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apc_fee_Schedule05022008

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apc_fee_Schedule05022008 Powered By Docstoc
					                                                         Updated         5/2/08
Procedure Code List
Effective Date: April 1, 2008

Conversion Factors:
  $47.77    General Acute Care Hospitals
 $108.92    Children's Hospitals
 $124.84    Critical Access Hospitals

Medicare's 2008 National Conversion Factor               63.694



                                                                       W yoming
                                                                        Status

                                                                                                           Procedure                                                  Medicare
                                                        Medicare                                                          General     Children's
                                                                       W yoming                           Codes with a                             Critical Access     Change
  CPT/                                                   Status                            APC Relative                   Hospital     Hospital
                                Description (short)                   2008 Status   APC                   "calculated"                                Hospital       from 03-01-
 HCPCS                                                IndicatorsCY                           W eights                    Outpatient   Outpatient
                                                                       Indicator                          APC Relative                             Outpatient Fee        08
                                                      2008 FYI Only                                                         Fee          Fee
                                                                                                            W eight                                                   Schedule

00100       Anesth, salivary gland                         N              N         0000      0.0000                        0.00         0.00           0.00
00102       Anesth, repair of cleft lip                    N              N         0000      0.0000                        0.00         0.00           0.00
00103       Anesth, blepharoplasty                         N              N         0000      0.0000                        0.00         0.00           0.00
00104       Anesth, electroshock                           N              N         0000      0.0000                        0.00         0.00           0.00
00120       Anesth, ear surgery                            N              N         0000      0.0000                        0.00         0.00           0.00
00124       Anesth, ear exam                               N              N         0000      0.0000                        0.00         0.00           0.00
00126       Anesth, tympanotomy                            N              N         0000      0.0000                        0.00         0.00           0.00
00140       Anesth, procedures on eye                      N              N         0000      0.0000                        0.00         0.00           0.00
00142       Anesth, lens surgery                           N              N         0000      0.0000                        0.00         0.00           0.00
00144       Anesth, corneal transplant                     N              N         0000      0.0000                        0.00         0.00           0.00
00145       Anesth, vitreoretinal surg                     N              N         0000      0.0000                        0.00         0.00           0.00
00147       Anesth, iridectomy                             N              N         0000      0.0000                        0.00         0.00           0.00
00148       Anesth, eye exam                               N              N         0000      0.0000                        0.00         0.00           0.00
00160       Anesth, nose/sinus surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
00162       Anesth, nose/sinus surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
00164       Anesth, biopsy of nose                         N              N         0000      0.0000                        0.00         0.00           0.00
00170       Anesth, procedure on mouth                     N              N         0000      0.0000                        0.00         0.00           0.00
00172       Anesth, cleft palate repair                    N              N         0000      0.0000                        0.00         0.00           0.00
00174       Anesth, pharyngeal surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
00176       Anesth, pharyngeal surgery                     C              C         0000      0.0000                        0.00         0.00           0.00
00190       Anesth, face/skull bone surg                   N              N         0000      0.0000                        0.00         0.00           0.00
00192       Anesth, facial bone surgery                    C              C         0000      0.0000                        0.00         0.00           0.00
00210       Anesth, open head surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
00212       Anesth, skull drainage                         N              N         0000      0.0000                        0.00         0.00           0.00
00214       Anesth, skull drainage                         C              C         0000      0.0000                        0.00         0.00           0.00
00215       Anesth, skull repair/fract                     C              C         0000      0.0000                        0.00         0.00           0.00
00216       Anesth, head vessel surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
00218       Anesth, special head surgery                   N              N         0000      0.0000                        0.00         0.00           0.00
00220       Anesth, intrcrn nerve                          N              N         0000      0.0000                        0.00         0.00           0.00
00222       Anesth, head nerve surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
00300       Anesth, head/neck/ptrunk                       N              N         0000      0.0000                        0.00         0.00           0.00
00320       Anesth, neck organ, 1 & over                   N              N         0000      0.0000                        0.00         0.00           0.00
00322       Anesth, biopsy of thyroid                      N              N         0000      0.0000                        0.00         0.00           0.00
00326       Anesth, larynx/trach, < 1 yr                   N              N         0000      0.0000                        0.00         0.00           0.00
00350       Anesth, neck vessel surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
00352       Anesth, neck vessel surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
00400       Anesth, skin, ext/per/atrunk                   N              N         0000      0.0000                        0.00         0.00           0.00
00402       Anesth, surgery of breast                      N              N         0000      0.0000                        0.00         0.00           0.00
00404       Anesth, surgery of breast                      N              N         0000      0.0000                        0.00         0.00           0.00
00406       Anesth, surgery of breast                      N              N         0000      0.0000                        0.00         0.00           0.00
00410       Anesth, correct heart rhythm                   N              N         0000      0.0000                        0.00         0.00           0.00
00450       Anesth, surgery of shoulder                    N              N         0000      0.0000                        0.00         0.00           0.00
00452       Anesth, surgery of shoulder                    C              C         0000      0.0000                        0.00         0.00           0.00
00454       Anesth, collar bone biopsy                     N              N         0000      0.0000                        0.00         0.00           0.00
00470       Anesth, removal of rib                         N              N         0000      0.0000                        0.00         0.00           0.00
00472       Anesth, chest wall repair                      N              N         0000      0.0000                        0.00         0.00           0.00
00474       Anesth, surgery of rib(s)                      C              C         0000      0.0000                        0.00         0.00           0.00
00500       Anesth, esophageal surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
00520       Anesth, chest procedure                        N              N         0000      0.0000                        0.00         0.00           0.00
00522       Anesth, chest lining biopsy                    N              N         0000      0.0000                        0.00         0.00           0.00
00524       Anesth, chest drainage                         C              C         0000      0.0000                        0.00         0.00           0.00
00528       Anesth, chest partition view                   N              N         0000      0.0000                        0.00         0.00           0.00
00529       Anesth, chest partition view                   N              N         0000      0.0000                        0.00         0.00           0.00
00530       Anesth, pacemaker insertion                    N              N         0000      0.0000                        0.00         0.00           0.00
00532       Anesth, vascular access                        N              N         0000      0.0000                        0.00         0.00           0.00
00534       Anesth, cardioverter/defib                     N              N         0000      0.0000                        0.00         0.00           0.00
00537       Anesth, cardiac electrophys                    N              N         0000      0.0000                        0.00         0.00           0.00
00539       Anesth, trach-bronch reconst                   N              N         0000      0.0000                        0.00         0.00           0.00
00540       Anesth, chest surgery                          C              C         0000      0.0000                        0.00         0.00           0.00
00541       Anesth, one lung ventilation                   N              N         0000      0.0000                        0.00         0.00           0.00
00542       Anesth, release of lung                        C              C         0000      0.0000                        0.00         0.00           0.00
00546       Anesth, lung,chest wall surg                   C              C         0000      0.0000                        0.00         0.00           0.00
00548       Anesth, trachea,bronchi surg                   N              N         0000      0.0000                        0.00         0.00           0.00
00550       Anesth, sternal debridement                    N              N         0000      0.0000                        0.00         0.00           0.00
00560       Anesth, heart surg w/o pump                    C              C         0000      0.0000                        0.00         0.00           0.00
00561       Anesth, heart surg < age 1                     C              C         0000      0.0000                        0.00         0.00           0.00
00562       Anesth, heart surg w/pump                      C              C         0000      0.0000                        0.00         0.00           0.00
00563       Anesth, heart surg w/arrest                    N              N         0000      0.0000                        0.00         0.00           0.00
00566       Anesth, cabg w/o pump                          N              N         0000      0.0000                        0.00         0.00           0.00
00580       Anesth, heart/lung transplnt                   C              C         0000      0.0000                        0.00         0.00           0.00
00600       Anesth, spine, cord surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
00604       Anesth, sitting procedure                      C              C         0000      0.0000                        0.00         0.00           0.00
00620       Anesth, spine, cord surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
00622       Anesth, removal of nerves                      C              C         0000      0.0000                        0.00         0.00           0.00
00625        Anes spine tranthor w/o vent                  N              N         0000      0.0000                        0.00         0.00           0.00
00626        Anes, spine transthor w/vent                  N              N         0000      0.0000                        0.00         0.00           0.00
00630       Anesth, spine, cord surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
00632       Anesth, removal of nerves                      C              C         0000      0.0000                        0.00         0.00           0.00
00634       Anesth for chemonucleolysis                    N              N         0000      0.0000                        0.00         0.00           0.00
00635       Anesth, lumbar puncture                        N              N         0000      0.0000                        0.00         0.00           0.00
00640       Anesth, spine manipulation                     N              N         0000      0.0000                        0.00         0.00           0.00
00670       Anesth, spine, cord surgery                    C              C         0000      0.0000                        0.00         0.00           0.00
00700       Anesth, abdominal wall surg                    N              N         0000      0.0000                        0.00         0.00           0.00
00702       Anesth, for liver biopsy                       N              N         0000      0.0000                        0.00         0.00           0.00
00730       Anesth, abdominal wall surg                    N              N         0000      0.0000                        0.00         0.00           0.00
00740       Anesth, upper gi visualize                     N              N         0000      0.0000                        0.00         0.00           0.00
00750       Anesth, repair of hernia                       N              N         0000      0.0000                        0.00         0.00           0.00
00752       Anesth, repair of hernia                       N              N         0000      0.0000                        0.00         0.00           0.00
00754       Anesth, repair of hernia                       N              N         0000      0.0000                        0.00         0.00           0.00
00756       Anesth, repair of hernia                       N              N         0000      0.0000                        0.00         0.00           0.00
00770       Anesth, blood vessel repair                    N              N         0000      0.0000                        0.00         0.00           0.00
00790       Anesth, surg upper abdomen                     N              N         0000      0.0000                        0.00         0.00           0.00
00792       Anesth, hemorr/excise liver                    C              C         0000      0.0000                        0.00         0.00           0.00
00794       Anesth, pancreas removal                       C              C         0000      0.0000                        0.00         0.00           0.00
00796       Anesth, for liver transplant                   C              C         0000      0.0000                        0.00         0.00           0.00
00797       Anesth, surgery for obesity                    N              N         0000      0.0000                        0.00         0.00           0.00
00800       Anesth, abdominal wall surg                    N              N         0000      0.0000                        0.00         0.00           0.00
00802       Anesth, fat layer removal                      C              C         0000      0.0000                        0.00         0.00           0.00
00810       Anesth, low intestine scope                    N              N         0000      0.0000                        0.00         0.00           0.00
00820       Anesth, abdominal wall surg                    N              N         0000      0.0000                        0.00         0.00           0.00
00830       Anesth, repair of hernia                       N              N         0000      0.0000                        0.00         0.00           0.00
00832       Anesth, repair of hernia                       N              N         0000      0.0000                        0.00         0.00           0.00
00834       Anesth, hernia repair< 1 yr                    N              N         0000      0.0000                        0.00         0.00           0.00
00836       Anesth hernia repair preemie                   N              N         0000      0.0000                        0.00         0.00           0.00
00840       Anesth, surg lower abdomen                     N              N         0000      0.0000                        0.00         0.00           0.00
00842       Anesth, amniocentesis                          N              N         0000      0.0000                        0.00         0.00           0.00
00844       Anesth, pelvis surgery                         C              C         0000      0.0000                        0.00         0.00           0.00
00846       Anesth, hysterectomy                           C              C         0000      0.0000                        0.00         0.00           0.00
00848       Anesth, pelvic organ surg                      C              C         0000      0.0000                        0.00         0.00           0.00
00851       Anesth, tubal ligation                         N              N         0000      0.0000                        0.00         0.00           0.00
00860       Anesth, surgery of abdomen                     N              N         0000      0.0000                        0.00         0.00           0.00
00862       Anesth, kidney/ureter surg                     N              N         0000      0.0000                        0.00         0.00           0.00
00864       Anesth, removal of bladder                     C              C         0000      0.0000                        0.00         0.00           0.00
00865       Anesth, removal of prostate                    C              C         0000      0.0000                        0.00         0.00           0.00
00866       Anesth, removal of adrenal                     C              C         0000      0.0000                        0.00         0.00           0.00
00868       Anesth, kidney transplant                      C              C         0000      0.0000                        0.00         0.00           0.00
00870       Anesth, bladder stone surg                     N              N         0000      0.0000                        0.00         0.00           0.00
00872       Anesth kidney stone destruct                   N              N         0000      0.0000                        0.00         0.00           0.00
00873       Anesth kidney stone destruct                   N              N         0000      0.0000                        0.00         0.00           0.00
00880       Anesth, abdomen vessel surg                    N              N         0000      0.0000                        0.00         0.00           0.00
00882       Anesth, major vein ligation                    C              C         0000      0.0000                        0.00         0.00           0.00
00902       Anesth, anorectal surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
00904       Anesth, perineal surgery                       C              C         0000      0.0000                        0.00         0.00           0.00
00906       Anesth, removal of vulva                       N              N         0000      0.0000                        0.00         0.00           0.00
00908       Anesth, removal of prostate                    C              C         0000      0.0000                        0.00         0.00           0.00
00910       Anesth, bladder surgery                        N              N         0000      0.0000                        0.00         0.00           0.00
00912       Anesth, bladder tumor surg                     N              N         0000      0.0000                        0.00         0.00           0.00
00914       Anesth, removal of prostate                    N              N         0000      0.0000                        0.00         0.00           0.00
00916       Anesth, bleeding control                       N              N         0000      0.0000                        0.00         0.00           0.00
00918       Anesth, stone removal                          N              N         0000      0.0000                        0.00         0.00           0.00
00920       Anesth, genitalia surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
00921       Anesth, vasectomy                              N              N         0000      0.0000                        0.00         0.00           0.00
00922       Anesth, sperm duct surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
00924       Anesth, testis exploration                     N              N         0000      0.0000                        0.00         0.00           0.00
00926       Anesth, removal of testis                      N              N         0000      0.0000                        0.00         0.00           0.00
00928       Anesth, removal of testis                      N              N         0000      0.0000                        0.00         0.00           0.00
00930       Anesth, testis suspension                      N              N         0000      0.0000                        0.00         0.00           0.00
00932       Anesth, amputation of penis                    C              C         0000      0.0000                        0.00         0.00           0.00
00934       Anesth, penis, nodes removal                   C              C         0000      0.0000                        0.00         0.00           0.00
00936       Anesth, penis, nodes removal                   C              C         0000      0.0000                        0.00         0.00           0.00
00938       Anesth, insert penis device                    N              N         0000      0.0000                        0.00         0.00           0.00
00940       Anesth, vaginal procedures                     N              N         0000      0.0000                        0.00         0.00           0.00
00942       Anesth, surg on vag/urethral                   N              N         0000      0.0000                        0.00         0.00           0.00
00944       Anesth, vaginal hysterectomy                   C              C         0000      0.0000                        0.00         0.00           0.00
00948       Anesth, repair of cervix                       N              N         0000      0.0000                        0.00         0.00           0.00
00950       Anesth, vaginal endoscopy                      N              N         0000      0.0000                        0.00         0.00           0.00
00952       Anesth, hysteroscope/graph                     N              N         0000      0.0000                        0.00         0.00           0.00
01112       Anesth, bone aspirate/bx                       N              N         0000      0.0000                        0.00         0.00           0.00
01120       Anesth, pelvis surgery                         N              N         0000      0.0000                        0.00         0.00           0.00
01130       Anesth, body cast procedure                    N              N         0000      0.0000                        0.00         0.00           0.00
01140       Anesth, amputation at pelvis                   C              C         0000      0.0000                        0.00         0.00           0.00
01150       Anesth, pelvic tumor surgery                   C              C         0000      0.0000                        0.00         0.00           0.00
01160       Anesth, pelvis procedure                       N              N         0000      0.0000                        0.00         0.00           0.00
01170       Anesth, pelvis surgery                         N              N         0000      0.0000                        0.00         0.00           0.00
01173       Anesth, fx repair, pelvis                      N              N         0000      0.0000                        0.00         0.00           0.00
01180       Anesth, pelvis nerve removal                   N              N         0000      0.0000                        0.00         0.00           0.00
01190       Anesth, pelvis nerve removal                   N              N         0000      0.0000                        0.00         0.00           0.00
01200       Anesth, hip joint procedure                    N              N         0000      0.0000                        0.00         0.00           0.00
01202       Anesth, arthroscopy of hip                     N              N         0000      0.0000                        0.00         0.00           0.00
01210       Anesth, hip joint surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01212       Anesth, hip disarticulation                    C              C         0000      0.0000                        0.00         0.00           0.00
01214       Anesth, hip arthroplasty                       C              C         0000      0.0000                        0.00         0.00           0.00
01215       Anesth, revise hip repair                      N              N         0000      0.0000                        0.00         0.00           0.00
01220       Anesth, procedure on femur                     N              N         0000      0.0000                        0.00         0.00           0.00
01230       Anesth, surgery of femur                       N              N         0000      0.0000                        0.00         0.00           0.00
01232       Anesth, amputation of femur                    C              C         0000      0.0000                        0.00         0.00           0.00
01234       Anesth, radical femur surg                     C              C         0000      0.0000                        0.00         0.00           0.00
01250       Anesth, upper leg surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01260       Anesth, upper leg veins surg                   N              N         0000      0.0000                        0.00         0.00           0.00
01270       Anesth, thigh arteries surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01272       Anesth, femoral artery surg                    C              C         0000      0.0000                        0.00         0.00           0.00
01274       Anesth, femoral embolectomy                    C              C         0000      0.0000                        0.00         0.00           0.00
01320       Anesth, knee area surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01340       Anesth, knee area procedure                    N              N         0000      0.0000                        0.00         0.00           0.00
01360       Anesth, knee area surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01380       Anesth, knee joint procedure                   N              N         0000      0.0000                        0.00         0.00           0.00
01382       Anesth, dx knee arthroscopy                    N              N         0000      0.0000                        0.00         0.00           0.00
01390       Anesth, knee area procedure                    N              N         0000      0.0000                        0.00         0.00           0.00
01392       Anesth, knee area surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01400       Anesth, knee joint surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
01402       Anesth, knee arthroplasty                      C              C         0000      0.0000                        0.00         0.00           0.00
01404       Anesth, amputation at knee                     C              C         0000      0.0000                        0.00         0.00           0.00
01420       Anesth, knee joint casting                     N              N         0000      0.0000                        0.00         0.00           0.00
01430       Anesth, knee veins surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
01432       Anesth, knee vessel surg                       N              N         0000      0.0000                        0.00         0.00           0.00
01440       Anesth, knee arteries surg                     N              N         0000      0.0000                        0.00         0.00           0.00
01442       Anesth, knee artery surg                       C              C         0000      0.0000                        0.00         0.00           0.00
01444       Anesth, knee artery repair                     C              C         0000      0.0000                        0.00         0.00           0.00
01462       Anesth, lower leg procedure                    N              N         0000      0.0000                        0.00         0.00           0.00
01464       Anesth, ankle/ft arthroscopy                   N              N         0000      0.0000                        0.00         0.00           0.00
01470       Anesth, lower leg surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01472       Anesth, achilles tendon surg                   N              N         0000      0.0000                        0.00         0.00           0.00
01474       Anesth, lower leg surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01480       Anesth, lower leg bone surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01482       Anesth, radical leg surgery                    N              N         0000      0.0000                        0.00         0.00           0.00
01484       Anesth, lower leg revision                     N              N         0000      0.0000                        0.00         0.00           0.00
01486       Anesth, ankle replacement                      C              C         0000      0.0000                        0.00         0.00           0.00
01490       Anesth, lower leg casting                      N              N         0000      0.0000                        0.00         0.00           0.00
01500       Anesth, leg arteries surg                      N              N         0000      0.0000                        0.00         0.00           0.00
01502       Anesth, lwr leg embolectomy                    C              C         0000      0.0000                        0.00         0.00           0.00
01520       Anesth, lower leg vein surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01522       Anesth, lower leg vein surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01610       Anesth, surgery of shoulder                    N              N         0000      0.0000                        0.00         0.00           0.00
01620       Anesth, shoulder procedure                     N              N         0000      0.0000                        0.00         0.00           0.00
01622       Anes dx shoulder arthroscopy                   N              N         0000      0.0000                        0.00         0.00           0.00
01630       Anesth, surgery of shoulder                    N              N         0000      0.0000                        0.00         0.00           0.00
01632       Anesth, surgery of shoulder                    C              C         0000      0.0000                        0.00         0.00           0.00
01634       Anesth, shoulder joint amput                   C              C         0000      0.0000                        0.00         0.00           0.00
01636       Anesth, forequarter amput                      C              C         0000      0.0000                        0.00         0.00           0.00
01638       Anesth, shoulder replacement                   C              C         0000      0.0000                        0.00         0.00           0.00
01650       Anesth, shoulder artery surg                   N              N         0000      0.0000                        0.00         0.00           0.00
01652       Anesth, shoulder vessel surg                   C              C         0000      0.0000                        0.00         0.00           0.00
01654       Anesth, shoulder vessel surg                   C              C         0000      0.0000                        0.00         0.00           0.00
01656       Anesth, arm-leg vessel surg                    C              C         0000      0.0000                        0.00         0.00           0.00
01670       Anesth, shoulder vein surg                     N              N         0000      0.0000                        0.00         0.00           0.00
01680       Anesth, shoulder casting                       N              N         0000      0.0000                        0.00         0.00           0.00
01682       Anesth, airplane cast                          N              N         0000      0.0000                        0.00         0.00           0.00
01710       Anesth, elbow area surgery                     N              N         0000      0.0000                        0.00         0.00           0.00
01712       Anesth, uppr arm tendon surg                   N              N         0000      0.0000                        0.00         0.00           0.00
01714       Anesth, uppr arm tendon surg                   N              N         0000      0.0000                        0.00         0.00           0.00
01716       Anesth, biceps tendon repair                   N              N         0000      0.0000                        0.00         0.00           0.00
01730       Anesth, uppr arm procedure                     N              N         0000      0.0000                        0.00         0.00           0.00
01732       Anesth, dx elbow arthroscopy                   N              N         0000      0.0000                        0.00         0.00           0.00
01740       Anesth, upper arm surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01742       Anesth, humerus surgery                        N              N         0000      0.0000                        0.00         0.00           0.00
01744       Anesth, humerus repair                         N              N         0000      0.0000                        0.00         0.00           0.00
01756       Anesth, radical humerus surg                   C              C         0000      0.0000                        0.00         0.00           0.00
01758       Anesth, humeral lesion surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01760       Anesth, elbow replacement                      N              N         0000      0.0000                        0.00         0.00           0.00
01770       Anesth, uppr arm artery surg                   N              N         0000      0.0000                        0.00         0.00           0.00
01772       Anesth, uppr arm embolectomy                   N              N         0000      0.0000                        0.00         0.00           0.00
01780       Anesth, upper arm vein surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01782       Anesth, uppr arm vein repair                   N              N         0000      0.0000                        0.00         0.00           0.00
01810       Anesth, lower arm surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01820       Anesth, lower arm procedure                    N              N         0000      0.0000                        0.00         0.00           0.00
01829       Anesth, dx wrist arthroscopy                   N              N         0000      0.0000                        0.00         0.00           0.00
01830       Anesth, lower arm surgery                      N              N         0000      0.0000                        0.00         0.00           0.00
01832       Anesth, wrist replacement                      N              N         0000      0.0000                        0.00         0.00           0.00
01840       Anesth, lwr arm artery surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01842       Anesth, lwr arm embolectomy                    N              N         0000      0.0000                        0.00         0.00           0.00
01844       Anesth, vascular shunt surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01850       Anesth, lower arm vein surg                    N              N         0000      0.0000                        0.00         0.00           0.00
01852       Anesth, lwr arm vein repair                    N              N         0000      0.0000                        0.00         0.00           0.00
01860       Anesth, lower arm casting                      N              N         0000      0.0000                        0.00         0.00           0.00

01916       Anesth, dx arteriography                       N              N         0000      0.0000                        0.00         0.00           0.00
01920       Anesth, catheterize heart                      N              N         0000      0.0000                        0.00         0.00           0.00
01922       Anesth, cat or MRI scan                        N              N         0000      0.0000                        0.00         0.00           0.00
01924       Anes, ther interven rad, art                   N              N         0000      0.0000                        0.00         0.00           0.00
01925       Anes, ther interven rad, car                   N              N         0000      0.0000                        0.00         0.00           0.00
01926       Anes, tx interv rad hrt/cran                   N              N         0000      0.0000                        0.00         0.00           0.00
01930       Anes, ther interven rad, vei                   N              N         0000      0.0000                        0.00         0.00           0.00
01931       Anes, ther interven rad, tip                   N              N         0000      0.0000                        0.00         0.00           0.00
01932       Anes, tx interv rad, th vein                   N              N         0000      0.0000                        0.00         0.00           0.00
01933       Anes, tx interv rad, cran v                    N              N         0000      0.0000                        0.00         0.00           0.00
01935        Anesth, perc img dx sp proc                   N               N        0000      0.0000                        0.00         0.00           0.00
01936        Anesth, perc img tx sp proc                   N               N        0000      0.0000                        0.00         0.00            0.00
01951       Anesth, burn, less 4 percent                   N              N         0000      0.0000                        0.00         0.00            0.00
01952       Anesth, burn, 4-9 percent                      N              N         0000      0.0000                        0.00         0.00            0.00
01953       Anesth, burn, each 9 percent                   N              N         0000      0.0000                        0.00         0.00            0.00
01958       Anesth, antepartum manipul                     N              N         0000      0.0000                        0.00         0.00            0.00
01960       Anesth, vaginal delivery                       N              N         0000      0.0000                        0.00         0.00            0.00
01961       Anesth, cs delivery                            N              N         0000      0.0000                        0.00         0.00            0.00
01962       Anesth, emer hysterectomy                      N              N         0000      0.0000                        0.00         0.00            0.00
01963       Anesth, cs hysterectomy                        N              N         0000      0.0000                        0.00         0.00            0.00
01965       Anesth, inc/missed ab proc                     N              N         0000      0.0000                        0.00         0.00            0.00
01966       Anesth, induced ab procedure                   N              N         0000      0.0000                        0.00         0.00            0.00
01967       Anesth/analg, vag delivery                     N              N         0000      0.0000                        0.00         0.00            0.00
01968       Anes/analg cs deliver add-on                   N              N         0000      0.0000                        0.00         0.00            0.00
01969       Anesth/analg cs hyst add-on                    N              N         0000      0.0000                        0.00         0.00            0.00
01990       Support for organ donor                        C              C         0000      0.0000                        0.00         0.00            0.00
01991       Anesth, nerve block/inj                        N              N         0000      0.0000                        0.00         0.00            0.00
01992       Anesth, n block/inj, prone                     N              N         0000      0.0000                        0.00         0.00            0.00
01996       Hosp manage cont drug admin                    N              N         0000      0.0000                        0.00         0.00            0.00
01999       Unlisted anesth procedure                      N              1         0000      0.0000                        0.00         0.00            0.00
10021       Fna w/o image                                  T              T         0002      1.1097                       53.01        120.87         138.53
10022       Fna w/image                                    T              T         0004      4.3270                       206.70       471.30         540.18
10040       Acne surgery                                   T              T         0013      0.7930                       37.88         86.37          99.00
10060       Drainage of skin abscess                       T              T         0006      1.4066                       67.19        153.21         175.60
10061       Drainage of skin abscess                       T              T         0006      1.4066                       67.19        153.21         175.60
10080       Drainage of pilonidal cyst                     T              T         0006      1.4066                       67.19        153.21         175.60
10081       Drainage of pilonidal cyst                     T              T         0007     11.5594                       552.19      1,259.05       1,443.08
10120       Remove foreign body                            T              T         0006      1.4066                       67.19        153.21         175.60
10121       Remove foreign body                            T              T         0021     16.1001                       769.10      1,753.62       2,009.94
10140       Drainage of hematoma/fluid                     T              T         0007     11.5594                       552.19      1,259.05       1,443.08
10160       Puncture drainage of lesion                    T              T         0006      1.4066                       67.19        153.21         175.60
10180       Complex drainage, wound                        T              T         0008     18.3197                       875.13      1,995.38       2,287.03
11000       Debride infected skin                          T              T         0013      0.7930                       37.88         86.37          99.00
11001       Debride infected skin add-on                   T              T         0013      0.7930                       37.88         86.37          99.00
11004       Debride genitalia & perineum                   C              C         0000      0.0000                        0.00         0.00            0.00
11005       Debride abdom wall                             C              C         0000      0.0000                        0.00         0.00            0.00
11006       Debride genit/per/abdom wall                   C              C         0000      0.0000                        0.00         0.00            0.00
11008       Remove mesh from abd wall                      C              C         0000      0.0000                        0.00         0.00            0.00
11010       Debride skin, fx                               T              T         0019      4.3039                       205.60       468.78         537.30
11011       Debride skin/muscle, fx                        T              T         0019      4.3039                       205.60       468.78         537.30
11012       Debride skin/muscle/bone, fx                   T              T         0019      4.3039                       205.60       468.78         537.30
11040       Debride skin, partial                          T              T         0015      1.4595                       69.72        158.97         182.20
11041       Debride skin, full                             T              T         0015      1.4595                       69.72        158.97         182.20
11042       Debride skin/tissue                            T              T         0016      2.6604                       127.09       289.77         332.12
11043       Debride tissue/muscle                          T              T         0016      2.6604                       127.09       289.77         332.12
11044       Debride tissue/muscle/bone                     T              T         0682      6.8816                       328.73       749.54         859.10
11055       Trim skin lesion                               T              T         0013      0.7930                       37.88         86.37          99.00
11056       Trim skin lesions, 2 to 4                      T              T         0013      0.7930                       37.88         86.37          99.00
11057       Trim skin lesions, over 4                      T              T         0015      1.4595                       69.72        158.97         182.20
11100       Biopsy, skin lesion                            T              T         0013      0.7930                       37.88         86.37          99.00
11101       Biopsy, skin add-on                            T              T         0013      0.7930                       37.88         86.37          99.00
11200       Removal of skin tags                           T              T         0013      0.7930                       37.88         86.37          99.00
11201       Remove skin tags add-on                        T              T         0015      1.4595                       69.72        158.97         182.20
11300       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11301       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11302       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11303       Shave skin lesion                              T              T         0015      1.4595                       69.72        158.97         182.20
11305       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11306       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11307       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11308       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11310       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11311       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11312       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11313       Shave skin lesion                              T              T         0013      0.7930                       37.88         86.37          99.00
11400       Exc tr-ext b9+marg 0.5 < cm                    T              T         0019      4.3039                       205.60       468.78         537.30
11401       Exc tr-ext b9+marg 0.6-1 cm                    T              T         0019      4.3039                       205.60       468.78         537.30
11402       Exc tr-ext b9+marg 1.1-2 cm                    T              T         0019      4.3039                       205.60       468.78         537.30
11403       Exc tr-ext b9+marg 2.1-3 cm                    T              T         0020      8.6850                       414.88       945.97        1,084.24
11404       Exc tr-ext b9+marg 3.1-4 cm                    T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11406       Exc tr-ext b9+marg > 4.0 cm                    T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11420       Exc h-f-nk-sp b9+marg 0.5 <                    T              T         0020      8.6850                       414.88       945.97        1,084.24
11421       Exc h-f-nk-sp b9+marg 0.6-1                    T              T         0020      8.6850                       414.88       945.97        1,084.24
11422       Exc h-f-nk-sp b9+marg 1.1-2                    T              T         0020      8.6850                       414.88       945.97        1,084.24
11423       Exc h-f-nk-sp b9+marg 2.1-3                    T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11424       Exc h-f-nk-sp b9+marg 3.1-4                    T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11426       Exc h-f-nk-sp b9+marg > 4 cm                   T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11440       Exc face-mm b9+marg 0.5 < cm                   T              T         0019      4.3039                       205.60       468.78         537.30
11441       Exc face-mm b9+marg 0.6-1 cm                   T              T         0019      4.3039                       205.60       468.78         537.30
11442       Exc face-mm b9+marg 1.1-2 cm                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11443       Exc face-mm b9+marg 2.1-3 cm                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11444       Exc face-mm b9+marg 3.1-4 cm                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11446       Exc face-mm b9+marg > 4 cm                     T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11450       Removal, sweat gland lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11451       Removal, sweat gland lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11462       Removal, sweat gland lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11463       Removal, sweat gland lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11470       Removal, sweat gland lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11471       Removal, sweat gland lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11600       Exc tr-ext mlg+marg 0.5 < cm                   T              T         0019      4.3039                       205.60       468.78         537.30
11601       Exc tr-ext mlg+marg 0.6-1 cm                   T              T         0019      4.3039                       205.60       468.78         537.30
11602       Exc tr-ext mlg+marg 1.1-2 cm                   T              T         0019      4.3039                       205.60       468.78         537.30
11603       Exc tr-ext mlg+marg 2.1-3 cm                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11604       Exc tr-ext mlg+marg 3.1-4 cm                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11606       Exc tr-ext mlg+marg > 4 cm                     T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11620       Exc h-f-nk-sp mlg+marg 0.5 <                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11621       Exc h-f-nk-sp mlg+marg 0.6-1                   T              T         0019      4.3039                       205.60       468.78         537.30
11622       Exc h-f-nk-sp mlg+marg 1.1-2                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11623       Exc h-f-nk-sp mlg+marg 2.1-3                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11624       Exc h-f-nk-sp mlg+marg 3.1-4                   T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11626       Exc h-f-nk-sp mlg+mar > 4 cm                   T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11640       Exc face-mm malig+marg 0.5 <                   T              T         0019      4.3039                       205.60       468.78         537.30
11641       Exc face-mm malig+marg 0.6-1                   T              T         0019      4.3039                       205.60       468.78         537.30
11642       Exc face-mm malig+marg 1.1-2                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11643       Exc face-mm malig+marg 2.1-3                   T              T         0020      8.6850                       414.88       945.97        1,084.24
11644       Exc face-mm malig+marg 3.1-4                   T              T         0021     16.1001                       769.10      1,753.62       2,009.94
11646       Exc face-mm mlg+marg > 4 cm                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11719       Trim nail(s)                                   T              T         0013      0.7930                       37.88         86.37          99.00
11720       Debride nail, 1-5                              T              T         0013      0.7930                       37.88         86.37          99.00
11721       Debride nail, 6 or more                        T              T         0013      0.7930                       37.88         86.37          99.00
11730       Removal of nail plate                          T              T         0013      0.7930                       37.88         86.37          99.00
11732       Remove nail plate, add-on                      T              T         0013      0.7930                       37.88         86.37          99.00
11740       Drain blood from under nail                    T              T         0012      0.2963                       14.15         32.27          36.99
11750       Removal of nail bed                            T              T         0019      4.3039                       205.60       468.78         537.30
11752       Remove nail bed/finger tip                     T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11755       Biopsy, nail unit                              T              T         0019      4.3039                       205.60       468.78         537.30
11760       Repair of nail bed                             T              T         0134      2.1051                       100.56       229.29         262.80
11762       Reconstruction of nail bed                     T              T         0136     15.0458                       718.74      1,638.79       1,878.32
11765       Excision of nail fold, toe                     T              T         0015      1.4595                       69.72        158.97         182.20
11770       Removal of pilonidal lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11771       Removal of pilonidal lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11772       Removal of pilonidal lesion                    T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11900       Injection into skin lesions                    T              T         0013      0.7930                       37.88         86.37          99.00
11901       Added skin lesions injection                   T              T         0013      0.7930                       37.88         86.37          99.00
11920       Correct skin color defects                     T              1         0134      2.1051                        0.00         0.00            0.00
11921       Correct skin color defects                     T              1         0134      2.1051                        0.00         0.00            0.00
11922       Correct skin color defects                     T              1         0134      2.1051                        0.00         0.00            0.00
11950       Therapy for contour defects                    T              1         0133      1.2792                        0.00         0.00            0.00
11951       Therapy for contour defects                    T              1         0133      1.2792                        0.00         0.00            0.00
11952       Therapy for contour defects                    T              1         0133      1.2792                        0.00         0.00            0.00
11954       Therapy for contour defects                    T              1         0133      1.2792                        0.00         0.00            0.00
11960       Insert tissue expander(s)                      T              T         0137     20.2069                       965.28      2,200.94       2,522.63
11970       Replace tissue expander                        T              T         0051     42.9850                      2,053.39     4,681.93       5,366.25
11971       Remove tissue expander(s)                      T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
11975       Insert contraceptive cap                       E              3         0000      0.0000                        M01          M01            M01
11976       Removal of contraceptive cap                   T              T         0019      4.3039                       205.60       468.78         537.30
11977       Removal/reinsert contra cap                    E              3         0000      0.0000                        M01          M01            M01
11980       Implant hormone pellet(s)                      X              X         0340      0.6310                       30.14         68.73          78.77
11981       Insert drug implant device                     X              X         0340      0.6310                       30.14         68.73          78.77
11982       Remove drug implant device                     X              X         0340      0.6310                       30.14         68.73          78.77
11983       Remove/insert drug implant                     X              X         0340      0.6310                       30.14         68.73          78.77
12001       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12002       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12004       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12005       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12006       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12007       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12011       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12013       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12014       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12015       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12016       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12017       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12018       Repair superficial wound(s)                    T              T         0133      1.2792                       61.11        139.33         159.70
12020       Closure of split wound                         T              T         0135      4.5263                       216.22       493.00         565.06
12021       Closure of split wound                         T              T         0135      4.5263                       216.22       493.00         565.06
12031       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12032       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12034       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12035       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12036       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12037       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12041       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12042       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12044       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12045       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12046       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12047       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12051       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12052       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12053       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12054       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12055       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12056       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
12057       Layer closure of wound(s)                      T              T         0134      2.1051                       100.56       229.29         262.80
13100       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13101       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13102       Repair wound/lesion add-on                     T              T         0135      4.5263                       216.22       493.00         565.06
13120       Repair of wound or lesion                      T              T         0134      2.1051                       100.56       229.29         262.80
13121       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13122       Repair wound/lesion add-on                     T              T         0134      2.1051                       100.56       229.29         262.80
13131       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13132       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13133       Repair wound/lesion add-on                     T              T         0135      4.5263                       216.22       493.00         565.06
13150       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13151       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13152       Repair of wound or lesion                      T              T         0135      4.5263                       216.22       493.00         565.06
13153       Repair wound/lesion add-on                     T              T         0134      2.1051                       100.56       229.29         262.80
13160       Late closure of wound                          T              T         0137     20.2069                       965.28      2,200.94       2,522.63
14000       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14001       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14020       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14021       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14040       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14041       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14060       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14061       Skin tissue rearrangement                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
14300       Skin tissue rearrangement                      T              T         0137     20.2069                       965.28      2,200.94       2,522.63
14350       Skin tissue rearrangement                      T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15002        Wnd prep, ch/inf, trk/arm/lg                  T              T         0135      4.5263                       216.22       493.00         565.06
15003        Wnd prep, ch/inf addl 100 cm                  T              T         0135      4.5263                       216.22       493.00         565.06
15004        Wnd prep ch/inf, f/n/hf/g                     T              T         0135      4.5263                       216.22       493.00         565.06
15005        Wnd prep, f/n/hf/g, addl cm                   T              T         0135      4.5263                       216.22       493.00         565.06
15040       Harvest cultured skin graft                    T              T         0134      2.1051                       100.56       229.29         262.80
15050       Skin pinch graft                               T              T         0135      4.5263                       216.22       493.00         565.06
15100       Skin split graft                               T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15101       Skin split graft add-on                        T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15110       Epidrm autogrft trnk/arm/leg                   T              T         0135      4.5263                       216.22       493.00         565.06
15111       Epidrm autogrft t/a/l add-on                   T              T         0135      4.5263                       216.22       493.00         565.06
15115       Epidrm a-grft face/nck/hf/g                    T              T         0135      4.5263                       216.22       493.00         565.06
15116       Epidrm a-grft f/n/hf/g addl                    T              T         0135      4.5263                       216.22       493.00         565.06
15120       Skin split graft                               T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15121       Skin split graft add-on                        T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15130       Derm autograft, trnk/arm/leg                   T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15131       Derm autograft t/a/l add-on                    T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15135       Derm autograft face/nck/hf/g                   T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15136       Derm autograft, f/n/hf/g add                   T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15150       Cult epiderm grft t/arm/leg                    T              T         0135      4.5263                       216.22       493.00         565.06
15151       Cult epiderm grft t/a/l addl                   T              T         0135      4.5263                       216.22       493.00         565.06
15152       Cult epiderm graft t/a/l +%                    T              T         0135      4.5263                       216.22       493.00         565.06
15155       Cult epiderm graft, f/n/hf/g                   T              T         0135      4.5263                       216.22       493.00         565.06
15156       Cult epidrm grft f/n/hfg add                   T              T         0135      4.5263                       216.22       493.00         565.06
15157       Cult epiderm grft f/n/hfg +%                   T              T         0135      4.5263                       216.22       493.00         565.06
15170       Acell graft trunk/arms/legs                    T              T         0134      2.1051                       100.56       229.29         262.80
15171       Acell graft t/arm/leg add-on                   T              T         0134      2.1051                       100.56       229.29         262.80
15175       Acellular graft, f/n/hf/g                      T              T         0135      4.5263                       216.22       493.00         565.06
15176       Acell graft, f/n/hf/g add-on                   T              T         0135      4.5263                       216.22       493.00         565.06
15200       Skin full graft                                T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15201       Skin full graft add-on                         T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15220       Skin full graft                                T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15221       Skin full graft add-on                         T              T         0135      4.5263                       216.22       493.00         565.06
15240       Skin full graft                                T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15241       Skin full graft add-on                         T              T         0135      4.5263                       216.22       493.00         565.06
15260       Skin full graft                                T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15261       Skin full graft add-on                         T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15300       Apply skinallogrft, t/arm/lg                   T              T         0135      4.5263                       216.22       493.00         565.06
15301       Apply sknallogrft t/a/l addl                   T              T         0135      4.5263                       216.22       493.00         565.06
15320       Apply skin allogrft f/n/hf/g                   T              T         0135      4.5263                       216.22       493.00         565.06
15321       Aply sknallogrft f/n/hfg add                   T              T         0135      4.5263                       216.22       493.00         565.06
15330       Aply acell alogrft t/arm/leg                   T              T         0135      4.5263                       216.22       493.00         565.06
15331       Aply acell grft t/a/l add-on                   T              T         0135      4.5263                       216.22       493.00         565.06
15335       Apply acell graft, f/n/hf/g                    T              T         0135      4.5263                       216.22       493.00         565.06
15336       Aply acell grft f/n/hf/g add                   T              T         0135      4.5263                       216.22       493.00         565.06
15340       Apply cult skin substitute                     T              T         0134      2.1051                       100.56       229.29         262.80
15341       Apply cult skin sub add-on                     T              T         0134      2.1051                       100.56       229.29         262.80
15360       Apply cult derm sub, t/a/l                     T              T         0134      2.1051                       100.56       229.29         262.80
15361       Aply cult derm sub t/a/l add                   T              T         0134      2.1051                       100.56       229.29         262.80
15365       Apply cult derm sub f/n/hf/g                   T              T         0134      2.1051                       100.56       229.29         262.80
15366       Apply cult derm f/hf/g add                     T              T         0134      2.1051                       100.56       229.29         262.80
15400       Skin heterograft                               T              T         0135      4.5263                       216.22       493.00         565.06
15401       Skin heterograft add-on                        T              T         0135      4.5263                       216.22       493.00         565.06
15420       Apply skin xgraft, f/n/hf/g                    T              T         0135      4.5263                       216.22       493.00         565.06
15421       Apply skn xgrft f/n/hf/g add                   T              T         0135      4.5263                       216.22       493.00         565.06
15430       Apply acellular xenograft                      T              T         0135      4.5263                       216.22       493.00         565.06
15431       Apply acellular xgraft add                     T              T         0135      4.5263                       216.22       493.00         565.06
15570       Form skin pedicle flap                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15572       Form skin pedicle flap                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15574       Form skin pedicle flap                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15576       Form skin pedicle flap                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15600       Skin graft                                     T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15610       Skin graft                                     T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15620       Skin graft                                     T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15630       Skin graft                                     T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15650       Transfer skin pedicle flap                     T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15731        Forehead flap w/vasc pedicle                  T              1         0137     20.2069                        0.00         0.00            0.00
15732       Muscle-skin graft, head/neck                   T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15734       Muscle-skin graft, trunk                       T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15736       Muscle-skin graft, arm                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15738       Muscle-skin graft, leg                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15740       Island pedicle flap graft                      T              T         0136     15.0458                       718.74      1,638.79       1,878.32
15750       Neurovascular pedicle graft                    T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15756       Free myo/skin flap microvasc                   C              C         0000      0.0000                        0.00         0.00            0.00
15757       Free skin flap, microvasc                      C              C         0000      0.0000                        0.00         0.00            0.00
15758       Free fascial flap, microvasc                   C              C         0000      0.0000                        0.00         0.00            0.00
15760       Composite skin graft                           T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15770       Derma-fat-fascia graft                         T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15775       Hair transplant punch grafts                   T              1         0133      1.2792                        0.00         0.00            0.00
15776       Hair transplant punch grafts                   T              1         0133      1.2792                        0.00         0.00            0.00
15780       Abrasion treatment of skin                     T              T         0022     21.1098                      1,008.42     2,299.28       2,635.35
15781       Abrasion treatment of skin                     T              1         0019      4.3039                        0.00         0.00            0.00
15782       Abrasion treatment of skin                     T              1         0019      4.3039                        0.00         0.00            0.00
15783       Abrasion treatment of skin                     T              1         0016      2.6604                        0.00         0.00            0.00
15786       Abrasion, lesion, single                       T              1         0013      0.7930                        0.00         0.00            0.00
15787       Abrasion, lesions, add-on                      T              1         0013      0.7930                        0.00         0.00            0.00
15788       Chemical peel, face, epiderm                   T              1         0013      0.7930                        0.00         0.00            0.00
15789       Chemical peel, face, dermal                    T              1         0015      1.4595                        0.00         0.00            0.00
15792       Chemical peel, nonfacial                       T              1         0015      1.4595                        0.00         0.00            0.00
15793       Chemical peel, nonfacial                       T              1         0013      0.7930                        0.00         0.00            0.00
15819       Plastic surgery, neck                          T              1         0134      2.1051                        0.00         0.00            0.00
15820       Revision of lower eyelid                       T              T         0137     20.2069                       965.28      2,200.94       2,522.63
15821   Revision of lower eyelid       T   T    0137   20.2069   965.28     2,200.94   2,522.63
15822   Revision of upper eyelid       T   T    0137   20.2069   965.28     2,200.94   2,522.63
15823   Revision of upper eyelid       T   T    0137   20.2069   965.28     2,200.94   2,522.63
15824   Removal of forehead wrinkles   T   1    0137   20.2069    0.00        0.00       0.00
15825   Removal of neck wrinkles       T   1    0137   20.2069    0.00        0.00       0.00
15826   Removal of brow wrinkles       T   1    0137   20.2069    0.00        0.00       0.00
15828   Removal of face wrinkles       T   1    0137   20.2069    0.00        0.00       0.00
15829   Removal of skin wrinkles       T   1    0137   20.2069    0.00        0.00       0.00
15830   Exc skin abd                   T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15832   Excise excessive skin tissue   T   1    0022   21.1098     0.00       0.00        0.00
15833   Excise excessive skin tissue   T   1    0022   21.1098     0.00       0.00        0.00
15834   Excise excessive skin tissue   T   1    0022   21.1098     0.00       0.00        0.00
15835   Excise excessive skin tissue   T   1    0022   21.1098     0.00       0.00        0.00
15836   Excise excessive skin tissue   T   1    0021   16.1001     0.00       0.00        0.00
15837   Excise excessive skin tissue   T   1    0021   16.1001     0.00       0.00        0.00
15838   Excise excessive skin tissue   T   1    0021   16.1001     0.00       0.00        0.00
15839   Excise excessive skin tissue   T   1    0021   16.1001     0.00       0.00        0.00
15840   Graft for face nerve palsy     T   T    0137   20.2069    965.28    2,200.94   2,522.63
15841   Graft for face nerve palsy     T   T    0137   20.2069    965.28    2,200.94   2,522.63
15842   Flap for face nerve palsy      T   T    0137   20.2069    965.28    2,200.94   2,522.63
15845   Skin and muscle repair, face   T   T    0137   20.2069    965.28    2,200.94   2,522.63
15847   Exc skin abd add-on            T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15850   Removal of sutures             T   T    0016    2.6604    127.09     289.77     332.12
15851   Removal of sutures             T   T    0016    2.6604    127.09     289.77     332.12
15852   Dressing change not for burn   X   X    0340    0.6310    30.14       68.73      78.77
15860   Test for blood flow in graft   X   X    0340    0.6310    30.14       68.73      78.77
15876   Suction assisted lipectomy     T   1    0137   20.2069     0.00       0.00        0.00
15877   Suction assisted lipectomy     T   1    0137   20.2069     0.00       0.00        0.00
15878   Suction assisted lipectomy     T   1    0137   20.2069     0.00       0.00        0.00
15879   Suction assisted lipectomy     T   1    0137   20.2069     0.00       0.00        0.00
15920   Removal of tail bone ulcer     T   T    0019    4.3039    205.60     468.78     537.30
15922   Removal of tail bone ulcer     T   T    0137   20.2069    965.28    2,200.94   2,522.63
15931   Remove sacrum pressure sore    T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15933   Remove sacrum pressure sore    T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15934   Remove sacrum pressure sore    T   T    0137   20.2069    965.28    2,200.94   2,522.63
15935   Remove sacrum pressure sore    T   T    0137   20.2069    965.28    2,200.94   2,522.63
15936   Remove sacrum pressure sore    T   T    0136   15.0458    718.74    1,638.79   1,878.32
15937   Remove sacrum pressure sore    T   T    0137   20.2069    965.28    2,200.94   2,522.63
15940   Remove hip pressure sore       T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15941   Remove hip pressure sore       T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15944   Remove hip pressure sore       T   T    0137   20.2069    965.28    2,200.94   2,522.63
15945   Remove hip pressure sore       T   T    0137   20.2069    965.28    2,200.94   2,522.63
15946   Remove hip pressure sore       T   T    0137   20.2069    965.28    2,200.94   2,522.63
15950   Remove thigh pressure sore     T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15951   Remove thigh pressure sore     T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
15952   Remove thigh pressure sore     T   T    0136   15.0458    718.74    1,638.79   1,878.32
15953   Remove thigh pressure sore     T   T    0136   15.0458    718.74    1,638.79   1,878.32
15956   Remove thigh pressure sore     T   T    0136   15.0458    718.74    1,638.79   1,878.32
15958   Remove thigh pressure sore     T   T    0136   15.0458    718.74    1,638.79   1,878.32
15999   Removal of pressure sore       T   T    0019    4.3039    205.60     468.78     537.30
16000   Initial treatment of burn(s)   T   T    0013    0.7930    37.88       86.37      99.00
16020   Treatment of burn(s)           T   T    0015    1.4595    69.72      158.97     182.20
16025   Treatment of burn(s)           T   T    0016    2.6604    127.09     289.77     332.12
16030   Treatment of burn(s)           T   T    0016    2.6604    127.09     289.77     332.12
16035   Incision of burn scab, initi   T   T    0016    2.6604    127.09     289.77     332.12
16036   Escharotomy; add’l incision    C   C    0000    0.0000     0.00       0.00        0.00
17000   Destroy benign/premlg lesion   T   T    0013    0.7930    37.88       86.37      99.00
17003   Destroy lesions, 2-14          T   T    0012    0.2963    14.15       32.27      36.99
17004   Destroy lesions, 15 or more    T   T    0016    2.6604    127.09     289.77     332.12
17106   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17107   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17108   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17110   Destruct lesion, 1-14          T   T    0013    0.7930    37.88       86.37      99.00
17111   Destruct lesion, 15 or more    T   T    0015    1.4595    69.72      158.97     182.20
17250   Chemical cautery, tissue       T   T    0015    1.4595    69.72      158.97     182.20
17260   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17261   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17262   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17263   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17264   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17266   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17270   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17271   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17272   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17273   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17274   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17276   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17280   Destruction of skin lesions    T   T    0015    1.4595    69.72      158.97     182.20
17281   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17282   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17283   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17284   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17286   Destruction of skin lesions    T   T    0016    2.6604    127.09     289.77     332.12
17311   Mohs, 1 stage, h/n/hf/g        T   T    0694   3.6321    173.51     395.61     453.43
17312   Mohs addl stage                T   T    0694   3.6321    173.51     395.61     453.43
17313   Mohs, 1 stage, t/a/l           T   T    0694   3.6321    173.51     395.61     453.43
17314   Mohs, addl stage, t/a/l        T   T    0694    3.6321   173.51      395.61     453.43
17315   Mohs surg, addl block          T   T    0694    3.6321   173.51      395.61     453.43
17340   Cryotherapy of skin            T   T    0013    0.7930   37.88        86.37      99.00
17360   Skin peel therapy              T   1    0013    0.7930    0.00        0.00        0.00
17380   Hair removal by electrolysis   T   1    0013    0.7930    0.00        0.00        0.00
17999   Skin tissue procedure          T   T    0012    0.2963   14.15        32.27      36.99
19000   Drainage of breast lesion      T   T    0004    4.3270   206.70      471.30     540.18
19001   Drain breast lesion add-on     T   T    0002    1.1097   53.01       120.87     138.53
19020   Incision of breast lesion      T   T    0008   18.3197   875.13     1,995.38   2,287.03
19030   Injection for breast x-ray     N   N    0000    0.0000    0.00        0.00        0.00
19100   Bx breast percut w/o image     T   T    0004    4.3270   206.70      471.30     540.18
19101   Biopsy of breast, open         T   T    0028   20.6417   986.05     2,248.29   2,576.91
19102   Bx breast percut w/image       T   T    0005    7.1147   339.87      774.93     888.20
19103   Bx breast percut w/device      T   T    0037   13.5764   648.54     1,478.74   1,694.88
19105   Cryosurg ablate fa, each       T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19110   Nipple exploration             T   T    0028   20.6417    986.05    2,248.29   2,576.91
19112   Excise breast duct fistula     T   T    0028   20.6417    986.05    2,248.29   2,576.91
19120   Removal of breast lesion       T   T    0028   20.6417    986.05    2,248.29   2,576.91
19125   Excision, breast lesion        T   T    0028   20.6417    986.05    2,248.29   2,576.91
19126   Excision, addl breast lesion   T   T    0028   20.6417    986.05    2,248.29   2,576.91
19260   Removal of chest wall lesion   T   T    0021   16.1001    769.10    1,753.62   2,009.94
19271   Revision of chest wall         C   C    0000    0.0000     0.00       0.00       0.00
19272   Extensive chest wall surgery   C   C    0000    0.0000     0.00       0.00       0.00
19290   Place needle wire, breast      N   N    0000    0.0000     0.00       0.00       0.00
19291   Place needle wire, breast      N   N    0000    0.0000     0.00       0.00       0.00
19295   Place breast clip, percut      N   N    0000    0.0000     0.00       0.00       0.00
19296   Place po breast cath for rad   T   T    0648   56.5774   2,702.70   6,162.41   7,063.12
19297   Place breast cath for rad      T   T    0648   56.5774   2,702.70   6,162.41   7,063.12
19298   Place breast rad tube/caths    T   T    0648   56.5774   2,702.70   6,162.41   7,063.12
19300   Removal of breast tissue       T   T    0028   20.6417    986.05    2,248.29   2,576.91
19301   Partical mastectomy            T   T    0028   20.6417    986.05    2,248.29   2,576.91
19302   P-mastectomy w/ln removal      T   T    0030   39.8191   1,902.16   4,337.10   4,971.02
19303   Mast, simple, complete         T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19304   Mast, subq                     T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19305   Mast, radical                  C   C    0000   0.0000     0.00       0.00       0.00
19306   Mast, rad, urban type          C   C    0000   0.0000     0.00       0.00       0.00
19307   Mast, mod rad                  T   T    0030   39.8191   1,902.16   4,337.10   4,971.02
19316   Suspension of breast           T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19318   Reduction of large breast      T   T    0030   39.8191   1,902.16   4,337.10   4,971.02
19324   Enlarge breast                 T   1    0030   39.8191     0.00       0.00        0.00
19325   Enlarge breast with implant    T   T    0648   56.5774   2,702.70   6,162.41   7,063.12
19328   Removal of breast implant      T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19330   Removal of implant material    T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19340   Immediate breast prosthesis    T   T    0030   39.8191   1,902.16   4,337.10   4,971.02
19342   Delayed breast prosthesis      T   T    0648   56.5774   2,702.70   6,162.41   7,063.12
19350   Breast reconstruction          T   T    0028   20.6417    986.05    2,248.29   2,576.91
19355   Correct inverted nipple(s)     T   1    0029   31.7134     0.00       0.00        0.00
19357   Breast reconstruction          T   T    0648   56.5774   2,702.70   6,162.41   7,063.12
19361   Breast reconstruction          C   C    0000    0.0000     0.00       0.00        0.00
19364   Breast reconstruction          C   C    0000    0.0000     0.00       0.00        0.00
19366   Breast reconstruction          T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19367   Breast reconstruction          C   C    0000    0.0000     0.00       0.00        0.00
19368   Breast reconstruction          C   C    0000    0.0000     0.00       0.00        0.00
19369   Breast reconstruction          C   C    0000    0.0000     0.00       0.00        0.00
19370   Surgery of breast capsule      T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19371   Removal of breast capsule      T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19380   Revise breast reconstruction   T   T    0030   39.8191   1,902.16   4,337.10   4,971.02
19396   Design custom breast implant   T   T    0029   31.7134   1,514.95   3,454.22   3,959.10
19499   Breast surgery procedure       T   T    0028   20.6417    986.05    2,248.29   2,576.91
20000   Incision of abscess            T   T    0006    1.4066    67.19      153.21     175.60
20005   Incision of deep abscess       T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20100   Explore wound, neck            T   T    0023    9.6341    460.22    1,049.35   1,202.72
20101   Explore wound, chest           T   T    0137   20.2069    965.28    2,200.94   2,522.63
20102   Explore wound, abdomen         T   T    0137   20.2069    965.28    2,200.94   2,522.63
20103   Explore wound, extremity       T   T    0023    9.6341    460.22    1,049.35   1,202.72
20150   Excise epiphyseal bar          T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
20200   Muscle biopsy                  T   T    0021   16.1001    769.10    1,753.62   2,009.94
20205   Deep muscle biopsy             T   T    0021   16.1001    769.10    1,753.62   2,009.94
20206   Needle biopsy, muscle          T   T    0005    7.1147    339.87     774.93     888.20
20220   Bone biopsy, trocar/needle     T   T    0020    8.6850    414.88     945.97    1,084.24
20225   Bone biopsy, trocar/needle     T   T    0020    8.6850    414.88     945.97    1,084.24
20240   Bone biopsy, excisional        T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
20245   Bone biopsy, excisional        T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
20250   Open bone biopsy               T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20251   Open bone biopsy               T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20500   Injection of sinus tract       T   T    0251    2.5002    119.43     272.32     312.12
20501   Inject sinus tract for x-ray   N   N    0000    0.0000     0.00       0.00        0.00
20520   Removal of foreign body        T   T    0019    4.3039    205.60     468.78     537.30
20525   Removal of foreign body        T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
20526   Ther injection, carp tunnel    T   T    0204    2.3213    110.89     252.84     289.79
20550   Inj tendon sheath/ligament     T   T    0204    2.3213    110.89     252.84     289.79
20551   Inj tendon origin/insertion    T   T    0204    2.3213    110.89     252.84     289.79
20552   Inj trigger point, 1/2 muscl   T   T    0204    2.3213    110.89     252.84     289.79
20553   Inject trigger points, =/> 3   T   T    0204    2.3213    110.89     252.84     289.79
20555   Place ndl musc/tis for rt      T    T   0050   29.1900   1,394.41   3,179.37   3,644.08
20600   Drain/inject, joint/bursa      T   T    0204    2.3213    110.89     252.84     289.79
20605   Drain/inject, joint/bursa      T   T    0204    2.3213    110.89     252.84     289.79
20610   Drain/inject, joint/bursa      T   T    0204    2.3213    110.89     252.84     289.79
20612   Aspirate/inj ganglion cyst     T   T    0204    2.3213    110.89     252.84     289.79
20615   Treatment of bone cyst         T   T    0004    4.3270    206.70     471.30     540.18
20650   Insert and remove bone pin     T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20660   Apply, rem fixation device     C   C    0000    0.0000     0.00       0.00        0.00
20661   Application of head brace      C   C    0000    0.0000     0.00       0.00        0.00
20662   Application of pelvis brace    T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20663   Application of thigh brace     T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20664   Halo brace application         C   C    0000    0.0000     0.00       0.00        0.00
20665   Removal of fixation device     X   X    0340    0.6310    30.14       68.73      78.77
20670   Removal of support implant     T   T    0021   16.1001    769.10    1,753.62   2,009.94
20680   Removal of support implant     T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
20690   Apply bone fixation device     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
20692   Apply bone fixation device     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
20693   Adjust bone fixation device    T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20694   Remove bone fixation device    T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
20802   Replantation, arm, complete    C   C    0000    0.0000     0.00       0.00        0.00
20805   Replant forearm, complete      C   C    0000    0.0000     0.00       0.00        0.00
20808   Replantation hand, complete    C   C    0000    0.0000     0.00       0.00        0.00
20816   Replantation digit, complete   C   C    0000    0.0000     0.00       0.00        0.00
20822   Replantation digit, complete   T   T    0054   26.3105   1,256.85   2,865.74   3,284.60
20824   Replantation thumb, complete   C   C    0000    0.0000     0.00       0.00        0.00
20827   Replantation thumb, complete   C   C    0000    0.0000     0.00       0.00        0.00
20838   Replantation foot, complete    C   C    0000    0.0000     0.00       0.00        0.00
20900   Removal of bone for graft      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
20902   Removal of bone for graft      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
20910   Remove cartilage for graft     T   T    0137   20.2069    965.28    2,200.94   2,522.63
20912   Remove cartilage for graft     T   T    0137   20.2069    965.28    2,200.94   2,522.63
20920   Removal of fascia for graft    T   T    0136   15.0458    718.74    1,638.79   1,878.32
20922   Removal of fascia for graft    T   T    0136   15.0458    718.74    1,638.79   1,878.32
20924   Removal of tendon for graft    T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
20926   Removal of tissue for graft    T   T    0135    4.5263    216.22     493.00     565.06
20930   Sp bone algrft morsel add-on   C   C    0000    0.0000     0.00       0.00        0.00
20931   Sp bone algrft struct add-on   C   C    0000    0.0000     0.00       0.00        0.00
20936   Sp bone agrft local add-on     C   C    0000    0.0000     0.00       0.00        0.00
20937   Sp bone agrft morsel add-on    C   C    0000    0.0000     0.00       0.00        0.00
20938   Sp bone agrft struct add-on    C   C    0000    0.0000     0.00       0.00        0.00
20950   Fluid pressure, muscle         T   T    0006    1.4066    67.19      153.21     175.60
20955   Fibula bone graft, microvasc   C   C    0000    0.0000     0.00       0.00        0.00
20956   Iliac bone graft, microvasc    C   C    0000    0.0000     0.00       0.00        0.00
20957   Mt bone graft, microvasc       C   C    0000    0.0000     0.00       0.00        0.00
20962   Other bone graft, microvasc    C   C    0000    0.0000     0.00       0.00        0.00
20969   Bone/skin graft, microvasc     C   C    0000    0.0000     0.00       0.00        0.00
20970   Bone/skin graft, iliac crest   C   C    0000    0.0000     0.00       0.00        0.00
20972   Bone/skin graft, metatarsal    T   T    0056   44.2687   2,114.72   4,821.75   5,526.50
20973   Bone/skin graft, great toe     T   T    0056   44.2687   2,114.72   4,821.75   5,526.50
20974   Electrical bone stimulation    A   3    0000    0.0000     M01        M01        M01
20975   Electrical bone stimulation    N   N    0000    0.0000     0.00       0.00        0.00
20979   Us bone stimulation            X   X    0340    0.6310    30.14       68.73      78.77
20982   Ablate, bone tumor(s) perq     T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
20985   Cptr-asst dir ms px            N    N   0000    0.0000     0.00       0.00       0.00
20986   Cptr-asst dir ms px io img     N    N   0000    0.0000     0.00       0.00       0.00
20987   Cptr-asst dir ms px pre img    N    N   0000    0.0000     0.00       0.00       0.00
20999   Musculoskeletal surgery        T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
21010   Incision of jaw joint          T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21015   Resection of facial tumor      T   T    0253   16.3288    780.03    1,778.53   2,038.49
21025   Excision of bone, lower jaw    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21026   Excision of facial bone(s)     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21029   Contour of face bone lesion    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21030   Excise max/zygoma b9 tumor     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21031   Remove exostosis, mandible     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21032   Remove exostosis, maxilla      T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21034   Excise max/zygoma mlg tumor    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21040   Excise mandible lesion         T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21044   Removal of jaw bone lesion     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21045   Extensive jaw surgery          C   C    0000    0.0000     0.00       0.00       0.00
21046   Remove mandible cyst complex   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21047   Excise lwr jaw cyst w/repair   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21048   Remove maxilla cyst complex    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21049   Excis uppr jaw cyst w/repair   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21050   Removal of jaw joint           T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21060   Remove jaw joint cartilage     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21070   Remove coronoid process        T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21073   Mnpj of tmj w/anesth           T    T   0252    7.4474    355.76     811.17     929.73
21076   Prepare face/oral prosthesis   T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21077   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21079   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21080   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21081   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21082   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21083   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21084   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21085   Prepare face/oral prosthesis   T   T    0253   16.3288    780.03    1,778.53   2,038.49
21086   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21087   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21088   Prepare face/oral prosthesis   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21089   Prepare face/oral prosthesis   T   T    0251    2.5002    119.43     272.32     312.12
21100   Maxillofacial fixation         T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21110   Interdental fixation           T   T    0252    7.4474    355.76     811.17     929.73
21116   Injection, jaw joint x-ray     N   N    0000    0.0000     0.00       0.00       0.00
21120   Reconstruction of chin         T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21121   Reconstruction of chin         T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21122   Reconstruction of chin         T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21123   Reconstruction of chin         T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21125   Augmentation, lower jaw bone   T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21127   Augmentation, lower jaw bone   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21137   Reduction of forehead          T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21138   Reduction of forehead          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21139   Reduction of forehead          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21141   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21142   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21143   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21145   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21146   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21147   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21150   Reconstruct midface, lefort    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21151   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21154   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21155   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21159   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21160   Reconstruct midface, lefort    C   C    0000    0.0000     0.00       0.00       0.00
21172   Reconstruct orbit/forehead     C   C    0000    0.0000     0.00       0.00       0.00
21175   Reconstruct orbit/forehead     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21179   Reconstruct entire forehead    C   C    0000    0.0000     0.00       0.00       0.00
21180   Reconstruct entire forehead    C   C    0000    0.0000     0.00       0.00       0.00
21181   Contour cranial bone lesion    T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21182   Reconstruct cranial bone       C   C    0000    0.0000     0.00       0.00       0.00
21183   Reconstruct cranial bone       C   C    0000    0.0000     0.00       0.00       0.00
21184   Reconstruct cranial bone       C   C    0000    0.0000     0.00       0.00       0.00
21188   Reconstruction of midface      C   C    0000    0.0000     0.00       0.00       0.00
21193   Reconst lwr jaw w/o graft      C   C    0000    0.0000     0.00       0.00       0.00
21194   Reconst lwr jaw w/graft        C   C    0000    0.0000     0.00       0.00       0.00
21195   Reconst lwr jaw w/o fixation   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21196   Reconst lwr jaw w/fixation     C   C    0000    0.0000     0.00       0.00       0.00
21198   Reconstr lwr jaw segment       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21199   Reconstr lwr jaw w/advance     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21206   Reconstruct upper jaw bone     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21208   Augmentation of facial bones   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21209   Reduction of facial bones      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21210   Face bone graft                T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21215   Lower jaw bone graft           T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21230   Rib cartilage graft            T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21235   Ear cartilage graft            T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21240   Reconstruction of jaw joint    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21242   Reconstruction of jaw joint    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21243   Reconstruction of jaw joint    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21244   Reconstruction of lower jaw    T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21245   Reconstruction of jaw          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21246   Reconstruction of jaw          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21247   Reconstruct lower jaw bone     C   C    0000    0.0000     0.00       0.00       0.00
21248   Reconstruction of jaw          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21249   Reconstruction of jaw          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21255   Reconstruct lower jaw bone     C   C    0000    0.0000     0.00       0.00       0.00
21256   Reconstruction of orbit        C   C    0000    0.0000     0.00       0.00       0.00
21260   Revise eye sockets             T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21261   Revise eye sockets             T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21263   Revise eye sockets             T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21267   Revise eye sockets             T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21268   Revise eye sockets             C   C    0000    0.0000     0.00       0.00       0.00
21270   Augmentation, cheek bone       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21275   Revision, orbitofacial bones   T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21280   Revision of eyelid             T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21282   Revision of eyelid             T   T    0253   16.3288    780.03    1,778.53   2,038.49
21295   Revision of jaw muscle/bone    T   T    0252    7.4474    355.76     811.17     929.73
21296   Revision of jaw muscle/bone    T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21299   Cranio/maxillofacial surgery   T   T    0251    2.5002    119.43     272.32     312.12
21310   Treatment of nose fracture     T   T    0251    2.5002    119.43     272.32     312.12
21315   Treatment of nose fracture     T   T    0251    2.5002    119.43     272.32     312.12
21320   Treatment of nose fracture     T   T    0253   16.3288    780.03    1,778.53   2,038.49
21325   Treatment of nose fracture     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21330   Treatment of nose fracture     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21335   Treatment of nose fracture     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21336   Treat nasal septal fracture    T   T    0062   26.1592   1,249.62   2,849.26   3,265.71
21337   Treat nasal septal fracture    T   T    0253   16.3288    780.03    1,778.53   2,038.49
21338   Treat nasoethmoid fracture     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21339   Treat nasoethmoid fracture     T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21340   Treatment of nose fracture     T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21343   Treatment of sinus fracture    C   C    0000    0.0000     0.00       0.00       0.00
21344   Treatment of sinus fracture    C   C    0000    0.0000     0.00       0.00       0.00
21345   Treat nose/jaw fracture        T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21346   Treat nose/jaw fracture        C   C    0000    0.0000     0.00       0.00       0.00
21347   Treat nose/jaw fracture        C   C    0000    0.0000     0.00       0.00       0.00
21348   Treat nose/jaw fracture        C   C    0000    0.0000     0.00       0.00       0.00
21355   Treat cheek bone fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21356   Treat cheek bone fracture      T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21360   Treat cheek bone fracture      T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21365   Treat cheek bone fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21366   Treat cheek bone fracture      C   C    0000    0.0000     0.00       0.00       0.00
21385   Treat eye socket fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21386   Treat eye socket fracture      C   C    0000    0.0000     0.00       0.00       0.00
21387   Treat eye socket fracture      C   C    0000    0.0000     0.00       0.00       0.00
21390   Treat eye socket fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21395   Treat eye socket fracture      C   C    0000    0.0000     0.00       0.00       0.00
21400   Treat eye socket fracture      T   T    0252    7.4474    355.76     811.17     929.73
21401   Treat eye socket fracture      T   T    0253   16.3288    780.03    1,778.53   2,038.49
21406   Treat eye socket fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21407   Treat eye socket fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21408   Treat eye socket fracture      T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21421   Treat mouth roof fracture      T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21422   Treat mouth roof fracture      C   C    0000    0.0000     0.00       0.00       0.00
21423   Treat mouth roof fracture      C   C    0000    0.0000     0.00       0.00       0.00
21431   Treat craniofacial fracture    C   C    0000    0.0000     0.00       0.00       0.00
21432   Treat craniofacial fracture    C   C    0000    0.0000     0.00       0.00       0.00
21433   Treat craniofacial fracture    C   C    0000    0.0000     0.00       0.00       0.00
21435   Treat craniofacial fracture    C   C    0000    0.0000     0.00       0.00       0.00
21436   Treat craniofacial fracture    C   C    0000    0.0000     0.00       0.00       0.00
21440   Treat dental ridge fracture    T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21445   Treat dental ridge fracture    T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21450   Treat lower jaw fracture       T   T    0251    2.5002    119.43     272.32     312.12
21451   Treat lower jaw fracture       T   T    0252    7.4474    355.76     811.17     929.73
21452   Treat lower jaw fracture       T   T    0253   16.3288    780.03    1,778.53   2,038.49
21453   Treat lower jaw fracture       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21454   Treat lower jaw fracture       T   T    0254   23.9765   1,145.36   2,611.52   2,993.23
21461   Treat lower jaw fracture       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21462   Treat lower jaw fracture       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21465   Treat lower jaw fracture       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21470   Treat lower jaw fracture       T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21480   Reset dislocated jaw           T   T    0251    2.5002    119.43     272.32     312.12
21485   Reset dislocated jaw           T   T    0253   16.3288    780.03    1,778.53   2,038.49
21490   Repair dislocated jaw          T   T    0256   39.8776   1,904.95   4,343.47   4,978.32
21495   Treat hyoid bone fracture      T   T    0253   16.3288    780.03    1,778.53   2,038.49
21497   Interdental wiring             T   T    0253   16.3288    780.03    1,778.53   2,038.49
21499   Head surgery procedure         T   T    0251    2.5002    119.43     272.32     312.12
21501   Drain neck/chest lesion        T   T    0008   18.3197    875.13    1,995.38   2,287.03
21502   Drain chest lesion             T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
21510   Drainage of bone lesion        C   C    0000    0.0000     0.00       0.00       0.00
21550   Biopsy of neck/chest           T   T    0020    8.6850    414.88     945.97    1,084.24
21555   Remove lesion, neck/chest      T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
21556   Remove lesion, neck/chest      T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
21557   Remove tumor, neck/chest       T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
21600   Partial removal of rib         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
21610   Partial removal of rib         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
21615   Removal of rib                 C   C    0000    0.0000     0.00       0.00       0.00
21616   Removal of rib and nerves      C   C    0000    0.0000     0.00       0.00       0.00
21620   Partial removal of sternum     C   C    0000    0.0000     0.00       0.00       0.00
21627   Sternal debridement            C   C    0000    0.0000     0.00       0.00       0.00
21630   Extensive sternum surgery      C   C    0000    0.0000     0.00       0.00       0.00
21632   Extensive sternum surgery      C   C    0000    0.0000     0.00       0.00       0.00
21685   Hyoid myotomy & suspension     T   T    0252    7.4474    355.76     811.17     929.73
21700   Revision of neck muscle        T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
21705   Revision of neck muscle/rib    C   C    0000    0.0000     0.00       0.00       0.00
21720   Revision of neck muscle        T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
21725   Revision of neck muscle        T   T    0006    1.4066    67.19      153.21     175.60
21740   Reconstruction of sternum      C   C    0000    0.0000     0.00       0.00       0.00
21742   Repair stern/nuss w/o scope    T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
21743   Repair sternum/nuss w/scope    T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
21750   Repair of sternum separation   C   C    0000    0.0000     0.00       0.00       0.00
21800   Treatment of rib fracture      T   T    0043    1.7682    84.47      192.59     220.74
21805   Treatment of rib fracture      T   T    0062   26.1592   1,249.62   2,849.26   3,265.71
21810   Treatment of rib fracture(s)   C   C    0000    0.0000     0.00       0.00       0.00
21820   Treat sternum fracture         T   T    0043    1.7682    84.47      192.59     220.74
21825   Treat sternum fracture         C   C    0000    0.0000     0.00       0.00       0.00
21899   Neck/chest surgery procedure   T   T    0251    2.5002    119.43     272.32     312.12
21920   Biopsy soft tissue of back     T   T    0020    8.6850    414.88     945.97    1,084.24
21925   Biopsy soft tissue of back     T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
21930   Remove lesion, back or flank   T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
21935   Remove tumor, back             T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
22010   I&d, p-spine, c/t/cerv-thor    C   C    0000    0.0000     0.00       0.00       0.00
22015   I&d, p-spine, l/s/ls           C   C    0000    0.0000     0.00       0.00       0.00
22100   Remove part of neck vertebra   T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22101   Remove part, thorax vertebra   T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22102   Remove part, lumbar vertebra   T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22103   Remove extra spine segment     T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22110   Remove part of neck vertebra   C   C    0000    0.0000     0.00       0.00       0.00
22112   Remove part, thorax vertebra   C   C    0000    0.0000     0.00       0.00       0.00
22114   Remove part, lumbar vertebra   C   C    0000    0.0000     0.00       0.00       0.00
22116   Remove extra spine segment     C   C    0000    0.0000     0.00       0.00       0.00
22206   Cut spine 3 col, thor          C    C   0000    0.0000     0.00       0.00       0.00
22207   Cut spine 3 col, lumb          C    C   0000    0.0000     0.00       0.00       0.00
22208   Cut spine 3 col, addl seg      C    C   0000    0.0000     0.00       0.00       0.00
22210   Revision of neck spine         C   C    0000    0.0000     0.00       0.00       0.00
22212   Revision of thorax spine       C   C    0000    0.0000     0.00       0.00       0.00
22214   Revision of lumbar spine       C   C    0000    0.0000     0.00       0.00       0.00
22216   Revise, extra spine segment    C   C    0000    0.0000     0.00       0.00       0.00
22220   Revision of neck spine         C   C    0000    0.0000     0.00       0.00       0.00
22222   Revision of thorax spine       T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22224   Revision of lumbar spine       C   C    0000    0.0000     0.00       0.00       0.00
22226   Revise, extra spine segment    C   C    0000    0.0000     0.00       0.00       0.00
22305   Treat spine process fracture   T   T    0043    1.7682    84.47      192.59     220.74
22310   Treat spine fracture           T   T    0043    1.7682    84.47      192.59     220.74
22315   Treat spine fracture           T   T    0043    1.7682    84.47      192.59     220.74
22318   Treat odontoid fx w/o graft    C   C    0000    0.0000     0.00       0.00       0.00
22319   Treat odontoid fx w/graft      C   C    0000    0.0000     0.00       0.00       0.00
22325   Treat spine fracture           C   C    0000    0.0000     0.00       0.00       0.00
22326   Treat neck spine fracture      C   C    0000    0.0000     0.00       0.00       0.00
22327   Treat thorax spine fracture    C   C    0000    0.0000     0.00       0.00       0.00
22328   Treat each add spine fx        C   C    0000    0.0000     0.00       0.00       0.00
22505   Manipulation of spine          T   T    0045   14.7658    705.36    1,608.29   1,843.36
22520   Percut vertebroplasty thor     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
22521   Percut vertebroplasty lumb     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
22522   Percut vertebroplasty add’l    T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
22523   Percut kyphoplasty, thor       T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
22524   Percut kyphoplasty, lumbar     T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
22525   Percut kyphoplasty, add-on     T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
22526   Idet, single level             T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
22527   Idet, 1 or more levels         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
22532   Lat thorax spine fusion        C   C    0000    0.0000     0.00       0.00       0.00
22533   Lat lumbar spine fusion        C   C    0000    0.0000     0.00       0.00       0.00
22534   Lat thor/lumb, add’l seg       C   C    0000    0.0000     0.00       0.00       0.00
22548   Neck spine fusion              C   C    0000    0.0000     0.00       0.00       0.00
22554   Neck spine fusion              C   C    0000    0.0000     0.00       0.00       0.00
22556   Thorax spine fusion            C   C    0000    0.0000     0.00       0.00       0.00
22558   Lumbar spine fusion            C   C    0000    0.0000     0.00       0.00       0.00
22585   Additional spinal fusion       C   C    0000    0.0000     0.00       0.00       0.00
22590   Spine & skull spinal fusion    C   C    0000    0.0000     0.00       0.00       0.00
22595   Neck spinal fusion             C   C    0000    0.0000     0.00       0.00       0.00
22600   Neck spine fusion              C   C    0000    0.0000     0.00       0.00       0.00
22610   Thorax spine fusion            C   C    0000    0.0000     0.00       0.00       0.00
22612   Lumbar spine fusion            T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22614   Spine fusion, extra segment    T   T    0208   46.7724   2,234.32   5,094.45   5,839.07
22630   Lumbar spine fusion            C   C    0000    0.0000     0.00       0.00       0.00
22632   Spine fusion, extra segment    C   C    0000    0.0000     0.00       0.00       0.00
22800   Fusion of spine                C   C    0000    0.0000     0.00       0.00       0.00
22802   Fusion of spine                C   C    0000    0.0000     0.00       0.00       0.00
22804   Fusion of spine                C   C    0000    0.0000     0.00       0.00       0.00
22808   Fusion of spine                C   C    0000    0.0000     0.00       0.00       0.00
22810   Fusion of spine                C   C    0000    0.0000     0.00       0.00       0.00
22812   Fusion of spine                C   C    0000    0.0000     0.00       0.00       0.00
22818   Kyphectomy, 1-2 segments       C   C    0000    0.0000     0.00       0.00       0.00
22819   Kyphectomy, 3 or more          C   C    0000    0.0000     0.00       0.00       0.00
22830   Exploration of spinal fusion   C   C    0000    0.0000     0.00       0.00       0.00
22840   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22841   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22842   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22843   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22844   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22845   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22846   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22847   Insert spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22848   Insert pelv fixation device    C   C    0000    0.0000     0.00       0.00       0.00
22849   Reinsert spinal fixation       C   C    0000    0.0000     0.00       0.00       0.00
22850   Remove spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22851   Apply spine prosth device      T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
22852   Remove spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22855   Remove spine fixation device   C   C    0000    0.0000     0.00       0.00       0.00
22857   Lumbar artif diskectomy        C   C    0000    0.0000     0.00       0.00       0.00
22862   Revise lumbar artif disc       C   C    0000    0.0000     0.00       0.00       0.00
22865   Remove lumb artif disc         C   C    0000    0.0000     0.00       0.00       0.00
22899   Spine surgery procedure        T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
22900   Remove abdominal wall lesion   T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
22999   Abdomen surgery procedure      T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
23000   Removal of calcium deposits    T   T    0021   16.1001    769.10    1,753.62   2,009.94
23020   Release shoulder joint         T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23030   Drain shoulder lesion          T   T    0008   18.3197    875.13    1,995.38   2,287.03
23031   Drain shoulder bursa           T   T    0008   18.3197    875.13    1,995.38   2,287.03
23035   Drain shoulder bone lesion     T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
23040   Exploratory shoulder surgery   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23044   Exploratory shoulder surgery   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23065   Biopsy shoulder tissues        T   T    0020    8.6850    414.88     945.97    1,084.24
23066   Biopsy shoulder tissues        T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
23075   Removal of shoulder lesion     T   T    0021   16.1001    769.10    1,753.62   2,009.94
23076   Removal of shoulder lesion     T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
23077   Remove tumor of shoulder       T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
23100   Biopsy of shoulder joint       T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
23101   Shoulder joint surgery         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23105   Remove shoulder joint lining   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23106   Incision of collarbone joint   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23107   Explore treat shoulder joint   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23120   Partial removal, collar bone   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23125   Removal of collar bone         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23130   Remove shoulder bone, part     T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23140   Removal of bone lesion         T   T    0049   21.2689   1,016.02   2,316.61   2,655.21
23145   Removal of bone lesion         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23146   Removal of bone lesion         T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23150   Removal of humerus lesion      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23155   Removal of humerus lesion      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23156   Removal of humerus lesion      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23170   Remove collar bone lesion      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23172   Remove shoulder blade lesion   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23174   Remove humerus lesion          T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23180   Remove collar bone lesion      T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23182   Remove shoulder blade lesion   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23184   Remove humerus lesion          T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23190   Partial removal of scapula     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23195   Removal of head of humerus     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23200   Removal of collar bone         C   C    0000    0.0000     0.00       0.00       0.00
23210   Removal of shoulder blade      C   C    0000    0.0000     0.00       0.00       0.00
23220   Partial removal of humerus     C   C    0000    0.0000     0.00       0.00       0.00
23221   Partial removal of humerus     C   C    0000    0.0000     0.00       0.00       0.00
23222   Partial removal of humerus     C   C    0000    0.0000     0.00       0.00       0.00
23330   Remove shoulder foreign body   T   T    0020    8.6850    414.88     945.97    1,084.24
23331   Remove shoulder foreign body   T   T    0022   21.1098   1,008.42   2,299.28   2,635.35
23332   Remove shoulder foreign body   C   C    0000    0.0000     0.00       0.00       0.00
23350   Injection for shoulder x-ray   N   N    0000    0.0000     0.00       0.00       0.00
23395   Muscle transfer,shoulder/arm   T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23397   Muscle transfers               T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
23400   Fixation of shoulder blade     T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23405   Incision of tendon & muscle    T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23406   Incise tendon(s) & muscle(s)   T   T    0050   29.1900   1,394.41   3,179.37   3,644.08
23410   Repair rotator cuff, acute     T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23412   Repair rotator cuff, chronic   T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23415   Release of shoulder ligament   T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23420   Repair of shoulder             T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23430   Repair biceps tendon           T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23440   Remove/transplant tendon       T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23450   Repair shoulder capsule        T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
23455   Repair shoulder capsule        T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
23460   Repair shoulder capsule        T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
23462   Repair shoulder capsule        T   T    0051   42.9850   2,053.39   4,681.93   5,366.25
23465   Repair shoulder capsule        T   T    0052   79.4244   3,794.10   8,650.91   9,915.34
23466   Repair shoulder capsule        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
23470   Reconstruct shoulder joint     T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
23472   Reconstruct shoulder joint     C   C    0000     0.0000     0.00        0.00        0.00
23480   Revision of collar bone        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
23485   Revision of collar bone        T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
23490   Reinforce clavicle             T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
23491   Reinforce shoulder bones       T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
23500   Treat clavicle fracture        T   T    0043     1.7682    84.47       192.59      220.74
23505   Treat clavicle fracture        T   T    0043     1.7682    84.47       192.59      220.74
23515   Treat clavicle fracture        T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
23520   Treat clavicle dislocation     T   T    0043     1.7682    84.47       192.59      220.74
23525   Treat clavicle dislocation     T   T    0043     1.7682    84.47       192.59      220.74
23530   Treat clavicle dislocation     T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
23532   Treat clavicle dislocation     T   T    0062    26.1592   1,249.62    2,849.26    3,265.71
23540   Treat clavicle dislocation     T   T    0043     1.7682    84.47       192.59      220.74
23545   Treat clavicle dislocation     T   T    0043     1.7682    84.47       192.59      220.74
23550   Treat clavicle dislocation     T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
23552   Treat clavicle dislocation     T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
23570   Treat shoulder blade fx        T   T    0043     1.7682    84.47       192.59      220.74
23575   Treat shoulder blade fx        T   T    0043     1.7682    84.47       192.59      220.74
23585   Treat scapula fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
23600   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
23605   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
23615   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
23616   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
23620   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
23625   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
23630   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
23650   Treat shoulder dislocation     T   T    0043     1.7682    84.47       192.59      220.74
23655   Treat shoulder dislocation     T   T    0045    14.7658    705.36     1,608.29    1,843.36
23660   Treat shoulder dislocation     T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
23665   Treat dislocation/fracture     T   T    0043     1.7682    84.47       192.59      220.74
23670   Treat dislocation/fracture     T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
23675   Treat dislocation/fracture     T   T    0043     1.7682    84.47       192.59      220.74
23680   Treat dislocation/fracture     T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
23700   Fixation of shoulder           T   T    0045    14.7658    705.36     1,608.29    1,843.36
23800   Fusion of shoulder joint       T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
23802   Fusion of shoulder joint       T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
23900   Amputation of arm & girdle     C   C    0000     0.0000     0.00        0.00        0.00
23920   Amputation at shoulder joint   C   C    0000     0.0000     0.00        0.00        0.00
23921   Amputation follow-up surgery   T   T    0136    15.0458    718.74     1,638.79    1,878.32
23929   Shoulder surgery procedure     T   T    0043     1.7682    84.47       192.59      220.74
23930   Drainage of arm lesion         T   T    0008    18.3197    875.13     1,995.38    2,287.03
23931   Drainage of arm bursa          T   T    0008    18.3197    875.13     1,995.38    2,287.03
23935   Drain arm/elbow bone lesion    T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24000   Exploratory elbow surgery      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24006   Release elbow joint            T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24065   Biopsy arm/elbow soft tissue   T   T    0021    16.1001    769.10     1,753.62    2,009.94
24066   Biopsy arm/elbow soft tissue   T   T    0021    16.1001    769.10     1,753.62    2,009.94
24075   Remove arm/elbow lesion        T   T    0021    16.1001    769.10     1,753.62    2,009.94
24076   Remove arm/elbow lesion        T   T    0022    21.1098   1,008.42    2,299.28    2,635.35
24077   Remove tumor of arm/elbow      T   T    0022    21.1098   1,008.42    2,299.28    2,635.35
24100   Biopsy elbow joint lining      T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24101   Explore/treat elbow joint      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24102   Remove elbow joint lining      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24105   Removal of elbow bursa         T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24110   Remove humerus lesion          T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24115   Remove/graft bone lesion       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24116   Remove/graft bone lesion       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24120   Remove elbow lesion            T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24125   Remove/graft bone lesion       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24126   Remove/graft bone lesion       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24130   Removal of head of radius      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24134   Removal of arm bone lesion     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24136   Remove radius bone lesion      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24138   Remove elbow bone lesion       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24140   Partial removal of arm bone    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24145   Partial removal of radius      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24147   Partial removal of elbow       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24149   Radical resection of elbow     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24150   Extensive humerus surgery      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24151   Extensive humerus surgery      T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24152   Extensive radius surgery       T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24153   Extensive radius surgery       T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24155   Removal of elbow joint         T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24160   Remove elbow joint implant     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24164   Remove radius head implant     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24200   Removal of arm foreign body    T   T    0019     4.3039    205.60      468.78      537.30
24201   Removal of arm foreign body    T   T    0021    16.1001    769.10     1,753.62    2,009.94
24220   Injection for elbow x-ray      N   N    0000     0.0000     0.00        0.00        0.00
24300   Manipulate elbow w/anesth      T   T    0045    14.7658    705.36     1,608.29    1,843.36
24301   Muscle/tendon transfer         T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24305   Arm tendon lengthening         T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24310   Revision of arm tendon         T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24320   Repair of arm tendon           T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24330   Revision of arm muscles        T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24331   Revision of arm muscles        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24332   Tenolysis, triceps             T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24340   Repair of biceps tendon        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24341   Repair arm tendon/muscle       T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24342   Repair of ruptured tendon      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24343   Repr elbow lat ligmnt w/tiss   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24344   Reconstruct elbow lat ligmnt   T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24345   Repr elbw med ligmnt w/tissu   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24346   Reconstruct elbow med ligmnt   T   T    0051    42.9850   2,053.39    4,681.93    5,366.25




