OPEN, EACH N 3 $100.00 01/01/1973 12/31/2299
26450 7 TENOTOMY, FLEXOR, SINGLE, PALM, OPEN, EACH N 3 $13.45 06/01/1994 12/31/2299
26450 F TENOTOMY, FLEXOR, SINGLE, PALM, OPEN, EACH N 3 $351.00 03/01/2004 12/31/2299
26455 2 TENOTOMY, FLEXOR, SINGLE, FINGER, OPEN, EACH N 3 $100.00 08/01/1979 12/31/2299
26455 7 TENOTOMY, FLEXOR, SINGLE, FINGER, OPEN, EACH N 3 $13.45 06/01/1994 12/31/2299
26455 F TENOTOMY, FLEXOR, SINGLE, FINGER, OPEN, EACH N 3 $351.00 03/01/2004 12/31/2299
26460 2 TENOTOMY, EXTENSOR, HAND OR FINGER, SINGLE, EACH N 3 $80.00 01/01/1984 12/31/2299
26460 7 TENOTOMY, EXTENSOR, HAND OR FINGER, SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
26460 8 TENOTOMY, EXTENSOR, HAND OR FINGER, SINGLE, EACH N 3 $48.00 01/01/1984 12/31/2299
26460 F TENOTOMY, EXTENSOR, HAND OR FINGER, SINGLE, EACH N 3 $351.00 03/01/2004 12/31/2299
26471 2 TENODESIS; FOR PROXIMAL INTERPHALANGEAL JOINT STAB N 3 $175.00 01/01/1973 12/31/2299
26471 7 TENODESIS; FOR PROXIMAL INTERPHALANGEAL JOINT STAB N 3 $13.45 06/01/1994 12/31/2299
26471 F TENODESIS; FOR PROXIMAL INTERPHALANGEAL JOINT STAB N 3 $306.00 03/01/2004 12/31/2299
26474 2 TENODESIS; FOR DISTAL JOINT STABILIZATION N 3 $150.00 01/01/1984 12/31/2299
26474 7 TENODESIS; FOR DISTAL JOINT STABILIZATION N 3 $13.45 06/01/1994 12/31/2299
26474 F TENODESIS; FOR DISTAL JOINT STABILIZATION N 3 $306.00 03/01/2004 12/31/2299
26476 2 TENDON LENGTHENING, EXTENSOR, SINGLE, EACH N 3 $75.00 01/01/1984 12/31/2299
26476 7 TENDON LENGTHENING, EXTENSOR, SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
26476 F TENDON LENGTHENING, EXTENSOR, SINGLE, EACH N 3 $225.80 03/01/2004 12/31/2299
26477 2 TENDON SHORTENING, EXTENSOR, SINGLE, EACH N 3 $75.00 01/01/1984 12/31/2299
26477 7 TENDON SHORTENING, EXTENSOR, SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
26477 F TENDON SHORTENING, EXTENSOR, SINGLE, EACH N 3 $225.80 03/01/2004 12/31/2299
26478 2 TENDON LENGTHENING,FLEXOR,HAND/FINGER,SINGLE,EACH N 3 $200.00 01/01/1984 12/31/2299
26478 7 TENDON LENGTHENING,FLEXOR,HAND/FINGER,SINGLE,EACH N 3 $13.45 06/01/1994 12/31/2299
26478 F TENDON LENGTHENING,FLEXOR,HAND/FINGER,SINGLE,EACH N 3 $225.80 03/01/2004 12/31/2299
26479 7 TENDON SHORTENING, FLEXOR, HAND OR FINGER, SINGLE, N 3 $13.45 06/01/1994 12/31/2299
26479 F TENDON SHORTENING, FLEXOR, HAND OR FINGER, SINGLE, N 3 $225.80 03/01/2004 12/31/2299
26480 2 TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $240.00 01/01/1984 12/31/2299
26480 7 TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $13.45 06/01/1994 12/31/2299
26480 8 TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $48.00 01/01/1984 12/31/2299
26480 F TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $351.00 03/01/2004 12/31/2299
26483 2 TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $315.00 01/01/1984 12/31/2299
26483 7 TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $13.45 06/01/1994 12/31/2299
26483 F TENDON TRANSFER OR TRANSPLANT, CARPOMETACARPAL ARE N 3 $351.00 03/01/2004 12/31/2299
26485 2 TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $300.00 01/01/1984 12/31/2299
26485 7 TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $13.45 06/01/1994 12/31/2299
26485 8 TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $60.00 01/01/1984 12/31/2299
26485 F TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $306.00 03/01/2004 12/31/2299
26489 2 TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $375.00 01/01/1984 12/31/2299
26489 7 TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $13.45 06/01/1994 12/31/2299
26489 F TENDON TRANSFER OR TRANSPLANT, PALMAR, SINGLE, EA N 3 $351.00 03/01/2004 12/31/2299
26490 2 OPPONENS PLASTY; SUBLIMIS TENDON TRANSFER TYPE N 3 $237.50 01/01/1973 12/31/2299
26490 7 OPPONENS PLASTY; SUBLIMIS TENDON TRANSFER TYPE N 3 $13.45 06/01/1994 12/31/2299
26490 F OPPONENS PLASTY; SUBLIMIS TENDON TRANSFER TYPE N 3 $351.00 03/01/2004 12/31/2299
26492 2 OPPONENS PLASTY; TENDON TRANSFER WITH GRAFT (INCL N 3 $275.00 01/01/1973 12/31/2299
26492 7 OPPONENS PLASTY; TENDON TRANSFER WITH GRAFT (INCL N 3 $13.45 06/01/1994 12/31/2299
26492 8 OPPONENS PLASTY; TENDON TRANSFER WITH GRAFT (INCL N 3 $55.00 01/01/1973 12/31/2299
26492 F OPPONENS PLASTY; TENDON TRANSFER WITH GRAFT (INCL N 3 $351.00 03/01/2004 12/31/2299
26494 2 OPPONENS PLASTY; HYPOTHENAR MUSCLE TRANSFER N 3 $340.00 01/01/1984 12/31/2299
26494 7 OPPONENS PLASTY; HYPOTHENAR MUSCLE TRANSFER N 3 $13.45 06/01/1994 12/31/2299
26494 F OPPONENS PLASTY; HYPOTHENAR MUSCLE TRANSFER N 3 $351.00 03/01/2004 12/31/2299
26496 2 OPPONENS PLASTY; OTHER METHODS N 3 $300.00 01/01/1973 12/31/2299
26496 7 OPPONENS PLASTY; OTHER METHODS N 3 $13.45 06/01/1994 12/31/2299
26496 8 OPPONENS PLASTY; OTHER METHODS N 3 $60.00 01/01/1973 12/31/2299
26496 F OPPONENS PLASTY; OTHER METHODS N 3 $351.00 03/01/2004 12/31/2299
26497 7 SUBLIMIS TRANSFER TO CORRECT CLAW FINGER; IV AND V N 3 $13.45 06/01/1994 12/31/2299
26497 F SUBLIMIS TRANSFER TO CORRECT CLAW FINGER; IV AND V N 3 $351.00 03/01/2004 12/31/2299
26498 7 SUBLIMIS TRANSFER TO CORRECT CLAW FINGER; II, III, N 3 $13.45 06/01/1994 12/31/2299
26498 F SUBLIMIS TRANSFER TO CORRECT CLAW FINGER; II, III, N 3 $432.00 03/01/2004 12/31/2299
26499 7 CORRECTION CLAW FINGER, OTHER METHODS N 3 $13.45 06/01/1994 12/31/2299
26499 F CORRECTION CLAW FINGER, OTHER METHODS N 3 $351.00 03/01/2004 12/31/2299
26500 2 TENDON PULLEY RECONSTRUCTION; WITH LOCAL TISSUES ( N 3 $150.00 01/01/1973 12/31/2299
26500 7 TENDON PULLEY RECONSTRUCTION; WITH LOCAL TISSUES ( N 3 $13.45 06/01/1994 12/31/2299
26500 F TENDON PULLEY RECONSTRUCTION; WITH LOCAL TISSUES ( N 3 $432.00 03/01/2004 12/31/2299
26502 2 TENDON PULLEY RECONSTRUCTION; WITH TENDON OR FASCI N 3 $200.00 01/01/1973 12/31/2299
26502 7 TENDON PULLEY RECONSTRUCTION; WITH TENDON OR FASCI N 3 $13.45 06/01/1994 12/31/2299
26502 F TENDON PULLEY RECONSTRUCTION; WITH TENDON OR FASCI N 3 $432.00 03/01/2004 12/31/2299
26504 7 TENDON PULLEY RECONSTRUCTION N 3 $13.45 06/01/1994 12/31/2299
26504 F TENDON PULLEY RECONSTRUCTION N 3 $432.00 03/01/2004 12/31/2299
26508 2 THENAR MUSCLE RELEASE FOR THUMB CONTRACTURE N 3 $225.00 01/01/1984 12/31/2299
26508 7 THENAR MUSCLE RELEASE FOR THUMB CONTRACTURE N 3 $13.45 06/01/1994 12/31/2299
26508 F THENAR MUSCLE RELEASE FOR THUMB CONTRACTURE N 3 $351.00 03/01/2004 12/31/2299
26510 2 CROSS INTRINSIC TRANSFER N 3 $446.23 01/01/2002 12/31/2299
26510 7 CROSS INTRINSIC TRANSFER N 3 $13.45 06/01/1994 12/31/2299
26510 F CROSS INTRINSIC TRANSFER N 3 $351.00 03/01/2004 12/31/2299
26516 2 CAPSULODESIS FOR M-P JOINT STABILIZATION; SINGLE D N 3 $200.00 01/01/1973 12/31/2299
26516 7 CAPSULODESIS FOR M-P JOINT STABILIZATION; SINGLE D N 3 $13.45 06/01/1994 12/31/2299
26516 F CAPSULODESIS FOR M-P JOINT STABILIZATION; SINGLE D N 3 $225.80 03/01/2004 12/31/2299
26517 2 CAPSULODESIS FOR M-P JOINT STABILIZATION; TWO DIGI N 3 $285.00 01/01/1984 12/31/2299
26517 7 CAPSULODESIS FOR M-P JOINT STABILIZATION; TWO DIGI N 3 $13.45 06/01/1994 12/31/2299
26517 F CAPSULODESIS FOR M-P JOINT STABILIZATION; TWO DIGI N 3 $351.00 03/01/2004 12/31/2299
26518 2 CAPSULODESIS FOR M-P JOINT STABILIZATION; THREE OR N 3 $340.00 01/01/1984 12/31/2299
26518 7 CAPSULODESIS FOR M-P JOINT STABILIZATION; THREE OR N 3 $13.45 06/01/1994 12/31/2299
26518 F CAPSULODESIS FOR M-P JOINT STABILIZATION; THREE OR N 3 $351.00 03/01/2004 12/31/2299
26520 2 CAPSULECTOMY FOR CONTRACTURE; METACARPOPHALANGEAL N 3 $175.00 01/01/1973 12/31/2299
26520 7 CAPSULECTOMY FOR CONTRACTURE; METACARPOPHALANGEAL N 3 $13.45 06/01/1994 12/31/2299
26520 F CAPSULECTOMY FOR CONTRACTURE; METACARPOPHALANGEAL N 3 $351.00 03/01/2004 12/31/2299
26525 2 CAPSULECTOMY FOR CONTRACTURE; INTERPHALANGEAL JOIN N 3 $175.00 01/01/1973 12/31/2299
26525 7 CAPSULECTOMY FOR CONTRACTURE; INTERPHALANGEAL JOIN N 3 $13.45 06/01/1994 12/31/2299
26525 F CAPSULECTOMY FOR CONTRACTURE; INTERPHALANGEAL JOIN N 3 $351.00 03/01/2004 12/31/2299
26530 2 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; SINGLE, E N 3 $268.92 01/01/1998 12/31/2299
26530 7 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; SINGLE, E N 3 $13.45 06/01/1994 12/31/2299
26530 8 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; SINGLE, E N 3 $53.76 01/01/1998 12/31/2299
26530 F ARTHROPLASTY, METACARPOPHALANGEAL JOINT; SINGLE, E N 3 $351.00 03/01/2004 12/31/2299
26531 2 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; WITH PROS N 3 $225.00 01/01/1973 12/31/2299
26531 7 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; WITH PROS N 3 $13.45 06/01/1994 12/31/2299
26531 F ARTHROPLASTY, METACARPOPHALANGEAL JOINT; WITH PROS N 3 $495.00 03/01/2004 12/31/2299
26535 2 ARTHROPLASTY INTERPHALANGEAL JOINT; SINGLE, EACH N 3 $200.00 01/01/1973 12/31/2299
26535 7 ARTHROPLASTY INTERPHALANGEAL JOINT; SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
26535 F ARTHROPLASTY INTERPHALANGEAL JOINT; SINGLE, EACH N 3 $495.00 03/01/2004 12/31/2299
26536 2 ARTHROPLASTY INTERPHALANGEAL JOINT; WITH PROSTHETI N 3 $250.00 08/01/1979 12/31/2299
26536 7 ARTHROPLASTY INTERPHALANGEAL JOINT; WITH PROSTHETI N 3 $13.45 06/01/1994 12/31/2299
26536 F ARTHROPLASTY INTERPHALANGEAL JOINT; WITH PROSTHETI N 3 $495.00 03/01/2004 12/31/2299
26540 2 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $250.00 01/01/1973 12/31/2299
26540 7 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $13.45 06/01/1994 12/31/2299
26540 8 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $50.00 01/07/1992 12/31/2299
26540 F RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $432.00 03/01/2004 12/31/2299
26541 2 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $320.00 01/01/1984 12/31/2299
26541 7 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $13.45 06/01/1994 12/31/2299
26541 8 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $64.00 01/01/1984 12/31/2299
26541 F RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHAL N 3 $495.00 03/01/2004 12/31/2299
26542 7 PRIMARY REPAIR OF COLLATERAL LIGAMENT, METACARPOPH N 3 $13.45 06/01/1994 12/31/2299
26542 F PRIMARY REPAIR OF COLLATERAL LIGAMENT, METACARPOPH N 3 $432.00 03/01/2004 12/31/2299
26545 2 RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGE N 3 $200.00 01/01/1973 12/31/2299
26545 7 RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGE N 3 $13.45 06/01/1994 12/31/2299
26545 F RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGE N 3 $432.00 03/01/2004 12/31/2299
26546 2 REPAIR NON-UNIONMETACARPAL OR PHALANX N 3 $425.29 01/01/1997 12/31/2299
26546 7 REPAIR NON-UNIION,METACARPAL OR PHALANX,W OR W/O EXTER OR INTER N 3 $13.45 01/01/1997 12/31/2299
26546 8 REPAIR NON-UNION,METACARPAL/PHALANX W OR W/O EXTER/INTERN FIXATIO N 3 $85.06 01/01/1997 12/31/2299
26546 F REPAIR NON-UNIONMETACARPAL OR PHALANX N 3 $432.00 03/01/2004 12/31/2299
26548 2 REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, N 3 $523.58 01/01/2003 12/31/2299
26548 7 REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, N 3 $13.45 06/01/1994 12/31/2299
26548 F REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, N 3 $432.00 03/01/2004 12/31/2299
26550 2 POLLICIZATION OF A DIGIT N 3 $275.00 01/01/1984 12/31/2299
26550 7 POLLICIZATION OF A DIGIT N 3 $13.45 06/01/1994 12/31/2299
26550 F POLLICIZATION OF A DIGIT N 3 $306.00 03/01/2004 12/31/2299
26551 2 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS; GREAT TOE N 3 $2,216.03 01/01/1997 12/31/2299
26551 7 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;GREAT TOE WRAP N 3 $13.45 01/01/1997 12/31/2299
26551 8 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;GREAT TOE WRAP N 3 $443.20 01/01/1997 12/31/2299
26552 7 RECONSTRUCTION THUMB WITH TOE N 3 $13.45 06/01/1994 12/31/2299
26553 2 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;SINGLE TOE N 3 $2,200.63 01/01/1997 12/31/2299
26553 7 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;OTHER THAN GRTOE N 3 $13.45 01/01/1997 12/31/2299
26553 8 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;OTHER THAN GRTOE N 3 $440.12 01/01/1997 12/31/2299
26554 2 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;DOUBLE TOE N 3 $2,625.67 01/01/1997 12/31/2299
26554 7 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS;DOUBLE N 3 $13.45 01/01/1997 12/31/2299
26554 8 TOE-TO-HAND TRANSFER W/MICROVASCULAR ANASTOMOSIS; DOUBLE N 3 $525.14 01/01/1997 12/31/2299
26555 2 POSITIONAL CHANGE OF OTHER FINGER N 3 $250.00 01/01/1984 12/31/2299
26555 7 POSITIONAL CHANGE OF OTHER FINGER N 3 $13.45 06/01/1994 12/31/2299
26555 F POSITIONAL CHANGE OF OTHER FINGER N 3 $351.00 03/01/2004 12/31/2299
26556 2 FREE TOE JOINT TRANSFER W/MICROVASCULAR ANASTOMOSIS N 3 $2,238.08 01/01/1997 12/31/2299
26556 7 FREE TOE JOINT TRANSFER W/MICROVASCULAR ANASTOMOSIS N 3 $13.45 01/01/1997 12/31/2299
26556 8 FREE TOE JOINT TRANSFER W/MICROVASCULAR ANASTOMOSIS N 3 $447.62 01/01/1997 12/31/2299
26557 7 TOE TO FINGER TRANSFER; FIRST STAGE N 3 $13.45 06/01/1994 12/31/2299
26558 7 TOE TO FINGER TRANSFER; EACH DELAY N 3 $13.45 06/01/1994 12/31/2299
26559 7 TOE TO FINGER TRANSFER; SECOND STAGE N 3 $13.45 06/01/1994 12/31/2299
26560 2 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $237.50 01/01/1973 12/31/2299
26560 7 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $13.45 06/01/1994 12/31/2299
26560 F REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $306.00 03/01/2004 12/31/2299
26561 2 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $300.00 01/01/1973 12/31/2299
26561 7 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $13.45 06/01/1994 12/31/2299
26561 8 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $60.00 01/01/1973 12/31/2299
26561 F REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $351.00 03/01/2004 12/31/2299
26562 2 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $325.00 01/01/1984 12/31/2299
26562 7 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $13.45 06/01/1994 12/31/2299
26562 F REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; N 3 $432.00 03/01/2004 12/31/2299
26565 2 OSTEOTOMY FOR CORRECTION OF DEFORMITY; METACARPAL N 3 $200.00 01/01/1973 12/31/2299
26565 7 OSTEOTOMY FOR CORRECTION OF DEFORMITY; METACARPAL N 3 $13.45 06/01/1994 12/31/2299
26565 F OSTEOTOMY FOR CORRECTION OF DEFORMITY; METACARPAL N 3 $495.00 03/01/2004 12/31/2299
26567 2 OSTEOTOMY FOR CORRECTION OF DEFORMITY; PHALANX N 3 $125.00 01/01/1973 12/31/2299
26567 7 OSTEOTOMY FOR CORRECTION OF DEFORMITY; PHALANX N 3 $13.45 06/01/1994 12/31/2299
26567 F OSTEOTOMY FOR CORRECTION OF DEFORMITY; PHALANX N 3 $495.00 03/01/2004 12/31/2299
26568 7 OSTEOPLASTY FOR LENGTHENING OF METACARPAL OR PHALA N 3 $13.45 06/01/1994 12/31/2299
26568 F OSTEOPLASTY FOR LENGTHENING OF METACARPAL OR PHALA N 3 $351.00 03/01/2004 12/31/2299
26580 7 REPAIR CLEFT HAND N 3 $13.45 06/01/1994 12/31/2299
26585 7 REPAIR BIFID DIGIT N 3 $13.45 06/01/1994 12/31/2299
26587 2 RECONSTRUCTION OF SUPERNUMERARY DIGIT, SOFT TISSUE N 3 $600.00 01/03/1994 12/31/2299
26587 7 RECONSTRUCTION OF SUPERNUMERARY DIGIT, SOFT TISSUE N 3 $13.45 06/01/1994 12/31/2299
26587 F RECONSTRUCTION OF SUPERNUMERARY DIGIT, SOFT TISSUE N 3 $495.00 03/01/2004 12/31/2299
26590 2 REPAIR MACRODACTYLIA N 3 $735.34 01/01/2002 12/31/2299
26590 7 REPAIR MACRODACTYLIA N 3 $13.45 06/01/1994 12/31/2299
26590 F REPAIR MACRODACTYLIA N 3 $495.00 03/01/2004 12/31/2299
26591 2 REPAIR, INTRINSIC MUSCLES OF HAND (SPECIFY) N 3 $367.86 01/01/2003 12/31/2299
26591 7 REPAIR, INTRINSIC MUSCLES OF HAND (SPECIFY) N 3 $13.45 06/01/1994 12/31/2299
26591 F REPAIR, INTRINSIC MUSCLES OF HAND (SPECIFY) N 3 $351.00 03/01/2004 12/31/2299
26593 2 RELEASE INTRINSIC MUSCLES OF HAND SPECIFY N 3 $150.00 01/01/1984 12/31/2299
26593 F RELEASE INTRINSIC MUSCLES OF HAND SPECIFY N 3 $351.00 03/01/2004 12/31/2299
26596 7 EXCISION OF CONSTRICTING RING OF FINGER, N 3 $13.45 06/01/1994 12/31/2299
26596 F EXCISION OF CONSTRICTING RING OF FINGER, N 3 $306.00 03/01/2004 12/31/2299
26600 2 CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITHOUT MAN.EACH N 3 $64.80 01/02/1996 12/31/2299
26600 7 TREATMENT OF CLOSED METACARPAL FRACTURE, SINGLE; W N 3 $13.45 06/01/1994 12/31/2299
26605 2 TREATMENT OF CLOSED METACARPAL FRACTURE, SINGLE; W N 3 $94.00 01/02/1992 12/31/2299
26605 7 TREATMENT OF CLOSED METACARPAL FRACTURE, SINGLE; W N 3 $13.45 06/01/1994 12/31/2299
26605 F TREATMENT OF CLOSED METACARPAL FRACTURE, SINGLE; W N 3 $306.00 03/01/2004 12/31/2299
26607 2 TREATMENT OF CLOSED METACARPAL FRACTURE, SINGLE; W N 3 $150.00 01/01/1984 12/31/2299
26607 7 TRTMT OF CLOSED METACARPIFX SINGLE W/MANIP EACH BN N 3 $13.45 06/01/1994 12/31/2299
26607 F TREATMENT OF CLOSED METACARPAL FRACTURE, SINGLE; W N 3 $306.00 03/01/2004 12/31/2299
26608 2 PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACT N 3 $174.24 01/01/1993 12/31/2299
26608 7 PERCUTANEOUS SKELETAL FIXATION OF METACAPRAL FRACTURE N 3 $13.45 01/01/1993 12/31/2299
26608 8 ASSIST.,PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACTURE N 3 $34.84 01/01/1993 12/31/2299
26608 F PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACT N 3 $432.00 03/01/2004 12/31/2299
26615 2 OPEN TREATMENT OF CLOSED OR OPEN METACARPAL FRACT. N 3 $175.00 01/01/1973 12/31/2299
26615 7 OPEN TREATMENT OF CLOSED OR OPEN METACARPAL FRACT. N 3 $13.45 06/01/1994 12/31/2299
26615 F OPEN TREATMENT OF CLOSED OR OPEN METACARPAL FRACT. N 3 $432.00 03/01/2004 12/31/2299
26641 2 TREATMENT OF CARPOMETACARPAL DISLOCATION, THUMB, W N 3 $85.00 01/01/1984 12/31/2299
26641 7 TREATMENT OF CARPOMETACARPAL DISLOCATION, THUMB, W N 3 $13.45 06/01/1994 12/31/2299
26645 2 TREATMENT OF CLOSED CARPOMETACARPAL FRACTURE DISLO N 3 $100.00 01/01/1976 12/31/2299
26645 7 TREATMENT OF CLOSED CARPOMETACARPAL FRACTURE DISLO N 3 $13.45 06/01/1994 12/31/2299
26645 F TREATMENT OF CLOSED CARPOMETACARPAL FRACTURE DISLO N 3 $225.80 03/01/2004 12/31/2299
26650 2 TREATMENT OF CLOSED CARPOMETACARPAL FRACT. DISLOC. N 3 $150.00 01/01/1973 12/31/2299
26650 7 TREATMENT OF CLOSED CARPOMETACARPAL FRACT. DISLOC. N 3 $13.45 06/01/1994 12/31/2299
26650 F TREATMENT OF CLOSED CARPOMETACARPAL FRACT. DISLOC. N 3 $306.00 03/01/2004 12/31/2299
26665 2 OPEN TREATMENT OF CLOSED OR OPEN CARPOMETACARPAL F N 3 $250.00 01/01/1973 12/31/2299
26665 7 OPEN TREATMENT OF CLOSED OR OPEN CARPOMETACARPAL F N 3 $13.45 06/01/1994 12/31/2299
26665 8 OPEN TREATMENT OF CLOSED OR OPEN CARPOMETACARPAL F N 3 $50.00 01/01/1973 12/31/2299
26665 F OPEN TREATMENT OF CLOSED OR OPEN CARPOMETACARPAL F N 3 $432.00 03/01/2004 12/31/2299
26670 2 TREAT. OF CLOSED CARPOMETACARPAL DISLOC OTHER THAN N 3 $18.00 01/01/1973 12/31/2299
26675 2 TREAT. OF CLOSED CARPOMETACARPAL DISLOC OTHER THAN N 3 $25.00 08/01/1979 12/31/2299
26675 7 TREAT. OF CLOSED CARPOMETACARPAL DISLOC OTHER THAN N 3 $13.45 06/01/1994 12/31/2299
26675 F TREAT. OF CLOSED CARPOMETACARPAL DISLOC OTHER THAN N 3 $306.00 03/01/2004 12/31/2299
26676 2 TREATMENT OF CLOSED CARPOMETACARPAL DISLOCATION, N 3 $231.00 01/02/1994 12/31/2299
26676 7 TREATMENT OF CLOSED CARPOMETACARPAL DISLOCATION, N 3 $13.45 06/01/1994 12/31/2299
26676 F TREATMENT OF CLOSED CARPOMETACARPAL DISLOCATION, N 3 $306.00 03/01/2004 12/31/2299
26685 2 OPEN TREAT OF CLSD OR OPEN CARPOMETACARPAL DISLOC N 3 $150.00 01/01/1973 12/31/2299
26685 7 OPEN TREAT OF CLSD OR OPEN CARPOMETACARPAL DISLOC N 3 $13.45 06/01/1994 12/31/2299
26685 F OPEN TREAT OF CLSD OR OPEN CARPOMETACARPAL DISLOC N 3 $351.00 03/01/2004 12/31/2299
26686 2 OPEN TREAT OF CLSD OR OPEN CARPOMETACARPAL DISLOC N 3 $90.00 01/01/1984 12/31/2299
26686 7 OPEN TREAT OF CLSD OR OPEN CARPOMETACARPAL DISLOC N 3 $13.45 06/01/1994 12/31/2299
26686 F OPEN TREAT OF CLSD OR OPEN CARPOMETACARPAL DISLOC N 3 $351.00 03/01/2004 12/31/2299
26700 2 TREAT OF CLOSED METACARPOPHALANGEAL DISLOC, SINGLE N 3 $18.00 01/01/1971 12/31/2299
26705 2 TREAT OF CLOSED METACARPOPHALANGEAL DISLOC, SINGLE N 3 $25.00 08/01/1979 12/31/2299
26705 7 TREAT OF CLOSED METACARPOPHALANGEAL DISLOC, SINGLE N 3 $13.45 06/01/1994 12/31/2299
26705 F TREAT OF CLOSED METACARPOPHALANGEAL DISLOC, SINGLE N 3 $306.00 03/01/2004 12/31/2299
26706 7 TREATMENT OF CLOSED METACARPOPHALANGEAL DISLOCATIO N 3 $13.45 06/01/1994 12/31/2299
26706 F TREATMENT OF CLOSED METACARPOPHALANGEAL DISLOCATIO N 3 $306.00 03/01/2004 12/31/2299
26715 2 OPEN TREAT OF CLOSED OR OPEN METACARPOPHALANGEAL D N 3 $150.00 01/01/1973 12/31/2299
26715 7 OPEN TREAT OF CLOSED OR OPEN METACARPOPHALANGEAL D N 3 $13.45 06/01/1994 12/31/2299
26715 F OPEN TREAT OF CLOSED OR OPEN METACARPOPHALANGEAL D N 3 $432.00 03/01/2004 12/31/2299
26720 2 TREAT OF CLOSED PHALANGEAL SHAFT FRACTURE, PROXIMA N 3 $54.00 01/02/1995 12/31/2299
26725 2 TREAT OF CLOSED PHALANGEAL SHAFT FRACTURE, PROXIMA N 3 $118.00 01/01/1997 12/31/2299
26725 7 TREAT OF CLOSED PHALANGEAL SHAFT FRACTURE, PROXIMA N 3 $13.45 06/01/1994 12/31/2299
26727 2 TREAT OF UNSTABLE PHALANGEAL SHAFT FRACT, PROX OR N 3 $50.00 01/02/1984 12/31/2299
26727 7 TREAT OF UNSTABLE PHALANGEAL SHAFT FRACT, PROX OR N 3 $13.45 06/01/1994 12/31/2299
26727 F TREAT OF UNSTABLE PHALANGEAL SHAFT FRACT, PROX OR N 3 $495.00 03/01/2004 12/31/2299
26735 2 OPEN TREAT OF CLOSED OR OPEN PHALANGEAL SHAFT FRAC N 3 $100.00 01/01/1973 12/31/2299
26735 7 OPEN TREAT OF CLOSED OR OPEN PHALANGEAL SHAFT FRAC N 3 $13.45 06/01/1994 12/31/2299
26735 F OPEN TREAT OF CLOSED OR OPEN PHALANGEAL SHAFT FRAC N 3 $432.00 03/01/2004 12/31/2299
26740 2 TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $40.00 01/01/1984 12/31/2299
26740 7 TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $13.45 06/01/1994 12/31/2299
26742 2 TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $50.00 01/02/1984 12/31/2299
26742 7 TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $13.45 06/01/1994 12/31/2299
26742 F TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $306.00 03/01/2004 12/31/2299
26743 2 TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $70.00 01/01/1984 12/31/2299
26743 7 TREAT OF CLOSED ARTICULAR FX, INVOLV METACARPOPHAL N 3 $13.45 06/01/1994 12/31/2299
26746 2 OPEN TREAT OF CLOSED OR OPEN ARTICULAR FX, INVOLV N 3 $70.00 01/01/1984 12/31/2299
26746 7 OPEN TREAT OF CLOSED OR OPEN ARTICULAR FX, INVOLV N 3 $13.45 06/01/1994 12/31/2299
26746 F OPEN TREAT OF CLOSED OR OPEN ARTICULAR FX, INVOLV N 3 $495.00 03/01/2004 12/31/2299
26750 2 TREAT OF CLOSED DISTAL PHALANGEAL FX, FINGER OR TH N 3 $15.00 01/01/1971 12/31/2299
26755 2 TREAT OF CLOSED DISTAL PHALANGEAL FX, FINGER OR TH N 3 $25.00 01/01/1973 12/31/2299
26755 7 TREAT OF CLOSED DISTAL PHALANGEAL FX, FINGER OR TH N 3 $13.45 06/01/1994 12/31/2299
26756 2 TREATMENT OF CLOSED DISTAL PHALANGEAL FRACTURE, N 3 $299.57 01/01/2003 12/31/2299
26756 7 TREATMENT OF CLOSED DISTAL PHALANGEAL FRACTURE, N 3 $13.45 06/01/1994 12/31/2299
26756 F TREATMENT OF CLOSED DISTAL PHALANGEAL FRACTURE, N 3 $306.00 03/01/2004 12/31/2299
26765 2 OPEN TREATMENT OF CLOSED OR OPEN DISTAL PHALANGEAL N 3 $60.00 01/01/1973 12/31/2299
26765 7 OPEN TREATMENT OF CLOSED OR OPEN DISTAL PHALANGEAL N 3 $13.45 06/01/1994 12/31/2299
26765 F OPEN TREATMENT OF CLOSED OR OPEN DISTAL PHALANGEAL N 3 $432.00 03/01/2004 12/31/2299
26770 2 TREAT OF CLOSED INTERPHALANGEAL JOINT DISLOC, SING N 3 $18.00 01/01/1971 12/31/2299
26775 2 TREAT OF CLOSED INTERPHALANGEAL JOINT DISLOC, SING N 3 $30.00 01/01/1973 12/31/2299
26775 7 TREAT OF CLOSED INTERPHALANGEAL JOINT DISLOC, SING N 3 $13.45 06/01/1994 12/31/2299
26776 2 RX CLSED PHALANG DISLOC-SINGLE W/MANIP W/ANESTHES N 3 $50.00 01/01/1984 12/31/2299
26776 7 RX CLSD PHALANG DISLOC-SINGLE W/MANIP W/ANESTHESIA N 3 $13.45 06/01/1994 12/31/2299
26776 F RX CLSED PHALANG DISLOC-SINGLE W/MANIP W/ANESTHES N 3 $306.00 03/01/2004 12/31/2299
26785 2 OPEN TREATMENT OF CLOSED OR OPEN INTERPHALANGEAL J N 3 $60.00 01/01/1973 12/31/2299
26785 7 OPEN TREATMENT OF CLOSED OR OPEN INTERPHALANGEAL J N 3 $13.45 06/01/1994 12/31/2299
26785 F OPEN TREATMENT OF CLOSED OR OPEN INTERPHALANGEAL J N 3 $306.00 03/01/2004 12/31/2299
26803 7 PERCUTANEOUS SKELETAL FIXATION OF METCARPAL FX EAC N 3 $13.45 06/01/1994 12/31/2299
26820 2 FUSION IN OPPOSITION, THUMB, WITH AUTOGENOUS GRAFT N 3 $275.00 01/01/1984 12/31/2299
26820 7 FUSION IN OPPOSITION, THUMB, WITH AUTOGENOUS GRAFT N 3 $13.45 06/01/1994 12/31/2299
26820 F FUSION IN OPPOSITION, THUMB, WITH AUTOGENOUS GRAFT N 3 $495.00 03/01/2004 12/31/2299
26841 2 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR N 3 $200.00 01/01/1973 12/31/2299
26841 7 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR N 3 $13.45 06/01/1994 12/31/2299
26841 8 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR N 3 $40.00 01/02/1992 12/31/2299
26841 F ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR N 3 $432.00 03/01/2004 12/31/2299
26842 2 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, W/ OR W N 3 $250.00 01/01/1973 12/31/2299
26842 7 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, W/ OR W N 3 $13.45 06/01/1994 12/31/2299
26842 8 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, W/ OR W N 3 $50.00 01/01/1973 12/31/2299
26842 F ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, W/ OR W N 3 $432.00 03/01/2004 12/31/2299
26843 2 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS, OTHER N 3 $200.00 01/01/1984 12/31/2299
26843 7 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS, OTHER N 3 $13.45 06/01/1994 12/31/2299
26843 F ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS, OTHER N 3 $351.00 03/01/2004 12/31/2299
26844 2 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS, OTHER N 3 $270.00 01/01/1984 12/31/2299
26844 7 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS, OTHER N 3 $13.45 06/01/1994 12/31/2299
26844 F ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS, OTHER N 3 $351.00 03/01/2004 12/31/2299
26850 2 ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR W/ N 3 $175.00 01/01/1973 12/31/2299
26850 7 ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR W/ N 3 $13.45 06/01/1994 12/31/2299
26850 F ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR W/ N 3 $432.00 03/01/2004 12/31/2299
26852 2 ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR W/ N 3 $200.00 01/01/1973 12/31/2299
26852 7 ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR W/ N 3 $13.45 06/01/1994 12/31/2299
26852 F ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR W/ N 3 $432.00 03/01/2004 12/31/2299
26860 2 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $180.00 01/02/1992 12/31/2299
26860 7 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $13.45 06/01/1994 12/31/2299
26860 8 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $45.00 01/02/1994 12/31/2299
26860 F ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $351.00 03/01/2004 12/31/2299
26861 2 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $80.00 01/01/1984 12/31/2299
26861 7 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $13.45 06/01/1994 12/31/2299
26861 F ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $306.00 03/01/2004 12/31/2299
26862 2 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $150.00 01/01/1973 12/31/2299
26862 7 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $13.45 06/01/1994 12/31/2299
26862 F ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $432.00 03/01/2004 12/31/2299
26863 2 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $100.00 01/01/1984 12/31/2299
26863 7 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $13.45 06/01/1994 12/31/2299
26863 F ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR W/O IN N 3 $351.00 03/01/2004 12/31/2299
26910 2 AMPUTATION, METACARPAL, W/ FINGER OR THUMB (RAY AM N 3 $150.00 01/01/1971 12/31/2299
26910 7 AMPUTATION, METACARPAL, W/ FINGER OR THUMB (RAY AM N 3 $13.45 06/01/1994 12/31/2299
26910 F AMPUTATION, METACARPAL, W/ FINGER OR THUMB (RAY AM N 3 $351.00 03/01/2004 12/31/2299
26951 2 AMPUTAT, FINGER OR THUMB, PRIM OR SECOND, ANY JT O N 3 $144.00 08/01/1991 12/31/2299
26951 7 AMPUTAT, FINGER OR THUMB, PRIM OR SECOND, ANY JT O N 3 $13.45 06/01/1994 12/31/2299
26951 F AMPUTAT, FINGER OR THUMB, PRIM OR SECOND, ANY JT O N 3 $306.00 03/01/2004 12/31/2299
26952 2 AMPUTAT, FINGER OR THUMB, PRIM OR SECOND, ANY JT/P N 3 $125.00 01/01/1984 12/31/2299
26952 7 AMPUTAT, FINGER OR THUMB, PRIM OR SECOND, ANY JT/P N 3 $13.45 06/01/1994 12/31/2299
26952 F AMPUTAT, FINGER OR THUMB, PRIM OR SECOND, ANY JT/P N 3 $432.00 03/01/2004 12/31/2299
26989 7 UNLISTED PROCEDURE, HANDS OR FINGERS N 3 $13.45 06/01/1994 12/31/2299
26990 2 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $100.00 01/01/1984 12/31/2299
26990 7 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA. N 3 $13.45 06/01/1994 12/31/2299
26990 F INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $225.80 03/01/2004 12/31/2299
26991 2 INCISION AND DRAINAGE; INFECTED BURSA N 3 $20.00 01/01/1984 12/31/2299
26991 7 INCISION AND DRAINAGE; INFECTED BURSA N 3 $13.45 06/01/1994 12/31/2299
26991 F INCISION AND DRAINAGE; INFECTED BURSA N 3 $225.80 03/01/2004 12/31/2299
26992 2 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $150.00 01/01/1984 12/31/2299
26992 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
26995 7 INCISION, DEEP, W/OPENING OF BONE CORTEX FOR OSTEO N 3 $13.45 06/01/1994 12/31/2299
27000 2 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, CLOSED (SEPARATE N 3 $25.00 01/01/1973 12/31/2299
27000 7 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, CLOSED (SEPARATE N 3 $13.45 06/01/1994 12/31/2299
27000 F TENOTOMY, ADDUCTOR, SUBCUTANEOUS, CLOSED (SEPARATE N 3 $306.00 03/01/2004 12/31/2299
27001 2 TENOTOMY, ADDUCTOR, SUBCUTRANEOUS, OPEN;UNILATERAL N 3 $216.00 01/02/1992 12/31/2299
27001 7 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
27001 8 TENOTOMY,ADDUCTOR,SUBCUTANEOUS,OPEN;UNILATERAL N 3 $3.00 01/01/1984 12/31/2299
27001 F TENOTOMY, ADDUCTOR, SUBCUTRANEOUS, OPEN;UNILATERAL N 3 $351.00 03/01/2004 12/31/2299
27003 2 TENOTOMY, ADDUCOR, SUBCT OPEN; W/OBTURATORY N 3 $150.00 01/01/1984 12/31/2299
27003 7 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN; W/OBTURATO N 3 $13.45 06/01/1994 12/31/2299
27003 8 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN; W/OBTURATO N 3 $30.00 01/01/1984 12/31/2299
27003 F TENOTOMY, ADDUCOR, SUBCT OPEN; W/OBTURATORY N 3 $351.00 03/01/2004 12/31/2299
27005 2 TENOTOMY, ILIOPSOAS, OPEN (SEPARATE PROCEDURE) N 3 $150.00 01/01/1973 12/31/2299
27005 7 TENOTOMY, ILIOPSOAS, OPEN (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
27005 8 TENOTOMY, ILIOPSOAS, OPEN (SEPARATE PROCEDURE) N 3 $30.00 01/01/1984 12/31/2299
27006 2 TENOTOMY, ABDUCTORS, OPEN (SEPARATE PROCEDURE) N 3 $150.00 01/01/1984 12/31/2299
27006 7 TENOTOMY, ABDUCTORS, OPEN (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
27025 2 OBER-YOUNT FASCIOTOMY, COMBINED W/ SPICA CAST,PINS N 3 $250.00 01/01/1973 12/31/2299
27025 7 OBER-YOUNT FASCIOTOMY, COMBINED W/ SPICA CAST,PINS N 3 $13.45 06/01/1994 12/31/2299
27025 8 OBER-YOUNT FASCIOTOMY, COMBINED W/ SPICA CAST,PINS N 3 $50.00 01/01/1973 12/31/2299
27030 2 ARTHROTOMY, HIP, FOR DRAINAGE; N 3 $350.00 01/01/1973 12/31/2299
27030 7 ARTHROTOMY, HIP, FOR DRAINAGE; N 3 $13.45 06/01/1994 12/31/2299
27030 8 ARTHROTOMY, HIP, FOR DRAINAGE; N 3 $70.00 01/01/1973 12/31/2299
27031 7 ARTHROTOMY, HIP, FOR DRAINAGE; WITH SUCTION IRRIGA N 3 $13.45 06/01/1994 12/31/2299
27033 2 ARTHROTOMY, HIP, FOR EXPLORATION OR REMOVAL OF LOO N 3 $350.00 01/01/1984 12/31/2299
27033 7 ARTHROTOMY, HIP, FOR EXPLORATION OR REMOVAL OF LOO N 3 $13.45 06/01/1994 12/31/2299
27033 F ARTHROTOMY, HIP, FOR EXPLORATION OR REMOVAL OF LOO N 3 $351.00 03/01/2004 12/31/2299
27035 2 HIP JOINT DENERVATION, INTRA/EXTRAPELVIC INTRA-ART N 3 $425.00 01/01/1984 12/31/2299
27035 7 HIP JOINT DENERVATION, INTRA/EXTRAPELVIC INTRA-ART N 3 $13.45 06/01/1994 12/31/2299
27035 F HIP JOINT DENERVATION, INTRA/EXTRAPELVIC INTRA-ART N 3 $432.00 03/01/2004 12/31/2299
27036 2 CAPSULECTOMY OR CAPSULOTOMY OF HIP;W OR W/O EXCISION OF BONE N 3 $600.00 01/01/1997 12/31/2299
27036 7 CAPSULECTOMY OR CAPSULOTOME OF HIP W OR W/O EXCISION OF BONE N 3 $13.45 01/01/1997 12/31/2299
27036 8 CAPSULECTOMY OR CAPSULOTOMY OF HIP,W OR W/O EXCISION OF BONE N 3 $120.00 01/01/1997 12/31/2299
27040 2 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $30.00 01/01/1984 12/31/2299
27040 F BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $225.80 03/01/2004 12/31/2299
27041 2 BIOPSY, SOFT TISSUES; DEEP N 3 $100.00 01/01/1984 12/31/2299
27041 F BIOPSY, SOFT TISSUES; DEEP N 3 $306.00 03/01/2004 12/31/2299
27047 2 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
27047 F EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
27048 2 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $150.00 01/01/1984 12/31/2299
27048 7 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $13.45 06/01/1994 12/31/2299
27048 F EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $351.00 03/01/2004 12/31/2299
27049 2 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $456.00 01/02/1992 12/31/2299
27049 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
27049 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
27050 2 ARTHROTOMY, FOR BIOPSY; SACROILIAC JOINT N 3 $150.00 01/01/1973 12/31/2299
27050 7 ARTHROTOMY, FOR BIOPSY; SACROILIAC JOINT N 3 $13.45 06/01/1994 12/31/2299
27050 8 ARTHROTOMY, FOR BIOPSY; SACROILIAC JOINT N 3 $30.00 01/01/1984 12/31/2299
27050 F ARTHROTOMY, FOR BIOPSY; SACROILIAC JOINT N 3 $351.00 03/01/2004 12/31/2299
27052 2 ARTHROTOMY, FOR BIOPSY; HIP JOINT N 3 $350.00 01/01/1973 12/31/2299
27052 7 ARTHROTOMY, FOR BIOPSY; HIP JOINT N 3 $13.45 06/01/1994 12/31/2299
27052 8 ARTHROTOMY, FOR BIOPSY; HIP JOINT N 3 $70.00 01/01/1973 12/31/2299
27052 F ARTHROTOMY, FOR BIOPSY; HIP JOINT N 3 $351.00 03/01/2004 12/31/2299
27054 2 ARTHROTOMY FOR SYNOVECTOMY, HIP JOINT N 3 $500.00 01/01/1973 12/31/2299
27054 7 ARTHROTOMY FOR SYNOVECTOMY, HIP JOINT N 3 $13.45 06/01/1994 12/31/2299
27054 8 ARTHROTOMY FOR SYNOVECTOMY, HIP JOINT N 3 $100.00 01/01/1973 12/31/2299
27060 2 EXCISION; ISCHIAL BURSA N 3 $125.00 01/01/1973 12/31/2299
27060 7 EXCISION; ISCHIAL BURSA N 3 $13.45 06/01/1994 12/31/2299
27060 F EXCISION; ISCHIAL BURSA N 3 $495.00 03/01/2004 12/31/2299
27062 2 EXCISION; TROCHANTERIC BURSA OR CALCIFICATION N 3 $100.00 01/01/1973 12/31/2299
27062 7 EXCISION; TROCHANGERIC BURSA OR CALCIFICATION N 3 $13.45 06/01/1994 12/31/2299
27062 F EXCISION; TROCHANTERIC BURSA OR CALCIFICATION N 3 $495.00 03/01/2004 12/31/2299
27065 2 EXCISION OF BONE CYST OR BENIGN TUMOR; SUPERFICIAL N 3 $125.00 01/01/1973 12/31/2299
27065 7 EXCISION OF BONE CYST OR BENIGN TUMOR; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
27065 F EXCISION OF BONE CYST OR BENIGN TUMOR; SUPERFICIAL N 3 $495.00 03/01/2004 12/31/2299
27066 2 EXCISION OF BONE CYST OR BENIGN TUMOR; DEEP W OR W N 3 $237.50 01/01/1973 12/31/2299
27066 7 EXCISION OF BONE CYST OR BENIGN TUMOR; DEEP W OR W N 3 $13.45 06/01/1994 12/31/2299
27066 8 EXCISION OF BONE CYST OR BENIGN TUMOR; DEEP W OR W N 3 $47.50 01/01/1973 12/31/2299
27066 F EXCISION OF BONE CYST OR BENIGN TUMOR; DEEP W OR W N 3 $495.00 03/01/2004 12/31/2299
27067 2 EXCISION OF BONE CYST OR BENIGN TUMOR; WITH BONE G N 3 $275.00 01/01/1984 12/31/2299
27067 7 EXCISION OF BONE CYST OR BENIGN TUMOR; WITH BONE G N 3 $13.45 06/01/1994 12/31/2299
27067 F EXCISION OF BONE CYST OR BENIGN TUMOR; WITH BONE G N 3 $495.00 03/01/2004 12/31/2299
27070 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $150.00 01/01/1973 12/31/2299
27070 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
27071 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $300.00 01/01/1973 12/31/2299
27071 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
27071 8 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $60.00 01/01/1973 12/31/2299
27075 2 RADICAL RESECT FOR TUMOR OR INFECT; WING OF ILIUM, N 3 $600.00 01/01/1984 12/31/2299
27075 7 RADICAL RESECT FOR TUMOR OR INFECT; WING OF ILIUM, N 3 $13.45 06/01/1994 12/31/2299
27075 8 RADICAL RESECT FOR TUMOR OR INFECT; WING OF ILIUM, N 3 $273.08 01/01/2003 12/31/2299
27076 2 RADICAL RESECT FOR TUMOR OR INFECT; ILIUM,ACETA,PU N 3 $700.00 01/01/1984 12/31/2299
27076 7 RADICAL RESECT FOR TUMOR OR INFECT; ILIUM,ACETA,PU N 3 $13.45 06/01/1994 12/31/2299
27077 2 RADICAL RESECTION FOR TUMOR OR INFECTION; INNOMINA N 3 $650.00 01/01/1984 12/31/2299
27077 7 RADICAL RESECTION FOR TUMOR OR INFECTION; INNOMINA N 3 $13.45 06/01/1994 12/31/2299
27078 2 RADICAL RESECT FOR TUMOR OR INFECT; ISCHIAL TUBERO N 3 $600.00 01/01/1984 12/31/2299
27078 7 RADICAL RESECT FOR TUMOR OR INFECT; ISCHIAL TUBERO N 3 $13.45 06/01/1994 12/31/2299
27079 2 RADICAL RESEC FOR TUMOR OR INFECT; ISCH. TUBEROSIT N 3 $650.00 01/01/1984 12/31/2299
27079 7 RADICAL RESEC FOR TUMOR OR INFECT; ISCH. TUBEROSIT N 3 $13.45 06/01/1994 12/31/2299
27080 2 COCCYGECTOMY, PRIMARY N 3 $150.00 01/01/1973 12/31/2299
27080 7 COCCYGECTOMY, PRIMARY N 3 $13.45 06/01/1994 12/31/2299
27080 8 COCCYGECTOMY, PRIMARY N 3 $30.00 01/01/1984 12/31/2299
27080 F COCCYGECTOMY, PRIMARY N 3 $306.00 03/01/2004 12/31/2299
27086 2 REMOVAL OF FOREIGN BODY; SUBCUTANEOUS TISSUE N 3 $50.00 01/01/1984 12/31/2299
27086 F REMOVAL OF FOREIGN BODY; SUBCUTANEOUS TISSUE N 3 $225.80 03/01/2004 12/31/2299
27087 2 REMOVAL OF FOREIGN BODY; DEEP N 3 $150.00 01/01/1984 12/31/2299
27087 7 REMOVAL OF FOREIGN BODY; DEEP N 3 $13.45 06/01/1994 12/31/2299
27087 F REMOVAL OF FOREIGN BODY; DEEP N 3 $351.00 03/01/2004 12/31/2299
27088 2 REMOVAL OF FOREIGN BODY; DEEP, COMPLICATED N 3 $175.00 01/01/1984 12/31/2299
27088 7 REMOVAL OF FOREIGN BODY; DEEP, COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
27090 2 REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE) N 3 $350.00 01/01/1973 12/31/2299
27090 7 REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
27090 8 REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE) N 3 $70.00 01/01/1973 12/31/2299
27091 2 REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING N 3 $959.57 12/11/1998 12/31/2299
27091 7 REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING N 3 $13.45 06/01/1994 12/31/2299
27091 8 REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING N 3 $192.00 12/11/1998 12/31/2299
27093 2 INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITHOUT N 3 $25.00 08/01/1979 12/31/2299
27095 2 INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITH ANE N 3 $25.00 01/01/1995 12/31/2299
27095 7 INJECTION PROCD FOR HIP ARTHROGRAPHY W ANESTHESIA N 3 $13.45 06/01/1994 12/31/2299
27096 2 INJ PROC FOR SACROILIAC JOINT ARTHROGRAPHY &/ ANESTHESIA/STEROID N 3 $251.90 01/01/2000 12/31/2299
27097 2 HAMSTRING RECESSION, PROXIMAL N 3 $175.00 01/01/1984 12/31/2299
27097 7 HAMSTRING RECESSION, PROXIMAL N 3 $13.45 06/01/1994 12/31/2299
27097 8 HAMSTRING RECESSION, PROXIMAL N 3 $78.44 01/01/2003 12/31/2299
27097 F HAMSTRING RECESSION, PROXIMAL N 3 $351.00 03/01/2004 12/31/2299
27098 2 ADDUCTOR TRANSFER TO ISCHIUM N 3 $225.00 01/01/1984 12/31/2299
27098 7 ADDUCTOR TRANSFER TO ISCHIUM N 3 $13.45 06/01/1994 12/31/2299
27098 F ADDUCTOR TRANSFER TO ISCHIUM N 3 $351.00 03/01/2004 12/31/2299
27100 2 TRANSF EXTERN. OBLIQUE MUSCLE TO GREATER TROCHANTE N 3 $375.00 01/01/1973 12/31/2299
27100 7 TRANSF EXTERN. OBLIQUE MUSCLE TO GREATER TROCHANTE N 3 $13.45 06/01/1994 12/31/2299
27100 8 TRANSF EXTERN. OBLIQUE MUSCLE TO GREATER TROCHANTE N 3 $75.00 01/01/1973 12/31/2299
27100 F TRANSF EXTERN. OBLIQUE MUSCLE TO GREATER TROCHANTE N 3 $432.00 03/01/2004 12/31/2299
27105 2 TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES FASC O N 3 $400.00 01/01/1973 12/31/2299
27105 7 TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES FASC O N 3 $13.45 06/01/1994 12/31/2299
27105 8 TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES FASC O N 3 $80.00 01/01/1973 12/31/2299
27105 F TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES FASC O N 3 $432.00 03/01/2004 12/31/2299
27110 2 TRANSFER ILIOPSOAS; TO GREATER TROCHANTER N 3 $450.00 01/01/1973 12/31/2299
27110 7 TRANSFER ILIOPSOAS; TO GREATER TROCHANTER N 3 $13.45 06/01/1994 12/31/2299
27110 8 TRANSFER ILIOPSOAS; TO GREATER TROCHANTER N 3 $90.00 01/01/1973 12/31/2299
27110 F TRANSFER ILIOPSOAS; TO GREATER TROCHANTER N 3 $432.00 03/01/2004 12/31/2299
27111 2 TRANSFER ILIOPSOAS; TO FEMORAL NECK N 3 $450.00 01/01/1984 12/31/2299
27111 7 TRANSFER ILIOPSOAS; TO FEMORAL NECK N 3 $13.45 06/01/1994 12/31/2299
27111 8 TRANSFER ILIOPSOAS; TO FEMORAL NECK N 3 $90.00 01/01/1984 12/31/2299
27111 F TRANSFER ILIOPSOAS; TO FEMORAL NECK N 3 $432.00 03/01/2004 12/31/2299
27115 2 MUSCLE RELEASE, COMPLETE (HANGING HIP OPERATION) N 3 $500.00 08/01/1979 12/31/2299
27115 7 MUSCLE RELEASE, COMPLETE (HANGING HIP OPERATION) N 3 $13.45 06/01/1994 12/31/2299
27115 8 MUSCLE RELEASE, COMPLETE (HANGING HIP OPERATION) N 3 $100.00 01/01/1984 12/31/2299
27120 2 ACETABULOPLASTY; (WHITMAN OR COLONNA TYPE PROCEDUR N 3 $600.00 01/01/1973 12/31/2299
27120 7 ACETABULOPLASTY; (WHITMAN OR COLONNA TYPE PROCEDUR N 3 $13.45 06/01/1994 12/31/2299
27120 8 ACETABULOPLASTY; (WHITMAN OR COLONNA TYPE PROCEDUR N 3 $120.00 01/01/1973 12/31/2299
27122 2 ACETABULOPLASTY; RESECTION FEMORAL HEAD (GIRDLESTO N 3 $500.00 01/01/1973 12/31/2299
27122 7 ACETABULOPLASTY; RESECTION FEMORAL HEAD (GIRDLESTO N 3 $13.45 06/01/1994 12/31/2299
27122 8 ACETABULOPLASTY; RESECTION FEMORAL HEAD (GIRDLESTO N 3 $100.00 01/01/1973 12/31/2299
27125 2 ARTHROPLASTY; PROSTHESIS N 3 $600.00 01/01/1984 12/31/2299
27125 7 ARTHROPLASTY; PROSTHESIS N 3 $13.45 06/01/1994 12/31/2299
27125 8 ARTHROPLASTY; PROSTHESIS N 3 $120.00 01/01/1984 12/31/2299
27130 2 ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROS N 3 $850.00 01/01/1973 12/31/2299
27130 7 ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROS N 3 $13.45 06/01/1994 12/31/2299
27130 8 ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROS N 3 $170.00 01/01/1973 12/31/2299
27132 2 CNVERSN PREV HIP SURG TO TOTAL HIP REPLACEMENT N 3 $950.00 01/01/1984 12/31/2299
27132 7 CONVERSN PREV HIP SURG TO TOTAL HIP REPLACEMENT N 3 $13.45 06/01/1994 12/31/2299
27132 8 CNVERSN PREV HIP SURG TO TOTAL HIP REPLACEMENT N 3 $190.00 01/01/1984 12/31/2299
27134 2 REVISION OF TOTAL HIP ARTROPLAST BTH COMPNTS N 3 $875.00 01/01/1984 12/31/2299
27134 7 REVISION OF TOTAL HIP ARTROPLAST BTH COMPONTS N 3 $13.45 06/01/1994 12/31/2299
27134 8 RVSION TTL HIP ARTHRPLSTY BTH CMPNTS N 3 $175.00 01/01/1984 12/31/2299
27137 2 REVISION OF TOTAL HIP ARTHROPLASTY N 3 $1,164.00 01/02/1995 12/31/2299
27137 7 REVISION OF TOTAL HIP ARTHROPLASTY N 3 $13.45 06/01/1994 12/31/2299
27137 8 REVISION OF TOTAL HIP ARTHROPLASTY N 3 $233.00 01/02/1995 12/31/2299
27138 2 REVISION OF TOTAL HIP ARTHROPLASTY N 3 $931.84 01/01/2003 12/31/2299
27138 7 REVISION OF TOTAL HIP ARTHROPLASTY N 3 $13.45 06/01/1994 12/31/2299
27138 8 REVISION OF TOTAL HIP ARTHROPLASTY N 3 $186.37 01/01/2003 12/31/2299
27140 2 OSTEOTOMY AND TRANSFER OF GREATER TROCHANTER (SEPA N 3 $300.00 01/01/1973 12/31/2299
27140 7 OSTEOTOMY AND TRANSFER OF GREATER TROCHANTER (SEPA N 3 $13.45 06/01/1994 12/31/2299
27140 8 OSTEOTOMY AND TRANSFER OF GREATER TROCHANTER (SEPA N 3 $60.00 01/01/1973 12/31/2299
27146 2 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $534.00 01/02/1992 12/31/2299
27146 7 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $13.45 06/01/1994 12/31/2299
27146 8 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $95.00 01/01/1973 12/31/2299
27147 2 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $650.00 01/01/1973 12/31/2299
27147 7 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $13.45 06/01/1994 12/31/2299
27147 8 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $130.00 01/01/1973 12/31/2299
27151 2 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $600.00 01/01/1973 12/31/2299
27151 7 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $13.45 06/01/1994 12/31/2299
27151 8 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $120.00 01/01/1973 12/31/2299
27156 2 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $500.00 01/01/1984 12/31/2299
27156 7 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $13.45 06/01/1994 12/31/2299
27156 8 OSTEOTOMY, ILIAC OR ACETABULAR OR INNOMINATE BONE; N 3 $199.82 01/01/2004 12/31/2299
27158 2 OSTEOTOMY, PELVIS, BILATERAL FOR CONGENITAL MALFOR N 3 $600.00 01/01/1991 12/31/2299
27158 7 OSTEOTOMY, PELVIS, BILATERAL FOR CONGENITAL MALFOR N 3 $13.45 06/01/1994 12/31/2299
27161 2 OSTEOTOMY, FEMORAL NECK (SEPARATE PROCEDURE) N 3 $400.00 01/01/1973 12/31/2299
27161 7 OSTEOTOMY, FEMORAL NECK (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
27161 8 OSTEOTOMY, FEMORAL NECK (SEPARATE PROCEDURE) N 3 $80.00 01/01/1973 12/31/2299
27165 2 OSTEOTOMY, INTERTROCHANTERIC OR SUBTROCHANTERIC IN N 3 $726.00 01/02/1992 12/31/2299
27165 7 OSTEOTOMY, INTERTROCHANTERIC OR SUBTROCHANTERIC IN N 3 $13.45 06/01/1994 12/31/2299
27165 8 OSTEOTOMY, INTERTROCHANTERIC OR SUBTROCHANTERIC IN N 3 $120.00 01/01/1973 12/31/2299
27170 2 BONE GRAFT FOR NONUNION, FEMORAL HEAD, NECK, INTER N 3 $600.00 01/01/1973 12/31/2299
27170 7 BONE GRAFT FOR NONUNION, FEMORAL HEAD, NECK, INTER N 3 $13.45 06/01/1994 12/31/2299
27170 8 BONE GRAFT FOR NONUNION, FEMORAL HEAD, NECK, INTER N 3 $120.00 01/01/1973 12/31/2299
27175 2 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY TRACTIO N 3 $400.00 01/01/1984 12/31/2299
27175 7 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY TRACTIO N 3 $13.45 06/01/1994 12/31/2299
27176 2 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY SINGLE N 3 $515.00 01/02/1984 12/31/2299
27176 7 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY SINGLE N 3 $13.45 06/01/1994 12/31/2299
27176 8 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY SINGLE N 3 $25.00 01/01/1984 12/31/2299
27177 2 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; SINGL N 3 $550.00 01/01/1984 12/31/2299
27177 7 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; SINGL N 3 $13.45 06/01/1994 12/31/2299
27177 8 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; SINGL N 3 $110.00 01/01/1984 12/31/2299
27178 2 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; CLOSE N 3 $550.00 01/01/1984 12/31/2299
27178 7 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; CLOSE N 3 $13.45 06/01/1994 12/31/2299
27179 2 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEO N 3 $400.00 08/01/1979 12/31/2299
27179 7 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEO N 3 $13.45 06/01/1994 12/31/2299
27179 8 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEO N 3 $80.00 08/01/1979 12/31/2299
27181 2 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEO N 3 $600.00 01/01/1971 12/31/2299
27181 7 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEO N 3 $13.45 06/01/1994 12/31/2299
27181 8 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEO N 3 $120.00 01/01/1973 12/31/2299
27185 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING, G N 3 $125.00 01/01/1973 12/31/2299
27185 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING, G N 3 $13.45 06/01/1994 12/31/2299
27185 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING, G N 3 $25.00 01/01/1973 12/31/2299
27187 2 PROPH TRTMT W/WO METHYL METHAC, FEMOR NCK/PROX FEM N 3 $500.00 01/01/1984 12/31/2299
27187 7 PROPH TRTMT W/WO METHYL METHAC/FEMOR NCK/PROX FEM N 3 $13.45 06/01/1994 12/31/2299
27187 8 PROPH TRTMT W/WO METHYL METHAC, FEMOR NCK/PROX FEM N 3 $100.00 01/01/1984 12/31/2299
27191 7 TREATMENT OF CLOSED SACRAL FRACTURE; WITH MANIPULA N 3 $13.45 06/01/1994 12/31/2299
27193 2 CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCAT N 3 $140.14 01/01/1993 12/31/2299
27193 7 FRACTURES AND/OR DISLOCATIONS N 3 $13.45 06/01/1994 12/31/2299
27193 F CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCAT N 3 $225.80 03/01/2004 12/31/2299
27194 2 CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCAT N 3 $248.48 01/01/1993 12/31/2299
27194 7 CLOSED TRTMT OF PELVIC RING FX DISLOCATION DIASTAS N 3 $13.45 06/01/1994 12/31/2299
27194 F CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCAT N 3 $306.00 03/01/2004 12/31/2299
27200 7 TREATMENT OF CLOSED COCCYGEAL FRACTURE N 3 $13.45 06/01/1994 12/31/2299
27202 7 OPEN TREATMENT OF CLOSED OR OPEN COCCYGEAL FRACTUR N 3 $13.45 06/01/1994 12/31/2299
27202 F OPEN TREATMENT OF CLOSED OR OPEN COCCYGEAL FRACTUR N 3 $306.00 03/01/2004 12/31/2299
27211 7 TREATMENT OF CLOSED ILIAC, PUBIC OR ISCHIAL FRACTU N 3 $13.45 06/01/1994 12/31/2299
27215 2 OPEN TREATMENT OF ILIAC SPINE(S), TUBEROSITY AVULS N 3 $495.79 01/01/1993 12/31/2299
27215 7 OPEN TRTMT OF ILIAC SPINE TUBEROSITY AVULSION OR I N 3 $13.45 06/01/1994 12/31/2299
27216 2 PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC N 3 $344.44 01/01/1993 12/31/2299
27216 7 PERCUTANEOUS SKLTL FIXATION OF POSTERIOR PELVIC FX N 3 $13.45 06/01/1994 12/31/2299
27217 2 OPEN TREATMENT OF ANTERIOR RING FRACTURE AND/OR DI N 3 $531.77 01/01/1993 12/31/2299
27217 7 OPEN TRTMT ANTERIOR RING FX AND/OR DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
27218 2 OPEN TREATMENT OF POSTERIOR RING FRACTURE AND/OR D N 3 $603.35 01/01/1993 12/31/2299
27218 7 OPEN TRTNT OF POSTERIOR RING FX AND/OR DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
27220 2 TREATMENT OF CLOSED ACETABULUM (HIP SOCKET) FX(S) N 3 $268.18 01/01/2002 12/31/2299
27220 7 TREATMENT OF CLOSED ACETABULUM (HIP SOCKET) FX(S) N 3 $13.45 06/01/1994 12/31/2299
27222 2 TREATMENT OF CLOSED ACETABULUM (HIP SOCKET) FX(S) N 3 $200.00 01/01/1973 12/31/2299
27222 7 TREATMENT OF CLOSED ACETABULUM (HIP SOCKET) FX(S) N 3 $13.45 06/01/1994 12/31/2299
27226 2 OPEN TREATMENT OF POSTERIOR OR ANTERIOR ACETABULAR N 3 $594.38 01/01/1993 12/31/2299
27226 7 OPEN TRTMT OF POSTERIOR OR ANTERIOR ACETABULAR FX N 3 $13.45 06/01/1994 12/31/2299
27227 2 OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING N 3 $711.81 01/01/1993 12/31/2299
27227 7 OPEN TRTMT OF ACETABULAR FX INVOLV ANTERIOR 1 COLU N 3 $13.45 06/01/1994 12/31/2299
27228 2 OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING N 3 $757.01 01/01/1993 12/31/2299
27228 7 OPEN TRTMT OF ACETABULAR FX INVOLV ANTERIOR 2 COLU N 3 $13.45 06/01/1994 12/31/2299
27230 2 TREATMENT OF CLOSED FEMORAL FRACTURE, PROXIMAL END N 3 $50.00 01/01/1984 12/31/2299
27230 7 TREATMENT OF CLOSED FEMORAL FRACTURE, PROXIMAL END N 3 $13.45 06/01/1994 12/31/2299
27230 F TREATMENT OF CLOSED FEMORAL FRACTURE, PROXIMAL END N 3 $225.80 03/01/2004 12/31/2299
27232 2 TREATMENT OF CLOSED FEMORAL FRACTURE, PROXIMAL END N 3 $240.00 01/01/1973 12/31/2299
27232 7 TREATMENT OF CLOSED FEMORAL FRACTURE, PROXIMAL END N 3 $13.45 06/01/1994 12/31/2299
27235 2 TREAT OF CLOSED OR OPEN FEMORAL FX, PROXIMAL END, N 3 $500.00 01/01/1984 12/31/2299
27235 7 TREAT OF CLOSED OR OPEN FEMORAL FX, PROXIMAL END, N 3 $13.45 06/01/1994 12/31/2299
27235 8 TREAT OF CLOSED OR OPEN FEMORAL FX, PROXIMAL END, N 3 $100.00 01/01/1984 12/31/2299
27236 2 OPEN TREAT OF CLOSED OR OPEN FEMORAL FX, PROXIMAL N 3 $500.00 01/01/1973 12/31/2299
27236 7 OPEN TREAT OF CLOSED OR OPEN FEMORAL FX, PROXIMAL N 3 $13.45 06/01/1994 12/31/2299
27236 8 OPEN TREAT OF CLOSED OR OPEN FEMORAL FX, PROXIMAL N 3 $100.00 01/01/1971 12/31/2299
27238 7 TREAT OF CLOSED INTERTROCHANTERIC OR PERTROCHANTER N 3 $13.45 06/01/1994 12/31/2299
27238 F TREAT OF CLOSED INTERTROCHANTERIC OR PERTROCHANTER N 3 $225.80 03/01/2004 12/31/2299
27240 2 TREAT OF CLOSED INTERTROCHANTERIC OR PERTROCHANTER N 3 $245.00 01/01/1973 12/31/2299
27240 7 TREAT OF CLOSED INTERTROCHANTERIC OR PERTROCHANTER N 3 $13.45 06/01/1994 12/31/2299
27244 2 OPEN TREAT OF CLOSED OR OPEN INTERTRO OR PERTROCHANTERIC FEM. FX. N 3 $772.00 01/01/1994 12/31/2299
27244 7 OPEN TREAT OF CLOSED OR OPEN INTERTRO OR PERTROCHA N 3 $13.45 06/01/1994 12/31/2299
27244 8 OPEN TREAT OF CLOSED OR OPEN INTERTRO OR PERTROCHA N 3 $154.00 01/01/1994 12/31/2299
27245 2 OPEN TREATMENT OF INTERTROCHANTERIC, PERTROCHANTER N 3 $689.75 01/01/1993 12/31/2299
27245 7 OPEN TRTMT OF INTEROCHANTERIC PERTOCHAN OR SUBTROC N 3 $13.45 06/01/1994 12/31/2299
27245 8 OPEN TRTMT OF INTEROCHANTERIC PERTOCHAN OR SUBTROC N 3 $175.00 01/02/1994 12/31/2299
27246 2 TREATMENT OF CLOSED GREATER TROCHANTERIC FRACTURE, N 3 $204.00 01/02/1994 12/31/2299
27246 7 TREATMENT OF CLOSED GREATER TROCHANTERIC FRACTURE, N 3 $13.45 06/01/1994 12/31/2299
27246 F TREATMENT OF CLOSED GREATER TROCHANTERIC FRACTURE, N 3 $225.80 03/01/2004 12/31/2299
27248 2 OPEN TREAT OF CLOSED OR OPEN GREATER TROCHANTERIC N 3 $175.00 01/01/1973 12/31/2299
27248 7 OPEN TREAT OF CLOSED OR OPEN GREATER TROCHANTERIC N 3 $13.45 06/01/1994 12/31/2299
27248 8 OPEN TREAT OF CLOSED OR OPEN GREATER TROCHANTERIC N 3 $25.00 01/01/1973 12/31/2299
27250 2 TREATMENT OF CLOSED HIP DISLOCATION, TRAUMATIC; W/ N 3 $75.00 01/01/1976 12/31/2299
27250 F TREATMENT OF CLOSED HIP DISLOCATION, TRAUMATIC; W/ N 3 $225.80 03/01/2004 12/31/2299
27252 2 TREATMENT OF CLOSED HIP DISLOCATION, TRAUMATIC; RE N 3 $340.87 01/01/1999 12/31/2299
27252 7 TREATMENT OF CLOSED HIP DISLOCATION, TRAUMATIC; RE N 3 $13.45 06/01/1994 12/31/2299
27252 F TREATMENT OF CLOSED HIP DISLOCATION, TRAUMATIC; RE N 3 $306.00 03/01/2004 12/31/2299
27253 2 OPEN TREAT OF CLOSED OR OPEN HIP DISLOC, TRAUMATIC N 3 $300.00 01/01/1990 12/31/2299
27253 7 OPEN TREAT OF CLOSED OR OPEN HIP DISLOC, TRAUMATIC N 3 $13.45 06/01/1994 12/31/2299
27253 8 OPEN TREAT OF CLOSED OR OPEN HIP DISLOC, TRAUMATIC N 3 $60.00 01/01/1990 12/31/2299
27254 2 OPEN TREAT OF CLOS/OPEN HIP DISLOC, TRAUMATIC, W A N 3 $425.00 01/01/1973 12/31/2299
27254 7 OPEN TREAT OF CLOS/OPEN HIP DISLOC, TRAUMATIC, W A N 3 $13.45 06/01/1994 12/31/2299
27254 8 OPEN TREAT OF CLOS/OPEN HIP DISLOC, TRAUMATIC, W A N 3 $85.00 01/01/1973 12/31/2299
27256 2 TREAT OF CONGENITAL HIP DISLOCATION, BY ABDUCTION, N 3 $130.00 08/01/1979 12/31/2299
27256 7 TREAT OF CONGENITAL HIP DISLOCATION, BY ABDUCTION, N 3 $13.45 06/01/1994 12/31/2299
27257 2 TREAT OF CONGENI. HIP DISLOC, BY ABDUCTION, SPLINT N 3 $130.00 01/01/1995 12/31/2299
27257 7 TREAT OF CONGENI. HIP DISLOC, BY ABDUCTION, SPLINT N 3 $13.45 06/01/1994 12/31/2299
27257 8 TREAT OF CONGENI. HIP DISLOC, BY ABDUCTION, SPLINT N 3 $26.00 01/01/1991 12/31/2299
27257 F TREAT OF CONGENI. HIP DISLOC, BY ABDUCTION, SPLINT N 3 $351.00 03/01/2004 12/31/2299
27258 2 OPEN TREAT OF CONGENITAL HIP DISLOC; REPLAC OF FEM N 3 $425.00 01/01/1973 12/31/2299
27258 7 OPEN TREAT OF CONGENITAL HIP DISLOC; REPLAC OF FEM N 3 $13.45 06/01/1994 12/31/2299
27258 8 OPEN TREAT OF CONGENITAL HIP DISLOC; REPLAC OF FEM N 3 $85.00 01/01/1973 12/31/2299
27259 2 OPEN TREAT OF CONGENI. HIP DISLOC; REPLAC OF FEMOR N 3 $880.25 01/01/2004 12/31/2299
27259 7 OPEN TREAT OF CONGENI. HIP DISLOC; REPLAC OF FEMOR N 3 $13.45 06/01/1994 12/31/2299
27265 2 TREATMENT OF ATRAUMATIC HIP DISLOCATION (EG, POST- N 3 $238.17 01/01/2002 12/31/2299
27265 7 TREATMENT OF ATRAUMATIC HIP DISLOCATION (EG, POST- N 3 $13.45 06/01/1994 12/31/2299
27266 2 TREATMENT OF ATRAUMATIC HIP DISLOC;REQ GEN ANES N 3 $60.00 01/01/1984 12/31/2299
27266 7 TREATMENT OF ATRAUMATIC HIP DISLOC;REQ GEN ANES N 3 $13.45 06/01/1994 12/31/2299
27266 8 TRTMNT OF ATRAUMATIC HIP DISCLOCATN;REQ GEN ANES N 3 $40.00 11/14/1990 12/31/2299
27266 F TREATMENT OF ATRAUMATIC HIP DISLOC;REQ GEN ANES N 3 $306.00 03/01/2004 12/31/2299
27275 2 MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHE N 3 $50.00 08/01/1979 12/31/2299
27275 7 MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHE N 3 $13.45 06/01/1994 12/31/2299
27275 F MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHE N 3 $306.00 03/01/2004 12/31/2299
27280 2 ARTHRODESIS, SACROILIAC JOINT (INCLUDING OBTAINING N 3 $350.00 01/01/1973 12/31/2299
27280 7 ARTHRODESIS, SACROILIAC JOINT (INCLUDING OBTAINING N 3 $13.45 06/01/1994 12/31/2299
27280 8 ARTHRODESIS, SACROILIAC JOINT (INCLUDING OBTAINING N 3 $70.00 01/01/1973 12/31/2299
27281 7 ARTHRODESIS, SACROILIAC JOINT (INCLUDING OBTAINING N 3 $13.45 06/01/1994 12/31/2299
27282 7 ARTHRODESIS, SYMPHYSIS PUBIS (INCLUDING OBTAINING N 3 $13.45 06/01/1994 12/31/2299
27284 2 ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); N 3 $600.00 01/01/1973 12/31/2299
27284 7 ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); N 3 $13.45 06/01/1994 12/31/2299
27284 8 ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); N 3 $120.00 01/01/1973 12/31/2299
27286 2 ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); N 3 $650.00 01/01/1973 12/31/2299
27286 7 ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); N 3 $13.45 06/01/1994 12/31/2299
27286 8 ARTHRODESIS, HIP JOINT (INCLUDES OBTAINING GRAFT); N 3 $130.00 01/01/1973 12/31/2299
27290 2 INTERPELVIABDOMINAL AMPUTATION (HIND QUARTER AMPUT N 3 $725.00 01/01/1973 12/31/2299
