UNIVERSITY SURGERY ASSOCIATES PLLC Y by mikesanye

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									UNIVERSITY SURGERY ASSOCIATES, PLLC
DIVISION OF PEDIATRIC SURGERY
DEPARTMENT OF SURGERY
 Code     Mod       Description
E&M

 HOSPITAL
99221             INITIAL HOSPITAL CARE NEW PT.
99222             INITIAL HOSPITAL CARE NEW PT.
99223             INITIAL HOSPITAL CARE NEW PT.
99231             SUBSEQUENT HOSPITAL CARE
99232             SUBSEQUENT HOSPITAL CARE
99233             SUBSEQUENT HOSPITAL CARE
99251             INITIAL HOSPITAL CONSULTATION
99252             INITIAL HOSPITAL CONSULTATION
99253             INITIAL HOSPITAL CONSULTATION
99254             INITIAL HOSPITAL CONSULTATION
99255             INITIAL HOSPITAL CONSULTATION
 OFFICE
99201             OFFICE/OUTPATIENT VISIT NEW PT.
99202             OFFICE/OUTPATIENT VISIT NEW PT.
99203             OFFICE/OUTPATIENT VISIT NEW PT.
99204             OFFICE/OUTPATIENT VISIT NEW PT.
99205             OFFICE/OUTPATIENT VISIT NEW PT.
99211             OFFICE/OUTPATIENT VISIT EST. PT.
99212             OFFICE/OUTPATIENT VISIT EST. PT.
99213             OFFICE/OUTPATIENT VISIT EST. PT.
99214             OFFICE/OUTPATIENT VISIT EST. PT.

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 Code     Mod       Description
99215             OFFICE/OUTPATIENT VISIT EST. PT.




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 Code     Mod       Description
PROCEDURE

 ABDOMINAL WALL
10180        *    I & D COMPLEX POSTOPERATIVE WOUND INFECTION
13160             SECONDARY WOUND CLOSURE
49491             LEFT INQUINAL HERNIA
49492             REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT (LESS THAN 37 WEEKS GESTATION AT BIRTH), PERFORMED FROM BIRTH UP TO 50 WEEKS
                  POSTCONCEPTION AGE, WITH OR WITHOUT HYDROCELECTOMY; INCARCERATED OR STRANGULATED
49495             REPAIR INGUINAL HERNIA, < 6 MOS, REDUCED
49496             REPAIR INGUINAL HERNIA, < 6 MOS, INCARCERATED
49500             REPAIR INGUINAL HERNIA, < 5 Y/O
49501             REPAIR INITIAL INGUINAL HERNIA, AGE 6 MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT HYDROCELECTOMY INCARCERATED OR STRANGULATED
49505             REPAIR INGUINAL HERNIA, 5 OR > Y/O
49507             REPAIR INGUINAL HERNIA, > 5 YRS, INCARCERATED
49520             REPAIR INGUINAL HERNIA; RECURRENT
49525             REPAIR INGUINAL HERNIA; SLIDING
49540             REPAIR LUMBAR HERNIA
49550             REPAIR INITIAL FEMORAL HERNIA; REDUCIBLE
49553             REPAIR INITIAL FEMORAL HERNIA; INCARCERATED/STRANGULATED
49555             REPAIR RECURRENT FEMORAL HERNIA
49557             REPAIR RECURRENT FEMORAL HERNIA; INCARCERATED/STRANGULATED
49560             REPAIR INITIAL INCISIONAL/VENTRAL HERNIA; REDUCIBLE
49561             REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED
49565             REPAIR RECURRENT INCISIONAL/VENTRAL HERNIA; REDUCIBLE
49566             REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED
49568        +x   IMPLANTATION MESH/OTH PROSTHESIS INCIS/VENT HERNIA REPAIR (LIST SEP IN ADDN TO CODE FOR INCIS/VENT HERNIA REP)
49570             REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE)
49572             REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED

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 Code     Mod       Description
49580             REPAIR UMBILICAL HERNIA; < 5 Y/O; REDUCIBLE
49582             REPAIR UMBILICAL HERNIA; < 5 Y/O; INCARCERATED/STRANGULATED
49585             REPAIR UMBILICAL HERNIA; 5 OR > Y/O, REDUCIBLE
49587             REPAIR UMBILICAL HERNIA; 5 OR > Y/O, INCARCERATED OR STRANGULATED
49590             REPAIR SPIGELIAN HERNIA
49600             REPAIR SMALL OMPHALOCELE, PRIMARY CLOSURE
49605             REPAIR LARGE OMPHALOCELE OR GASTROSCHISIS (W/ OR W/O PROSTHESIS)
49610             REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION), 1ST OPERATION
49611             REPAIR OF OMPHALOCELE, SECOND STAGE
49650             REPAIR INGUINAL HERNIA, LAPAROSCOPY
49651             REPAIR INGUINAL HERNIA; LAPAROSCOPY
49900             SUTURE ABDOMINAL WALL EVISCERATION
 AMPUTATION
26951             AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH DIRECT CLOSURE
28090             EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANGLION); FOOT
28800             AMPUTATION,FOOT; MIDTARSAL(CHOPART)
28805             AMPUTATION, FOOT; TRANSMETATARSAL
28810             AMPUTATION,METARSALSAL W/ TOE (RAY AMPUTATION)
28820             AMPUTATION, TOE; METATARSOPHALANGEAL JOINT
28825             AMPUTATION, TOE; INTERPHALANGEAL JOINT
 ANORECTUM
45000             DRAIN PELVIC ABSCESS TRANSRECTAL
45005             I&D SUBMUCOSAL ABSCESS,RECTUM
45020             I&D SUPRALEVATOR/PELVIRECTAL/RETRORECTAL ABSCESS
45100             BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG. CONGENITAL MEGACOLON)
45108             ANORECTAL MYOMECTOMY

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 Code     Mod       Description
45110             ABDOMINOPERINEAL PROCTECTOMY W/ COLOSTOMY
45111             PROCTECTOMY;PARTIAL TRANSABDOMINAL
45112             PROCTECTOMY,PULL THRU PROCEDURE W/ COLOANAL ANASTOMOSIS
45113             PROCTECTOMY PARTIAL WITH RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS
45114             PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; ABDOMINAL AND TRANSSACRAL APPROACH
45116             PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; TRANSSACRAL APPROACH ONLY (KRASKE TYPE)
45119             PROCTECTOMY, COMBINED ABDOMINOPERINEAL PULL-THROUGH PROCEDURE (EG, COLO-ANAL ANASTOMOSIS), WITH CREATION OF COLONIC RESERVOIR
                  (EG, J-POUCH), WITH DIVERTING ENTEROSTOMY WHEN PERFORMED
45120             PROCTECTOMY, COMPLETE (FOR CONGENITAL MEGACOLON), ABDOMINAL & PERINEAL APPROACH W/ PULLTHROUGH AND ANASTOMOSIS (EG SWENSON,
                  DUHAMEL, OR SOAVE)
45121             PROCTECTOMY, COMPLETE (FOR CONGENITAL MEGACOLON), ABDOMINAL AND PERINEAL APPROACH; WITH SUBTOTAL OR TOTAL COLECTOMY, WITH
                  MULTIPLE BIOPSIES
45123             PROCTECTOMY, PARTIAL, WITHOUT ANASTOMOSIS, PERINEAL APPROACH
45126             PELVIC EXENTERATION FOR COLORECTAL MALIGNANCY, WITH PROCTECTOMY (WITH OR WITHOUT COLOSTOMY), WITH REMOVAL OF BLADDER AND
                  URETERAL TRANSPLANTATIONS, AND/OR HYSTERECTOMY, OR CERVICECTOMY, WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL
                  OF OVARY(
45130             EXC.RECTAL PROCIDENTIA, PERINEAL
45135             EXC.RECTAL PROCIDENTIA; TRANSABDOMINAL
45136             EXCISION OF ILEOANAL RESERVOIR WITH ILEOSTOMY
45150             DIVISION OF STRICTURE OF RECTUM
45160             EXCISION OF RECTAL TUMOR BY PROCTOTOMY, TRANSSACRAL OR TRANSCOCCYGEAL APPROACH
45170             EXC.RECTAL TUMOR,TRANSANAL
45190             DESTRUCTION RECTAL TUMOR TRANSANAL
45303             PROCTOSIGMOIDOSCOPY, RIGID; WITH DILATION (EG, BALLOON, GUIDE WIRE, BOUGIE)
45395             LAPS PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST
45397             LAPS PRCTECT CMBN PULL-THRU CRTJ RSVR
45400             LAPS PROCTOPEXY FOR PROLAPSE
45402             LAPS PROCTOPEXY FOR PROLAPSE SIGMOID RESCJ
45499             UNLIS LAPS PX RECTUM