24357   Repair elbow, perc             T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
24358   Repair elbow w/deb, open       T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
24359   Repair elbow deb/attch open    T    T   0050    29.1900   1,394.41    3,179.37    3,644.08
24360   Reconstruct elbow joint        T   T    0047    35.9040   1,715.13    3,910.66    4,482.26
24361   Reconstruct elbow joint        T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
24362   Reconstruct elbow joint        T   T    0048    50.8876   2,430.90    5,542.68    6,352.81
24363   Replace elbow joint            T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
24365   Reconstruct head of radius     T   T    0047    35.9040   1,715.13    3,910.66    4,482.26
24366   Reconstruct head of radius     T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
24400   Revision of humerus            T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24410   Revision of humerus            T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24420   Revision of humerus            T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24430   Repair of humerus              T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24435   Repair humerus with graft      T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24470   Revision of elbow joint        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24495   Decompression of forearm       T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
24498   Reinforce humerus              T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24500   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24505   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24515   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24516   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24530   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24535   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24538   Treat humerus fracture         T   T    0062    26.1592   1,249.62    2,849.26    3,265.71
24545   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24546   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24560   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24565   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24566   Treat humerus fracture         T   T    0062    26.1592   1,249.62    2,849.26    3,265.71
24575   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24576   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24577   Treat humerus fracture         T   T    0043     1.7682    84.47       192.59      220.74
24579   Treat humerus fracture         T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24582   Treat humerus fracture         T   T    0062    26.1592   1,249.62    2,849.26    3,265.71
24586   Treat elbow fracture           T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24587   Treat elbow fracture           T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24600   Treat elbow dislocation        T   T    0043     1.7682    84.47       192.59      220.74
24605   Treat elbow dislocation        T   T    0045    14.7658    705.36     1,608.29    1,843.36
24615   Treat elbow dislocation        T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24620   Treat elbow fracture           T   T    0043     1.7682    84.47       192.59      220.74
24635   Treat elbow fracture           T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24640   Treat elbow dislocation        T   T    0043     1.7682    84.47       192.59      220.74
24650   Treat radius fracture          T   T    0043     1.7682    84.47       192.59      220.74
24655   Treat radius fracture          T   T    0043     1.7682    84.47       192.59      220.74
24665   Treat radius fracture          T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
24666   Treat radius fracture          T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
24670   Treat ulnar fracture           T   T    0043     1.7682    84.47       192.59      220.74
24675   Treat ulnar fracture           T   T    0043     1.7682    84.47       192.59      220.74
24685   Treat ulnar fracture           T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
24800   Fusion of elbow joint          T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24802   Fusion/graft of elbow joint    T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
24900   Amputation of upper arm        C   C    0000     0.0000     0.00        0.00        0.00
24920   Amputation of upper arm        C   C    0000     0.0000     0.00        0.00        0.00
24925   Amputation follow-up surgery   T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
24930   Amputation follow-up surgery   C   C    0000     0.0000     0.00        0.00        0.00
24931   Amputate upper arm & implant   C   C    0000     0.0000     0.00        0.00        0.00
24935   Revision of amputation         T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
24940   Revision of upper arm          C   C    0000     0.0000     0.00        0.00        0.00
24999   Upper arm/elbow surgery        T   T    0043     1.7682    84.47       192.59      220.74
25000   Incision of tendon sheath      T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25001   Incise flexor carpi radialis   T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25020   Decompress forearm 1 space     T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25023   Decompress forearm 1 space     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25024   Decompress forearm 2 spaces    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25025   Decompress forearm 2 spaces    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25028   Drainage of forearm lesion     T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25031   Drainage of forearm bursa      T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25035   Treat forearm bone lesion      T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25040   Explore/treat wrist joint      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25065   Biopsy forearm soft tissues    T   T    0020     8.6850    414.88      945.97     1,084.24
25066   Biopsy forearm soft tissues    T   T    0022    21.1098   1,008.42    2,299.28    2,635.35
25075   Removal forearm lesion subcu   T   T    0021    16.1001    769.10     1,753.62    2,009.94
25076   Removal forearm lesion deep    T   T    0022    21.1098   1,008.42    2,299.28    2,635.35
25077   Remove tumor, forearm/wrist    T   T    0022    21.1098   1,008.42    2,299.28    2,635.35
25085   Incision of wrist capsule      T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25100   Biopsy of wrist joint          T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25101   Explore/treat wrist joint      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25105   Remove wrist joint lining      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25107   Remove wrist joint cartilage   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25109   Excise tendon forearm/wrist    T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25110   Remove wrist tendon lesion     T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25111   Remove wrist tendon lesion     T   T    0053    16.4637    786.47     1,793.23    2,055.33
25112   Reremove wrist tendon lesion   T   T    0053    16.4637    786.47     1,793.23    2,055.33
25115   Remove wrist/forearm lesion    T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25116   Remove wrist/forearm lesion    T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25118   Excise wrist tendon sheath     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25119   Partial removal of ulna        T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25120   Removal of forearm lesion      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25125   Remove/graft forearm lesion    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25126   Remove/graft forearm lesion    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25130   Removal of wrist lesion        T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25135   Remove & graft wrist lesion    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25136   Remove & graft wrist lesion    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25145   Remove forearm bone lesion     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25150   Partial removal of ulna        T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25151   Partial removal of radius      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25170   Extensive forearm surgery      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25210   Removal of wrist bone          T   T    0054    26.3105   1,256.85    2,865.74    3,284.60
25215   Removal of wrist bones         T   T    0054    26.3105   1,256.85    2,865.74    3,284.60
25230   Partial removal of radius      T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25240   Partial removal of ulna        T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25246   Injection for wrist x-ray      N   N    0000     0.0000     0.00        0.00        0.00
25248   Remove forearm foreign body    T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25250   Removal of wrist prosthesis    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25251   Removal of wrist prosthesis    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25259   Manipulate wrist w/anesthes    T   T    0043     1.7682    84.47       192.59      220.74
25260   Repair forearm tendon/muscle   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25263   Repair forearm tendon/muscle   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25265   Repair forearm tendon/muscle   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25270   Repair forearm tendon/muscle   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25272   Repair forearm tendon/muscle   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25274   Repair forearm tendon/muscle   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25275   Repair forearm tendon sheath   T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25280   Revise wrist/forearm tendon    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25290   Incise wrist/forearm tendon    T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25295   Release wrist/forearm tendon   T   T    0049    21.2689   1,016.02    2,316.61    2,655.21
25300   Fusion of tendons at wrist     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25301   Fusion of tendons at wrist     T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25310   Transplant forearm tendon      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25312   Transplant forearm tendon      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25315   Revise palsy hand tendon(s)    T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25316   Revise palsy hand tendon(s)    T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25320   Repair/revise wrist joint      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25332   Revise wrist joint             T   T    0047    35.9040   1,715.13    3,910.66    4,482.26
25335   Realignment of hand            T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25337   Reconstruct ulna/radioulnar    T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25350   Revision of radius             T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25355   Revision of radius             T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25360   Revision of ulna               T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25365   Revise radius & ulna           T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25370   Revise radius or ulna          T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25375   Revise radius & ulna           T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25390   Shorten radius or ulna         T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25391   Lengthen radius or ulna        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25392   Shorten radius & ulna          T   T    0050    29.1900   1,394.41    3,179.37    3,644.08
25393   Lengthen radius & ulna         T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25394   Repair carpal bone, shorten    T   T    0053    16.4637    786.47     1,793.23    2,055.33
25400   Repair radius or ulna          T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25405   Repair/graft radius or ulna    T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25415   Repair radius & ulna           T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25420   Repair/graft radius & ulna     T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25425   Repair/graft radius or ulna    T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25426   Repair/graft radius & ulna     T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25430   Vasc graft into carpal bone    T   T    0054    26.3105   1,256.85    2,865.74    3,284.60
25431   Repair nonunion carpal bone    T   T    0054    26.3105   1,256.85    2,865.74    3,284.60
25440   Repair/graft wrist bone        T   T    0052    79.4244   3,794.10    8,650.91    9,915.34
25441   Reconstruct wrist joint        T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
25442   Reconstruct wrist joint        T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
25443   Reconstruct wrist joint        T   T    0048    50.8876   2,430.90    5,542.68    6,352.81
25444   Reconstruct wrist joint        T   T    0048    50.8876   2,430.90    5,542.68    6,352.81
25445   Reconstruct wrist joint        T   T    0048    50.8876   2,430.90    5,542.68    6,352.81
25446   Wrist replacement              T   T    0425   122.2057   5,837.77   13,310.64   15,256.16
25447   Repair wrist joint(s)          T   T    0047    35.9040   1,715.13    3,910.66    4,482.26
25449   Remove wrist joint implant     T   T    0047    35.9040   1,715.13    3,910.66    4,482.26
25450   Revision of wrist joint        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25455   Revision of wrist joint        T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25490   Reinforce radius               T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25491   Reinforce ulna                 T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25492   Reinforce radius and ulna      T   T    0051    42.9850   2,053.39    4,681.93    5,366.25
25500   Treat fracture of radius       T   T    0043     1.7682    84.47       192.59      220.74
25505   Treat fracture of radius       T   T    0043     1.7682    84.47       192.59      220.74
25515   Treat fracture of radius       T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
25520   Treat fracture of radius       T   T    0043     1.7682    84.47       192.59      220.74
25525   Treat fracture of radius       T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
25526   Treat fracture of radius       T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
25530   Treat fracture of ulna         T   T    0043     1.7682    84.47       192.59      220.74
25535   Treat fracture of ulna         T   T    0043     1.7682    84.47       192.59      220.74
25545   Treat fracture of ulna         T   T    0063    41.1091   1,963.78    4,477.60    5,132.06
25560   Treat fracture radius & ulna   T   T    0043     1.7682    84.47       192.59      220.74
25565   Treat fracture radius & ulna   T   T    0043     1.7682    84.47       192.59      220.74
25574   Treat fracture radius & ulna   T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
25575   Treat fracture radius/ulna     T   T    0064    59.2233   2,829.10    6,450.60    7,393.44
25600   Treat fracture radius/ulna     T   T    0043     1.7682    84.47       192.59      220.74
25605   Treat fracture radius/ulna     T   T    0043     1.7682    84.47       192.59      220.74
25606   Treat fx distal radial         T   T    0062    26.1592   1,249.62    2,849.26    3,265.71
25607   Treat fx rad extra-articul     T   T    0064   59.2233    2,829.10   6,450.60    7,393.44
25608   Treat fx rad intra-articul     T   T    0064   59.2233    2,829.10   6,450.60    7,393.44
25609   Treat fx radial 3+ frag        T   T    0064   59.2233    2,829.10   6,450.60    7,393.44
25622   Treat wrist bone fracture      T   T    0043    1.7682     84.47      192.59      220.74
25624   Treat wrist bone fracture      T   T    0043    1.7682     84.47      192.59      220.74
25628   Treat wrist bone fracture      T   T    0063   41.1091    1,963.78   4,477.60    5,132.06
25630   Treat wrist bone fracture      T   T    0043    1.7682     84.47      192.59      220.74
25635   Treat wrist bone fracture      T   T    0043    1.7682     84.47      192.59      220.74
25645   Treat wrist bone fracture      T   T    0063   41.1091    1,963.78   4,477.60    5,132.06
25650   Treat wrist bone fracture      T   T    0043    1.7682     84.47      192.59      220.74
25651   Pin ulnar styloid fracture     T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
25652   Treat fracture ulnar styloid   T   T    0063   41.1091    1,963.78   4,477.60    5,132.06
25660   Treat wrist dislocation        T   T    0043    1.7682     84.47      192.59      220.74
25670   Treat wrist dislocation        T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
25671   Pin radioulnar dislocation     T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
25675   Treat wrist dislocation        T   T    0043    1.7682     84.47      192.59      220.74
25676   Treat wrist dislocation        T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
25680   Treat wrist fracture           T   T    0043    1.7682     84.47      192.59      220.74
25685   Treat wrist fracture           T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
25690   Treat wrist dislocation        T   T    0043    1.7682     84.47      192.59      220.74
25695   Treat wrist dislocation        T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
25800   Fusion of wrist joint          T   T    0052   79.4244    3,794.10   8,650.91    9,915.34
25805   Fusion/graft of wrist joint    T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
25810   Fusion/graft of wrist joint    T   T    0052   79.4244    3,794.10   8,650.91    9,915.34
25820   Fusion of hand bones           T   T    0053   16.4637     786.47    1,793.23    2,055.33
25825   Fuse hand bones with graft     T   T    0052   79.4244    3,794.10   8,650.91    9,915.34
25830   Fusion, radioulnar jnt/ulna    T   T    0052   79.4244    3,794.10   8,650.91    9,915.34
25900   Amputation of forearm          C   C    0000    0.0000      0.00       0.00        0.00
25905   Amputation of forearm          C   C    0000    0.0000      0.00       0.00        0.00
25907   Amputation follow-up surgery   T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
25909   Amputation follow-up surgery   C   C    0000    0.0000      0.00       0.00        0.00
25915   Amputation of forearm          C   C    0000    0.0000      0.00       0.00        0.00
25920   Amputate hand at wrist         C   C    0000    0.0000      0.00       0.00        0.00
25922   Amputate hand at wrist         T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
25924   Amputation follow-up surgery   C   C    0000    0.0000      0.00       0.00        0.00
25927   Amputation of hand             C   C    0000    0.0000      0.00       0.00        0.00
25929   Amputation follow-up surgery   T   T    0136   15.0458     718.74    1,638.79    1,878.32
25931   Amputation follow-up surgery   T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
25999   Forearm or wrist surgery       T   T    0043    1.7682     84.47      192.59      220.74
26010   Drainage of finger abscess     T   T    0006    1.4066     67.19      153.21      175.60
26011   Drainage of finger abscess     T   T    0007   11.5594     552.19    1,259.05    1,443.08
26020   Drain hand tendon sheath       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26025   Drainage of palm bursa         T   T    0053   16.4637     786.47    1,793.23    2,055.33
26030   Drainage of palm bursa(s)      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26034   Treat hand bone lesion         T   T    0053   16.4637     786.47    1,793.23    2,055.33
26035   Decompress fingers/hand        T   T    0053   16.4637     786.47    1,793.23    2,055.33
26037   Decompress fingers/hand        T   T    0053   16.4637     786.47    1,793.23    2,055.33
26040   Release palm contracture       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26045   Release palm contracture       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26055   Incise finger tendon sheath    T   T    0053   16.4637     786.47    1,793.23    2,055.33
26060   Incision of finger tendon      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26070   Explore/treat hand joint       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26075   Explore/treat finger joint     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26080   Explore/treat finger joint     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26100   Biopsy hand joint lining       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26105   Biopsy finger joint lining     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26110   Biopsy finger joint lining     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26115   Removal hand lesion subcut     T   T    0022   21.1098    1,008.42   2,299.28    2,635.35
26116   Removal hand lesion, deep      T   T    0022   21.1098    1,008.42   2,299.28    2,635.35
26117   Remove tumor, hand/finger      T   T    0022   21.1098    1,008.42   2,299.28    2,635.35
26121   Release palm contracture       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26123   Release palm contracture       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26125   Release palm contracture       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26130   Remove wrist joint lining      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26135   Revise finger joint, each      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26140   Revise finger joint, each      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26145   Tendon excision, palm/finger   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26160   Remove tendon sheath lesion    T   T    0053   16.4637     786.47    1,793.23    2,055.33
26170   Removal of palm tendon, each   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26180   Removal of finger tendon       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26185   Remove finger bone             T   T    0053   16.4637     786.47    1,793.23    2,055.33
26200   Remove hand bone lesion        T   T    0053   16.4637     786.47    1,793.23    2,055.33
26205   Remove/graft bone lesion       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26210   Removal of finger lesion       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26215   Remove/graft finger lesion     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26230   Partial removal of hand bone   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26235   Partial removal, finger bone   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26236   Partial removal, finger bone   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26250   Extensive hand surgery         T   T    0053   16.4637     786.47    1,793.23    2,055.33
26255   Extensive hand surgery         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26260   Extensive finger surgery       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26261   Extensive finger surgery       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26262   Partial removal of finger      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26320   Removal of implant from hand   T   T    0021   16.1001     769.10    1,753.62    2,009.94
26340   Manipulate finger w/anesth     T   T    0043    1.7682     84.47      192.59      220.74
26350   Repair finger/hand tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26352   Repair/graft hand tendon       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26356   Repair finger/hand tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26357   Repair finger/hand tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26358   Repair/graft hand tendon       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26370   Repair finger/hand tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26372   Repair/graft hand tendon       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26373   Repair finger/hand tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26390   Revise hand/finger tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26392   Repair/graft hand tendon       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26410   Repair hand tendon             T   T    0053   16.4637     786.47    1,793.23    2,055.33
26412   Repair/graft hand tendon       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26415   Excision, hand/finger tendon   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26416   Graft hand or finger tendon    T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26418   Repair finger tendon           T   T    0053   16.4637     786.47    1,793.23    2,055.33
26420   Repair/graft finger tendon     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26426   Repair finger/hand tendon      T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26428   Repair/graft finger tendon     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26432   Repair finger tendon           T   T    0053   16.4637     786.47    1,793.23    2,055.33
26433   Repair finger tendon           T   T    0053   16.4637     786.47    1,793.23    2,055.33
26434   Repair/graft finger tendon     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26437   Realignment of tendons         T   T    0053   16.4637     786.47    1,793.23    2,055.33
26440   Release palm/finger tendon     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26442   Release palm & finger tendon   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26445   Release hand/finger tendon     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26449   Release forearm/hand tendon    T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26450   Incision of palm tendon        T   T    0053   16.4637     786.47    1,793.23    2,055.33
26455   Incision of finger tendon      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26460   Incise hand/finger tendon      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26471   Fusion of finger tendons       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26474   Fusion of finger tendons       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26476   Tendon lengthening             T   T    0053   16.4637     786.47    1,793.23    2,055.33
26477   Tendon shortening              T   T    0053   16.4637     786.47    1,793.23    2,055.33
26478   Lengthening of hand tendon     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26479   Shortening of hand tendon      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26480   Transplant hand tendon         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26483   Transplant/graft hand tendon   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26485   Transplant palm tendon         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26489   Transplant/graft palm tendon   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26490   Revise thumb tendon            T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26492   Tendon transfer with graft     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26494   Hand tendon/muscle transfer    T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26496   Revise thumb tendon            T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26497   Finger tendon transfer         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26498   Finger tendon transfer         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26499   Revision of finger             T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26500   Hand tendon reconstruction     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26502   Hand tendon reconstruction     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26508   Release thumb contracture      T   T    0053   16.4637     786.47    1,793.23    2,055.33
26510   Thumb tendon transfer          T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26516   Fusion of knuckle joint        T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26517   Fusion of knuckle joints       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26518   Fusion of knuckle joints       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26520   Release knuckle contracture    T   T    0053   16.4637     786.47    1,793.23    2,055.33
26525   Release finger contracture     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26530   Revise knuckle joint           T   T    0047   35.9040    1,715.13   3,910.66    4,482.26
26531   Revise knuckle with implant    T   T    0048   50.8876    2,430.90   5,542.68    6,352.81
26535   Revise finger joint            T   T    0047   35.9040    1,715.13   3,910.66    4,482.26
26536   Revise/implant finger joint    T   T    0048   50.8876    2,430.90   5,542.68    6,352.81
26540   Repair hand joint              T   T    0053   16.4637     786.47    1,793.23    2,055.33
26541   Repair hand joint with graft   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26542   Repair hand joint with graft   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26545   Reconstruct finger joint       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26546   Repair nonunion hand           T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26548   Reconstruct finger joint       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26550   Construct thumb replacement    T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26551   Great toe-hand transfer        C   C    0000    0.0000      0.00       0.00        0.00
26553   Single transfer, toe-hand      C   C    0000    0.0000      0.00       0.00        0.00
26554   Double transfer, toe-hand      C   C    0000    0.0000      0.00       0.00        0.00
26555   Positional change of finger    T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26556   Toe joint transfer             C   C    0000    0.0000      0.00       0.00        0.00
26560   Repair of web finger           T   T    0053   16.4637     786.47    1,793.23    2,055.33
26561   Repair of web finger           T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26562   Repair of web finger           T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26565   Correct metacarpal flaw        T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26567   Correct finger deformity       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26568   Lengthen metacarpal/finger     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26580   Repair hand deformity          T   T    0053   16.4637     786.47    1,793.23    2,055.33
26587   Reconstruct extra finger       T   T    0053   16.4637     786.47    1,793.23    2,055.33
26590   Repair finger deformity        T   T    0053   16.4637     786.47    1,793.23    2,055.33
26591   Repair muscles of hand         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26593   Release muscles of hand        T   T    0053   16.4637     786.47    1,793.23    2,055.33
26596   Excision constricting tissue   T   T    0053   16.4637     786.47    1,793.23    2,055.33
26600   Treat metacarpal fracture      T   T    0043    1.7682     84.47      192.59      220.74
26605   Treat metacarpal fracture      T   T    0043    1.7682     84.47      192.59      220.74
26607   Treat metacarpal fracture      T   T    0043    1.7682     84.47      192.59      220.74
26608   Treat metacarpal fracture      T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26615   Treat metacarpal fracture      T   T    0063   41.1091    1,963.78   4,477.60    5,132.06
26641   Treat thumb dislocation        T   T    0043    1.7682     84.47      192.59      220.74
26645   Treat thumb fracture           T   T    0043    1.7682     84.47      192.59      220.74
26650   Treat thumb fracture           T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26665   Treat thumb fracture           T   T    0063   41.1091    1,963.78   4,477.60    5,132.06
26670   Treat hand dislocation         T   T    0043    1.7682     84.47      192.59      220.74
26675   Treat hand dislocation         T   T    0043    1.7682     84.47      192.59      220.74
26676   Pin hand dislocation           T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26685   Treat hand dislocation         T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26686   Treat hand dislocation         T   T    0064   59.2233    2,829.10   6,450.60    7,393.44
26700   Treat knuckle dislocation      T   T    0043    1.7682     84.47      192.59      220.74
26705   Treat knuckle dislocation      T   T    0043    1.7682     84.47      192.59      220.74
26706   Pin knuckle dislocation        T   T    0043    1.7682     84.47      192.59      220.74
26715   Treat knuckle dislocation      T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26720   Treat finger fracture, each    T   T    0043    1.7682     84.47      192.59      220.74
26725   Treat finger fracture, each    T   T    0043    1.7682     84.47      192.59      220.74
26727   Treat finger fracture, each    T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26735   Treat finger fracture, each    T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26740   Treat finger fracture, each    T   T    0043    1.7682     84.47      192.59      220.74
26742   Treat finger fracture, each    T   T    0043    1.7682     84.47      192.59      220.74
26746   Treat finger fracture, each    T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26750   Treat finger fracture, each    T   T    0043    1.7682     84.47      192.59      220.74
26755   Treat finger fracture, each    T   T    0043    1.7682     84.47      192.59      220.74
26756   Pin finger fracture, each      T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26765   Treat finger fracture, each    T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26770   Treat finger dislocation       T   T    0043    1.7682     84.47      192.59      220.74
26775   Treat finger dislocation       T   T    0045   14.7658     705.36    1,608.29    1,843.36
26776   Pin finger dislocation         T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26785   Treat finger dislocation       T   T    0062   26.1592    1,249.62   2,849.26    3,265.71
26820   Thumb fusion with graft        T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26841   Fusion of thumb                T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26842   Thumb fusion with graft        T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26843   Fusion of hand joint           T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26844   Fusion/graft of hand joint     T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26850   Fusion of knuckle              T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26852   Fusion of knuckle with graft   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26860   Fusion of finger joint         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26861   Fusion of finger jnt, add-on   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26862   Fusion/graft of finger joint   T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26863   Fuse/graft added joint         T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26910   Amputate metacarpal bone       T   T    0054   26.3105    1,256.85   2,865.74    3,284.60
26951   Amputation of finger/thumb     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26952   Amputation of finger/thumb     T   T    0053   16.4637     786.47    1,793.23    2,055.33
26989   Hand/finger surgery            T   T    0043    1.7682     84.47      192.59      220.74
26990   Drainage of pelvis lesion      T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
26991   Drainage of pelvis bursa       T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
26992   Drainage of bone lesion        C   C    0000    0.0000      0.00       0.00        0.00
27000   Incision of hip tendon         T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27001   Incision of hip tendon         T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27003   Incision of hip tendon         T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27005   Incision of hip tendon         C   C    0000    0.0000      0.00       0.00        0.00
27006   Incision of hip tendons        T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27025   Incision of hip/thigh fascia   C   C    0000    0.0000      0.00       0.00        0.00
27030   Drainage of hip joint          C   C    0000    0.0000      0.00       0.00        0.00
27033   Exploration of hip joint       T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
27035   Denervation of hip joint       T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
27036   Excision of hip joint/muscle   C   C    0000    0.0000      0.00       0.00        0.00
27040   Biopsy of soft tissues         T   T    0020    8.6850     414.88     945.97     1,084.24
27041   Biopsy of soft tissues         T   T    0020    8.6850     414.88     945.97     1,084.24
27047   Remove hip/pelvis lesion       T   T    0022   21.1098    1,008.42   2,299.28    2,635.35
27048   Remove hip/pelvis lesion       T   T    0022   21.1098    1,008.42   2,299.28    2,635.35
27049   Remove tumor, hip/pelvis       T   T    0022   21.1098    1,008.42   2,299.28    2,635.35
27050   Biopsy of sacroiliac joint     T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27052   Biopsy of hip joint            T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27054   Removal of hip joint lining    C   C    0000    0.0000      0.00       0.00        0.00
27060   Removal of ischial bursa       T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27062   Remove femur lesion/bursa      T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27065   Removal of hip bone lesion     T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27066   Removal of hip bone lesion     T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27067   Remove/graft hip bone lesion   T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27070   Partial removal of hip bone    C   C    0000    0.0000      0.00       0.00        0.00
27071   Partial removal of hip bone    C   C    0000    0.0000      0.00       0.00        0.00
27075   Extensive hip surgery          C   C    0000    0.0000      0.00       0.00        0.00
27076   Extensive hip surgery          C   C    0000    0.0000      0.00       0.00        0.00
27077   Extensive hip surgery          C   C    0000    0.0000      0.00       0.00        0.00
27078   Extensive hip surgery          C   C    0000    0.0000      0.00       0.00        0.00
27079   Extensive hip surgery          C   C    0000    0.0000      0.00       0.00        0.00
27080   Removal of tail bone           T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27086   Remove hip foreign body        T   T    0020    8.6850     414.88     945.97     1,084.24
27087   Remove hip foreign body        T   T    0049   21.2689    1,016.02   2,316.61    2,655.21
27090   Removal of hip prosthesis      C   C    0000    0.0000      0.00       0.00        0.00
27091   Removal of hip prosthesis      C   C    0000    0.0000      0.00       0.00        0.00
27093   Injection for hip x-ray        N   N    0000    0.0000      0.00       0.00        0.00
27095   Injection for hip x-ray        N   N    0000    0.0000      0.00       0.00        0.00
27096   Inject sacroiliac joint        B   B    0000    0.0000      0.00       0.00        0.00
27097   Revision of hip tendon         T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27098   Transfer tendon to pelvis      T   T    0050   29.1900    1,394.41   3,179.37    3,644.08
27100   Transfer of abdominal muscle   T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
27105   Transfer of spinal muscle      T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
27110   Transfer of iliopsoas muscle   T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
27111   Transfer of iliopsoas muscle   T   T    0051   42.9850    2,053.39   4,681.93    5,366.25
27120   Reconstruction of hip socket   C   C    0000    0.0000      0.00       0.00        0.00
27122   Reconstruction of hip socket   C   C    0000    0.0000      0.00       0.00        0.00
27125   Partial hip replacement        C   C    0000    0.0000      0.00       0.00        0.00
27130   Total hip arthroplasty         C   C    0000    0.0000      0.00       0.00        0.00
27132   Total hip arthroplasty         C   C    0000    0.0000      0.00       0.00        0.00
27134   Revise hip joint replacement   C   C    0000    0.0000      0.00       0.00        0.00
27137   Revise hip joint replacement   C   C    0000    0.0000      0.00       0.00        0.00
27138   Revise hip joint replacement   C   C    0000    0.0000      0.00       0.00        0.00
27140   Transplant femur ridge         C   C    0000    0.0000      0.00       0.00        0.00
27146   Incision of hip bone           C   C    0000    0.0000      0.00       0.00        0.00
27147   Revision of hip bone           C   C    0000    0.0000      0.00       0.00        0.00
27151   Incision of hip bones          C   C    0000    0.0000      0.00       0.00        0.00
27156   Revision of hip bones          C   C    0000    0.0000      0.00       0.00        0.00
27158   Revision of pelvis             C   C    0000    0.0000      0.00       0.00        0.00
27161   Incision of neck of femur      C   C    0000    0.0000      0.00       0.00        0.00
27165   Incision/fixation of femur     C   C    0000    0.0000      0.00       0.00        0.00
27170   Repair/graft femur head/neck   C   C    0000    0.0000      0.00       0.00        0.00
27175   Treat slipped epiphysis        C   C    0000    0.0000      0.00       0.00        0.00
27176   Treat slipped epiphysis        C   C    0000    0.0000      0.00       0.00        0.00
27177   Treat slipped epiphysis        C   C    0000    0.0000      0.00       0.00        0.00
27178   Treat slipped epiphysis        C   C    0000    0.0000      0.00       0.00        0.00
27179   Revise head/neck of femur      C   C    0000    0.0000      0.00       0.00        0.00
27181   Treat slipped epiphysis        C   C    0000    0.0000      0.00       0.00        0.00
27185   Revision of femur epiphysis    C   C    0000    0.0000      0.00       0.00        0.00
27187   Reinforce hip bones            C   C    0000    0.0000      0.00       0.00        0.00
27193   Treat pelvic ring fracture     T   T    0043    1.7682     84.47      192.59      220.74
27194   Treat pelvic ring fracture     T   T    0045   14.7658     705.36    1,608.29    1,843.36
27200   Treat tail bone fracture       T   T    0043    1.7682     84.47      192.59      220.74
27202   Treat tail bone fracture       T   T    0063   41.1091    1,963.78   4,477.60    5,132.06
27215   Treat pelvic fracture(s)       C   C    0000    0.0000      0.00        0.00        0.00
27216   Treat pelvic ring fracture     T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27217   Treat pelvic ring fracture     C   C    0000    0.0000      0.00        0.00        0.00
27218   Treat pelvic ring fracture     C   C    0000    0.0000      0.00        0.00        0.00
27220   Treat hip socket fracture      T   T    0043    1.7682     84.47       192.59      220.74
27222   Treat hip socket fracture      C   C    0000    0.0000      0.00        0.00        0.00
27226   Treat hip wall fracture        C   C    0000    0.0000      0.00        0.00        0.00
27227   Treat hip fracture(s)          C   C    0000    0.0000      0.00        0.00        0.00
27228   Treat hip fracture(s)          C   C    0000    0.0000      0.00        0.00        0.00
27230   Treat thigh fracture           T   T    0043    1.7682     84.47       192.59      220.74
27232   Treat thigh fracture           C   C    0000    0.0000      0.00        0.00        0.00
27235   Treat thigh fracture           T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27236   Treat thigh fracture           C   C    0000    0.0000      0.00        0.00        0.00
27238   Treat thigh fracture           T   T    0043    1.7682     84.47       192.59      220.74
27240   Treat thigh fracture           C   C    0000    0.0000      0.00        0.00        0.00
27244   Treat thigh fracture           C   C    0000    0.0000      0.00        0.00        0.00
27245   Treat thigh fracture           C   C    0000    0.0000      0.00        0.00        0.00
27246   Treat thigh fracture           T   T    0043    1.7682     84.47       192.59      220.74
27248   Treat thigh fracture           C   C    0000    0.0000      0.00        0.00        0.00
27250   Treat hip dislocation          T   T    0043    1.7682     84.47       192.59      220.74
27252   Treat hip dislocation          T   T    0045   14.7658     705.36     1,608.29    1,843.36
27253   Treat hip dislocation          C   C    0000    0.0000      0.00        0.00        0.00
27254   Treat hip dislocation          C   C    0000    0.0000      0.00        0.00        0.00
27256   Treat hip dislocation          T   T    0043    1.7682     84.47       192.59      220.74
27257   Treat hip dislocation          T   T    0045   14.7658     705.36     1,608.29    1,843.36
27258   Treat hip dislocation          C   C    0000    0.0000      0.00        0.00        0.00
27259   Treat hip dislocation          C   C    0000    0.0000      0.00        0.00        0.00
27265   Treat hip dislocation          T   T    0043    1.7682     84.47       192.59      220.74
27266   Treat hip dislocation          T   T    0045   14.7658     705.36     1,608.29    1,843.36
27267   Cltx thigh fx                  T   T    0043    1.7682     84.47       192.59      220.74
27268   Cltx thigh fx w/mnpj           C   C    0000    0.0000      0.00        0.00        0.00
27269   Optx thigh fx                  C    C   0000    0.0000      0.00        0.00        0.00
27275   Manipulation of hip joint      T   T    0045   14.7658     705.36     1,608.29    1,843.36
27280   Fusion of sacroiliac joint     C   C    0000    0.0000      0.00        0.00        0.00
27282   Fusion of pubic bones          C   C    0000    0.0000      0.00        0.00        0.00
27284   Fusion of hip joint            C   C    0000    0.0000      0.00        0.00        0.00
27286   Fusion of hip joint            C   C    0000    0.0000      0.00        0.00        0.00
27290   Amputation of leg at hip       C   C    0000    0.0000      0.00        0.00        0.00
27295   Amputation of leg at hip       C   C    0000    0.0000      0.00        0.00        0.00
27299   Pelvis/hip joint surgery       T   T    0043    1.7682     84.47       192.59      220.74
27301   Drain thigh/knee lesion        T   T    0008   18.3197     875.13     1,995.38    2,287.03
27303   Drainage of bone lesion        C   C    0000    0.0000      0.00        0.00        0.00
27305   Incise thigh tendon & fascia   T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27306   Incision of thigh tendon       T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27307   Incision of thigh tendons      T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27310   Exploration of knee joint      T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27323   Biopsy, thigh soft tissues     T   T    0020    8.6850     414.88      945.97     1,084.24
27324   Biopsy, thigh soft tissues     T   T    0022   21.1098    1,008.42    2,299.28    2,635.35
27325   Neurectomy, hamstring          T   T    0220   18.0518     862.33     1,966.20    2,253.59
27326   Neurectomy, popliteal          T   T    0220   18.0518     862.33     1,966.20    2,253.59
27327   Removal of thigh lesion        T   T    0022   21.1098    1,008.42    2,299.28    2,635.35
27328   Removal of thigh lesion        T   T    0022   21.1098    1,008.42    2,299.28    2,635.35
27329   Remove tumor, thigh/knee       T   T    0022   21.1098    1,008.42    2,299.28    2,635.35
27330   Biopsy, knee joint lining      T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27331   Explore/treat knee joint       T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27332   Removal of knee cartilage      T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27333   Removal of knee cartilage      T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27334   Remove knee joint lining       T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27335   Remove knee joint lining       T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27340   Removal of kneecap bursa       T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27345   Removal of knee cyst           T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27347   Remove knee cyst               T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27350   Removal of kneecap             T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27355   Remove femur lesion            T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27356   Remove femur lesion/graft      T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27357   Remove femur lesion/graft      T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27358   Remove femur lesion/fixation   T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27360   Partial removal, leg bone(s)   T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27365   Extensive leg surgery          C   C    0000    0.0000      0.00        0.00        0.00
27370   Injection for knee x-ray       N   N    0000    0.0000      0.00        0.00        0.00
27372   Removal of foreign body        T   T    0022   21.1098    1,008.42    2,299.28    2,635.35
27380   Repair of kneecap tendon       T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27381   Repair/graft kneecap tendon    T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27385   Repair of thigh muscle         T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27386   Repair/graft of thigh muscle   T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27390   Incision of thigh tendon       T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27391   Incision of thigh tendons      T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27392   Incision of thigh tendons      T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27393   Lengthening of thigh tendon    T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27394   Lengthening of thigh tendons   T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27395   Lengthening of thigh tendons   T   T    0051   42.9850    2,053.39    4,681.93    5,366.25
27396   Transplant of thigh tendon     T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27397   Transplants of thigh tendons   T   T    0051   42.9850    2,053.39    4,681.93    5,366.25
27400   Revise thigh muscles/tendons   T   T    0051   42.9850    2,053.39    4,681.93    5,366.25
27403   Repair of knee cartilage       T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27405   Repair of knee ligament        T   T    0051   42.9850    2,053.39    4,681.93    5,366.25
27407   Repair of knee ligament        T   T    0052   79.4244    3,794.10    8,650.91    9,915.34
27409   Repair of knee ligaments       T   T    0051   42.9850    2,053.39    4,681.93    5,366.25
27412   Autochondrocyte implant knee   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
27415   Osteochondral knee allograft   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
27416   Osteochondral knee autograft   T    T   0051    42.9850    2,053.39    4,681.93    5,366.25
27418   Repair degenerated kneecap     T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27420   Revision of unstable kneecap   T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27422   Revision of unstable kneecap   T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27424   Revision/removal of kneecap    T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27425   Lat retinacular release open   T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27427   Reconstruction, knee           T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27428   Reconstruction, knee           T   T    0052    79.4244    3,794.10    8,650.91    9,915.34
27429   Reconstruction, knee           T   T    0052    79.4244    3,794.10    8,650.91    9,915.34
27430   Revision of thigh muscles      T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27435   Incision of knee joint         T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27437   Revise kneecap                 T   T    0047    35.9040    1,715.13    3,910.66    4,482.26
27438   Revise kneecap with implant    T   T    0048    50.8876    2,430.90    5,542.68    6,352.81
27440   Revision of knee joint         T   T    0047    35.9040    1,715.13    3,910.66    4,482.26
27441   Revision of knee joint         T   T    0047    35.9040    1,715.13    3,910.66    4,482.26
27442   Revision of knee joint         T   T    0047    35.9040    1,715.13    3,910.66    4,482.26
27443   Revision of knee joint         T   T    0047    35.9040    1,715.13    3,910.66    4,482.26
27445   Revision of knee joint         C   C    0000     0.0000      0.00        0.00        0.00
27446   Revision of knee joint         T   T    0681   274.6715   13,121.06   29,917.22   34,289.99
27447   Total knee arthroplasty        C   C    0000     0.0000      0.00        0.00        0.00
27448   Incision of thigh              C   C    0000     0.0000      0.00        0.00        0.00
27450   Incision of thigh              C   C    0000     0.0000      0.00        0.00        0.00
27454   Realignment of thigh bone      C   C    0000     0.0000      0.00        0.00        0.00
27455   Realignment of knee            C   C    0000     0.0000      0.00        0.00        0.00
27457   Realignment of knee            C   C    0000     0.0000      0.00        0.00        0.00
27465   Shortening of thigh bone       C   C    0000     0.0000      0.00        0.00        0.00
27466   Lengthening of thigh bone      C   C    0000     0.0000      0.00        0.00        0.00
27468   Shorten/lengthen thighs        C   C    0000     0.0000      0.00        0.00        0.00
27470   Repair of thigh                C   C    0000     0.0000      0.00        0.00        0.00
27472   Repair/graft of thigh          C   C    0000     0.0000      0.00        0.00        0.00
27475   Surgery to stop leg growth     T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27477   Surgery to stop leg growth     C   C    0000     0.0000      0.00        0.00        0.00
27479   Surgery to stop leg growth     C   C    0000     0.0000      0.00        0.00        0.00
27485   Surgery to stop leg growth     C   C    0000     0.0000      0.00        0.00        0.00
27486   Revise/replace knee joint      C   C    0000     0.0000      0.00        0.00        0.00
27487   Revise/replace knee joint      C   C    0000     0.0000      0.00        0.00        0.00
27488   Removal of knee prosthesis     C   C    0000     0.0000      0.00        0.00        0.00
27495   Reinforce thigh                C   C    0000     0.0000      0.00        0.00        0.00
27496   Decompression of thigh/knee    T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27497   Decompression of thigh/knee    T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27498   Decompression of thigh/knee    T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27499   Decompression of thigh/knee    T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27500   Treatment of thigh fracture    T   T    0043     1.7682     84.47       192.59      220.74
27501   Treatment of thigh fracture    T   T    0043     1.7682     84.47       192.59      220.74
27502   Treatment of thigh fracture    T   T    0043     1.7682     84.47       192.59      220.74
27503   Treatment of thigh fracture    T   T    0043     1.7682     84.47       192.59      220.74
27506   Treatment of thigh fracture    C   C    0000     0.0000      0.00        0.00        0.00
27507   Treatment of thigh fracture    C   C    0000     0.0000      0.00        0.00        0.00
27508   Treatment of thigh fracture    T   T    0043     1.7682     84.47       192.59      220.74
27509   Treatment of thigh fracture    T   T    0062    26.1592    1,249.62    2,849.26    3,265.71
27510   Treatment of thigh fracture    T   T    0043     1.7682     84.47       192.59      220.74
27511   Treatment of thigh fracture    C   C    0000     0.0000      0.00        0.00        0.00
27513   Treatment of thigh fracture    C   C    0000     0.0000      0.00        0.00        0.00
27514   Treatment of thigh fracture    C   C    0000     0.0000      0.00        0.00        0.00
27516   Treat thigh fx growth plate    T   T    0043     1.7682     84.47       192.59      220.74
27517   Treat thigh fx growth plate    T   T    0043     1.7682     84.47       192.59      220.74
27519   Treat thigh fx growth plate    C   C    0000     0.0000      0.00        0.00        0.00
27520   Treat kneecap fracture         T   T    0043     1.7682     84.47       192.59      220.74
27524   Treat kneecap fracture         T   T    0063    41.1091    1,963.78    4,477.60    5,132.06
27530   Treat knee fracture            T   T    0043     1.7682     84.47       192.59      220.74
27532   Treat knee fracture            T   T    0043     1.7682     84.47       192.59      220.74
27535   Treat knee fracture            C   C    0000     0.0000      0.00        0.00        0.00
27536   Treat knee fracture            C   C    0000     0.0000      0.00        0.00        0.00
27538   Treat knee fracture(s)         T   T    0043     1.7682     84.47       192.59      220.74
27540   Treat knee fracture            C   C    0000     0.0000      0.00        0.00        0.00
27550   Treat knee dislocation         T   T    0043     1.7682     84.47       192.59      220.74
27552   Treat knee dislocation         T   T    0045    14.7658     705.36     1,608.29    1,843.36
27556   Treat knee dislocation         C   C    0000     0.0000      0.00        0.00        0.00
27557   Treat knee dislocation         C   C    0000     0.0000      0.00        0.00        0.00
27558   Treat knee dislocation         C   C    0000     0.0000      0.00        0.00        0.00
27560   Treat kneecap dislocation      T   T    0043     1.7682     84.47       192.59      220.74
27562   Treat kneecap dislocation      T   T    0045    14.7658     705.36     1,608.29    1,843.36
27566   Treat kneecap dislocation      T   T    0063    41.1091    1,963.78    4,477.60    5,132.06
27570   Fixation of knee joint         T   T    0045    14.7658     705.36     1,608.29    1,843.36
27580   Fusion of knee                 C   C    0000     0.0000      0.00        0.00        0.00
27590   Amputate leg at thigh          C   C    0000     0.0000      0.00        0.00        0.00
27591   Amputate leg at thigh          C   C    0000     0.0000      0.00        0.00        0.00
27592   Amputate leg at thigh          C   C    0000     0.0000      0.00        0.00        0.00
27594   Amputation follow-up surgery   T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27596   Amputation follow-up surgery   C   C    0000     0.0000      0.00        0.00        0.00
27598   Amputate lower leg at knee     C   C    0000     0.0000      0.00        0.00        0.00
27599   Leg surgery procedure          T   T    0043     1.7682     84.47       192.59      220.74
27600   Decompression of lower leg     T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27601   Decompression of lower leg     T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27602   Decompression of lower leg     T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27603   Drain lower leg lesion         T   T    0008    18.3197     875.13     1,995.38    2,287.03
27604   Drain lower leg bursa          T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27605   Incision of achilles tendon    T   T    0055    20.8284     994.97     2,268.63    2,600.22
27606   Incision of achilles tendon    T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27607   Treat lower leg bone lesion    T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27610   Explore/treat ankle joint      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27612   Exploration of ankle joint     T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27613   Biopsy lower leg soft tissue   T   T    0020     8.6850     414.88      945.97     1,084.24
27614   Biopsy lower leg soft tissue   T   T    0022    21.1098    1,008.42    2,299.28    2,635.35
27615   Remove tumor, lower leg        T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27618   Remove lower leg lesion        T   T    0021    16.1001     769.10     1,753.62    2,009.94
27619   Remove lower leg lesion        T   T    0022    21.1098    1,008.42    2,299.28    2,635.35
27620   Explore/treat ankle joint      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27625   Remove ankle joint lining      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27626   Remove ankle joint lining      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27630   Removal of tendon lesion       T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27635   Remove lower leg bone lesion   T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27637   Remove/graft leg bone lesion   T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27638   Remove/graft leg bone lesion   T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27640   Partial removal of tibia       T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27641   Partial removal of fibula      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27645   Extensive lower leg surgery    C   C    0000     0.0000      0.00        0.00        0.00
27646   Extensive lower leg surgery    C   C    0000     0.0000      0.00        0.00        0.00
27647   Extensive ankle/heel surgery   T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27648   Injection for ankle x-ray      N   N    0000     0.0000      0.00        0.00        0.00
27650   Repair achilles tendon         T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27652   Repair/graft achilles tendon   T   T    0052    79.4244    3,794.10    8,650.91    9,915.34
27654   Repair of achilles tendon      T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27656   Repair leg fascia defect       T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27658   Repair of leg tendon, each     T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27659   Repair of leg tendon, each     T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27664   Repair of leg tendon, each     T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27665   Repair of leg tendon, each     T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27675   Repair lower leg tendons       T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27676   Repair lower leg tendons       T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27680   Release of lower leg tendon    T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27681   Release of lower leg tendons   T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27685   Revision of lower leg tendon   T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27686   Revise lower leg tendons       T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27687   Revision of calf tendon        T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27690   Revise lower leg tendon        T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27691   Revise lower leg tendon        T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27692   Revise additional leg tendon   T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27695   Repair of ankle ligament       T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27696   Repair of ankle ligaments      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27698   Repair of ankle ligament       T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27700   Revision of ankle joint        T   T    0047    35.9040    1,715.13    3,910.66    4,482.26
27702   Reconstruct ankle joint        C   C    0000     0.0000      0.00        0.00        0.00
27703   Reconstruction, ankle joint    C   C    0000     0.0000      0.00        0.00        0.00
27704   Removal of ankle implant       T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27705   Incision of tibia              T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27707   Incision of fibula             T   T    0049    21.2689    1,016.02    2,316.61    2,655.21
27709   Incision of tibia & fibula     T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27712   Realignment of lower leg       C   C    0000     0.0000      0.00        0.00        0.00
27715   Revision of lower leg          C   C    0000     0.0000      0.00        0.00        0.00
27720   Repair of tibia                T   T    0063    41.1091    1,963.78    4,477.60    5,132.06
27722   Repair/graft of tibia          T   T    0064    59.2233    2,829.10    6,450.60    7,393.44
27724   Repair/graft of tibia          C   C    0000     0.0000      0.00        0.00        0.00
27725   Repair of lower leg            C   C    0000     0.0000      0.00        0.00        0.00
27726   Repair fibula nonunion         T    T   0062    26.1592    1,249.62    2,849.26    3,265.71
27727   Repair of lower leg            C   C    0000     0.0000      0.00        0.00        0.00
27730   Repair of tibia epiphysis      T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27732   Repair of fibula epiphysis     T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27734   Repair lower leg epiphyses     T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27740   Repair of leg epiphyses        T   T    0050    29.1900    1,394.41    3,179.37    3,644.08
27742   Repair of leg epiphyses        T   T    0051    42.9850    2,053.39    4,681.93    5,366.25
27745   Reinforce tibia                T   T    0052    79.4244    3,794.10    8,650.91    9,915.34
27750   Treatment of tibia fracture    T   T    0043     1.7682     84.47       192.59      220.74
27752   Treatment of tibia fracture    T   T    0043     1.7682     84.47       192.59      220.74
27756   Treatment of tibia fracture    T   T    0062    26.1592    1,249.62    2,849.26    3,265.71
27758   Treatment of tibia fracture    T   T    0063    41.1091    1,963.78    4,477.60    5,132.06
27759   Treatment of tibia fracture    T   T    0064    59.2233    2,829.10    6,450.60    7,393.44
27760   Cltx medial ankle fx           T   T    0043     1.7682     84.47       192.59      220.74
27762   Cltx med ankle fx w/mnpj       T   T    0043     1.7682     84.47       192.59      220.74
27766   Optx medial ankle fx           T   T    0063    41.1091    1,963.78    4,477.60    5,132.06
27767   Cltx post ankle fx             T    T   0043    1.7682     84.47       192.59      220.74
27768   Cltx post ankle fx w/mnpj      T    T   0043    1.7682     84.47       192.59      220.74
27769   Optx post ankle fx             T    T   0063   41.1091    1,963.78    4,477.60    5,132.06
27780   Treatment of fibula fracture   T   T    0043    1.7682     84.47       192.59      220.74
27781   Treatment of fibula fracture   T   T    0043    1.7682     84.47       192.59      220.74
27784   Treatment of fibula fracture   T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27786   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
27788   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
27792   Treatment of ankle fracture    T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27808   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
27810   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
27814   Treatment of ankle fracture    T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27816   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
27818   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
27822   Treatment of ankle fracture    T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27823   Treatment of ankle fracture    T   T    0064   59.2233    2,829.10    6,450.60    7,393.44
27824   Treat lower leg fracture       T   T    0043    1.7682     84.47       192.59      220.74
27825   Treat lower leg fracture       T   T    0043    1.7682     84.47       192.59      220.74
27826   Treat lower leg fracture       T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27827   Treat lower leg fracture       T   T    0064   59.2233    2,829.10    6,450.60    7,393.44
27828   Treat lower leg fracture       T   T    0064   59.2233    2,829.10    6,450.60    7,393.44
27829   Treat lower leg joint          T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27830   Treat lower leg dislocation    T   T    0043    1.7682     84.47       192.59      220.74
27831   Treat lower leg dislocation    T   T    0043    1.7682     84.47       192.59      220.74
27832   Treat lower leg dislocation    T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27840   Treat ankle dislocation        T   T    0043    1.7682     84.47       192.59      220.74
27842   Treat ankle dislocation        T   T    0045   14.7658     705.36     1,608.29    1,843.36
27846   Treat ankle dislocation        T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27848   Treat ankle dislocation        T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
27860   Fixation of ankle joint        T   T    0045   14.7658     705.36     1,608.29    1,843.36
27870   Fusion of ankle joint, open    T   T    0052   79.4244    3,794.10    8,650.91    9,915.34
27871   Fusion of tibiofibular joint   T   T    0052   79.4244    3,794.10    8,650.91    9,915.34
27880   Amputation of lower leg        C   C    0000    0.0000      0.00        0.00        0.00
27881   Amputation of lower leg        C   C    0000    0.0000      0.00        0.00        0.00
27882   Amputation of lower leg        C   C    0000    0.0000      0.00        0.00        0.00
27884   Amputation follow-up surgery   T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27886   Amputation follow-up surgery   C   C    0000    0.0000      0.00        0.00        0.00
27888   Amputation of foot at ankle    C   C    0000    0.0000      0.00        0.00        0.00
27889   Amputation of foot at ankle    T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
27892   Decompression of leg           T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27893   Decompression of leg           T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27894   Decompression of leg           T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
27899   Leg/ankle surgery procedure    T   T    0043    1.7682     84.47       192.59      220.74
28001   Drainage of bursa of foot      T   T    0007   11.5594     552.19     1,259.05    1,443.08
28002   Treatment of foot infection    T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
28003   Treatment of foot infection    T   T    0049   21.2689    1,016.02    2,316.61    2,655.21
28005   Treat foot bone lesion         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28008   Incision of foot fascia        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28010   Incision of toe tendon         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28011   Incision of toe tendons        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28020   Exploration of foot joint      T   T    0055   20.8284     994.97     2,268.63    2,600.22
28022   Exploration of foot joint      T   T    0055   20.8284     994.97     2,268.63    2,600.22
28024   Exploration of toe joint       T   T    0055   20.8284     994.97     2,268.63    2,600.22
28035   Decompression of tibia nerve   T   T    0220   18.0518     862.33     1,966.20    2,253.59
28043   Excision of foot lesion        T   T    0022   21.1098    1,008.42    2,299.28    2,635.35
28045   Excision of foot lesion        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28046   Resection of tumor, foot       T   T    0055   20.8284     994.97     2,268.63    2,600.22
28050   Biopsy of foot joint lining    T   T    0055   20.8284     994.97     2,268.63    2,600.22
28052   Biopsy of foot joint lining    T   T    0055   20.8284     994.97     2,268.63    2,600.22
28054   Biopsy of toe joint lining     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28055   Neurectomy, foot               T   T    0220   18.0518     862.33     1,966.20    2,253.59
28060   Partial removal, foot fascia   T   T    0055   20.8284     994.97     2,268.63    2,600.22
28062   Removal of foot fascia         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28070   Removal of foot joint lining   T   T    0055   20.8284     994.97     2,268.63    2,600.22
28072   Removal of foot joint lining   T   T    0055   20.8284     994.97     2,268.63    2,600.22
28080   Removal of foot lesion         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28086   Excise foot tendon sheath      T   T    0055   20.8284     994.97     2,268.63    2,600.22
28088   Excise foot tendon sheath      T   T    0055   20.8284     994.97     2,268.63    2,600.22
28090   Removal of foot lesion         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28092   Removal of toe lesions         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28100   Removal of ankle/heel lesion   T   T    0055   20.8284     994.97     2,268.63    2,600.22
28102   Remove/graft foot lesion       T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28103   Remove/graft foot lesion       T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28104   Removal of foot lesion         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28106   Remove/graft foot lesion       T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28107   Remove/graft foot lesion       T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28108   Removal of toe lesions         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28110   Part removal of metatarsal     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28111   Part removal of metatarsal     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28112   Part removal of metatarsal     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28113   Part removal of metatarsal     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28114   Removal of metatarsal heads    T   T    0055   20.8284     994.97     2,268.63    2,600.22
28116   Revision of foot               T   T    0055   20.8284     994.97     2,268.63    2,600.22
28118   Removal of heel bone           T   T    0055   20.8284     994.97     2,268.63    2,600.22
28119   Removal of heel spur           T   T    0055   20.8284     994.97     2,268.63    2,600.22
28120   Part removal of ankle/heel     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28122   Partial removal of foot bone   T   T    0055   20.8284     994.97     2,268.63    2,600.22
28124   Partial removal of toe         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28126   Partial removal of toe         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28130   Removal of ankle bone          T   T    0055   20.8284     994.97     2,268.63    2,600.22
28140   Removal of metatarsal          T   T    0055   20.8284     994.97     2,268.63    2,600.22
28150   Removal of toe                 T   T    0055   20.8284     994.97     2,268.63    2,600.22
28153   Partial removal of toe         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28160   Partial removal of toe         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28171   Extensive foot surgery         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28173   Extensive foot surgery         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28175   Extensive foot surgery         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28190   Removal of foot foreign body   T   T    0019    4.3039     205.60      468.78      537.30
28192   Removal of foot foreign body   T   T    0021   16.1001     769.10     1,753.62    2,009.94
28193   Removal of foot foreign body   T   T    0020    8.6850     414.88      945.97     1,084.24
28200   Repair of foot tendon          T   T    0055   20.8284     994.97     2,268.63    2,600.22
28202   Repair/graft of foot tendon    T   T    0055   20.8284     994.97     2,268.63    2,600.22
28208   Repair of foot tendon          T   T    0055   20.8284     994.97     2,268.63    2,600.22
28210   Repair/graft of foot tendon    T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28220   Release of foot tendon         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28222   Release of foot tendons        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28225   Release of foot tendon         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28226   Release of foot tendons        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28230   Incision of foot tendon(s)     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28232   Incision of toe tendon         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28234   Incision of foot tendon        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28238   Revision of foot tendon        T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28240   Release of big toe             T   T    0055   20.8284     994.97     2,268.63    2,600.22
28250   Revision of foot fascia        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28260   Release of midfoot joint       T   T    0055   20.8284     994.97     2,268.63    2,600.22
28261   Revision of foot tendon        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28262   Revision of foot and ankle     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28264   Release of midfoot joint       T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28270   Release of foot contracture    T   T    0055   20.8284     994.97     2,268.63    2,600.22
28272   Release of toe joint, each     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28280   Fusion of toes                 T   T    0055   20.8284     994.97     2,268.63    2,600.22
28285   Repair of hammertoe            T   T    0055   20.8284     994.97     2,268.63    2,600.22
28286   Repair of hammertoe            T   T    0055   20.8284     994.97     2,268.63    2,600.22
28288   Partial removal of foot bone   T   T    0055   20.8284     994.97     2,268.63    2,600.22
28289   Repair hallux rigidus          T   T    0055   20.8284     994.97     2,268.63    2,600.22
28290   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28292   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28293   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28294   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28296   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28297   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28298   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28299   Correction of bunion           T   T    0057   29.4167    1,405.24    3,204.07    3,672.38
28300   Incision of heel bone          T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28302   Incision of ankle bone         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28304   Incision of midfoot bones      T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28305   Incise/graft midfoot bones     T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28306   Incision of metatarsal         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28307   Incision of metatarsal         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28308   Incision of metatarsal         T   T    0055   20.8284     994.97     2,268.63    2,600.22
28309   Incision of metatarsals        T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28310   Revision of big toe            T   T    0055   20.8284     994.97     2,268.63    2,600.22
28312   Revision of toe                T   T    0055   20.8284     994.97     2,268.63    2,600.22
28313   Repair deformity of toe        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28315   Removal of sesamoid bone       T   T    0055   20.8284     994.97     2,268.63    2,600.22
28320   Repair of foot bones           T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28322   Repair of metatarsals          T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28340   Resect enlarged toe tissue     T   T    0055   20.8284     994.97     2,268.63    2,600.22
28341   Resect enlarged toe            T   T    0055   20.8284     994.97     2,268.63    2,600.22
28344   Repair extra toe(s)            T   T    0055   20.8284     994.97     2,268.63    2,600.22
28345   Repair webbed toe(s)           T   T    0055   20.8284     994.97     2,268.63    2,600.22
28360   Reconstruct cleft foot         T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28400   Treatment of heel fracture     T   T    0043    1.7682     84.47       192.59      220.74
28405   Treatment of heel fracture     T   T    0043    1.7682     84.47       192.59      220.74
28406   Treatment of heel fracture     T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28415   Treat heel fracture            T   T    0064   59.2233    2,829.10    6,450.60    7,393.44
28420   Treat/graft heel fracture      T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
28430   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
28435   Treatment of ankle fracture    T   T    0043    1.7682     84.47       192.59      220.74
28436   Treatment of ankle fracture    T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28445   Treat ankle fracture           T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
28446   Osteochondral talus autogrft   T    T   0056   44.2687    2,114.72    4,821.75    5,526.50
28450   Treat midfoot fracture, each   T   T    0043    1.7682     84.47       192.59      220.74
28455   Treat midfoot fracture, each   T   T    0043    1.7682     84.47       192.59      220.74
28456   Treat midfoot fracture         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28465   Treat midfoot fracture, each   T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
28470   Treat metatarsal fracture      T   T    0043    1.7682     84.47       192.59      220.74
28475   Treat metatarsal fracture      T   T    0043    1.7682     84.47       192.59      220.74
28476   Treat metatarsal fracture      T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28485   Treat metatarsal fracture      T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
28490   Treat big toe fracture         T   T    0043    1.7682     84.47       192.59      220.74
28495   Treat big toe fracture         T   T    0043    1.7682     84.47       192.59      220.74
28496   Treat big toe fracture         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28505   Treat big toe fracture         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28510   Treatment of toe fracture      T   T    0043    1.7682     84.47       192.59      220.74
28515   Treatment of toe fracture      T   T    0043    1.7682     84.47       192.59      220.74
28525   Treat toe fracture             T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28530   Treat sesamoid bone fracture   T   T    0043    1.7682     84.47       192.59      220.74
28531   Treat sesamoid bone fracture   T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28540   Treat foot dislocation         T   T    0043    1.7682     84.47       192.59      220.74
28545   Treat foot dislocation         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28546   Treat foot dislocation         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28555   Repair foot dislocation        T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
28570   Treat foot dislocation         T   T    0043    1.7682     84.47       192.59      220.74
28575   Treat foot dislocation         T   T    0043    1.7682     84.47       192.59      220.74
28576   Treat foot dislocation         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28585   Repair foot dislocation        T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28600   Treat foot dislocation         T   T    0043    1.7682     84.47       192.59      220.74
28605   Treat foot dislocation         T   T    0043    1.7682     84.47       192.59      220.74
28606   Treat foot dislocation         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28615   Repair foot dislocation        T   T    0063   41.1091    1,963.78    4,477.60    5,132.06
28630   Treat toe dislocation          T   T    0043    1.7682     84.47       192.59      220.74
28635   Treat toe dislocation          T   T    0045   14.7658     705.36     1,608.29    1,843.36
28636   Treat toe dislocation          T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28645   Repair toe dislocation         T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28660   Treat toe dislocation          T   T    0043    1.7682     84.47       192.59      220.74
28665   Treat toe dislocation          T   T    0045   14.7658     705.36     1,608.29    1,843.36
28666   Treat toe dislocation          T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28675   Repair of toe dislocation      T   T    0062   26.1592    1,249.62    2,849.26    3,265.71
28705   Fusion of foot bones           T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28715   Fusion of foot bones           T   T    0052   79.4244    3,794.10    8,650.91    9,915.34
28725   Fusion of foot bones           T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28730   Fusion of foot bones           T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28735   Fusion of foot bones           T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28737   Revision of foot bones         T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28740   Fusion of foot bones           T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28750   Fusion of big toe joint        T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28755   Fusion of big toe joint        T   T    0055   20.8284     994.97     2,268.63    2,600.22
28760   Fusion of big toe joint        T   T    0056   44.2687    2,114.72    4,821.75    5,526.50
28800   Amputation of midfoot          C   C    0000    0.0000      0.00        0.00        0.00
28805   Amputation thru metatarsal     C   C    0000    0.0000      0.00        0.00        0.00
28810   Amputation toe & metatarsal    T   T    0055   20.8284     994.97     2,268.63    2,600.22
28820   Amputation of toe              T   T    0055   20.8284     994.97     2,268.63    2,600.22
28825   Partial amputation of toe      T   T    0055   20.8284     994.97     2,268.63    2,600.22
28890   High energy eswt, plantar f    T   T    0050   29.1900    1,394.41    3,179.37    3,644.08
28899   Foot/toes surgery procedure    T   T    0043    1.7682     84.47       192.59      220.74
29000   Application of body cast       S   S    0058    1.0931     52.22       119.06      136.46
29010   Application of body cast       S   S    0426    2.2910     109.44      249.54      286.01
29015   Application of body cast       S   S    0426    2.2910     109.44      249.54      286.01
29020   Application of body cast       S   S    0058    1.0931     52.22       119.06      136.46
29025   Application of body cast       S   S    0058    1.0931     52.22       119.06      136.46
29035   Application of body cast       S   S    0426    2.2910     109.44      249.54      286.01
29040   Application of body cast       S   S    0058    1.0931     52.22       119.06      136.46
29044   Application of body cast       S   S    0426    2.2910     109.44      249.54      286.01
29046   Application of body cast       S   S    0426    2.2910     109.44      249.54      286.01
29049   Application of figure eight    S   S    0058    1.0931     52.22       119.06      136.46
29055   Application of shoulder cast   S   S    0426    2.2910     109.44      249.54      286.01
29058   Application of shoulder cast   S   S    0058    1.0931     52.22       119.06      136.46
29065   Application of long arm cast   S   S    0426    2.2910     109.44      249.54      286.01
29075   Application of forearm cast    S   S    0426    2.2910     109.44      249.54      286.01
29085   Apply hand/wrist cast          S   S    0058    1.0931     52.22       119.06      136.46
29086   Apply finger cast              S   S    0058    1.0931     52.22       119.06      136.46
29105   Apply long arm splint          S   S    0058    1.0931     52.22       119.06      136.46
29125   Apply forearm splint           S   S    0058    1.0931     52.22       119.06      136.46
29126   Apply forearm splint           S   S    0058    1.0931     52.22       119.06      136.46
29130   Application of finger splint   S   S    0058    1.0931     52.22       119.06      136.46
29131   Application of finger splint   S   S    0058    1.0931     52.22       119.06      136.46
29200   Strapping of chest             S   S    0058    1.0931     52.22       119.06      136.46
29220   Strapping of low back          S   S    0058    1.0931     52.22       119.06      136.46
29240   Strapping of shoulder          S   S    0058    1.0931     52.22       119.06      136.46
29260   Strapping of elbow or wrist    S   S    0058    1.0931     52.22       119.06      136.46
29280   Strapping of hand or finger    S   S    0058    1.0931     52.22       119.06      136.46
29305   Application of hip cast        S   S    0426    2.2910     109.44      249.54      286.01
29325   Application of hip casts       S   S    0426    2.2910     109.44      249.54      286.01
29345   Application of long leg cast   S   S    0426    2.2910     109.44      249.54      286.01
29355   Application of long leg cast   S   S    0426    2.2910     109.44      249.54      286.01
29358   Apply long leg cast brace      S   S    0426    2.2910     109.44      249.54      286.01
29365   Application of long leg cast   S   S    0426    2.2910     109.44      249.54      286.01
29405   Apply short leg cast           S   S    0426    2.2910     109.44      249.54      286.01
29425   Apply short leg cast           S   S    0426    2.2910     109.44      249.54      286.01
29435   Apply short leg cast           S   S    0426    2.2910     109.44      249.54      286.01
29440   Addition of walker to cast     S   S    0058    1.0931     52.22       119.06      136.46
29445   Apply rigid leg cast           S   S    0426    2.2910     109.44      249.54      286.01
29450   Application of leg cast        S   S    0058    1.0931     52.22       119.06      136.46
29505   Application, long leg splint   S   S    0058    1.0931     52.22       119.06      136.46
29515   Application lower leg splint   S   S    0058    1.0931     52.22       119.06      136.46
29520   Strapping of hip               S   S    0058    1.0931     52.22       119.06      136.46
29530   Strapping of knee              S   S    0058    1.0931     52.22       119.06      136.46
29540   Strapping of ankle and/or ft   S   S    0058    1.0931     52.22       119.06      136.46
29550   Strapping of toes              S   S    0058    1.0931     52.22       119.06      136.46
29580   Application of paste boot      S   S    0058    1.0931     52.22       119.06      136.46
29590   Application of foot splint     S   S    0058    1.0931     52.22       119.06      136.46
29700   Removal/revision of cast       S   S    0058    1.0931     52.22       119.06      136.46
29705   Removal/revision of cast       S   S    0058    1.0931     52.22       119.06      136.46
29710   Removal/revision of cast       S   S    0426    2.2910     109.44      249.54      286.01
29715   Removal/revision of cast       S   S    0058    1.0931     52.22       119.06      136.46
29720   Repair of body cast            S   S    0058    1.0931     52.22       119.06      136.46
29730   Windowing of cast              S   S    0058    1.0931     52.22       119.06      136.46
29740   Wedging of cast                S   S    0058    1.0931     52.22       119.06      136.46
29750   Wedging of clubfoot cast       S   S    0058    1.0931     52.22       119.06      136.46
29799   Casting/strapping procedure    S   S    0058    1.0931     52.22       119.06      136.46
29800   Jaw arthroscopy/surgery        T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29804   Jaw arthroscopy/surgery        T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29805   Shoulder arthroscopy, dx       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29806   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29807   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29819   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29820   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29821   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29822   Shoulder arthroscopy/surgery   T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29823   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29824   Shoulder arthroscopy/surgery   T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29825   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29826   Shoulder arthroscopy/surgery   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29827   Arthroscop rotator cuff repr   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29828   Arthroscopy biceps tenodesis   T    T   0042   45.7072    2,183.43    4,978.43    5,706.09
29830   Elbow arthroscopy              T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29834   Elbow arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29835   Elbow arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29836   Elbow arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29837   Elbow arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29838   Elbow arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29840   Wrist arthroscopy              T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29843   Wrist arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29844   Wrist arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29845   Wrist arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29846   Wrist arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29847   Wrist arthroscopy/surgery      T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29848   Wrist endoscopy/surgery        T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29850   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29851   Knee arthroscopy/surgery       T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29855   Tibial arthroscopy/surgery     T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29856   Tibial arthroscopy/surgery     T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29860   Hip arthroscopy, dx            T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29861   Hip arthroscopy/surgery        T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29862   Hip arthroscopy/surgery        T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29863   Hip arthroscopy/surgery        T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29866   Autgrft implnt, knee w/scope   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29867   Allgrft implnt, knee w/scope   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29868   Meniscal trnspl, knee w/scpe   T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29870   Knee arthroscopy, dx           T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29871   Knee arthroscopy/drainage      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29873   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29874   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29875   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29876   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29877   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29879   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29880   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29881   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29882   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29883   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29884   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29885   Knee arthroscopy/surgery       T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29886   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29887   Knee arthroscopy/surgery       T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29888   Knee arthroscopy/surgery       T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29889   Knee arthroscopy/surgery       T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29891   Ankle arthroscopy/surgery      T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29892   Ankle arthroscopy/surgery      T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29893   Scope, plantar fasciotomy      T   T    0055   20.8284     994.97     2,268.63    2,600.22
29894   Ankle arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29895   Ankle arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29897   Ankle arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29898   Ankle arthroscopy/surgery      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29899   Ankle arthroscopy/surgery      T   T    0042   45.7072    2,183.43    4,978.43    5,706.09
29900   Mcp joint arthroscopy, dx      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29901   Mcp joint arthroscopy, surg    T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29902   Mcp joint arthroscopy, surg    T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29904   Subtalar arthro w/fb rmvl      T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29905   Subtalar arthro w/exc          T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
29906   Subtalar arthro w/deb          T    T   0041   28.7803    1,374.83    3,134.75    3,592.93
29907   Subtalar arthro w/fusion       T    T   0042   45.7072    2,183.43    4,978.43    5,706.09
29999   Arthroscopy of joint           T   T    0041   28.7803    1,374.83    3,134.75    3,592.93
30000   Drainage of nose lesion        T   T    0251    2.5002     119.43      272.32      312.12
30020   Drainage of nose lesion        T   T    0251    2.5002     119.43      272.32      312.12
30100   Intranasal biopsy              T   T    0252    7.4474     355.76      811.17      929.73
30110   Removal of nose polyp(s)       T   T    0253   16.3288     780.03     1,778.53    2,038.49
30115   Removal of nose polyp(s)       T   T    0253   16.3288     780.03     1,778.53    2,038.49
30117   Removal of intranasal lesion   T   T    0253   16.3288     780.03     1,778.53    2,038.49
30118   Removal of intranasal lesion   T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
30120   Revision of nose               T   T    0253   16.3288     780.03     1,778.53    2,038.49
30124   Removal of nose lesion         T   T    0252    7.4474     355.76      811.17      929.73
30125   Removal of nose lesion         T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30130   Removal of turbinate bones     T   T    0253   16.3288     780.03     1,778.53    2,038.49
30140   Removal of turbinate bones     T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
30150   Partial removal of nose        T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30160   Removal of nose                T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30200   Injection treatment of nose    T   T    0252    7.4474     355.76      811.17      929.73
30210   Nasal sinus therapy            T   T    0252    7.4474     355.76      811.17      929.73
30220   Insert nasal septal button     T   T    0252    7.4474     355.76      811.17      929.73
30300   Remove nasal foreign body      X   X    0340    0.6310     30.14        68.73       78.77
30310   Remove nasal foreign body      T   T    0253   16.3288     780.03     1,778.53    2,038.49
30320   Remove nasal foreign body      T   T    0253   16.3288     780.03     1,778.53    2,038.49
30400   Reconstruction of nose         T   1    0256   39.8776      0.00        0.00         0.00
30410   Reconstruction of nose         T   1    0256   39.8776      0.00        0.00         0.00
30420   Reconstruction of nose         T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30430   Revision of nose               T   1    0254   23.9765      0.00        0.00         0.00
30435   Revision of nose               T   1    0256   39.8776      0.00        0.00         0.00
30450   Revision of nose               T   1    0256   39.8776      0.00        0.00         0.00
30460   Revision of nose               T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30462   Revision of nose               T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30465   Repair nasal stenosis          T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30520   Repair of nasal septum         T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
30540   Repair nasal defect            T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30545   Repair nasal defect            T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30560   Release of nasal adhesions     T   T    0251    2.5002     119.43      272.32      312.12
30580   Repair upper jaw fistula       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30600   Repair mouth/nose fistula      T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30620   Intranasal reconstruction      T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
30630   Repair nasal septum defect     T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
30801   Cauterization, inner nose      T   T    0252    7.4474     355.76      811.17      929.73
30802   Cauterization, inner nose      T   T    0252    7.4474     355.76      811.17      929.73
30901   Control of nosebleed           T   T    0250    1.1251     53.75       122.55      140.46
30903   Control of nosebleed           T   T    0250    1.1251     53.75       122.55      140.46
30905   Control of nosebleed           T   T    0250    1.1251     53.75       122.55      140.46
30906   Repeat control of nosebleed    T   T    0250    1.1251     53.75       122.55      140.46
30915   Ligation, nasal sinus artery   T   T    0092   25.8410    1,234.42    2,814.60    3,225.99
30920   Ligation, upper jaw artery     T   T    0092   25.8410    1,234.42    2,814.60    3,225.99
30930   Therapy, fracture of nose      T   T    0253   16.3288     780.03     1,778.53    2,038.49
30999   Nasal surgery procedure        T   T    0251    2.5002     119.43      272.32      312.12
31000   Irrigation, maxillary sinus    T   T    0251    2.5002     119.43      272.32      312.12
31002   Irrigation, sphenoid sinus     T   T    0252    7.4474     355.76      811.17      929.73
31020   Exploration, maxillary sinus   T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31030   Exploration, maxillary sinus   T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31032   Explore sinus, remove polyps   T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31040   Exploration behind upper jaw   T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31050   Exploration, sphenoid sinus    T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31051   Sphenoid sinus surgery         T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31070   Exploration of frontal sinus   T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31075   Exploration of frontal sinus   T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31080   Removal of frontal sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31081   Removal of frontal sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31084   Removal of frontal sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31085   Removal of frontal sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31086   Removal of frontal sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31087   Removal of frontal sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31090   Exploration of sinuses         T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31200   Removal of ethmoid sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31201   Removal of ethmoid sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31205   Removal of ethmoid sinus       T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31225   Removal of upper jaw           C   C    0000    0.0000      0.00        0.00         0.00
31230   Removal of upper jaw           C   C    0000    0.0000      0.00        0.00         0.00
31231   Nasal endoscopy, dx            T   T    0072    1.6115     76.98       175.52      201.18
31233   Nasal/sinus endoscopy, dx      T   T    0072    1.6115     76.98       175.52      201.18
31235   Nasal/sinus endoscopy, dx      T   T    0074   17.0160     812.85     1,853.38    2,124.28
31237   Nasal/sinus endoscopy, surg    T   T    0074   17.0160     812.85     1,853.38    2,124.28
31238   Nasal/sinus endoscopy, surg    T   T    0074   17.0160     812.85     1,853.38    2,124.28
31239   Nasal/sinus endoscopy, surg    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31240   Nasal/sinus endoscopy, surg    T   T    0074   17.0160     812.85     1,853.38    2,124.28
31254   Revision of ethmoid sinus      T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31255   Removal of ethmoid sinus       T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31256   Exploration maxillary sinus    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31267   Endoscopy, maxillary sinus     T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31276   Sinus endoscopy, surgical      T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31287   Nasal/sinus endoscopy, surg    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31288   Nasal/sinus endoscopy, surg    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31290   Nasal/sinus endoscopy, surg    C   C    0000    0.0000      0.00        0.00         0.00
31291   Nasal/sinus endoscopy, surg    C   C    0000    0.0000      0.00        0.00         0.00
31292   Nasal/sinus endoscopy, surg    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31293   Nasal/sinus endoscopy, surg    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31294   Nasal/sinus endoscopy, surg    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31299   Sinus surgery procedure        T   T    0251    2.5002     119.43      272.32      312.12
31300   Removal of larynx lesion       T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31320   Diagnostic incision, larynx    T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31360   Removal of larynx              C   C    0000    0.0000      0.00        0.00         0.00
31365   Removal of larynx              C   C    0000    0.0000      0.00        0.00         0.00
31367   Partial removal of larynx      C   C    0000    0.0000      0.00        0.00         0.00
31368   Partial removal of larynx      C   C    0000    0.0000      0.00        0.00         0.00
31370   Partial removal of larynx      C   C    0000    0.0000      0.00        0.00         0.00
31375   Partial removal of larynx      C   C    0000    0.0000      0.00        0.00         0.00
31380   Partial removal of larynx      C   C    0000    0.0000      0.00        0.00         0.00
31382   Partial removal of larynx      C   C    0000    0.0000      0.00        0.00         0.00
31390   Removal of larynx & pharynx    C   C    0000    0.0000      0.00        0.00         0.00
31395   Reconstruct larynx & pharynx   C   C    0000    0.0000      0.00        0.00         0.00
31400   Revision of larynx             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31420   Removal of epiglottis          T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31500   Insert emergency airway        S   S    0094    2.4590     117.47      267.83      306.98
31502   Change of windpipe airway      S   S    0078    1.3362     63.83       145.54      166.81
31505   Diagnostic laryngoscopy        T   T    0071    0.8224     39.29        89.58      102.67
31510   Laryngoscopy with biopsy       T   T    0074   17.0160     812.85     1,853.38    2,124.28
31511   Remove foreign body, larynx    T   T    0072    1.6115     76.98       175.52      201.18
31512   Removal of larynx lesion       T   T    0074   17.0160     812.85     1,853.38    2,124.28
31513   Injection into vocal cord      T   T    0072    1.6115     76.98       175.52      201.18
31515   Laryngoscopy for aspiration    T   T    0074   17.0160     812.85     1,853.38    2,124.28
31520   Diagnostic laryngoscopy        T   T    0072    1.6115     76.98       175.52      201.18
31525   Diagnostic laryngoscopy        T   T    0074   17.0160     812.85     1,853.38    2,124.28
31526   Diagnostic laryngoscopy        T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31527   Laryngoscopy for treatment     T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31528   Laryngoscopy and dilation      T   T    0074   17.0160     812.85     1,853.38    2,124.28
31529   Laryngoscopy and dilation      T   T    0074   17.0160     812.85     1,853.38    2,124.28
31530   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31531   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31535   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31536   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31540   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31541   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31545   Remove vc lesion w/scope       T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31546   Remove vc lesion scope/graft   T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31560   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31561   Operative laryngoscopy         T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31570   Laryngoscopy with injection    T   T    0074   17.0160     812.85     1,853.38    2,124.28
31571   Laryngoscopy with injection    T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31575   Diagnostic laryngoscopy        T   T    0072    1.6115     76.98       175.52      201.18
31576   Laryngoscopy with biopsy       T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31577   Remove foreign body, larynx    T   T    0073    3.9940     190.79      435.03      498.61
31578   Removal of larynx lesion       T   T    0075   22.7191    1,085.29    2,474.56    2,836.25
31579   Diagnostic laryngoscopy        T   T    0073    3.9940     190.79      435.03      498.61
31580   Revision of larynx             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31582   Revision of larynx             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31584   Treat larynx fracture          C   C    0000    0.0000      0.00        0.00         0.00
31587   Revision of larynx             C   C    0000    0.0000      0.00        0.00         0.00
31588   Revision of larynx             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31590   Reinnervate larynx             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31595   Larynx nerve surgery           T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31599   Larynx surgery procedure       T   T    0251    2.5002     119.43      272.32      312.12
31600   Incision of windpipe           T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31601   Incision of windpipe           T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31603   Incision of windpipe           T   T    0252    7.4474     355.76      811.17      929.73
31605   Incision of windpipe           T   T    0252    7.4474     355.76      811.17      929.73
31610   Incision of windpipe           T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31611   Surgery/speech prosthesis      T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31612   Puncture/clear windpipe        T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31613   Repair windpipe opening        T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31614   Repair windpipe opening        T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31615   Visualization of windpipe      T   T    0076    9.9575     475.67     1,084.57    1,243.09
31620   Endobronchial us add-on        N   N    0000    0.0000      0.00        0.00         0.00
31622   Dx bronchoscope/wash           T   T    0076    9.9575     475.67     1,084.57    1,243.09
31623   Dx bronchoscope/brush          T   T    0076    9.9575     475.67     1,084.57    1,243.09
31624   Dx bronchoscope/lavage         T   T    0076    9.9575     475.67     1,084.57    1,243.09
31625   Bronchoscopy w/biopsy(s)       T   T    0076    9.9575     475.67     1,084.57    1,243.09
31628   Bronchoscopy/lung bx, each     T   T    0076    9.9575     475.67     1,084.57    1,243.09
31629   Bronchoscopy/needle bx, each   T   T    0076    9.9575     475.67     1,084.57    1,243.09
31630   Bronchoscopy dilate/fx repr    T   T    0415   24.0654    1,149.60    2,621.20    3,004.32
31631   Bronchoscopy, dilate w/stent   T   T    0415   24.0654    1,149.60    2,621.20    3,004.32
31632   Bronchoscopy/lung bx, add’l    T   T    0076    9.9575     475.67     1,084.57    1,243.09
31633   Bronchoscopy/needle bx add’l   T   T    0076    9.9575     475.67     1,084.57    1,243.09
31635   Bronchoscopy w/fb removal      T   T    0076    9.9575     475.67     1,084.57    1,243.09
31636   Bronchoscopy, bronch stents    T   T    0415   24.0654    1,149.60    2,621.20    3,004.32
31637   Bronchoscopy, stent add-on     T   T    0076    9.9575     475.67     1,084.57    1,243.09
31638   Bronchoscopy, revise stent     T   T    0415   24.0654    1,149.60    2,621.20    3,004.32
31640   Bronchoscopy w/tumor excise    T   T    0415   24.0654    1,149.60    2,621.20    3,004.32
31641   Bronchoscopy, treat blockage   T   T    0415   24.0654    1,149.60    2,621.20    3,004.32
31643   Diag bronchoscope/catheter     T   T    0076    9.9575     475.67     1,084.57    1,243.09
31645   Bronchoscopy, clear airways    T   T    0076    9.9575     475.67     1,084.57    1,243.09
31646   Bronchoscopy, reclear airway   T   T    0076    9.9575     475.67     1,084.57    1,243.09
31656   Bronchoscopy, inj for x-ray    T   T    0076    9.9575     475.67     1,084.57    1,243.09
31715   Injection for bronchus x-ray   N   N    0000    0.0000      0.00        0.00         0.00
31717   Bronchial brush biopsy         T   T    0073    3.9940     190.79      435.03      498.61
31720   Clearance of airways           S   S    0077    0.3877     18.52        42.23       48.40
31725   Clearance of airways           C   C    0000    0.0000      0.00        0.00         0.00
31730   Intro, windpipe wire/tube      T   T    0073    3.9940     190.79      435.03      498.61
31750   Repair of windpipe             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31755   Repair of windpipe             T   T    0256   39.8776    1,904.95    4,343.47    4,978.32
31760   Repair of windpipe             C   C    0000    0.0000      0.00        0.00         0.00
31766   Reconstruction of windpipe     C   C    0000    0.0000      0.00        0.00         0.00
31770   Repair/graft of bronchus       C   C    0000    0.0000      0.00        0.00         0.00
31775   Reconstruct bronchus           C   C    0000    0.0000      0.00        0.00         0.00
31780   Reconstruct windpipe           C   C    0000    0.0000      0.00        0.00         0.00
31781   Reconstruct windpipe           C   C    0000    0.0000      0.00        0.00         0.00
31785   Remove windpipe lesion         T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31786   Remove windpipe lesion         C   C    0000    0.0000      0.00        0.00         0.00
31800   Repair of windpipe injury      C   C    0000    0.0000      0.00        0.00         0.00
31805   Repair of windpipe injury      C   C    0000    0.0000      0.00        0.00         0.00
31820   Closure of windpipe lesion     T   T    0253   16.3288     780.03     1,778.53    2,038.49
31825   Repair of windpipe defect      T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31830   Revise windpipe scar           T   T    0254   23.9765    1,145.36    2,611.52    2,993.23
31899   Airways surgical procedure     T   T    0076    9.9575     475.67     1,084.57    1,243.09