27290 7 INTERPELVIABDOMINAL AMPUTATION (HIND QUARTER AMPUT N 3 $13.45 06/01/1994 12/31/2299
27290 8 INTERPELVIABDOMINAL AMPUTATION (HIND QUARTER AMPUT N 3 $145.00 01/01/1973 12/31/2299
27295 2 DISARTICULATION OF HIP N 3 $600.00 01/01/1973 12/31/2299
27295 7 DISARTICULATION OF HIP N 3 $13.45 06/01/1994 12/31/2299
27295 8 DISARTICULATION OF HIP N 3 $120.00 01/01/1973 12/31/2299
27299 7 UNLISTED PROCEDURE, PELVIS OR HIP JOINT N 3 $13.45 06/01/1994 12/31/2299
27301 2 INCIS & DRAINAGE DEEP ABSCESS,INF BURSA/HEMATOMA N 3 $50.00 01/01/1984 08/31/2005
27301 2 INCIS & DRAINAGE DEEP ABSCESS,INF BURSA/HEMATOMA N 3 $289.03 09/01/2005 12/31/2299
27301 7 INCISION AND DRAINAGE OF DEEP ABSCESS, INFECTED BU N 3 $13.45 06/01/1994 12/31/2299
27301 F INCIS & DRAINAGE DEEP ABSCESS,INF BURSA/HEMATOMA N 3 $351.00 03/01/2004 12/31/2299
27303 2 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $100.00 01/01/1984 12/31/2299
27303 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
27303 8 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $20.00 01/01/1984 12/31/2299
27304 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
27305 2 FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN N 3 $150.00 01/01/1973 12/31/2299
27305 7 FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN N 3 $13.45 06/01/1994 12/31/2299
27305 8 FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN N 3 $30.00 01/01/1984 12/31/2299
27305 F FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN N 3 $306.00 03/01/2004 12/31/2299
27306 2 TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR HAMSTR N 3 $60.00 01/01/1973 12/31/2299
27306 7 TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR HAMSTR N 3 $13.45 06/01/1994 12/31/2299
27306 F TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR HAMSTR N 3 $351.00 03/01/2004 12/31/2299
27307 2 TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR HAMSTR N 3 $50.00 08/01/1979 12/31/2299
27307 7 TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR HAMSTR N 3 $13.45 06/01/1994 12/31/2299
27307 F TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR HAMSTR N 3 $351.00 03/01/2004 12/31/2299
27310 2 ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE OR RE N 3 $238.00 08/01/1979 12/31/2299
27310 7 ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE OR RE N 3 $13.45 06/01/1994 12/31/2299
27310 8 ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE OR RE N 3 $48.00 08/01/1979 12/31/2299
27310 F ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE OR RE N 3 $432.00 03/01/2004 12/31/2299
27311 7 ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE OR RE N 3 $13.45 06/01/1994 12/31/2299
27315 2 NEURECTOMY, HAMSTRING MUSCLE N 3 $275.00 01/01/1973 12/31/2299
27315 7 NEURECTOMY, HAMSTRING MUSCLE N 3 $13.45 06/01/1994 12/31/2299
27315 8 NEURECTOMY, HAMSTRING MUSCLE N 3 $55.00 01/01/1973 12/31/2299
27315 F NEURECTOMY, HAMSTRING MUSCLE N 3 $306.00 03/01/2004 12/31/2299
27320 2 NEURECTOMY, POPLITEAL (GASTROCNEMIUS) N 3 $275.00 01/01/1973 12/31/2299
27320 7 NEURECTOMY, POPLITEAL (GASTROCNEMIUS) N 3 $13.45 06/01/1994 12/31/2299
27320 8 NEURECTOMY, POPLITEAL (GASTROCNEMIUS) N 3 $45.00 01/01/1973 12/31/2299
27320 F NEURECTOMY, POPLITEAL (GASTROCNEMIUS) N 3 $306.00 03/01/2004 12/31/2299
27323 2 BIOPSY, SOFT TISSUES N 3 $102.65 01/01/2004 12/31/2299
27323 7 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
27323 F BIOPSY, SOFT TISSUES N 3 $225.80 03/01/2004 12/31/2299
27324 2 BIOPSY, SOFT TISSUES; DEEP N 3 $263.02 01/01/2003 12/31/2299
27324 7 BIOPSY, SOFT TISSUES; DEEP N 3 $13.45 06/01/1994 12/31/2299
27324 F BIOPSY, SOFT TISSUES; DEEP N 3 $225.80 03/01/2004 12/31/2299
27327 2 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $149.00 01/02/1992 12/31/2299
27327 7 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
27327 F EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
27328 2 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, OR INTRA N 3 $204.00 01/02/1994 12/31/2299
27328 7 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, OR INTRA N 3 $13.45 06/01/1994 12/31/2299
27328 8 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, OR INTRA N 3 $58.39 01/01/2003 12/31/2299
27328 F EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, OR INTRA N 3 $351.00 03/01/2004 12/31/2299
27329 2 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $633.25 01/01/2003 12/31/2299
27329 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
27329 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $432.00 03/01/2004 12/31/2299
27330 2 ARTHROTOMY, KNEE; FOR SYNOVIAL BIOPSY ONLY N 3 $300.00 01/01/1973 12/31/2299
27330 7 ARTHROTOMY, KNEE; FOR SYNOVIAL BIOPSY ONLY N 3 $13.45 06/01/1994 12/31/2299
27330 F ARTHROTOMY, KNEE; FOR SYNOVIAL BIOPSY ONLY N 3 $432.00 03/01/2004 12/31/2299
27331 2 ARTHROTOMY, KNEE; W/ JOINT EXPLOR, W OR W/O BIOPSY N 3 $250.00 01/01/1984 12/31/2299
27331 7 ARTHROTOMY KNEE; W/ JOINT EXPLOR, W OR W/O BIOPSY N 3 $13.45 06/01/1994 12/31/2299
27331 8 ARTHROTOMY, KNEE; W/ JOINT EXPLOR, W OR W/O BIOPSY N 3 $50.00 01/01/1984 12/31/2299
27331 F ARTHROTOMY, KNEE; W/ JOINT EXPLOR, W OR W/O BIOPSY N 3 $432.00 03/01/2004 12/31/2299
27332 2 ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $280.00 01/01/1971 12/31/2299
27332 7 ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $13.45 06/01/1994 12/31/2299
27332 8 ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $56.00 08/01/1979 12/31/2299
27332 F ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $432.00 03/01/2004 12/31/2299
27333 2 ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $300.00 01/01/1984 12/31/2299
27333 7 ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $13.45 06/01/1994 12/31/2299
27333 8 ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $60.00 01/01/1984 12/31/2299
27333 F ARTHROTOMY, KNEE, FOR EXCISION OF SEMILUNAR CARTIL N 3 $432.00 03/01/2004 12/31/2299
27334 2 ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR OR POS N 3 $125.00 01/01/1971 12/31/2299
27334 7 ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR OR POS N 3 $13.45 06/01/1994 12/31/2299
27334 8 ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR OR POS N 3 $75.00 01/01/1973 12/31/2299
27334 F ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR OR POS N 3 $432.00 03/01/2004 12/31/2299
27335 2 ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR AND PO N 3 $450.00 01/02/1992 12/31/2299
27335 7 ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR AND PO N 3 $13.45 06/01/1994 12/31/2299
27335 F ARTHROTOMY, KNEE, FOR SYNOVECTOMY; ANTERIOR AND PO N 3 $432.00 03/01/2004 12/31/2299
27340 2 EXCISION, PREPATELLAR BURSA N 3 $125.00 01/01/1973 12/31/2299
27340 7 EXCISION, PREPATELLAR BURSA N 3 $13.45 06/01/1994 12/31/2299
27340 F EXCISION, PREPATELLAR BURSA N 3 $351.00 03/01/2004 12/31/2299
27345 2 EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (BAKE N 3 $282.00 01/02/1993 12/31/2299
27345 7 EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (BAKE N 3 $13.45 06/01/1994 12/31/2299
27345 8 EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (BAKE N 3 $35.00 01/01/1973 12/31/2299
27345 F EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (BAKE N 3 $432.00 03/01/2004 12/31/2299
27347 2 EXCISION OF LESION OF MENISCUS OR CAPSULE CYST GANGLION KNEE N 3 $187.15 01/01/1999 12/31/2299
27347 7 EXCISION OF LESION OF MENISCUS OR CYST GANGLION OF KNEE N 3 $187.15 01/01/1999 12/31/2299
27347 8 EXCISION OF LESION OF MENISCUS OR CYST, GANGLION OF KNEE N 3 $187.15 01/01/1999 12/31/2299
27347 F EXCISION OF LESION OF MENISCUS OR CAPSULE CYST GANGLION KNEE N 3 $432.00 03/01/2004 12/31/2299
27350 2 PATELLECTOMY OR HEMIPATELLECTOMY N 3 $300.00 01/01/1974 12/31/2299
27350 7 PATELLECTOMY OR HEMIPATELLECTOMY N 3 $13.45 06/01/1994 12/31/2299
27350 8 PATELLECTOMY OR HEMIPATELLECTOMY N 3 $60.00 01/01/1984 12/31/2299
27350 F PATELLECTOMY OR HEMIPATELLECTOMY N 3 $432.00 03/01/2004 12/31/2299
27355 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $378.00 07/01/1996 12/31/2299
27355 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
27355 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $55.00 01/01/1973 12/31/2299
27355 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
27356 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
27356 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $432.00 03/01/2004 12/31/2299
27357 2 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF FE N 3 $438.00 01/02/1994 12/31/2299
27357 7 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF FE N 3 $13.45 06/01/1994 12/31/2299
27357 8 EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF FE N 3 $70.00 01/01/1973 12/31/2299
27357 F EXCIS OR CURETT OF BONE CYST OR BENIGN TUMOR OF FE N 3 $495.00 03/01/2004 12/31/2299
27358 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
27358 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $495.00 03/01/2004 12/31/2299
27360 2 PARTIAL EXCIS (CRATERIZ, SAUCERIZ OR DIAPHYSECTOMY N 3 $250.00 01/01/1971 12/31/2299
27360 7 PARTIAL EXCIS (CRATERIZ, SAUCERIZ OR DIAPHYSECTOMY N 3 $13.45 06/01/1994 12/31/2299
27360 8 PARTIAL EXCIS (CRATERIZ, SAUCERIZ OR DIAPHYSECTOMY N 3 $50.00 08/01/1979 12/31/2299
27360 F PARTIAL EXCIS (CRATERIZ, SAUCERIZ OR DIAPHYSECTOMY N 3 $495.00 03/01/2004 12/31/2299
27361 7 PART EXCIS (CRATERIZ,SAUCERIZ OR DIAPHYS) OF BONE, N 3 $13.45 06/01/1994 12/31/2299
27365 2 RADICAL RESECTION FOR TUMOR (BONE OR SOFT TISSUE) N 3 $702.00 01/02/1994 12/31/2299
27365 7 RADICAL RESECTION FOR TUMOR (BONE OR SOFT TISSUE) N 3 $13.45 06/01/1994 12/31/2299
27370 2 INJECTION PROCEDURE FOR KNEE ARTHROGRAPHY N 3 $31.00 01/02/1994 12/31/2299
27370 7 INJECTION PROCEDURE FOR KNEE ARTHROGRAPHY N 3 $13.45 06/01/1994 12/31/2299
27372 2 REMOVAL FOREIGN BODY, DEEP N 3 $278.23 01/01/2004 12/31/2299
27372 7 REMOVAL FOREIGN BODY, DEEP N 3 $13.45 06/01/1994 12/31/2299
27372 F REMOVAL FOREIGN BODY, DEEP N 3 $495.00 03/01/2004 12/31/2299
27380 2 SUTURE OF INFRAPATELLAR TENDON; PRIMARY N 3 $275.00 01/01/1973 12/31/2299
27380 7 SUTURE OF INFRAPATELLAR TENDON; PRIMARY N 3 $13.45 06/01/1994 12/31/2299
27380 8 SUTURE OF INFRAPATELLAR TENDON; PRIMARY N 3 $70.28 01/01/2004 12/31/2299
27380 F SUTURE OF INFRAPATELLAR TENDON; PRIMARY N 3 $225.80 03/01/2004 12/31/2299
27381 2 SUTURE OF INFRAPATELLAR TENDON; SECONDARY RECONSTR N 3 $275.00 01/01/1984 12/31/2299
27381 7 SUTURE OF INFRAPATELLAR TENDON; SECONDARY RECONSTR N 3 $13.45 06/01/1994 12/31/2299
27381 F SUTURE OF INFRAPATELLAR TENDON; SECONDARY RECONSTR N 3 $351.00 03/01/2004 12/31/2299
27385 2 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; N 3 $325.00 01/01/1973 12/31/2299
27385 7 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; N 3 $13.45 06/01/1994 12/31/2299
27385 8 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; N 3 $65.00 08/01/1979 12/31/2299
27385 F SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; N 3 $351.00 03/01/2004 12/31/2299
27386 7 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; N 3 $13.45 06/01/1994 12/31/2299
27386 F SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; N 3 $351.00 03/01/2004 12/31/2299
27390 2 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; SINGLE N 3 $150.00 01/01/1973 12/31/2299
27390 7 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; SINGLE N 3 $13.45 06/01/1994 12/31/2299
27390 F TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; SINGLE N 3 $225.80 03/01/2004 12/31/2299
27391 2 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $200.00 01/01/1973 12/31/2299
27391 7 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $13.45 06/01/1994 12/31/2299
27391 F TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $306.00 03/01/2004 12/31/2299
27392 2 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $250.00 01/01/1984 12/31/2299
27392 7 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $13.45 06/01/1994 12/31/2299
27392 8 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $90.74 01/01/2003 12/31/2299
27392 F TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE, N 3 $351.00 03/01/2004 12/31/2299
27393 2 LENGTHENING OF HAMSTRING TENDON; SINGLE N 3 $175.00 01/01/1980 12/31/2299
27393 7 LENGTHENING OF HAMSTRING TENDON; SINGLE N 3 $13.45 06/01/1994 12/31/2299
27393 8 LENGTHENING OF HAMSTRING TENDON; SINGLE N 3 $35.00 01/01/1984 12/31/2299
27393 F LENGTHENING OF HAMSTRING TENDON; SINGLE N 3 $306.00 03/01/2004 12/31/2299
27394 2 LENGTHENING OF HAMSTRING TENDON; MULTIPLE, ONE LEG N 3 $250.00 01/01/1984 12/31/2299
27394 7 LENGTHENING OF HAMSTRING TENDON; MULTIPLE, ONE LEG N 3 $13.45 06/01/1994 12/31/2299
27394 8 LENGTHENING OF HAMSTRING TENDON; MULTIPLE, ONE LEG N 3 $50.00 01/01/1984 12/31/2299
27394 F LENGTHENING OF HAMSTRING TENDON; MULTIPLE, ONE LEG N 3 $351.00 03/01/2004 12/31/2299
27395 2 LENGTHENING OF HAMSTRING TENDON; MULTIPLE, BILATER N 3 $400.00 01/01/1984 12/31/2299
27395 7 LENGTHENING OF HAMSTRING TENDON; MULTIPLE, BILATER N 3 $13.45 06/01/1994 12/31/2299
27395 8 LENGTHENING OF HAMSTRING TENDON; MULTIPLE, BILATER N 3 $80.00 01/01/1984 12/31/2299
27395 F LENGTHENING OF HAMSTRING TENDON; MULTIPLE, BILATER N 3 $351.00 03/01/2004 12/31/2299
27396 2 TRANSPLANT, HAMSTRING TENDON TO PATELLA; SINGLE N 3 $275.00 01/01/1984 12/31/2299
27396 7 TRANSPLANT, HAMSTRING TENDON TO PATELLA; SINGLE N 3 $13.45 06/01/1994 12/31/2299
27396 8 TRANSPLANT, HAMSTRING TENDON TO PATELLA; SINGLE N 3 $55.00 01/01/1984 12/31/2299
27396 F TRANSPLANT, HAMSTRING TENDON TO PATELLA; SINGLE N 3 $351.00 03/01/2004 12/31/2299
27397 7 TRANSPLANT, HAMSTRING TENDON TO PATELLA; MULTIPLE N 3 $13.45 06/01/1994 12/31/2299
27397 F TRANSPLANT, HAMSTRING TENDON TO PATELLA; MULTIPLE N 3 $351.00 03/01/2004 12/31/2299
27400 2 TENDON OR MUSCLE TRANSFER, HAMSTRINGS TO FEMUR (EG N 3 $350.00 01/01/1984 12/31/2299
27400 7 TENDON OR MUSCLE TRANSFER, HAMSTRINGS TO FEMUR (EG N 3 $13.45 06/01/1994 12/31/2299
27400 8 TENDON OR MUSCLE TRANSFER, HAMSTRINGS TO FEMUR (EG N 3 $70.00 01/01/1984 12/31/2299
27400 F TENDON OR MUSCLE TRANSFER, HAMSTRINGS TO FEMUR (EG N 3 $351.00 03/01/2004 12/31/2299
27403 2 ARTHROTOMY W OPEN MEISCUSREPR N 3 $250.00 01/01/1984 12/31/2299
27403 7 ARTHROTOMY W OPEN MEISCUSREPR N 3 $13.45 06/01/1994 12/31/2299
27403 8 ARTHROTOMY W OPEN MEISCUSREPR N 3 $50.00 01/01/1984 12/31/2299
27403 F ARTHROTOMY W OPEN MEISCUSREPR N 3 $432.00 03/01/2004 12/31/2299
27405 2 SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $280.00 01/01/1973 12/31/2299
27405 7 SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $13.45 06/01/1994 12/31/2299
27405 8 SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $55.00 01/01/1973 12/31/2299
27405 F SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $432.00 03/01/2004 12/31/2299
27407 2 SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $400.00 01/01/1973 12/31/2299
27407 7 SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $13.45 06/01/1994 12/31/2299
27407 8 SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $80.00 01/01/1973 12/31/2299
27407 F SUTURE, PRIM, TORN, RUPT OR SEVERED LIGAMENT, W OR N 3 $432.00 03/01/2004 12/31/2299
27409 2 SUTUR, PRIM, TORN, RUPT OR SEVERED LIG, W OR W/O M N 3 $450.00 01/01/1973 12/31/2299
27409 7 SUTUR, PRIM, TORN, RUPT OR SEVERED LIG, W OR W/O M N 3 $13.45 06/01/1994 12/31/2299
27409 8 SUTUR, PRIM, TORN, RUPT OR SEVERED LIG, W OR W/O M N 3 $90.00 01/01/1973 12/31/2299
27409 F SUTUR, PRIM, TORN, RUPT OR SEVERED LIG, W OR W/O M N 3 $432.00 03/01/2004 12/31/2299
27412 2 AUTOLOGOUS CHONDROCYTE Y 3 $967.25 01/01/2005 12/31/2299
27412 7 AUTOLOGOUS CHONDROCYTE Y 3 $13.45 01/01/2005 12/31/2299
27415 2 OSTEOCHONDRAL ALLOGRAFT, KNEE OPEN Y 3 $806.83 01/01/2005 12/31/2299
27415 7 OSTEOCHONDRAL ALLOGRAFT, KNEE OPEN Y 3 $13.45 06/01/1994 12/31/2299
27418 2 ANTERIOR TIBIAL TUBERCLE PLASTY FOR CHONDROMALACIA N 3 $600.00 01/02/1995 12/31/2299
27418 7 ANTERIOR TIBIAL TUBERCLE PLASTY FOR CHONDROMALACIA N 3 $13.45 06/01/1994 12/31/2299
27418 8 ANTERIOR TIBIAL TUBERCLE PLASTY FOR CHONDROMALACIA N 3 $120.00 01/02/1995 12/31/2299
27418 F ANTERIOR TIBIAL TUBERCLE PLASTY FOR CHONDROMALACIA N 3 $351.00 03/01/2004 12/31/2299
27420 2 RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $375.00 08/01/1979 12/31/2299
27420 7 RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $13.45 06/01/1994 12/31/2299
27420 8 RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $75.00 08/01/1979 12/31/2299
27420 F RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $351.00 03/01/2004 12/31/2299
27422 2 RECONST FOR RECUR DISLOC PATELLA; W/EXTENSOR REALI N 3 $500.00 01/01/1984 12/31/2299
27422 7 RECONST FOR RECUR DISLOC PATELLA; W/EXTENSOR REALI N 3 $13.45 06/01/1994 12/31/2299
27422 8 RECONST FOR RECUR DISLOC PATELLA; W/EXTENSOR REALI N 3 $100.00 01/01/1984 12/31/2299
27422 F RECONST FOR RECUR DISLOC PATELLA; W/EXTENSOR REALI N 3 $495.00 03/01/2004 12/31/2299
27424 2 [21~NSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $437.90 01/01/2004 12/31/2299
27424 7 RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $13.45 06/01/1994 12/31/2299
27424 8 RECONSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $87.58 01/01/2004 12/31/2299
27424 F [21~NSTRUCTION FOR RECURRENT DISLOCATING PATELLA; N 3 $351.00 03/01/2004 12/31/2299
27425 2 LATERAL RETINACULAR RELEASE (ANY METHOD) N 3 $250.00 01/01/1984 12/31/2299
27425 7 LATERAL RETINACULAR RELEASE (ANY METHOD) N 3 $13.45 06/01/1994 12/31/2299
27425 F LATERAL RETINACULAR RELEASE (ANY METHOD) N 3 $495.00 03/01/2004 12/31/2299
27427 2 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION) KNEE EXT N 3 $468.00 01/02/1992 12/31/2299
27427 7 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION) KNEE EXT N 3 $13.45 06/01/1994 12/31/2299
27427 8 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION) KNEE EXT N 3 $70.00 01/01/1984 12/31/2299
27427 F LIGAMENTOUS RECONSTRUCTION (AUGMENTATION) KNEE EXT N 3 $351.00 03/01/2004 12/31/2299
27428 2 RECONSTRUC (AUGMENT) KNEE INTRA ARTIC (OPEN) N 3 $450.00 01/01/1986 12/31/2299
27428 7 RECONSRUC (AUGMENT) KNEE INTRA ARTIC (OPEN) N 3 $13.45 06/01/1994 12/31/2299
27428 8 RECONSTRUCTION (AUG) KNEE INTRA-ARTICULAR OPEN N 3 $90.00 01/01/1984 12/31/2299
27428 F RECONSTRUC (AUGMENT) KNEE INTRA ARTIC (OPEN) N 3 $432.00 03/01/2004 12/31/2299
27429 2 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE N 3 $660.00 01/02/1995 12/31/2299
27429 7 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE N 3 $13.45 06/01/1994 12/31/2299
27429 8 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE N 3 $132.00 01/02/1995 12/31/2299
27429 F LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE N 3 $432.00 03/01/2004 12/31/2299
27430 2 QUADRICEPS PLASTY (BENNETT OR THOMPSON TYPE) N 3 $375.00 01/01/1973 12/31/2299
27430 7 QUADRICEPS PLASTY (BENNETT OR THOMPSON TYPE) N 3 $13.45 06/01/1994 12/31/2299
27430 8 QUADRICEPS PLASTY (BENNETT OR THOMPSON TYPE) N 3 $75.00 01/01/1973 12/31/2299
27430 F QUADRICEPS PLASTY (BENNETT OR THOMPSON TYPE) N 3 $432.00 03/01/2004 12/31/2299
27435 2 CAPSULOTOMY, KNEE, POSTERIOR CAPSULAR RELEASE N 3 $350.00 01/01/1973 12/31/2299
27435 7 CAPSULOTOMY, KNEE, POSTERIOR CAPSULAR RELEASE N 3 $13.45 06/01/1994 12/31/2299
27435 8 CAPSULOTOMY, KNEE, POSTERIOR CAPSULAR RELEASE N 3 $70.00 01/01/1973 12/31/2299
27435 F CAPSULOTOMY, KNEE, POSTERIOR CAPSULAR RELEASE N 3 $432.00 03/01/2004 12/31/2299
27437 7 ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS N 3 $13.45 06/01/1994 12/31/2299
27437 F ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS N 3 $432.00 03/01/2004 12/31/2299
27438 7 ARTHROPLASTY, PATELLA, WITH PROSTHESIS N 3 $13.45 06/01/1994 12/31/2299
27438 F ARTHROPLASTY, PATELLA, WITH PROSTHESIS N 3 $495.00 03/01/2004 12/31/2299
27440 2 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; N 3 $500.00 01/01/1973 12/31/2299
27440 7 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; N 3 $13.45 06/01/1994 12/31/2299
27440 8 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; N 3 $100.00 01/01/1973 12/31/2299
27441 7 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH DEBRIDEME N 3 $13.45 06/01/1994 12/31/2299
27441 F ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH DEBRIDEME N 3 $495.00 03/01/2004 12/31/2299
27442 2 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $600.00 01/01/1973 12/31/2299
27442 7 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $13.45 06/01/1994 12/31/2299
27442 8 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $120.00 01/01/1973 12/31/2299
27442 F ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $495.00 03/01/2004 12/31/2299
27443 2 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $650.00 01/01/1984 12/31/2299
27443 7 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $13.45 06/01/1994 12/31/2299
27443 8 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $130.00 01/01/1984 12/31/2299
27443 F ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR TIBIAL PLA N 3 $495.00 03/01/2004 12/31/2299
27444 7 ARTHROPLASTY, KNEE, TOTAL; FASCIAL N 3 $13.45 06/01/1994 12/31/2299
27445 2 ARTHROPLASTY, KNEE, TOTAL; PROSTHETIC (EG, WALLDIU N 3 $700.00 01/01/1984 12/31/2299
27445 7 ARTHROPLASTY, KNEE, TOTAL; PROSTHETIC (EG, WALLDIU N 3 $13.45 06/01/1994 12/31/2299
27445 8 ARTHROPLASTY, KNEE, TOTAL; PROSTHETIC (EG, WALLDIU N 3 $140.00 01/01/1984 12/31/2299
27446 2 ARTHROPLASTY, KNEE, TOTAL, CONDYLE AND PLATEAU ("T N 3 $936.00 01/02/1996 12/31/2299
27446 7 ARTHROPLASTY, KNEE, TOTAL, CONDYLE AND PLATEAU ("T N 3 $13.45 06/01/1994 12/31/2299
27446 8 ARTHROPLASTY, KNEE, TOTAL, CONDYLE AND PLATEAU ("T N 3 $187.00 01/02/1996 12/31/2299
27447 2 ARTHROPLASTY, KNEE, TOTAL, CONDYLE AND PLATEAU ("T N 3 $1,188.00 01/01/1997 12/31/2299
27447 7 ARTHROPLASTY, KNEE, TOTAL, CONDYLE AND PLATEAU ("T N 3 $13.45 06/01/1994 12/31/2299
27447 8 ARTHROPLASTY, KNEE, TOTAL, CONDYLE AND PLATEAU ("T N 3 $238.00 01/01/1997 12/31/2299
27448 2 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITHOUT N 3 $475.00 01/01/1973 12/31/2299
27448 7 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITHOUT N 3 $13.45 06/01/1994 12/31/2299
27448 8 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITHOUT N 3 $95.00 01/01/1973 12/31/2299
27449 7 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITHOUT N 3 $13.45 06/01/1994 12/31/2299
27450 2 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITH FIX N 3 $500.00 01/01/1984 12/31/2299
27450 7 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITH FIX N 3 $13.45 06/01/1994 12/31/2299
27450 8 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITH FIX N 3 $100.00 01/01/1984 12/31/2299
27452 7 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR, WITH FIX N 3 $13.45 06/01/1994 12/31/2299
27454 2 OSTEOTOMY, MULTIPLE, FEMORAL SHAFT, WITH REALIGNME N 3 $500.00 01/01/1973 12/31/2299
27454 7 OSTEOTOMY, MULTIPLE, FEMORAL SHAFT, WITH REALIGNME N 3 $13.45 06/01/1994 12/31/2299
27454 8 OSTEOTOMY, MULTIPLE, FEMORAL SHAFT, WITH REALIGNME N 3 $100.00 01/01/1973 12/31/2299
27455 2 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $492.00 01/02/1992 12/31/2299
27455 7 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $13.45 06/01/1994 12/31/2299
27455 8 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $60.00 01/01/1973 12/31/2299
27457 2 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $690.00 01/02/1996 12/31/2299
27457 7 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $13.45 06/01/1994 12/31/2299
27457 8 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $138.00 01/02/1996 12/31/2299
27460 2 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $450.00 01/01/1973 12/31/2299
27460 7 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $13.45 06/01/1994 12/31/2299
27460 8 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $90.00 01/01/1973 12/31/2299
27462 7 OSTEO,PROX TIB,INCL FIBUL EXCIS/OSTEO(INCL COR. GE N 3 $13.45 06/01/1994 12/31/2299
27465 2 OSTEOPLASTY, FEMUR; SHORTENING N 3 $645.57 01/01/2002 12/31/2299
27465 7 OSTEOPLASTY, FEMUR; SHORTENING N 3 $13.45 06/01/1994 12/31/2299
27465 8 OSTEOPLASTY, FEMUR; SHORTENING N 3 $118.63 01/01/2004 12/31/2299
27466 2 OSTEOPLASTY, FEMUR; LENGTHENING N 3 $685.17 01/01/2004 12/31/2299
27466 7 OSTEOPLASTY, FEMUR; LENGTHENING N 3 $13.45 06/01/1994 12/31/2299
27468 7 OSTEOPLASTY, FEMUR; COMBINED, LENGTHENING/SHORTENI N 3 $13.45 06/01/1994 12/31/2299
27470 2 REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEA N 3 $500.00 01/01/1973 12/31/2299
27470 7 REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEA N 3 $13.45 06/01/1994 12/31/2299
27470 8 REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEA N 3 $100.00 01/01/1973 12/31/2299
27472 2 REPAIR,NONUNION/MALUNION,FEMUR, DISTAL TO HD & NEC N 3 $600.00 01/02/1992 12/31/2299
27472 7 REPAIR,NONUNION/MALUNION,FEMUR, DISTAL TO HD & NEC N 3 $13.45 06/01/1994 12/31/2299
27472 8 REPAIR,NONUNION/MALUNION,FEMUR, DISTAL TO HD & NEC N 3 $110.00 08/01/1979 12/31/2299
27475 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $350.00 01/01/1999 12/31/2299
27475 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $13.45 06/01/1994 12/31/2299
27475 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $70.00 01/01/1999 12/31/2299
27477 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; T N 3 $300.00 01/01/1973 12/31/2299
27477 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; T N 3 $13.45 06/01/1994 12/31/2299
27477 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; T N 3 $60.00 08/01/1979 12/31/2299
27479 2 EPIPHY ARREST BY EPIPHYSIODESIS OR STAPLING; COMBI N 3 $475.00 08/01/1979 12/31/2299
27479 7 EPIPHY ARREST BY EPIPHYSIODESIS OR STAPLING; COMBI N 3 $13.45 06/01/1994 12/31/2299
27479 8 EPIPHY ARREST BY EPIPHYSIODESIS OR STAPLING; COMBI N 3 $95.00 08/01/1979 12/31/2299
27485 2 ARREST, HEMIEPIPHYSEAL, DISTAL FEMUR OR PROXIMAL L N 3 $275.00 01/01/1973 12/31/2299
27485 7 ARREST, HEMIEPIPHYSEAL, DISTAL FEMUR OR PROXIMAL L N 3 $13.45 06/01/1994 12/31/2299
27485 8 ARREST, HEMIEPIPHYSEAL, DISTAL FEMUR OR PROXIMAL L N 3 $55.00 01/01/1973 12/31/2299
27486 2 REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHO N 3 $732.82 01/01/2003 12/31/2299
27486 7 REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHO N 3 $13.45 06/01/1994 12/31/2299
27486 8 REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHO N 3 $160.66 01/01/2004 12/31/2299
27487 2 SECONDARY RECONSTRUCTION FOR REVISION OF TOTAL KNE N 3 $700.00 01/01/1984 12/31/2299
27487 7 SECONDARY RECONSTRUCTION FOR REVISION OF TOTAL KNE N 3 $13.45 06/01/1994 12/31/2299
27487 8 SECONDARY RECONSTRUCTION FOR REVISION OF TOTAL KNE N 3 $140.00 01/01/1984 12/31/2299
27488 2 REMOVAL OF KNEE PROSTHESIS, INCLUDING "TOTAL KNEE" N 3 $678.00 01/02/1992 12/31/2299
27488 7 REMOVAL OF KNEE PROSTHESIS, INCLUDING "TOTAL KNEE" N 3 $13.45 06/01/1994 12/31/2299
27488 8 REMOVAL OF KNEE PROSTHESIS, INCLUDING "TOTAL KNEE" N 3 $50.00 01/01/1992 12/31/2299
27495 2 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $852.00 01/02/1995 12/31/2299
27495 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
27495 8 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $170.00 01/02/1995 12/31/2299
27496 2 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE C N 3 $188.39 01/01/1993 12/31/2299
27496 7 DECOMPRESSION FASCIOTOMY THIGH AND/OR KNEE 1 COMPT N 3 $13.45 06/01/1994 12/31/2299
27496 F DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE C N 3 $495.00 03/01/2004 12/31/2299
27497 2 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE C N 3 $230.63 01/01/1993 12/31/2299
27497 7 DECOMP FASCIOTOMY THIGH/KNEE 1COMPT W/DEBRIDEMENT N 3 $13.45 06/01/1994 12/31/2299
27497 F DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE C N 3 $351.00 03/01/2004 12/31/2299
27498 2 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTI N 3 $262.94 01/01/1993 12/31/2299
27498 7 DECOMPRESSION FASCITOMY THIGH/KNEE MULTIPLE COMPAR N 3 $13.45 06/01/1994 12/31/2299
27498 F DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTI N 3 $351.00 03/01/2004 12/31/2299
27499 2 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTI N 3 $302.99 01/01/1993 12/31/2299
27499 7 DECOMP FASCIOTOMY THIGH/KNEE MULTIP COMPT W/DEBRID N 3 $13.45 06/01/1994 12/31/2299
27499 F DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTI N 3 $351.00 03/01/2004 12/31/2299
27500 2 TREATMENT OF CLOSED FEMORAL SHAFT FX (INCLUD SUPRA N 3 $216.60 01/02/1992 12/31/2299
27500 7 TREATMENT OF CLOSED FEMORAL SHAFT FX (INCLUD SUPRA N 3 $13.45 06/01/1994 12/31/2299
27500 F TREATMENT OF CLOSED FEMORAL SHAFT FX (INCLUD SUPRA N 3 $225.80 03/01/2004 12/31/2299
27501 2 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR N 3 $217.10 01/01/1993 12/31/2299
27501 7 CLOSED TRTMT SUPARCNDLR/TRANSCNDYLR FEML W/O MANIL N 3 $13.45 06/01/1994 12/31/2299
27501 F CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR N 3 $306.00 03/01/2004 12/31/2299
27502 2 TREATMENT OF CLOSED FEMORAL SHAFT FX (INCLUD SUPRA N 3 $450.00 01/02/1995 12/31/2299
27502 7 TREATMENT OF CLOSED FEMORAL SHAFT FX (INCLUD SUPRA N 3 $13.45 06/01/1994 12/31/2299
27502 F TREATMENT OF CLOSED FEMORAL SHAFT FX (INCLUD SUPRA N 3 $306.00 03/01/2004 12/31/2299
27503 2 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR N 3 $295.82 01/01/1993 12/31/2299
27503 7 CLOSED TRTMT SUPARCNDLR/TRANSCNDYLR FEML W/MANIPLT N 3 $13.45 06/01/1994 12/31/2299
27503 F CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR N 3 $351.00 03/01/2004 12/31/2299
27506 2 OPEN TREAT OF CLOSED OR OPEN FEMORAL SHAFT FX(INCL N 3 $446.00 01/01/1973 12/31/2299
27506 7 OPEN TREAT OF CLOSED OR OPEN FEMORAL SHAFT FX(INCL N 3 $13.45 06/01/1994 12/31/2299
27506 8 OPEN TREAT OF CLOSED OR OPEN FEMORAL SHAFT FX(INCL N 3 $90.00 01/01/1973 12/31/2299
27507 2 OPEN TREATMENT OF FEMORAL SHAFT FRACTURE WITH PLAT N 3 $587.42 01/01/2004 12/31/2299
27507 7 OPEN TRTMT OF FEMORL SHAFT FX WITH PLATE/SCREWS N 3 $13.45 06/01/1994 12/31/2299
27507 8 OPEN TRTMT OF FEMORL SHAFT FX WITH PLATE/SCREWS N 3 $117.48 01/01/2003 12/31/2299
27508 2 TREAT OF CLOSED FEMORAL FX, DISTAL END, MEDIAL OR N 3 $50.00 08/01/1979 12/31/2299
27508 7 TREAT OF CLOSED FEMORAL FX, DISTAL END, MEDIAL OR N 3 $13.45 06/01/1994 12/31/2299
27508 F TREAT OF CLOSED FEMORAL FX, DISTAL END, MEDIAL OR N 3 $225.80 03/01/2004 12/31/2299
27509 2 PERCUTANEOUS SKELETAL FIXATION OF SUPRACONDYLAR OR N 3 $219.72 01/01/1993 12/31/2299
27509 7 PERCUTANEOUS SKLTL FIXATION SUPRACONDLR OR TRANSCD N 3 $13.45 06/01/1994 12/31/2299
27509 F PERCUTANEOUS SKELETAL FIXATION OF SUPRACONDYLAR OR N 3 $351.00 03/01/2004 12/31/2299
27510 2 TREAT OF CLOSED FEMORAL FX, DISTAL END, MEDIAL OR N 3 $200.00 01/01/1973 12/31/2299
27510 7 TREAT OF CLOSED FEMORAL FX, DISTAL END, MEDIAL OR N 3 $13.45 06/01/1994 12/31/2299
27510 F TREAT OF CLOSED FEMORAL FX, DISTAL END, MEDIAL OR N 3 $225.80 03/01/2004 12/31/2299
27511 2 OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCO N 3 $648.05 01/01/1993 12/31/2299
27511 7 OPEN TRTMT OF FEMORAL SUPRACONDYLR OR TRANSSCNDR N 3 $13.45 06/01/1994 12/31/2299
27513 2 OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCO N 3 $668.26 01/01/1993 12/31/2299
27513 7 OPEN TRTMT OF FEMORAL SUPRACONDYLR OR TRANSSCNDR N 3 $13.45 06/01/1994 12/31/2299
27513 8 OPEN TRTMT OF FEMORAL SUPRACONDYLR OR TRANSSCNDR N 3 $159.46 01/01/2005 12/31/2299
27514 2 OPEN TRT OF CLSD/OPEN FEMORAL FX,DIST END,MEDIAL O N 3 $500.00 01/01/1973 12/31/2299
27514 7 OPEN TRT OF CLSD/OPEN FEMORAL FX,DIST END,MEDIAL O N 3 $13.45 06/01/1994 12/31/2299
27514 8 OPEN TRT OF CLSD/OPEN FEMORAL FX,DIST END,MEDIAL O N 3 $100.00 01/01/1973 12/31/2299
27516 F TREAT OF CLOSED DISTAL FEMORAL EPIPHYSEAL SEPARATI N 3 $225.80 03/01/2004 12/31/2299
27517 2 TREATMENT OF CLOSED DISTAL FEMORAL EPIPHYSEAL SEPA N 3 $150.00 01/01/1984 12/31/2299
27517 7 TREATMENT OF CLOSED DISTAL FEMORAL EPIPHYSEAL SEPA N 3 $13.45 06/01/1994 12/31/2299
27517 F TREATMENT OF CLOSED DISTAL FEMORAL EPIPHYSEAL SEPA N 3 $225.80 03/01/2004 12/31/2299
27519 2 OPEN TREAT OF CLSD OR OPEN DISTAL FEMORAL EPIPHYSE N 3 $425.00 01/01/1984 12/31/2299
27519 7 OPEN TREAT OF CLSD OR OPEN DISTAL FEMORAL EPIPHYSE N 3 $13.45 06/01/1994 12/31/2299
27519 8 OPEN TREAT OF CLSD OR OPEN DISTAL FEMORAL EPIPHYSE N 3 $85.00 01/01/1984 12/31/2299
27520 2 TREATMENT OF CLOSED PATELLAR FRACTURE, WITHOUT MAN N 3 $35.00 01/01/1973 12/31/2299
27520 7 TREATMENT OF CLOSED PATELLAR FRACTURE, WITHOUT MAN N 3 $13.45 06/01/1994 12/31/2299
27520 F TREATMENT OF CLOSED PATELLAR FRACTURE, WITHOUT MAN N 3 $225.80 03/01/2004 12/31/2299
27524 2 OPEN TREATMENT OF CLOSED OR OPEN PATELLAR FRACTURE N 3 $300.00 01/01/1998 12/31/2299
27524 7 OPEN TREATMENT OF CLOSED OR OPEN PATELLAR FRACTURE N 3 $13.45 06/01/1994 12/31/2299
27524 8 OPEN TREATMENT OF CLOSED OR OPEN PATELLAR FRACTURE N 3 $60.00 01/01/1973 12/31/2299
27530 2 TREATMENT OF CLOSED TIBIAL FRACTURE, PROXIMAL (PLA N 3 $50.00 08/01/1979 12/31/2299
27530 7 TREATMENT OF CLOSED TIBIAL FRACTURE, PROXIMAL (PLA N 3 $13.45 06/01/1994 12/31/2299
27530 F TREATMENT OF CLOSED TIBIAL FRACTURE, PROXIMAL (PLA N 3 $225.80 03/01/2004 12/31/2299
27532 2 TREATMENT OF CLOSED TIBIAL FRACTURE, PROXIMAL (PLA N 3 $125.00 01/01/1971 12/31/2299
27532 7 TREATMENT OF CLOSED TIBIAL FRACTURE, PROXIMAL (PLA N 3 $13.45 06/01/1994 12/31/2299
27532 F TREATMENT OF CLOSED TIBIAL FRACTURE, PROXIMAL (PLA N 3 $225.80 03/01/2004 12/31/2299
27535 2 OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATE N 3 $433.75 01/01/1993 12/31/2299
27535 7 OPEN TRTMT OF TIBIAL FX PROXIMAL PALTEAU N 3 $13.45 06/01/1994 12/31/2299
27536 2 OPEN TREAT OF CLOSD OR OPEN TIBIAL FX, PROXIMAL (P N 3 $350.00 01/01/1973 12/31/2299
27536 7 OPEN TREAT OF CLOSD OR OPEN TIBIAL FX, PROXIMAL (P N 3 $13.45 06/01/1994 12/31/2299
27536 8 OPEN TREAT OF CLOSD OR OPEN TIBIAL FX, PROXIMAL (P N 3 $70.00 01/01/1973 12/31/2299
27538 2 TREATMENT OF CLOSED INTERCONDYLAR SPINE(S) FRACTUR N 3 $50.00 08/01/1979 12/31/2299
27538 7 TREATMENT OF CLOSED INTERCONDYLAR SPINE(S) FRACTUR N 3 $13.45 06/01/1994 12/31/2299
27538 F TREATMENT OF CLOSED INTERCONDYLAR SPINE(S) FRACTUR N 3 $225.80 03/01/2004 12/31/2299
27540 2 OPEN TREATMENT OF CLOSED OR OPEN INTERCONDYLAR SPI N 3 $350.00 01/01/1973 12/31/2299
27540 7 OPEN TREATMENT OF CLOSED OR OPEN INTERCONDYLAR SPI N 3 $13.45 06/01/1994 12/31/2299
27540 8 OPEN TREATMENT OF CLOSED OR OPEN INTERCONDYLAR SPI N 3 $70.00 01/01/1973 12/31/2299
27550 2 TREATMENT OF CLOSED KNEE DISLOCATION; WITHOUT ANES N 3 $30.00 08/01/1979 12/31/2299
27550 7 TREATMENT OF CLOSED KNEE DISLOCATION; WITHOUT ANES N 3 $13.45 06/01/1994 12/31/2299
27550 F TREATMENT OF CLOSED KNEE DISLOCATION; WITHOUT ANES N 3 $225.80 03/01/2004 12/31/2299
27552 2 TREATMENT OF CLOSED KNEE DISLOCATION; REQUIRING AN N 3 $90.00 01/01/1973 12/31/2299
27552 7 TREATMENT OF CLOSED KNEE DISLOCATION; REQUIRING AN N 3 $13.45 06/01/1994 12/31/2299
27552 F TREATMENT OF CLOSED KNEE DISLOCATION; REQUIRING AN N 3 $225.80 03/01/2004 12/31/2299
27556 2 OPEN TRT OF CLSD/OPEN KNEE DISLOC, W OR W/O INTER/ N 3 $325.00 08/01/1979 12/31/2299
27556 7 OPEN TRT OF CLSD/OPEN KNEE DISLOC, W OR W/O INTER/ N 3 $13.45 06/01/1994 12/31/2299
27556 8 OPEN TRT OF CLSD/OPEN KNEE DISLOC, W OR W/O INTER/ N 3 $75.00 01/01/1973 12/31/2299
27557 7 OPEN TRT OF CLSD/OPEN KNEE DISLOC, W OR W/O INTER/ N 3 $13.45 06/01/1994 12/31/2299
27558 2 OPEN TREATMENT OF KNEE DISLOCATION, WITH OR WITHOU N 3 $635.17 01/01/1993 12/31/2299
27558 7 OPEN TRTMT OF KNEE DISLOCATION W/WO INTERNAL N 3 $13.45 06/01/1994 12/31/2299
27560 2 TREATMENT OF CLOSED PATELLAR DISLOCATION; WITHOUT N 3 $108.00 01/02/1994 12/31/2299
27560 7 TREATMENT OF CLOSED PATELLAR DISLOCATION; WITHOUT N 3 $13.45 06/01/1994 12/31/2299
27560 F TREATMENT OF CLOSED PATELLAR DISLOCATION; WITHOUT N 3 $225.80 03/01/2004 12/31/2299
27562 2 TREATMENT OF CLOSED PATELLAR DISLOCATION; REQUIRIN N 3 $60.00 08/01/1979 12/31/2299
27562 7 TREATMENT OF CLOSED PATELLAR DISLOCATION; REQUIRIN N 3 $13.45 06/01/1994 12/31/2299
27562 F TREATMENT OF CLOSED PATELLAR DISLOCATION; REQUIRIN N 3 $225.80 03/01/2004 12/31/2299
27566 2 OPEN TREATMENT OF CLOSED OR OPEN PATELLAR DISLOC, N 3 $300.00 01/01/1973 12/31/2299
27566 7 OPEN TREATMENT OF CLOSED OR OPEN PATELLAR DISLOC, N 3 $13.45 06/01/1994 12/31/2299
27566 8 OPEN TREATMENT OF CLOSED OR OPEN PATELLAR DISLOC, N 3 $60.00 01/01/1973 12/31/2299
27566 F OPEN TREATMENT OF CLOSED OR OPEN PATELLAR DISLOC, N 3 $306.00 03/01/2004 12/31/2299
27570 2 MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESI N 3 $47.80 01/02/1992 12/31/2299
27570 7 MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESI N 3 $13.45 06/01/1994 12/31/2299
27570 F MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESI N 3 $225.80 03/01/2004 12/31/2299
27580 2 FUSION OF KNEE, ANY TECHNIQUE N 3 $500.00 01/01/1973 12/31/2299
27580 7 FUSION OF KNEE, ANY TECHNIQUE N 3 $13.45 06/01/1994 12/31/2299
27580 8 FUSION OF KNEE, ANY TECHNIQUE N 3 $100.00 01/01/1973 12/31/2299
27590 2 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; N 3 $318.50 08/01/1979 12/31/2299
27590 7 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; N 3 $13.45 06/01/1994 12/31/2299
27590 8 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; N 3 $63.75 08/01/1979 12/31/2299
27591 2 AMPUTATION, THIGH N 3 $350.00 01/01/1984 12/31/2299
27591 7 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; IMMED N 3 $13.45 06/01/1994 12/31/2299
27591 8 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; IMMED N 3 $70.00 01/01/1984 12/31/2299
27592 2 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; OPEN, N 3 $280.00 01/01/1973 12/31/2299
27592 7 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; OPEN, N 3 $13.45 06/01/1994 12/31/2299
27592 8 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; OPEN, N 3 $56.00 08/01/1979 12/31/2299
27594 2 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECON N 3 $75.00 08/01/1979 12/31/2299
27594 7 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECON N 3 $13.45 06/01/1994 12/31/2299
27594 F AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECON N 3 $351.00 03/01/2004 12/31/2299
27596 2 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; REAMP N 3 $426.00 01/02/1994 12/31/2299
27596 7 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; REAMP N 3 $13.45 06/01/1994 12/31/2299
27596 8 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; REAMP N 3 $60.00 01/01/1984 12/31/2299
27598 2 DISARTICULATION AT KNEE N 3 $350.00 01/01/1973 12/31/2299
27598 7 DISARTICULATION AT KNEE N 3 $13.45 06/01/1994 12/31/2299
27598 8 DISARTICULATION AT KNEE N 3 $70.00 01/01/1973 12/31/2299
27599 7 UNLISTED PROCEDURE, FEMUR OR KNEE N 3 $13.45 06/01/1994 12/31/2299
27600 2 FASCIOTOMY, LEG, ANTERIOR COMPARTMENT, FOR CLOSED N 3 $125.00 01/01/1973 12/31/2299
27600 7 FASCIOTOMY, LEG, ANTERIOR COMPARTMENT, FOR CLOSED N 3 $13.45 06/01/1994 12/31/2299
27600 8 FASCIOTOMY, LEG, ANTERIOR COMPARTMENT, FOR CLOSED N 3 $50.45 01/01/2005 12/31/2299
27600 F FASCIOTOMY, LEG, ANTERIOR COMPARTMENT, FOR CLOSED N 3 $351.00 03/01/2004 12/31/2299
27601 2 FASCIOTOMY,LEG, CLOSED SPACE DECOMPRESS/POSTERIOR N 3 $125.00 01/01/1984 12/31/2299
27601 8 FASCIOTOMY,LEG, CLOSED SPACE DECOMPRESS/POSTERIOR N 3 $25.00 01/01/1984 12/31/2299
27601 F FASCIOTOMY,LEG, CLOSED SPACE DECOMPRESS/POSTERIOR N 3 $351.00 03/01/2004 12/31/2299
27602 2 FASCIOTOMY, LEG, ANT.COMPARTMENT, FOR CLSD SP DECO N 3 $216.00 01/01/1995 12/31/2299
27602 7 FASCIOTOMY, LEG, ANT.COMPARTMENT, FOR CLSD SP DECO N 3 $13.45 06/01/1994 12/31/2299
27602 8 FASCIOTOMY, LEG, ANT.COMPARTMENT, FOR CLSD SP DECO N 3 $35.00 01/01/1984 12/31/2299
27602 F FASCIOTOMY, LEG, ANT.COMPARTMENT, FOR CLSD SP DECO N 3 $351.00 03/01/2004 12/31/2299
27603 2 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $60.00 01/01/1984 12/31/2299
27603 7 INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $13.45 06/01/1994 12/31/2299
27603 F INCISION AND DRAINAGE; DEEP ABSCESS OR HEMATOMA N 3 $306.00 03/01/2004 12/31/2299
27604 7 INCISION AND DRAINAGE; INFECTED BURSA N 3 $13.45 06/01/1994 12/31/2299
27604 F INCISION AND DRAINAGE; INFECTED BURSA N 3 $306.00 03/01/2004 12/31/2299
27605 2 TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS (SEPARATE N 3 $78.00 01/02/1992 12/31/2299
27605 7 TENOTOMY ACH TEND SUBCU SEP PROC N 3 $13.45 06/01/1994 12/31/2299
27605 F TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS (SEPARATE N 3 $225.80 03/01/2004 12/31/2299
27606 2 TENOTOMY,ACHILLES TENDON, SUBCUTANEOUS(SEPARATE N 3 $50.00 01/01/1987 12/31/2299
27606 7 TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS (SEPARATE N 3 $13.45 06/01/1994 12/31/2299
27606 F TENOTOMY,ACHILLES TENDON, SUBCUTANEOUS(SEPARATE N 3 $225.80 03/01/2004 12/31/2299
27607 2 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $324.00 01/02/1994 12/31/2299
27607 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
27607 F INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $306.00 03/01/2004 12/31/2299
27608 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
27610 2 ARTHROTOMY, ANKLE, WITH EXPLORATION, DRAINAGE OR R N 3 $225.00 01/01/1973 12/31/2299
27610 7 ARTHROTOMY, ANKLE, WITH EXPLORATION, DRAINAGE OR R N 3 $13.45 06/01/1994 12/31/2299
27610 8 ARTHROTOMY, ANKLE, WITH EXPLORATION, DRAINAGE OR R N 3 $45.00 01/01/1973 12/31/2299
27610 F ARTHROTOMY, ANKLE, WITH EXPLORATION, DRAINAGE OR R N 3 $306.00 03/01/2004 12/31/2299
27611 7 ARTHROTOMY, ANKLE, WITH EXPLOR, DRAIN OR REMOVAL O N 3 $13.45 06/01/1994 12/31/2299
27612 2 ARTHROTOMY, ANKLE, POSTERIOR CAPSULAR RELEASE, W O N 3 $250.00 01/01/1973 12/31/2299
27612 7 ARTHROTOMY, ANKLE, POSTERIOR CAPSULAR RELEASE, W O N 3 $13.45 06/01/1994 12/31/2299
27612 8 ARTHROTOMY, ANKLE, POSTERIOR CAPSULAR RELEASE, W O N 3 $50.00 01/01/1973 12/31/2299
27612 F ARTHROTOMY, ANKLE, POSTERIOR CAPSULAR RELEASE, W O N 3 $351.00 03/01/2004 12/31/2299
27613 2 BIOPSY, SOFT TISSUES; SUPERFICIAL N 3 $45.00 01/01/1984 12/31/2299
27614 2 BIOPSY, SOFT TISSUES; DEEP N 3 $75.00 01/01/1984 12/31/2299
27614 7 BIOPSY SOFT TISSUE DEEP N 3 $13.45 06/01/1994 12/31/2299
27614 F BIOPSY, SOFT TISSUES; DEEP N 3 $306.00 03/01/2004 12/31/2299
27615 2 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $557.83 01/01/2003 12/31/2299
27615 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
27615 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
27618 2 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $280.22 01/01/2004 12/31/2299
27618 7 ANESTHESIA, EXCISION BENIGN TUMOR, SUBCUTANEOUS N 3 $13.45 01/02/1994 12/31/2299
27618 F EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
27619 2 EXCISION, BENIGN TUMOR; DEEP SUBFASCIAL OR INTRAMU N 3 $200.00 01/02/1992 12/31/2299
27619 7 EXCISION, BENIGN TUMOR; DEEP SUBFASCIAL OR INTRAMU N 3 $13.45 06/01/1994 12/31/2299
27619 F EXCISION, BENIGN TUMOR; DEEP SUBFASCIAL OR INTRAMU N 3 $351.00 03/01/2004 12/31/2299
27620 2 ARTHROTOMY, ANKLE, FOR BIOPSY N 3 $225.00 01/01/1973 12/31/2299
27620 7 ARTHROTOMY, ANKLE, FOR BIOPSY N 3 $13.45 06/01/1994 12/31/2299
27620 F ARTHROTOMY, ANKLE, FOR BIOPSY N 3 $432.00 03/01/2004 12/31/2299
27625 2 ARTHROTOMY, ANKLE, FOR SYNOVECTOMY; N 3 $300.00 01/01/1973 12/31/2299
27625 7 ARTHROTOMY, ANKLE, FOR SYNOVECTOMY; N 3 $13.45 06/01/1994 12/31/2299
27625 8 ARTHROTOMY, ANKLE, FOR SYNOVECTOMY; N 3 $60.00 01/01/1973 12/31/2299
27625 F ARTHROTOMY, ANKLE, FOR SYNOVECTOMY; N 3 $432.00 03/01/2004 12/31/2299
27626 7 ARTHROTOMY, ANKLE, FOR SYNOVECTOMY; INCLUDING TENO N 3 $13.45 06/01/1994 12/31/2299
27626 F ARTHROTOMY, ANKLE, FOR SYNOVECTOMY; INCLUDING TENO N 3 $432.00 03/01/2004 12/31/2299
27630 2 EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $60.00 01/01/1973 12/31/2299
27630 7 EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $13.45 06/01/1994 12/31/2299
27630 8 EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $52.85 01/01/2005 12/31/2299
27630 F EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG N 3 $351.00 03/01/2004 12/31/2299
27635 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $250.00 01/01/1973 12/31/2299
27635 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
27635 8 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $50.00 01/01/1973 12/31/2299
27635 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $351.00 03/01/2004 12/31/2299
27637 2 EXCIS/CURET OF BONE CYST/BENIGN TUMOR, TIBIA OR FI N 3 $325.00 01/01/1973 12/31/2299
27637 7 EXCIS/CURET OF BONE CYST/BENIGN TUMOR, TIBIA OR FI N 3 $13.45 06/01/1994 12/31/2299
27637 8 EXCIS/CURET OF BONE CYST/BENIGN TUMOR, TIBIA OR FI N 3 $65.00 01/01/1973 12/31/2299
27637 F EXCIS/CURET OF BONE CYST/BENIGN TUMOR, TIBIA OR FI N 3 $351.00 03/01/2004 12/31/2299
27638 2 EXCIS/CURETT OF BONE CYST/BENIGN TUMOR, TIBIA OR F N 3 $464.95 01/01/2004 12/31/2299
27638 7 EXCIS/CURETT OF BONE CYST/BENIGN TUMOR, TIBIA OR F N 3 $13.45 06/01/1994 12/31/2299
27638 8 EXCIS/CURETT OF BONE CYST/BENIGN TUMOR, TIBIA OR F N 3 $104.91 01/01/2004 12/31/2299
27638 F EXCIS/CURETT OF BONE CYST/BENIGN TUMOR, TIBIA OR F N 3 $351.00 03/01/2004 12/31/2299
27640 2 PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $300.00 01/01/1973 12/31/2299
27640 7 PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $13.45 06/01/1994 12/31/2299
27640 8 PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $60.00 01/01/1973 12/31/2299
27640 F PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $306.00 03/01/2004 12/31/2299
27641 2 PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $300.00 01/01/1984 12/31/2299
27641 7 PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $13.45 06/01/1994 12/31/2299
27641 8 PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $60.00 01/01/1984 12/31/2299
27641 F PARTIAL EXCISION (CRATERIZATION, SAUCERIZ. OR DIAP N 3 $306.00 03/01/2004 12/31/2299
27645 7 RESECTION FOR TUMOR, RADICAL; TIBIA N 3 $13.45 06/01/1994 12/31/2299
27646 7 RESECTION FOR TUMOR, RADICAL; FIBULA N 3 $13.45 06/01/1994 12/31/2299
27647 7 RESECTION FOR TUMOR, RADICAL; TALUS OR CALCANEUS N 3 $13.45 06/01/1994 12/31/2299
27647 F RESECTION FOR TUMOR, RADICAL; TALUS OR CALCANEUS N 3 $351.00 03/01/2004 12/31/2299
27648 2 INJECTION PROCEDURE FOR ANKLE ARTHROGRAPHY N 3 $131.63 01/01/2003 12/31/2299
27650 2 SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; N 3 $275.00 01/01/1973 12/31/2299
27650 7 SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; N 3 $13.45 06/01/1994 12/31/2299
27650 8 SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; N 3 $55.00 01/01/1984 12/31/2299
27650 F SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; N 3 $351.00 03/01/2004 12/31/2299
27652 2 SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; WITH GR N 3 $350.00 01/01/1973 12/31/2299
27652 7 SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; WITH GR N 3 $13.45 06/01/1994 12/31/2299
27652 8 SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; WITH GR N 3 $70.00 01/01/1973 12/31/2299
27652 F SUTURE, PRIMARY, RUPTURED ACHILLES TENDON; WITH GR N 3 $351.00 03/01/2004 12/31/2299
27654 7 SUTURE, SECONDARY, RUPTURED ACHILLES TENDON, WITH N 3 $13.45 06/01/1994 12/31/2299
27654 F SUTURE, SECONDARY, RUPTURED ACHILLES TENDON, WITH N 3 $351.00 03/01/2004 12/31/2299
27656 2 REPAIR, FASCIAL DEFECT OF LEG N 3 $150.00 01/01/1973 12/31/2299
27656 7 REPAIR, FASCIAL DEFECT OF LEG N 3 $13.45 06/01/1994 12/31/2299
27656 F REPAIR, FASCIAL DEFECT OF LEG N 3 $306.00 03/01/2004 12/31/2299
27658 2 REPAIR OR SUTURE OF FLEXOR TENDON OF LEG; PRIMARY, N 3 $35.00 08/01/1979 12/31/2299
27658 7 REPAIR OR SUTURE OF FLEXOR TENDON OF LEG; PRIMARY, N 3 $13.45 06/01/1994 12/31/2299
27658 F REPAIR OR SUTURE OF FLEXOR TENDON OF LEG; PRIMARY, N 3 $225.80 03/01/2004 12/31/2299
27659 2 REPAIR OR SUTURE OF FLEXOR TENDON OF LEG; SECONDAR N 3 $50.00 08/01/1979 12/31/2299
27659 7 REPAIR OR SUTURE OF FLEXOR TENDON OF LEG; SECONDAR N 3 $13.45 06/01/1994 12/31/2299
27659 F REPAIR OR SUTURE OF FLEXOR TENDON OF LEG; SECONDAR N 3 $306.00 03/01/2004 12/31/2299
27664 2 REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG; PRIMAR N 3 $50.00 08/01/1979 12/31/2299
27664 7 REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG; PRIMAR N 3 $13.45 06/01/1994 12/31/2299
27664 F REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG; PRIMAR N 3 $306.00 03/01/2004 12/31/2299
27665 2 REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG; SECOND N 3 $50.00 08/01/1979 12/31/2299
27665 7 REPAIR OF SUT OF EXT TEND OF LEG SINGLE TEND N 3 $13.45 06/01/1994 12/31/2299
27665 F REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG; SECOND N 3 $306.00 03/01/2004 12/31/2299
27675 2 REPAIR FOR DISLOCATING PERONEAL TENDONS; WITHOUT F N 3 $150.00 01/01/1984 12/31/2299
27675 7 REPAIR FOR DISLOCATING PERONEAL TENDONS; WITHOUT F N 3 $13.45 06/01/1994 12/31/2299
27675 F REPAIR FOR DISLOCATING PERONEAL TENDONS; WITHOUT F N 3 $306.00 03/01/2004 12/31/2299
27676 2 REPAIR FOR DISLOCATING PERONEAL TENDONS; WITH FIBU N 3 $175.00 01/01/1984 12/31/2299
27676 7 REPAIR FOR DISLOCATING PERONEAL TENDONS; WITH FIBU N 3 $13.45 06/01/1994 12/31/2299
27676 8 REPAIR FOR DISLOCATING PERONEAL TENDONS; WITH FIBU N 3 $35.00 01/01/1984 12/31/2299
27676 F REPAIR FOR DISLOCATING PERONEAL TENDONS; WITH FIBU N 3 $351.00 03/01/2004 12/31/2299
27680 2 TENOLYSIS, INCLUDING TIBIA, FIBULA AND ANKLE FLEXO N 3 $125.00 01/01/1973 12/31/2299
27680 7 TENOLYSIS, INCLUDING TIBIA, FIBULA AND ANKLE FLEXO N 3 $13.45 06/01/1994 12/31/2299
27680 F TENOLYSIS, INCLUDING TIBIA, FIBULA AND ANKLE FLEXO N 3 $351.00 03/01/2004 12/31/2299
27681 2 TENOLYSIS, INCLUDING TIBIA, FIBULA AND ANKLE FLEXO N 3 $150.00 01/01/1973 12/31/2299
27681 7 TENOLYSIS, INCLUDING TIBIA, FIBULA AND ANKLE FLEXO N 3 $13.45 06/01/1994 12/31/2299
27681 F TENOLYSIS, INCLUDING TIBIA, FIBULA AND ANKLE FLEXO N 3 $306.00 03/01/2004 12/31/2299
27685 2 LENGTHENING OR SHORTENING OF TENDON; SINGLE (SEPAR N 3 $198.00 01/02/1992 12/31/2299
27685 7 LENGTHENING OR SHORTENING OF TENDON; SINGLE (SEPAR N 3 $13.45 06/01/1994 12/31/2299
27685 8 LENGTHENING OR SHORTENING OF TENDON; SINGLE (SEPAR N 3 $35.00 01/01/1984 12/31/2299
27685 F LENGTHENING OR SHORTENING OF TENDON; SINGLE (SEPAR N 3 $351.00 03/01/2004 12/31/2299
27686 2 LENGTHENING OR SHORTENING OF TENDON; MULTIPLE, THR N 3 $270.00 01/02/1993 12/31/2299
27686 7 LENGTHENING OR SHORTENING OF TENDON; MULTIPLE, THR N 3 $13.45 06/01/1994 12/31/2299
27686 8 LENGTHENING OR SHORTENING OF TENDON; MULTIPLE, THR N 3 $50.00 01/01/1984 12/31/2299
27686 F LENGTHENING OR SHORTENING OF TENDON; MULTIPLE, THR N 3 $351.00 03/01/2004 12/31/2299
27687 2 GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) N 3 $282.00 01/01/1999 12/31/2299
27687 7 GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
27687 8 GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) N 3 $66.48 01/01/2002 12/31/2299
27687 F GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) N 3 $351.00 03/01/2004 12/31/2299
27690 2 TRANSFER/TRANSPL OF SINGL TENDON(W/MUSCLE REDIR/RE N 3 $300.00 01/02/1992 12/31/2299
27690 7 TRANSFER/TRANSPL OF SINGL TENDON(W/MUSCLE REDIR/RE N 3 $13.45 06/01/1994 12/31/2299
27690 8 TRANSFER/TRANSPL OF SINGL TENDON(W/MUSCLE REDIR/RE N 3 $30.00 01/01/1984 12/31/2299
27690 F TRANSFER/TRANSPL OF SINGL TENDON(W/MUSCLE REDIR/RE N 3 $432.00 03/01/2004 12/31/2299
27691 2 FLEXOR HALLICUS, LONGUS, OR PERONEAL TENDON TO MIDFOOT/HINDFOOT N 3 $342.00 01/01/1996 12/31/2299
27691 7 TRANSF/TRANSPL SINGL TEN(W/MUSCLE REDIR/REROUT);AN N 3 $13.45 06/01/1994 12/31/2299
27691 8 TRANSF/TRANSPL SINGL TEN(W/MUSCLE REDIR/REROUT);AN N 3 $30.00 01/01/1984 12/31/2299
27691 F FLEXOR HALLICUS, LONGUS, OR PERONEAL TENDON TO MIDFOOT/HINDFOOT N 3 $432.00 03/01/2004 12/31/2299
27692 2 TRANSF/TRANSPL SINGL TEN(W/MUSC REDIR/REROUT); ANT N 3 $66.85 01/01/2002 12/31/2299
27692 7 TRANSF/TRANSPL SINGL TEN(W/MUSC REDIR/REROUT); ANT N 3 $13.45 06/01/1994 12/31/2299
27692 F TRANSF/TRANSPL SINGL TEN(W/MUSC REDIR/REROUT); ANT N 3 $351.00 03/01/2004 12/31/2299
27695 2 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $250.00 08/01/1979 12/31/2299
27695 7 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $13.45 06/01/1994 12/31/2299
27695 8 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $50.00 08/01/1979 12/31/2299
27695 F SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $306.00 03/01/2004 12/31/2299
27696 2 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $350.00 08/01/1979 12/31/2299
27696 7 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $13.45 06/01/1994 12/31/2299
27696 8 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $70.00 08/01/1979 12/31/2299
27696 F SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED LIGAMEN N 3 $306.00 03/01/2004 12/31/2299
27698 2 SUTURE,SECONDARY REPAIR,TORN,RUPT OR SEVERED LIG, N 3 $540.00 01/01/1995 12/31/2299
27698 7 SUTURE,SECONDARY REPAIR,TORN,RUPT OR SEVERED LIG, N 3 $13.45 06/01/1994 12/31/2299
27698 8 SUTURE,SECONDARY REPAIR,TORN,RUPT OR SEVERED LIG, N 3 $108.00 01/01/1995 12/31/2299
27698 F SUTURE,SECONDARY REPAIR,TORN,RUPT OR SEVERED LIG, N 3 $306.00 03/01/2004 12/31/2299
27700 2 ARTHROPLASTY, ANKLE; N 3 $400.00 01/01/1984 12/31/2299
27700 7 ARTHROPLASTY, ANKLE; N 3 $13.45 06/01/1994 12/31/2299
27700 8 ARTHROPLASTY, ANKLE; N 3 $80.00 01/01/1984 12/31/2299
27700 F ARTHROPLASTY, ANKLE; N 3 $495.00 03/01/2004 12/31/2299
27702 7 ARTHROPLASTY, ANKLE; WITH IMPLANT ("TOTAL ANKLE") N 3 $13.45 06/01/1994 12/31/2299
27703 7 ARTHROPLASTY, ANKLE N 3 $13.45 06/01/1994 12/31/2299
27704 7 REMOVAL OF ANKLE IMPLANT N 3 $13.45 06/01/1994 12/31/2299
27704 F REMOVAL OF ANKLE IMPLANT N 3 $306.00 03/01/2004 12/31/2299
27705 2 OSTEOTOMY; TIBIA N 3 $300.00 01/01/1973 12/31/2299
27705 7 OSTEOTOMY; TIBIA N 3 $13.45 06/01/1994 12/31/2299
27705 8 OSTEOTOMY; TIBIA N 3 $60.00 01/01/1973 12/31/2299
27705 F OSTEOTOMY; TIBIA N 3 $306.00 03/01/2004 12/31/2299
27707 2 OSTEOTOMY; FIBULA N 3 $175.00 01/01/1973 12/31/2299
27707 7 OSTEOTOMY; FIBULA N 3 $13.45 06/01/1994 12/31/2299
27707 F OSTEOTOMY; FIBULA N 3 $306.00 03/01/2004 12/31/2299
27709 2 OSTEOTOMY; TIBIA AND FIBULA N 3 $350.00 01/01/1973 12/31/2299
27709 7 OSTEOTOMY; TIBIA AND FIBULA N 3 $13.45 06/01/1994 12/31/2299
27709 8 OSTEOTOMY; TIBIA AND FIBULA N 3 $70.00 01/01/1973 12/31/2299
27709 F OSTEOTOMY; TIBIA AND FIBULA N 3 $306.00 03/01/2004 12/31/2299
27712 2 OSTEOTOMY; MULTIPLE, W/REALIGNMENT ON INTRAMEDULLA N 3 $450.00 01/01/1973 12/31/2299
27712 7 OSTEOTOMY; MULTIPLE, W/REALIGNMENT ON INTRAMEDULLA N 3 $13.45 06/01/1994 12/31/2299
27712 8 OSTEOTOMY; MULTIPLE, W/REALIGNMENT ON INTRAMEDULLA N 3 $90.00 01/01/1973 12/31/2299
27715 7 OSTEOPLASTY, TIBIA AND FIBULA, LENGTHENING N 3 $13.45 06/01/1994 12/31/2299
27720 2 REPAIR OF NONUNION OR MALUNION, TIBIA; W/O GRAFT ( N 3 $450.00 08/01/1979 12/31/2299
27720 7 REPAIR OF NONUNION OR MALUNION, TIBIA; W/O GRAFT ( N 3 $13.45 06/01/1994 12/31/2299
27720 8 REPAIR OF NONUNION OR MALUNION, TIBIA; W/O GRAFT ( N 3 $90.00 08/01/1979 12/31/2299
27722 2 REPAIR OF NONUNION OR MALUNION, TIBIA; WITH SLIDIN N 3 $500.00 01/01/1973 12/31/2299
27722 7 REPAIR OF NONUNION OR MALUNION, TIBIA; WITH SLIDIN N 3 $13.45 06/01/1994 12/31/2299
27722 8 REPAIR OF NONUNION OR MALUNION, TIBIA; WITH SLIDIN N 3 $100.00 01/01/1973 12/31/2299
27724 2 REPAIR OF NONUNION OR MALUNION, TIBIA; W/ ILIAC OR N 3 $550.00 01/01/1973 12/31/2299
27724 7 REPAIR OF NONUNION OR MALUNION, TIBIA; W/ ILIAC OR N 3 $13.45 06/01/1994 12/31/2299
27724 8 REPAIR OF NONUNION OR MALUNION, TIBIA; W/ ILIAC OR N 3 $110.00 01/01/1973 12/31/2299
27725 7 REPAIR OF NONUNION OR MALUNION, TIBIA; BY SYNOSTOS N 3 $13.45 06/01/1994 12/31/2299
27727 7 REPAIR OF CONGENITAL PSEUDARTHROSIS, TIBIA N 3 $13.45 06/01/1994 12/31/2299
27730 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $300.00 01/01/1999 12/31/2299
27730 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $13.45 06/01/1994 12/31/2299
27730 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $60.00 01/01/1999 12/31/2299
27730 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $306.00 03/01/2004 12/31/2299
27732 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $150.00 01/01/1999 12/31/2299
27732 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $13.45 06/01/1994 12/31/2299
27732 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $30.00 01/01/1999 12/31/2299
27732 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $306.00 03/01/2004 12/31/2299
27734 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $350.00 01/01/1999 12/31/2299
27734 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $13.45 06/01/1994 12/31/2299
27734 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $70.00 01/01/1999 12/31/2299
27734 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; D N 3 $306.00 03/01/2004 12/31/2299