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 Code     Mod       Description
45520             PERIRECTAL INJECTION OF SCLEROSING SOLUTION FOR PROLAPSE
45540             PROCTOPEXY (EG, FOR PROLAPSE); ABDOMINAL APPROACH
45541             PROCTOPEXY FOR PROLAPSE;PERINEAL
45560             REPAIR RECTOCELE(SEPARATE PROCEDURE)
45563             EXPLORATION, REPAIR, PRESACRAL DRAINAGE FOR RECTAL INJURY W/ COLOSTOMY
45800             CLOSE RECTOVESICAL FISTULA
45805             CLOSE RECTOVESICAL FISTULA;W/ COLOSTOMY
45900             REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA
45905             DILATE ANAL STRICTURE
45910             DILATE RECTAL STRICTURE
45915             REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA
45990             ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX
46040             I&D ISCHIORECTAL/PERIRECTAL ABSCESS
46045             I&D INTRAMUSCULAR/MUSCULAR/SUBMUCOSAL ABSCESS, TRANSANAL
46050             I&D PERIANAL ABSCESS,SUPERFICIAL
46060             I&D PERIRECT.ABSCESS,W/FISTULOTOMY/FISTULECTOMY W/ OR W/O SETON
46080             SPHINCTEROTOMY,ANAL
46083             I&D THROMBOSED HEMORROID, EXTERNAL
46200             FISSURECTOMY W/ OR W/O SPINCTEROTOMY
46210             CRYPTECTOMY;SINGLE
46211             CRYPTECTOMY;MULT(SEPARATE PROCEDURE)
46220             PAPILLECTOMY OR EXCISION SINGLE TAG, ANUS
46221             HEMORRHOIDAL BANDING
46230             EXC.EXTERNAL HEMORRHOIDAL TAGS/PAPILLAE
46250             HEMORRHOIDECTOMY EXTERNAL COMPLETE
46255             HEMORRHOIDECTOMY INT & EXT. SIMPLE
46257             HEMORRHOIDECTOMY INT. & EXT. W/ FISSURECTOMY

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 Code     Mod       Description
46258             HEMORRHOIDECTOMY INT. & EXT. W/ FISTULOTOMY
46260             HEMORRHOID.INT & EXT,COMPLICATED
46261             HEMORRHOIDECTOMY INT. & EXT. COMPLICATED;W/ FISSURECTOMY
46262             HEMORRHOIDECTOMY INT. & EXT. COMPLICATED;W/ FISTULECTOMY
46270             FISTULECTOMY/FISTULOTOMY;SUBCUTANEOUS
46275             FISTULECTOMY/FISTULOTOMY;SUBMUSCULAR
46280             FISTULECTOMY/FISTULOTOMY;COMPLEX/MULT W/ OR W/O SETON
46320             EXCISION EXT.THROMB.HEMORRHOID
46705             ANOPLASTY, PLASTIC OPERATION FOR STRICTURE, INFANT
46710             RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR
46712             RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR
46715             REPAIR OF LOW IMPERFORATE ANUS; WITH ANOPERINEAL FISTUAL (CUT-BACK PROCEDURE)
46716             REPAIR OF LOW IMPERFORATE ANUS; WITH TRANSPOSITION OF ANOPERINEAL OR ANOVESTIBULAR FISTULA
46730             REPAIR OF HIGH IMPERFORATE ANUS W/O FISTULA, PERINEAL OR SACROPERINEAL APPROACH
46735             REPAIR OF HIGH IMPERFORATE ANUS; COMBINED TRANSBDOMINAL AND SACROPERINEAL APPROACHES
46740             REPAIR OF HIGH IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; PERINEAL OR SACROPERINEAL APPROACH NOTE: THIS CODE IS
                  EXEMPT FROM THE USE OF MODIFIER 63.
46744             REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, SACROPERINEAL APPROACH
46746             REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED ABDOMINAL AND SACROPERINEAL APPROACH
46748             REPAIR OF CLOACAL ANOMALY, WITH VAGINAL LENGTHENING BY INTESTINAL GRAFT OR PEDICLE FLAPS
46751             SPHINCTEROPLASY, ANAL, FOR INCONTINENCE OR PROLAPSE, CHILD
46753             GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE
46754             REMOVAL OF THIERSCH WIRE OR SUTURE, ANAL CANAL
46900             EXCISION ANAL CONDYLOMA
46910             DESTRUCTION ANAL CONDYLOMATA BY ELECTRODESICCATION
46922             DESTRUCTION ANAL CONDYLOMATA BY SURGICAL EXC.
46924             DESTRUCTION ANAL CONDYLOMATA;EXTENSIVE ANY METHOD


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  Code      Mod     Description
46940              CURETTAGE ANAL FISSURE;INITIAL
46942              CURETTAGE ANAL FISSURE;SUBSEQUENT
46947              HEMORRHOIDPEXY (EG, FOR PROLAPSING INTERNAL HEMORRHOIDS) BY STAPLING
 APPENDIX
44900              DRAIN APPENDICEAL ABSCESS, OPEN
44901              INCISION AND DRAINAGE OF APPENDICEAL ABSCESS; PERCUTANEOUS
44950              APPENDECTOMY, OPEN
44955         +x   APPENDECTOMY;W/ OTHER PROCEDURE
44960              APPENDECTOMY;W/ RUPTURE
44970              APPENDECTOMY, LAPAROSCOPIC
 BILIARY TRACT
---------          HASSON TECH,ADD -22 MOD TO CPT CODE AND INCR CHG BY 20%
47420              CHOLEDOCHOTOMY W/ EXPL./DRAINAGE/CALCULUS REM'L W OR W/O CHOLECYST.
47425              CHOLEDOCHOTOMY W/ TRANSDUODENAL SPHINCTEROPLASTY W/ OR W/O CHOLECYST.
47460              TRANSDUODUODENAL SPHINCTEROTOMY
47480              CHOLECYSTOTOSTOMY W/EXPLORATION AND DRAINAGE/CALCULUS REMOVAL
47550         +x   CHOLEDOCHOSCOPY
47562              CHOLECYSTECTOMY;LAPAROSCOPY (IF HASSON TECHNIQUE, ADD-22 MODIFIER)
47563              CHOLECYSTECTOMY LAPAROSCOPY W/ CHOLANGIOGRAM (IF HASSON TECHNIQUE, ADD-22 MODIFIER)
47564              CHOLECYSTECTOMY LAPAROSCOPY W/ EXPLORATION CBD (IF HASSON TECHNIQUE, ADD-22 MODIFIER)
47600              CHOLECYSTECTOMY; OPEN
47605              CHOLECYSTECTOMY,OPEN;W/ CHOLANGIOGRAM
47610              CHOLECYSTECTOMY OPEN W/ EXPLORATION CBD
47612              CHOLECYSTECTOMY OPEN;W/ CHOLEDOCHOENTEROSTOMY
47620              CHOLECYSTECTOMY OPEN W/ SPHINCTEROPLASTY W/ OR W/O IOC
47700              EXPLORATION FOR CONGENITAL ATRESIA OF BILE DUCTS, W/O REPAIR, W/ OR W/O LIVER BIOPSY, W/ OR W/O CHOLANGIOGRAPHY

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 Code     Mod       Description
47701             PORTOENTEROSTOMY (KASAI PROCEDURE)
47715             EXCISION OF CHOLEDOCHAL CYST
47716             ANASTOMOSIS, CHOLEDOCHAL CYST, W/O EXCISION
47720             CHOLECYSTOENTEROSTOMY; DIRECT
47721             CHOLECYSTOENTEROSTOMY; W/ GASTROENTEROSTOMY
47740             CHOLECYSTOENTEROSTOMY; ROUX-EN-Y
47760             ANASTOMOSIS EXTRAHEPATIC DUCTS W/ GI TRACT
47765             ANASTOMOSIS INTRAHEPATIC DUCTS W/ GI TRACT
47780             ANASTOMOSIS EXTRAHEPATIC BILE DUCTS ROUX-EN-Y W/ GI TRACT
47785             ANASTOMOSIS INTRAHEPATIC BILE DUCTS ROUX-EN-Y W/ GI TRACT
47800             RECONSTRUCTION EXTRAHEPATIC BILIARY DUCTS, END-TO-END ANASTOMOSIS
 BREAST
19000             PUNCTURE ASPIRATION BREAST CYST
19001        +x   PUNCTURE ASPIRATION EACH ADDTIONAL. CYST (ADD ON)
19020             MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP
19100             BIOPSY BREAST;NEEDLE CORE
19101             BIOPSY BREAST;INCISIONAL
19110             NIPPLE EXPLORATION
19120             EXC CYST,FIBROADENOMA,OTHER BENIGN/MALIG TUMOR ABERRANT BREAST TIS,DUCT,NIPPLE,AREOLAR LES, MALE/FEMALE > 1 LES
19125             EXCISION BREAST MASS; WIRE GUIDED SINGLE LESION
19126        +x   EXCISION EACH ADDITIONAL BREAST MASS; WIRE GUIDED (ADD ON)
19140             MASTECTOMY FOR GYNECOMASTIA
19160             MASTECTOMY,PARTIAL
19162             MASTECTOMY,PARTIAL; W/ AXILLARY LYMPHADENECTOMY
19180             MASTECTOMY,SIMPLE
 COLON


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Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
44139        +x   MOBILIZATION SPLENIC FLX. DURING COLECTOMY
44140             COLECTOMY,PARTIAL;W/ ANASTOMOSIS
44141             COLECTOMY,PARTIAL;W/ COLOSTOMY
44143             COLECTOMY,PARTIAL; HARTMANN
44144             COLECTOMY,PARTIAL W/ COLOSTOMY/ILEOSTOMY
44145             COLECTOMY,PARTIAL;COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS)
44146             COLECTOMY PARTIAL;COLOPROCTOSTOMY (LOW PELVIC ANAST.) W/ COLOSTOMY
44150             COLECTOMY,TOTAL ABDOMINAL;W/ ILEOSTOMY OR ILEOPROCTOSTOMY
44152             COLECTOMY,TOTAL W/ RECTAL MUCOSECTOMY;W/ ILEOANAL ANASTOMOSIS
44155             COLECTOMY,W/ PROCTECTOMY;ILEOSTOMY
44160             COLECTOMY W/ REMOVAL TERMINAL ILEUM & ILEOCOLOSTOMY
44188             LAPS CLST/SKN LVL CECOSTOMY
44204             LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS
44205             LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY
44206             COLECTOMY,PARTIAL,LAPAROSCOPIC; HARTMANN (IF HASSON TECHNIQUE ADD -22 MODIFIER)
44207             COLECTOMY,PARTIAL,LAPAROSCOPIC;COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) (IF HASSON TECHNIQUE ADD -22 MODIFIER)
44208             COLECTOMY,PARTIAL, LAPAROSCOPIC;COLOPROCTOSCOPY(LOW PELVIC ANAST.) W/COLOSTOMY (IF HASSON TECHNIQUE ADD -22 MODIFIER)
44210             LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY, WITH ILEOSTOMY OR ILEOPROCTOSTOMY
44211             LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOANAL ANASTOMOSIS, CREATION OF ILEAL RESERVOIR (S
                  OR J), WITH LOOP ILEOSTOMY, WITH OR WITHOUT RECTAL MUCOSECTOMY
44212             LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOSTOMY
44213             LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLCT
44227             LAPS CLSR NTRSTM LG/SM INT W/RESCJ&ANAST
44238             UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM)
44300             CECOSTOMY TUBE
44316             CONTINENT ILEOSTOMY (KOCK PROCEDURE) (SEPARATE PROCEDURE)
44320             COLOSTOMY OR SKIN LEVEL CECOSTOMY;