32035   Exploration of chest           C   C    0000     0.0000      0.00        0.00        0.00
32036   Exploration of chest           C   C    0000     0.0000      0.00        0.00        0.00
32095   Biopsy through chest wall      C   C    0000     0.0000      0.00        0.00        0.00
32100   Exploration/biopsy of chest    C   C    0000     0.0000      0.00        0.00        0.00
32110   Explore/repair chest           C   C    0000     0.0000      0.00        0.00        0.00
32120   Re-exploration of chest        C   C    0000     0.0000      0.00        0.00        0.00
32124   Explore chest free adhesions   C   C    0000     0.0000      0.00        0.00        0.00
32140   Removal of lung lesion(s)      C   C    0000     0.0000      0.00        0.00        0.00
32141   Remove/treat lung lesions      C   C    0000     0.0000      0.00        0.00        0.00
32150   Removal of lung lesion(s)      C   C    0000     0.0000      0.00        0.00        0.00
32151   Remove lung foreign body       C   C    0000     0.0000      0.00        0.00        0.00
32160   Open chest heart massage       C   C    0000     0.0000      0.00        0.00        0.00
32200   Drain, open, lung lesion       C   C    0000     0.0000      0.00        0.00        0.00
32201   Drain, percut, lung lesion     T   T    0070     5.2024     248.52      566.65      649.47
32215   Treat chest lining             C   C    0000     0.0000      0.00        0.00        0.00
32220   Release of lung                C   C    0000     0.0000      0.00        0.00        0.00
32225   Partial release of lung        C   C    0000     0.0000      0.00        0.00        0.00
32310   Removal of chest lining        C   C    0000     0.0000      0.00        0.00        0.00
32320   Free/remove chest lining       C   C    0000     0.0000      0.00        0.00        0.00
32400   Needle biopsy chest lining     T   T    0685     9.3354     445.95     1,016.81    1,165.43
32402   Open biopsy chest lining       C   C    0000     0.0000      0.00        0.00        0.00
32405   Biopsy, lung or mediastinum    T   T    0685     9.3354     445.95     1,016.81    1,165.43
32420   Puncture/clear lung            T   T    0070     5.2024     248.52      566.65      649.47
32421   Thoracentesis for aspiration   T    T   0070     5.2024     248.52      566.65      649.47
32422   Thoracentesis w/tube insert    T    T   0070     5.2024     248.52      566.65      649.47
32440   Removal of lung                C   C    0000     0.0000      0.00        0.00        0.00
32442   Sleeve pneumonectomy           C   C    0000     0.0000      0.00        0.00        0.00
32445   Removal of lung                C   C    0000     0.0000      0.00        0.00        0.00
32480   Partial removal of lung        C   C    0000     0.0000      0.00        0.00        0.00
32482   Bilobectomy                    C   C    0000     0.0000      0.00        0.00        0.00
32484   Segmentectomy                  C   C    0000     0.0000      0.00        0.00        0.00
32486   Sleeve lobectomy               C   C    0000     0.0000      0.00        0.00        0.00
32488   Completion pneumonectomy       C   C    0000     0.0000      0.00        0.00        0.00
32491   Lung volume reduction          C   C    0000     0.0000      0.00        0.00        0.00
32500   Partial removal of lung        C   C    0000     0.0000      0.00        0.00        0.00
32501   Repair bronchus add-on         C   C    0000     0.0000      0.00        0.00        0.00
32503   Resect apical lung tumor       C   C    0000     0.0000      0.00        0.00        0.00
32504   Resect apical lung tum/chest   C   C    0000     0.0000      0.00        0.00        0.00
32540   Removal of lung lesion         C   C    0000     0.0000      0.00        0.00        0.00
32550   Insert pleural cath            T    T   0652    30.7096    1,467.00    3,344.89    3,833.79
32551   Insertion of chest tube        T    T   0070     5.2024     248.52      566.65      649.47
32560   Treat lung lining chemically   T    T   0070     5.2024     248.52      566.65      649.47
32601   Thoracoscopy, diagnostic       T   T    0069    32.5666    1,555.71    3,547.15    4,065.61
32602   Thoracoscopy, diagnostic       T   T    0069    32.5666    1,555.71    3,547.15    4,065.61
32603   Thoracoscopy, diagnostic       T   T    0069    32.5666    1,555.71    3,547.15    4,065.61
32604   Thoracoscopy, diagnostic       T   T    0069    32.5666    1,555.71    3,547.15    4,065.61
32605   Thoracoscopy, diagnostic       T   T    0069    32.5666    1,555.71    3,547.15    4,065.61
32606   Thoracoscopy, diagnostic       T   T    0069    32.5666    1,555.71    3,547.15    4,065.61
32650   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32651   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32652   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32653   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32654   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32655   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32656   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32657   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32658   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32659   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32660   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32661   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32662   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32663   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32664   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32665   Thoracoscopy, surgical         C   C    0000     0.0000      0.00        0.00        0.00
32800   Repair lung hernia             C   C    0000     0.0000      0.00        0.00        0.00
32810   Close chest after drainage     C   C    0000     0.0000      0.00        0.00        0.00
32815   Close bronchial fistula        C   C    0000     0.0000      0.00        0.00        0.00
32820   Reconstruct injured chest      C   C    0000     0.0000      0.00        0.00        0.00
32850   Donor pneumonectomy            C   C    0000     0.0000      0.00        0.00        0.00
32851   Lung transplant, single        C   C    0000     0.0000      0.00        0.00        0.00
32852   Lung transplant with bypass    C   C    0000     0.0000      0.00        0.00        0.00
32853   Lung transplant, double        C   C    0000     0.0000      0.00        0.00        0.00
32854   Lung transplant with bypass    C   C    0000     0.0000      0.00        0.00        0.00
32855   Prepare donor lung, single     C   C    0000     0.0000      0.00        0.00        0.00
32856   Prepare donor lung, double     C   C    0000     0.0000      0.00        0.00        0.00
32900   Removal of rib(s)              C   C    0000     0.0000      0.00        0.00        0.00
32905   Revise & repair chest wall     C   C    0000     0.0000      0.00        0.00        0.00
32906   Revise & repair chest wall     C   C    0000     0.0000      0.00        0.00        0.00
32940   Revision of lung               C   C    0000     0.0000      0.00        0.00        0.00
32960   Therapeutic pneumothorax       T   T    0070     5.2024     248.52      566.65      649.47
32997   Total lung lavage              C   C    0000     0.0000      0.00        0.00        0.00
32998   Perq rf ablate tx, pul tumor   T   T    0423    42.9980    2,054.01    4,683.34    5,367.87
32999   Chest surgery procedure        T   T    0070     5.2024     248.52      566.65      649.47
33010   Drainage of heart sac          T   T    0070     5.2024     248.52      566.65      649.47
33011   Repeat drainage of heart sac   T   T    0070     5.2024     248.52      566.65      649.47
33015   Incision of heart sac          C   C    0000     0.0000      0.00        0.00        0.00
33020   Incision of heart sac          C   C    0000     0.0000      0.00        0.00        0.00
33025   Incision of heart sac          C   C    0000     0.0000      0.00        0.00        0.00
33030   Partial removal of heart sac   C   C    0000     0.0000      0.00        0.00        0.00
33031   Partial removal of heart sac   C   C    0000     0.0000      0.00        0.00        0.00
33050   Removal of heart sac lesion    C   C    0000     0.0000      0.00        0.00        0.00
33120   Removal of heart lesion        C   C    0000     0.0000      0.00        0.00        0.00
33130   Removal of heart lesion        C   C    0000     0.0000      0.00        0.00        0.00
33140   Heart revascularize (tmr)      C   C    0000     0.0000      0.00        0.00        0.00
33141   Heart tmr w/other procedure    C   C    0000     0.0000      0.00        0.00        0.00
33202   Insert epicard eltrd, open     C   C    0000     0.0000      0.00        0.00        0.00
33203   Insert epicard eltrd, endo     C   C    0000     0.0000      0.00        0.00        0.00
33206   Insertion of heart pacemaker   T   T    0089   121.6508    5,811.26   13,250.21   15,186.89
33207   Insertion of heart pacemaker   T   T    0089   121.6508    5,811.26   13,250.21   15,186.89
33208   Insertion of heart pacemaker   T   T    0655   140.0317    6,689.31   15,252.25   17,481.56
33210   Insertion of heart electrode   T   T    0106    69.5217    3,321.05    7,572.30    8,679.09
33211   Insertion of heart electrode   T   T    0106    69.5217    3,321.05    7,572.30    8,679.09
33212   Insertion of pulse generator   T   T    0090   100.8341    4,816.84   10,982.85   12,588.13
33213   Insertion of pulse generator   T   T    0654   109.2851    5,220.55   11,903.33   13,643.15
33214   Upgrade of pacemaker system    T   T    0655   140.0317    6,689.31   15,252.25   17,481.56
33215   Reposition pacing-defib lead   T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33216   Insert lead pace-defib, one    T   T    0106    69.5217    3,321.05    7,572.30    8,679.09
33217   Insert lead pace-defib, dual   T   T    0106    69.5217    3,321.05    7,572.30    8,679.09
33218   Repair lead pace-defib, one    T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33220   Repair lead pace-defib, dual   T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33222   Revise pocket, pacemaker       T   T    0136    15.0458     718.74     1,638.79    1,878.32
33223   Revise pocket, pacing-defib    T   T    0136    15.0458     718.74     1,638.79    1,878.32
33224   Insert pacing lead & connect   T   T    0418   259.7486   12,408.19   28,291.82   32,427.02
33225   L ventric pacing lead add-on   T   T    0418   259.7486   12,408.19   28,291.82   32,427.02
33226   Reposition l ventric lead      T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33233   Removal of pacemaker system    T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33234   Removal of pacemaker system    T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33235   Removal pacemaker electrode    T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33236   Remove electrode/thoracotomy   C   C    0000     0.0000      0.00        0.00        0.00
33237   Remove electrode/thoracotomy   C   C    0000     0.0000      0.00        0.00        0.00
33238   Remove electrode/thoracotomy   C   C    0000     0.0000      0.00        0.00        0.00
33240   Insert pulse generator         T   T    0107   333.8096   15,946.08   36,358.54   41,672.79
33241   Remove pulse generator         T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33243   Remove eltrd/thoracotomy       C   C    0000     0.0000      0.00        0.00        0.00
33244   Remove eltrd, transven         T   T    0105    23.9802    1,145.53    2,611.92    2,993.69
33249   Eltrd/insert pace-defib        T   T    0108   404.8543   19,339.89   44,096.73   50,542.01
33250   Ablate heart dysrhythm focus   C   C    0000     0.0000      0.00        0.00        0.00
33251   Ablate heart dysrhythm focus   C   C    0000     0.0000      0.00        0.00        0.00
33254   Ablate atria, lmtd             C   C    0000     0.0000      0.00        0.00        0.00
33255   Ablate atria w/o bypass, ext   C   C    0000     0.0000      0.00        0.00        0.00
33256   Ablate atria w/bypass, exten   C   C    0000     0.0000      0.00        0.00        0.00
33257   Ablate atria, lmtd, add-on     C    C   0000     0.0000      0.00        0.00        0.00
33258   Ablate atria, x10sv, add-on    C    C   0000     0.0000      0.00        0.00        0.00
33259   Ablate atria w/bypass add-on   C    C   0000     0.0000      0.00        0.00        0.00
33261   Ablate heart dysrhythm focus   C   C    0000     0.0000      0.00        0.00        0.00
33265   Ablate atria, lmtd, endo       C   C    0000     0.0000      0.00        0.00        0.00
33266   Ablate atria, x10sv, endo      C   C    0000    0.0000      0.00        0.00        0.00
33282   Implant pat-active ht record   S   S    0680   70.6073    3,372.91    7,690.55    8,814.62
33284   Remove pat-active ht record    T   T    0020    8.6850     414.88      945.97     1,084.24
33300   Repair of heart wound          C   C    0000    0.0000      0.00        0.00        0.00
33305   Repair of heart wound          C   C    0000    0.0000      0.00        0.00        0.00
33310   Exploratory heart surgery      C   C    0000    0.0000      0.00        0.00        0.00
33315   Exploratory heart surgery      C   C    0000    0.0000      0.00        0.00        0.00
33320   Repair major blood vessel(s)   C   C    0000    0.0000      0.00        0.00        0.00
33321   Repair major vessel            C   C    0000    0.0000      0.00        0.00        0.00
33322   Repair major blood vessel(s)   C   C    0000    0.0000      0.00        0.00        0.00
33330   Insert major vessel graft      C   C    0000    0.0000      0.00        0.00        0.00
33332   Insert major vessel graft      C   C    0000    0.0000      0.00        0.00        0.00
33335   Insert major vessel graft      C   C    0000    0.0000      0.00        0.00        0.00
33400   Repair of aortic valve         C   C    0000    0.0000      0.00        0.00        0.00
33401   Valvuloplasty, open            C   C    0000    0.0000      0.00        0.00        0.00
33403   Valvuloplasty, w/cp bypass     C   C    0000    0.0000      0.00        0.00        0.00
33404   Prepare heart-aorta conduit    C   C    0000    0.0000      0.00        0.00        0.00
33405   Replacement of aortic valve    C   C    0000    0.0000      0.00        0.00        0.00
33406   Replacement of aortic valve    C   C    0000    0.0000      0.00        0.00        0.00
33410   Replacement of aortic valve    C   C    0000    0.0000      0.00        0.00        0.00
33411   Replacement of aortic valve    C   C    0000    0.0000      0.00        0.00        0.00
33412   Replacement of aortic valve    C   C    0000    0.0000      0.00        0.00        0.00
33413   Replacement of aortic valve    C   C    0000    0.0000      0.00        0.00        0.00
33414   Repair of aortic valve         C   C    0000    0.0000      0.00        0.00        0.00
33415   Revision, subvalvular tissue   C   C    0000    0.0000      0.00        0.00        0.00
33416   Revise ventricle muscle        C   C    0000    0.0000      0.00        0.00        0.00
33417   Repair of aortic valve         C   C    0000    0.0000      0.00        0.00        0.00
33420   Revision of mitral valve       C   C    0000    0.0000      0.00        0.00        0.00
33422   Revision of mitral valve       C   C    0000    0.0000      0.00        0.00        0.00
33425   Repair of mitral valve         C   C    0000    0.0000      0.00        0.00        0.00
33426   Repair of mitral valve         C   C    0000    0.0000      0.00        0.00        0.00
33427   Repair of mitral valve         C   C    0000    0.0000      0.00        0.00        0.00
33430   Replacement of mitral valve    C   C    0000    0.0000      0.00        0.00        0.00
33460   Revision of tricuspid valve    C   C    0000    0.0000      0.00        0.00        0.00
33463   Valvuloplasty, tricuspid       C   C    0000    0.0000      0.00        0.00        0.00
33464   Valvuloplasty, tricuspid       C   C    0000    0.0000      0.00        0.00        0.00
33465   Replace tricuspid valve        C   C    0000    0.0000      0.00        0.00        0.00
33468   Revision of tricuspid valve    C   C    0000    0.0000      0.00        0.00        0.00
33470   Revision of pulmonary valve    C   C    0000    0.0000      0.00        0.00        0.00
33471   Valvotomy, pulmonary valve     C   C    0000    0.0000      0.00        0.00        0.00
33472   Revision of pulmonary valve    C   C    0000    0.0000      0.00        0.00        0.00
33474   Revision of pulmonary valve    C   C    0000    0.0000      0.00        0.00        0.00
33475   Replacement, pulmonary valve   C   C    0000    0.0000      0.00        0.00        0.00
33476   Revision of heart chamber      C   C    0000    0.0000      0.00        0.00        0.00
33478   Revision of heart chamber      C   C    0000    0.0000      0.00        0.00        0.00
33496   Repair, prosth valve clot      C   C    0000    0.0000      0.00        0.00        0.00
33500   Repair heart vessel fistula    C   C    0000    0.0000      0.00        0.00        0.00
33501   Repair heart vessel fistula    C   C    0000    0.0000      0.00        0.00        0.00
33502   Coronary artery correction     C   C    0000    0.0000      0.00        0.00        0.00
33503   Coronary artery graft          C   C    0000    0.0000      0.00        0.00        0.00
33504   Coronary artery graft          C   C    0000    0.0000      0.00        0.00        0.00
33505   Repair artery w/tunnel         C   C    0000    0.0000      0.00        0.00        0.00
33506   Repair artery, translocation   C   C    0000    0.0000      0.00        0.00        0.00
33507   Repair art, intramural         C   C    0000    0.0000      0.00        0.00        0.00
33508   Endoscopic vein harvest        N   N    0000    0.0000      0.00        0.00        0.00
33510   CABG, vein, single             C   C    0000    0.0000      0.00        0.00        0.00
33511   CABG, vein, two                C   C    0000    0.0000      0.00        0.00        0.00
33512   CABG, vein, three              C   C    0000    0.0000      0.00        0.00        0.00
33513   CABG, vein, four               C   C    0000    0.0000      0.00        0.00        0.00
33514   CABG, vein, five               C   C    0000    0.0000      0.00        0.00        0.00
33516   Cabg, vein, six or more        C   C    0000    0.0000      0.00        0.00        0.00
33517   CABG, artery-vein, single      C   C    0000    0.0000      0.00        0.00        0.00
33518   CABG, artery-vein, two         C   C    0000    0.0000      0.00        0.00        0.00
33519   CABG, artery-vein, three       C   C    0000    0.0000      0.00        0.00        0.00
33521   CABG, artery-vein, four        C   C    0000    0.0000      0.00        0.00        0.00
33522   CABG, artery-vein, five        C   C    0000    0.0000      0.00        0.00        0.00
33523   Cabg, art-vein, six or more    C   C    0000    0.0000      0.00        0.00        0.00
33530   Coronary artery, bypass/reop   C   C    0000    0.0000      0.00        0.00        0.00
33533   CABG, arterial, single         C   C    0000    0.0000      0.00        0.00        0.00
33534   CABG, arterial, two            C   C    0000    0.0000      0.00        0.00        0.00
33535   CABG, arterial, three          C   C    0000    0.0000      0.00        0.00        0.00
33536   Cabg, arterial, four or more   C   C    0000    0.0000      0.00        0.00        0.00
33542   Removal of heart lesion        C   C    0000    0.0000      0.00        0.00        0.00
33545   Repair of heart damage         C   C    0000    0.0000      0.00        0.00        0.00
33548   Restore/remodel, ventricle     C   C    0000    0.0000      0.00        0.00        0.00
33572   Open coronary endarterectomy   C   C    0000    0.0000      0.00        0.00        0.00
33600   Closure of valve               C   C    0000    0.0000      0.00        0.00        0.00
33602   Closure of valve               C   C    0000    0.0000      0.00        0.00        0.00
33606   Anastomosis/artery-aorta       C   C    0000    0.0000      0.00        0.00        0.00
33608   Repair anomaly w/conduit       C   C    0000    0.0000      0.00        0.00        0.00
33610   Repair by enlargement          C   C    0000    0.0000      0.00        0.00        0.00
33611   Repair double ventricle        C   C    0000    0.0000      0.00        0.00        0.00
33612   Repair double ventricle        C   C    0000    0.0000      0.00        0.00        0.00
33615   Repair, modified fontan        C   C    0000    0.0000      0.00        0.00        0.00
33617   Repair single ventricle        C   C    0000    0.0000      0.00        0.00        0.00
33619   Repair single ventricle        C   C    0000    0.0000      0.00        0.00        0.00
33641   Repair heart septum defect     C   C    0000    0.0000      0.00        0.00        0.00
33645   Revision of heart veins        C   C    0000    0.0000      0.00        0.00        0.00
33647   Repair heart septum defects    C   C    0000    0.0000      0.00        0.00        0.00
33660   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33665   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33670   Repair of heart chambers       C   C    0000    0.0000      0.00        0.00        0.00
33675   Close mult vsd                 C   C    0000    0.0000      0.00        0.00        0.00
33676   Close mult vsd w/resection     C   C    0000    0.0000      0.00        0.00        0.00
33677   Cl mult vsd w/rem pul band     C   C    0000    0.0000      0.00        0.00        0.00
33681   Repair heart septum defect     C   C    0000    0.0000      0.00        0.00        0.00
33684   Repair heart septum defect     C   C    0000    0.0000      0.00        0.00        0.00
33688   Repair heart septum defect     C   C    0000    0.0000      0.00        0.00        0.00
33690   Reinforce pulmonary artery     C   C    0000    0.0000      0.00        0.00        0.00
33692   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33694   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33697   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33702   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33710   Repair of heart defects        C   C    0000    0.0000      0.00        0.00        0.00
33720   Repair of heart defect         C   C    0000    0.0000      0.00        0.00        0.00
33722   Repair of heart defect         C   C    0000    0.0000      0.00        0.00        0.00
33724   Repair venous anomaly          C   C    0000    0.0000      0.00        0.00        0.00
33726   Repair pul venous stenosis     C   C    0000    0.0000      0.00        0.00        0.00
33730   Repair heart-vein defect(s)    C   C    0000    0.0000      0.00        0.00        0.00
33732   Repair heart-vein defect       C   C    0000    0.0000      0.00        0.00        0.00
33735   Revision of heart chamber      C   C    0000    0.0000      0.00        0.00        0.00
33736   Revision of heart chamber      C   C    0000    0.0000      0.00        0.00        0.00
33737   Revision of heart chamber      C   C    0000    0.0000      0.00        0.00        0.00
33750   Major vessel shunt             C   C    0000    0.0000      0.00        0.00        0.00
33755   Major vessel shunt             C   C    0000    0.0000      0.00        0.00        0.00
33762   Major vessel shunt             C   C    0000    0.0000      0.00        0.00        0.00
33764   Major vessel shunt & graft     C   C    0000    0.0000      0.00        0.00        0.00
33766   Major vessel shunt             C   C    0000    0.0000      0.00        0.00        0.00
33767   Major vessel shunt             C   C    0000    0.0000      0.00        0.00        0.00
33768   Cavopulmonary shunting         C   C    0000    0.0000      0.00        0.00        0.00
33770   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33771   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33774   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33775   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33776   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33777   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33778   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33779   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33780   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33781   Repair great vessels defect    C   C    0000    0.0000      0.00        0.00        0.00
33786   Repair arterial trunk          C   C    0000    0.0000      0.00        0.00        0.00
33788   Revision of pulmonary artery   C   C    0000    0.0000      0.00        0.00        0.00
33800   Aortic suspension              C   C    0000    0.0000      0.00        0.00        0.00
33802   Repair vessel defect           C   C    0000    0.0000      0.00        0.00        0.00
33803   Repair vessel defect           C   C    0000    0.0000      0.00        0.00        0.00
33813   Repair septal defect           C   C    0000    0.0000      0.00        0.00        0.00
33814   Repair septal defect           C   C    0000    0.0000      0.00        0.00        0.00
33820   Revise major vessel            C   C    0000    0.0000      0.00        0.00        0.00
33822   Revise major vessel            C   C    0000    0.0000      0.00        0.00        0.00
33824   Revise major vessel            C   C    0000    0.0000      0.00        0.00        0.00
33840   Remove aorta constriction      C   C    0000    0.0000      0.00        0.00        0.00
33845   Remove aorta constriction      C   C    0000    0.0000      0.00        0.00        0.00
33851   Remove aorta constriction      C   C    0000    0.0000      0.00        0.00        0.00
33852   Repair septal defect           C   C    0000    0.0000      0.00        0.00        0.00
33853   Repair septal defect           C   C    0000    0.0000      0.00        0.00        0.00
33860   Ascending aortic graft         C   C    0000    0.0000      0.00        0.00        0.00
33861   Ascending aortic graft         C   C    0000    0.0000      0.00        0.00        0.00
33863   Ascending aortic graft         C   C    0000    0.0000      0.00        0.00        0.00
33864   Ascending aortic graft         C    C   0000    0.0000      0.00        0.00        0.00
33870   Transverse aortic arch graft   C   C    0000    0.0000      0.00        0.00        0.00
33875   Thoracic aortic graft          C   C    0000    0.0000      0.00        0.00        0.00
33877   Thoracoabdominal graft         C   C    0000    0.0000      0.00        0.00        0.00
33880   Endovasc taa repr incl subcl   C   C    0000    0.0000      0.00        0.00        0.00
33881   Endovasc taa repr w/o subcl    C   C    0000    0.0000      0.00        0.00        0.00
33883   Insert endovasc prosth, taa    C   C    0000    0.0000      0.00        0.00        0.00
33884   Endovasc prosth, taa, add-on   C   C    0000    0.0000      0.00        0.00        0.00
33886   Endovasc prosth, delayed       C   C    0000    0.0000      0.00        0.00        0.00
33889   Artery transpose/endovas taa   C   C    0000    0.0000      0.00        0.00        0.00
33891   Car-car bp grft/endovas taa    C   C    0000    0.0000      0.00        0.00        0.00
33910   Remove lung artery emboli      C   C    0000    0.0000      0.00        0.00        0.00
33915   Remove lung artery emboli      C   C    0000    0.0000      0.00        0.00        0.00
33916   Surgery of great vessel        C   C    0000    0.0000      0.00        0.00        0.00
33917   Repair pulmonary artery        C   C    0000    0.0000      0.00        0.00        0.00
33920   Repair pulmonary atresia       C   C    0000    0.0000      0.00        0.00        0.00
33922   Transect pulmonary artery      C   C    0000    0.0000      0.00        0.00        0.00
33924   Remove pulmonary shunt         C   C    0000    0.0000      0.00        0.00        0.00
33925   Rpr pul art unifocal w/o cpb   C   C    0000    0.0000      0.00        0.00        0.00
33926   Repr pul art, unifocal w/cpb   C   C    0000    0.0000      0.00        0.00        0.00
33930   Removal of donor heart/lung    C   C    0000    0.0000      0.00        0.00        0.00
33933   Prepare donor heart/lung       C   C    0000    0.0000      0.00        0.00        0.00
33935   Transplantation, heart/lung    C   C    0000    0.0000      0.00        0.00        0.00
33940   Removal of donor heart         C   C    0000    0.0000      0.00        0.00        0.00
33944   Prepare donor heart            C   C    0000    0.0000      0.00        0.00        0.00
33945   Transplantation of heart       C   C    0000    0.0000      0.00        0.00        0.00
33960   External circulation assist    C   C    0000    0.0000      0.00        0.00        0.00
33961   External circulation assist    C   C    0000    0.0000      0.00        0.00        0.00
33967   Insert ia percut device        C   C    0000    0.0000      0.00        0.00        0.00
33968   Remove aortic assist device    C   C    0000    0.0000      0.00        0.00        0.00
33970   Aortic circulation assist      C   C    0000    0.0000      0.00        0.00        0.00
33971   Aortic circulation assist      C   C    0000    0.0000      0.00        0.00        0.00
33973   Insert balloon device          C   C    0000    0.0000      0.00        0.00        0.00
33974   Remove intra-aortic balloon    C   C    0000    0.0000      0.00        0.00        0.00
33975   Implant ventricular device     C   C    0000    0.0000      0.00        0.00        0.00
33976   Implant ventricular device     C   C    0000    0.0000      0.00        0.00        0.00
33977   Remove ventricular device      C   C    0000    0.0000      0.00        0.00        0.00
33978   Remove ventricular device      C   C    0000    0.0000      0.00        0.00        0.00
33979   Insert intracorporeal device   C   C    0000    0.0000      0.00        0.00        0.00
33980   Remove intracorporeal device   C   C    0000    0.0000      0.00        0.00        0.00
33999   Cardiac surgery procedure      T   T    0070    5.2024     248.52      566.65      649.47
34001   Removal of artery clot         C   C    0000    0.0000      0.00        0.00        0.00
34051   Removal of artery clot         C   C    0000    0.0000      0.00        0.00        0.00
34101   Removal of artery clot         T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34111   Removal of arm artery clot     T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34151   Removal of artery clot         C   C    0000    0.0000      0.00        0.00        0.00
34201   Removal of artery clot         T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34203   Removal of leg artery clot     T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34401   Removal of vein clot           C   C    0000    0.0000      0.00        0.00        0.00
34421   Removal of vein clot           T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34451   Removal of vein clot           C   C    0000    0.0000      0.00        0.00        0.00
34471   Removal of vein clot           T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34490   Removal of vein clot           T   T    0088   38.7673    1,851.91    4,222.53    4,839.71
34501   Repair valve, femoral vein     T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
34502   Reconstruct vena cava          C   C    0000    0.0000       0.00            0.00            0.00
34510   Transposition of vein valve    T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
34520   Cross-over vein graft          T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
34530   Leg vein fusion                T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
34800   Endovas aaa repr w/sm tube     C   C    0000    0.0000       0.00            0.00            0.00
34802   Endovas aaa repr w/2-p part    C   C    0000    0.0000       0.00            0.00            0.00
34803   Endovas aaa repr w/3-p part    C   C    0000    0.0000       0.00            0.00            0.00
34804   Endovas aaa repr w/1-p part    C   C    0000    0.0000       0.00            0.00            0.00
34805   Endovas aaa repr w/long tube   C   C    0000    0.0000       0.00            0.00            0.00
34806   Aneurysm press sensor add-on   C    C   0000    0.0000       0.00            0.00            0.00
34808   Endovas iliac a device addon   C   C    0000    0.0000       0.00            0.00            0.00
34812   Xpose for endoprosth, femorl   C   C    0000    0.0000       0.00            0.00            0.00
34813   Femoral endovas graft add-on   C   C    0000    0.0000       0.00            0.00            0.00
34820   Xpose for endoprosth, iliac    C   C    0000    0.0000       0.00            0.00            0.00
34825   Endovasc extend prosth, init   C   C    0000    0.0000       0.00            0.00            0.00
34826   Endovasc exten prosth, add’l   C   C    0000    0.0000       0.00            0.00            0.00
34830   Open aortic tube prosth repr   C   C    0000    0.0000       0.00            0.00            0.00
34831   Open aortoiliac prosth repr    C   C    0000    0.0000       0.00            0.00            0.00
34832   Open aortofemor prosth repr    C   C    0000    0.0000       0.00            0.00            0.00
34833   Xpose for endoprosth, iliac    C   C    0000    0.0000       0.00            0.00            0.00
34834   Xpose, endoprosth, brachial    C   C    0000    0.0000       0.00            0.00            0.00
34900   Endovasc iliac repr w/graft    C   C    0000    0.0000       0.00            0.00            0.00
35001   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35002   Repair artery rupture, neck    C   C    0000    0.0000       0.00            0.00            0.00
35005   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35011   Repair defect of artery        T   T    0653   40.4667     1,933.09        4,407.63        5,051.86
35013   Repair artery rupture, arm     C   C    0000    0.0000       0.00            0.00            0.00
35021   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35022   Repair artery rupture, chest   C   C    0000    0.0000       0.00            0.00            0.00
35045   Repair defect of arm artery    C   C    0000    0.0000       0.00            0.00            0.00
35081   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35082   Repair artery rupture, aorta   C   C    0000    0.0000       0.00            0.00            0.00
35091   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35092   Repair artery rupture, aorta   C   C    0000    0.0000       0.00            0.00            0.00
35102   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35103   Repair artery rupture, groin   C   C    0000    0.0000       0.00            0.00            0.00
35111   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35112   Repair artery rupture,spleen   C   C    0000    0.0000       0.00            0.00            0.00
35121   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35122   Repair artery rupture, belly   C   C    0000    0.0000       0.00            0.00            0.00
35131   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35132   Repair artery rupture, groin   C   C    0000    0.0000       0.00            0.00            0.00
35141   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35142   Repair artery rupture, thigh   C   C    0000    0.0000       0.00            0.00            0.00
35151   Repair defect of artery        C   C    0000    0.0000       0.00            0.00            0.00
35152   Repair artery rupture, knee    C   C    0000    0.0000       0.00            0.00            0.00
35180   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35182   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35184   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35188   Repair blood vessel lesion     T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35189   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35190   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35201   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35206   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35207   Repair blood vessel lesion     T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35211   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35216   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35221   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35226   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35231   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35236   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35241   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35246   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35251   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35256   Repair blood vessel lesion     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35261   Repair blood vessel lesion     T   T    0653   40.4667     1,933.09        4,407.63        5,051.86
35266   Repair blood vessel lesion     T   T    0653   40.4667     1,933.09        4,407.63        5,051.86
35271   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35276   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35281   Repair blood vessel lesion     C   C    0000    0.0000       0.00            0.00            0.00
35286   Repair blood vessel lesion     T   T    0653   40.4667     1,933.09        4,407.63        5,051.86
35301   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00            0.00
35302   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00            0.00
35303   Rechanneling of artery         C   C    0000   0.0000        0.00            0.00            0.00
35304   Rechanneling of artery         C   C    0000   0.0000        0.00            0.00            0.00
35305   Rechanneling of artery         C   C    0000   0.0000        0.00            0.00            0.00
35306   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35311   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35321   Rechanneling of artery         T   T    0093   30.1294     1,439.28        3,281.69         3,761.35
35331   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35341   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35351   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35355   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35361   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35363   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35371   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35372   Rechanneling of artery         C   C    0000    0.0000       0.00            0.00             0.00
35390   Reoperation, carotid add-on    C   C    0000    0.0000       0.00            0.00             0.00
35400   Angioscopy                     C   C    0000    0.0000       0.00            0.00             0.00
35450   Repair arterial blockage       C   C    0000    0.0000       0.00            0.00             0.00
35452   Repair arterial blockage       C   C    0000    0.0000       0.00            0.00             0.00
35454   Repair arterial blockage       C   C    0000    0.0000       0.00            0.00             0.00
35456   Repair arterial blockage       C   C    0000    0.0000       0.00            0.00             0.00
35458   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35459   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35460   Repair venous blockage         T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35470   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35471   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35472   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35473   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35474   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35475   Repair arterial blockage       T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35476   Repair venous blockage         T   T    0083   45.3845     2,168.02        4,943.28         5,665.80
35480   Atherectomy, open              C   C    0000    0.0000       0.00            0.00             0.00
35481   Atherectomy, open              C   C    0000    0.0000       0.00            0.00             0.00
35482   Atherectomy, open              C   C    0000    0.0000       0.00            0.00             0.00
35483   Atherectomy, open              C   C    0000    0.0000       0.00            0.00             0.00
35484   Atherectomy, open              T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35485   Atherectomy, open              T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35490   Atherectomy, percutaneous      T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35491   Atherectomy, percutaneous      T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35492   Atherectomy, percutaneous      T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35493   Atherectomy, percutaneous      T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35494   Atherectomy, percutaneous      T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35495   Atherectomy, percutaneous      T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
35500   Harvest vein for bypass        T   T    0103   14.6576      700.19         1,596.51         1,829.85
35501   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35506   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35508   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35509   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35510   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35511   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35512   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35515   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35516   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35518   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35521   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35522   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35523   Artery bypass graft            C    C   0000    0.0000       0.00            0.00             0.00
35525   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35526   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35531   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35533   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35536   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35537   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35538   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35539   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35540   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35548   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35549   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35551   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35556   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35558   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35560   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35563   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35565   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35566   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35571   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35572   Harvest femoropopliteal vein   N   N    0000   0.0000        0.00            0.00            0.00
35583   Vein bypass graft              C   C    0000   0.0000        0.00            0.00            0.00
35585   Vein bypass graft              C   C    0000   0.0000        0.00            0.00            0.00
35587   Vein bypass graft              C   C    0000   0.0000        0.00            0.00            0.00
35600   Harvest art for cabg add-on    C   C    0000   0.0000        0.00            0.00            0.00
35601   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35606   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35612   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35616   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35621   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35623   Bypass graft, not vein         C   C    0000   0.0000        0.00            0.00            0.00
35626   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35631   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35636   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35637   Artery bypass graft            C   C    0000   0.0000        0.00            0.00            0.00
35638   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35642   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35645   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35646   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35647   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35650   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35651   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35654   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35656   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35661   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35663   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35665   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35666   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35671   Artery bypass graft            C   C    0000    0.0000       0.00            0.00             0.00
35681   Composite bypass graft         C   C    0000    0.0000       0.00            0.00             0.00
35682   Composite bypass graft         C   C    0000    0.0000       0.00            0.00             0.00
35683   Composite bypass graft         C   C    0000    0.0000       0.00            0.00             0.00
35685   Bypass graft patency/patch     T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35686   Bypass graft/av fist patency   T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35691   Arterial transposition         C   C    0000    0.0000       0.00            0.00             0.00
35693   Arterial transposition         C   C    0000    0.0000       0.00            0.00             0.00
35694   Arterial transposition         C   C    0000    0.0000       0.00            0.00             0.00
35695   Arterial transposition         C   C    0000    0.0000       0.00            0.00             0.00
35697   Reimplant artery each          C   C    0000    0.0000       0.00            0.00             0.00
35700   Reoperation, bypass graft      C   C    0000    0.0000       0.00            0.00             0.00
35701   Exploration, carotid artery    C   C    0000    0.0000       0.00            0.00             0.00
35721   Exploration, femoral artery    C   C    0000    0.0000       0.00            0.00             0.00
35741   Exploration popliteal artery   C   C    0000    0.0000       0.00            0.00             0.00
35761   Exploration of artery/vein     T   T    0115   29.6965     1,418.60        3,234.54        3,707.31
35800   Explore neck vessels           C   C    0000    0.0000       0.00            0.00             0.00
35820   Explore chest vessels          C   C    0000    0.0000       0.00            0.00             0.00
35840   Explore abdominal vessels      C   C    0000    0.0000       0.00            0.00             0.00
35860   Explore limb vessels           T   T    0093   30.1294     1,439.28        3,281.69        3,761.35
35870   Repair vessel graft defect     C   C    0000    0.0000       0.00            0.00             0.00
35875   Removal of clot in graft       T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35876   Removal of clot in graft       T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35879   Revise graft w/vein            T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35881   Revise graft w/vein            T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35883   Revise graft w/nonauto graft   T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35884   Revise graft w/vein            T   T    0088   38.7673     1,851.91        4,222.53        4,839.71
35901   Excision, graft, neck          C   C    0000    0.0000       0.00            0.00             0.00
35903   Excision, graft, extremity     T   T    0115   29.6965     1,418.60        3,234.54        3,707.31
35905   Excision, graft, thorax        C   C    0000    0.0000       0.00            0.00             0.00
35907   Excision, graft, abdomen       C   C    0000    0.0000       0.00            0.00             0.00
36000   Place needle in vein           N   N    0000    0.0000       0.00            0.00             0.00
36002   Pseudoaneurysm injection trt   S   S    0267    2.3792      113.65          259.14          297.02
36005   Injection ext venography       N   N    0000    0.0000       0.00            0.00             0.00
36010   Place catheter in vein         N   N    0000    0.0000       0.00            0.00             0.00
36011   Place catheter in vein         N   N    0000    0.0000       0.00            0.00             0.00
36012   Place catheter in vein         N   N    0000    0.0000       0.00            0.00             0.00
36013   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36014   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36015   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36100   Establish access to artery     N   N    0000    0.0000       0.00            0.00             0.00
36120   Establish access to artery     N   N    0000    0.0000       0.00            0.00             0.00
36140   Establish access to artery     N   N    0000    0.0000       0.00            0.00             0.00
36145   Artery to vein shunt           N   N    0000    0.0000       0.00            0.00             0.00
36160   Establish access to aorta      N   N    0000    0.0000       0.00            0.00             0.00
36200   Place catheter in aorta        N   N    0000    0.0000       0.00            0.00             0.00
36215   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36216   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36217   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36218   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36245   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36246   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36247   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36248   Place catheter in artery       N   N    0000    0.0000       0.00            0.00             0.00
36260   Insertion of infusion pump     T   T    0623   28.8743     1,379.33        3,144.99        3,604.67
36261   Revision of infusion pump      T   T    0105   23.9802     1,145.53        2,611.92        2,993.69
36262   Removal of infusion pump       T   T    0105   23.9802     1,145.53        2,611.92        2,993.69
36299   Vessel injection procedure     N   N    0000    0.0000       0.00            0.00             0.00
36400   Bl draw < 3 yrs fem/jugular    N   N    0000    0.0000       0.00            0.00             0.00
36405   Bl draw < 3 yrs scalp vein     N   N    0000    0.0000       0.00            0.00             0.00
36406   Bl draw < 3 yrs other vein     N   N    0000    0.0000       0.00            0.00             0.00
36410   Non-routine bl draw > 3 yrs    N   N    0000    0.0000       0.00            0.00             0.00
36415   Routine venipuncture           A   3    0000    0.0000       M01             M01             M01
36416   Capillary blood draw           N   N    0000    0.0000       0.00            0.00             0.00
36420   Vein access cutdown < 1 yr     T   T    0035    0.2143      10.24            23.34           26.75
36425   Vein access cutdown > 1 yr     T   T    0035    0.2143      10.24            23.34           26.75
36430   Blood transfusion service      S   S    0110    3.3967      162.26          369.97          424.04
36440   Bl push transfuse, 2 yr or <   S   S    0110    3.3967      162.26          369.97          424.04
36450   Bl exchange/transfuse, nb      S   S    0110    3.3967      162.26          369.97          424.04
36455   Bl exchange/transfuse non-nb   S   S    0110    3.3967      162.26          369.97          424.04
36460   Transfusion service, fetal     S   S    0110    3.3967      162.26          369.97          424.04
36468   Injection(s), spider veins     T   1    0013    0.7930       0.00            0.00             0.00
36469   Injection(s), spider veins     T   1    0013    0.7930       0.00            0.00             0.00
36470   Injection therapy of vein      T   1    0013    0.7930       0.00            0.00             0.00
36471   Injection therapy of veins     T   1    0013    0.7930       0.00            0.00             0.00
36475   Endovenous rf, 1st vein        T   T    0091   42.6114     2,035.55        4,641.23        5,319.61
36476   Endovenous rf, vein add-on     T   T    0092   25.8410     1,234.42        2,814.60        3,225.99
36478   Endovenous laser, 1st vein     T   T    0092   25.8410     1,234.42        2,814.60        3,225.99
36479   Endovenous laser vein addon    T   T    0092   25.8410     1,234.42        2,814.60        3,225.99
36481   Insertion of catheter, vein    N   N    0000    0.0000       0.00            0.00             0.00
36500   Insertion of catheter, vein    N   N    0000    0.0000       0.00            0.00             0.00
36510   Insertion of catheter, vein    N   N    0000    0.0000       0.00            0.00             0.00
36511   Apheresis wbc                  S   S    0111   11.5058      549.63         1,253.21        1,436.38
36512   Apheresis rbc                  S   S    0111   11.5058      549.63         1,253.21        1,436.38
36513   Apheresis platelets            S   S    0111   11.5058      549.63         1,253.21        1,436.38
36514   Apheresis plasma               S   S    0111   11.5058      549.63         1,253.21        1,436.38
36515   Apheresis, adsorp/reinfuse     S   S    0112   30.6035     1,461.93        3,333.33        3,820.54
36516   Apheresis, selective           S   S    0112   30.6035     1,461.93        3,333.33        3,820.54
36522   Photopheresis                  S   S    0112   30.6035     1,461.93        3,333.33        3,820.54


36555   Insert non-tunnel cv cath      T   T    0621   10.9092      521.13         1,188.23         1,361.90
36556   Insert non-tunnel cv cath      T   T    0621   10.9092      521.13         1,188.23         1,361.90
36557   Insert tunneled cv cath        T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36558   Insert tunneled cv cath        T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36560   Insert tunneled cv cath        T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36561   Insert tunneled cv cath        T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36563   Insert tunneled cv cath        T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36565   Insert tunneled cv cath        T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36566   Insert tunneled cv cath        T   T    0625   81.7482     3,905.11        8,904.01        10,205.45
36568   Insert picc cath               T   T    0621   10.9092      521.13         1,188.23         1,361.90
36569   Insert picc cath               T   T    0621   10.9092      521.13         1,188.23         1,361.90
36570   Insert picvad cath             T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36571   Insert picvad cath             T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36575   Repair tunneled cv cath        T   T    0109    5.6614      270.45          616.64           706.77
36576   Repair tunneled cv cath        T   T    0621   10.9092      521.13         1,188.23         1,361.90
36578   Replace tunneled cv cath       T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36580   Replace cvad cath              T   T    0621   10.9092      521.13         1,188.23         1,361.90
36581   Replace tunneled cv cath       T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36582   Replace tunneled cv cath       T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36583   Replace tunneled cv cath       T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36584   Replace picc cath              T   T    0621   10.9092      521.13         1,188.23         1,361.90
36585   Replace picvad cath            T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36589   Removal tunneled cv cath       T   T    0109    5.6614      270.45          616.64           706.77
36590   Removal tunneled cv cath       T   T    0621   10.9092      521.13         1,188.23         1,361.90
36591   Draw blood off venous device   Q    Q   0624    0.5689      27.18            61.96            71.02
36592   Collect blood from picc        N    N   0000    0.0000       0.00            0.00              0.00
36593   Declot vascular device         T    T   0676    2.4824      118.58          270.38           309.90
36595   Mech remov tunneled cv cath    T   T    0622   24.1069     1,151.59        2,625.72         3,009.51
36596   Mech remov tunneled cv cath    T   T    0621   10.9092      521.13         1,188.23         1,361.90
36597   Reposition venous catheter     T   T    0621   10.9092      521.13         1,188.23         1,361.90
36598   Inj w/fluor, eval cv device    T   T    0676    2.4824      118.58          270.38           309.90
36600   Withdrawal of arterial blood   Q   Q    0035    0.2143      10.24            23.34            26.75
36620   Insertion catheter, artery     N   N    0000    0.0000       0.00            0.00              0.00
36625   Insertion catheter, artery     N   N    0000    0.0000       0.00            0.00              0.00
36640   Insertion catheter, artery     T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
36660   Insertion catheter, artery     C   C    0000    0.0000       0.00            0.00              0.00
36680   Insert needle, bone cavity     T   T    0002    1.1097      53.01           120.87           138.53
36800   Insertion of cannula           T   T    0115   29.6965     1,418.60        3,234.54         3,707.31
36810   Insertion of cannula           T   T    0115   29.6965     1,418.60        3,234.54         3,707.31
36815   Insertion of cannula           T   T    0115   29.6965     1,418.60        3,234.54         3,707.31
36818   Av fuse, uppr arm, cephalic    T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36819   Av fuse, uppr arm, basilic     T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36820   Av fusion/forearm vein         T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36821   Av fusion direct any site      T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36822   Insertion of cannula(s)        C   C    0000    0.0000       0.00            0.00              0.00
36823   Insertion of cannula(s)        C   C    0000    0.0000       0.00            0.00              0.00
36825   Artery-vein autograft          T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36830   Artery-vein nonautograft       T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36831   Open thrombect av fistula      T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36832   Av fistula revision, open      T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36833   Av fistula revision            T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36834   Repair A-V aneurysm            T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36835   Artery to vein shunt           T   T    0115   29.6965     1,418.60        3,234.54         3,707.31
36838   Dist revas ligation, hemo      T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
36860   External cannula declotting    T   T    0676    2.4824      118.58          270.38           309.90
36861   Cannula declotting             T   T    0115   29.6965     1,418.60        3,234.54         3,707.31
36870   Percut thrombect av fistula    T   T    0653   40.4667     1,933.09        4,407.63         5,051.86
37140   Revision of circulation        C   C    0000    0.0000       0.00            0.00              0.00
37145   Revision of circulation        C   C    0000    0.0000       0.00            0.00              0.00
37160   Revision of circulation        C   C    0000    0.0000       0.00            0.00              0.00
37180   Revision of circulation        C   C    0000    0.0000       0.00            0.00              0.00
37181   Splice spleen/kidney veins     C   C    0000    0.0000       0.00            0.00              0.00
37182   Insert hepatic shunt (tips)    C   C    0000    0.0000       0.00            0.00              0.00
37183   Remove hepatic shunt (tips)    T   T    0229   88.5367     4,229.40        9,643.42        11,052.92
37184   Prim art mech thrombectomy     T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
37185   Prim art m-thrombect add-on    T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
37186   Sec art m-thrombect add-on     T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
37187   Venous mech thrombectomy       T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
37188   Venous m-thrombectomy add-on   T   T    0088   38.7673     1,851.91        4,222.53         4,839.71
37195   Thrombolytic therapy, stroke   T   T    0676    2.4824      118.58          270.38           309.90
37200   Transcatheter biopsy           T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
37201   Transcatheter therapy infuse   T   T    0103   14.6576      700.19         1,596.51         1,829.85
37202   Transcatheter therapy infuse   T   T    0103   14.6576      700.19         1,596.51         1,829.85
37203   Transcatheter retrieval        T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
37204   Transcatheter occlusion        T   T    0082   87.5137     4,180.53        9,531.99        10,925.21
37205   Transcath iv stent, percut     T   T    0229   88.5367     4,229.40        9,643.42        11,052.92
37206   Transcath iv stent/perc addl   T   T    0229   88.5367     4,229.40        9,643.42        11,052.92
37207   Transcath iv stent, open       T   T    0229   88.5367     4,229.40        9,643.42        11,052.92
37208   Transcath iv stent/open addl   T   T    0229   88.5367     4,229.40        9,643.42        11,052.92
37209   Exchange arterial catheter     T   T    0623   28.8743     1,379.33        3,144.99         3,604.67
37210   Embolization uterine fibroid   T   T    0229   88.5367     4,229.40        9,643.42        11,052.92
37215   Transcath stent, cca w/eps     C   C    0000    0.0000       0.00            0.00              0.00
37216   Transcath stent, cca w/o eps   E   3    0000    0.0000       M01             M01              M01
37250   Iv us first vessel add-on      N   N    0000    0.0000       0.00            0.00              0.00
37251   Iv us each add vessel add-on   N   N    0000    0.0000       0.00            0.00              0.00
37500   Endoscopy ligate perf veins    T   T    0091   42.6114     2,035.55        4,641.23         5,319.61
37501   Vascular endoscopy procedure   T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37565   Ligation of neck vein          T   T    0093   30.1294     1,439.28        3,281.69         3,761.35
37600   Ligation of neck artery        T   T    0093   30.1294     1,439.28        3,281.69         3,761.35
37605   Ligation of neck artery        T   T    0091   42.6114     2,035.55        4,641.23         5,319.61
37606   Ligation of neck artery        T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37607   Ligation of a-v fistula        T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37609   Temporal artery procedure      T   T    0021   16.1001      769.10         1,753.62         2,009.94
37615   Ligation of neck artery        T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37616   Ligation of chest artery       C   C    0000    0.0000       0.00            0.00              0.00
37617   Ligation of abdomen artery     C   C    0000    0.0000       0.00            0.00              0.00
37618   Ligation of extremity artery   C   C    0000    0.0000       0.00            0.00              0.00
37620   Revision of major vein         T   T    0091   42.6114     2,035.55        4,641.23         5,319.61
37650   Revision of major vein         T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37660   Revision of major vein         C   C    0000    0.0000       0.00            0.00              0.00
37700   Revise leg vein                T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37718   Ligate/strip short leg vein    T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37722   Ligate/strip long leg vein     T   T    0091   42.6114     2,035.55        4,641.23         5,319.61
37735   Removal of leg veins/lesion    T   T    0091   42.6114     2,035.55        4,641.23         5,319.61
37760   Ligation, leg veins, open      T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37765   Phleb veins extrem 10-20       T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37766   Phleb veins extrem 20+         T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37780   Revision of leg vein           T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37785   Ligate/divide/excise vein      T   T    0092   25.8410     1,234.42        2,814.60         3,225.99
37788   Revascularization, penis       C   C    0000    0.0000       0.00            0.00              0.00
37790   Penile venous occlusion        T   T    0181   33.9306     1,620.86        3,695.72         4,235.90
37799   Vascular surgery procedure     T   T    0103   14.6576      700.19         1,596.51         1,829.85
38100   Removal of spleen, total       C   C    0000    0.0000       0.00            0.00              0.00
38101   Removal of spleen, partial     C   C    0000    0.0000       0.00            0.00              0.00
38102   Removal of spleen, total       C   C    0000    0.0000       0.00            0.00              0.00
38115   Repair of ruptured spleen      C   C    0000    0.0000       0.00            0.00              0.00
38120   Laparoscopy, splenectomy       T   T    0131   45.5317     2,175.05        4,959.31         5,684.18
38129   Laparoscope proc, spleen       T   T    0130   34.3958     1,643.09        3,746.39         4,293.97
38200   Injection for spleen x-ray     N   N    0000    0.0000       0.00            0.00              0.00
38204   Bl donor search management     N   N    0000    0.0000       0.00            0.00              0.00
38205   Harvest allogenic stem cells   S   S    0111   11.5058      549.63         1,253.21         1,436.38
38206   Harvest auto stem cells        S   S    0111   11.5058      549.63         1,253.21         1,436.38
38207   Cryopreserve stem cells        S   S    0110    3.3967      162.26          369.97           424.04
38208   Thaw preserved stem cells      S   S    0110    3.3967      162.26          369.97           424.04
38209   Wash harvest stem cells        S   S    0110    3.3967      162.26          369.97           424.04
38210   T-cell depletion of harvest    S   S    0393    5.6921      271.91          619.98           710.60
38211   Tumor cell deplete of harvst   S   S    0393    5.6921      271.91          619.98           710.60
38212   Rbc depletion of harvest       S   S    0393    5.6921      271.91          619.98           710.60
38213   Platelet deplete of harvest    S   S    0393    5.6921      271.91          619.98           710.60
38214   Volume deplete of harvest      S   S    0393    5.6921      271.91          619.98           710.60
38215   Harvest stem cell concentrte   S   S    0393    5.6921      271.91          619.98           710.60
38220   Bone marrow aspiration         T   T    0003    3.1008      148.13          337.74           387.10
38221   Bone marrow biopsy             T   T    0003    3.1008      148.13          337.74           387.10
38230   Bone marrow collection         S   S    0112   30.6035     1,461.93        3,333.33         3,820.54
38240   Bone marrow/stem transplant    S   S    0112   30.6035     1,461.93        3,333.33         3,820.54
38241   Bone marrow/stem transplant    S   S    0112   30.6035     1,461.93        3,333.33         3,820.54
38242   Lymphocyte infuse transplant   S   S    0111   11.5058      549.63         1,253.21         1,436.38
38300   Drainage, lymph node lesion    T   T    0007   11.5594      552.19         1,259.05         1,443.08
38305   Drainage, lymph node lesion    T   T    0008   18.3197      875.13         1,995.38         2,287.03
38308   Incision of lymph channels     T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38380   Thoracic duct procedure        C   C    0000    0.0000       0.00            0.00              0.00
38381   Thoracic duct procedure        C   C    0000    0.0000       0.00            0.00              0.00
38382   Thoracic duct procedure        C   C    0000    0.0000       0.00            0.00              0.00
38500   Biopsy/removal, lymph nodes    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38505   Needle biopsy, lymph nodes     T   T    0005    7.1147      339.87          774.93           888.20
38510   Biopsy/removal, lymph nodes    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38520   Biopsy/removal, lymph nodes    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38525   Biopsy/removal, lymph nodes    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38530   Biopsy/removal, lymph nodes    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38542   Explore deep node(s), neck     T   T    0114   44.3240     2,117.36        4,827.77         5,533.41
38550   Removal, neck/armpit lesion    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38555   Removal, neck/armpit lesion    T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38562   Removal, pelvic lymph nodes    C   C    0000    0.0000       0.00            0.00              0.00
38564   Removal, abdomen lymph nodes   C   C    0000    0.0000       0.00            0.00              0.00
38570   Laparoscopy, lymph node biop   T   T    0131   45.5317     2,175.05        4,959.31         5,684.18
38571   Laparoscopy, lymphadenectomy   T   T    0132   69.6652     3,327.91        7,587.93         8,697.00
38572   Laparoscopy, lymphadenectomy   T   T    0131   45.5317     2,175.05        4,959.31         5,684.18
38589   Laparoscope proc, lymphatic    T   T    0130   34.3958     1,643.09        3,746.39         4,293.97
38700   Removal of lymph nodes, neck   T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38720   Removal of lymph nodes, neck   T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38724   Removal of lymph nodes, neck   C   C    0000    0.0000       0.00            0.00              0.00
38740   Remove armpit lymph nodes      T   T    0114   44.3240     2,117.36        4,827.77         5,533.41
38745   Remove armpit lymph nodes      T   T    0114   44.3240     2,117.36        4,827.77         5,533.41
38746   Remove thoracic lymph nodes    C   C    0000    0.0000       0.00            0.00              0.00
38747   Remove abdominal lymph nodes   C   C    0000    0.0000       0.00            0.00              0.00
38760   Remove groin lymph nodes       T   T    0113   22.9584     1,096.72        2,500.63         2,866.13
38765   Remove groin lymph nodes       C   C    0000    0.0000       0.00            0.00              0.00
38770   Remove pelvis lymph nodes      C   C    0000    0.0000       0.00            0.00              0.00
38780   Remove abdomen lymph nodes     C   C    0000    0.0000       0.00            0.00              0.00
38790   Inject for lymphatic x-ray     N   N    0000    0.0000       0.00            0.00              0.00
38792   Identify sentinel node         Q   Q    0392    2.9022      138.64          316.11           362.31
38794   Access thoracic lymph duct     N   N    0000    0.0000       0.00            0.00              0.00
38999   Blood/lymph system procedure   S   S    0110    3.3967      162.26          369.97           424.04
39000   Exploration of chest           C   C    0000    0.0000       0.00            0.00              0.00
39010   Exploration of chest           C   C    0000    0.0000       0.00            0.00              0.00
39200   Removal chest lesion           C   C    0000    0.0000       0.00            0.00              0.00
39220   Removal chest lesion           C   C    0000    0.0000       0.00            0.00              0.00
39400   Visualization of chest         T   T    0069   32.5666     1,555.71        3,547.15         4,065.61
39499   Chest procedure                C   C    0000    0.0000       0.00            0.00              0.00
39501   Repair diaphragm laceration    C   C    0000    0.0000       0.00            0.00              0.00
39502   Repair paraesophageal hernia   C   C    0000    0.0000       0.00            0.00              0.00
39503   Repair of diaphragm hernia     C   C    0000    0.0000       0.00            0.00              0.00
39520   Repair of diaphragm hernia     C   C    0000    0.0000       0.00            0.00              0.00
39530   Repair of diaphragm hernia     C   C    0000    0.0000       0.00            0.00              0.00
39531   Repair of diaphragm hernia     C   C    0000    0.0000       0.00            0.00              0.00
39540   Repair of diaphragm hernia     C   C    0000    0.0000       0.00            0.00              0.00
39541   Repair of diaphragm hernia     C   C    0000    0.0000       0.00            0.00              0.00
39545   Revision of diaphragm          C   C    0000    0.0000       0.00            0.00              0.00
39560   Resect diaphragm, simple       C   C    0000    0.0000       0.00            0.00              0.00
39561   Resect diaphragm, complex      C   C    0000    0.0000       0.00            0.00              0.00
39599   Diaphragm surgery procedure    C   C    0000    0.0000       0.00            0.00              0.00
40490   Biopsy of lip                  T   T    0251    2.5002      119.43          272.32           312.12
40500   Partial excision of lip        T   T    0253   16.3288      780.03         1,778.53         2,038.49
40510   Partial excision of lip        T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40520   Partial excision of lip        T   T    0253   16.3288      780.03         1,778.53         2,038.49
40525   Reconstruct lip with flap      T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40527   Reconstruct lip with flap      T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40530   Partial removal of lip         T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40650   Repair lip                     T   T    0252    7.4474      355.76          811.17           929.73
40652   Repair lip                     T   T    0252    7.4474      355.76          811.17           929.73
40654   Repair lip                     T   T    0252    7.4474      355.76          811.17           929.73
40700   Repair cleft lip/nasal         T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40701   Repair cleft lip/nasal         T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40702   Repair cleft lip/nasal         T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40720   Repair cleft lip/nasal         T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40761   Repair cleft lip/nasal         T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40799   Lip surgery procedure          T   T    0251    2.5002      119.43          272.32           312.12
40800   Drainage of mouth lesion       T   T    0006    1.4066      67.19           153.21           175.60
40801   Drainage of mouth lesion       T   T    0252    7.4474      355.76          811.17           929.73
40804   Removal, foreign body, mouth   X   X    0340    0.6310      30.14            68.73            78.77
40805   Removal, foreign body, mouth   T   T    0252    7.4474      355.76          811.17           929.73
40806   Incision of lip fold           T   T    0251    2.5002      119.43          272.32           312.12
40808   Biopsy of mouth lesion         T   T    0251    2.5002      119.43          272.32           312.12
40810   Excision of mouth lesion       T   T    0253   16.3288      780.03         1,778.53         2,038.49
40812   Excise/repair mouth lesion     T   T    0253   16.3288      780.03         1,778.53         2,038.49
40814   Excise/repair mouth lesion     T   T    0253   16.3288      780.03         1,778.53         2,038.49
40816   Excision of mouth lesion       T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40818   Excise oral mucosa for graft   T   T    0251    2.5002      119.43          272.32           312.12
40819   Excise lip or cheek fold       T   T    0252    7.4474      355.76          811.17           929.73
40820   Treatment of mouth lesion      T   T    0253   16.3288      780.03         1,778.53         2,038.49
40830   Repair mouth laceration        T   T    0251    2.5002      119.43          272.32           312.12
40831   Repair mouth laceration        T   T    0252    7.4474      355.76          811.17           929.73
40840   Reconstruction of mouth        T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40842   Reconstruction of mouth        T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40843   Reconstruction of mouth        T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
40844   Reconstruction of mouth        T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40845   Reconstruction of mouth        T   T    0256   39.8776     1,904.95        4,343.47         4,978.32
40899   Mouth surgery procedure        T   T    0251    2.5002      119.43          272.32           312.12
41000   Drainage of mouth lesion       T   T    0253   16.3288      780.03         1,778.53         2,038.49
41005   Drainage of mouth lesion       T   T    0251    2.5002      119.43          272.32           312.12
41006   Drainage of mouth lesion       T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41007   Drainage of mouth lesion       T   T    0253   16.3288      780.03         1,778.53         2,038.49
41008   Drainage of mouth lesion       T   T    0253   16.3288      780.03         1,778.53         2,038.49
41009   Drainage of mouth lesion       T   T    0251    2.5002      119.43          272.32           312.12
41010   Incision of tongue fold        T   T    0252    7.4474      355.76          811.17           929.73
41015   Drainage of mouth lesion       T   T    0251    2.5002      119.43          272.32           312.12
41016   Drainage of mouth lesion       T   T    0252    7.4474      355.76          811.17           929.73
41017   Drainage of mouth lesion       T   T    0252    7.4474      355.76          811.17           929.73
41018   Drainage of mouth lesion       T   T    0252    7.4474      355.76          811.17           929.73
41019   Place needles h&n for rt       T    T   0254   23.9765     1,145.36        2,611.52         2,993.23
41100   Biopsy of tongue               T   T    0252    7.4474      355.76          811.17           929.73
41105   Biopsy of tongue               T   T    0253   16.3288      780.03         1,778.53         2,038.49
41108   Biopsy of floor of mouth       T   T    0252    7.4474      355.76          811.17           929.73
41110   Excision of tongue lesion      T   T    0253   16.3288      780.03         1,778.53         2,038.49
41112   Excision of tongue lesion      T   T    0253   16.3288      780.03         1,778.53         2,038.49
41113   Excision of tongue lesion      T   T    0253   16.3288      780.03         1,778.53         2,038.49
41114   Excision of tongue lesion      T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41115   Excision of tongue fold        T   T    0252    7.4474      355.76          811.17           929.73
41116   Excision of mouth lesion       T   T    0253   16.3288      780.03         1,778.53         2,038.49
41120   Partial removal of tongue      T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41130   Partial removal of tongue      C   C    0000    0.0000       0.00            0.00              0.00
41135   Tongue and neck surgery        C   C    0000    0.0000       0.00            0.00              0.00
41140   Removal of tongue              C   C    0000    0.0000       0.00            0.00              0.00
41145   Tongue removal, neck surgery   C   C    0000    0.0000       0.00            0.00              0.00
41150   Tongue, mouth, jaw surgery     C   C    0000    0.0000       0.00            0.00              0.00
41153   Tongue, mouth, neck surgery    C   C    0000    0.0000       0.00            0.00              0.00
41155   Tongue, jaw, & neck surgery    C   C    0000    0.0000       0.00            0.00              0.00
41250   Repair tongue laceration       T   T    0251    2.5002      119.43          272.32           312.12
41251   Repair tongue laceration       T   T    0251    2.5002      119.43          272.32           312.12
41252   Repair tongue laceration       T   T    0252    7.4474      355.76          811.17           929.73
41500   Fixation of tongue             T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41510   Tongue to lip surgery          T   T    0253   16.3288      780.03         1,778.53         2,038.49
41520   Reconstruction, tongue fold    T   T    0252    7.4474      355.76          811.17           929.73
41599   Tongue and mouth surgery       T   T    0251    2.5002      119.43          272.32           312.12
41800   Drainage of gum lesion         T   T    0006    1.4066      67.19           153.21           175.60
41805   Removal foreign body, gum      T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41806   Removal foreign body,jawbone   T   T    0253   16.3288      780.03         1,778.53         2,038.49
41820   Excision, gum, each quadrant   T   T    0252    7.4474      355.76          811.17           929.73
41821   Excision of gum flap           T   T    0252    7.4474      355.76          811.17           929.73
41822   Excision of gum lesion         T   T    0253   16.3288      780.03         1,778.53         2,038.49
41823   Excision of gum lesion         T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41825   Excision of gum lesion         T   T    0253   16.3288      780.03         1,778.53         2,038.49
41826   Excision of gum lesion         T   T    0253   16.3288      780.03         1,778.53         2,038.49
41827   Excision of gum lesion         T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41828   Excision of gum lesion         T   T    0253   16.3288      780.03         1,778.53         2,038.49
41830   Removal of gum tissue          T   T    0253   16.3288      780.03         1,778.53         2,038.49
41850   Treatment of gum lesion        T   T    0253   16.3288      780.03         1,778.53         2,038.49
41870   Gum graft                      T   T    0254   23.9765     1,145.36        2,611.52         2,993.23
41872   Repair gum                     T   T    0253   16.3288      780.03         1,778.53         2,038.49
41874   Repair tooth socket            T   T    0254   23.9765     1,145.36        2,611.52         2,993.23