27740 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $450.00 01/01/1973 12/31/2299
27740 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $13.45 06/01/1994 12/31/2299
27740 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $90.00 01/01/1973 12/31/2299
27740 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $306.00 03/01/2004 12/31/2299
27742 2 EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $550.00 01/01/1999 12/31/2299
27742 7 EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $13.45 06/01/1994 12/31/2299
27742 8 EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $110.00 01/01/1999 12/31/2299
27742 F EPIPHYSEAL ARREST BY EPIPHYSIODESIS/STAPLING, COMB N 3 $306.00 03/01/2004 12/31/2299
27745 7 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $13.45 06/01/1994 12/31/2299
27745 F PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING N 3 $351.00 03/01/2004 12/31/2299
27750 2 TREATMENT OF CLOSED TIBIAL SHAFT FRACTURE; WITHOUT N 3 $35.00 08/01/1979 12/31/2299
27750 7 TREATMENT OF CLOSED TIBIAL SHAFT FRACTURE; WITHOUT N 3 $13.45 06/01/1994 12/31/2299
27750 F TREATMENT OF CLOSED TIBIAL SHAFT FRACTURE; WITHOUT N 3 $225.80 03/01/2004 12/31/2299
27752 2 TREATMENT OF CLOSED TIBIAL SHAFT FRACTURE; WITH MA N 3 $270.00 01/02/1995 12/31/2299
27752 7 TREATMENT OF CLOSED TIBIAL SHAFT FRACTURE; WITH MA N 3 $13.45 06/01/1994 12/31/2299
27752 F TREATMENT OF CLOSED TIBIAL SHAFT FRACTURE; WITH MA N 3 $225.80 03/01/2004 12/31/2299
27756 2 OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $300.00 01/01/1973 12/31/2299
27756 7 OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $13.45 06/01/1994 12/31/2299
27756 8 OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $50.00 01/01/1971 12/31/2299
27756 F OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $351.00 03/01/2004 12/31/2299
27758 2 OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $400.00 01/01/1984 12/31/2299
27758 7 OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $13.45 06/01/1994 12/31/2299
27758 8 OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $80.00 01/01/1984 12/31/2299
27758 F OPEN TREATMENT OF CLOSED OR OPEN TIBIAL SHAFT FX, N 3 $432.00 03/01/2004 12/31/2299
27759 2 OPEN TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR W N 3 $702.00 01/02/1995 12/31/2299
27759 7 OPEN TRTMT OF TIBIAL SHAFT FX W/WO FIBULAR N 3 $13.45 06/01/1994 12/31/2299
27759 8 OPEN TRTMT OF TIBIAL SHAFT FX W/WO FIBULAR N 3 $140.00 01/02/1995 12/31/2299
27759 F OPEN TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR W N 3 $432.00 03/01/2004 12/31/2299
27760 2 TREATMENT OF CLOSED DISTAL TIBIAL FX (MEDIAL MALLE N 3 $40.00 08/01/1979 12/31/2299
27760 7 TREATMENT OF CLOSED DISTAL TIBIAL FX (MEDIAL MALLE N 3 $13.45 06/01/1994 12/31/2299
27760 F TREATMENT OF CLOSED DISTAL TIBIAL FX (MEDIAL MALLE N 3 $225.80 03/01/2004 12/31/2299
27762 2 TREATMENT OF CLOSED DISTAL TIBIAL FX (MEDIAL MALLE N 3 $75.00 01/01/1971 12/31/2299
27762 7 TREATMENT OF CLOSED DISTAL TIBIAL FX (MEDIAL MALLE N 3 $13.45 06/01/1994 12/31/2299
27762 F TREATMENT OF CLOSED DISTAL TIBIAL FX (MEDIAL MALLE N 3 $225.80 03/01/2004 12/31/2299
27766 2 OPEN TREAT OF CLOSED OR OPEN DISTAL TIBIAL FX(MEDI N 3 $411.00 01/02/1995 12/31/2299
27766 7 OPEN TREAT OF CLOSED OR OPEN DISTAL TIBIAL FX(MEDI N 3 $13.45 06/01/1994 12/31/2299
27766 8 OPEN TREAT OF CLOSED OR OPEN DISTAL TIBIAL FX(MEDI N 3 $45.00 01/01/1973 12/31/2299
27766 F OPEN TREAT OF CLOSED OR OPEN DISTAL TIBIAL FX(MEDI N 3 $351.00 03/01/2004 12/31/2299
27780 2 TREATMENT OF CLOSED PROXIMAL FIBULA OR SHAFT FX, W N 3 $35.00 01/01/1973 12/31/2299
27780 7 TREATMENT OF CLOSED PROXIMAL FIBULA OR SHAFT FX, W N 3 $13.45 06/01/1994 12/31/2299
27780 F TREATMENT OF CLOSED PROXIMAL FIBULA OR SHAFT FX, W N 3 $225.80 03/01/2004 12/31/2299
27781 2 TREATMENT OF CLOSED PROXIMAL FIBULA OR SHAFT FX, W N 3 $60.00 01/01/1984 12/31/2299
27781 7 TREATMENT OF CLOSED PROXIMAL FIBULA OR SHAFT FX, W N 3 $13.45 06/01/1994 12/31/2299
27781 F TREATMENT OF CLOSED PROXIMAL FIBULA OR SHAFT FX, W N 3 $225.80 03/01/2004 12/31/2299
27784 2 OPEN TREAT OF CLOSED OR OPEN PROX FIB OR SHAFT FX, N 3 $200.00 01/01/1973 12/31/2299
27784 7 OPEN TREAT OF CLOSED OR OPEN PROX FIB OR SHAFT FX, N 3 $13.45 06/01/1994 12/31/2299
27784 8 OPEN TREAT OF CLOSED OR OPEN PROX FIB OR SHAFT FX, N 3 $40.00 01/01/1973 12/31/2299
27784 F OPEN TREAT OF CLOSED OR OPEN PROX FIB OR SHAFT FX, N 3 $351.00 03/01/2004 12/31/2299
27786 2 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS WO N 3 $132.00 01/01/1998 12/31/2299
27786 7 TREAT OF CLOSED DISTAL FIBULAR FX (LATERAL MALLEOL N 3 $13.45 06/01/1994 12/31/2299
27786 F CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS WO N 3 $225.80 03/01/2004 12/31/2299
27788 2 TREAT OF CLOSED DISTAL FIBULAR FX (LATERAL MALLEOL N 3 $70.00 01/01/1971 12/31/2299
27788 7 TREAT OF CLOSED DISTAL FIBULAR FX (LATERAL MALLEOL N 3 $13.45 06/01/1994 12/31/2299
27788 F TREAT OF CLOSED DISTAL FIBULAR FX (LATERAL MALLEOL N 3 $225.80 03/01/2004 12/31/2299
27792 2 OPEN TREAT OF CLOSED OR OPEN DISTAL FIB FX (LATERA N 3 $200.00 01/01/1973 12/31/2299
27792 7 OPEN TREAT OF CLOSED OR OPEN DISTAL FIB FX (LATERA N 3 $13.45 06/01/1994 12/31/2299
27792 8 OPEN TREAT OF CLOSED OR OPEN DISTAL FIB FX (LATERA N 3 $40.00 01/01/1973 12/31/2299
27792 F OPEN TREAT OF CLOSED OR OPEN DISTAL FIB FX (LATERA N 3 $351.00 03/01/2004 12/31/2299
27808 2 TREATMENT OF CLOSED BIMALLEOLAR ANKLE FX,(INCLUD P N 3 $50.00 01/01/1973 12/31/2299
27808 7 TREATMENT OF CLOSED BIMALLEOLAR ANKLE FX,(INCLUD P N 3 $13.45 06/01/1994 12/31/2299
27808 F TREATMENT OF CLOSED BIMALLEOLAR ANKLE FX,(INCLUD P N 3 $225.80 03/01/2004 12/31/2299
27810 2 TREATMENT OF CLOSED BIMALLEOLAR ANKLE FX,(INCLUD P N 3 $150.00 01/01/1971 12/31/2299
27810 7 TREATMENT OF CLOSED BIMALLEOLAR ANKLE FX,(INCLUD P N 3 $13.45 06/01/1994 12/31/2299
27810 F TREATMENT OF CLOSED BIMALLEOLAR ANKLE FX,(INCLUD P N 3 $225.80 03/01/2004 12/31/2299
27814 2 OPEN TREATMENT OF CLOSED OR OPEN BIMALLEOLAR ANKLE N 3 $263.00 01/01/1973 12/31/2299
27814 7 OPEN TREATMENT OF CLOSED OR OPEN BIMALLEOLAR ANKLE N 3 $13.45 06/01/1994 12/31/2299
27814 8 OPEN TREATMENT OF CLOSED OR OPEN BIMALLEOLAR ANKLE N 3 $53.00 01/01/1973 12/31/2299
27814 F OPEN TREATMENT OF CLOSED OR OPEN BIMALLEOLAR ANKLE N 3 $351.00 03/01/2004 12/31/2299
27816 2 TREATMENT OF CLOSED TRIMALLEOLAR ANKLE FRACTURE; W N 3 $50.00 01/01/1973 12/31/2299
27816 7 TREATMENT OF CLOSED TRIMALLEOLAR ANKLE FRACTURE; W N 3 $13.45 06/01/1994 12/31/2299
27816 F TREATMENT OF CLOSED TRIMALLEOLAR ANKLE FRACTURE; W N 3 $225.80 03/01/2004 12/31/2299
27818 2 TREATMENT OF CLOSED TRIMALLEOLAR ANKLE FRACTURE; W N 3 $150.00 01/01/1973 12/31/2299
27818 7 TREATMENT OF CLOSED TRIMALLEOLAR ANKLE FRACTURE; W N 3 $13.45 06/01/1994 12/31/2299
27818 F TREATMENT OF CLOSED TRIMALLEOLAR ANKLE FRACTURE; W N 3 $225.80 03/01/2004 12/31/2299
27822 2 OPEN TREAT OF CLSD OR OPN TRIMA ANKLE FX, W OR W/O N 3 $412.00 01/02/1992 12/31/2299
27822 7 OPEN TREAT OF CLSD OR OPN TRIMA ANKLE FX, W OR W/O N 3 $13.45 06/01/1994 12/31/2299
27822 8 OPEN TREAT OF CLSD OR OPN TRIMA ANKLE FX, W OR W/O N 3 $70.00 01/01/1973 12/31/2299
27822 F OPEN TREAT OF CLSD OR OPN TRIMA ANKLE FX, W OR W/O N 3 $351.00 03/01/2004 12/31/2299
27823 2 OPN TRT, CLSD/OPN TRI ANK FX,W OR W/O INT-EXT FIX, N 3 $400.00 01/01/1984 12/31/2299
27823 7 OPN TRT, CLSD/OPN TRI ANK FX,W OR W/O INT-EXT FIX, N 3 $13.45 06/01/1994 12/31/2299
27823 8 OPN TRT, CLSD/OPN TRI ANK FX,W OR W/O INT-EXT FIX, N 3 $119.05 01/01/2004 12/31/2299
27823 F OPN TRT, CLSD/OPN TRI ANK FX,W OR W/O INT-EXT FIX, N 3 $351.00 03/01/2004 12/31/2299
27824 2 CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ART N 3 $54.51 01/01/1993 12/31/2299
27824 7 CLSD TRTMT OF FX WEIGHT BEARING ARTCLR PORTION N 3 $13.45 06/01/1994 12/31/2299
27824 F CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ART N 3 $225.80 03/01/2004 12/31/2299
27825 2 CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ART N 3 $241.01 01/01/1993 12/31/2299
27825 7 CLSD TRTMT OF FX WEIGHT BEARING ARTCLR PORTION N 3 $13.45 06/01/1994 12/31/2299
27825 F CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ART N 3 $306.00 03/01/2004 12/31/2299
27826 2 OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTIC N 3 $387.84 01/01/1993 12/31/2299
27826 7 OPEN TRTMT OF FX OF WEIGHT BEARNG ARTICULR SUF FIB N 3 $13.45 06/01/1994 12/31/2299
27826 F OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTIC N 3 $351.00 03/01/2004 12/31/2299
27827 2 OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTIC N 3 $398.54 01/01/1993 12/31/2299
27827 7 OPEN TRTMT OF FX OF WEIGHT BEARING ARTICUL SURFACE N 3 $13.45 06/01/1994 12/31/2299
27827 8 OPEN TRTMT OF FX OF WEIGHT BEARING ARTICUL SURFACE N 3 $134.36 01/01/2003 12/31/2299
27827 F OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTIC N 3 $351.00 03/01/2004 12/31/2299
27828 2 OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTIC N 3 $464.74 01/01/1993 12/31/2299
27828 7 OPEN TRTMT FRACTURE OF WEIGHT LEARNING ARTICULAR S N 3 $13.45 06/01/1994 12/31/2299
27828 8 OPEN TRTMT FRACTURE OF WEIGHT LEARNING ARTICULAR S N 3 $126.00 01/02/1994 12/31/2299
27828 F OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTIC N 3 $432.00 03/01/2004 12/31/2299
27829 2 OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDE N 3 $278.77 01/01/1993 12/31/2299
27829 7 OPEN TRTMT OF DISTAL TIBIOFIBULAR JOINT DISRUPTION N 3 $13.45 06/01/1994 12/31/2299
27829 F OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDE N 3 $306.00 03/01/2004 12/31/2299
27830 7 TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATI N 3 $13.45 06/01/1994 12/31/2299
27830 F TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATI N 3 $225.80 03/01/2004 12/31/2299
27831 7 TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATI N 3 $13.45 06/01/1994 12/31/2299
27831 F TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATI N 3 $225.80 03/01/2004 12/31/2299
27832 2 OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISL N 3 $200.00 01/01/1973 12/31/2299
27832 7 OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISL N 3 $13.45 06/01/1994 12/31/2299
27832 F OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISL N 3 $306.00 03/01/2004 12/31/2299
27840 2 TREATMENT OF ANKLE DISLOCATION; WITHOUT ANESTHESIA N 3 $726.00 01/02/1992 12/31/2299
27840 F TREATMENT OF ANKLE DISLOCATION; WITHOUT ANESTHESIA N 3 $225.80 03/01/2004 12/31/2299
27842 2 TREATMENT OF ANKLE DISLOCATION; REQUIRING ANESTHES N 3 $50.00 01/01/1973 12/31/2299
27842 7 TREATMENT OF ANKLE DISLOCATION; REQUIRING ANESTHES N 3 $13.45 06/01/1994 12/31/2299
27842 F TREATMENT OF ANKLE DISLOCATION; REQUIRING ANESTHES N 3 $225.80 03/01/2004 12/31/2299
27846 2 OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $300.00 01/01/1973 12/31/2299
27846 7 OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
27846 8 OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $60.00 01/01/1973 12/31/2299
27846 F OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $351.00 03/01/2004 12/31/2299
27848 2 OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $498.00 01/02/1995 12/31/2299
27848 7 OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $13.45 06/01/1994 12/31/2299
27848 8 OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $100.00 01/02/1995 12/31/2299
27848 F OPEN TREATMENT OF CLOSED OR OPEN ANKLE DISLOCATION N 3 $351.00 03/01/2004 12/31/2299
27851 7 ANTERIOR TIBIAL TUBERCLE PLASTY FOR CHONDROMALACIA N 3 $13.45 06/01/1994 12/31/2299
27860 2 MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA (IN N 3 $25.00 01/01/1973 12/31/2299
27860 7 MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA (IN N 3 $13.45 06/01/1994 12/31/2299
27860 F MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA (IN N 3 $225.80 03/01/2004 12/31/2299
27870 2 ARTHRODESIS, ANKLE, ANY METHOD N 3 $340.00 01/01/1973 12/31/2299
27870 7 ARTHRODESIS, ANKLE, ANY METHOD N 3 $13.45 06/01/1994 12/31/2299
27870 8 ARTHRODESIS, ANKLE, ANY METHOD N 3 $65.00 01/01/1973 12/31/2299
27870 F ARTHRODESIS, ANKLE, ANY METHOD N 3 $432.00 03/01/2004 12/31/2299
27871 7 ARTHRODESIS, TIBIOFIBULAR JOINT, PROXIMAL OR DISTA N 3 $13.45 06/01/1994 12/31/2299
27871 F ARTHRODESIS, TIBIOFIBULAR JOINT, PROXIMAL OR DISTA N 3 $432.00 03/01/2004 12/31/2299
27880 2 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; N 3 $280.00 01/01/1993 12/31/2299
27880 7 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; N 3 $13.45 06/01/1994 12/31/2299
27880 8 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; N 3 $56.00 01/01/1993 12/31/2299
27881 2 AMPUTATION LEG N 3 $275.00 01/01/1984 12/31/2299
27881 7 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; W/IMMEDI N 3 $13.45 06/01/1994 12/31/2299
27881 8 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; W/IMMEDI N 3 $55.00 01/01/1984 12/31/2299
27882 2 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; OPEN FLA N 3 $265.00 01/01/1973 12/31/2299
27882 7 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; OPEN FLA N 3 $13.45 06/01/1994 12/31/2299
27882 8 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; OPEN FLA N 3 $53.00 08/01/1979 12/31/2299
27884 2 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; SECONDAR N 3 $282.00 01/02/1995 12/31/2299
27884 7 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; SECONDAR N 3 $13.45 06/01/1994 12/31/2299
27884 F AMPUTATION LEG, THROUGH TIBIA AND FIBULA; SECONDAR N 3 $351.00 03/01/2004 12/31/2299
27886 2 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; REAMPUTA N 3 $200.00 01/01/1984 12/31/2299
27886 7 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; REAMPUTA N 3 $13.45 06/01/1994 12/31/2299
27886 8 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; REAMPUTA N 3 $40.00 01/01/1984 12/31/2299
27888 2 AMPUTAT,ANKLE,THRU MALLEOLI TIBIA & FIBULA(SYME,PI N 3 $300.00 01/01/1973 12/31/2299
27888 7 AMPUTAT,ANKLE,THRU MALLEOLI TIBIA & FIBULA(SYME,PI N 3 $13.45 06/01/1994 12/31/2299
27888 8 AMPUTAT,ANKLE,THRU MALLEOLI TIBIA & FIBULA(SYME,PI N 3 $60.00 01/01/1973 12/31/2299
27889 7 ANKLE DISARTICULATION N 3 $13.45 06/01/1994 12/31/2299
27889 F ANKLE DISARTICULATION N 3 $351.00 03/01/2004 12/31/2299
27892 2 DECOMPRESSION FASCIOTOMY, LEG; N 3 $189.10 01/01/1993 12/31/2299
27892 7 MISCELLANEOUS N 3 $13.45 06/01/1994 12/31/2299
27892 F DECOMPRESSION FASCIOTOMY, LEG; N 3 $351.00 03/01/2004 12/31/2299
27893 2 DECOMPRESSION FASCIOTOMY, LEG; N 3 $188.51 01/01/1993 12/31/2299
27893 7 DECOMPRESSION FASCOTOMY, LEG POSTERIOR COMPARTMENT N 3 $13.45 06/01/1994 12/31/2299
27893 F DECOMPRESSION FASCIOTOMY, LEG; N 3 $351.00 03/01/2004 12/31/2299
27894 2 DECOMPRESSION FASCIOTOMY, LEG; N 3 $233.65 01/01/1993 12/31/2299
27894 7 DECOMPRESSION FASCIOTOMY LEG ANTERIOR/LATERAL COMP N 3 $13.45 06/01/1994 12/31/2299
27894 F DECOMPRESSION FASCIOTOMY, LEG; N 3 $351.00 03/01/2004 12/31/2299
27899 7 UNLISTED PROCEDURE, LEG OR ANKLE N 3 $13.45 06/01/1994 12/31/2299
28001 2 INCISION AND DRAINAGE, INFECTED BURSA N 3 $25.00 01/01/1984 12/31/2299
28001 7 INCISION AND DRAINAGE, INFECTED BURSA - FOOT N 3 $13.45 06/01/1994 12/31/2299
28002 2 DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $50.00 01/01/1984 12/31/2299
28002 7 DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $13.45 06/01/1994 12/31/2299
28002 F DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $351.00 03/01/2004 12/31/2299
28003 2 DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $65.00 01/01/1984 12/31/2299
28003 7 DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $13.45 06/01/1994 12/31/2299
28003 8 DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $13.00 01/01/1984 12/31/2299
28003 F DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $351.00 03/01/2004 12/31/2299
28004 7 DEEP INFECT,BELOW FASC,REQUIR DEEP DISSECT, W OR W N 3 $13.45 06/01/1994 12/31/2299
28005 2 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $125.00 01/01/1984 12/31/2299
28005 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
28005 8 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $25.00 01/01/1984 12/31/2299
28005 F INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $351.00 03/01/2004 12/31/2299
28006 7 INCISION, DEEP, WITH OPENING OF BONE CORTEX FOR OS N 3 $13.45 06/01/1994 12/31/2299
28008 2 FASCIOTOMY, PLANTAR AND/OR TOE, SUBCUTANEOUS N 3 $60.00 01/01/1971 12/31/2299
28008 7 FASCIOTOMY, PLANTAR AND/OR TOE, SUBCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
28008 F FASCIOTOMY, PLANTAR AND/OR TOE, SUBCUTANEOUS N 3 $351.00 03/01/2004 12/31/2299
28010 2 TENOTOMY, SUBCUTANEOUS, TOE; SINGLE N 3 $20.00 01/01/1973 12/31/2299
28010 7 TENOTOMY, SUBCUTANEOUS, TOE; SINGLE N 3 $13.45 06/01/1994 12/31/2299
28011 2 TENOTOMY, SUBCUTANEOUS, TOE; MULTIPLE N 3 $10.00 01/01/1979 12/31/2299
28011 7 TENOTOMY, SUBCUTANEOUS, TOE; MULTIPLE N 3 $13.45 06/01/1994 12/31/2299
28011 F TENOTOMY, SUBCUTANEOUS, TOE; MULTIPLE N 3 $351.00 03/01/2004 12/31/2299
28020 2 ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $150.00 01/01/1979 12/31/2299
28020 7 ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $13.45 06/01/1994 12/31/2299
28020 F ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $306.00 03/01/2004 12/31/2299
28022 2 ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $90.00 01/02/1994 12/31/2299
28022 7 ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $13.45 06/01/1994 12/31/2299
28022 F ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $306.00 03/01/2004 12/31/2299
28024 2 ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $90.00 01/01/1984 12/31/2299
28024 7 ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $13.45 06/01/1994 12/31/2299
28024 F ARTHROTOMY,W/EXPLOR,DRAIN OR REMOV OF LOOSE OR FOR N 3 $306.00 03/01/2004 12/31/2299
28030 7 NEURECTOMY OF INTRINSIC MUSCULATURE OF FOOT N 3 $13.45 06/01/1994 12/31/2299
28030 F NEURECTOMY OF INTRINSIC MUSCULATURE OF FOOT N 3 $432.00 03/01/2004 12/31/2299
28035 2 TARSAL TUNNEL RELEASE (POSTERIOR TIBIAL NERVE DECO N 3 $200.00 01/01/1973 12/31/2299
28035 7 TARSAL TUNNEL RELEASE (POSTERIOR TIBIAL NERVE DECO N 3 $13.45 06/01/1994 12/31/2299
28035 8 TARSAL TUNNEL RELEASE (POSTERIOR TIBIAL NERVE DECO N 3 $40.00 01/01/1984 12/31/2299
28035 F TARSAL TUNNEL RELEASE (POSTERIOR TIBIAL NERVE DECO N 3 $432.00 03/01/2004 12/31/2299
28043 2 EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $50.00 01/01/1984 12/31/2299
28043 7 EXCISION, BENIGN TUMOR, SUBCUTANEOUS N 3 $13.45 01/02/1994 12/31/2299
28043 F EXCISION, BENIGN TUMOR; SUBCUTANEOUS N 3 $306.00 03/01/2004 12/31/2299
28045 2 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $125.00 01/02/1994 12/31/2299
28045 7 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $13.45 06/01/1994 12/31/2299
28045 8 EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $45.11 01/01/2005 12/31/2299
28045 F EXCISION, BENIGN TUMOR; DEEP, SUBFASCIAL, INTRAMUS N 3 $351.00 03/01/2004 12/31/2299
28046 2 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $517.45 01/01/2003 12/31/2299
28046 7 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $13.45 06/01/1994 12/31/2299
28046 F RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM N 3 $351.00 03/01/2004 12/31/2299
28050 2 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERTARSAL OR TAR N 3 $150.00 01/01/1979 12/31/2299
28050 7 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERTARSAL OR TAR N 3 $13.45 06/01/1994 12/31/2299
28050 F ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERTARSAL OR TAR N 3 $306.00 03/01/2004 12/31/2299
28052 2 ARTHROTOMY FOR SYNOVIAL BIOPSY; METATARSOPHALANGEA N 3 $90.00 01/01/1979 12/31/2299
28052 7 ARTHROTOMY FOR SYNOVIAL BIOPSY; METATARSOPHALANGEA N 3 $13.45 06/01/1994 12/31/2299
28052 F ARTHROTOMY FOR SYNOVIAL BIOPSY; METATARSOPHALANGEA N 3 $306.00 03/01/2004 12/31/2299
28054 2 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JO N 3 $70.00 01/01/1973 12/31/2299
28054 7 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JO N 3 $13.45 06/01/1994 12/31/2299
28054 F ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERPHALANGEAL JO N 3 $306.00 03/01/2004 12/31/2299
28060 2 FASCIECTOMY, EXCISION OF PLANTAR FASCIA; PARTIAL ( N 3 $120.00 01/01/1979 12/31/2299
28060 7 FASCIECTOMY, EXCISION OF PLANTAR FASCIA; PARTIAL ( N 3 $13.45 06/01/1994 12/31/2299
28060 8 FASCIECTOMY, EXCISION OF PLANTAR FASCIA; PARTIAL ( N 3 $50.72 01/01/2004 12/31/2299
28060 F FASCIECTOMY, EXCISION OF PLANTAR FASCIA; PARTIAL ( N 3 $306.00 03/01/2004 12/31/2299
28062 7 FASCIECTOMY, EXCISION OF PLANTAR FASCIA; RADICAL ( N 3 $13.45 06/01/1994 12/31/2299
28062 F FASCIECTOMY, EXCISION OF PLANTAR FASCIA; RADICAL ( N 3 $351.00 03/01/2004 12/31/2299
28070 2 SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL JOINT, N 3 $150.00 01/01/1973 12/31/2299
28070 7 SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL JOINT, N 3 $13.45 06/01/1994 12/31/2299
28070 F SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL JOINT, N 3 $351.00 03/01/2004 12/31/2299
28072 2 SYNOVECTOMY; METATARSOPHALANGEAL JOINT, EACH N 3 $90.00 01/01/1979 12/31/2299
28072 7 SYNOVECTOMY; METATARSOPHALANGEAL JOINT, EACH N 3 $13.45 06/01/1994 12/31/2299
28072 F SYNOVECTOMY; METATARSOPHALANGEAL JOINT, EACH N 3 $351.00 03/01/2004 12/31/2299
28080 2 EXCISION OF MORTON NEUROMA, SINGLE, EACH N 3 $180.00 01/01/1994 12/31/2299
28080 7 EXCISION OF MORTON NEUROMA, SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
28080 F EXCISION OF MORTON NEUROMA, SINGLE, EACH N 3 $351.00 03/01/2004 12/31/2299
28086 7 SYNOVECTOMY, TENDON SHEATH; FLEXOR N 3 $13.45 06/01/1994 12/31/2299
28086 F SYNOVECTOMY, TENDON SHEATH; FLEXOR N 3 $306.00 03/01/2004 12/31/2299
28088 2 SYNOVECTOMY, TENDON SHEATH; EXTENSOR N 3 $180.00 01/02/1994 12/31/2299
28088 7 SYNOVECTOMY, TENDON SHEATH; EXTENSOR N 3 $13.45 06/01/1994 12/31/2299
28088 F SYNOVECTOMY, TENDON SHEATH; EXTENSOR N 3 $306.00 03/01/2004 12/31/2299
28090 2 EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $90.00 01/01/1979 12/31/2299
28090 7 EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $13.45 06/01/1994 12/31/2299
28090 8 EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $18.00 01/01/1984 12/31/2299
28090 F EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $351.00 03/01/2004 12/31/2299
28092 2 EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $48.00 01/01/1979 08/31/2005
28092 2 EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $214.93 09/01/2005 12/31/2299
28092 7 EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $13.45 06/01/1994 12/31/2299
28092 F EXCIS OF LESION OF TENDON OR FIBR SHEATH OR CAPSUL N 3 $351.00 03/01/2004 12/31/2299
28100 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $125.00 01/01/1973 12/31/2299
28100 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
28100 F EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $306.00 03/01/2004 12/31/2299
28102 2 EXCIS OR CURET BONE CYST/BENIGN TUMOR,TALUS/CALCAN N 3 $175.00 01/01/1973 12/31/2299
28102 7 EXCIS/CURET BONE CYST/BENI TUM/TAL/CALC WITH GRAFT N 3 $13.45 06/01/1994 12/31/2299
28102 8 EXCIS OR CURET BONE CYST/BENIGN TUMOR,TALUS OR CAL N 3 $35.00 01/01/1973 12/31/2299
28102 F EXCIS OR CURET BONE CYST/BENIGN TUMOR,TALUS/CALCAN N 3 $351.00 03/01/2004 12/31/2299
28103 7 EXCIS OR CURET BONE CYST OR BENIGN TUMOR, TALUS OR N 3 $13.45 06/01/1994 12/31/2299
28103 F EXCIS OR CURET BONE CYST OR BENIGN TUMOR, TALUS OR N 3 $351.00 03/01/2004 12/31/2299
28104 2 EXCIS OR CURET BONE CYST OR BENIGN TUMOR, TARSAL O N 3 $120.00 01/01/1971 12/31/2299
28104 7 EXCIS OR CURET BONE CYST OR BENIGN TUMOR, TARSAL O N 3 $13.45 06/01/1994 12/31/2299
28104 F EXCIS OR CURET BONE CYST OR BENIGN TUMOR, TARSAL O N 3 $306.00 03/01/2004 12/31/2299
28106 2 EXC/CURET BONE CYST/BENIGN TUM,TARS OR METATAR BON N 3 $140.00 01/01/1973 12/31/2299
28106 7 EXC/CURET BONE CYST/BENIGN TUM,TARS OR METATAR BON N 3 $13.45 06/01/1994 12/31/2299
28106 8 EXC/CURET BONE CYST/BENIGN TUM,TARS OR METATAR BON N 3 $28.00 01/01/1973 12/31/2299
28106 F EXC/CURET BONE CYST/BENIGN TUM,TARS OR METATAR BON N 3 $351.00 03/01/2004 12/31/2299
28107 7 EXCIS/CURET BONE CYST OR BENIGN TUMOR, TARSAL OR M N 3 $13.45 06/01/1994 12/31/2299
28107 F EXCIS/CURET BONE CYST OR BENIGN TUMOR, TARSAL OR M N 3 $351.00 03/01/2004 12/31/2299
28108 2 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $90.00 01/01/1973 12/31/2299
28108 7 EXCIS/CURET BONE CYST/BENI TUM/PHALANGES N 3 $13.45 06/01/1994 12/31/2299
28109 7 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR N 3 $13.45 06/01/1994 12/31/2299
28110 2 OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL (BUN N 3 $60.00 01/01/1973 12/31/2299
28110 7 OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL (BUN N 3 $13.45 06/01/1994 12/31/2299
28110 F OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL (BUN N 3 $351.00 03/01/2004 12/31/2299
28111 2 OSTECTOMY; COMPLETE EXCISION OF FIRST METATARSAL H N 3 $100.00 01/01/1979 12/31/2299
28111 7 OSTECTOMY; COMPLETE EXCISION OF FIRST METATARSAL H N 3 $13.45 06/01/1994 12/31/2299
28111 8 OSTECTOMY; COMPLETE EXCISION OF FIRST METATARSAL H N 3 $20.00 01/01/1984 12/31/2299
28111 F OSTECTOMY; COMPLETE EXCISION OF FIRST METATARSAL H N 3 $351.00 03/01/2004 12/31/2299
28112 2 OSTECTOMY; OTHER METATARSAL HEAD (SECOND,THIRD OR N 3 $100.00 01/01/1984 12/31/2299
28112 7 OSTECTOMY; OTHER METATARSAL HEAD (SECOND,THIRD OR N 3 $13.45 06/01/1994 12/31/2299
28112 8 OSTECTOMY; OTHER METATARSAL HEAD (SECOND,THIRD OR N 3 $20.00 01/01/1984 12/31/2299
28112 F OSTECTOMY; OTHER METATARSAL HEAD (SECOND,THIRD OR N 3 $351.00 03/01/2004 12/31/2299
28113 2 OSTECTOMY; FIFTH METATARSAL HEAD N 3 $100.00 01/01/1984 12/31/2299
28113 7 OSTECTOMY; FIFTH METATARSAL HEAD N 3 $13.45 06/01/1994 12/31/2299
28113 F OSTECTOMY; FIFTH METATARSAL HEAD N 3 $351.00 03/01/2004 12/31/2299
28114 2 OSTECTOMY; ALL METATARSAL HEADS WITH PARTIAL PROXI N 3 $300.00 01/01/1973 12/31/2299
28114 7 OSTECTOMY; ALL METATARSAL HEADS WITH PARTIAL PROXI N 3 $13.45 06/01/1994 12/31/2299
28114 F OSTECTOMY; ALL METATARSAL HEADS WITH PARTIAL PROXI N 3 $351.00 03/01/2004 12/31/2299
28116 2 OSTECTOMY, EXCISION OF TARSAL COALITION N 3 $175.00 01/01/1973 12/31/2299
28116 7 OSTECTOMY, EXCISION OF TARSAL COALITION N 3 $13.45 06/01/1994 12/31/2299
28116 8 OSTECTOMY, EXCISION OF TARSAL COALITION N 3 $67.64 01/01/2005 12/31/2299
28116 F OSTECTOMY, EXCISION OF TARSAL COALITION N 3 $351.00 03/01/2004 12/31/2299
28118 2 OSTECTOMY, CALCANEUS; PARTIAL N 3 $228.00 01/02/1992 12/31/2299
28118 7 OSTECTOMY, CALCANEUS; PARTIAL N 3 $13.45 06/01/1994 12/31/2299
28118 8 OSTECTOMY, CALCANEUS; PARTIAL N 3 $57.32 01/01/2004 12/31/2299
28118 F OSTECTOMY, CALCANEUS; PARTIAL N 3 $432.00 03/01/2004 12/31/2299
28119 2 OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PL N 3 $258.00 01/01/1994 12/31/2299
28119 7 OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PL N 3 $13.45 06/01/1994 12/31/2299
28119 8 OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PL N 3 $51.60 01/01/1994 12/31/2299
28119 F OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PL N 3 $432.00 03/01/2004 12/31/2299
28120 2 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $150.00 01/01/1973 12/31/2299
28120 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
28120 8 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $30.00 01/01/1984 12/31/2299
28120 F PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $495.00 03/01/2004 12/31/2299
28121 7 PARTIAL EXCISION OF BONE (CRATERIZATION, SAUCERIZA N 3 $13.45 06/01/1994 12/31/2299
28122 2 PARTIAL EXCISION OF BONE (CRATERIZATION),TARSAL OR N 3 $120.00 01/01/1979 12/31/2299
28122 7 PARTIAL EXCISION OF BONE (CRATERIZATION),TARSAL OR N 3 $13.45 06/01/1994 12/31/2299
28122 8 PARTIAL EXCISION OF BONE (CRATERIZATION),TARSAL OR N 3 $24.00 01/01/1984 12/31/2299
28122 F PARTIAL EXCISION OF BONE (CRATERIZATION),TARSAL OR N 3 $351.00 03/01/2004 12/31/2299
28123 7 PARTIAL EXCISION OF BONE (CRATERIZATION),TARSAL OR N 3 $13.45 06/01/1994 12/31/2299
28124 2 PARTIAL EXCISION OF BONE (CRATERIZATION), PHALANX N 3 $90.00 01/02/1994 12/31/2299
28124 7 PARTIAL EXCISION OF BONE (CRATERIZATION), PHALANX N 3 $13.45 06/01/1994 12/31/2299
28126 2 CONDYLECTOMY, PHALANGEAL BASE, SINGLE TOE, EACH N 3 $75.00 01/01/1984 12/31/2299
28126 7 CONDYLECTOMY, PHALANGEAL BASE, SINGLE TOE, EACH N 3 $13.45 06/01/1994 12/31/2299
28126 F CONDYLECTOMY, PHALANGEAL BASE, SINGLE TOE, EACH N 3 $351.00 03/01/2004 12/31/2299
28130 2 TALECTOMY (ASTRAGALECTOMY) N 3 $250.00 01/01/1973 12/31/2299
28130 7 TALECTOMY (ASTRAGALECTOMY) N 3 $13.45 06/01/1994 12/31/2299
28130 8 TALECTOMY (ASTRAGALECTOMY) N 3 $50.00 01/01/1973 12/31/2299
28130 F TALECTOMY (ASTRAGALECTOMY) N 3 $351.00 03/01/2004 12/31/2299
28140 2 METATARSECTOMY N 3 $150.00 01/01/1973 12/31/2299
28140 7 METATARSECTOMY N 3 $13.45 06/01/1994 12/31/2299
28140 F METATARSECTOMY N 3 $351.00 03/01/2004 12/31/2299
28150 2 PHALANGECTOMY, SINGLE, EACH N 3 $90.00 01/01/1973 12/31/2299
28150 7 PHALANGECTOMY, SINGLE, EACH N 3 $13.45 06/01/1994 12/31/2299
28150 F PHALANGECTOMY, SINGLE, EACH N 3 $351.00 03/01/2004 12/31/2299
28153 2 RESECTION, HEAD OF PHALANX N 3 $100.00 01/01/1984 12/31/2299
28153 7 RESECTION, HEAD OF PHALANX N 3 $13.45 06/01/1994 12/31/2299
28153 F RESECTION, HEAD OF PHALANX N 3 $351.00 03/01/2004 12/31/2299
28160 2 HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISIO N 3 $75.00 01/01/1997 12/31/2299
28160 7 HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISIO N 3 $13.45 06/01/1994 12/31/2299
28160 F HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISIO N 3 $351.00 03/01/2004 12/31/2299
28171 7 RADICAL RESECTION FOR TUMOR TARSAL (EXCEPT TALUS O N 3 $13.45 06/01/1994 12/31/2299
28171 F RADICAL RESECTION FOR TUMOR TARSAL (EXCEPT TALUS R N 3 $351.00 03/01/2004 12/31/2299
28173 7 RADICAL RESECTION FOR TUMOR METATARSAL (EXCEPT TAL N 3 $13.45 06/01/1994 12/31/2299
28175 7 RADICAL RESECTION FOR TUMOR PHALANX (EXCEPT TALUS N 3 $13.45 06/01/1994 12/31/2299
28175 F RADICAL RESECTION FOR TUMOR PHALANX (EXCEPT TALUS N 3 $351.00 03/01/2004 12/31/2299
28190 2 REMOVE FOREIGN BODY; SUBCUTANEOUS N 3 $20.00 01/01/1984 12/31/2299
28190 7 REMOVE FOREIGN BODY SUBCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
28192 2 REMOVE FOREIGN BODY; DEEP N 3 $125.00 01/01/1984 12/31/2299
28192 7 REMOVAL OF FOREIGN BODY FOOT SUBCUTANEOUS DEEP N 3 $13.45 06/01/1994 12/31/2299
28192 F REMOVE FOREIGN BODY; DEEP N 3 $306.00 03/01/2004 12/31/2299
28193 2 REMOVE FOREIGN BODY; COMPLICATED N 3 $156.00 01/02/1992 12/31/2299
28193 7 REMOVE FOREIGN BODY; COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
28193 F REMOVE FOREIGN BODY; COMPLICATED N 3 $432.00 03/01/2004 12/31/2299
28200 2 REPAIR OR SUTURE OF TENDON,FOOT,FLEXOR,SINGLE;PRIM N 3 $35.00 01/01/1979 12/31/2299
28200 7 REPAIR OR SUTURE OF TENDON,FOOT,FLEXOR,SINGLE;PRIM N 3 $13.45 06/01/1994 12/31/2299
28200 F REPAIR OR SUTURE OF TENDON,FOOT,FLEXOR,SINGLE;PRIM N 3 $351.00 03/01/2004 12/31/2299
28202 2 REPAIR OR SUTURE OF TENDON,FOOT,FLEXOR,SINGLE; SEC N 3 $50.00 01/01/1973 12/31/2299
28202 7 REPAIR OR SUTURE OF TENDON,FOOT,FLEXOR,SINGLE; SEC N 3 $13.45 06/01/1994 12/31/2299
28202 F REPAIR OR SUTURE OF TENDON,FOOT,FLEXOR,SINGLE; SEC N 3 $351.00 03/01/2004 12/31/2299
28208 2 REPAIR OR SUTURE OF TENDON,FOOT,EXTENSOR,SINGLE; P N 3 $25.00 01/02/1994 12/31/2299
28208 7 REPAIR OR SUTURE OF TENDON,FOOT,EXTENSOR,SINGLE; P N 3 $13.45 06/01/1994 12/31/2299
28208 F REPAIR OR SUTURE OF TENDON,FOOT,EXTENSOR,SINGLE; P N 3 $351.00 03/01/2004 12/31/2299
28210 2 REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR, SINGLE N 3 $100.00 01/01/1979 12/31/2299
28210 7 REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR, SINGLE N 3 $13.45 06/01/1994 12/31/2299
28210 F REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR, SINGLE N 3 $351.00 03/01/2004 12/31/2299
28220 2 TENOLYSIS, FLEXOR; SINGLE N 3 $125.00 01/01/1979 12/31/2299
28220 7 TENOLYSIS, FLEXOR; SINGLE N 3 $13.45 06/01/1994 12/31/2299
28222 2 TENOLYSIS, FLEXOR; MULTIPLE, EACH N 3 $150.00 01/01/1973 12/31/2299
28222 7 TENOLYSIS, FLEXOR; MULTIPLE, EACH N 3 $13.45 06/01/1994 12/31/2299
28222 F TENOLYSIS, FLEXOR; MULTIPLE, EACH N 3 $225.80 03/01/2004 12/31/2299
28225 2 TENOLYSIS, EXTENSOR; SINGLE N 3 $70.00 01/01/1979 12/31/2299
28225 7 TENOLYSIS, EXTENSOR; SINGLE N 3 $13.45 06/01/1994 12/31/2299
28225 F TENOLYSIS, EXTENSOR; SINGLE N 3 $225.80 03/01/2004 12/31/2299
28226 2 TENOLYSIS, EXTENSOR; MULTIPLE, EACH N 3 $90.00 01/01/1973 12/31/2299
28226 7 TENOLYSIS, EXTENSOR; MULTIPLE, EACH N 3 $13.45 06/01/1994 12/31/2299
28226 F TENOLYSIS, EXTENSOR; MULTIPLE, EACH N 3 $225.80 03/01/2004 12/31/2299
28230 2 TENOTOMY, OPEN, FLEXOR; FOOT, SINGLE OR MULTIPLE N 3 $92.00 01/02/1992 12/31/2299
28230 7 TENOTOMY, OPEN, FLEXOR; FOOT, SINGLE OR MULTIPLE N 3 $13.45 06/01/1994 12/31/2299
28230 8 TENOTOMY, OPEN, FLEXOR; FOOT, SINGLE OR MULTIPLE N 3 $15.00 01/01/1984 12/31/2299
28232 2 TENOTOMY, OPEN, FLEXOR; TOE, SINGLE N 3 $35.00 01/02/1994 12/31/2299
28232 7 TENOTOMY, OPEN, FLEXOR; TOE, SINGLE N 3 $13.45 06/01/1994 12/31/2299
28234 2 TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE N 3 $25.00 01/02/1994 12/31/2299
28234 7 TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE N 3 $13.45 06/01/1994 12/31/2299
28234 F TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE N 3 $306.00 03/01/2004 12/31/2299
28236 7 TRANSFER OF TENDON, ANTERIOR TIBIAL INTO TARSAL BO N 3 $13.45 06/01/1994 12/31/2299
28238 2 ADVANCEMENT OF POSTERIOR TIBIAL TENDON WITH EXCISI N 3 $290.00 01/02/1992 12/31/2299
28238 7 ADVANCEMENT OF POSTERIOR TIBIAL TENDON WITH EXCISI N 3 $13.45 06/01/1994 12/31/2299
28238 F ADVANCEMENT OF POSTERIOR TIBIAL TENDON WITH EXCISI N 3 $351.00 03/01/2004 12/31/2299
28240 2 TENOTOMY OR RELEASE, ABDUCTOR HALLUCIS MUSCLE N 3 $90.00 01/01/1973 12/31/2299
28240 7 TENOTOMY OR RELEASE, ABDUCTOR HALLUCIS MUSCLE N 3 $13.45 06/01/1994 12/31/2299
28240 F TENOTOMY OR RELEASE, ABDUCTOR HALLUCIS MUSCLE N 3 $306.00 03/01/2004 12/31/2299
28250 2 DIVISION OF PLANTAR FASCIA AND MUSCLE (''STEINDLER N 3 $150.00 01/01/1999 12/31/2299
28250 7 DIVISION OF PLANTAR FASCIA AND MUSCLE (''STEINDLER N 3 $13.45 06/01/1994 12/31/2299
28250 8 DIVISION OF PLANTAR FASCIA AND MUSCLE (''STEINDLER N 3 $30.00 01/01/1984 12/31/2299
28250 F DIVISION OF PLANTAR FASCIA AND MUSCLE (''STEINDLER N 3 $351.00 03/01/2004 12/31/2299
28260 2 CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY N 3 $200.00 01/01/1979 12/31/2299
28260 7 CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY N 3 $13.45 06/01/1994 12/31/2299
28260 8 CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY N 3 $40.00 08/01/1979 12/31/2299
28260 F CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY N 3 $351.00 03/01/2004 12/31/2299
28261 2 CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING N 3 $235.00 08/01/1979 12/31/2299
28261 7 CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING N 3 $13.45 06/01/1994 12/31/2299
28261 8 CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING N 3 $45.00 01/01/1979 12/31/2299
28261 F CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING N 3 $351.00 03/01/2004 12/31/2299
28262 2 CAPSULOTOMY MIDFOOT EXT N 3 $300.00 01/01/1989 12/31/2299
28262 7 CAPSULOTOMY, MIDFOOT;EXTENSIVE,INCLUDING POSTERIOR N 3 $13.45 06/01/1994 12/31/2299
28262 8 CAPSULOTOMY, MIDFOOT;EXTENSIVE,INCLUDING POSTERIOR N 3 $60.00 01/01/1989 12/31/2299
28262 F CAPSULOTOMY MIDFOOT EXT N 3 $432.00 03/01/2004 12/31/2299
28264 2 CAPSULOTOMY, MIDTARSAL (HEYMAN TYPE PROCEDURE) N 3 $300.00 01/01/1979 12/31/2299
28264 7 CAPSULOTOMY, MIDTARSAL (HEYMAN TYPE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
28264 8 CAPSULOTOMY, MIDTARSAL (HEYMAN TYPE PROCEDURE) N 3 $60.00 01/01/1973 12/31/2299
28264 F CAPSULOTOMY, MIDTARSAL (HEYMAN TYPE PROCEDURE) N 3 $225.80 03/01/2004 12/31/2299
28270 2 CAPSULOTOMY FOR CONTRACTURE;METATARSOPHALANGEAL JO N 3 $15.00 01/01/1984 12/31/2299
28270 7 CAPSULOTOMY FOR CONTRACTURE;METATARSOPHALANGEAL JO N 3 $13.45 06/01/1994 12/31/2299
28270 8 CAPSULOTOMY FOR CONTRACTURE;METATARSOPHALANGEAL JO N 3 $15.00 01/01/1984 12/31/2299
28270 F CAPSULOTOMY FOR CONTRACTURE;METATARSOPHALANGEAL JO N 3 $351.00 03/01/2004 12/31/2299
28272 2 CAPSULOTOMY FOR CONTRACTURE;INTERPHALANGEAL JOINT, N 3 $35.00 01/01/1979 12/31/2299
28272 7 CAPSULOTOMY FOR CONTRACTURE;INTERPHALANGEAL JOINT, N 3 $13.45 06/01/1994 12/31/2299
28280 2 WEBBING OPERATION (CREATE SYNDACTYLISM OF TOES) FO N 3 $90.00 01/01/1979 12/31/2299
28280 7 WEBBING OPERATION (CREATE SYNDACTYLISM OF TOES) FO N 3 $13.45 06/01/1994 12/31/2299
28280 F WEBBING OPERATION (CREATE SYNDACTYLISM OF TOES) FO N 3 $306.00 03/01/2004 12/31/2299
28285 2 HAMMERTOE OPERATION; ONE TOE N 3 $213.00 01/03/1994 12/31/2299
28285 7 HAMMERTOE OPERATION; ONE TOE N 3 $13.45 06/01/1994 12/31/2299
28285 8 HAMMER TOE REPAIR ONE TOE N 3 $42.60 01/01/1994 12/31/2299
28285 F HAMMERTOE OPERATION ONE TOE N 3 $351.00 03/01/2004 12/31/2299
28286 2 HAMMERTOE OPERATION; FOR COCK-UP FIFTH TOE WITH PL N 3 $125.00 08/01/1979 12/31/2299
28286 7 HAMMERTOE OPERATION; FOR COCK-UP FIFTH TOE WITH PL N 3 $13.45 06/01/1994 12/31/2299
28286 F HAMMERTOE OPERATION; FOR COCK-UP FIFTH TOE WITH PL N 3 $432.00 03/01/2004 12/31/2299
28288 2 OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY,SI N 3 $135.00 01/01/1984 12/31/2299
28288 7 OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY,SI N 3 $13.45 06/01/1994 12/31/2299
28288 F OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY,SI N 3 $351.00 03/01/2004 12/31/2299
28289 2 HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY N 3 $213.65 01/01/1999 12/31/2299
28289 7 HALLUX RIGIDUS CORRECTION W/CHEILECTOMY DEBRIDEMENT N 3 $213.65 01/01/1999 12/31/2299
28289 F HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY N 3 $351.00 03/01/2004 12/31/2299
28290 2 HALLUX VALGUS (BUNION),CORRECTION W OR W/OUT SESAM N 3 $96.00 01/01/1979 12/31/2299
28290 7 HALLUX VALGUS (BUNION),CORRECTION W OR W/OUT SESAM N 3 $13.45 06/01/1994 12/31/2299
28290 F HALLUX VALGUS (BUNION),CORRECTION W OR W/OUT SESAM N 3 $306.00 03/01/2004 12/31/2299
28292 2 HALLUX VALGUS (BUNION),W OR W/OUT SESAMOIDECTOMY;S N 3 $324.00 01/01/1994 12/31/2299
28292 7 HALLUX VALGUS (BUNION),W OR W/OUT SESAMOIDECTOMY;S N 3 $13.45 06/01/1994 12/31/2299
28292 8 HALLUX VALGUS (BUNION),W OR W/OUT SESAMOIDECTOMY;S N 3 $64.80 01/01/1994 12/31/2299
28292 F HALLUX VALGUS (BUNION),W OR W/OUT SESAMOIDECTOMY;S N 3 $306.00 03/01/2004 12/31/2299
28293 2 HALLUX VALGUS (BUNION);RESECTION OF JOINT WITH IMP N 3 $200.00 01/01/1984 12/31/2299
28293 7 HALLUX VALGUS (BUNION);RESECTION OF JOINT WITH IMP N 3 $13.45 06/01/1994 12/31/2299
28293 8 HALLUX VALGUS (BUNION);RESECTION OF JOINT WITH IMP N 3 $40.00 01/01/1984 12/31/2299
28293 F HALLUX VALGUS (BUNION);RESECTION OF JOINT WITH IMP N 3 $351.00 03/01/2004 12/31/2299
28294 2 HALLUX VALGUS (BUNION); WITH TENDON TRANSPLANTS N 3 $237.50 01/01/1979 12/31/2299
28294 7 HALLUX VALGUS (BUNION); WITH TENDON TRANSPLANTS N 3 $13.45 06/01/1994 12/31/2299
28294 F HALLUX VALGUS (BUNION); WITH TENDON TRANSPLANTS N 3 $351.00 03/01/2004 12/31/2299
28296 2 HALLUX VALGUS (BUNION); WITH METATARSAL OSTEOTOMY; N 3 $432.00 01/03/1994 12/31/2299
28296 7 HALLUX VALGUS (BUNION); WITH METATARSAL OSTECTOMY; N 3 $13.45 06/01/1994 12/31/2299
28296 8 HALLUX VALGUS (BUNION); WITH METATARSAL OSTECTOMY; N 3 $86.40 01/03/1994 12/31/2299
28296 F HALLUX VALGUS (BUNION); WITH METATARSAL OSTEOTOMY; N 3 $351.00 03/01/2004 12/31/2299
28297 2 HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT N 3 $414.49 01/01/2005 12/31/2299
28297 7 HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT N 3 $13.45 06/01/1994 12/31/2299
28297 F HALLUX VALGUS (BUNION) CORRECTION, WITH OR WITHOUT N 3 $351.00 03/01/2004 12/31/2299
28298 2 HALLUX VALGUS (BUNION) CORRECTION; BY PHALANX OSTE N 3 $175.00 01/01/1984 12/31/2299
28298 7 HALLUX VALGUS (BUNION) CORRECTION; BY PHALANX OSTE N 3 $13.45 06/01/1994 12/31/2299
28298 8 HALLUX VALGUS (BUNION) CORRECTION; BY PHALANX OSTE N 3 $70.20 01/01/2004 12/31/2299
28298 F HALLUX VALGUS (BUNION) CORRECTION; BY PHALANX OSTE N 3 $351.00 03/01/2004 12/31/2299
28299 2 HALLUX VALGUS (BUNION) CORRECTION; BY OTHER METHOD N 3 $372.00 01/02/1992 12/31/2299
28299 7 HALLUX VALGUS (BUNION) CORRECTION; BY OTHER METHOD N 3 $13.45 06/01/1994 12/31/2299
28299 F HALLUX VALGUS (BUNION) CORRECTION; BY OTHER METHOD N 3 $495.00 03/01/2004 12/31/2299
28300 2 OSTEOTOMY; CALCANEUS, WITH OR WITHOUT INTERNAL FIX N 3 $237.50 01/01/1971 12/31/2299
28300 7 OSTEOTOMY; CALCANEUS, WITH OR WITHOUT INTERNAL FIX N 3 $13.45 06/01/1994 12/31/2299
28300 8 OSTEOTOMY; CALCANEUS, WITH OR WITHOUT INTERNAL FIX N 3 $45.00 01/01/1979 12/31/2299
28300 F OSTEOTOMY; CALCANEUS, WITH OR WITHOUT INTERNAL FIX N 3 $306.00 03/01/2004 12/31/2299
28302 2 OSTEOTOMY; TALUS N 3 $225.00 01/01/1973 12/31/2299
28302 7 OSTEOTOMY; TALUS N 3 $13.45 06/01/1994 12/31/2299
28302 F OSTEOTOMY; TALUS N 3 $306.00 03/01/2004 12/31/2299
28304 2 OSTEOTOMY, MIDTARSAL BONES, OTHER THAN CALCANEUS O N 3 $200.00 01/01/1973 12/31/2299
28304 7 OSTEOTOMY, MIDTARSAL BONES, OTHER THAN CALCANEUS O N 3 $13.45 06/01/1994 12/31/2299
28304 8 OSTEOTOMY, MIDTARSAL BONES, OTHER THAN CALCANEUS O N 3 $40.00 01/01/1984 12/31/2299
28304 F OSTEOTOMY, MIDTARSAL BONES, OTHER THAN CALCANEUS O N 3 $306.00 03/01/2004 12/31/2299
28305 7 OSTEOTOMY, MIDTARSAL BONES, OTHER THAN CALCANEUS O N 3 $13.45 06/01/1994 12/31/2299
28305 F OSTEOTOMY, MIDTARSAL BONES, OTHER THAN CALCANEUS O N 3 $351.00 03/01/2004 12/31/2299
28306 2 OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $277.00 01/02/1992 12/31/2299
28306 7 OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $13.45 06/01/1994 12/31/2299
28306 8 OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $57.00 01/02/1994 12/31/2299
28306 F OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $432.00 03/01/2004 12/31/2299
28307 7 OSTEOTOMY, METATARSAL, BASE OR SHAFT, SINGLE, WITH N 3 $13.45 06/01/1994 12/31/2299
28307 F OSTEOTOMY, METATARSAL, BASE OR SHAFT, SINGLE, WITH N 3 $432.00 03/01/2004 12/31/2299
28308 2 OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $216.00 01/02/1992 12/31/2299
28308 7 OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $13.45 06/01/1994 12/31/2299
28308 8 OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $49.05 01/01/2005 12/31/2299
28308 F OSTEOTOMY,METATARSAL,BASE OR SHAFT,SINGLE,FOR SHOR N 3 $306.00 03/01/2004 12/31/2299
28309 2 OSTEOTOMY, METATARSALS, MULTIPLE, FOR CAVUS FOOT N 3 $390.00 01/02/1994 12/31/2299
28309 7 OSTEOTOMY, METATARSALS, MULTIPLE, FOR CAVUS FOOT N 3 $13.45 06/01/1994 12/31/2299
28309 F OSTEOTOMY, METATARSALS, MULTIPLE, FOR CAVUS FOOT N 3 $432.00 03/01/2004 12/31/2299
28310 2 OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CO N 3 $214.00 01/02/1992 12/31/2299
28310 7 OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CO N 3 $13.45 06/01/1994 12/31/2299
28310 F OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CO N 3 $351.00 03/01/2004 12/31/2299
28312 2 OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CO N 3 $50.00 01/01/1973 12/31/2299
28312 7 OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CO N 3 $13.45 06/01/1994 12/31/2299
28312 F OSTEOTOMY FOR SHORTENING, ANGULAR OR ROTATIONAL CO N 3 $351.00 03/01/2004 12/31/2299
28313 7 RECONSTRUCTION, ANGULAR DEFORMITY OF TOE (OVERLAPP N 3 $13.45 06/01/1994 12/31/2299
28313 F RECONSTRUCTION, ANGULAR DEFORMITY OF TOE (OVERLAPP N 3 $306.00 03/01/2004 12/31/2299
28315 2 SESAMOIDECTOMY FIRST TOE (SEPARATE PROCEDURE) N 3 $120.00 01/01/1984 12/31/2299
28315 7 SESAMOIDECTOMY FIRST TOE (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
28315 8 SESAMIODECTOMY FIRST TOE (SEPARATE PROCEDURE) N 3 $24.00 01/01/1984 12/31/2299
28315 F SESAMOIDECTOMY FIRST TOE (SEPARATE PROCEDURE) N 3 $432.00 03/01/2004 12/31/2299
28320 2 REPAIR OF NONUNION OR MALUNION; TARSAL BONES N 3 $250.00 01/01/1973 12/31/2299
28320 7 REPAIR OF NONUNION OR MALUNION; TARSAL BONES N 3 $13.45 06/01/1994 12/31/2299
28320 8 REPAIR OF NONUNION OR MALUNION; TARSAL BONES N 3 $50.00 01/01/1973 12/31/2299
28320 F REPAIR OF NONUNION OR MALUNION; TARSAL BONES N 3 $432.00 03/01/2004 12/31/2299
28322 2 REPAIR OF NONUNION OR MALUNION; METATARSAL, WITH O N 3 $120.00 01/01/1973 12/31/2299
28322 7 REPAIR OF NONUNION OR MALUNION; METATARSAL, WITH O N 3 $13.45 06/01/1994 12/31/2299
28322 8 REPAIR OF NONUNION OR MALUNION; METATARSAL, WITH O N 3 $24.00 01/01/1973 12/31/2299
28322 F REPAIR OF NONUNION OR MALUNION; METATARSAL, WITH O N 3 $432.00 03/01/2004 12/31/2299
28340 7 RECONSTRUCTION, TOE, MACRODACTYLY N 3 $13.45 06/01/1994 12/31/2299
28340 F RECONSTRUCTION, TOE, MACRODACTYLY N 3 $432.00 03/01/2004 12/31/2299
28341 7 RECONSTRUCTION, TOE, MACRODACTYLY N 3 $13.45 06/01/1994 12/31/2299
28341 F RECONSTRUCTION, TOE, MACRODACTYLY N 3 $432.00 03/01/2004 12/31/2299
28344 2 RECONSTRUCTION, TOE(S) N 3 $204.00 01/02/1995 12/31/2299
28344 7 RECONSTRUCTION, TOE(S) N 3 $13.45 06/01/1994 12/31/2299
28344 8 RECONSTRUCTION, TOE(S) N 3 $41.00 01/02/1995 12/31/2299
28344 F RECONSTRUCTION, TOE(S) N 3 $432.00 03/01/2004 12/31/2299
28345 2 RECONSTR TOE;SYNDACTYLY,W OR W/O SKIN GRAFT EA WEB N 3 $300.00 01/01/1984 12/31/2299
28345 7 RECONSTR TOE;SYNDACTYLY,W OR W/O SKIN GRAFT EA WEB N 3 $13.45 06/01/1994 12/31/2299
28345 8 RECONSTR TOE;SYNDACTYLY,W OR W/O SKIN GRAFT EA WEB N 3 $60.00 01/01/1984 12/31/2299
28345 F RECONSTR TOE;SYNDACTYLY,W OR W/O SKIN GRAFT EA WEB N 3 $432.00 03/01/2004 12/31/2299
28360 7 RECONSTRUCTION, CLEFT FOOT N 3 $13.45 06/01/1994 12/31/2299
28400 2 TREATMENT OF CLOSED CALCANEAL FRACTURE; WITHOUT MA N 3 $40.00 01/01/1979 12/31/2299
28400 7 TREATMENT OF CLOSED CALCANEAL FRACTURE; WITHOUT MA N 3 $13.45 06/01/1994 12/31/2299
28400 F TREATMENT OF CLOSED CALCANEAL FRACTURE; WITHOUT MA N 3 $225.80 03/01/2004 12/31/2299
28405 2 TREATMENT OF CLOSED CALCANEAL FRACTURE;WITH MANIPU N 3 $216.00 01/02/1995 12/31/2299
28405 7 TREATMENT OF CLOSED CALCANEAL FRACTURE;WITH MANIPU N 3 $13.45 06/01/1994 12/31/2299
28405 F TREATMENT OF CLOSED CALCANEAL FRACTURE;WITH MANIPU N 3 $306.00 03/01/2004 12/31/2299
28406 2 TREATMENT OF CLOSED CALCANEAL FRACTURE;WITH MANIPU N 3 $100.00 01/01/1984 12/31/2299
28406 7 ANESTHESIA,TREATMENT OF CLOSED CALCANEAL FRACTURE;WITH MANIPULATI N 3 $13.45 01/01/1984 12/31/2299
28406 F TREATMENT OF CLOSED CALCANEAL FRACTURE;WITH MANIPU N 3 $306.00 03/01/2004 12/31/2299
28415 2 OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $576.00 01/02/1995 12/31/2299
28415 7 OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $13.45 06/01/1994 12/31/2299
28415 8 OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $50.00 01/01/1979 12/31/2299
28415 F OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $351.00 03/01/2004 12/31/2299
28420 2 OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $370.00 01/01/1973 12/31/2299
28420 7 OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $13.45 06/01/1994 12/31/2299
28420 8 OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $70.00 01/01/1973 12/31/2299
28420 F OPEN TREATMENT OF CLOSED OR OPEN CALCANEAL FRACTUR N 3 $432.00 03/01/2004 12/31/2299
28430 2 TREATMENT OF CLOSED TALUS FRACTURE; WITHOUT MANIPU N 3 $35.00 08/01/1979 12/31/2299
28430 7 TREATMENT OF CLOSED TALUS FRACTURE; WITHOUT MANIPU N 3 $13.45 06/01/1994 12/31/2299
28435 2 TREATMENT OF CLOSED TALUS FRACTURE; WITH MANIPULAT N 3 $75.00 01/01/1979 12/31/2299
28435 7 TREATMENT OF CLOSED TALUS FRACTURE; WITH MANIPULAT N 3 $13.45 06/01/1994 12/31/2299
28435 F TREATMENT OF CLOSED TALUS FRACTURE; WITH MANIPULAT N 3 $306.00 03/01/2004 12/31/2299
28436 7 TREATMENT OF CLOSED TALUS FRACTURE N 3 $13.45 06/01/1994 12/31/2299
28436 F TREATMENT OF CLOSED TALUS FRACTURE N 3 $306.00 03/01/2004 12/31/2299
28445 2 OPEN TREATMENT OF CLOSED OR OPEN TALUS FRACTURE, W N 3 $250.00 01/01/1973 12/31/2299
28445 7 OPEN TREATMENT OF CLOSED OR OPEN TALUS FRACTURE, W N 3 $13.45 06/01/1994 12/31/2299
28445 8 OPEN TREATMENT OF CLOSED OR OPEN TALUS FRACTURE, W N 3 $50.00 01/01/1979 12/31/2299
28445 F OPEN TREATMENT OF CLOSED OR OPEN TALUS FRACTURE, W N 3 $351.00 03/01/2004 12/31/2299
28450 2 TREATMENT OF CLOSED TARSAL BONE FRACTURE (EXCEPT T N 3 $35.00 01/01/1979 12/31/2299
28450 7 TREATMENT OF CLOSED TARSAL BONE FRACTURE (EXCEPT T N 3 $13.45 06/01/1994 12/31/2299
28455 2 TREATMENT OF CLOSED TARSAL BONE FRACTURE (EXCEPT T N 3 $50.00 01/01/1973 12/31/2299
28455 7 TREATMENT OF CLOSED TARSAL BONE FRACTURE (EXCEPT T N 3 $13.45 06/01/1994 12/31/2299
28456 7 TREATMENT OF CLOSED TARSAL BONE FRACTURE (EXCEPT N 3 $13.45 06/01/1994 12/31/2299
28456 F TREATMENT OF CLOSED TARSAL BONE FRACTURE (EXCEPT N 3 $306.00 03/01/2004 12/31/2299
28465 2 OPEN TREAT OF CLO OR OPEN TARSAL BONE FRAC(EX TALU N 3 $150.00 01/01/1979 12/31/2299
28465 7 OPEN TREAT OF CLO OR OPEN TARSAL BONE FRAC(EX TALU N 3 $13.45 06/01/1994 12/31/2299
28465 8 OPEN TREAT CLOS/OPEN TARSBONE FRAC INT/EXT SKEL FI N 3 $60.00 01/01/1973 12/31/2299
28465 F OPEN TREAT OF CLO OR OPEN TARSAL BONE FRAC(EX TALU N 3 $351.00 03/01/2004 12/31/2299
28470 2 TREATMENT OF CLOSED METATARSAL FRACTURE; WITHOUT M N 3 $90.00 01/02/1995 12/31/2299
28470 7 TREATMENT OF CLOSED METATARSAL FRACTURE; WITHOUT M N 3 $13.45 06/01/1994 12/31/2299
28475 2 TREATMENT OF CLOSED METATARSAL FRACTURE; WITH MANI N 3 $58.00 01/01/1979 12/31/2299
28475 7 TREATMENT OF CLOSED METATARSAL FRACTURE; WITH MANI N 3 $13.45 06/01/1994 12/31/2299
28476 2 TREATMENT OF CLOSED METATARSAL FRACTURE N 3 $226.91 01/01/2004 12/31/2299
28476 7 TREATMENT OF CLOSED METATARSAL FRACTURE N 3 $13.45 06/01/1994 12/31/2299
28476 8 TREATMENT OF CLOSED METATARSAL FRACTURE N 3 $45.38 01/01/2003 12/31/2299
28476 F TREATMENT OF CLOSED METATARSAL FRACTURE N 3 $306.00 03/01/2004 12/31/2299
28485 2 OPEN TREAT OF CLO OR OPEN METATARSAL FRAC,W OR W/O N 3 $150.00 01/02/1994 12/31/2299
28485 7 OPEN TREAT OF CLO OR OPEN METATARSAL FRAC,W OR W/O N 3 $13.45 06/01/1994 12/31/2299
28485 F OPEN TREAT OF CLO OR OPEN METATARSAL FRAC,W OR W/O N 3 $432.00 03/01/2004 12/31/2299
28490 2 TREATMENT OF CLOSED FRACTURE GREAT TOE, PHALANX OR N 3 $15.00 01/01/1979 12/31/2299
28490 7 TREATMENT OF CLOSED FRACTURE GREAT TOE, PHALANX OR N 3 $13.45 06/01/1994 12/31/2299
28495 2 TREATMENT OF CLOSED FRACTURE GREAT TOE, PHALANX OR N 3 $25.00 01/01/1971 12/31/2299
28495 7 TREATMENT OF CLOSED FRACTURE GREAT TOE, PHALANX OR N 3 $13.45 06/01/1994 12/31/2299
28496 7 TREATMENT OF CLOSED FRACTURE GREAT TOE, PHALANX N 3 $13.45 06/01/1994 12/31/2299
28496 F TREATMENT OF CLOSED FRACTURE GREAT TOE, PHALANX N 3 $306.00 03/01/2004 12/31/2299
28505 2 OPEN TREAT OF CLO OR OPEN FRAC GREAT TOE,PHALANX,P N 3 $90.00 01/01/1979 12/31/2299
28505 7 OPEN TREAT OF CLO OR OPEN FRAC GREAT TOE,PHALANX,P N 3 $13.45 06/01/1994 12/31/2299
28505 F OPEN TREAT OF CLO OR OPEN FRAC GREAT TOE,PHALANX,P N 3 $351.00 03/01/2004 12/31/2299
28510 2 TREAT OF CLOSED FRAC,PHALANX OR PHALANGES,OTHER TH N 3 $15.00 01/01/1979 12/31/2299
28510 7 TREAT OF CLOSED FRAC,PHALANX OR PHALANGES,OTHER TH N 3 $13.45 06/01/1994 12/31/2299
28515 2 TREAT OF CLOSED FRAC,PHALANX OR PHALANGES,OTHER TH N 3 $22.00 01/01/1979 12/31/2299
28515 7 TREAT OF CLOSED FRAC,PHALANX OR PHALANGES,OTHER TH N 3 $13.45 06/01/1994 12/31/2299
28525 2 OPEN TREAT OF CLO OR OPEN FRAC;WITH OR WITHOUT INT N 3 $75.00 01/01/1973 12/31/2299
28525 7 OPEN TREAT OF CLO OR OPEN FRAC;WITH OR WITHOUT INT N 3 $13.45 06/01/1994 12/31/2299
28525 F OPEN TREAT OF CLO OR OPEN FRAC;WITH OR WITHOUT INT N 3 $351.00 03/01/2004 12/31/2299
28530 7 TREATMENT OF CLOSED SESAMOID FRACTURE N 3 $13.45 06/01/1994 12/31/2299
28531 2 OPEN TREATMENT OF SESAMOID FRACTURE, WITH OR WITHO N 3 $79.70 01/01/1993 12/31/2299
28531 7 OPEN TRTMT OF SESAMOID FX W/OR WO ENTERNAL FIXATIO N 3 $13.45 06/01/1994 12/31/2299
28531 F OPEN TREATMENT OF SESAMOID FRACTURE, WITH OR WITHO N 3 $351.00 03/01/2004 12/31/2299
28540 2 TREATMENT OF CLOSED TARSAL BONE DISLOCATION; WITHO N 3 $40.00 01/01/1979 12/31/2299
28545 2 TREATMENT OF CLOSED TARSAL BONE DISLOCATION; REQUI N 3 $50.00 01/01/1979 12/31/2299
28545 7 TREATMENT OF CLOSED TARSAL BONE DISLOCATION; REQUI N 3 $13.45 06/01/1994 12/31/2299
28545 F TREATMENT OF CLOSED TARSAL BONE DISLOCATION; REQUI N 3 $225.80 03/01/2004 12/31/2299
28546 7 TREATMENT OF CLOSED TARSAL BONE DISLOCATION, WITH N 3 $13.45 06/01/1994 12/31/2299
28546 F TREATMENT OF CLOSED TARSAL BONE DISLOCATION, WITH N 3 $306.00 03/01/2004 12/31/2299
28555 2 OPEN TREAT OF CLO OR OPEN TARSAL BONE DISLOCATION, N 3 $150.00 08/01/1979 12/31/2299
28555 7 OPEN TREAT OF CLO OR OPEN TARSAL BONE DISLOCATION, N 3 $13.45 06/01/1994 12/31/2299
28555 8 OPEN TREAT OF CLO OR OPEN TARSAL BONE DISLOCATION, N 3 $30.00 01/01/1979 12/31/2299
28555 F OPEN TREAT OF CLO OR OPEN TARSAL BONE DISLOCATION, N 3 $306.00 03/01/2004 12/31/2299
28570 2 TREATMENT OF CLOSED TALOTARSAL JOINT DISLOCATION; N 3 $45.00 01/01/1979 12/31/2299
28575 2 TREATMENT OF CLOSED TALOTARSAL JOINT DISLOCATION; N 3 $60.00 01/01/1979 12/31/2299
28575 7 TREATMENT OF CLOSED TALOTARSAL JOINT DISLOCATION; N 3 $13.45 06/01/1994 12/31/2299
28575 F TREATMENT OF CLOSED TALOTARSAL JOINT DISLOCATION; N 3 $225.80 03/01/2004 12/31/2299
28576 2 PERCUTANEOUS SKELETAL FIXATION OF TALOTARSAL JOINT N 3 $130.87 01/01/1993 12/31/2299
28576 7 PERCUTANEOUS SLELETAL FIXATION OF TALOTARSAL JNT N 3 $13.45 06/01/1994 12/31/2299
28576 F PERCUTANEOUS SKELETAL FIXATION OF TALOTARSAL JOINT N 3 $351.00 03/01/2004 12/31/2299
28585 2 OPEN TREAT OF CLO OR OPEN TALOTARSAL JOINT DISLO,W N 3 $250.00 01/01/1973 12/31/2299
28585 7 OPEN TREAT OF CLO OR OPEN TALOTARSAL JOINT DISLO,W N 3 $13.45 06/01/1994 12/31/2299
28585 8 OPEN TREAT OF CLO OR OPEN TALOTARSAL JOINT DISLO,W N 3 $50.00 01/01/1979 12/31/2299
28585 F OPEN TREAT OF CLO OR OPEN TALOTARSAL JOINT DISLO,W N 3 $351.00 03/01/2004 12/31/2299
28600 2 TREATMENT OF CLOSED TARSOMETATARSAL JOINT DISLOCAT N 3 $18.00 01/01/1979 12/31/2299
28605 2 TREATMENT OF CLOSED TARSOMETATARSAL JOINT DISLOCAT N 3 $50.00 01/01/1979 12/31/2299
28605 7 TREATMENT OF CLOSED TARSOMETATARSAL JOINT DISLOCAT N 3 $13.45 06/01/1994 12/31/2299
28605 F TREATMENT OF CLOSED TARSOMETATARSAL JOINT DISLOCAT N 3 $225.80 03/01/2004 12/31/2299
28606 7 TREAT OF CLOSED TARSOMETATARSAL JOINT DISLOCATION, N 3 $13.45 06/01/1994 12/31/2299
28606 F TREAT OF CLOSED TARSOMETATARSAL JOINT DISLOCATION, N 3 $306.00 03/01/2004 12/31/2299
28615 2 OPEN TREAT OF CLO OR OPEN TARSOMETATARSAL DIS,W OR N 3 $120.00 01/01/1973 12/31/2299
28615 7 OPEN TREAT OF CLO OR OPEN TARSOMETATARSAL DIS,W OR N 3 $13.45 06/01/1994 12/31/2299
28615 8 OPEN TREAT OF CLO OR OPEN TARSOMETATARSAL DIS,W OR N 3 $25.00 01/01/1979 12/31/2299
28615 F OPEN TREAT OF CLO OR OPEN TARSOMETATARSAL DIS,W OR N 3 $351.00 03/01/2004 12/31/2299
28630 2 TREAT OF CLOSED METATARSOPHALANGEAL JOINT DISLOCAT N 3 $18.00 01/01/1979 12/31/2299
28635 2 TREAT OF CLOSED METATARSOPHALANGEAL JOINT DISLOCAT N 3 $35.00 01/01/1979 12/31/2299
28635 7 TREAT OF CLOSED METATARSOPHALANGEAL JOINT DISLOCAT N 3 $13.45 06/01/1994 12/31/2299
28635 F TREAT OF CLOSED METATARSOPHALANGEAL JOINT DISLOCAT N 3 $225.80 03/01/2004 12/31/2299
28636 2 PERCUTANEOUS SKELETAL FIXATION OF METATARSOPHALANG N 3 $106.31 01/01/1993 12/31/2299
28636 7 PERCUTANEOUS SKELETAL FIXATION METATARSOPHALANGEAL N 3 $13.45 06/01/1994 12/31/2299
28636 F PERCUTANEOUS SKELETAL FIXATION OF METATARSOPHALANG N 3 $351.00 03/01/2004 12/31/2299
28645 2 OPEN TREATMENT OF CLOSED OR OPEN METATARSOPHALANGE N 3 $100.00 01/01/1973 12/31/2299
28645 7 OPEN TREATMENT OF CLOSED OR OPEN METATARSOPHALANGE N 3 $13.45 06/01/1994 12/31/2299
28645 F OPEN TREATMENT OF CLOSED OR OPEN METATARSOPHALANGE N 3 $351.00 03/01/2004 12/31/2299
28660 2 TREATMENT OF CLOSED INTERPHALANGEAL JOINT DISLOCAT N 3 $18.00 01/01/1979 12/31/2299
28665 2 TREATMENT OF CLOSED INTERPHALANGEAL JOINT DISLOCAT N 3 $30.00 01/01/1979 12/31/2299
28665 7 TREATMENT OF CLOSED INTERPHALANGEAL JOINT DISLOCAT N 3 $13.45 06/01/1994 12/31/2299
28665 F TREATMENT OF CLOSED INTERPHALANGEAL JOINT DISLOCAT N 3 $225.80 03/01/2004 12/31/2299
28666 2 PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL N 3 $101.54 01/01/1993 12/31/2299
28666 7 PERCUTANEOUS SKELETAL FIXATION INTERPHALANGEAL JOI N 3 $13.45 06/01/1994 12/31/2299
28666 F PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL N 3 $351.00 03/01/2004 12/31/2299
28675 2 OPERN RED INTER FRA N 3 $60.00 01/01/1973 12/31/2299
28675 7 OPEN TREATMENT OF CLOSED OR OPEN INTERPHALANGEAL J N 3 $13.45 06/01/1994 12/31/2299
28675 F OPERN RED INTER FRA N 3 $351.00 03/01/2004 12/31/2299
28705 2 PANTALAR ARTHRODESIS N 3 $500.00 01/01/1979 12/31/2299