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Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
44322             COLOSTOMY OR SKIN LEVEL CECOSTOMY WITH MULTIPLE BIOPSIES
44340             REVISE COLOSTOMY;SIMPLE
44345             REVISE COLOSTOMY;COMPLIC.
44346             REVISE COLOSTOMY;REPAIR PARACOLOSTOMY HERNIA
44380             DILATION STOMA
44604             REPAIR LARGE INTESTINE W/O COLOSTOMY
44605             REPAIR LARGE INTESTINE;W/COLOSTOMY
44620             CLOSE ENTEROSTOMY LARGE OR SMALL INTESTINE, SIMPLE
44625             CLOSE ENTEROSTOMY LARGE OR SMALL;W/ RESECTION & ANASTOMOSIS
44626             REVERSAL HARTMANN
44640             CLOSE INTESTINAL CUTANEOUS FISTULA
44650             CLOSURE ENTEROENTERIC OR ENTEROCOLIC FISTULA
44660             CLOSE ENTEROVESICAL FISTULA W/O BOWEL OR BLADDER RESECTION
44661             CLOSE ENTEROVESICAL FISTULA;W/ BOWEL OR BLADDER RESECTION
44701             INTRAOPERATIVE COLONIC LAVAGE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
44820             EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE)
 COLORECTAL ENDOSCOPY
44388             COLONOSCOPY THRU COLOSTOMY DIAGNOSTIC
44389             COLONOSCOPY THRU COLOSTOMY W/ BX
44390             COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF FOREIGN BODY
44391             COLONOSCOPY THROUGH STOMA; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE,
                  STAPLER, PLASMA COAGULATOR)
44392             COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY
44393             COLONOSCOPY THROUGH STOMA; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
                  BIPOLAR CAUTERY OR SNARE TECHNIQUE
44394             COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE
44397             COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION)


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 Code     Mod       Description
45300             PROCTOSIGMOIDOSCOPY RIGID;DIAGNOSTIC
45305             PROCTOSIGMOIDOSCOPY RIGID; W/ BIOPSY
45307             PROCTOSIGMOIDOSCOPY RIGID;W/FB REMOVAL
45308             PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY
45309             PROCTOSIGMOIDOSCOPY RIGID W/ SINGLE POLYPECTOMY
45315             PROCTOSIGMOIDOSCOPY RIGID ;W/MULTIPLE POLYPECTOMIES
45317             PROCTOSIGMOID RIGID;W/ CONTROL OF BLEEDING
45320             PROCTOSIGMOIDOSCOPY, RIGID; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
                  BIPOLAR CAUTERY OR SNARE TECHNIQUE (EG, LASER)
45321             PROCTOSIGMOIDOSCOPY RIGID ;W/ DECOMPRESSION OF VOLVULUS
45327             PROCTOSIGMOIDOSCOPY, RIGID; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION)
45330             SIGMOIDOSCOPY FLEXIBLE;DIAGNOSTIC
45331             SIGMOIDOSCOPY FLEXIBLE;W/ BIOPSY
45332             SIGMOIDOSCOPY FLEXIBLE;W/FB REMOVAL
45333             SIGMOIDOSCOPY FLEXIBLE;W/ POLYPECTOMY
45334             SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER,
                  PLASMA COAGULATOR)
45335             SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE
45337             SIGMOIDOSCOPYFLEXIBLE;W/ DECOMPRESSION
45338             SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE
45339             SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
                  BIPOLAR CAUTERY OR SNARE TECHNIQUE
45340             SIGMOIDOSCOPY, FLEXIBLE; WITH DILATION BY BALLOON, 1 OR MORE STRICTURES
45341             SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION
45342             SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S)
45345             SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION)
45355             COLONOSCOPY, RIGID OR FLEXIBLE, TRANSABDOMINAL VIA COLOTOMY, SINGLE OR MULTIPLE
45378             COLONOSCOPY;DIAGNOSTIC


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                         Page 12 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
45379             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF FOREIGN BODY
45380             COLONOSCOPY;W/BIOPSY
45381             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE
45382             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY,
                  LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR)
45383             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL
                  BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE
45384             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR
                  BIPOLAR CAUTERY
45385             COLONOSCOPY;W/POLPYPECTOMY
45386             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DILATION BY BALLOON, 1 OR MORE STRICTURES
45387             COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION)
45391             COLONOSCOPY; WITH ENDOSCOPIC ULTRASOUND EXAMINATION
45392             COLONOSCOPY; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY
46600             ANOSCOPY;DIAGNOSTIC
46604             ANOSCOPY;W/ DILATION
46606             ANOSCOPY;W/ BIOPSY
46608             ANOSCOPY;W/ REMOVAL OF FB
46610             ANOSCOPY;W/POLYPECTOMY
46612             ANOSCOPY;W/ MULTIPLE POLYPECTOMIES
46614             ANOSCOPY;W/ CONTROL OF BLEEDING
 ENDOCRINE-ADRENAL
60540             ADRENALECTOMY, PARTIAL OR COMPLETE
60545             ADRENALECTOMY WITH EXCISION OF ADJACENT RETROPERITONAL TUMOR
60650             ADRENALECTOMY, PARTIAL OR COMPLETE, LAPAROSCOPY
 ENDOCRINE-PARATHYROID
60500             PARATHYROIDECTOMY
60502             PARATHYROIDECTOMY RE-EXPLORATION
+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                        Page 13 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
60512        +x   PARATHYROID AUTOTRANSPLANT, ADDN. TO PRIMARY PROCEDURE
 ENDOCRINE-THYROID
60001             ASPIRATION THYROID CYST
60210             PARTIAL THYROID LOBECTOMY
60220             THYROID LOBECTOMY INCLUDING ISTHMUSECTOMY
60225             THYROID LOBECTOMY WITH CONTRA. SUBTOT. LOBECTOMY
60240             THYROIDECTOMY COMPLETE
60252             THYROIDECTOMY, PARTIAL OR COMPLETE WITH LIMITED NECK DISS.
60271             THYROIDECTOMY, SUBSTERNAL TRANSCERVICAL APPROACH
60280             EXCISION THYROGLOSSAL DUCT CYST
60281             EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS, RECURRENT
 ESOPHAGUS
43130             ESOPHAGEAL DIVERTICULECTOMY, CERVICAL
43200             ESOPHAGOSCOPY, RIGID/FLEXIBLE, WITH OR W/O SPECIMEN COLLECTION
43215             ESOPHAGOSCOPY, WITH REMOVAL OF FOREIGN BODY
43220             ESOPHAGOSCOPY WITH BALLOON DILATION (<30 MM DIAM)
43226             ESOPHAGOSCOPY WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OVER GUIDE WIRE
43257             ESOPHAGOSCOPY, RIGID/FLEXIBLE, WITH DELIVERY OF THERMAL ENERGY TO ESOPHAGEAL SPHINCTER, FOR GERD TREATMENT
43280             ESOPHAGOGASTRIC FUNDOPLASTY, LAPAROSCOPIC
43300             ESOPHAGOPLASTY, (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPORACH W/O REPAIR OF TRACHEOESOPHAGEAL FISTULA
43305             ESOPHAGOPLASTY, CERVICAL APPROACH, W/ REPAIR OF TRACHEOESOPHAGEAL FISTULA
43310             ESOPHAGOPLASTY, THORACIC APPROACH, W/O REPAIR OF TRACHEOESOPHAGEAL FISTULA
43312             ESOPHAGOPLASTY, THORACIC APPROACH, W/ REPAIR OF TRACHEOESOPHAGEAL FISTULA
43324             ESOPHAGOGASTRIC FUNDOPLASTY, OPEN
43330             ESOPHAGOMYOTOMY TRANSABDOMINAL, ABDOMINAL APPROACH
43352             ESOPHAGOSTOMY;CERVICAL