41899   Dental surgery procedure       T   2    0251    2.5002   APC by Report   APC by Report   APC by Report
42000   Drainage mouth roof lesion     T   T    0251    2.5002      119.43          272.32          312.12
42100   Biopsy roof of mouth           T   T    0252    7.4474      355.76          811.17          929.73
42104   Excision lesion, mouth roof    T   T    0253   16.3288      780.03         1,778.53        2,038.49
42106   Excision lesion, mouth roof    T   T    0253   16.3288      780.03         1,778.53        2,038.49
42107   Excision lesion, mouth roof    T   T    0254   23.9765     1,145.36        2,611.52        2,993.23
42120   Remove palate/lesion           T   T    0256   39.8776     1,904.95        4,343.47        4,978.32
42140   Excision of uvula              T   T    0252    7.4474      355.76          811.17          929.73
42145   Repair palate, pharynx/uvula   T   T    0254   23.9765     1,145.36        2,611.52        2,993.23
42160   Treatment mouth roof lesion    T   T    0253   16.3288      780.03         1,778.53        2,038.49
42180   Repair palate                  T   T    0251    2.5002      119.43          272.32          312.12
42182   Repair palate                  T   T    0256   39.8776     1,904.95        4,343.47        4,978.32
42200   Reconstruct cleft palate       T   T    0256   39.8776     1,904.95        4,343.47        4,978.32
42205   Reconstruct cleft palate       T   T    0256   39.8776     1,904.95        4,343.47        4,978.32
42210   Reconstruct cleft palate       T   T    0256   39.8776     1,904.95        4,343.47        4,978.32
42215   Reconstruct cleft palate       T   T    0256   39.8776     1,904.95        4,343.47        4,978.32
42220   Reconstruct cleft palate       T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42225   Reconstruct cleft palate       T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42226   Lengthening of palate          T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42227   Lengthening of palate          T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42235   Repair palate                  T   T   0253   16.3288    780.03    1,778.53   2,038.49
42260   Repair nose to lip fistula     T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42280   Preparation, palate mold       T   T   0251    2.5002    119.43     272.32     312.12
42281   Insertion, palate prosthesis   T   T   0253   16.3288    780.03    1,778.53   2,038.49
42299   Palate/uvula surgery           T   T   0251    2.5002    119.43     272.32     312.12
42300   Drainage of salivary gland     T   T   0253   16.3288    780.03    1,778.53   2,038.49
42305   Drainage of salivary gland     T   T   0253   16.3288    780.03    1,778.53   2,038.49
42310   Drainage of salivary gland     T   T   0251    2.5002    119.43     272.32     312.12
42320   Drainage of salivary gland     T   T   0251    2.5002    119.43     272.32     312.12
42330   Removal of salivary stone      T   T   0253   16.3288    780.03    1,778.53   2,038.49
42335   Removal of salivary stone      T   T   0253   16.3288    780.03    1,778.53   2,038.49
42340   Removal of salivary stone      T   T   0253   16.3288    780.03    1,778.53   2,038.49
42400   Biopsy of salivary gland       T   T   0005    7.1147    339.87     774.93     888.20
42405   Biopsy of salivary gland       T   T   0253   16.3288    780.03    1,778.53   2,038.49
42408   Excision of salivary cyst      T   T   0253   16.3288    780.03    1,778.53   2,038.49
42409   Drainage of salivary cyst      T   T   0253   16.3288    780.03    1,778.53   2,038.49
42410   Excise parotid gland/lesion    T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42415   Excise parotid gland/lesion    T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42420   Excise parotid gland/lesion    T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42425   Excise parotid gland/lesion    T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42426   Excise parotid gland/lesion    C   C   0000    0.0000     0.00       0.00        0.00
42440   Excise submaxillary gland      T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42450   Excise sublingual gland        T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42500   Repair salivary duct           T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42505   Repair salivary duct           T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42507   Parotid duct diversion         T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42508   Parotid duct diversion         T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42509   Parotid duct diversion         T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42510   Parotid duct diversion         T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42550   Injection for salivary x-ray   N   N   0000    0.0000     0.00       0.00        0.00
42600   Closure of salivary fistula    T   T   0253   16.3288    780.03    1,778.53   2,038.49
42650   Dilation of salivary duct      T   T   0252    7.4474    355.76     811.17     929.73
42660   Dilation of salivary duct      T   T   0251    2.5002    119.43     272.32     312.12
42665   Ligation of salivary duct      T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42699   Salivary surgery procedure     T   T   0251    2.5002    119.43     272.32     312.12
42700   Drainage of tonsil abscess     T   T   0251    2.5002    119.43     272.32     312.12
42720   Drainage of throat abscess     T   T   0253   16.3288    780.03    1,778.53   2,038.49
42725   Drainage of throat abscess     T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42800   Biopsy of throat               T   T   0252    7.4474    355.76     811.17     929.73
42802   Biopsy of throat               T   T   0253   16.3288    780.03    1,778.53   2,038.49
42804   Biopsy of upper nose/throat    T   T   0253   16.3288    780.03    1,778.53   2,038.49
42806   Biopsy of upper nose/throat    T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42808   Excise pharynx lesion          T   T   0253   16.3288    780.03    1,778.53   2,038.49
42809   Remove pharynx foreign body    X   X   0340    0.6310    30.14       68.73      78.77
42810   Excision of neck cyst          T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42815   Excision of neck cyst          T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42820   Remove tonsils and adenoids    T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42821   Remove tonsils and adenoids    T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42825   Removal of tonsils             T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42826   Removal of tonsils             T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42830   Removal of adenoids            T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42831   Removal of adenoids            T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42835   Removal of adenoids            T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42836   Removal of adenoids            T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42842   Extensive surgery of throat    T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42844   Extensive surgery of throat    T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42845   Extensive surgery of throat    C   C   0000    0.0000     0.00       0.00        0.00
42860   Excision of tonsil tags        T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42870   Excision of lingual tonsil     T   T   0258   22.2557   1,063.15   2,424.09   2,778.40
42890   Partial removal of pharynx     T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42892   Revision of pharyngeal walls   T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42894   Revision of pharyngeal walls   C   C   0000    0.0000     0.00       0.00        0.00
42900   Repair throat wound            T   T   0252    7.4474    355.76     811.17     929.73
42950   Reconstruction of throat       T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42953   Repair throat, esophagus       C   C   0000    0.0000     0.00       0.00        0.00
42955   Surgical opening of throat     T   T   0254   23.9765   1,145.36   2,611.52   2,993.23
42960   Control throat bleeding        T   T   0250    1.1251    53.75      122.55     140.46
42961   Control throat bleeding        C   C   0000    0.0000     0.00       0.00        0.00
42962   Control throat bleeding        T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
42970   Control nose/throat bleeding   T   T   0250    1.1251    53.75      122.55     140.46
42971   Control nose/throat bleeding   C   C   0000    0.0000     0.00       0.00        0.00
42972   Control nose/throat bleeding   T   T   0253   16.3288    780.03    1,778.53   2,038.49
42999   Throat surgery procedure       T   T   0251    2.5002    119.43     272.32     312.12
43020   Incision of esophagus          T   T   0252    7.4474    355.76     811.17     929.73
43030   Throat muscle surgery          T   T   0253   16.3288    780.03    1,778.53   2,038.49
43045   Incision of esophagus          C   C   0000    0.0000     0.00       0.00        0.00
43100   Excision of esophagus lesion   C   C   0000    0.0000     0.00       0.00        0.00
43101   Excision of esophagus lesion   C   C   0000    0.0000     0.00       0.00        0.00
43107   Removal of esophagus           C   C   0000    0.0000     0.00       0.00        0.00
43108   Removal of esophagus           C   C   0000    0.0000     0.00       0.00        0.00
43112   Removal of esophagus           C   C   0000    0.0000     0.00       0.00        0.00
43113   Removal of esophagus           C   C   0000    0.0000     0.00       0.00        0.00
43116   Partial removal of esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43117   Partial removal of esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43118   Partial removal of esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43121   Partial removal of esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43122   Partial removal of esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43123   Partial removal of esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43124   Removal of esophagus           C   C   0000    0.0000     0.00       0.00        0.00
43130   Removal of esophagus pouch     T   T   0256   39.8776   1,904.95   4,343.47   4,978.32
43135   Removal of esophagus pouch     C   C   0000    0.0000     0.00       0.00        0.00
43200   Esophagus endoscopy            T   T   0141    8.5030    406.19     926.15    1,061.51
43201   Esoph scope w/submucous inj    T   T   0141    8.5030    406.19     926.15    1,061.51
43202   Esophagus endoscopy, biopsy    T   T   0141    8.5030    406.19     926.15    1,061.51
43204   Esoph scope w/sclerosis inj    T   T   0141    8.5030    406.19     926.15    1,061.51
43205   Esophagus endoscopy/ligation   T   T   0141    8.5030    406.19     926.15    1,061.51
43215   Esophagus endoscopy            T   T   0141    8.5030    406.19     926.15    1,061.51
43216   Esophagus endoscopy/lesion     T   T   0141    8.5030    406.19     926.15    1,061.51
43217   Esophagus endoscopy            T   T   0141    8.5030    406.19     926.15    1,061.51
43219   Esophagus endoscopy            T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
43220   Esoph endoscopy, dilation      T   T   0141    8.5030    406.19     926.15    1,061.51
43226   Esoph endoscopy, dilation      T   T   0141    8.5030    406.19     926.15    1,061.51
43227   Esoph endoscopy, repair        T   T   0141    8.5030    406.19     926.15    1,061.51
43228   Esoph endoscopy, ablation      T   T   0422   25.3233   1,209.69   2,758.21   3,161.36
43231   Esoph endoscopy w/us exam      T   T   0141    8.5030    406.19     926.15    1,061.51
43232   Esoph endoscopy w/us fn bx     T   T   0141    8.5030    406.19     926.15    1,061.51
43234   Upper GI endoscopy, exam       T   T   0141    8.5030    406.19     926.15    1,061.51
43235   Uppr gi endoscopy, diagnosis   T   T   0141    8.5030    406.19     926.15    1,061.51
43236   Uppr gi scope w/submuc inj     T   T   0141    8.5030    406.19     926.15    1,061.51
43237   Endoscopic us exam, esoph      T   T   0141    8.5030    406.19     926.15    1,061.51
43238   Uppr gi endoscopy w/us fn bx   T   T   0141    8.5030    406.19     926.15    1,061.51
43239   Upper GI endoscopy, biopsy     T   T   0141    8.5030    406.19     926.15    1,061.51
43240   Esoph endoscope w/drain cyst   T   T   0141    8.5030    406.19     926.15    1,061.51
43241   Upper GI endoscopy with tube   T   T   0141    8.5030    406.19     926.15    1,061.51
43242   Uppr gi endoscopy w/us fn bx   T   T   0141    8.5030    406.19     926.15    1,061.51
43243   Upper gi endoscopy & inject    T   T   0141    8.5030    406.19     926.15    1,061.51
43244   Upper GI endoscopy/ligation    T   T   0141    8.5030    406.19     926.15    1,061.51
43245   Uppr gi scope dilate strictr   T   T   0141    8.5030    406.19     926.15    1,061.51
43246   Place gastrostomy tube         T   T   0141    8.5030    406.19     926.15    1,061.51
43247   Operative upper GI endoscopy   T   T   0141    8.5030    406.19     926.15    1,061.51
43248   Uppr gi endoscopy/guide wire   T   T   0141    8.5030    406.19     926.15    1,061.51
43249   Esoph endoscopy, dilation      T   T   0141    8.5030    406.19     926.15    1,061.51
43250   Upper GI endoscopy/tumor       T   T   0141    8.5030    406.19     926.15    1,061.51
43251   Operative upper GI endoscopy   T   T   0141    8.5030    406.19     926.15    1,061.51
43255   Operative upper GI endoscopy   T   T   0141    8.5030    406.19     926.15    1,061.51
43256   Uppr gi endoscopy w/stent      T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
43257   Uppr gi scope w/thrml txmnt    T   T   0422   25.3233   1,209.69   2,758.21   3,161.36
43258   Operative upper GI endoscopy   T   T   0141    8.5030    406.19     926.15    1,061.51
43259   Endoscopic ultrasound exam     T   T   0141    8.5030    406.19     926.15    1,061.51
43260   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43261   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43262   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43263   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43264   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43265   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43267   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43268   Endo cholangiopancreatograph   T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
43269   Endo cholangiopancreatograph   T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
43271   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43272   Endo cholangiopancreatograph   T   T   0151   20.9510   1,000.83   2,281.98   2,615.52
43280   Laparoscopy, fundoplasty       T   T   0132   69.6652   3,327.91   7,587.93   8,697.00
43289   Laparoscope proc, esoph        T   T   0130   34.3958   1,643.09   3,746.39   4,293.97
43300   Repair of esophagus            C   C   0000    0.0000     0.00       0.00        0.00
43305   Repair esophagus and fistula   C   C   0000    0.0000     0.00       0.00        0.00
43310   Repair of esophagus            C   C   0000    0.0000     0.00       0.00        0.00
43312   Repair esophagus and fistula   C   C   0000    0.0000     0.00       0.00        0.00
43313   Esophagoplasty congenital      C   C   0000    0.0000     0.00       0.00        0.00
43314   Tracheo-esophagoplasty cong    C   C   0000    0.0000     0.00       0.00        0.00
43320   Fuse esophagus & stomach       C   C   0000    0.0000     0.00       0.00        0.00
43324   Revise esophagus & stomach     C   C   0000    0.0000     0.00       0.00        0.00
43325   Revise esophagus & stomach     C   C   0000    0.0000     0.00       0.00        0.00
43326   Revise esophagus & stomach     C   C   0000    0.0000     0.00       0.00        0.00
43330   Repair of esophagus            C   C   0000    0.0000     0.00       0.00        0.00
43331   Repair of esophagus            C   C   0000    0.0000     0.00       0.00        0.00
43340   Fuse esophagus & intestine     C   C   0000    0.0000     0.00       0.00        0.00
43341   Fuse esophagus & intestine     C   C   0000    0.0000     0.00       0.00        0.00
43350   Surgical opening, esophagus    C   C   0000    0.0000     0.00       0.00        0.00
43351   Surgical opening, esophagus    C   C   0000    0.0000     0.00       0.00        0.00
43352   Surgical opening, esophagus    C   C   0000    0.0000     0.00       0.00        0.00
43360   Gastrointestinal repair        C   C   0000    0.0000     0.00       0.00        0.00
43361   Gastrointestinal repair        C   C   0000    0.0000     0.00       0.00        0.00
43400   Ligate esophagus veins         C   C   0000    0.0000     0.00       0.00        0.00
43401   Esophagus surgery for veins    C   C   0000    0.0000     0.00       0.00        0.00
43405   Ligate/staple esophagus        C   C   0000    0.0000     0.00       0.00        0.00
43410   Repair esophagus wound         C   C   0000    0.0000     0.00       0.00        0.00
43415   Repair esophagus wound         C   C   0000    0.0000     0.00       0.00        0.00
43420   Repair esophagus opening       C   C   0000    0.0000     0.00       0.00        0.00
43425   Repair esophagus opening       C   C   0000    0.0000     0.00       0.00        0.00
43450   Dilate esophagus               T   T   0140    5.8431    279.12     636.43     729.45
43453   Dilate esophagus               T   T   0140    5.8431    279.12     636.43     729.45
43456   Dilate esophagus               T   T   0140    5.8431    279.12     636.43     729.45
43458   Dilate esophagus               T   T   0141    8.5030    406.19     926.15    1,061.51
43460   Pressure treatment esophagus   C   C   0000    0.0000     0.00       0.00        0.00
43496   Free jejunum flap, microvasc   C   C   0000    0.0000     0.00       0.00        0.00
43499   Esophagus surgery procedure    T   T   0141    8.5030    406.19     926.15    1,061.51
43500   Surgical opening of stomach    C   C   0000    0.0000     0.00       0.00        0.00
43501   Surgical repair of stomach     C   C   0000    0.0000     0.00       0.00        0.00
43502   Surgical repair of stomach     C   C   0000    0.0000     0.00       0.00        0.00
43510   Surgical opening of stomach    T   T   0141    8.5030    406.19     926.15    1,061.51
43520   Incision of pyloric muscle     C   C   0000    0.0000     0.00       0.00        0.00
43600   Biopsy of stomach              T   T   0141    8.5030    406.19     926.15    1,061.51
43605   Biopsy of stomach              C   C   0000    0.0000     0.00       0.00        0.00
43610   Excision of stomach lesion     C   C   0000    0.0000     0.00       0.00        0.00
43611   Excision of stomach lesion     C   C   0000    0.0000     0.00       0.00        0.00
43620   Removal of stomach             C   C   0000    0.0000     0.00       0.00        0.00
43621   Removal of stomach             C   C   0000    0.0000     0.00       0.00        0.00
43622   Removal of stomach             C   C   0000    0.0000     0.00       0.00        0.00
43631   Removal of stomach, partial    C   C   0000    0.0000     0.00       0.00        0.00
43632   Removal of stomach, partial    C   C   0000    0.0000     0.00       0.00        0.00
43633   Removal of stomach, partial    C   C   0000    0.0000     0.00       0.00        0.00
43634   Removal of stomach, partial    C   C   0000    0.0000     0.00       0.00        0.00
43635   Removal of stomach, partial    C   C   0000    0.0000     0.00       0.00        0.00
43640   Vagotomy & pylorus repair      C   C   0000    0.0000     0.00       0.00        0.00
43641   Vagotomy & pylorus repair      C   C   0000    0.0000     0.00       0.00        0.00
43644   Lap gastric bypass/roux-en-y   C   C   0000    0.0000     0.00       0.00        0.00
43645   Lap gastr bypass incl smll i   C   C   0000    0.0000     0.00       0.00        0.00
43647   Lap impl electrode, antrum     S   S   0061   82.8597   3,958.21   9,025.08   10,344.20
43648   Lap revise/remv eltrd antrum   T   T   0130   34.3958   1,643.09   3,746.39    4,293.97
43651   Laparoscopy, vagus nerve       T   T   0132   69.6652   3,327.91   7,587.93    8,697.00
43652   Laparoscopy, vagus nerve       T   T   0132   69.6652   3,327.91   7,587.93    8,697.00
43653   Laparoscopy, gastrostomy       T   T   0131   45.5317   2,175.05   4,959.31    5,684.18
43659   Laparoscope proc, stom         T   T   0130   34.3958   1,643.09   3,746.39    4,293.97

43752   Nasal/orogastric w/stent       X   X   0272    1.3271    63.40      144.55     165.68
43760   Change gastrostomy tube        T   T   0121    3.2383    154.69     352.72     404.27
43761   Reposition gastrostomy tube    T   T   0141    8.5030    406.19     926.15    1,061.51
43770   Lap place gastr adj device     C   C   0000    0.0000     0.00       0.00       0.00
43771   Lap revise gastr adj device    C   C   0000    0.0000     0.00       0.00       0.00
43772   Lap rmvl gastr adj device      C   C   0000    0.0000     0.00       0.00       0.00
43773   Lap replace gastr adj device   C   C   0000    0.0000     0.00       0.00       0.00
43774   Lap rmvl gastr adj all parts   C   C   0000    0.0000     0.00       0.00       0.00
43800   Reconstruction of pylorus      C   C   0000    0.0000     0.00       0.00       0.00
43810   Fusion of stomach and bowel    C   C   0000    0.0000     0.00       0.00       0.00
43820   Fusion of stomach and bowel    C   C   0000    0.0000     0.00       0.00       0.00
43825   Fusion of stomach and bowel    C   C   0000    0.0000     0.00       0.00       0.00
43830   Place gastrostomy tube         T   T   0422   25.3233   1,209.69   2,758.21   3,161.36
43831   Place gastrostomy tube         T   T   0141    8.5030    406.19     926.15    1,061.51
43832   Place gastrostomy tube         C   C   0000    0.0000     0.00       0.00       0.00
43840   Repair of stomach lesion       C   C   0000    0.0000     0.00       0.00       0.00
43842   V-band gastroplasty            E   C   0000    0.0000     0.00       0.00       0.00
43843   Gastroplasty w/o v-band        C   C   0000    0.0000     0.00       0.00       0.00
43845   Gastroplasty duodenal switch   C   C   0000    0.0000     0.00       0.00       0.00
43846   Gastric bypass for obesity     C   C   0000    0.0000     0.00       0.00       0.00
43847   Gastric bypass incl small i    C   C   0000    0.0000     0.00       0.00       0.00
43848   Revision gastroplasty          C   C   0000    0.0000     0.00       0.00       0.00
43850   Revise stomach-bowel fusion    C   C   0000    0.0000     0.00       0.00       0.00
43855   Revise stomach-bowel fusion    C   C   0000    0.0000     0.00       0.00       0.00
43860   Revise stomach-bowel fusion    C   C   0000    0.0000     0.00       0.00       0.00
43865   Revise stomach-bowel fusion    C   C   0000    0.0000     0.00       0.00       0.00
43870   Repair stomach opening         T   T   0141    8.5030    406.19     926.15    1,061.51
43880   Repair stomach-bowel fistula   C   C   0000    0.0000     0.00       0.00       0.00
43881   Impl/redo electrd, antrum      C   C   0000    0.0000     0.00       0.00        0.00
43882   Revise/remove electrd antrum   C   C   0000    0.0000     0.00       0.00        0.00
43886   Revise gastric port, open      T   T   0137   20.2069    965.28    2,200.94   2,522.63
43887   Remove gastric port, open      T   T   0135    4.5263    216.22     493.00     565.06
43888   Change gastric port, open      T   T   0137   20.2069    965.28    2,200.94   2,522.63
43999   Stomach surgery procedure      T   T   0141    8.5030    406.19     926.15    1,061.51
44005   Freeing of bowel adhesion      C   C   0000    0.0000     0.00       0.00        0.00
44010   Incision of small bowel        C   C   0000    0.0000     0.00       0.00        0.00
44015   Insert needle cath bowel       C   C   0000    0.0000     0.00       0.00        0.00
44020   Explore small intestine        C   C   0000    0.0000     0.00       0.00        0.00
44021   Decompress small bowel         C   C   0000    0.0000     0.00       0.00        0.00
44025   Incision of large bowel        C   C   0000    0.0000     0.00       0.00        0.00
44050   Reduce bowel obstruction       C   C   0000    0.0000     0.00       0.00        0.00
44055   Correct malrotation of bowel   C   C   0000    0.0000     0.00       0.00        0.00
44100   Biopsy of bowel                T   T   0141    8.5030    406.19     926.15    1,061.51
44110   Excise intestine lesion(s)     C   C   0000    0.0000     0.00       0.00        0.00
44111   Excision of bowel lesion(s)    C   C   0000    0.0000     0.00       0.00        0.00
44120   Removal of small intestine     C   C   0000    0.0000     0.00       0.00        0.00
44121   Removal of small intestine     C   C   0000    0.0000     0.00       0.00        0.00
44125   Removal of small intestine     C   C   0000    0.0000     0.00       0.00        0.00
44126   Enterectomy w/o taper, cong    C   C   0000    0.0000     0.00       0.00        0.00
44127   Enterectomy w/taper, cong      C   C   0000    0.0000     0.00       0.00        0.00
44128   Enterectomy cong, add-on       C   C   0000    0.0000     0.00       0.00        0.00
44130   Bowel to bowel fusion          C   C   0000    0.0000     0.00       0.00        0.00
44132   Enterectomy, cadaver donor     C   1   0000    0.0000     0.00       0.00        0.00
44133   Enterectomy, live donor        C   1   0000    0.0000     0.00       0.00        0.00
44135   Intestine transplnt, cadaver   C   1   0000    0.0000     0.00       0.00        0.00
44136   Intestine transplant, live     C   1   0000    0.0000     0.00       0.00        0.00
44137   Remove intestinal allograft    C   1   0000    0.0000     0.00       0.00        0.00
44139   Mobilization of colon          C   C   0000    0.0000     0.00       0.00        0.00
44140   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44141   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44143   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44144   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44145   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44146   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44147   Partial removal of colon       C   C   0000    0.0000     0.00       0.00        0.00
44150   Removal of colon               C   C   0000    0.0000     0.00       0.00        0.00
44151   Removal of colon/ileostomy     C   C   0000    0.0000     0.00       0.00        0.00
44155   Removal of colon/ileostomy     C   C   0000    0.0000     0.00       0.00        0.00
44156   Removal of colon/ileostomy     C   C   0000    0.0000     0.00       0.00        0.00
44157   Colectomy w/ileoanal anast     C   C   0000    0.0000     0.00       0.00        0.00
44158   Colectomy w/neo-rectum pouch   C   C   0000    0.0000     0.00       0.00        0.00
44160   Removal of colon               C   C   0000    0.0000     0.00       0.00        0.00
44180   Lap, enterolysis               T   T   0131   45.5317   2,175.05   4,959.31   5,684.18
44186   Lap, jejunostomy               T   T   0131   45.5317   2,175.05   4,959.31   5,684.18
44187   Lap, ileo/jejuno-stomy         C   C   0000    0.0000     0.00       0.00        0.00
44188   Lap, colostomy                 C   C   0000    0.0000     0.00       0.00        0.00
44202   Lap resect s/intestine singl   C   C   0000    0.0000     0.00       0.00        0.00
44203   Lap resect s/intestine, addl   C   C   0000    0.0000     0.00       0.00        0.00
44204   Laparo partial colectomy       C   C   0000    0.0000     0.00       0.00        0.00
44205   Lap colectomy part w/ileum     C   C   0000    0.0000     0.00       0.00        0.00
44206   Lap part colectomy w/stoma     T   T   0132   69.6652   3,327.91   7,587.93   8,697.00
44207   L colectomy/coloproctostomy    T   T   0132   69.6652   3,327.91   7,587.93   8,697.00
44208   L colectomy/coloproctostomy    T   T   0132   69.6652   3,327.91   7,587.93   8,697.00
44210   Laparo total proctocolectomy   C   C   0000    0.0000     0.00       0.00        0.00
44211   Laparo total proctocolectomy   C   C   0000    0.0000     0.00       0.00        0.00
44212   Laparo total proctocolectomy   C   C   0000    0.0000     0.00       0.00        0.00
44213   Lap, mobil splenic fl add-on   T   T   0130   34.3958   1,643.09   3,746.39   4,293.97
44227   Lap, close enterostomy         C   C   0000    0.0000     0.00       0.00        0.00
44238   Laparoscope proc, intestine    T   T   0130   34.3958   1,643.09   3,746.39   4,293.97
44300   Open bowel to skin             C   C   0000    0.0000     0.00       0.00        0.00
44310   Ileostomy/jejunostomy          C   C   0000    0.0000     0.00       0.00        0.00
44312   Revision of ileostomy          T   T   0137   20.2069    965.28    2,200.94   2,522.63
44314   Revision of ileostomy          C   C   0000    0.0000     0.00       0.00        0.00
44316   Devise bowel pouch             C   C   0000    0.0000     0.00       0.00        0.00
44320   Colostomy                      C   C   0000    0.0000     0.00       0.00        0.00
44322   Colostomy with biopsies        C   C   0000    0.0000     0.00       0.00        0.00
44340   Revision of colostomy          T   T   0137   20.2069    965.28    2,200.94   2,522.63
44345   Revision of colostomy          C   C   0000    0.0000     0.00       0.00        0.00
44346   Revision of colostomy          C   C   0000    0.0000     0.00       0.00        0.00
44360   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44361   Small bowel endoscopy/biopsy   T   T   0142    9.5292    455.21    1,037.92   1,189.63
44363   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44364   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44365   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44366   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44369   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44370   Small bowel endoscopy/stent    T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
44372   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44373   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44376   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44377   Small bowel endoscopy/biopsy   T   T   0142    9.5292    455.21    1,037.92   1,189.63
44378   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44379   S bowel endoscope w/stent      T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
44380   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44382   Small bowel endoscopy          T   T   0142    9.5292    455.21    1,037.92   1,189.63
44383   Ileoscopy w/stent              T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
44385   Endoscopy of bowel pouch       T   T   0143    8.8486    422.70     963.79    1,104.66
44386   Endoscopy, bowel pouch/biop    T   T   0143    8.8486    422.70     963.79    1,104.66
44388   Colonoscopy                    T   T   0143    8.8486    422.70     963.79    1,104.66
44389   Colonoscopy with biopsy        T   T   0143    8.8486    422.70     963.79    1,104.66
44390   Colonoscopy for foreign body   T   T   0143    8.8486    422.70     963.79    1,104.66
44391   Colonoscopy for bleeding       T   T   0143    8.8486    422.70     963.79    1,104.66
44392   Colonoscopy & polypectomy      T   T   0143    8.8486    422.70     963.79    1,104.66
44393   Colonoscopy, lesion removal    T   T   0143    8.8486    422.70     963.79    1,104.66
44394   Colonoscopy w/snare            T   T   0143    8.8486    422.70     963.79    1,104.66
44397   Colonoscopy w/stent            T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
44500   Intro, gastrointestinal tube   T   T   0121    3.2383    154.69     352.72     404.27
44602   Suture, small intestine        C   C   0000    0.0000     0.00       0.00        0.00
44603   Suture, small intestine        C   C   0000    0.0000     0.00       0.00        0.00
44604   Suture, large intestine        C   C   0000    0.0000     0.00       0.00        0.00
44605   Repair of bowel lesion         C   C   0000    0.0000     0.00       0.00        0.00
44615   Intestinal stricturoplasty     C   C   0000    0.0000     0.00       0.00        0.00
44620   Repair bowel opening           C   C   0000    0.0000     0.00       0.00        0.00
44625   Repair bowel opening           C   C   0000    0.0000     0.00       0.00        0.00
44626   Repair bowel opening           C   C   0000    0.0000     0.00       0.00        0.00
44640   Repair bowel-skin fistula      C   C   0000    0.0000     0.00       0.00        0.00
44650   Repair bowel fistula           C   C   0000    0.0000     0.00       0.00        0.00
44660   Repair bowel-bladder fistula   C   C   0000    0.0000     0.00       0.00        0.00
44661   Repair bowel-bladder fistula   C   C   0000    0.0000     0.00       0.00        0.00
44680   Surgical revision, intestine   C   C   0000    0.0000     0.00       0.00        0.00
44700   Suspend bowel w/prosthesis     C   C   0000    0.0000     0.00       0.00        0.00
44701   Intraop colon lavage add-on    N   N   0000    0.0000     0.00       0.00        0.00
44715   Prepare donor intestine        C   1   0000    0.0000     0.00       0.00        0.00
44720   Prep donor intestine/venous    C   1   0000    0.0000     0.00       0.00        0.00
44721   Prep donor intestine/artery    C   1   0000    0.0000     0.00       0.00        0.00
44799   Unlisted procedure intestine   T   T   0153   25.6947   1,227.44   2,798.67   3,207.73
44800   Excision of bowel pouch        C   C   0000    0.0000     0.00       0.00        0.00
44820   Excision of mesentery lesion   C   C   0000    0.0000     0.00       0.00        0.00
44850   Repair of mesentery            C   C   0000    0.0000     0.00       0.00        0.00
44899   Bowel surgery procedure        C   C   0000    0.0000     0.00       0.00        0.00
44900   Drain app abscess, open        C   C   0000    0.0000     0.00       0.00        0.00
44901   Drain app abscess, percut      T   T   0037   13.5764    648.54    1,478.74   1,694.88
44950   Appendectomy                   C   C   0000    0.0000     0.00       0.00        0.00
44955   Appendectomy add-on            C   C   0000    0.0000     0.00       0.00        0.00
44960   Appendectomy                   C   C   0000    0.0000     0.00       0.00        0.00
44970   Laparoscopy, appendectomy      T   T   0131   45.5317   2,175.05   4,959.31   5,684.18
44979   Laparoscope proc, app          T   T   0130   34.3958   1,643.09   3,746.39   4,293.97
45000   Drainage of pelvic abscess     T   T   0155   10.9132    521.32    1,188.67   1,362.40
45005   Drainage of rectal abscess     T   T   0155   10.9132    521.32    1,188.67   1,362.40
45020   Drainage of rectal abscess     T   T   0155   10.9132    521.32    1,188.67   1,362.40
45100   Biopsy of rectum               T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45108   Removal of anorectal lesion    T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45110   Removal of rectum              C   C   0000    0.0000     0.00       0.00        0.00
45111   Partial removal of rectum      C   C   0000    0.0000     0.00       0.00        0.00
45112   Removal of rectum              C   C   0000    0.0000     0.00       0.00        0.00
45113   Partial proctectomy            C   C   0000    0.0000     0.00       0.00        0.00
45114   Partial removal of rectum      C   C   0000    0.0000     0.00       0.00        0.00
45116   Partial removal of rectum      C   C   0000    0.0000     0.00       0.00        0.00
45119   Remove rectum w/reservoir      C   C   0000    0.0000     0.00       0.00        0.00
45120   Removal of rectum              C   C   0000    0.0000     0.00       0.00        0.00
45121   Removal of rectum and colon    C   C   0000    0.0000     0.00       0.00        0.00
45123   Partial proctectomy            C   C   0000    0.0000     0.00       0.00        0.00
45126   Pelvic exenteration            C   C   0000    0.0000     0.00       0.00        0.00
45130   Excision of rectal prolapse    C   C   0000    0.0000     0.00       0.00        0.00
45135   Excision of rectal prolapse    C   C   0000    0.0000     0.00       0.00        0.00
45136   Excise ileoanal reservior      C   C   0000    0.0000     0.00       0.00        0.00
45150   Excision of rectal stricture   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45160   Excision of rectal lesion      T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45170   Excision of rectal lesion      T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45190   Destruction, rectal tumor      T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45300   Proctosigmoidoscopy dx         T   T   0146    5.0972    243.49     555.19     636.33
45303   Proctosigmoidoscopy dilate     T   T   0147    8.7031    415.75     947.94    1,086.50
45305   Proctosigmoidoscopy w/bx       T   T   0147    8.7031    415.75     947.94    1,086.50
45307   Proctosigmoidoscopy fb         T   T   0428   21.4632   1,025.30   2,337.77   2,679.47
45308   Proctosigmoidoscopy removal    T   T   0147    8.7031    415.75     947.94    1,086.50
45309   Proctosigmoidoscopy removal    T   T   0147    8.7031    415.75     947.94    1,086.50
45315   Proctosigmoidoscopy removal    T   T   0147    8.7031    415.75     947.94    1,086.50
45317   Proctosigmoidoscopy bleed      T   T   0147    8.7031    415.75     947.94    1,086.50
45320   Proctosigmoidoscopy ablate     T   T   0428   21.4632   1,025.30   2,337.77   2,679.47
45321   Proctosigmoidoscopy volvul     T   T   0428   21.4632   1,025.30   2,337.77   2,679.47
45327   Proctosigmoidoscopy w/stent    T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
45330   Diagnostic sigmoidoscopy       T   T   0146    5.0972    243.49     555.19     636.33
45331   Sigmoidoscopy and biopsy       T   T   0146    5.0972    243.49     555.19     636.33
45332   Sigmoidoscopy w/fb removal     T   T   0146    5.0972    243.49     555.19     636.33
45333   Sigmoidoscopy & polypectomy    T   T   0147    8.7031    415.75     947.94    1,086.50
45334   Sigmoidoscopy for bleeding     T   T   0147    8.7031    415.75     947.94    1,086.50
45335   Sigmoidoscopy w/submuc inj     T   T   0146    5.0972    243.49     555.19     636.33
45337   Sigmoidoscopy & decompress     T   T   0146    5.0972    243.49     555.19     636.33
45338   Sigmoidoscopy w/tumr remove    T   T   0147    8.7031    415.75     947.94    1,086.50
45339   Sigmoidoscopy w/ablate tumr    T   T   0147    8.7031    415.75     947.94    1,086.50
45340   Sig w/balloon dilation         T   T   0147    8.7031    415.75     947.94    1,086.50
45341   Sigmoidoscopy w/ultrasound     T   T   0147    8.7031    415.75     947.94    1,086.50
45342   Sigmoidoscopy w/us guide bx    T   T   0147    8.7031    415.75     947.94    1,086.50
45345   Sigmoidoscopy w/stent          T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
45355   Surgical colonoscopy           T   T   0143    8.8486    422.70     963.79    1,104.66
45378   Diagnostic colonoscopy         T   T   0143    8.8486    422.70     963.79    1,104.66
45379   Colonoscopy w/fb removal       T   T   0143    8.8486    422.70     963.79    1,104.66
45380   Colonoscopy and biopsy         T   T   0143    8.8486    422.70     963.79    1,104.66
45381   Colonoscopy, submucous inj     T   T   0143    8.8486    422.70     963.79    1,104.66
45382   Colonoscopy/control bleeding   T   T   0143    8.8486    422.70     963.79    1,104.66
45383   Lesion removal colonoscopy     T   T   0143    8.8486    422.70     963.79    1,104.66
45384   Lesion remove colonoscopy      T   T   0143    8.8486    422.70     963.79    1,104.66
45385   Lesion removal colonoscopy     T   T   0143    8.8486    422.70     963.79    1,104.66
45386   Colonoscopy dilate stricture   T   T   0143    8.8486    422.70     963.79    1,104.66
45387   Colonoscopy w/stent            T   T   0384   24.9814   1,193.36   2,720.97   3,118.68
45391   Colonoscopy w/endoscope us     T   T   0143    8.8486    422.70     963.79    1,104.66
45392   Colonoscopy w/endoscopic fnb   T   T   0143    8.8486    422.70     963.79    1,104.66
45395   Lap, removal of rectum         C   C   0000    0.0000     0.00       0.00        0.00
45397   Lap, remove rectum w/pouch     C   C   0000    0.0000     0.00       0.00        0.00
45400   Laparoscopic proctopexy        C   C   0000    0.0000     0.00       0.00        0.00
45402   Lap proctopexy w/sig resect    C   C   0000    0.0000     0.00       0.00        0.00
45499   Laparoscope proc, rectum       T   T   0130   34.3958   1,643.09   3,746.39   4,293.97
45500   Repair of rectum               T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45505   Repair of rectum               T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
45520   Treatment of rectal prolapse   T   T   0013    0.7930    37.88       86.37      99.00
45540   Correct rectal prolapse        C   C   0000    0.0000     0.00       0.00        0.00
45541   Correct rectal prolapse        T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
45550   Repair rectum/remove sigmoid   C   C   0000    0.0000     0.00       0.00        0.00
45560   Repair of rectocele            T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
45562   Exploration/repair of rectum   C   C   0000    0.0000     0.00       0.00        0.00
45563   Exploration/repair of rectum   C   C   0000    0.0000     0.00       0.00        0.00
45800   Repair rect/bladder fistula    C   C   0000    0.0000     0.00       0.00        0.00
45805   Repair fistula w/colostomy     C   C   0000    0.0000     0.00       0.00        0.00
45820   Repair rectourethral fistula   C   C   0000    0.0000     0.00       0.00        0.00
45825   Repair fistula w/colostomy     C   C   0000    0.0000     0.00       0.00        0.00
45900   Reduction of rectal prolapse   T   T   0148    4.7935    228.99     522.11     598.42
45905   Dilation of anal sphincter     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45910   Dilation of rectal narrowing   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45915   Remove rectal obstruction      T   T   0155   10.9132    521.32    1,188.67   1,362.40
45990   Surg dx exam, anorectal        T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
45999   Rectum surgery procedure       T   T   0148    4.7935    228.99     522.11     598.42
46020   Placement of seton             T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46030   Removal of rectal marker       T   T   0148    4.7935    228.99     522.11     598.42
46040   Incision of rectal abscess     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46045   Incision of rectal abscess     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46050   Incision of anal abscess       T   T   0155   10.9132    521.32    1,188.67   1,362.40
46060   Incision of rectal abscess     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46070   Incision of anal septum        T   T   0155   10.9132    521.32    1,188.67   1,362.40
46080   Incision of anal sphincter     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46083   Incise external hemorrhoid     T   T   0164    2.0077    95.91      218.68     250.64
46200   Removal of anal fissure        T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46210   Removal of anal crypt          T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46211   Removal of anal crypts         T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46220   Removal of anal tag            T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46221   Ligation of hemorrhoid(s)      T   T   0148    4.7935    228.99     522.11     598.42
46230   Removal of anal tags           T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46250   Hemorrhoidectomy               T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46255   Hemorrhoidectomy               T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46257   Remove hemorrhoids & fissure   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46258   Remove hemorrhoids & fistula   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46260   Hemorrhoidectomy               T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46261   Remove hemorrhoids & fissure   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46262   Remove hemorrhoids & fistula   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46270   Removal of anal fistula        T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46275   Removal of anal fistula        T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46280   Removal of anal fistula        T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46285   Removal of anal fistula        T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46288   Repair anal fistula            T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46320   Removal of hemorrhoid clot     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46500   Injection into hemorrhoid(s)   T   T   0155   10.9132    521.32    1,188.67   1,362.40
46505   Chemodenervation anal musc     T   T   0148    4.7935    228.99     522.11     598.42
46600   Diagnostic anoscopy            X   X   0340    0.6310    30.14       68.73      78.77
46604   Anoscopy and dilation          T   T   0147    8.7031    415.75     947.94    1,086.50
46606   Anoscopy and biopsy            T   T   0146    5.0972    243.49     555.19     636.33
46608   Anoscopy, remove for body      T   T   0147    8.7031    415.75     947.94    1,086.50
46610   Anoscopy, remove lesion        T   T   0428   21.4632   1,025.30   2,337.77   2,679.47
46611   Anoscopy                       T   T   0147    8.7031    415.75     947.94    1,086.50
46612   Anoscopy, remove lesions       T   T   0428   21.4632   1,025.30   2,337.77   2,679.47
46614   Anoscopy, control bleeding     T   T   0146    5.0972    243.49     555.19     636.33
46615   Anoscopy                       T   T   0428   21.4632   1,025.30   2,337.77   2,679.47
46700   Repair of anal stricture       T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46705   Repair of anal stricture       C   C   0000    0.0000     0.00       0.00        0.00
46706   Repr of anal fistula w/glue    T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46710   Repr per/vag pouch sngl proc   C   C   0000    0.0000     0.00       0.00        0.00
46712   Repr per/vag pouch dbl proc    C   C   0000    0.0000     0.00       0.00        0.00
46715   Rep perf anoper fistu          C   C   0000    0.0000     0.00       0.00        0.00
46716   Rep perf anoper/vestib fistu   C   C   0000    0.0000     0.00       0.00        0.00
46730   Construction of absent anus    C   C   0000    0.0000     0.00       0.00        0.00
46735   Construction of absent anus    C   C   0000    0.0000     0.00       0.00        0.00
46740   Construction of absent anus    C   C   0000    0.0000     0.00       0.00        0.00
46742   Repair of imperforated anus    C   C   0000    0.0000     0.00       0.00        0.00
46744   Repair of cloacal anomaly      C   C   0000    0.0000     0.00       0.00        0.00
46746   Repair of cloacal anomaly      C   C   0000    0.0000     0.00       0.00        0.00
46748   Repair of cloacal anomaly      C   C   0000    0.0000     0.00       0.00        0.00
46750   Repair of anal sphincter       T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46751   Repair of anal sphincter       C   C   0000    0.0000     0.00       0.00        0.00
46753   Reconstruction of anus         T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46754   Removal of suture from anus    T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46760   Repair of anal sphincter       T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46761   Repair of anal sphincter       T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46762   Implant artificial sphincter   T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46900   Destruction, anal lesion(s)    T   T   0016    2.6604    127.09     289.77     332.12
46910   Destruction, anal lesion(s)    T   T   0017   19.9041    950.82    2,167.95   2,484.83
46916   Cryosurgery, anal lesion(s)    T   T   0015    1.4595    69.72      158.97     182.20
46917   Laser surgery, anal lesions    T   T   0017   19.9041    950.82    2,167.95   2,484.83
46922   Excision of anal lesion(s)     T   T   0017   19.9041    950.82    2,167.95   2,484.83
46924   Destruction, anal lesion(s)    T   T   0017   19.9041    950.82    2,167.95   2,484.83
46934   Destruction of hemorrhoids     T   T   0155   10.9132    521.32    1,188.67   1,362.40
46935   Destruction of hemorrhoids     T   T   0155   10.9132    521.32    1,188.67   1,362.40
46936   Destruction of hemorrhoids     T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46937   Cryotherapy of rectal lesion   T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46938   Cryotherapy of rectal lesion   T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46940   Treatment of anal fissure      T   T   0149   22.7451   1,086.53   2,477.40   2,839.50
46942   Treatment of anal fissure      T   T   0148    4.7935    228.99     522.11     598.42
46945   Ligation of hemorrhoids        T   T   0155   10.9132    521.32    1,188.67   1,362.40
46946   Ligation of hemorrhoids        T   T   0155   10.9132    521.32    1,188.67   1,362.40
46947   Hemorrhoidopexy by stapling    T   T   0150   30.1606   1,440.77   3,285.09   3,765.25
46999   Anus surgery procedure         T   T   0148    4.7935    228.99     522.11     598.42
47000   Needle biopsy of liver         T   T   0685    9.3354    445.95    1,016.81   1,165.43
47001   Needle biopsy, liver add-on    N   N   0000    0.0000     0.00       0.00        0.00
47010   Open drainage, liver lesion    C   C   0000    0.0000     0.00       0.00        0.00
47011   Percut drain, liver lesion     T   T   0037   13.5764    648.54    1,478.74   1,694.88
47015   Inject/aspirate liver cyst     C   C   0000    0.0000     0.00       0.00        0.00
47100   Wedge biopsy of liver          C   C   0000    0.0000     0.00       0.00        0.00
47120   Partial removal of liver       C   C   0000    0.0000     0.00       0.00        0.00
47122   Extensive removal of liver     C   C   0000    0.0000     0.00       0.00        0.00
47125   Partial removal of liver       C   C   0000    0.0000     0.00       0.00        0.00
47130   Partial removal of liver       C   C   0000    0.0000     0.00       0.00        0.00
47133   Removal of donor liver         C   C   0000    0.0000     0.00       0.00        0.00
47135   Transplantation of liver       C   C   0000    0.0000     0.00       0.00        0.00
47136   Transplantation of liver       C   C   0000    0.0000     0.00       0.00        0.00
47140   Partial removal, donor liver   C   C   0000    0.0000     0.00       0.00        0.00
47141   Partial removal, donor liver   C   C   0000    0.0000     0.00       0.00        0.00
47142   Partial removal, donor liver   C   C   0000    0.0000     0.00       0.00        0.00
47143   Prep donor liver, whole        C   C   0000    0.0000     0.00       0.00        0.00
47144   Prep donor liver, 3-segment    C   C   0000    0.0000     0.00       0.00        0.00
47145   Prep donor liver, lobe split   C   C   0000    0.0000     0.00       0.00        0.00
47146   Prep donor liver/venous        C   C   0000    0.0000     0.00       0.00        0.00
47147   Prep donor liver/arterial      C   C   0000    0.0000     0.00       0.00        0.00
47300   Surgery for liver lesion       C   C   0000    0.0000     0.00       0.00        0.00
47350   Repair liver wound             C   C   0000    0.0000     0.00       0.00        0.00
47360   Repair liver wound             C   C   0000    0.0000     0.00       0.00        0.00
47361   Repair liver wound             C   C   0000    0.0000     0.00       0.00        0.00
47362   Repair liver wound             C   C   0000    0.0000     0.00       0.00        0.00
47370   Laparo ablate liver tumor rf   T   T   0132   69.6652   3,327.91   7,587.93   8,697.00
47371   Laparo ablate liver cryosurg   T   T   0131   45.5317   2,175.05   4,959.31   5,684.18
47379   Laparoscope procedure, liver   T   T   0130   34.3958   1,643.09   3,746.39   4,293.97
47380   Open ablate liver tumor rf     C   C   0000    0.0000     0.00       0.00        0.00
47381   Open ablate liver tumor cryo   C   C   0000    0.0000     0.00       0.00        0.00
47382   Percut ablate liver rf         T   T   0423   42.9980   2,054.01   4,683.34   5,367.87
47399   Liver surgery procedure        T   T   0004    4.3270    206.70     471.30     540.18
47400   Incision of liver duct         C   C   0000    0.0000     0.00       0.00        0.00
47420   Incision of bile duct          C   C   0000    0.0000     0.00       0.00        0.00
47425   Incision of bile duct          C   C   0000    0.0000     0.00       0.00        0.00
47460   Incise bile duct sphincter     C   C   0000    0.0000     0.00       0.00        0.00
47480   Incision of gallbladder        C   C   0000    0.0000     0.00       0.00        0.00
47490   Incision of gallbladder        T   T   0152   28.6884   1,370.44   3,124.74   3,581.46
47500   Injection for liver x-rays     N   N   0000    0.0000     0.00       0.00        0.00
47505   Injection for liver x-rays     N   N   0000    0.0000     0.00       0.00        0.00
47510   Insert catheter, bile duct     T   T   0152   28.6884   1,370.44   3,124.74   3,581.46
47511   Insert bile duct drain         T   T   0152   28.6884   1,370.44   3,124.74   3,581.46
47525   Change bile duct catheter      T   T    0427   15.3545     733.48    1,672.41    1,916.86
47530   Revise/reinsert bile tube      T   T    0427   15.3545     733.48    1,672.41    1,916.86
47550   Bile duct endoscopy add-on     C   C    0000    0.0000      0.00       0.00        0.00
47552   Biliary endoscopy thru skin    T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
47553   Biliary endoscopy thru skin    T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
47554   Biliary endoscopy thru skin    T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
47555   Biliary endoscopy thru skin    T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
47556   Biliary endoscopy thru skin    T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
47560   Laparoscopy w/cholangio        T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
47561   Laparo w/cholangio/biopsy      T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
47562   Laparoscopic cholecystectomy   T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
47563   Laparo cholecystectomy/graph   T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
47564   Laparo cholecystectomy/explr   T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
47570   Laparo cholecystoenterostomy   C   C    0000    0.0000      0.00       0.00        0.00
47579   Laparoscope proc, biliary      T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
47600   Removal of gallbladder         C   C    0000    0.0000      0.00       0.00        0.00
47605   Removal of gallbladder         C   C    0000    0.0000      0.00       0.00        0.00
47610   Removal of gallbladder         C   C    0000    0.0000      0.00       0.00        0.00
47612   Removal of gallbladder         C   C    0000    0.0000      0.00       0.00        0.00
47620   Removal of gallbladder         C   C    0000    0.0000      0.00       0.00        0.00
47630   Remove bile duct stone         T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
47700   Exploration of bile ducts      C   C    0000    0.0000      0.00       0.00        0.00
47701   Bile duct revision             C   C    0000    0.0000      0.00       0.00        0.00
47711   Excision of bile duct tumor    C   C    0000    0.0000      0.00       0.00        0.00
47712   Excision of bile duct tumor    C   C    0000    0.0000      0.00       0.00        0.00
47715   Excision of bile duct cyst     C   C    0000    0.0000      0.00       0.00        0.00

47720   Fuse gallbladder & bowel       C   C    0000    0.0000      0.00       0.00        0.00
47721   Fuse upper gi structures       C   C    0000    0.0000      0.00       0.00        0.00
47740   Fuse gallbladder & bowel       C   C    0000    0.0000      0.00       0.00        0.00
47741   Fuse gallbladder & bowel       C   C    0000    0.0000      0.00       0.00        0.00
47760   Fuse bile ducts and bowel      C   C    0000    0.0000      0.00       0.00        0.00
47765   Fuse liver ducts & bowel       C   C    0000    0.0000      0.00       0.00        0.00
47780   Fuse bile ducts and bowel      C   C    0000    0.0000      0.00       0.00        0.00
47785   Fuse bile ducts and bowel      C   C    0000    0.0000      0.00       0.00        0.00
47800   Reconstruction of bile ducts   C   C    0000    0.0000      0.00       0.00        0.00
47801   Placement, bile duct support   C   C    0000    0.0000      0.00       0.00        0.00
47802   Fuse liver duct & intestine    C   C    0000    0.0000      0.00       0.00        0.00
47900   Suture bile duct injury        C   C    0000    0.0000      0.00       0.00        0.00
47999   Bile tract surgery procedure   T   T    0152   28.6884    1,370.44   3,124.74    3,581.46
48000   Drainage of abdomen            C   C    0000    0.0000      0.00       0.00        0.00
48001   Placement of drain, pancreas   C   C    0000    0.0000      0.00       0.00        0.00
48020   Removal of pancreatic stone    C   C    0000    0.0000      0.00       0.00        0.00
48100   Biopsy of pancreas, open       C   C    0000    0.0000      0.00       0.00        0.00
48102   Needle biopsy, pancreas        T   T    0685    9.3354     445.95    1,016.81    1,165.43
48105   Resect/debride pancreas        C   C    0000    0.0000      0.00       0.00        0.00
48120   Removal of pancreas lesion     C   C    0000    0.0000      0.00       0.00        0.00
48140   Partial removal of pancreas    C   C    0000    0.0000      0.00       0.00        0.00
48145   Partial removal of pancreas    C   C    0000    0.0000      0.00       0.00        0.00
48146   Pancreatectomy                 C   C    0000    0.0000      0.00       0.00        0.00
48148   Removal of pancreatic duct     C   C    0000    0.0000      0.00       0.00        0.00
48150   Partial removal of pancreas    C   C    0000    0.0000      0.00       0.00        0.00
48152   Pancreatectomy                 C   C    0000    0.0000      0.00       0.00        0.00
48153   Pancreatectomy                 C   C    0000    0.0000      0.00       0.00        0.00
48154   Pancreatectomy                 C   C    0000    0.0000      0.00       0.00        0.00
48155   Removal of pancreas            C   C    0000    0.0000      0.00       0.00        0.00
48160   Pancreas removal/transplant    E   3    0000    0.0000      M01        M01         M01
48400   Injection, intraop add-on      C   C    0000    0.0000      0.00       0.00        0.00
48500   Surgery of pancreatic cyst     C   C    0000    0.0000      0.00       0.00        0.00
48510   Drain pancreatic pseudocyst    C   C    0000    0.0000      0.00       0.00        0.00
48511   Drain pancreatic pseudocyst    T   T    0037   13.5764     648.54    1,478.74    1,694.88
48520   Fuse pancreas cyst and bowel   C   C    0000    0.0000      0.00       0.00        0.00
48540   Fuse pancreas cyst and bowel   C   C    0000    0.0000      0.00       0.00        0.00
48545   Pancreatorrhaphy               C   C    0000    0.0000      0.00       0.00        0.00
48547   Duodenal exclusion             C   C    0000    0.0000      0.00       0.00        0.00
48548   Fuse pancreas and bowel        C   C    0000    0.0000     0.00        0.00        0.00
48550   Donor pancreatectomy           E   3    0000    0.0000     M01         M01         M01
48551   Prep donor pancreas            C   C    0000    0.0000     0.00        0.00        0.00
48552   Prep donor pancreas/venous     C   C    0000    0.0000     0.00        0.00        0.00
48554   Transpl allograft pancreas     C   C    0000    0.0000     0.00        0.00        0.00
48556   Removal, allograft pancreas    C   C    0000    0.0000     0.00        0.00        0.00
48999   Pancreas surgery procedure     T   T    0004    4.3270    206.70      471.30      540.18
49000   Exploration of abdomen         C   C    0000    0.0000     0.00        0.00        0.00
49002   Reopening of abdomen           C   C    0000    0.0000     0.00        0.00        0.00
49010   Exploration behind abdomen     C   C    0000    0.0000     0.00        0.00        0.00
49020   Drain abdominal abscess        C   C    0000    0.0000     0.00        0.00        0.00
49021   Drain abdominal abscess        T   T    0037   13.5764    648.54     1,478.74    1,694.88
49040   Drain, open, abdom abscess     C   C    0000    0.0000     0.00        0.00        0.00
49041   Drain, percut, abdom abscess   T   T    0037   13.5764    648.54     1,478.74    1,694.88
49060   Drain, open, retrop abscess    C   C    0000    0.0000     0.00        0.00        0.00
49061   Drain, percut, retroper absc   T   T    0037   13.5764    648.54     1,478.74    1,694.88
49062   Drain to peritoneal cavity     C   C    0000    0.0000     0.00        0.00        0.00
49080   Puncture, peritoneal cavity    T   T    0070    5.2024    248.52      566.65      649.47
49081   Removal of abdominal fluid     T   T    0070    5.2024    248.52      566.65      649.47
49180   Biopsy, abdominal mass         T   T    0685    9.3354    445.95     1,016.81    1,165.43



49203   Exc abd tum 5 cm or less       C   C    0000    0.0000     0.00        0.00        0.00
49204   Exc abd tum over 5 cm          C   C    0000    0.0000     0.00        0.00        0.00
49205   Exc abd tum over 10 cm         C    C   0000    0.0000      0.00       0.00        0.00
49215   Excise sacral spine tumor      C   C    0000    0.0000      0.00       0.00        0.00
49220   Multiple surgery, abdomen      C   C    0000    0.0000      0.00       0.00        0.00
49250   Excision of umbilicus          T   T    0153   25.6947    1,227.44   2,798.67    3,207.73
49255   Removal of omentum             C   C    0000    0.0000      0.00       0.00        0.00
49320   Diag laparo separate proc      T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49321   Laparoscopy, biopsy            T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49322   Laparoscopy, aspiration        T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49323   Laparo drain lymphocele        T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49324   Lap insertion perm ip cath     T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49325   Lap revision perm ip cath      T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49326   Lap w/omentopexy add-on        T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49329   Laparo proc, abdm/per/oment    T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49400   Air injection into abdomen     N   N    0000    0.0000      0.00       0.00        0.00
49402   Remove foreign body, adbomen   T   T    0153   25.6947    1,227.44   2,798.67    3,207.73
49419   Insrt abdom cath for chemotx   T   T    0115   29.6965    1,418.60   3,234.54    3,707.31
49420   Insert abdom drain, temp       T   T    0652   30.7096    1,467.00   3,344.89    3,833.79
49421   Insert abdom drain, perm       T   T    0652   30.7096    1,467.00   3,344.89    3,833.79
49422   Remove perm cannula/catheter   T   T    0105   23.9802    1,145.53   2,611.92    2,993.69
49423   Exchange drainage catheter     T   T    0427   15.3545     733.48    1,672.41    1,916.86
49424   Assess cyst, contrast inject   N   N    0000    0.0000      0.00       0.00        0.00
49425   Insert abdomen-venous drain    C   C    0000    0.0000      0.00       0.00        0.00
49426   Revise abdomen-venous shunt    T   T    0153   25.6947    1,227.44   2,798.67    3,207.73
49427   Injection, abdominal shunt     N   N    0000    0.0000      0.00       0.00        0.00
49428   Ligation of shunt              C   C    0000    0.0000      0.00       0.00        0.00
49429   Removal of shunt               T   T    0105   23.9802    1,145.53   2,611.92    2,993.69
49435   Insert subq exten to ip cath   T   1    0427   15.3545     0.00        0.00        0.00
49436   Embedded ip cath exit-site     T   T    0427   15.3545    733.48     1,672.41    1,916.86
49440   Place gastrostomy tube perc    T   T    0141    8.5030    406.19      926.15     1,061.51
49441   Place duod/jej tube perc       T   T    0141    8.5030    406.19      926.15     1,061.51
49442   Place cecostomy tube perc      T   T    0155   10.9132    521.32     1,188.67    1,362.40
49446   Change g-tube to g-j perc      T   T    0141    8.5030    406.19      926.15     1,061.51
49450   Replace g/c tube perc          T   T    0121    3.2383    154.69      352.72      404.27
49451   Replace duod/jej tube perc     T   T    0121    3.2383    154.69      352.72      404.27
49452   Replace g-j tube perc          T   T    0121    3.2383    154.69      352.72      404.27
49460   Fix g/colon tube w/device      T   T    0121    3.2383    154.69      352.72      404.27
49465   Fluoro exam of g/colon tube    Q    Q   0276    1.3834     66.09      150.68      172.70
49491   Rpr hern preemie reduc         T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49492   Rpr ing hern premie, blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49495   Rpr ing hernia baby, reduc     T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49496   Rpr ing hernia baby, blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49500   Rpr ing hernia, init, reduce   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49501   Rpr ing hernia, init blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49505   Prp i/hern init reduc >5 yr    T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49507   Prp i/hern init block >5 yr    T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49520   Rerepair ing hernia, reduce    T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49521   Rerepair ing hernia, blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49525   Repair ing hernia, sliding     T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49540   Repair lumbar hernia           T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49550   Rpr rem hernia, init, reduce   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49553   Rpr fem hernia, init blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49555   Rerepair fem hernia, reduce    T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49557   Rerepair fem hernia, blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49560   Rpr ventral hern init, reduc   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49561   Rpr ventral hern init, block   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49565   Rerepair ventrl hern, reduce   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49566   Rerepair ventrl hern, block    T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49568   Hernia repair w/mesh           T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49570   Rpr epigastric hern, reduce    T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49572   Rpr epigastric hern, blocked   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49580   Rpr umbil hern, reduc < 5 yr   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49582   Rpr umbil hern, block < 5 yr   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49585   Rpr umbil hern, reduc > 5 yr   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49587   Rpr umbil hern, block > 5 yr   T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49590   Repair spigelian hernia        T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49600   Repair umbilical lesion        T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
49605   Repair umbilical lesion        C   C    0000    0.0000      0.00       0.00        0.00
49606   Repair umbilical lesion        C   C    0000    0.0000      0.00       0.00        0.00
49610   Repair umbilical lesion        C   C    0000    0.0000      0.00       0.00        0.00
49611   Repair umbilical lesion        C   C    0000    0.0000      0.00       0.00        0.00
49650   Laparo hernia repair initial   T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
49651   Laparo hernia repair recur     T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
49659   Laparo proc, hernia repair     T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
49900   Repair of abdominal wall       C   C    0000    0.0000      0.00       0.00        0.00
49904   Omental flap, extra-abdom      C   C    0000    0.0000      0.00       0.00        0.00
49905   Omental flap, intra-abdom      C   C    0000    0.0000      0.00       0.00        0.00
49906   Free omental flap, microvasc   C   C    0000    0.0000      0.00       0.00        0.00
49999   Abdomen surgery procedure      T   T    0153   25.6947    1,227.44   2,798.67    3,207.73
50010   Exploration of kidney          C   C    0000    0.0000      0.00       0.00        0.00
50020   Renal abscess, open drain      T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50021   Renal abscess, percut drain    T   T    0037   13.5764     648.54    1,478.74    1,694.88
50040   Drainage of kidney             C   C    0000    0.0000      0.00       0.00        0.00
50045   Exploration of kidney          C   C    0000    0.0000      0.00       0.00        0.00
50060   Removal of kidney stone        C   C    0000    0.0000      0.00       0.00        0.00
50065   Incision of kidney             C   C    0000    0.0000      0.00       0.00        0.00
50070   Incision of kidney             C   C    0000    0.0000      0.00       0.00        0.00
50075   Removal of kidney stone        C   C    0000    0.0000      0.00       0.00        0.00
50080   Removal of kidney stone        T   T    0429   45.2042    2,159.40   4,923.64    5,643.29
50081   Removal of kidney stone        T   T    0429   45.2042    2,159.40   4,923.64    5,643.29
50100   Revise kidney blood vessels    C   C    0000    0.0000      0.00       0.00        0.00
50120   Exploration of kidney          C   C    0000    0.0000      0.00       0.00        0.00
50125   Explore and drain kidney       C   C    0000    0.0000      0.00       0.00        0.00
50130   Removal of kidney stone        C   C    0000    0.0000      0.00       0.00        0.00
50135   Exploration of kidney          C   C    0000    0.0000      0.00       0.00        0.00
50200   Biopsy of kidney               T   T    0685    9.3354     445.95    1,016.81    1,165.43
50205   Biopsy of kidney               C   C    0000    0.0000      0.00       0.00        0.00
50220   Remove kidney, open            C   C    0000    0.0000      0.00       0.00        0.00
50225   Removal kidney open, complex   C   C    0000    0.0000      0.00       0.00        0.00
50230   Removal kidney open, radical   C   C    0000    0.0000      0.00       0.00        0.00
50234   Removal of kidney & ureter     C   C    0000    0.0000      0.00       0.00        0.00
50236   Removal of kidney & ureter     C   C    0000    0.0000      0.00       0.00        0.00
50240   Partial removal of kidney      C   C    0000    0.0000      0.00       0.00        0.00
50250   Cryoablate renal mass open     C   C    0000    0.0000      0.00       0.00        0.00
50280   Removal of kidney lesion       C   C    0000    0.0000      0.00       0.00        0.00
50290   Removal of kidney lesion       C   C    0000    0.0000      0.00       0.00        0.00
50300   Remove cadaver donor kidney    C   C    0000    0.0000      0.00       0.00        0.00
50320   Remove kidney, living donor    C   C    0000    0.0000      0.00       0.00        0.00
50323   Prep cadaver renal allograft   C   C    0000    0.0000      0.00       0.00        0.00
50325   Prep donor renal graft         C   C    0000    0.0000      0.00       0.00        0.00
50327   Prep renal graft/venous        C   C    0000    0.0000      0.00       0.00        0.00
50328   Prep renal graft/arterial      C   C    0000    0.0000      0.00       0.00        0.00
50329   Prep renal graft/ureteral      C   C    0000    0.0000      0.00       0.00        0.00
50340   Removal of kidney              C   C    0000    0.0000      0.00       0.00        0.00
50360   Transplantation of kidney      C   C    0000    0.0000      0.00       0.00        0.00
50365   Transplantation of kidney      C   C    0000    0.0000      0.00       0.00        0.00
50370   Remove transplanted kidney     C   C    0000    0.0000      0.00       0.00        0.00
50380   Reimplantation of kidney       C   C    0000    0.0000      0.00       0.00        0.00
50382   Change ureter stent, percut    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50384   Remove ureter stent, percut    T   T    0161   17.9420     857.09    1,954.24    2,239.88
50385   Change stent via transureth    T    T   0161   17.9420     857.09    1,954.24    2,239.88
50386   Remove stent via transureth    T    T   0160    5.9735     285.35     650.63      745.73
50387   Change ext/int ureter stent    T   T    0427   15.3545     733.48    1,672.41    1,916.86
50389   Remove renal tube w/fluoro     T   T    0160    5.9735     285.35     650.63      745.73
50390   Drainage of kidney lesion      T   T    0685    9.3354     445.95    1,016.81    1,165.43
50391   Instll rx agnt into rnal tub   T   T    0126    1.0356     49.47      112.80      129.28
50392   Insert kidney drain            T   T    0161   17.9420     857.09    1,954.24    2,239.88
50393   Insert ureteral tube           T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50394   Injection for kidney x-ray     N   N    0000    0.0000      0.00       0.00        0.00
50395   Create passage to kidney       T   T    0161   17.9420     857.09    1,954.24    2,239.88
50396   Measure kidney pressure        T   T    0164    2.0077     95.91      218.68      250.64
50398   Change kidney tube             T   T    0427   15.3545     733.48    1,672.41    1,916.86
50400   Revision of kidney/ureter      C   C    0000    0.0000      0.00       0.00        0.00
50405   Revision of kidney/ureter      C   C    0000    0.0000      0.00       0.00        0.00
50500   Repair of kidney wound         C   C    0000    0.0000      0.00       0.00        0.00
50520   Close kidney-skin fistula      C   C    0000    0.0000      0.00       0.00        0.00
50525   Repair renal-abdomen fistula   C   C    0000    0.0000      0.00       0.00        0.00
50526   Repair renal-abdomen fistula   C   C    0000    0.0000      0.00       0.00        0.00
50540   Revision of horseshoe kidney   C   C    0000    0.0000      0.00       0.00        0.00
50541   Laparo ablate renal cyst       T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
50542   Laparo ablate renal mass       T   T    0132   69.6652    3,327.91   7,587.93    8,697.00
50543   Laparo partial nephrectomy     T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
50544   Laparoscopy, pyeloplasty       T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
50545   Laparo radical nephrectomy     C   C    0000    0.0000      0.00       0.00        0.00
50546   Laparoscopic nephrectomy       C   C    0000    0.0000      0.00       0.00        0.00
50547   Laparo removal donor kidney    C   C    0000    0.0000      0.00       0.00        0.00
50548   Laparo remove w/ureter         C   C    0000    0.0000      0.00       0.00        0.00
50549   Laparoscope proc, renal        T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
50551   Kidney endoscopy               T   T    0160    5.9735     285.35     650.63      745.73
50553   Kidney endoscopy               T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50555   Kidney endoscopy & biopsy      T   T    0160    5.9735     285.35     650.63      745.73
50557   Kidney endoscopy & treatment   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50561   Kidney endoscopy & treatment   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50562   Renal scope w/tumor resect     T   T    0160    5.9735     285.35     650.63      745.73
50570   Kidney endoscopy               T   T    0160    5.9735     285.35     650.63      745.73
50572   Kidney endoscopy               T   T    0160    5.9735     285.35     650.63      745.73
50574   Kidney endoscopy & biopsy      T   T    0160    5.9735     285.35     650.63      745.73
50575   Kidney endoscopy               T   T    0163   36.0774    1,723.42   3,929.55    4,503.90
50576   Kidney endoscopy & treatment   T   T    0161   17.9420     857.09    1,954.24    2,239.88
50580   Kidney endoscopy & treatment   T   T    0161   17.9420     857.09    1,954.24    2,239.88
50590   Fragmenting of kidney stone    T   T    0169   41.5299    1,983.88   4,523.44    5,184.59
50592   Perc rf ablate renal tumor     T   T    0423   42.9980    2,054.01   4,683.34    5,367.87
50593   Perc cryo ablate renal tum     T    T   0423   42.9980    2,054.01   4,683.34    5,367.87
50600   Exploration of ureter          C   C    0000    0.0000      0.00       0.00        0.00
50605   Insert ureteral support        C   C    0000    0.0000      0.00       0.00        0.00
50610   Removal of ureter stone        C   C    0000    0.0000      0.00       0.00        0.00
50620   Removal of ureter stone        C   C    0000    0.0000      0.00       0.00        0.00
50630   Removal of ureter stone        C   C    0000    0.0000      0.00       0.00        0.00
50650   Removal of ureter              C   C    0000    0.0000      0.00       0.00        0.00
50660   Removal of ureter              C   C    0000    0.0000      0.00       0.00        0.00
50684   Injection for ureter x-ray     N   N    0000    0.0000      0.00       0.00        0.00
50686   Measure ureter pressure        T   T    0126    1.0356     49.47      112.80      129.28
50688   Change of ureter tube          T   T    0427   15.3545     733.48    1,672.41    1,916.86
50690   Injection for ureter x-ray     N   N    0000    0.0000      0.00       0.00        0.00
50700   Revision of ureter             C   C    0000    0.0000      0.00       0.00        0.00
50715   Release of ureter              C   C    0000    0.0000      0.00       0.00        0.00
50722   Release of ureter              C   C    0000    0.0000      0.00       0.00        0.00
50725   Release/revise ureter          C   C    0000    0.0000      0.00       0.00        0.00
50727   Revise ureter                  C   C    0000    0.0000      0.00       0.00        0.00
50728   Revise ureter                  C   C    0000    0.0000      0.00       0.00        0.00
50740   Fusion of ureter & kidney      C   C    0000    0.0000      0.00       0.00        0.00
50750   Fusion of ureter & kidney      C   C    0000    0.0000      0.00       0.00        0.00
50760   Fusion of ureters              C   C    0000    0.0000      0.00       0.00        0.00
50770   Splicing of ureters            C   C    0000    0.0000      0.00       0.00        0.00
50780   Reimplant ureter in bladder    C   C    0000    0.0000      0.00       0.00        0.00
50782   Reimplant ureter in bladder    C   C    0000    0.0000      0.00       0.00        0.00
50783   Reimplant ureter in bladder    C   C    0000    0.0000      0.00       0.00        0.00
50785   Reimplant ureter in bladder    C   C    0000    0.0000      0.00       0.00        0.00
50800   Implant ureter in bowel        C   C    0000    0.0000      0.00       0.00        0.00
50810   Fusion of ureter & bowel       C   C    0000    0.0000      0.00       0.00        0.00
50815   Urine shunt to intestine       C   C    0000    0.0000      0.00       0.00        0.00
50820   Construct bowel bladder        C   C    0000    0.0000      0.00       0.00        0.00
50825   Construct bowel bladder        C   C    0000    0.0000      0.00       0.00        0.00
50830   Revise urine flow              C   C    0000    0.0000      0.00       0.00        0.00
50840   Replace ureter by bowel        C   C    0000    0.0000      0.00       0.00        0.00
50845   Appendico-vesicostomy          C   C    0000    0.0000      0.00       0.00        0.00
50860   Transplant ureter to skin      C   C    0000    0.0000      0.00       0.00        0.00
50900   Repair of ureter               C   C    0000    0.0000      0.00       0.00        0.00
50920   Closure ureter/skin fistula    C   C    0000    0.0000      0.00       0.00        0.00
50930   Closure ureter/bowel fistula   C   C    0000    0.0000      0.00       0.00        0.00
50940   Release of ureter              C   C    0000    0.0000      0.00       0.00        0.00
50945   Laparoscopy ureterolithotomy   T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
50947   Laparo new ureter/bladder      T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
50948   Laparo new ureter/bladder      T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
50949   Laparoscope proc, ureter       T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
50951   Endoscopy of ureter            T   T    0160    5.9735     285.35     650.63      745.73
50953   Endoscopy of ureter            T   T    0160    5.9735     285.35     650.63      745.73
50955   Ureter endoscopy & biopsy      T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50957   Ureter endoscopy & treatment   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50961   Ureter endoscopy & treatment   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
50970   Ureter endoscopy               T   T    0160    5.9735     285.35     650.63      745.73
50972   Ureter endoscopy & catheter    T   T    0160    5.9735     285.35     650.63      745.73
50974   Ureter endoscopy & biopsy      T   T    0161   17.9420     857.09    1,954.24    2,239.88
50976   Ureter endoscopy & treatment   T   T    0161   17.9420     857.09    1,954.24    2,239.88
50980   Ureter endoscopy & treatment   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90



51020   Incise & treat bladder         T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51030   Incise & treat bladder         T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51040   Incise & drain bladder         T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51045   Incise bladder/drain ureter    T   T    0160    5.9735     285.35     650.63      745.73
51050   Removal of bladder stone       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51060   Removal of ureter stone        C   C    0000    0.0000      0.00       0.00         0.00
51065   Remove ureter calculus         T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51080   Drainage of bladder abscess    T   T    0008   18.3197     875.13    1,995.38    2,287.03
51100   Drain bladder by needle        T    T   0164    2.0077     95.91      218.68      250.64
51101   Drain bladder by trocar/cath   T    T   0126    1.0356     49.47      112.80      129.28
51102   Drain bl w/cath insertion      T    T   0165   19.3414     923.94    2,106.67    2,414.58
51500   Removal of bladder cyst        T   T    0154   30.6788    1,465.53   3,341.53    3,829.94
51520   Removal of bladder lesion      T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51525   Removal of bladder lesion      C   C    0000    0.0000      0.00       0.00         0.00
51530   Removal of bladder lesion      C   C    0000    0.0000      0.00       0.00         0.00
51535   Repair of ureter lesion        T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51550   Partial removal of bladder     C   C    0000    0.0000      0.00       0.00         0.00
51555   Partial removal of bladder     C   C    0000    0.0000      0.00       0.00         0.00
51565   Revise bladder & ureter(s)     C   C    0000    0.0000      0.00       0.00         0.00
51570   Removal of bladder             C   C    0000    0.0000      0.00       0.00         0.00
51575   Removal of bladder & nodes     C   C    0000    0.0000      0.00       0.00         0.00
51580   Remove bladder/revise tract    C   C    0000    0.0000      0.00       0.00         0.00
51585   Removal of bladder & nodes     C   C    0000    0.0000      0.00       0.00         0.00
51590   Remove bladder/revise tract    C   C    0000    0.0000      0.00       0.00         0.00
51595   Remove bladder/revise tract    C   C    0000    0.0000      0.00       0.00         0.00
51596   Remove bladder/create pouch    C   C    0000    0.0000      0.00       0.00         0.00
51597   Removal of pelvic structures   C   C    0000    0.0000      0.00       0.00         0.00
51600   Injection for bladder x-ray    N   N    0000    0.0000      0.00       0.00         0.00
51605   Preparation for bladder xray   N   N    0000    0.0000      0.00       0.00         0.00
51610   Injection for bladder x-ray    N   N    0000    0.0000      0.00       0.00         0.00
51700   Irrigation of bladder          T   T    0164    2.0077     95.91      218.68      250.64
51701   Insert bladder catheter        X   X    0340    0.6310     30.14       68.73       78.77
51702   Insert temp bladder cath       X   X    0340    0.6310     30.14       68.73       78.77
51703   Insert bladder cath, complex   T   T    0126    1.0356     49.47      112.80      129.28
51705   Change of bladder tube         T   T    0164    2.0077     95.91      218.68      250.64
51710   Change of bladder tube         T   T    0427   15.3545     733.48    1,672.41    1,916.86
51715   Endoscopic injection/implant   T   T    0168   29.7864    1,422.90   3,244.33    3,718.53
51720   Treatment of bladder lesion    T   T    0164    2.0077     95.91      218.68      250.64
51725   Simple cystometrogram          T   T    0156    3.0469     145.55     331.87      380.37
51726   Complex cystometrogram         T   T    0156    3.0469     145.55     331.87      380.37
51736   Urine flow measurement         T   T    0126    1.0356     49.47      112.80      129.28
51741   Electro-uroflowmetry, first    T   T    0126    1.0356     49.47      112.80      129.28
51772   Urethra pressure profile       T   T    0164    2.0077     95.91      218.68      250.64
51784   Anal/urinary muscle study      T   T    0126    1.0356     49.47      112.80      129.28
51785   Anal/urinary muscle study      T   T    0164    2.0077     95.91      218.68      250.64
51792   Urinary reflex study           T   T    0126    1.0356     49.47      112.80      129.28
51795   Urine voiding pressure study   T   T    0164    2.0077     95.91      218.68      250.64
51797   Intraabdominal pressure test   T   T    0164    2.0077     95.91      218.68      250.64
51798   Us urine capacity measure      X   X    0340    0.6310     30.14       68.73       78.77
51800   Revision of bladder/urethra    C   C    0000    0.0000      0.00       0.00         0.00
51820   Revision of urinary tract      C   C    0000    0.0000      0.00       0.00         0.00
51840   Attach bladder/urethra         C   C    0000    0.0000      0.00       0.00         0.00
51841   Attach bladder/urethra         C   C    0000    0.0000      0.00       0.00         0.00
51845   Repair bladder neck            C   C    0000    0.0000      0.00       0.00         0.00
51860   Repair of bladder wound        C   C    0000    0.0000      0.00       0.00         0.00
51865   Repair of bladder wound        C   C    0000    0.0000      0.00       0.00         0.00
51880   Repair of bladder opening      T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
51900   Repair bladder/vagina lesion   C   C    0000    0.0000      0.00       0.00         0.00
51920   Close bladder-uterus fistula   C   C    0000    0.0000      0.00       0.00         0.00
51925   Hysterectomy/bladder repair    C   C    0000    0.0000      0.00       0.00         0.00
51940   Correction of bladder defect   C   C    0000    0.0000      0.00       0.00         0.00
51960   Revision of bladder & bowel    C   C    0000    0.0000      0.00       0.00         0.00
51980   Construct bladder opening      C   C    0000    0.0000      0.00       0.00         0.00
51990   Laparo urethral suspension     T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
51992   Laparo sling operation         T   T    0131   45.5317    2,175.05   4,959.31    5,684.18
51999   Laparoscope proc, bladder      T   T    0130   34.3958    1,643.09   3,746.39    4,293.97
52000   Cystoscopy                     T   T    0160    5.9735     285.35     650.63      745.73
52001   Cystoscopy, removal of clots   T   T    0161   17.9420     857.09    1,954.24    2,239.88
52005   Cystoscopy & ureter catheter   T   T    0161   17.9420     857.09    1,954.24    2,239.88
52007   Cystoscopy and biopsy          T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52010   Cystoscopy & duct catheter     T   T    0160    5.9735     285.35     650.63      745.73
52204   Cystoscopy                     T   T    0161   17.9420     857.09    1,954.24    2,239.88
52214   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52224   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52234   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52235   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52240   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52250   Cystoscopy and radiotracer     T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52260   Cystoscopy and treatment       T   T    0161   17.9420     857.09    1,954.24    2,239.88
52265   Cystoscopy and treatment       T   T    0160    5.9735     285.35     650.63      745.73
52270   Cystoscopy & revise urethra    T   T    0161   17.9420     857.09    1,954.24    2,239.88
52275   Cystoscopy & revise urethra    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52276   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52277   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52281   Cystoscopy and treatment       T   T    0161   17.9420     857.09    1,954.24    2,239.88
52282   Cystoscopy, implant stent      T   T    0163   36.0774    1,723.42   3,929.55    4,503.90
52283   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52285   Cystoscopy and treatment       T   T    0161   17.9420     857.09    1,954.24    2,239.88
52290   Cystoscopy and treatment       T   T    0161   17.9420     857.09    1,954.24    2,239.88
52300   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52301   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52305   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52310   Cystoscopy and treatment       T   T    0161   17.9420     857.09    1,954.24    2,239.88
52315   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52317   Remove bladder stone           T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52318   Remove bladder stone           T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52320   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52325   Cystoscopy, stone removal      T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52327   Cystoscopy, inject material    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52330   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52332   Cystoscopy and treatment       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52334   Create passage to kidney       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52341   Cysto w/ureter stricture tx    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52342   Cysto w/up stricture tx        T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52343   Cysto w/renal stricture tx     T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52344   Cysto/uretero, stricture tx    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52345   Cysto/uretero w/up stricture   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52346   Cystouretero w/renal strict    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52351   Cystouretero & or pyeloscope   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52352   Cystouretero w/stone remove    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52353   Cystouretero w/lithotripsy     T   T    0163   36.0774    1,723.42   3,929.55    4,503.90
52354   Cystouretero w/biopsy          T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52355   Cystouretero w/excise tumor    T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52400   Cystouretero w/congen repr     T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52402   Cystourethro cut ejacul duct   T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52450   Incision of prostate           T   T    0162   24.7749    1,183.50   2,698.48    3,092.90
52500   Revision of bladder neck       T   T    0162   24.7749    1,183.50   2,698.48    3,092.90

52601   Prostatectomy (TURP)           T   T    0163    36.0774   1,723.42    3,929.55    4,503.90
52606   Control postop bleeding        T   T    0162    24.7749   1,183.50    2,698.48    3,092.90
52612   Prostatectomy, first stage     T   T    0163    36.0774   1,723.42    3,929.55    4,503.90
52614   Prostatectomy, second stage    T   T    0163    36.0774   1,723.42    3,929.55    4,503.90
52620   Remove residual prostate       T   T    0163    36.0774   1,723.42    3,929.55    4,503.90
52630   Remove prostate regrowth       T   T    0163    36.0774   1,723.42    3,929.55    4,503.90
52640   Relieve bladder contracture    T   T    0162    24.7749   1,183.50    2,698.48    3,092.90
52647   Laser surgery of prostate      T   T    0429    45.2042   2,159.40    4,923.64    5,643.29
52648   Laser surgery of prostate      T   T    0429    45.2042   2,159.40    4,923.64    5,643.29
52649   2Prostate laser enucleation    T    T   0429    45.2042   2,159.40    4,923.64    5,643.29
52700   Drainage of prostate abscess   T   T    0162    24.7749   1,183.50    2,698.48    3,092.90
53000   Incision of urethra            T   T    0166    19.1505    914.82     2,085.87    2,390.75
53010   Incision of urethra            T   T    0166    19.1505    914.82     2,085.87    2,390.75
53020   Incision of urethra            T   T    0166    19.1505    914.82     2,085.87    2,390.75
53025   Incision of urethra            T   T    0166    19.1505    914.82     2,085.87    2,390.75
53040   Drainage of urethra abscess    T   T    0166    19.1505    914.82     2,085.87    2,390.75
53060   Drainage of urethra abscess    T   T    0166    19.1505    914.82     2,085.87    2,390.75
53080   Drainage of urinary leakage    T   T    0166    19.1505    914.82     2,085.87    2,390.75
53085   Drainage of urinary leakage    T   T    0166    19.1505    914.82     2,085.87    2,390.75
53200   Biopsy of urethra              T   T    0166    19.1505    914.82     2,085.87    2,390.75
53210   Removal of urethra             T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53215   Removal of urethra             T   T    0166    19.1505    914.82     2,085.87    2,390.75
53220   Treatment of urethra lesion    T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53230   Removal of urethra lesion      T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53235   Removal of urethra lesion      T   T    0166    19.1505    914.82     2,085.87    2,390.75
53240   Surgery for urethra pouch      T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53250   Removal of urethra gland       T   T    0166    19.1505    914.82     2,085.87    2,390.75
53260   Treatment of urethra lesion    T   T    0166    19.1505    914.82     2,085.87    2,390.75
53265   Treatment of urethra lesion    T   T    0166    19.1505    914.82     2,085.87    2,390.75
53270   Removal of urethra gland       T   T    0166    19.1505    914.82     2,085.87    2,390.75
53275   Repair of urethra defect       T   T    0166    19.1505    914.82     2,085.87    2,390.75
53400   Revise urethra, stage 1        T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53405   Revise urethra, stage 2        T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53410   Reconstruction of urethra      T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53415   Reconstruction of urethra      C   C    0000     0.0000     0.00        0.00         0.00
53420   Reconstruct urethra, stage 1   T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53425   Reconstruct urethra, stage 2   T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53430   Reconstruction of urethra      T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53431   Reconstruct urethra/bladder    T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53440   Male sling procedure           S   S    0385    83.6366   3,995.32    9,109.70   10,441.19
53442   Remove/revise male sling       T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53444   Insert tandem cuff             S   S    0385    83.6366   3,995.32    9,109.70   10,441.19
53445   Insert uro/ves nck sphincter   S   S    0386   144.1246   6,884.83   15,698.05   17,992.52
53446   Remove uro sphincter           T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53447   Remove/replace ur sphincter    S   S    0386   144.1246   6,884.83   15,698.05   17,992.52
53448   Remov/replc ur sphinctr comp   C   C    0000     0.0000     0.00        0.00         0.00
53449   Repair uro sphincter           T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53450   Revision of urethra            T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53460   Revision of urethra            T   T    0166    19.1505    914.82     2,085.87    2,390.75
53500   Urethrlys, transvag w/ scope   T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53502   Repair of urethra injury       T   T    0166    19.1505    914.82     2,085.87    2,390.75
53505   Repair of urethra injury       T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53510   Repair of urethra injury       T   T    0166    19.1505    914.82     2,085.87    2,390.75
53515   Repair of urethra injury       T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53520   Repair of urethra defect       T   T    0168    29.7864   1,422.90    3,244.33    3,718.53
53600   Dilate urethra stricture       T   T    0156     3.0469    145.55      331.87      380.37
53601   Dilate urethra stricture       T   T    0126     1.0356    49.47       112.80      129.28
53605   Dilate urethra stricture       T   T    0161    17.9420    857.09     1,954.24    2,239.88
53620   Dilate urethra stricture       T   T    0165    19.3414    923.94     2,106.67    2,414.58
53621   Dilate urethra stricture       T   T    0164     2.0077    95.91       218.68      250.64
53660   Dilation of urethra            T   T    0126     1.0356    49.47       112.80      129.28
53661   Dilation of urethra            T   T    0126     1.0356    49.47       112.80      129.28
53665   Dilation of urethra            T   T    0166    19.1505    914.82     2,085.87    2,390.75
53850   Prostatic microwave thermotx   T   T    0429    45.2042   2,159.40    4,923.64    5,643.29
53852   Prostatic rf thermotx          T   T    0429    45.2042   2,159.40    4,923.64    5,643.29
53853   Prostatic water thermother     T   T    0162    24.7749   1,183.50    2,698.48    3,092.90
53899   Urology surgery procedure      T   T    0126     1.0356    49.47       112.80      129.28
54000   Slitting of prepuce            T   T    0166    19.1505    914.82     2,085.87    2,390.75
54001   Slitting of prepuce            T   T    0166    19.1505    914.82     2,085.87    2,390.75
54015   Drain penis lesion             T   T    0008    18.3197    875.13     1,995.38    2,287.03
54050   Destruction, penis lesion(s)   T   T    0015     1.4595    69.72       158.97      182.20
54055   Destruction, penis lesion(s)   T   T    0017    19.9041    950.82     2,167.95    2,484.83
54056   Cryosurgery, penis lesion(s)   T   T    0013     0.7930    37.88        86.37       99.00
54057   Laser surg, penis lesion(s)    T   T    0017    19.9041    950.82     2,167.95    2,484.83
54060   Excision of penis lesion(s)    T   T    0017    19.9041    950.82     2,167.95    2,484.83
54065   Destruction, penis lesion(s)   T   T    0017    19.9041    950.82     2,167.95    2,484.83
54100   Biopsy of penis                T   T    0021    16.1001    769.10     1,753.62    2,009.94
54105   Biopsy of penis                T   T    0022    21.1098   1,008.42    2,299.28    2,635.35
54110   Treatment of penis lesion      T   T    0181    33.9306   1,620.86    3,695.72    4,235.90
54111   Treat penis lesion, graft      T   T    0181    33.9306   1,620.86    3,695.72    4,235.90
54112   Treat penis lesion, graft      T   T    0181    33.9306   1,620.86    3,695.72    4,235.90
54115   Treatment of penis lesion      T   T    0008    18.3197    875.13     1,995.38    2,287.03
54120   Partial removal of penis       T   T    0181    33.9306   1,620.86    3,695.72    4,235.90
54125   Removal of penis               C   C    0000     0.0000     0.00        0.00         0.00
54130   Remove penis & nodes           C   C    0000     0.0000     0.00        0.00         0.00
54135   Remove penis & nodes           C   C    0000     0.0000     0.00        0.00         0.00
54150   Circumcision                   T   T    0183    22.3251   1,066.47    2,431.65    2,787.07