28705 7 PANTALAR ARTHRODESIS N 3 $13.45 06/01/1994 12/31/2299
28705 8 PANTALAR ARTHRODESIS N 3 $100.00 08/01/1979 12/31/2299
28705 F PANTALAR ARTHRODESIS N 3 $432.00 03/01/2004 12/31/2299
28715 2 TRIPLE ARTHRODESIS N 3 $498.00 01/02/1992 12/31/2299
28715 7 TRIPLE ARTHRODESIS N 3 $13.45 06/01/1994 12/31/2299
28715 8 TRIPLE ARTHRODESIS N 3 $68.00 08/01/1979 12/31/2299
28715 F TRIPLE ARTHRODESIS N 3 $432.00 03/01/2004 12/31/2299
28725 2 SUBTALAR ARTHRODESIS (INCLUDES GRICE TYPE PROCEDUR N 3 $250.00 01/01/1979 12/31/2299
28725 7 SUBTALAR ARTHRODESIS (INCLUDES GRICE TYPE PROCEDUR N 3 $13.45 06/01/1994 12/31/2299
28725 8 SUBTALAR ARTHRODESIS (INCLUDES GRICE TYPE PROCEDUR N 3 $50.00 01/01/1974 12/31/2299
28725 F SUBTALAR ARTHRODESIS (INCLUDES GRICE TYPE PROCEDUR N 3 $432.00 03/01/2004 12/31/2299
28730 2 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPL N 3 $200.00 01/01/1973 12/31/2299
28730 7 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPL N 3 $13.45 06/01/1994 12/31/2299
28730 8 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPL N 3 $40.00 01/01/1979 12/31/2299
28730 F ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPL N 3 $432.00 03/01/2004 12/31/2299
28735 2 ARTHRODESIS,MIDTARSAL OR TARSOMETATARSAL,MULT OR T N 3 $350.00 01/01/1979 12/31/2299
28735 7 ARTHRODESIS,MIDTARSAL OR TARSOMETATARSAL,MULT OR T N 3 $13.45 06/01/1994 12/31/2299
28735 8 ARTHRODESIS,MIDTARSAL OR TARSOMETATARSAL,MULT OR T N 3 $70.00 01/01/1973 12/31/2299
28735 F ARTHRODESIS,MIDTARSAL OR TARSOMETATARSAL,MULT OR T N 3 $432.00 03/01/2004 12/31/2299
28737 2 ARTHRODESIS,MIDTARSAL NAVICULAR-CUNEIFORM,WITH TEN N 3 $433.05 01/01/2002 12/31/2299
28737 7 ARTHRODESIS,MIDTARSAL NAVICULAR-CUNEIFORM,WITH TEN N 3 $13.45 06/01/1994 12/31/2299
28737 F ARTHRODESIS,MIDTARSAL NAVICULAR-CUNEIFORM,WITH TEN N 3 $495.00 03/01/2004 12/31/2299
28740 2 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE N 3 $225.00 01/01/1973 12/31/2299
28740 7 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE N 3 $13.45 06/01/1994 12/31/2299
28740 F ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE N 3 $432.00 03/01/2004 12/31/2299
28750 2 ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT N 3 $180.00 01/02/1992 12/31/2299
28750 7 ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT N 3 $13.45 06/01/1994 12/31/2299
28750 F ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT N 3 $432.00 03/01/2004 12/31/2299
28755 2 ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT N 3 $100.00 01/01/1973 12/31/2299
28755 7 ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT N 3 $13.45 06/01/1994 12/31/2299
28755 F ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT N 3 $432.00 03/01/2004 12/31/2299
28760 2 ARTHRODESIS,GREAT TOE,INTERPHALANGEAL JOINT,WITH E N 3 $150.00 01/01/1979 12/31/2299
28760 7 ARTHRODESIS,GREAT TOE,INTERPHALANGEAL JOINT,WITH E N 3 $13.45 06/01/1994 12/31/2299
28760 F ARTHRODESIS,GREAT TOE,INTERPHALANGEAL JOINT,WITH E N 3 $432.00 03/01/2004 12/31/2299
28800 2 AMPUTATION, FOOT; MIDTARSAL N 3 $250.00 01/01/1997 12/31/2299
28800 7 AMPUTATION, FOOT; MIDTARSAL N 3 $13.45 06/01/1994 12/31/2299
28800 8 AMPUTATION, FOOT; MIDTARSAL N 3 $50.00 01/01/1973 12/31/2299
28805 2 AMPUTATION, FOOT; TRANSMETATARSAL N 3 $250.00 01/01/1998 12/31/2299
28805 7 AMPUTATION, FOOT; TRANSMETATARSAL N 3 $13.45 06/01/1994 12/31/2299
28805 8 AMPUTATION, FOOT; TRANSMETATARSAL N 3 $50.00 01/01/1973 12/31/2299
28810 2 AMPUTATION, METATARSAL, WITH TOE, SINGLE N 3 $150.00 01/01/1971 12/31/2299
28810 7 AMPUTATION, METATARSAL, WITH TOE, SINGLE N 3 $13.45 06/01/1994 12/31/2299
28810 8 AMPUTATION, METATARSAL, WITH TOE, SINGLE N 3 $30.00 01/01/1984 12/31/2299
28810 F AMPUTATION, METATARSAL, WITH TOE, SINGLE N 3 $306.00 03/01/2004 12/31/2299
28820 2 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT N 3 $75.00 01/01/1997 12/31/2299
28820 7 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT N 3 $13.45 06/01/1994 12/31/2299
28820 F AMPUTATION, TOE; METATARSOPHALANGEAL JOINT N 3 $306.00 03/01/2004 12/31/2299
28825 2 AMPUTATION, TOE; INTERPHALANGEAL JOINT N 3 $50.00 01/01/1973 12/31/2299
28825 7 AMPUTATION, TOE; INTERPHALANGEAL JOINT N 3 $13.45 06/01/1994 12/31/2299
28825 F AMPUTATION, TOE; INTERPHALANGEAL JOINT N 3 $306.00 03/01/2004 12/31/2299
28899 7 UNLISTED PROCEDURE, FOOT OR TOES N 3 $13.45 06/01/1994 12/31/2299
29000 2 APPLICATION OF HALO TYPE BODY CAST (SEE 20661-2066 N 3 $125.00 01/01/1971 12/31/2299
29000 7 APPLIC OF HALO TYPE BODY CAST N 3 $13.45 06/01/1994 12/31/2299
29010 2 APPLICATION OF RISSER JACKET, LOCALIZER, BODY; ONL N 3 $65.00 08/01/1979 12/31/2299
29010 7 APPLIC RISSER JACKET LOCALIZER BODY ONLY N 3 $13.45 06/01/1994 12/31/2299
29015 2 APPLICATION OF RISSER JACKET, LOCALIZER, BODY; INC N 3 $90.00 01/01/1973 12/31/2299
29015 7 APPLIC RISSER JACK LOCAL BODY INCLUDING HEAD N 3 $13.45 06/01/1994 12/31/2299
29020 2 APPLICATION OF TURNBUCKLE JACKET, BODY; ONLY N 3 $75.00 01/01/1973 12/31/2299
29020 7 APPLIC TURNBUCKLE JACKET BODY ONLY N 3 $13.45 06/01/1994 12/31/2299
29025 2 APPLICATION OF TURNBUCKLE JACKET, BODY; INCLUDING N 3 $90.00 01/01/1973 12/31/2299
29025 7 APPLIC TURNBUCKLE JACKET BODY INCLUD HEAD N 3 $13.45 06/01/1994 12/31/2299
29035 2 APPLICATION OF BODY CAST, SHOULDER TO HIPS; N 3 $93.60 01/02/1994 12/31/2299
29035 7 APPLIC BODY CAST SHOULDER TO HIPS N 3 $13.45 06/01/1994 12/31/2299
29040 2 APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUD N 3 $55.00 01/01/1973 12/31/2299
29040 7 APPLIC BODY CAST SHOULDER TO HIP INC HEAD MINERVA N 3 $13.45 06/01/1994 12/31/2299
29044 2 APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUD N 3 $64.00 01/01/1971 12/31/2299
29044 7 APPLIC BODY CAST SHOULDER TO HIP WITH ONE THIGH N 3 $13.45 06/01/1994 12/31/2299
29046 2 APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUD N 3 $70.00 08/01/1979 12/31/2299
29046 7 APPLIC BODY CAST SHOULDER TO HIP WITH BOTH THIGHS N 3 $13.45 06/01/1994 12/31/2299
29049 2 APPLICATION; PLASTER FIGURE OF EIGHT N 3 $15.00 01/01/2002 12/31/2299
29055 2 APPLICATION; SHOULDER SPICA N 3 $30.00 08/01/1979 12/31/2299
29055 7 APPLIC SHOULDER SPICA N 3 $13.45 06/01/1994 12/31/2299
29065 2 APPLICATION; SHOULDER TO HAND CAST N 3 $37.00 01/02/1998 12/31/2299
29075 2 APPLICATION; ELBOW TO FINGER - CASTING N 3 $35.00 01/02/1997 12/31/2299
29085 2 APPLICATION; HAND AND LOWER FOREARM N 3 $15.00 01/01/1971 12/31/2299
29086 1 APPLICATION, CAST, FINGER (EG CONTRACTURE) N 3 $32.65 01/01/2002 12/31/2299
29086 2 APPLICATION, CAST, FINGER (EG CONTRACTURE) N 3 $32.65 01/01/2002 12/31/2299
29105 2 APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND) N 3 $25.00 01/02/1994 12/31/2299
29125 2 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); N 3 $18.00 01/02/1994 12/31/2299
29126 2 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); N 3 $25.00 01/01/1984 12/31/2299
29130 2 APPLICATION OF FINGER SPLINT; STATIC N 3 $9.00 08/01/1979 12/31/2299
29131 2 FINGER SPLINT N 3 $21.00 01/02/1994 12/31/2299
29200 2 STRAPPING; THORAX N 3 $10.00 01/01/1971 12/31/2299
29220 2 STRAPPING; LOW BACK N 3 $10.00 01/01/1971 12/31/2299
29240 2 STRAPPING; SHOULDER N 3 $12.00 01/01/1973 12/31/2299
29260 2 STRAPPING; ELBOW OR WRIST N 3 $6.00 01/01/1971 12/31/2299
29280 2 STRAPPING; HAND OR FINGER N 3 $5.00 01/01/1984 12/31/2299
29305 2 APPLICATION OF HIP SPICA CAST; UNILATERAL N 3 $60.00 01/01/1971 12/31/2299
29305 7 APPLICATION OF HIP SPICA CAST; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
29325 2 APPLICATION OF HIP SPICA CAST; BILATERAL, OR ONE A N 3 $75.00 08/01/1977 12/31/2299
29325 7 APPLIC HIP SPICA CAST BILAT/ONE-ONE HALF SPICA N 3 $13.45 06/01/1994 12/31/2299
29345 2 APPLICATION OF LONG LEG CAST (THIGH TO TOES) N 3 $26.00 01/01/1979 12/31/2299
29345 7 APPLICATION OF LONG LEG CAST (THIGH TO TOES) N 3 $13.45 06/01/1994 12/31/2299
29355 2 APPLICATION OF LONG LEG CAST (THIGH TO TOES); WALK N 3 $31.75 08/01/1979 12/31/2299
29356 8 FLEXOR TENDON REPAIR OR ADUANCE, SINGL, IN NO MAN' N 3 $35.00 01/01/1984 12/31/2299
29358 2 APPLICATION OF LONG LEG CAST BRACE N 3 $75.00 01/01/1998 12/31/2299
29365 2 APPLICATION OF CYLINDER CAST (THIGH TO ANKLE) N 3 $42.00 07/01/1994 12/31/2299
29405 2 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) N 3 $19.00 01/01/1997 12/31/2299
29425 2 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) N 3 $39.00 01/02/1992 12/31/2299
29435 2 APPLICATION OF PATELLAR TENDON BEARING (PTB) CAST N 3 $55.00 01/01/1998 12/31/2299
29440 2 ADDING WALKER TO PREVIOUSLY APPLIED CAST N 3 $3.00 01/01/1984 12/31/2299
29445 2 APPLICATION OF RIGID TOTAL CONTACT LEG CAST N 3 $87.00 01/01/1995 12/31/2299
29450 2 APPL OF CLUBFOOT CAS W/MOLDING OR MANIPULATING N 3 $33.60 07/01/1994 12/31/2299
29450 7 APPLIC CLUBFOOT CAST MOLD/MANIP LONG/SHORT LEG UNI N 3 $13.45 06/01/1994 12/31/2299
29505 2 APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR N 3 $15.00 01/01/1998 12/31/2299
29515 2 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) N 3 $20.00 01/01/1996 12/31/2299
29520 2 STRAPPING; HIP N 3 $12.50 01/01/1973 12/31/2299
29530 2 STRAPPING; KNEE N 3 $9.00 01/01/1973 12/31/2299
29540 2 STRAPPING; ANKLE N 3 $10.95 01/02/1994 12/31/2299
29550 2 STRAPPING; TOES N 3 $5.00 01/02/1994 12/31/2299
29580 2 STRAPPING; UNNA BOOT N 3 $30.00 01/02/1998 12/31/2299
29590 2 DENIS-BROWNE SPLINT STRAPPING N 3 $10.00 01/01/1984 12/31/2299
29700 2 REMOVAL OR BIVALVING; GAUNTLET, BOOT OR BODY CAST N 3 $20.00 01/02/1992 12/31/2299
29705 2 REMOVAL OR BIVALVING; FULL ARM OR FULL LEG CAST N 3 $9.00 01/01/1984 12/31/2299
29705 7 REMOVAL OR BIVALVING FULL ARM OR FULL LEG N 3 $13.45 06/01/1994 12/31/2299
29710 2 REMOVAL OR BIVALVING; SHOULDER OR HIP SPICA, MINER N 3 $12.50 01/01/1973 12/31/2299
29710 7 REMOVAL OR BIVALVING; SHOULDER OR HIP SPICA, MINER N 3 $13.45 06/01/1994 12/31/2299
29715 2 REMOVAL OR BIVALVING; TURNBUCKLE JACKET N 3 $17.50 01/01/1973 12/31/2299
29720 2 REPAIR OF SPICA, BODY CAST OR JACKET N 3 $13.00 01/01/1971 12/31/2299
29730 2 WINDOWING OF CAST N 3 $6.00 01/01/1973 12/31/2299
29740 2 WEDGING OF CAST (EXCEPT CLUBFOOT CASTS) N 3 $7.50 01/01/1973 12/31/2299
29799 7 UNLISTED PROCEDURE, CASTING OR STRAPPING N 3 $13.45 06/01/1994 12/31/2299
29800 7 ARTHROSCOPY N 3 $13.45 06/01/1994 12/31/2299
29800 F ARTHROSCOPY N 3 $351.00 03/01/2004 12/31/2299
29804 7 ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29804 F ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29805 2 ARTHROSCOPY CHOULDER, DIAGNOSTIC WITH OR W/O SYNOVIAL BIOPSY N 3 $213.27 01/01/2002 12/31/2299
29805 F ARTHROSCOPY CHOULDER, DIAGNOSTIC WITH OR W/O SYNOVIAL BIOPSY N 3 $351.00 03/01/2004 12/31/2299
29806 2 ARTHROXCOPY, SHOULDER, SURGICAL CAPSULORRHAPHY N 3 $597.22 01/02/2002 12/31/2299
29806 F ARTHROXCOPY, SHOULDER, SURGICAL CAPSULORRHAPHY N 3 $351.00 03/01/2004 12/31/2299
29807 2 ARTHROSCOPY, SHOULDER, SURGICAL REPAIR OF SLAP LESION N 3 $581.12 01/01/2002 12/31/2299
29807 F ARTHROSCOPY, SHOULDER, SURGICAL REPAIR OF SLAP LESION N 3 $351.00 03/01/2004 12/31/2299
29815 7 ARTHROSCOPY SHOULD DIAGNOSTIC W/WO BIOP SEPR PROCD N 3 $13.45 06/01/1994 12/31/2299
29819 2 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $349.67 01/01/2004 12/31/2299
29819 7 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29819 F ARTHROSCOPY, SHOULDER, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29820 2 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $298.24 01/01/2003 12/31/2299
29820 7 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29820 F ARTHROSCOPY, SHOULDER, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29821 7 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29821 F ARTHROSCOPY, SHOULDER, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29822 2 ARTHROSCOPY SHLDR SURG W LMTD DEBRIDEMNT N 3 $125.00 01/01/1984 12/31/2299
29822 7 ANESTHESIA FOR ARTHROSCOPY SHOULDER SURGERY WITH LIMITED DEBRIDME N 3 $13.45 01/01/1995 12/31/2299
29822 F ARTHROSCOPY SHLDR SURG W LMTD DEBRIDEMNT N 3 $351.00 03/01/2004 12/31/2299
29823 2 ARTHROSCOPY SHLDR SURGICAL W EXTENSIVE DEBRIDEMENT N 3 $250.00 01/01/1984 12/31/2299
29823 7 ANESTHESIA, ARTHROSCOPY SHOULDER SURGICAL W/EXTENSIVE DEBRIDMENT N 3 $13.45 01/01/1997 12/31/2299
29823 F ARTHROSCOPY SHLDR SURGICAL W EXTENSIVE DEBRIDEMENT N 3 $351.00 03/01/2004 12/31/2299
29824 2 ARTHOSCOPY, SHOULDER SURGICAL DISTAL CLAVICULECTOMY INC DISTAL N 3 $364.80 01/01/2002 12/31/2299
29824 F ARTHOSCOPY, SHOULDER SURGICAL DISTAL CLAVICULECTOMY INC DISTAL N 3 $495.00 03/01/2004 12/31/2299
29825 2 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $320.74 01/01/2004 12/31/2299
29825 7 ARTHROSCOPY, SHOULDER, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29825 F ARTHROSCOPY, SHOULDER, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29826 2 DCMPRSSN SBCRML SP W PRTL ACRMPLSTY W/WO CRCRML RL N 3 $480.00 01/02/1993 12/31/2299
29826 7 DCMPRSSN SBCRML SP W PRTL ACRMPLSTY W/WO CRCRML RL N 3 $13.45 06/01/1994 12/31/2299
29826 8 DCMPRSSN SBCRML SP W PRTL ACRMPLSTY W/WO CRCRML RL N 3 $96.00 01/02/1993 12/31/2299
29826 F DCMPRSSN SBCRML SP W PRTL ACRMPLSTY W/WO CRCRML RL N 3 $351.00 03/01/2004 12/31/2299
29827 2 ARTHROSCOPY SHOULDER SURG W/ROTATOR CUFF REPAIR N 3 $630.71 01/01/2003 12/31/2299
29827 4 ARTHROSCOPY SHOULDER SURG W/ ROTATOR CUFF REPAIR N 3 $630.71 01/01/2003 12/31/2299
29830 2 ARTHROSCOPY ELBW DIAGNOSTIC W/WO BIOP INDPT PROCDR N 3 $100.00 01/01/1984 12/31/2299
29830 7 ARTHROSCOPY ELBW DIAGNOSTIC W/WO BIOP INDPT PROCDR N 3 $13.45 06/01/1994 12/31/2299
29830 F ARTHROSCOPY ELBW DIAGNOSTIC W/WO BIOP INDPT PROCDR N 3 $351.00 03/01/2004 12/31/2299
29834 2 ARTHROSCOPY ELBOW SURG W RMVL LS BDY FOR BDY N 3 $150.00 01/01/1984 12/31/2299
29834 7 ANESTHESIA,ARTHROSCOPY ELBOW SURG. W/REMOV.LS BDY FOR BDY N 3 $13.45 01/01/1998 12/31/2299
29834 F ARTHROSCOPY ELBOW SURG W RMVL LS BDY FOR BDY N 3 $351.00 03/01/2004 12/31/2299
29835 7 ARTHROSCOPY, ELBOW, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29835 F ARTHROSCOPY, ELBOW, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29836 2 ARTHROSCOPY, ELBOW, SURGICAL N 3 $318.67 01/01/2003 12/31/2299
29836 7 ARTHROSCOPY, ELBOW, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29836 F ARTHROSCOPY, ELBOW, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29837 2 ARTHROSCOPY-ELBOW/DEBRIDEMENT LIMITED N 3 $175.00 01/01/1984 12/31/2299
29837 7 ARTHROSCOPY-ELBOW/DEBRIDEMENT LIMITED N 3 $13.45 06/01/1994 12/31/2299
29837 F ARTHROSCOPY-ELBOW/DEBRIDEMENT LIMITED N 3 $351.00 03/01/2004 12/31/2299
29838 7 ARTHROSCOPY, ELBOW, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29838 F ARTHROSCOPY, ELBOW, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29840 2 ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR WITHOUT SY N 3 $268.00 01/01/2005 12/31/2299
29840 7 ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR WITHOUT SY N 3 $13.45 06/01/1994 12/31/2299
29840 F ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR WITHOUT SY N 3 $351.00 03/01/2004 12/31/2299
29843 2 ARTHROSCOPY, WRIST, SURGICAL N 3 $259.74 01/01/2004 12/31/2299
29843 7 ARTHROSCOPY, WRIST, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29843 F ARTHROSCOPY, WRIST, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29844 2 ARTHROSCOPY, WRIST, SURGICAL N 3 $240.00 01/02/1992 12/31/2299
29844 7 ARTHROSCOPY, WRIST, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29844 F ARTHROSCOPY, WRIST, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29845 7 ARTHROSCOPY, WRIST, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29845 F ARTHROSCOPY, WRIST, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29846 2 ARTHRSCPY EXCSN TRNGLR FBRCRTLGE / JNT DBRDMNT N 3 $200.00 01/01/1989 12/31/2299
29846 7 ARTHRSCPY EXCSN TRNGLR FBRCRTLGE / JNT DBRDMNT N 3 $13.45 06/01/1994 12/31/2299
29846 F ARTHRSCPY EXCSN TRNGLR FBRCRTLGE / JNT DBRDMNT N 3 $351.00 03/01/2004 12/31/2299
29847 7 ARTHROSCOPY, WRIST, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29847 F ARTHROSCOPY, WRIST, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29848 2 ARTHROSCOPY, WRIST, SURGICAL; N 3 $228.00 01/02/1997 12/31/2299
29848 7 ARTHROSCOPY, WRIST, SURGICAL; N 3 $13.45 06/01/1994 12/31/2299
29848 F ARTHROSCOPY, WRIST, SURGICAL; N 3 $495.00 03/01/2004 12/31/2299
29850 2 ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR N 3 $388.63 01/01/1993 12/31/2299
29850 7 ARTHPOSCOPICALLY AIDED TRTMT OF INTERCONDYLAR SPIN N 3 $13.45 06/01/1994 12/31/2299
29850 F ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR N 3 $432.00 03/01/2004 12/31/2299
29851 2 ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR N 3 $472.01 01/01/1993 12/31/2299
29851 7 ARTHROSCOPICALLY AIDED TRTMT OF INTER SPINE W/EXT N 3 $13.45 06/01/1994 12/31/2299
29851 F ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR N 3 $432.00 03/01/2004 12/31/2299
29855 2 ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTUR N 3 $433.75 01/01/1993 12/31/2299
29855 7 ARTHROSCOPICALLY AIDED TRTMT OF TIBIAL FX PROXIMAL N 3 $13.45 06/01/1994 12/31/2299
29855 F ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTUR N 3 $432.00 03/01/2004 12/31/2299
29856 2 ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTUR N 3 $505.52 01/01/1993 12/31/2299
29856 7 ARTHROSCOP AIDED TRTMT OF TIBIAL FX PROXIMAL BIOCO N 3 $13.45 06/01/1994 12/31/2299
29856 F ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTUR N 3 $432.00 03/01/2004 12/31/2299
29860 2 ARTHROSCOPY,HIP,DIAGNOSTIC;W/WO SYNOVIAL BIOPSY(SEPARATE PROCEDUR N 3 $286.85 01/01/1998 12/31/2299
29860 7 ARTHROSCOPY,HIP,DIAG.;W/WO SYNOVIAL BIOPSY (SEPARATE PROCEDURE) N 3 $13.45 01/01/1998 12/31/2299
29860 8 ARTHROSCOPY,HIP,DIAG.;W/WO SYNOVIAL BIOPSY (SEPARATE PROCEDURE) N 3 $57.38 01/01/1998 12/31/2299
29860 F ARTHROSCOPY,HIP,DIAGNOSTIC;W/WO SYNOVIAL BIOPSY(SEPARATE PROCEDUR N 3 $432.00 03/01/2004 12/31/2299
29861 2 ARTHROSCOPY,HIP,SURGICAL;WITH REMOVAL LOOSE OR FOREIGN BODY N 3 $432.73 01/01/1998 12/31/2299
29861 7 ARTHROSCOPY,HIP,SURGICAL;W/REMOVAL LOOSE OR FOREIGN BODY N 3 $13.45 01/01/1998 12/31/2299
29861 8 ARTHROSCOPY,HIP,SURGICAL;W/REMOVAL OF LOOSE/FOREIGN BODY N 3 $86.54 01/01/1998 12/31/2299
29861 F ARTHROSCOPY,HIP,SURGICAL;WITH REMOVAL LOOSE OR FOREIGN BODY N 3 $432.00 03/01/2004 12/31/2299
29862 2 ARTHROSCOPY,HIP,SURGICAL;W/DEBRIDE/SHAVING ARTICULAR CARTILAGE N 3 $475.92 01/01/1998 12/31/2299
29862 8 ARTHORSCOPY,HIP,SURGICAL;W/DEBRIDE/SHAVING ARTICULAR CARTILAGE N 3 $95.18 01/01/1998 12/31/2299
29862 F ARTHROSCOPY,HIP,SURGICAL;W/DEBRIDE/SHAVING ARTICULAR CARTILAGE N 3 $495.00 03/01/2004 12/31/2299
29863 2 ARTHROSCOPY,HIP,SURGICAL;W/SYNOVECTOMY N 3 $432.66 01/01/1998 12/31/2299
29863 7 ARTHROSCOPY,HIP,SURGICAL;W/DEBRIDE/SHAVING,ARTICULAR CARTILAGE N 3 $13.45 01/01/1998 12/31/2299
29863 8 ARTHROSCOPY,HIP,SURGICAL;W/SYNOVECTOMY N 3 $86.54 01/01/1998 12/31/2299
29863 F ARTHROSCOPY,HIP,SURGICAL;W/SYNOVECTOMY N 3 $432.00 03/01/2004 12/31/2299
29866 2 ARTHROSCOPY KNEE SURGICAL OSTEOCHAONDRAL AUTOGRAFTS Y 3 $632.15 01/01/2005 12/31/2299
29866 7 ARTHROSCOPY KNEE SURGICAL OSTEOCHONDRAL AUTOGRA Y 3 $13.45 01/01/2005 12/31/2299
29867 2 ARTHROSCOPY KNEE SURGICAL OSTEOCHONDRAL ALLOGRAFT Y 3 $754.99 01/01/2005 12/31/2299
29867 7 ARTHROSCOPY KNEE SURGICAL OSTEOCHONDRAL ALLOGRAFT N 3 $13.45 01/01/2005 12/31/2299
29868 2 ARTHROSCOPY KNEE SURGICAL MENISCAL TRANSPLANTATION N 3 $1,022.00 01/01/2005 12/31/2299
29868 7 ARTHROSCOPY,KNEE,SURGICAL,MENSICAL TRANSPL N 3 $13.45 01/01/2005 12/31/2299
29870 2 ARTHROSCOPY KNEE DIAGNOSTIC W/WO BIOP SEP PROCEDUR N 3 $196.00 01/02/1993 12/31/2299
29870 7 ARTHROSCOPY KNEE DIAGNOSTIC W/WO BIOP SEP PROCEDUR N 3 $13.45 06/01/1994 12/31/2299
29870 F ARTHROSCOPY KNEE DIAGNOSTIC W/WO BIOP SEP PROCEDUR N 3 $351.00 03/01/2004 12/31/2299
29871 2 ARTHROSCOPY KNEE SURG FOR INFCTN LVGE DRAINAGE N 3 $100.00 01/01/1984 12/31/2299
29871 7 ARTHROSCOPY KNEE SURG FOR INFCTN LVGE DRAINAGE N 3 $13.45 06/01/1994 12/31/2299
29871 F ARTHROSCOPY KNEE SURG FOR INFCTN LVGE DRAINAGE N 3 $351.00 03/01/2004 12/31/2299
29873 2 ARTHOSCOPY KNEE SURG W/LATERAL RELEASE N 3 $293.00 01/01/2003 12/31/2299
29873 4 ARTHROSCOPY KNEE SURG W/ LATERAL RELEASE N 3 $293.00 01/01/2003 12/31/2299
29874 2 ARTHRSCPY KNE FOR REMUL LOOSE BDY OR F.B. N 3 $354.00 01/02/1992 12/31/2299
29874 7 ARTHRSCPY KNE FOR REMUL LOOSE BDY OR F.B. N 3 $13.45 06/01/1994 12/31/2299
29874 8 ARTHRSCPY KNE FOR REMUL LOOSE BOY OR FB N 3 $70.80 01/02/1992 12/31/2299
29874 F ARTHRSCPY KNE FOR REMUL LOOSE BDY OR F.B. N 3 $351.00 03/01/2004 12/31/2299
29875 2 ARTHROTOMY KNEE SYNOVECTOMY LIMTD EG PLICA N 3 $425.00 01/01/1989 12/31/2299
29875 7 ARTHROSCOPY KNEE W SYNOVECTMY LMTD EG PLICA N 3 $13.45 06/01/1994 12/31/2299
29875 F ARTHROTOMY KNEE SYNOVECTOMY LIMTD EG PLICA N 3 $432.00 03/01/2004 12/31/2299
29876 2 ARTHROSCOPY KNEE W SYNOVECTOMY MJR TWO OR MO CMPTS N 3 $150.00 01/01/1984 12/31/2299
29876 7 ARTHROSCOPY KNEE W SYNOVECTOMY MJR TWO OR MO CMPTS N 3 $13.45 06/01/1994 12/31/2299
29876 F ARTHROSCOPY KNEE W SYNOVECTOMY MJR TWO OR MO CMPTS N 3 $432.00 03/01/2004 12/31/2299
29877 2 ARTHROSCOPY DEBRIDEMENT 1 SHAVING CHONDROPLASTY KN N 3 $376.60 01/02/1992 12/31/2299
29877 7 ARTHROSCOPY DEBRIDEMENT 1 SHAVING CHONDROPLASTY KN N 3 $13.45 06/01/1994 12/31/2299
29877 8 ARTHROSCOPY DEBRIDEMENT 1 SHAVING CHONDROPLASTY KN N 3 $50.00 01/01/1984 12/31/2299
29877 F ARTHROSCOPY DEBRIDEMENT 1 SHAVING CHONDROPLASTY KN N 3 $432.00 03/01/2004 12/31/2299
29879 2 ARTHRSCPY KNEE SURG ABRSN ARTRPLAST CHNDPLAST DRIL N 3 $366.00 01/02/1992 12/31/2299
29879 F ARTHRSCPY KNEE SURG ABRSN ARTRPLAST CHNDPLAST DRIL N 3 $351.00 03/01/2004 12/31/2299
29880 2 ABRASION ARTHROPLASTY/WITH MANISCETOMY N 3 $500.00 01/01/1989 12/31/2299
29880 7 ABRASION ARTHROPLASTY/WITH MANISCETOMY N 3 $13.45 06/01/1994 12/31/2299
29880 F ABRASION ARTHROPLASTY/WITH MANISCETOMY N 3 $432.00 03/01/2004 12/31/2299
29881 2 ARTHROSCOPY KNEE W MENISECTOMY INCL SHAVING N 3 $462.00 01/02/1996 12/31/2299
29881 7 ARTHROSCOPY KNEE W MENISECTOMY INCL SHAVING N 3 $13.45 06/01/1994 12/31/2299
29881 8 ARTHROSCOPY KNEE W/MENISECTOMY INC SHAVING N 3 $92.00 01/02/1996 12/31/2299
29881 F ARTHROSCOPY KNEE W MENISECTOMY INCL SHAVING N 3 $432.00 03/01/2004 12/31/2299
29882 2 ARTHROSCOPY KNEE SURG W MENISCUS REPAIR M OR LAT N 3 $495.00 01/02/1994 12/31/2299
29882 7 ARTRSCPY KNE SURG W MEISC RPR MED OR LAT N 3 $13.45 06/01/1994 12/31/2299
29882 8 ARTHROSCOPY KNEE SURGERY W/MENISCUS REPAIR MEDIAL OR LATERAL N 3 $85.00 01/02/1994 12/31/2299
29882 F ARTHROSCOPY KNEE SURG W MENISCUS REPAIR M OR LAT N 3 $351.00 03/01/2004 12/31/2299
29883 2 ARTHROSCOPY, KNEE, SURGICAL N 3 $493.20 01/01/2003 12/31/2299
29883 7 ARTHROSCOPY, KNEE, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29883 F ARTHROSCOPY, KNEE, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29884 2 ARTHROSCOPY KNEE SURG W LYSIS ADNSNS W WO MANIP SP N 3 $125.00 01/01/1984 12/31/2299
29884 F ARTHROSCOPY KNEE SURG W LYSIS ADNSNS W WO MANIP SP N 3 $351.00 03/01/2004 12/31/2299
29885 2 ARTHROSCOPY, KNEE, SURGICAL N 3 $342.00 01/02/1992 12/31/2299
29885 7 ARTHROSCOPY, KNEE, SURGICAL N 3 $13.45 06/01/1994 12/31/2299
29885 F ARTHROSCOPY, KNEE, SURGICAL N 3 $351.00 03/01/2004 12/31/2299
29886 2 ARTHROSCOPY KNEE SURG DRLLNG FOR INTCT OSTECHNDRTS N 3 $282.00 01/02/1993 12/31/2299
29886 7 ARTHROSCOPY KNEE SURG DRLLNG FOR INTCT OSTERCHNDRT N 3 $13.45 06/01/1994 12/31/2299
29886 F ARTHROSCOPY KNEE SURG DRLLNG FOR INTCT OSTECHNDRTS N 3 $351.00 03/01/2004 12/31/2299
29887 2 ARTHROSCOPY KNEE SURG W DRLLNG FOR OST DESI INT FX N 3 $390.00 01/02/1993 12/31/2299
29887 F ARTHROSCOPY KNEE SURG W DRLLNG FOR OST DESI INT FX N 3 $351.00 03/01/2004 12/31/2299
29888 2 ARTHROSCOPICALLT AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTA N 3 $780.00 01/02/1994 12/31/2299
29888 7 RTHRSCPCLLY ADD NTRR CRCT LGMNT RPR/AGMNTTN OR REC N 3 $13.45 06/01/1994 12/31/2299
29888 8 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTA N 3 $156.00 01/02/1994 12/31/2299
29888 F ARTHROSCOPICALLT AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTA N 3 $351.00 03/01/2004 12/31/2299
29889 2 ARTHROSCOPICALLY AIDED POST CRUCIATE LIGAMENT REP N 3 $350.00 01/01/1984 12/31/2299
29889 7 ARTHROSCOPICALLY AIDED POST CRUCIATE LIGAMENT REP N 3 $13.45 06/01/1994 12/31/2299
29889 8 ARTHROSCOPICALLY AIDED POST CRUCIATE LIGAMENT REP N 3 $70.00 01/01/1984 12/31/2299
29889 F ARTHROSCOPICALLY AIDED POST CRUCIATE LIGAMENT REP N 3 $351.00 03/01/2004 12/31/2299
29891 2 ARTHROSCOPY,ANKLE,SURG;EXCISION OF OSTEOCHONDRAL/INC.DRILL DEFECT N 3 $406.78 01/01/1998 12/31/2299
29891 7 ARTHROSCOPY,ANKLE,SURG;EXCISION OF OSTEOCHONDRAL/INC.DRILL DEFECT N 3 $13.45 01/01/1998 12/31/2299
29891 8 ARTHROSCOPY,ANKLE,SURG;EXCISION OF OSTEOCHONDRAL;INC.DRILL DEFECT N 3 $81.36 01/01/1998 12/31/2299
29891 F ARTHROSCOPY,ANKLE,SURG;EXCISION OF OSTEOCHONDRAL/INC.DRILL DEFECT N 3 $351.00 03/01/2004 12/31/2299
29892 2 ARTHROSCOPICALLY REPAIR LG.OSTEOCHONDRITIS DISSECANS LESION N 3 $418.75 01/01/1998 12/31/2299
29892 7 ARTHORSCOPICALLY REPAIR LG OSTEOCHONDRITIS DISSECANS LESION N 3 $13.45 01/01/1998 12/31/2299
29892 8 ARTHROSCOPICALLY REPAIR LG.OSTEOCHONDRITIS DISSECANS LESION N 3 $83.76 01/01/1998 12/31/2299
29892 F ARTHROSCOPICALLY REPAIR LG.OSTEOCHONDRITIS DISSECANS LESION N 3 $351.00 03/01/2004 12/31/2299
29893 2 ENDOSCOPIC PLANTAR FASIOTOMY N 3 $232.23 01/01/1998 12/31/2299
29893 7 ENDOSCOPIC PLANTAR FASCIOTOMY N 3 $13.45 01/01/1998 12/31/2299
29893 8 ENDOSCOPIC PLANTAR FASCIATOMY N 3 $46.44 01/01/1998 12/31/2299
29893 F ENDOSCOPIC PLANTAR FASIOTOMY N 3 $495.00 03/01/2004 12/31/2299
29894 2 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $420.00 01/02/1995 12/31/2299
29894 7 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $13.45 06/01/1994 12/31/2299
29894 8 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $84.00 01/02/1995 12/31/2299
29894 F ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $351.00 03/01/2004 12/31/2299
29895 2 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $360.00 01/02/1992 12/31/2299
29895 7 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $13.45 06/01/1994 12/31/2299
29895 8 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $55.87 01/01/2003 12/31/2299
29895 F ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $351.00 03/01/2004 12/31/2299
29897 2 ARTHROSCOPY/SURGICAL/ANKLE N 3 $425.00 01/01/1984 12/31/2299
29897 7 ARTHROSCOPY/SURGICAL/ANKLE N 3 $13.45 01/01/1994 12/31/2299
29897 8 ARTHROSCOPY/SURGICAL/ANKLE - ASSISTANT N 3 $86.00 01/02/1994 12/31/2299
29897 F ARTHROSCOPY/SURGICAL/ANKLE N 3 $351.00 03/01/2004 12/31/2299
29898 2 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $425.00 01/02/1992 12/31/2299
29898 7 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $13.45 06/01/1994 12/31/2299
29898 F ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOI N 3 $351.00 03/01/2004 12/31/2299
29899 2 ARTHROSCOPY ANKLE(TIBIOTALAR&FIBULOTALAR JOINTS)SURG N 3 $578.74 01/01/2003 12/31/2299
29899 4 ARTHROSCOPY ANKLE(TIBIOTALAR&FIBULOTALAR JOINTS)SURG N 3 $578.74 01/01/2003 12/31/2299
29900 2 ARTHROXCOPY METACARPOPHALANGEAL JOINT, DIAG, INC SYNOVIAL BIOPSY N 3 $259.98 01/01/2002 12/31/2299
29900 F ARTHROXCOPY METACARPOPHALANGEAL JOINT, DIAG, INC SYNOVIAL BIOPSY N 3 $351.00 03/01/2004 12/31/2299
29901 2 ARTHROXCOPY METARPOPHALANGEAL JOINT SURGICAL, WITH DEBRIDEMENT N 3 $286.28 01/01/2002 12/31/2299
29901 F ARTHROXCOPY METARPOPHALANGEAL JOINT SURGICAL, WITH DEBRIDEMENT N 3 $351.00 03/01/2004 12/31/2299
29902 2 ARTHROXCOPY METACARPOPHALANGEAL JOINT, SURGICAL, WITH REDUCTION N 3 $307.08 01/01/2002 12/31/2299
29902 F ARTHROXCOPY METACARPOPHALANGEAL JOINT, SURGICAL, WITH REDUCTION N 3 $351.00 03/01/2004 12/31/2299
29909 7 UNLISTED PROC ARTHROSCOPY N 3 $13.45 06/01/1994 12/31/2299
30000 2 DRAINAGE ABSCESS OR HEMATOMA, NASAL, INTERNAL APPR N 3 $39.00 01/02/1992 12/31/2299
30000 7 DRAINAGE ABSCESS OR HEMATOMA, NASAL, INTERNAL APPR N 3 $13.45 06/01/1994 12/31/2299
30020 2 DRAINAGE ABSCESS OR HEMATOMA, NASAL SEPTUM N 3 $39.00 01/02/1992 12/31/2299
30020 7 DRAINAGE ABSCESS OR HEMATOMA, NASAL SEPTUM N 3 $13.45 06/01/1994 12/31/2299
30100 2 BIOPSY, INTRANASAL N 3 $26.00 01/02/1992 12/31/2299
30100 7 BIOPSY, INTRANASAL N 3 $13.45 06/01/1994 12/31/2299
30110 2 EXCISION, NASAL POLYP(S), SIMPLE; UNILATERAL N 3 $55.00 01/02/1992 12/31/2299
30110 7 EXCISION, NASAL POLYP(S), SIMPLE; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
30115 2 EXCISION, NASAL POLYP(S), EXTENSIVE, UNILAT N 3 $106.00 01/02/1992 12/31/2299
30115 7 EXCISION, NASAL POLYP(S), EXTENSIVE; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
30115 F EXCISION, NASAL POLYP(S), EXTENSIVE, UNILAT N 3 $306.00 03/01/2004 12/31/2299
30117 2 EXCISION, INTRANASAL LESION; INTERNAL APPROACH N 3 $112.00 01/02/1992 12/31/2299
30117 7 EXCISION, INTRANASAL LESION; INTERNAL APPROACH N 3 $13.45 06/01/1994 12/31/2299
30117 F EXCISION, INTRANASAL LESION; INTERNAL APPROACH N 3 $351.00 03/01/2004 12/31/2299
30118 2 EXCISION, INTRANASAL LESION; EXTERNAL APPROACH N 3 $248.00 01/02/1992 12/31/2299
30118 7 EXCISION, INTRANASAL LESION; EXTERNAL APPROACH N 3 $13.45 06/01/1994 12/31/2299
30118 F EXCISION, INTRANASAL LESION; EXTERNAL APPROACH N 3 $351.00 03/01/2004 12/31/2299
30120 2 EXCISION OR SURGICAL PLANING OF SKIN OF NOSE FOR R N 3 $246.00 01/02/1992 12/31/2299
30120 7 EXCISION OR SURGICAL PLANING OF SKIN OF NOSE FOR R N 3 $13.45 06/01/1994 12/31/2299
30120 F EXCISION OR SURGICAL PLANING OF SKIN OF NOSE FOR R N 3 $225.80 03/01/2004 12/31/2299
30124 2 EXCISION DERMOID CYST, NOSE; SIMPLE, SKIN, SUBCUTA N 3 $84.00 01/02/1992 12/31/2299
30125 2 EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER BONE O N 3 $246.00 01/02/1992 12/31/2299
30125 7 EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER BONE O N 3 $13.45 06/01/1994 12/31/2299
30125 F EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER BONE O N 3 $306.00 03/01/2004 12/31/2299
30130 2 EXCISION TURBINATE, PARTIAL OR COMPLETE N 3 $50.00 01/01/1998 12/31/2299
30130 7 EXCISION TURBINATE, PARTIAL OR COMPLETE N 3 $13.45 06/01/1994 12/31/2299
30130 F EXCISION TURBINATE, PARTIAL OR COMPLETE N 3 $351.00 03/01/2004 12/31/2299
30140 2 SUBMUCOUS RESECTION TURBINATE, PARTIAL OR COMPLETE N 3 $144.60 01/02/1992 12/31/2299
30140 7 SUBMUCOUS RESECTION TURBINATE, PARTIAL OR COMPLETE N 3 $13.45 06/01/1994 12/31/2299
30140 F SUBMUCOUS RESECTION TURBINATE, PARTIAL OR COMPLETE N 3 $306.00 03/01/2004 12/31/2299
30150 2 RHINECTOMY; PARTIAL N 3 $330.00 01/02/1992 12/31/2299
30150 7 RHINECTOMY; PARTIAL N 3 $13.45 06/01/1994 12/31/2299
30150 F RHINECTOMY; PARTIAL N 3 $351.00 03/01/2004 12/31/2299
30160 2 RHINECTOMY; TOTAL N 3 $436.00 01/02/1992 12/31/2299
30160 7 RHINECTOMY; TOTAL N 3 $13.45 06/01/1994 12/31/2299
30160 8 RHINECTOMY; TOTAL N 3 $50.00 01/01/1984 12/31/2299
30160 F RHINECTOMY; TOTAL N 3 $432.00 03/01/2004 12/31/2299
30200 2 INJECTION INTO TURBINATE(S), THERAPEUTIC N 3 $23.00 01/02/1992 12/31/2299
30210 2 DISPLACEMENT THERAPY (PROETZ TYPE) N 3 $25.00 01/02/1992 12/31/2299
30220 2 INSERTION NASAL SEPTAL PROSTHESIS(BUTTON) N 3 $60.00 01/02/1992 12/31/2299
30220 7 INSERTION NASAL SEPTAL PROSTHESIS(BUTTON) N 3 $13.45 06/01/1994 12/31/2299
30230 7 ENDOSCOPY N 3 $13.45 06/01/1994 12/31/2299
30300 2 REMOVAL FOREIGN BODY, INTRANASAL; OFFICE TYPE PROC N 3 $16.00 01/02/1992 12/31/2299
30310 2 REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERA N 3 $70.00 01/02/1992 12/31/2299
30310 7 REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERA N 3 $13.45 06/01/1994 12/31/2299
30310 F REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERA N 3 $225.80 03/01/2004 12/31/2299
30320 2 REMOVAL FOREIGN BODY, INTRANASAL; BY LATERAL RHINO N 3 $173.00 01/02/1992 12/31/2299
30320 7 REMOVAL FOREIGN BODY, INTRANASAL; BY LATERAL RHINO N 3 $13.45 06/01/1994 12/31/2299
30320 F REMOVAL FOREIGN BODY, INTRANASAL; BY LATERAL RHINO N 3 $306.00 03/01/2004 12/31/2299
30400 2 RHINOPLASTY, PRIMARY; LATERAL AND ALAR CARTILAGES N 3 $450.34 01/01/2004 12/31/2299
30400 7 RHINOPLASTY, PRIMARY; LATERAL AND ALAR CARTILAGES N 3 $13.45 06/01/1994 12/31/2299
30400 F RHINOPLASTY, PRIMARY; LATERAL AND ALAR CARTILAGES N 3 $432.00 03/01/2004 12/31/2299
30410 2 RHINOPLASTY, PRIMARY; COMPLETE, EXT INCL BONY PYRA N 3 $508.59 01/01/2004 12/31/2299
30410 7 RHINOPLASTY, PRIMARY; COMPLETE, EXT INCL BONY PYRA N 3 $13.45 06/01/1994 12/31/2299
30410 F RHINOPLASTY, PRIMARY; COMPLETE, EXT INCL BONY PYRA N 3 $495.00 03/01/2004 12/31/2299
30420 2 RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAI N 3 $650.00 01/02/1994 12/31/2299
30420 7 RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAI N 3 $13.45 06/01/1994 12/31/2299
30420 F RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAI N 3 $495.00 03/01/2004 12/31/2299
30430 2 RHINOPLASTY, SECONDARY; MINOR REVISION N 3 $310.81 01/01/2003 12/31/2299
30430 F RHINOPLASTY, SECONDARY; MINOR REVISION N 3 $351.00 03/01/2004 12/31/2299
30450 2 RHINOPLASTY, SECONDARY; MAJOR REVISION N 3 $779.08 01/01/2004 12/31/2299
30450 F RHINOPLASTY, SECONDARY; MAJOR REVISION N 3 $495.00 03/01/2004 12/31/2299
30460 2 RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGE N 3 $360.71 01/01/1993 12/31/2299
30460 7 RHINOPLASTY NASAL DEFORMITY 2ND TO CONGENITAL CLEF N 3 $13.45 06/01/1994 12/31/2299
30460 F RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGE N 3 $495.00 03/01/2004 12/31/2299
30462 2 RHINOPLASTY FOR NASAL DEFORMITY 2ND TO CLEFT LIP N 3 $720.00 01/03/1992 12/31/2299
30462 7 RHINOPLASTY NASAL DEFORMITY 2ND TO CONGE CLEFT TIP N 3 $13.45 06/01/1994 12/31/2299
30462 F RHINOPLASTY FOR NASAL DEFORMITY 2ND TO CLEFT LIP N 3 $495.00 03/01/2004 12/31/2299
30465 2 REPAIR OF NASAL VESTIB.STENOSIS SPREAD.GRAFTING,LAT.NASAL WLL.REC N 3 $497.06 01/01/2001 12/31/2299
30465 F REPAIR OF NASAL VESTIB.STENOSIS SPREAD.GRAFTING,LAT.NASAL WLL.REC N 3 $495.00 03/01/2004 12/31/2299
30500 2 SUBMUCOUS RESECTION NASAL SEPTUM, CLASSIC N 3 $150.00 01/01/1973 12/31/2299
30500 7 SUBMUCOUS RESECTION NASAL SEPTUM, CLASSIC N 3 $13.45 06/01/1994 12/31/2299
30500 8 SUBMUCOUS RESECTION NASAL SEPTUM, CLASSIC N 3 $30.00 01/01/1973 12/31/2299
30520 2 SEPTOPLASTY WITH OR WITHOUT CARTILAGE IMPLANT (SEP N 3 $330.00 01/02/1997 12/31/2299
30520 7 SEPTOPLASTY WITH OR WITHOUT CARTILAGE IMPLANT (SEP N 3 $13.45 06/01/1994 12/31/2299
30520 8 SEPTOPLASTY WITH OR WITHOUT CARTILAGE IMPLANT (SEP N 3 $66.00 01/02/1997 12/31/2299
30520 F SEPTOPLASTY WITH OR WITHOUT CARTILAGE IMPLANT (SEP N 3 $432.00 03/01/2004 12/31/2299
30540 2 REPAIR CHOANAL ATRESIA; INTRANASAL N 3 $281.00 01/02/1992 12/31/2299
30540 7 REPAIR CHOANAL ATRESIA; INTRANASAL N 3 $13.45 06/01/1994 12/31/2299
30540 8 REPAIR CHOANAL ATRESIA; INTRANASAL N 3 $55.00 01/01/1973 12/31/2299
30540 F REPAIR CHOANAL ATRESIA; INTRANASAL N 3 $495.00 03/01/2004 12/31/2299
30545 2 REPAIR CHOANAL ATRESIA; TRANSPALATINE N 3 $432.00 01/02/1992 12/31/2299
30545 7 REPAIR CHOANAL ATRESIA; TRANSPALATINE N 3 $13.45 06/01/1994 12/31/2299
30545 8 REPAIR CHOANAL ATRESIA; TRANSPALATINE N 3 $100.00 01/01/1973 12/31/2299
30545 F REPAIR CHOANAL ATRESIA; TRANSPALATINE N 3 $495.00 03/01/2004 12/31/2299
30560 2 LYSIS INTRANASAL SYNECHIA N 3 $35.00 01/02/1992 12/31/2299
30560 7 LYSIS INTRANASAL SYNECHIA N 3 $13.45 06/01/1994 12/31/2299
30560 F LYSIS INTRANASAL SYNECHIA N 3 $306.00 03/01/2004 12/31/2299
30580 2 REPAIR FISTULA; OROMAXILLARY N 3 $253.00 01/02/1992 12/31/2299
30580 7 REPAIR FISTULA; OROMAXILLARY N 3 $13.45 06/01/1994 12/31/2299
30580 8 REPAIR FISTULA; OROMAXILLARY N 3 $50.00 01/01/1973 12/31/2299
30580 F REPAIR FISTULA; OROMAXILLARY N 3 $432.00 03/01/2004 12/31/2299
30600 2 REPAIR FISTULA; ORONASAL N 3 $189.50 01/02/1992 12/31/2299
30600 7 REPAIR FISTULA; ORONASAL N 3 $13.45 06/01/1994 12/31/2299
30600 F REPAIR FISTULA; ORONASAL N 3 $432.00 03/01/2004 12/31/2299
30620 2 RECONSTRUCTION, FUNCTIONAL, INTERNAL NOSE (SEPTAL N 3 $360.00 01/03/1992 12/31/2299
30620 7 RECONSTRUCTION, FUNCTIONAL, INTERNAL NOSE (SEPTAL N 3 $13.45 06/01/1994 12/31/2299
30620 8 RECONSTRUCTION, FUNCTIONAL, INTERNAL NOSE (SEPTAL N 3 $50.00 01/01/1973 12/31/2299
30620 F RECONSTRUCTION, FUNCTIONAL, INTERNAL NOSE (SEPTAL N 3 $495.00 03/01/2004 12/31/2299
30630 2 REPAIR NASAL SEPTAL PERFORATIONS N 3 $262.00 01/02/1992 12/31/2299
30630 7 REPAIR NASAL SEPTAL PERFORATIONS N 3 $13.45 06/01/1994 12/31/2299
30630 8 REPAIR NASAL SEPTAL PERFORATIONS N 3 $40.00 01/01/1984 12/31/2299
30630 F REPAIR NASAL SEPTAL PERFORATIONS N 3 $495.00 03/01/2004 12/31/2299
30801 2 DESTRUCTION N 3 $50.00 01/02/1992 12/31/2299
30801 7 DESTRUCTION N 3 $13.45 06/01/1994 12/31/2299
30801 F DESTRUCTION N 3 $225.80 03/01/2004 12/31/2299
30802 2 CAUTERIZATION AND/OR ABLATION, MUCOSA OF TURBINATE N 3 $57.00 01/02/1992 12/31/2299
30802 7 CAUTERIZATION AND/OR ABLATION, MUCOSA OF TURBINATE N 3 $13.45 06/01/1994 12/31/2299
30802 F CAUTERIZATION AND/OR ABLATION, MUCOSA OF TURBINATE N 3 $225.80 03/01/2004 12/31/2299
30901 2 CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE(CAUTERIZA N 3 $30.00 01/02/1992 12/31/2299
30901 7 CONTROL NASAL HEMORRHAGE ANTERIOR ANTERIOR SIMPLE N 3 $13.45 06/01/1994 12/31/2299
30903 2 CONTROL NASAL HEMORRHAGE,COMPLEX(CAUTERIZATION WIT N 3 $47.00 01/02/1992 12/31/2299
30903 7 CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX N 3 $13.45 06/01/1994 12/31/2299
30903 F CONTROL NASAL HEMORRHAGE,COMPLEX(CAUTERIZATION WIT N 3 $225.80 03/01/2004 12/31/2299
30905 2 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIO N 3 $75.00 01/02/1992 12/31/2299
30905 7 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIO N 3 $13.45 06/01/1994 12/31/2299
30905 F CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIO N 3 $225.80 03/01/2004 12/31/2299
30906 2 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIO N 3 $50.00 01/02/1992 12/31/2299
30906 7 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIO N 3 $13.45 06/01/1994 12/31/2299
30906 F CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIO N 3 $225.80 03/01/2004 12/31/2299
30915 2 LIGATION ARTERIES; ETHMOIDAL N 3 $231.00 01/02/1992 12/31/2299
30915 7 LIGATION ARTERIES; ETHMOIDAL N 3 $13.45 06/01/1994 12/31/2299
30915 8 LIGATION ARTERIES; ETHMOIDAL N 3 $50.00 01/01/1973 12/31/2299
30915 F LIGATION ARTERIES; ETHMOIDAL N 3 $306.00 03/01/2004 12/31/2299
30920 2 LIGATION ARTERIES; INTERNAL MAXILLARY ARTERY, TRAN N 3 $285.00 01/02/1992 12/31/2299
30920 7 LIGATION ARTERIES; INTERNAL MAXILLARY ARTERY, TRAN N 3 $13.45 06/01/1994 12/31/2299
30920 8 LIGATION ARTERIES; INTERNAL MAXILLARY ARTERY, TRAN N 3 $70.00 01/01/1984 12/31/2299
30920 F LIGATION ARTERIES; INTERNAL MAXILLARY ARTERY, TRAN N 3 $351.00 03/01/2004 12/31/2299
30930 2 FRACTURE NASAL TURBINATE(S),THERAPEUTIC N 3 $38.00 01/02/1992 12/31/2299
30930 7 FRACTURE NASAL TURBINATE(S),THERAPEUTIC N 3 $13.45 06/01/1994 12/31/2299
30930 F FRACTURE NASAL TURBINATE(S),THERAPEUTIC N 3 $432.00 03/01/2004 12/31/2299
30999 7 UNLISTED PROCEDURE, NOSE N 3 $13.45 06/01/1994 12/31/2299
31000 2 LAVAGE BY CANNULATION; MAXILLARY SINUS UNILAT N 3 $26.00 01/02/1992 12/31/2299
31000 7 LAVAGE BY CANNULATION; MAXILLARY SINUS, UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
31002 2 LAVAGE BY CANNULATION; SPHENOID SINUS N 3 $45.00 01/02/1992 12/31/2299
31002 7 LAVAGE BY CANNULATION; SPHENOID SINUS N 3 $13.45 06/01/1994 12/31/2299
31020 2 SINUSOTOMY, MAXILLARY (ANTROTOMY); INTRANASAL, UNI N 3 $110.00 01/02/1992 12/31/2299
31020 7 SINUSOTOMY, MAXILLARY (ANTROTOMY); INTRANASAL, UNI N 3 $13.45 06/01/1994 12/31/2299
31020 F SINUSOTOMY, MAXILLARY (ANTROTOMY); INTRANASAL, UNI N 3 $306.00 03/01/2004 12/31/2299
31030 2 SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL UNILAT N 3 $331.80 01/02/1994 12/31/2299
31030 7 SINUSOTOMY,MAXILLARY(ANTROTOMY);RADICAL,UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
31030 8 SINUSOTOMY,MAXILLARY(ANTROTOMY);RADICAL,UNILATERAL N 3 $60.00 01/01/1973 12/31/2299
31030 F SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL UNILAT N 3 $351.00 03/01/2004 12/31/2299
31031 7 SINUSOTOMY,MAXILLARY(ANTROTOMY);RADICAL,BILATERAL N 3 $13.45 06/01/1994 12/31/2299
31032 2 SINUSTOMY,MAXILLARY;RADICAL UNILATERAL (CALDWELL-L N 3 $327.00 01/02/1992 12/31/2299
31032 7 SINUSTOMY,MAXILLARY;RADICAL UNILATERAL (CALDWELL-L N 3 $13.45 06/01/1994 12/31/2299
31032 8 SINUSTOMY,MAXILLARY;RADICAL UNILATERAL (CALDWELL-L N 3 $60.00 01/01/1984 12/31/2299
31032 F SINUSTOMY,MAXILLARY;RADICAL UNILATERAL (CALDWELL-L N 3 $432.00 03/01/2004 12/31/2299
31040 2 SURGERY ON PTERYGOMAXILLARY FOSSA CONTENTS BY TRAN N 3 $336.00 01/02/1992 12/31/2299
31040 7 SURGERY ON PTERYGOMAXILLARY FOSSA CONTENTS BY TRAN N 3 $13.45 06/01/1994 12/31/2299
31050 2 SINUSOTOMY, SPHENOID N 3 $222.00 01/02/1992 12/31/2299
31050 7 SINUSOTOMY, SPHENOID N 3 $13.45 06/01/1994 12/31/2299
31050 8 SINUSOTOMY, SPHENOID N 3 $55.00 01/01/1973 12/31/2299
31050 F SINUSOTOMY, SPHENOID N 3 $306.00 03/01/2004 12/31/2299
31051 2 SNSTMY SPHND W MCSL STPPING OR RMVL OF POLYP(S) N 3 $302.00 01/02/1992 12/31/2299
31051 7 SNSTMY SPHND W MCSL STPPING OR RMVL OF POLYP(S) N 3 $13.45 06/01/1994 12/31/2299
31051 8 SNSTMY SPHND W MCSL STPPING OR RMVL OF POLYP(S) N 3 $60.00 01/01/1984 12/31/2299
31051 F SNSTMY SPHND W MCSL STPPING OR RMVL OF POLYP(S) N 3 $432.00 03/01/2004 12/31/2299
31070 2 SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE N 3 $180.00 01/02/1992 12/31/2299
31070 7 SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE N 3 $13.45 06/01/1994 12/31/2299
31070 8 SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE N 3 $50.00 01/01/1973 12/31/2299
31070 F SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE N 3 $306.00 03/01/2004 12/31/2299
31075 2 SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL N 3 $362.00 01/02/1992 12/31/2299
31075 7 SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
31075 8 SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL N 3 $80.00 01/01/1973 12/31/2299
31075 F SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL N 3 $432.00 03/01/2004 12/31/2299
31080 2 SINUSOTOMY FRONTAL;OBLITERATIVE WITHOUT OSTEOPLAST N 3 $399.00 01/02/1992 12/31/2299
31080 7 SINUSOTOMY FRONTAL;OBLITERATIVE WITHOUT OSTEOPLAST N 3 $13.45 06/01/1994 12/31/2299
31080 F SINUSOTOMY FRONTAL;OBLITERATIVE WITHOUT OSTEOPLAST N 3 $432.00 03/01/2004 12/31/2299
31081 2 SINUSOTOMY FRONTAL;OBLITERATIVE W/O OSTEOPLASTIC F N 3 $450.00 01/02/1992 12/31/2299
31081 7 SINUSOTOMY FRONTAL;OBLITERATIVE W/O OSTEOPLASTIC F N 3 $13.45 06/01/1994 12/31/2299
31081 F SINUSOTOMY FRONTAL;OBLITERATIVE W/O OSTEOPLASTIC F N 3 $432.00 03/01/2004 12/31/2299
31084 2 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $552.00 01/02/1992 12/31/2299
31084 7 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $13.45 06/01/1994 12/31/2299
31084 8 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $120.00 01/01/1973 12/31/2299
31084 F SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $432.00 03/01/2004 12/31/2299
31085 2 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $552.00 01/02/1992 12/31/2299
31085 7 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $13.45 06/01/1994 12/31/2299
31085 8 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $140.00 01/01/1984 12/31/2299
31085 F SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTI N 3 $432.00 03/01/2004 12/31/2299
31086 2 SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLA N 3 $456.00 01/02/1992 12/31/2299
31086 F SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLA N 3 $432.00 03/01/2004 12/31/2299
31087 2 SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLA N 3 $450.00 01/02/1992 12/31/2299
31087 F SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLA N 3 $432.00 03/01/2004 12/31/2299
31090 2 SINUSOTOMY COMBINED, THREE OR MORE SINUSES N 3 $840.00 01/02/1992 12/31/2299
31090 7 SINUSOTOMY COMBINED, THREE OR MORE SINUSES N 3 $13.45 06/01/1994 12/31/2299
31090 8 SINUSOTOMY COMBINED, THREE OR MORE SINUSES N 3 $130.00 01/01/1973 12/31/2299
31090 F SINUSOTOMY COMBINED, THREE OR MORE SINUSES N 3 $495.00 03/01/2004 12/31/2299
31200 2 ETHMOIDECTOMY; INTRANASAL, ANTERIOR N 3 $240.00 01/02/1994 12/31/2299
31200 7 ETHMOIDECTOMY; INTRANASAL, ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
31200 8 ETHMOIDECTOMY; INTRANASAL, ANTERIOR N 3 $30.00 01/01/1973 12/31/2299
31200 F ETHMOIDECTOMY; INTRANASAL, ANTERIOR N 3 $306.00 03/01/2004 12/31/2299
31201 2 ETHMOIDECTOMY; INTRANASAL, TOTAL N 3 $298.00 01/02/1992 12/31/2299
31201 7 ETHMOIDECTOMY; INTRANASAL, TOTAL N 3 $13.45 06/01/1994 12/31/2299
31201 8 ETHMOIDECTOMY; INTRANASAL, TOTAL N 3 $45.00 01/01/1973 12/31/2299
31201 F ETHMOIDECTOMY; INTRANASAL, TOTAL N 3 $495.00 03/01/2004 12/31/2299
31205 2 ETHMOIDECTOMY; EXTRANASAL, TOTAL N 3 $352.00 01/02/1992 12/31/2299
31205 7 ETHMOIDECTOMY; EXTRANASAL, TOTAL N 3 $13.45 06/01/1994 12/31/2299
31205 8 ETHMOIDECTOMY; EXTRANASAL, TOTAL N 3 $98.00 01/01/1973 12/31/2299
31205 F ETHMOIDECTOMY; EXTRANASAL, TOTAL N 3 $351.00 03/01/2004 12/31/2299
31225 2 MAXILLECTOMY; WITHOUT ORBITAL EXENTERATION N 3 $732.00 01/02/1992 12/31/2299
31225 7 MAXILLECTOMY; WITHOUT ORBITAL EXENTERATION N 3 $13.45 06/01/1994 12/31/2299
31225 8 MAXILLECTOMY; WITHOUT ORBITAL EXENTERATION N 3 $110.00 01/01/1984 12/31/2299
31230 2 MAXILLECTOMY; WITH ORBITAL EXENTERATION N 3 $648.00 01/02/1992 12/31/2299
31230 7 MAXILLECTOMY; WITH ORBITAL EXENTERATION N 3 $13.45 06/01/1994 12/31/2299
31230 8 MAXILLECTOMY; WITH ORBITAL EXENTERATION N 3 $120.00 01/01/1973 12/31/2299
31231 2 NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATER N 3 $37.40 01/01/1994 12/31/2299
31231 7 NASAL ENDOSCOPY, DIAG, UNILATERAL OR BILATERAL N 3 $13.45 01/01/1994 12/31/2299
31233 2 NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH MAXILLARY S N 3 $114.30 01/01/1994 12/31/2299
31233 7 ANESTHESIA,NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH MAXILLARY S N 3 $13.45 01/01/1994 12/31/2299
31233 F NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH MAXILLARY S N 3 $306.00 03/01/2004 12/31/2299
31235 2 NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH SPHENOID SI N 3 $136.75 01/01/1994 12/31/2299
31235 F NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH SPHENOID SI N 3 $225.80 03/01/2004 12/31/2299
31237 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $96.04 01/01/1994 12/31/2299
31237 7 NASAL/SINUS ENDOSCOPY N 3 $13.65 05/01/1994 12/31/2299
31237 F NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $306.00 03/01/2004 12/31/2299
31238 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $101.48 01/01/1994 12/31/2299
31238 7 NASAL/SINUS ENDOSCOPY,SURGICAL N 3 $13.45 01/02/1995 12/31/2299
31238 F NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $225.80 03/01/2004 12/31/2299
31239 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $424.03 01/01/1994 12/31/2299
31239 8 NASAL/SINUS ENDOSCOPY, SURGICAL N 3 $84.81 01/01/2005 12/31/2299
31239 F NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $432.00 03/01/2004 12/31/2299
31240 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $147.23 01/01/1994 12/31/2299
31240 F NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $306.00 03/01/2004 12/31/2299
31254 2 NASAL ENDO SURG W ETHMOIDECTOMY PARTIAL N 3 $274.08 05/02/1994 12/31/2299
31254 7 NASAL ENDO SURG W/ETHMOIDECTOMY PARTIAL N 3 $13.45 01/01/1995 12/31/2299
31254 F NASAL ENDO SURG W ETHMOIDECTOMY PARTIAL N 3 $351.00 03/01/2004 12/31/2299
31255 2 ENDOSCOPY WITH ETHMOIDECTOMY, TOTAL (ANTERIOR AND POSTERIOR) N 3 $405.00 05/02/1994 12/31/2299
31255 3 NASAL ENDO W ETHMOIDECTOMY ANT - POST TOTAL N 3 $250.00 01/01/1989 12/31/2299
31255 7 ENDOSCOPY WITH ETHMOIDECTOMY, TOTAL (ANTERIOR AND POSTERIOR) N 3 $13.45 06/02/1994 12/31/2299
31255 F ENDOSCOPY WITH ETHMOIDECTOMY, TOTAL (ANTERIOR AND POSTERIOR) N 3 $495.00 03/01/2004 12/31/2299
31256 2 NASAL ENDOSCOPY-SURGICAL WITH MAXILLARY ANTROSTOMY N 3 $192.00 05/02/1994 12/31/2299
31256 7 NASAL ENDOSCOPY-SURGICAL WITH MAXILLARY ANTROSTOMY N 3 $13.45 06/03/1995 12/31/2299
31256 F NASAL ENDOSCOPY-SURGICAL WITH MAXILLARY ANTROSTOMY N 3 $351.00 03/01/2004 12/31/2299
31267 2 NASAL SINUS ENDOSCOPY, REMOVAL OF TISSUE FROM MAXILLARY SINUS N 3 $267.00 01/01/1995 12/31/2299
31267 7 ANESTHESIA- NASAL SINUS ENDOSCOPY N 3 $13.45 01/02/1996 12/31/2299
31267 F NASAL SINUS ENDOSCOPY, REMOVAL OF TISSUE FROM MAXILLARY SINUS N 3 $351.00 03/01/2004 12/31/2299
31276 2 NASAL/SINUS ENDOSCOPY, SURGICAL WITH FRONTAL SINUS EXPLORATION N 3 $346.00 01/02/1994 12/31/2299
31276 F NASAL/SINUS ENDOSCOPY, SURGICAL WITH FRONTAL SINUS EXPLORATION N 3 $351.00 03/01/2004 12/31/2299
31287 2 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOM N 3 $195.47 01/01/1994 12/31/2299
31287 F NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOM N 3 $351.00 03/01/2004 12/31/2299
31288 2 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOM N 3 $228.55 01/01/1994 12/31/2299
31288 F NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOM N 3 $351.00 03/01/2004 12/31/2299
31290 2 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CE N 3 $642.22 01/01/1994 12/31/2299
31291 2 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CE N 3 $674.75 01/01/1994 12/31/2299
31292 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $521.72 01/01/1994 12/31/2299
31293 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $570.67 01/01/1994 12/31/2299
31294 2 NASAL/SINUS ENDOSCOPY, SURGICAL; N 3 $652.21 01/01/1994 12/31/2299
31299 7 UNLISTED PROCEDURE, ACCESSORY SINUSES N 3 $13.45 06/01/1994 12/31/2299
31300 2 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); WITH REMO N 3 $390.00 01/02/1992 12/31/2299
31300 7 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); WITH REMO N 3 $13.45 06/01/1994 12/31/2299
31300 8 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); WITH REMO N 3 $80.00 01/01/1973 12/31/2299
31300 F LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); WITH REMO N 3 $495.00 03/01/2004 12/31/2299
31320 2 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); DIAGNOSTI N 3 $208.00 01/02/1992 12/31/2299
31320 7 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); DIAGNOSTI N 3 $13.45 06/01/1994 12/31/2299
31320 F LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); DIAGNOSTI N 3 $306.00 03/01/2004 12/31/2299
31360 2 LARYNGECTOMY; TOTAL, WITHOUT RADICAL NECK DISSECTI N 3 $780.00 01/02/1992 12/31/2299
31360 7 LARYNGECTOMY; TOTAL, WITHOUT RADICAL NECK DISSECTI N 3 $13.45 06/01/1994 12/31/2299
31360 8 LARYNGECTOMY; TOTAL, WITHOUT RADICAL NECK DISSECTI N 3 $130.00 01/01/1973 12/31/2299
31365 2 LARYNGECTOMY; TOTAL, WITH RADICAL NECK DISSECTION N 3 $995.00 01/02/1992 12/31/2299
31365 7 LARYNGECTOMY; TOTAL, WITH RADICAL NECK DISSECTION N 3 $13.45 06/01/1994 12/31/2299
31365 8 LARYNGECTOMY; TOTAL, WITH RADICAL NECK DISSECTION N 3 $150.00 08/01/1979 12/31/2299
31367 2 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITHOUT RADIC N 3 $720.00 01/02/1992 12/31/2299
31367 7 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITHOUT RADIC N 3 $13.45 06/01/1994 12/31/2299
31368 2 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITH RADICAL N 3 $858.00 01/02/1992 12/31/2299
31368 7 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITH RADICAL N 3 $13.45 06/01/1994 12/31/2299
31368 8 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITH RADICAL N 3 $120.00 01/01/1984 12/31/2299
31370 2 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTA N 3 $714.00 01/02/1992 12/31/2299
31370 7 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTA N 3 $13.45 06/01/1994 12/31/2299
31370 8 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTA N 3 $150.00 01/01/1973 12/31/2299
31375 2 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); LATEROVER N 3 $660.00 01/02/1992 12/31/2299
31375 7 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); LATEROVER N 3 $13.45 06/01/1994 12/31/2299
31375 8 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); LATEROVER N 3 $100.00 01/01/1973 12/31/2299
31380 2 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTEROVER N 3 $720.00 01/02/1992 12/31/2299
31380 7 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTEROVER N 3 $13.45 06/01/1994 12/31/2299
31380 8 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTEROVER N 3 $100.00 01/01/1973 12/31/2299
31382 2 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTERO-LA N 3 $690.00 01/02/1992 12/31/2299
31382 7 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTERO-LA N 3 $13.45 06/01/1994 12/31/2299
31390 2 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION N 3 $1,140.00 01/02/1992 12/31/2299
31390 7 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION N 3 $13.45 06/01/1994 12/31/2299
31390 8 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION N 3 $160.00 01/01/1984 12/31/2299
31395 2 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION N 3 $1,290.00 01/02/1992 12/31/2299
31395 7 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION N 3 $13.45 06/01/1994 12/31/2299
31400 2 ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROA N 3 $336.00 01/02/1992 12/31/2299
31400 7 ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROA N 3 $13.45 06/01/1994 12/31/2299
31400 8 ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROA N 3 $100.00 01/01/1973 12/31/2299
31400 F ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROA N 3 $306.00 03/01/2004 12/31/2299
31420 2 EPIGLOTTIDECTOMY N 3 $342.00 01/02/1992 12/31/2299
31420 7 EPIGLOTTIDECTOMY N 3 $13.45 06/01/1994 12/31/2299
31420 8 EPIGLOTTIDECTOMY N 3 $80.00 01/01/1973 12/31/2299
31420 F EPIGLOTTIDECTOMY N 3 $306.00 03/01/2004 12/31/2299
31500 2 INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE N 3 $70.00 01/02/1995 12/31/2299
31500 7 INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE N 3 $13.45 06/01/1994 12/31/2299
31502 2 TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF N 3 $25.00 01/02/1992 12/31/2299
31502 7 TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF N 3 $13.45 06/01/1994 12/31/2299
31505 2 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); DIAGN N 3 $20.00 01/02/1992 12/31/2299
31505 7 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); DIAGN N 3 $13.45 06/01/1994 12/31/2299
31510 2 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $50.00 01/02/1992 12/31/2299
31510 7 LARYGOSCOPY INDIR SEP PROC WITH BIOPSY N 3 $13.45 06/01/1994 12/31/2299
31510 F LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $306.00 03/01/2004 12/31/2299
31511 2 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $60.00 01/02/1992 12/31/2299
31511 7 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $13.45 06/01/1994 12/31/2299
31511 F LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $306.00 03/01/2004 12/31/2299
31512 2 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $78.00 01/02/1992 12/31/2299
31512 7 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $13.45 06/01/1994 12/31/2299
31512 F LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $306.00 03/01/2004 12/31/2299
31513 2 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $114.00 01/02/1992 12/31/2299
31513 7 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $13.45 06/01/1994 12/31/2299
31513 F LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); WITH N 3 $306.00 03/01/2004 12/31/2299
31515 2 LARYNGOSCOPY DIRECT; FOR ASPIRATION N 3 $84.00 01/02/1992 12/31/2299
31515 7 LARYNGOSCOPY DIRECT FOR ASPIRATION N 3 $13.45 06/01/1994 12/31/2299
31515 F LARYNGOSCOPY DIRECT; FOR ASPIRATION N 3 $225.80 03/01/2004 12/31/2299
31520 2 LARYNGOSCOPY DIRECT; DIAGNOSTIC, NEWBORN N 3 $84.00 01/02/1992 12/31/2299
31520 7 LARYNGOSCOPY DIRECT; DIAGNOSTIC, NEWBORN N 3 $13.45 06/01/1994 12/31/2299
31525 2 LARYNGOSCOPY DIRECT; DIAGNOSTIC, EXCEPT NEWBORN N 3 $105.10 01/02/1992 12/31/2299
31525 7 LARYNGOSCOPY DIRECT; DIAGNOSTIC, EXCEPT NEWBORN N 3 $13.45 06/01/1994 12/31/2299
31525 F LARYNGOSCOPY DIRECT; DIAGNOSTIC, EXCEPT NEWBORN N 3 $225.80 03/01/2004 12/31/2299
31526 2 LARYNGOSCOPY DIRECT; DIAGNOSTIC, WITH OPERATING MI N 3 $198.00 01/02/1992 12/31/2299
31526 7 LARYNGOSCOPY DIRECT; DIAGNOSTIC, WITH OPERATING MI N 3 $13.45 06/01/1994 12/31/2299
31526 F LARYNGOSCOPY DIRECT; DIAGNOSTIC, WITH OPERATING MI N 3 $306.00 03/01/2004 12/31/2299
31527 2 LARYNGOSCOPY DIRECT; WITH INSERTION OF OBTURATOR N 3 $126.00 01/02/1992 12/31/2299
31527 7 LARYNGOSCOPY DIRECT; WITH INSERTION OF OBTURATOR N 3 $13.45 06/01/1994 12/31/2299
31527 F LARYNGOSCOPY DIRECT; WITH INSERTION OF OBTURATOR N 3 $225.80 03/01/2004 12/31/2299
31528 2 LARYNGOSCOPY DIRECT; WITH DILATATION, INITIAL N 3 $102.00 01/02/1992 12/31/2299
31528 7 LARYNGOSCOPY, DIRECT; WITH DILATATION, INITIAL N 3 $13.45 06/01/1994 12/31/2299