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                     Page 14 of 37
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 Code     Mod       Description
43360             GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAGECTOMY, FOR OBSTRUCTING ESOPHAGEAL LESION OR FISTULA W/ STOMACH, W/ OR W/O
                  PYLOROPLASTY
43361             GASTROINTESTINAL RECONSTRUCTION WITH COLON INTERPOSITION OR SMALL BOWEL, INCLUDING BOWEL MOBILIZATION, PREPARATION AND
                  ANASTOMOSIS
43420             CLOSE ESOPHAGOSTOMY;CERVICAL
43450             DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES
43460             ESOPHAGOGASTRIC TAMPONADE (SENGSTAAKEN TUBE)
 GENITOURINARY
50010             RENAL EXPLORATION
50020             DRAIN PERIRENAL/RENAL ABSCESS
50205             BX KIDNEY (OPEN)
50220             NEPHRECTOMY, SIMPLE
50230             RADICAL NEPHRECTOMY, W/ REGIONAL LYMPHADENECTOMY AND/OR VENAL CAVAL THROMBECTOMY
50240             NEPHRECTOMY,PARTIAL
50500             NEPHRORRHAPHY
51860             CYSTORRHAPHY;SIMPLE
54150             CIRCUMCISION, USING CLAMP OR DEVICE; NEWBORN
54152             CIRCUMCISION, USING CLAMP OR DEVICE; EXCEPT NEWBORN
54160             CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE OR DORSAL SLIT; NEWBORN
54161             CIRCUMCISION, SURGICAL EXCISION; EXCEPT NEWBORN
54520             ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACHES
54640             ORCHIOPEXY INGUINAL APPROACH W/ OR W/O HERNIA REPAIR
54690             LAPAROSCOPY, SURGICAL; ORCHIECTOMY
54692             LAPAROSCOPY, ORCHIDOPEXY, FOR INTRA-ABDOMINAL TESTIS
54700             I&D EPIDIDYMAL/TESTIS/SCROTAL ABSCESS
55040             EXC.HYDROCELE;UNILATERAL
55041             EXCISION HYDROCELE BILATERAL


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                    Page 15 of 37
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 Code     Mod       Description
55500             EXC.HYDROCELE SPERM.CORD
55530             EXCISION VARICOCELE OR LIGATION SPERMATIC VEINS
56405             INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS
57400             DILATION OF VAGINA UNDER ANESTHESIA
57410             PELVIC EXAMINATION UNDER ANESTHESIA
58700             SALPINGECTOMY UNILATERAL OR BILATERAL
58720             SALPINGO-OOPHORECTOMY UNILATERAL OR BILATERAL
58925             OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL
58940             OOPHORECTOMY UNILATERAL OR BILATERAL
 HEAD & NECK
31600             TRACHEOSTOMY,PLANNED
31603        #    TRACHEOSTOMY;EMERGENCY
31605        #    TRACHEOSTOMY,EMERGENCY CRICOTHYROIDOTOMY
41010             INCISION OF LINGUAL FRENUM (FRENOTOMY)
42810             EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, CONFINED TO SKIN AND SUBCUTANEOUS TISSUES
42815             EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, EXTENDING BENEATH SUBCUTANEOUS TISSUE AND/OR INTO PHARYNX
60520             THYMECTOMY, PARTIAL OR TOTAL TRANSCERVICAL
 ICU
31500        x    ENDOTRACHEAL INTUBATION
31600             TRACHEOSTOMY,PLANNED
31603        #    TRACHEOSTOMY;EMERGENCY
31605        #    TRACHEOSTOMY,EMERGENCY CRICOTHYROIDOTOMY
31622             BRONCHOSCOPY; WITH OR WITHOUT FLUROROSCOPIC GUIDANCE; DIAGNOSTIC
32000        x    THORACENTESIS
32020        x    THORACOSTOMY, TUBE
36620        x    ART.CATH;PERCUTANEOUS

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 Code     Mod       Description
36625             ART.CATH;CUTDOWN
92950             CPR
93503        x    SWAN-GANZ CATHETERIZATION
94656             VENTILATOR ASSISTANCE, INITIAL
94657             VENTILATOR ASSISTANCE, SUBSEQUENT
94660             CPAP, INITIAL
94662             CPAP, SUBSEQUENT
99291             CRITICAL CARE E & M, FIRST 30 - 74 MINUTES
99292             CRITICAL CARE E & M, EACH ADDN. 30 MIN
 LIVER
47000             BX.LIVER,PERCUT.NEEDLE
47001        +x   BX LIVER NEEDLE AT TIME OF OTHER MAJOR PROCEDURE (ADD ON)
47010             HEPATOTOMY FOR DRAINAGE
47100             BX.LIVER,WEDGE (SEP.PROC)
47120             HEPATECTOMY;PARTIAL LOBECTOMY
47122             HEPATECTOMY;TRISEGMENTECTOMY
47125             HEPATECTOMY;TOTAL LT.LOBECTOMY
47130             HEPATECTOMY;TOTAL RT.LOBECTOMY
47140             DONOR HEPATECTOMY, FROM LIVING DONOR; TOTAL LATERAL SEGMENT ONLY (SEGMENTS II AND III ONLY)
47141             DONOR HEPATECTOMY, FROM LIVING DONOR; TOTAL LEFT LOBECTOMY (SEGMENTS II, III, AND IV ONLY)
47142             DONOR HEPATECTOMY, FROM LIVING DONOR; TOTAL RIGHT LOBECTOMY ( SEGMENTS V, VI, VII AND VIII ONLY)
47350             HEPATORRHAPHY FOR HEMORRHAGE;SIMPLE
47360             HEPATORRHAPHY FOR HEMORRHAGE;COMPLEX
 LYMPHATIC
38300             DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; SIMPLE
38500             BX/EXC LYMPH NODE;SUPERFICIAL

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 Code     Mod       Description
38510             BIOPSY OR EXCISION OF LYMPH NODES, OPEN, DEEP CERVICAL NODE(S)
38520             EXC LYMPH NODE;DEEP CERVICAL
38525             EXC LYMPH NODE;DEEP AXILLARY
38550             EXCISION OF CYSTIC HYGROMA, AXILLARY OR CERVICAL, W/O DEEP NEUROVASCULAR DISSECTION
38555             EXCISION OF CYSTIC HYGROMA, AXILLARY OR CERVICAL, W/ DEEP NEUROVASCULAR DISSECTION
38740             AXILLARY LYMPHADENECTOMY;SUPERFICIAL
38745             AXILLARY LYMPHADENECTOMY;COMPLETE
38747        +x   RETROPERITONEAL NODE EXCISION (ADD ON)
38760             INGUINOFEMORAL LYMPHADENECTOMY SUPERFICIAL
38765             INGUINOFEMORAL LYMPHADENECTOMY WITH PELVIC LYMPHADENECTOMY
 MISCELLANEOUS
15852             DRESSING CHANGE (FOR OTHER THAN BURNS) UNDER ANESTHESIA (OTHER THAN LOCAL)
35800             EXPLORATION FOR POSTOP HEMORRHAGE OR INFECTION, NECK
35840             EXPLORATION FOR POSTOP HEMORRHAGE OR INFECTION ABDOMEN
35860             EXPLORATION FOR POSTOP HEMORRHAGE OR INFECTION EXTREMITY
 MUSCULOSKELETAL
20200             BIOPSY, MUSCLE; SUPERFICIAL
20205             BIOPSY, MUSCLE; DEEP
20520             REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE
20525             REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED
24495             DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL ARTERY EXPLORATION
25111             EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY
25112             EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); RECURRENT
27602             DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL AND POSTERIOR COMPARTMENTS
28190             REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS
28192             REMOVAL OF FOREIGN BODY, FOOR; DEEP

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                           Page 18 of 37
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 Code     Mod       Description
28193             REMOVAL OF FOREIGN BODY, FOOT; COMPLICATED
 NEUROLOGIC
64421             INTERCOSTAL NERVE BLOCKS, MULTIPLE
64425             NERVE BLOCK,ILIOINGUINAL/ILIOHYPOGASTRIC
 PANCREAS
48000             DRAIN PANCREATITIS
48005             DEBRIDEMENT PANCREAS FOR ACUTE NECROTIZING PANCREATITIS
48100             BX.PANCREAS SEPARATE PROCEDURE
48120             EXC.LESION OF PANCREAS (CYST OR ADENOMA)
48140             PANCREATECTOMY;DISTAL SUBTOTAL W/ OR W/O SPLENECTOMY
48145             PACREATECTOMY DISTAL SUBTOTAL W/ OR W/O SPLENECTOMY W/ PANC.JEJ.
48146             PANCREATECTOMY NEAR TOTAL (CHILD PROCEDURE)
48148             EXC.AMPULLA OF VATER,SIMPLE
48150             PANCREATECTOMY (WHIPPLE)
48153             PANCREATECTOMY (PYLORUS SPARING WHIPPLE)
48155             PANCREATECTOMY, TOTAL
48180             PANCREATICOJEJUNOSTOMY (PUESTOW PROCEDURE)
48510             EXT.DRAIN.PSEDUOCYST,PANC
48520             INTERNAL ANASTAMOSIS PANC.CYST TO GI TRACT DIRECTLY
48540             ANASTOMOSIS PANCREATIC CYST;ROUX-EN-Y
48545             PANCREATORRHAPHY
48547             DUODENAL EXCLUSION WITH PANCREATICOJEJUNOSTOMY FOR TRAUMA
 PERITONEUM/RETROPERITONEUM
44900             DRAIN APPENDICEAL ABSCESS, OPEN
49000             EXPLORATORY CELIOTOMY
49002             REOPEN RECENT CELIOTOMY
+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code        Page 19 of 37
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 Code     Mod       Description
49010             EXPLORE RETROPERITONEUM
49020             DRAIN PERITONEAL ABSCESS
49040             DRAIN SUBDIAPHRAGMATIC ABSCESS
49060             DRAIN RETROPERITONEAL ABSESS
49080             PERITONEAL LAVAGE DIAGNOSTIC
49200             EXC. RETROPERITONEAL LESION SIMPLE
49201             EXC. RETROPERITONEAL LESION;EXTENSIVE
49215             EXCISION OF PRESACRAL OR SACROCOCCYGEAL TUMOR
49255             OMENTECTOMY/EPIPLOECTOMY
49320             LAPAROSCOPY, DIAGNOSTIC
49321             LAPAROSCOPY WITH BIOPSY
49323             LAPAROSCOPY, WITH DRAINAGE OF LYMPHOCELE TO PERITONEAL CAVITY
49420             INSERTION CATHETHER FOR DIALYSIS TEMPORARY
49421             INSERTION CATHETER DIALYSIS PERMANENT
49425             PERITONEOVENOUS SHUNT (LEVEEN, DENVER)
 SKIN
10060        *    I&D ABSCESS;SINGLE/SIMPLE
10061        *    I&D ABSCESS;COMPLIC/MULT.
10080             I&D PILONIDAL CYST;SIMPLE
10081             I&D PILONIDAL CYST;COMPL.
10120        *    REMOVAL OF FOREIGN BODY,SIMPLE
10121        *    REMOVE FOREIGN BODY;COMPLEX
10140        *    I&D HEMATOMA;SIMPLE
10160             ASPIRATION,HEMATOMA OR CYST
10180        *    I & D COMPLEX POSTOPERATIVE WOUND INFECTION
11000        *    DEBRIDE INFECT.SKIN;UP TO 10% BSA