54160   Circumcision                   T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54161   Circumcision                   T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54162   Lysis penil circumic lesion    T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54163   Repair of circumcision         T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54164   Frenulotomy of penis           T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54200   Treatment of penis lesion      T   T    0164     2.0077    95.91      218.68      250.64
54205   Treatment of penis lesion      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54220   Treatment of penis lesion      T   T    0164     2.0077    95.91      218.68      250.64
54230   Prepare penis study            N   N    0000     0.0000     0.00       0.00        0.00
54231   Dynamic cavernosometry         T   T    0165    19.3414    923.94    2,106.67    2,414.58
54235   Penile injection               T   T    0164     2.0077    95.91      218.68      250.64
54240   Penis study                    T   1    0126     1.0356     0.00       0.00        0.00
54250   Penis study                    T   1    0164     2.0077     0.00       0.00        0.00
54300   Revision of penis              T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54304   Revision of penis              T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54308   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54312   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54316   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54318   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54322   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54324   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54326   Reconstruction of urethra      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54328   Revise penis/urethra           T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54332   Revise penis/urethra           C   C    0000     0.0000     0.00       0.00        0.00
54336   Revise penis/urethra           C   C    0000     0.0000     0.00       0.00        0.00
54340   Secondary urethral surgery     T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54344   Secondary urethral surgery     T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54348   Secondary urethral surgery     T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54352   Reconstruct urethra/penis      T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54360   Penis plastic surgery          T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54380   Repair penis                   T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54385   Repair penis                   T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54390   Repair penis and bladder       C   C    0000     0.0000     0.00       0.00        0.00
54400   Insert semi-rigid prosthesis   S   1    0385    83.6366     0.00       0.00        0.00
54401   Insert self-contd prosthesis   S   1    0386   144.1246     0.00       0.00        0.00
54405   Insert multi-comp penis pros   S   1    0386   144.1246     0.00       0.00        0.00
54406   Remove muti-comp penis pros    T   1    0181    33.9306     0.00       0.00        0.00
54408   Repair multi-comp penis pros   T   1    0181    33.9306     0.00       0.00        0.00
54410   Remove/replace penis prosth    S   1    0386   144.1246     0.00       0.00        0.00
54411   Remov/replc penis pros, comp   C   1    0000     0.0000     0.00       0.00        0.00
54415   Remove self-contd penis pros   T   1    0181    33.9306     0.00       0.00        0.00
54416   Remv/repl penis contain pros   S   1    0386   144.1246     0.00       0.00        0.00
54417   Remv/replc penis pros, compl   C   1    0000     0.0000     0.00       0.00        0.00
54420   Revision of penis              T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54430   Revision of penis              C   C    0000     0.0000     0.00       0.00        0.00
54435   Revision of penis              T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54440   Repair of penis                T   T    0181    33.9306   1,620.86   3,695.72    4,235.90
54450   Preputial stretching           T   T    0156     3.0469    145.55     331.87      380.37
54500   Biopsy of testis               T   T    0037    13.5764    648.54    1,478.74    1,694.88
54505   Biopsy of testis               T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54512   Excise lesion testis           T   T    0183    22.3251   1,066.47   2,431.65    2,787.07
54520   Removal of testis                 T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54522   Orchiectomy, partial              T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54530   Removal of testis                 T   T    0154   30.6788    1,465.53    3,341.53    3,829.94
54535   Extensive testis surgery          C   C    0000    0.0000      0.00        0.00        0.00
54550   Exploration for testis            T   T    0154   30.6788    1,465.53    3,341.53    3,829.94
54560   Exploration for testis            T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54600   Reduce testis torsion             T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54620   Suspension of testis              T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54640   Suspension of testis              T   T    0154   30.6788    1,465.53    3,341.53    3,829.94
54650   Orchiopexy (Fowler-Stephens)      C   C    0000    0.0000      0.00        0.00        0.00
54660   Revision of testis                T   1    0183   22.3251      0.00        0.00        0.00
54670   Repair testis injury              T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54680   Relocation of testis(es)          T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54690   Laparoscopy, orchiectomy          T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
54692   Laparoscopy, orchiopexy           T   T    0132   69.6652    3,327.91    7,587.93    8,697.00
54699   Laparoscope proc, testis          T   T    0130   34.3958    1,643.09    3,746.39    4,293.97
54700   Drainage of scrotum               T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54800   Biopsy of epididymis              T   T    0004    4.3270     206.70      471.30      540.18
54830   Remove epididymis lesion          T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54840   Remove epididymis lesion          T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54860   Removal of epididymis             T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54861   Removal of epididymis             T   T    0183   22.3251    1,066.47    2,431.65    2,787.07
54865   Explore epididymis                T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
54900   Fusion of spermatic ducts         T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
54901   Fusion of spermatic ducts         T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55000   Drainage of hydrocele             T   T    0004     4.3270    206.70       471.30      540.18
55040   Removal of hydrocele              T   T    0154    30.6788   1,465.53     3,341.53    3,829.94
55041   Removal of hydroceles             T   T    0154    30.6788   1,465.53     3,341.53    3,829.94
55060   Repair of hydrocele               T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55100   Drainage of scrotum abscess       T   T    0007    11.5594    552.19      1,259.05    1,443.08
55110   Explore scrotum                   T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55120   Removal of scrotum lesion         T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55150   Removal of scrotum                T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55175   Revision of scrotum               T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55180   Revision of scrotum               T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55200   Incision of sperm duct            T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55250   Removal of sperm duct(s)          T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55300   Prepare, sperm duct x-ray         N   N    0000     0.0000     0.00         0.00        0.00
55400   Repair of sperm duct              T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55450   Ligation of sperm duct            T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55500   Removal of hydrocele              T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55520   Removal of sperm cord lesion      T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55530   Revise spermatic cord veins       T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55535   Revise spermatic cord veins       T   T    0154    30.6788   1,465.53     3,341.53    3,829.94
55540   Revise hernia & sperm veins       T   T    0154    30.6788   1,465.53     3,341.53    3,829.94
55550   Laparo ligate spermatic vein      T   T    0131    45.5317   2,175.05     4,959.31    5,684.18
55559   Laparo proc, spermatic cord       T   T    0130    34.3958   1,643.09     3,746.39    4,293.97
55600   Incise sperm duct pouch           T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55605   Incise sperm duct pouch           C   C    0000     0.0000     0.00         0.00        0.00
55650   Remove sperm duct pouch           C   C    0000     0.0000     0.00         0.00        0.00
55680   Remove sperm pouch lesion         T   T    0183    22.3251   1,066.47     2,431.65    2,787.07
55700   Biopsy of prostate                T   T    0184    11.0338    527.08      1,201.80    1,377.46
55705   Biopsy of prostate                T   T    0184    11.0338    527.08      1,201.80    1,377.46
55720   Drainage of prostate abscess      T   T    0162    24.7749   1,183.50     2,698.48    3,092.90
55725   Drainage of prostate abscess      T   T    0162    24.7749   1,183.50     2,698.48    3,092.90
55801   Removal of prostate               C   C    0000     0.0000     0.00         0.00        0.00
55810   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55812   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55815   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55821   Removal of prostate               C   C    0000     0.0000     0.00         0.00        0.00
55831   Removal of prostate               C   C    0000     0.0000     0.00         0.00        0.00
55840   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55842   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55845   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55860   Surgical exposure, prostate       T   T    0165    19.3414    923.94      2,106.67    2,414.58
55862   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55865   Extensive prostate surgery        C   C    0000     0.0000     0.00         0.00        0.00
55866   Laparo radical prostatectomy      C   C    0000     0.0000     0.00         0.00        0.00
55870   Electroejaculation                T   1    0189     2.7584     0.00         0.00        0.00
55873   Cryoablate prostate               T   T    0674   122.7133   5,862.01    13,365.93   15,319.53
55875   Transperi needle place, pros      Q   Q    0163    36.0774   1,723.42     3,929.55    4,503.90
55876
55899   Place rt device/marker, pros
        Genital surgery procedure         T   T    0156
                                                   0126    3.0469
                                                           1.0356     145.55
                                                                      49.47       331.87
                                                                                  112.80      380.37
                                                                                              129.28
55920   Place needles pelvic for rt       T    T   0153   25.6947    1,227.44    2,798.67    3,207.73
55970   Sex transformation, M to F        E   1    0000    0.0000      0.00        0.00        0.00
55980   Sex transformation, F to M        E   1    0000    0.0000      0.00        0.00        0.00
56405   I & D of vulva/perineum           T   T    0189    2.7584     131.77      300.44      344.36
56420   Drainage of gland abscess         T   T    0188    1.3520     64.59       147.26      168.78
56440   Surgery for vulva lesion          T   T    0193   19.0203     908.60     2,071.69    2,374.49
56441   Lysis of labial lesion(s)         T   T    0193   19.0203     908.60     2,071.69    2,374.49
56442   Hymenotomy                        T   T    0193   19.0203     908.60     2,071.69    2,374.49
56501   Destroy, vulva lesions, sim       T   T    0017   19.9041     950.82     2,167.95    2,484.83
56515   Destroy vulva lesion/s compl      T   T    0017   19.9041     950.82     2,167.95    2,484.83
56605   Biopsy of vulva/perineum          T   T    0189    2.7584     131.77      300.44      344.36
56606   Biopsy of vulva/perineum          T   T    0188    1.3520     64.59       147.26      168.78
56620   Partial removal of vulva          T   T    0193   19.0203     908.60     2,071.69    2,374.49
56625   Complete removal of vulva         T   T    0193   19.0203     908.60     2,071.69    2,374.49
56630   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56631   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56632   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56633   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56634   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56637   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56640   Extensive vulva surgery           C   C    0000    0.0000      0.00        0.00         0.00
56700   Partial removal of hymen          T   T    0193   19.0203     908.60     2,071.69    2,374.49
56740   Remove vagina gland lesion        T   T    0193   19.0203     908.60     2,071.69    2,374.49
56800   Repair of vagina                  T   T    0193   19.0203     908.60     2,071.69    2,374.49
56805   Repair clitoris                   T   T    0193   19.0203     908.60     2,071.69    2,374.49
56810   Repair of perineum                T   T    0193   19.0203     908.60     2,071.69    2,374.49
56820   Exam of vulva w/scope             T   T    0188    1.3520     64.59       147.26      168.78
56821   Exam/biopsy of vulva w/scope      T   T    0188    1.3520     64.59       147.26      168.78
57000   Exploration of vagina             T   T    0193   19.0203     908.60     2,071.69    2,374.49
57010   Drainage of pelvic abscess        T   T    0193   19.0203     908.60     2,071.69    2,374.49
57020   Drainage of pelvic fluid          T   T    0192    6.0783     290.36      662.05      758.81
57022   I & d vaginal hematoma, pp        T   T    0007   11.5594     552.19     1,259.05    1,443.08
57023   I & d vag hematoma, non-ob        T   T    0008   18.3197     875.13     1,995.38    2,287.03
57061   Destroy vag lesions, simple       T   T    0193   19.0203     908.60     2,071.69    2,374.49
57065   Destroy vag lesions, complex      T   T    0193   19.0203     908.60     2,071.69    2,374.49
57100   Biopsy of vagina                  T   T    0192    6.0783     290.36      662.05      758.81
57105   Biopsy of vagina                  T   T    0193   19.0203     908.60     2,071.69    2,374.49
57106   Remove vagina wall, partial       T   T    0193   19.0203     908.60     2,071.69    2,374.49
57107   Remove vagina tissue, part        T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57109   Vaginectomy partial w/nodes       T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57110   Remove vagina wall, complete      C   C    0000    0.0000      0.00        0.00         0.00
57111   Remove vagina tissue, compl       C   C    0000    0.0000      0.00        0.00         0.00
57112   Vaginectomy w/nodes, compl        C   C    0000    0.0000      0.00        0.00         0.00
57120   Closure of vagina                 T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57130   Remove vagina lesion              T   T    0193   19.0203     908.60     2,071.69    2,374.49
57135   Remove vagina lesion              T   T    0193   19.0203     908.60     2,071.69    2,374.49
57150   Treat vagina infection            T   T    0188    1.3520     64.59       147.26      168.78
57155   Insert uteri tandems/ovoids       T   T    0192    6.0783     290.36      662.05      758.81
57160   Insert pessary/other device       T   T    0188    1.3520     64.59       147.26      168.78
57170   Fitting of diaphragm/cap          T   T    0191    0.1309      6.25        14.26       16.34
57180   Treat vaginal bleeding            T   T    0188    1.3520     64.59       147.26      168.78
57200   Repair of vagina                  T   T    0193   19.0203     908.60     2,071.69    2,374.49
57210   Repair vagina/perineum            T   T    0193   19.0203     908.60     2,071.69    2,374.49
57220   Revision of urethra               T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57230   Repair of urethral lesion         T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57240   Repair bladder & vagina           T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57250   Repair rectum & vagina            T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57260   Repair of vagina                  T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57265   Extensive repair of vagina        T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57267   Insert mesh/pelvic flr addon      T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57268   Repair of bowel bulge             T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57270   Repair of bowel pouch             C   C    0000    0.0000      0.00        0.00         0.00
57280   Suspension of vagina              C   C    0000    0.0000      0.00        0.00         0.00
57282   Colpopexy, extraperitoneal        T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57283   Colpopexy, intraperitoneal        T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57284   Repair paravaginal defect, open   T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57285   Repair paravag defect, vag        T    T   0195   32.4237    1,548.88    3,531.59    4,047.77
57287   Revise/remove sling repair        T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57288   Repair bladder defect             T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57289   Repair bladder & vagina           T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57291   Construction of vagina            T   1    0195   32.4237      0.00        0.00         0.00
57292   Construct vagina with graft       T   1    0195   32.4237      0.00        0.00         0.00
57295   Change vaginal graft              T   1    0193   19.0203      0.00        0.00         0.00
57296   Revise vag graft, open abd        C   C    0000    0.0000      0.00        0.00         0.00
57300   Repair rectum-vagina fistula      T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57305   Repair rectum-vagina fistula      C   C    0000    0.0000      0.00        0.00         0.00
57307   Fistula repair & colostomy        C   C    0000    0.0000      0.00        0.00         0.00
57308   Fistula repair, transperine       C   C    0000    0.0000      0.00        0.00         0.00
57310   Repair urethrovaginal lesion      T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57311   Repair urethrovaginal lesion      C   C    0000    0.0000      0.00        0.00         0.00
57320   Repair bladder-vagina lesion      T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57330   Repair bladder-vagina lesion      T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57335   Repair vagina                     T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57400   Dilation of vagina                T   T    0193   19.0203     908.60     2,071.69    2,374.49
57410   Pelvic examination                T   T    0193   19.0203     908.60     2,071.69    2,374.49
57415   Remove vaginal foreign body       T   T    0193   19.0203     908.60     2,071.69    2,374.49
57420   Exam of vagina w/scope            T   T    0189    2.7584     131.77      300.44      344.36
57421   Exam/biopsy of vag w/scope        T   T    0189    2.7584     131.77      300.44      344.36
57423   Repair paravag defect, lap        T    T   0202   42.7099    2,040.25    4,651.96    5,331.90
57425   Laparoscopy, surg, colpopexy      T   T    0130   34.3958    1,643.09    3,746.39    4,293.97
57452   Exam of cervix w/scope            T   T    0189    2.7584     131.77      300.44      344.36
57454   Bx/curett of cervix w/scope       T   T    0189    2.7584     131.77      300.44      344.36
57455   Biopsy of cervix w/scope          T   T    0189    2.7584     131.77      300.44      344.36
57456   Endocerv curettage w/scope        T   T    0189    2.7584     131.77      300.44      344.36
57460   Bx of cervix w/scope, leep        T   T    0193   19.0203     908.60     2,071.69    2,374.49
57461   Conz of cervix w/scope, leep      T   T    0193   19.0203     908.60     2,071.69    2,374.49
57500   Biopsy of cervix                  T   T    0192    6.0783     290.36      662.05      758.81
57505   Endocervical curettage            T   T    0192    6.0783     290.36      662.05      758.81
57510   Cauterization of cervix           T   T    0193   19.0203     908.60     2,071.69    2,374.49
57511   Cryocautery of cervix             T   T    0188    1.3520     64.59       147.26      168.78
57513   Laser surgery of cervix           T   T    0193   19.0203     908.60     2,071.69    2,374.49
57520   Conization of cervix              T   T    0193   19.0203     908.60     2,071.69    2,374.49
57522   Conization of cervix              T   T    0193   19.0203     908.60     2,071.69    2,374.49
57530   Removal of cervix                 T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57531   Removal of cervix, radical        C   C    0000    0.0000      0.00        0.00        0.00
57540   Removal of residual cervix        C   C    0000    0.0000      0.00        0.00        0.00
57545   Remove cervix/repair pelvis       C   C    0000    0.0000      0.00        0.00        0.00
57550   Removal of residual cervix        T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57555   Remove cervix/repair vagina       T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
57556   Remove cervix, repair bowel       T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
57558   D&c of cervical stump             T   T    0193   19.0203     908.60     2,071.69    2,374.49
57700   Revision of cervix                T   T    0193   19.0203     908.60     2,071.69    2,374.49
57720   Revision of cervix                T   T    0193   19.0203     908.60     2,071.69    2,374.49
57800   Dilation of cervical canal        T   T    0193   19.0203     908.60     2,071.69    2,374.49
58100   Biopsy of uterus lining           T   T    0188    1.3520     64.59       147.26      168.78
58110   Bx done w/colposcopy add-on       N   N    0000    0.0000      0.00        0.00        0.00
58120   Dilation and curettage            T   T    0193   19.0203     908.60     2,071.69    2,374.49
58140   Myomectomy abdom method           C   C    0000    0.0000      0.00        0.00        0.00
58145   Myomectomy vag method             T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58146   Myomectomy abdom complex          C   C    0000    0.0000      0.00        0.00        0.00
58150   Total hysterectomy                C   C    0000    0.0000      0.00        0.00        0.00
58152   Total hysterectomy                C   C    0000    0.0000      0.00        0.00        0.00
58180   Partial hysterectomy              C   C    0000    0.0000      0.00        0.00        0.00
58200   Extensive hysterectomy            C   C    0000    0.0000      0.00        0.00        0.00
58210   Extensive hysterectomy            C   C    0000    0.0000      0.00        0.00        0.00
58240   Removal of pelvis contents        C   C    0000    0.0000      0.00        0.00        0.00
58260   Vaginal hysterectomy              T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58262   Vag hyst including t/o            T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58263   Vag hyst w/t/o & vag repair       T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58267   Vag hyst w/urinary repair         C   C    0000    0.0000      0.00        0.00        0.00
58270   Vag hyst w/enterocele repair      T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58275   Hysterectomy/revise vagina        C   C    0000    0.0000      0.00        0.00        0.00
58280   Hysterectomy/revise vagina        C   C    0000    0.0000      0.00        0.00        0.00
58285   Extensive hysterectomy            C   C    0000    0.0000      0.00        0.00        0.00
58290   Vag hyst complex                  T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
58291   Vag hyst incl t/o, complex        T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
58292   Vag hyst t/o & repair, compl      T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
58293   Vag hyst w/uro repair, compl      C   C    0000    0.0000      0.00        0.00        0.00
58294   Vag hyst w/enterocele, compl      T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
58300   Insert intrauterine device        E   3    0000    0.0000      M01         M01         M01
58301   Remove intrauterine device        T   T    0188    1.3520     64.59       147.26      168.78
58321   Artificial insemination           T   1    0189    2.7584      0.00        0.00        0.00
58322   Artificial insemination           T   1    0189    2.7584      0.00        0.00        0.00
58323   Sperm washing                     T   1    0189    2.7584      0.00        0.00        0.00
58340   Catheter for hysterography        N   1    0000    0.0000      0.00        0.00        0.00
58345   Reopen fallopian tube             T   1    0193   19.0203      0.00        0.00        0.00
58346   Insert heyman uteri capsule       T   1    0193   19.0203      0.00        0.00        0.00
58350   Reopen fallopian tube             T   1    0195   32.4237      0.00        0.00        0.00
58353   Endometr ablate, thermal          T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58356   Endometrial cryoablation          T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
58400   Suspension of uterus              C   C    0000    0.0000      0.00        0.00        0.00
58410   Suspension of uterus              C   C    0000    0.0000      0.00        0.00        0.00
58520   Repair of ruptured uterus         C   C    0000    0.0000      0.00        0.00        0.00
58540   Revision of uterus                C   C    0000    0.0000      0.00        0.00        0.00
58541   Lsh, uterus 250 g or less         T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58542   Lsh w/t/o ut 250 g or less        T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58543   Lsh uterus above 250 g            T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58544   Lsh w/t/o uterus above 250 g      T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58545   Laparoscopic myomectomy           T   T    0130   34.3958    1,643.09    3,746.39    4,293.97
58546   Laparo-myomectomy, complex        T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58548   Lap radical hyst                  C   C    0000    0.0000      0.00        0.00        0.00
58550   Laparo-asst vag hysterectomy      T   T    0132   69.6652    3,327.91    7,587.93    8,697.00
58552   Laparo-vag hyst incl t/o          T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58553   Laparo-vag hyst, complex          T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58554   Laparo-vag hyst w/t/o, compl      T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58555   Hysteroscopy, dx, sep proc        T   T    0190   21.6576    1,034.58    2,358.95    2,703.73
58558   Hysteroscopy, biopsy              T   T    0190   21.6576    1,034.58    2,358.95    2,703.73
58559   Hysteroscopy, lysis               T   T    0190   21.6576    1,034.58    2,358.95    2,703.73
58560   Hysteroscopy, resect septum       T   T    0387   34.2048    1,633.96    3,725.59    4,270.13
58561   Hysteroscopy, remove myoma        T   T    0387   34.2048    1,633.96    3,725.59    4,270.13
58562   Hysteroscopy, remove fb           T   T    0190   21.6576    1,034.58    2,358.95    2,703.73
58563   Hysteroscopy, ablation            T   T    0387   34.2048    1,633.96    3,725.59    4,270.13
58565   Hysteroscopy, sterilization       T   T    0202   42.7099    2,040.25    4,651.96    5,331.90
58570   Tlh, uterus 250 g or less         T    T   0131   45.5317    2,175.05    4,959.31    5,684.18
58571   Tlh w/t/o 250 g or less           T    T   0131   45.5317    2,175.05    4,959.31    5,684.18
58572   Tlh, uterus over 250 g            T    T   0131   45.5317    2,175.05    4,959.31    5,684.18
58573   Tlh w/t/o uterus over 250 g       T    T   0131   45.5317    2,175.05    4,959.31    5,684.18
58578   Laparo proc, uterus               T   T    0130   34.3958    1,643.09    3,746.39    4,293.97
58579   Hysteroscope procedure            T   T    0190   21.6576    1,034.58    2,358.95    2,703.73
58600   Division of fallopian tube        T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58605   Division of fallopian tube        C   C    0000    0.0000      0.00        0.00         0.00
58611   Ligate oviduct(s) add-on          C   C    0000    0.0000      0.00        0.00         0.00
58615   Occlude fallopian tube(s)         T   T    0193   19.0203     908.60     2,071.69    2,374.49
58660   Laparoscopy, lysis                T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58661   Laparoscopy, remove adnexa        T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58662   Laparoscopy, excise lesions       T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58670   Laparoscopy, tubal cautery        T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58671   Laparoscopy, tubal block          T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58672   Laparoscopy, fimbrioplasty        T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58673   Laparoscopy, salpingostomy        T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
58679   Laparo proc, oviduct-ovary        T   T    0130   34.3958    1,643.09    3,746.39    4,293.97
58700   Removal of fallopian tube         C   C    0000    0.0000      0.00        0.00         0.00
58720   Removal of ovary/tube(s)          C   C    0000    0.0000      0.00        0.00         0.00
58740   Revise fallopian tube(s)          C   C    0000    0.0000      0.00        0.00         0.00
58750   Repair oviduct                    C   1    0000    0.0000      0.00        0.00         0.00
58752   Revise ovarian tube(s)            C   1    0000    0.0000      0.00        0.00         0.00
58760   Remove tubal obstruction          C   1    0000    0.0000      0.00        0.00         0.00
58770   Create new tubal opening          T   1    0195   32.4237      0.00        0.00         0.00
58800   Drainage of ovarian cyst(s)       T   T    0193   19.0203     908.60     2,071.69    2,374.49
58805   Drainage of ovarian cyst(s)       T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58820   Drain ovary abscess, open         T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58822   Drain ovary abscess, percut       C   C    0000    0.0000      0.00        0.00         0.00
58823   Drain pelvic abscess, percut      T   T    0193   19.0203     908.60     2,071.69    2,374.49
58825   Transposition, ovary(s)           C   C    0000    0.0000      0.00        0.00         0.00
58900   Biopsy of ovary(s)                T   T    0193   19.0203     908.60     2,071.69    2,374.49
58920   Partial removal of ovary(s)       T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58925   Removal of ovarian cyst(s)        T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
58940   Removal of ovary(s)               C   C    0000    0.0000      0.00        0.00         0.00
58943   Removal of ovary(s)               C   C    0000    0.0000      0.00        0.00         0.00
58950   Resect ovarian malignancy         C   C    0000    0.0000      0.00        0.00         0.00
58951   Resect ovarian malignancy         C   C    0000    0.0000      0.00        0.00         0.00
58952   Resect ovarian malignancy         C   C    0000    0.0000      0.00        0.00         0.00
58953   Tah, rad dissect for debulk       C   C    0000    0.0000      0.00        0.00         0.00
58954   Tah rad debulk/lymph remove       C   C    0000    0.0000      0.00        0.00         0.00
58956   Bso, omentectomy w/tah            C   C    0000    0.0000      0.00        0.00         0.00
58957   Resect recurrent gyn mal          C   C    0000    0.0000      0.00        0.00         0.00
58958   Resect recur gyn mal w/lym        C   C    0000    0.0000      0.00        0.00         0.00
58960   Exploration of abdomen            C   C    0000    0.0000      0.00        0.00         0.00
58970   Retrieval of oocyte               T   1    0189    2.7584      0.00        0.00         0.00
58974   Transfer of embryo                T   1    0189    2.7584      0.00        0.00         0.00
58976   Transfer of embryo                T   1    0189    2.7584      0.00        0.00         0.00
58999   Genital surgery procedure         T   T    0191    0.1309      6.25        14.26       16.34
59000   Amniocentesis, diagnostic         T   T    0189    2.7584     131.77      300.44      344.36
59001   Amniocentesis, therapeutic        T   T    0192    6.0783     290.36      662.05      758.81
59012   Fetal cord puncture,prenatal      T   T    0189    2.7584     131.77      300.44      344.36
59015   Chorion biopsy                    T   T    0189    2.7584     131.77      300.44      344.36
59020   Fetal contract stress test        T   T    0188    1.3520     64.59       147.26      168.78
59025   Fetal non-stress test             T   T    0188    1.3520     64.59       147.26      168.78
59030   Fetal scalp blood sample          T   T    0189    2.7584     131.77      300.44      344.36
59050   Fetal monitor w/report            M   1    0000    0.0000      0.00        0.00         0.00
59051   Fetal monitor/interpret only      B   B    0000    0.0000      0.00        0.00         0.00
59070   Transabdom amnioinfus w/us        T   T    0189    2.7584     131.77      300.44      344.36
59072   Umbilical cord occlud w/us        T   T    0189    2.7584     131.77      300.44      344.36
59074   Fetal fluid drainage w/us         T   T    0189    2.7584     131.77      300.44      344.36
59076   Fetal shunt placement, w/us       T   T    0189    2.7584     131.77      300.44      344.36
59100   Remove uterus lesion              T   T    0195   32.4237    1,548.88    3,531.59    4,047.77
59120   Treat ectopic pregnancy           C   C    0000    0.0000      0.00        0.00         0.00
59121   Treat ectopic pregnancy           C   C    0000    0.0000      0.00        0.00         0.00
59130   Treat ectopic pregnancy           C   C    0000    0.0000      0.00        0.00         0.00
59135   Treat ectopic pregnancy           C   C    0000    0.0000      0.00        0.00         0.00
59136   Treat ectopic pregnancy           C   C    0000    0.0000      0.00        0.00         0.00
59140   Treat ectopic pregnancy           C   C    0000    0.0000      0.00        0.00         0.00
59150   Treat ectopic pregnancy           T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
59151   Treat ectopic pregnancy           T   T    0131   45.5317    2,175.05    4,959.31    5,684.18
59160   D & c after delivery              T   T    0193   19.0203     908.60     2,071.69    2,374.49
59200   Insert cervical dilator           T   T    0189    2.7584     131.77      300.44      344.36
59300   Episiotomy or vaginal repair      T   T    0193   19.0203     908.60     2,071.69    2,374.49
59320   Revision of cervix                T   T    0193   19.0203     908.60     2,071.69    2,374.49
59325   Revision of cervix                C   C    0000    0.0000      0.00        0.00         0.00
59350   Repair of uterus                  C   C    0000    0.0000      0.00        0.00         0.00
59400   Obstetrical care                  B   B    0000    0.0000      0.00        0.00         0.00
59409   Obstetrical care                  T   T    0193   19.0203     908.60     2,071.69    2,374.49
59410   Obstetrical care                  B   B    0000    0.0000      0.00        0.00         0.00
59412   Antepartum manipulation           T   T    0193   19.0203     908.60     2,071.69    2,374.49
59414   Deliver placenta                  T   T    0193   19.0203     908.60     2,071.69    2,374.49
59425   Antepartum care only              B   B    0000    0.0000      0.00        0.00         0.00
59426   Antepartum care only              B   B    0000    0.0000      0.00        0.00         0.00
59430   Care after delivery               B   B    0000    0.0000      0.00        0.00         0.00
59510   Cesarean delivery                 B   B    0000    0.0000      0.00        0.00         0.00
59514   Cesarean delivery only            C   C    0000    0.0000      0.00        0.00         0.00
59515   Cesarean delivery                 B   B    0000    0.0000      0.00        0.00         0.00
59525   Remove uterus after cesarean      C   C    0000    0.0000      0.00        0.00         0.00
59610   Vbac delivery                     B   B    0000    0.0000      0.00        0.00         0.00
59612   Vbac delivery only                T   T    0193   19.0203     908.60     2,071.69    2,374.49
59614   Vbac care after delivery          B   B    0000    0.0000      0.00        0.00         0.00
59618   Attempted vbac delivery           B   B    0000    0.0000      0.00        0.00         0.00
59620   Attempted vbac delivery only      C   C    0000    0.0000      0.00        0.00         0.00
59622   Attempted vbac after care         B   B    0000    0.0000      0.00        0.00         0.00
59812   Treatment of miscarriage          T   T    0193   19.0203     908.60     2,071.69    2,374.49
59820   Care of miscarriage               T   T    0193   19.0203     908.60     2,071.69    2,374.49
59821   Treatment of miscarriage          T   T    0193   19.0203     908.60     2,071.69    2,374.49
59830   Treat uterus infection            C   C    0000    0.0000      0.00        0.00         0.00
59840   Abortion                          T   T    0193   19.0203     908.60     2,071.69    2,374.49
59841   Abortion                          T   T    0193   19.0203     908.60     2,071.69    2,374.49
59850   Abortion                          C   C    0000    0.0000      0.00        0.00         0.00
59851   Abortion                          C   C    0000    0.0000      0.00        0.00         0.00
59852   Abortion                          C   C    0000    0.0000      0.00        0.00         0.00
59855   Abortion                          C   C    0000    0.0000      0.00        0.00         0.00
59856   Abortion                          C   C    0000    0.0000      0.00        0.00         0.00
59857   Abortion                          C   C    0000    0.0000      0.00        0.00         0.00
59866   Abortion (mpr)                    T   T    0189    2.7584     131.77      300.44      344.36
59870   Evacuate mole of uterus           T   T    0193   19.0203     908.60     2,071.69    2,374.49
59871   Remove cerclage suture            T   T    0193   19.0203     908.60     2,071.69    2,374.49
59897   Fetal invas px w/us               T   T    0189    2.7584     131.77      300.44      344.36
59898   Laparo proc, ob care/deliver      T   T    0130   34.3958    1,643.09    3,746.39    4,293.97
59899   Maternity care procedure          T   T    0191    0.1309      6.25        14.26       16.34
60000   Drain thyroid/tongue cyst         T   T    0252    7.4474     355.76      811.17      929.73

60100   Biopsy of thyroid                 T   T    0004     4.3270     206.70      471.30      540.18
60200   Remove thyroid lesion             T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60210   Partial thyroid excision          T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60212   Partial thyroid excision          T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60220   Partial removal of thyroid        T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60225   Partial removal of thyroid        T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60240   Removal of thyroid                T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60252   Removal of thyroid                T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
60254   Extensive thyroid surgery         C   C    0000     0.0000      0.00        0.00        0.00
60260   Repeat thyroid surgery            T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
60270   Removal of thyroid                C   C    0000     0.0000      0.00        0.00        0.00
60271   Removal of thyroid                T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
60280   Remove thyroid duct lesion        T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60281   Remove thyroid duct lesion        T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
60300   Aspir/inj thyroid cyst            T    T   0004     4.3270     206.70      471.30      540.18
60500   Explore parathyroid glands        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
60502   Re-explore parathyroids           T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
60505   Explore parathyroid glands        C   C    0000     0.0000      0.00        0.00        0.00
60512   Autotransplant parathyroid        T   1    0022    21.1098      0.00        0.00        0.00
60520   Removal of thymus gland           T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
60521   Removal of thymus gland           C   C    0000     0.0000      0.00        0.00        0.00
60522   Removal of thymus gland           C   C    0000     0.0000      0.00        0.00        0.00
60540   Explore adrenal gland             C   C    0000     0.0000      0.00        0.00        0.00
60545   Explore adrenal gland             C   C    0000     0.0000      0.00        0.00        0.00
60600   Remove carotid body lesion        C   C    0000     0.0000      0.00        0.00        0.00
60605   Remove carotid body lesion        C   C    0000     0.0000      0.00        0.00        0.00
60650   Laparoscopy adrenalectomy         C   C    0000     0.0000      0.00        0.00        0.00
60659   Laparo proc, endocrine            T   T    0130    34.3958    1,643.09    3,746.39    4,293.97
60699   Endocrine surgery procedure       T   T    0114    44.3240    2,117.36    4,827.77    5,533.41
61000   Remove cranial cavity fluid       T   T    0212     8.5263     407.30      928.68     1,064.42
61001   Remove cranial cavity fluid       T   T    0212     8.5263     407.30      928.68     1,064.42
61020   Remove brain cavity fluid         T   T    0212     8.5263     407.30      928.68     1,064.42
61026   Injection into brain canal        T   T    0212     8.5263     407.30      928.68     1,064.42
61050   Remove brain canal fluid          T   T    0212     8.5263     407.30      928.68     1,064.42
61055   Injection into brain canal        T   T    0212     8.5263     407.30      928.68     1,064.42
61070   Brain canal shunt procedure       T   T    0121     3.2383     154.69      352.72      404.27
61105   Twist drill hole                  C   C    0000     0.0000      0.00        0.00        0.00
61107   Drill skull for implantation      C   C    0000     0.0000      0.00        0.00        0.00
61108   Drill skull for drainage          C   C    0000     0.0000      0.00        0.00        0.00
61120   Burr hole for puncture            C   C    0000     0.0000      0.00        0.00        0.00
61140   Pierce skull for biopsy           C   C    0000     0.0000      0.00        0.00        0.00
61150   Pierce skull for drainage         C   C    0000     0.0000      0.00        0.00        0.00
61151   Pierce skull for drainage         C   C    0000     0.0000      0.00        0.00        0.00
61154   Pierce skull & remove clot        C   C    0000     0.0000      0.00        0.00        0.00
61156   Pierce skull for drainage         C   C    0000     0.0000      0.00        0.00        0.00
61210   Pierce skull, implant device      C   C    0000     0.0000      0.00        0.00        0.00
61215   Insert brain-fluid device         T   T    0224    36.2768    1,732.94    3,951.27    4,528.80
61250   Pierce skull & explore            C   C    0000     0.0000      0.00        0.00        0.00
61253   Pierce skull & explore            C   C    0000     0.0000      0.00        0.00        0.00
61304   Open skull for exploration        C   C    0000     0.0000      0.00        0.00        0.00
61305   Open skull for exploration        C   C    0000     0.0000      0.00        0.00        0.00
61312   Open skull for drainage           C   C    0000     0.0000      0.00        0.00        0.00
61313   Open skull for drainage           C   C    0000     0.0000      0.00        0.00        0.00
61314   Open skull for drainage           C   C    0000     0.0000      0.00        0.00        0.00
61315   Open skull for drainage           C   C    0000     0.0000      0.00        0.00        0.00
61316   Implt cran bone flap to abdo      C   C    0000     0.0000      0.00        0.00        0.00
61320   Open skull for drainage           C   C    0000     0.0000      0.00        0.00        0.00
61321   Open skull for drainage           C   C    0000     0.0000      0.00        0.00        0.00
61322   Decompressive craniotomy          C   C    0000     0.0000      0.00        0.00        0.00
61323   Decompressive lobectomy           C   C    0000     0.0000      0.00        0.00        0.00
61330   Decompress eye socket             T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
61332   Explore/biopsy eye socket         C   C    0000     0.0000      0.00        0.00        0.00
61333   Explore orbit/remove lesion       C   C    0000     0.0000      0.00        0.00        0.00
61334   Explore orbit/remove object       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
61340   Subtemporal decompression         C   C    0000     0.0000      0.00        0.00        0.00
61343   Incise skull (press relief)       C   C    0000     0.0000      0.00        0.00        0.00
61345   Relieve cranial pressure          C   C    0000     0.0000      0.00        0.00        0.00
61440   Incise skull for surgery          C   C    0000     0.0000      0.00        0.00        0.00
61450   Incise skull for surgery          C   C    0000     0.0000      0.00        0.00        0.00
61458   Incise skull for brain wound      C   C    0000     0.0000      0.00        0.00        0.00
61460   Incise skull for surgery          C   C    0000     0.0000      0.00        0.00        0.00
61470   Incise skull for surgery          C   C    0000     0.0000      0.00        0.00        0.00
61480   Incise skull for surgery          C   C    0000     0.0000      0.00        0.00        0.00
61490   Incise skull for surgery          C   C    0000     0.0000      0.00        0.00        0.00
61500   Removal of skull lesion           C   C    0000     0.0000      0.00        0.00        0.00
61501   Remove infected skull bone        C   C    0000     0.0000      0.00        0.00        0.00
61510   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61512   Remove brain lining lesion        C   C    0000     0.0000      0.00        0.00        0.00
61514   Removal of brain abscess          C   C    0000     0.0000      0.00        0.00        0.00
61516   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61517   Implt brain chemotx add-on        C   C    0000     0.0000      0.00        0.00        0.00
61518   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61519   Remove brain lining lesion        C   C    0000     0.0000      0.00        0.00        0.00
61520   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61521   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61522   Removal of brain abscess          C   C    0000     0.0000      0.00        0.00        0.00
61524   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61526   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61530   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61531   Implant brain electrodes          C   C    0000     0.0000      0.00        0.00        0.00
61533   Implant brain electrodes          C   C    0000     0.0000      0.00        0.00        0.00
61534   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61535   Remove brain electrodes           C   C    0000     0.0000      0.00        0.00        0.00
61536   Removal of brain lesion           C   C    0000     0.0000      0.00        0.00        0.00
61537   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61538   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61539   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61540   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61541   Incision of brain tissue          C   C    0000     0.0000      0.00        0.00        0.00
61542   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61543   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61544   Remove & treat brain lesion       C   C    0000     0.0000      0.00        0.00        0.00
61545   Excision of brain tumor           C   C    0000     0.0000      0.00        0.00        0.00
61546   Removal of pituitary gland        C   C    0000     0.0000      0.00        0.00        0.00
61548   Removal of pituitary gland        C   C    0000     0.0000      0.00        0.00        0.00
61550   Release of skull seams            C   C    0000     0.0000      0.00        0.00        0.00
61552   Release of skull seams            C   C    0000     0.0000      0.00        0.00        0.00
61556   Incise skull/sutures              C   C    0000     0.0000      0.00        0.00        0.00
61557   Incise skull/sutures              C   C    0000     0.0000      0.00        0.00        0.00
61558   Excision of skull/sutures         C   C    0000     0.0000      0.00        0.00        0.00
61559   Excision of skull/sutures         C   C    0000     0.0000      0.00        0.00        0.00
61563   Excision of skull tumor           C   C    0000     0.0000      0.00        0.00        0.00
61564   Excision of skull tumor           C   C    0000     0.0000      0.00        0.00        0.00
61566   Removal of brain tissue           C   C    0000     0.0000      0.00        0.00        0.00
61567   Incision of brain tissue          C   C    0000     0.0000      0.00        0.00        0.00
61570   Remove foreign body, brain        C   C    0000     0.0000      0.00        0.00        0.00
61571   Incise skull for brain wound      C   C    0000     0.0000      0.00        0.00        0.00
61575   Skull base/brainstem surgery      C   C    0000     0.0000      0.00        0.00        0.00
61576   Skull base/brainstem surgery      C   C    0000     0.0000      0.00        0.00        0.00
61580   Craniofacial approach, skull      C   C    0000     0.0000      0.00        0.00        0.00
61581   Craniofacial approach, skull      C   C    0000     0.0000      0.00        0.00        0.00
61582   Craniofacial approach, skull      C   C    0000     0.0000      0.00        0.00        0.00
61583   Craniofacial approach, skull      C   C    0000     0.0000      0.00        0.00        0.00
61584   Orbitocranial approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61585   Orbitocranial approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61586   Resect nasopharynx, skull         C   C    0000     0.0000      0.00        0.00        0.00
61590   Infratemporal approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61591   Infratemporal approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61592   Orbitocranial approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61595   Transtemporal approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61596   Transcochlear approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61597   Transcondylar approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61598   Transpetrosal approach/skull      C   C    0000     0.0000      0.00        0.00        0.00
61600   Resect/excise cranial lesion      C   C    0000     0.0000      0.00        0.00        0.00
61601   Resect/excise cranial lesion      C   C    0000     0.0000      0.00        0.00        0.00
61605   Resect/excise cranial lesion      C   C    0000     0.0000      0.00        0.00        0.00
61606   Resect/excise cranial lesion      C   C    0000     0.0000      0.00        0.00        0.00
61607   Resect/excise cranial lesion      C   C    0000     0.0000      0.00        0.00        0.00
61608   Resect/excise cranial lesion      C   C    0000     0.0000      0.00        0.00        0.00
61609   Transect artery, sinus            C   C    0000     0.0000      0.00        0.00        0.00
61610   Transect artery, sinus            C   C    0000     0.0000      0.00        0.00        0.00
61611   Transect artery, sinus            C   C    0000     0.0000      0.00        0.00        0.00
61612   Transect artery, sinus            C   C    0000     0.0000      0.00        0.00        0.00
61613   Remove aneurysm, sinus            C   C    0000     0.0000      0.00        0.00        0.00
61615   Resect/excise lesion, skull       C   C    0000     0.0000      0.00        0.00        0.00
61616   Resect/excise lesion, skull       C   C    0000     0.0000      0.00        0.00        0.00
61618   Repair dura                       C   C    0000     0.0000      0.00        0.00        0.00
61619   Repair dura                       C   C    0000     0.0000      0.00        0.00        0.00
61623   Endovasc tempory vessel occl      T   T    0082    87.5137    4,180.53    9,531.99   10,925.21
61624   Transcath occlusion, cns          C   C    0000     0.0000      0.00        0.00        0.00
61626   Transcath occlusion, non-cns      T   T    0082    87.5137    4,180.53    9,531.99   10,925.21
61630   Intracranial angioplasty          E   3    0000     0.0000      M01         M01         M01
61635   Intracran angioplsty w/stent      E   3    0000     0.0000      M01         M01         M01
61640   Dilate ic vasospasm, init         E   3    0000     0.0000      M01         M01         M01
61641   Dilate ic vasospasm add-on        E   3    0000     0.0000      M01         M01         M01
61642   Dilate ic vasospasm add-on        E   3    0000     0.0000      M01         M01         M01
61680   Intracranial vessel surgery       C   C    0000     0.0000      0.00        0.00        0.00
61682   Intracranial vessel surgery       C   C    0000     0.0000      0.00        0.00        0.00
61684   Intracranial vessel surgery       C   C    0000     0.0000      0.00        0.00        0.00
61686   Intracranial vessel surgery       C   C    0000     0.0000      0.00        0.00        0.00
61690   Intracranial vessel surgery       C   C    0000     0.0000      0.00        0.00        0.00
61692   Intracranial vessel surgery       C   C    0000     0.0000      0.00        0.00        0.00
61697   Brain aneurysm repr, complx       C   C    0000     0.0000      0.00        0.00        0.00
61698   Brain aneurysm repr, complx       C   C    0000     0.0000      0.00        0.00        0.00
61700   Brain aneurysm repr, simple       C   C    0000     0.0000      0.00        0.00        0.00
61702   Inner skull vessel surgery        C   C    0000     0.0000      0.00        0.00        0.00
61703   Clamp neck artery                 C   C    0000     0.0000      0.00        0.00        0.00
61705   Revise circulation to head        C   C    0000     0.0000      0.00        0.00        0.00
61708   Revise circulation to head        C   C    0000     0.0000      0.00        0.00        0.00
61710   Revise circulation to head        C   C    0000     0.0000      0.00        0.00        0.00
61711   Fusion of skull arteries          C   C    0000     0.0000      0.00        0.00        0.00
61720   Incise skull/brain surgery        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
61735   Incise skull/brain surgery        C   C    0000     0.0000      0.00        0.00        0.00
61750   Incise skull/brain biopsy         C   C    0000     0.0000      0.00        0.00        0.00
61751   Brain biopsy w/ct/mr guide        C   C    0000     0.0000      0.00        0.00        0.00
61760   Implant brain electrodes          C   C    0000     0.0000      0.00        0.00        0.00
61770   Incise skull for treatment        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
61790   Treat trigeminal nerve            T   T    0220    18.0518     862.33     1,966.20    2,253.59
61791   Treat trigeminal tract            T   T    0203    14.4879     692.09     1,578.02    1,808.67
61793   Focus radiation beam              B   B    0000     0.0000      0.00        0.00        0.00
61795   Brain surgery using computer      N   N    0000     0.0000      0.00        0.00        0.00
61850   Implant neuroelectrodes           C   C    0000     0.0000      0.00        0.00        0.00
61860   Implant neuroelectrodes           C   C    0000     0.0000      0.00        0.00        0.00
61863   Implant neuroelectrode            C   C    0000     0.0000      0.00        0.00        0.00
61864   Implant neuroelectrde, add’l      C   C    0000     0.0000      0.00        0.00        0.00
61867   Implant neuroelectrode            C   C    0000     0.0000      0.00        0.00        0.00
61868   Implant neuroelectrde, add’l      C   C    0000     0.0000      0.00        0.00        0.00
61870   Implant neuroelectrodes           C   C    0000     0.0000      0.00        0.00        0.00
61875   Implant neuroelectrodes           C   C    0000     0.0000      0.00        0.00        0.00
61880   Revise/remove neuroelectrode      T   T    0687    22.4734    1,073.55    2,447.80    2,805.58
61885   Insrt/redo neurostim 1 array      S   S    0039   186.4739    8,907.86   20,310.74   23,279.40
61886   Implant neurostim arrays          S   S    0315   270.0190   12,898.81   29,410.47   33,709.17
61888   Revise/remove neuroreceiver       T   T    0688    34.4166    1,644.08    3,748.66    4,296.57
62000   Treat skull fracture              T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
62005   Treat skull fracture              C   C    0000     0.0000      0.00        0.00        0.00
62010   Treatment of head injury          C   C    0000     0.0000      0.00        0.00        0.00
62100   Repair brain fluid leakage        C   C    0000     0.0000      0.00        0.00        0.00
62115   Reduction of skull defect         C   C    0000     0.0000      0.00        0.00        0.00
62116   Reduction of skull defect         C   C    0000     0.0000      0.00        0.00        0.00
62117   Reduction of skull defect         C   C    0000     0.0000      0.00        0.00        0.00
62120   Repair skull cavity lesion        C   C    0000     0.0000      0.00        0.00        0.00
62121   Incise skull repair               C   C    0000     0.0000      0.00        0.00        0.00
62140   Repair of skull defect            C   C    0000     0.0000      0.00        0.00        0.00
62141   Repair of skull defect            C   C    0000     0.0000      0.00        0.00        0.00
62142   Remove skull plate/flap        C   C    0000     0.0000      0.00        0.00        0.00
62143   Replace skull plate/flap       C   C    0000     0.0000      0.00        0.00        0.00
62145   Repair of skull & brain        C   C    0000     0.0000      0.00        0.00        0.00
62146   Repair of skull with graft     C   C    0000     0.0000      0.00        0.00        0.00
62147   Repair of skull with graft     C   C    0000     0.0000      0.00        0.00        0.00
62148   Retr bone flap to fix skull    C   C    0000     0.0000      0.00        0.00        0.00
62160   Neuroendoscopy add-on          N   N    0000     0.0000      0.00        0.00        0.00
62161   Dissect brain w/scope          C   C    0000     0.0000      0.00        0.00        0.00
62162   Remove colloid cyst w/scope    C   C    0000     0.0000      0.00        0.00        0.00
62163   Neuroendoscopy w/fb removal    C   C    0000     0.0000      0.00        0.00        0.00
62164   Remove brain tumor w/scope     C   C    0000     0.0000      0.00        0.00        0.00
62165   Remove pituit tumor w/scope    C   C    0000     0.0000      0.00        0.00        0.00
62180   Establish brain cavity shunt   C   C    0000     0.0000      0.00        0.00        0.00
62190   Establish brain cavity shunt   C   C    0000     0.0000      0.00        0.00        0.00
62192   Establish brain cavity shunt   C   C    0000     0.0000      0.00        0.00        0.00
62194   Replace/irrigate catheter      T   T    0212     8.5263     407.30      928.68     1,064.42
62200   Establish brain cavity shunt   C   C    0000     0.0000      0.00        0.00        0.00
62201   Brain cavity shunt w/scope     C   C    0000     0.0000      0.00        0.00        0.00
62220   Establish brain cavity shunt   C   C    0000     0.0000      0.00        0.00        0.00
62223   Establish brain cavity shunt   C   C    0000     0.0000      0.00        0.00        0.00
62225   Replace/irrigate catheter      T   T    0427    15.3545     733.48     1,672.41    1,916.86
62230   Replace/revise brain shunt     T   T    0224    36.2768    1,732.94    3,951.27    4,528.80
62252   Csf shunt reprogram            S   S    0691     2.3269     111.16      253.45      290.49
62256   Remove brain cavity shunt      C   C    0000     0.0000      0.00        0.00        0.00
62258   Replace brain cavity shunt     C   C    0000     0.0000      0.00        0.00        0.00
62263   Epidural lysis mult sessions   T   T    0203    14.4879     692.09     1,578.02    1,808.67
62264   Epidural lysis on single day   T   T    0203    14.4879     692.09     1,578.02    1,808.67
62268   Drain spinal cord cyst         T   T    0212     8.5263     407.30      928.68     1,064.42
62269   Needle biopsy, spinal cord     T   T    0685     9.3354     445.95     1,016.81    1,165.43
62270   Spinal fluid tap, diagnostic   T   T    0206     4.0964     195.69      446.18      511.39
62272   Drain cerebro spinal fluid     T   T    0206     4.0964     195.69      446.18      511.39
62273   Inject epidural patch          T   T    0206     4.0964     195.69      446.18      511.39
62280   Treat spinal cord lesion       T   T    0207     7.0546     337.00      768.39      880.70
62281   Treat spinal cord lesion       T   T    0207     7.0546     337.00      768.39      880.70
62282   Treat spinal canal lesion      T   T    0207     7.0546     337.00      768.39      880.70
62284   Injection for myelogram        N   N    0000     0.0000      0.00        0.00        0.00
62287   Percutaneous diskectomy        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
62290   Inject for spine disk x-ray    N   N    0000     0.0000      0.00        0.00        0.00
62291   Inject for spine disk x-ray    N   N    0000     0.0000      0.00        0.00        0.00
62292   Injection into disk lesion     T   T    0212     8.5263     407.30      928.68     1,064.42
62294   Injection into spinal artery   T   T    0212     8.5263     407.30      928.68     1,064.42
62310   Inject spine c/t               T   T    0207     7.0546     337.00      768.39      880.70
62311   Inject spine l/s (cd)          T   T    0207     7.0546     337.00      768.39      880.70
62318   Inject spine w/cath, c/t       T   T    0207     7.0546     337.00      768.39      880.70
62319   Inject spine w/cath l/s (cd)   T   T    0207     7.0546     337.00      768.39      880.70
62350   Implant spinal canal cath      T   T    0224    36.2768    1,732.94    3,951.27    4,528.80
62351   Implant spinal canal cath      T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
62355   Remove spinal canal catheter   T   T    0203    14.4879     692.09     1,578.02    1,808.67
62360   Insert spine infusion device   T   T    0224    36.2768    1,732.94    3,951.27    4,528.80
62361   Implant spine infusion pump    T   T    0227   183.8928    8,784.56   20,029.60   22,957.18
62362   Implant spine infusion pump    T   T    0227   183.8928    8,784.56   20,029.60   22,957.18
62365   Remove spine infusion device   T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
62367   Analyze spine infusion pump    S   S    0691     2.3269     111.16      253.45      290.49
62368   Analyze spine infusion pump    S   S    0691     2.3269     111.16      253.45      290.49
63001   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63003   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63005   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63011   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63012   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63015   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63016   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63017   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63020   Neck spine disk surgery        T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63030   Low back disk surgery          T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63035   Spinal disk surgery add-on     T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63040   Laminotomy, single cervical    T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63042   Laminotomy, single lumbar      T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63043   Laminotomy, add’l cervical     C   C    0000     0.0000      0.00        0.00        0.00
63044   Laminotomy, add’l lumbar       C   C    0000     0.0000      0.00        0.00        0.00
63045   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63046   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63047   Removal of spinal lamina       T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63048   Remove spinal lamina add-on    T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63050   Cervical laminoplasty          C   C    0000     0.0000      0.00        0.00        0.00
63051   C-laminoplasty w/graft/plate   C   C    0000     0.0000      0.00        0.00        0.00
63055   Decompress spinal cord         T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63056   Decompress spinal cord         T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63057   Decompress spine cord add-on   T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63064   Decompress spinal cord         T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63066   Decompress spine cord add-on   T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63075   Neck spine disk surgery        T   T    0208    46.7724    2,234.32    5,094.45    5,839.07
63076   Neck spine disk surgery        C   C    0000     0.0000      0.00        0.00        0.00
63077   Spine disk surgery, thorax     C   C    0000     0.0000      0.00        0.00        0.00
63078   Spine disk surgery, thorax     C   C    0000     0.0000      0.00        0.00        0.00
63081   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63082   Remove vertebral body add-on   C   C    0000     0.0000      0.00        0.00        0.00
63085   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63086   Remove vertebral body add-on   C   C    0000     0.0000      0.00        0.00        0.00
63087   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63088   Remove vertebral body add-on   C   C    0000     0.0000      0.00        0.00        0.00
63090   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63091   Remove vertebral body add-on   C   C    0000     0.0000      0.00        0.00        0.00
63101   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63102   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63103   Remove vertebral body add-on   C   C    0000     0.0000      0.00        0.00        0.00
63170   Incise spinal cord tract(s)    C   C    0000     0.0000      0.00        0.00        0.00
63172   Drainage of spinal cyst        C   C    0000     0.0000      0.00        0.00        0.00
63173   Drainage of spinal cyst        C   C    0000     0.0000      0.00        0.00        0.00
63180   Revise spinal cord ligaments   C   C    0000     0.0000      0.00        0.00        0.00
63182   Revise spinal cord ligaments   C   C    0000     0.0000      0.00        0.00        0.00
63185   Incise spinal column/nerves    C   C    0000     0.0000      0.00        0.00        0.00
63190   Incise spinal column/nerves    C   C    0000     0.0000      0.00        0.00        0.00
63191   Incise spinal column/nerves    C   C    0000     0.0000      0.00        0.00        0.00
63194   Incise spinal column & cord    C   C    0000     0.0000      0.00        0.00        0.00
63195   Incise spinal column & cord    C   C    0000     0.0000      0.00        0.00        0.00
63196   Incise spinal column & cord    C   C    0000     0.0000      0.00        0.00        0.00
63197   Incise spinal column & cord    C   C    0000     0.0000      0.00        0.00        0.00
63198   Incise spinal column & cord    C   C    0000     0.0000      0.00        0.00        0.00
63199   Incise spinal column & cord    C   C    0000     0.0000      0.00        0.00        0.00
63200   Release of spinal cord         C   C    0000     0.0000      0.00        0.00        0.00
63250   Revise spinal cord vessels     C   C    0000     0.0000      0.00        0.00        0.00
63251   Revise spinal cord vessels     C   C    0000     0.0000      0.00        0.00        0.00
63252   Revise spinal cord vessels     C   C    0000     0.0000      0.00        0.00        0.00
63265   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63266   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63267   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63268   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63270   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63271   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63272   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63273   Excise intraspinal lesion      C   C    0000     0.0000      0.00        0.00        0.00
63275   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63276   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63277   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63278   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63280   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63281   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63282   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63283   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63285   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63286   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63287   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63290   Biopsy/excise spinal tumor     C   C    0000     0.0000      0.00        0.00        0.00
63295   Repair of laminectomy defect   C   C    0000     0.0000      0.00        0.00        0.00
63300   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63301   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63302   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63303   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63304   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63305   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63306   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63307   Removal of vertebral body      C   C    0000     0.0000      0.00        0.00        0.00
63308   Remove vertebral body add-on   C   C    0000     0.0000      0.00        0.00        0.00
63600   Remove spinal cord lesion      T   T    0220    18.0518     862.33     1,966.20    2,253.59
63610   Stimulation of spinal cord     T   T    0220    18.0518     862.33     1,966.20    2,253.59
63615   Remove lesion of spinal cord   T   T    0220    18.0518     862.33     1,966.20    2,253.59
63650   Implant neuroelectrodes        S   S    0040    63.7866    3,047.09    6,947.64    7,963.12
63655   Implant neuroelectrodes        S   S    0061    82.8597    3,958.21    9,025.08   10,344.20
63660   Revise/remove neuroelectrode   T   T    0687    22.4734    1,073.55    2,447.80    2,805.58
63685   Insrt/redo spine n generator   S   S    0222   240.7990   11,502.97   26,227.83   30,061.35
63688   Revise/remove neuroreceiver    T   T    0688    34.4166    1,644.08    3,748.66    4,296.57
63700   Repair of spinal herniation    C   C    0000     0.0000      0.00        0.00        0.00
63702   Repair of spinal herniation    C   C    0000     0.0000      0.00        0.00        0.00
63704   Repair of spinal herniation    C   C    0000     0.0000      0.00        0.00        0.00
63706   Repair of spinal herniation    C   C    0000     0.0000      0.00        0.00        0.00
63707   Repair spinal fluid leakage    C   C    0000     0.0000      0.00        0.00        0.00
63709   Repair spinal fluid leakage    C   C    0000     0.0000      0.00        0.00        0.00
63710   Graft repair of spine defect   C   C    0000     0.0000      0.00        0.00        0.00
63740   Install spinal shunt           C   C    0000     0.0000      0.00        0.00        0.00
63741   Install spinal shunt           T   T    0224    36.2768    1,732.94    3,951.27    4,528.80
63744   Revision of spinal shunt       T   T    0224    36.2768    1,732.94    3,951.27    4,528.80
63746   Removal of spinal shunt        T   T    0109     5.6614     270.45      616.64      706.77
64400   N block inj, trigeminal        T   T    0204     2.3213     110.89      252.84      289.79
64402   N block inj, facial            T   T    0204     2.3213     110.89      252.84      289.79
64405   N block inj, occipital         T   T    0206     4.0964     195.69      446.18      511.39
64408   N block inj, vagus             T   T    0206     4.0964     195.69      446.18      511.39
64410   N block inj, phrenic           T   T    0207     7.0546     337.00      768.39      880.70
64412   N block inj, spinal accessor   T   T    0207     7.0546     337.00      768.39      880.70
64413   N block inj, cervical plexus   T   T    0206     4.0964     195.69      446.18      511.39
64415   N block inj, brachial plexus   T   T    0206     4.0964     195.69      446.18      511.39
64416   N block cont infuse, b plex    T   T    0207     7.0546     337.00      768.39      880.70
64417   N block inj, axillary          T   T    0206     4.0964     195.69      446.18      511.39
64418   N block inj, suprascapular     T   T    0206     4.0964     195.69      446.18      511.39
64420   N block inj, intercost, sng    T   T    0206     4.0964     195.69      446.18      511.39
64421   N block inj, intercost, mlt    T   T    0206     4.0964     195.69      446.18      511.39
64425   N block inj, ilio-ing/hypogi   T   T    0206     4.0964     195.69      446.18      511.39
64430   N block inj, pudendal          T   T    0207     7.0546     337.00      768.39      880.70
64435   N block inj, paracervical      T   T    0206     4.0964     195.69      446.18      511.39
64445   N block inj, sciatic, sng      T   T    0206     4.0964     195.69      446.18      511.39
64446   N blk inj, sciatic, cont inf   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64447   N block inj fem, single        T   T    0206     4.0964     195.69      446.18      511.39
64448   N block inj fem, cont inf      T   T    0206     4.0964     195.69      446.18      511.39
64449   N block inj, lumbar plexus     T   T    0207     7.0546     337.00      768.39      880.70
64450   N block, other peripheral      T   T    0206     4.0964     195.69      446.18      511.39
64470   Inj paravertebral c/t          T   T    0207     7.0546     337.00      768.39      880.70
64472   Inj paravertebral c/t add-on   T   T    0206     4.0964     195.69      446.18      511.39
64475   Inj paravertebral l/s          T   T    0207     7.0546     337.00      768.39      880.70
64476   Inj paravertebral l/s add-on   T   T    0204     2.3213     110.89      252.84      289.79
64479   Inj foramen epidural c/t       T   T    0207     7.0546     337.00      768.39      880.70
64480   Inj foramen epidural add-on    T   T    0206     4.0964     195.69      446.18      511.39
64483   Inj foramen epidural l/s       T   T    0207     7.0546     337.00      768.39      880.70
64484   Inj foramen epidural add-on    T   T    0206     4.0964     195.69      446.18      511.39
64505   N block, spenopalatine gangl   T   T    0204     2.3213     110.89      252.84      289.79
64508   N block, carotid sinus s/p     T   T    0204     2.3213     110.89      252.84      289.79
64510   N block, stellate ganglion     T   T    0207     7.0546     337.00      768.39      880.70
64517   N block inj, hypogas plxs      T   T    0207     7.0546     337.00      768.39      880.70
64520   N block, lumbar/thoracic       T   T    0207     7.0546     337.00      768.39      880.70
64530   N block inj, celiac pelus      T   T    0207     7.0546     337.00      768.39      880.70
64550   Apply neurostimulator          A   3    0000     0.0000      M01         M01         M01
64553   Implant neuroelectrodes        S   S    0225   220.7642   10,545.91   24,045.64   27,560.20
64555   Implant neuroelectrodes        S   S    0040    63.7866    3,047.09    6,947.64    7,963.12
64560   Implant neuroelectrodes        S   S    0040    63.7866    3,047.09    6,947.64    7,963.12
64561   Implant neuroelectrodes        S   S    0040    63.7866    3,047.09    6,947.64    7,963.12
64565   Implant neuroelectrodes        S   S    0040    63.7866    3,047.09    6,947.64    7,963.12
64573   Implant neuroelectrodes        S   S    0225   220.7642   10,545.91   24,045.64   27,560.20
64575   Implant neuroelectrodes        S   S    0061    82.8597    3,958.21    9,025.08   10,344.20
64577   Implant neuroelectrodes        S   S    0061    82.8597    3,958.21    9,025.08   10,344.20
64580   Implant neuroelectrodes        S   S    0061    82.8597    3,958.21    9,025.08   10,344.20
64581   Implant neuroelectrodes        S   S    0061    82.8597    3,958.21    9,025.08   10,344.20
64585   Revise/remove neuroelectrode   T   T    0687    22.4734    1,073.55    2,447.80    2,805.58
64590   Insrt/redo perph n generator   S   S    0039   186.4739    8,907.86   20,310.74   23,279.40
64595   Revise/remove neuroreceiver    T   T    0688    34.4166    1,644.08    3,748.66    4,296.57
64600   Injection treatment of nerve   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64605   Injection treatment of nerve   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64610   Injection treatment of nerve   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64612   Destroy nerve, face muscle     T   T    0204     2.3213     110.89      252.84      289.79
64613   Destroy nerve, spine muscle    T   T    0204     2.3213     110.89      252.84      289.79
64614   Destroy nerve, extrem musc     T   T    0204     2.3213     110.89      252.84      289.79
64620   Injection treatment of nerve   T   T    0207     7.0546     337.00      768.39      880.70
64622   Destr paravertebrl nerve l/s   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64623   Destr paravertebral n add-on   T   T    0207     7.0546     337.00      768.39      880.70
64626   Destr paravertebrl nerve c/t   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64627   Destr paravertebral n add-on   T   T    0204     2.3213     110.89      252.84      289.79
64630   Injection treatment of nerve   T   T    0207     7.0546     337.00      768.39      880.70
64640   Injection treatment of nerve   T   T    0207     7.0546     337.00      768.39      880.70
64650   Chemodenerv eccrine glands     T   T    0204     2.3213     110.89      252.84      289.79
64653   Chemodenerv eccrine glands     T   T    0204     2.3213     110.89      252.84      289.79
64680   Injection treatment of nerve   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64681   Injection treatment of nerve   T   T    0203    14.4879     692.09     1,578.02    1,808.67
64702   Revise finger/toe nerve        T   T    0220    18.0518     862.33     1,966.20    2,253.59
64704   Revise hand/foot nerve         T   T    0220    18.0518     862.33     1,966.20    2,253.59
64708   Revise arm/leg nerve           T   T    0220    18.0518     862.33     1,966.20    2,253.59
64712   Revision of sciatic nerve      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64713   Revision of arm nerve(s)       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64714   Revise low back nerve(s)       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64716   Revision of cranial nerve      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64718   Revise ulnar nerve at elbow    T   T    0220    18.0518     862.33     1,966.20    2,253.59
64719   Revise ulnar nerve at wrist    T   T    0220    18.0518     862.33     1,966.20    2,253.59
64721   Carpal tunnel surgery          T   T    0220    18.0518     862.33     1,966.20    2,253.59
64722   Relieve pressure on nerve(s)   T   T    0220    18.0518     862.33     1,966.20    2,253.59
64726   Release foot/toe nerve         T   T    0220    18.0518     862.33     1,966.20    2,253.59
64727   Internal nerve revision        T   T    0220    18.0518     862.33     1,966.20    2,253.59
64732   Incision of brow nerve         T   T    0220    18.0518     862.33     1,966.20    2,253.59
64734   Incision of cheek nerve        T   T    0220    18.0518     862.33     1,966.20    2,253.59
64736   Incision of chin nerve         T   T    0220    18.0518     862.33     1,966.20    2,253.59
64738   Incision of jaw nerve          T   T    0220    18.0518     862.33     1,966.20    2,253.59
64740   Incision of tongue nerve       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64742   Incision of facial nerve       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64744   Incise nerve, back of head     T   T    0220    18.0518     862.33     1,966.20    2,253.59
64746   Incise diaphragm nerve         T   T    0220    18.0518     862.33     1,966.20    2,253.59
64752   Incision of vagus nerve        C   C    0000     0.0000      0.00        0.00        0.00
64755   Incision of stomach nerves     C   C    0000     0.0000      0.00        0.00        0.00
64760   Incision of vagus nerve        C   C    0000     0.0000      0.00        0.00        0.00
64761   Incision of pelvis nerve       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64763   Incise hip/thigh nerve         T   T    0220    18.0518     862.33     1,966.20    2,253.59
64766   Incise hip/thigh nerve         T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64771   Sever cranial nerve            T   T    0220    18.0518     862.33     1,966.20    2,253.59
64772   Incision of spinal nerve       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64774   Remove skin nerve lesion       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64776   Remove digit nerve lesion      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64778   Digit nerve surgery add-on     T   T    0220    18.0518     862.33     1,966.20    2,253.59
64782   Remove limb nerve lesion       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64783   Limb nerve surgery add-on      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64784   Remove nerve lesion            T   T    0220    18.0518     862.33     1,966.20    2,253.59
64786   Remove sciatic nerve lesion    T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64787   Implant nerve end              T   T    0220    18.0518     862.33     1,966.20    2,253.59
64788   Remove skin nerve lesion       T   T    0220    18.0518     862.33     1,966.20    2,253.59
64790   Removal of nerve lesion        T   T    0220    18.0518     862.33     1,966.20    2,253.59
64792   Removal of nerve lesion        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64795   Biopsy of nerve                T   T    0220    18.0518     862.33     1,966.20    2,253.59
64802   Remove sympathetic nerves      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64804   Remove sympathetic nerves      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64809   Remove sympathetic nerves      C   C    0000     0.0000      0.00        0.00        0.00
64818   Remove sympathetic nerves      C   C    0000     0.0000      0.00        0.00        0.00
64820   Remove sympathetic nerves      T   T    0220    18.0518     862.33     1,966.20    2,253.59
64821   Remove sympathetic nerves      T   T    0054    26.3105    1,256.85    2,865.74    3,284.60
64822   Remove sympathetic nerves      T   T    0054    26.3105    1,256.85    2,865.74    3,284.60
64823   Remove sympathetic nerves      T   T    0054    26.3105    1,256.85    2,865.74    3,284.60
64831   Repair of digit nerve          T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64832   Repair nerve add-on            T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64834   Repair of hand or foot nerve   T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64835   Repair of hand or foot nerve   T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64836   Repair of hand or foot nerve   T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64837   Repair nerve add-on            T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64840   Repair of leg nerve            T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64856   Repair/transpose nerve         T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64857   Repair arm/leg nerve           T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64858   Repair sciatic nerve           T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64859   Nerve surgery                  T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64861   Repair of arm nerves           T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64862   Repair of low back nerves      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64864   Repair of facial nerve         T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64865   Repair of facial nerve         T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64866   Fusion of facial/other nerve   C   C    0000     0.0000      0.00        0.00        0.00
64868   Fusion of facial/other nerve   C   C    0000     0.0000      0.00        0.00        0.00
64870   Fusion of facial/other nerve   T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64872   Subsequent repair of nerve     T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64874   Repair & revise nerve add-on   T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64876   Repair nerve/shorten bone      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64885   Nerve graft, head or neck      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64886   Nerve graft, head or neck      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64890   Nerve graft, hand or foot      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64891   Nerve graft, hand or foot      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64892   Nerve graft, arm or leg        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64893   Nerve graft, arm or leg        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64895   Nerve graft, hand or foot      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64896   Nerve graft, hand or foot      T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64897   Nerve graft, arm or leg        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64898   Nerve graft, arm or leg        T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64901   Nerve graft add-on             T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64902   Nerve graft add-on             T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64905   Nerve pedicle transfer         T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64907   Nerve pedicle transfer         T   T    0221    33.2707    1,589.34    3,623.84    4,153.51
64910   Nerve repair w/allograft       T   1    0220    18.0518      0.00        0.00        0.00
64911   Neurorraphy w/vein autograft   T   T    0220    18.0518     862.33     1,966.20    2,253.59
64999   Nervous system surgery         T   T    0204     2.3213     110.89      252.84      289.79
65091   Revise eye                     T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65093   Revise eye with implant        T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65101   Removal of eye                 T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65103   Remove eye/insert implant      T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65105   Remove eye/attach implant      T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65110   Removal of eye                 T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65112   Remove eye/revise socket       T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65114   Remove eye/revise socket       T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65125   Revise ocular implant          T   T    0240    18.7307     894.77     2,040.15    2,338.34
65130   Insert ocular implant          T   T    0241    24.3077    1,161.18    2,647.59    3,034.57
65135   Insert ocular implant          T   T    0241    24.3077    1,161.18    2,647.59    3,034.57
65140   Attach ocular implant          T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65150   Revise ocular implant          T   T    0241    24.3077    1,161.18    2,647.59    3,034.57
65155   Reinsert ocular implant        T   T    0242    37.7243    1,802.09    4,108.93    4,709.50
65175   Removal of ocular implant      T   T    0240    18.7307     894.77     2,040.15    2,338.34
65205   Remove foreign body from eye   S   S    0698     0.8696     41.54        94.72      108.56
65210   Remove foreign body from eye   S   S    0698     0.8696     41.54        94.72      108.56
65220   Remove foreign body from eye   S   S    0698     0.8696     41.54        94.72      108.56
65222   Remove foreign body from eye   S   S    0698     0.8696     41.54        94.72      108.56
65235   Remove foreign body from eye   T   T    0233    16.1710     772.49     1,761.35    2,018.79
65260   Remove foreign body from eye   T   T    0236    18.2350     871.09     1,986.16    2,276.46
65265   Remove foreign body from eye   T   T    0237    27.8450    1,330.16    3,032.88    3,476.17
65270   Repair of eye wound            T   T    0240    18.7307     894.77     2,040.15    2,338.34
65272   Repair of eye wound            T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65273   Repair of eye wound            C   C    0000     0.0000      0.00        0.00        0.00
65275   Repair of eye wound            T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65280   Repair of eye wound            T   T    0236    18.2350     871.09     1,986.16    2,276.46
65285   Repair of eye wound            T   T    0672    37.2078    1,777.42    4,052.67    4,645.02
65286   Repair of eye wound            T   T    0232     5.1169     244.43      557.33      638.79
65290   Repair of eye socket wound     T   T    0243    24.1291    1,152.65    2,628.14    3,012.28
65400   Removal of eye lesion          T   T    0233    16.1710     772.49     1,761.35    2,018.79
65410   Biopsy of cornea               T   T    0233    16.1710     772.49     1,761.35    2,018.79
65420   Removal of eye lesion          T   T    0233    16.1710     772.49     1,761.35    2,018.79
65426   Removal of eye lesion          T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65430   Corneal smear                  S   S    0698     0.8696     41.54        94.72      108.56
65435   Curette/treat cornea           T   T    0239     7.2847     347.99      793.45      909.42
65436   Curette/treat cornea           T   T    0233    16.1710     772.49     1,761.35    2,018.79
65450   Treatment of corneal lesion    S   S    0231     2.1790     104.09      237.34      272.03
65600   Revision of cornea             T   T    0240    18.7307     894.77     2,040.15    2,338.34
65710   Corneal transplant             T   T    0244    37.4896    1,790.88    4,083.37    4,680.20
65730   Corneal transplant             T   T    0244    37.4896    1,790.88    4,083.37    4,680.20
65750   Corneal transplant             T   T    0244    37.4896    1,790.88    4,083.37    4,680.20
65755   Corneal transplant             T   T    0244    37.4896    1,790.88    4,083.37    4,680.20
65760   Revision of cornea             E   1    0000     0.0000      0.00        0.00        0.00
65765   Revision of cornea             E   1    0000     0.0000      0.00        0.00        0.00
65767   Corneal tissue transplant      E   1    0000     0.0000      0.00        0.00        0.00
65770   Revise cornea with implant     T   S    0293    84.8039    4,051.08    9,236.84   10,586.92
65771   Radial keratotomy              E   1    0000     0.0000      0.00        0.00        0.00
65772   Correction of astigmatism      T   1    0233    16.1710      0.00        0.00        0.00
65775   Correction of astigmatism      T   1    0233    16.1710      0.00        0.00        0.00
65780   Ocular reconst, transplant     T   1    0244    37.4896      0.00        0.00        0.00
65781   Ocular reconst, transplant     T   1    0244    37.4896      0.00        0.00        0.00
65782   Ocular reconst, transplant     T   1    0244    37.4896      0.00        0.00        0.00
65800   Drainage of eye                T   T    0233    16.1710     772.49     1,761.35    2,018.79
65805   Drainage of eye                T   T    0233    16.1710     772.49     1,761.35    2,018.79
65810   Drainage of eye                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65815   Drainage of eye                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65820   Relieve inner eye pressure     T   T    0232     5.1169     244.43      557.33      638.79
65850   Incision of eye                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65855   Laser surgery of eye           T   T    0247     5.2001     248.41      566.39      649.18
65860   Incise inner eye adhesions     T   T    0247     5.2001     248.41      566.39      649.18
65865   Incise inner eye adhesions     T   T    0233    16.1710     772.49     1,761.35    2,018.79
65870   Incise inner eye adhesions     T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65875   Incise inner eye adhesions     T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65880   Incise inner eye adhesions     T   T    0233    16.1710     772.49     1,761.35    2,018.79
65900   Remove eye lesion              T   T    0233    16.1710     772.49     1,761.35    2,018.79
65920   Remove implant of eye          T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
65930   Remove blood clot from eye     T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66020   Injection treatment of eye     T   T    0233    16.1710     772.49     1,761.35    2,018.79
66030   Injection treatment of eye     T   T    0232     5.1169     244.43      557.33      638.79
66130   Remove eye lesion              T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66150   Glaucoma surgery               T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66155   Glaucoma surgery               T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66160   Glaucoma surgery               T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66165   Glaucoma surgery               T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66170   Glaucoma surgery               T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66172   Incision of eye                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66180   Implant eye shunt              T   T    0673    39.7101    1,896.95    4,325.22    4,957.41
66185   Revise eye shunt               T   T    0673    39.7101    1,896.95    4,325.22    4,957.41
66220   Repair eye lesion              T   T    0672    37.2078    1,777.42    4,052.67    4,645.02
66225   Repair/graft eye lesion        T   T    0673    39.7101    1,896.95    4,325.22    4,957.41
66250   Follow-up surgery of eye       T   T    0233    16.1710     772.49     1,761.35    2,018.79
66500   Incision of iris               T   T    0232     5.1169     244.43      557.33      638.79
66505   Incision of iris               T   T    0232     5.1169     244.43      557.33      638.79
66600   Remove iris and lesion         T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66605   Removal of iris                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66625   Removal of iris                T   T    0232     5.1169     244.43      557.33      638.79
66630   Removal of iris                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66635   Removal of iris                T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66680   Repair iris & ciliary body     T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66682   Repair iris & ciliary body     T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66700   Destruction, ciliary body      T   T    0233    16.1710     772.49     1,761.35    2,018.79
66710   Ciliary transsleral therapy    T   T    0233    16.1710     772.49     1,761.35    2,018.79
66711   Ciliary endoscopic ablation    T   T    0233    16.1710     772.49     1,761.35    2,018.79
66720   Destruction, ciliary body      T   T    0233    16.1710     772.49     1,761.35    2,018.79
66740   Destruction, ciliary body      T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66761   Revision of iris               T   T    0247     5.2001     248.41      566.39      649.18
66762   Revision of iris               T   T    0247     5.2001     248.41      566.39      649.18
66770   Removal of inner eye lesion    T   T    0247     5.2001     248.41      566.39      649.18
66820   Incision, secondary cataract   T   T    0232     5.1169     244.43      557.33      638.79
66821   After cataract laser surgery   T   T    0247     5.2001     248.41      566.39      649.18
66825   Reposition intraocular lens    T   T    0234    23.1758    1,107.11    2,524.31    2,893.27
66830   Removal of lens lesion         T   T    0232     5.1169     244.43      557.33      638.79
66840   Removal of lens material       T   T    0245    14.9171     712.59     1,624.77    1,862.25
66850   Removal of lens material       T   T    0249    28.7035    1,371.17    3,126.39    3,583.34
66852   Removal of lens material       T   T    0249    28.7035    1,371.17    3,126.39    3,583.34
66920   Extraction of lens             T   T    0249    28.7035    1,371.17    3,126.39    3,583.34
66930   Extraction of lens             T   T    0249    28.7035    1,371.17    3,126.39    3,583.34
66940   Extraction of lens             T   T    0245    14.9171     712.59     1,624.77    1,862.25
66982   Cataract surgery, complex      T   T    0246    23.8649    1,140.03    2,599.36    2,979.29
66983   Cataract surg w/iol, 1 stage   T   T    0246    23.8649    1,140.03    2,599.36    2,979.29
66984   Cataract surg w/iol, 1 stage   T   T    0246    23.8649    1,140.03    2,599.36    2,979.29
66985   Insert lens prosthesis         T   T    0246    23.8649    1,140.03    2,599.36    2,979.29
66986   Exchange lens prosthesis       T   T    0246    23.8649    1,140.03    2,599.36    2,979.29
66990   Ophthalmic endoscope add-on    N   N    0000     0.0000      0.00        0.00        0.00
66999   Eye surgery procedure          T   T    0232     5.1169     244.43      557.33      638.79
67005   Partial removal of eye fluid   T   T    0237    27.8450    1,330.16    3,032.88    3,476.17
67010   Partial removal of eye fluid   T   T    0237    27.8450    1,330.16    3,032.88    3,476.17
67015   Release of eye fluid           T   T    0237    27.8450    1,330.16    3,032.88    3,476.17
67025   Replace eye fluid              T   T    0237    27.8450    1,330.16    3,032.88    3,476.17
67027   Implant eye drug system        T   T    0672    37.2078    1,777.42    4,052.67    4,645.02
67028   Injection eye drug             S   S    0231     2.1790     104.09      237.34      272.03
67030   Incise inner eye strands       T   T    0236    18.2350     871.09     1,986.16    2,276.46
67031   Laser surgery, eye strands     T   T    0247     5.2001     248.41      566.39      649.18
67036   Removal of inner eye fluid     T   T    0672    37.2078    1,777.42    4,052.67    4,645.02