31528 F LARYNGOSCOPY DIRECT; WITH DILATATION, INITIAL N 3 $306.00 03/01/2004 12/31/2299
31529 2 LARYNGOSCOPY, DIRECT; WITH DILATATION, SUBSEQUENT N 3 $102.00 01/02/1992 12/31/2299
31529 7 LARYNGOSCOPY, DIRECT; WITH DILATATION, SUBSEQUENT N 3 $13.45 06/01/1994 12/31/2299
31529 F LARYNGOSCOPY, DIRECT; WITH DILATATION, SUBSEQUENT N 3 $306.00 03/01/2004 12/31/2299
31530 2 LARYNGOSCOPY, OPERATIVE, WITH FOREIGN BODY REMOVAL N 3 $138.00 01/02/1992 12/31/2299
31530 7 LARYNGOSCOPY, OPERATIVE, WITH FOREIGN BODY REMOVAL N 3 $13.45 06/01/1994 12/31/2299
31530 F LARYNGOSCOPY, OPERATIVE, WITH FOREIGN BODY REMOVAL N 3 $306.00 03/01/2004 12/31/2299
31531 2 LARYNGOSCOPY, OPERATIVE, WITH FOREIGN BODY REMOVAL N 3 $186.00 01/02/1992 12/31/2299
31531 7 LARYNGOSCOPY, OPERATIVE, WITH FOREIGN BODY REMOVAL N 3 $13.45 06/01/1994 12/31/2299
31531 F LARYNGOSCOPY, OPERATIVE, WITH FOREIGN BODY REMOVAL N 3 $351.00 03/01/2004 12/31/2299
31535 2 LARYNGOSCOPY, OPERATIVE, WITH BIOPSY; N 3 $162.00 01/02/1992 12/31/2299
31535 7 LARYNGOSCOPY, OPERATIVE, WITH BIOPSY; N 3 $13.45 06/01/1994 12/31/2299
31535 F LARYNGOSCOPY, OPERATIVE, WITH BIOPSY; N 3 $306.00 03/01/2004 12/31/2299
31536 2 LARYNGOSCOPY, OPERATIVE, WITH BIOPSY; WITH OPERATI N 3 $180.00 01/02/1992 12/31/2299
31536 7 LARYNGOSCOPY, OPERATIVE, WITH BIOPSY; WITH OPERATI N 3 $13.45 06/01/1994 12/31/2299
31536 F LARYNGOSCOPY, OPERATIVE, WITH BIOPSY; WITH OPERATI N 3 $351.00 03/01/2004 12/31/2299
31540 2 LARYNGOSCOPY, OPERATIVE, WITH EXCISION OF TUMOR AN N 3 $198.00 01/02/1992 12/31/2299
31540 7 LARYNGOSCOPY, OPERATIVE, WITH EXCISION OF TUMOR AN N 3 $13.45 06/01/1994 12/31/2299
31540 F LARYNGOSCOPY, OPERATIVE, WITH EXCISION OF TUMOR AN N 3 $351.00 03/01/2004 12/31/2299
31541 2 LARYNGOSCOPY, OPERATIVE, WITH EXCISION OF TUMOR AN N 3 $216.00 01/02/1992 12/31/2299
31541 7 LARYNGOSCOPY, OPERATIVE, WITH EXCISION OF TUMOR AN N 3 $13.45 06/01/1994 12/31/2299
31541 F LARYNGOSCOPY, OPERATIVE, WITH EXCISION OF TUMOR AN N 3 $432.00 03/01/2004 12/31/2299
31545 2 LARYNGOSCOPY, DIRECT OPERATIVE WITH OPERATING MICROSCOPE OR TELES N 3 $232.37 01/01/2005 12/31/2299
31545 7 LARYNGOSCOPY DIRECT OP WITH MICROSCOPE OR TELESCOPE N 3 $13.45 01/01/2005 12/31/2299
31546 2 LARYNGOSCOPY DIRECT OP WITH MICROSCOPE OR TELESCOPE N 3 $354.24 01/01/2005 12/31/2299
31546 7 LARYNGOSCOPY, DIR OPERATIVE WITH OPERATING MICROSCOPE OF TELESCOP N 3 $13.45 01/01/2005 12/31/2299
31560 2 LARYNGOSCOPY, OPERATIVE, WITH ARYTENOIDECTOMY; N 3 $210.00 01/02/1992 12/31/2299
31560 7 LARYNGOSCOPY, OPERATIVE, WITH ARYTENOIDECTOMY; N 3 $13.45 06/01/1994 12/31/2299
31560 F LARYNGOSCOPY, OPERATIVE, WITH ARYTENOIDECTOMY; N 3 $495.00 03/01/2004 12/31/2299
31561 2 LARYNGOSCOPY, OPERATIVE, WITH ARYTENOIDECTOMY; WIT N 3 $306.00 01/02/1992 12/31/2299
31561 7 LARYNGOSCOPY, OPERATIVE, WITH ARYTENOIDECTOMY; WIT N 3 $13.45 06/01/1994 12/31/2299
31561 F LARYNGOSCOPY, OPERATIVE, WITH ARYTENOIDECTOMY; WIT N 3 $495.00 03/01/2004 12/31/2299
31570 2 LARYNGOSCOPY WITH INJECTION INTO VOCAL CORD(S), TH N 3 $192.00 01/02/1992 12/31/2299
31570 7 LARYNGOSCOPY WITH INJECTION INTO VOCAL CORD(S), TH N 3 $13.45 06/01/1994 12/31/2299
31570 F LARYNGOSCOPY WITH INJECTION INTO VOCAL CORD(S), TH N 3 $306.00 03/01/2004 12/31/2299
31571 2 LARYNGOSCOPY WITH INJECTION INTO VOCAL CORD(S), TH N 3 $192.00 01/02/1992 12/31/2299
31571 7 LARYNGOSCOPY WITH INJECTION INTO VOCAL CORD(S), TH N 3 $13.45 06/01/1994 12/31/2299
31571 F LARYNGOSCOPY WITH INJECTION INTO VOCAL CORD(S), TH N 3 $306.00 03/01/2004 12/31/2299
31575 2 LARYNGOSCOPY FLEXIBLE FIBERSCOPIC; DIAGNOSTIC N 3 $54.00 01/02/1992 12/31/2299
31575 7 LARYNGOSCOPY FLEXIBLE FIBERSCOPIC; DIAGNOSTIC N 3 $13.45 06/01/1994 12/31/2299
31576 2 LARYNGOSCOPY FLEXIBLE FIBERSCOPIC; WITH BIOPSY N 3 $102.00 01/02/1992 12/31/2299
31576 7 LARYNGOSCOPY FLEXIBLE FIBERSCOPIC; WITH BIOPSY N 3 $13.45 06/01/1994 12/31/2299
31576 F LARYNGOSCOPY FLEXIBLE FIBERSCOPIC; WITH BIOPSY N 3 $306.00 03/01/2004 12/31/2299
31577 2 LARYNGOSCOPY, FLEXIBLE FIBERSCOPIC; WITH REMOVAL O N 3 $126.00 01/02/1992 12/31/2299
31577 7 LARYNGOSCOPY, FLEXIBLE FIBERSCOPIC; WITH REMOVAL O N 3 $13.45 06/01/1994 12/31/2299
31577 F LARYNGOSCOPY, FLEXIBLE FIBERSCOPIC; WITH REMOVAL O N 3 $306.00 03/01/2004 12/31/2299
31578 2 LARYNGOSCOPY, FLEXIBLE FIBERSCOPIC; WITH REMOVAL O N 3 $150.00 01/02/1992 12/31/2299
31578 7 LARYNGOSCOPY, FLEXIBLE FIBERSCOPIC; WITH REMOVAL O N 3 $13.45 06/01/1994 12/31/2299
31578 F LARYNGOSCOPY, FLEXIBLE FIBERSCOPIC; WITH REMOVAL O N 3 $306.00 03/01/2004 12/31/2299
31579 2 LARYNGOSCOPY, FLEX OR RIG FIBROPTIC, W/STROBOSCOPY N 3 $47.25 01/02/1992 12/31/2299
31579 7 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC N 3 $13.45 06/01/1994 12/31/2299
31580 2 LARYNGOPLASTY; FOR LARYNGEAL WEB, TWO STAGE, WITH N 3 $400.00 01/01/1973 12/31/2299
31580 7 LARYNGOPLASTY; FOR LARYNGEAL WEB, TWO STAGE, WITH N 3 $13.45 06/01/1994 12/31/2299
31580 8 LARYNGOPLASTY; FOR LARYNGEAL WEB, TWO STAGE, WITH N 3 $80.00 01/01/1973 12/31/2299
31580 F LARYNGOPLASTY; FOR LARYNGEAL WEB, TWO STAGE, WITH N 3 $495.00 03/01/2004 12/31/2299
31582 2 LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT N 3 $400.00 01/01/1973 12/31/2299
31582 7 LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT N 3 $13.45 06/01/1994 12/31/2299
31582 8 LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT N 3 $80.00 01/01/1973 12/31/2299
31582 F LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT N 3 $495.00 03/01/2004 12/31/2299
31584 7 LARYNGOPLASTY; WITH OPEN REDUCTION OF FRACTURE N 3 $13.45 06/01/1994 12/31/2299
31585 7 TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITHOUT MA N 3 $13.45 06/01/1994 12/31/2005
31585 F TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITHOUT MA N 3 $225.80 03/01/2004 12/31/2299
31586 7 TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITH CLOSE N 3 $13.45 06/01/1994 12/31/2005
31586 F TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITH CLOSE N 3 $306.00 03/01/2004 12/31/2299
31587 7 LARYNGOPLASTY, CRICOID SPLIT N 3 $13.45 06/01/1994 12/31/2299
31588 2 LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG, FOR BU N 3 $649.82 01/01/2004 12/31/2299
31588 7 LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG, FOR BU N 3 $13.45 06/01/1994 12/31/2299
31588 F LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG, FOR BU N 3 $495.00 03/01/2004 12/31/2299
31590 2 LARYNGEAL REINNERVATION BY NEUROMUSCULAR PEDICLE N 3 $700.00 01/01/1984 12/31/2299
31590 7 LARYNGEAL REINNERVATION BY NEUROMUSCULAR PEDICLE N 3 $13.45 06/01/1994 12/31/2299
31590 8 LARYNGEAL REINNERVATION BY NEUROMUSCULAR PEDICLE N 3 $140.00 01/01/1984 12/31/2299
31590 F LARYNGEAL REINNERVATION BY NEUROMUSCULAR PEDICLE N 3 $495.00 03/01/2004 12/31/2299
31595 7 SECTIN RECURRENT LARYNGEAL NERVE THERAPEUTIC(SEPAR N 3 $13.45 06/01/1994 12/31/2299
31595 F SECTION RECURRENT LARYNGEAL NERVE THERAPEUTIC(SEPA N 3 $306.00 03/01/2004 12/31/2299
31599 7 UNLISTED PROCEDURE, LARYNX N 3 $13.45 06/01/1994 12/31/2299
31600 2 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE) N 3 $150.00 08/01/1979 12/31/2299
31600 7 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
31600 8 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE) N 3 $30.00 01/01/1984 12/31/2299
31601 2 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); UNDER N 3 $150.00 01/01/1984 12/31/2299
31601 7 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); UNDER N 3 $13.45 06/01/1994 12/31/2299
31603 2 TRACHEOSTOMY EMERGENCY PEOCEDURE;TRANSTRACHEAL N 3 $150.00 01/01/1984 12/31/2299
31603 7 TRACHEASTOMY EMERGENCY PROCEDURE;TRANSTRACHEAL N 3 $13.45 06/01/1994 12/31/2299
31603 8 TRACHEOSTOMY EMERGENCY PROCEDURE;TRANSTRACHEAL N 3 $30.00 01/01/1984 12/31/2299
31605 2 TRACHEOSTOMY; CRICOTHYROID MEMBRANE ACHE N 3 $100.00 01/01/1984 12/31/2299
31605 7 TRACHEOSTOMY; CRICOTHYROID MEMBRANE REPA N 3 $13.45 06/01/1994 12/31/2299
31610 2 TRACHEOSTOMY, FENESTRATION PROCEDURE WITH SKIN FLA N 3 $175.00 01/01/1973 12/31/2299
31610 7 TRACHEOSTOMY, FENESTRATION PROCEDURE WITH SKIN FLA N 3 $13.45 06/01/1994 12/31/2299
31611 2 CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBS N 3 $312.00 01/02/1994 12/31/2299
31611 7 CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBS N 3 $13.45 06/01/1994 12/31/2299
31611 F CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBS N 3 $351.00 03/01/2004 12/31/2299
31612 2 TRACHEAL PUNCTURE, PERCUTANEOUS FOR ASPIRATION OF N 3 $54.00 01/02/1995 12/31/2299
31612 7 TRACHEAL PUNCTURE, PERCUTANEOUS FOR ASPIRATION OF N 3 $13.45 06/01/1994 12/31/2299
31612 F TRACHEAL PUNCTURE, PERCUTANEOUS FOR ASPIRATION OF N 3 $225.80 03/01/2004 12/31/2299
31613 2 TRACHEOSTOMA REVISION; SIMPLE WITHOUT FLAP ROTATIO N 3 $175.00 01/01/1984 12/31/2299
31613 7 TRACHEASOTMA REVISION; SIMPLE WITHOUT FLAP ROTATIO N 3 $13.45 06/01/1994 12/31/2299
31613 F TRACHEOSTOMA REVISION; SIMPLE WITHOUT FLAP ROTATIO N 3 $306.00 03/01/2004 12/31/2299
31614 2 TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION N 3 $378.74 01/01/2005 12/31/2299
31614 7 TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION N 3 $13.45 06/01/1994 12/31/2299
31614 F TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION N 3 $306.00 03/01/2004 12/31/2299
31615 2 TRACHEOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCI N 3 $75.00 01/01/1984 12/31/2299
31615 7 TRACHEOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCI N 3 $13.45 06/01/1994 12/31/2299
31615 F TRACHEOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCI N 3 $225.80 03/01/2004 12/31/2299
31620 2 ENDOBRONCHIAL ULTRASOUND N 3 $47.06 01/01/2005 12/31/2299
31620 7 ENDOBRONCHIAL ULTRASOUND N 3 $13.45 06/01/1994 12/31/2299
31621 7 BRONCHOSCOPY; DIAGNOSTIC, FIBEROPTIC BRONCHOSCOPE N 3 $13.45 06/01/1994 12/31/2299
31622 2 BRONCHOSCOPY DIAG FLX OR RIGD W W/O CL WASH OR BRS N 3 $138.00 01/02/1994 12/31/2299
31622 7 BRONCHOSCOPY DIAGNOSTIC FLEX OR RIGID-ANESTHESIA N 3 $13.45 06/01/1994 12/31/2299
31622 F BRONCHOSCOPY DIAG FLX OR RIGD W W/O CL WASH OR BRS N 3 $225.80 03/01/2004 12/31/2299
31623 2 BRONCHOSCOPY W/BRUSHING OR PROTECTED BRUSHINGS N 3 $140.59 01/01/1999 12/31/2299
31623 F BRONCHOSCOPY W/BRUSHING OR PROTECTED BRUSHINGS N 3 $306.00 03/01/2004 12/31/2299
31624 2 BRONCHOSCOPY W/BRONCHIAL ALVEOLAR LAVAGE N 3 $141.85 01/01/1999 12/31/2299
31624 F BRONCHOSCOPY W/BRONCHIAL ALVEOLAR LAVAGE N 3 $306.00 03/01/2004 12/31/2299
31625 2 BRONCHOSCOPY; WITH BIOPSY, RIGID BRONCHOSCOPE N 3 $160.00 01/02/1995 12/31/2299
31625 7 BRONCHOSCOPY; WITH BIOPSY, RIGID BRONCHOSCOPE N 3 $13.45 06/01/1994 12/31/2299
31625 F BRONCHOSCOPY; WITH BIOPSY, RIGID BRONCHOSCOPE N 3 $306.00 03/01/2004 12/31/2299
31626 2 BRONCHOSCOPY; WITH BIOPSY, FIBEROPTIC BRONCHOSCOPE N 3 $125.00 01/01/1984 12/31/2299
31626 7 BRONCHOSCOPY; WITH BIOPSY, FIBEROPTIC BRONCHOSCOPE N 3 $13.45 06/01/1994 12/31/2299
31627 2 BRONCHOSCOPY; WITH BRUSHING, FIBEROPTIC BRONCHOSCO N 3 $100.00 01/01/1984 12/31/2299
31627 7 BRONCHOSCOPY; WITH BRUSHING, FIBEROPTIC BRONCHOSCO N 3 $13.45 06/01/1994 12/31/2299
31628 2 BRONCHOSCOPY;W TRANSBRONCHIAL LUNG BIOPSY, FIBEROP N 3 $186.00 01/02/1995 12/31/2299
31628 7 BRONCHOSCOPY;W TRANSBRONCHIAL LUNG BIOPSY, FIBEROP N 3 $13.45 06/01/1994 12/31/2299
31628 F BRONCHOSCOPY;W TRANSBRONCHIAL LUNG BIOPSY, FIBEROP N 3 $306.00 03/01/2004 12/31/2299
31629 2 BRONCHOSCOPY WITH NEEDLE ASPIRATION N 3 $155.00 01/01/1984 12/31/2299
31629 7 BRONCHOSCOPY WITH NEEDLE ASPIRATION N 3 $13.45 06/01/1994 12/31/2299
31629 F BRONCHOSCOPY WITH NEEDLE ASPIRATION N 3 $306.00 03/01/2004 12/31/2299
31630 2 BRONCHOSCOPY; WITH TRACHEAL OR BRONCHIAL DILATION N 3 $150.00 01/01/1973 12/31/2299
31630 7 BRONCHOSCOPY; WITH TRACHEAL OR BRONCHIAL DILATION N 3 $13.45 06/01/1994 12/31/2299
31630 F BRONCHOSCOPY; WITH TRACHEAL OR BRONCHIAL DILATION N 3 $306.00 03/01/2004 12/31/2299
31631 7 BRONCHOSCOPY N 3 $13.45 06/01/1994 12/31/2299
31631 F BRONCHOSCOPY N 3 $306.00 03/01/2004 12/31/2299
31632 2 BROCHOSCOPY, RIGID OR FLEXIBLE WITH OR WITHOUT FLOUROSCOPIC GUIDA N 3 $33.82 01/01/2004 12/31/2299
31633 2 BRONCHOSCOPY, RIGID OR FLEXIBLE WITH OR WITHOUT FLUOROSCOPIC GUID N 3 $42.16 01/01/2004 12/31/2299
31635 2 BRONCHOSCOPY; WITH REMOVAL OF FOREIGN BODY N 3 $190.00 01/02/1995 12/31/2299
31635 7 BRONCHOSCOPY; WITH REMOVAL OF FOREIGN BODY N 3 $13.45 06/01/1994 12/31/2299
31635 F BRONCHOSCOPY; WITH REMOVAL OF FOREIGN BODY N 3 $306.00 03/01/2004 12/31/2299
31636 2 BRONCHOSCOPY RIGID OR FLEXIBLE W/WOUT FLUOROSCOPIC N 3 $145.60 01/01/2005 12/31/2299
31636 7 BRONCHOSCOPY RIGID OR FLEXIBLE W/WITHOUT FLUOROSCOPIC N 3 $13.45 01/01/2005 12/31/2299
31637 2 BRONSCHOSCOPY RIGID OR FLEXIBLE W/WOUT FLUOROSCOPIC N 3 $51.82 01/01/2005 12/31/2299
31637 7 BRONCHOSCOPY RIGID OR FLEXIBLE W/WOUT FLUOROSCOPIC N 3 $13.45 01/01/2005 12/31/2299
31638 2 BRONCHOSCOPY RIGID/FLEXIBLE W/WITHOUT FLUOROSCOPIC N 3 $161.77 01/01/2005 12/31/2299
31638 7 BRONSCHOSCOPY RIGID/FLEXIBLE W/WITHOUT FLUOROSCOPIC N 3 $13.45 01/01/2005 12/31/2299
31640 2 BRONCHOSCOPY; WITH EXCISION OF TUMOR N 3 $125.00 01/01/1973 12/31/2299
31640 7 BRONCHOSCOPY; WITH EXCISION OF TUMOR N 3 $13.45 06/01/1994 12/31/2299
31640 F BRONCHOSCOPY; WITH EXCISION OF TUMOR N 3 $306.00 03/01/2004 12/31/2299
31641 2 BRONCHOSCOPY; W/ DESTRUC OF TUMOR OR REL OF STEN N 3 $175.00 01/01/1984 12/31/2299
31641 F BRONCHOSCOPY; W/ DESTRUC OF TUMOR OR REL OF STEN N 3 $306.00 03/01/2004 12/31/2299
31643 2 BRONSCHOSCOPY W/PLACEMENT OF CATHERTER FOR INTRACAVITARY N 3 $123.23 01/01/1999 12/31/2299
31643 7 BRONCHOSCOPY W/PLACEMENT OF CATHETER FOR INTRACAVITARY RADIOELEMT N 3 $123.23 01/01/1999 12/31/2299
31643 F BRONSCHOSCOPY W/PLACEMENT OF CATHERTER FOR INTRACAVITARY N 3 $306.00 03/01/2004 12/31/2299
31645 2 BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACH N 3 $134.40 01/02/1992 12/31/2299
31645 7 BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACH N 3 $13.45 06/01/1994 12/31/2299
31645 F BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACH N 3 $225.80 03/01/2004 12/31/2299
31646 2 BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACH N 3 $111.00 01/02/1995 12/31/2299
31646 7 BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACH N 3 $13.45 06/01/1994 12/31/2299
31646 F BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION OF TRACH N 3 $225.80 03/01/2004 12/31/2299
31650 2 BRONCHOSCOPY; WITH DRAINAGE OF LUNG ABSCESS OR CAV N 3 $100.00 01/01/1973 12/31/2299
31650 7 BRONCHOSCOPY; WITH DRAINAGE OF LUNG ABSCESS OR CAV N 3 $13.45 06/01/1994 12/31/2299
31651 2 BRONCHOSCOPY; WITH DRAINAGE OF LUNG ABSCESS OR CAV N 3 $65.00 01/01/1973 12/31/2299
31651 7 BRONCHOSCOPY; WITH DRAINAGE OF LUNG ABSCESS OR CAV N 3 $13.45 06/01/1994 12/31/2299
31656 7 BRONCHOSCOPY; WITH INJECTION OF CONTRACT MATERIAL N 3 $13.45 06/01/1994 12/31/2299
31656 F BRONCHOSCOPY; WITH INJECTION OF CONTRACT MATERIAL N 3 $225.80 03/01/2004 12/31/2299
31700 2 CATHETERIZATION, TRANSGLOTTIC N 3 $90.00 01/01/1973 12/31/2299
31700 7 CATHETERIZATION, TRANSGLOTTIC N 3 $13.45 06/01/1994 12/31/2299
31700 F CATHETERIZATION, TRANSGLOTTIC N 3 $225.80 03/01/2004 12/31/2299
31710 2 CATHETERIZATION FOR BRONCHOGRAPHY, WITH OR WITHOUT N 3 $20.00 01/01/1971 12/31/2299
31717 7 CATHETERIZATION WITH BRONCHIAL BRUSH BIOPSY N 3 $13.45 06/01/1994 12/31/2299
31717 F CATHETERIZATION WITH BRONCHIAL BRUSH BIOPSY N 3 $225.80 03/01/2004 12/31/2299
31720 2 CATHETER ASPIRATION (SEPARATE PROCEDURE); NASOTRAC N 3 $25.00 01/01/1984 12/31/2299
31720 F CATHETER ASPIRATION (SEPARATE PROCEDURE); NASOTRAC N 3 $225.80 03/01/2004 12/31/2299
31730 2 TRANSTRACHEAL (PERCUTANEOUS) INTRODUCTION OF NEEDL N 3 $103.22 01/01/1993 12/31/2299
31730 7 TRANSTRACHEAL INTRODUCTIO OF NEEDLE WIRE DILATOR N 3 $13.45 06/01/1994 12/31/2299
31730 F TRANSTRACHEAL (PERCUTANEOUS) INTRODUCTION OF NEEDL N 3 $225.80 03/01/2004 12/31/2299
31750 2 TRACHEOPLASTY; CERVICAL N 3 $400.00 08/01/1979 12/31/2299
31750 7 TRACHEOPLASTY; CERVICAL N 3 $13.45 06/01/1994 12/31/2299
31750 8 TRACHEOPLASTY; CERVICAL N 3 $80.00 08/01/1979 12/31/2299
31750 F TRACHEOPLASTY; CERVICAL N 3 $495.00 03/01/2004 12/31/2299
31755 7 TRACHEOPLASTY; TRACHEOPHARYNGEAL FISTULIZATION, EA N 3 $13.45 06/01/1994 12/31/2299
31755 F TRACHEOPLASTY; TRACHEOPHARYNGEAL FISTULIZATION, EA N 3 $306.00 03/01/2004 12/31/2299
31760 2 TRACHEOPLASTY; INTRATHORACIC N 3 $450.00 08/01/1979 12/31/2299
31760 7 TRACHEOPLASTY; INTRATHORACIC N 3 $13.45 06/01/1994 12/31/2299
31760 8 TRACHEOPLASTY; INTRATHORACIC N 3 $90.00 08/01/1979 12/31/2299
31766 7 CARINAL RECONSTRUCTION N 3 $13.45 06/01/1994 12/31/2299
31770 7 BRONCHOPLASTY; GRAFT REPAIR N 3 $13.45 06/01/1994 12/31/2299
31775 7 BRONCHOPLASTY; EXCISION STENOSIS AND ANASTOMOSIS N 3 $13.45 06/01/1994 12/31/2299
31780 2 EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVIC N 3 $500.00 01/01/1984 12/31/2299
31780 7 EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVIC N 3 $13.45 06/01/1994 12/31/2299
31781 2 EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVIC N 3 $1,000.00 01/01/1984 12/31/2299
31781 7 EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVIC N 3 $13.45 06/01/1994 12/31/2299
31785 7 EXCISION OF TRACHEAL TUMOR OR CARCINOMA; CERVICAL N 3 $13.45 06/01/1994 12/31/2299
31786 7 EXCISION OF TRACHEAL TUMOR OR CARCINOMA; THORACIC N 3 $13.45 06/01/1994 12/31/2299
31800 2 SUTURE OF EXTERNAL TRACHEAL WOUND OR INJURY; CERVI N 3 $200.00 08/01/1979 12/31/2299
31800 7 SUTURE OF EXTERNAL TRACHEAL WOUND OR INJURY; CERVI N 3 $13.45 06/01/1994 12/31/2299
31800 8 SUTURE OF EXTERNAL TRACHEAL WOUND OR INJURY; CERVI N 3 $40.00 08/01/1979 12/31/2299
31805 2 SUTURE OF EXTERNAL TRACHEAL WOUND OR INJURY; INTRA N 3 $450.00 08/01/1979 12/31/2299
31805 7 SUTURE OF EXTERNAL TRACHEAL WOUND OR INJURY; INTRA N 3 $13.45 06/01/1994 12/31/2299
31805 8 SUTURE OF EXTERNAL TRACHEAL WOUND OR INJURY; INTRA N 3 $90.00 08/01/1979 12/31/2299
31820 2 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT N 3 $100.00 01/01/1973 12/31/2299
31820 7 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT N 3 $13.45 06/01/1994 12/31/2299
31820 F SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT N 3 $225.80 03/01/2004 12/31/2299
31825 2 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLA N 3 $150.00 01/01/1973 12/31/2299
31825 7 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLA N 3 $13.45 06/01/1994 12/31/2299
31825 F SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLA N 3 $306.00 03/01/2004 12/31/2299
31830 7 REVISION OF TRACHEOSTOMY SCAR N 3 $13.45 06/01/1994 12/31/2299
31830 F REVISION OF TRACHEOSTOMY SCAR N 3 $306.00 03/01/2004 12/31/2299
31899 7 UNLISTED PROCEDURE, TRACHEA, BRONCHI N 3 $13.45 06/01/1994 12/31/2299
32000 2 THORACENTESIS, PUNCTURE OF PLEURAL CAVITY ASPRTN N 3 $49.00 01/02/1995 12/31/2299
32000 F THORACENTESIS, PUNCTURE OF PLEURAL CAVITY ASPRTN N 3 $225.80 03/01/2004 12/31/2299
32002 2 THORACENTESIS W/INSERT OF TUBE W OR W/O WATER SEAL N 3 $112.00 01/02/1995 12/31/2299
32005 2 CHEMICAL PLEURODESIS (EG, FOR RECURRENT OR PERSIST N 3 $40.00 01/01/1989 12/31/2299
32019 2 INSERTION OF INDWELLING TUNNELED PLEURAL CATH W CUFF N 3 $142.42 01/01/2005 12/31/2299
32019 7 INSERTION OF INDWELLING TUNNELED PLEURAL CATH W CUFF N 3 $13.45 01/01/2005 12/31/2299
32020 2 TUBE THORACOSTOMY WITH WATER SEAL (EG, PNEUMOTHORA N 3 $150.00 01/01/1971 12/31/2299
32020 7 TUBE THORACOSTOMY WITH WATER SEAL N 3 $13.45 06/01/1994 12/31/2299
32020 8 TUBE THORACOSTOMY WITH WATER SEAL (EG, PNEUMOTHORA N 3 $30.00 01/01/1984 12/31/2299
32035 2 THORACOSTOMY; WITH RIB RESECTION FOR EMPYEMA N 3 $250.00 01/01/1973 12/31/2299
32035 7 THORACOSTOMY; WITH RIB RESECTION FOR EMPYEMA N 3 $13.45 06/01/1994 12/31/2299
32035 8 THORACOSTOMY; WITH RIB RESECTION FOR EMPYEMA N 3 $50.00 01/01/1973 12/31/2299
32036 2 THORACOSTOMY; WITH OPEN FLAP DRAINAGE FOR EMPYEMA N 3 $372.00 01/02/1994 12/31/2299
32036 7 THORACOSTOMY; WITH OPEN FLAP DRAINAGE FOR EMPYEMA N 3 $13.45 06/01/1994 12/31/2299
32095 2 THORACOTOMY LIMITED, FOR BIOPSY OF LUNG OR PLEURA N 3 $350.00 01/01/1984 12/31/2299
32095 7 THORACOTOMY LIMITED, FOR BIOPSY OF LUNG OR PLEURA N 3 $13.45 06/01/1994 12/31/2299
32095 8 THORACOTOMY LIMITED, FOR BIOPSY OF LUNG OR PLEURA N 3 $70.00 01/01/1984 12/31/2299
32100 2 THORACOTOMY, MAJOR; WITH EXPLORATION AND BIOPSY N 3 $560.00 01/02/1997 12/31/2299
32100 7 THORACOTOMY, MAJOR; WITH EXPLORATION AND BIOPSY N 3 $13.45 06/01/1994 12/31/2299
32100 8 THORACOTOMY, MAJOR; WITH EXPLORATION AND BIOPSY N 3 $112.00 01/02/1997 12/31/2299
32110 2 THORACOTOMY, MAJOR; WITH CONTROL OF TRAUMATIC HEMO N 3 $400.00 01/01/1973 12/31/2299
32110 7 THORACOTOMY, MAJOR; WITH CONTROL OF TRAUMATIC HEMO N 3 $13.45 06/01/1994 12/31/2299
32110 8 THORACOTOMY, MAJOR; WITH CONTROL OF TRAUMATIC HEMO N 3 $80.00 01/01/1973 12/31/2299
32120 2 THORACOTOMY, MAJOR; FOR POSTOPERATIVE COMPLICATION N 3 $463.35 01/01/2003 12/31/2299
32120 7 THORACOTOMY, MAJOR; FOR POSTOPERATIVE COMPLICATION N 3 $13.45 06/01/1994 12/31/2299
32124 2 THORACOTOMY, MAJOR; WITH OPEN INTRAPLEURAL PNEUMON N 3 $435.00 08/01/1979 12/31/2299
32124 7 THORACOTOMY, MAJOR; WITH OPEN INTRAPLEURAL PNEUMON N 3 $13.45 06/01/1994 12/31/2299
32124 8 THORACOTOMY, MAJOR; WITH OPEN INTRAPLEURAL PNEUMON N 3 $87.00 08/01/1979 12/31/2299
32140 2 THORACOTOMY, MAJOR; WITH CYST(S) REMOVAL WITH OR W N 3 $400.00 01/01/1973 12/31/2299
32140 7 THORACOTOMY, MAJOR; WITH CYST(S) REMOVAL WITH OR W N 3 $13.45 06/01/1994 12/31/2299
32140 8 THORACOTOMY, MAJOR; WITH CYST(S) REMOVAL WITH OR W N 3 $80.00 01/01/1973 12/31/2299
32141 2 THORACOTOMY, MAJOR; WITH EXCISION-PLICATION OF BUL N 3 $435.00 01/01/1984 12/31/2299
32141 7 THORACOTOMY, MAJOR; WITH EXCISION-PLICATION OF BUL N 3 $13.45 06/01/1994 12/31/2299
32141 8 THORACOTOMY, MAJOR; WITH EXCISION-PLICATION OF BUL N 3 $87.00 01/01/1984 12/31/2299
32150 2 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPLEURAL F N 3 $350.00 01/01/1973 12/31/2299
32150 7 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPLEURAL F N 3 $13.45 06/01/1994 12/31/2299
32150 8 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPLEURAL F N 3 $70.00 01/01/1973 12/31/2299
32151 2 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPULMONARY N 3 $350.00 01/01/1973 12/31/2299
32151 7 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPULMONARY N 3 $13.45 06/01/1994 12/31/2299
32151 8 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPULMONARY N 3 $70.00 01/01/1973 12/31/2299
32160 7 THORACOTOMY, MAJOR; WITH CARDIAC MASSAGE N 3 $13.45 06/01/1994 12/31/2299
32200 2 PNEUMONOSTOMY, WITH OPEN DRAINAGE OF ABSCESS OR CY N 3 $350.00 01/01/1973 12/31/2299
32200 7 PNEUMONOSTOMY, WITH OPEN DRAINAGE OF ABSCESS OR CY N 3 $13.45 06/01/1994 12/31/2299
32200 8 PNEUMONOSTOMY, WITH OPEN DRAINAGE OF ABSCESS OR CY N 3 $70.00 01/01/1973 12/31/2299
32201 2 PNEUMONOSTOMY;W/PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST N 3 $156.17 01/01/1998 12/31/2299
32201 7 PNEUMONOSTOMY;W/PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST N 3 $13.45 01/01/1998 12/31/2299
32201 8 PNEUMONOSTOMY;W/PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST N 3 $31.24 01/01/1998 12/31/2299
32215 2 PLEURAL SCARIFICATION FOR REPEAT PNEUMOTHORAX N 3 $452.03 01/01/2005 12/31/2299
32215 7 PLEURAL SCARIFICATION FOR REPEAT PNEUMOTHORAX N 3 $13.45 06/01/1994 12/31/2299
32220 2 DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); TO N 3 $500.00 01/01/1973 12/31/2299
32220 7 DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); TO N 3 $13.45 06/01/1994 12/31/2299
32220 8 DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); TO N 3 $100.00 01/01/1973 12/31/2299
32225 2 DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); PA N 3 $350.00 01/01/1973 12/31/2299
32225 7 DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); PA N 3 $13.45 06/01/1994 12/31/2299
32225 8 DECORTICATION, PULMONARY, (SEPARATE PROCEDURE); PA N 3 $70.00 01/01/1973 12/31/2299
32310 2 PLEURECTOMY; PARIETAL N 3 $480.00 08/01/1979 12/31/2299
32310 7 PLEURECTOMY; PARIETAL N 3 $13.45 06/01/1994 12/31/2299
32310 8 PLEURECTOMY; PARIETAL N 3 $96.00 08/01/1979 12/31/2299
32320 7 DECORTICATION AND PARIETAL PLEURECTOMY N 3 $13.45 06/01/1994 12/31/2299
32400 2 BIOPSY, PLEURA; PERCUTANEOUS NEEDLE N 3 $65.00 01/02/1995 12/31/2299
32400 7 BIOPSY, PLEURA; PERCUTANEOUS NEEDLE N 3 $13.45 06/01/1994 12/31/2299
32400 F BIOPSY, PLEURA; PERCUTANEOUS NEEDLE N 3 $225.80 03/01/2004 12/31/2299
32402 2 BIOPSY, PLEURA; OPEN N 3 $300.00 01/01/1990 12/31/2299
32402 7 BIOPSY, PLEURA; OPEN N 3 $13.45 06/01/1994 12/31/2299
32402 8 BIOPSY, PLEURA; OPEN N 3 $60.00 01/01/1990 12/31/2299
32405 2 BIOPSY, LUNG, PERCUTANEOUS NEEDLE N 3 $84.00 01/02/1994 12/31/2299
32405 7 BIOPSY, LUNG, PERCUTANEOUS NEEDLE N 3 $13.45 06/01/1994 12/31/2299
32405 F BIOPSY, LUNG, PERCUTANEOUS NEEDLE N 3 $225.80 03/01/2004 12/31/2299
32420 2 PNEUMONOCENTESIS, PUNCTURE OF LUNG FOR ASPIRATION N 3 $68.35 01/01/2002 12/31/2299
32420 7 PNEUMONOCENTESIS, PUNCTURE OF LUNG FOR ASPIRATION N 3 $13.45 06/01/1994 12/31/2299
32420 F PNEUMONOCENTESIS, PUNCTURE OF LUNG FOR ASPIRATION N 3 $225.80 03/01/2004 12/31/2299
32440 2 PNEUMONECTOMY, TOTAL N 3 $750.00 01/01/1973 12/31/2299
32440 7 PNEUMONECTOMY, TOTAL N 3 $13.45 06/01/1994 12/31/2299
32440 8 PNEUMONECTOMY, TOTAL N 3 $150.00 01/01/1973 12/31/2299
32442 2 REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; N 3 $938.14 01/01/1994 12/31/2299
32445 7 PNEUMONECTOMY, EXTRAPLEURAL; WITHOUT EMPYEMECTOMY N 3 $13.45 06/01/1994 12/31/2299
32480 2 LOBECTOMY, TOTAL OR SEGMENTAL; N 3 $650.00 01/01/1973 12/31/2299
32480 7 LOBECTOMY, TOTAL OR SEGMENTAL; N 3 $13.45 06/01/1994 12/31/2299
32480 8 LOBECTOMY, TOTAL OR SEGMENTAL; N 3 $130.00 01/01/1973 12/31/2299
32482 2 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; N 3 $960.00 01/02/1995 12/31/2299
32482 7 ANESTHESIA, REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY N 3 $13.45 01/02/1995 12/31/2299
32482 8 ASSISTANT FEE REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY N 3 $192.00 01/02/1995 12/31/2299
32484 2 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; N 3 $942.00 01/02/1997 12/31/2299
32484 7 ANESTHESIA;REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY N 3 $13.45 01/01/1994 12/31/2299
32484 8 ASSISTANT FEE;REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY N 3 $189.00 01/02/1997 12/31/2299
32485 7 LOBECTOMY, TOTAL OR SEGMENTAL; WITH BRONCHOPLASTY N 3 $13.45 06/01/1994 12/31/2299
32486 2 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; N 3 $864.85 01/01/1994 12/31/2299
32488 2 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; N 3 $927.89 01/01/1994 12/31/2299
32500 2 WEDGE RESECTION OF LUNG, SINGLE OR MULTIPLE N 3 $550.00 01/01/1973 12/31/2299
32500 7 WEDGE RESECTION OF LUNG, SINGLE OR MULTIPLE N 3 $13.45 06/01/1994 12/31/2299
32500 8 WEDGE RESECTION OF LUNG, SINGLE OR MULTIPLE N 3 $110.00 01/01/1973 12/31/2299
32501 2 RESECTION/REPAIR OF BRONCHUS AT TIME OF LOBE/SEGMENTECTOMY N 3 $238.22 01/01/1996 12/31/2299
32501 8 RESECTION/REPAIR OF BRONCHUS AT TIME OF LOBE/SEGMENTECTOMY N 3 $47.64 01/01/1996 12/31/2299
32520 2 RESECTION OF LUNG; WITH RESECTION OF CHEST WALL N 3 $750.00 01/01/1971 12/31/2005
32520 7 RESECTION OF LUNG; WITH RESECTION OF CHEST WALL N 3 $13.45 06/01/1994 12/31/2005
32520 8 RESECTION OF LUNG; WITH RESECTION OF CHEST WALL N 3 $150.00 01/01/1973 12/31/2005
32522 7 RESECTION OF LUNG; WITH RECONSTRUCTION OF CHEST WA N 3 $13.45 06/01/1994 12/31/2005
32525 2 RESECTION OF LUNG; WITH MAJOR RECONSTRUCTION OF CH N 3 $980.84 01/01/2005 12/31/2005
32525 7 RESECTION OF LUNG; WITH MAJOR RECONSTRUCTION OF CH N 3 $13.45 06/01/1994 12/31/2005
32540 2 EXTRAPLEURAL ENUCLEATION OF EMPYEMA (EMPYEMECTOMY) N 3 $500.00 01/01/1971 12/31/2299
32540 7 EXTRAPLEURAL ENUCLEATION OF EMPYEMA (EMPYEMECTOMY) N 3 $13.45 06/01/1994 12/31/2299
32540 8 EXTRAPLEURAL ENUCLEATION OF EMPYEMA (EMPYEMECTOMY) N 3 $100.00 01/01/1973 12/31/2299
32601 2 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); N 3 $194.24 01/01/1994 12/31/2299
32601 7 THORACOSCOPY, DIAGNOSTIC - ANESTHESIA N 3 $13.45 01/01/1994 12/31/2299
32602 2 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); N 3 $214.01 01/01/1994 12/31/2299
32602 7 ANESTHESIA FOR THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE) N 3 $13.45 01/01/1994 12/31/2299
32602 8 THORACOSCOPY, DIAGNOSTIC -ASSISTANT SURGEON N 3 $42.80 01/01/1994 12/31/2299
32603 2 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); N 3 $242.54 01/01/1994 12/31/2299
32604 2 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); N 3 $271.85 01/01/1994 12/31/2299
32605 2 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); N 3 $224.48 01/01/1994 12/31/2299
32606 2 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); N 3 $263.93 01/01/1994 12/31/2299
32650 2 THORACOSCOPY, SURGICAL; N 3 $387.19 01/01/1994 12/31/2299
32651 2 THORACOSCOPY, SURGICAL; N 3 $532.80 01/01/1994 12/31/2299
32652 2 THORACOSCOPY, SURGICAL; N 3 $624.19 01/01/1994 12/31/2299
32653 2 THORACOSCOPY, SURGICAL; N 3 $503.74 01/01/1994 12/31/2299
32654 2 THORACOSCOPY, SURGICAL; N 3 $515.31 01/01/1994 12/31/2299
32655 2 THORACOSCOPY, SURGICAL; N 3 $459.95 01/01/1994 12/31/2299
32655 7 ANESTHESIA FOR THORACOSCOPY, SURGICAL N 3 $13.45 01/01/1994 12/31/2299
32656 2 THORACOSCOPY, SURGICAL; N 3 $513.22 01/01/1994 12/31/2299
32657 2 THORACOSCOPY, SURGICAL; N 3 $647.40 01/01/1994 12/31/2299
32658 2 THORACOSCOPY, SURGICAL; N 3 $545.66 01/01/1994 12/31/2299
32659 2 THORACOSCOPY, SURGICAL; N 3 $619.54 01/01/1994 12/31/2299
32659 7 THOROSCOPY WITH CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTI N 3 $13.45 01/02/1994 12/31/2299
32660 2 THORACOSCOPY, SURGICAL; N 3 $816.38 01/01/1994 12/31/2299
32661 2 THORACOSCOPY, SURGICAL; N 3 $478.89 01/01/1994 12/31/2299
32662 2 THORACOSCOPY, SURGICAL; N 3 $672.37 01/01/1994 12/31/2299
32663 2 THORACOSCOPY, SURGICAL; N 3 $799.21 01/01/1994 12/31/2299
32664 2 THORACOSCOPY, SURGICAL; N 3 $533.77 01/01/1994 12/31/2299
32665 2 THORACOSCOPY, SURGICAL; N 3 $563.66 01/01/1994 12/31/2299
32800 7 REPAIR LUNG HERNIA THROUGH CHEST WALL N 3 $13.45 06/01/1994 12/31/2299
32800 8 REPAIR LUNG HERNIA THROUGH CHEST WALL N 3 $70.00 01/01/1992 12/31/2299
32810 2 CLOSURE OF CHEST WALL N 3 $509.09 01/01/2003 12/31/2299
32810 7 CLOSURE OF CHEST WALL FOLLOWING OPEN FLAP DRAINAGE N 3 $13.45 06/01/1994 12/31/2299
32815 7 OPEN CLOSURE OF MAJOR BRONCHIAL FISTULA N 3 $13.45 06/01/1994 12/31/2299
32820 2 MAJOR RECONSTRUCTION, CHEST WALL (POST-TRAUMATIC) N 3 $350.00 01/01/1990 12/31/2299
32820 7 MAJOR RECONSTRUCTION, CHEST WALL (POST-TRAUMATIC) N 3 $13.45 06/01/1994 12/31/2299
32820 8 MAJOR RECONSTRUCTION, CHEST WALL (POST-TRAUMATIC) N 3 $70.00 01/01/1990 12/31/2299
32900 2 RESECTION OF RIBS, EXTRAPLEURAL, ALL STAGES N 3 $250.00 01/01/1973 12/31/2299
32900 7 RESECTION OF RIBS, EXTRAPLEURAL, ALL STAGES N 3 $13.45 06/01/1994 12/31/2299
32900 8 RESECTION OF RIBS, EXTRAPLEURAL, ALL STAGES N 3 $85.00 01/01/1971 12/31/2299
32905 2 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL ST N 3 $759.84 01/01/2004 12/31/2299
32905 7 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL ST N 3 $13.45 06/01/1994 12/31/2299
32905 8 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL ST N 3 $151.97 01/01/2004 12/31/2299
32906 7 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL; WITH C N 3 $13.45 06/01/1994 12/31/2299
32940 2 PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING N 3 $350.00 01/01/1973 12/31/2299
32940 7 PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING N 3 $13.45 06/01/1994 12/31/2299
32940 8 PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING N 3 $70.00 01/01/1973 12/31/2299
32960 2 PNEUMOTHORAX, THERAPEUTIC, INTRAPLEURAL INJECTION N 3 $25.00 01/01/1973 12/31/2299
32997 2 TOTAL LUNG LAVAGE (UNILATERAL) N 3 $194.87 01/01/2000 12/31/2299
32999 7 UNLISTED PROCEDURE, LUNGS AND PLEURA N 3 $13.45 06/01/1994 12/31/2299
33010 2 PERICARDIOCENTESIS; INITIAL N 3 $30.00 01/01/1973 12/31/2299
33010 7 PERICARDIOCENTESIS INITIAL N 3 $13.45 06/01/1994 12/31/2299
33010 F PERICARDIOCENTESIS; INITIAL N 3 $306.00 03/01/2004 12/31/2299
33011 2 PERICARDIOCENTESIS; SUBSEQUENT N 3 $30.00 01/01/1984 12/31/2299
33011 7 PERFCARDIOCENTESIS; SUBSEQUENT N 3 $13.45 06/01/1994 12/31/2299
33011 F PERICARDIOCENTESIS; SUBSEQUENT N 3 $306.00 03/01/2004 12/31/2299
33015 2 TUBE PERICARDIOSTOMY N 3 $246.74 01/01/2003 12/31/2299
33015 7 TUBE PERICARDIOSTOMY N 3 $13.45 06/01/1994 12/31/2299
33020 2 PERICARDIOTOMY FOR REMOVAL OF CLOT OR FOREIGN BODY N 3 $500.00 01/01/1973 12/31/2299
33020 7 PERICARDIOTOMY FOR REMOVAL OF CLOT OR FOREIGN BODY N 3 $13.45 06/01/1994 12/31/2299
33020 8 PERICARDIOTOMY FOR REMOVAL OF CLOT OR FOREIGN BODY N 3 $100.00 01/01/1973 12/31/2299
33025 2 CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTIO N 3 $500.00 01/01/1984 12/31/2299
33025 7 CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTIO N 3 $13.45 06/01/1994 12/31/2299
33025 8 CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTIO N 3 $90.00 01/01/1984 12/31/2299
33030 2 PARTIAL RESECTION FOR CHRONIC CONSTRICTIVE PERICAR N 3 $696.93 01/01/2004 12/31/2299
33030 7 PARTIAL RESECTION FOR CHRONIC CONSTRICTIVE PERICAR N 3 $13.45 06/01/1994 12/31/2299
33031 7 PERICARDIECTOMY, SUBTOTAL OR COMPLETE N 3 $13.45 06/01/1994 12/31/2299
33050 7 EXCISION OF PERICARDIAL CYST OR TUMOR N 3 $13.45 06/01/1994 12/31/2299
33120 2 EXCISION OF INTRACARDIAC TUMOR, RESECTION WITH CAR N 3 $1,250.00 01/01/1973 12/31/2299
33120 7 EXCISION OF INTRACARDIAC TUMOR, RESECTION WITH CAR N 3 $13.45 06/01/1994 12/31/2299
33120 8 EXCISION OF INTRACARDIAC TUMOR, RESECTION WITH CAR N 3 $250.00 01/01/1973 12/31/2299
33130 7 RESECTION OF EXTERNAL CARDIAC TUMOR N 3 $13.45 06/01/1994 12/31/2299
33140 2 TRANSMYOCARDIAL LASER REVASCULARIZATION BY THORACOTOMY(SPERATE PR N 3 $789.47 01/01/2000 12/31/2299
33140 7 TRANSMYOCARDIAL LASER REVASCULARIZATION BY THORACOTOMY SEPERATE P N 3 $13.45 01/01/2000 12/31/2299
33140 8 TRANSMYOCARDIAL LASER REVASCULARIZATION BY THORACOTOMY SEPERATE P N 3 $157.89 01/01/2000 12/31/2299
33141 2 TRANSMYOC.LASER REVASC.BY THORACOTOMY PERFOMED AT THE TIME N 3 $168.98 01/01/2001 12/31/2299
33200 2 INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL E N 3 $600.00 08/01/1979 12/31/2299
33200 7 INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL E N 3 $13.45 06/01/1994 12/31/2299
33200 8 INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL E N 3 $120.00 01/01/1973 12/31/2299
33201 2 INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL E N 3 $700.00 01/01/1984 12/31/2299
33201 7 INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL E N 3 $13.45 06/01/1994 12/31/2299
33201 8 INSERTION OF PERMANENT PACEMAKER WITH EPICARDIAL E N 3 $140.00 01/01/1984 12/31/2299
33205 7 INSERTION OF PERMANENT PACEMAKER WITH TRANSVENOUS N 3 $13.45 06/01/1994 12/31/2299
33206 2 INSERTION OF PERMANENT PACEMAKER WITH TRANSVENOUS N 3 $477.00 08/01/1979 12/31/2299
33206 7 INSERTION OF PERMANENT PACEMAKER WITH TRANSVENOUS N 3 $13.45 06/01/1994 12/31/2299
33207 2 INSERTION OF PERMANENT PACEMAKER W/TRANSVENOUS ELE N 3 $420.00 08/01/1997 12/31/2299
33207 7 INSERTION OF PERMANENT PACEMAKER W/TRANSVENOUS ELE N 3 $13.45 06/01/1994 12/31/2299
33207 8 INSERTION OF PERMANENT PACEMAKER W/TRANSVENOUS ELE N 3 $84.00 08/01/1997 12/31/2299
33208 2 INSERTION OF PERMANENT PACEMAKER W/TRANSVENOUS ELE N 3 $360.00 08/01/1997 12/31/2299
33208 7 INSERTION OF PERMANENT PACEMAKER W/TRANSVENOUS ELE N 3 $13.45 06/01/1994 12/31/2299
33208 8 INSERTION OF PERMANENT PACEMAKER W/TRANSVENOUS ELE N 3 $72.00 08/01/1997 12/31/2299
33210 2 INSERTION OF TEMPORARY TRANSVENOUS CARDIAC ELECTRO N 3 $175.00 01/01/1971 12/31/2299
33210 7 INSERTION OF TEMPORARY TRANSVENOUS CARDIAC ELECTRO N 3 $13.45 06/01/1994 12/31/2299
33211 2 INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS N 3 $138.14 01/01/1994 12/31/2299
33212 2 INSERTION OR REPLACEMENT OF PULSE GENERATOR ONLY N 3 $200.00 08/01/1979 12/31/2299
33212 7 INSERTION OR REPLACEMENT OF PULSE GENERATOR ONLY N 3 $13.45 06/01/1994 12/31/2299
33213 2 INSERTION OR REPLACEMENT OF PACEMAKER PULSE GENERA N 3 $253.54 01/01/1994 12/31/2299
33214 2 UPGRADE OF IMPLANTED PACEMAKER SYSTEM, CONVERSION N 3 $282.43 01/01/1994 12/31/2299
33215 1 REPOS PREV IMPLAN TRANSVENOUS PACEMAKER R ATRIAL R VENTRICU N 3 $181.75 01/01/2003 12/31/2299
33215 2 REPOS PREV IMPLAN TRANSVENOUS PACEMAKER R ATRIAL RVENTRI N 3 $181.75 01/01/2003 12/31/2299
33216 2 INSERTION, REPLACEMENT, OR REPOSITIONING OF PERMAN N 3 $300.00 01/01/1971 12/31/2299
33216 7 INSERTION, REPLACEMENT, OR REPOSITIONING OF PERMAN N 3 $13.45 06/01/1994 12/31/2299
33217 2 INSERTION, REPLACEMENT OR REPOSITIONING OF PERMANE N 3 $231.90 01/01/1994 12/31/2299
33218 2 REPAIR OF PACEMAKER; ELECTRODES ONLY N 3 $125.00 01/01/1984 12/31/2299
33218 7 REPAIR OF PACEMAKER; ELECTRODES ONLY N 3 $13.45 06/01/1994 12/31/2299
33220 2 REPAIR OF PACEMAKER ELECTRODE(S) ONLY; N 3 $181.88 01/01/1994 12/31/2299
33222 2 REVISION OR RELOCATION OF SKIN POCKET FOR PACEMAKE N 3 $264.00 01/02/1994 12/31/2299
33222 7 REVISION OR RELOCATION OF SKIN POCKET FOR PACEMAKE N 3 $13.45 06/01/1994 12/31/2299
33222 F REVISION OR RELOCATION OF SKIN POCKET FOR PACEMAKE N 3 $306.00 03/01/2004 12/31/2299
33223 2 REVISION OR RELOCATION OF SKIN POCKET FOR IMPLANTA N 3 $261.82 01/01/1994 12/31/2299
33223 F REVISION OR RELOCATION OF SKIN POCKET FOR IMPLANTA N 3 $306.00 03/01/2004 12/31/2299
33224 1 INS PACING ELECTRODE L VENTRICULAR W/ATT PREV PACEMAKER N 3 $292.62 01/01/2003 12/31/2299
33224 2 INS PACING E.ECTRODE L VENTRICULAR W/ATT PREV PACEMAKER N 3 $292.62 01/01/2003 12/31/2299
33225 1 INS PACING ELEC CARDIAC VEN SYSTEM L VENTR AT TIME OF INSERTION N 3 $258.76 01/01/2003 12/31/2299
33225 2 INS PACING ELEC CARDIAC VEN SYSTEM L VENTR AT TIME OF INSERTI N 3 $258.76 01/01/2003 12/31/2299
33226 1 REPOS PREV IMPL CARD VENOUS L VENTR INC REM INS REPL GENERATO N 3 $281.83 01/01/2003 12/31/2299
33226 2 REPOS PREV IMPL CARD VENOUS L VENTR INC REM INS REPL GENERA N 3 $281.83 01/01/2003 12/31/2299
33233 2 REMOVAL OF PERMANENT PACEMAKER; N 3 $115.42 01/01/1994 12/31/2299
33234 2 REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S) SINGLE LEAD SYSTEM N 3 $192.82 01/01/1994 12/31/2299
33235 2 REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S) DUAL LEAD SYSTEM N 3 $233.55 01/01/1994 12/31/2299
33236 2 REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELEC N 3 $334.01 01/01/1994 12/31/2299
33237 2 REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELEC N 3 $482.58 01/01/1994 12/31/2299
33238 2 REMOVAL OF PERMANENT TRANSVENOUS ELECTRODE(S) BY T N 3 $537.97 01/01/1994 12/31/2299
33240 2 INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERT N 3 $275.05 01/01/1994 12/31/2299
33240 7 ANESTHESIA,INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERTER N 3 $13.45 01/01/1994 12/31/2299
33241 2 REMOVAL OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR N 3 $107.06 01/01/1994 12/31/2299
33243 2 REMOVAL OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR N 3 $654.88 01/01/1994 12/31/2299
33244 2 REMOVAL OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR N 3 $385.39 01/01/1994 12/31/2299
33245 2 IMPLANT AUTO IMLNTBL CARDIOVERTR-DEFRIB PADS N 3 $400.00 01/01/1984 12/31/2299
33245 7 IMPLANT OF AUTO CARDIOVERTER-DEFIBRRL PADS W/O ELE N 3 $13.45 06/01/1994 12/31/2299
33246 2 IMPLNT AUTO IMPLTBL CARDIO-DEFIB PADS;W/PULS GENRT N 3 $300.00 01/01/1984 12/31/2299
33246 7 IMPLANT OF AICD PADS W/INSERT OF AICD PULSE GNRTR N 3 $13.45 06/01/1994 12/31/2299
33249 2 INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERT N 3 $709.64 01/01/1994 12/31/2299
33249 7 ANESTHESIA, INSERTION OR REPLACEMENT OF IMPLANTABLE CARDIOVERT N 3 $13.45 01/01/1994 12/31/2299
33250 2 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGE N 3 $791.39 01/01/2002 12/31/2299
33250 7 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGE N 3 $13.45 06/01/1994 12/31/2299
33251 2 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGE N 3 $890.54 01/01/2003 12/31/2299
33251 7 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGE N 3 $13.45 06/01/1994 12/31/2299
33251 8 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGE N 3 $178.11 01/01/2003 12/31/2299
33253 2 OPER INCIS/RECONS OF ATRIA FOR ATRL FBRULLATION/ATRIAL FLUTTER N 3 $1,206.34 01/02/1997 12/31/2299
33253 7 ANESTHESIA, MAZE PROCEDURE N 3 $13.45 01/02/1997 12/31/2299
33253 8 OPER INCIS/RECONS OF ATRIA FOR TREATMENT OF ATRIAL FIBRILLATION N 3 $240.00 01/02/1997 12/31/2299
33260 7 OPERATIVE ABLATION OF ARRHYTHMOGENIC FOCUS OR PATH N 3 $13.45 06/01/1994 12/31/2299
33261 7 OPERATIVE ABLATION OF ARRHYTHMOGENIC FOCUS OR PATH N 3 $13.45 06/01/1994 12/31/2299
33282 2 IMPLANT OF PATIENT ACTIVATED CARDIAC EVENT RECORDER N 3 $238.24 01/01/2000 12/31/2299
33282 7 IMPLANT PATIENT ACTIVATED CARDIAC EVENT RECORDER N 3 $13.45 01/01/2000 12/31/2299
33284 2 REMOVAL OF IMPLANT PATIENT ACTIVATED CARDIAC EVENT RECORDER N 3 $185.51 01/01/2000 12/31/2299
33284 7 REMOVAL OF IMPLANT PATIENT ACTIVATED CARDIAC EVENT RECORDER N 3 $13.45 01/01/2000 12/31/2299
33300 2 REPAIR OF CARDIAC WOUND; WITHOUT BYPASS N 3 $600.00 01/01/1973 12/31/2299
33300 7 REPAIR OF CARDIAC WOUND; WITHOUT BYPASS N 3 $13.45 06/01/1994 12/31/2299
33300 8 REPAIR OF CARDIAC WOUND; WITHOUT BYPASS N 3 $120.00 01/01/1973 12/31/2299
33305 7 REPAIR OF CARDIAC WOUND; WITH CARDIOPULMONARY BYPA N 3 $13.45 06/01/1994 12/31/2299
33310 2 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREI N 3 $600.00 01/01/1973 12/31/2299
33310 7 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREI N 3 $13.45 06/01/1994 12/31/2299
33310 8 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREI N 3 $120.00 01/01/1973 12/31/2299
33315 2 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREI N 3 $1,000.00 01/01/1973 12/31/2299
33315 7 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREI N 3 $13.45 06/01/1994 12/31/2299
33315 8 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREI N 3 $200.00 01/01/1973 12/31/2299
33320 7 SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITHOUT B N 3 $13.45 06/01/1994 12/31/2299
33321 2 SUTURE OR REPAIR OR AORTA OF GREAT VESSELS WITH SHUNT BYPASS N 3 $1,023.00 01/01/1995 12/31/2299
33322 7 SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITH CARD N 3 $13.45 06/01/1994 12/31/2299
33330 7 INSERTION OF GRAFT; WITHOUT BYPASS N 3 $13.45 06/01/1994 12/31/2299
33332 2 INSERTION OF GRAFT, AORTA OR GREAT VESSELS, WITH SHUNT BYPASS N 3 $927.00 01/01/1995 12/31/2299
33335 7 INSERTION OF GRAFT; WITH CARDIOPULMONARY BYPASS N 3 $13.45 06/01/1994 12/31/2299
33350 7 GREAT VESSEL REPAIR WITH OTHER MAJOR PROCEDURE N 3 $13.45 06/01/1994 12/31/2299
33400 2 VALVULOPLASTY, AORTIC VALVE, OPEN, WITH CARDIOPULM N 3 $1,250.00 01/01/1973 12/31/2299
33400 7 VALVULOPLASTY, AORTIC VALVE, OPEN, WITH CARDIOPULM N 3 $13.45 06/01/1994 12/31/2299
33400 8 VALVULOPLASTY, AORTIC VALVE, OPEN, WITH CARDIOPULM N 3 $250.00 01/01/1973 12/31/2299
33401 2 VALVULOPLASTY, AORTIC VALVE; N 3 $853.57 01/01/1994 12/31/2299
33403 2 VALVULOPLASTY, AORTIC VALVE; N 3 $890.79 01/01/1994 12/31/2299
33404 7 CONSTRUCTION OF APICAL-AORTIC CONDUIT N 3 $13.45 06/01/1994 12/31/2299
33405 2 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BY N 3 $1,300.00 01/01/1973 12/31/2299
33405 7 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BY N 3 $13.45 06/01/1994 12/31/2299
33405 8 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BY N 3 $260.00 01/01/1973 12/31/2299
33406 2 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BY N 3 $1,419.85 01/01/1994 12/31/2299
33410 2 REPLACE AROTIC VALVE W/CARDIOPULMONARY BYPASS W/STENTLESS TIS VAL N 3 $1,326.29 01/01/2000 12/31/2299
33410 7 REPLACE AORTIC VALVE W/CARDIOPULMONARY BYPASS W/STENTLESS TIS VAL N 3 $13.45 01/01/2000 12/31/2299
33410 8 REPLACE AORTIC VAVLE W/CARDIOPULMONARY BYPASS W/STENTLESS TIS VAL N 3 $265.28 01/01/2000 12/31/2299
33411 2 REPLACEMENT, AORTIC VALVE N 3 $1,344.76 01/01/2004 12/31/2299
33411 7 REPLACEMENT, AORTIC VALVE N 3 $13.45 06/01/1994 12/31/2299
33411 8 REPLACEMENT, AORTIC VALVE N 3 $268.95 01/01/2005 12/31/2299
33412 7 REPLACEMENT, AORTIC VALVE N 3 $13.45 06/01/1994 12/31/2299
33413 2 REPLACEMENT, AORTIC VALVE; N 3 $1,299.21 01/01/1994 12/31/2299
33413 8 ASSISTANT FEE,REPLACEMENT, AORTIC VALVE N 3 $259.84 01/01/1994 12/31/2299
33414 2 REPAIR OF LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTI N 3 $1,113.38 01/01/1994 12/31/2299
33415 2 RESECTION OF AORTIC VALVE FOR SUBVALVULAR STENOSIS N 3 $1,000.00 01/01/1990 12/31/2299
33415 7 RESECTION OF AORTIC VALVE FOR SUBVALVULAR STENOSIS N 3 $13.45 06/01/1994 12/31/2299
33415 8 RESECTION OF AORTIC VALVE FOR SUBVALVULAR STENOSIS N 3 $200.00 01/01/1990 12/31/2299
33416 2 VENTRICULOMYOTOMY (-MYECTOMY) FOR IDIOPATHIC HYPER N 3 $1,084.16 01/01/2004 12/31/2299
33416 7 VENTRICULOMYOTOMY (-MYECTOMY) FOR IDIOPATHIC HYPER N 3 $13.45 06/01/1994 12/31/2299
33416 8 VENTRICULOMYOTOMY (-MYECTOMY) FOR IDIOPATHIC HYPER N 3 $216.83 01/01/2004 12/31/2299
33417 7 AORTOPLASTY (GUSSET) FOR SUPRAVALVULAR STENOSIS N 3 $13.45 06/01/1994 12/31/2299
33420 2 VALVOTOMY, MITRAL VALVE (COMMISSUROTOMY); CLOSED N 3 $800.00 01/01/1973 12/31/2299
33420 7 VALVOTOMY, MITRAL VALVE (COMMISSUROTOMY); CLOSED N 3 $13.45 06/01/1994 12/31/2299
33420 8 VALVOTOMY, MITRAL VALVE (COMMISSUROTOMY); CLOSED N 3 $160.00 01/01/1973 12/31/2299
33422 2 VALVOTOMY, MITRAL VALVE (COMMISSUROTOMY); OPEN WIT N 3 $1,300.00 01/01/1984 12/31/2299
33422 7 VALVOTOMY, MITRAL VALVE (COMMISSUROTOMY); OPEN WIT N 3 $13.45 06/01/1994 12/31/2299
33422 8 HEART VALV OPERATN N 3 $260.00 01/01/1984 12/31/2299
33425 2 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $1,300.00 01/01/1973 12/31/2299
33425 7 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $13.45 06/01/1994 12/31/2299
33425 8 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $260.00 01/01/1973 12/31/2299
33426 2 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $1,092.62 01/01/2003 12/31/2299
33426 7 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $13.45 06/01/1994 12/31/2299
33426 8 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $218.52 01/01/2003 12/31/2299
33427 2 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $1,692.00 01/02/1994 12/31/2299
33427 7 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $13.45 06/01/1994 12/31/2299
33427 8 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY N 3 $339.00 01/02/1994 12/31/2299
33430 2 REPLACEMENT, MITRAL VALVE, WITH CARDIOPULMONARY BY N 3 $1,200.00 01/02/1992 12/31/2299
33430 7 REPLACEMENT, MITRAL VALVE, WITH CARDIOPULMONARY BY N 3 $13.45 06/01/1994 12/31/2299
33430 8 REPLACEMENT, MITRAL VALVE, WITH CARDIOPULMONARY BY N 3 $260.00 01/01/1973 12/31/2299
33460 2 VALVULOPLASTY OR VALVECTOMY, TRICUSPID VALVE; WITH N 3 $1,250.00 01/01/1973 12/31/2299
33460 7 VALVULOPLASTY OR VALVECTOMY, TRICUSPID VALVE; WITH N 3 $13.45 06/01/1994 12/31/2299
33460 8 VALVULOPLASTY OR VALVECTOMY, TRICUSPID VALVE; WITH N 3 $250.00 01/01/1973 12/31/2299
33463 2 VALVULOPLASTY, TRICUSPID VALVE; N 3 $918.80 01/01/1994 12/31/2299
33464 2 VALVULOPLASTY, TRICUSPID VALVE; N 3 $983.62 01/01/1994 12/31/2299
33464 8 VALVULOPLASTY, TRICUSPID VALVE; N 3 $983.62 01/01/1994 12/31/2299
33465 2 VALVULOPLASTY OR VALVECTOMY, TRICUSPID VALVE, WITH N 3 $1,300.00 01/01/1973 12/31/2299
33465 7 VALVULOPLASTY OR VALVECTOMY, TRICUSPID VALVE, WITH N 3 $13.45 06/01/1994 12/31/2299
33465 8 VALVULOPLASTY OR VALVECTOMY, TRICUSPID VALVE, WITH N 3 $260.00 01/01/1973 12/31/2299
33468 2 TRICUSPID VALVE REPOSITIONING AND PLICATION FOR EB N 3 $1,086.49 01/01/2004 12/31/2299
33468 7 TRICUSPID VALVE REPOSITIONING AND PLICATION FOR EB N 3 $13.45 06/01/1994 12/31/2299
33470 2 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); CLOSE N 3 $800.00 01/01/1973 12/31/2299
33470 7 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); CLOSE N 3 $13.45 06/01/1994 12/31/2299
33470 8 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); CLOSE N 3 $160.00 01/01/1973 12/31/2299
33472 2 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); OPEN, N 3 $800.00 01/01/1973 12/31/2299
33472 7 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); OPEN, N 3 $13.45 06/01/1994 12/31/2299
33472 8 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); OPEN, N 3 $160.00 01/01/1973 12/31/2299
33474 2 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); OPEN N 3 $1,250.00 01/01/1973 12/31/2299
33474 7 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); OPEN N 3 $13.45 06/01/1994 12/31/2299
33474 8 VALVOTOMY, PULMONARY VALVE (COMMISSUROTOMY); OPEN N 3 $250.00 01/01/1973 12/31/2299
33475 2 REPLACEMENT, PULMONARY VALVE N 3 $1,039.48 01/01/1994 12/31/2299
33476 7 RIGHT VENTRICULAR RESECTION FOR INFUNDIBULAR STENO N 3 $13.45 06/01/1994 12/31/2299
33478 2 OUTFLOW TRACT AUGMENTATION (GUSSET), W OR W/OUT CO N 3 $1,000.00 01/01/1989 12/31/2299
33478 7 OUTFLOW TRACT AUGMENTATION (GUSSET), W OR W/OUT CO N 3 $13.45 06/01/1994 12/31/2299
33478 8 OUTFLOW TRACT AUGMENTATION (GUSSET), W OR W/OUT CO N 3 $200.00 01/01/1988 12/31/2299
33496 2 REPAIR NON-STRUCTURAL PROSTETIC VALVE DYSFUNC,W/CARDIO BYPASS N 3 $1,339.04 01/01/1998 12/31/2299
33496 7 REPAIR NON-STRUCTURAL PROSTHETIC VALVE DYSFUNC W/CARDIO BYPASS N 3 $13.45 01/01/1998 12/31/2299
33496 8 REPAIR NON-STRUCTURAL PROSTHETIC VALVE DYSFUNC W/CARDIO BYPASS N 3 $267.80 01/01/1998 12/31/2299
33500 7 CORONARY ARTERY PROCEDURES N 3 $13.45 06/01/1994 12/31/2299
33501 2 REPAIR OF CORONARY ARTERIOVENOUS OR ARTERIOCARDIAC N 3 $645.56 01/01/1993 12/31/2299
33501 7 REPAIR OF CORONARY ARTERIOVENOUS/ARTERIOCARD CHAMB N 3 $13.45 06/01/1994 12/31/2299
33502 7 ANOMALOUS CORONARY ARTERY; LIGATION N 3 $13.45 06/01/1994 12/31/2299
33503 2 ANOMALOUS CORONARY ARTERY; GRAFT, WITHOUT BYPASS N 3 $800.00 01/01/1973 12/31/2299
33503 7 ANOMALOUS CORONARY ARTERY; GRAFT, WITHOUT BYPASS N 3 $13.45 06/01/1994 12/31/2299
33503 8 ANOMALOUS CORONARY ARTERY; GRAFT, WITHOUT BYPASS N 3 $160.00 01/01/1973 12/31/2299
33504 2 ANOMALOUS CORONARY ARTERY; GRAFT, WITH BYPASS N 3 $1,250.00 01/01/1973 12/31/2299
33504 7 ANOMALOUS CORONARY ARTERY; GRAFT, WITH BYPASS N 3 $13.45 06/01/1994 12/31/2299
33504 8 ANOMALOUS CORONARY ARTERY; GRAFT, WITH BYPASS N 3 $250.00 01/01/1973 12/31/2299
33505 2 REPAIR OF ANOMALOUS CORONARY ARTERY; N 3 $964.69 01/01/1994 12/31/2299
33506 2 REPAIR OF ANOMALOUS CORONARY ARTERY; N 3 $964.69 01/01/1994 12/31/2299
33508 2 ENDOSCOPY,SURG,INC VIDEO ASSIS HARVEST VEIN(S) CORON ARTERY N 3 $9.79 01/01/2003 12/31/2299
33510 2 CORONARY ARTERY BYPASS,AUTOGENOUS GRAFT,EG,SAPHENO N 3 $1,000.00 08/01/1979 12/31/2299
33510 7 CORONARY ARTERY BYPASS,AUTOGENOUS GRAFT,EG,SAPHENO N 3 $13.45 06/01/1994 12/31/2299
33510 8 CORONARY ARTERY BYPASS,AUTOGENOUS GRAFT,EG,SAPHENO N 3 $200.00 08/01/1979 12/31/2299
33511 2 TWO COROMARY ARTERIES N 3 $1,250.00 08/01/1979 12/31/2299
33511 7 TWO CORONARY ARTERIES N 3 $13.45 06/01/1994 12/31/2299
33511 8 TWO CORONARY ARTERIES N 3 $250.00 08/01/1979 12/31/2299
33512 2 THREE CORONARY ARTERIES N 3 $1,560.00 01/02/1992 12/31/2299
33512 7 THREE CORONARY ARTERIES N 3 $13.45 06/01/1994 12/31/2299
33512 8 THREE CORONARY ARTERIES N 3 $300.00 08/01/1979 12/31/2299
33513 2 FOUR CORONARY ARTERIES N 3 $1,500.00 01/01/1984 12/31/2299
33513 7 FOUR CORONARY ARTERIES N 3 $13.45 06/01/1994 12/31/2299
33513 8 FOUR CORONARY ARTERIES N 3 $300.00 01/01/1984 12/31/2299
33514 2 FIVE CORONARY ARTERIES N 3 $1,500.00 01/01/1984 12/31/2299
33514 7 FIVE CORONARY ARTERIES N 3 $13.45 06/01/1994 12/31/2299
33514 8 FIVE CORONARY ARTERIES N 3 $300.00 01/01/1984 12/31/2299
33516 2 SIX OR MORE CORONARY ARTERIES N 3 $1,980.00 01/02/1994 12/31/2299
33516 7 SIX OR MORE CORONARY ARTERIES N 3 $13.45 06/01/1994 12/31/2299
33516 8 SIX OR MORE CORONARY ARTERIES N 3 $400.00 01/02/1994 12/31/2299
33517 2 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND N 3 $139.76 01/01/1993 12/31/2299
33517 7 COMBINED ARTERIAL-VENOUS GRAFTING FOR CORONARY BPS N 3 $13.45 06/01/1994 12/31/2299
33517 8 COMBINED ARTERIAL-VENOUS GRAFTING FOR CORONARY BPS N 3 $30.00 01/02/1994 12/31/2299
33518 2 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND N 3 $263.06 01/01/1993 12/31/2299
33518 7 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-2GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33518 8 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-2GRAFTS N 3 $57.00 01/02/1994 12/31/2299
33519 2 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND N 3 $217.40 01/01/1993 12/31/2299
33519 7 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-3GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33519 8 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-3GRAFTS N 3 $71.00 01/02/1994 12/31/2299
33521 2 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND N 3 $161.97 01/01/1993 12/31/2299
33521 7 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-4GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33521 8 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-4GRAFTS N 3 $74.67 01/01/2002 12/31/2299
33522 2 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND N 3 $330.95 01/01/1993 12/31/2299
33522 7 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-5GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33523 2 OPER INCIS/RECONS OF ATRIA FOR ATRL FBRILLATION/ATRIAL FLUTTER N 3 $1,373.12 01/01/1996 12/31/2299
33523 7 CORONARY ARTERY BYPASS USING VENOUS GRAFTS-6GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33523 8 OPER INCIS/RECONS OF ATRIA FOR ATRIAL FBRILLATION/ATRIAL FLUTTER N 3 $274.62 01/01/1996 12/31/2299
33530 2 REOPERATION, CORONARY ARTERY BYPASS PROCEDURE, MOR N 3 $341.00 01/02/1994 12/31/2299
33530 7 REOPERATION, CORONARY ARTERY BYPASS PROCEDURE, MOR N 3 $13.45 06/01/1994 12/31/2299
33530 8 REOPERATION, CORONARY ARTERY BYPASS PROCEDURE, MOR N 3 $65.00 01/02/1994 12/31/2299
33532 7 MYOCARDIAL IMPLANTATION, ONE OR MORE SYSTEMIC ARTE N 3 $13.45 06/01/1994 12/31/2299
33533 2 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); N 3 $1,266.49 01/01/1993 12/31/2299
33533 7 ARTERIAL GRAFTING FOR CORONARY ARTERY BYPASS N 3 $13.45 06/01/1994 12/31/2299
33533 8 ARTERIAL GRAFTING FOR CORONARY ARTERY BYPASS N 3 $295.00 01/02/1994 12/31/2299
33534 2 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); N 3 $1,489.28 01/01/1993 12/31/2299
33534 7 CORONARY ARTERY BYPASS USING 2 CORONARY GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33534 8 CORONARY ARTERY BYPASS USING 2 CORONARY GRAFTS N 3 $229.00 01/01/2003 12/31/2299
33535 2 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); N 3 $1,608.92 01/01/1993 12/31/2299
33535 7 CORONARY ARTERY BYPASS USING 3 CORONARY GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33536 2 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); N 3 $1,668.41 01/01/1993 12/31/2299
33536 7 CORONARY ARTERY BYPASS USING 4 CORONARY GRAFTS N 3 $13.45 06/01/1994 12/31/2299
33542 2 MYOCARDIAL RESECTION (EG, VENTRICULAR ANEURYSMECTO N 3 $1,300.00 01/01/1973 12/31/2299
33542 7 MYOCARDIAL RESECTION (EG, VENTRICULAR ANEURYSMECTO N 3 $13.45 06/01/1994 12/31/2299
33542 8 MYOCARDIAL RESECTION (EG, VENTRICULAR ANEURYSMECTO N 3 $260.00 01/01/1973 12/31/2299
33545 2 REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT N 3 $1,309.22 01/01/2003 12/31/2299
33545 7 REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT N 3 $13.45 06/01/1994 12/31/2299
33545 8 REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT N 3 $261.84 01/01/2003 12/31/2299
33572 2 CORONARY ENDARTERECTOMY, EACH VESSEL N 3 $192.00 01/01/1995 12/31/2299
33600 2 CLOSURE OF ATRIOVENTRICULAR VALVE (MITRAL OR TRICU N 3 $1,076.50 01/01/1994 12/31/2299
33602 2 CLOSURE OF SEMILUNAR VALVE (AORTIC OR PULMONARY) B N 3 $1,039.48 01/01/1994 12/31/2299
33606 2 ANASTOMOSIS OF PULMONARY ARTERY TO AORTA (DAMUS-KA N 3 $1,113.38 01/01/1994 12/31/2299
33608 2 REPAIR OF COMPLEX CARDIAC ANOMALY OTHER THAN PULMO N 3 $1,141.31 01/01/1994 12/31/2299
33610 2 REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, SINGLE VE N 3 $1,113.38 01/01/1994 12/31/2299
33611 2 REPAIR OF DOUBLE OUTLET RIGHT VENTRICLE WITH INTRA N 3 $1,187.75 01/01/1994 12/31/2299
33612 2 REPAIR OF DOUBLE OUTLET RIGHT VENTRICLE WITH INTRA N 3 $1,219.34 01/01/1994 12/31/2299
33615 2 REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, TRICUSPID N 3 $1,159.61 01/01/1994 12/31/2299
33615 7 ANESTHESIA,REPAIR OF COMPLEX CARDIAC ANOMALIES (EG,TRICUSPID N 3 $13.45 01/01/1999 12/31/2299
33615 8 ASSIST @ REPAIR OF COMPLEX CARDIAC ANOMALIES (EG,TRICUSPID ATRESI N 3 $231.92 01/01/1999 12/31/2299
33617 2 REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, SINGLE VENTRICLES N 3 $1,224.77 01/01/1994 12/31/2299