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code     Page 20 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
11001        +x   DEBRIDE EACH ADDT'L. 10% BSA
11004             DEBRIDEMENT OF SKIN
11005             DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA; ABDOMINAL WALL
11006             DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA; EXTERNAL GENITALIA AND PERINEUM AND ABDOMINAL WALL
11008        +x   REMOVAL OF PROSTHETIC MATERIAL, ABDOMINAL WALL FOR NECROTIZING TISSUE INFECTION
11040        *    DEBRIDEMENT SKIN PARTIAL THICKNESS
11041        *    DEBRIDE,SKIN FULL THICKNESS
11042        *    DEBRIDE;SKIN & SUCUT.TISS
11043        *    DEBRIDE;SKIN,SUBCUT.TISS.,MUSCLE
11044        *    DEBRIDE;SKIN,SUBCUT.TISS. MUSCLE,BONE
11100        *    BIOPSY SKIN, SUBCUTANEOUS TISSUE, MUCOUS MEMBRANE, SINGLE LESION
11200        *    REMOVAL SKIN TAGS UP TO 15 LESIONS
11400        *    EXC BENIGN LESION, EXCEPT SKIN TAG, TRUNK, ARMS, OR LEGS, < .5 CM
11401        *    EXC.BNGN.LESION;EXCEPT SKIN TAG, TRUNK, ARMS, OR LEGS, 0.6-1.0CM
11402        *    EXC.BNGN.LESION;EXCEPT SKIN TAG, TRUNK, ARMS, OR LEGS, 1.1-2.0CM
11403        *    EXC.BNGN.LESION;EXCEPT SKIN TAG, TRUNK, ARMS, OR LEGS, 2.1-3.0CM
11404             EXC.BNGN.LESION;EXCEPT SKIN TAG, TRUNK, ARMS, OR LEGS, 3.1-4.0CM
11406             EXC.BNGN.LESION; EXCEPT SKIN TAG, TRUNK, ARMS, OR LEGS, >4.0CM
11420             EXC BENIGN LESION,EXCEPT SKIN TAG, SCALP, NECK, HANDS, FEET, GENITALIA < .5 CM
11421             EXC.BNGN.LESION;EXCEPT SKIN TAG, SCALP, NECK, HANDS, FEET, GENITALIA 0.6-1.0CM
11422             EXC.BNGN.LESION;EXCEPT SKIN TAG, SCALP, NECK, HANDS, FEET, GENITALIA 1.1-2.0CM
11423             EXC.BNGN.LESION;EXCEPT SKIN TAG, SCALP, NECK, HANDS, FEET, GENITALIA 2.1-3.0CM
11424             EXC.BNGN.LESION;EXCEPT SKIN TAG, SCALP, NECK, HANDS, FEET, GENITALIA 3.1-4.0CM
11426             EXC.BNGN.LESION;EXCEPT SKIN TAG, SCALP, NECK, HANDS, FEET, GENITALIA >4.0CM
11440             EXC OTHER BENIGN LESION < .5CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11441             EXC.BNGN.LESION;0.6-1.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11442             EXC.BNGN.LESION; 1.1-2.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                       Page 21 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
11443             EXC.BNGN.LESION;2.1-3.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11444             EXC.BNGN.LESION;3.1-4.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11446             EXC.BNGN.LESION; >4.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11450             EXCISION SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; SIMPLE REPAIR
11451             EXC.AX.HIDRA;COMPLEX CLOSURE
11462             EXC SKIN AND SUBCUT TIS FOR HIDRADENITIS, INGUINAL; SIMPLE REPAIR
11463             EXC.ING.HIDRAD;COMPLEX CLOSURE
11470             EXC.HIDRAD,PERINEAL/UMBILICAL,SIMPLE
11471             EXC.HIDRAD,PERINEAL/UMBILICAL,COMPLEX
11600             EXC MALIGNANT LESION, TRUNK, ARMS, OR LEGS, <.5 CM CM
11601             EXC.MLGN.LESION; TRUNK, ARMS, OR LEGS, 0.6-1.0CM
11602             EXC.MLGN.LESION; TRUNK, ARMS, OR LEGS, 1.1-2.0CM
11603             EXC.MLGN.LESION; TRUNK, ARMS, OR LEGS, 2.1-3.0CM
11604             EXC.MLGN.LESION; TRUNK, ARMS, OR LEGS, 3.1-4.0CM
11606             EXC.MLGN.LESION; TRUNK, ARMS, OR LEGS, >4.0CM
11620             EXC MALIGNANT LESION, SCALP, NECK, HANDS, FEET, GENITALIA; <.5 CM
11621             EXC.MLGN.LESION;TRUNK, ARMS, OR LEGS, 0.6-1.0CM
11622             EXC.MLGN.LESION;TRUNK, ARMS, OR LEGS, 1.1-2.0CM
11623             EXC.MLGN.LESION;2.1-3.0CM
11624             EXC.MLGN.LESION;TRUNK, ARMS, OR LEGS, 3.1-4.0CM
11626             EXC.MLGN.LESION;TRUNK, ARMS, OR LEGS, >4.0CM
11640             EXC MALIGNANT LESION < .5 CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11641             EXC.MLGN.LESION;0.6-1.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11642             EXC.MLGN.LESION;1.1-2.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11643             EXC.MLGN.LESION;2.1-3.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11644             EXC.MLGN.LESION;3.1-4.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES
11646             EXC.MLGN.LESION; >4.0CM FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                       Page 22 of 37
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 Code     Mod       Description
11730             AVULSION NAIL PLATE;PARTIAL/COMPLETE,ONE NAIL
11732        +x   AVULSION NAIL PLATE;PARTIAL/COMPLETE, EACH ADDN. NAIL
11740             EVACUATION SUBUNGUAL HEMATOMA
11750             EXCISION NAIL & NAIL MATRIX
11765             WEDGE EXCISION SKIN OF NAIL FOLD(INGROWN TOENAIL)
11770             EXC.PILONIDAL CYST;SIMPLE SCALP,NECK,HANDS,FEET,GENITALIA,TRUNK,EXTREMITIES
11771             EXC.PILONIDAL CYST;EXTENS SCALP,NECK,HANDS,FEET,GENITALIA,TRUNK,EXTREMITIES
11772             EXC.PILONIDAL CYST;COMPL SCALP,NECK,HANDS,FEET,GENITALIA,TRUNK,EXTREMITIES
12031             LAYER CLOSURE WOUNDS OF SCALP,AXILLAE, TRUNK, AND/OR EXTREMITIES2.5CM OR LESS
14041             ADJ TIS TRANS/REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, FEET
15040             HARVEST SKN TISS CLTR SKN AGRFT 100 CM/<
15050             PINCH GRAFT, SING/MULT,TO COVER SM ULCER,DIGIT TIP, OTHER MIN OPEN AREA, <= 2 CM
15100             SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PERCENT OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)

15101        +x   STSG;EACH ADDTL.100 SQ CM OR ADDITIONAL 1% OF BSA INFANTS AND CHILDREN
15110             EPIDRM AGRFT T/A/L 1ST 100 CM/</1% BDY INFT/CHLD
15111             EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD
15115             EPIDRM AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM
15116             EPIDRM AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA
15120             SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM
                  OR LESS, OR ONE PERCENT OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)
15120             SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM
                  OR LESS, OR ONE PERCENT OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)
15121        +x   STSG,FACE,SCALP,EYELIDS,MOUTH,NECK,EARS,ORBITS,GENITALIA,HANDS,FEET,MULT DIG;INFANT/CHILD
15121        +x   STSG,FACE,SCALP,EYELIDS,MOUTH,NECK,EARS,ORBITS,GENITALIA,HANDS,FEET,MULT DIG;INFANT/CHILD
15130             DRM AGRFT T/A/L 1ST 100 CM
15131             DRM AGRFT T/A/L EA 100 CM/EA
15135             DRM AGRFT F/S/N/H/F/G/M/D GT 1ST 100