67039   Laser treatment of retina      T   T    0672   37.2078    1,777.42    4,052.67    4,645.02
67040   Laser treatment of retina      T   T    0672   37.2078    1,777.42    4,052.67    4,645.02
67041   Vit for macular pucker         T    T   0672   37.2078    1,777.42    4,052.67    4,645.02
67042   Vit for macular hole           T    T   0672   37.2078    1,777.42    4,052.67    4,645.02
67043   Vit for membrane dissect       T    T   0672   37.2078    1,777.42    4,052.67    4,645.02
67101   Repair detached retina         T   T    0236   18.2350     871.09     1,986.16    2,276.46
67105   Repair detached retina         T   T    0247    5.2001     248.41      566.39      649.18
67107   Repair detached retina         T   T    0672   37.2078    1,777.42    4,052.67    4,645.02
67108   Repair detached retina         T   T    0672   37.2078    1,777.42    4,052.67    4,645.02
67110   Repair detached retina         T   T    0236   18.2350     871.09     1,986.16    2,276.46
67112   Rerepair detached retina       T   T    0672   37.2078    1,777.42    4,052.67    4,645.02
67113   Repair retinal detach, cplx    T    T   0672   37.2078    1,777.42    4,052.67    4,645.02
67115   Release encircling material    T   T    0236   18.2350     871.09     1,986.16    2,276.46
67120   Remove eye implant material    T   T    0236   18.2350     871.09     1,986.16    2,276.46
67121   Remove eye implant material    T   T    0237   27.8450    1,330.16    3,032.88    3,476.17
67141   Treatment of retina            T   T    0235    4.1331     197.44      450.18      515.98
67145   Treatment of retina            T   T    0247    5.2001     248.41      566.39      649.18
67208   Treatment of retinal lesion    T   T    0236   18.2350     871.09     1,986.16    2,276.46
67210   Treatment of retinal lesion    T   T    0247    5.2001     248.41      566.39      649.18
67218   Treatment of retinal lesion    T   T    0236   18.2350     871.09     1,986.16    2,276.46
67220   Treatment of choroid lesion    T   T    0235    4.1331     197.44      450.18      515.98
67221   Ocular photodynamic ther       T   T    0235    4.1331     197.44      450.18      515.98
67225   Eye photodynamic ther add-on   T   T    0235    4.1331     197.44      450.18      515.98
67227   Treatment of retinal lesion    T   T    0237   27.8450    1,330.16    3,032.88    3,476.17
67228   Treatment of retinal lesion    T   T    0247    5.2001     248.41      566.39      649.18
67229   Tr retinal les preterm inf     T    T   0247    5.2001     248.41      566.39      649.18
67250   Reinforce eye wall             T   T    0240   18.7307     894.77     2,040.15    2,338.34
67255   Reinforce/graft eye wall       T   T    0237   27.8450    1,330.16    3,032.88    3,476.17
67299   Eye surgery procedure          T   T    0235    4.1331     197.44      450.18      515.98
67311   Revise eye muscle              T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67312   Revise two eye muscles         T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67314   Revise eye muscle              T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67316   Revise two eye muscles         T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67318   Revise eye muscle(s)           T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67320   Revise eye muscle(s) add-on    T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67331   Eye surgery follow-up add-on   T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67332   Rerevise eye muscles add-on    T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67334   Revise eye muscle w/suture     T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67335   Eye suture during surgery      T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67340   Revise eye muscle add-on       T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67343   Release eye tissue             T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67345   Destroy nerve of eye muscle    T   T    0238    2.9022     138.64      316.11      362.31
67346   Biopsy, eye muscle             T   T    0699   13.7453     656.61     1,497.14    1,715.96
67399   Eye muscle surgery procedure   T   T    0243   24.1291    1,152.65    2,628.14    3,012.28
67400   Explore/biopsy eye socket      T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67405   Explore/drain eye socket       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67412   Explore/treat eye socket       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67413   Explore/treat eye socket       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67414   Explr/decompress eye socket    T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67415   Aspiration, orbital contents   T   T    0240   18.7307     894.77     2,040.15    2,338.34
67420   Explore/treat eye socket       T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67430   Explore/treat eye socket       T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67440   Explore/drain eye socket       T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67445   Explr/decompress eye socket    T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67450   Explore/biopsy eye socket      T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67500   Inject/treat eye socket        S   S    0231    2.1790     104.09      237.34      272.03
67505   Inject/treat eye socket        T   T    0238    2.9022     138.64      316.11      362.31
67515   Inject/treat eye socket        T   T    0238    2.9022     138.64      316.11      362.31
67550   Insert eye socket implant      T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67560   Revise eye socket implant      T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67570   Decompress optic nerve         T   T    0242   37.7243    1,802.09    4,108.93    4,709.50
67599   Orbit surgery procedure        T   T    0238    2.9022     138.64      316.11      362.31
67700   Drainage of eyelid abscess     T   T    0238    2.9022     138.64      316.11      362.31
67710   Incision of eyelid             T   T    0239    7.2847     347.99      793.45      909.42
67715   Incision of eyelid fold        T   T    0240   18.7307     894.77     2,040.15    2,338.34
67800   Remove eyelid lesion           T   T    0238    2.9022     138.64      316.11      362.31
67801   Remove eyelid lesions          T   T    0239    7.2847     347.99      793.45      909.42
67805   Remove eyelid lesions          T   T    0238    2.9022     138.64      316.11      362.31
67808   Remove eyelid lesion(s)        T   T    0240   18.7307     894.77     2,040.15    2,338.34
67810   Biopsy of eyelid               T   T    0238    2.9022     138.64      316.11      362.31
67820   Revise eyelashes               S   S    0698    0.8696     41.54        94.72      108.56
67825   Revise eyelashes               T   T    0238    2.9022     138.64      316.11      362.31
67830   Revise eyelashes               T   T    0239    7.2847     347.99      793.45      909.42
67835   Revise eyelashes               T   T    0240   18.7307     894.77     2,040.15    2,338.34
67840   Remove eyelid lesion           T   T    0239    7.2847     347.99      793.45      909.42
67850   Treat eyelid lesion            T   T    0239    7.2847     347.99      793.45      909.42
67875   Closure of eyelid by suture    T   T    0239    7.2847     347.99      793.45      909.42
67880   Revision of eyelid             T   T    0233   16.1710     772.49     1,761.35    2,018.79
67882   Revision of eyelid             T   T    0240   18.7307     894.77     2,040.15    2,338.34
67900   Repair brow defect             T   T    0240   18.7307     894.77     2,040.15    2,338.34
67901   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67902   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67903   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67904   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67906   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67908   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67909   Revise eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67911   Revise eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67912   Correction eyelid w/implant    T   T    0240   18.7307     894.77     2,040.15    2,338.34
67914   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67915   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67916   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67917   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67921   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67922   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67923   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67924   Repair eyelid defect           T   T    0240   18.7307     894.77     2,040.15    2,338.34
67930   Repair eyelid wound            T   T    0240   18.7307     894.77     2,040.15    2,338.34
67935   Repair eyelid wound            T   T    0240   18.7307     894.77     2,040.15    2,338.34
67938   Remove eyelid foreign body     S   S    0231    2.1790     104.09      237.34      272.03
67950   Revision of eyelid             T   T    0240   18.7307     894.77     2,040.15    2,338.34
67961   Revision of eyelid             T   T    0240   18.7307     894.77     2,040.15    2,338.34
67966   Revision of eyelid             T   T    0240   18.7307     894.77     2,040.15    2,338.34
67971   Reconstruction of eyelid       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67973   Reconstruction of eyelid       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67974   Reconstruction of eyelid       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
67975   Reconstruction of eyelid       T   T    0240   18.7307     894.77     2,040.15    2,338.34
67999   Revision of eyelid             T   T    0238    2.9022     138.64      316.11      362.31
68020   Incise/drain eyelid lining     T   T    0240   18.7307     894.77     2,040.15    2,338.34
68040   Treatment of eyelid lesions    S   S    0698    0.8696     41.54        94.72      108.56
68100   Biopsy of eyelid lining        T   T    0232    5.1169     244.43      557.33      638.79
68110   Remove eyelid lining lesion    T   T    0699   13.7453     656.61     1,497.14    1,715.96
68115   Remove eyelid lining lesion    T   T    0240   18.7307     894.77     2,040.15    2,338.34
68130   Remove eyelid lining lesion    T   T    0233   16.1710     772.49     1,761.35    2,018.79
68135   Remove eyelid lining lesion    T   T    0239    7.2847     347.99      793.45      909.42
68200   Treat eyelid by injection      S   S    0698    0.8696     41.54        94.72      108.56
68320   Revise/graft eyelid lining     T   T    0240   18.7307     894.77     2,040.15    2,338.34
68325   Revise/graft eyelid lining     T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68326   Revise/graft eyelid lining     T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68328   Revise/graft eyelid lining     T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68330   Revise eyelid lining           T   T    0234   23.1758    1,107.11    2,524.31    2,893.27
68335   Revise/graft eyelid lining     T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68340   Separate eyelid adhesions      T   T    0240   18.7307     894.77     2,040.15    2,338.34
68360   Revise eyelid lining           T   T    0234   23.1758    1,107.11    2,524.31    2,893.27
68362   Revise eyelid lining           T   T    0234   23.1758    1,107.11    2,524.31    2,893.27
68371   Harvest eye tissue, alograft   T   1    0233   16.1710      0.00        0.00        0.00
68399   Eyelid lining surgery          T   T    0238    2.9022     138.64      316.11      362.31
68400   Incise/drain tear gland        T   T    0238    2.9022     138.64      316.11      362.31
68420   Incise/drain tear sac          T   T    0240   18.7307     894.77     2,040.15    2,338.34
68440   Incise tear duct opening       T   T    0238    2.9022     138.64      316.11      362.31
68500   Removal of tear gland          T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68505   Partial removal, tear gland    T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68510   Biopsy of tear gland           T   T    0240   18.7307     894.77     2,040.15    2,338.34
68520   Removal of tear sac            T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68525   Biopsy of tear sac             T   T    0240   18.7307     894.77     2,040.15    2,338.34
68530   Clearance of tear duct         T   T    0240   18.7307     894.77     2,040.15    2,338.34
68540   Remove tear gland lesion       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68550   Remove tear gland lesion       T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68700   Repair tear ducts              T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68705   Revise tear duct opening       T   T    0238    2.9022     138.64      316.11      362.31
68720   Create tear sac drain          T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68745   Create tear duct drain         T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68750   Create tear duct drain         T   T    0241   24.3077    1,161.18    2,647.59    3,034.57
68760   Close tear duct opening        S   S    0231    2.1790     104.09      237.34      272.03
68761   Close tear duct opening        S   S    0231    2.1790     104.09      237.34      272.03
68770   Close tear system fistula      T   T    0240   18.7307     894.77     2,040.15    2,338.34
68801   Dilate tear duct opening       S   S    0698    0.8696     41.54        94.72      108.56
68810   Probe nasolacrimal duct        S   S    0231    2.1790     104.09      237.34      272.03
68811   Probe nasolacrimal duct        T   T    0240   18.7307     894.77     2,040.15    2,338.34
68815   Probe nasolacrimal duct        T   T    0240   18.7307     894.77     2,040.15    2,338.34
68816   Probe nl duct w/balloon        T    T   0240    18.7307     894.77     2,040.15    2,338.34
68840   Explore/irrigate tear ducts    S   S    0231     2.1790     104.09      237.34      272.03
68850   Injection for tear sac x-ray   N   N    0000     0.0000      0.00        0.00         0.00
68899   Tear duct system surgery       T   T    0238     2.9022     138.64      316.11      362.31
69000   Drain external ear lesion      T   T    0006     1.4066     67.19       153.21      175.60
69005   Drain external ear lesion      T   T    0008    18.3197     875.13     1,995.38    2,287.03
69020   Drain outer ear canal lesion   T   T    0006     1.4066     67.19       153.21      175.60
69090   Pierce earlobes                E   1    0000     0.0000      0.00        0.00         0.00
69100   Biopsy of external ear         T   T    0251     2.5002     119.43      272.32      312.12
69105   Biopsy of external ear canal   T   T    0253    16.3288     780.03     1,778.53    2,038.49
69110   Remove external ear, partial   T   T    0021    16.1001     769.10     1,753.62    2,009.94
69120   Removal of external ear        T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69140   Remove ear canal lesion(s)     T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69145   Remove ear canal lesion(s)     T   T    0021    16.1001     769.10     1,753.62    2,009.94
69150   Extensive ear canal surgery    T   T    0252     7.4474     355.76      811.17      929.73
69155   Extensive ear/neck surgery     C   C    0000     0.0000      0.00        0.00         0.00
69200   Clear outer ear canal          X   X    0340     0.6310     30.14        68.73       78.77
69205   Clear outer ear canal          T   T    0022    21.1098    1,008.42    2,299.28    2,635.35
69210   Remove impacted ear wax        X   X    0340     0.6310     30.14        68.73       78.77
69220   Clean out mastoid cavity       T   T    0013     0.7930     37.88        86.37       99.00
69222   Clean out mastoid cavity       T   T    0253    16.3288     780.03     1,778.53    2,038.49
69300   Revise external ear            T   1    0254    23.9765      0.00        0.00         0.00
69310   Rebuild outer ear canal        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69320   Rebuild outer ear canal        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69399   Outer ear surgery procedure    T   T    0251     2.5002     119.43      272.32      312.12
69400   Inflate middle ear canal       T   T    0251     2.5002     119.43      272.32      312.12
69401   Inflate middle ear canal       T   T    0251     2.5002     119.43      272.32      312.12
69405   Catheterize middle ear canal   T   T    0252     7.4474     355.76      811.17      929.73
69420   Incision of eardrum            T   T    0251     2.5002     119.43      272.32      312.12
69421   Incision of eardrum            T   T    0253    16.3288     780.03     1,778.53    2,038.49
69424   Remove ventilating tube        T   T    0253    16.3288     780.03     1,778.53    2,038.49
69433   Create eardrum opening         T   T    0252     7.4474     355.76      811.17      929.73
69436   Create eardrum opening         T   T    0253    16.3288     780.03     1,778.53    2,038.49
69440   Exploration of middle ear      T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69450   Eardrum revision               T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69501   Mastoidectomy                  T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69502   Mastoidectomy                  T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69505   Remove mastoid structures      T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69511   Extensive mastoid surgery      T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69530   Extensive mastoid surgery      T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69535   Remove part of temporal bone   C   C    0000     0.0000      0.00        0.00         0.00
69540   Remove ear lesion              T   T    0253    16.3288     780.03     1,778.53    2,038.49
69550   Remove ear lesion              T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69552   Remove ear lesion              T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69554   Remove ear lesion              C   C    0000     0.0000      0.00        0.00         0.00
69601   Mastoid surgery revision       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69602   Mastoid surgery revision       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69603   Mastoid surgery revision       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69604   Mastoid surgery revision       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69605   Mastoid surgery revision       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69610   Repair of eardrum              T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69620   Repair of eardrum              T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69631   Repair eardrum structures      T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69632   Rebuild eardrum structures     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69633   Rebuild eardrum structures     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69635   Repair eardrum structures      T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69636   Rebuild eardrum structures     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69637   Rebuild eardrum structures     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69641   Revise middle ear & mastoid    T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69642   Revise middle ear & mastoid    T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69643   Revise middle ear & mastoid    T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69644   Revise middle ear & mastoid    T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69645   Revise middle ear & mastoid    T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69646   Revise middle ear & mastoid    T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69650   Release middle ear bone        T   T    0254    23.9765    1,145.36    2,611.52    2,993.23
69660   Revise middle ear bone         T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69661   Revise middle ear bone         T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69662   Revise middle ear bone         T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69666   Repair middle ear structures   T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69667   Repair middle ear structures   T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69670   Remove mastoid air cells       T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69676   Remove middle ear nerve        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69700   Close mastoid fistula          T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69710   Implant/replace hearing aid    E   3    0000     0.0000      M01         M01         M01
69711   Remove/repair hearing aid      T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69714   Implant temple bone w/stimul   T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69715   Temple bne implnt w/stimulat   T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69717   Temple bone implant revision   T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69718   Revise temple bone implant     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69720   Release facial nerve           T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69725   Release facial nerve           T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69740   Repair facial nerve            T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69745   Repair facial nerve            T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69799   Middle ear surgery procedure   T   T    0251     2.5002     119.43      272.32      312.12
69801   Incise inner ear               T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69802   Incise inner ear               T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69805   Explore inner ear              T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69806   Explore inner ear              T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69820   Establish inner ear window     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69840   Revise inner ear window        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69905   Remove inner ear               T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69910   Remove inner ear & mastoid     T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69915   Incise inner ear nerve         T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69930   Implant cochlear device        T   T    0259   393.2242   18,784.32   42,829.98   49,090.11
69949   Inner ear surgery procedure    T   T    0251     2.5002     119.43      272.32      312.12
69950   Incise inner ear nerve         C   C    0000     0.0000      0.00        0.00         0.00
69955   Release facial nerve           T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69960   Release inner ear canal        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69970   Remove inner ear lesion        T   T    0256    39.8776    1,904.95    4,343.47    4,978.32
69979   Temporal bone surgery          T   T    0251     2.5002     119.43      272.32      312.12
69990   Microsurgery add-on            N   N    0000     0.0000      0.00        0.00         0.00
70010   Contrast x-ray of brain        Q   Q    0274     7.5589     361.09      823.32      943.65
70015   Contrast x-ray of brain        Q   Q    0274     7.5589     361.09      823.32      943.65
70030   X-ray eye for foreign body     X   X    0260     0.6954     33.22        75.74       86.81
70100   X-ray exam of jaw              X   X    0260     0.6954     33.22        75.74       86.81
70110   X-ray exam of jaw              X   X    0260     0.6954     33.22        75.74       86.81
70120   X-ray exam of mastoids         X   X    0260     0.6954     33.22        75.74       86.81
70130   X-ray exam of mastoids         X   X    0260     0.6954     33.22        75.74       86.81
70134   X-ray exam of middle ear       X   X    0261     1.1570     55.27       126.02      144.44
70140   X-ray exam of facial bones     X   X    0260     0.6954     33.22        75.74       86.81
70150   X-ray exam of facial bones     X   X    0260     0.6954     33.22        75.74       86.81
70160   X-ray exam of nasal bones      X   X    0260     0.6954     33.22        75.74       86.81
70170   X-ray exam of tear duct        Q   Q    0317     5.3623     256.16      584.06      669.43
70190   X-ray exam of eye sockets      X   X    0260     0.6954     33.22        75.74       86.81
70200   X-ray exam of eye sockets      X   X    0260     0.6954     33.22        75.74       86.81
70210   X-ray exam of sinuses          X   X    0260     0.6954     33.22        75.74       86.81
70220   X-ray exam of sinuses          X   X    0260     0.6954     33.22        75.74       86.81
70240   X-ray exam, pituitary saddle   X   X    0260     0.6954     33.22        75.74       86.81
70250   X-ray exam of skull            X   X    0260     0.6954     33.22        75.74       86.81
70260   X-ray exam of skull            X   X    0261     1.1570     55.27       126.02      144.44
70300   X-ray exam of teeth            X   X    0262     0.5749     27.46        62.62       71.77
70310   X-ray exam of teeth            X   X    0262     0.5749     27.46        62.62       71.77
70320   Full mouth x-ray of teeth      X   X    0262     0.5749     27.46        62.62       71.77
70328   X-ray exam of jaw joint        X   X    0260     0.6954     33.22        75.74       86.81
70330   X-ray exam of jaw joints       X   X    0260     0.6954     33.22        75.74       86.81
70332   X-ray exam of jaw joint        Q   Q    0275     4.0031     191.23      436.02      499.75
70336   Magnetic image, jaw joint      S   S    0335     4.8830     233.26      531.86      609.59
70350   X-ray head for orthodontia     X   X    0260     0.6954     33.22        75.74       86.81
70355   Panoramic x-ray of jaws        X   X    0260     0.6954     33.22        75.74       86.81
70360   X-ray exam of neck             X   X    0260     0.6954     33.22        75.74       86.81
70370   Throat x-ray & fluoroscopy     X   X    0272     1.3271     63.40       144.55      165.68
70371   Speech evaluation, complex     X   X    0272     1.3271     63.40       144.55      165.68
70373   Contrast x-ray of larynx       Q   Q    0263     2.6838     128.21      292.32      335.05
70380   X-ray exam of salivary gland   X   X    0260     0.6954     33.22        75.74       86.81
70390   X-ray exam of salivary duct    Q   Q    0263     2.6838     128.21      292.32      335.05
70450   Ct head/brain w/o dye          S   S    0332     3.0109     143.83      327.95      375.88
70460   Ct head/brain w/dye            S   S    0283     4.3564     208.11      474.50      543.85
70470   Ct head/brain w/o & w/dye      S   S    0333     5.1125     244.22      556.85      638.24
70480   Ct orbit/ear/fossa w/o dye     S   S    0332     3.0109     143.83      327.95      375.88
70481   Ct orbit/ear/fossa w/dye       S   S    0283     4.3564     208.11      474.50      543.85
70482   Ct orbit/ear/fossa w/o&w/dye   S   S    0333     5.1125     244.22      556.85      638.24
70486   Ct maxillofacial w/o dye       S   S    0332     3.0109     143.83      327.95      375.88
70487   Ct maxillofacial w/dye         S   S    0283     4.3564     208.11      474.50      543.85
70488   Ct maxillofacial w/o & w/dye   S   S    0333     5.1125     244.22      556.85      638.24
70490   Ct soft tissue neck w/o dye    S   S    0332     3.0109     143.83      327.95      375.88
70491   Ct soft tissue neck w/dye      S   S    0283     4.3564     208.11      474.50      543.85
70492   Ct sft tsue nck w/o & w/dye    S   S    0333     5.1125     244.22      556.85      638.24
70496   Ct angiography, head           S   S    0662     5.1641     246.69      562.47      644.69
70498   Ct angiography, neck           S   S    0662     5.1641     246.69      562.47      644.69
70540   Mri orbit/face/neck w/o dye    S   S    0336     5.3933     257.64      587.44      673.30
70542   Mri orbit/face/neck w/dye      S   S    0284     6.2350     297.85      679.12      778.38
70543   Mri orbt/fac/nck w/o & w/dye   S   S    0337     8.2463     393.93      898.19     1,029.47
70544   Mr angiography head w/o dye    S   S    0336     5.3933     257.64      587.44      673.30
70545   Mr angiography head w/dye      S   S    0284     6.2350     297.85      679.12      778.38
70546   Mr angiograph head w/o&w/dye   S   S    0337     8.2463     393.93      898.19     1,029.47
70547   Mr angiography neck w/o dye    S   S    0336     5.3933     257.64      587.44      673.30
70548   Mr angiography neck w/dye      S   S    0284     6.2350     297.85      679.12      778.38
70549   Mr angiograph neck w/o&w/dye   S   S    0337     8.2463     393.93      898.19     1,029.47
70551   Mri brain w/o dye              S   S    0336     5.3933     257.64      587.44      673.30
70552   Mri brain w/dye                S   S    0284     6.2350     297.85      679.12      778.38
70553   Mri brain w/o & w/dye          S   S    0337     8.2463     393.93      898.19     1,029.47
70554   Fmri brain by tech             S   S    0336     5.3933     257.64      587.44      673.30
70555   Fmri brain by phys/psych       S   S    0336    5.3933     257.64      587.44      673.30
70557   Mri brain w/o dye              S   S    0336    5.3933     257.64      587.44      673.30
70558   Mri brain w/dye                S   S    0284    6.2350     297.85      679.12      778.38
70559   Mri brain w/o & w/dye          S   S    0337    8.2463     393.93      898.19     1,029.47
71010   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71015   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71020   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71021   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71022   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71023   Chest x-ray and fluoroscopy    X   X    0272    1.3271     63.40       144.55      165.68
71030   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71034   Chest x-ray and fluoroscopy    X   X    0272    1.3271     63.40       144.55      165.68
71035   Chest x-ray                    X   X    0260    0.6954     33.22        75.74       86.81
71040   Contrast x-ray of bronchi      Q   Q    0263    2.6838     128.21      292.32      335.05
71060   Contrast x-ray of bronchi      Q   Q    0317    5.3623     256.16      584.06      669.43
71090   X-ray & pacemaker insertion    N   N    0000    0.0000      0.00        0.00         0.00
71100   X-ray exam of ribs             X   X    0260    0.6954     33.22        75.74       86.81
71101   X-ray exam of ribs/chest       X   X    0260    0.6954     33.22        75.74       86.81
71110   X-ray exam of ribs             X   X    0260    0.6954     33.22        75.74       86.81
71111   X-ray exam of ribs/chest       X   X    0261    1.1570     55.27       126.02      144.44
71120   X-ray exam of breastbone       X   X    0260    0.6954     33.22        75.74       86.81
71130   X-ray exam of breastbone       X   X    0260    0.6954     33.22        75.74       86.81
71250   Ct thorax w/o dye              S   S    0332    3.0109     143.83      327.95      375.88
71260   Ct thorax w/dye                S   S    0283    4.3564     208.11      474.50      543.85
71270   Ct thorax w/o & w/dye          S   S    0333    5.1125     244.22      556.85      638.24
71275   Ct angiography, chest          S   S    0662    5.1641     246.69      562.47      644.69
71550   Mri chest w/o dye              S   S    0336    5.3933     257.64      587.44      673.30
71551   Mri chest w/dye                S   S    0284    6.2350     297.85      679.12      778.38
71552   Mri chest w/o & w/dye          S   S    0337    8.2463     393.93      898.19     1,029.47
71555   Mri angio chest w or w/o dye   B   B    0000    0.0000      0.00        0.00         0.00
72010   X-ray exam of spine            X   X    0260    0.6954     33.22        75.74       86.81
72020   X-ray exam of spine            X   X    0260    0.6954     33.22        75.74       86.81
72040   X-ray exam of neck spine       X   X    0260    0.6954     33.22        75.74       86.81
72050   X-ray exam of neck spine       X   X    0261    1.1570     55.27       126.02      144.44
72052   X-ray exam of neck spine       X   X    0261    1.1570     55.27       126.02      144.44
72069   X-ray exam of trunk spine      X   X    0260    0.6954     33.22        75.74       86.81
72070   X-ray exam of thoracic spine   X   X    0260    0.6954     33.22        75.74       86.81
72072   X-ray exam of thoracic spine   X   X    0260    0.6954     33.22        75.74       86.81
72074   X-ray exam of thoracic spine   X   X    0260    0.6954     33.22        75.74       86.81
72080   X-ray exam of trunk spine      X   X    0260    0.6954     33.22        75.74       86.81
72090   X-ray exam of trunk spine      X   X    0261    1.1570     55.27       126.02      144.44
72100   X-ray exam of lower spine      X   X    0260    0.6954     33.22        75.74       86.81
72110   X-ray exam of lower spine      X   X    0261    1.1570     55.27       126.02      144.44
72114   X-ray exam of lower spine      X   X    0261    1.1570     55.27       126.02      144.44
72120   X-ray exam of lower spine      X   X    0261    1.1570     55.27       126.02      144.44
72125   Ct neck spine w/o dye          S   S    0332    3.0109     143.83      327.95      375.88
72126   Ct neck spine w/dye            S   S    0283    4.3564     208.11      474.50      543.85
72127   Ct neck spine w/o & w/dye      S   S    0333    5.1125     244.22      556.85      638.24
72128   Ct chest spine w/o dye         S   S    0332    3.0109     143.83      327.95      375.88
72129   Ct chest spine w/dye           S   S    0283    4.3564     208.11      474.50      543.85
72130   Ct chest spine w/o & w/dye     S   S    0333    5.1125     244.22      556.85      638.24
72131   Ct lumbar spine w/o dye        S   S    0332    3.0109     143.83      327.95      375.88
72132   Ct lumbar spine w/dye          S   S    0283    4.3564     208.11      474.50      543.85
72133   Ct lumbar spine w/o & w/dye    S   S    0333    5.1125     244.22      556.85      638.24
72141   Mri neck spine w/o dye         S   S    0336    5.3933     257.64      587.44      673.30
72142   Mri neck spine w/dye           S   S    0284    6.2350     297.85      679.12      778.38
72146   Mri chest spine w/o dye        S   S    0336    5.3933     257.64      587.44      673.30
72147   Mri chest spine w/dye          S   S    0284    6.2350     297.85      679.12      778.38
72148   Mri lumbar spine w/o dye       S   S    0336    5.3933     257.64      587.44      673.30
72149   Mri lumbar spine w/dye         S   S    0284    6.2350     297.85      679.12      778.38
72156   Mri neck spine w/o & w/dye     S   S    0337    8.2463     393.93      898.19     1,029.47
72157   Mri chest spine w/o & w/dye    S   S    0337    8.2463     393.93      898.19     1,029.47
72158   Mri lumbar spine w/o & w/dye   S   S    0337    8.2463     393.93      898.19     1,029.47
72159   Mr angio spine w/o&w/dye       E   3    0000    0.0000      M01         M01         M01
72170   X-ray exam of pelvis           X   X    0260    0.6954     33.22        75.74       86.81
72190   X-ray exam of pelvis           X   X    0260    0.6954     33.22        75.74       86.81
72191   Ct angiograph pelv w/o&w/dye   S   S    0662    5.1641     246.69      562.47      644.69
72192   Ct pelvis w/o dye              S   S    0332    3.0109     143.83      327.95      375.88
72193   Ct pelvis w/dye                S   S    0283    4.3564     208.11      474.50      543.85
72194   Ct pelvis w/o & w/dye          S   S    0333    5.1125     244.22      556.85      638.24
72195   Mri pelvis w/o dye             S   S    0336    5.3933     257.64      587.44      673.30
72196   Mri pelvis w/dye               S   S    0284    6.2350     297.85      679.12      778.38
72197   Mri pelvis w/o & w/dye         S   S    0337    8.2463     393.93      898.19     1,029.47
72198   Mr angio pelvis w/o & w/dye    B   B    0000    0.0000      0.00        0.00         0.00
72200   X-ray exam sacroiliac joints   X   X    0260    0.6954     33.22        75.74       86.81
72202   X-ray exam sacroiliac joints   X   X    0260    0.6954     33.22        75.74       86.81
72220   X-ray exam of tailbone         X   X    0260    0.6954     33.22        75.74       86.81
72240   Contrast x-ray of neck spine   Q   Q    0274    7.5589     361.09      823.32      943.65
72255   Contrast x-ray, thorax spine   Q   Q    0274    7.5589     361.09      823.32      943.65
72265   Contrast x-ray, lower spine    Q   Q    0274    7.5589     361.09      823.32      943.65
72270   Contrast x-ray, spine          Q   Q    0274    7.5589     361.09      823.32      943.65
72275   Epidurography                  N   N    0000    0.0000      0.00        0.00         0.00
72285   X-ray c/t spine disk           Q   Q    0388   20.1823     964.11     2,198.26    2,519.56
72291   Perq vertebroplasty, fluor     N   N    0000    0.0000      0.00        0.00         0.00
72292   Perq vertebroplasty, ct        N   N    0000    0.0000      0.00        0.00         0.00
72295   X-ray of lower spine disk      Q   Q    0388   20.1823     964.11     2,198.26    2,519.56
73000   X-ray exam of collar bone      X   X    0260    0.6954     33.22        75.74       86.81
73010   X-ray exam of shoulder blade   X   X    0260    0.6954     33.22        75.74       86.81
73020   X-ray exam of shoulder         X   X    0260    0.6954     33.22        75.74       86.81
73030   X-ray exam of shoulder         X   X    0260    0.6954     33.22        75.74       86.81
73040   Contrast x-ray of shoulder     Q   Q    0275    4.0031     191.23      436.02      499.75
73050   X-ray exam of shoulders        X   X    0260    0.6954     33.22        75.74       86.81
73060   X-ray exam of humerus          X   X    0260    0.6954     33.22        75.74       86.81
73070   X-ray exam of elbow            X   X    0260    0.6954     33.22        75.74       86.81
73080   X-ray exam of elbow            X   X    0260    0.6954     33.22        75.74       86.81
73085   Contrast x-ray of elbow        Q   Q    0275    4.0031     191.23      436.02      499.75
73090   X-ray exam of forearm          X   X    0260    0.6954     33.22        75.74       86.81
73092   X-ray exam of arm, infant      X   X    0260    0.6954     33.22        75.74       86.81
73100   X-ray exam of wrist            X   X    0260    0.6954     33.22        75.74       86.81
73110   X-ray exam of wrist            X   X    0260    0.6954     33.22        75.74       86.81
73115   Contrast x-ray of wrist        Q   Q    0275    4.0031     191.23      436.02      499.75
73120   X-ray exam of hand             X   X    0260    0.6954     33.22        75.74       86.81
73130   X-ray exam of hand             X   X    0260    0.6954     33.22        75.74       86.81
73140   X-ray exam of finger(s)        X   X    0260    0.6954     33.22        75.74       86.81
73200   Ct upper extremity w/o dye     S   S    0332    3.0109     143.83      327.95      375.88
73201   Ct upper extremity w/dye       S   S    0283    4.3564     208.11      474.50      543.85
73202   Ct uppr extremity w/o&w/dye    S   S    0333    5.1125     244.22      556.85      638.24
73206   Ct angio upr extrm w/o&w/dye   S   S    0662    5.1641     246.69      562.47      644.69
73218   Mri upper extremity w/o dye    S   S    0336    5.3933     257.64      587.44      673.30
73219   Mri upper extremity w/dye      S   S    0284    6.2350     297.85      679.12      778.38
73220   Mri uppr extremity w/o&w/dye   S   S    0337    8.2463     393.93      898.19     1,029.47
73221   Mri joint upr extrem w/o dye   S   S    0336    5.3933     257.64      587.44      673.30
73222   Mri joint upr extrem w/dye     S   S    0284    6.2350     297.85      679.12      778.38
73223   Mri joint upr extr w/o&w/dye   S   S    0337    8.2463     393.93      898.19     1,029.47
73225   Mr angio upr extr w/o&w/dye    E   3    0000    0.0000      M01         M01         M01
73500   X-ray exam of hip              X   X    0260    0.6954     33.22        75.74       86.81
73510   X-ray exam of hip              X   X    0260    0.6954     33.22        75.74       86.81
73520   X-ray exam of hips             X   X    0261    1.1570     55.27       126.02      144.44
73525   Contrast x-ray of hip          Q   Q    0275    4.0031     191.23      436.02      499.75
73530   X-ray exam of hip              N   N    0000    0.0000      0.00        0.00         0.00
73540   X-ray exam of pelvis & hips    X   X    0260    0.6954     33.22        75.74       86.81
73542   X-ray exam, sacroiliac joint   Q   Q    0275    4.0031     191.23      436.02      499.75
73550   X-ray exam of thigh            X   X    0260    0.6954     33.22        75.74       86.81
73560   X-ray exam of knee, 1 or 2     X   X    0260    0.6954     33.22        75.74       86.81
73562   X-ray exam of knee, 3          X   X    0260    0.6954     33.22        75.74       86.81
73564   X-ray exam, knee, 4 or more    X   X    0260    0.6954     33.22        75.74       86.81
73565   X-ray exam of knees            X   X    0260    0.6954     33.22        75.74       86.81
73580   Contrast x-ray of knee joint   Q   Q    0275    4.0031     191.23      436.02      499.75
73590   X-ray exam of lower leg        X   X    0260    0.6954     33.22        75.74       86.81
73592   X-ray exam of leg, infant      X   X    0260    0.6954     33.22        75.74       86.81
73600   X-ray exam of ankle            X   X    0260    0.6954     33.22        75.74       86.81
73610   X-ray exam of ankle            X   X    0260    0.6954     33.22        75.74       86.81
73615   Contrast x-ray of ankle        Q   Q    0275    4.0031     191.23      436.02      499.75
73620   X-ray exam of foot             X   X    0260    0.6954     33.22        75.74       86.81
73630   X-ray exam of foot             X   X    0260    0.6954     33.22        75.74       86.81
73650   X-ray exam of heel             X   X    0260    0.6954     33.22        75.74       86.81
73660   X-ray exam of toe(s)           X   X    0260    0.6954     33.22        75.74       86.81
73700   Ct lower extremity w/o dye     S   S    0332    3.0109     143.83      327.95      375.88
73701   Ct lower extremity w/dye       S   S    0283    4.3564     208.11      474.50      543.85
73702   Ct lwr extremity w/o&w/dye     S   S    0333    5.1125     244.22      556.85      638.24
73706   Ct angio lwr extr w/o&w/dye    S   S    0662    5.1641     246.69      562.47      644.69
73718   Mri lower extremity w/o dye    S   S    0336    5.3933     257.64      587.44      673.30
73719   Mri lower extremity w/dye      S   S    0284    6.2350     297.85      679.12      778.38
73720   Mri lwr extremity w/o&w/dye    S   S    0337    8.2463     393.93      898.19     1,029.47
73721   Mri jnt of lwr extre w/o dye   S   S    0336    5.3933     257.64      587.44      673.30
73722   Mri joint of lwr extr w/dye    S   S    0284    6.2350     297.85      679.12      778.38
73723   Mri joint lwr extr w/o&w/dye   S   S    0337    8.2463     393.93      898.19     1,029.47
73725   Mr ang lwr ext w or w/o dye    B   B    0000    0.0000      0.00        0.00         0.00
74000   X-ray exam of abdomen          X   X    0260    0.6954     33.22        75.74       86.81
74010   X-ray exam of abdomen          X   X    0260    0.6954     33.22        75.74       86.81
74020   X-ray exam of abdomen          X   X    0260    0.6954     33.22        75.74       86.81
74022   X-ray exam series, abdomen     X   X    0261    1.1570     55.27       126.02      144.44
74150   Ct abdomen w/o dye             S   S    0332    3.0109     143.83      327.95      375.88
74160   Ct abdomen w/dye               S   S    0283    4.3564     208.11      474.50      543.85
74170   Ct abdomen w/o & w/dye         S   S    0333    5.1125     244.22      556.85      638.24
74175   Ct angio abdom w/o & w/dye     S   S    0662    5.1641     246.69      562.47      644.69
74181   Mri abdomen w/o dye            S   S    0336    5.3933     257.64      587.44      673.30
74182   Mri abdomen w/dye              S   S    0284    6.2350     297.85      679.12      778.38
74183   Mri abdomen w/o & w/dye        S   S    0337    8.2463     393.93      898.19     1,029.47
74185   Mri angio, abdom w orw/o dye   B   B    0000    0.0000      0.00        0.00         0.00
74190   X-ray exam of peritoneum       Q   Q    0317    5.3623     256.16      584.06      669.43
74210   Contrst x-ray exam of throat   S   S    0276    1.3834     66.09       150.68      172.70
74220   Contrast x-ray, esophagus      S   S    0276    1.3834     66.09       150.68      172.70
74230   Cine/vid x-ray, throat/esoph   S   S    0276    1.3834     66.09       150.68      172.70
74235   Remove esophagus obstruction   N   N    0000    0.0000      0.00        0.00         0.00
74240   X-ray exam, upper gi tract     S   S    0276    1.3834     66.09       150.68      172.70
74241   X-ray exam, upper gi tract     S   S    0276    1.3834     66.09       150.68      172.70
74245   X-ray exam, upper gi tract     S   S    0277    2.2222     106.15      242.04      277.42
74246   Contrst x-ray uppr gi tract    S   S    0276    1.3834     66.09       150.68      172.70
74247   Contrst x-ray uppr gi tract    S   S    0276    1.3834     66.09       150.68      172.70
74249   Contrst x-ray uppr gi tract    S   S    0277    2.2222     106.15      242.04      277.42
74250   X-ray exam of small bowel      S   S    0276    1.3834     66.09       150.68      172.70
74251   X-ray exam of small bowel      S   S    0277    2.2222     106.15      242.04      277.42
74260   X-ray exam of small bowel      S   S    0276    1.3834     66.09       150.68      172.70
74270   Contrast x-ray exam of colon   S   S    0276    1.3834     66.09       150.68      172.70
74280   Contrast x-ray exam of colon   S   S    0277    2.2222     106.15      242.04      277.42
74283   Contrast x-ray exam of colon   S   S    0276    1.3834     66.09       150.68      172.70
74290   Contrast x-ray, gallbladder    S   S    0276    1.3834     66.09       150.68      172.70
74291   Contrast x-rays, gallbladder   S   S    0276    1.3834     66.09       150.68      172.70
74300   X-ray bile ducts/pancreas      N   N    0000    0.0000      0.00        0.00         0.00
74301   X-rays at surgery add-on       N   N    0000    0.0000      0.00        0.00         0.00
74305   X-ray bile ducts/pancreas      N   N    0000    0.0000      0.00        0.00         0.00
74320   Contrast x-ray of bile ducts   Q   Q    0317    5.3623     256.16      584.06      669.43
74327   X-ray bile stone removal       N   N    0000    0.0000      0.00        0.00         0.00
74328   X-ray bile duct endoscopy      N   N    0000    0.0000      0.00        0.00         0.00
74329   X-ray for pancreas endoscopy   N   N    0000    0.0000      0.00        0.00         0.00
74330   X-ray bile/panc endoscopy      N   N    0000    0.0000      0.00        0.00         0.00
74340   X-ray guide for GI tube        N   N    0000    0.0000      0.00        0.00         0.00

74355   X-ray guide, intestinal tube   N   N    0000    0.0000      0.00        0.00        0.00
74360   X-ray guide, GI dilation       N   N    0000    0.0000      0.00        0.00        0.00
74363   X-ray, bile duct dilation      N   N    0000    0.0000      0.00        0.00        0.00
74400   Contrst x-ray, urinary tract   S   S    0278    2.6121     124.78      284.51      326.09
74410   Contrst x-ray, urinary tract   S   S    0278    2.6121     124.78      284.51      326.09
74415   Contrst x-ray, urinary tract   S   S    0278    2.6121     124.78      284.51      326.09
74420   Contrst x-ray, urinary tract   S   S    0278    2.6121     124.78      284.51      326.09
74425   Contrst x-ray, urinary tract   Q   Q    0278    2.6121     124.78      284.51      326.09
74430   Contrast x-ray, bladder        Q   Q    0278    2.6121     124.78      284.51      326.09
74440   X-ray, male genital tract      Q   Q    0278    2.6121     124.78      284.51      326.09
74445   X-ray exam of penis            Q   Q    0278    2.6121     124.78      284.51      326.09
74450   X-ray, urethra/bladder         Q   Q    0278    2.6121     124.78      284.51      326.09
74455   X-ray, urethra/bladder         Q   Q    0278    2.6121     124.78      284.51      326.09
74470   X-ray exam of kidney lesion    Q   Q    0263    2.6838     128.21      292.32      335.05
74475   X-ray control, cath insert     Q   Q    0317    5.3623     256.16      584.06      669.43
74480   X-ray control, cath insert     Q   Q    0317    5.3623     256.16      584.06      669.43
74485   X-ray guide, GU dilation       Q   Q    0317    5.3623     256.16      584.06      669.43
74710   X-ray measurement of pelvis    X   X    0261    1.1570     55.27       126.02      144.44
74740   X-ray, female genital tract    Q   Q    0263    2.6838     128.21      292.32      335.05
74742   X-ray, fallopian tube          N   N    0000    0.0000      0.00        0.00        0.00
74775   X-ray exam of perineum         S   S    0278    2.6121     124.78      284.51      326.09




75557   Cardiac mri for morph          S    S   0336    5.3933     257.64      587.44      673.30
75558   Cardiac mri flow/velocity      E    1   0000    0.0000      0.00        0.00         0.00
75559   Cardiac mri w/stress img       S    S   0336    5.3933     257.64      587.44      673.30
75560   Cardiac mri flow/vel/stress    E    1   0000    0.0000      0.00        0.00         0.00
75561   Cardiac mri for morph w/dye    S    S   0337    8.2463     393.93      898.19     1,029.47
75562   Card mri flow/vel w/dye        E    1   0000    0.0000      0.00        0.00         0.00
75563   Card mri w/stress img & dye    S    S   0337    8.2463     393.93      898.19     1,029.47
75564   Ht mri w/flo/vel/strs & dye    E    1   0000    0.0000      0.00        0.00         0.00
75600   Contrast x-ray exam of aorta   Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75605   Contrast x-ray exam of aorta   Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75625   Contrast x-ray exam of aorta   Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75630   X-ray aorta, leg arteries      Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75635   Ct angio abdominal arteries    Q   Q    0662    5.1641     246.69      562.47      644.69
75650   Artery x-rays, head & neck     Q   Q    0280   44.7114    2,135.86    4,869.97    5,581.77
75658   Artery x-rays, arm             Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75660   Artery x-rays, head & neck     Q   Q    0280   44.7114    2,135.86    4,869.97    5,581.77
75662   Artery x-rays, head & neck     Q   Q    0280   44.7114    2,135.86    4,869.97    5,581.77
75665   Artery x-rays, head & neck     Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75671   Artery x-rays, head & neck     Q   Q    0280   44.7114    2,135.86    4,869.97    5,581.77
75676   Artery x-rays, neck            Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75680   Artery x-rays, neck            Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75685   Artery x-rays, spine           Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75705   Artery x-rays, spine           Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75710   Artery x-rays, arm/leg         Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75716   Artery x-rays, arms/legs       Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75722   Artery x-rays, kidney          Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75724   Artery x-rays, kidneys         Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75726   Artery x-rays, abdomen         Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75731   Artery x-rays, adrenal gland   Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75733   Artery x-rays, adrenals        Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75736   Artery x-rays, pelvis          Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75741   Artery x-rays, lung            Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75743   Artery x-rays, lungs           Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75746   Artery x-rays, lung            Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75756   Artery x-rays, chest           Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75774   Artery x-ray, each vessel      N   N    0000    0.0000      0.00        0.00         0.00
75790   Visualize A-V shunt            Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75801   Lymph vessel x-ray, arm/leg    Q   Q    0317    5.3623     256.16      584.06      669.43
75803   Lymph vessel x-ray,arms/legs   Q   Q    0317    5.3623     256.16      584.06      669.43
75805   Lymph vessel x-ray, trunk      Q   Q    0317    5.3623     256.16      584.06      669.43
75807   Lymph vessel x-ray, trunk      Q   Q    0317    5.3623     256.16      584.06      669.43
75809   Nonvascular shunt, x-ray       Q   Q    0263    2.6838     128.21      292.32      335.05
75810   Vein x-ray, spleen/liver       Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75820   Vein x-ray, arm/leg            Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75822   Vein x-ray, arms/legs          Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75825   Vein x-ray, trunk              Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75827   Vein x-ray, chest              Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75831   Vein x-ray, kidney             Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75833   Vein x-ray, kidneys            Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75840   Vein x-ray, adrenal gland      Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75842   Vein x-ray, adrenal glands     Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75860   Vein x-ray, neck               Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75870   Vein x-ray, skull              Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75872   Vein x-ray, skull              Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75880   Vein x-ray, eye socket         Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75885   Vein x-ray, liver              Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75887   Vein x-ray, liver              Q   Q    0668    9.3506     446.68     1,018.47    1,167.33
75889   Vein x-ray, liver              Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75891   Vein x-ray, liver              Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75893   Venous sampling by catheter    Q   Q    0279   28.8788    1,379.54    3,145.48    3,605.23
75894   X-rays, transcath therapy      N   N    0000    0.0000      0.00        0.00         0.00
75896   X-rays, transcath therapy      N   N    0000    0.0000      0.00        0.00         0.00
75898   Follow-up angiography          Q   Q    0263    2.6838     128.21      292.32      335.05
75900   Arterial catheter exchange     C   C    0000    0.0000      0.00        0.00         0.00
75901   Remove cva device obstruct     N   N    0000    0.0000      0.00        0.00         0.00
75902   Remove cva lumen obstruct      N   N    0000    0.0000      0.00        0.00         0.00
75940   X-ray placement, vein filter   N   N    0000    0.0000      0.00        0.00         0.00
75945   Intravascular us               Q   Q    0267    2.3792     113.65      259.14      297.02
75946   Intravascular us add-on        N   N    0000    0.0000      0.00        0.00         0.00
75952   Endovasc repair abdom aorta    C   C    0000    0.0000      0.00        0.00         0.00
75953   Abdom aneurysm endovas rpr     C   C    0000    0.0000      0.00        0.00         0.00
75954   Iliac aneurysm endovas rpr     C   C    0000    0.0000      0.00        0.00         0.00
75956   Xray, endovasc thor ao repr    C   C    0000    0.0000      0.00        0.00         0.00
75957   Xray, endovasc thor ao repr    C   C    0000    0.0000      0.00        0.00         0.00
75958   Xray, place prox ext thor ao   C   C    0000    0.0000      0.00        0.00         0.00
75959   Xray, place dist ext thor ao   C   C    0000    0.0000      0.00        0.00         0.00
75960   Transcath iv stent rs&i        N   N    0000    0.0000      0.00        0.00         0.00
75961   Retrieval, broken catheter     N   N    0000    0.0000      0.00        0.00         0.00
75962   Repair arterial blockage       Q   Q    0083   45.3845    2,168.02    4,943.28    5,665.80
75964   Repair artery blockage, each   N   N    0000    0.0000      0.00        0.00         0.00
75966   Repair arterial blockage       Q   Q    0083   45.3845    2,168.02    4,943.28    5,665.80
75968   Repair artery blockage, each   N   N    0000    0.0000      0.00        0.00         0.00
75970   Vascular biopsy                N   N    0000    0.0000      0.00        0.00         0.00
75978   Repair venous blockage         Q   Q    0083   45.3845    2,168.02    4,943.28    5,665.80
75980   Contrast xray exam bile duct   N   N    0000    0.0000      0.00        0.00         0.00
75982   Contrast xray exam bile duct   N   N    0000    0.0000      0.00        0.00         0.00
75984   Xray control catheter change   N   N    0000    0.0000      0.00        0.00         0.00
75989   Abscess drainage under x-ray   N   N    0000    0.0000      0.00        0.00         0.00
75992   Atherectomy, x-ray exam        N   N    0000    0.0000      0.00        0.00         0.00
75993   Atherectomy, x-ray exam        N   N    0000    0.0000      0.00        0.00         0.00
75994   Atherectomy, x-ray exam        N   N    0000    0.0000      0.00        0.00         0.00
75995   Atherectomy, x-ray exam        N   N    0000    0.0000      0.00        0.00         0.00
75996   Atherectomy, x-ray exam        N   N    0000    0.0000      0.00        0.00         0.00
76000   Fluoroscope examination        Q   Q    0272    1.3271     63.40       144.55      165.68
76001   Fluoroscope exam, extensive    N   N    0000    0.0000      0.00        0.00         0.00
76010   X-ray, nose to rectum          X   X    0260    0.6954     33.22        75.74       86.81
76080   X-ray exam of fistula          Q   Q    0263    2.6838     128.21      292.32      335.05
76098   X-ray exam, breast specimen    X   X    0260    0.6954     33.22        75.74       86.81
76100   X-ray exam of body section     X   X    0261    1.1570     55.27       126.02      144.44
76101   Complex body section x-ray     X   X    0263    2.6838     128.21      292.32      335.05
76102   Complex body section x-rays    X   X    0263    2.6838     128.21      292.32      335.05
76120   Cine/video x-rays              X   X    0272    1.3271     63.40       144.55      165.68
76125   Cine/video x-rays add-on       N   N    0000    0.0000      0.00        0.00         0.00
76140   X-ray consultation             E   1    0000    0.0000      0.00        0.00         0.00
76150   X-ray exam, dry process        X   X    0260    0.6954     33.22        75.74       86.81
76350   Special x-ray contrast study   N   N    0000    0.0000      0.00        0.00         0.00
76376   3d render w/o postprocess      N   N    0000    0.0000      0.00        0.00         0.00
76377   3d rendering w/postprocess     N   N    0000    0.0000      0.00        0.00         0.00
76380   CAT scan follow-up study       S   S    0282    1.5839     75.66       172.52      197.73
76390   Mr spectroscopy                E   3    0000    0.0000      M01         M01         M01
76496   Fluoroscopic procedure         X   X    0272    1.3271     63.40       144.55      165.68
76497   Ct procedure                   S   S    0282    1.5839     75.66       172.52      197.73
76498   Mri procedure                  S   S    0335    4.8830     233.26      531.86      609.59
76499   Radiographic procedure         X   X    0260    0.6954     33.22        75.74       86.81
76506   Echo exam of head              S   S    0265    0.9570     45.72       104.24      119.47
76510   Ophth us, b & quant a          T   T    0232    5.1169     244.43      557.33      638.79
76511   Ophth us, quant a only         S   S    0266    1.5094     72.10       164.40      188.43
76512   Ophth us, b w/non-quant a      S   S    0266    1.5094     72.10       164.40      188.43
76513   Echo exam of eye, water bath   S   S    0266    1.5094     72.10       164.40      188.43
76514   Echo exam of eye, thickness    S   S    0230    0.5903     28.20        64.30       73.69
76516   Echo exam of eye               S   S    0265    0.9570     45.72       104.24      119.47
76519   Echo exam of eye               S   S    0266    1.5094     72.10       164.40      188.43
76529   Echo exam of eye               S   S    0265    0.9570     45.72       104.24      119.47
76536   Us exam of head and neck       S   S    0266    1.5094     72.10       164.40      188.43
76604   Us exam, chest, b-scan         S   S    0265    0.9570     45.72       104.24      119.47
76645   Us exam, breast(s)             S   S    0265    0.9570     45.72       104.24      119.47
76700   Us exam, abdom, complete       S   S    0266    1.5094     72.10       164.40      188.43
76705   Echo exam of abdomen           S   S    0266    1.5094     72.10       164.40      188.43
76770   Us exam abdo back wall, comp   S   S    0266    1.5094     72.10       164.40      188.43
76775   Us exam abdo back wall, lim    S   S    0266    1.5094     72.10       164.40      188.43
76776   Us exam k transpl w/doppler    S   S    0266    1.5094     72.10       164.40      188.43
76800   Us exam, spinal canal          S   S    0266    1.5094     72.10       164.40      188.43
76801   Ob us < 14 wks, single fetus   S   S    0266    1.5094     72.10       164.40      188.43
76802   Ob us < 14 wks, add’l fetus    S   S    0265    0.9570     45.72       104.24      119.47
76805   Ob us >/= 14 wks, sngl fetus   S   S    0266    1.5094     72.10       164.40      188.43
76810   Ob us >/= 14 wks, addl fetus   S   S    0266    1.5094     72.10       164.40      188.43
76811   Ob us, detailed, sngl fetus    S   S    0267    2.3792     113.65      259.14      297.02
76812   Ob us, detailed, addl fetus    S   S    0265    0.9570     45.72       104.24      119.47
76813   Ob us nuchal meas, 1 gest      S   S    0266    1.5094     72.10       164.40      188.43
76814   Ob us nuchal meas, add-on      S   S    0265    0.9570     45.72       104.24      119.47
76815   Ob us, limited, fetus(s)       S   S    0265    0.9570     45.72       104.24      119.47
76816   Ob us, follow-up, per fetus    S   S    0265    0.9570     45.72       104.24      119.47
76817   Transvaginal us, obstetric     S   S    0265    0.9570     45.72       104.24      119.47
76818   Fetal biophys profile w/nst    S   S    0266    1.5094     72.10       164.40      188.43
76819   Fetal biophys profil w/o nst   S   S    0266    1.5094     72.10       164.40      188.43
76820   Umbilical artery echo          S   S    0096    1.4689     70.17       159.99      183.38
76821   Middle cerebral artery echo    S   S    0096    1.4689     70.17       159.99      183.38
76825   Echo exam of fetal heart       S   S    0266    1.5094     72.10       164.40      188.43
76826   Echo exam of fetal heart       S   S    0265    0.9570     45.72       104.24      119.47
76827   Echo exam of fetal heart       S   S    0265    0.9570     45.72       104.24      119.47
76828   Echo exam of fetal heart       S   S    0265    0.9570     45.72       104.24      119.47
76830   Transvaginal us, non-ob        S   S    0266    1.5094     72.10       164.40      188.43
76831   Echo exam, uterus              S   S    0267    2.3792     113.65      259.14      297.02
76856   Us exam, pelvic, complete      S   S    0266    1.5094     72.10       164.40      188.43
76857   Us exam, pelvic, limited       S   S    0265    0.9570     45.72       104.24      119.47
76870   Us exam, scrotum               S   S    0266    1.5094     72.10       164.40      188.43
76872   Us, transrectal                S   S    0266    1.5094     72.10       164.40      188.43
76873   Echograp trans r, pros study   S   S    0266    1.5094     72.10       164.40      188.43
76880   Us exam, extremity             S   S    0266    1.5094     72.10       164.40      188.43
76885   Us exam infant hips, dynamic   S   S    0265    0.9570     45.72       104.24      119.47
76886   Us exam infant hips, static    S   S    0265    0.9570     45.72       104.24      119.47
76930   Echo guide, cardiocentesis     N   N    0000    0.0000      0.00        0.00         0.00
76932   Echo guide for heart biopsy    N   N    0000    0.0000      0.00        0.00         0.00
76936   Echo guide for artery repair   N   N    0000    0.0000      0.00        0.00         0.00
76937   Us guide, vascular access       N   N    0000    0.0000     0.00        0.00         0.00
76940   Us guide, tissue ablation       N   N    0000    0.0000     0.00        0.00         0.00
76941   Echo guide for transfusion      N   N    0000    0.0000     0.00        0.00         0.00
76942   Echo guide for biopsy           N   N    0000    0.0000     0.00        0.00         0.00
76945   Echo guide, villus sampling     N   N    0000    0.0000     0.00        0.00         0.00
76946   Echo guide for amniocentesis    N   N    0000    0.0000     0.00        0.00         0.00
76948   Echo guide, ova aspiration      N   N    0000    0.0000     0.00        0.00         0.00
76950   Echo guidance radiotherapy      N   N    0000    0.0000     0.00        0.00         0.00
76965   Echo guidance radiotherapy      N   N    0000    0.0000     0.00        0.00         0.00
76970   Ultrasound exam follow-up       S   S    0265    0.9570    45.72       104.24      119.47
76975   GI endoscopic ultrasound        Q   Q    0267    2.3792    113.65      259.14      297.02
76977   Us bone density measure         X   X    0340    0.6310    30.14        68.73       78.77
76998   Us guide, intraop               N   N    0000    0.0000      0.00       0.00        0.00
76999   Echo examination procedure      S   S    0265    0.9570     45.72      104.24      119.47
77001   Fluoroguide for vein device     N   N    0000    0.0000      0.00       0.00        0.00
77002   Needle localization by xray     N   N    0000    0.0000      0.00       0.00        0.00
77003   Fluoroguide for spine inject    N   N    0000    0.0000     0.00        0.00        0.00
77011   Ct scan for localization        N   N    0000    0.0000     0.00        0.00        0.00
77012   Ct scan for needle biopsy       N   N    0000    0.0000     0.00        0.00        0.00
77013   Ct guide for tissue ablation    N   N    0000    0.0000     0.00        0.00        0.00
77014   Ct scan for therapy guide       N   N    0000    0.0000     0.00        0.00        0.00
77021   Mr guidance for needle place    N   N    0000    0.0000     0.00        0.00        0.00
77022   Mri for tissue ablation         N   N    0000    0.0000     0.00        0.00        0.00
77031   Stereotact guide for brst bx    N   N    0000    0.0000     0.00        0.00        0.00
77032   Guidance for needle, breast     N   N    0000    0.0000     0.00        0.00        0.00
77051   Computer dx mammogram add-on    A   3    0000    0.0000     M01         M01         M01
77052   Comp screen mammogram add-on    A   3    0000    0.0000     M01         M01         M01
77053   X-ray of mammary duct           Q   Q    0263    2.6838    128.21      292.32      335.05
77054   X-ray of mammary ducts          Q   Q    0263    2.6838    128.21      292.32      335.05
77055   Mammogram, one breast           A   3    0000    0.0000     M01         M01         M01
77056   Mammogram, both breasts         A   3    0000    0.0000     M01         M01         M01
77057   Mammogram, screening            A   3    0000    0.0000     M01         M01         M01
77058   Mri, one breast                 B   B    0000    0.0000     0.00        0.00        0.00
77059   Mri, both breasts               B   B    0000    0.0000      0.00      0.00         0.00
77071   X-ray stress view               X   X    0260    0.6954     33.22      75.74       86.81
77072   X-rays for bone age             X   X    0260    0.6954     33.22       75.74       86.81
77073   X-rays, bone length studies     X   X    0260    0.6954     33.22       75.74       86.81
77074   X-rays, bone survey, limited    X   X    0261    1.1570     55.27      126.02      144.44
77075   X-rays, bone survey complete    X   X    0261    1.1570     55.27      126.02      144.44
77076   X-rays, bone survey, infant     X   X    0260    0.6954     33.22       75.74       86.81
77077   Joint survey, single view       X   X    0260    0.6954     33.22       75.74       86.81
77078   Ct bone density, axial          S   S    0288    1.1384     54.38      123.99      142.12
77079   Ct bone density, peripheral     S   S    0282    1.5839     75.66      172.52      197.73
77080   Dxa bone density, axial         S   S    0288    1.1384     54.38      123.99      142.12
77081   Dxa bone density/peripheral     S   S    0665    0.5087     24.30       55.41       63.51
77082   Dxa bone density, vert fx       X   X    0260    0.6954     33.22      75.74       86.81
77083   Radiographic absorptiometry     X   X    0261    1.1570    55.27       126.02      144.44
77084   Magnetic image, bone marrow     S   S    0335    4.8830    233.26      531.86      609.59
77261   Radiation therapy planning      B   B    0000    0.0000     0.00        0.00        0.00
77262   Radiation therapy planning      B   B    0000    0.0000     0.00        0.00        0.00
77263   Radiation therapy planning      B   B    0000    0.0000     0.00        0.00        0.00
77280   Set radiation therapy field     X   X    0304    1.5576    74.41       169.65      194.45
77285   Set radiation therapy field     X   X    0305    3.9276    187.62      427.79      490.32
77290   Set radiation therapy field     X   X    0305    3.9276    187.62      427.79      490.32
77295   Set radiation therapy field     X   X    0310   13.5621    647.86     1,477.18    1,693.09
77299   Radiation therapy planning      X   X    0304    1.5576    74.41       169.65      194.45
77300   Radiation therapy dose plan     X   X    0304    1.5576    74.41       169.65      194.45
77301   Radiotherapy dose plan, imrt    X   X    0310   13.5621    647.86     1,477.18    1,693.09
77305   Teletx isodose plan simple      X   X    0304    1.5576    74.41       169.65      194.45
77310   Teletx isodose plan intermed    X   X    0305    3.9276    187.62      427.79      490.32
77315   Teletx isodose plan complex     X   X    0305    3.9276    187.62      427.79      490.32
77321   Special teletx port plan        X   X    0305    3.9276    187.62      427.79      490.32
77326   Brachytx isodose calc simp      X   X    0304    1.5576    74.41       169.65      194.45
77327   Brachytx isodose calc interm    X   X    0305    3.9276    187.62      427.79      490.32
77328   Brachytx isodose plan compl     X   X    0305    3.9276    187.62      427.79      490.32
77331   Special radiation dosimetry     X   X    0304    1.5576    74.41       169.65      194.45
77332   Radiation treatment aid(s)      X   X    0303    2.8878    137.95      314.54      360.51
77333   Radiation treatment aid(s)      X   X    0303    2.8878    137.95      314.54      360.51
77334   Radiation treatment aid(s)      X   X    0303    2.8878    137.95      314.54      360.51
77336   Radiation physics consult       X   X    0304    1.5576    74.41       169.65      194.45
77370   Radiation physics consult       X   X    0304    1.5576    74.41       169.65      194.45
77371   Srs, multisource                S   S    0127   126.4653   6,041.25   13,774.60   15,787.93
77372   Srs, linear based               B   B    0000    0.0000      0.00       0.00         0.00
77373   Sbrt delivery                   B   B    0000    0.0000      0.00       0.00        0.00
77399   External radiation dosimetry    X   X    0304    1.5576     74.41      169.65      194.45
77401   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77402   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77403   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77404   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77406   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77407   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77408   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77409   Radiation treatment delivery    S   S    0300    1.4229     67.97      154.98      177.63
77411   Radiation treatment delivery    S   S    0301    2.2167     105.89     241.44      276.73
77412   Radiation treatment delivery    S   S    0301    2.2167     105.89     241.44      276.73
77413   Radiation treatment delivery    S   S    0301    2.2167     105.89     241.44      276.73
77414   Radiation treatment delivery    S   S    0301    2.2167     105.89     241.44      276.73
77416   Radiation treatment delivery    S   S    0301    2.2167     105.89     241.44      276.73
77417   Radiology port film(s)          N   N    0000    0.0000      0.00       0.00        0.00
77418   Radiation tx delivery, imrt     S   S    0412    5.4582     260.74     594.51      681.40
77421   Stereoscopic x-ray guidance     N   N    0000    0.0000      0.00       0.00        0.00
77422   Neutron beam tx, simple         S   S    0301    2.2167     105.89     241.44      276.73
77423   Neutron beam tx, complex        S   S    0301    2.2167     105.89     241.44      276.73
77427   Radiation tx management, x5     B   B    0000    0.0000      0.00       0.00        0.00
77431   Radiation therapy management    B   B    0000    0.0000      0.00       0.00        0.00
77432   Stereotactic radiation trmt     B   B    0000    0.0000      0.00       0.00        0.00
77435   Sbrt management                 N   N    0000    0.0000      0.00       0.00        0.00
77470   Special radiation treatment     S   S    0299    5.7996     277.05     631.69      724.02
77499   Radiation therapy management    B   B    0000    0.0000      0.00       0.00        0.00
77520   Proton trmt, simple w/o comp    S   S    0664   12.8205     612.44    1,396.41    1,600.51
77522   Proton trmt, simple w/comp      S   S    0664   12.8205     612.44    1,396.41    1,600.51
77523   Proton trmt, intermediate       S   S    0667   15.3404     732.81    1,670.88    1,915.10
77525   Proton treatment, complex       S   S    0667   15.3404     732.81    1,670.88    1,915.10
77600   Hyperthermia treatment          S   S    0299    5.7996     277.05     631.69      724.02
77605   Hyperthermia treatment          S   S    0299    5.7996     277.05     631.69      724.02
77610   Hyperthermia treatment          S   S    0299    5.7996     277.05     631.69      724.02
77615   Hyperthermia treatment          S   S    0299    5.7996     277.05     631.69      724.02
77620   Hyperthermia treatment          S   S    0299    5.7996     277.05     631.69      724.02
77750   Infuse radioactive materials    S   S    0301    2.2167     105.89     241.44      276.73
77761   Apply intrcav radiat simple     S   S    0312    8.5140     406.71     927.34     1,062.89
77762   Apply intrcav radiat interm     S   S    0312    8.5140     406.71     927.34     1,062.89
77763   Apply intrcav radiat compl      S   S    0312    8.5140     406.71     927.34     1,062.89
77776   Apply interstit radiat simpl    S   S    0312    8.5140     406.71     927.34     1,062.89
77777   Apply interstit radiat inter    S   S    0312    8.5140     406.71     927.34     1,062.89
77778   Apply interstit radiat compl    Q   Q    0651   18.1228     865.73    1,973.94    2,262.45
77781   High intensity brachytherapy    S   S    0313   11.6779     557.85    1,271.96    1,457.87
77782   High intensity brachytherapy    S   S    0313   11.6779     557.85    1,271.96    1,457.87
77783   High intensity brachytherapy    S   S    0313   11.6779     557.85    1,271.96    1,457.87
77784   High intensity brachytherapy    S   S    0313   11.6779     557.85    1,271.96    1,457.87
77789   Apply surface radiation         S   S    0300    1.4229     67.97      154.98      177.63
77790   Radiation handling              N   N    0000    0.0000      0.00       0.00        0.00
77799   Radium/radioisotope therapy     S   S    0312    8.5140     406.71     927.34     1,062.89
78000   Thyroid, single uptake          S   S    0389    1.8190     86.89      198.13      227.08
78001   Thyroid, multiple uptakes       S   S    0389    1.8190     86.89      198.13      227.08
78003   Thyroid suppress/stimul         S   S    0392    2.9022     138.64     316.11      362.31
78006   Thyroid imaging with uptake     S   S    0391    3.4513     164.87     375.92      430.86
78007   Thyroid image, mult uptakes     S   S    0391    3.4513     164.87     375.92      430.86
78010   Thyroid imaging                 S   S    0390    2.0471     97.79      222.97      255.56
78011   Thyroid imaging with flow       S   S    0390    2.0471     97.79      222.97      255.56
78015   Thyroid met imaging             S   S    0406    5.0681     242.10     552.02      632.70
78016   Thyroid met imaging/studies     S   S    0406    5.0681     242.10     552.02      632.70
78018   Thyroid met imaging, body       S   S    0406    5.0681     242.10     552.02      632.70
78020   Thyroid met uptake              N   N    0000    0.0000      0.00       0.00        0.00
78070   Parathyroid nuclear imaging     S   S    0391    3.4513     164.87     375.92      430.86
78075   Adrenal nuclear imaging         S   S    0408   15.4033     735.82    1,677.73    1,922.95
78099   Endocrine nuclear procedure     S   S    0390    2.0471     97.79      222.97      255.56
78102   Bone marrow imaging, ltd        S   S    0400    3.9293     187.70     427.98      490.53
78103   Bone marrow imaging, mult       S   S    0400    3.9293     187.70     427.98      490.53
78104   Bone marrow imaging, body       S   S    0400    3.9293     187.70     427.98      490.53
78110   Plasma volume, single           S   S    0393    5.6921     271.91     619.98      710.60
78111   Plasma volume, multiple         S   S    0393    5.6921     271.91     619.98      710.60
78120   Red cell mass, single           S   S    0393    5.6921     271.91     619.98      710.60
78121   Red cell mass, multiple         S   S    0393    5.6921     271.91     619.98      710.60
78122   Blood volume                    S   S    0393    5.6921     271.91     619.98      710.60
78130   Red cell survival study         S   S    0393    5.6921     271.91     619.98      710.60
78135   Red cell survival kinetics      S   S    0393    5.6921     271.91     619.98      710.60
78140   Red cell sequestration          S   S    0393    5.6921     271.91     619.98      710.60
78185   Spleen imaging                  S   S    0400    3.9293     187.70     427.98      490.53
78190   Platelet survival, kinetics     S   S    0392    2.9022     138.64     316.11      362.31
78191   Platelet survival               S   S    0392    2.9022     138.64     316.11      362.31
78195   Lymph system imaging            S   S    0400    3.9293     187.70     427.98      490.53
78199   Blood/lymph nuclear exam        S   S    0400    3.9293     187.70     427.98      490.53
78201   Liver imaging                   S   S    0394    4.4603     213.07     485.82      556.82
78202   Liver imaging with flow         S   S    0394    4.4603     213.07     485.82      556.82
78205   Liver imaging (3D)              S   S    0394    4.4603     213.07     485.82      556.82
78206   Liver image (3d) with flow      S   S    0394    4.4603     213.07     485.82      556.82
78215   Liver and spleen imaging        S   S    0394    4.4603     213.07     485.82      556.82
78216   Liver & spleen image/flow       S   S    0394    4.4603     213.07     485.82      556.82
78220   Liver function study            S   S    0394    4.4603     213.07     485.82      556.82
78223   Hepatobiliary imaging           S   S    0394    4.4603     213.07     485.82      556.82
78230   Salivary gland imaging          S   S    0395    3.7911     181.10     412.93      473.28
78231   Serial salivary imaging         S   S    0395    3.7911     181.10     412.93      473.28
78232   Salivary gland function exam    S   S    0395    3.7911     181.10     412.93      473.28
78258   Esophageal motility study       S   S    0395    3.7911     181.10     412.93      473.28
78261   Gastric mucosa imaging          S   S    0395    3.7911     181.10     412.93      473.28
78262   Gastroesophageal reflux exam    S   S    0395    3.7911     181.10     412.93      473.28
78264   Gastric emptying study          S   S    0395    3.7911     181.10     412.93      473.28
78267   Breath tst attain/anal c-14     A   3    0000    0.0000      M01        M01         M01
78268   Breath test analysis, c-14      A   3    0000    0.0000      M01        M01         M01
78270   Vit B-12 absorption exam        S   S    0392    2.9022     138.64     316.11      362.31
78271   Vit b-12 absrp exam, int fac    S   S    0392    2.9022     138.64     316.11      362.31
78272   Vit B-12 absorp, combined       S   S    0392    2.9022     138.64     316.11      362.31
78278   Acute GI blood loss imaging     S   S    0395    3.7911     181.10     412.93      473.28
78282   GI protein loss exam            S   S    0395    3.7911     181.10     412.93      473.28
78290   Meckel’s divert exam            S   S    0395    3.7911     181.10     412.93      473.28
78291   Leveen/shunt patency exam       S   S    0395    3.7911     181.10     412.93      473.28
78299   GI nuclear procedure            S   S    0395    3.7911     181.10     412.93      473.28
78300   Bone imaging, limited area      S   S    0396    3.8039     181.71     414.32      474.88
78305   Bone imaging, multiple areas    S   S    0396    3.8039     181.71     414.32      474.88
78306   Bone imaging, whole body        S   S    0396    3.8039     181.71     414.32      474.88
78315   Bone imaging, 3 phase           S   S    0396    3.8039     181.71     414.32      474.88
78320   Bone imaging (3D)               S   S    0396    3.8039     181.71     414.32      474.88
78350   Bone mineral, single photon     E   3    0000    0.0000      M01        M01         M01
78351   Bone mineral, dual photon       E   3    0000    0.0000      M01        M01         M01
78399   Musculoskeletal nuclear exam    S   S    0396    3.8039     181.71     414.32      474.88
78414   Non-imaging heart function      S   S    0398    4.8620     232.26     529.57      606.97
78428   Cardiac shunt imaging           S   S    0398    4.8620     232.26     529.57      606.97
78445   Vascular flow imaging           S   S    0397    3.1433     150.16     342.37      392.41
78456   Acute venous thrombus image     S   S    0397    3.1433     150.16     342.37      392.41
78457   Venous thrombosis imaging       S   S    0397    3.1433     150.16     342.37      392.41
78458   Ven thrombosis images, bilat    S   S    0397    3.1433     150.16     342.37      392.41
78459   Heart muscle imaging (PET)      S   S    0307   21.9955    1,050.73   2,395.75    2,745.92
78460   Heart muscle blood, single      S   S    0377   11.8512     566.13    1,290.83    1,479.50
78461   Heart muscle blood, multiple    S   S    0377   11.8512     566.13    1,290.83    1,479.50
78464   Heart image (3d), single        S   S    0377   11.8512     566.13    1,290.83    1,479.50
78465   Heart image (3d), multiple      S   S    0377   11.8512     566.13    1,290.83    1,479.50
78466   Heart infarct image             S   S    0398    4.8620     232.26     529.57      606.97
78468   Heart infarct image (ef)        S   S    0398    4.8620     232.26     529.57      606.97
78469   Heart infarct image (3D)        S   S    0398    4.8620     232.26     529.57      606.97
78472   Gated heart, planar, single     S   S    0398    4.8620     232.26     529.57      606.97
78473   Gated heart, multiple           S   S    0398    4.8620     232.26     529.57      606.97
78478   Heart wall motion add-on        N   N    0000    0.0000      0.00       0.00        0.00
78480   Heart function add-on           N   N    0000    0.0000      0.00       0.00        0.00
78481   Heart first pass, single        S   S    0398    4.8620     232.26     529.57      606.97
78483   Heart first pass, multiple      S   S    0398    4.8620     232.26     529.57      606.97
78491   Heart image (pet), single       S   S    0307   21.9955    1,050.73   2,395.75    2,745.92
78492   Heart image (pet), multiple     S   S    0307   21.9955    1,050.73   2,395.75    2,745.92
78494   Heart image, spect              S   S    0398    4.8620     232.26     529.57      606.97
78496   Heart first pass add-on         N   N    0000    0.0000      0.00       0.00        0.00
78499   Cardiovascular nuclear exam     S   S    0398    4.8620     232.26     529.57      606.97
78580   Lung perfusion imaging          S   S    0401    3.3954     162.20     369.83      423.88
78584   Lung V/Q image single breath    S   S    0378    4.9509     236.50     539.25      618.07
78585   Lung V/Q imaging                S   S    0378    4.9509     236.50     539.25      618.07
78586   Aerosol lung image, single      S   S    0401    3.3954     162.20     369.83      423.88
78587   Aerosol lung image, multiple    S   S    0401    3.3954     162.20     369.83      423.88
78588   Perfusion lung image            S   S    0378    4.9509     236.50     539.25      618.07
78591   Vent image, 1 breath, 1 proj    S   S    0401    3.3954     162.20     369.83      423.88
78593   Vent image, 1 proj, gas         S   S    0401    3.3954     162.20     369.83      423.88
78594   Vent image, mult proj, gas      S   S    0401    3.3954     162.20     369.83      423.88
78596   Lung differential function      S   S    0378    4.9509     236.50     539.25      618.07
78599   Respiratory nuclear exam        S   S    0401    3.3954     162.20     369.83      423.88
78600   Brain image < 4 views           S   S    0403    3.2295     154.27     351.76      403.17
78601   Brain image w/flow < 4 views    S   S    0403    3.2295     154.27     351.76      403.17
78605   Brain imaging 4+ views          S   S    0403    3.2295     154.27     351.76      403.17
78606   Brain image w/ flow 4 + views   S   S    0402    8.8235     421.50     961.06     1,101.53
78607   Brain imaging (3D)              S   S    0402    8.8235     421.50     961.06     1,101.53
78608   Brain imaging (PET)             S   S    0308   16.6001     792.99    1,808.08    2,072.36
78609   Brain imaging (PET)             E   1    0000    0.0000      0.00       0.00        0.00
78610   Brain flow imaging only         S   S    0402    8.8235     421.50     961.06     1,101.53