33617 7 ANESTHESIA,REPAIR OF COMPLEX CARDIAC ANOMALIES (EG,SINGLE VENTTRI N 3 $13.45 01/01/1999 12/31/2299
33617 8 ASSISTANT@ REPAIR OF COMPLEY CARDIAC ANOMALIES (EG,SINGLE VENTRIC N 3 $244.95 01/01/1999 12/31/2299
33619 2 REPAIR OF SINGLE VENTRICLE WITH AORTIC OUTFLOW OBS N 3 $1,345.52 01/01/1994 12/31/2299
33619 7 ANESTHESIA, REPAIR OF SINGLE VENTRICLE WITH AORTIC OUTFLOW OBS N 3 $13.45 01/01/1997 12/31/2299
33619 8 ASSISTANT,REPAIR OF SINGLE VENTRICLE WITH AORTIC OUTFLOW OBS N 3 $269.10 01/01/1997 12/31/2299
33641 2 REPAIR ATRIAL SEPTAL DEFECT, SECUNDUM; WITH CARDIO N 3 $1,150.00 01/01/1973 12/31/2299
33641 7 REPAIR ATRIAL SEPTAL DEFECT, SECUNDUM; WITH CARDIO N 3 $13.45 06/01/1994 12/31/2299
33641 8 REPAIR ATRIAL SEPTAL DEFECT, SECUNDUM; WITH CARDIO N 3 $230.00 01/01/1973 12/31/2299
33645 2 DIRECT OR PATCH CLOSURE,SINUS VENOSUS,W OR W/OUT A N 3 $1,150.00 01/01/1973 12/31/2299
33645 7 DIRECT OR PATCH CLOSURE,SINUS VENOSUS,W OR W/OUT A N 3 $13.45 06/01/1994 12/31/2299
33645 8 DIRECT OR PATCH CLOSURE,SINUS VENOSUS,W OR W/OUT A N 3 $230.00 01/01/1973 12/31/2299
33647 2 REPAIR OF ATRIAL SEPTAL DEFECT AND VENTRICULAR SEP N 3 $1,590.00 01/02/1994 12/31/2299
33647 7 REPAIR OF ATRIAL SEPTAL DEFECT AND VENTRICULAR SEP N 3 $13.45 06/01/1994 12/31/2299
33647 8 REPAIR OF ATRIAL SEPTAL DEFECT AND VENTRICULAR SEP N 3 $208.71 01/01/2005 12/31/2299
33660 2 PATCH CLOSURE,ENDOCARDIAL CUSHION DEFECT,W OR W/OU N 3 $1,250.00 01/01/1971 12/31/2299
33660 7 PATCH CLOSURE,ENDOCARDIAL CUSHION DEFECT,W OR W/OU N 3 $13.45 06/01/1994 12/31/2299
33660 8 PATCH CLOSURE,ENDOCARDIAL CUSHION DEFECT,W OR W/OU N 3 $250.00 01/01/1973 12/31/2299
33665 7 PATCH CLOSURE, ENDOCARDIAL CUSHION DEFECT, WITH RE N 3 $13.45 06/01/1994 12/31/2299
33670 2 REPAIR OF COMPLETE ATRIOVENTRICULAR CANAL, WITH OR N 3 $1,100.00 01/01/1984 12/31/2299
33670 7 REPAIR OF COMPLETE ATRIOVENTRICULAR CANAL, WITH OR N 3 $13.45 06/01/1994 12/31/2299
33670 8 REPAIR OF COMPLETE ATRIOVENTRICULAR CANAL, WITH OR N 3 $220.00 01/01/1984 12/31/2299
33681 2 CLOSURE VENTRICULAR SEPTAL DEFECT; DIRECT N 3 $1,500.00 01/02/1992 12/31/2299
33681 7 CLOSURE VENTRICULAR SEPTAL DEFECT; DIRECT N 3 $13.45 06/01/1994 12/31/2299
33681 8 CLOSURE VENTRICULAR SEPTAL DEFECT; DIRECT N 3 $250.00 01/01/1973 12/31/2299
33684 2 CLOSURE VENTRICULAR SEPTAL DEFECT; WITH PULMONARY N 3 $1,760.00 01/02/1992 12/31/2299
33684 7 CLOSURE VENTRICULAR SEPTAL DEFECT; WITH PULMONARY N 3 $13.45 06/01/1994 12/31/2299
33688 2 CLOSURE VENTRICULAR SEPTAL DEFECT;WITH REMOVAL OF N 3 $1,740.00 01/02/1994 12/31/2299
33688 7 CLOSURE VENTRICULAR SEPTAL DEFECT;WITH REMOVAL OF N 3 $13.45 06/01/1994 12/31/2299
33688 8 CLOSURE VENTRICULAR SEPTAL DEFECT;WITH REMOVAL OF N 3 $348.00 01/02/1994 12/31/2299
33690 2 BANDING OF PULMONARY ARTERY N 3 $600.00 01/01/1973 12/31/2299
33690 7 BANDING OF PULMONARY ARTERY N 3 $13.45 06/01/1994 12/31/2299
33690 8 BANDING OF PULMONARY ARTERY N 3 $120.00 01/01/1973 12/31/2299
33692 2 TOTAL REPAIR TETRALOGY OF FALLOT; INTACT OUTFLOW T N 3 $1,250.00 01/01/1973 12/31/2299
33692 7 TOTAL REPAIR TETRALOGY OF FALLOT; INTACT OUTFLOW T N 3 $13.45 06/01/1994 12/31/2299
33692 8 TOTAL REPAIR TETRALOGY OF FALLOT; INTACT OUTFLOW T N 3 $250.00 08/01/1979 12/31/2299
33694 2 TOTAL REPAIR TETRALOGY OF FALLOT; WITH OUTFLOW TRA N 3 $1,162.48 01/01/2003 12/31/2299
33694 7 TOTAL REPAIR TETRALOGY OF FALLOT; WITH OUTFLOW TRA N 3 $13.45 06/01/1994 12/31/2299
33694 8 TOTAL REPAIR TETRALOGY OF FALLOT; WITH OUTFLOW TRA N 3 $232.50 01/01/2003 12/31/2299
33696 7 TOTAL REPAIR TETRALOGY OF FALLOT; WITH CLOSURE OF N 3 $13.45 06/01/1994 12/31/2299
33697 2 COMPLETE REPAIR TETRALOGY OF FALLOT WITH PULMONARY N 3 $1,224.77 01/01/1994 12/31/2299
33702 2 REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMO N 3 $1,250.00 01/01/1971 12/31/2299
33702 7 REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMO N 3 $13.45 06/01/1994 12/31/2299
33702 8 REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMO N 3 $250.00 01/01/1973 12/31/2299
33710 7 REPAIR SINUS OF VALSALVA FISTULA, WITH REPAIR OF V N 3 $13.45 06/01/1994 12/31/2299
33720 2 REPAIR SINUS OF VALSALVA ANEURYSM, WITH CARDIOPULM N 3 $850.00 01/01/1984 12/31/2299
33720 7 REPAIR SINUS OF VALSALVA ANEURYSM, WITH CARDIOPULM N 3 $13.45 06/01/1994 12/31/2299
33722 2 CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL N 3 $1,039.48 01/01/1994 12/31/2299
33730 2 COMPLETE REPAIR OF ANOMALOUS VENOUS RETURN N 3 $1,250.00 01/01/1973 12/31/2299
33730 7 COMPLETE REPAIR OF ANOMALOUS VENOUS RETURN N 3 $13.45 06/01/1994 12/31/2299
33730 8 COMPLETE REPAIR OF ANOMALOUS VENOUS RETURN N 3 $250.00 01/01/1973 12/31/2299
33732 2 REPAIR OF COR TRIATRIATUM OR SUPRAVALVULAR MITRAL N 3 $1,030.06 01/01/1994 12/31/2299
33735 2 ATRIAL SEPTECTOMY; CLOSED N 3 $750.00 01/01/1971 12/31/2299
33735 7 ATRIAL SEPTECTOMY; CLOSED N 3 $13.45 06/01/1994 12/31/2299
33735 8 ATRIAL SEPTECTOMY; CLOSED N 3 $150.00 08/01/1979 12/31/2299
33736 2 ATRIAL SEPTECTOMY OR SEPTOSTOMY; N 3 $759.46 01/01/1994 12/31/2299
33737 2 ATRIAL SEPTECTOMY; OPEN, WITH INFLOW OCCLUSION N 3 $950.00 01/01/1973 12/31/2299
33737 7 ATRIAL SEPTECTOMY; OPEN, WITH INFLOW OCCLUSION N 3 $13.45 06/01/1994 12/31/2299
33737 8 ATRIAL SEPTECTOMY; OPEN, WITH INFLOW OCCLUSION N 3 $190.00 01/01/1973 12/31/2299
33750 2 SHUNT; SUBCLAVIAN TO PULMONARY ARTERY N 3 $750.00 01/01/1973 12/31/2299
33750 7 SHUNT; SUBCLAVIAN TO PULMONARY ARTERY N 3 $13.45 06/01/1994 12/31/2299
33750 8 SHUNT; SUBCLAVIAN TO PULMONARY ARTERY N 3 $150.00 01/01/1973 12/31/2299
33755 7 SHUNT; ASCENDING AORTA TO PULMONARY ARTERY N 3 $13.45 06/01/1994 12/31/2299
33762 7 SHUNT; DESCENDING AORTA TO PULMONARY ARTERY N 3 $13.45 06/01/1994 12/31/2299
33764 2 SHUNT N 3 $567.00 01/02/1992 12/31/2299
33764 7 SHUNT N 3 $13.45 06/01/1994 12/31/2299
33766 2 SHUNT; VENA CAVA TO PULMONARY ARTERY N 3 $567.00 01/02/1992 12/31/2299
33766 7 SHUNT; VENA CAVA TO PULMONARY ARTERY N 3 $13.45 06/01/1994 12/31/2299
33766 8 SHUNT; VENA CAVA TO PULMONARY ARTERY N 3 $150.00 01/01/1973 12/31/2299
33767 2 SHUNT; N 3 $890.79 01/01/1994 12/31/2299
33767 7 SHUNT N 3 $13.45 01/01/1994 12/31/2299
33770 2 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH N 3 $1,215.35 01/01/1994 12/31/2299
33771 2 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH N 3 $1,261.99 01/01/1994 12/31/2299
33774 7 TRANSPOSITION OF THE GREAT VESSELS N 3 $13.45 06/01/1994 12/31/2299
33775 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATR N 3 $13.45 06/01/1994 12/31/2299
33776 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATR N 3 $13.45 06/01/1994 12/31/2299
33777 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATR N 3 $13.45 06/01/1994 12/31/2299
33778 2 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AOR N 3 $1,401.88 01/01/2004 12/31/2299
33778 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AOR N 3 $13.45 06/01/1994 12/31/2299
33779 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AOR N 3 $13.45 06/01/1994 12/31/2299
33780 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AOR N 3 $13.45 06/01/1994 12/31/2299
33781 7 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AOR N 3 $13.45 06/01/1994 12/31/2299
33785 7 REPAIR TRANSPOSITION OF GREAT VESSELS, N 3 $13.45 06/01/1994 12/31/2299
33786 2 TOTAL REPAIR, TRUNCUS ARTERIOSUS (RASTELLI TYPE OP N 3 $1,397.65 01/01/2005 12/31/2299
33786 7 TOTAL REPAIR, TRUNCUS ARTERIOSUS (RASTELLI TYPE OP N 3 $13.45 06/01/1994 12/31/2299
33788 7 REPLANT PULMONARY ARTERY FOR HEMITRUNCUS N 3 $13.45 06/01/1994 12/31/2299
33800 2 AORTIC SUSPENSION (AORTOPEXY) FOR TRACHEAL DECOMPR N 3 $531.67 01/01/1993 12/31/2299
33800 7 AORTIC ANOMALIES N 3 $13.45 06/01/1994 12/31/2299
33802 2 DIVISION OF ABERRANT VESSEL (VASCULAR RING); N 3 $600.00 01/01/1973 12/31/2299
33802 7 DIVISION OF ABERRANT VESSEL (VASCULAR RING); N 3 $13.45 06/01/1994 12/31/2299
33802 8 DIVISION OF ABERRANT VESSEL (VASCULAR RING); N 3 $120.00 01/01/1973 12/31/2299
33803 7 DIVISION OF ABERRANT VESSEL (VASCULAR RING); WITH N 3 $13.45 06/01/1994 12/31/2299
33813 7 OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT N 3 $13.45 06/01/1994 12/31/2299
33814 7 OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT N 3 $13.45 06/01/1994 12/31/2299
33820 2 PATENT DUCTUS ARTERIOSUS; LIGATION N 3 $500.00 01/01/1984 12/31/2299
33820 7 PATENT DUCTUS ARTERIOSUS; LIGATION N 3 $13.45 06/01/1994 12/31/2299
33820 8 PATENT DUCTUS ARTERIOSUS; LIGATION N 3 $100.00 01/01/1984 12/31/2299
33822 2 PATENT DUCTUS ARTERIOSUS; DIVISION, UNDER 18 YEARS N 3 $600.00 01/01/1973 12/31/2299
33822 7 PATENT DUCTUS ARTERIOSUS; DIVISION, UNDER 18 YEARS N 3 $13.45 06/01/1994 12/31/2299
33822 8 PATENT DUCTUS ARTERIOSUS; DIVISION, UNDER 18 YEARS N 3 $120.00 01/01/1973 12/31/2299
33824 2 PATENT DUCTUS ARTERIOSUS; DIVISION, 18 YEARS AND OLDER N 3 $900.00 01/01/1973 12/31/2299
33824 7 PATENT DUCTUS ARTERIOSUS; DIVISION, 18 YEARS AND O N 3 $13.45 06/01/1994 12/31/2299
33824 8 PATENT DUCTUS ARTERIOSUS; DIVISION, 18 YEARS AND O N 3 $180.00 01/01/1973 12/31/2299
33840 2 EX OF COARCTATION OF AORTA,W OR W/OUT ASSOCIATED P N 3 $800.00 08/01/1979 12/31/2299
33840 7 EX OF COARCTATION OF AORTA,W OR W/OUT ASSOCIATED P N 3 $13.45 06/01/1994 12/31/2299
33840 8 EX OF COARCTATION OF AORTA,W OR W/OUT ASSOCIATED P N 3 $160.00 08/01/1979 12/31/2299
33845 2 EX OF COARCTATION OF AORTA, W OR W/OUT ASSOCIATED N 3 $756.00 01/02/1992 12/31/2299
33845 7 EX OF COARCTATION OF AORTA, W OR W/OUT ASSOCIATED N 3 $13.45 06/01/1994 12/31/2299
33845 8 EX OF COARCTATION OF AORTA, W OR W/OUT ASSOCIATED N 3 $151.20 01/02/1992 12/31/2299
33850 2 EX OF COARCTATION OF AORTA; WITH SHUNT, LEFT SUBCL N 3 $1,250.00 01/01/1973 12/31/2299
33850 7 EX OF COARCTATION OF AORTA; WITH SHUNT, LEFT SUBCL N 3 $13.45 06/01/1994 12/31/2299
33850 8 EX OF COARCTATION OF AORTA; WITH SHUNT, LEFT SUBCL N 3 $250.00 01/01/1973 12/31/2299
33851 2 EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT N 3 $800.65 01/01/2004 12/31/2299
33851 7 EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT N 3 $13.45 06/01/1994 12/31/2299
33852 7 EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT N 3 $13.45 06/01/1994 12/31/2299
33853 2 REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH U N 3 $1,150.61 01/01/1994 12/31/2299
33853 7 ANESTHESIA,REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH USING N 3 $13.45 01/01/1994 12/31/2299
33853 8 ASSISTANT/REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH N 3 $230.12 01/01/1994 12/31/2299
33860 2 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS N 3 $1,255.33 01/01/2004 12/31/2299
33860 7 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS N 3 $13.45 06/01/1994 12/31/2299
33860 8 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS N 3 $266.90 01/01/2004 12/31/2299
33861 2 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS N 3 $1,341.38 01/01/1994 12/31/2299
33863 2 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS N 3 $1,354.58 01/01/1994 12/31/2299
33870 7 TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS N 3 $13.45 06/01/1994 12/31/2299
33875 2 DESCENDING THORACIC AORTA GRAFT, WITH OR WITHOUT B N 3 $1,200.00 01/01/1971 12/31/2299
33875 7 DESCENDING THORACIC AORTA GRAFT, WITH OR WITHOUT B N 3 $13.45 06/01/1994 12/31/2299
33875 8 DESCENDING THORACIC AORTA GRAFT, WITH OR WITHOUT B N 3 $240.00 01/01/1973 12/31/2299
33877 7 REPAIR OF THORACOABDOMINAL AORTIC ANEURYSM WITH GR N 3 $13.45 06/01/1994 12/31/2299
33910 7 PULMONARY ARTERY EMBOLECTOMY; WITH CARDIOPULMONARY N 3 $13.45 06/01/1994 12/31/2299
33915 2 PULMONARY ARTERY EMBOLECTOMY; WITHOUT BYPASS N 3 $500.00 08/01/1979 12/31/2299
33915 7 PULMONARY ARTERY EMBOLECTOMY; WITHOUT BYPASS N 3 $13.45 06/01/1994 12/31/2299
33915 8 PULMONARY ARTERY EMBOLECTOMY; WITHOUT BYPASS N 3 $100.00 08/01/1979 12/31/2299
33916 7 PULMONARY ENDARTERECTOMY WITH OR WITHOUT EMBOLECTO N 3 $13.45 06/01/1994 12/31/2299
33917 2 REPAIR OF PULMONARY ARTERY STENOSIS BY RECONSTRUCT N 3 $890.79 01/01/1994 12/31/2299
33918 2 REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTA N 3 $964.69 01/01/1994 12/31/2005
33919 2 REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTA N 3 $1,182.94 01/01/1994 12/31/2005
33920 2 REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTA N 3 $1,168.91 01/01/1994 12/31/2299
33922 2 TRANSECTION OF PULMONARY ARTERY WITH CARDIOPULMONA N 3 $853.57 01/01/1994 12/31/2299
33924 2 LIG/TAKE SYST/PULM ART SHNT,IN CONJ W/CONGEN HEART PROCEDURE N 3 $251.75 01/01/1996 12/31/2299
33924 8 LIG/TAKE SYST/PULM ART SHNT,IN CONJUNC W/CONGEN HEART PROCEDURE N 3 $50.35 01/01/1996 12/31/2299
33930 7 MISCELLANEOUS N 3 $13.45 06/01/1994 12/31/2299
33935 7 HEART-LUNG TRANSPLANT WITH RECIPIENT CARDIECTOMY-P N 3 $13.45 06/01/1994 12/31/2299
33940 7 DONOR CARDIECTOMY, WITH PREPARATION AND MAINTENANC N 3 $13.45 06/01/1994 12/31/2299
33945 2 HEART TRANSPLANT, WITH OR WITHOUT RECIPIENT CARDIE N 3 $1,483.49 01/01/2003 12/31/2299
33945 7 HEART TRANSPLANT, WITH OR WITHOUT RECIPIENT CARDIECTOMY N 3 $13.45 06/01/1994 12/31/2299
33960 2 PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFFIC N 3 $630.00 01/02/1994 12/31/2299
33960 7 PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPUL N 3 $13.45 06/01/1994 12/31/2299
33961 2 PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPUL N 3 $387.51 01/01/1994 12/31/2299
33967 2 INSERTION OF INTRA-AORTIC BALLOON ASSIS DEVICE, PERCUTANEOUS N 3 $153.67 01/01/2002 12/31/2299
33968 2 REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE PERCUTANEOUS N 3 $25.57 01/01/2000 12/31/2299
33970 2 INTRA-AORTIC BALLOON COUNTERPULSATION; INSERTION A N 3 $300.00 08/01/1979 12/31/2299
33970 7 INTRA-AORTIC BALLOON COUNTERPULSATION; INSERTION A N 3 $13.45 06/01/1994 12/31/2299
33970 8 INTRA-AORTIC BALLOON COUNTERPULSATION; INSERTION A N 3 $60.00 01/01/1984 12/31/2299
33971 7 REMOVAL OF BALLOON INC REPAIR OF ARTERY W W/O GRAF N 3 $13.45 06/01/1994 12/31/2299
33973 2 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE TH N 3 $380.06 01/01/1994 12/31/2299
33974 2 REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE FROM N 3 $391.90 01/01/1994 12/31/2299
33975 2 IMPLANTATION OF VENTRICULAR ASSIST DEVICE; N 3 $742.19 01/01/1994 12/31/2299
33976 2 IMPLANTATION OF VENTRICULAR ASSIST DEVICE; N 3 $1,011.34 01/01/1994 12/31/2299
33977 2 REMOVAL OF VENTRICULAR ASSIST DEVICE; N 3 $649.36 01/01/1994 12/31/2299
33978 2 REMOVAL OF VENTRICULAR ASSIST DEVICE; N 3 $742.19 01/01/1994 12/31/2299
33999 7 UNLISTED PROCEDURE, CARDIAC SURGERY N 3 $13.45 06/01/1994 12/31/2299
34001 2 EMBOLECTOMY OR THROMBECTOMY,W OR W/OUT CATHETER;CA N 3 $350.00 01/01/1973 12/31/2299
34001 7 EMBOLECTOMY OR THROMBECTOMY,W OR W/OUT CATHETER;CA N 3 $13.45 06/01/1994 12/31/2299
34001 8 EMBOLECTOMY OR THROMBECTOMY,W OR W/OUT CATHETER;CA N 3 $70.00 01/01/1973 12/31/2299
34051 7 EMBOLECTOMY OR THROMBECTOMY,W OR W/OUT CATHETER;IN N 3 $13.45 06/01/1994 12/31/2299
34101 2 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;AXILLARY N 3 $350.00 01/01/1971 12/31/2299
34101 7 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;AXILLARY N 3 $13.45 06/01/1994 12/31/2299
34101 8 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;AXILLARY N 3 $70.00 01/01/1973 12/31/2299
34111 2 EMBLCTMY / THRMBCTMY W/WO CTHTR RADIL / ULNR ARTRY N 3 $250.00 01/01/1984 12/31/2299
34111 7 EMBLCTMY / THRMBCTMY W/WO CTHTR RADIL / ULNR ARTRY N 3 $13.45 06/01/1994 12/31/2299
34111 8 EMBLCTMY / THRMBCTMY W/WO CTHTR RADIL / ULNR ARTRY N 3 $50.00 01/01/1984 12/31/2299
34151 2 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;RENAL,CE N 3 $400.00 01/01/1971 12/31/2299
34151 7 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;RENAL,CE N 3 $13.45 06/01/1994 12/31/2299
34151 8 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;RENAL,CE N 3 $80.00 01/01/1973 12/31/2299
34201 2 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;FEMOROPO N 3 $327.13 01/01/1973 12/31/2299
34201 7 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;FEMOROPO N 3 $13.45 06/01/1994 12/31/2299
34201 8 EMBOLECTOMY OR THROMBECTOMY,W/WO CATHETER;FEMOROPO N 3 $65.43 01/01/1973 12/31/2299
34203 2 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHE N 3 $420.00 01/02/1992 12/31/2299
34203 7 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHE N 3 $13.45 06/01/1994 12/31/2299
34401 2 THROMBECTOMY,DIRECT OR WITH CATHETER;VENA CAVA,ILI N 3 $450.00 01/01/1971 12/31/2299
34401 7 THROMBECTOMY,DIRECT OR WITH CATHETER;VENA CAVA,ILI N 3 $13.45 06/01/1994 12/31/2299
34401 8 THROMBECTOMY,DIRECT OR WITH CATHETER;VENA CAVA,ILI N 3 $90.00 01/01/1973 12/31/2299
34421 2 THROMBECTOMY,DIR OR WITH CATHETER;VENA CAVA,ILIAC, N 3 $500.00 01/01/1971 12/31/2299
34421 7 THROMBECTOMY,DIR OR WITH CATHETER;VENA CAVA,ILIAC, N 3 $13.45 06/01/1994 12/31/2299
34421 8 THROMBECTOMY,DIR OR WITH CATHETER;VENA CAVA,ILIAC, N 3 $60.00 01/01/1973 12/31/2299
34451 2 THROMBECTOMY, DIRECT OR WITH CATHETER;BY ABDOMINAL N 3 $600.00 01/01/1971 12/31/2299
34451 7 THROMBECTOMY, DIRECT OR WITH CATHETER;BY ABDOMINAL N 3 $13.45 06/01/1994 12/31/2299
34451 8 THROMBECTOMY, DIRECT OR WITH CATHETER;BY ABDOMINAL N 3 $120.00 01/01/1973 12/31/2299
34471 2 THROMBECTOMY, DIRECT OR WITH CATHETER;SUBCLAVIAN V N 3 $329.14 01/01/2003 12/31/2299
34471 7 THROMBECTOMY, DIRECT OR WITH CATHETER;SUBCLAVIAN V N 3 $13.45 06/01/1994 12/31/2299
34490 7 THROMBECTOMY, DIRECT OR WITH CATHETER;AXILLARY AND N 3 $13.45 06/01/1994 12/31/2299
34501 7 VENOUS RECONSTRUCTION N 3 $13.45 06/01/1994 12/31/2299
34502 2 RECONSTRUCTION OF VENA CAVA, ANY METHOD N 3 $975.36 01/01/1994 12/31/2299
34510 7 VENOUS VALVE TRANSPOSITION, ANY VEIN DONOR N 3 $13.45 06/01/1994 12/31/2299
34520 2 CROSS-OVER VEIN GRAFT TO VENOUS SYSTEM N 3 $534.00 01/02/1994 12/31/2299
34520 7 CROSS-OVER VEIN GRAFT TO VENOUS SYSTEM N 3 $13.45 06/01/1994 12/31/2299
34530 7 SAPHENOPOPLITEAL VEIN ANASTOMOSIS N 3 $13.45 06/01/1994 12/31/2299
34690 7 PLCMNT CV CATH SUBCL JUG CUT DOWN UNDER 2YRS N 3 $13.45 06/01/1994 12/31/2299
34800 2 ENDOVAS.REPAIR OF INFRARE.ABDOM.AORTIC ANEURISM OR DISSECTION N 3 $731.81 01/01/2001 12/31/2299
34800 7 ENDOVAS.REPAIR OF INFRARENAL ABDOM.AORTIC ANEUR.OR DISSECTION N 3 $13.45 01/01/2001 12/31/2299
34800 8 ENDOVAS.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.OR DISS. N 3 $146.36 01/01/2001 12/31/2299
34802 2 ENDOVASC.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.OR DISS. N 3 $807.49 01/01/2001 12/31/2299
34802 7 ENDOVAS.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.OR DISSECTION N 3 $13.45 01/01/2001 12/01/2299
34802 8 ENVAS.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.DISSEC. N 3 $161.50 01/01/2001 12/31/2299
34803 2 ENDOVASCULAR REPAIR ABD AORTIC ANEURYSM N 3 $827.24 01/01/2005 12/31/2299
34803 7 ENDOVASCULAR REPAIR INFRARENAL ABD AORTIC ANEURYSM N 3 $13.45 01/01/2005 12/31/2299
34803 8 ENDOVASCULAR REPAIR INFRARENAL ABD AORTIC ANEURYSM N 3 $165.45 01/01/2005 12/31/2299
34804 2 ENDOVAS.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.OR DISSEC. N 3 $807.49 01/01/2001 12/31/2299
34804 7 ENDOVASC.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.OR DISSEC. N 3 $13.45 01/01/2001 12/31/2299
34804 8 ENDOVASC.REPAIR OF INFRAR.ABDOM.AORTIC ANEUR.OR DISSEC. N 3 $161.50 01/01/2001 12/31/2299
34805 2 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM N 3 $747.14 01/01/2004 12/31/2299
34808 2 ENDOVAS.PLACEM.OF ILIAC ARTER.OCCLUS.DEV. N 3 $138.77 01/01/2001 12/31/2299
34808 7 ENDOVASC.PLACEM.OF ILIAC ARTER.OCCLU.DEV. N 3 $13.45 01/01/2001 12/31/2299
34812 2 OPEN FEMORAL ARTERY EXPO.FOR DELIV.OF AORTIC ENDOVAS. N 3 $227.23 01/01/2001 12/31/2299
34812 7 OPEN FEM.ARTEY EXPOS.FOR DELIV.OF AORTIC ENDOV.PROSTH. N 3 $13.45 01/01/2001 12/31/2299
34813 2 PLACEMENT OF FEMORAL-FEMORAL PROSTHETIC GRAFT DURING ENDOVALCULAR N 3 $161.41 01/01/2001 12/31/2299
34813 7 PLACEM.OF FEMORAL PROST.GRAFT DURI.ENDOV.AORTI.ANEUR. N 3 $13.45 01/01/2001 12/31/2299
34820 2 OPEN ILIAC ARTERY FOR DELIV.OF ENDOVASC.THERAPY N 3 $328.06 01/01/2001 12/31/2299
34820 7 OPEN ILIAC ARTERY EXP.FOR DELIV.OF ENDOVAS.THER. N 3 $13.45 01/01/2001 12/31/2299
34825 2 PLACEM.OF DIST.XET.PROSTH.FOR ENDOV.REPAIR OF INFRARENAL N 3 $437.60 01/01/2001 12/31/2299
34825 7 PLACEM.OF PROX.OR DIST.EXT.PROST.FOR ENDOV.REPR. N 3 $13.45 01/01/2001 12/31/2299
34826 2 PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASC N 3 $138.77 01/01/2001 12/31/2299
34826 7 ANESTHESIA,PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS N 3 $13.45 01/01/2001 12/31/2299
34830 2 OPEN REPAIR OFINFRARENO AORTIC ANEURYSM OR DISSECTIONAND REPAIR N 3 $1,138.58 01/01/2001 12/31/2299
34830 7 OPEN REPAIR OF INFRARENAL ABDOM. N 3 $13.45 01/01/2001 12/31/2299
34830 8 OPEN REPAIR OF INFRAREN.AORTIC ANEURYSM OR DISSECT. N 3 $227.72 01/01/2001 12/31/2299
34831 2 OPEN REPR. OF INFRAR.AORTIC ANEURSYM OR DISSEC. N 3 $1,230.71 01/01/2001 12/31/2299
34831 7 OPEN REPAIR OF INFRAR.AORTIC ANEURSYM OR DISSEC. N 3 $13.45 01/01/2001 12/31/2299
34831 8 OPEN REPAIR OF INFRAR.AORTIC ANEURYSM OR DISSEC. N 3 $246.14 01/01/2001 12/31/2299
34832 2 OPEN REPAIR OF INFRAR.AORTIC ANEURYSM OR DISSECTION N 3 $1,230.71 01/01/2001 12/31/2299
34832 7 OPEN RPR.OF INFRAR.AORTIC ANEURSYM OR DISSECTION N 3 $13.45 01/01/2001 12/31/2299
34832 8 OPEN REPAIR OF INFRAR.AOORTIC ANEURSYM OR DISSECTION N 3 $246.14 01/01/2001 12/31/2299
34833 2 OPEN ILIAC ART W/CREATION CONDUIT DELIV INFRARENAL AORTIC OR N 3 $387.11 01/01/2003 12/31/2299
34834 2 OPEN BRACHIAL ART TO ASSIST DEPLOYMENT INFRARENAL/ILIAC ENDOV N 3 $181.73 01/01/2003 12/31/2299
34900 2 ENDOVAS GRAFT REPL REPAIR ILIAC ART(ANEURYSM,PSEUDOANEURYS N 3 $570.92 01/01/2003 12/31/2299
35001 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $700.00 01/01/1971 12/31/2299
35001 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $13.45 06/01/1994 12/31/2299
35001 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $140.00 01/01/1973 12/31/2299
35005 2 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR N 3 $592.10 01/01/2002 12/31/2299
35005 7 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR N 3 $13.45 06/01/1994 12/31/2299
35011 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $618.68 01/01/2004 12/31/2299
35011 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $13.45 06/01/1994 12/31/2299
35021 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $750.00 01/01/1971 12/31/2299
35021 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $13.45 06/01/1994 12/31/2299
35021 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W - W/O PATCH N 3 $150.00 01/01/1973 12/31/2299
35045 2 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR N 3 $577.41 01/01/2002 12/31/2299
35045 7 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR N 3 $13.45 06/01/1994 12/31/2299
35081 2 DIR RPR OF ANEU OR EXC & GRFT INSERT, W-W/O PATCH N 3 $1,000.00 01/01/1973 12/31/2299
35081 7 DIR RPR OF ANEU OR EXC & GRFT INSERT, W-W/O PATCH N 3 $13.45 06/01/1994 12/31/2299
35081 8 DIR RPR OF ANEU OR EXC & GRFT INSERT, W-W/O PATCH N 3 $200.00 01/01/1973 12/31/2299
35082 2 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT,W N 3 $1,000.00 01/01/1984 12/31/2299
35082 7 DIR REPAIR ANEU OR EXIS (PART OR TOT)+ GR INSERT N 3 $13.45 06/01/1994 12/31/2299
35082 8 DIR REPAIR ANEU OR EXIS (PART OR TOT)+ GR INSERT N 3 $200.00 01/01/1984 12/31/2299
35091 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $1,200.00 01/01/1984 12/31/2299
35091 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35091 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $240.00 01/01/1984 12/31/2299
35102 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $900.00 01/01/1984 12/31/2299
35102 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35102 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $180.00 01/01/1984 12/31/2299
35103 2 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $1,200.00 01/01/1984 12/31/2299
35103 7 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $13.45 06/01/1994 12/31/2299
35103 8 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $240.00 01/01/1984 12/31/2299
35111 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $600.00 01/01/1973 12/31/2299
35111 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35111 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $120.00 01/01/1973 12/31/2299
35112 2 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $702.00 01/01/1996 12/31/2299
35112 7 ANESTHESIA/DIR REPAIR ANEU OR EXCIS(PART OR TOT) & GR INSERT N 3 $13.45 01/01/1996 12/31/2299
35112 8 ASSIST/DIR REPAIR ANEU OR EXCIS(PART OR TOT) & GR INSERT, N 3 $141.00 01/01/1996 12/31/2299
35121 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $1,000.00 01/01/1973 12/31/2299
35121 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35121 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $200.00 01/01/1973 12/31/2299
35131 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $800.00 01/01/1971 12/31/2299
35131 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35131 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $160.00 01/01/1973 12/31/2299
35141 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $600.00 08/01/1979 12/31/2299
35141 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35141 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $120.00 01/01/1973 12/31/2299
35142 2 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $600.00 01/01/1984 12/31/2299
35142 7 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $13.45 06/01/1994 12/31/2299
35142 8 DIR REPAIR ANEU OR EXCIS(PART OR TOT)& GR INSERT, N 3 $120.00 01/01/1984 12/31/2299
35151 2 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $600.00 08/01/1979 12/31/2299
35151 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35151 8 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $140.00 01/01/1973 12/31/2299
35161 7 DIR RPR OF ANEU OR EXC & GRFT INSERT,W-W/O PATCH G N 3 $13.45 06/01/1994 12/31/2299
35180 7 REPAIR ARTERIOVENOUS FISTULA N 3 $13.45 06/01/1994 12/31/2299
35182 2 REPAIR CONG A-V FISTULA THORAX OR ABDOMEN N 3 $200.00 01/01/1984 12/31/2299
35184 7 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA N 3 $13.45 06/01/1994 12/31/2299
35188 7 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTUL N 3 $13.45 06/01/1994 12/31/2299
35188 F REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTUL N 3 $432.00 03/01/2004 12/31/2299
35189 7 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTUL N 3 $13.45 06/01/1994 12/31/2299
35190 2 REPAIR ARTERIOVENOUS FISTULA; EXTREMITIES N 3 $350.00 01/01/1984 12/31/2299
35190 7 REP,AQUIR/TRAUM ARTVNS FISTULA; THORAX AND ABDOMEN N 3 $13.45 06/01/1994 12/31/2299
35190 8 REPAIR ARTERIOVENOUS FISTULA; EXTREMITIES N 3 $70.00 01/01/1984 12/31/2299
35201 2 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; NECK N 3 $700.00 01/01/1973 12/31/2299
35201 7 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; NECK N 3 $13.45 06/01/1994 12/31/2299
35201 8 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; NECK N 3 $140.00 01/01/1973 12/31/2299
35206 2 REPAIR BLOOD VESSEL: UPPER EXTREMITY N 3 $600.00 01/02/1992 12/31/2299
35206 7 REPAIR BLOOD VESSEL: UPPER EXTREMITY N 3 $13.45 06/01/1994 12/31/2299
35206 8 REPAIR BLOOD VESSEL: UPPER EXTREMITY N 3 $50.00 01/01/1984 12/31/2299
35207 2 REPAIR BLOOD VSL, DIRECT HAND N 3 $522.00 01/02/1995 12/31/2299
35207 7 ANESTHESIA, REPAIR BLOOD VESSEL, DIRECT HAND N 3 $13.45 01/02/1995 12/31/2299
35207 8 REPAIR BLOOD VSL, DIRECT HAND N 3 $104.00 01/02/1995 12/31/2299
35207 F REPAIR BLOOD VSL, DIRECT HAND N 3 $432.00 03/01/2004 12/31/2299
35211 2 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $970.93 01/01/2002 12/31/2299
35211 7 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $13.45 06/01/1994 12/31/2299
35216 2 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $850.00 01/01/1973 12/31/2299
35216 7 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $13.45 06/01/1994 12/31/2299
35216 8 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $170.00 01/01/1973 12/31/2299
35221 2 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $745.49 01/01/2003 12/31/2299
35221 7 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; INTRA N 3 $13.45 06/01/1994 12/31/2299
35226 2 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; LOWER N 3 $480.00 01/02/1994 12/31/2299
35226 7 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; LOWER N 3 $13.45 06/01/1994 12/31/2299
35226 8 REPAIR BLOOD VESSELS OR A-V FISTULA, DIRECT; LOWER N 3 $96.00 01/02/1994 12/31/2299
35231 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $13.45 06/01/1994 12/31/2299
35236 2 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $500.00 01/01/1989 12/31/2299
35236 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $13.45 06/01/1994 12/31/2299
35236 8 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $100.00 01/01/1989 12/31/2299
35241 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $13.45 06/01/1994 12/31/2299
35246 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $13.45 06/01/1994 12/31/2299
35251 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $13.45 06/01/1994 12/31/2299
35256 2 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $300.00 01/01/1984 12/31/2299
35256 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $13.45 06/01/1994 12/31/2299
35256 8 REPAIR BLOOD VESSEL OR A-V FISTULA WITH VEIN GRAFT N 3 $60.00 01/01/1984 12/31/2299
35261 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $13.45 06/01/1994 12/31/2299
35266 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $13.45 06/01/1994 12/31/2299
35271 2 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $660.00 01/02/1992 12/31/2299
35271 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $13.45 06/01/1994 12/31/2299
35276 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $13.45 06/01/1994 12/31/2299
35281 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $13.45 06/01/1994 12/31/2299
35286 2 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $600.00 01/01/1984 12/31/2299
35286 7 REPAIR BLOOD VESSEL OR A-V FISTULA WITH GRAFT OTHE N 3 $13.45 06/01/1994 12/31/2299
35301 2 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;CAROTID,VE N 3 $750.00 01/01/1973 12/31/2299
35301 7 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;CAROTID,VE N 3 $13.45 06/01/1994 12/31/2299
35301 8 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;CAROTID,VE N 3 $150.00 01/01/1973 12/31/2299
35311 2 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;SUBCLAVIAN N 3 $750.00 08/01/1979 12/31/2299
35311 7 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;SUBCLAVIAN N 3 $13.45 06/01/1994 12/31/2299
35311 8 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;SUBCLAVIAN N 3 $150.00 08/01/1979 12/31/2299
35321 2 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT; AXILLARY- N 3 $750.00 01/01/1984 12/31/2299
35321 7 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT; AXILLARY- N 3 $13.45 06/01/1994 12/31/2299
35321 8 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT; AXILLARY- N 3 $150.00 01/01/1984 12/31/2299
35331 2 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $713.70 01/02/1992 12/31/2299
35331 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35341 2 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $800.00 01/01/1973 12/31/2299
35341 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35341 8 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $160.00 01/01/1973 12/31/2299
35351 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35355 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35361 2 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $1,000.00 01/01/1973 12/31/2299
35361 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35361 8 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $200.00 01/01/1973 12/31/2299
35363 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35371 2 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;COMMON AND N 3 $600.00 01/02/1992 12/31/2299
35371 7 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;COMMON AND N 3 $13.45 06/01/1994 12/31/2299
35371 8 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;COMMON AND N 3 $170.00 01/01/1984 12/31/2299
35372 2 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $559.81 01/01/2003 12/31/2299
35372 7 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $13.45 06/01/1994 12/31/2299
35372 8 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT N 3 $111.96 01/01/2003 12/31/2299
35381 2 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;FEMORAL AN N 3 $756.00 01/02/1995 12/31/2299
35381 7 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;FEMORAL AN N 3 $13.45 06/01/1994 12/31/2299
35381 8 THROMBOENDARTERECTOMY, W/WO PATCH GRAFT;FEMORAL AN N 3 $151.00 01/02/1995 12/31/2299
35390 2 REOPERATION, CAROTID, THROMBOENDARTERECTOMY, MORE N 3 $106.54 01/01/1994 12/31/2299
35400 2 ANGIOSCOPY(NON-CORONARY VESSELS/GRAFTS)DURING THERAPEUTIC INTERVE N 3 $117.23 01/01/1998 12/31/2299
35400 7 ANGIOSCOPY(NON-CORONARY VESSELS/GRAFTS)THERAPEUTIC INTERVENTION N 3 $13.45 01/01/1998 12/31/2299
35400 8 ANGIOSCOPY(NON-CORONARY VESSELS/GRAFTS)THERAPEUTIC INTERVENTION N 3 $23.44 01/01/1998 12/31/2299
35450 7 TRANSLUMINAL ANGIOPLASTY, INTRAOPERATIVE N 3 $13.45 06/01/1994 12/31/2299
35452 7 TRANSLUMINAL ANGIOPLASTY, INTRAOPERATIVE (SEPARATE N 3 $13.45 06/01/1994 12/31/2299
35454 7 TRANSLUMINAL ANGIOPLASTY, INTRAOPERATIVE (SEPARATE N 3 $13.45 06/01/1994 12/31/2299
35456 2 TRSLUMNL ANGPLSTY INTRAOP SEP PROC FEM - POPLT N 3 $350.00 01/01/1984 12/31/2299
35456 7 TRSLUMNL ANGPLSTY INTRAOP SEP PROC FEM - POPLT N 3 $13.45 06/01/1994 12/31/2299
35456 8 TRSLUMNL ANGPLSTY INTRAOP SEP PROC FEM - POPLITEAL N 3 $70.00 01/01/1984 12/31/2299
35458 7 TRANSLUMINAL ANGIOPLASTY, INTRAOPERATIVE (SEPARATE N 3 $13.45 06/01/1994 12/31/2299
35459 7 TRANSLUMINAL ANGIOPLASTY, OPEN; N 3 $13.45 06/01/1994 12/31/2299
35460 7 TRANSLUMINAL ANGIOPLASTY, OPEN; N 3 $13.45 06/01/1994 12/31/2299
35470 2 (FOR MONITORING, OPERATION OF PUMP AND OTHER NONSU N 3 $293.81 01/01/2004 12/31/2299
35470 7 (FOR MONITORING, OPERATION OF PUMP AND OTHER NONSU N 3 $13.45 06/01/1994 12/31/2299
35471 2 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $308.40 01/02/1992 12/31/2299
35471 7 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $13.45 06/01/1994 12/31/2299
35472 2 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $231.59 01/01/2002 12/31/2299
35472 7 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $13.45 06/01/1994 12/31/2299
35473 2 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $310.00 01/02/1992 12/31/2299
35473 7 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $13.45 06/01/1994 12/31/2299
35474 2 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $390.00 01/02/1995 12/31/2299
35474 7 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $13.45 06/01/1994 12/31/2299
35474 8 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $78.00 01/02/1995 12/31/2299
35475 2 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $317.33 01/01/2004 12/31/2299
35475 7 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $13.45 06/01/1994 12/31/2299
35476 2 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $201.00 01/02/1994 12/31/2299
35476 7 TRANSLUMINAL ANGIOPLASTY, PERCUTANEOUS; N 3 $13.45 06/01/1994 12/31/2299
35480 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; N 3 $492.56 01/01/1993 12/31/2299
35480 7 TRANSLUMINAL ATHERECTOMY N 3 $13.45 06/01/1994 12/31/2299
35481 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; N 3 $237.46 01/01/1993 12/31/2299
35481 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN N 3 $13.45 06/01/1994 12/31/2299
35482 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; N 3 $328.33 01/01/1993 12/31/2299
35482 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN AROTIC N 3 $13.45 06/01/1994 12/31/2299
35483 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; N 3 $379.58 01/01/1993 12/31/2299
35483 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN ILIAC N 3 $13.45 06/01/1994 12/31/2299
35484 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; N 3 $420.04 01/01/1993 12/31/2299
35484 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY,FEMORAL POPILI N 3 $13.45 06/01/1994 12/31/2299
35485 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN; N 3 $281.74 01/01/1993 12/31/2299
35485 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY,BRACHIOCEPHALI N 3 $13.45 06/01/1994 12/31/2299
35490 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; N 3 $481.58 01/01/1993 12/31/2299
35490 7 TRANSLUMINAL ATHERECTOMY, PERCUTANEOUS N 3 $13.45 06/01/1994 12/31/2299
35491 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; N 3 $232.16 01/01/1993 12/31/2299
35491 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY PERCUTAN AORTI N 3 $13.45 06/01/1994 12/31/2299
35492 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; N 3 $321.01 01/01/1993 12/31/2299
35492 7 TRANSLUMINAL PERIPHERAL ATHERECTOMY PERCUTAN ILIAC N 3 $13.45 06/01/1994 12/31/2299
35493 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; N 3 $371.11 01/01/1993 12/31/2299
35493 7 TRANSLUMINAL PERIPHERAL ATHERTMY PERCUTN FEMORL PO N 3 $13.45 06/01/1994 12/31/2299
35494 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; N 3 $410.67 01/01/1993 12/31/2299
35494 7 TRANSLUMINAL PERIPHERAL ATHERTMY PERCUTN BRACHIOCE N 3 $13.45 06/01/1994 12/31/2299
35495 2 TRANSLUMINAL PERIPHERAL ATHERECTOMY, PERCUTANEOUS; N 3 $275.45 01/01/1993 12/31/2299
35495 7 TRANSLUMINAL PERIPHERAL ATHERTMY PERCUTN TIB TRUNK N 3 $13.45 06/01/1994 12/31/2299
35500 2 HARVEST OF UPPER EXTREMITY VEIN ONE SEGMENT FOR LOWER EXTREMITY N 3 $812.04 01/01/1999 12/31/2299
35501 2 BYPASS GRAFT, VEIN; CAROTID N 3 $750.00 01/01/1973 12/31/2299
35501 7 BYPASS GRAFT, VEIN; CAROTID N 3 $13.45 06/01/1994 12/31/2299
35501 8 BYPASS GRAFT, VEIN; CAROTID N 3 $150.00 01/01/1973 12/31/2299
35506 7 BYPASS GRAFT, VEIN; CAROTID-SUBCLAVIAN N 3 $13.45 06/01/1994 12/31/2299
35507 2 BYPASS GRAFT, VEIN; SUBCLAVIAN-CAROTID N 3 $614.36 01/01/2003 12/31/2299
35507 7 BYPASS GRAFT, VEIN; SUBCLAVIAN-CAROTID N 3 $13.45 06/01/1994 12/31/2299
35507 8 BYPASS GRAFT, VEIN; SUBCLAVIAN-CAROTID N 3 $122.87 01/01/2003 12/31/2299
35508 7 BYPASS GRAFT, WITH VEIN N 3 $13.45 06/01/1994 12/31/2299
35509 7 BYPASS GRAFT, VEIN; CAROTID-CAROTID N 3 $13.45 06/01/1994 12/31/2299
35510 2 BYPASS GRAFT WITH VEIN CAROTID BRACHIAL N 3 $790.79 01/01/2004 12/31/2299
35511 7 BYPASS GRAFT, VEIN; SUBCLAVIAN-SUBCLAVIAN N 3 $13.45 06/01/1994 12/31/2299
35512 2 BYPASS GRAFT, WITH VEIN, SUBCLAVIAN-BRACHIAL N 3 $775.67 01/01/2004 12/31/2299
35515 7 BYPASS GRAFT, WITH VEIN N 3 $13.45 06/01/1994 12/31/2299
35516 7 BYPASS GRAFT, VEIN; SUBCLAVIAN-AXILLARY N 3 $13.45 06/01/1994 12/31/2299
35518 7 BYPASS GRAFT, WITH VEIN N 3 $13.45 06/01/1994 12/31/2299
35521 2 BYPASS GRAFT, VEIN; AXILLARY-FEMORAL N 3 $750.00 01/01/1984 12/31/2299
35521 7 BYPASS GRAFT, VEIN; AXILLARY-FEMORAL N 3 $13.45 06/01/1994 12/31/2299
35521 8 BYPASS GRAFT, VEIN; AXILLARY-FEMORAL N 3 $150.00 01/01/1984 12/31/2299
35522 2 BYPASS GRAFT, WITH VEIN AXILLARY BRACHIAL N 3 $753.09 01/01/2004 12/31/2299
35525 2 BYPASS GRAFT, WITH VEIN BRACHIAL - BRACHIAL N 3 $718.78 01/01/2004 12/31/2299
35526 2 BYPASS GRAFT, VEIN; AORTOSUBCLAVIAN OR CAROTID N 3 $800.00 08/01/1979 12/31/2299
35526 7 BYPASS GRAFT, VEIN; AORTOSUBCLAVIAN OR CAROTID N 3 $13.45 06/01/1994 12/31/2299
35526 8 BYPASS GRAFT, VEIN; AORTOSUBCLAVIAN OR CAROTID N 3 $160.00 08/01/1979 12/31/2299
35531 2 BYPASS GRAFT, VEIN; AORTOCELIAC, MESENTERIC, OR RE N 3 $800.00 08/01/1979 12/31/2299
35531 7 BYPASS GRAFT, VEIN; AORTOCELIAC, MESENTERIC, OR RE N 3 $13.45 06/01/1994 12/31/2299
35531 8 BYPASS GRAFT, VEIN; AORTOCELICA, MESENTERIC, OR RE N 3 $160.00 08/01/1979 12/31/2299
35533 2 AXILLARY-FEMORAL GRAFT BYPASS N 3 $1,000.00 01/01/1984 12/31/2299
35533 7 AXILLARY-FEMORAL GRAFT BYPASS N 3 $13.45 06/01/1994 12/31/2299
35533 8 AXILLARY-FEMORAL-GRAFT BYPASS N 3 $200.00 01/01/1984 12/31/2299
35536 7 BYPASS GRAFT, VEIN; SPLENORENAL N 3 $13.45 06/01/1994 12/31/2299
35541 2 BYPASS GRAFT, VEIN; AORTOILIAC N 3 $800.00 08/01/1979 12/31/2299
35541 7 BYPASS GRAFT, VEIN; AORTOILIAC N 3 $13.45 06/01/1994 12/31/2299
35541 8 BYPASS GRAFT, VEIN; AORTOILIAC N 3 $160.00 08/01/1979 12/31/2299
35546 2 BYPASS GRAFT, VEIN; AORTOFEMORAL N 3 $800.00 08/01/1979 12/31/2299
35546 7 BYPASS GRAFT, VEIN; AORTOFEMORAL N 3 $13.45 06/01/1994 12/31/2299
35546 8 BYPASS GRAFT, VEIN; AORTOFEMORAL N 3 $160.00 08/01/1979 12/31/2299
35548 2 BYPASS GRAFT, VEIN; AORTOILIOFEMORAL, UNILATERAL N 3 $800.00 01/01/1984 12/31/2299
35548 7 BYPASS GRAFT, VEIN; AORTOILIOFEMORAL, UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
35549 7 BYPASS GRAFT, VEIN; AORTOILIOFEMORAL, BILATERAL N 3 $13.45 06/01/1994 12/31/2299
35551 2 BYPASS GRAFT, VEIN; AORTOILIOFEMORAL-POPLITEAL N 3 $750.00 01/01/1984 12/31/2299
35551 7 BYPASS GRAFT, VEIN; AORTOILIOFEMORAL-POPLITEAL N 3 $13.45 06/01/1994 12/31/2299
35551 8 BYPASS GRAFT, VEIN; AORTOILIOFEMORAL-POPLITEAL N 3 $150.00 01/01/1984 12/31/2299
35556 2 BYPASS GRAFT, VEIN; FEMORAL-POPLITEAL N 3 $780.90 01/02/1992 12/31/2299
35556 7 BYPASS GRAFT, VEIN; FEMORAL-POPLITEAL N 3 $13.45 06/01/1994 12/31/2299
35556 8 BYPASS GRAFT, VEIN; FEMORAL-POPLITEAL N 3 $150.00 08/01/1979 12/31/2299
35558 2 BYPASS GRAFT, VEIN; FEMORAL-FEMORAL N 3 $750.00 01/01/1984 12/31/2299
35558 7 BYPASS GRAFT, VEIN; FEMORAL-FEMORAL N 3 $13.45 06/01/1994 12/31/2299
35558 8 BYPASS GRAFT, VEIN; FEMORAL-FEMORAL N 3 $150.00 01/01/1984 12/31/2299
35560 7 BYPASS GRAFT, WITH VEIN N 3 $13.45 06/01/1994 12/31/2299
35563 7 BYPASS GRAFT, VEIN; ILIOILIAC N 3 $13.45 06/01/1994 12/31/2299
35565 2 BYPASS GRAFT, VEIN; ILIOFEMORAL N 3 $864.00 01/02/1995 12/31/2299
35565 7 BYPASS GRAFT, VEIN; ILIOFEMORAL N 3 $13.45 06/01/1994 12/31/2299
35565 8 BYPASS GRAFT, VEIN; ILIOFEMORAL N 3 $173.00 01/02/1995 12/31/2299
35566 2 BYPASS GRAFT, VEIN; FEMORAL-ANTERIOR TIBIAL, POSTE N 3 $750.00 08/01/1979 12/31/2299
35566 7 BYPASS GRAFT, VEIN; FEMORAL-ANTERIOR TIBIAL, POSTE N 3 $13.45 06/01/1994 12/31/2299
35566 8 BYPASS GRAFT, VEIN; FEMORAL-ANTERIOR TIBIAL, POSTE N 3 $150.00 08/01/1979 12/31/2299
35571 2 BYPASS GRAFT, VEIN; POPLITEAL-TIBIAL N 3 $650.00 01/01/1984 12/31/2299
35571 7 BYPASS GRAFT, VEIN; POPLITEAL-TIBIAL N 3 $13.45 06/01/1994 12/31/2299
35571 8 BYPASS GRAFT, VEIN; POPLITEAL-TIBIAL N 3 $130.00 01/01/1984 12/31/2299
35572 2 HARVEST FEMOROPOPLITEAL VEIN ONE SEGMENT-RECON VASCULAR N 3 $218.32 01/01/2003 12/31/2299
35582 7 IN-SITU VEIN BYPASS N 3 $13.45 06/01/1994 12/31/2299
35583 2 IN-SITU VEIN BY PASS FEM POPLITEAL N 3 $996.00 01/02/1995 12/31/2299
35583 7 IN-SITU VEIN BY PASS FEM POPLITEAL N 3 $13.45 06/01/1994 12/31/2299
35583 8 IN-SITU VEIN BY PASS FEM POPLITEAL N 3 $199.20 01/02/1995 12/31/2299
35585 2 IN SITU VEIN BYPASS FEM ANT TIB POST TIB PERON ART N 3 $850.00 01/01/1984 12/31/2299
35585 7 IN SITU VEIN BYPASS FEM ANT TIB POST TIB PERON ART N 3 $13.45 06/01/1994 12/31/2299
35585 8 IN-SITU VN BYPASS FEM ANT TIB POS TIB OR PERON ART N 3 $170.00 01/01/1984 12/31/2299
35587 2 IN SITU VEIN BYPASS: POPLITEAL-TIBIAL, PERONEAL N 3 $500.00 01/01/1984 12/31/2299
35587 7 IN SITU VEIN BYPASS: POPLITEAL-TIBIAL, PERONEAL N 3 $13.45 06/01/1994 12/31/2299
35587 8 IN SITU VEIN BYPASS: POPLITEAL-TIBIAL, PERONEAL N 3 $100.00 01/01/1984 12/31/2299
35600 2 HARVEST OF UPPER EXTREM.ARTERY ONE SEGM.FOR CORON.ART.BYPASS N 3 $170.45 01/01/2001 12/31/2299
35601 7 BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID N 3 $13.45 06/01/1994 12/31/2299
35606 7 BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID-SUBCLA N 3 $13.45 06/01/1994 12/31/2299
35612 7 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-SUB N 3 $13.45 06/01/1994 12/31/2299
35616 7 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-AXI N 3 $13.45 06/01/1994 12/31/2299
35621 2 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMOR N 3 $750.00 08/01/1979 12/31/2299
35621 7 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMOR N 3 $13.45 06/01/1994 12/31/2299
35621 8 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMOR N 3 $150.00 08/01/1979 12/31/2299
35623 2 BYPASS GRAFT, WITH OTHER THAN VEIN; N 3 $514.31 01/01/1994 12/31/2299
35626 7 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOSUBCLAVIA N 3 $13.45 06/01/1994 12/31/2299
35631 2 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOCELIAC, M N 3 $984.00 01/02/1994 12/31/2299
35631 7 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOCELIAC, M N 3 $13.45 06/01/1994 12/31/2299
35631 8 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOCELIAC, M N 3 $197.00 01/02/1994 12/31/2299
35636 7 BYPASS GRAFT, WITH OTHER THAN VEIN; SPLENORENAL N 3 $13.45 06/01/1994 12/31/2299
35641 7 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOILIAC N 3 $13.45 06/01/1994 12/31/2299
35641 8 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOILIAC N 3 $160.00 01/01/1984 12/31/2299
35642 7 BYPASS GRAFT, WITH OTHER THAN VEIN N 3 $13.45 06/01/1994 12/31/2299
35645 7 BYPASS GRAFT, WITH OTHER THAN VEIN N 3 $13.45 06/01/1994 12/31/2299
35646 2 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL N 3 $1,320.00 01/02/1992 12/31/2299
35646 7 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL N 3 $13.45 06/01/1994 12/31/2299
35646 8 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL N 3 $160.00 01/01/1984 12/31/2299
35647 2 BYPASS GRAFT W/OTHER THAN VEIN;AORTOFEMORAL N 3 $920.81 01/01/2002 12/03/2299
35647 7 BYPASS W/OTHER THAN VEIN AORTAFEMORAL N 3 $13.45 01/01/2002 12/31/2299
35647 8 BYPASS GRAFT W/OTHER THAN VEIN;AORTOFEMORAL N 3 $184.00 01/01/2002 12/31/2299
35650 7 BYPASS GRAFT, WITH OTHER THAN VEIN N 3 $13.45 06/01/1994 12/31/2299
35651 2 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL-P N 3 $800.00 01/01/1984 12/31/2299
35651 7 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL-P N 3 $13.45 06/01/1994 12/31/2299
35651 8 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL-P N 3 $160.00 01/01/1984 12/31/2299
35654 2 BY PASS GRAFT W OTHR THN VEIN AXIL FEMOR FEMOR N 3 $850.00 01/01/1984 12/31/2299
35654 7 BY PASS GRAFT W/OTHR THN VEIN AXIL FEMOR FEMOR N 3 $13.45 06/01/1994 12/31/2299
35654 8 BY PASS GRAFT W/OTHR THN VEIN AXIL FEMOR-FEMOR N 3 $170.00 01/01/1984 12/31/2299
35656 2 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-POPLIT N 3 $700.00 01/01/1984 12/31/2299
35656 7 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-POPLIT N 3 $13.45 06/01/1994 12/31/2299
35656 8 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-POPLIT N 3 $140.00 01/01/1984 12/31/2299
35661 2 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORA N 3 $750.00 08/01/1979 12/31/2299
35661 7 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORA N 3 $13.45 06/01/1994 12/31/2299
35661 8 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORA N 3 $150.00 08/01/1979 12/31/2299
35663 7 BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOILIAC N 3 $13.45 06/01/1994 12/31/2299
35665 2 BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOFEMORAL N 3 $750.00 01/01/1984 12/31/2299
35665 7 BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOFEMORAL N 3 $13.45 06/01/1994 12/31/2299
35665 8 BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOFEMORAL N 3 $150.00 01/01/1984 12/31/2299
35666 2 BYPASS GRAFT,WITH OTHER THAN VEIN;FEMORAL-ANTERIOR N 3 $750.00 01/01/1984 12/31/2299
35666 7 BYPASS GRAFT,WITH OTHER THAN VEIN;FEMORAL-ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
35666 8 BYPASS GRAFT,WITH OTHER THAN VEIN;FEMORAL-ANTERIOR N 3 $150.00 09/09/1984 12/31/2299
35671 7 BYPASS GRAFT, WITH OTHER THAN VEIN; POPLITEAL-TIBI N 3 $13.45 06/01/1994 12/31/2299
35681 2 BYPASS GRAFT COMPOSITE N 3 $25.00 01/01/1984 12/31/2299
35681 7 BYPASS GRAFT COMPOSITE N 3 $13.45 06/01/1994 12/31/2299
35681 8 BYPASS GRAFT COMPOSITE N 3 $5.00 01/01/1984 12/31/2299
35682 2 BYPASS GRAFT:AUTOGENOUS COMPOSITE 2 SEGMENTS OF VEIN FROM 2 LOCAT N 3 $266.78 01/01/1999 12/31/2299
35682 7 BYPASS GRAFT AUTOGENOUS COMPOSITE 2 SEGMENTS OF VEIN FROM 2LOCATI N 3 $266.78 01/01/1999 12/31/2299
35682 8 BYPASS GRAFT AUTOGENOUS COMPOSITE 2 SEGMENTS OF VEINS FROM 2 LOCA N 3 $266.78 01/01/1999 12/31/2299
35683 2 BYPASS GRAFT OF 3 OR MORE SEGMENTS OF VEIN FROM 2OR MORE LOCATION N 3 $304.52 01/01/1999 12/31/2299
35683 7 BYPASS GRAFT WITH 3 OR MORE SEGMENTS OF VEIN FROM 2 OR MORE LOCAT N 3 $304.52 01/01/1999 12/31/2299
35683 8 BYPASS GRAFT AUTOGENOUS OF 3 OR MORE SEGMENTS OF VEIN N 3 $304.52 01/01/1999 12/31/2299
35685 2 PLACE OF VEIN PATCH OR CUFF AT DISTAL ANSTOMOSIS OF BYPASS N 3 $127.64 01/01/2002 12/31/2299
35685 8 PLACE OF VEIN PATCH OR CUFF AT DISTAL ANASTOMOSIS BYPASS N 3 $25.53 01/01/2002 12/31/2299
35686 2 CREAT/DISTAL ARERIOVEOUS FISTULA/BYPASS SURGERY LIST SEPARATELY N 3 $105.58 01/01/2002 12/31/2299
35686 8 CREAT/DISTAL ARTERIOVENOUS FISTULA /LOWER BYPASS LIST SEPARATELY N 3 $21.12 01/01/2002 12/31/2299
35691 2 TRANSPOSITION AND/OR REIMPLANTATION; N 3 $814.77 01/01/1994 12/31/2299
35693 2 TRANSPOSITION AND/OR REIMPLANTATION; N 3 $514.67 01/01/1994 12/31/2299
35694 2 TRANSPOSITION AND/OR REIMPLANTATION; N 3 $594.40 01/01/1994 12/31/2299
35695 2 TRANSPOSITION AND/OR REIMPLANTATION; N 3 $594.40 01/01/1994 12/31/2299
35697 2 REIMPLANTATION, VISCERAL ARTERY IN INFRARENAL AORTIC PROSTHESIS N 3 $99.08 01/01/2004 12/31/2299
35700 2 REOPERATION, FEMORAL-POPLITEAL OR FEMORAL (POPLITE N 3 $102.70 01/01/1994 12/31/2299
35701 2 EXPLORATION; CAROTID ARTERY N 3 $250.00 01/01/1973 12/31/2299
35701 7 EXPLORATION; CAROTID ARTERY N 3 $13.45 06/01/1994 12/31/2299
35701 8 EXPLORATION; CAROTID ARTERY N 3 $50.00 01/01/1973 12/31/2299
35721 2 EXPLORATION; FEMORAL ARTERY N 3 $200.00 01/01/1973 12/31/2299
35721 7 EXPLORATION; FEMORAL ARTERY N 3 $13.45 06/01/1994 12/31/2299
35721 8 EXPLORATION; FEMORAL ARTERY N 3 $40.00 01/01/1973 12/31/2299
35741 2 EXPLORATION; POPLITEAL ARTERY N 3 $200.00 01/01/1973 12/31/2299
35741 7 EXPLORATION; POPLITEAL ARTERY N 3 $13.45 06/01/1994 12/31/2299
35741 8 EXPLORATION; POPLITEAL ARTERY N 3 $40.00 01/01/1973 12/31/2299
35761 2 EXPLORATION; OTHER VESSELS N 3 $289.35 01/02/1992 12/31/2299
35761 7 EXPLORATION; OTHER VESSELS N 3 $13.45 06/01/1994 12/31/2299
35800 7 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $13.45 06/01/1994 12/31/2299
35820 2 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $480.00 01/02/1994 12/31/2299
35820 7 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $13.45 06/01/1994 12/31/2299
35820 8 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $96.00 01/02/1994 12/31/2299
35840 2 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $420.00 01/02/1995 12/31/2299
35840 7 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $13.45 06/01/1994 12/31/2299
35840 8 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $84.00 01/02/1995 12/31/2299
35860 2 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $215.00 01/02/1992 12/31/2299
35860 7 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $13.45 06/01/1994 12/31/2299
35860 8 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE OR THROMB N 3 $54.00 01/02/1994 12/31/2299
35870 2 REPAIR OF GRAFT-ENTERIC FISTULA N 3 $800.00 01/01/1984 12/31/2299
35870 7 REPAIR OF GRAFT-ENTERIC N 3 $13.45 06/01/1994 12/31/2299
35875 2 THROMBECTOMY OF ARTERIAL GRAFT N 3 $400.00 01/01/1984 12/31/2299
35875 7 THROMBECTOMY OF ARTERIAL GRAFT N 3 $13.45 06/01/1994 12/31/2299
35875 8 THROMBECTOMY OF ARTERIAL GRAFT N 3 $80.00 01/01/1984 12/31/2299
35875 F THROMBECTOMY OF ARTERIAL GRAFT N 3 $495.00 03/01/2004 12/31/2299
35876 2 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT; N 3 $463.04 01/01/1994 12/31/2299
35876 7 ANESTHESIA FOR THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT N 3 $13.45 01/01/1994 12/31/2299
35876 8 ASSISTANT, THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT; N 3 $93.00 01/01/1998 12/31/2299
35876 F THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT; N 3 $495.00 03/01/2004 12/31/2299
35879 2 REVIS LOW EXTREM ARTERIAL BYPASS W/O THROMBECTOMY W/VEIN PAT ANGI N 3 $583.10 01/01/2000 12/31/2299
35879 7 REVIS LOW EXTREM ARTERIAL BYPASS W/O THROMBECTOMY W/VEIN PAT ANGI N 3 $13.45 01/01/2000 12/31/2299
35879 8 REVIS LOW EXTREM ARTERIAL BYPASS W/O THROMBECTOMY W/VEIN PAT ANGI N 3 $116.62 01/01/2000 12/31/2299
35881 2 REVIS LOW EXTREM ARTERIAL BYPASS W/O THROMBECTOMY W/SEG VEIN INT N 3 $638.88 01/01/2000 12/31/2299
35881 7 REVIS LOW EXTREM ARTERIAL BYPASS W/O THROMBECTOMY W/SEG VEIN INT N 3 $13.45 01/01/2000 12/31/2299
35881 8 REVIS LOW EXTREM ARTERIAL BYPASS W/O THROMBECTOMY W/SEG VEIN INT N 3 $127.78 01/01/2000 12/31/2299
35901 2 EXCISION OF INFECTED GRAFT; N 3 $376.35 01/01/1994 12/31/2299
35903 2 EXCISION OF INFECTED GRAFT; N 3 $385.73 01/01/1994 12/31/2299
35903 7 EXCISION OF INFECTED GRAFT N 3 $13.45 01/02/1994 12/31/2299
35903 8 ASSISTANT, EXCISION OF INFECTED GRAFT N 3 $77.00 01/01/1998 12/31/2299
35905 2 EXCISION OF INFECTED GRAFT; N 3 $441.64 01/01/1994 12/31/2299
35907 2 EXCISION OF INFECTED GRAFT; N 3 $447.00 01/01/1994 12/31/2299
36000 2 INTRODUCTION OF NEEDLE OR INTRACATHETER, VEIN; UNI N 3 $25.00 01/01/1971 12/31/2299
36002 2 INJ PROC/PERCUTANEOUS TREATMENT/EXTREMITY PSEUDOANEURYSM N 3 $109.40 01/01/2002 12/31/2299
36005 2 INJECTION PROCEDURE FOR CONTRAST VENOGRAPHY (INCLU N 3 $24.53 01/01/1993 12/31/2299
36005 7 INJCTN PROC FOR CONTRAST VENOGRAPHY INCLUD INTROD N 3 $13.45 06/01/1994 12/31/2299
36010 2 INTRODUC OF CATHETER IN SUPERIOR OR INFERIOR VENA N 3 $98.00 01/02/1995 12/31/2299
36010 7 INTRODUC OF CATHETER IN SUPERIOR OR INFERIOR VENA N 3 $13.45 06/01/1994 12/31/2299
36011 2 SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; N 3 $87.75 01/02/1992 12/31/2299
36011 7 SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36012 2 SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; N 3 $123.00 01/02/1992 12/31/2299
36012 7 SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36013 2 INTRODUCTION OF CATHETER, RIGHT HEART OR MAIN PULM N 3 $68.80 01/01/2003 12/31/2299
36013 7 INTRODUCTION OF CATHETER, RIGHT HEART OR MAIN PULM N 3 $13.45 06/01/1994 12/31/2299
36014 2 SELECTIVE CATHETER PLACEMENT, LEFT OR RIGHT PULMON N 3 $108.00 01/02/1994 12/31/2299
36014 7 SELECTIVE CATHETER PLACEMENT, LEFT OR RIGHT PULMON N 3 $13.45 06/01/1994 12/31/2299
36015 2 SELECTIVE CATHETER PLACEMENT, EACH SEGMENTAL OR SU N 3 $105.99 01/01/2003 12/31/2299
36015 7 SELECTIVE CATHETER PLACEMENT, EACH SEGMENTAL OR SU N 3 $13.45 06/01/1994 12/31/2299
36020 7 INTRO OF CATH IN SUPER/INFER VC, RT HEART/PULMONAR N 3 $13.45 06/01/1994 12/31/2299
36100 2 INTRODUC OF NEEDLE OR INTRACATHETER, CAROTID OR VE N 3 $125.00 01/01/1971 12/31/2299
36100 7 INTRODUC OF NEEDLE OR INTRACATHETER, CAROTID OR VE N 3 $13.45 06/01/1994 12/31/2299
36120 2 INTRODUCTION OF NEEDLE OR INTRACATHETER; RETROGRAD N 3 $125.00 01/01/1973 12/31/2299
36120 7 INTRODUCTION OF NEEDLE OR INTRACATHETER; RETROGRAD N 3 $13.45 06/01/1994 12/31/2299
36140 2 INTRODUCTION OF NEEDLE OR INTRACATHETER; EXTREMITY N 3 $50.00 01/01/1973 12/31/2299
36140 7 INTRODUCTION OF NEEDLE OR INTRACATHETER; EXTREMITY N 3 $13.45 06/01/1994 12/31/2299
36145 2 ARTERIOVENOUS SHUNT FOR DIALYSIS (CANNULA, FISTULA N 3 $20.00 01/01/1984 12/31/2299
36145 7 ARTERIOVENOUS SHUNT FOR DIALYSIS (CANNULA, FISTULA N 3 $13.45 06/01/1994 12/31/2299
36160 2 INTRODUCTION OF NEEDLE OR INTRACATHETER, AORTIC, T N 3 $75.00 01/01/1971 12/31/2299
36160 7 INTRODUCTION OF NEEDLE OR INTRACATHETER, AORTIC, T N 3 $13.45 06/01/1994 12/31/2299
36200 2 INTRODUCTION OF CATHETER; AORTA N 3 $120.00 01/02/1995 12/31/2299
36200 7 INTRODUCTION OF CATHETER; AORTA N 3 $13.45 06/01/1994 12/31/2299
36210 2 INTRODUCTION OF CATHETER; CEREBRAL ARTERY, SELECTI N 3 $126.00 08/01/1979 12/31/2299
36210 7 INTRODUCTION OF CATHETER; CEREBRAL ARTERY, SELECTI N 3 $13.45 06/01/1994 12/31/2299
36215 2 EACH ADDL SELECT THOR AND OR CEREB ART CATH PLCMNT N 3 $40.00 01/01/1984 12/31/2299
36216 2 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $174.00 01/02/1995 12/31/2299
36216 7 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36217 2 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $200.00 01/02/1992 12/31/2299
36217 7 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36218 2 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $35.00 01/01/1992 12/31/2299
36218 7 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36220 2 INTRODUCTION OF CATHETER; MULTIPLE CEREBRAL ARTERI N 3 $40.00 08/01/1979 12/31/2299
36220 7 INTRODUCTION OF CATHETER; MULTIPLE CEREBRAL ARTERI N 3 $13.45 06/01/1994 12/31/2299