+ = Add-on code x = modifier -51 exempt *=extrapolated code    #=repriced code                                                             Page 23 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
15136             DRM AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA
15150             CLTR EPIDRM AGRFT T/A/L 1ST 25 CM/<
15151             CLTR EPIDRM AGRFT T/A/L ADDL 1 CM-75 CM
15152             CLTR EPIDRM AGRFT T/A/L EA 100 CM/EA 1 % BDY
15155             CLTR EPIDRM AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/<
15156             CLTR EPIDRM AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM
15157             CLTR EPIDRM AGRFT F/S/N/H/F/G/M/D GT EA 100 EA
15170             ACLR DRM RPLCMT T/A/L 1ST 100 CM/</1 % BDY
15171             ACLR DRM RPLCMT T/A/L EA 100 CM/EA 1 % BDY
15175             ACLR DRM RPLCMT F/S/N/H/F/G/M/D GT 1ST 100 CM
15176             ACLR DRM RPLCMT F/S/N/H/F/G/M/D GT EA 100 CM/EA
15200             FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ CM OR LESS
15201             FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH ADDITIONAL 20 SQ CM (LIST SEPARATELY IN ADDITION TO
                  CODE FOR PRIMARY PROCEDURE)
15220             FULL THICKNESS GRAFT, FREE, INCL DIRECT CLOSURE DONOR SITE, SCALP, ARMS, AND/OR LEGS; < 20CM
15221             FULL THICKNESS GRAFT, FREE, INCL DIRECT CLOSURE DONOR SITE, SCALP, ARMS, LEGS; > 20CM
15240             FTSG,FREE,INCL DIRECT CLOS DONOR SITE,FOREHEAD,CHEEKS,CHIN,MOUTH,NECK,AXILLAE,GENITALIA,HANDS,FEET;< 20 SQ CM
15241             FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS,
                  AND/OR FEET; EACH ADDITIONAL 20 SQ CM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
15260             FULL THICKNESS GRAFT, FREE, INCL DIRECT CLOSURE DONOR SITE, NOSE, EARS, EYELIDS, LIPS < 20 SQ CM
15261             FULL THICKNESS GRAFT, FREE, INCL DIRECT CLOSURE DONOR SITE, NOSE, EARS, EYELIDS, LIPS > 20 SQ CM
15300             ALGRFT SKN F/TEMP CLSR T/A/L 1ST 100 CM/</1
15301             ALGRFT SKN F/TEMP CLSR T/A/L EA 100 CM/EA
15320             ALGRFT SKN F/TEMP CLSR F/S/N/H/F/G/M/D 1ST 100CM
15321             ALGRFT SKN F/TEMP CLSR F/S/N/H/F/G/M/D EA 100CM
15330             ACLR DRM ALGRFT T/A/L 1ST 100 CM
15331             ACLR DRM ALGRFT T/A/L EA 100 CM/EA
15335             ACLR DRM ALGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM

+ = Add-on code x = modifier -51 exempt *=extrapolated code     #=repriced code                                                        Page 24 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
15336             ACLR DRM ALGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA
15340             TISS CLTR ALGC SKN 1ST 25 CM/<
15341             TISS CLTR ALGC SKN EA 25 CM
15360             TISS CLTR ALGC DRM T/A/L 1ST 100 CM
15365             TISS CLTR ALGC DRM F/S/N/H/F/G/M/D 1ST 100 CM
15366             TISS CLTR ALGC DRM F/S/N/H/F/G/M/D EA 100 CM
15400             XENOGRAFT, SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE; TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PERCENT OF BODY AREA OF
                  INFANTS AND CHILDREN
15400             XENOGRAFT, SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE; TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PERCENT OF BODY AREA OF
                  INFANTS AND CHILDREN
15401             XENOGRAFT, SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL ONE PERCENT OF BODY AREA OF
                  INFANTS AND CHILDREN, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
15420             XENOGRF SKN TEMP CLSR F/S/N/H/F/G/M/D 1ST 100CM
15421             XENOGRF SKN TEMP CLSR F/S/N/H/F/G/M/D EA 100CM
15430             ACLR XENOGRF IMPLT 1ST 100 CM
15431             ACLR XENOGRF IMPLT EA 100 CM
16020             DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; SMALL (LESS THAN 5% TOTAL BODY SURFACE AREA)
16025             DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; MEDIUM (EG, WHOLE FACE OR WHOLE EXTREMITY, OR 5% TO
                  10% TOTAL BODY SURFACE AREA)
16030             DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; LARGE (EG, MORE THAN ONE EXTREMITY, OR GREATER THAN
                  10% TOTAL BODY SURFACE AREA)
16035             ESCHAROTOMY
21555             EXCISION TUMOR, SOFT TISSUE OF NECK OR THORAX; SUBCUTANEOUS (EG DERMOID)
21600             EXCISION OF RIB, PARTIAL
 SMALL INTESTINE
44005             ENTEROLYSIS,SEPARATE PROCEDURE
44015        +x   TUBE JEJUNOSTOMY WITH ADDITIONAL PROCEDURE
44020             ENTEROTOMY FOR EXPLORATION/BIOPSY
44021             ENTEROTOMY, DECOMPRESSION

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                       Page 25 of 37
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 Code     Mod       Description
44050             REDUCE VOLVULUS/INTUSSUSCEPTION/HERNIA BY CELIOTOMY
44055             CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT VOLVULUS (EG LADD PROCEDURE)
44110             EXC.INTESTINAL LESIONS; SINGLE ENTEROTOMY
44111             EXC. INTESTINAL LESIONS; MULTIPLE ENTEROTOMIES
44120             ENTERECTOMY,W/ ANASTOMOSIS, SINGLE
44121        +x   ENTERECTOMY W/ ANASTOMOSIS EACH ADDITIONAL (ADD ON)
44125             ENTERECTOMY,W/ ENTEROSTOMY
44130             ENTEROENTEROSTOMY;SEPARATE PROC
44137             REMOVAL OF TRANSPLANTED INTESTINAL ALLOGRAFT, COMPLETE
44180             LAPS ENTEROLSS FRING INTSTINAL ADHESION SPX
44186             LAPS JEJUNOSTOMY
44187             LAPS ILEOST/JEJUNOSTOMY NON-TUBE
44202             LAPAROSCOPY, SURGICAL; ENTERECTOMY, RESECTION OF SMALL INTESTINE, SINGLE RESECTION AND ANASTOMOSIS
44203             LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND ANASTOMOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY
                  PROCEDURE)
44227             LAPS CLSR NTRSTM LG/SM INT W/RESCJ&ANAST
44238             UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM)
44310             ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE
44312             REVISE ILEOSTOMY;SIMPLE
44314             REVISE ILEOSTOMY;COMPLICATED
44316             CONTINENT ILEOSTOMY (KOCK PROCEDURE) (SEPARATE PROCEDURE)
44360             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; DIAGNOSTIC, WITH OR WITHOUT
                  COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)
44361             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE
44363             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF FOREIGN BODY
44364             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S),
                  POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE
44365             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S),
                  POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                      Page 26 of 37
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 Code     Mod       Description
44366             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG,
                  INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR)
44369             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH ABLATION OF TUMOR(S),
                  POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE
44370             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH TRANSENDOSCOPIC STENT
                  PLACEMENT (INCLUDES PREDILATION)
44372             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH PLACEMENT OF
                  PERCUTANEOUS JEJUNOSTOMY TUBE
44373             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONVERSION OF
                  PERCUTANEOUS GASTROSTOMY TUBE TO PERCUTANEOUS JEJUNOSTOMY TUBE
44376             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; DIAGNOSTIC, WITH OR WITHOUT
                  COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)
44377             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE
44378             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG,
                  INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR)
44379             SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH TRANSENDOSCOPIC STENT
                  PLACEMENT (INCLUDES PREDILATION)
44380             DILATION STOMA
44382             ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE
44383             ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES PREDILATION)
44385             ENDOSCOPIC EVALUATION OF SMALL INTESTINAL (ABDOMINAL OR PELVIC) POUCH; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY
                  BRUSHING OR WASHING (SEPARATE PROCEDURE)
44386             ENDOSCOPIC EVALUATION OF SMALL INTESTINAL (ABDOMINAL OR PELVIC) POUCH; WITH BIOPSY, SINGLE OR MULTIPLE
44500             INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT) (SEPARATE PROCEDURE)
44602             REPAIR SMALL INTESTINE, SINGLE
44603             REPAIR SMALL INTESTINE, MULTIPLE
44615             INTESTINAL STRICTUROPLASTY (ENTEROTOMY AND ENTERORRHAPHY) WITH OR WITHOUT DILATION, FOR INTESTINAL OBSTRUCTION
44620             CLOSE ENTEROSTOMY LARGE OR SMALL INTESTINE, SIMPLE
44625             CLOSE ENTEROSTOMY LARGE OR SMALL;W/ RESECTION & ANASTOMOSIS
44650             CLOSURE ENTEROENTERIC OR ENTEROCOLIC FISTULA
44660             CLOSE ENTEROVESICAL FISTULA W/O BOWEL OR BLADDER RESECTION