78630   Cerebrospinal fluid scan        S   S    0402    8.8235    421.50      961.06     1,101.53
78635   CSF ventriculography            S   S    0402    8.8235    421.50      961.06     1,101.53
78645   CSF shunt evaluation            S   S    0403    3.2295    154.27      351.76      403.17
78647   Cerebrospinal fluid scan        S   S    0402    8.8235    421.50      961.06     1,101.53
78650   CSF leakage imaging             S   S    0402    8.8235    421.50      961.06     1,101.53
78660   Nuclear exam of tear flow       S   S    0403    3.2295    154.27      351.76      403.17
78699   Nervous system nuclear exam     S   S    0403    3.2295    154.27      351.76      403.17
78700   Kidney imaging, static          S   S    0404    5.0824    242.79      553.58      634.49
78701   Kidney imaging with flow        S   S    0404    5.0824    242.79      553.58      634.49
78707   Kidney flow/function image      S   S    0404    5.0824    242.79      553.58      634.49
78708   Kidney flow/function image      S   S    0404    5.0824    242.79      553.58      634.49
78709   Kidney flow/function image      S   S    0404    5.0824    242.79      553.58      634.49
78710   Kidney imaging (3D)             S   S    0404    5.0824    242.79      553.58      634.49
78725   Kidney function study           S   S    0392    2.9022    138.64      316.11      362.31
78730   Urinary bladder retention       S   S    0389    1.8190    86.89       198.13      227.08
78740   Ureteral reflux study           S   S    0404    5.0824    242.79      553.58      634.49
78761   Testicular imaging/flow         S   S    0404    5.0824    242.79      553.58      634.49
78799   Genitourinary nuclear exam      S   S    0404    5.0824    242.79      553.58      634.49
78800   Tumor imaging, limited area     S   S    0406    5.0681    242.10      552.02      632.70
78801   Tumor imaging, mult areas       S   S    0406    5.0681    242.10      552.02      632.70
78802   Tumor imaging, whole body       S   S    0414    8.4176    402.11      916.84     1,050.85
78803   Tumor imaging (3D)              S   S    0408   15.4033    735.82     1,677.73    1,922.95
78804   Tumor imaging, whole body       S   S    0408   15.4033    735.82     1,677.73    1,922.95
78805   Abscess imaging, ltd area       S   S    0414    8.4176    402.11      916.84     1,050.85
78806   Abscess imaging, whole body     S   S    0414    8.4176    402.11      916.84     1,050.85
78807   Nuclear localization/abscess    S   S    0414    8.4176    402.11      916.84     1,050.85
78811   Pet image, ltd area             S   S    0308   16.6001    792.99     1,808.08    2,072.36
78812   Pet image, skull-thigh          S   S    0308   16.6001    792.99     1,808.08    2,072.36
78813   Pet image, full body            S   S    0308   16.6001    792.99     1,808.08    2,072.36
78814   Pet image w/ct, lmtd            S   S    0308   16.6001    792.99     1,808.08    2,072.36
78815   Pet image w/ct, skull-thigh     S   S    0308   16.6001    792.99     1,808.08    2,072.36
78816   Pet image w/ct, full body       S   S    0308   16.6001    792.99     1,808.08    2,072.36
78890   Nuclear medicine data proc      N   N    0000    0.0000     0.00        0.00         0.00
78891   Nuclear med data proc           N   N    0000    0.0000     0.00        0.00         0.00
78999   Nuclear diagnostic exam         S   S    0389    1.8190    86.89       198.13      227.08
79005   Nuclear rx, oral admin          S   S    0407    3.3020    157.74      359.65      412.22
79101   Nuclear rx, iv admin            S   S    0407    3.3020    157.74      359.65      412.22
79200   Nuclear rx, intracav admin      S   S    0413    5.2741    251.94      574.45      658.42
79300   Nuclr rx, interstit colloid     S   S    0407    3.3020    157.74      359.65      412.22
79403   Hematopoietic nuclear tx        S   1    0413    5.2741     0.00        0.00         0.00
79440   Nuclear rx, intra-articular     S   S    0413    5.2741    251.94      574.45      658.42
79445   Nuclear rx, intra-arterial      S   S    0407    3.3020    157.74      359.65      412.22
79999   Nuclear medicine therapy        S   S    0407    3.3020    157.74      359.65      412.22
80047   Metabolic panel ionized ca      A    3   0000    0.0000     M01         M01         M01
80048   Metabolic panel total ca        A   3    0000    0.0000     M01         M01         M01
80050   General health panel            E   3    0000    0.0000     M01         M01         M01
80051   Electrolyte panel               A   3    0000    0.0000     M01         M01         M01
80053   Comprehen metabolic panel       A   3    0000    0.0000     M01         M01         M01
80055   Obstetric panel                 E   3    0000    0.0000     M01         M01         M01
80061   Lipid panel                     A   3    0000    0.0000     M01         M01         M01
80069   Renal function panel            A   3    0000    0.0000     M01         M01         M01
80074   Acute hepatitis panel           A   3    0000    0.0000     M01         M01         M01
80076   Hepatic function panel          A   3    0000    0.0000     M01         M01         M01
80100   Drug screen, qualitate/multi    A   3    0000    0.0000     M01         M01         M01
80101   Drug screen, single             A   3    0000    0.0000     M01         M01         M01
80102   Drug confirmation               A   3    0000    0.0000     M01         M01         M01
80103   Drug analysis, tissue prep      N   N    0000    0.0000     0.00        0.00         0.00
80150   Assay of amikacin               A   3    0000    0.0000     M01         M01         M01
80152   Assay of amitriptyline          A   3    0000    0.0000     M01         M01         M01
80154   Assay of benzodiazepines        A   3    0000    0.0000     M01         M01         M01
80156   Assay, carbamazepine, total     A   3    0000    0.0000     M01         M01         M01
80157   Assay, carbamazepine, free      A   3    0000    0.0000     M01         M01         M01
80158   Assay of cyclosporine           A   3    0000    0.0000     M01         M01         M01
80160   Assay of desipramine            A   3    0000    0.0000     M01         M01         M01
80162   Assay of digoxin                A   3    0000    0.0000     M01         M01         M01
80164   Assay, dipropylacetic acid      A   3    0000    0.0000     M01         M01         M01
80166   Assay of doxepin                A   3    0000    0.0000     M01         M01         M01
80168   Assay of ethosuximide           A   3    0000    0.0000     M01         M01         M01
80170   Assay of gentamicin             A   3    0000    0.0000     M01         M01         M01
80172   Assay of gold                   A   3    0000    0.0000     M01         M01         M01
80173   Assay of haloperidol            A   3    0000    0.0000     M01         M01         M01
80174   Assay of imipramine             A   3    0000    0.0000     M01         M01         M01
80176   Assay of lidocaine              A   3    0000    0.0000     M01         M01         M01
80178   Assay of lithium                A   3    0000    0.0000     M01         M01         M01
80182   Assay of nortriptyline          A   3    0000    0.0000     M01         M01         M01
80184   Assay of phenobarbital          A   3    0000    0.0000     M01         M01         M01
80185   Assay of phenytoin, total       A   3    0000    0.0000     M01         M01         M01
80186   Assay of phenytoin, free        A   3    0000    0.0000     M01         M01         M01
80188   Assay of primidone              A   3    0000    0.0000     M01         M01         M01
80190   Assay of procainamide           A   3    0000    0.0000     M01         M01         M01
80192   Assay of procainamide           A   3    0000    0.0000     M01         M01         M01
80194   Assay of quinidine              A   3    0000    0.0000     M01         M01         M01
80195   Assay of sirolimus              A   3    0000    0.0000     M01         M01         M01
80196   Assay of salicylate             A   3    0000    0.0000     M01         M01         M01
80197   Assay of tacrolimus             A   3    0000    0.0000     M01         M01         M01
80198   Assay of theophylline           A   3    0000    0.0000     M01         M01         M01
80200   Assay of tobramycin             A   3    0000    0.0000     M01         M01         M01
80201   Assay of topiramate             A   3    0000    0.0000     M01         M01         M01
80202   Assay of vancomycin             A   3    0000    0.0000     M01         M01         M01
80299   Quantitative assay, drug        A   1    0000    0.0000     0.00        0.00         0.00
80400   Acth stimulation panel          A   3    0000    0.0000     M01         M01         M01
80402   Acth stimulation panel          A   3    0000    0.0000     M01         M01         M01
80406   Acth stimulation panel          A   3    0000    0.0000     M01         M01         M01
80408   Aldosterone suppression eval    A   3    0000    0.0000     M01         M01         M01
80410   Calcitonin stimul panel         A   3    0000    0.0000     M01         M01         M01
80412   CRH stimulation panel           A   3    0000    0.0000     M01         M01         M01
80414   Testosterone response           A   3    0000    0.0000     M01         M01         M01
80415   Estradiol response panel        A   3    0000    0.0000     M01         M01         M01
80416   Renin stimulation panel         A   3    0000    0.0000     M01         M01         M01
80417   Renin stimulation panel         A   3    0000    0.0000     M01         M01         M01
80418   Pituitary evaluation panel      A   3    0000    0.0000     M01         M01         M01
80420   Dexamethasone panel             A   3    0000    0.0000     M01         M01         M01
80422   Glucagon tolerance panel        A   3    0000    0.0000     M01         M01         M01
80424   Glucagon tolerance panel        A   3    0000    0.0000     M01         M01         M01
80426   Gonadotropin hormone panel      A   3    0000    0.0000     M01         M01         M01
80428   Growth hormone panel            A   3    0000    0.0000     M01         M01         M01
80430   Growth hormone panel            A   3    0000    0.0000     M01         M01         M01
80432   Insulin suppression panel       A   3    0000    0.0000     M01         M01         M01
80434   Insulin tolerance panel         A   3    0000    0.0000     M01         M01         M01
80435   Insulin tolerance panel         A   3    0000    0.0000     M01         M01         M01
80436   Metyrapone panel                A   3    0000    0.0000     M01         M01         M01
80438   TRH stimulation panel           A   3    0000    0.0000     M01         M01         M01
80439   TRH stimulation panel           A   3    0000    0.0000     M01         M01         M01
80440   TRH stimulation panel           A   3    0000    0.0000     M01         M01         M01
80500   Lab pathology consultation      X   X    0433    0.2397    11.45        26.11       29.92
80502   Lab pathology consultation      X   X    0342    0.0969     4.63        10.55       12.10
81000   Urinalysis, nonauto w/scope     A   3    0000    0.0000     M01         M01         M01
81001   Urinalysis, auto w/scope        A   3    0000    0.0000     M01         M01         M01
81002   Urinalysis nonauto w/o scope    A   3    0000    0.0000     M01         M01         M01
81003   Urinalysis, auto, w/o scope     A   3    0000    0.0000     M01         M01         M01
81005   Urinalysis                      A   3    0000    0.0000     M01         M01         M01
81007   Urine screen for bacteria       A   3    0000    0.0000     M01         M01         M01
81015   Microscopic exam of urine       A   3    0000    0.0000     M01         M01         M01
81020   Urinalysis, glass test          A   3    0000    0.0000     M01         M01         M01
81025   Urine pregnancy test            A   3    0000    0.0000     M01         M01         M01
81050   Urinalysis, volume measure      A   3    0000    0.0000     M01         M01         M01
81099   Urinalysis test procedure       A   3    0000    0.0000     M01         M01         M01
82000   Assay of blood acetaldehyde     A   3    0000    0.0000     M01         M01         M01
82003   Assay of acetaminophen          A   3    0000    0.0000     M01         M01         M01
82009   Test for acetone/ketones        A   3    0000    0.0000     M01         M01         M01
82010   Acetone assay                   A   3    0000    0.0000     M01         M01         M01
82013   Acetylcholinesterase assay      A   3    0000    0.0000     M01         M01         M01
82016   Acylcarnitines, qual            A   3    0000    0.0000     M01         M01         M01
82017   Acylcarnitines, quant           A   3    0000    0.0000     M01         M01         M01
82024   Assay of acth                   A   3    0000    0.0000     M01         M01         M01
82030   Assay of adp & amp              A   3    0000    0.0000     M01         M01         M01
82040   Assay of serum albumin          A   3    0000    0.0000     M01         M01         M01
82042   Assay of urine albumin          A   3    0000    0.0000     M01         M01         M01
82043   Microalbumin, quantitative      A   3    0000    0.0000     M01         M01         M01
82044   Microalbumin, semiquant         A   3    0000    0.0000     M01         M01         M01
82045   Albumin, ischemia modified      A   3    0000    0.0000     M01         M01         M01
82055   Assay of ethanol                A   3    0000    0.0000     M01         M01         M01
82075   Assay of breath ethanol         A   3    0000    0.0000     M01         M01         M01
82085   Assay of aldolase               A   3    0000    0.0000     M01         M01         M01
82088   Assay of aldosterone            A   3    0000    0.0000     M01         M01         M01
82101   Assay of urine alkaloids        A   3    0000    0.0000     M01         M01         M01
82103   Alpha-1-antitrypsin, total      A   3    0000    0.0000     M01         M01         M01
82104   Alpha-1-antitrypsin, pheno      A   3    0000    0.0000     M01         M01         M01
82105   Alpha-fetoprotein, serum        A   3    0000    0.0000     M01         M01         M01
82106   Alpha-fetoprotein, amniotic     A   3    0000    0.0000     M01         M01         M01
82107   Alpha-fetoprotein l3            A   3    0000    0.0000     M01         M01         M01
82108   Assay of aluminum               A   3    0000    0.0000     M01         M01         M01
82120   Amines, vaginal fluid qual      A   3    0000    0.0000     M01         M01         M01
82127   Amino acid, single qual         A   3    0000    0.0000     M01         M01         M01
82128   Amino acids, mult qual          A   3    0000    0.0000     M01         M01         M01
82131   Amino acids, single quant       A   3    0000    0.0000     M01         M01         M01
82135   Assay, aminolevulinic acid      A   3    0000    0.0000     M01         M01         M01
82136   Amino acids, quant, 2-5         A   3    0000    0.0000     M01         M01         M01
82139   Amino acids, quan, 6 or more    A   3    0000    0.0000     M01         M01         M01
82140   Assay of ammonia                A   3    0000    0.0000     M01         M01         M01
82143   Amniotic fluid scan             A   3    0000    0.0000     M01         M01         M01
82145   Assay of amphetamines           A   3    0000    0.0000     M01         M01         M01
82150   Assay of amylase                A   3    0000    0.0000     M01         M01         M01
82154   Androstanediol glucuronide      A   3    0000    0.0000     M01         M01         M01
82157   Assay of androstenedione        A   3    0000    0.0000     M01         M01         M01
82160   Assay of androsterone           A   3    0000    0.0000     M01         M01         M01
82163   Assay of angiotensin II         A   3    0000    0.0000     M01         M01         M01
82164   Angiotensin I enzyme test       A   3    0000    0.0000     M01         M01         M01
82172   Assay of apolipoprotein         A   3    0000    0.0000     M01         M01         M01
82175   Assay of arsenic                A   3    0000    0.0000     M01         M01         M01
82180   Assay of ascorbic acid          A   3    0000    0.0000     M01         M01         M01
82190   Atomic absorption               A   3    0000    0.0000     M01         M01         M01
82205   Assay of barbiturates           A   3    0000    0.0000     M01         M01         M01
82232   Assay of beta-2 protein         A   3    0000    0.0000     M01         M01         M01
82239   Bile acids, total               A   3    0000    0.0000     M01         M01         M01
82240   Bile acids, cholylglycine       A   3    0000    0.0000     M01         M01         M01
82247   Bilirubin, total                A   3    0000    0.0000     M01         M01         M01
82248   Bilirubin, direct               A   3    0000    0.0000     M01         M01         M01
82252   Fecal bilirubin test            A   3    0000    0.0000     M01         M01         M01
82261   Assay of biotinidase            A   3    0000    0.0000     M01         M01         M01
82270   Test for blood, feces           A   3    0000    0.0000     M01         M01         M01
82271   Occult blood, feces, single     A   3    0000    0.0000     M01         M01         M01
82272   Occult bld feces, 1-3 tests     A   3    0000    0.0000     M01         M01         M01
82274   Assay test for blood, fecal     A   3    0000    0.0000     M01         M01         M01
82286   Assay of bradykinin             A   3    0000    0.0000     M01         M01         M01
82300   Assay of cadmium                A   3    0000    0.0000     M01         M01         M01
82306   Assay of vitamin D              A   3    0000    0.0000     M01         M01         M01
82307   Assay of vitamin D              A   3    0000    0.0000     M01         M01         M01
82308   Assay of calcitonin             A   3    0000    0.0000     M01         M01         M01
82310   Assay of calcium                A   3    0000    0.0000     M01         M01         M01
82330   Assay of calcium                A   3    0000    0.0000     M01         M01         M01
82331   Calcium infusion test           A   3    0000    0.0000     M01         M01         M01
82340   Assay of calcium in urine       A   3    0000    0.0000     M01         M01         M01
82355   Calculus analysis, qual         A   3    0000    0.0000     M01         M01         M01
82360   Calculus assay, quant           A   3    0000    0.0000     M01         M01         M01
82365   Calculus spectroscopy           A   3    0000    0.0000     M01         M01         M01
82370   X-ray assay, calculus           A   3    0000    0.0000     M01         M01         M01
82373   Assay, c-d transfer measure     A   3    0000    0.0000     M01         M01         M01
82374   Assay, blood carbon dioxide     A   3    0000    0.0000     M01         M01         M01
82375   Assay, blood carbon monoxide    A   3    0000    0.0000     M01         M01         M01
82376   Test for carbon monoxide        A   3    0000    0.0000     M01         M01         M01
82378   Carcinoembryonic antigen        A   3    0000    0.0000     M01         M01         M01
82379   Assay of carnitine              A   3    0000    0.0000     M01         M01         M01
82380   Assay of carotene               A   3    0000    0.0000     M01         M01         M01
82382   Assay, urine catecholamines     A   3    0000    0.0000     M01         M01         M01
82383   Assay, blood catecholamines     A   3    0000    0.0000     M01         M01         M01
82384   Assay, three catecholamines     A   3    0000    0.0000     M01         M01         M01
82387   Assay of cathepsin-d            A   3    0000    0.0000     M01         M01         M01
82390   Assay of ceruloplasmin          A   3    0000    0.0000     M01         M01         M01
82397   Chemiluminescent assay          A   3    0000    0.0000     M01         M01         M01
82415   Assay of chloramphenicol        A   3    0000    0.0000     M01         M01         M01
82435   Assay of blood chloride         A   3    0000    0.0000     M01         M01         M01
82436   Assay of urine chloride         A   3    0000    0.0000     M01         M01         M01
82438   Assay, other fluid chlorides    A   3    0000    0.0000     M01         M01         M01
82441   Test for chlorohydrocarbons     A   3    0000    0.0000     M01         M01         M01
82465   Assay, bld/serum cholesterol    A   3    0000    0.0000     M01         M01         M01
82480   Assay, serum cholinesterase     A   3    0000    0.0000     M01         M01         M01
82482   Assay, rbc cholinesterase       A   3    0000    0.0000     M01         M01         M01
82485   Assay, chondroitin sulfate      A   3    0000    0.0000     M01         M01         M01
82486   Gas/liquid chromatography       A   3    0000    0.0000     M01         M01         M01
82487   Paper chromatography            A   3    0000    0.0000     M01         M01         M01
82488   Paper chromatography            A   3    0000    0.0000     M01         M01         M01
82489   Thin layer chromatography       A   3    0000    0.0000     M01         M01         M01
82491   Chromotography, quant, sing     A   3    0000    0.0000     M01         M01         M01
82492   Chromotography, quant, mult     A   3    0000    0.0000     M01         M01         M01
82495   Assay of chromium               A   3    0000    0.0000     M01         M01         M01
82507   Assay of citrate                A   3    0000    0.0000     M01         M01         M01
82520   Assay of cocaine                A   3    0000    0.0000     M01         M01         M01
82523   Collagen crosslinks             A   3    0000    0.0000     M01         M01         M01
82525   Assay of copper                 A   3    0000    0.0000     M01         M01         M01
82528   Assay of corticosterone         A   3    0000    0.0000     M01         M01         M01
82530   Cortisol, free                  A   3    0000    0.0000     M01         M01         M01
82533   Total cortisol                  A   3    0000    0.0000     M01         M01         M01
82540   Assay of creatine               A   3    0000    0.0000     M01         M01         M01
82541   Column chromotography, qual     A   3    0000    0.0000     M01         M01         M01
82542   Column chromotography, quant    A   3    0000    0.0000     M01         M01         M01
82543   Column chromotograph/isotope    A   3    0000    0.0000     M01         M01         M01
82544   Column chromotograph/isotope    A   3    0000    0.0000     M01         M01         M01
82550   Assay of ck (cpk)               A   3    0000    0.0000     M01         M01         M01
82552   Assay of cpk in blood           A   3    0000    0.0000     M01         M01         M01
82553   Creatine, MB fraction           A   3    0000    0.0000     M01         M01         M01
82554   Creatine, isoforms              A   3    0000    0.0000     M01         M01         M01
82565   Assay of creatinine             A   3    0000    0.0000     M01         M01         M01
82570   Assay of urine creatinine       A   3    0000    0.0000     M01         M01         M01
82575   Creatinine clearance test       A   3    0000    0.0000     M01         M01         M01
82585   Assay of cryofibrinogen         A   3    0000    0.0000     M01         M01         M01
82595   Assay of cryoglobulin           A   3    0000    0.0000     M01         M01         M01
82600   Assay of cyanide                A   3    0000    0.0000     M01         M01         M01
82607   Vitamin B-12                    A   3    0000    0.0000     M01         M01         M01
82608   B-12 binding capacity           A   3    0000    0.0000     M01         M01         M01
82610   Cystatin c                      A    3   0000    0.0000     M01         M01         M01
82615   Test for urine cystines         A   3    0000    0.0000     M01         M01         M01
82626   Dehydroepiandrosterone          A   3    0000    0.0000     M01         M01         M01
82627   Dehydroepiandrosterone          A   3    0000    0.0000     M01         M01         M01
82633   Desoxycorticosterone            A   3    0000    0.0000     M01         M01         M01
82634   Deoxycortisol                   A   3    0000    0.0000     M01         M01         M01
82638   Assay of dibucaine number       A   3    0000    0.0000     M01         M01         M01
82646   Assay of dihydrocodeinone       A   3    0000    0.0000     M01         M01         M01
82649   Assay of dihydromorphinone      A   3    0000    0.0000     M01         M01         M01
82651   Assay of dihydrotestosterone    A   3    0000    0.0000     M01         M01         M01
82652   Assay of dihydroxyvitamin d     A   3    0000    0.0000     M01         M01         M01
82654   Assay of dimethadione           A   3    0000    0.0000     M01         M01         M01
82656   Pancreatic elastase, fecal      A   3    0000    0.0000     M01         M01         M01
82657   Enzyme cell activity            A   3    0000    0.0000     M01         M01         M01
82658   Enzyme cell activity, ra        A   3    0000    0.0000     M01         M01         M01
82664   Electrophoretic test            A   3    0000    0.0000     M01         M01         M01
82666   Assay of epiandrosterone        A   3    0000    0.0000     M01         M01         M01
82668   Assay of erythropoietin         A   3    0000    0.0000     M01         M01         M01
82670   Assay of estradiol              A   3    0000    0.0000     M01         M01         M01
82671   Assay of estrogens              A   3    0000    0.0000     M01         M01         M01
82672   Assay of estrogen               A   3    0000    0.0000     M01         M01         M01
82677   Assay of estriol                A   3    0000    0.0000     M01         M01         M01
82679   Assay of estrone                A   3    0000    0.0000     M01         M01         M01
82690   Assay of ethchlorvynol          A   3    0000    0.0000     M01         M01         M01
82693   Assay of ethylene glycol        A   3    0000    0.0000     M01         M01         M01
82696   Assay of etiocholanolone        A   3    0000    0.0000     M01         M01         M01
82705   Fats/lipids, feces, qual        A   3    0000    0.0000     M01         M01         M01
82710   Fats/lipids, feces, quant       A   3    0000    0.0000     M01         M01         M01
82715   Assay of fecal fat              A   3    0000    0.0000     M01         M01         M01
82725   Assay of blood fatty acids      A   3    0000    0.0000     M01         M01         M01
82726   Long chain fatty acids          A   3    0000    0.0000     M01         M01         M01
82728   Assay of ferritin               A   3    0000    0.0000     M01         M01         M01
82731   Assay of fetal fibronectin      A   3    0000    0.0000     M01         M01         M01
82735   Assay of fluoride               A   3    0000    0.0000     M01         M01         M01
82742   Assay of flurazepam             A   3    0000    0.0000     M01         M01         M01
82746   Blood folic acid serum          A   3    0000    0.0000     M01         M01         M01
82747   Assay of folic acid, rbc        A   3    0000    0.0000     M01         M01         M01
82757   Assay of semen fructose         A   3    0000    0.0000     M01         M01         M01
82759   Assay of rbc galactokinase      A   3    0000    0.0000     M01         M01         M01
82760   Assay of galactose              A   3    0000    0.0000     M01         M01         M01
82775   Assay galactose transferase     A   3    0000    0.0000     M01         M01         M01
82776   Galactose transferase test      A   3    0000    0.0000     M01         M01         M01
82784   Assay of gammaglobulin igm      A   3    0000    0.0000     M01         M01         M01
82785   Assay of gammaglobulin ige      A   3    0000    0.0000     M01         M01         M01
82787   Igg 1, 2, 3 or 4, each          A   3    0000    0.0000     M01         M01         M01
82800   Blood pH                        A   3    0000    0.0000     M01         M01         M01
82803   Blood gases: pH, pO2 & pCO2     A   3    0000    0.0000     M01         M01         M01
82805   Blood gases W/02 saturation     A   3    0000    0.0000     M01         M01         M01
82810   Blood gases, O2 sat only        A   3    0000    0.0000     M01         M01         M01
82820   Hemoglobin-oxygen affinity      A   3    0000    0.0000     M01         M01         M01
82926   Assay of gastric acid           A   3    0000    0.0000     M01         M01         M01
82928   Assay of gastric acid           A   3    0000    0.0000     M01         M01         M01
82938   Gastrin test                    A   3    0000    0.0000     M01         M01         M01
82941   Assay of gastrin                A   3    0000    0.0000     M01         M01         M01
82943   Assay of glucagon               A   3    0000    0.0000     M01         M01         M01
82945   Glucose other fluid             A   3    0000    0.0000     M01         M01         M01
82946   Glucagon tolerance test         A   3    0000    0.0000     M01         M01         M01
82947   Assay, glucose, blood quant     A   3    0000    0.0000     M01         M01         M01
82948   Reagent strip/blood glucose     A   3    0000    0.0000     M01         M01         M01
82950   Glucose test                    A   3    0000    0.0000     M01         M01         M01
82951   Glucose tolerance test (GTT)    A   3    0000    0.0000     M01         M01         M01
82952   GTT-added samples               A   3    0000    0.0000     M01         M01         M01
82953   Glucose-tolbutamide test        A   3    0000    0.0000     M01         M01         M01
82955   Assay of g6pd enzyme            A   3    0000    0.0000     M01         M01         M01
82960   Test for G6PD enzyme            A   3    0000    0.0000     M01         M01         M01
82962   Glucose blood test              A   3    0000    0.0000     M01         M01         M01
82963   Assay of glucosidase            A   3    0000    0.0000     M01         M01         M01
82965   Assay of gdh enzyme             A   3    0000    0.0000     M01         M01         M01
82975   Assay of glutamine              A   3    0000    0.0000     M01         M01         M01
82977   Assay of GGT                    A   3    0000    0.0000     M01         M01         M01
82978   Assay of glutathione            A   3    0000    0.0000     M01         M01         M01
82979   Assay, rbc glutathione          A   3    0000    0.0000     M01         M01         M01
82980   Assay of glutethimide           A   3    0000    0.0000     M01         M01         M01
82985   Glycated protein                A   3    0000    0.0000     M01         M01         M01
83001   Gonadotropin (FSH)              A   3    0000    0.0000     M01         M01         M01
83002   Gonadotropin (LH)               A   3    0000    0.0000     M01         M01         M01
83003   Assay, growth hormone (hgh)     A   3    0000    0.0000     M01         M01         M01
83008   Assay of guanosine              A   3    0000    0.0000     M01         M01         M01
83009   H pylori (c-13), blood          A   3    0000    0.0000     M01         M01         M01
83010   Assay of haptoglobin, quant     A   3    0000    0.0000     M01         M01         M01
83012   Assay of haptoglobins          A   3    0000   0.0000   M01     M01     M01
83013   H pylori (c-13), breath        A   3    0000   0.0000   M01     M01     M01
83014   H pylori drug admin            A   3    0000   0.0000   M01     M01     M01
83015   Heavy metal screen             A   3    0000   0.0000   M01     M01     M01
83018   Quantitative screen, metals    A   3    0000   0.0000   M01     M01     M01
83020   Hemoglobin electrophoresis     A   3    0000   0.0000   M01     M01     M01
83021   Hemoglobin chromotography      A   3    0000   0.0000   M01     M01     M01
83026   Hemoglobin, copper sulfate     A   3    0000   0.0000   M01     M01     M01
83030   Fetal hemoglobin, chemical     A   3    0000   0.0000   M01     M01     M01
83033   Fetal hemoglobin assay, qual   A   3    0000   0.0000   M01     M01     M01
83036   Glycated hemoglobin test       A   3    0000   0.0000   M01     M01     M01
83037   Glycosylated hb, home device   A   3    0000   0.0000   M01     M01     M01
83045   Blood methemoglobin test       A   3    0000   0.0000   M01     M01     M01
83050   Blood methemoglobin assay      A   3    0000   0.0000   M01     M01     M01
83051   Assay of plasma hemoglobin     A   3    0000   0.0000   M01     M01     M01
83055   Blood sulfhemoglobin test      A   3    0000   0.0000   M01     M01     M01
83060   Blood sulfhemoglobin assay     A   3    0000   0.0000   M01     M01     M01
83065   Assay of hemoglobin heat       A   3    0000   0.0000   M01     M01     M01
83068   Hemoglobin stability screen    A   3    0000   0.0000   M01     M01     M01
83069   Assay of urine hemoglobin      A   3    0000   0.0000   M01     M01     M01
83070   Assay of hemosiderin, qual     A   3    0000   0.0000   M01     M01     M01
83071   Assay of hemosiderin, quant    A   3    0000   0.0000   M01     M01     M01
83080   Assay of b hexosaminidase      A   3    0000   0.0000   M01     M01     M01
83088   Assay of histamine             A   3    0000   0.0000   M01     M01     M01
83090   Assay of homocystine           A   3    0000   0.0000   M01     M01     M01
83150   Assay of for hva               A   3    0000   0.0000   M01     M01     M01
83491   Assay of corticosteroids       A   3    0000   0.0000   M01     M01     M01
83497   Assay of 5-hiaa                A   3    0000   0.0000   M01     M01     M01
83498   Assay of progesterone          A   3    0000   0.0000   M01     M01     M01
83499   Assay of progesterone          A   3    0000   0.0000   M01     M01     M01
83500   Assay, free hydroxyproline     A   3    0000   0.0000   M01     M01     M01
83505   Assay, total hydroxyproline    A   3    0000   0.0000   M01     M01     M01
83516   Immunoassay, nonantibody       A   3    0000   0.0000   M01     M01     M01
83518   Immunoassay, dipstick          A   3    0000   0.0000   M01     M01     M01
83519   Immunoassay, nonantibody       A   3    0000   0.0000   M01     M01     M01
83520   Immunoassay, RIA               A   3    0000   0.0000   M01     M01     M01
83525   Assay of insulin               A   3    0000   0.0000   M01     M01     M01
83527   Assay of insulin               A   3    0000   0.0000   M01     M01     M01
83528   Assay of intrinsic factor      A   3    0000   0.0000   M01     M01     M01
83540   Assay of iron                  A   3    0000   0.0000   M01     M01     M01
83550   Iron binding test              A   3    0000   0.0000   M01     M01     M01
83570   Assay of idh enzyme            A   3    0000   0.0000   M01     M01     M01
83582   Assay of ketogenic steroids    A   3    0000   0.0000   M01     M01     M01
83586   Assay 17- ketosteroids         A   3    0000   0.0000   M01     M01     M01
83593   Fractionation, ketosteroids    A   3    0000   0.0000   M01     M01     M01
83605   Assay of lactic acid           A   3    0000   0.0000   M01     M01     M01
83615   Lactate (LD) (LDH) enzyme      A   3    0000   0.0000   M01     M01     M01
83625   Assay of ldh enzymes           A   3    0000   0.0000   M01     M01     M01
83630   Lactoferrin, fecal (qual)      A   3    0000   0.0000   M01     M01     M01
83631   Lactoferrin, fecal (quant)     A   3    0000   0.0000   M01     M01     M01
83632   Placental lactogen             A   3    0000   0.0000   M01     M01     M01
83633   Test urine for lactose         A   3    0000   0.0000   M01     M01     M01
83634   Assay of urine for lactose     A   3    0000   0.0000   M01     M01     M01
83655   Assay of lead                  A   3    0000   0.0000   M01     M01     M01
83661   L/s ratio, fetal lung          A   3    0000   0.0000   M01     M01     M01
83662   Foam stability, fetal lung     A   3    0000   0.0000   M01     M01     M01
83663   Fluoro polarize, fetal lung    A   3    0000   0.0000   M01     M01     M01
83664   Lamellar bdy, fetal lung       A   3    0000   0.0000   M01     M01     M01
83670   Assay of lap enzyme            A   3    0000   0.0000   M01     M01     M01
83690   Assay of lipase                A   3    0000   0.0000   M01     M01     M01
83695   Assay of lipoprotein(a)        A   3    0000   0.0000   M01     M01     M01
83698   Assay lipoprotein pla2         A   3    0000   0.0000   M01     M01     M01
83700   Lipopro bld, electrophoretic   A   3    0000   0.0000   M01     M01     M01
83701   Lipoprotein bld, hr fraction   A   3    0000   0.0000   M01     M01     M01
83704   Lipoprotein, bld, by nmr       A   3    0000   0.0000   M01     M01     M01
83718   Assay of lipoprotein           A   3    0000   0.0000   M01     M01     M01
83719   Assay of blood lipoprotein     A   3    0000   0.0000   M01     M01     M01
83721   Assay of blood lipoprotein     A   3    0000   0.0000   M01     M01     M01
83727   Assay of lrh hormone           A   3    0000   0.0000   M01     M01     M01
83735   Assay of magnesium             A   3    0000   0.0000   M01     M01     M01
83775   Assay of md enzyme             A   3    0000   0.0000   M01     M01     M01
83785   Assay of manganese             A   3    0000   0.0000   M01     M01     M01
83788   Mass spectrometry qual         A   3    0000   0.0000   M01     M01     M01
83789   Mass spectrometry quant        A   3    0000   0.0000   M01     M01     M01
83805   Assay of meprobamate           A   3    0000   0.0000   M01     M01     M01
83825   Assay of mercury               A   3    0000   0.0000   M01     M01     M01
83835   Assay of metanephrines         A   3    0000   0.0000   M01     M01     M01
83840   Assay of methadone             A   3    0000   0.0000   M01     M01     M01
83857   Assay of methemalbumin         A   3    0000   0.0000   M01     M01     M01
83858   Assay of methsuximide          A   3    0000   0.0000   M01     M01     M01
83864   Mucopolysaccharides            A   3    0000   0.0000   M01     M01     M01
83866   Mucopolysaccharides screen     A   3    0000   0.0000   M01     M01     M01
83872   Assay synovial fluid mucin     A   3    0000   0.0000   M01     M01     M01
83873   Assay of csf protein           A   3    0000   0.0000   M01     M01     M01
83874   Assay of myoglobin             A   3    0000   0.0000   M01     M01     M01
83880   Natriuretic peptide            A   3    0000   0.0000   M01     M01     M01
83883   Assay, nephelometry not spec   A   3    0000   0.0000   M01     M01     M01
83885   Assay of nickel                A   3    0000   0.0000   M01     M01     M01
83887   Assay of nicotine              A   3    0000   0.0000   M01     M01     M01
83890   Molecule isolate               A   3    0000   0.0000   M01     M01     M01
83891   Molecule isolate nucleic       A   3    0000   0.0000   M01     M01     M01
83892   Molecular diagnostics          A   3    0000   0.0000   M01     M01     M01
83893   Molecule dot/slot/blot         A   3    0000   0.0000   M01     M01     M01
83894   Molecule gel electrophor       A   3    0000   0.0000   M01     M01     M01
83896   Molecular diagnostics          A   3    0000   0.0000   M01     M01     M01
83897   Molecule nucleic transfer      A   3    0000   0.0000   M01     M01     M01
83898   Molecule nucleic ampli         A   3    0000   0.0000   M01     M01     M01
83900   Molecule nucleic ampli 2 seq   A   3    0000   0.0000   M01     M01     M01
83901   Molecule nucleic ampli         A   3    0000   0.0000   M01     M01     M01
83902   Molecular diagnostics          A   3    0000   0.0000   M01     M01     M01
83903   Molecule mutation scan         A   3    0000   0.0000   M01     M01     M01
83904   Molecule mutation identify     A   3    0000   0.0000   M01     M01     M01
83905   Molecule mutation identify     A   3    0000   0.0000   M01     M01     M01
83906   Molecule mutation identify     A   3    0000   0.0000   M01     M01     M01
83907   Lyse cells for nucleic ext     A   3    0000   0.0000   M01     M01     M01
83908   Nucleic acid, signal ampli     A   3    0000   0.0000   M01     M01     M01
83909   Nucleic acid, high resolute    A   3    0000   0.0000   M01     M01     M01
83912   Genetic examination            A   3    0000   0.0000   M01     M01     M01
83913   Molecular, rna stabilization   A   3    0000   0.0000   M01     M01     M01
83914   Mutation ident ola/sbce/aspe   A   3    0000   0.0000   M01     M01     M01
83915   Assay of nucleotidase          A   3    0000   0.0000   M01     M01     M01
83916   Oligoclonal bands              A   3    0000   0.0000   M01     M01     M01
83918   Organic acids, total, quant    A   3    0000   0.0000   M01     M01     M01
83919   Organic acids, qual, each      A   3    0000   0.0000   M01     M01     M01
83921   Organic acid, single, quant    A   3    0000   0.0000   M01     M01     M01
83925   Assay of opiates               A   3    0000   0.0000   M01     M01     M01
83930   Assay of blood osmolality      A   3    0000   0.0000   M01     M01     M01
83935   Assay of urine osmolality      A   3    0000   0.0000   M01     M01     M01
83937   Assay of osteocalcin           A   3    0000   0.0000   M01     M01     M01
83945   Assay of oxalate               A   3    0000   0.0000   M01     M01     M01
83950   Oncoprotein, her-2/neu         A   3    0000   0.0000   M01     M01     M01
83970   Assay of parathormone          A   3    0000   0.0000   M01     M01     M01
83986   Assay of body fluid acidity    A   3    0000   0.0000   M01     M01     M01
83992   Assay for phencyclidine        A   3    0000   0.0000   M01     M01     M01
83993   Assay for calprotectin fecal   A    3   0000   0.0000   M01     M01     M01
84022   Assay of phenothiazine         A   3    0000   0.0000   M01     M01     M01
84030   Assay of blood pku             A   3    0000   0.0000   M01     M01     M01
84035   Assay of phenylketones         A   3    0000   0.0000   M01     M01     M01
84060   Assay acid phosphatase         A   3    0000   0.0000   M01     M01     M01
84061   Phosphatase, forensic exam     A   3    0000   0.0000   M01     M01     M01
84066   Assay prostate phosphatase     A   3    0000   0.0000   M01     M01     M01
84075   Assay alkaline phosphatase     A   3    0000   0.0000   M01     M01     M01
84078   Assay alkaline phosphatase     A   3    0000   0.0000   M01     M01     M01
84080   Assay alkaline phosphatases    A   3    0000   0.0000   M01     M01     M01
84081   Amniotic fluid enzyme test     A   3    0000   0.0000   M01     M01     M01
84085   Assay of rbc pg6d enzyme       A   3    0000   0.0000   M01     M01     M01
84087   Assay phosphohexose enzymes    A   3    0000   0.0000   M01     M01     M01
84100   Assay of phosphorus            A   3    0000   0.0000   M01     M01     M01
84105   Assay of urine phosphorus      A   3    0000   0.0000   M01     M01     M01
84106   Test for porphobilinogen       A   3    0000   0.0000   M01     M01     M01
84110   Assay of porphobilinogen       A   3    0000   0.0000   M01     M01     M01
84119   Test urine for porphyrins      A   3    0000   0.0000   M01     M01     M01
84120   Assay of urine porphyrins      A   3    0000   0.0000   M01     M01     M01
84126   Assay of feces porphyrins      A   3    0000   0.0000   M01     M01     M01
84127   Assay of feces porphyrins      A   3    0000   0.0000   M01     M01     M01
84132   Assay of serum potassium       A   3    0000   0.0000   M01     M01     M01
84133   Assay of urine potassium       A   3    0000   0.0000   M01     M01     M01
84134   Assay of prealbumin            A   3    0000   0.0000   M01     M01     M01
84135   Assay of pregnanediol          A   3    0000   0.0000   M01     M01     M01
84138   Assay of pregnanetriol         A   3    0000   0.0000   M01     M01     M01
84140   Assay of pregnenolone          A   3    0000   0.0000   M01     M01     M01
84143   Assay of 17-hydroxypregneno    A   3    0000   0.0000   M01     M01     M01
84144   Assay of progesterone          A   3    0000   0.0000   M01     M01     M01
84146   Assay of prolactin             A   3    0000   0.0000   M01     M01     M01
84150   Assay of prostaglandin         A   3    0000   0.0000   M01     M01     M01
84152   Assay of psa, complexed        A   3    0000   0.0000   M01     M01     M01
84153   Assay of psa, total            A   3    0000   0.0000   M01     M01     M01
84154   Assay of psa, free             A   3    0000   0.0000   M01     M01     M01
84155   Assay of protein, serum        A   3    0000   0.0000   M01     M01     M01
84156   Assay of protein, urine        A   3    0000   0.0000   M01     M01     M01
84157   Assay of protein, other        A   3    0000   0.0000   M01     M01     M01
84160   Assay of protein, any source   A   3    0000   0.0000   M01     M01     M01
84163   Pappa, serum                   A   3    0000   0.0000   M01     M01     M01
84165   Protein e-phoresis, serum      A   3    0000   0.0000   M01     M01     M01
84166   Protein e-phoresis/urine/csf   A   3    0000   0.0000   M01     M01     M01
84181   Western blot test              A   3    0000   0.0000   M01     M01     M01
84182   Protein, western blot test     A   3    0000   0.0000   M01     M01     M01
84202   Assay RBC protoporphyrin       A   3    0000   0.0000   M01     M01     M01
84203   Test RBC protoporphyrin        A   3    0000   0.0000   M01     M01     M01
84206   Assay of proinsulin            A   3    0000   0.0000   M01     M01     M01
84207   Assay of vitamin b-6           A   3    0000   0.0000   M01     M01     M01
84210   Assay of pyruvate              A   3    0000   0.0000   M01     M01     M01
84220   Assay of pyruvate kinase       A   3    0000   0.0000   M01     M01     M01
84228   Assay of quinine               A   3    0000   0.0000   M01     M01     M01
84233   Assay of estrogen              A   3    0000   0.0000   M01     M01     M01
84234   Assay of progesterone          A   3    0000   0.0000   M01     M01     M01
84235   Assay of endocrine hormone     A   3    0000   0.0000   M01     M01     M01
84238   Assay, nonendocrine receptor   A   3    0000   0.0000   M01     M01     M01
84244   Assay of renin                 A   3    0000   0.0000   M01     M01     M01
84252   Assay of vitamin b-2           A   3    0000   0.0000   M01     M01     M01
84255   Assay of selenium              A   3    0000   0.0000   M01     M01     M01
84260   Assay of serotonin             A   3    0000   0.0000   M01     M01     M01
84270   Assay of sex hormone globul    A   3    0000   0.0000   M01     M01     M01
84275   Assay of sialic acid           A   3    0000   0.0000   M01     M01     M01
84285   Assay of silica                A   3    0000   0.0000   M01     M01     M01
84295   Assay of serum sodium          A   3    0000   0.0000   M01     M01     M01
84300   Assay of urine sodium          A   3    0000   0.0000   M01     M01     M01
84302   Assay of sweat sodium          A   3    0000   0.0000   M01     M01     M01
84305   Assay of somatomedin           A   3    0000   0.0000   M01     M01     M01
84307   Assay of somatostatin          A   3    0000   0.0000   M01     M01     M01
84311   Spectrophotometry              A   3    0000   0.0000   M01     M01     M01
84315   Body fluid specific gravity    A   3    0000   0.0000   M01     M01     M01
84375   Chromatogram assay, sugars     A   3    0000   0.0000   M01     M01     M01
84376   Sugars, single, qual           A   3    0000   0.0000   M01     M01     M01
84377   Sugars, multiple, qual         A   3    0000   0.0000   M01     M01     M01
84378   Sugars, single, quant          A   3    0000   0.0000   M01     M01     M01
84379   Sugars multiple quant          A   3    0000   0.0000   M01     M01     M01
84392   Assay of urine sulfate         A   3    0000   0.0000   M01     M01     M01
84402   Assay of testosterone          A   3    0000   0.0000   M01     M01     M01
84403   Assay of total testosterone    A   3    0000   0.0000   M01     M01     M01
84425   Assay of vitamin b-1           A   3    0000   0.0000   M01     M01     M01
84430   Assay of thiocyanate           A   3    0000   0.0000   M01     M01     M01
84432   Assay of thyroglobulin         A   3    0000   0.0000   M01     M01     M01
84436   Assay of total thyroxine       A   3    0000   0.0000   M01     M01     M01
84437   Assay of neonatal thyroxine    A   3    0000   0.0000   M01     M01     M01
84439   Assay of free thyroxine        A   3    0000   0.0000   M01     M01     M01
84442   Assay of thyroid activity      A   3    0000   0.0000   M01     M01     M01
84443   Assay thyroid stim hormone     A   3    0000   0.0000   M01     M01     M01
84445   Assay of tsi                   A   3    0000   0.0000   M01     M01     M01
84446   Assay of vitamin e             A   3    0000   0.0000   M01     M01     M01
84449   Assay of transcortin           A   3    0000   0.0000   M01     M01     M01
84450   Transferase (AST) (SGOT)       A   3    0000   0.0000   M01     M01     M01
84460   Alanine amino (ALT) (SGPT)     A   3    0000   0.0000   M01     M01     M01
84466   Assay of transferrin           A   3    0000   0.0000   M01     M01     M01
84478   Assay of triglycerides         A   3    0000   0.0000   M01     M01     M01
84479   Assay of thyroid (t3 or t4)    A   3    0000   0.0000   M01     M01     M01
84480   Assay, triiodothyronine (t3)   A   3    0000   0.0000   M01     M01     M01
84481   Free assay (FT-3)              A   3    0000   0.0000   M01     M01     M01
84482   T3 reverse                     A   3    0000   0.0000   M01     M01     M01
84484   Assay of troponin, quant       A   3    0000   0.0000   M01     M01     M01
84485   Assay duodenal fluid trypsin   A   3    0000   0.0000   M01     M01     M01
84488   Test feces for trypsin         A   3    0000   0.0000   M01     M01     M01
84490   Assay of feces for trypsin     A   3    0000   0.0000   M01     M01     M01
84510   Assay of tyrosine              A   3    0000   0.0000   M01     M01     M01
84512   Assay of troponin, qual        A   3    0000   0.0000   M01     M01     M01
84520   Assay of urea nitrogen         A   3    0000   0.0000   M01     M01     M01
84525   Urea nitrogen semi-quant       A   3    0000   0.0000   M01     M01     M01
84540   Assay of urine/urea-n          A   3    0000   0.0000   M01     M01     M01
84545   Urea-N clearance test          A   3    0000   0.0000   M01     M01     M01
84550   Assay of blood/uric acid       A   3    0000   0.0000   M01     M01     M01
84560   Assay of urine/uric acid       A   3    0000   0.0000   M01     M01     M01
84577   Assay of feces/urobilinogen    A   3    0000   0.0000   M01     M01     M01
84578   Test urine urobilinogen        A   3    0000   0.0000   M01     M01     M01
84580   Assay of urine urobilinogen    A   3    0000   0.0000   M01     M01     M01
84583   Assay of urine urobilinogen    A   3    0000   0.0000   M01     M01     M01
84585   Assay of urine vma             A   3    0000   0.0000   M01     M01     M01
84586   Assay of vip                   A   3    0000   0.0000   M01     M01     M01
84588   Assay of vasopressin           A   3    0000   0.0000   M01     M01     M01
84590   Assay of vitamin a             A   3    0000   0.0000   M01     M01     M01
84591   Assay of nos vitamin           A   3    0000   0.0000   M01     M01     M01
84597   Assay of vitamin k             A   3    0000   0.0000   M01     M01     M01
84600   Assay of volatiles             A   3    0000   0.0000   M01     M01     M01
84620   Xylose tolerance test          A   3    0000   0.0000   M01     M01     M01
84630   Assay of zinc                  A   3    0000   0.0000   M01     M01     M01
84681   Assay of c-peptide             A   3    0000   0.0000   M01     M01     M01
84702   Chorionic gonadotropin test    A   3    0000   0.0000   M01     M01     M01
84703   Chorionic gonadotropin assay   A   3    0000   0.0000   M01     M01     M01
84704   Hcg, free betachain test       A    3   0000   0.0000   M01     M01     M01
84830   Ovulation tests                A   3    0000   0.0000   M01     M01     M01
84999   Clinical chemistry test        A   3    0000   0.0000   M01     M01     M01
85002   Bleeding time test             A   3    0000   0.0000   M01     M01     M01
85004   Automated diff wbc count       A   3    0000   0.0000   M01     M01     M01
85007   Bl smear w/diff wbc count      A   3    0000   0.0000   M01     M01     M01
85008   Bl smear w/o diff wbc count    A   3    0000   0.0000   M01     M01     M01
85009   Manual diff wbc count b-coat   A   3    0000   0.0000   M01     M01     M01
85013   Spun microhematocrit           A   3    0000   0.0000   M01     M01     M01
85014   Hematocrit                     A   3    0000   0.0000   M01     M01     M01
85018   Hemoglobin                     A   3    0000   0.0000   M01     M01     M01
85025   Complete cbc w/auto diff wbc   A   3    0000   0.0000   M01     M01     M01
85027   Complete cbc, automated        A   3    0000   0.0000   M01     M01     M01
85032   Manual cell count, each        A   3    0000   0.0000   M01     M01     M01
85041   Automated rbc count            A   3    0000   0.0000   M01     M01     M01
85044   Manual reticulocyte count      A   3    0000   0.0000   M01     M01     M01
85045   Automated reticulocyte count   A   3    0000   0.0000   M01     M01     M01
85046   Reticyte/hgb concentrate       A   3    0000   0.0000   M01     M01     M01
85048   Automated leukocyte count      A   3    0000   0.0000   M01     M01     M01
85049   Automated platelet count       A   3    0000   0.0000   M01     M01     M01
85055   Reticulated platelet assay     A   3    0000   0.0000   M01     M01     M01
85060   Blood smear interpretation     B   B    0000   0.0000    0.00   0.00     0.00
85097   Bone marrow interpretation     X   X    0343   0.5142   24.56   56.01   64.19
85130   Chromogenic substrate assay    A   3    0000   0.0000   M01     M01     M01
85170   Blood clot retraction          A   3    0000   0.0000   M01     M01     M01
85175   Blood clot lysis time          A   3    0000   0.0000   M01     M01     M01
85210   Blood clot factor II test      A   3    0000   0.0000   M01     M01     M01
85220   Blood clot factor V test       A   3    0000   0.0000   M01     M01     M01
85230   Blood clot factor VII test     A   3    0000   0.0000   M01     M01     M01
85240   Blood clot factor VIII test    A   3    0000   0.0000   M01     M01     M01
85244   Blood clot factor VIII test    A   3    0000   0.0000   M01     M01     M01
85245   Blood clot factor VIII test    A   3    0000   0.0000   M01     M01     M01
85246   Blood clot factor VIII test    A   3    0000   0.0000   M01     M01     M01
85247   Blood clot factor VIII test    A   3    0000   0.0000   M01     M01     M01
85250   Blood clot factor IX test      A   3    0000   0.0000   M01     M01     M01
85260   Blood clot factor X test       A   3    0000   0.0000   M01     M01     M01
85270   Blood clot factor XI test      A   3    0000   0.0000   M01     M01     M01
85280   Blood clot factor XII test     A   3    0000   0.0000   M01     M01     M01
85290   Blood clot factor XIII test    A   3    0000   0.0000   M01     M01     M01
85291   Blood clot factor XIII test    A   3    0000   0.0000   M01     M01     M01
85292   Blood clot factor assay        A   3    0000   0.0000   M01     M01     M01
85293   Blood clot factor assay        A   3    0000   0.0000   M01     M01     M01
85300   Antithrombin III test          A   3    0000   0.0000   M01     M01     M01
85301   Antithrombin III test          A   3    0000   0.0000   M01     M01     M01
85302   Blood clot inhibitor antigen   A   3    0000   0.0000   M01     M01     M01
85303   Blood clot inhibitor test      A   3    0000   0.0000   M01     M01     M01
85305   Blood clot inhibitor assay     A   3    0000   0.0000   M01     M01     M01
85306   Blood clot inhibitor test      A   3    0000   0.0000   M01     M01     M01
85307   Assay activated protein c      A   3    0000   0.0000   M01     M01     M01
85335   Factor inhibitor test          A   3    0000   0.0000   M01     M01     M01
85337   Thrombomodulin                 A   3    0000   0.0000   M01     M01     M01
85345   Coagulation time               A   3    0000   0.0000   M01     M01     M01
85347   Coagulation time               A   3    0000   0.0000   M01     M01     M01
85348   Coagulation time               A   3    0000   0.0000   M01     M01     M01
85360   Euglobulin lysis               A   3    0000   0.0000   M01     M01     M01
85362   Fibrin degradation products    A   3    0000   0.0000   M01     M01     M01
85366   Fibrinogen test                A   3    0000   0.0000   M01     M01     M01
85370   Fibrinogen test                A   3    0000   0.0000   M01     M01     M01
85378   Fibrin degrade, semiquant      A   3    0000   0.0000   M01     M01     M01
85379   Fibrin degradation, quant      A   3    0000   0.0000   M01     M01     M01
85380   Fibrin degradation, vte        A   3    0000   0.0000   M01     M01     M01
85384   Fibrinogen                     A   3    0000   0.0000   M01     M01     M01
85385   Fibrinogen                     A   3    0000   0.0000   M01     M01     M01
85390   Fibrinolysins screen           A   3    0000   0.0000   M01     M01     M01
85396   Clotting assay, whole blood    N   N    0000   0.0000    0.00   0.00     0.00
85400   Fibrinolytic plasmin           A   3    0000   0.0000   M01     M01     M01
85410   Fibrinolytic antiplasmin       A   3    0000   0.0000   M01     M01     M01
85415   Fibrinolytic plasminogen       A   3    0000   0.0000   M01     M01     M01
85420   Fibrinolytic plasminogen       A   3    0000   0.0000   M01     M01     M01
85421   Fibrinolytic plasminogen       A   3    0000   0.0000   M01     M01     M01
85441   Heinz bodies, direct           A   3    0000   0.0000   M01     M01     M01
85445   Heinz bodies, induced          A   3    0000   0.0000   M01     M01     M01
85460   Hemoglobin, fetal              A   3    0000   0.0000   M01     M01     M01
85461   Hemoglobin, fetal              A   3    0000   0.0000   M01     M01     M01
85475   Hemolysin                      A   3    0000   0.0000   M01     M01     M01
85520   Heparin assay                  A   3    0000   0.0000   M01     M01     M01
85525   Heparin neutralization         A   3    0000   0.0000   M01     M01     M01
85530   Heparin-protamine tolerance    A   3    0000   0.0000   M01     M01     M01
85536   Iron stain peripheral blood    A   3    0000   0.0000   M01     M01     M01
85540   Wbc alkaline phosphatase       A   3    0000   0.0000   M01     M01     M01
85547   RBC mechanical fragility       A   3    0000   0.0000   M01     M01     M01
85549   Muramidase                     A   3    0000   0.0000   M01     M01     M01
85555   RBC osmotic fragility          A   3    0000   0.0000   M01     M01     M01
85557   RBC osmotic fragility          A   3    0000   0.0000   M01     M01     M01
85576   Blood platelet aggregation     A   3    0000   0.0000   M01     M01     M01
85597   Platelet neutralization        A   3    0000   0.0000   M01     M01     M01
85610   Prothrombin time               A   3    0000   0.0000   M01     M01     M01
85611   Prothrombin test               A   3    0000   0.0000   M01     M01     M01
85612   Viper venom prothrombin time   A   3    0000   0.0000   M01     M01     M01
85613   Russell viper venom, diluted   A   3    0000   0.0000   M01     M01     M01
85635   Reptilase test                 A   3    0000   0.0000   M01     M01     M01
85651   Rbc sed rate, nonautomated     A   3    0000   0.0000   M01     M01     M01
85652   Rbc sed rate, automated        A   3    0000   0.0000   M01     M01     M01
85660   RBC sickle cell test           A   3    0000   0.0000   M01     M01     M01
85670   Thrombin time, plasma          A   3    0000   0.0000   M01     M01     M01
85675   Thrombin time, titer           A   3    0000   0.0000   M01     M01     M01
85705   Thromboplastin inhibition      A   3    0000   0.0000   M01     M01     M01
85730   Thromboplastin time, partial   A   3    0000   0.0000   M01     M01     M01
85732   Thromboplastin time, partial   A   3    0000   0.0000   M01     M01     M01
85810   Blood viscosity examination    A   3    0000   0.0000   M01     M01     M01
85999   Hematology procedure           A   3    0000   0.0000   M01     M01     M01
86000   Agglutinins, febrile           A   3    0000   0.0000   M01     M01     M01
86001   Allergen specific igg          A   3    0000   0.0000   M01     M01     M01
86003   Allergen specific IgE          A   3    0000   0.0000   M01     M01     M01
86005   Allergen specific IgE          A   3    0000   0.0000   M01     M01     M01
86021   WBC antibody identification    A   3    0000   0.0000   M01     M01     M01
86022   Platelet antibodies            A   3    0000   0.0000   M01     M01     M01
86023   Immunoglobulin assay           A   3    0000   0.0000   M01     M01     M01
86038   Antinuclear antibodies         A   3    0000   0.0000   M01     M01     M01
86039   Antinuclear antibodies (ANA)   A   3    0000   0.0000   M01     M01     M01
86060   Antistreptolysin o, titer      A   3    0000   0.0000   M01     M01     M01
86063   Antistreptolysin o, screen     A   3    0000   0.0000   M01     M01     M01
86077   Physician blood bank service   X   X    0433   0.2397   11.45   26.11   29.92
86078   Physician blood bank service   X   X    0343   0.5142   24.56   56.01   64.19
86079   Physician blood bank service   X   X    0433   0.2397   11.45   26.11   29.92
86140   C-reactive protein             A   3    0000   0.0000   M01     M01     M01
86141   C-reactive protein, hs         A   3    0000   0.0000   M01     M01     M01
86146   Glycoprotein antibody          A   3    0000   0.0000   M01     M01     M01
86147   Cardiolipin antibody           A   3    0000   0.0000   M01     M01     M01
86148   Phospholipid antibody          A   3    0000   0.0000   M01     M01     M01
86155   Chemotaxis assay               A   3    0000   0.0000   M01     M01     M01
86156   Cold agglutinin, screen        A   3    0000   0.0000   M01     M01     M01
86157   Cold agglutinin, titer         A   3    0000   0.0000   M01     M01     M01
86160   Complement, antigen            A   3    0000   0.0000   M01     M01     M01
86161   Complement/function activity   A   3    0000   0.0000   M01     M01     M01
86162   Complement, total (CH50)       A   3    0000   0.0000   M01     M01     M01
86171   Complement fixation, each      A   3    0000   0.0000   M01     M01     M01
86185   Counterimmunoelectrophoresis   A   3    0000   0.0000   M01     M01     M01
86200   Ccp antibody                   A   3    0000   0.0000   M01     M01     M01
86215   Deoxyribonuclease, antibody    A   3    0000   0.0000   M01     M01     M01
86225   DNA antibody                   A   3    0000   0.0000   M01     M01     M01
86226   DNA antibody, single strand    A   3    0000   0.0000   M01     M01     M01
86235   Nuclear antigen antibody       A   3    0000   0.0000   M01     M01     M01
86243   Fc receptor                    A   3    0000   0.0000   M01     M01     M01
86255   Fluorescent antibody, screen   A   3    0000   0.0000   M01     M01     M01
86256   Fluorescent antibody, titer    A   3    0000   0.0000   M01     M01     M01
86277   Growth hormone antibody        A   3    0000   0.0000   M01     M01     M01
86280   Hemagglutination inhibition    A   3    0000   0.0000   M01     M01     M01
86294   Immunoassay, tumor, qual       A   3    0000   0.0000   M01     M01     M01
86300   Immunoassay, tumor, ca 15-3    A   3    0000   0.0000   M01     M01     M01
86301   Immunoassay, tumor, ca 19-9    A   3    0000   0.0000   M01     M01     M01
86304   Immunoassay, tumor, ca 125     A   3    0000   0.0000   M01     M01     M01
86308   Heterophile antibodies         A   3    0000   0.0000   M01     M01     M01
86309   Heterophile antibodies         A   3    0000   0.0000   M01     M01     M01
86310   Heterophile antibodies         A   3    0000   0.0000   M01     M01     M01
86316   Immunoassay, tumor other       A   3    0000   0.0000   M01     M01     M01
86317   Immunoassay,infectious agent   A   3    0000   0.0000   M01     M01     M01
86318   Immunoassay,infectious agent   A   3    0000   0.0000   M01     M01     M01
86320   Serum immunoelectrophoresis    A   3    0000   0.0000   M01     M01     M01
86325   Other immunoelectrophoresis    A   3    0000   0.0000   M01     M01     M01
86327   Immunoelectrophoresis assay    A   3    0000   0.0000   M01     M01     M01
86329   Immunodiffusion                A   3    0000   0.0000   M01     M01     M01
86331   Immunodiffusion ouchterlony    A   3    0000   0.0000   M01     M01     M01
86332   Immune complex assay           A   3    0000   0.0000   M01     M01     M01
86334   Immunofix e-phoresis, serum    A   3    0000   0.0000   M01     M01     M01
86335   Immunfix e-phorsis/urine/csf   A   3    0000   0.0000   M01     M01     M01
86336   Inhibin A                      A   3    0000   0.0000   M01     M01     M01
86337   Insulin antibodies             A   3    0000   0.0000   M01     M01     M01
86340   Intrinsic factor antibody      A   3    0000   0.0000   M01     M01     M01
86341   Islet cell antibody            A   3    0000   0.0000   M01     M01     M01
86343   Leukocyte histamine release    A   3    0000   0.0000   M01     M01     M01
86344   Leukocyte phagocytosis         A   3    0000   0.0000   M01     M01     M01
86353   Lymphocyte transformation      A   3    0000   0.0000   M01     M01     M01
86355   B cells, total count           A   3    0000   0.0000   M01     M01     M01
86356   Mononuclear cell antigen       A    3   0000   0.0000   M01     M01     M01
86357   Nk cells, total count          A   3    0000   0.0000   M01     M01     M01
86359   T cells, total count           A   3    0000   0.0000   M01     M01     M01
86360   T cell, absolute count/ratio   A   3    0000   0.0000   M01     M01     M01
86361   T cell, absolute count         A   3    0000   0.0000   M01     M01     M01
86367   Stem cells, total count        A   3    0000   0.0000   M01     M01     M01
86376   Microsomal antibody            A   3    0000   0.0000   M01     M01     M01
86378   Migration inhibitory factor    A   3    0000   0.0000   M01     M01     M01
86382   Neutralization test, viral     A   3    0000   0.0000   M01     M01     M01
86384   Nitroblue tetrazolium dye      A   3    0000   0.0000   M01     M01     M01
86403   Particle agglutination test    A   3    0000   0.0000   M01     M01     M01
86406   Particle agglutination test    A   3    0000   0.0000   M01     M01     M01
86430   Rheumatoid factor test         A   3    0000   0.0000   M01     M01     M01
86431   Rheumatoid factor, quant       A   3    0000   0.0000   M01     M01     M01
86480   Tb test, cell immun measure    A   3    0000   0.0000   M01     M01     M01
86485   Skin test, candida             X   X    0341   0.0844    4.03   9.19    10.54
86486   Skin test, nos antigen         A    1   0000   0.0000    0.00   0.00     0.00
86490   Coccidioidomycosis skin test   X   X    0341   0.0844    4.03   9.19    10.54
86510   Histoplasmosis skin test       X   X    0341   0.0844    4.03   9.19    10.54
86580   TB intradermal test            X   X    0341   0.0844    4.03   9.19    10.54