36240 2 INTRO OF CATHETER;RENAL,CELIAC,MESENTERIC,OR OTHER N 3 $125.00 08/01/1979 12/31/2299
36240 7 INTRO OF CATHETER;RENAL,CELIAC,MESENTERIC,OR OTHER N 3 $13.45 06/01/1994 12/31/2299
36245 2 INTRODUCTION OF CATHETER, N 3 $132.00 01/02/1992 12/31/2299
36245 7 INTRODUCTION OF CATHETER, N 3 $13.45 06/01/1994 12/31/2299
36246 2 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $180.00 01/02/1995 12/31/2299
36246 7 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36247 2 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $200.00 01/02/1992 12/31/2299
36247 7 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36248 2 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $72.00 01/02/1992 12/31/2299
36248 7 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; N 3 $13.45 06/01/1994 12/31/2299
36250 2 INTRODUCTION OF CATHETER; BILATERAL RENAL OR MULTI N 3 $125.00 01/01/1984 12/31/2299
36250 7 INTRODUCTION OF CATHETER; BILATERAL RENAL OR MULTI N 3 $13.45 06/01/1994 12/31/2299
36260 7 INSERTION OF IMPLANTABLE INTRA-ART INFUS PUMP N 3 $13.45 06/01/1994 12/31/2299
36260 F INSERTION OF IMPLANTABLE INFUSION PUMP (EG, FOR CH N 3 $351.00 03/01/2004 12/31/2299
36261 F REVISION OF IMPLANTED INFUSION PUMP N 3 $306.00 03/01/2004 12/31/2299
36262 F REMVL IMPLANTD INFUSION PMP N 3 $225.80 03/01/2004 12/31/2299
36299 7 UNLISTED PROCEDURE, VASCULAR INJECTION N 3 $13.45 06/01/1994 12/31/2299
36400 2 VENIPUNCTURE, UNDER AGE 3 YEARS; FEMORAL, JUGULAR N 3 $10.00 08/01/1979 12/31/2299
36405 2 VENIPUNCTURE, UNDER AGE 3 YEARS; SCALP VEIN N 3 $15.00 01/01/1973 12/31/2299
36406 2 VENIPUNCTURE UNDER AGE 3,OTHER VEIN N 3 $15.00 01/01/1984 12/31/2299
36410 2 VP,CHILD OVER 3 YRS OR ADULT,NEC PHYSICIAN'S SKILL N 3 $10.00 01/01/1973 12/31/2299
36410 7 ANESTH-VP CHILD OVER 3YRS OR ADULT-PHYSICIAN SVC N 3 $13.45 06/01/1994 12/31/2299
36420 2 VENIPUNCTURE, CUTDOWN; UNDER AGE 1 YEAR N 3 $10.00 01/01/1984 12/31/2299
36425 2 VENIPUNCTURE, CUTDOWN; AGE 1 OR OVER N 3 $20.00 08/01/1979 12/31/2299
36425 7 VEINPUNCTURE, CUTDOWN - AGE 1 OR OVER N 3 $13.45 06/01/1994 12/31/2299
36430 2 TRANSFUSION, BLOOD OR BLOOD COMPONENTS; INDIRECT N 3 $18.00 01/02/1993 12/31/2299
36431 2 TRANSFUSION, BLOOD OR BLOOD COMPONENTS; DIRECT N 3 $24.00 01/01/1973 12/31/2299
36440 2 PUSH TRANSFUSION, BLOOD, 2 YEARS OR UNDER N 3 $42.00 01/02/1992 12/31/2299
36450 2 EXCHANGE TRANSFUSION, BLOOD; NEWBORN N 3 $175.00 01/01/1971 12/31/2299
36455 2 EXCHANGE TRANSFUSION, BLOOD; OTHER THAN NEWBORN N 3 $69.61 01/01/2003 12/31/2299
36460 2 TRANSFUSION, INTRAUTERINE, FETAL N 3 $130.00 08/01/1979 12/31/2299
36468 2 SINGLE OR MULTIPLE INJ OF SCLEROSING SOLUTIONS N 3 $30.00 01/01/1984 12/31/2299
36469 7 SINGLE OR MULTIPLE INJECTIONS OF SCLEROSING SOLUTI N 3 $13.45 06/01/1994 12/31/2299
36470 2 INJECTION OF SCLEROSING SOLUTION; SINGLE VEIN N 3 $32.00 01/02/1995 12/31/2299
36471 2 INJECTION OF SCLEROSING SOLUTION; MULTIPLE VEINS, N 3 $46.80 01/01/1995 12/31/2299
36475 2 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN Y 3 $219.92 01/01/2005 12/31/2299
36476 2 ENDOVENOUS ABLATION THERAPY SEPARATE ACCESSITES Y 3 $107.39 01/01/2005 12/31/2299
36478 2 ENDOVENOUS FIRST VEIN TREATED Y 3 $220.04 01/01/2005 12/31/2299
36479 2 ENDOVENOUS ABLATION THERAPY LIST SEPARATE Y 3 $107.39 01/01/2005 12/31/2299
36481 2 PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY ME N 3 $300.00 01/02/1994 12/31/2299
36481 7 PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY ME N 3 $13.45 06/01/1994 12/31/2299
36488 F PERCUT CV CATH SUBCLAV JUG OR OTHER UP TO 2YRS N 3 $225.80 03/01/2004 12/31/2299
36489 F PERCUT CV CATH SUBCLAV JUG OR OTHER OVER 2 YRS N 3 $225.80 03/01/2004 12/31/2299
36490 F CUTDOWN PLACEMENT OF CENTRAL VENOUS CATHETER (EG,H N 3 $225.80 03/01/2004 12/31/2299
36491 F CUTDOWN PLACEMENT OF CENTRAL VENOUS CATHETER FOR H N 3 $225.80 03/01/2004 12/31/2299
36500 2 VENOUS CATHETERIZATION FOR SELECTIVE ORGAN BLOOD S N 3 $68.00 01/02/1992 12/31/2299
36510 2 CATHETERIZATION OF UMBILICAL VEIN FOR DIAGNOSIS OR N 3 $15.00 01/01/1973 12/31/2299
36511 1 THERAPEUTIC APHERESIS WHITE BLOOD CELLS N 3 $54.87 01/01/2003 12/31/2299
36511 2 THERAPEUTIC APHERESIS WHITE BLOOD CELLS N 3 $54.87 01/01/2003 12/31/2299
36512 1 THERAPEUTIC APHERESIS RED BLOOD CELLS N 3 $54.87 01/01/2003 12/31/2299
36512 2 THERAPEUTIC APHERESIS RED BLOOD CELLS N 3 $54.87 01/01/2003 12/31/2299
36513 1 THERAPEUTIC APHERESIS FOR PLATELETS N 3 $54.87 01/01/2003 12/31/2299
36513 2 THERAPEUTIC APHERESIS FOR PLATELETS N 3 $54.87 01/01/2003 12/31/2299
36514 1 THERAPEUTIC APHERESIS PLASMA PHERESIS N 3 $54.87 01/01/2003 12/31/2299
36514 2 THERAPEUTIC APHERESIS PLASMA PHERESIS N 3 $54.87 01/01/2003 12/31/2299
36515 1 THER APHERESIS EXTRACORPOREAL IMMUNOADSORPTION PLASMA REI N 3 $54.87 03/01/2004 12/31/2299
36515 2 THER APHERESIS EXTRACORPOREAL IMMUNOADSORPTION PLASMA REI N 3 $54.87 01/01/2003 12/31/2299
36516 1 THER APHRESIS W/EXTRACORPOREAL SELEC ADSORPTION OR SEL FILT N 3 $55.00 03/01/2004 12/31/2299
36516 2 THER APHRESIS W/EXTRACORPOREAL SELEC ADSORPTION OR SEL FI N 3 $54.87 01/01/2003 12/31/2299
36522 7 PHOTOPHERESIS, EXTRACORPOREAL N 3 $13.45 06/01/1994 12/31/2299
36530 F INSERTION OF IMPLANTABLE INTRAVENOUS INFUSION PUMP N 3 $351.00 03/01/2004 12/31/2299
36531 F REVISION OF IMPLANTABLE INTRAVENOUS INFUSION PUMP N 3 $306.00 03/01/2004 12/31/2299
36532 F REMOVAL OF IMPLANTABLE INTRAVENOUS INFUSION PUMP N 3 $225.80 03/01/2004 12/31/2299
36533 F INSERTION OF IMPLANTABLE VENOUS ACCESS PORT, WITH N 3 $351.00 03/01/2004 12/31/2299
36534 F REVISION OF IMPLANTABLE VENOUS ACCESS PORT AND/OR N 3 $306.00 03/01/2004 12/31/2299
36535 2 REMOVAL OF IMPLANTABLE VENOUS ACCESS PORT AND/OR S N 3 $288.00 01/02/1992 12/31/2299
36535 F REMOVAL OF IMPLANTABLE VENOUS ACCESS PORT AND/OR S N 3 $225.80 03/01/2004 12/31/2299
36550 2 DECLOT BY THROMBOLYTIC AGENT IMPLANT VASC ACCESS DEVICE OR CATH N 3 $18.70 01/01/2000 12/31/2299
36555 2 INSERTION OF NONTUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHET N 3 $83.11 01/01/2004 12/31/2299
36556 2 INSERTION OF NON TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATH N 3 $75.06 01/01/2004 12/31/2299
36557 2 INSERTION OF TUNNELED CENTRALLY INSTERTED CENTRAL VENOUS CATHETER N 3 $185.23 01/01/2004 12/31/2299
36558 2 INSERTED CENTRAL VENOUS CATH 5 YRS OR OLDER N 3 $175.97 01/01/2004 12/31/2299
36560 2 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DE N 3 $219.76 01/01/2004 12/31/2299
36561 2 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DE N 3 $212.09 01/01/2004 12/31/2299
36563 2 INSERTION OF TUNNELED CENTRALLY VENOUS DEVICE SUB PUMP N 3 $220.88 01/01/2004 12/31/2299
36565 2 INSERTION OF TUNNELED CENTRALLY INSERTED VENOUS ACCESS DEVICE N 3 $212.09 01/01/2004 12/31/2299
36566 2 INSERTION OF TUNNELED CENTRALLY INSERTED VENOUS ACCESS DEVICE N 3 $227.21 01/01/2004 12/31/2299
36568 2 INSERTION OF PERIPHERALLY CENTRAL VENOUS CATHETER UNDER 5 N 3 $60.78 01/01/2004 12/31/2299
36569 2 INS PERIPHERALLY INSERTED CENTRAL VENOUS CATH 5 OR OLDER N 3 $57.09 01/01/2004 12/31/2299
36570 2 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE N 3 $191.54 01/01/2004 12/31/2299
36571 2 INS OF PERIPHERALLY VENOUS DEVICE 5 YRS OR OLDER N 3 $190.87 01/01/2004 12/31/2299
36575 2 REPAIR OF TUNNELED OR NON TUNNELED CENTRAL VENOUS CATHETER N 3 $32.68 01/01/2004 12/31/2299
36576 2 REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH SUB PORT OR PUMP CE N 3 $123.74 01/01/2004 12/31/2299
36578 2 REPLACEMENT OF CATH ON, OF CENTRAL VENOUS ACCESS DEVICE, WITH SUB N 3 $140.62 01/01/2004 12/31/2299
36580 2 REPLACEMENT COMPLETE OF NON TUNNELED CENTRALLY INSERTED VENOUS CA N 3 $41.97 01/01/2004 12/31/2299
36581 2 REPLACEMENT COMPLETE OF TUNNELED CENTRALLY INSERTED VENOUS CATHET N 3 $130.97 01/01/2004 12/31/2299
36582 2 REPLACEMENT, COMPLETE OF A TUNNELED CENTRALLY INSERTED VENOUS DEV N 3 $191.63 01/01/2004 12/31/2299
36583 2 REPLACEMENT COMPLETE OF TUNNELED CENTRALLY INS VENOUS ACCESS DEVI N 3 $192.98 01/01/2004 12/31/2299
36584 2 REPLACEMENT COMPLETE OF PERIPHERALLY INS VENOUS CATH N 3 $42.51 01/01/2004 12/31/2299
36585 2 REPLACEMENT COMPLETE OF A PERIPHERALLY INSERTED CENTRAL VENOUS DE N 3 $179.44 01/01/2004 12/31/2299
36589 2 REMOVAL OF TUNNELED CENTRAL VENOUS CATH WITHOUT PORT OR PUMP N 3 $88.33 01/01/2004 12/31/2299
36590 2 REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE WITH SUBCUTANEOU N 3 $119.88 01/01/2004 12/31/2299
36595 2 MECH REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL (EG FIBRIN SHEA N 3 $119.65 01/01/2004 12/31/2299
36596 2 MECHANICAL REMOVAL OF INTRALUMINAL (INTRACATHETER) OBSTURCTIVE MA N 3 $29.10 01/01/2004 12/31/2299
36597 2 REPOSITIONING OF PREVIOUSLY PLACED CENTRAL VENOUS CATHETER UNDER N 3 $38.41 01/01/2004 12/31/2299
36600 2 ARTERIAL PUNCT BLOOD FOR DIAGNOSIS N 3 $5.00 01/01/1971 12/31/2299
36600 7 ARTERY PUNCT FOR DIAGNOSIS N 3 $13.45 06/01/1994 12/31/2299
36620 2 ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING,MONITORING N 3 $39.00 01/02/1995 12/31/2299
36620 7 ARTERIAL CATH OR CANULIZEFOR MONTRING TRANS PERCUT N 3 $13.45 06/01/1994 12/31/2299
36625 2 ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMP,M N 3 $35.00 01/01/1973 12/31/2299
36625 7 ARTER CATH / CANNUL FOR SAMPLING MNTRING CUT DOWN N 3 $13.45 06/01/1994 12/31/2299
36640 2 ARTERIAL CATHETERIZATION FOR PROLONGED INFUSION TH N 3 $35.00 01/01/1984 12/31/2299
36640 F ARTERIAL CATHETERIZATION FOR PROLONGED INFUSION TH N 3 $225.80 03/01/2004 12/31/2299
36660 2 CATHETERIZATION, UMBILICAL ARTERY, NEWBORN, FOR DI N 3 $25.00 01/01/1973 12/31/2299
36680 7 INTRAOSSEOUS N 3 $13.45 06/01/1994 12/31/2299
36800 2 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPO N 3 $75.00 01/01/1973 12/31/2299
36800 7 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPO N 3 $13.45 06/01/1994 12/31/2299
36800 F INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPO N 3 $351.00 03/01/2004 12/31/2299
36810 2 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPO N 3 $175.00 01/01/1989 12/31/2299
36810 7 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPO N 3 $13.45 06/01/1994 12/31/2299
36810 F INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPO N 3 $351.00 03/01/2004 12/31/2299
36815 2 INSERT OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE; N 3 $150.00 01/01/1973 12/31/2299
36815 7 INSERT OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE; N 3 $13.45 06/01/1994 12/31/2299
36815 F INSERT OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE; N 3 $351.00 03/01/2004 12/31/2299
36818 2 ARTERIOVENOUS OPEN UPPER ARM N 3 $443.30 01/01/2005 12/31/2299
36818 7 ARTERIOVEOUS OPEN UPPER ARM CEPHALIC VEIN N 3 $13.50 01/01/2005 12/31/2299
36818 8 ARTERIOVENOUS ANASTOMOSIS OPEN UPPER ARM N 3 $88.66 01/01/2005 12/31/2299
36819 2 ARTERIOVENOUS ANASTOMOSIS OPEN BY BASILIC VEIN TRANSPOSITION N 3 $489.27 01/01/2000 12/31/2299
36819 7 ARTERIOVENOUS ANASTOMOSIS OPEN BY BASILIC VEIN TRANSPOSITION N 3 $13.45 01/01/2000 12/31/2299
36819 8 ARTERIOVENOUS ANASTOMOSIS OPEN BY BASILIC VEIN TRANSPOSITION N 3 $97.85 01/01/2000 12/31/2299
36819 F ARTERIOVENOUS ANASTOMOSIS OPEN BY BASILIC VEIN TRANSPOSITION N 3 $351.00 03/01/2004 12/31/2299
36820 2 ARTERIOVENOUS ANASTOMOSIS, OPEN; BY FOREARM VEIN TRANSPOSITION N 3 $473.99 01/01/2002 12/31/2299
36820 F ARTERIOVENOUS ANASTOMOSIS, OPEN; BY FOREARM VEIN TRANSPOSITION N 3 $351.00 03/01/2004 12/31/2299
36821 2 ARTERIOVENOUS ANASTOMOSIS, DIRECT, ANY SITE N 3 $346.80 06/01/1993 12/31/2299
36821 7 ARTERIOVENOUS ANASTOMOSIS, DIRECT, ANY SITE N 3 $13.45 06/01/1994 12/31/2299
36821 8 ARTERIOVENOUS ANASTOMOSIS, DIRECT, ANY SITE N 3 $50.00 08/01/1979 12/31/2299
36821 F ARTERIOVENOUS ANASTOMOSIS, DIRECT, ANY SITE N 3 $351.00 03/01/2004 12/31/2299
36822 2 INSERT CANNULA/PROLONGED ECMO INSUFFICIENCY N 3 $200.00 01/01/1984 12/31/2299
36822 7 INSERT CANNULA/PROLONGED ECHM INSUFFICIENCY N 3 $13.45 06/01/1994 12/31/2299
36823 2 INSERTION OF ARTERIAL VENOUS CANNULA FOR ISOLATED EXTRACORPOREALI N 3 $200.00 01/01/1999 12/31/2299
36825 2 ARTERIOVENOUS FISTULA; AUTOGENOUS GRAFT N 3 $200.00 01/01/1988 12/31/2299
36825 7 ARTERIOVENOUS FISTULA; AUTOGENOUS GRAFT N 3 $13.45 06/01/1994 12/31/2299
36825 8 ARTERIOVENOUS FISTULA; AUTOGENOUS GRAFT N 3 $80.00 08/01/1979 12/31/2299
36825 F ARTERIOVENOUS FISTULA; AUTOGENOUS GRAFT N 3 $432.00 03/01/2004 12/31/2299
36830 2 ARTERIOVENOUS FISTULA; NONAUTOGENOUS GRAFT N 3 $250.00 01/01/1988 12/31/2299
36830 7 ARTERIOVENOUS FISTULA; NONAUTOGENOUS GRAFT N 3 $13.45 06/01/1994 12/31/2299
36830 8 ARTERIOVENOUS FISTULA; NONAUTOGENOUS GRAFT N 3 $85.00 01/01/1984 12/31/2299
36830 F ARTERIOVENOUS FISTULA; NONAUTOGENOUS GRAFT N 3 $432.00 03/01/2004 12/31/2299
36831 2 THROMBECTOMY ARTERIOVENOUS FISTULA W/OUT REVISION N 3 $243.17 01/01/1999 12/31/2299
36831 F THROMBECTOMY ARTERIOVENOUS FISTULA W/OUT REVISION N 3 $495.00 03/01/2004 12/31/2299
36832 2 RVSN OF ARTRVNS FSTL W/O THRMBCTM W/O AUTGNS GRAFT N 3 $200.00 01/01/1984 12/31/2299
36832 7 RVSN OF ARTRVNS FSTL W/O THRMBCTM W/O AUTGNS GRAFT N 3 $13.45 06/01/1994 12/31/2299
36832 8 RVSN OF ARTRVNS FSTL W/O THRMBCTM W/O AUTGNS GRAFT N 3 $40.00 01/01/1984 12/31/2299
36832 F RVSN OF ARTRVNS FSTL W/O THRMBCTM W/O AUTGNS GRAFT N 3 $432.00 03/01/2004 12/31/2299
36833 2 REVISION AV FISTULA W/THROMBECTOMY AUTOGENOUS OR NONAUTOGENOUS N 3 $370.57 01/01/1999 12/31/2299
36833 7 REVISION AV FISTULA WITH THROMBECTOMY AUTOGENOUS OR NONAUTOGENOUS N 3 $370.57 01/01/1999 12/31/2299
36833 8 REVISION AV FISTULA W/THROMBECTOMY AUTOGENOUS OR NONAUTOGENOUS N 3 $370.57 01/01/1999 12/31/2299
36833 F REVISION AV FISTULA W/THROMBECTOMY AUTOGENOUS OR NONAUTOGENOUS N 3 $432.00 03/01/2004 12/31/2299
36834 2 PLASTIC REPAIR OF ARTERIOVENOUS ANEURYSM (SEPARATE PROCEDURE) N 3 $434.00 01/01/1995 12/31/2299
36835 7 THOMAS SHUNT N 3 $13.45 06/01/1994 12/31/2299
36838 2 DISTAL REVASCULARIZATION AND INTERVAL LIGATION UPPER EXTREMITY N 3 $736.61 01/01/2004 12/31/2299
36860 2 CANNULA DECLOTTING; WITHOUT BALLOON CATHETER N 3 $60.00 01/01/1984 12/31/2299
36860 7 CANNULA DECLOTTING; WITHOUT BALLOON CATHETER N 3 $13.45 06/01/1994 12/31/2299
36860 8 CANNULA DECLOTTING; WITHOUT BALLOON CATHETER N 3 $12.00 01/01/1984 12/31/2299
36860 F CANNULA DECLOTTING; WITHOUT BALLOON CATHETER N 3 $306.00 03/01/2004 12/31/2299
36861 2 CANNULA DECLOTTING; WITH BALLOON CATHETER N 3 $50.00 01/01/1984 12/31/2299
36861 7 CANNULA DECLOTTING; WITH BALLOON CATHETER N 3 $13.45 06/01/1994 12/31/2299
36861 8 CANNULA DECLOTTING; WITH BALLOON CATHETER N 3 $10.00 01/01/1984 12/31/2299
36861 F CANNULA DECLOTTING; WITH BALLOON CATHETER N 3 $351.00 03/01/2004 12/31/2299
36870 2 THROMBECT.PERCUT.ATERIO.FISTULA AUTOGENOUS OR NONAUTOGEOUS N 3 $851.90 01/01/2001 12/31/2299
36870 7 THROMBEC.PERCUT.ARTERIO.FISTULA AUTOGENOUS OR NONAUTOGENOUS N 3 $13.45 01/01/2001 12/31/2299
36870 8 THROMBEC.PERCUT.ARTERIO.FISTULA AUTOGENOUS OR NONAUTOGENOUS N 3 $170.38 01/01/2001 12/31/2299
36870 F THROMBECT.PERCUT.ATERIO.FISTULA AUTOGENOUS OR NONAUTOGEOUS N 3 $495.00 03/01/2004 12/31/2299
37140 2 ANASTOMOSIS; PORTACAVAL N 3 $800.00 01/01/1973 12/31/2299
37140 7 ANASTOMOSIS; PORTACAVAL N 3 $13.45 06/01/1994 12/31/2299
37140 8 ANASTOMOSIS; PORTACAVAL N 3 $160.00 01/01/1973 12/31/2299
37145 7 ANASTOMOSIS; RENOPORTAL N 3 $13.45 06/01/1994 12/31/2299
37160 2 ANASTOMOSIS; CAVAL-MESENTERIC N 3 $700.00 01/01/1984 12/31/2299
37160 7 ANASTOMOSIS; CAVAL-MESENTERIC N 3 $13.45 06/01/1994 12/31/2299
37160 8 ANASTOMOSIS; CAVAL-MESENTERIC N 3 $140.00 01/01/1984 12/31/2299
37180 7 ANASTOMOSIS; SPLENORENAL, PROXIMAL N 3 $13.45 06/01/1994 12/31/2299
37181 2 ANASTOMOSIS; SPLENORENAL, DISTAL (SELECTIVE DECOMP N 3 $800.00 01/02/1994 12/31/2299
37181 8 ASSISTANT @ ANASTOMOSIS;SPLENORENAL, DISTAL (SELECTIVE DECOMP N 3 $200.00 01/01/1992 12/31/2299
37182 1 INS TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) N 3 $549.08 01/01/2005 12/31/2299
37195 2 THROMBOLYSIS,CEREBRAL,BY INTRAVENOUS INFUSION N 3 $186.28 01/01/1998 12/31/2299
37195 7 THROMBOLYSIS,CEREBRAL,BY INTRAVENOUS INFUSION N 3 $13.45 01/01/1998 12/31/2299
37195 8 THROMBOLYSIS,CEREBRAL, BY INTRAVENOUS INFUSION N 3 $37.26 01/01/1998 12/31/2299
37200 2 (FOR MONITORING, OPERATION OF PUMP AND OTHER NONSU N 3 $136.85 01/01/2003 12/31/2299
37200 7 (FOR MONITORING, OPERATION OF PUMP AND OTHER NONSU N 3 $13.45 06/01/1994 12/31/2299
37201 2 TRANSCATHETER THERAPY, INFUSION FOR THROMBOLYSIS N 3 $276.00 01/02/1994 12/31/2299
37201 7 TRANSCATHETER THERAPY, INFUSION FOR THROMBOLYSIS N 3 $13.45 06/01/1994 12/31/2299
37202 2 TRANSCATHETER THERAPY, INFUSION OTHER THAN FOR THR N 3 $216.00 01/02/1994 12/31/2299
37202 7 TRANSCATHETER THERAPY, INFUSION OTHER THAN FOR THR N 3 $13.45 06/01/1994 12/31/2299
37203 2 TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVAS N 3 $161.39 01/01/2003 12/31/2299
37203 7 TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVAS N 3 $13.45 06/01/1994 12/31/2299
37204 2 TRANSCATHETER OCCLUSION OR EMBOLIZATION (EG, FOR T N 3 $684.00 01/02/1994 12/31/2299
37204 7 TRANSCATHETER OCCLUSION OR EMBOLIZATION (EG, FOR T N 3 $13.45 06/01/1994 12/31/2299
37205 2 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT( N 3 $320.00 01/02/1995 12/31/2299
37205 7 TRANSCATHETER THERAPY AND BIOPSY N 3 $13.45 06/01/1994 12/31/2299
37206 2 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT( N 3 $131.83 01/01/1993 12/31/2299
37206 7 TRANSCATH PLCMNT INTRAVASCULAR STENT EACH VESSEL N 3 $13.45 06/01/1994 12/31/2299
37207 2 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT( N 3 $263.97 01/01/1993 12/31/2299
37207 7 TRANSCATH PLCMNT INTRAVASCULAR STENT OPEN INITAL V N 3 $13.45 06/01/1994 12/31/2299
37208 2 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT( N 3 $131.83 01/01/1993 12/31/2299
37208 7 TRANSCATH PLCMNT INTRAVASCULAR STENT EACH ADDITL V N 3 $13.45 06/01/1994 12/31/2299
37209 2 EXCHANGE OF PREVIOUSLY PLACED ARTERIAL CATHETER N 3 $51.00 01/01/1995 12/31/2299
37215 2 TRANSCATHETER PLACEMENT CAROTID ARTERY N 3 $661.47 01/01/2005 12/31/2299
37215 7 TRANSCATHETER PLACEMENT OF VASCULAR STENTS N 3 $13.45 01/01/2005 12/31/2299
37215 8 TRANSCATHER PLACEMENT OF STENTS CAROTID ARTERY N 3 $132.29 01/01/2005 12/31/2299
37216 2 TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENTS N 3 $637.25 01/01/2005 12/31/2299
37216 7 TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT N 3 $13.45 01/01/2005 12/31/2299
37250 2 INTRAVASCULA ULTRASOUND(NON-CORONARY VESSEL)DURING THERA.INTERVEN N 3 $54.14 01/01/1997 12/31/2299
37250 4 INTRASVASCULAR ULTRASOUND(NON-CORONARY VESSEL)DURING THERA/INTERV N 3 $54.14 01/01/1997 12/31/2299
37251 2 INTRASVASCULAR ULTRASOUND(NON-CORONARY VESSEL)EA.ADDIT.VESSEL N 3 $41.29 01/01/1997 12/31/2299
37251 4 INTRASVASCULAR ULTRASOUND(NON-CORONARY VESSEL)EA.ADD.VESSEL N 3 $41.29 01/01/1997 12/31/2299
37251 7 INTRASVASCULAR ULTRASOUND W/THERAPEUTIC INTERVENTION;EA.ADDIT.VES N 3 $13.45 01/01/1997 12/31/2299
37400 2 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $300.00 01/01/1973 12/31/2299
37400 7 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $13.45 06/01/1994 12/31/2299
37400 8 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $60.00 01/01/1973 12/31/2299
37420 2 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $500.00 01/01/1973 12/31/2299
37420 7 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $13.45 06/01/1994 12/31/2299
37420 8 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $100.00 01/01/1973 12/31/2299
37440 2 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $500.00 01/01/1973 12/31/2299
37440 7 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $13.45 06/01/1994 12/31/2299
37440 8 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $100.00 01/01/1973 12/31/2299
37460 2 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $250.00 01/01/1973 12/31/2299
37460 7 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $13.45 06/01/1994 12/31/2299
37460 8 ARTERIORRHAPHY, SUTURE OF MAJOR ARTERY, WOUND OR I N 3 $50.00 01/01/1973 12/31/2299
37470 7 REPAIR MULTIPLE ARTERIES AND/OR VEINS N 3 $13.45 06/01/1994 12/31/2299
37500 2 VASCULAR ENDOSCOPY SURG W/LIGATION PERFORATOR VEINS SUBFAS N 3 $444.45 01/01/2003 12/31/2299
37500 7 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $13.45 06/01/1994 12/31/2299
37500 8 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $50.00 01/01/1973 12/31/2299
37520 2 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $500.00 01/01/1973 12/31/2299
37520 7 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $13.45 06/01/1994 12/31/2299
37520 8 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $100.00 01/01/1973 12/31/2299
37540 2 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $500.00 01/01/1973 12/31/2299
37540 7 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $13.45 06/01/1994 12/31/2299
37540 8 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $100.00 01/01/1973 12/31/2299
37560 2 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $200.00 01/01/1973 12/31/2299
37560 7 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJU N 3 $13.45 06/01/1994 12/31/2299
37565 2 LIGATION OF INTERNAL JUGULAR VEIN N 3 $200.00 08/01/1979 12/31/2299
37565 7 LIGATION OF INTERNAL JUGULAR VEIN N 3 $13.45 06/01/1994 12/31/2299
37565 8 LIGATION OF INTERNAL JUGULAR VEIN N 3 $40.00 08/01/1979 12/31/2299
37600 2 LIGATION; EXTERNAL CAROTID ARTERY N 3 $250.00 01/01/1973 12/31/2299
37600 7 LIGATION; EXTERNAL CAROTID ARTERY N 3 $13.45 06/01/1994 12/31/2299
37600 8 LIGATION; EXTERNAL CAROTID ARTERY N 3 $50.00 01/01/1973 12/31/2299
37605 2 LIGATION; INTERNAL OR COMMON CAROTID ARTERY N 3 $250.00 01/01/1973 12/31/2299
37605 7 LIGATION; INTERNAL OR COMMON CAROTID ARTERY N 3 $13.45 06/01/1994 12/31/2299
37605 8 LIGATION; INTERNAL OR COMMON CAROTID ARTERY N 3 $50.00 01/01/1973 12/31/2299
37606 2 LIGATION; WITH GRADUAL OCCLUSION, AS WITH SELVERST N 3 $250.00 01/01/1973 12/31/2299
37606 7 LIGATION; WITH GRADUAL OCCLUSION, AS WITH SELVERST N 3 $13.45 06/01/1994 12/31/2299
37606 8 LIGATION; WITH GRADUAL OCCLUSION, AS WITH SELVERST N 3 $50.00 01/01/1973 12/31/2299
37607 2 LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS F N 3 $194.98 01/01/1994 12/31/2299
37607 7 ANESTHESIA, LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS N 3 $13.45 01/01/1994 12/31/2299
37607 F LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS F N 3 $351.00 03/01/2004 12/31/2299
37609 2 LIGATION OR BIOPSY, TEMPORAL ARTERY N 3 $75.00 01/01/1971 12/31/2299
37609 7 LIGATION OR BIOPSY, TEMPORAL ARTERY N 3 $13.45 06/01/1994 12/31/2299
37609 F LIGATION OR BIOPSY, TEMPORAL ARTERY N 3 $306.00 03/01/2004 12/31/2299
37615 2 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $200.00 01/01/1984 12/31/2299
37615 7 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $13.45 06/01/1994 12/31/2299
37615 8 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $40.00 01/01/1984 12/31/2299
37616 2 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $500.00 01/01/1984 12/31/2299
37616 7 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $13.45 06/01/1994 12/31/2299
37616 8 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $100.00 01/01/1984 12/31/2299
37617 2 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $552.00 01/02/1996 12/31/2299
37617 7 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $13.45 06/01/1994 12/31/2299
37617 8 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $110.00 01/02/1996 12/31/2299
37618 2 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $200.00 08/01/1979 12/31/2299
37618 7 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $13.45 06/01/1994 12/31/2299
37618 8 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTUR N 3 $40.00 08/01/1979 12/31/2299
37620 2 INTERR,PARTIAL OR COMP,OF INF VENA CAVA BY SUTURE, N 3 $462.00 01/02/1996 12/31/2299
37620 7 INTERR,PARTIAL OR COMP,OF INF VENA CAVA BY SUTURE, N 3 $13.45 06/01/1994 12/31/2299
37620 8 INTERR,PARTIAL OR COMP,OF INF VENA CAVA BY SUTURE, N 3 $92.40 01/02/1996 12/31/2299
37650 2 INTERR,PARTIAL OR COMP,OF FEMORAL VEIN,BY LIGATURE N 3 $225.00 01/01/1984 12/31/2299
37650 7 INTERR,PARTIAL OR COMP,OF FEMORAL VEIN,BY LIGATURE N 3 $13.45 06/01/1994 12/31/2299
37650 8 INTERR,PARTIAL OR COMP,OF FEMORAL VEIN,BY LIGATURE N 3 $45.00 01/01/1984 12/31/2299
37650 F INTERR,PARTIAL OR COMP,OF FEMORAL VEIN,BY LIGATURE N 3 $306.00 03/01/2004 12/31/2299
37660 2 INTERR, PARTIAL OR COMP, OF COMMON ILIAC VEIN BY L N 3 $300.00 01/01/1973 12/31/2299
37660 7 INTERR, PARTIAL OR COMP, OF COMMON ILIAC VEIN BY L N 3 $13.45 06/01/1994 12/31/2299
37660 8 INTERR, PARTIAL OR COMP, OF COMMON ILIAC VEIN BY L N 3 $60.00 01/01/1973 12/31/2299
37700 2 LIGATION AND DIV OF LONG SAPHENOUS VEIN AT SAPHENO N 3 $147.00 01/01/1992 12/31/2299
37700 7 LIGATION AND DIV OF LONG SAPHENOUS VEIN AT SAPHENO N 3 $13.45 06/01/1994 12/31/2299
37700 F LIGATION AND DIV OF LONG SAPHENOUS VEIN AT SAPHENO N 3 $306.00 03/01/2004 12/31/2299
37720 2 LIGATION AND DIV AND COMPLETE STRIPPING OF LONG OR N 3 $219.00 08/01/1979 12/31/2005
37720 7 LIGATION AND DIV AND COMPLETE STRIPPING OF LONG OR N 3 $13.45 06/01/1994 12/31/2005
37720 8 LIGATION AND DIV AND COMPLETE STRIPPING OF LONG OR N 3 $44.00 08/01/1979 12/31/2005
37720 F LIGATION AND DIV AND COMPLETE STRIPPING OF LONG OR N 3 $351.00 03/01/2004 12/31/2299
37730 2 LIGATION AND DIV AND COMPLETE STRIPPING OF LONG AN N 3 $250.00 01/01/1971 12/31/2005
37730 7 LIGATION AND DIV AND COMPLETE STRIPPING OF LONG AN N 3 $13.45 06/01/1994 12/31/2005
37730 8 LIGATION AND DIV AND COMPLETE STRIPPING OF LONG AN N 3 $50.00 08/01/1979 12/31/2005
37730 F LIGATION AND DIV AND COMPLETE STRIPPING OF LONG AN N 3 $351.00 03/01/2004 12/31/2299
37735 2 LIGATION AND DIV;W RADICAL EX OF ULCER & SKIN GRAF N 3 $300.00 08/01/1979 12/31/2299
37735 7 LIGATION AND DIV;W RADICAL EX OF ULCER & SKIN GRAF N 3 $13.45 06/01/1994 12/31/2299
37735 8 LIGATION AND DIV;W RADICAL EX OF ULCER & SKIN GRAF N 3 $60.00 01/01/1971 12/31/2299
37735 F LIGATION AND DIV;W RADICAL EX OF ULCER & SKIN GRAF N 3 $351.00 03/01/2004 12/31/2299
37760 2 LIGATION OF PERFORATORS, SUBFASCIAL, RADICAL, WITH N 3 $250.00 01/01/1973 12/31/2299
37760 7 LIGATION OF PERFORATORS, SUBFASCIAL, RADICAL, WITH N 3 $13.45 06/01/1994 12/31/2299
37760 8 LIGATION OF PERFORATORS, SUBFASCIAL, RADICAL, WITH N 3 $50.00 08/01/1979 12/31/2299
37760 F LIGATION OF PERFORATORS, SUBFASCIAL, RADICAL, WITH N 3 $351.00 03/01/2004 12/31/2299
37765 2 STAB PHLEBECTOOF VARICOSE VEINS, ONE EXTREMITY STAB INCISIONS N 3 $278.92 01/01/2004 12/31/2299
37766 2 STAB PHLEBECTOMY OF VARICOSE VEINS, ONCE EXTREMITY MORE THAN 20 I N 3 $338.99 01/01/2004 12/31/2299
37780 2 LIGATION AND DIV OF SHORT SAPHENOUS VEIN AT SAPHEN N 3 $50.00 01/01/1973 12/31/2299
37780 7 LIGATION AND DIV OF SHORT SAPHENOUS VEIN AT SAPHEN N 3 $13.45 06/01/1994 12/31/2299
37780 F LIGATION AND DIV OF SHORT SAPHENOUS VEIN AT SAPHEN N 3 $351.00 03/01/2004 12/31/2299
37785 2 LIGATION AND DIVISION OF MINOR VARICOSE VEIN LEG N 3 $50.75 01/02/1992 12/31/2299
37785 7 LIGATION AND DIVISION OF MINOR VARICOSE VEIN OF LE N 3 $13.45 06/01/1994 12/31/2299
37785 F LIGATION AND DIVISION OF MINOR VARICOSE VEIN LEG N 3 $351.00 03/01/2004 12/31/2299
37788 7 PENILE REVASCULARIZATION, ARTERY, WITH OR WITHOUT N 3 $13.45 06/01/1994 12/31/2299
37790 2 PENILE VENOUS OCCLUSIVE PROCEDURE N 3 $251.03 01/01/1994 12/31/2299
37790 F PENILE VENOUS OCCLUSIVE PROCEDURE N 3 $351.00 03/01/2004 12/31/2299
37799 7 UNLISTED PROCEDURE, VASCULAR SURGERY N 3 $13.45 06/01/1994 12/31/2299
38100 2 SPLENECTOMY N 3 $262.50 01/01/1971 12/31/2299
38100 7 SPLENECTOMY N 3 $13.45 06/01/1994 12/31/2299
38100 8 SPLENECTOMY N 3 $50.00 01/01/1973 12/31/2299
38101 2 SPENECTOMY; PARTIAL N 3 $527.20 01/01/2004 12/31/2299
38101 7 SPLENECTOMY; PARTIAL N 3 $13.45 06/01/1994 12/31/2299
38102 2 SPLENECTOMY; N 3 $160.09 01/01/1994 12/31/2299
38115 2 REPAIR OF RUPTURED SPLEEN W/WO PARTIAL SPLENECTOMY N 3 $408.00 01/02/1992 12/31/2299
38115 7 REPAIR OF RUPTURED SPLEEN W/WO PARTIAL SPLENECTOMY N 3 $13.45 06/01/1994 12/31/2299
38115 8 REPAIR OF RUPTURED SPLEEN W/WO PARTIAL SPLENECTOMY N 3 $55.00 01/01/1984 12/31/2299
38120 2 LAPAROSCOPY SURGICAL SPLENECTOMY N 3 $592.96 01/01/2002 12/31/2299
38200 2 INJECTION PROCEDURE FOR SPLENOPORTOGRAPHY N 3 $50.00 01/01/1971 12/31/2299
38200 7 INJECTION PROCEDURE FOR SPLENOPORTOGRAPHY N 3 $13.45 06/01/1994 12/31/2299
38205 2 BLOOD DERIVE HEMATOPEIETIC PROGENITOR CELL HARV TRANS ALLO N 3 $47.42 01/01/2003 12/31/2299
38205 9 BLOOD DERIVE HEMATOPEIETIC PROGENITOR CELL HARV TRANS ALLOG N 3 $47.42 01/01/2003 12/31/2299
38206 2 BLOOD DERIVED HEMATOPOIETIC PROGENITOR HARVEST AUTOLOGO N 3 $47.42 01/01/2003 12/31/2299
38206 9 BLOOD DERIVED HEMATOPOIETIC PROGENITOR HARVEST AUTOLOGOUS N 3 $47.42 01/01/2003 12/31/2299
38220 2 BONE MARROW ASPIRATION N 3 $127.47 01/01/2002 12/31/2299
38221 2 BONE MARROW BIOPSY,NEEDLE OR TROCAR N 3 $136.09 01/01/2002 12/31/2299
38230 2 BONE MARROW HARVESTING FOR TRANSPLANTATION Y 3 $148.93 01/01/2003 12/31/2299
38230 7 BONE MARROW HARVESTING FOR TRANSPLANTATION N 3 $13.45 06/01/1994 12/31/2299
38231 8 BLOOD DERIVED PERIPH STEM CELL HARVEST FOR TRANSPLANT PER COLLECT Y 3 $12.35 01/01/1996 12/31/2299
38240 2 BONE MARROW OR BLOOD-DERIVED PRPHRL STEM CELL TRANSPLANT, ALLOGEN Y 3 $75.92 01/01/2005 12/31/2299
38240 7 BONE MARROW TRANSPLANTATION N 3 $13.45 06/01/1994 12/31/2299
38241 2 BONE MARROW TRANSPLANTATION N 3 $76.16 01/01/2005 12/31/2299
38241 2 BONE MARROW TRANSPLANTATION Y 3 $76.16 01/01/2005 12/31/2299
38241 7 BONE MARROW TRANSPLANTATION N 3 $13.45 06/01/1994 12/31/2299
38242 1 BONE MARROW/BLOOD DERIVED PERIPHERAL STEM CELL TRANP ALLOG N 3 $54.04 01/01/2003 12/31/2299
38242 2 BONE MARROW/BLOOD DERIVED PERIPHERAL STEM CELL TRANS ALL N 3 $54.04 01/01/2003 12/31/2299
38300 2 DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; S N 3 $15.00 01/01/1973 12/31/2299
38300 7 DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; S N 3 $13.45 06/01/1994 12/31/2299
38300 F DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; S N 3 $225.80 03/01/2004 12/31/2299
38305 2 DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; E N 3 $155.00 01/02/1994 12/31/2299
38305 7 DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; E N 3 $13.45 06/01/1994 12/31/2299
38305 F DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; E N 3 $306.00 03/01/2004 12/31/2299
38308 7 LYMPHANGIOTOMY OR OTHER OPERATIONS ON LYMPHATIC CH N 3 $13.45 06/01/1994 12/31/2299
38308 F LYMPHANGIOTOMY OR OTHER OPERATIONS ON LYMPHATIC CH N 3 $306.00 03/01/2004 12/31/2299
38380 2 SUTURE AND/OR LIGATION OF THORACIC DUCT; CERVICAL N 3 $250.00 01/01/1973 12/31/2299
38380 7 SUTURE AND/OR LIGATION OF THORACIC DUCT; CERVICAL N 3 $13.45 06/01/1994 12/31/2299
38380 8 SUTURE AND/OR LIGATION OF THORACIC DUCT; CERVICAL N 3 $50.00 01/01/1973 12/31/2299
38381 2 SUTURE AND/OR LIGATION OF THORACIC DUCT; THORACIC N 3 $500.00 01/01/1973 12/31/2299
38381 7 SUTURE AND/OR LIGATION OF THORACIC DUCT; THORACIC N 3 $13.45 06/01/1994 12/31/2299
38381 8 SUTURE AND/OR LIGATION OF THORACIC DUCT; THORACIC N 3 $100.00 01/01/1973 12/31/2299
38382 7 SUTURE AND/OR LIGATION OF THORACIC DUCT N 3 $13.45 06/01/1994 12/31/2299
38500 2 BIOPSY OR EXCISION OF LYMPH NODE; UNSPECIFIED N 3 $79.50 01/02/1992 12/31/2299
38500 7 BIOPSY OR EXCISION OF LYMPH NODE; UNSPECIFIED N 3 $13.45 06/01/1994 12/31/2299
38500 F BIOPSY OR EXCISION OF LYMPH NODE; UNSPECIFIED N 3 $306.00 03/01/2004 12/31/2299
38505 2 BIOPSY OR EXCISION OF LYMPH NODE(S) N 3 $45.37 01/02/1992 12/31/2299
38505 7 BIOPSY OR EXCISION OF LYMPH NODE(S) N 3 $13.45 06/01/1994 12/31/2299
38505 F BIOPSY OR EXCISION OF LYMPH NODE(S) N 3 $225.80 03/01/2004 12/31/2299
38510 2 BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $85.00 08/01/1979 12/31/2299
38510 7 BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $13.45 06/01/1994 12/31/2299
38510 8 BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $17.00 01/01/1984 12/31/2299
38510 F BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $306.00 03/01/2004 12/31/2299
38520 2 BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $125.00 01/01/1973 12/31/2299
38520 7 BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $13.45 06/01/1994 12/31/2299
38520 F BIOPSY OR EXCISION OF LYMPH NODE; DEEP CERVICAL NO N 3 $306.00 03/01/2004 12/31/2299
38525 2 BIOPSY OR EXCISION OF LYMPH NODES-DEEP AXILLARY N 3 $125.00 01/01/1984 12/31/2299
38525 7 BIOPSY OR EXCISION OF LYMPH NODES-DEEP AXILLARY N 3 $13.45 06/01/1994 12/31/2299
38525 8 BIOPSY OR EXCISION OF LYMPH NODES-DEEP AXILLARY N 3 $25.00 01/01/1984 12/31/2299
38525 F BIOPSY OR EXCISION OF LYMPH NODES-DEEP AXILLARY N 3 $306.00 03/01/2004 12/31/2299
38530 2 BIOPSY OR EXCISION OF LYMPH NODE; INTERNAL MAMMARY N 3 $175.00 01/01/1973 12/31/2299
38530 7 BIOPSY OR EXCISION OF LYMPH NODE; INTERNAL MAMMARY N 3 $13.45 06/01/1994 12/31/2299
38530 8 BIOPSY OR EXCISION OF LYMPH NODE; INTERNAL MAMMARY N 3 $35.00 01/01/1973 12/31/2299
38530 F BIOPSY OR EXCISION OF LYMPH NODE; INTERNAL MAMMARY N 3 $306.00 03/01/2004 12/31/2299
38542 2 DISSECTION; DEEP JUGULAR NODE N 3 $240.00 01/02/1994 12/31/2299
38542 7 DISSECTION; DEEP JUGULAR NODE N 3 $13.45 06/01/1994 12/31/2299
38542 F DISSECTION; DEEP JUGULAR NODE N 3 $306.00 03/01/2004 12/31/2299
38550 2 EXCISION OF CYSTIC HYGROMA,AXILLARY OR CERVICAL,W/ N 3 $150.00 01/01/1973 12/31/2299
38550 7 EXCISION OF CYSTIC HYGROMA,AXILLARY OR CERVICAL,W/ N 3 $13.45 06/01/1994 12/31/2299
38550 F EXCISION OF CYSTIC HYGROMA,AXILLARY OR CERVICAL,W/ N 3 $351.00 03/01/2004 12/31/2299
38555 7 EXCISION OF CYSTIC HYGROMA,AXILLARY OR CERVICAL,W/ N 3 $13.45 06/01/1994 12/31/2299
38555 F EXCISION OF CYSTIC HYGROMA,AXILLARY OR CERVICAL,W/ N 3 $432.00 03/01/2004 12/31/2299
38562 7 LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROC N 3 $13.45 06/01/1994 12/31/2299
38564 2 LMTD LYMPHADENCTOMY FOR STAGING RETROPERITONEAL N 3 $350.00 01/01/1984 12/31/2299
38564 7 LMTD LYMPHADENCTOMY FOR STAGING RETROPERITONEAL N 3 $13.45 06/01/1994 12/31/2299
38564 8 LMTD LYMPHADENCTOMY FOR STAGING RETROPERITONEAL N 3 $70.00 01/01/1984 12/31/2299
38570 2 LAPAROSCOPY SURG W/RETROPERITONEAL LYMPH NODE BIOPSY SINGLE/MULTI N 3 $349.05 01/01/2000 12/31/2299
38570 7 LAPAROSCOY SURG W/RETROPERITONEAL LYMPH NODE BIOPSY SINGLE/MULTI N 3 $13.45 01/01/2000 12/31/2299
38570 F LAPAROSCOPY SURG W/RETROPERITONEAL LYMPH NODE BIOPSY SINGLE/MULTI N 3 $495.00 03/01/2004 12/31/2299
38571 2 LAPAROSCOPY SURGICAL W/BILATERAL TOTAL PELVIC LYMPHADENECTOMY N 3 $452.40 01/01/2000 12/31/2299
38571 7 LAPAROSCOPY SURGICAL W/BILATERAL TOTAL PELVIC LYMPHADENECTOMY N 3 $13.45 01/01/2000 12/31/2299
38571 8 LAPAROSCOPY SURGICAL W/BILATERAL TOTAL PELVIC LYMPHADENECTOMY N 3 $90.48 01/01/2000 12/31/2299
38571 F LAPAROSCOPY SURGICAL W/BILATERAL TOTAL PELVIC LYMPHADENECTOMY N 3 $495.00 03/01/2004 12/31/2299
38572 2 LAPAROSCOPY SURG W/BILAT TOT PELV LYMPHAD&PERI-AORTIC LYMPH NODE N 3 $526.62 01/01/2000 12/31/2299
38572 7 LAPAROSCOPY SURG W/BILAT TOT PELV LYMPHAD&PERI-AORTIC LYMPH NODE N 3 $13.45 01/01/2000 12/31/2299
38572 8 LAPAROSCOPY SURG W/BILAT TOT PELV LYMPHAD&PERI-AORTIC LYMPH NODE N 3 $105.32 01/01/2000 12/31/2299
38572 F LAPAROSCOPY SURG W/BILAT TOT PELV LYMPHAD&PERI-AORTIC LYMPH NODE N 3 $495.00 03/01/2004 12/31/2299
38589 7 UNLISTED LAPAROSCOPY PROCEDURE LYMPHATIC SYSTEM N 3 $13.45 01/01/2000 12/31/2299
38700 2 SUPRAHYOID LYMPHADENECTOMY; UNILATERAL N 3 $300.00 01/01/1973 12/31/2299
38700 7 SUPRAHYOID LYMPHADENECTOMY; UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
38700 8 SUPRAHYOID LYMPHADENECTOMY; UNILATERAL N 3 $60.00 01/01/1973 12/31/2299
38720 2 CERVICAL LYMPHADENECTOMY (COMPLETE); UNILATERAL N 3 $475.00 01/01/1973 12/31/2299
38720 7 CERVICAL LYMPHADENECTOMY (COMPLETE); UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
38720 8 CERVICAL LYMPHADENECTOMY (COMPLETE); UNILATERAL N 3 $95.00 01/01/1973 12/31/2299
38724 2 CERVICAL LYMPHADENECTOMY (MOD RAD NCK) N 3 $475.00 01/01/1984 12/31/2299
38724 7 CERVICAL LYMPHADENECTOMY (MOD RAD NECK) N 3 $13.45 06/01/1994 12/31/2299
38724 8 CERVICAL LYMPHADENECTOMY (MOD RAD NCK DISSEC) N 3 $95.00 01/01/1984 12/31/2299
38740 2 AXILLARY LYMPHADENECTOMY; SUPERFICIAL N 3 $200.00 08/01/1979 12/31/2299
38740 7 AXILLARY LYMPHADENECTOMY; SUPERFICIAL N 3 $13.45 06/01/1994 12/31/2299
38740 8 AXILLARY LYMPHADENECTOMY; SUPERFICIAL N 3 $40.00 08/01/1979 12/31/2299
38740 F AXILLARY LYMPHADENECTOMY; SUPERFICIAL N 3 $306.00 03/01/2004 12/31/2299
38745 2 AXILLARY LYMPHADENECTOMY; COMPLETE N 3 $375.00 08/01/1979 12/31/2299
38745 7 AXILLARY LYMPHADENECTOMY; COMPLETE N 3 $13.45 06/01/1994 12/31/2299
38745 8 AXILLARY LYMPHADENECTOMY; COMPLETE N 3 $75.00 08/01/1979 12/31/2299
38745 F AXILLARY LYMPHADENECTOMY; COMPLETE N 3 $432.00 03/01/2004 12/31/2299
38746 2 THORACIC LYMPHADENECTOMY, REGIONAL, INCLUDING MEDI N 3 $146.44 01/01/1994 12/31/2299
38747 2 ABDOMINAL LYMPHADENECTOMY, REGIONAL, INCLUDING CEL N 3 $163.10 01/01/1994 12/31/2299
38760 2 INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLU N 3 $200.00 08/01/1979 12/31/2299
38760 7 INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLU N 3 $13.45 06/01/1994 12/31/2299
38760 8 INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLU N 3 $40.00 08/01/1979 12/31/2299
38760 F INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLU N 3 $306.00 03/01/2004 12/31/2299
38765 2 INGUINOFEMORAL LYMPHADENECTOMY,SUPERFICIAL,IN CONT N 3 $500.00 08/01/1979 12/31/2299
38765 7 INGUINOFEMORAL LYMPHADENECTOMY,SUPERFICIAL,IN CONT N 3 $13.45 06/01/1994 12/31/2299
38765 8 INGUINOFEMORAL LYMPHADENECTOMY,SUPERFICIAL,IN CONT N 3 $100.00 08/01/1979 12/31/2299
38770 2 PELVIC LYMPHADENECTOMY,INCL EXTERNAL ILIAC,HYPOGAS N 3 $618.00 01/02/1994 12/31/2299
38770 7 PELVIC LYMPHADENECTOMY, INCLUD EXTERNAL ILIAC, HYP N 3 $13.45 06/01/1994 12/31/2299
38780 2 RETROPERITONEAL LYMPHADENECTOMY, EXTENSIVE, INCLUD N 3 $700.00 01/01/1973 12/31/2299
38780 7 RETROPERITONEAL LYMPHADENECTOMY, EXTENSIVE, INCLUD N 3 $13.45 06/01/1994 12/31/2299
38780 8 RETROPERITONEAL LYMPHADENECTOMY, EXTENSIVE, INCLUD N 3 $140.00 01/01/1973 12/31/2299
38790 2 INJECTION PROCEDURE FOR LYMPHANGIOGRAPHY; UNILATER N 3 $75.00 01/01/1973 12/31/2299
38790 7 INJECTION PROCEDURE FOR LYMPHANGIOGRAPHY; UNILATER N 3 $13.45 06/01/1994 12/31/2299
38792 2 INJECTION PROCEDURE FOR IDENTIFICATION OF SENTINEL NODE N 3 $235.15 01/01/1999 12/31/2299
38794 7 CANNULATION, THORACIC DUCT N 3 $13.45 06/01/1994 12/31/2299
38999 7 UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM N 3 $13.45 06/01/1994 12/31/2299
39000 2 MEDIASTINOTOMY WITH EXPLORATION OR DRAINAGE; CERVI N 3 $150.00 01/01/1973 12/31/2299
39000 7 MEDIASTINOTOMY WITH EXPLORATION OR DRAINAGE; CERVI N 3 $13.45 06/01/1994 12/31/2299
39000 8 MEDIASTINOTOMY WITH EXPLORATION OR DRAINAGE; CERVI N 3 $30.00 01/01/1973 12/31/2299
39010 2 MEDIASTINOTOMY WITH EXPLORATION OR DRAINAGE; CERVI N 3 $300.00 01/01/1973 12/31/2299
39010 7 MEDIASTINOTOMY WITH EXPLORATION OR DRAINAGE; CERVI N 3 $13.45 06/01/1994 12/31/2299
39010 8 MEDIASTINOTOMY WITH EXPLORATION OR DRAINAGE; CERVI N 3 $60.00 01/01/1973 12/31/2299
39200 2 EXCISION OF MEDIASTINAL CYST N 3 $450.00 01/01/1973 12/31/2299
39200 7 EXCISION OF MEDIASTINAL CYST N 3 $13.45 06/01/1994 12/31/2299
39200 8 EXCISION OF MEDIASTINAL CYST N 3 $90.00 01/01/1973 12/31/2299
39220 2 EXCISION OF MEDIASTINAL TUMOR N 3 $786.00 01/02/1994 12/31/2299
39220 7 EXCISION OF MEDIASTINAL TUMOR N 3 $13.45 06/01/1994 12/31/2299
39400 2 MEDIASTINOSCOPY, WITH OR WITHOUT BIOPSY N 3 $254.24 01/01/2004 12/31/2299
39400 7 MEDIASTINOSCOPY, WITH OR WITHOUT BIOPSY N 3 $13.45 06/01/1994 12/31/2299
39400 8 MEDIASTINOSCOPY, WITH OR WITHOUT BIOPSY N 3 $57.87 01/01/2003 12/31/2299
39499 7 UNLISTED PROCEDURE, MEDIASTINUM N 3 $13.45 06/01/1994 12/31/2299
39500 7 REPAIR, DIAPHRAGM HERNIA (ESOPHA HIATAL), TRANSABD N 3 $13.45 06/01/1994 12/31/2299
39501 2 REPAIR DIAPHRAGM LACERATION N 3 $400.00 01/01/1984 12/31/2299
39501 7 REPAIR DIAPHRAGM LACERATION N 3 $13.45 06/01/1994 12/31/2299
39501 8 REPAIR DIAPHRAGM LACERATION N 3 $80.00 01/01/1984 12/31/2299
39502 2 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL), N 3 $450.00 01/01/1971 12/31/2299
39502 7 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL), N 3 $13.45 06/01/1994 12/31/2299
39502 8 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL), N 3 $90.00 08/01/1979 12/31/2299
39503 2 REPAIR, DIAPHRAGMATIC HERNIA TRANSABDOMINAL; NEONA N 3 $500.00 08/01/1979 12/31/2299
39503 7 REPAIR, DIAPHRAGMATIC HERNIA, TRANSABDOMINAL, NEON N 3 $13.45 06/01/1994 12/31/2299
39503 8 REPAIR, DIAPHRAGMATIC HERNIA, TRANSABDOMINAL; NEON N 3 $100.00 08/01/1979 12/31/2299
39510 7 REPAIR, DIAPHRAGM HERNIA (ESOPHA HIATAL),TRANSAB F N 3 $13.45 06/01/1994 12/31/2299
39520 2 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); N 3 $450.00 08/01/1979 12/31/2299
39520 7 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); N 3 $13.45 06/01/1994 12/31/2299
39520 8 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); N 3 $90.00 08/01/1979 12/31/2299
39530 2 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); N 3 $600.00 01/02/1992 12/31/2299
39530 7 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); N 3 $13.45 06/01/1994 12/31/2299
39530 8 REPAIR, DIAPHRAGMATIC HERNIA (ESOPHAGEAL HIATAL); N 3 $95.00 01/01/1973 12/31/2299
39531 7 REPAIR, DIAPHRAGM HERNIA (ESOPHA HIATAL);COMB THOR N 3 $13.45 06/01/1994 12/31/2299
39540 7 REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL) N 3 $13.45 06/01/1994 12/31/2299
39541 7 REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL) N 3 $13.45 06/01/1994 12/31/2299
39545 7 IMBRICATION OF DIAPHRAGM FOR EVENTRATION; PARALYTI N 3 $13.45 06/01/1994 12/31/2299
39560 2 RESECTION DIAPHRAGM WITH SIMPLE REPAIR (PRIMARY SUTURE) N 3 $487.08 01/01/2000 12/31/2299
39560 7 RESECTION DIAPHRAGM WITH SIMPLE REPAIR (PRIMARY SUTURE) N 3 $13.45 01/01/2000 12/31/2299
39561 2 RESECTION DIAPHRAGM W/COMPLEX REPAIR (PROSTHETIC MATERIAL LOCAL M N 3 $666.79 01/01/2000 12/31/2299
39561 7 RESECT DIAPHRAGM W/COMPLEX REPAIR(PROSTHETIC MATERIAL LOCAL MUSCL N 3 $13.45 01/01/2000 12/31/2299
39561 8 RESECT DIAPHRAGM W/COMPLEX REPAIR(PROSTHETIC MATERIAL LOCAL MUSCL N 3 $133.36 01/01/2000 12/31/2299
39599 7 UNLISTED PROCEDURE, DIAPHRAGM N 3 $13.45 06/01/1994 12/31/2299
40480 7 DIGESTIVE SYSTEM N 3 $13.45 06/01/1994 12/31/2299
40490 2 BIOPSY LIP N 3 $20.00 01/01/1984 12/31/2299
40490 7 BIOPSY LIP N 3 $13.45 06/01/1994 12/31/2299
40500 2 VERMILIONECTOMY(LIP SHAVE) WITH MUCOSAL ADVANCEMEN N 3 $262.00 08/01/1979 12/31/2299
40500 7 VERMILIONECTOMY(LIP SHAVE) WITH MUCOSAL ADVANCEMEN N 3 $13.45 06/01/1994 12/31/2299
40500 F VERMILIONECTOMY(LIP SHAVE) WITH MUCOSAL ADVANCEMEN N 3 $306.00 03/01/2004 12/31/2299
40510 2 EXCISION LIP; TRANSVERSE WEDGE EXCISION WITH PRIMA N 3 $262.00 08/01/1979 12/31/2299
40510 7 EXCISION LIP; TRANSVERSE WEDGE EXCISION WITH PRIMA N 3 $13.45 06/01/1994 12/31/2299
40510 F EXCISION LIP; TRANSVERSE WEDGE EXCISION WITH PRIMA N 3 $306.00 03/01/2004 12/31/2299
40520 2 EXCISION LIP; V-EXCISION W/PRIMARY DIRECT LINEAR C N 3 $150.00 01/01/1973 12/31/2299
40520 7 EXCISION LIP; V-EXCISION W/PRIMARY DIRECT LINEAR C N 3 $13.45 06/01/1994 12/31/2299
40520 F EXCISION LIP; V-EXCISION W/PRIMARY DIRECT LINEAR C N 3 $306.00 03/01/2004 12/31/2299
40525 7 EXCISION LIP; FULL THICKNESS, RECONSTRUCTION WITH N 3 $13.45 06/01/1994 12/31/2299
40525 F EXCISION LIP; FULL THICKNESS, RECONSTRUCTION WITH N 3 $306.00 03/01/2004 12/31/2299
40527 7 EXCISION LIP; FULL THICKNESS, RECONSTRUCTION WITH N 3 $13.45 06/01/1994 12/31/2299
40527 F EXCISION LIP; FULL THICKNESS, RECONSTRUCTION WITH N 3 $306.00 03/01/2004 12/31/2299
40530 2 RESECTION LIP, MORE THAN ONE-FOURTH, WITHOUT RECON N 3 $150.00 01/01/1973 12/31/2299
40530 7 RESECT LIP MORE THAN ONE FOURTH WITHOUT RECONSTR N 3 $13.45 06/01/1994 12/31/2299
40530 F RESECTION LIP, MORE THAN ONE-FOURTH, WITHOUT RECON N 3 $306.00 03/01/2004 12/31/2299
40650 2 REPAIR LIP, FULL THICKNESS; VERMILLION ONLY N 3 $196.51 01/01/2004 12/31/2299
40650 7 REPAIR LIP, FULL THICKNESS; VERMILLION ONLY N 3 $13.45 06/01/1994 12/31/2299
40650 F REPAIR LIP, FULL THICKNESS; VERMILLION ONLY N 3 $351.00 03/01/2004 12/31/2299
40652 2 REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HE N 3 $200.00 01/01/1984 12/31/2299
40652 7 REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HE N 3 $13.45 06/01/1994 12/31/2299
40652 8 REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HE N 3 $40.00 01/01/1984 12/31/2299
40652 F REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HE N 3 $351.00 03/01/2004 12/31/2299
40654 2 REPAIR LIP, FULL THICKNESS; OVER ONE HALF VERTICAL N 3 $246.00 01/02/1992 12/31/2299
40654 7 REPAIR LIP, FULL THICKNESS; OVER ONE HALF VERTICAL N 3 $13.45 06/01/1994 12/31/2299
40654 F REPAIR LIP, FULL THICKNESS; OVER ONE HALF VERTICAL N 3 $351.00 03/01/2004 12/31/2299
40700 2 PLASTIC REPAIR OF CLEFT LIP; PRIMARY, PARTIAL OR C N 3 $400.00 01/01/1971 12/31/2299
40700 7 PLASTIC REPAIR OF CLEFT LIP; PRIMARY, PARTIAL OR C N 3 $13.45 06/01/1994 12/31/2299
40700 8 PLASTIC REPAIR OF CLEFT LIP; PRIMARY, PARTIAL OR C N 3 $80.00 01/01/1973 12/31/2299
40700 F PLASTIC REPAIR OF CLEFT LIP; PRIMARY, PARTIAL OR C N 3 $495.00 03/01/2004 12/31/2299
40701 2 PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $500.00 01/01/1973 12/31/2299
40701 7 PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $13.45 06/01/1994 12/31/2299
40701 8 PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $100.00 01/01/1973 12/31/2299
40701 F PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $495.00 03/01/2004 12/31/2299
40702 2 PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $350.00 01/01/1973 12/31/2299
40702 7 PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $13.45 06/01/1994 12/31/2299
40702 8 PLASTIC REPAIR OF CLEFT LIP; PRIMARY BILATERAL, ON N 3 $70.00 01/01/1973 12/31/2299
40720 2 PLASTIC REPAIR OF CLEFT LIP; SECONDARY, UNILATERAL N 3 $454.50 01/02/1992 12/31/2299
40720 7 PLASTIC REPAIR OF CLEFT LIP; SECONDARY, UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
40720 F PLASTIC REPAIR OF CLEFT LIP; SECONDARY, UNILATERAL N 3 $495.00 03/01/2004 12/31/2299
40760 7 PLASTIC REPAIR OF CLEFT LIP; W/CROSS LIP PEDICLE F N 3 $13.45 06/01/1994 12/31/2299
40761 2 PLASTIC REPAIR OF CLEFT LIP; W/CROSS LIP PED FLAP N 3 $590.26 01/01/2003 12/31/2299
40761 7 PLASTIC REPAIR OF CLEFT LIP; W/CROSS LIP PED FLAP N 3 $13.45 06/01/1994 12/31/2299
40761 F PLASTIC REPAIR OF CLEFT LIP; W/CROSS LIP PED FLAP N 3 $351.00 03/01/2004 12/31/2299
40799 7 UNLISTED PROCEDURE, LIPS N 3 $13.45 06/01/1994 12/31/2299
40800 7 DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF N 3 $13.45 06/01/1994 12/31/2299
40801 2 DRAINAGE OF ABSCESS N 3 $82.14 01/02/1992 12/31/2299
40801 7 DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF N 3 $13.45 06/01/1994 12/31/2299
40801 F DRAINAGE OF ABSCESS N 3 $306.00 03/01/2004 12/31/2299
40804 7 REMOVAL OF EMBEDDED FOREIGN BODY; SIMPLE N 3 $13.45 06/01/1994 12/31/2299
40805 7 REMOVAL OF EMBEDDED FOREIGN BODY; COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
40806 2 INCISION OF LABIAL FRENUM (FRENOTOMY) N 3 $20.00 01/01/1984 12/31/2299
40806 7 INCISION OF LABIAL FRENUM (FRENOTOMY) N 3 $13.45 06/01/1994 12/31/2299
40808 2 BIOPSY, VESTIBULE OF MOUTH N 3 $25.00 01/01/1984 12/31/2299
40808 7 BIOPSY, VESTIBULE OF MOUTH N 3 $13.45 06/01/1994 12/31/2299
40810 2 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/OUT N 3 $25.00 08/08/1989 12/31/2299
40810 7 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/OUT N 3 $13.45 06/01/1994 12/31/2299
40812 2 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/SIMP N 3 $114.20 01/01/2002 12/31/2299
40812 7 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/SIMP N 3 $13.45 06/01/1994 12/31/2299
40814 2 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/COMP N 3 $100.00 01/01/1984 12/31/2299
40814 7 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/COMP N 3 $13.45 06/01/1994 12/31/2299
40814 F EXCISION OF LESION OF MUCOSA AND SUBMUCOSA; W/COMP N 3 $306.00 03/01/2004 12/31/2299
40816 2 EXCISION OF LESION OF MUCOSA, SUBMUCOSA, AND UNDER N 3 $200.00 01/01/1984 12/31/2299
40816 7 EXCISION OF LESION OF MUCOSA, SUBMUCOSA, AND UNDER N 3 $13.45 06/01/1994 12/31/2299
40816 8 EXCISION OF LESION OF MUCOSA, SUBMUCOSA, AND UNDER N 3 $40.00 01/01/1984 12/31/2299
40816 F EXCISION OF LESION OF MUCOSA, SUBMUCOSA, AND UNDER N 3 $306.00 03/01/2004 12/31/2299
40818 7 EXCISION OF MUCOSA AS DONOR GRAFT N 3 $13.45 06/01/1994 12/31/2299
40818 F EXCISION OF MUCOSA AS DONOR GRAFT N 3 $225.80 03/01/2004 12/31/2299
40819 2 EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY N 3 $15.00 01/01/1984 12/31/2299
40819 7 EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY N 3 $13.45 06/01/1994 12/31/2299
40819 F EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY N 3 $225.80 03/01/2004 12/31/2299
40820 2 DESTRUCTION OF SCAR N 3 $25.00 01/01/1989 12/31/2299
40820 7 DESTRUCTION OF LESION OR SCAR BY PHYSICAL METHODS N 3 $13.45 06/01/1994 12/31/2299
40830 2 CLOSURE OF LACERATION; UP TO 2 CM N 3 $30.00 01/01/1984 12/31/2299
40830 7 CLOSURE OF LACERATION; UP TO 2 CM N 3 $13.45 06/01/1994 12/31/2299
40831 2 CLOSURE OF LACERATION; OVER 2 CM OR COMPLEX N 3 $108.00 03/01/1996 12/31/2299
40831 7 CLOSURE OF LACERATION; OVER 2 CM OR COMPLEX N 3 $13.45 06/01/1994 12/31/2299
40831 F CLOSURE OF LACERATION; OVER 2 CM OR COMPLEX N 3 $225.80 03/01/2004 12/31/2299
40840 7 VESTIBULOPLASTY; ANTERIOR N 3 $13.45 06/01/1994 12/31/2299
40842 7 VESTIBULOPLASTY; POSTERIOR, UNILATERAL N 3 $13.45 06/01/1994 12/31/2299
40843 7 VESTIBULOPLASTY; POSTERIOR, BILATERAL N 3 $13.45 06/01/1994 12/31/2299
40844 7 VESTIBULOPLASTY; ENTIRE ARCH N 3 $13.45 06/01/1994 12/31/2299
40845 7 VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSIO N 3 $13.45 06/01/1994 12/31/2299
40899 7 UNLISTED PROCEDURE, VESTIBULE OF MOUTH N 3 $13.45 06/01/1994 12/31/2299
41000 2 I&D OF INTRAORAL ABSCESS, CYST, OR HEMATOMA OF TON N 3 $15.00 08/01/1979 12/31/2299
41000 7 I&D OF INTRAORAL ABSCESS, CYST, OR HEMATOMA OF TON N 3 $13.45 06/01/1994 12/31/2299
41005 2 I&D OF INTRAORAL ABSCESS,CYST,OR HEMATOMA OF TONGUE N 3 $15.00 01/01/1973 12/31/2299
41005 7 I&D OF INTRAORAL ABSCESS,CYST,OR HEMATOMA OF TONGU N 3 $13.45 06/01/1994 12/31/2299
41005 F I&D OF INTRAORAL ABSCESS,CYST,OR HEMATOMA OF TONGUE N 3 $225.80 03/01/2004 12/31/2299
41006 2 I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $121.80 01/02/1992 12/31/2299
41006 7 I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $13.45 06/01/1994 12/31/2299
41006 F I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $225.80 03/01/2004 12/31/2299
41007 7 I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $13.45 06/01/1994 12/31/2299
41007 F I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $225.80 03/01/2004 12/31/2299
41008 7 I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $13.45 06/01/1994 12/31/2299
41008 F I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $225.80 03/01/2004 12/31/2299
41009 7 I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $13.45 06/01/1994 12/31/2299
41009 F I&D OF INTRAORAL ABSCESS,CYST,OR HEMA OF TONGUE OR N 3 $225.80 03/01/2004 12/31/2299
41010 2 INCISION OF LINGUAL FRENUM (FRENOTOMY) N 3 $30.00 01/02/1992 12/31/2299
41010 7 INCISION OF LINGUAL FRENUM (FRENOTOMY) N 3 $13.45 06/01/1994 12/31/2299
41010 F INCISION OF LINGUAL FRENUM (FRENOTOMY) N 3 $225.80 03/01/2004 12/31/2299
41015 2 I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $96.00 01/02/1994 12/31/2299
41015 7 I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $13.45 06/01/1994 12/31/2299
41015 F I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $225.80 03/01/2004 12/31/2299
41016 7 I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $13.45 06/01/1994 12/31/2299
41016 F I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $225.80 03/01/2004 12/31/2299
41017 7 I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $13.45 06/01/1994 12/31/2299
41017 F I&D OF EXTRAORAL ABSCESS,CYST OR HEMA OF MOUTH FLO N 3 $225.80 03/01/2004 12/31/2299
41018 7 I&D OF EXTRAORAL ABSCESS,CYST,OR HEMA OF MOUTH FLO N 3 $13.45 06/01/1994 12/31/2299
41018 F I&D OF EXTRAORAL ABSCESS,CYST,OR HEMA OF MOUTH FLO N 3 $225.80 03/01/2004 12/31/2299
41100 2 BIOPSY TONGUE; ANTERIOR TWO-THIRDS N 3 $25.00 01/01/1984 12/31/2299
41100 7 BIOPSY TONGUE; ANTERIOR TWO-THIRDS N 3 $13.45 06/01/1994 12/31/2299
41105 2 BIOPSY TONGUE; POSTERIOR ONE-THIRD N 3 $50.00 08/01/1979 12/31/2299
41105 7 BIOPSY TONGUE; POSTERIOR ONE-THIRD N 3 $13.45 06/01/1994 12/31/2299
41108 2 BIOPSY, FLOOR OF MOUTH N 3 $25.00 01/01/1984 12/31/2299
41108 7 BIOPSY, FLOOR OF MOUTH N 3 $13.45 06/01/1994 12/31/2299
41110 2 EXCISION OF LESION OF TONGUE WITHOUT CLOSURE N 3 $40.00 01/01/1984 12/31/2299
41110 7 EXCISION OF LESION OF TONGUE WITHOUT CLOSURE N 3 $13.45 06/01/1994 12/31/2299
41112 2 EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIO N 3 $100.00 01/01/1984 12/31/2299
41112 7 EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIO N 3 $13.45 06/01/1994 12/31/2299
41112 F EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIO N 3 $306.00 03/01/2004 12/31/2299
41113 2 EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERI N 3 $180.00 01/02/1997 12/31/2299
41113 7 EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERI N 3 $13.45 06/01/1994 12/31/2299
41113 F EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERI N 3 $306.00 03/01/2004 12/31/2299
41114 7 EXCISION OF LESION OF TONGUE WITH CLOSURE; WITH LO N 3 $13.45 06/01/1994 12/31/2299
41114 F EXCISION OF LESION OF TONGUE WITH CLOSURE; WITH LO N 3 $306.00 03/01/2004 12/31/2299
41115 2 EXCISION OF LINGUAL FRENUM (FRENECTOMY) N 3 $78.60 01/01/1998 12/31/2299
41115 7 EXCISION OF LINGUAL FRENUM (FRENECTOMY) N 3 $13.45 06/01/1994 12/31/2299
41116 2 EXCISION LESION OF FLOOR OF MOUTH N 3 $111.00 01/02/1997 12/31/2299
41116 7 EXCISION LESION OF FLOOR OF MOUTH N 3 $13.45 06/01/1994 12/31/2299
41116 8 EXCISION LESION OF FLOOR OF MOUTH N 3 $22.00 01/02/1997 12/31/2299
41116 F EXCISION LESION OF FLOOR OF MOUTH N 3 $225.80 03/01/2004 12/31/2299
41120 2 GLOSSECTOMY; LESS THAN ONE-HALF TONGUE N 3 $200.00 01/01/1973 12/31/2299
41120 7 GLOSSECTOMY; LESS THAN ONE-HALF TONGUE N 3 $13.45 06/01/1994 12/31/2299
41120 8 GLOSSECTOMY; LESS THAN ONE-HALF TONGUE N 3 $40.00 01/01/1973 12/31/2299
41120 F GLOSSECTOMY; LESS THAN ONE-HALF TONGUE N 3 $495.00 03/01/2004 12/31/2299
41130 2 GLOSSECTOMY; HEMIGLOSSECTOMY N 3 $300.00 01/01/1973 12/31/2299
41130 7 GLOSSECTOMY; HEMIGLOSSECTOMY N 3 $13.45 06/01/1994 12/31/2299
41130 8 GLOSSECTOMY; HEMIGLOSSECTOMY N 3 $60.00 01/01/1973 12/31/2299
41135 2 GLOSSECTOMY; PARTIAL, W/UNILATERAL RADICAL NECK DI N 3 $600.00 08/01/1979 12/31/2299
41135 7 GLOSSECTOMY; PARTIAL, W/UNILATERAL RADICAL NECK DI N 3 $13.45 06/01/1994 12/31/2299
41135 8 GLOSSECTOMY; PARTIAL, W/UNILATERAL RADICAL NECK DI N 3 $120.00 08/01/1979 12/31/2299
41140 2 GLOSSECTOMY; COMPLETE OR TOTAL, W/OR W/OUT TRACHEO N 3 $450.00 01/01/1973 12/31/2299
41140 7 GLOSSECTOMY; COMPLETE OR TOTAL, W/OR W/OUT TRACHEO N 3 $13.45 06/01/1994 12/31/2299
41140 8 GLOSSECTOMY; COMPLETE OR TOTAL, W/OR W/OUT TRACHEO N 3 $90.00 01/01/1973 12/31/2299
41145 2 GLOSSECTOMY; COMPLETE OR TOTAL W/OR W/OUT TRACHEOS N 3 $575.00 01/01/1984 12/31/2299
41145 7 GLOSSECTOMY; COMPLETE OR TOTAL W/OR W/OUT TRACHEOS N 3 $13.45 06/01/1994 12/31/2299
41145 8 GLOSSECTOMY; COMPLETE OR TOTAL W/OR W/OUT TRACHEOS N 3 $115.00 01/01/1984 12/31/2299
41150 2 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH & MA N 3 $500.00 01/01/1989 12/31/2299
41150 7 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH & MA N 3 $13.45 06/01/1994 12/31/2299
41150 8 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH & MA N 3 $100.00 01/01/1989 12/31/2299
41153 7 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH W/SU N 3 $13.45 06/01/1994 12/31/2299
41155 2 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH MAND N 3 $1,028.78 01/01/2004 12/31/2299
41155 7 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH MAND N 3 $13.45 06/01/1994 12/31/2299
41155 8 GLOSSECTOMY; COMP PROC W/RESEC FLOOR OF MOUTH MAND N 3 $217.42 01/01/2003 12/31/2299
41250 2 REPAIR LACERATION UP TO 2 CM; FLOOR OF MOUTH &/OR N 3 $90.72 01/01/2003 12/31/2299
41250 7 REPAIR LACERATION UP TO 2 CM; FLOOR OF MOUTH &/OR N 3 $13.45 06/01/1994 12/31/2299
41251 7 REPAIR LACERATION UP TO 2 CM; POSTERIOR ONE-THIRD N 3 $13.45 06/01/1994 12/31/2299
41251 F REPAIR LACERATION UP TO 2 CM; POSTERIOR ONE-THIRD N 3 $306.00 03/01/2004 12/31/2299
41252 2 REPAIR LACERATION OF TONGUE, FLOOR OF MOUTH, OVER N 3 $25.00 01/01/1984 12/31/2299