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                       Page 27 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code      Mod      Description
44661             CLOSE ENTEROVESICAL FISTULA;W/ BOWEL OR BLADDER RESECTION
44680             BAKER TUBE INTESTINAL PLICATION
44700             EXCLUSION OF SMALL INTESTINE FROM PELVIS BY MESH OR OTHER PROSTHESIS, OR NATIVE TISSUE (EG, BLADDER OR OMENTUM)
44800             EXC.MECKEL'S DIVERTICULUM
44820             EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE)
44850             SUTURE OF MESENTERY
44899             UNLISTED PROCEDURE, MECKEL'S DIVERTICULUM AND THE MESENTERY
 SPINAL EXPOSURE ANTERIOR ARTHRODESIS
22554-62          EXP. ARTHRODESIS,CERV. BELOW C2, INCL. MIN. DISKECTOMY 50% COSURGERY FEE
22556-62          EXP. ARTHRODESIS,THORACIC, INCL. MIN. DISKECTOMY 50% COSURGERY FEE
22558-62          EXP. ARTHRODESIS, LUMBAR, INCL. MIN. DISKECTOMY 50% COSURGERY FEE
22808-62          EXP. ARTHRODESIS, ANTERIOR FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST, 2-3 VERTEBRAL SEGMENTS 50% COSURGERY FEE
22810-62          EXP. ARTHRODESIS, ANTERIOR FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST, 4-7 VERTEBRAL SEGMENTS 50% COSURGERY FEE
22812-62          EXP. ARTHRODESIS, ANTERIOR FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST, 8 OR MORE VERTEBRAL SEGMENTS 50% COSURGERY FEE
 SPINAL EXPOSURE ANTERIOR OSTEOTOMY
22220-62          EXP. OSTEOTOMY, CERV., INCL. DISKECTOMY, SINGLE VERT. SEG.
22222-62          EXP. OSTEOTOMY, THOR., INCL. DISKECTOMY, SINGLE VERT. SEG. 50% COSURGERY FEE
22224-62          EXP. OSTEOTOMY, LUMBAR, INCL. DISKECTOMY, SINGLE VERT. SEG. 50% COSURGERY FEE
 SPINAL EXPOSURE ANTERIOR VERTEBRAL CORPECTOMY
63085-62          EXP. VERT. CORPECTOMY, THORACIC, SINGLE SEGMENT 50% COSURGERY FEE
63087-62          EXP. VERT. CORPECTOMY, THORACOLUMBAR, SINGLE SEGMENT 50% COSURGERY FEE
63090-62          EXP. VERT. CORPECTOMY, LUMBAR OR SACRAL, SINGLE SEGMENT 50% COSURGERY FEE
 SPINAL EXPOSURE DISKECTOMY
63075-62          EXP. DISKECTOMY,CERVICAL, SINGLE INTERSPACE 50% COSURGERY FEE
63077-62          EXP. DISKECTOMY,THORACIC, SINGLE INTERSPACE 50% COSURGERY FEE


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                       Page 28 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
 SPINAL EXPOSURE LATERAL EXTRACAVITARY TECHNIQUE
22532             ARTHRODESISINCLUDING MINIMAL DISKECTOMY; THORACIC (25% COSURGERY FEE IN LIEU OF ASSISTANT FEE; 50% RESPONSIBILITY)
22533             ARTHRODESIS INCLUDING MINIMAL DISKECTOMY; LUMBAR (50% COSURGERY FEE IN LIEU OF ASSISTANT FEE; 50% RESPONSIBILITY))
22534        +x   EACH ADDITIONAL VERTEBRAL SEGMENT (LIST SEPERATELY IN ADDITION TO CODE FOR PRIMARY PORCEDURE IN LIEU OF ASSISTANT FEE; 50%
                  RESPONSIBILITY))
 SPLEEN
38100             SPLENECTOMY
38101             SPLENECTOMY;PARTIAL
38115             SPLENORRHAPHY
38120             SPLENECTOMY, LAPAROSCOPY
 STOMACH & DUODENUM
43500             GASTROTOMY FOR EXPLORATION OR FOREIGN BODY REMOVAL
43520             PYLOROMYOTOMY
43605             BX.STOMACH;CELIOTOMY
43610             EXC.ULCER/TUMOR STOMACH
43621             GASTRECTOMY TOTAL W/ ROUX EN Y
43631             GASTRECTOMY PARTIAL DISTAL WITH GASTRODUODENOSTOMY
43632             GASTRECTOMY PARTIAL DISTAL WITH GASTROJEJUNOSTOMY
43635        +x   VAGOTOMY WHEN PERFORMED WITH PARTIAL DISTAL GASTRECTOMY (ADD ON)
43640             VAGOTOMY & PYLOROPLASTY
43641             VAGOTOMY HIGHLY SELECTIVE
43644             LAPAROSCOPY, ROUX-EN-Y
43645             WITH GASTRIC BYPASS AND SMALL INTESTINE RECONSTRUCTION TO LIMIT ABSORPTION
43653             GASTROSTOMY TUBE, LAPAROSCOPIC
43659             LAPAROSOCPIC GASTRIC PACEMAKER INSERTION
43750             GASTROSTOMY TUBE ALONG WITH OTHER PROCEDURES, OPEN

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                          Page 29 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
43760             CHANGE GASTROSTOMY TUBE
43800             PYLOROPLASTY (ALONE)
43820             GASTROJEJUNOSTOMY W/O VAGOTOMY
43825             GASTROJEJUNOSTOMY W/ VAGOTOMY
43830             GASTROSTOMY TUBE (ONLY PROCEDURE), OPEN
43831             GASTROSTOMY, OPEN, NEONATAL, FOR FEEDING
43832             GASTROSTOMY,PERMANENT, JANEWAY PROCEDURE (ONLY PROCEDURE)
43840             GASTRORRHAPHY/DUODENORRHAPHY,REPAIR PERF. STOMACH/DUOD
43845             BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH
43850             REVISE GASTRODUODENOSTOMY;W/O VAGOTOMY
43855             REVISE GASTRODUODENOSTOMY;W/ VAGOTOMY
43860             REVISE GASTROJEJUNOSTOMY;W/O VAGOTOMY
43865             REVISE GASTROJEJUNOSTOMY;W/ VAGOTOMY
43870             CLOSE GASTROSTOMY,SURGICAL
43880             CLOSE GASTROCOLIC FISTULA
43999        *    OPEN GASTRIC PACEMAKER INSERTION
49606             FINAL CLOSURE GASTROSCHSIS
64595             REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER
 STOMACH & DUODENUM-ENDOSCOPY
43234             UPPER GI ENDOSCOPY, SIMPLE PRIMARY EXAMINATION
43235             UPPER GI ENDOSCOPY, WITH BRUSHING/WASHING
43239             UPPER GI ENDOSCOPY WITH BIOPSY SINGLE OR MULTIPLE
43246             PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
 THORACOSCOPY
32601             THORACOSCOPY, DIAGNOSTIC, W/O BIOPSY
32602             THORACOSCOPY, WITH BIOPSY

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                     Page 30 of 37
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 Code     Mod       Description
32602             THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS AND PLEURAL SPACE, WITH BIOPSY
32650             THORACOSCOPY, WITH PLEURODESIS
32651             THORACOSCOPY, WITH PARTIAL PULMONARY DECORTICATION
32652             THORACOSCOPY, WITH TOTAL PULMONARY DECORTICATION, INCLUDING INTRAPLEURAL PNEUMONOLYSIS
32653             THORACOSCOPY, WITH REMOVAL OF INTRAPLEURAL FOREIGN BODY OR FIBRIN DEPOSIT
32657             THORACOSCOPY, WITH WEDGE RESECTION OF LUNG, SINGLE OR MULTIPLE
32662             THORACOSCOPY, WITH EXCISION OF MEDIASTINAL CYST, TUMOR OR MASS
32665             THORACOSCOPY, WITH ESOPHAGOMYOTOMY (HELLER TYPE)
 THORAX-CHEST WALL
21740             REPAIR PECTUS EXCAVATUM/CARINATUM, OPEN
21742             REPAIR PECTUS EXCAVATUM/CARINATUM, MINIMALLY INVASIVE APPROACH (NUSS PROCEDURE) W/O THORACOSCOPY
21743             REPAIR PECTUS EXCAVATUM/CARINATUM, MINIMALLY INVASIVE APPROACH (NUSS PROCEDURE) WITH THORACOSCOPY
 THORAX-DIAPHRAGM
39501             REPAIR DIAPHRAGMATIC LACERATION
39503             REPAIR, NEONATAL DIAPHRAGMATIC HERNIA, W/ OR W/O CHEST TUBE, W/ OR W/O CREATION OF VENTRAL HERNIA
39540             REPAIR TRAUMATIC DIAPHRAGMATIC HERNIA
39541             REPAIR CHRONIC DIAPHRAGMATIC HERNIA
 THORAX-ENDOSCOPY
31622             BRONCHOSCOPY; WITH OR WITHOUT FLUROROSCOPIC GUIDANCE; DIAGNOSTIC
31625             BRONCHOSCOPY WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES
31632        +x   WITH TRANSBRONCHIAL LUNG BIOPSY (S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE THE PRIMARY PROCEDURE)
31633        +x   WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE THE PRIMARY PROCEDURE)
31645             BRONCHOSCOPY;W/ THERAPEUTIC ASPIRATION, INITIAL
31646             BRONCHOSCOPY;W/ THERAPEUTIC ASPIRATION, SUBSEQUENT
 THORAX-GENERAL


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                                       Page 31 of 37
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 Code     Mod       Description
32900             RESECTION OF RIBS, EXTRAPLEURAL, ALL STAGES
 THORAX-HEART
33015             PERICARDIAL WINDOW ALONG WITH OTHER PROCEDURES
33300             REPAIR CARDIAC WOUND W/O BYPASS
 THORAX-LUNG
32503             RESCJ APICAL LNG TUM W/O CH WALL RCNSTJ
32504             RESCJ APICAL LNG TUM W/CH WALL RCNSTJ
 THORAX-MEDIASTINUM
39200             EXCISION OF MEDIASTINAL CYST
39220             EXCISION OF MEDIASTINAL TUMOR
 THORAX-PERICARDIUM
33010             PERCARDIOCENTESIS;INITIAL
 THORAX-PLEURA
32000        x    THORACENTESIS
32019             INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF
32020        x    THORACOSTOMY, TUBE
32035             THORACOSTOM W/RIB RESECTION
32095             THORACOTOMY LIMITED W/ BX.
32100             THORACOTOMY;W/ EXPLORATION & BX.
32110             THORACOTOMY;W/ CONTROL OF HEMORRHAGE
32140             THORACOTOMY, MAJOR WITH CYST(S) REMOVAL, W/ OR W/O PLEURAL PROCEDURE
32141             THORACOTOMY, MAJOR, WITH EXCISION-PLICATION OF BULLAE, W/ OR W/O PLEURAL PROCEDURE
32150             THORACTOMY, MAJOR WITH REMOVAL OF INTRAPLEURAL FOREIGN BODY OR FIBRIN DEPOSIT
32310             PLEURECTOMY, PARIETAL
32320             DECORTICATION AND PARIETAL PLEURECTOMY