41252 7 REPAIR LACERATION OF TONGUE, FLOOR OF MOUTH, OVER N 3 $13.45 06/01/1994 12/31/2299
41252 F REPAIR LACERATION OF TONGUE, FLOOR OF MOUTH, OVER N 3 $306.00 03/01/2004 12/31/2299
41500 2 FIXATION TONGUE, MECHANICAL, OTHER THAN SUTURE (EG N 3 $125.00 01/01/1973 12/31/2299
41500 7 FIXATION TONGUE, MECHANICAL, OTHER THAN SUTURE (EG N 3 $13.45 06/01/1994 12/31/2299
41500 F FIXATION TONGUE, MECHANICAL, OTHER THAN SUTURE (EG N 3 $225.80 03/01/2004 12/31/2299
41510 2 SUTURE TONGUE TO LIP FOR MICROGNATHIA (DOUGLAS TYP N 3 $250.00 01/01/1973 12/31/2299
41510 7 SUTURE TONGUE TO LIP FOR MICROGNATHIA (DOUGLAS TYP N 3 $13.45 06/01/1994 12/31/2299
41510 F SUTURE TONGUE TO LIP FOR MICROGNATHIA (DOUGLAS TYP N 3 $225.80 03/01/2004 12/31/2299
41520 2 FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH N 3 $75.00 01/01/1984 12/31/2299
41520 7 FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH N 3 $13.45 06/01/1994 12/31/2299
41520 8 FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH N 3 $15.00 01/01/1984 12/31/2299
41520 F FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH N 3 $306.00 03/01/2004 12/31/2299
41599 7 UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH N 3 $13.45 06/01/1994 12/31/2299
41800 2 DRAINAGE ABSCESS, CYST, HEMATOMA N 3 $10.00 01/01/1975 12/31/2299
41800 7 DRAINAGE ABSCESS, CYST, HEMATOMA N 3 $13.45 06/01/1994 12/31/2299
41800 F DRAINAGE ABSCESS, CYST, HEMATOMA N 3 $225.80 03/01/2004 12/31/2299
41805 2 REMOVAL EMBEDDED FOREIGN BODY; FROM SOFT TISSUE N 3 $50.00 01/02/1994 12/31/2299
41805 7 REMOVAL EMBEDDED FOREIGN BODY; FROM SOFT TISSUE N 3 $13.45 06/01/1994 12/31/2299
41806 7 REMOVAL EMBEDDED FOREIGN BODY; FROM BONE N 3 $13.45 06/01/1994 12/31/2299
41820 2 GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT N 3 $50.00 08/01/1979 12/31/2299
41820 7 GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT N 3 $13.45 06/01/1994 12/31/2299
41821 7 OPERCULECTOMY, EXCISION PERICORONAL TISSUES N 3 $13.45 06/01/1994 12/31/2299
41823 7 EXCISION OSSEOUS TUBEROSITIES N 3 $13.45 06/01/1994 12/31/2299
41825 2 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $35.00 08/01/1979 12/31/2299
41825 7 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $13.45 06/01/1994 12/31/2299
41826 2 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $133.67 01/01/2004 12/31/2299
41826 7 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $13.45 06/01/1994 12/31/2299
41827 2 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $180.00 01/02/1997 12/31/2299
41827 7 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $13.45 06/01/1994 12/31/2299
41827 F EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE); N 3 $306.00 03/01/2004 12/31/2299
41828 7 EXCISION OF HYPERPLASTIC ALVEOLAR MUCOSA, EACH SEX N 3 $13.45 06/01/1994 12/31/2299
41830 2 ALVEOLECTOMY, INCLUDING CURETTAGE OF OSTEITIS OR S N 3 $65.00 01/01/1990 12/31/2299
41830 7 ALVEOLECTOMY, INCLUDING CURETTAGE OF OSTEITIS OR S N 3 $13.45 06/01/1994 12/31/2299
41850 7 DESTRUCTION OF LESION (EXCEPT EXCISION) N 3 $13.45 06/01/1994 12/31/2299
41870 7 PERIODONTAL MUCOSAL GRAFTING N 3 $13.45 06/01/1994 12/31/2299
41872 2 GINGIVOPLASTY N 3 $139.71 01/01/1993 12/31/2299
41872 7 GINGIVOPLASTY N 3 $13.45 06/01/1994 12/31/2299
41872 8 GINGIVOPLASTY N 3 $27.94 01/01/1993 12/31/2299
41874 2 ALVEOPLASTY N 3 $40.00 01/01/1984 12/31/2299
41874 7 ALVEOPLASTY N 3 $13.45 06/01/1994 12/31/2299
41899 7 UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES N 3 $13.45 06/01/1994 12/31/2299
42000 2 DRAINAGE OF ABSCESS OF PALATE, UVULA N 3 $15.00 08/01/1979 12/31/2299
42000 7 DRAINAGE OF ABSCESS OF PALATE, UVULA N 3 $13.45 06/01/1994 12/31/2299
42000 F DRAINAGE OF ABSCESS OF PALATE, UVULA N 3 $306.00 03/01/2004 12/31/2299
42100 2 BIOPSY OF PALATE, UVULA N 3 $15.00 01/01/1973 12/31/2299
42100 7 BIOPSY OF PALATE, UVULA N 3 $13.45 06/01/1994 12/31/2299
42104 2 EXCISION LESION OF PALATE, UVULA; W/OUT CLOSURE N 3 $50.00 01/01/1984 12/31/2299
42104 7 EXCISION LESION OF PALATE, UVULA; W/OUT CLOSURE N 3 $13.45 06/01/1994 12/31/2299
42106 2 EXCISION LESION OF PALATE, UVULA; WITH SIMPLE PRIM N 3 $65.00 01/01/1984 12/31/2299
42106 7 EXCISION LESION OF PALATE, UVULA; WITH SIMPLE PRIM N 3 $13.45 06/01/1994 12/31/2299
42107 2 EXCISION LESION OF PALATE, UVULA; WITH LOCAL FLAP N 3 $150.00 01/01/1984 12/31/2299
42107 7 EXCISION LESION OF PALATE, UVULA; WITH LOCAL FLAP N 3 $13.45 06/01/1994 12/31/2299
42107 8 EXCISION LESION OF PALATE, N 3 $30.00 01/01/1984 12/31/2299
42107 F EXCISION LESION OF PALATE, UVULA; WITH LOCAL FLAP N 3 $306.00 03/01/2004 12/31/2299
42120 2 RESECTION PALATE OR EXTENSIVE RESECTION OF LESION N 3 $312.00 01/02/1994 12/31/2299
42120 7 RESECTION PALATE OR EXTENSIVE RESECTION OF LESION N 3 $13.45 06/01/1994 12/31/2299
42120 F RESECTION PALATE OR EXTENSIVE RESECTION OF LESION N 3 $432.00 03/01/2004 12/31/2299
42140 2 UVULECTOMY, EXCISION OF UVULA N 3 $15.00 01/01/1971 12/31/2299
42140 7 UVULECTOMY, EXCISION OF UVULA N 3 $13.45 06/01/1994 12/31/2299
42140 F UVULECTOMY, EXCISION OF UVULA N 3 $306.00 03/01/2004 12/31/2299
42145 2 PALATOPHARYNCOPLASTY(EG,UVULOPALATOPHARYNGOPLASTY,UVULOPHARYNOGOP N 3 $450.00 01/01/1984 12/31/2299
42145 7 PALATOPHARYNOCOPLASTY N 3 $13.45 06/01/1994 12/31/2299
42145 F PALATOPHARYNCOPLASTY(EG,UVULOPALATOPHARYNGOPLASTY,UVULOPHARYNOGOP N 3 $495.00 03/01/2004 12/31/2299
42160 7 DESTRUCTION OF LESION, PALATE OR UVULA (THERMAL, C N 3 $13.45 06/01/1994 12/31/2299
42180 7 REPAIR LACERATION OF PALATE; UP TO 2 CM N 3 $13.45 06/01/1994 12/31/2299
42180 F REPAIR LACERATION OF PALATE; UP TO 2 CM N 3 $225.80 03/01/2004 12/31/2299
42182 2 REPAIR LACERATION OF PALATE; OVER 2 CM OR COMPLEX N 3 $176.21 01/01/2004 12/31/2299
42182 7 REPAIR LACERATION OF PALATE; OVER 2 CM OR COMPLEX N 3 $13.45 06/01/1994 12/31/2299
42182 F REPAIR LACERATION OF PALATE; OVER 2 CM OR COMPLEX N 3 $306.00 03/01/2004 12/31/2299
42200 2 PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PA N 3 $500.00 01/02/1997 12/31/2299
42200 7 PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PA N 3 $13.45 06/01/1994 12/31/2299
42200 8 PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PA N 3 $80.00 01/01/1973 12/31/2299
42200 F PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PA N 3 $495.00 03/01/2004 12/31/2299
42205 2 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALV N 3 $552.00 01/02/1997 12/31/2299
42205 7 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALV N 3 $13.45 06/01/1994 12/31/2299
42205 8 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALV N 3 $100.00 01/01/1973 12/31/2299
42205 F PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALV N 3 $495.00 03/01/2004 12/31/2299
42210 2 PALATOPLASTY FOR CLEFT PALATE, W/BONE GRAFT TO ALV N 3 $720.00 01/02/1997 12/31/2299
42210 7 PALATOPLASTY FOR CLEFT PALATE, W/BONE GRAFT TO ALV N 3 $13.45 06/01/1994 12/31/2299
42210 8 PALATOPLASTY FOR CLEFT PALATE, W/BONE GRAFT TO ALV N 3 $110.00 01/01/1973 12/31/2299
42210 F PALATOPLASTY FOR CLEFT PALATE, W/BONE GRAFT TO ALV N 3 $495.00 03/01/2004 12/31/2299
42215 2 PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION N 3 $450.00 01/02/1997 12/31/2299
42215 7 PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION N 3 $13.45 06/01/1994 12/31/2299
42215 8 PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION N 3 $80.00 01/01/1973 12/31/2299
42215 F PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION N 3 $495.00 03/01/2004 12/31/2299
42220 2 PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENI N 3 $336.00 01/02/1997 12/31/2299
42220 7 PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENI N 3 $13.45 06/01/1994 12/31/2299
42220 F PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENI N 3 $495.00 03/01/2004 12/31/2299
42225 2 PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGE N 3 $444.00 01/02/1997 12/31/2299
42225 7 PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGE N 3 $13.45 06/01/1994 12/31/2299
42225 8 PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGE N 3 $80.00 09/10/1991 12/31/2299
42226 2 LENGTHENING OF PALATE, AND PHARYNGEAL FLAP N 3 $480.00 01/02/1997 12/31/2299
42226 7 LENGTHENING OF PALATE, AND PHARYNGEAL FLAP N 3 $13.45 06/01/1994 12/31/2299
42226 F LENGTHENING OF PALATE, AND PHARYNGEAL FLAP N 3 $495.00 03/01/2004 12/31/2299
42227 2 LENGTHENING OF PALATE, WITH ISLAND FLAP N 3 $438.00 01/02/1997 12/31/2299
42227 7 LENGTHENING OF PALATE, WITH ISLAND FLAP N 3 $13.45 06/01/1994 12/31/2299
42235 2 REPAIR ANTERIOR PALATE, INCLUDING VOMER FLAP N 3 $360.00 01/02/1997 12/31/2299
42235 7 REPAIR ANTERIOR PALATE, INCLUDING VOMER FLAP N 3 $13.45 06/01/1994 12/31/2299
42235 8 REPAIR ANTERIOR PALATE, INCLUDING VOMER FLAP N 3 $30.00 01/01/1984 12/31/2299
42235 F REPAIR ANTERIOR PALATE, INCLUDING VOMER FLAP N 3 $495.00 03/01/2004 12/31/2299
42260 7 REPAIR NASOLABIAL FISTULA N 3 $13.45 06/01/1994 12/31/2299
42260 F REPAIR NASOLABIAL FISTULA N 3 $432.00 03/01/2004 12/31/2299
42281 7 INSERTION OF PIN-RETAINED PALATAL PROSTHESIS N 3 $13.45 06/01/1994 12/31/2299
42299 7 UNLISTED PROCEDURE, PALATE, UVULA N 3 $13.45 06/01/1994 12/31/2299
42300 2 DRAINAGE ABSCESS; PAROTID, SIMPLE N 3 $35.00 01/01/1973 12/31/2299
42300 7 DRAINAGE ABSCESS; PAROTID, SIMPLE N 3 $13.45 06/01/1994 12/31/2299
42300 F DRAINAGE ABSCESS; PAROTID, SIMPLE N 3 $225.80 03/01/2004 12/31/2299
42305 7 DRAINAGE ABSCESS; PAROTID COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
42305 F DRAINAGE ABSCESS; PAROTID COMPLICATED N 3 $306.00 03/01/2004 12/31/2299
42310 2 DRAINAGE ABSCESS; SUBMAXILLARY OR SUBLINGUAL, INTR N 3 $30.00 08/01/1979 12/31/2299
42310 7 DRAINAGE ABSCESS; SUBMAXILLARY OR SUBLINGUAL, INTR N 3 $13.45 06/01/1994 12/31/2299
42310 F DRAINAGE ABSCESS; SUBMAXILLARY OR SUBLINGUAL, INTR N 3 $225.80 03/01/2004 12/31/2299
42320 2 DRAINAGE ABSCESS; SUBMAXILLARY, EXTERNAL N 3 $75.00 01/01/1973 12/31/2299
42320 7 DRAINAGE ABSCESS; SUBMAXILLARY, EXTERNAL N 3 $13.45 06/01/1994 12/31/2299
42320 F DRAINAGE ABSCESS; SUBMAXILLARY, EXTERNAL N 3 $225.80 03/01/2004 12/31/2299
42325 2 FISTULIZATION SUBLINGUAL SALIVARY CYST (RANULA); N 3 $40.00 01/01/1984 12/31/2005
42325 7 FISTULIZATION SUBLINGUAL SALIVARY CYST (RANULA); N 3 $13.45 06/01/1994 12/31/2005
42325 F FISTULIZATION SUBLINGUAL SALIVARY CYST (RANULA); N 3 $306.00 03/01/2004 12/31/2299
42326 7 FISTULIZATION SUBLINGUAL SALIVARY CYST (RANULA); W N 3 $13.45 06/01/1994 12/31/2005
42330 2 SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAX) SUBLINGUAL N 3 $60.00 08/01/1979 12/31/2299
42330 7 SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAX) SUBLINGUAL N 3 $13.45 06/01/1994 12/31/2299
42335 7 SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAX) OR SUBLINGU N 3 $13.45 06/01/1994 12/31/2299
42340 2 SIALOLITHOTOMY; PAROTID, EXTRAORAL OR COMPLICATED N 3 $150.00 08/01/1979 12/31/2299
42340 7 SIALOLITHOTOMY; PAROTID, EXTRAORAL OR COMPLICATED N 3 $13.45 06/01/1994 12/31/2299
42340 F SIALOLITHOTOMY; PAROTID, EXTRAORAL OR COMPLICATED N 3 $306.00 03/01/2004 12/31/2299
42400 2 BIOPSY SALIVARY GLAND; NEEDLE N 3 $20.00 01/01/1973 12/31/2299
42405 2 BIOPSY SALIVARY GLAND; INCISIONAL N 3 $50.00 01/01/1973 12/31/2299
42405 7 BIOPSY SALIVARY GLAND; INCISIONAL N 3 $13.45 06/01/1994 12/31/2299
42405 F BIOPSY SALIVARY GLAND; INCISIONAL N 3 $306.00 03/01/2004 12/31/2299
42408 2 EXCISION SUBLINGUAL SALIVARY CYST (RANULA) N 3 $192.00 01/01/1994 12/31/2299
42408 7 EXCISION SUBLINGUAL SALIVARY CYST (RANULA) N 3 $13.45 06/01/1994 12/31/2299
42408 8 EXCISION SUBLINGUAL SALIVARY CYST (RANULA) N 3 $38.40 01/01/1994 12/31/2299
42408 F EXCISION SUBLINGUAL SALIVARY CYST (RANULA) N 3 $351.00 03/01/2004 12/31/2299
42409 7 MARSUPIALIZATION SUBLINGUAL SALIVARY CYST (RANULA) N 3 $13.45 06/01/1994 12/31/2299
42409 F MARSUPIALIZATION SUBLINGUAL SALIVARY CYST (RANULA) N 3 $351.00 03/01/2004 12/31/2299
42410 2 EXCISION PAROTID TUMOR OR PAROTID GLAND; LATERAL L N 3 $150.00 01/01/1973 12/31/2299
42410 7 EXCISION PAROTID TUMOR OR PAROTID GLAND; LATERAL L N 3 $13.45 06/01/1994 12/31/2299
42410 8 EXCISION PAROTID TUMOR OR PAROTID GLAND; LATERAL L N 3 $30.00 01/01/1984 12/31/2299
42410 F EXCISION PAROTID TUMOR OR PAROTID GLAND; LATERAL L N 3 $351.00 03/01/2004 12/31/2299
42415 2 EXCISION PAROTID TUMOR OR PAROTID GLAND LATERL LOB N 3 $750.00 01/02/1995 12/31/2299
42415 7 EXCISION PAROTID TUMOR OR PAROTID GLAND LATERL LOB N 3 $13.45 06/01/1994 12/31/2299
42415 8 EXCISION PAROTID TUMOR OR PAROTID GLAND LATERL LOB N 3 $72.00 08/01/1979 12/31/2299
42415 F EXCISION PAROTID TUMOR OR PAROTID GLAND LATERL LOB N 3 $495.00 03/01/2004 12/31/2299
42420 2 EXCISION PAROTID TUMOR OR PAROTID GLAND; TOTAL W/D N 3 $450.00 01/01/1973 12/31/2299
42420 7 EXCISION PAROTID TUMOR OR PAROTID GLAND; TOTAL W/D N 3 $13.45 06/01/1994 12/31/2299
42420 8 EXCISION PAROTID TUMOR OR PAROTID GLAND; TOTAL W/D N 3 $90.00 01/01/1973 12/31/2299
42420 F EXCISION PAROTID TUMOR OR PAROTID GLAND; TOTAL W/D N 3 $495.00 03/01/2004 12/31/2299
42425 2 EX PAROTID TUMOR OR PAROTID GLAND; TOTAL EN BLOC R N 3 $300.00 01/01/1973 12/31/2299
42425 7 EX PAROTID TUMOR OR PAROTID GLAND; TOTAL EN BLOC R N 3 $13.45 06/01/1994 12/31/2299
42425 8 EX PAROTID TUMOR OR PAROTID GLAND; TOTAL EN BLOC R N 3 $60.00 01/01/1973 12/31/2299
42425 F EX PAROTID TUMOR OR PAROTID GLAND; TOTAL EN BLOC R N 3 $495.00 03/01/2004 12/31/2299
42426 2 EXCISION PAROTID TUMOR OR PAROTID GLAND; TOTAL W/U N 3 $828.83 01/01/2003 12/31/2299
42426 7 EXCISION PAROTID TUMOR OR PAROTID GLAND; N 3 $13.45 06/01/1994 12/31/2299
42440 2 EXCISION SUBMANDIBULAR (SUBMAXILLARY) GLAND N 3 $372.24 01/02/1996 12/31/2299
42440 7 EXCISION SUBMANDIBULAR (SUBMAXILLARY) GLAND N 3 $13.45 06/01/1994 12/31/2299
42440 8 EXCISION SUBMANDIBULAR (SUBMAXILLARY) GLAND N 3 $74.44 01/02/1996 12/31/2299
42440 F EXCISION SUBMANDIBULAR (SUBMAXILLARY) GLAND N 3 $351.00 03/01/2004 12/31/2299
42450 2 EXCISION SUBLINGUAL GLAND N 3 $168.00 01/03/1992 12/31/2299
42450 7 EXCISION SUBLINGUAL GLAND N 3 $13.45 06/01/1994 12/31/2299
42450 F EXCISION SUBLINGUAL GLAND N 3 $306.00 03/01/2004 12/31/2299
42500 2 PLASTIC REPAIR SALIVARY DUCT, SIALODOCHOPLASTY; PR N 3 $175.00 08/01/1979 12/31/2299
42500 7 PLASTIC REPAIR SALIVARY DUCT, SIALODOCHOPLASTY; PR N 3 $13.45 06/01/1994 12/31/2299
42500 F PLASTIC REPAIR SALIVARY DUCT, SIALODOCHOPLASTY; PR N 3 $351.00 03/01/2004 12/31/2299
42505 2 PLASTIC REPAIR SALIVARY DUCT, SIALODOCHOPLASTY; SE N 3 $294.00 01/03/1992 12/31/2299
42505 7 PLASTIC REPAIR SALIVARY DUCT, SIALODOCHOPLASTY; SE N 3 $13.45 06/01/1994 12/31/2299
42505 F PLASTIC REPAIR SALIVARY DUCT, SIALODOCHOPLASTY; SE N 3 $432.00 03/01/2004 12/31/2299
42507 7 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $13.45 06/01/1994 12/31/2299
42507 F PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $351.00 03/01/2004 12/31/2299
42508 7 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $13.45 06/01/1994 12/31/2299
42508 F PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $432.00 03/01/2004 12/31/2299
42509 2 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $402.00 01/02/1994 12/31/2299
42509 7 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $13.45 06/01/1994 12/31/2299
42509 F PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROC N 3 $432.00 03/01/2004 12/31/2299
42510 7 PAROTID DUCT DIVERSION, BILATERAL; WITH LIGATION O N 3 $13.45 06/01/1994 12/31/2299
42510 F PAROTID DUCT DIVERSION, BILATERAL; WITH LIGATION O N 3 $432.00 03/01/2004 12/31/2299
42550 2 INJECTION PROCEDURE FOR SIALOGRAPHY N 3 $10.00 01/01/1973 12/31/2299
42600 7 CLOSURE SALIVARY FISTULA N 3 $13.45 06/01/1994 12/31/2299
42600 F CLOSURE SALIVARY FISTULA N 3 $225.80 03/01/2004 12/31/2299
42650 2 DILATION SALIVARY DUCT N 3 $10.00 01/01/1973 12/31/2299
42650 7 DILATION SALIVARY DUCT N 3 $13.45 06/01/1994 12/31/2299
42660 2 DILATION AND CATHETERIZATION OF SALIVARY DUCT, WIT N 3 $25.00 01/01/1984 12/31/2299
42660 7 DILATION AND CATHETERIZATION OF SALIVARY DUCT, WIT N 3 $13.45 06/01/1994 12/31/2299
42665 2 LIGATION SALIVARY DUCT, INTRAORAL N 3 $75.00 01/01/1984 12/31/2299
42665 7 LIGATION SALIVARY DUCT, INTRAORAL N 3 $13.45 06/01/1994 12/31/2299
42699 7 UNLISTED PROCEDURE, SALIVARY GLANDS OR DUCTS N 3 $13.45 06/01/1994 12/31/2299
42700 2 INCISION AND DRAINAGE ABSCESS; PERITONSILLAR N 3 $48.00 01/01/1995 12/31/2299
42700 7 INCISION AND DRAINAGE ABSCESS; PERITONSILLAR N 3 $13.45 06/01/1994 12/31/2299
42700 F INCISION AND DRAINAGE ABSCESS; PERITONSILLAR N 3 $225.80 03/01/2004 12/31/2299
42720 2 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR N 3 $60.00 01/01/1973 12/31/2299
42720 7 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR N 3 $13.45 06/01/1994 12/31/2299
42720 F INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR N 3 $225.80 03/01/2004 12/31/2299
42725 2 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR N 3 $438.54 01/01/2003 12/31/2299
42725 7 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR N 3 $13.45 06/01/1994 12/31/2299
42800 2 BIOPSY; OROPHARYNX N 3 $30.00 08/01/1979 12/31/2299
42800 7 BIOPSY; OROPHARYNX N 3 $13.45 06/01/1994 12/31/2299
42802 2 BIOPSY; HYPOPHARYNX N 3 $96.25 01/01/2003 12/31/2299
42802 7 BIOPSY; HYPOPHARYNX N 3 $13.45 06/01/1994 12/31/2299
42802 F BIOPSY; HYPOPHARYNX N 3 $225.80 03/01/2004 12/31/2299
42804 2 BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE N 3 $20.00 01/01/1984 12/31/2299
42804 7 BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE N 3 $13.45 06/01/1994 12/31/2299
42804 F BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE N 3 $225.80 03/01/2004 12/31/2299
42806 2 BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LE N 3 $60.00 01/01/1984 12/31/2299
42806 7 BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LE N 3 $13.45 06/01/1994 12/31/2299
42806 F BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LE N 3 $306.00 03/01/2004 12/31/2299
42808 2 EXCISION OF LESION OF PHARYNX N 3 $95.40 01/02/1992 12/31/2299
42808 7 EXCISION OF LESION OF PHARYNX N 3 $13.45 06/01/1994 12/31/2299
42808 F EXCISION OF LESION OF PHARYNX N 3 $306.00 03/01/2004 12/31/2299
42809 2 REMOVAL OF FOREIGN BODY FROM PHARYNX N 3 $40.00 01/01/1984 12/31/2299
42809 7 REMOVAL OF FOREIGN BODY FROM PHARYNX N 3 $13.45 06/01/1994 12/31/2299
42810 2 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; CONFINED N 3 $100.00 01/01/1973 12/31/2299
42810 7 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; CONFINED N 3 $13.45 06/01/1994 12/31/2299
42810 F EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; CONFINED N 3 $351.00 03/01/2004 12/31/2299
42815 2 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; EXTENDIN N 3 $250.00 01/01/1973 12/31/2299
42815 7 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; N 3 $13.45 06/01/1994 12/31/2299
42815 8 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; N 3 $50.00 01/01/1973 12/31/2299
42815 F EXCISION BRANCHIAL CLEFT CYST OR VESTIGE; EXTENDIN N 3 $495.00 03/01/2004 12/31/2299
42820 2 TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12 N 3 $179.00 01/02/1992 12/31/2299
42820 7 TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12 N 3 $13.45 06/01/1994 12/31/2299
42820 F TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12 N 3 $351.00 03/01/2004 12/31/2299
42821 2 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER N 3 $215.00 01/02/1992 12/31/2299
42821 7 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER N 3 $13.45 06/01/1994 12/31/2299
42821 F TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER N 3 $495.00 03/01/2004 12/31/2299
42825 2 TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER AGE 12 N 3 $156.00 01/02/1992 12/31/2299
42825 7 TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER AGE 12 N 3 $13.45 06/01/1994 12/31/2299
42825 F TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER AGE 12 N 3 $432.00 03/01/2004 12/31/2299
42826 2 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVE N 3 $230.00 01/02/1992 12/31/2299
42826 7 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVE N 3 $13.45 06/01/1994 12/31/2299
42826 F TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVE N 3 $432.00 03/01/2004 12/31/2299
42830 2 ADENOIDECTOMY, PRIMARY; UNDER AGE 12 N 3 $94.00 01/02/1992 12/31/2299
42830 7 ADENOIDECTOMY, PRIMARY; UNDER AGE 12 N 3 $13.45 06/01/1994 12/31/2299
42830 F ADENOIDECTOMY, PRIMARY; UNDER AGE 12 N 3 $432.00 03/01/2004 12/31/2299
42831 2 ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER N 3 $70.00 01/01/1973 12/31/2299
42831 7 ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER N 3 $13.45 06/01/1994 12/31/2299
42831 F ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER N 3 $432.00 03/01/2004 12/31/2299
42835 2 ADENOIDECTOMY, SECONDARY; UNDER AGE 12 N 3 $103.00 01/02/1996 12/31/2299
42835 7 ADENOIDECTOMY, SECONDARY; UNDER AGE 12 N 3 $13.45 06/01/1994 12/31/2299
42835 F ADENOIDECTOMY, SECONDARY; UNDER AGE 12 N 3 $432.00 03/01/2004 12/31/2299
42836 2 ADENOIDECTOMY, SECONDARY; UNDER AGE 12 N 3 $70.00 01/01/1984 12/31/2299
42836 7 ADENOIDECTOMY, SECONDARY; AGE 12 OR OVER N 3 $13.45 06/01/1994 12/31/2299
42836 F ADENOIDECTOMY, SECONDARY; UNDER AGE 12 N 3 $432.00 03/01/2004 12/31/2299
42842 7 RADICAL RESEC OF TONSIL,TONSILLAR PILLARS,&/OR RET N 3 $13.45 06/01/1994 12/31/2299
42844 7 RAD RESEC OF TONSIL,TONSILLAR PILLARS,&/OR RETROMO N 3 $13.45 06/01/1994 12/31/2299
42845 7 RAD RESEC OF TONSIL,TONSILLAR PILLARS,&/OR RETROMO N 3 $13.45 06/01/1994 12/31/2299
42860 2 EXCISION OF TONSIL TAGS N 3 $70.00 01/01/1973 12/31/2299
42860 7 EXCISION OF TONSIL TAGS N 3 $13.45 06/01/1994 12/31/2299
42860 F EXCISION OF TONSIL TAGS N 3 $351.00 03/01/2004 12/31/2299
42870 2 EXCISION LINGUAL TONSIL (SEPARATE PROCEDURE) N 3 $120.00 01/01/1973 12/31/2299
42870 7 EXCISION LINGUAL TONSIL (SEPARATE PROCEDURE) N 3 $13.45 06/01/1994 12/31/2299
42870 F EXCISION LINGUAL TONSIL (SEPARATE PROCEDURE) N 3 $351.00 03/01/2004 12/31/2299
42880 2 EXCISION NASOPHARYNGEAL LESION (EG, FIBROMA) N 3 $264.00 01/02/1994 12/31/2299
42880 7 EXCISION NASOPHARYNGEAL LESION (EG, FIBROMA) N 3 $13.45 06/01/1994 12/31/2299
42890 2 LIMITED PHARYNGECTOMY N 3 $526.72 01/01/2004 12/31/2299
42890 7 LIMITED PHARYNGECTOMY N 3 $13.45 06/01/1994 12/31/2299
42890 8 LIMITED PHARYNGECTOMY N 3 $129.64 01/01/2005 12/31/2299
42890 F LIMITED PHARYNGECTOMY N 3 $495.00 03/01/2004 12/31/2299
42892 7 RESEC OF LAT PHARYN WALL OR PYRIFORM SINUS,DIR CLO N 3 $13.45 06/01/1994 12/31/2299
42892 F RESEC OF LAT PHARYN WALL OR PYRIFORM SINUS,DIR CLO N 3 $495.00 03/01/2004 12/31/2299
42894 2 RESECTION OF PHARYNGEAL WALL REQUIRING CLOSURE WITH MYOCUTANEOUS N 3 $912.00 01/03/1997 12/31/2299
42894 7 RESECTION OF PHARYNGEAL WALL REQUIRING CLOSURE WIT N 3 $13.45 06/01/1994 12/31/2299
42894 8 ASSISTANT,RESECTION OF PHARYNGEAL WALL REQUIREING CLOSING W/MYOCT N 3 $182.00 01/02/1997 12/31/2299
42895 7 LIMITED PHARYNGECTOMY; W/RADICAL NECK DISSECTION N 3 $13.45 06/01/1994 12/31/2299
42900 7 SUTURE PHARYNX FOR WOUND OR INJURY N 3 $13.45 06/01/1994 12/31/2299
42900 F SUTURE PHARYNX FOR WOUND OR INJURY N 3 $225.80 03/01/2004 12/31/2299
42950 2 PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATIO N 3 $336.46 01/01/2003 12/31/2299
42950 7 PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATIO N 3 $13.45 06/01/1994 12/31/2299
42953 7 PHARYNGOESOPHAGEAL REPAIR N 3 $13.45 06/01/1994 12/31/2299
42955 2 PHARYNGOSTOMY (FISTULIZATION OF PHARYNX, EXTERNAL N 3 $100.00 01/01/1984 12/31/2299
42955 7 PHARYNGOSTOMY (FISTULIZATION OF PHARYNX, EXTERNAL N 3 $13.45 06/01/1994 12/31/2299
42955 F PHARYNGOSTOMY (FISTULIZATION OF PHARYNX, EXTERNAL N 3 $306.00 03/01/2004 12/31/2299
42960 2 3ONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $84.00 01/02/1994 12/31/2299
42960 7 CONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $13.45 06/01/1994 12/31/2299
42960 F 3ONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $225.80 03/01/2004 12/31/2299
42961 2 CONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $50.00 01/01/1984 12/31/2299
42961 7 CONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $13.45 06/01/1994 12/31/2299
42962 2 CONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $251.40 01/02/1992 12/31/2299
42962 7 CONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $13.45 06/01/1994 12/31/2299
42962 F CONTROL OROPHARYNGEAL HEMORRHAGE (PRIMARY OR SECON N 3 $306.00 03/01/2004 12/31/2299
42970 2 CNTRL OF NSOPHAR HMRG PRI OR SEC PSTADNOIEC SIMP W N 3 $212.18 01/01/2002 12/31/2299
42971 7 CONTROL OF NSOPHARG HMRG PRIM OR SEC POSTADNOIDECT N 3 $13.45 06/01/1994 12/31/2299
42972 2 CONTROL OF NASOPHARYNGEAL HEMORRHAGE (PRIMARY OR S N 3 $292.06 01/01/2003 12/31/2299
42972 7 CONTROL OF NASOPHARYNGEAL HEMORRHAGE (PRIMARY OR S N 3 $13.45 06/01/1994 12/31/2299
42972 F CONTROL OF NASOPHARYNGEAL HEMORRHAGE (PRIMARY OR S N 3 $351.00 03/01/2004 12/31/2299
42999 7 UNLISTED PROCEDURE, PHARYNX, ADENOIDS, OR TONSILS N 3 $13.45 06/01/1994 12/31/2299
43020 2 ESOPHAGOTOMY, CERVICAL APPROACH; W/REMOVAL OF FORE N 3 $350.00 01/01/1973 12/31/2299
43020 7 ESOPHAGOTOMY, CERVICAL APPROACH; W/REMOVAL OF FORE N 3 $13.45 06/01/1994 12/31/2299
43020 8 ESOPHAGOTOMY, CERVICAL APPROACH; W/REMOVAL OF FORE N 3 $70.00 01/01/1973 12/31/2299
43030 2 CRICOPHARYNGEAL MYOTOMY N 3 $300.00 01/01/1984 12/31/2299
43030 7 CRICOPHARYNGEAL MYOTOMY N 3 $13.45 06/01/1994 12/31/2299
43030 8 CRICOPHARYNGEAL MYOTOMY N 3 $60.00 01/01/1984 12/31/2299
43045 2 ESOPHAGOTOMY, THORACIC APPROACH; W/REMOVAL OF FORE N 3 $475.00 01/01/1973 12/31/2299
43045 7 ESOPHAGOTOMY, THORACIC APPROACH; W/REMOVAL OF FORE N 3 $13.45 06/01/1994 12/31/2299
43045 8 ESOPHAGOTOMY, THORACIC APPROACH; W/REMOVAL OF FORE N 3 $95.00 01/01/1973 12/31/2299
43100 2 EXCISION OF LOCAL LESION, ESOPHAGUS, WITH PRIMARY N 3 $475.00 01/01/1973 12/31/2299
43100 7 EXCISION OF LOCAL LESION, ESOPHAGUS, WITH PRIMARY N 3 $13.45 06/01/1994 12/31/2299
43100 8 EXCISION OF LOCAL LESION, ESOPHAGUS, WITH PRIMARY N 3 $95.00 01/01/1973 12/31/2299
43101 7 EXCISION OF LOCAL LESION, ESOPHAGUS, WITH PRIMARY N 3 $13.45 06/01/1994 12/31/2299
43107 2 TOTAL OR NEAR TOTAL ESOPHAGECTOMY N 3 $1,206.00 01/01/1995 12/31/2299
43107 7 TOTAL OR NEAR TOTAL ESOPHAGECTOMY N 3 $13.45 01/01/1995 12/31/2299
43107 8 ASSIST.SURGEON,TOTAL OR NEAR TOTAL ESOPHAGECTOMY N 3 $241.20 01/01/1998 12/31/2299
43108 2 ESOPHAGECTOMY WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCT N 3 $1,450.00 01/01/1995 12/31/2299
43108 7 ANESTHESIA,WITH COLON INTERPOSITION OR SMALL BOWEL N 3 $13.45 01/01/1998 12/31/2299
43108 8 ASSIST.SURGEON-WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUC N 3 $290.00 01/01/1998 12/31/2299
43110 7 ESOPHAGECTOMY (AT UPPER TWO-THIRDS LEVEL) AND GAST N 3 $13.45 06/01/1994 12/31/2299
43112 2 ESOPHAGECTOMY WITH THORACOTOMY N 3 $1,284.00 01/01/1995 12/31/2299
43112 7 ANESTHESIA,TOTAL OR NEAR TOTAL ESOPHAGECTOMY,WITH THORACOTOMY N 3 $13.45 01/01/1998 12/31/2299
43112 8 ASSIST.FEE-TOTAL OR NEAR TOTAL ESOPHAGECTOMY,WITH THORACOTOMY N 3 $256.80 01/01/1998 12/31/2299
43113 2 ESOPHAGECTOMY WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCT N 3 $1,473.00 01/01/1995 12/31/2299
43113 7 ANESTHESIA-WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCTION N 3 $13.45 01/01/1998 12/31/2299
43113 8 ASSIST.FEE-WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCTION N 3 $294.60 01/01/1998 12/31/2299
43116 2 PARTIAL ESOPHAGECTOMY, CERVICAL, WITH FREE INTESTINAL GRAFT N 3 $1,382.00 01/01/1995 12/31/2299
43116 7 ANESTHESIA-PARTIAL ESOPHAGECTOMY,CERVICAL,WITH FREE INTESTINAL GR N 3 $13.45 01/01/1998 12/31/2299
43116 8 ASSIST.FEE PARTIAL ESOPHAGECTOMY,CERVICAL,WITH FREE INTESTINAL GR N 3 $276.40 01/01/1998 12/31/2299
43117 2 PARTIAL ESOPHAGECTOMY, DISTAL TWO THIRDS N 3 $1,354.00 01/01/1995 12/31/2299
43117 7 ANESTHESIA,PARTIAL ESOPHAGECTOMY,DISTAL TWO THIRDS N 3 $13.45 01/01/1995 12/31/2299
43117 8 ASSIST.SURGEON -PARTIAL ESOPHAGECTOMY,DISTAL TWO THIRDS N 3 $271.00 01/01/1995 12/31/2299
43118 2 PARTIAL ESOPHAGECTOMY, WITH COLON INTERPOSITION OR SMALL BOWEL N 3 $1,427.00 01/01/1995 12/31/2299
43118 7 ANESTHESIA-WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCTION N 3 $13.45 01/01/1998 12/31/2299
43118 8 ASSIST.SURGEON-WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUC N 3 $285.40 01/01/1998 12/31/2299
43121 2 PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY ONLY, N 3 $1,152.00 01/01/1998 12/31/2299
43121 7 ANESTHESIA, PARTIAL ESOPHAGECTOMY, DISTAL TOW-THIRDS, WITH THORAC N 3 $13.45 01/01/1998 12/31/2299
43121 8 ASSISTANT FEE,PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THOR N 3 $231.00 01/01/1998 12/31/2299
43122 2 PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL N 3 $1,231.00 01/01/1995 12/31/2299
43122 7 ANESTHESIA-PARTIAL ESOPHAGECTOMY,THORACOABDOMINAL OR ABDOMINAL AP N 3 $13.45 01/01/1998 12/31/2299
43122 8 ASSISTANT FEE-PARTIAL ESOPHAGECTOMY,THORACOABDOMINAL OR ABDOMINAL N 3 $246.20 01/01/1998 12/31/2299
43123 2 PARTIAL ESOPHAGECTOMY, WITH COLON INTERPOSITION OR SMALL BOWELL N 3 $1,427.00 01/01/1995 12/31/2299
43123 7 ANESTHESIA-WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTRUCTION N 3 $13.45 01/01/1998 12/31/2299
43123 8 ASSIST.SURGEON - WITH COLON INTERPOSITION OR SMALL BOWEL RECONSTR N 3 $285.40 01/01/1998 12/31/2299
43124 2 TOTAL OR PARTIAL ESOPHAGECTOMY, WITHOUT RECONSTRUCTION N 3 $1,177.00 01/01/1995 12/31/2299
43124 7 ANESTHESIA-TOTAL OR PARTIAL ESOPHAGECTOMY,WITHOUT RECONSTRUCTION N 3 $13.45 01/01/1998 12/31/2299
43124 8 ASSIST.SURGEON-TOTAL OR PARTIAL ESOPHAGECTOMY,WITHOUT RECONSTRUCT N 3 $235.40 01/01/1998 12/31/2299
43127 2 PARTIAL ESOPHAGECTOMY, DISTAL TWO THIRDS, WITH THORACOTOMY N 3 $1,231.00 01/01/1995 12/31/2299
43130 2 DIVERTICULECTOMY HYPOPHARYNX OR ESOPHAGUS, W/WOUT N 3 $350.00 01/01/1973 12/31/2299
43130 7 DIVERTICULECTOMY HYPOPHARYNX OR ESOPHAGUS, W/WOUT N 3 $13.45 06/01/1994 12/31/2299
43130 8 DIVERTICULECTOMY HYPOPHARYNX OR ESOPHAGUS, W/WOUT N 3 $70.00 01/01/1973 12/31/2299
43135 2 DIVERTICULECTOMY HYPOPHARYNX OR ESOPHAGUS, W/WOUT N 3 $500.00 01/01/1973 12/31/2299
43135 7 DIVERTICULECTOMY HYPOPHARYNX OR ESOPHAGUS, W/WOUT N 3 $13.45 06/01/1994 12/31/2299
43135 8 DIVERTICULECTOMY HYPOPHARYNX OR ESOPHAGUS, W/WOUT N 3 $100.00 01/01/1973 12/31/2299
43200 2 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); DIAG N 3 $115.00 08/01/1979 12/31/2299
43200 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); DIAG N 3 $13.45 06/01/1994 12/31/2299
43200 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); DIAG N 3 $225.80 03/01/2004 12/31/2299
43201 1 ESOPHAGOSCOPY RIGID/FLEXIBLE W/DIRECT SUBMUCOSAL INJ ANY SUB N 3 $141.61 01/01/2003 12/31/2299
43201 2 ESOPHAGOSCOPY RIGID/FLEXIBLE W/DIRECT SUBMUCOSAL INJ ANY S N 3 $141.61 01/01/2003 12/31/2299
43202 2 ESOPHAGSCPY, RIGD OR FIBROPTC (SPECIFY); W/BX &/OR N 3 $130.00 08/01/1979 12/31/2299
43202 7 ESOPHAGSCPY, RIGD OR FIBROPTC (SPECIFY); W/BX &/OR N 3 $13.45 06/01/1994 12/31/2299
43202 F ESOPHAGSCPY, RIGD OR FIBROPTC (SPECIFY); W/BX &/OR N 3 $225.80 03/01/2004 12/31/2299
43204 2 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC(SPECIFY);WITH I N 3 $135.00 01/01/1984 12/31/2299
43204 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC(SPECIFY);WITH I N 3 $13.45 06/01/1994 12/31/2299
43204 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC(SPECIFY);WITH I N 3 $225.80 03/01/2004 12/31/2299
43205 2 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; N 3 $128.59 01/01/1994 12/31/2299
43205 F ESOPHAGOSCOPY, RIGID OR FLEXIBLE; N 3 $225.80 03/01/2004 12/31/2299
43215 2 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/RE N 3 $144.00 08/01/1979 12/31/2299
43215 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/RE N 3 $13.45 06/01/1994 12/31/2299
43215 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/RE N 3 $225.80 03/01/2004 12/31/2299
43216 2 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; N 3 $140.18 01/01/1994 12/31/2299
43216 F ESOPHAGOSCOPY, RIGID OR FLEXIBLE; N 3 $225.80 03/01/2004 12/31/2299
43217 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/RE N 3 $13.45 06/01/1994 12/31/2299
43217 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/RE N 3 $225.80 03/01/2004 12/31/2299
43218 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/IR N 3 $13.45 06/01/1994 12/31/2299
43219 2 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/IN N 3 $140.00 01/01/1984 12/31/2299
43219 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/IN N 3 $13.45 06/01/1994 12/31/2299
43219 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/IN N 3 $225.80 03/01/2004 12/31/2299
43220 2 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/DI N 3 $120.00 01/01/1971 12/31/2299
43220 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/DI N 3 $13.45 06/01/1994 12/31/2299
43220 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); W/DI N 3 $225.80 03/01/2004 12/31/2299
43221 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; DIAGNOSTIC N 3 $13.45 06/01/1994 12/31/2299
43222 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/BX &/OR SPECI B N 3 $13.45 06/01/1994 12/31/2299
43223 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/REMOVAL OF FORE N 3 $13.45 06/01/1994 12/31/2299
43224 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/REMOVAL OF POLY N 3 $13.45 06/01/1994 12/31/2299
43225 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/RPR OF HYPOPHAR N 3 $13.45 06/01/1994 12/31/2299
43226 2 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/INSERTION OF WI N 3 $125.00 01/01/1984 12/31/2299
43226 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/INSERTION OF WI N 3 $13.45 06/01/1994 12/31/2299
43226 F ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/INSERTION OF WI N 3 $225.80 03/01/2004 12/31/2299
43227 2 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); WITH N 3 $117.01 01/01/2002 12/31/2299
43227 7 ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); WITH N 3 $13.45 06/01/1994 12/31/2299
43227 F ESOPHAGOSCOPY, RIGID OR FIBEROPTIC (SPECIFY); WITH N 3 $306.00 03/01/2004 12/31/2299
43228 2 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/FULGURATION OF N 3 $200.00 01/01/1984 12/31/2299
43228 7 ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/FULGURATION OF N 3 $13.45 06/01/1994 12/31/2299
43228 F ESOPHAGOGASTROSCOPY, FIBEROPTIC; W/FULGURATION OF N 3 $306.00 03/01/2004 12/31/2299
43231 2 ESOPAGOSCOPY RIGID OR FLEXIBLE W/ENDOSCOP.ULTRAS.EXAM. N 3 $141.32 01/01/2001 12/31/2299
43231 F ESOPAGOSCOPY RIGID OR FLEXIBLE W/ENDOSCOP.ULTRAS.EXAM. N 3 $306.00 03/01/2004 12/31/2299
43232 2 ESOPHAG.RIGID OR FLEX.W/TRANSENDOSCOPIC ULTRASOUND GUIDED N 3 $164.26 01/01/2001 12/31/2299
43232 F ESOPHAG.RIGID OR FLEX.W/TRANSENDOSCOPIC ULTRASOUND GUIDED N 3 $306.00 03/01/2004 12/31/2299
43234 2 UPPER GASTROINTESTINAL ENDOSCOPY SIMPLE PRIM EXAM N 3 $100.00 01/01/1984 12/31/2299
43234 7 ANESTHESIA, UPPER GASTROINTESTINAL ENDOSCOPY SIMPLE PRIM EXAM N 3 $13.45 01/01/1997 12/31/2299
43234 F UPPER GASTROINTESTINAL ENDOSCOPY SIMPLE PRIM EXAM N 3 $225.80 03/01/2004 12/31/2299
43235 2 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS,ST N 3 $150.00 08/01/1979 12/31/2299
43235 7 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS,ST N 3 $13.45 06/01/1994 12/31/2299
43235 F UPPER GASTROINESTINAL ENDOSCOPY INCL ESOPHAGUS, ST N 3 $225.80 03/01/2004 12/31/2299
43236 1 UPPER GASTROINTESTINAL ENDOSCOPY INC ESOPHAGUS,STOMACH N 3 $172.94 01/01/2003 12/31/2299
43236 2 UPPER GASTROINTESTINAL ENDOSCOPY INC ESOPHAGUS,STOMACH N 3 $172.94 01/01/2003 12/31/2299
43237 2 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH AN N 3 $131.65 01/01/2004 12/31/2299
43238 2 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS, STOMACH, AND EI N 3 $163.26 01/01/2004 12/31/2299
43239 2 ESOPHAGOGASTRODUODENOSCOPY; W/BX &/OR COLLEC OF SP N 3 $126.00 01/01/1998 12/31/2299
43239 7 ESOPHAGOGASTRODUODENOSCOPY; W/BX &/OR COLLEC OF SP N 3 $13.45 06/01/1994 12/31/2299
43239 F ESOPHAGOGASTRODUODENOSCOPY; W/BX &/OR COLLEC OF SP N 3 $306.00 03/01/2004 12/31/2299
43240 2 UPPER GASTROIN.ENDOSCOPY INCLUD.ESOPH.STOMA.AND EITHER THE N 3 $249.17 01/01/2001 12/31/2299
43240 F UPPER GASTROIN.ENDOSCOPY INCLUD.ESOPH.STOMA.AND EITHER THE N 3 $306.00 03/01/2004 12/31/2299
43241 2 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS,STOMACH N 3 $175.00 01/01/1984 12/31/2299
43241 7 UPPER GASTROINTESTSTINAL ENDOSCOPY INCLUDING ESOPHAGUS,STOMACH N 3 $13.45 06/01/1994 12/31/2299
43241 F UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS,STOMACH N 3 $306.00 03/01/2004 12/31/2299
43242 2 UPPER GASTROIN.ENDOSCOP.INCLU.ESOPH.STOM.AND EITHER N 3 $178.91 01/01/2001 12/31/2299
43242 F UPPER GASTROIN.ENDOSCOP.INCLU.ESOPH.STOM.AND EITHER N 3 $306.00 03/01/2004 12/31/2299
43243 2 FOR INJECTION SCLEROSIS ESOPHAGEAL &/ GASTRIC VRCS N 3 $200.00 01/01/1990 12/31/2299
43243 7 FOR INJECTION SCLEROSIS ESOPHAGEAL &/ GASTRIC VRCS N 3 $13.45 06/01/1994 12/31/2299
43243 F FOR INJECTION SCLEROSIS ESOPHAGEAL &/ GASTRIC VRCS N 3 $306.00 03/01/2004 12/31/2299
43244 2 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $155.91 01/01/1994 12/31/2299
43244 F UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $306.00 03/01/2004 12/31/2299
43245 2 UPPER GI ENDOSCOPY WITH DILATION GASTRIC OUTLET N 3 $175.00 01/01/1984 12/31/2299
43245 7 UPER GI ENDOSCOPY WITH DILATION GASTRIC OUTLET N 3 $13.45 06/01/1994 12/31/2299
43245 F UPPER GI ENDOSCOPY WITH DILATION GASTRIC OUTLET N 3 $306.00 03/01/2004 12/31/2299
43246 2 UPPER G.I. ENDOSCOPY FOR PLCMNT OF PERCUT GAS TUBE N 3 $150.00 01/01/1984 12/31/2299
43246 7 ANESTHESIOLOGIST PERCUTANEOUS GASTROSTOMY TUBE N 3 $13.45 06/01/1994 12/31/2299
43246 8 AASSISTANT UPPER G.I. ENDOSCOPY FOR PLCMNT OF PERCUT GAS TUBE N 3 $30.00 01/02/1994 12/31/2299
43246 F UPPER G.I. ENDOSCOPY FOR PLCMNT OF PERCUT GAS TUBE N 3 $306.00 03/01/2004 12/31/2299
43247 2 ESOPHAGOGASTRODUODENOSCOPY; W/REMOVAL OF FOREIGN B N 3 $120.00 08/01/1979 12/31/2299
43247 7 ESOPHAGOGASTRODUODENOSCOPY; W/REMOVAL OF FOREIGN B N 3 $13.45 06/01/1994 12/31/2299
43247 F ESOPHAGOGASTRODUODENOSCOPY; W/REMOVAL OF FOREIGN B N 3 $306.00 03/01/2004 12/31/2299
43248 2 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $107.29 01/01/1994 12/31/2299
43248 F UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $306.00 03/01/2004 12/31/2299
43249 2 UPPER GASTROINTESTINAL ENDOSCOPY WITH BALLOON DILATION N 3 $143.00 01/01/1995 12/31/2299
43249 F UPPER GASTROINTESTINAL ENDOSCOPY WITH BALLOON DILATION N 3 $306.00 03/01/2004 12/31/2299
43250 2 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $239.39 01/01/1994 12/31/2299
43250 F UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $306.00 03/01/2004 12/31/2299
43251 2 ESOPHAGOGASTRODUODENOSCOPY; W/REMOVAL OF POLYP(S) N 3 $180.00 01/01/1984 12/31/2299
43251 7 ESOPHAGOGASTRODUODENOSCOPY; W/REMOVAL OF POLYP(S) N 3 $13.45 06/01/1994 12/31/2299
43251 F ESOPHAGOGASTRODUODENOSCOPY; W/REMOVAL OF POLYP(S) N 3 $306.00 03/01/2004 12/31/2299
43255 2 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS,ST N 3 $170.00 01/01/1984 12/31/2299
43255 7 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS,ST N 3 $13.45 06/01/1994 12/31/2299
43255 F UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS,ST N 3 $306.00 03/01/2004 12/31/2299
43256 2 UPPER GASTROIN.ENDOSCOP.INCLU.ESOPH.STOMA.AND EITHER THE N 3 $140.99 01/01/2001 12/31/2299
43256 F UPPER GASTROIN.ENDOSCOP.INCLU.ESOPH.STOMA.AND EITHER THE N 3 $351.00 03/01/2004 12/31/2299
43257 2 ENDOSCOPY GASTROINTESTINAL ESOPHAGUS, STOMACH Y 3 $184.25 01/01/2005 12/31/2299
43257 7 ENDOSCOPY GASTROINTESTINAL ESOPHAGUS,STOMACH,DUODENUM Y 3 $13.45 01/01/2005 12/31/2299
43258 2 ESOPHAGOGASTRODUODENOSCOPY; W/FULGURATION OF MUCOS N 3 $145.90 01/01/2003 12/31/2299
43258 7 ESOPHAGOGASTRODUODENOSCOPY; W/FULGURATION OF MUCOS N 3 $13.45 06/01/1994 12/31/2299
43258 F ESOPHAGOGASTRODUODENOSCOPY; W/FULGURATION OF MUCOS N 3 $351.00 03/01/2004 12/31/2299
43259 2 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $133.25 01/01/1994 12/31/2299
43259 F UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAG N 3 $351.00 03/01/2004 12/31/2299
43260 2 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY(ERC N 3 $200.00 08/01/1979 12/31/2299
43260 7 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY(ERC N 3 $13.45 06/01/1994 12/31/2299
43260 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY(ERC N 3 $306.00 03/01/2004 12/31/2299
43261 2 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $263.99 01/01/1994 12/31/2299
43261 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $306.00 03/01/2004 12/31/2299
43262 2 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS;WI N 3 $250.00 01/01/1984 12/31/2299
43262 7 UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS;WI N 3 $13.45 06/01/1994 12/31/2299
43262 F UPPER GASTROINTESTINAL ENDOSCOPY INCL ESOPHAGUS;WI N 3 $306.00 03/01/2004 12/31/2299
43263 2 UPPER GASTRO ENDOSCOPY INCL ESOPHAGUS,STOMACH;W PR N 3 $250.00 01/01/1990 12/31/2299
43263 7 UPPER GASTRO ENDOSCOPY INCL ESOPHAGUS,STOMACH;W PR N 3 $13.45 06/01/1994 12/31/2299
43263 F UPPER GASTRO ENDOSCOPY INCL ESOPHAGUS,STOMACH;W PR N 3 $306.00 03/01/2004 12/31/2299
43264 2 ESOPHAGOGASTRODUODENOSCOPY; W/EXTRAC OF STONE FROM N 3 $300.00 01/01/1984 12/31/2299
43264 7 ESOPHAGOGASTRODUODENOSCOPY; W/EXTRAC OF STONE FROM N 3 $13.45 06/01/1994 12/31/2299
43264 F ESOPHAGOGASTRODUODENOSCOPY; W/EXTRAC OF STONE FROM N 3 $306.00 03/01/2004 12/31/2299
43265 2 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $311.37 01/01/2003 12/31/2299
43265 7 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $13.45 06/01/1994 12/31/2299
43265 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $306.00 03/01/2004 12/31/2299
43267 7 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $13.45 06/01/1994 12/31/2299
43267 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $306.00 03/01/2004 12/31/2299
43268 2 ENDOS RETRO CHOLANG (ERCP), W/WO SPEC COLL FOR CYT N 3 $312.00 01/02/1992 12/31/2299
43268 7 ENDOS RETRO CHOLANG (ERCP) W/WO SPEC COLL FOR CYTO N 3 $13.45 06/01/1994 12/31/2299
43268 F ENDOS RETRO CHOLANG (ERCP), W/WO SPEC COLL FOR CYT N 3 $306.00 03/01/2004 12/31/2299
43269 2 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $300.00 01/02/1994 12/31/2299
43269 7 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $13.45 06/01/1994 12/31/2299
43269 8 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $58.00 01/01/1993 12/31/2299
43269 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $306.00 03/01/2004 12/31/2299
43271 2 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $220.12 01/01/2003 12/31/2299
43271 7 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $13.45 06/01/1994 12/31/2299
43271 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $306.00 03/01/2004 12/31/2299
43272 2 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $270.00 01/02/1994 12/31/2299
43272 7 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $13.45 06/01/1994 12/31/2299
43272 F ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ER N 3 $306.00 03/01/2004 12/31/2299
43280 2 LAPAROSCOPY SURG ESOPHAGOGASTRIC FUNDOPLASTY(NISSEN TOUPET PROCS) N 3 $666.04 01/01/2000 12/31/2299
43280 7 LAPAROSCOPY SURG ESOPHAGOGASTRIC FUNDOPLASTY(NISSEN TOUPET PROCS) N 3 $13.45 01/01/2000 12/31/2299
43280 8 LAPAROSCOPY SURG ESOPHAGOGASTRIC FUNDOPLASTY(NISSEN TOUPET PROCS) N 3 $132.01 01/01/2000 12/31/2299
43289 7 UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS N 3 $13.45 01/01/2000 12/31/2299
43300 7 ESOPHAGOPLASTY, (PLSTC REPR OR RECONSTRUC) CERVICA N 3 $13.45 06/01/1994 12/31/2299
43305 2 ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION) N 3 $550.00 01/01/1973 12/31/2299
43305 7 ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION) N 3 $13.45 06/01/1994 12/31/2299
43305 8 ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION) N 3 $110.00 01/01/1973 12/31/2299
43310 2 ESOPHAGOPLASTY, (PLSTC REPR OR RECONSTRUC) THORAC N 3 $650.00 01/01/1984 12/31/2299
43310 7 ESOPHAGOPLASTY, (PLSTC REPR OR RECONSTRUC) THORAC N 3 $13.45 06/01/1994 12/31/2299
43310 8 ESOPHAGOPLASTY, (PLSTC REPR OR RECONSTRUC) THORAC N 3 $130.00 01/01/1984 12/31/2299
43312 7 ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUC) THO N 3 $13.45 06/01/1994 12/31/2299
43313 2 ESOPHAGOPLASTY/CONGENITAL DEFECT THORACIS APPROACH N 3 $1,559.38 01/01/2002 12/31/2299
43313 8 ESOPHAGOPLASTY/CONGENITAL DEFECT/THORACIC APPROACH W/REPAIR N 3 $311.88 01/01/2002 12/31/2299
43314 2 ESOPHAGOPLASTY/CONGENITAL DEFECT;THORACIC APPROACH W/REPAIR N 3 $1,714.12 01/01/2002 12/31/2299
43314 8 ESOPHAGOPLASTY/CONGENITAL DEFECT;THRACIC APPROACH W/REPAIR N 3 $342.82 01/01/2002 12/31/2299
43320 2 ESOPHAGOGASTROSTOMY (CARDIOPLASTY) WITH OR WITHOUT N 3 $110.00 08/01/1979 12/31/2299
43320 7 ESOPHAGOGASTROSTOMY (CARDIOPLASTY) WITH OR WITHOUT N 3 $13.45 06/01/1994 12/31/2299
43320 8 ESOPHAGOGASTROSTOMY (CARDIOPLASTY) WITH OR WITHOUT N 3 $100.00 01/01/1973 12/31/2299
43324 2 ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, BELSEY IV N 3 $600.00 01/02/1994 12/31/2299
43324 7 ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, BELSEY IV N 3 $13.45 06/01/1994 12/31/2299
43324 8 ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, BELSEY IV N 3 $120.00 01/02/1994 12/31/2299
43325 2 ESOPHAGOGASTRIC FUNDOPLASTY WITH FUNDIC PATCH (THA N 3 $500.00 01/01/1984 12/31/2299
43325 7 ESOPHAGOGASTRIC FUNDOPLASTY WITH FUNDIC PATCH (THA N 3 $13.45 06/01/1994 12/31/2299
43325 8 ESOPHAGOGASTRIC FUNDOPLASTY WITH FUNDIC PATCH (THA N 3 $100.00 01/01/1984 12/31/2299
43326 7 ESOPHAGOGASTRIC FUNDOPLASTY; N 3 $13.45 06/01/1994 12/31/2299
43330 2 ESOPHAGOMYOTOMY (HELLER TYPE) WITH OR WITHOUT HIAT N 3 $475.00 01/01/1973 12/31/2299
43330 7 ESOPHAGOMYOTOMY (HELLER TYPE) WITH OR WITHOUT HIAT N 3 $13.45 06/01/1994 12/31/2299
43330 8 ESOPHAGOMYOTOMY (HELLER TYPE) WITH OR WITHOUT HIAT N 3 $95.00 01/01/1973 12/31/2299
43331 7 ESOPHAGOMYOTOMY (HELLER TYPE) WITH OR WITHOUT HIAT N 3 $13.45 06/01/1994 12/31/2299
43340 2 ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); A N 3 $600.00 01/01/1973 12/31/2299
43340 7 ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); A N 3 $13.45 06/01/1994 12/31/2299
43340 8 ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); A N 3 $120.00 01/01/1973 12/31/2299
43341 7 ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); T N 3 $13.45 06/01/1994 12/31/2299
43350 2 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNA N 3 $350.00 01/01/1973 12/31/2299
43350 7 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNA N 3 $13.45 06/01/1994 12/31/2299
43350 8 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNA N 3 $70.00 09/01/1982 12/31/2299
43351 7 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, THORACIC APPROACH N 3 $13.45 06/01/1994 12/31/2299
43352 7 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGOS, CERVICAL APPROACH N 3 $13.45 06/01/1994 12/31/2299
43360 2 GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAGECTOMY N 3 $1,193.00 01/01/1995 12/31/2299
43361 2 GASTROINTESTINAL RECONSTRUCT WITH COLON INTERPOSITION N 3 $1,382.00 01/01/1995 12/31/2299
43400 2 LIGATION, DIRECT, ESOPHAGEAL VARICES N 3 $500.00 01/01/1973 12/31/2299
43400 7 LIGATION, DIRECT, ESOPHAGEAL VARICES N 3 $13.45 06/01/1994 12/31/2299
43400 8 LIGATION, DIRECT, ESOPHAGEAL VARICES N 3 $100.00 01/01/1973 12/31/2299
43401 7 TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGE N 3 $13.45 06/01/1994 12/31/2299
43405 2 LITIGATION OR STAPLING @ GASTROINTESTINAL JUNCTION N 3 $684.00 01/01/1995 12/31/2299
43410 2 SUTURE ESOPHAGEAL WOUND OR INJURY; CERVICAL APPROA N 3 $350.00 08/01/1979 12/31/2299
43410 7 SUTURE ESOPHAGEAL WOUND OR INJURY; CERVICAL APPROA N 3 $13.45 06/01/1994 12/31/2299
43410 8 SUTURE ESOPHAGEAL WOUND OR INJURY; CERVICAL APPROA N 3 $70.00 08/01/1979 12/31/2299
43415 2 SUTURE ESOPHAGEAL WOUND OR INJURY; THORACIC APPROA N 3 $475.00 01/01/1973 12/31/2299
43415 7 SUTURE ESOPHAGEAL WOUND OR INJURY; THORACIC APPROA N 3 $13.45 06/01/1994 12/31/2299
43415 8 SUTURE ESOPHAGEAL WOUND OR INJURY; THORACIC APPROA N 3 $95.00 01/01/1973 12/31/2299
43420 2 CLOSURE ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROAC N 3 $350.00 01/01/1973 12/31/2299
43420 7 CLOSURE ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROAC N 3 $13.45 06/01/1994 12/31/2299
43420 8 CLOSURE ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROAC N 3 $70.00 01/01/1973 12/31/2299
43425 2 CLOSURE ESOPHAGOSTOMY OR FISTULA; THORACIC APPROAC N 3 $650.00 01/01/1973 12/31/2299
43425 7 CLOSURE ESOPHAGOSTOMY OR FISTULA; THORACIC APPROAC N 3 $13.45 06/01/1994 12/31/2299
43425 8 CLOSURE ESOPHAGOSTOMY OR FISTULA; THORACIC APPROAC N 3 $130.00 01/01/1973 12/31/2299
43450 2 DILATION ESOPHAGUS, BY UNGUIDED SOUND(S) OR BOUGIE N 3 $35.00 01/02/1992 12/31/2299
43450 7 DILATION ESOPHAGUS, BY UNGUIDED SOUND(S) OR BOUGIE N 3 $13.45 06/01/1994 12/31/2299
43450 F DILATION ESOPHAGUS, BY UNGUIDED SOUND(S) OR BOUGIE N 3 $225.80 03/01/2004 12/31/2299
43453 2 DILATION ESOPHAGUS, OVER GUIDE WIRE OR STRING N 3 $24.00 08/01/1979 12/31/2299
43453 7 DILATION ESOPHAGUS, OVER GUIDE WIRE OR STRING N 3 $13.45 06/01/1994 12/31/2299
43453 F DILATION ESOPHAGUS, OVER GUIDE WIRE OR STRING N 3 $225.80 03/01/2004 12/31/2299
43456 2 BRUSQUE ESOPHAGEAL DILATION BY BALLOON OR STARK DI N 3 $232.84 01/01/2004 12/31/2299
43456 7 BRUSQUE ESOPHAGEAL DILATION BY BALLOON OR STARK DI N 3 $13.45 06/01/1994 12/31/2299
43456 F BRUSQUE ESOPHAGEAL DILATION BY BALLOON OR STARK DI N 3 $306.00 03/01/2004 12/31/2299
43458 2 DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER N 3 $104.90 01/01/1994 12/31/2299
43458 F DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER N 3 $306.00 03/01/2004 12/31/2299
43460 2 ESOPHAGOGASTRIC TAMPONADE, WITH BALLOON (SENGSTAAK N 3 $100.00 08/01/1979 12/31/2299
43460 7 ESOPHAGOGASTRIC TAMPONADE, WITH BALLOON (SENGSTAAK N 3 $13.45 06/01/1994 12/31/2299
43496 7 FREE JEJUNUM TRANSFER W/MICROVASCULAR ANASTOMOSIS N 3 $13.45 01/01/1997 12/31/2299
43499 7 UNLISTED PROCEDURE, ESOPHAGUS N 3 $13.45 06/01/1994 12/31/2299
43500 2 GASTROTOMY WITH EXPLORATION OR FOREIGN BODY REMOVA N 3 $300.00 01/01/1973 12/31/2299
43500 7 GASTROTOMY WITH EXPLORATION OR FOREIGN BODY REMOVA N 3 $13.45 06/01/1994 12/31/2299
43500 8 GASTROTOMY WITH EXPLORATION OR FOREIGN BODY REMOVA N 3 $45.00 01/01/1984 12/31/2299
43501 7 GASTROTOMY N 3 $13.45 06/01/1994 12/31/2299
43502 2 GASTROTOMY WITH SUTURE REPAIR OF ESOPHAGOGASTRIC LACERATION N 3 $605.00 01/01/1995 12/31/2299
43510 7 GASTROTOMY WITH EXPLORATION OR FOREIGN BODY REMOVA N 3 $13.45 06/01/1994 12/31/2299
43520 2 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-R N 3 $225.00 08/01/1979 12/31/2299
43520 7 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-R N 3 $13.45 06/01/1994 12/31/2299
43520 8 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-R N 3 $45.00 08/01/1979 12/31/2299
43600 2 BIOPSY OF STOMACH; BY CAPSULE, TUBE, PERORAL (ONE N 3 $75.00 01/01/1973 12/31/2299
43600 7 BIOPSY OF STOMACH; BY CAPSULE, TUBE, PERORAL (ONE N 3 $13.45 06/01/1994 12/31/2299
43600 F BIOPSY OF STOMACH; BY CAPSULE, TUBE, PERORAL (ONE N 3 $225.80 03/01/2004 12/31/2299
43605 2 BIOPSY OF STOMACH; BY LAPORATOMY N 3 $300.00 01/01/1973 12/31/2299
43605 7 BIOPSY OF STOMACH; BY LAPORATOMY N 3 $13.45 06/01/1994 12/31/2299
43605 8 BIOPSY OF STOMACH; BY LAPORATOMY N 3 $60.00 01/01/1973 12/31/2299
43610 2 EXCISION, LOCAL, OF ULCER OR TUMOR N 3 $362.00 08/01/1979 12/31/2299
43610 7 EXCISION, LOCAL, OF ULCER OR TUMOR N 3 $13.45 06/01/1994 12/31/2299
43610 8 EXCISION, LOCAL, OF ULCER OR TUMOR N 3 $72.00 08/01/1979 12/31/2299
43611 2 EXCISION, LOCAL; N 3 $394.41 01/01/1994 12/31/2299
43620 2 GASTRECTOMY, TOTAL; INCLUDING INTESTINAL ANASTOMOS N 3 $924.00 01/02/1992 12/31/2299
43620 7 GASTRECTOMY, TOTAL; INCLUDING INTESTINAL ANASTOMOS N 3 $13.45 06/01/1994 12/31/2299
43620 8 GASTRECTOMY, TOTAL; INCLUDING INTESTINAL ANASTOMOS N 3 $120.00 08/01/1979 12/31/2299
43621 2 GASTRECTOMY, TOTAL; N 3 $940.58 01/01/1994 12/31/2299
43621 7 ANESTHESIA,TOTAL GASTRECTOMY WITH ROUX-EN Y RECONSTRUCTION N 3 $13.45 01/01/1999 12/31/2299
43621 8 ASSIST @ TOTAL GASTRECTOMY N 3 $188.00 01/01/1999 12/31/2299
43622 2 GASTRECTOMY, TOTAL; N 3 $949.69 01/01/1994 12/31/2299
43622 7 ANESTHESIA,GASTRECTOMY WITH FORMATION OF INTESTINAL POUCH,ANY TYP N 3 $13.45 01/01/1999 12/31/2299
43631 2 GASTRECTOMY, PARTIAL, DISTAL; N 3 $780.00 01/03/1996 12/31/2299
43631 7 ANESTHESIA, GASTRECTOMY, PARTIAL, DISTAL;WITH GASTRODUODENOSTOMY N 3 $13.45 01/01/1996 12/31/2299
43631 8 GASTRECTOMY, PARTIAL, DISTAL;WITH GASTRODUODENOSTOMY N 3 $156.00 03/03/1996 12/31/2299
43632 2 GASTRECTOMY, PARTIAL, DISTAL; N 3 $673.39 01/01/1994 12/31/2299
43632 7 GASTRECTOMY, WITH GASTROJEJUNOSTOMY - ANESTHESIA N 3 $13.45 01/01/1994 12/31/2299
43632 8 ASSIST @ PARTIAL GASTRECTOMY,PARTIAL,DISTAL,W/GASTROJEJUNOSTOMY N 3 $135.00 01/01/1999 12/31/2299
43633 2 GASTRECTOMY, PARTIAL, DISTAL; N 3 $682.52 01/01/1994 12/31/2299
43633 7 ANESTHESIA,GASTRECTOMY WITH ROUX-EN Y RECONSTRUCTION N 3 $13.45 01/01/1999 12/31/2299
43633 8 ASSISTANT, GASTRECTOMY, PARTIAL, DISTAL; N 3 $136.50 01/01/1994 12/31/2299
43634 2 GASTRECTOMY, PARTIAL, DISTAL; N 3 $915.91 01/01/1994 12/31/2299
43634 7 ANESTHESIA,GASTRECTOMY,PARTIAL,DISTAL W/FORMATION OF INTESTINAL P N 3 $13.45 01/01/1999 12/31/2299
43634 8 ASSIST @ GASTRECTOMY, PARTIAL, DISTAL; N 3 $183.00 01/01/1994 12/31/2299
43635 2 HMGSTRCTMY OR DSTL SUBTOT GSTRCTMY INCL PYLROPLSTY N 3 $550.00 08/01/1979 12/31/2299
43635 7 HMGSTRCTMY OR DSTL SUBTOT GSTRCTMY INCL PYLROPLSTY N 3 $13.45 06/01/1994 12/31/2299
43635 8 HMGSTRCTMY OR DSTL SUBTOT GSTRCTMY INCL PYLROPLSTY N 3 $110.00 08/01/1979 12/31/2299
43638 2 HEMIGASTRECTOMY OR PROXIMAL SUBTOTAL GASTRECTOMY, N 3 $664.20 01/02/1992 12/31/2005
43638 7 HEMIGASTRECTOMY OR PROXIMAL SUBTOTAL GASTRECTOMY, N 3 $13.45 06/01/1994 12/31/2005
43639 2 GASTRECTOMY, PARTIAL, PROXIMAL, THORACIC OR ABDOMI N 3 $733.47 01/01/1994 12/31/2005
43639 7 ANESTHESIA,GASTRECTOMY W/PYLORTOPLASTY OR PYLOROMYOTOMY N 3 $13.45 01/01/1999 12/31/2005
43639 8 ASSIST @ GASTRECTOMY WITH PYLOROPLASTY OR PYLOROMYOTOMY N 3 $147.00 01/01/1999 12/31/2005
43640 2 VAGOTOMY AND PYLOROPLASTY, WITH OR WITHOUT GASTROS N 3 $400.00 08/01/1979 12/31/2299
43640 7 VAGOTOMY AND PYLOROPLASTY, WITH OR WITHOUT GASTROS N 3 $13.45 06/01/1994 12/31/2299
43640 8 VAGOTOMY AND PYLOROPLASTY, WITH OR WITHOUT GASTROS N 3 $80.00 08/01/1979 12/31/2299
43641 2 VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT G N 3 $600.00 01/02/1994 12/31/2299
43641 7 VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT G N 3 $13.45 06/01/1994 12/31/2299
43641 8 VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT G N 3 $120.00 01/02/1994 12/31/2299
43644 2 LAPAROSCOPY SURGICAL GASTRIC RESTRICTIVE PROC BYPASS Y 3 $962.15 01/01/2005 12/31/2299
43644 7 LAPAROSCOPY ROUXENY GASTRIC BYPASS SURGICAL Y 3 $13.45 01/01/2005 12/31/2299
43644 8 LAPAROSCOPY SURGICAL BYPASS WITH ROUX EN Y Y 3 $192.43 01/01/2005 12/31/2299
43651 2 LAPAROSCOPY SURGICAL TRANSECTION OF VAGUS NERVES TRUNCAL N 3 $358.74 01/01/2000 12/31/2299
43651 7 LAPAROSCOPY SURGICAL TRANSECTION OF VAGUS NERVES TRUNCAL N 3 $13.45 01/01/2000 12/31/2299
43651 8 LAPAROSCOPY SURGICAL TRANSECTION OF VAGUS NERVES TRUNCAL N 3 $71.75 01/01/2000 12/31/2299
43652 2 LAPAROSCOPY SURG TRANSECTION VAGUS NERVES SELECTIVE/HIGHLY SELECT N 3 $428.92 01/01/2000 12/31/2299
43652 7 LAPAROSCOPY SURG TRANSECTION VAGUS NERVES SELECTIVE/HIGHLY SELECT N 3 $13.45 01/01/2000 12/31/2299
43652 8 LAPAROSCOPY SURG TRANSECTION VAGUS NERVES SELECTIVE/HIGHLY SELECT N 3 $85.78 01/01/2000 12/31/2299
43653 2 LAPAROSCOPY SURG GASTROSTOMY W/O CONSTRUCT GASTRIC TUBE N 3 $310.42 01/01/2000 12/31/2299
43653 7 LAPAROSCOPY SURG GASTROSTOMY W/O CONSTRUCT GASTRIC TUBE N 3 $13.45 01/01/2000 12/31/2299
43653 8 LAPAROSCOPY SURG GASTROSTOMY W/O CONSTRUCTION GASTRIC TUBE N 3 $62.08 01/01/2000 12/31/2299
43653 F LAPAROSCOPY SURG GASTROSTOMY W/O CONSTRUCT GASTRIC TUBE N 3 $495.00 03/01/2004 12/31/2299
43659 7 UNLISTED LAPAROSCOPY PROCEDURE STOMACH N 3 $13.45 01/01/2000 12/31/2299
43700 7 GASTROSCOPY, FIBEROPTIC, WITHOUT ESOPHAGOSCOPY; DI N 3 $13.45 06/01/1994 12/31/2299
43702 7 GSTRSCPY, FIBRPTC, W/OUT ESOPHAGSCPY; W/BX &/OR CO N 3 $13.45 06/01/1994 12/31/2299
43709 7 GASTROSCOPY, FIBEROPTIC, WITHOUT ESOPHAGOSCOPY; W/ N 3 $13.45 06/01/1994 12/31/2299
43711 7 GASTROSCOPY, FIBEROPTIC, WITHOUT ESOPHAGOSCOPY; W/ N 3 $13.45 06/01/1994 12/31/2299
43712 7 GASTROSCOPY, FIBEROPTIC, WITHOUT ESOPHAGOSCOPY; FO N 3 $13.45 06/01/1994 12/31/2299
43714 7 GASTROSCOPY, FIBEROPTIC, WITHOUT ESOPHAGOSCOPY; W/ N 3