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                          Page 32 of 37
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 Code     Mod       Description
32440             REMOVAL OF LUNG, TOTAL PNEUMONECTOMY
32480             REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY, SINGLE LOBE
32482             REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY, TWO LOBES
32484             REMOVAL OF LUNG, SINGLE SEGMENT
 THORAX-TRACHEA
31500        x    ENDOTRACHEAL INTUBATION
 VASCULAR-ACCESS
36555             INSERTION OF NON-TUNNELED VENOUS CATHETER; UNDER 5 YEARS
36556             INSERTION OF NON-TUNNELED VENOUS CATHETER; AGE 5 YEARS OR OLDER
36557             INSERTION OF TUNNELED VENOUS CATHETER; WITHOUT PORT OR PUMP; UNDER 5 YEARS OF AGE
36558             INSERTION OF TUNNELED VENOUS CATHETER; WITHOUT PUMP OR PORT; AGE 5 OR OLDER
36560             INSERTION OF TUNNELED CENTRAL VENOUS ACCESS DEVICE; WITH PORT; UNDER 5 YEARS OF AGE
36561             INSERTION OF TUNNELED CENTRAL VENOUS ACCESS DEVICE; WITH PORT; AGE 5 YEARS OR OLDER
36563             INSERTION OF TUNNELED CENTRAL VENOUS ACCESS DEVICE; WITH PUMP
36565             INSERTION OF TUNNELED CENTRAL VENOUS ACCESS DEVICE; WITHOUT PORT OR PUMP(EG, TESIO TYPE CATHETER)
36566             INSERTION OF TUNNELED CENTRAL VENOUS ACCESS DEVICE; WITH PORT (S)
36568             INSERTION OF PERIPHERAL CENTRAL VENOUS CATHETER (PICC), WITHOUT PORT OR PUMP; UNDER 5 YEARS OF AGE
36569             INSERTION OF PERIPHERAL CENTRAL VENOUS CATHETER (PICC), WITHOUT PORT OR PUMP; AGE 5 YEARS OR OLDER
36570             INSERTION OF PERIPHERAL CENTRAL VENOUS ACCESS DEVICE, WITH PORT; UNDER 5 YEARS OF AGE
36571             INSERTION OF PERIPHERAL CENTRAL VENOUS ACCESS DEVICE, WITH PORT; AGE 5 YEARS OR OLDER
36575             REPAIR OF CENTRAL VENOUS ACCESS CATHETER, WITHOUT PORT OR PUMP.
36576             REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH PORT OR PUMP.
36578             REPLACEMENT, CATHETER ONLY, WITH PORT OR PUMP.
36580             REPLACEMENT, COMPLETE CENTRAL VENOUS CATHETER, WITHOUT PORT OR PUMP.
36581             REPLACEMENT, COMPLETE, CENTRAL VENOUS CATHETER, WITHOUT PORT OR PUMP.
36582             REPLACEMENT, COMPLETE, CENTRAL VENOUS ACCESS DEVICE, WITH PORT.

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                          Page 33 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
36583             REPLACEMENT, COMPLETE, CENTRAL VENOUS ACCESS DEVICE, WITH PUMP.
36584             REPLACEMENT, COMPLETE, PERIPHERAL CENTRAL VENOUS CATHETER (PICC), WITHOUT PORT OR PUMP.
36585             REPLACEMENT, COMPLETE PERIPHERAL CENTRAL VENOUS ACCESS DEVICE, WITHOUT PORT.
36589             REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT PORT OR PUMP
36590             REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH PORT OR PUMP.
36595             MECH. REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL (EG FIBRIN SHEATH) VIA SEPARATE VENOUS ACCESS
36596             MECH. REMOVAL OF INTRALUMINAL (INTRACATHETER) OBSTRUCTIVE MATERIAL THROUGH DEVICE LUMEN
36597             REPOSITION PREVIOUSLY PLACE CENTRAL VENOUS CATHETER UNDER FLUOROSCOPIC GUIDANCE
36620        x    ART.CATH;PERCUTANEOUS
36625             ART.CATH;CUTDOWN
36680             PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION
36815             REVISE/CLOSE AV SHUNT
36821             CREATE AV FISTULA
36825             CREATE AV FISTULA;AUTOGENOUS GRAFT
36830             CREATE AV FISTULA;NONAUTOGENOUS GRAFT
36832             REVISION A-V FISTULA
36838             DRIL, UPPER EXTREMITY HEMODIALYSIS ACCESS (STEAL SYNDROME)
93503        x    SWAN-GANZ CATHETERIZATION
 VASCULAR-ARTERIAL PROCEDURE
33320             SUTURE REPAIR AORTA OR GREAT VESSELS
35201             REPAIR BLOOD VESSEL, DIRECT; NECK
35206             REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY
35216             REPAIR VESSEL DIRECT;THOR
35221             REPAIR VESSEL DIRECT;ABD.
35226             REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY
35231             REPAIR BLOOD VESSEL WITH VEIN GRAFT; NECK


+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                        Page 34 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
35236             REPAIR BLOOD VESSEL WITH VEIN GRAFT; UPPER EXTREMITY
35251             REPAIR VESSEL W/ VEIN GRAFT;ABD.
35256             REPAIR BLOOD VESSEL WITH VEIN GRAFT; LOWER EXTREMITY
35261             REPAIR VESSEL W/ OTHER THAN VEIN GRAFT; NECK
35266             REPAIR VESSEL W/ OTHER THAN VEIN GRAFT;UPPER EXTR
35281             REPAIR VESSEL W/ OTHER THAN VEIN GRAFT; ABDOMEN
35301             THROMBOENDART;NECK INCIS.
35371             THROMBOENDART;COM.FEMORAL
35372             THROMBOENDART;PROFUNDA FEMOR.
35381             THROMBOENDART;FEM/POP/TIB
35636             BYPASS GRAFT OTHER THAN VEIN;SPLENORENAL
35860             EXPLORATION FOR POSTOP HEMORRHAGE OR INFECTION EXTREMITY
35875             THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR FISTULA);
36822             INSERTION OF ECMO CANNULA
37605             LIGATION, INTERNAL OR COMMON CAROTID ARTERY
37609             LIGATION/BX,TEMPORAL ART.
37615             LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); NECK
37616             LIGATE MAJ.ARTERY;CHEST
37617             LIGATE MAJ.ARTERY;ABDOMEN
37618             LIGATION, MAJOR ARTERY; EXTREMITY
 VASCULAR-MISCELLANEOUS
35701             EXPLORATION NOT FOLLOWED BY REPAIR, CAROTID ARTERY
35721             EXPLORATION NOT FOLLOWED BY REPAIR, FEMORAL ARTERY
35761             EXPL (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS
 VASCULAR-VENOUS PROCEDURES
35281             REPAIR VESSEL W/ OTHER THAN VEIN GRAFT; ABDOMEN

+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                              Page 35 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description
37140             PORTACAVAL SHUNT
37160             ANASTOMOSIS;MESOCAVAL
37181             DISTAL SPLENORENAL SHUNT - WARREN
37565             LIGATION, INTERNAL JUGULAR VEIN
37620             INTERRUPTION,VENA CAVA
37650             LIGATION,FEMORAL VEIN
37660             LIGATION,COMMON ILIAC VEIN
37700             LIGATE/DIVIDE SAPHENOUS VEIN
37760             LIGATE PERFORATOS/SUBFASCIAL/RADICAL
37765             STAB PHLEBECTOMY OF VARICOSE VEINS, ONE EXTREMITY; 10 - 20 STAB INCISIONS
37766             STAB PHLEBECTOMY OF VARICOSE VEINS, ONE EXTREMITY; MORE THAN 20 STAB INCISIONS
37785             LIGATION, DIVISION, AND/OR EXCISION OF VARICOSE VEIN (CLUSTER(S)), ONE LEG




+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                      Page 36 of 37
Print date 3/14/2006 Rev. date 2/16/2006
 Code     Mod       Description


 Modifiers
 22        Procedure was harder. Special report must accompany bill; increase charge by 20%
 24        Unrelated E&M service by same MD during postop period
 25        Initial Evaluation on same day of minor procedure. (0-10 day global)
 26        Professional component only
 50        Bilateral procedures (when not CPT coded as bilateral), one code for both procedures
 51        Multiple procedures, same date, same surgeon, same operative site; used on lesser charged procedures
 54        Operative procedure where no postoperative visit performed
 57        Initial evaluation on same day or date before major procedure (90 day global)
 58        Planned return to OR, same surgeon within postop global period (colostomy closure)
 62        Two surgeons (Cosurgeons) of different specialties (spine exposure)
 76        Repeat procedure by same surgeon
 77        Repeat procedure by different surgeon
 78        Unplanned return to OR, same surgeon within postoperative global period
 79        Return to OR for unrelated procedure during postoperative global period
 80        Assistant Surgeon




+ = Add-on code x = modifier -51 exempt *=extrapolated code   #=repriced code                                     Page 37 of 37
Print date 3/14/2006 Rev. date 2/16/2006

								
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