86590   Streptokinase, antibody        A   3    0000   0.0000   M01     M01     M01
86592   Blood serology, qualitative    A   3    0000   0.0000   M01     M01     M01
86593   Blood serology, quantitative   A   3    0000   0.0000   M01     M01     M01
86602   Antinomyces antibody           A   3    0000   0.0000   M01     M01     M01
86603   Adenovirus antibody            A   3    0000   0.0000   M01     M01     M01
86606   Aspergillus antibody           A   3    0000   0.0000   M01     M01     M01
86609   Bacterium antibody             A   3    0000   0.0000   M01     M01     M01
86611   Bartonella antibody            A   3    0000   0.0000   M01     M01     M01
86612   Blastomyces antibody           A   3    0000   0.0000   M01     M01     M01
86615   Bordetella antibody            A   3    0000   0.0000   M01     M01     M01
86617   Lyme disease antibody          A   3    0000   0.0000   M01     M01     M01
86618   Lyme disease antibody          A   3    0000   0.0000   M01     M01     M01
86619   Borrelia antibody              A   3    0000   0.0000   M01     M01     M01
86622   Brucella antibody              A   3    0000   0.0000   M01     M01     M01
86625   Campylobacter antibody         A   3    0000   0.0000   M01     M01     M01
86628   Candida antibody               A   3    0000   0.0000   M01     M01     M01
86631   Chlamydia antibody             A   3    0000   0.0000   M01     M01     M01
86632   Chlamydia igm antibody         A   3    0000   0.0000   M01     M01     M01
86635   Coccidioides antibody          A   3    0000   0.0000   M01     M01     M01
86638   Q fever antibody               A   3    0000   0.0000   M01     M01     M01
86641   Cryptococcus antibody          A   3    0000   0.0000   M01     M01     M01
86644   CMV antibody                   A   3    0000   0.0000   M01     M01     M01
86645   CMV antibody, IgM              A   3    0000   0.0000   M01     M01     M01
86648   Diphtheria antibody            A   3    0000   0.0000   M01     M01     M01
86651   Encephalitis antibody          A   3    0000   0.0000   M01     M01     M01
86652   Encephalitis antibody          A   3    0000   0.0000   M01     M01     M01
86653   Encephalitis antibody          A   3    0000   0.0000   M01     M01     M01
86654   Encephalitis antibody          A   3    0000   0.0000   M01     M01     M01
86658   Enterovirus antibody           A   3    0000   0.0000   M01     M01     M01
86663   Epstein-barr antibody          A   3    0000   0.0000   M01     M01     M01
86664   Epstein-barr antibody          A   3    0000   0.0000   M01     M01     M01
86665   Epstein-barr antibody          A   3    0000   0.0000   M01     M01     M01
86666   Ehrlichia antibody             A   3    0000   0.0000   M01     M01     M01
86668   Francisella tularensis         A   3    0000   0.0000   M01     M01     M01
86671   Fungus antibody                A   3    0000   0.0000   M01     M01     M01
86674   Giardia lamblia antibody       A   3    0000   0.0000   M01     M01     M01
86677   Helicobacter pylori            A   3    0000   0.0000   M01     M01     M01
86682   Helminth antibody              A   3    0000   0.0000   M01     M01     M01
86684   Hemophilus influenza           A   3    0000   0.0000   M01     M01     M01
86687   Htlv-i antibody                A   3    0000   0.0000   M01     M01     M01
86688   Htlv-ii antibody               A   3    0000   0.0000   M01     M01     M01
86689   HTLV/HIV confirmatory test     A   3    0000   0.0000   M01     M01     M01
86692   Hepatitis, delta agent         A   3    0000   0.0000   M01     M01     M01
86694   Herpes simplex test            A   3    0000   0.0000   M01     M01     M01
86695   Herpes simplex test            A   3    0000   0.0000   M01     M01     M01
86696   Herpes simplex type 2          A   3    0000   0.0000   M01     M01     M01
86698   Histoplasma                    A   3    0000   0.0000   M01     M01     M01
86701   HIV-1                          A   3    0000   0.0000   M01     M01     M01
86702   HIV-2                          A   3    0000   0.0000   M01     M01     M01
86703   HIV-1/HIV-2, single assay      A   3    0000   0.0000   M01     M01     M01
86704   Hep b core antibody, total     A   3    0000   0.0000   M01     M01     M01
86705   Hep b core antibody, igm       A   3    0000   0.0000   M01     M01     M01
86706   Hep b surface antibody         A   3    0000   0.0000   M01     M01     M01
86707   Hep be antibody                A   3    0000   0.0000   M01     M01     M01
86708   Hep a antibody, total          A   3    0000   0.0000   M01     M01     M01
86709   Hep a antibody, igm            A   3    0000   0.0000   M01     M01     M01
86710   Influenza virus antibody       A   3    0000   0.0000   M01     M01     M01
86713   Legionella antibody            A   3    0000   0.0000   M01     M01     M01
86717   Leishmania antibody            A   3    0000   0.0000   M01     M01     M01
86720   Leptospira antibody            A   3    0000   0.0000   M01     M01     M01
86723   Listeria monocytogenes ab      A   3    0000   0.0000   M01     M01     M01
86727   Lymph choriomeningitis ab      A   3    0000   0.0000   M01     M01     M01
86729   Lympho venereum antibody       A   3    0000   0.0000   M01     M01     M01
86732   Mucormycosis antibody          A   3    0000   0.0000   M01     M01     M01
86735   Mumps antibody                 A   3    0000   0.0000   M01     M01     M01
86738   Mycoplasma antibody            A   3    0000   0.0000   M01     M01     M01
86741   Neisseria meningitidis         A   3    0000   0.0000   M01     M01     M01
86744   Nocardia antibody              A   3    0000   0.0000   M01     M01     M01
86747   Parvovirus antibody            A   3    0000   0.0000   M01     M01     M01
86750   Malaria antibody               A   3    0000   0.0000   M01     M01     M01
86753   Protozoa antibody nos          A   3    0000   0.0000   M01     M01     M01
86756   Respiratory virus antibody     A   3    0000   0.0000   M01     M01     M01
86757   Rickettsia antibody            A   3    0000   0.0000   M01     M01     M01
86759   Rotavirus antibody             A   3    0000   0.0000   M01     M01     M01
86762   Rubella antibody               A   3    0000   0.0000   M01     M01     M01
86765   Rubeola antibody               A   3    0000   0.0000   M01     M01     M01
86768   Salmonella antibody            A   3    0000   0.0000   M01     M01     M01
86771   Shigella antibody              A   3    0000   0.0000   M01     M01     M01
86774   Tetanus antibody               A   3    0000   0.0000   M01     M01     M01
86777   Toxoplasma antibody            A   3    0000   0.0000   M01     M01     M01
86778   Toxoplasma antibody, igm       A   3    0000   0.0000   M01     M01     M01
86781   Treponema pallidum, confirm    A   3    0000   0.0000   M01     M01     M01
86784   Trichinella antibody           A   3    0000   0.0000   M01     M01     M01
86787   Varicella-zoster antibody      A   3    0000   0.0000   M01     M01     M01
86788   West nile virus ab, igm        A   3    0000   0.0000   M01     M01     M01
86789   West nile virus antibody       A   3    0000   0.0000   M01     M01     M01
86790   Virus antibody nos             A   3    0000   0.0000   M01     M01     M01
86793   Yersinia antibody              A   3    0000   0.0000   M01     M01     M01
86800   Thyroglobulin antibody         A   3    0000   0.0000   M01     M01     M01
86803   Hepatitis c ab test            A   3    0000   0.0000   M01     M01     M01
86804   Hep c ab test, confirm         A   3    0000   0.0000   M01     M01     M01
86805   Lymphocytotoxicity assay       A   3    0000   0.0000   M01     M01     M01
86806   Lymphocytotoxicity assay       A   3    0000   0.0000   M01     M01     M01
86807   Cytotoxic antibody screening   A   3    0000   0.0000   M01     M01     M01
86808   Cytotoxic antibody screening   A   3    0000   0.0000   M01     M01     M01
86812   HLA typing, A, B, or C         A   3    0000   0.0000   M01     M01     M01
86813   HLA typing, A, B, or C         A   3    0000   0.0000   M01     M01     M01
86816   HLA typing, DR/DQ              A   3    0000   0.0000   M01     M01     M01
86817   HLA typing, DR/DQ              A   3    0000   0.0000   M01     M01     M01
86821   Lymphocyte culture, mixed      A   3    0000   0.0000   M01     M01     M01
86822   Lymphocyte culture, primed     A   3    0000   0.0000   M01     M01     M01
86849   Immunology procedure           A   3    0000   0.0000   M01     M01     M01
86850   RBC antibody screen            X   X    0345   0.2140   10.22   23.31   26.72
86860   RBC antibody elution           X   X    0346   0.3346   15.98   36.44   41.77
86870   RBC antibody identification    X   X    0346   0.3346   15.98   36.44   41.77
86880   Coombs test, direct            X   X    0409   0.1190    5.68   12.96   14.86
86885   Coombs test, indirect, qual    X   X    0409   0.1190    5.68   12.96   14.86
86886   Coombs test, indirect, titer   X   X    0409   0.1190    5.68   12.96   14.86
86890   Autologous blood process       X   X    0347   0.7739   36.97   84.29   96.61
86891   Autologous blood, op salvage   X   X    0346   0.3346   15.98   36.44   41.77
86900   Blood typing, ABO              X   X    0409   0.1190    5.68   12.96   14.86
86901   Blood typing, Rh (D)           X   X    0409   0.1190    5.68   12.96   14.86
86903   Blood typing, antigen screen   X   X    0345   0.2140   10.22   23.31   26.72
86904   Blood typing, patient serum    X   X    0346   0.3346   15.98   36.44   41.77
86905   Blood typing, RBC antigens     X   X    0345   0.2140   10.22   23.31   26.72
86906   Blood typing, Rh phenotype     X   X    0345   0.2140   10.22   23.31   26.72
86910   Blood typing, paternity test   E   3    0000   0.0000   M01     M01     M01
86911   Blood typing, antigen system   E   3    0000   0.0000   M01     M01     M01
86920   Compatibility test             X   X    0346   0.3346   15.98   36.44   41.77
86921   Compatibility test             X   X    0345   0.2140   10.22   23.31   26.72
86922   Compatibility test             X   X    0346   0.3346   15.98   36.44   41.77
86923   Compatibility test, electric   X   X    0345   0.2140   10.22   23.31   26.72
86927   Plasma, fresh frozen           X   X    0345   0.2140   10.22   23.31   26.72
86930   Frozen blood prep              X   X    0347   0.7739   36.97   84.29   96.61
86931   Frozen blood thaw              X   X    0347   0.7739   36.97   84.29   96.61
86932   Frozen blood freeze/thaw       X   X    0347   0.7739   36.97   84.29   96.61
86940   Hemolysins/agglutinins, auto   A   3    0000   0.0000   M01     M01     M01
86941   Hemolysins/agglutinins         A   3    0000   0.0000   M01     M01     M01
86945   Blood product/irradiation      X   X    0345   0.2140   10.22   23.31   26.72
86950   Leukacyte transfusion          X   X    0345   0.2140   10.22   23.31   26.72
86960   Vol reduction of blood/prod    X   X    0345   0.2140   10.22   23.31   26.72
86965   Pooling blood platelets        X   X    0346   0.3346   15.98   36.44   41.77
86970   RBC pretreatment               X   X    0345   0.2140   10.22   23.31   26.72
86971   RBC pretreatment               X   X    0345   0.2140   10.22   23.31   26.72
86972   RBC pretreatment               X   X    0346   0.3346   15.98   36.44   41.77
86975   RBC pretreatment, serum        X   X    0346   0.3346           15.98           36.44           41.77
86976   RBC pretreatment, serum        X   X    0345   0.2140           10.22           23.31           26.72
86977   RBC pretreatment, serum        X   X    0346   0.3346           15.98           36.44           41.77
86978   RBC pretreatment, serum        X   X    0346   0.3346           15.98           36.44           41.77
86985   Split blood or products        X   X    0345   0.2140           10.22           23.31           26.72
86999   Transfusion procedure          X   X    0345   0.2140           10.22           23.31           26.72
87001   Small animal inoculation       A   3    0000   0.0000           M01             M01             M01
87003   Small animal inoculation       A   3    0000   0.0000           M01             M01             M01
87015   Specimen concentration         A   3    0000   0.0000           M01             M01             M01
87040   Blood culture for bacteria     A   3    0000   0.0000           M01             M01             M01
87045   Feces culture, bacteria        A   3    0000   0.0000           M01             M01             M01
87046   Stool cultr, bacteria, each    A   3    0000   0.0000           M01             M01             M01
87070   Culture, bacteria, other       A   3    0000   0.0000           M01             M01             M01
87071   Culture bacteri aerobic othr   A   3    0000   0.0000           M01             M01             M01
87073   Culture bacteria anaerobic     A   3    0000   0.0000           M01             M01             M01
87075   Cultr bacteria, except blood   A   3    0000   0.0000           M01             M01             M01
87076   Culture anaerobe ident, each   A   3    0000   0.0000           M01             M01             M01
87077   Culture aerobic identify       A   3    0000   0.0000           M01             M01             M01
87081   Culture screen only            A   3    0000   0.0000           M01             M01             M01
87084   Culture of specimen by kit     A   3    0000   0.0000           M01             M01             M01
87086   Urine culture/colony count     A   3    0000   0.0000           M01             M01             M01
87088   Urine bacteria culture         A   3    0000   0.0000           M01             M01             M01
87101   Skin fungi culture             A   3    0000   0.0000           M01             M01             M01
87102   Fungus isolation culture       A   3    0000   0.0000           M01             M01             M01
87103   Blood fungus culture           A   3    0000   0.0000           M01             M01             M01
87106   Fungi identification, yeast    A   3    0000   0.0000           M01             M01             M01
87107   Fungi identification, mold     A   3    0000   0.0000           M01             M01             M01
87109   Mycoplasma                     A   3    0000   0.0000           M01             M01             M01
87110   Chlamydia culture              A   3    0000   0.0000           M01             M01             M01
87116   Mycobacteria culture           A   3    0000   0.0000           M01             M01             M01
87118   Mycobacteric identification    A   3    0000   0.0000           M01             M01             M01
87140   Culture type immunofluoresc    A   3    0000   0.0000           M01             M01             M01
87143   Culture typing, glc/hplc       A   3    0000   0.0000           M01             M01             M01
87147   Culture type, immunologic      A   3    0000   0.0000           M01             M01             M01
87149   Culture type, nucleic acid     A   3    0000   0.0000           M01             M01             M01
87152   Culture type pulse field gel   A   3    0000   0.0000           M01             M01             M01
87158   Culture typing, added method   A   3    0000   0.0000           M01             M01             M01
87164   Dark field examination         A   3    0000   0.0000           M01             M01             M01
87166   Dark field examination         A   3    0000   0.0000           M01             M01             M01
87168   Macroscopic exam arthropod     A   3    0000   0.0000           M01             M01             M01
87169   Macroscopic exam parasite      A   3    0000   0.0000           M01             M01             M01
87172   Pinworm exam                   A   3    0000   0.0000           M01             M01             M01
87176   Tissue homogenization, cultr   A   3    0000   0.0000           M01             M01             M01
87177   Ova and parasites smears       A   3    0000   0.0000           M01             M01             M01
87181   Microbe susceptible, diffuse   A   3    0000   0.0000           M01             M01             M01
87184   Microbe susceptible, disk      A   3    0000   0.0000           M01             M01             M01
87185   Microbe susceptible, enzyme    A   3    0000   0.0000           M01             M01             M01
87186   Microbe susceptible, mic       A   3    0000   0.0000           M01             M01             M01
87187   Microbe susceptible, mlc       A   3    0000   0.0000           M01             M01             M01
87188   Microbe suscept, macrobroth    A   3    0000   0.0000           M01             M01             M01
87190   Microbe suscept, mycobacteri   A   3    0000   0.0000           M01             M01             M01
87197   Bactericidal level, serum      A   3    0000   0.0000           M01             M01             M01
87205   Smear, gram stain              A   3    0000   0.0000           M01             M01             M01
87206   Smear, fluorescent/acid stai   A   3    0000   0.0000           M01             M01             M01
87207   Smear, special stain           A   3    0000   0.0000           M01             M01             M01
87209   Smear, complex stain           A   3    0000   0.0000           M01             M01             M01
87210   Smear, wet mount, saline/ink   A   3    0000   0.0000           M01             M01             M01
87220   Tissue exam for fungi          A   3    0000   0.0000           M01             M01             M01
87230   Assay, toxin or antitoxin      A   3    0000   0.0000           M01             M01             M01
87250   Virus inoculate, eggs/animal   A   3    0000   0.0000           M01             M01             M01
87252   Virus inoculation, tissue      A   3    0000   0.0000           M01             M01             M01
87253   Virus inoculate tissue, addl   A   3    0000   0.0000           M01             M01             M01
87254   Virus inoculation, shell via   A   3    0000   0.0000           M01             M01             M01
87255   Genet virus isolate, hsv       A   3    0000   0.0000           M01             M01             M01
87260   Adenovirus ag, if              A   3    0000   0.0000           M01             M01             M01
87265   Pertussis ag, if               A   3    0000   0.0000           M01             M01             M01
87267   Enterovirus antibody, dfa      A   3    0000   0.0000           M01             M01             M01
87269   Giardia ag, if                 A   3    0000   0.0000           M01             M01             M01
87270   Chlamydia trachomatis ag, if   A   3    0000   0.0000           M01             M01             M01
87271   Cytomegalovirus dfa            A   3    0000   0.0000           M01             M01             M01
87272   Cryptosporidium ag, if         A   3    0000   0.0000           M01             M01             M01
87273   Herpes simplex 2, ag, if       A   3    0000   0.0000           M01             M01             M01
87274   Herpes simplex 1, ag, if       A   3    0000   0.0000           M01             M01             M01
87275   Influenza b, ag, if            A   3    0000   0.0000           M01             M01             M01
87276   Influenza a, ag, if            A   3    0000   0.0000           M01             M01             M01
87277   Legionella micdadei, ag, if    A   3    0000   0.0000           M01             M01             M01
87278   Legion pneumophilia ag, if     A   3    0000   0.0000           M01             M01             M01
87279   Parainfluenza, ag, if          A   3    0000   0.0000           M01             M01             M01
87280   Respiratory syncytial ag, if   A   3    0000   0.0000           M01             M01             M01
87281   Pneumocystis carinii, ag, if   A   3    0000   0.0000           M01             M01             M01
87283   Rubeola, ag, if                A   3    0000   0.0000           M01             M01             M01
87285   Treponema pallidum, ag, if     A   3    0000   0.0000           M01             M01             M01
87290   Varicella zoster, ag, if       A   3    0000   0.0000           M01             M01             M01
87299   Antibody detection, nos, if    A   1    0000   0.0000            0.00           0.00             0.00
87300   Ag detection, polyval, if      A   3    0000   0.0000           M01             M01             M01
87301   Adenovirus ag, eia             A   3    0000   0.0000           M01             M01             M01
87305   Aspergillus ag, eia            A   3    0000   0.0000           M01             M01             M01
87320   Chylmd trach ag, eia           A   3    0000   0.0000           M01             M01             M01
87324   Clostridium ag, eia            A   3    0000   0.0000           M01             M01             M01
87327   Cryptococcus neoform ag, eia   A   3    0000   0.0000           M01             M01             M01
87328   Cryptosporidium ag, eia        A   3    0000   0.0000           M01             M01             M01
87329   Giardia ag, eia                A   3    0000   0.0000           M01             M01             M01
87332   Cytomegalovirus ag, eia        A   3    0000   0.0000           M01             M01             M01
87335   E coli 0157 ag, eia            A   3    0000   0.0000           M01             M01             M01
87336   Entamoeb hist dispr, ag, eia   A   3    0000   0.0000           M01             M01             M01
87337   Entamoeb hist group, ag, eia   A   3    0000   0.0000           M01             M01             M01
87338   Hpylori, stool, eia            A   3    0000   0.0000           M01             M01             M01
87339   H pylori ag, eia               A   3    0000   0.0000           M01             M01             M01
87340   Hepatitis b surface ag, eia    A   3    0000   0.0000           M01             M01             M01
87341   Hepatitis b surface, ag, eia   A   3    0000   0.0000           M01             M01             M01
87350   Hepatitis be ag, eia           A   3    0000   0.0000           M01             M01             M01
87380   Hepatitis delta ag, eia        A   3    0000   0.0000           M01             M01             M01
87385   Histoplasma capsul ag, eia     A   3    0000   0.0000           M01             M01             M01
87390   Hiv-1 ag, eia                  A   3    0000   0.0000           M01             M01             M01
87391   Hiv-2 ag, eia                  A   3    0000   0.0000           M01             M01             M01
87400   Influenza a/b, ag, eia         A   3    0000   0.0000           M01             M01             M01
87420   Resp syncytial ag, eia         A   3    0000   0.0000           M01             M01             M01
87425   Rotavirus ag, eia              A   3    0000   0.0000           M01             M01             M01
87427   Shiga-like toxin ag, eia       A   3    0000   0.0000           M01             M01             M01
87430   Strep a ag, eia                A   3    0000   0.0000           M01             M01             M01
87449   Ag detect nos, eia, mult       A   3    0000   0.0000           M01             M01             M01
87450   Ag detect nos, eia, single     A   3    0000   0.0000           M01             M01             M01
87451   Ag detect polyval, eia, mult   A   3    0000   0.0000           M01             M01             M01
87470   Bartonella, dna, dir probe     A   3    0000   0.0000           M01             M01             M01
87471   Bartonella, dna, amp probe     A   3    0000   0.0000           M01             M01             M01
87472   Bartonella, dna, quant         A   3    0000   0.0000           M01             M01             M01
87475   Lyme dis, dna, dir probe       A   3    0000   0.0000           M01             M01             M01
87476   Lyme dis, dna, amp probe       A   3    0000   0.0000           M01             M01             M01
87477   Lyme dis, dna, quant           A   3    0000   0.0000           M01             M01             M01
87480   Candida, dna, dir probe        A   3    0000   0.0000           M01             M01             M01
87481   Candida, dna, amp probe        A   3    0000   0.0000           M01             M01             M01
87482   Candida, dna, quant            A   3    0000   0.0000           M01             M01             M01
87485   Chylmd pneum, dna, dir probe   A   3    0000   0.0000           M01             M01             M01
87486   Chylmd pneum, dna, amp probe   A   3    0000   0.0000           M01             M01             M01
87487   Chylmd pneum, dna, quant       A   3    0000   0.0000           M01             M01             M01
87490   Chylmd trach, dna, dir probe   A   3    0000   0.0000           M01             M01             M01
87491   Chylmd trach, dna, amp probe   A   3    0000   0.0000           M01             M01             M01
87492   Chylmd trach, dna, quant       A   3    0000   0.0000           M01             M01             M01
87495   Cytomeg, dna, dir probe        A   3    0000   0.0000           M01             M01             M01
87496   Cytomeg, dna, amp probe        A   3    0000   0.0000           M01             M01             M01
87497   Cytomeg, dna, quant            A   3    0000   0.0000           M01             M01             M01
87498   Enterovirus, dna, amp probe    A   3    0000   0.0000           M01             M01             M01
87500   Vanomycin, dna, amp probe      A    3   0000   0.0000           M01             M01             M01
87510   Gardner vag, dna, dir probe    A   3    0000   0.0000           M01             M01             M01
87511   Gardner vag, dna, amp probe    A   3    0000   0.0000           M01             M01             M01
87512   Gardner vag, dna, quant        A   3    0000   0.0000           M01             M01             M01
87515   Hepatitis b, dna, dir probe    A   3    0000   0.0000           M01             M01             M01
87516   Hepatitis b, dna, amp probe    A   3    0000   0.0000           M01             M01             M01
87517   Hepatitis b, dna, quant        A   3    0000   0.0000           M01             M01             M01
87520   Hepatitis c, rna, dir probe    A   3    0000   0.0000           M01             M01             M01
87521   Hepatitis c, rna, amp probe    A   3    0000   0.0000           M01             M01             M01
87522   Hepatitis c, rna, quant        A   3    0000   0.0000           M01             M01             M01
87525   Hepatitis g, dna, dir probe    A   3    0000   0.0000           M01             M01             M01
87526   Hepatitis g, dna, amp probe    A   3    0000   0.0000           M01             M01             M01
87527   Hepatitis g, dna, quant        A   3    0000   0.0000           M01             M01             M01
87528   Hsv, dna, dir probe            A   3    0000   0.0000           M01             M01             M01
87529   Hsv, dna, amp probe            A   3    0000   0.0000           M01             M01             M01
87530   Hsv, dna, quant                A   3    0000   0.0000           M01             M01             M01
87531   Hhv-6, dna, dir probe          A   3    0000   0.0000           M01             M01             M01
87532   Hhv-6, dna, amp probe          A   3    0000   0.0000           M01             M01             M01
87533   Hhv-6, dna, quant              A   3    0000   0.0000           M01             M01             M01
87534   Hiv-1, dna, dir probe          A   3    0000   0.0000           M01             M01             M01
87535   Hiv-1, dna, amp probe          A   3    0000   0.0000           M01             M01             M01
87536   Hiv-1, dna, quant              A   3    0000   0.0000           M01             M01             M01
87537   Hiv-2, dna, dir probe          A   3    0000   0.0000           M01             M01             M01
87538   Hiv-2, dna, amp probe          A   3    0000   0.0000           M01             M01             M01
87539   Hiv-2, dna, quant              A   3    0000   0.0000           M01             M01             M01
87540   Legion pneumo, dna, dir prob   A   3    0000   0.0000           M01             M01             M01
87541   Legion pneumo, dna, amp prob   A   3    0000   0.0000           M01             M01             M01
87542   Legion pneumo, dna, quant      A   3    0000   0.0000           M01             M01             M01
87550   Mycobacteria, dna, dir probe   A   3    0000   0.0000           M01             M01             M01
87551   Mycobacteria, dna, amp probe   A   3    0000   0.0000           M01             M01             M01
87552   Mycobacteria, dna, quant       A   3    0000   0.0000           M01             M01             M01
87555   M.tuberculo, dna, dir probe    A   3    0000   0.0000           M01             M01             M01
87556   M.tuberculo, dna, amp probe    A   3    0000   0.0000           M01             M01             M01
87557   M.tuberculo, dna, quant        A   3    0000   0.0000           M01             M01             M01
87560   M.avium-intra, dna, dir prob   A   3    0000   0.0000           M01             M01             M01
87561   M.avium-intra, dna, amp prob   A   3    0000   0.0000           M01             M01             M01
87562   M.avium-intra, dna, quant      A   3    0000   0.0000           M01             M01             M01
87580   M.pneumon, dna, dir probe      A   3    0000   0.0000           M01             M01             M01
87581   M.pneumon, dna, amp probe      A   3    0000   0.0000           M01             M01             M01
87582   M.pneumon, dna, quant          A   3    0000   0.0000           M01             M01             M01
87590   N.gonorrhoeae, dna, dir prob   A   3    0000   0.0000           M01             M01             M01
87591   N.gonorrhoeae, dna, amp prob   A   3    0000   0.0000           M01             M01             M01
87592   N.gonorrhoeae, dna, quant      A   3    0000   0.0000           M01             M01             M01
87620   Hpv, dna, dir probe            A   3    0000   0.0000           M01             M01             M01
87621   Hpv, dna, amp probe            A   3    0000   0.0000           M01             M01             M01
87622   Hpv, dna, quant                A   3    0000   0.0000           M01             M01             M01
87640   Staph a, dna, amp probe        A   3    0000   0.0000           M01             M01             M01
87641   Mr-staph, dna, amp probe       A   3    0000   0.0000           M01             M01             M01
87650   Strep a, dna, dir probe        A   3    0000   0.0000           M01             M01             M01
87651   Strep a, dna, amp probe        A   3    0000   0.0000           M01             M01             M01
87652   Strep a, dna, quant            A   3    0000   0.0000           M01             M01             M01
87653   Strep b, dna, amp probe        A   3    0000   0.0000           M01             M01             M01
87660   Trichomonas vagin, dir probe   A   3    0000   0.0000           M01             M01             M01
87797   Detect agent nos, dna, dir     A   3    0000   0.0000           M01             M01             M01
87798   Detect agent nos, dna, amp     A   3    0000   0.0000           M01             M01             M01
87799   Detect agent nos, dna, quant   A   1    0000   0.0000           0.00            0.00            0.00
87800   Detect agnt mult, dna, direc   A   3    0000   0.0000           M01             M01             M01
87801   Detect agnt mult, dna, ampli   A   3    0000   0.0000           M01             M01             M01
87802   Strep b assay w/optic          A   3    0000   0.0000           M01             M01             M01
87803   Clostridium toxin a w/optic    A   3    0000   0.0000           M01             M01             M01
87804   Influenza assay w/optic        A   3    0000   0.0000           M01             M01             M01
87807   Rsv assay w/optic              A   3    0000   0.0000           M01             M01             M01
87808   Trichomonas assay w/optic      A   3    0000   0.0000           M01             M01             M01
87809   Adenovirus assay w/optic       A    3   0000   0.0000           M01             M01             M01
87810   Chylmd trach assay w/optic     A   3    0000   0.0000           M01             M01             M01
87850   N. gonorrhoeae assay w/optic   A   3    0000   0.0000           M01             M01             M01
87880   Strep a assay w/optic          A   3    0000   0.0000           M01             M01             M01
87899   Agent nos assay w/optic        A   1    0000   0.0000           0.00            0.00             0.00
87900   Phenotype, infect agent drug   A   3    0000   0.0000           M01             M01             M01
87901   Genotype, dna, hiv reverse t   A   3    0000   0.0000           M01             M01             M01
87902   Genotype, dna, hepatitis C     A   3    0000   0.0000           M01             M01             M01
87903   Phenotype, dna hiv w/culture   A   3    0000   0.0000           M01             M01             M01
87904   Phenotype, dna hiv w/clt add   A   3    0000   0.0000           M01             M01             M01
87999   Microbiology procedure         A   3    0000   0.0000           M01             M01             M01
88000   Autopsy (necropsy), gross      E   1    0000   0.0000           0.00            0.00             0.00
88005   Autopsy (necropsy), gross      E   1    0000   0.0000           0.00            0.00             0.00
88007   Autopsy (necropsy), gross      E   1    0000   0.0000           0.00            0.00             0.00
88012   Autopsy (necropsy), gross      E   1    0000   0.0000           0.00            0.00             0.00
88014   Autopsy (necropsy), gross      E   1    0000   0.0000           0.00            0.00             0.00
88016   Autopsy (necropsy), gross      E   1    0000   0.0000           0.00            0.00             0.00
88020   Autopsy (necropsy), complete   E   1    0000   0.0000           0.00            0.00             0.00
88025   Autopsy (necropsy), complete   E   1    0000   0.0000           0.00            0.00             0.00
88027   Autopsy (necropsy), complete   E   1    0000   0.0000           0.00            0.00             0.00
88028   Autopsy (necropsy), complete   E   1    0000   0.0000           0.00            0.00             0.00
88029   Autopsy (necropsy), complete   E   1    0000   0.0000           0.00            0.00             0.00
88036   Limited autopsy                E   1    0000   0.0000           0.00            0.00             0.00
88037   Limited autopsy                E   1    0000   0.0000           0.00            0.00             0.00
88040   Forensic autopsy (necropsy)    E   1    0000   0.0000           0.00            0.00             0.00
88045   Coroner’s autopsy (necropsy)   E   1    0000   0.0000           0.00            0.00             0.00
88099   Necropsy (autopsy) procedure   E   1    0000   0.0000           0.00            0.00             0.00
88104   Cytopathology, fluids          X   X    0433   0.2397          11.45            26.11           29.92
88106   Cytopathology, fluids          X   X    0433   0.2397          11.45            26.11           29.92
88107   Cytopathology, fluids          X   X    0343   0.5142          24.56            56.01           64.19
88108   Cytopath, concentrate tech     X   X    0343   0.5142          24.56            56.01           64.19
88112   Cytopath, cell enhance tech    X   X    0343   0.5142          24.56            56.01           64.19
88125   Forensic cytopathology         X   X    0433   0.2397          11.45            26.11           29.92
88130   Sex chromatin identification   A   3    0000   0.0000           M01             M01             M01
88140   Sex chromatin identification   A   3    0000   0.0000           M01             M01             M01
88141   Cytopath, c/v, interpret       N   N    0000   0.0000           0.00            0.00             0.00
88142   Cytopath, c/v, thin layer      A   3    0000   0.0000           M01             M01             M01
88143   Cytopath c/v thin layer redo   A   3    0000   0.0000           M01             M01             M01
88147   Cytopath, c/v, automated       A   3    0000   0.0000           M01             M01             M01
88148   Cytopath, c/v, auto rescreen   A   3    0000   0.0000           M01             M01             M01
88150   Cytopath, c/v, manual          A   3    0000   0.0000           M01             M01             M01
88152   Cytopath, c/v, auto redo       A   3    0000   0.0000           M01             M01             M01
88153   Cytopath, c/v, redo            A   3    0000   0.0000           M01             M01             M01
88154   Cytopath, c/v, select          A   3    0000   0.0000           M01             M01             M01
88155   Cytopath, c/v, index add-on    A   3    0000   0.0000           M01             M01             M01
88160   Cytopath smear, other source   X   X    0433   0.2397          11.45            26.11           29.92
88161   Cytopath smear, other source   X   X    0433   0.2397          11.45            26.11           29.92
88162   Cytopath smear, other source   X   X    0343   0.5142          24.56            56.01           64.19
88164   Cytopath tbs, c/v, manual      A   3    0000   0.0000           M01             M01             M01
88165   Cytopath tbs, c/v, redo        A   3    0000   0.0000           M01             M01             M01
88166   Cytopath tbs, c/v, auto redo   A   3    0000   0.0000           M01             M01             M01
88167   Cytopath tbs, c/v, select      A   3    0000   0.0000           M01             M01             M01
88172   Cytopathology eval of fna      X   X    0343   0.5142          24.56            56.01           64.19
88173   Cytopath eval, fna, report     X   X    0343   0.5142          24.56            56.01           64.19
88174   Cytopath, c/v auto, in fluid   A   3    0000   0.0000           M01             M01             M01
88175   Cytopath c/v auto fluid redo   A   3    0000   0.0000           M01             M01             M01
88182   Cell marker study              X   X    0343   0.5142          24.56            56.01           64.19
88184   Flowcytometry/ tc, 1 marker    X   X    0433   0.2397          11.45            26.11           29.92
88185   Flowcytometry/tc, add-on       X   X    0433   0.2397          11.45            26.11           29.92
88187   Flowcytometry/read, 2-8        X   X    0433   0.2397          11.45            26.11           29.92
88188   Flowcytometry/read, 9-15       X   X    0433   0.2397          11.45            26.11           29.92
88189   Flowcytometry/read, 16 & >     X   X    0343   0.5142          24.56            56.01           64.19
88199   Cytopathology procedure        X   X    0342   0.0969           4.63            10.55           12.10
88230   Tissue culture, lymphocyte     A   3    0000   0.0000           M01             M01             M01
88233   Tissue culture, skin/biopsy    A   3    0000   0.0000           M01             M01             M01
88235   Tissue culture, placenta       A   3    0000   0.0000           M01             M01             M01
88237   Tissue culture, bone marrow    A   3    0000   0.0000           M01             M01             M01
88239   Tissue culture, tumor          A   3    0000   0.0000           M01             M01             M01
88240   Cell cryopreserve/storage      A   3    0000   0.0000           M01             M01             M01
88241   Frozen cell preparation        A   3    0000   0.0000           M01             M01             M01
88245   Chromosome analysis, 20-25     A   3    0000   0.0000           M01             M01             M01
88248   Chromosome analysis, 50-100    A   3    0000   0.0000           M01             M01             M01
88249   Chromosome analysis, 100       A   3    0000   0.0000           M01             M01             M01
88261   Chromosome analysis, 5         A   3    0000   0.0000           M01             M01             M01
88262   Chromosome analysis, 15-20     A   3    0000   0.0000           M01             M01             M01
88263   Chromosome analysis, 45        A   3    0000   0.0000           M01             M01             M01
88264   Chromosome analysis, 20-25     A   3    0000   0.0000           M01             M01             M01
88267   Chromosome analys, placenta    A   3    0000   0.0000           M01             M01             M01
88269   Chromosome analys, amniotic    A   3    0000   0.0000           M01             M01             M01
88271   Cytogenetics, dna probe        A   3    0000   0.0000           M01             M01             M01
88272   Cytogenetics, 3-5              A   3    0000   0.0000           M01             M01             M01
88273   Cytogenetics, 10-30            A   3    0000   0.0000           M01             M01             M01
88274   Cytogenetics, 25-99            A   3    0000   0.0000           M01             M01             M01
88275   Cytogenetics, 100-300          A   3    0000   0.0000           M01             M01             M01
88280   Chromosome karyotype study     A   3    0000   0.0000           M01             M01             M01
88283   Chromosome banding study       A   3    0000   0.0000           M01             M01             M01
88285   Chromosome count, additional   A   3    0000   0.0000           M01             M01             M01
88289   Chromosome study, additional   A   3    0000   0.0000           M01             M01             M01
88291   Cyto/molecular report          M   1    0000   0.0000           0.00            0.00             0.00
88299   Cytogenetic study              X   1    0342   0.0969           0.00            0.00             0.00
88300   Surgical path, gross           X   X    0433   0.2397          11.45            26.11           29.92
88302   Tissue exam by pathologist     X   X    0433   0.2397          11.45            26.11           29.92
88304   Tissue exam by pathologist     X   X    0343   0.5142          24.56            56.01           64.19
88305   Tissue exam by pathologist     X   X    0343   0.5142          24.56            56.01           64.19
88307   Tissue exam by pathologist     X   X    0344   0.8167          39.01            88.95          101.96
88309   Tissue exam by pathologist     X   X    0344   0.8167          39.01            88.95          101.96
88311   Decalcify tissue               X   X    0433   0.2397          11.45            26.11           29.92
88312   Special stains                 X   X    0433   0.2397          11.45            26.11           29.92
88313   Special stains                 X   X    0433   0.2397          11.45            26.11           29.92
88314   Histochemical stain            X   X    0433   0.2397          11.45            26.11           29.92
88318   Chemical histochemistry        X   X    0433   0.2397          11.45            26.11           29.92
88319   Enzyme histochemistry          X   X    0433   0.2397          11.45            26.11           29.92
88321   Microslide consultation        X   X    0433   0.2397          11.45            26.11           29.92
88323   Microslide consultation        X   X    0343   0.5142          24.56            56.01           64.19
88325   Comprehensive review of data   X   X    0344   0.8167          39.01            88.95          101.96
88329   Path consult introp            X   X    0433   0.2397          11.45            26.11           29.92
88331   Path consult intraop, 1 bloc   X   X    0343   0.5142          24.56            56.01           64.19
88332   Path consult intraop, add’l    X   X    0433   0.2397          11.45            26.11           29.92
88333   Intraop cyto path consult, 1   X   X    0343   0.5142          24.56            56.01           64.19
88334   Intraop cyto path consult, 2   X   X    0433   0.2397          11.45            26.11           29.92
88342   Immunohistochemistry           X   X    0343   0.5142          24.56            56.01           64.19
88346   Immunofluorescent study        X   X    0343   0.5142          24.56            56.01           64.19
88347   Immunofluorescent study        X   X    0343   0.5142          24.56            56.01           64.19
88348   Electron microscopy            X   X    0661   2.6949          128.74          293.53          336.43
88349   Scanning electron microscopy   X   X    0661   2.6949          128.74          293.53          336.43
88355   Analysis, skeletal muscle      X   X    0343   0.5142          24.56            56.01           64.19
88356   Analysis, nerve                X   X    0344   0.8167          39.01            88.95          101.96
88358   Analysis, tumor                X   X    0344   0.8167          39.01            88.95          101.96
88360   Tumor immunohistochem/manual   X   X    0343   0.5142          24.56            56.01           64.19
88361   Tumor immunohistochem/comput   X   X    0344   0.8167          39.01            88.95          101.96
88362   Nerve teasing preparations     X   X    0344   0.8167          39.01            88.95          101.96
88365   Insitu hybridization (fish)    X   X    0344   0.8167          39.01            88.95          101.96
88367   Insitu hybridization, auto     X   X    0344   0.8167          39.01            88.95          101.96
88368   Insitu hybridization, manual   X   X    0343   0.5142          24.56            56.01           64.19
88371   Protein, western blot tissue   A   3    0000   0.0000           M01             M01             M01
88372   Protein analysis w/probe       A   3    0000   0.0000           M01             M01             M01
88380   Microdissection, laser         N   N    0000   0.0000           0.00            0.00             0.00
88381   Microdissection, manual        N    N   0000   0.0000           0.00            0.00             0.00
88384   Eval molecular probes, 11-50   X   X    0433   0.2397          11.45            26.11           29.92
88385   Eval molecul probes, 51-250    X   X    0343   0.5142          24.56            56.01           64.19
88386   Eval molecul probes, 251-500   X   X    0344   0.8167          39.01            88.95          101.96
88399   Surgical pathology procedure   X   X    0342   0.0969           4.63            10.55           12.10
88400   Bilirubin total transcut       A   3    0000   0.0000           M01             M01             M01
89049   Chct for mal hyperthermia      X   X    0343   0.5142          24.56            56.01           64.19
89050   Body fluid cell count          A   3    0000   0.0000           M01             M01             M01
89051   Body fluid cell count          A   3    0000   0.0000           M01             M01             M01
89055   Leukocyte assessment, fecal    A   3    0000   0.0000           M01             M01             M01
89060   Exam,synovial fluid crystals   A   3    0000   0.0000           M01             M01             M01
89100   Sample intestinal contents     X   X    0360   1.5330          73.23           166.97          191.38
89105   Sample intestinal contents     X   X    0360   1.5330          73.23           166.97          191.38
89125   Specimen fat stain             A   3    0000   0.0000           M01             M01             M01
89130   Sample stomach contents        X   X    0360   1.5330          73.23           166.97          191.38
89132   Sample stomach contents        X   X    0360   1.5330          73.23           166.97          191.38
89135   Sample stomach contents        X   X    0360   1.5330          73.23           166.97          191.38
89136   Sample stomach contents        X   X    0360   1.5330          73.23           166.97          191.38
89140   Sample stomach contents        X   X    0360   1.5330          73.23           166.97          191.38
89141   Sample stomach contents        X   X    0360   1.5330          73.23           166.97          191.38
89160   Exam feces for meat fibers     A   3    0000   0.0000           M01             M01             M01
89190   Nasal smear for eosinophils    A   3    0000   0.0000           M01             M01             M01
89220   Sputum specimen collection     X   X    0343   0.5142          24.56            56.01           64.19
89225   Starch granules, feces         A   3    0000   0.0000           M01             M01             M01
89230   Collect sweat for test         X   X    0343   0.5142          24.56            56.01           64.19
89235   Water load test                A   3    0000   0.0000           M01             M01             M01
89240   Pathology lab procedure        X   X    0342   0.0969           4.63            10.55           12.10
89250   Cultr oocyte/embryo <4 days    X   1    0344   0.8167           0.00            0.00             0.00
89251   Cultr oocyte/embryo <4 days    X   1    0344   0.8167           0.00            0.00             0.00
89253   Embryo hatching                X   1    0344   0.8167           0.00            0.00             0.00
89254   Oocyte identification          X   1    0344   0.8167           0.00            0.00             0.00
89255   Prepare embryo for transfer    X   1    0344   0.8167           0.00            0.00             0.00
89257   Sperm identification           X   1    0344   0.8167           0.00            0.00             0.00
89258   Cryopreservation; embryo(s)    X   1    0344   0.8167           0.00            0.00             0.00
89259   Cryopreservation, sperm        X   1    0344   0.8167           0.00            0.00             0.00
89260   Sperm isolation, simple        X   1    0344   0.8167           0.00            0.00             0.00
89261   Sperm isolation, complex       X   1    0344   0.8167           0.00            0.00             0.00
89264   Identify sperm tissue          X   X    0344   0.8167          39.01            88.95          101.96
89268   Insemination of oocytes        X   1    0344   0.8167           0.00            0.00             0.00
89272   Extended culture of oocytes    X   1    0344   0.8167           0.00            0.00             0.00
89280   Assist oocyte fertilization    X   1    0344   0.8167           0.00            0.00             0.00
89281   Assist oocyte fertilization    X   1    0344   0.8167           0.00            0.00             0.00
89290   Biopsy, oocyte polar body      X   1    0344   0.8167           0.00            0.00             0.00
89291   Biopsy, oocyte polar body      X   1    0344   0.8167           0.00            0.00             0.00
89300   Semen analysis w/huhner        A   3    0000   0.0000           M01             M01             M01
89310   Semen analysis w/count         A   3    0000   0.0000           M01             M01             M01
89320   Semen anal vol/count/mot       A   3    0000   0.0000           M01             M01             M01
89321   Semen anal, sperm detection    A   3    0000   0.0000           M01             M01             M01
89322   Semen anal, strict criteria    A    3   0000   0.0000           M01             M01             M01
89325   Sperm antibody test            A   1    0000   0.0000            0.00           0.00            0.00
89329   Sperm evaluation test          A   1    0000   0.0000            0.00           0.00            0.00
89330   Evaluation, cervical mucus     A   1    0000   0.0000            0.00           0.00            0.00
89331   Retrograde ejaculation anal    A    3   0000   0.0000           M01             M01             M01
89335   Cryopreserve testicular tiss   X   1    0344   0.8167            0.00           0.00            0.00
89342   Storage/year; embryo(s)        X   1    0344   0.8167            0.00           0.00            0.00
89343   Storage/year; sperm/semen      X   1    0344   0.8167            0.00           0.00            0.00
89344   Storage/year; reprod tissue    X   1    0344   0.8167            0.00           0.00            0.00
89346   Storage/year; oocyte(s)        X   1    0344   0.8167            0.00           0.00            0.00
89352   Thawing cryopresrved; embryo   X   1    0344   0.8167            0.00           0.00            0.00
89353   Thawing cryopresrved; sperm    X   1    0344   0.8167            0.00           0.00            0.00
89354   Thaw cryoprsvrd; reprod tiss   X   1    0344   0.8167            0.00           0.00            0.00
89356   Thawing cryopresrved; oocyte   X   1    0344   0.8167            0.00           0.00            0.00
90281   Human ig, im                   E   1    0000   0.0000            0.00           0.00            0.00
90283   Human ig, iv                   E   1    0000   0.0000            0.00           0.00            0.00
90284   Human ig, sc                   E    1   0000   0.0000            0.00           0.00            0.00
90287   Botulinum antitoxin            E   1    0000   0.0000            0.00           0.00            0.00
90288   Botulism ig, iv                E   3    0000   0.0000           M01             M01             M01
90291   Cmv ig, iv                     E   1    0000   0.0000            0.00           0.00            0.00
90296   Diphtheria antitoxin           N   N    0000   0.0000            0.00           0.00            0.00
90371   Hep b ig, im                   K   K    1630   1.9046   *       90.98          207.45          237.77
90375   Rabies ig, im/sc               K   K    9133   1.0676   *       51.00          116.28          133.28
90376   Rabies ig, heat treated        K   K    9134   1.1599   *       55.41          126.34          144.80
90378   Rsv ig, im, 50mg               E   3    0000   0.0000           M01             M01             M01
90379   Rsv ig, iv                     E   3    0000   0.0000           M01             M01             M01
90384   Rh ig, full-dose, im           E   1    0000   0.0000            0.00           0.00            0.00
90385   Rh ig, minidose, im            N   N    0000   0.0000            0.00           0.00            0.00
90386   Rh ig, iv                      E   1    0000   0.0000            0.00           0.00            0.00
90389   Tetanus ig, im                 E   3    0000   0.0000           M01             M01             M01
90393   Vaccina ig, im                 N   N    0000   0.0000            0.00           0.00            0.00
90396   Varicella-zoster ig, im        K   K    9135   1.9088   *       91.18          207.91          238.30
90399   Immune globulin                E   1    0000   0.0000            0.00           0.00            0.00
90465   Immune admin 1 inj, < 8 yrs    B   B    0000   0.0000            0.00           0.00            0.00
90466   Immune admin addl inj, < 8 y   B   B    0000   0.0000            0.00           0.00            0.00
90467   Immune admin o or n, < 8 yrs   B   B    0000   0.0000            0.00           0.00            0.00
90468   Immune admin o/n, addl < 8 y   B   B    0000   0.0000            0.00           0.00            0.00
90471   Immunization admin             S   3    0437   0.3945           M01             M01             M01
90472   Immunization admin, each add   S   3    0436   0.2545           M01             M01             M01
90473   Immune admin oral/nasal        S   3    0436   0.2545           M01             M01             M01
90474   Immune admin oral/nasal addl   S   3    0436   0.2545           M01             M01             M01
90476   Adenovirus vaccine, type 4     N   1    0000   0.0000            0.00           0.00            0.00
90477   Adenovirus vaccine, type 7     N   N    0000   0.0000            0.00           0.00            0.00
90581   Anthrax vaccine, sc            N   N    0000   0.0000            0.00           0.00            0.00
90585   Bcg vaccine, percut            K   K    9137   1.8732   *       89.48          204.03          233.85
90586   Bcg vaccine, intravesical      B   B    0000   0.0000            0.00           0.00            0.00
90632   Hep a vaccine, adult im        N   3    0000   0.0000           M01             M01             M01
90633   Hep a vacc, ped/adol, 2 dose   N   3    0000   0.0000           M01             M01             M01
90634   Hep a vacc, ped/adol, 3 dose   N   3    0000   0.0000           M01             M01             M01
90636   Hep a/hep b vacc, adult im     N   3    0000   0.0000           M01             M01             M01
90645   Hib vaccine, hboc, im          N   3    0000   0.0000           M01             M01             M01
90646   Hib vaccine, prp-d, im         N   N    0000   0.0000            0.00           0.00            0.00
90647   Hib vaccine, prp-omp, im       N   3    0000   0.0000           M01             M01             M01
90648   Hib vaccine, prp-t, im         N   3    0000   0.0000           M01             M01             M01
90649   H papilloma vacc 3 dose im     B   3    0000   0.0000           M01             M01             M01
90650   Hpv typ bival 3 dose im        E    1   0000   0.0000            0.00           0.00            0.00

90655   Flu vaccine no preserv 6-35m   L   L    0000   0.0000       APC by Report   APC by Report   APC by Report

90656   Flu vaccine no preserv 3 & >   L   L    0000   0.0000       APC by Report   APC by Report   APC by Report

90657   Flu vaccine, 3 yrs, im         L   L    0000   0.0000       APC by Report   APC by Report   APC by Report

90658   Flu vaccine, 3 yrs & >, im     L   L    0000   0.0000       APC by Report   APC by Report   APC by Report

90660   Flu vaccine, nasal             L   L    0000   0.0000       APC by Report   APC by Report   APC by Report
90661   Flu vacc cell cult prsv free   E    1   0000   0.0000           0.00            0.00            0.00
90662   Flu vacc prsv free inc antig   E    1   0000   0.0000           0.00            0.00            0.00
90663   Flu vacc pandemic              E    1   0000   0.0000           0.00            0.00            0.00
90665   Lyme disease vaccine, im       N   N    0000   0.0000           0.00            0.00            0.00
90669   Pneumococcal vacc, ped <5      L   3    0000   0.0000           M01             M01             M01
90675   Rabies vaccine, im             K   K    9139   2.4068   *      114.97          262.15          300.47
90676   Rabies vaccine, id             K   K    9140   1.8655   *      89.11           203.19          232.89
90680   Rotovirus vaccine, oral        N   3    0000   0.0000           M01             M01             M01
90681   Rotovirus vacc 2 dose oral     E    3   0000   0.0000           M01             M01             M01
90690   Typhoid vaccine, oral          N   N    0000   0.0000           0.00            0.00            0.00
90691   Typhoid vaccine, im            N   N    0000   0.0000           0.00            0.00            0.00
90692   Typhoid vaccine, h-p, sc/id    N   N    0000   0.0000           0.00            0.00            0.00
90693   Typhoid vaccine, akd, sc       B   B    0000   0.0000           0.00            0.00            0.00
90696   Dtap-ipv vacc 4-6 yr im        E    3   0000   0.0000           M01             M01             M01
90698   Dtap-hib-ip vaccine, im        N   N    0000   0.0000           0.00            0.00            0.00
90700   Dtap vaccine, < 7 yrs, im      N   3    0000   0.0000           M01             M01             M01
90701   Dtp vaccine, im                N   3    0000   0.0000           M01             M01             M01
90702   Dt vaccine < 7, im             N   3    0000   0.0000           M01             M01             M01
90703   Tetanus vaccine, im            N   N    0000   0.0000           0.00            0.00            0.00
90704   Mumps vaccine, sc              N   N    0000   0.0000           0.00            0.00            0.00
90705   Measles vaccine, sc            N   N    0000   0.0000           0.00            0.00            0.00
90706   Rubella vaccine, sc            N   N    0000   0.0000           0.00            0.00            0.00
90707   Mmr vaccine, sc                N   3    0000   0.0000           M01             M01             M01
90708   Measles-rubella vaccine, sc    K   K    9141   1.0422   *      49.78           113.51          130.10
90710   Mmrv vaccine, sc               N   3    0000   0.0000           M01             M01             M01
90712   Oral poliovirus vaccine        N   N    0000   0.0000           0.00            0.00            0.00
90713   Poliovirus, ipv, sc            N   3    0000   0.0000           M01             M01             M01
90714   Td vaccine no prsrv >/= 7 im   N   1    0000   0.0000           0.00            0.00            0.00
90715   Tdap vaccine >7 im             N   3    0000   0.0000           M01             M01             M01
90716   Chicken pox vaccine, sc        B   3    0000   0.0000           M01             M01             M01
90717   Yellow fever vaccine, sc       N   N    0000   0.0000           0.00            0.00            0.00
90718   Td vaccine > 7, im             N   3    0000   0.0000           M01             M01             M01
90719   Diphtheria vaccine, im         N   N    0000   0.0000           0.00            0.00            0.00
90720   Dtp/hib vaccine, im            N   N    0000   0.0000           0.00            0.00            0.00
90721   Dtap/hib vaccine, im           N   N    0000   0.0000           0.00            0.00            0.00
90723   Dtap-hep b-ipv vaccine, im     E   3    0000   0.0000           M01             M01             M01
90725   Cholera vaccine, injectable    N   N    0000   0.0000           0.00            0.00            0.00
90727   Plague vaccine, im             N   N    0000   0.0000           0.00            0.00            0.00

90732   Pneumococcal vaccine           L   L    0000   0.0000       APC by Report   APC by Report   APC by Report
90733   Meningococcal vaccine, sc      K   K    9143   1.3391   *      63.97           145.85          167.17
90734   Meningococcal vaccine, im      K   3    9145   1.2753   *       M01             M01             M01
90735   Encephalitis vaccine, sc       K   K    9144   1.5413   *      73.63           167.88          192.41
90736   Zoster vacc, sc                B   B    0000   0.0000           0.00            0.00            0.00

90740   Hepb vacc, ill pat 3 dose im   F   F    0000   0.0000       APC by Report   APC by Report   APC by Report
90743   Hep b vacc, adol, 2 dose, im   F   3    0000   0.0000           M01             M01             M01
90744   Hepb vacc ped/adol 3 dose im   F   3    0000   0.0000           M01             M01             M01
90746   Hep b vaccine, adult, im       F   3    0000   0.0000           M01             M01             M01

90747   Hepb vacc, ill pat 4 dose im   F   F    0000   0.0000       APC by Report   APC by Report   APC by Report
90748   Hep b/hib vaccine, im          E   3    0000   0.0000           M01             M01             M01
90749   Vaccine toxoid                 N   1    0000   0.0000           0.00            0.00             0.00
90760   Hydration iv infusion, init    S   S    0440   1.7998          85.98           196.03          224.69
90761   Hydrate iv infusion, add-on    S   S    0437   0.3945          18.85            42.97           49.25
90765   Ther/proph/diag iv inf, init   S   S    0440   1.7998          85.98           196.03          224.69
90766   Ther/proph/dg iv inf, add-on   S   S    0437   0.3945          18.85            42.97           49.25
90767   Tx/proph/dg addl seq iv inf    S   S    0437   0.3945          18.85            42.97           49.25
90768   Ther/diag concurrent inf       N   N    0000   0.0000           0.00            0.00             0.00
90769   Sc ther infusion, up to 1 hr   S    S   0440   1.7998          85.98           196.03          224.69
90770   Sc ther infusion, addl hr      S    S   0437   0.3945          18.85            42.97           49.25
90771   Sc ther infusion, reset pump   S    S   0438   0.8041          38.41            87.58          100.38
90772   Ther/proph/diag inj, sc/im     S   S    0437   0.3945          18.85            42.97           49.25
90773   Ther/proph/diag inj, ia        S   S    0438   0.8041          38.41            87.58          100.38
90774   Ther/proph/diag inj, iv push   S   S    0438   0.8041          38.41            87.58          100.38
90775   Tx/pro/dx inj new drug addon   S   S    0438   0.8041          38.41            87.58          100.38
90776   Tx/pro/dx inj same drug adon   N    N   0000   0.0000           0.00            0.00             0.00
90779   Ther/prop/diag inj/inf proc    S   1    0436   0.2545           0.00            0.00             0.00
90801   Psy dx interview               Q   Q    0323   1.6044          76.64           174.75          200.29
90802   Intac psy dx interview         Q   Q    0323   1.6044          76.64           174.75          200.29
90804   Psytx, office, 20-30 min       Q   Q    0322   1.1729          56.03           127.75          146.42
90805   Psytx, off, 20-30 min w/e&m    Q   Q    0322   1.1729          56.03           127.75          146.42
90806   Psytx, off, 45-50 min          Q   Q    0323   1.6044          76.64           174.75          200.29
90807   Psytx, off, 45-50 min w/e&m    Q   Q    0323   1.6044          76.64           174.75          200.29
90808   Psytx, office, 75-80 min       Q   Q    0323   1.6044          76.64           174.75          200.29
90809   Psytx, off, 75-80, w/e&m       Q   Q    0323   1.6044          76.64           174.75          200.29
90810   Intac psytx, off, 20-30 min    Q   Q    0322   1.1729          56.03           127.75          146.42
90811   Intac psytx, 20-30, w/e&m      Q   Q    0322   1.1729          56.03           127.75          146.42
90812   Intac psytx, off, 45-50 min    Q   Q    0323   1.6044          76.64           174.75          200.29
90813   Intac psytx, 45-50 min w/e&m   Q   Q    0323   1.6044          76.64           174.75          200.29
90814   Intac psytx, off, 75-80 min    Q   Q    0323   1.6044          76.64           174.75          200.29
90815   Intac psytx, 75-80 w/e&m       Q   Q    0323   1.6044          76.64           174.75          200.29
90816   Psytx, hosp, 20-30 min         Q   1    0322   1.1729           0.00            0.00             0.00
90817   Psytx, hosp, 20-30 min w/e&m   Q   1    0322   1.1729           0.00            0.00             0.00
90818   Psytx, hosp, 45-50 min         Q   1    0323   1.6044           0.00            0.00             0.00
90819   Psytx, hosp, 45-50 min w/e&m   Q   1    0323   1.6044           0.00            0.00             0.00
90821   Psytx, hosp, 75-80 min         Q   1    0323   1.6044           0.00            0.00             0.00
90822   Psytx, hosp, 75-80 min w/e&m   Q   1    0323   1.6044           0.00            0.00             0.00
90823   Intac psytx, hosp, 20-30 min   Q   1    0322   1.1729           0.00            0.00             0.00
90824   Intac psytx, hsp 20-30 w/e&m   Q   1    0322   1.1729           0.00            0.00             0.00
90826   Intac psytx, hosp, 45-50 min   Q   1    0323   1.6044           0.00            0.00             0.00
90827   Intac psytx, hsp 45-50 w/e&m   Q   1    0323   1.6044           0.00            0.00             0.00
90828   Intac psytx, hosp, 75-80 min   Q   1    0323   1.6044           0.00            0.00             0.00
90829   Intac psytx, hsp 75-80 w/e&m   Q   1    0323   1.6044           0.00            0.00             0.00
90845   Psychoanalysis                 Q   Q    0323   1.6044          76.64           174.75          200.29
90846   Family psytx w/o patient       Q   Q    0324   2.3616          112.81          257.23          294.82
90847   Family psytx w/patient         Q   Q    0324   2.3616          112.81          257.23          294.82
90849   Multiple family group psytx    Q   Q    0325   0.9913          47.35           107.97          123.75
90853   Group psychotherapy            Q   Q    0325   0.9913          47.35           107.97          123.75
90857   Intac group psytx              Q   Q    0325   0.9913          47.35           107.97          123.75
90862   Medication management          Q   Q    0606   1.3226          63.18           144.06          165.11
90865   Narcosynthesis                 Q   1    0323   1.6044           0.00            0.00             0.00
90870   Electroconvulsive therapy      S   S    0320   5.7299          273.72          624.10          715.32
90875   Psychophysiological therapy    E   1    0000   0.0000           0.00            0.00             0.00
90876   Psychophysiological therapy    E   1    0000   0.0000           0.00            0.00             0.00
90880   Hypnotherapy                   Q   1    0323   1.6044           0.00            0.00             0.00
90882   Environmental manipulation     E   1    0000   0.0000           0.00            0.00             0.00
90885   Psy evaluation of records      N   1    0000   0.0000           0.00            0.00             0.00
90887   Consultation with family       N   1    0000   0.0000           0.00            0.00             0.00
90889   Preparation of report          N   1    0000   0.0000           0.00            0.00             0.00
90899   Psychiatric service/therapy    Q   1    0322   1.1729           0.00            0.00             0.00
90901   Biofeedback train, any meth    A   1    0000   0.0000           0.00            0.00             0.00
90911   Biofeedback peri/uro/rectal    T   1    0126   1.0356           0.00            0.00             0.00
90918   ESRD related services, month   E   1    0000   0.0000           0.00            0.00             0.00
90919   ESRD related services, month   E   1    0000   0.0000           0.00            0.00             0.00
90920   ESRD related services, month   E   1    0000   0.0000           0.00            0.00             0.00
90921   ESRD related services, month   E   1    0000   0.0000           0.00            0.00             0.00
90922   ESRD related services, day     E   1    0000   0.0000           0.00            0.00             0.00
90923   Esrd related services, day     E   1    0000   0.0000           0.00            0.00             0.00
90924   Esrd related services, day     E   1    0000   0.0000           0.00            0.00             0.00
90925   Esrd related services, day     E   1    0000   0.0000           0.00            0.00             0.00
90935   Hemodialysis, one evaluation   S   S    0170   6.5383          312.33          712.15          816.24
90937   Hemodialysis, repeated eval    B   B    0000   0.0000           0.00            0.00             0.00
90940   Hemodialysis access study      N   N    0000   0.0000           0.00            0.00             0.00
90945   Dialysis, one evaluation       S   S    0170   6.5383          312.33          712.15          816.24
90947   Dialysis, repeated eval        B   B    0000   0.0000           0.00            0.00             0.00
90989   Dialysis training, complete    B   B    0000   0.0000           0.00            0.00             0.00
90993   Dialysis training, incompl     B   B    0000   0.0000           0.00            0.00             0.00
90997   Hemoperfusion                  B   B    0000    0.0000     0.00        0.00        0.00
90999   Dialysis procedure             B   1    0000    0.0000     0.00        0.00        0.00
91000   Esophageal intubation          X   X    0361    3.9276    187.62      427.79      490.32
91010   Esophagus motility study       X   X    0361    3.9276    187.62      427.79      490.32
91011   Esophagus motility study       X   X    0361    3.9276    187.62      427.79      490.32
91012   Esophagus motility study       X   X    0361    3.9276    187.62      427.79      490.32
91020   Gastric motility               X   X    0361    3.9276    187.62      427.79      490.32
91022   Duodenal motility study        X   X    0361    3.9276    187.62      427.79      490.32
91030   Acid perfusion of esophagus    X   X    0361    3.9276    187.62      427.79      490.32
91034   Gastroesophageal reflux test   X   X    0361    3.9276    187.62      427.79      490.32
91035   G-esoph reflx tst w/electrod   X   X    0361    3.9276    187.62      427.79      490.32
91037   Esoph imped function test      X   X    0361    3.9276    187.62      427.79      490.32
91038   Esoph imped funct test > 1h    X   X    0361    3.9276    187.62      427.79      490.32
91040   Esoph balloon distension tst   X   X    0360    1.5330    73.23       166.97      191.38
91052   Gastric analysis test          X   X    0361    3.9276    187.62      427.79      490.32
91055   Gastric intubation for smear   X   X    0360    1.5330    73.23       166.97      191.38
91065   Breath hydrogen test           X   X    0360    1.5330    73.23       166.97      191.38
91100   Pass intestine bleeding tube   X   X    0360    1.5330    73.23       166.97      191.38
91105   Gastric intubation treatment   X   X    0360    1.5330    73.23       166.97      191.38
91110   Gi tract capsule endoscopy     T   T    0142    9.5292    455.21     1,037.92    1,189.63
91111   Esophageal capsule endoscopy   T   T    0141    8.5030    406.19      926.15     1,061.51
91120   Rectal sensation test          T   T    0126    1.0356    49.47       112.80      129.28
91122   Anal pressure record           T   T    0164    2.0077    95.91       218.68      250.64
91123   Irrigate fecal impaction       N   N    0000    0.0000     0.00        0.00         0.00
91132   Electrogastrography            X   X    0360    1.5330    73.23       166.97      191.38
91133   Electrogastrography w/test     X   X    0360    1.5330    73.23       166.97      191.38
91299   Gastroenterology procedure     X   1    0360    1.5330     0.00        0.00         0.00
92002   Eye exam, new patient          V   V    0605    0.9964    47.60       108.53      124.39
92004   Eye exam, new patient          V   V    0606    1.3226    63.18       144.06      165.11
92012   Eye exam established pat       V   V    0604    0.8388    40.07        91.36      104.72
92014   Eye exam & treatment           V   V    0605    0.9964    47.60       108.53      124.39
92015   Refraction                     E   3    0000    0.0000     M01         M01         M01
92018   New eye exam & treatment       T   T    0699   13.7453    656.61     1,497.14    1,715.96
92019   Eye exam & treatment           T   T    0699   13.7453    656.61     1,497.14    1,715.96
92020   Special eye evaluation         S   S    0230    0.5903    28.20        64.30       73.69
92025   Corneal topography             S   S    0698    0.8696    41.54        94.72      108.56
92060   Special eye evaluation         S   S    0698    0.8696    41.54        94.72      108.56
92065   Orthoptic/pleoptic training    S   S    0698    0.8696    41.54        94.72      108.56
92070   Fitting of contact lens        N   N    0000    0.0000     0.00        0.00         0.00
92081   Visual field examination(s)    S   S    0230    0.5903    28.20        64.30       73.69
92082   Visual field examination(s)    S   S    0698    0.8696    41.54        94.72      108.56
92083   Visual field examination(s)    S   S    0698    0.8696    41.54        94.72      108.56
92100   Serial tonometry exam(s)       N   N    0000    0.0000     0.00        0.00         0.00
92120   Tonography & eye evaluation    S   S    0698    0.8696    41.54        94.72      108.56
92130   Water provocation tonography   S   S    0230    0.5903    28.20        64.30       73.69
92135   Ophth dx imaging post seg      S   S    0230    0.5903    28.20        64.30       73.69
92136   Ophthalmic biometry            S   S    0698    0.8696    41.54        94.72      108.56
92140   Glaucoma provocative tests     S   S    0230    0.5903    28.20        64.30       73.69
92225   Special eye exam, initial      S   S    0230    0.5903    28.20        64.30       73.69
92226   Special eye exam, subsequent   S   S    0698    0.8696    41.54        94.72      108.56
92230   Eye exam with photos           S   S    0231    2.1790    104.09      237.34      272.03
92235   Eye exam with photos           S   S    0231    2.1790    104.09      237.34      272.03
92240   Icg angiography                S   S    0231    2.1790    104.09      237.34      272.03
92250   Eye exam with photos           S   S    0698    0.8696    41.54        94.72      108.56
92260   Ophthalmoscopy/dynamometry     S   S    0230    0.5903    28.20        64.30       73.69
92265   Eye muscle evaluation          S   S    0698    0.8696    41.54        94.72      108.56
92270   Electro-oculography            S   S    0230    0.5903    28.20        64.30       73.69
92275   Electroretinography            S   S    0231    2.1790    104.09      237.34      272.03
92283   Color vision examination       S   S    0230    0.5903    28.20        64.30       73.69
92284   Dark adaptation eye exam       S   S    0698    0.8696    41.54        94.72      108.56
92285   Eye photography                S   S    0698    0.8696    41.54        94.72      108.56
92286   Internal eye photography       S   S    0231    2.1790    104.09      237.34      272.03
92287   Internal eye photography       S   S    0231    2.1790    104.09      237.34      272.03
92310   Contact lens fitting           E   3    0000    0.0000     M01         M01         M01
92311   Contact lens fitting           S   S    0698    0.8696    41.54        94.72      108.56
92312   Contact lens fitting           S   S    0698    0.8696    41.54        94.72      108.56
92313   Contact lens fitting           S   S    0230    0.5903    28.20        64.30       73.69
92314   Prescription of contact lens   E   3    0000    0.0000     M01         M01         M01
92315   Prescription of contact lens   S   S    0230    0.5903    28.20        64.30       73.69
92316   Prescription of contact lens   S   S    0698    0.8696    41.54        94.72      108.56
92317   Prescription of contact lens   S   S    0230    0.5903    28.20        64.30       73.69
92325   Modification of contact lens   S   S    0230    0.5903    28.20        64.30       73.69
92326   Replacement of contact lens    S   S    0698    0.8696    41.54        94.72      108.56
92340   Fitting of spectacles          E   3    0000    0.0000     M01         M01         M01
92341   Fitting of spectacles          E   3    0000    0.0000     M01         M01         M01
92342   Fitting of spectacles          E   3    0000    0.0000     M01         M01         M01
92352   Special spectacles fitting     S   S    0698    0.8696    41.54        94.72      108.56
92353   Special spectacles fitting     S   S    0230    0.5903    28.20        64.30       73.69
92354   Special spectacles fitting     S   S    0230    0.5903    28.20        64.30       73.69
92355   Special spectacles fitting     S   S    0230    0.5903    28.20        64.30       73.69
92358   Eye prosthesis service         S   1    0230    0.5903     0.00        0.00         0.00
92370   Repair & adjust spectacles     E   3    0000    0.0000     M01         M01         M01
92371   Repair & adjust spectacles     S   S    0230    0.5903    28.20        64.30       73.69
92499   Eye service or procedure       S   1    0230    0.5903     0.00        0.00         0.00
92502   Ear and throat examination     T   T    0251    2.5002    119.43      272.32      312.12
92504   Ear microscopy examination     N   N    0000    0.0000     0.00        0.00         0.00
92506   Speech/hearing evaluation      A   3    0000    0.0000     M01         M01         M01
92507   Speech/hearing therapy         A   3    0000    0.0000     M01         M01         M01
92508   Speech/hearing therapy         A   3    0000    0.0000     M01         M01         M01
92511   Nasopharyngoscopy              T   T    0071    0.8224    39.29        89.58      102.67
92512   Nasal function studies         X   X    0363    0.8067    38.54        87.87      100.71
92516   Facial nerve function test     X   X    0660    1.4312    68.37       155.89      178.67
92520   Laryngeal function studies     X   X    0660    1.4312    68.37       155.89      178.67
92526   Oral function therapy          A   3    0000    0.0000     M01         M01         M01
92531   Spontaneous nystagmus study    N   N    0000    0.0000     0.00        0.00         0.00
92532   Positional nystagmus test      N   N    0000    0.0000     0.00        0.00         0.00
92533   Caloric vestibular test        N   N    0000    0.0000     0.00        0.00         0.00
92534   Optokinetic nystagmus test     N   N    0000    0.0000     0.00        0.00         0.00
92541   Spontaneous nystagmus test     X   X    0363    0.8067    38.54        87.87      100.71
92542   Positional nystagmus test      X   X    0363    0.8067    38.54        87.87      100.71
92543   Caloric vestibular test        X   X    0660    1.4312    68.37       155.89      178.67
92544   Optokinetic nystagmus test     X   X    0363    0.8067    38.54        87.87      100.71
92545   Oscillating tracking test      X   X    0363    0.8067    38.54        87.87      100.71
92546   Sinusoidal rotational test     X   X    0660    1.4312    68.37       155.89      178.67
92547   Supplemental electrical test   N   N    0000    0.0000     0.00        0.00         0.00
92548   Posturography                  X   X    0660    1.4312    68.37       155.89      178.67
92551   Pure tone hearing test, air    E   3    0000    0.0000     M01         M01         M01
92552   Pure tone audiometry, air      X   X    0364    0.4490    21.45        48.91       56.05
92553   Audiometry, air & bone         X   X    0365    1.2549    59.95       136.68      156.66
92555   Speech threshold audiometry    X   X    0364    0.4490    21.45        48.91       56.05
92556   Speech audiometry, complete    X   X    0364    0.4490    21.45        48.91       56.05
92557   Comprehensive hearing test     X   X    0365    1.2549    59.95       136.68      156.66
92559   Group audiometric testing      E   1    0000    0.0000     0.00        0.00         0.00
92560   Bekesy audiometry, screen      E   1    0000    0.0000     0.00        0.00         0.00
92561   Bekesy audiometry, diagnosis   X   X    0364    0.4490    21.45        48.91       56.05
92562   Loudness balance test          X   X    0364    0.4490    21.45        48.91       56.05
92563   Tone decay hearing test        X   X    0364    0.4490    21.45        48.91       56.05
92564   Sisi hearing test              X   X    0364    0.4490    21.45        48.91       56.05
92565   Stenger test, pure tone        X   X    0364    0.4490    21.45        48.91       56.05
92567   Tympanometry                   X   X    0364    0.4490    21.45        48.91       56.05
92568   Acoustic reflex testing        X   X    0364    0.4490    21.45        48.91       56.05
92569   Acoustic reflex decay test     X   X    0364    0.4490    21.45        48.91       56.05
92571   Filtered speech hearing test   X   X    0364    0.4490    21.45        48.91       56.05
92572   Staggered spondaic word test   X   X    0366    1.7624    84.19       191.96      220.02
92575   Sensorineural acuity test      X   X    0364    0.4490    21.45        48.91       56.05
92576   Synthetic sentence test        X   X    0364    0.4490    21.45        48.91       56.05
92577   Stenger test, speech           X   X    0366    1.7624    84.19       191.96      220.02
92579   Visual audiometry (vra)        X   X    0365    1.2549    59.95       136.68      156.66
92582   Conditioning play audiometry   X   X    0365    1.2549    59.95       136.68      156.66
92583   Select picture audiometry      X   X    0364    0.4490    21.45        48.91       56.05
92584   Electrocochleography           S   S    0216    2.6846    128.24      292.41      335.15
92585   Auditor evoke potent, compre   S   S    0216    2.6846    128.24      292.41      335.15
92586   Auditor evoke potent, limit    S   S    0218    1.1550    55.17       125.80      144.19
92587   Evoked auditory test           X   X    0363    0.8067    38.54        87.87      100.71
92588   Evoked auditory test           X   X    0660    1.4312    68.37       155.89      178.67
92590   Hearing aid exam, one ear      E   3    0000    0.0000     M01         M01         M01
92591   Hearing aid exam, both ears    E   3    0000    0.0000     M01         M01         M01
92592   Hearing aid check, one ear     E   3    0000    0.0000     M01         M01         M01
92593   Hearing aid check, both ears   E   3    0000    0.0000     M01         M01         M01
92594   Electro hearng aid test, one   E   3    0000    0.0000     M01         M01         M01
92595   Electro hearng aid tst, both   E   3    0000    0.0000     M01         M01         M01
92596   Ear protector evaluation       X   X    0364    0.4490    21.45        48.91       56.05
92597   Oral speech device eval        A   1    0000    0.0000     0.00        0.00         0.00
92601   Cochlear implt f/up exam < 7   X   X    0366    1.7624    84.19       191.96      220.02
92602   Reprogram cochlear implt < 7   X   X    0366    1.7624    84.19       191.96      220.02
92603   Cochlear implt f/up exam 7 >   X   X    0366    1.7624    84.19       191.96      220.02
92604   Reprogram cochlear implt 7 >   X   X    0366    1.7624    84.19       191.96      220.02
92605   Eval for nonspeech device rx   A   1    0000    0.0000     0.00        0.00         0.00
92606   Non-speech device service      A   1    0000    0.0000     0.00        0.00         0.00
92607   Ex for speech device rx, 1hr   A   1    0000    0.0000     0.00        0.00         0.00
92608   Ex for speech device rx addl   A   1    0000    0.0000     0.00        0.00         0.00
92609   Use of speech device service   A   1    0000    0.0000     0.00        0.00         0.00
92610   Evaluate swallowing function   A   3    0000    0.0000     M01         M01         M01
92611   Motion fluoroscopy/swallow     A   3    0000    0.0000     M01         M01         M01
92612   Endoscopy swallow tst (fees)   A   3    0000    0.0000     M01         M01         M01
92613   Endoscopy swallow tst (fees)   B   B    0000    0.0000     0.00        0.00         0.00
92614   Laryngoscopic sensory test     A   3    0000    0.0000     M01         M01         M01
92615   Eval laryngoscopy sense tst    E   1    0000    0.0000     0.00        0.00         0.00
92616   Fees w/laryngeal sense test    A   3    0000    0.0000     M01         M01         M01
92617   Interprt fees/laryngeal test   E   1    0000    0.0000     0.00        0.00         0.00
92620   Auditory function, 60 min      X   X    0365    1.2549    59.95       136.68      156.66
92621   Auditory function, + 15 min    N   N    0000    0.0000     0.00        0.00         0.00
92625   Tinnitus assessment            X   X    0365    1.2549    59.95       136.68      156.66
92626   Eval aud rehab status          X   X    0365    1.2549    59.95       136.68      156.66
92627   Eval aud status rehab add-on   N   N    0000    0.0000     0.00        0.00         0.00
92630   Aud rehab pre-ling hear loss   E   3    0000    0.0000     M01         M01         M01
92633   Aud rehab postling hear loss   E   3    0000    0.0000     M01         M01         M01
92640   Aud brainstem implt programg   X   X    0365     1.2549    59.95       136.68      156.66
92700   Ent procedure/service          X   1    0364     0.4490     0.00        0.00         0.00
92950   Heart/lung resuscitation cpr   S   S    0094     2.4590    117.47      267.83      306.98
92953   Temporary external pacing      S   S    0094     2.4590    117.47      267.83      306.98
92960   Cardioversion electric, ext    S   S    0679     5.4502    260.36      593.64      680.40
92961   Cardioversion, electric, int   S   S    0679     5.4502    260.36      593.64      680.40
92970   Cardioassist, internal         C   C    0000     0.0000     0.00        0.00         0.00
92971   Cardioassist, external         C   C    0000     0.0000     0.00        0.00         0.00
92973   Percut coronary thrombectomy   T   T    0088    38.7673   1,851.91    4,222.53    4,839.71
92974   Cath place, cardio brachytx    T   T    0103    14.6576    700.19     1,596.51    1,829.85
92975   Dissolve clot, heart vessel    C   C    0000     0.0000     0.00        0.00         0.00
92977   Dissolve clot, heart vessel    T   T    0676     2.4824    118.58      270.38      309.90
92978   Intravasc us, heart add-on     N   N    0000     0.0000     0.00        0.00         0.00
92979   Intravasc us, heart add-on     N   N    0000     0.0000     0.00        0.00         0.00
92980   Insert intracoronary stent     T   T    0104    89.0159   4,252.29    9,695.61   11,112.74
92981   Insert intracoronary stent     T   T    0104    89.0159   4,252.29    9,695.61   11,112.74
92982   Coronary artery dilation       T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
92984   Coronary artery dilation       T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
92986   Revision of aortic valve       T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
92987   Revision of mitral valve       T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
92990   Revision of pulmonary valve    T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
92992   Revision of heart chamber      C   C    0000     0.0000     0.00        0.00         0.00
92993   Revision of heart chamber      C   C    0000     0.0000     0.00        0.00         0.00
92995   Coronary atherectomy           T   T    0082    87.5137   4,180.53    9,531.99   10,925.21
92996   Coronary atherectomy add-on    T   T    0082    87.5137   4,180.53    9,531.99   10,925.21
92997   Pul art balloon repr, percut   T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
92998   Pul art balloon repr, percut   T   T    0083    45.3845   2,168.02    4,943.28    5,665.80
93000   Electrocardiogram, complete    B   B    0000     0.0000     0.00        0.00         0.00
93005   Electrocardiogram, tracing     S   S    0099     0.3892    18.59        42.39       48.59
93010   Electrocardiogram report       B   B    0000     0.0000     0.00        0.00         0.00
93012   Transmission of ecg            N   N    0000     0.0000     0.00        0.00         0.00
93014   Report on transmitted ecg      B   B    0000     0.0000     0.00        0.00         0.00
93015   Cardiovascular stress test     B   B    0000     0.0000     0.00        0.00         0.00
93016   Cardiovascular stress test     B   B    0000     0.0000     0.00        0.00         0.00
93017   Cardiovascular stress test     X   X    0100     2.5547    122.04      278.26      318.93
93018   Cardiovascular stress test     B   B    0000     0.0000     0.00        0.00         0.00
93024   Cardiac drug stress test       X   X    0100     2.5547    122.04      278.26      318.93
93025   Microvolt t-wave assess        X   X    0100     2.5547    122.04      278.26      318.93
93040   Rhythm ECG with report         B   B    0000     0.0000     0.00        0.00         0.00
93041   Rhythm ECG, tracing            S   S    0099     0.3892    18.59        42.39       48.59
93042   Rhythm ECG, report             B   B    0000     0.0000     0.00        0.00         0.00
93224   ECG monitor/report, 24 hrs     B   B    0000     0.0000     0.00        0.00         0.00
93225   ECG monitor/record, 24 hrs     X   X    0097     1.0015    47.84       109.08      125.03
93226   ECG monitor/report, 24 hrs     X   X    0097     1.0015    47.84       109.08      125.03
93227   ECG monitor/review, 24 hrs     B   B    0000     0.0000     0.00        0.00         0.00
93230   ECG monitor/report, 24 hrs     B   B    0000     0.0000     0.00        0.00         0.00
93231   Ecg monitor/record, 24 hrs     X   X    0097     1.0015    47.84       109.08      125.03
93232   ECG monitor/report, 24 hrs     X   X    0097     1.0015    47.84       109.08      125.03
93233   ECG monitor/review, 24 hrs     B   B    0000     0.0000     0.00        0.00         0.00
93235   ECG monitor/report, 24 hrs     B   B    0000     0.0000     0.00        0.00         0.00
93236   ECG monitor/report, 24 hrs     X   X    0097     1.0015    47.84       109.08      125.03
93237   ECG monitor/review, 24 hrs     B   B    0000     0.0000     0.00        0.00         0.00
93268   ECG record/review              B   B    0000     0.0000     0.00        0.00         0.00
93270   ECG recording                  X   X    0097     1.0015    47.84       109.08      125.03
93271   Ecg/monitoring and analysis    S   S    0663     1.5313    73.15       166.79      191.17
93272   Ecg/review, interpret only     B   B    0000     0.0000     0.00        0.00         0.00
93278   ECG/signal-averaged            X   X    0340     0.6310    30.14        68.73       78.77
93303   Echo transthoracic             S   S    0269     6.3751    304.54      694.38      795.87
93304   Echo transthoracic             S   S    0697     3.3401    159.56      363.80      416.98
93307   Echo exam of heart             S   S    0269     6.3751    304.54      694.38      795.87
93308   Echo exam of heart             S   S    0697     3.3401    159.56      363.80      416.98
93312   Echo transesophageal           S   S    0270     8.2165    392.50      894.94     1,025.75
93313   Echo transesophageal           S   S    0270     8.2165    392.50      894.94     1,025.75
93314   Echo transesophageal           N   N    0000     0.0000     0.00        0.00         0.00
93315   Echo transesophageal           S   S    0270     8.2165    392.50      894.94     1,025.75
93316   Echo transesophageal           S   S    0270     8.2165    392.50      894.94     1,025.75
93317   Echo transesophageal           N   N    0000     0.0000     0.00        0.00         0.00
93318   Echo transesophageal intraop   S   S    0270     8.2165    392.50      894.94     1,025.75
93320   Doppler echo exam, heart       N   N    0000     0.0000     0.00        0.00         0.00
93321   Doppler echo exam, heart       N   N    0000     0.0000     0.00        0.00         0.00
93325   Doppler color flow add-on      N   N    0000     0.0000     0.00        0.00         0.00
93350   Echo transthoracic             S   S    0269     6.3751    304.54      694.38      795.87
93501   Right heart catheterization    T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93503   Insert/place heart catheter    T   T    0103    14.6576    700.19     1,596.51    1,829.85
93505   Biopsy of heart lining         T   T    0103    14.6576    700.19     1,596.51    1,829.85
93508   Cath placement, angiography    T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93510   Left heart catheterization     T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93511   Left heart catheterization     T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93514   Left heart catheterization     T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93524   Left heart catheterization     T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93526   Rt & Lt heart catheters        T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93527   Rt & Lt heart catheters        T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93528   Rt & Lt heart catheters        T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93529   Rt, lt heart catheterization   T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93530   Rt heart cath, congenital      T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93531   R & l heart cath, congenital   T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93532   R & l heart cath, congenital   T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93533   R & l heart cath, congenital   T   T    0080    38.9204   1,859.23    4,239.21    4,858.82
93539   Injection, cardiac cath        N   N    0000     0.0000     0.00        0.00         0.00
93540   Injection, cardiac cath        N   N    0000     0.0000     0.00        0.00         0.00
93541   Injection for lung angiogram   N   N    0000     0.0000     0.00        0.00         0.00
93542   Injection for heart x-rays     N   N    0000     0.0000     0.00        0.00         0.00
93543   Injection for heart x-rays     N   N    0000     0.0000     0.00        0.00         0.00
93544   Injection for aortography      N   N    0000     0.0000     0.00        0.00         0.00
93545   Inject for coronary x-rays     N   N    0000     0.0000     0.00        0.00         0.00
93555   Imaging, cardiac cath          N   N    0000     0.0000     0.00        0.00         0.00
93556   Imaging, cardiac cath          N   N    0000     0.0000     0.00        0.00         0.00
93561   Cardiac output measurement     N   N    0000     0.0000     0.00        0.00         0.00
93562   Cardiac output measurement     N   N    0000     0.0000     0.00        0.00         0.00
93571   Heart flow reserve measure     N   N    0000     0.0000     0.00        0.00         0.00
93572   Heart flow reserve measure     N   N    0000     0.0000     0.00        0.00         0.00
93580   Transcath closure of asd       T   T    0434   132.4129   6,325.36   14,422.41   16,530.43
93581   Transcath closure of vsd       T   T    0434   132.4129   6,325.36   14,422.41   16,530.43
93600   Bundle of His recording        S   S    0084     9.5834    457.80     1,043.82    1,196.39
93602   Intra-atrial recording         S   S    0084     9.5834    457.80     1,043.82    1,196.39
93603   Right ventricular recording    S   S    0084     9.5834    457.80     1,043.82    1,196.39
93609   Map tachycardia, add-on        N   N    0000     0.0000     0.00        0.00         0.00
93610   Intra-atrial pacing            S   S    0084     9.5834    457.80     1,043.82    1,196.39
93612   Intraventricular pacing        S   S    0084     9.5834    457.80     1,043.82    1,196.39
93613   Electrophys map 3d, add-on     N   N    0000     0.0000     0.00        0.00         0.00
93615   Esophageal recording           S   S    0084     9.5834    457.80     1,043.82    1,196.39
93616   Esophageal recording           S   S    0084     9.5834    457.80     1,043.82    1,196.39
93618   Heart rhythm pacing            S   S    0084     9.5834    457.80     1,043.82    1,196.39
93619   Electrophysiology evaluation   Q   Q    0085    47.2949   2,259.28    5,151.36    5,904.30
93620   Electrophysiology evaluation   Q   Q    0085    47.2949   2,259.28    5,151.36    5,904.30
93621   Electrophysiology evaluation   N   N    0000     0.0000     0.00        0.00         0.00
93622   Electrophysiology evaluation   N   N    0000     0.0000     0.00        0.00         0.00
93623   Stimulation, pacing heart      N   N    0000     0.0000     0.00        0.00         0.00
93624   Electrophysiologic study       T   T    0085    47.2949   2,259.28    5,151.36    5,904.30
93631   Heart pacing, mapping          N   N    0000     0.0000     0.00        0.00         0.00
93640   Evaluation heart device        N   N    0000     0.0000     0.00        0.00         0.00
93641   Electrophysiology evaluation   N   N    0000     0.0000     0.00        0.00         0.00
93642   Electrophysiology evaluation   S   S    0084     9.5834    457.80     1,043.82    1,196.39
93650   Ablate heart dysrhythm focus   Q   Q    0085    47.2949   2,259.28    5,151.36    5,904.30
93651   Ablate heart dysrhythm focus   Q   Q    0086    92.8564   4,435.75   10,113.92   11,592.19
93652   Ablate heart dysrhythm focus   Q   Q    0086    92.8564   4,435.75   10,113.92   11,592.19
93660   Tilt table evaluation          S   S    0101     4.1973    200.51      457.17      523.99
93662   Intracardiac ecg (ice)         N   N    0000     0.0000     0.00        0.00         0.00
93668   Peripheral vascular rehab      E   3    0000     0.0000     M01         M01         M01
93701   Bioimpedance, thoracic         S   S    0099     0.3892    18.59        42.39       48.59
93720   Total body plethysmography     B   B    0000     0.0000     0.00        0.00         0.00
93721   Plethysmography tracing        X   X    0368     0.9253    44.20       100.78      115.51
93722   Plethysmography report         B   B    0000     0.0000     0.00        0.00         0.00
93724   Analyze pacemaker system       S   S    0690     0.3504    16.74        38.17       43.74
93727   Analyze ilr system             S   S    0690     0.3504    16.74        38.17       43.74
93731   Analyze pacemaker system       S   S    0690     0.3504    16.74        38.17       43.74
93732   Analyze pacemaker system       S   S    0690     0.3504    16.74        38.17       43.74
93733   Telephone analy, pacemaker     S   S    0690     0.3504    16.74        38.17       43.74
93734   Analyze pacemaker system       S   S    0690     0.3504    16.74        38.17       43.74
93735   Analyze pacemaker system       S   S    0690     0.3504    16.74        38.17       43.74
93736   Telephonic analy, pacemaker    S   S    0690     0.3504    16.74        38.17       43.74
93740   Temperature gradient studies   X   X    0368     0.9253    44.20       100.78      115.51
93741   Analyze ht pace device sngl    S   S    0689     0.5946    28.40        64.76       74.23
93742   Analyze ht pace device sngl    S   S    0689     0.5946    28.40        64.76       74.23
93743   Analyze ht pace device dual    S   S    0689     0.5946    28.40        64.76       74.23
93744   Analyze ht pace device dual    S   S    0689     0.5946    28.40        64.76       74.23
93745   Set-up cardiovert-defibrill    S   S    0689     0.5946    28.40        64.76       74.23
93760   Cephalic thermogram            E   1    0000     0.0000     0.00        0.00         0.00
93762   Peripheral thermogram          E   3    0000     0.0000     M01         M01         M01
93770   Measure venous pressure        N   N    0000     0.0000     0.00        0.00         0.00
93784   Ambulatory BP monitoring       E   1    0000     0.0000     0.00        0.00         0.00
93786   Ambulatory BP recording        X   X    0097     1.0015    47.84       109.08      125.03
93788   Ambulatory BP analysis         X   X    0097     1.0015    47.84       109.08      125.03
93790   Review/report BP recording     B   B    0000     0.0000     0.00        0.00         0.00
93797   Cardiac rehab                  S   S    0095     0.5685    27.16        61.92       70.97
93798   Cardiac rehab/monitor          S   S    0095     0.5685    27.16        61.92       70.97
93799   Cardiovascular procedure       X   1    0097     1.0015     0.00        0.00         0.00
93875   Extracranial study             S   S    0096     1.4689    70.17       159.99      183.38
93880   Extracranial study             S   S    0267     2.3792    113.65      259.14      297.02
93882   Extracranial study             S   S    0267     2.3792    113.65      259.14      297.02
93886   Intracranial study             S   S    0267     2.3792    113.65      259.14      297.02
93888   Intracranial study             S   S    0265     0.9570    45.72       104.24      119.47
93890   Tcd, vasoreactivity study      S   S    0266     1.5094    72.10       164.40      188.43
93892   Tcd, emboli detect w/o inj     S   S    0266     1.5094    72.10       164.40      188.43
93893   Tcd, emboli detect w/inj       S   S    0266     1.5094    72.10       164.40      188.43
93922   Extremity study                S   S    0096     1.4689    70.17       159.99      183.38
93923   Extremity study                S   S    0096     1.4689    70.17       159.99      183.38
93924   Extremity study                S   S    0096     1.4689    70.17       159.99      183.38
93925   Lower extremity study          S   S    0267     2.3792    113.65      259.14      297.02
93926   Lower extremity study          S   S    0266     1.5094    72.10       164.40      188.43
93930   Upper extremity study          S   S    0267     2.3792    113.65      259.14      297.02
93931   Upper extremity study          S   S    0266     1.5094    72.10       164.40      188.43
93965   Extremity study                S   S    0096     1.4689    70.17       159.99      183.38
93970   Extremity study                S   S    0267     2.3792    113.65      259.14      297.02
93971   Extremity study                S   S    0266     1.5094    72.10       164.40      188.43
93975   Vascular study                 S   S    0267     2.3792    113.65      259.14      297.02
93976   Vascular study                 S   S    0267     2.3792    113.65      259.14      297.02
93978   Vascular study                 S   S    0267     2.3792    113.65      259.14      297.02
93979   Vascular study                 S   S    0266     1.5094    72.10       164.40      188.43
93980   Penile vascular study          S   S    0267     2.3792    113.65      259.14      297.02
93981   Penile vascular study          S   S    0267     2.3792    113.65      259.14      297.02
93982   Aneurysm pressure sens study   X    X   0097     1.0015    47.84       109.08      125.03
93990   Doppler flow testing           S   S    0266     1.5094    72.10       164.40      188.43
94002   Vent mgmt inpat, init day      S   S    0079    2.4783     118.39     269.94      309.39
94003   Vent mgmt inpat, subq day      S   S    0079    2.4783     118.39     269.94      309.39
94004   Vent mgmt nf per day           B   1    0000    0.0000      0.00       0.00         0.00
94005   Home vent mgmt supervision     M   1    0000    0.0000      0.00       0.00         0.00
94010   Breathing capacity test        X   X    0368    0.9253     44.20      100.78      115.51
94014   Patient recorded spirometry    X   1    0367    0.5677      0.00       0.00         0.00
94015   Patient recorded spirometry    X   1    0367    0.5677      0.00       0.00         0.00
94016   Review patient spirometry      A   1    0000    0.0000      0.00       0.00         0.00
94060   Evaluation of wheezing         X   X    0368    0.9253     44.20      100.78      115.51
94070   Evaluation of wheezing         X   X    0369    2.7550     131.61     300.07      343.93
94150   Vital capacity test            X   X    0367    0.5677     27.12       61.83       70.87
94200   Lung function test (MBC/MVV)   X   X    0367    0.5677     27.12       61.83       70.87
94240   Residual lung capacity         X   X    0368    0.9253     44.20      100.78      115.51
94250   Expired gas collection         X   X    0367    0.5677     27.12       61.83       70.87
94260   Thoracic gas volume            X   X    0368    0.9253     44.20      100.78      115.51
94350   Lung nitrogen washout curve    X   X    0368    0.9253     44.20      100.78      115.51
94360   Measure airflow resistance     X   X    0367    0.5677     27.12       61.83       70.87
94370   Breath airway closing volume   X   X    0367    0.5677     27.12       61.83       70.87
94375   Respiratory flow volume loop   X   X    0368    0.9253     44.20      100.78      115.51
94400   CO2 breathing response curve   X   X    0367    0.5677     27.12       61.83       70.87
94450   Hypoxia response curve         X   X    0368    0.9253     44.20      100.78      115.51
94452   Hast w/report                  X   X    0368    0.9253     44.20      100.78      115.51
94453   Hast w/oxygen titrate          X   X    0367    0.5677     27.12       61.83       70.87
94610   Surfactant admin thru tube     S   S    0077    0.3877     18.52       42.23       48.40
94620   Pulmonary stress test/simple   X   X    0368    0.9253     44.20      100.78      115.51
94621   Pulm stress test/complex       X   X    0369    2.7550     131.61     300.07      343.93
94640   Airway inhalation treatment    S   S    0077    0.3877     18.52       42.23       48.40
94642   Aerosol inhalation treatment   S   S    0078    1.3362     63.83      145.54      166.81
94644   Cbt, 1st hour                  S   S    0078    1.3362     63.83      145.54      166.81
94645   Cbt, each addl hour            S   S    0078    1.3362     63.83      145.54      166.81
94660   Pos airway pressure, CPAP      S   S    0078    1.3362     63.83      145.54      166.81
94662   Neg press ventilation, cnp     S   S    0079    2.4783     118.39     269.94      309.39
94664   Evaluate pt use of inhaler     S   S    0077    0.3877     18.52       42.23       48.40
94667   Chest wall manipulation        S   S    0077    0.3877     18.52       42.23       48.40
94668   Chest wall manipulation        S   S    0077    0.3877     18.52       42.23       48.40
94680   Exhaled air analysis, o2       X   X    0368    0.9253     44.20      100.78      115.51
94681   Exhaled air analysis, o2/co2   X   X    0368    0.9253     44.20      100.78      115.51
94690   Exhaled air analysis           X   X    0367    0.5677     27.12       61.83       70.87
94720   Monoxide diffusing capacity    X   X    0368    0.9253     44.20      100.78      115.51
94725   Membrane diffusion capacity    X   X    0368    0.9253     44.20      100.78      115.51
94750   Pulmonary compliance study     X   X    0368    0.9253     44.20      100.78      115.51
94760   Measure blood oxygen level     N   N    0000    0.0000      0.00       0.00         0.00
94761   Measure blood oxygen level     N   N    0000    0.0000      0.00       0.00         0.00
94762   Measure blood oxygen level     Q   Q    0097    1.0015     47.84      109.08      125.03
94770   Exhaled carbon dioxide test    X   X    0367    0.5677     27.12       61.83       70.87
94772   Breath recording, infant       X   X    0369    2.7550     131.61     300.07      343.93
94774   Ped home apnea rec, compl      B   B    0000    0.0000      0.00       0.00         0.00
94775   Ped home apnea rec, hk-up      X   X    0097    1.0015     47.84      109.08      125.03
94776   Ped home apnea rec, downld     X   X    0097    1.0015     47.84      109.08      125.03
94777   Ped home apnea rec, report     B   B    0000    0.0000      0.00       0.00         0.00
94799   Pulmonary service/procedure    X   1    0367    0.5677      0.00       0.00         0.00
95004   Percut allergy skin tests      X   X    0381    0.2773     13.25       30.20       34.62
95010   Percut allergy titrate test    X   X    0381    0.2773     13.25       30.20       34.62
95012   Exhaled nitric oxide meas      X   X    0367    0.5677     27.12       61.83       70.87
95015   Id allergy titrate-drug/bug    X   X    0381    0.2773     13.25       30.20       34.62
95024   Id allergy test, drug/bug      X   X    0381    0.2773     13.25       30.20       34.62
95027   Id allergy titrate-airborne    X   X    0381    0.2773     13.25       30.20       34.62
95028   Id allergy test-delayed type   X   X    0381    0.2773     13.25       30.20       34.62
95044   Allergy patch tests            X   X    0381    0.2773     13.25       30.20       34.62
95052   Photo patch test               X   X    0381    0.2773     13.25       30.20       34.62
95056   Photosensitivity tests         X   X    0370    1.0430     49.82      113.60      130.21
95060   Eye allergy tests              X   X    0370    1.0430     49.82      113.60      130.21
95065   Nose allergy test              X   X    0381    0.2773     13.25       30.20       34.62
95070   Bronchial allergy tests        X   X    0369    2.7550     131.61     300.07      343.93
95071   Bronchial allergy tests        X   X    0369    2.7550     131.61     300.07      343.93
95075   Ingestion challenge test       X   X    0361    3.9276     187.62     427.79      490.32
95115   Immunotherapy, one injection   S   S    0436    0.2545     12.16       27.72       31.77
95117   Immunotherapy injections       S   S    0437    0.3945     18.85       42.97       49.25
95120   Immunotherapy, one injection   E   1    0000    0.0000      0.00       0.00         0.00
95125   Immunotherapy, many antigens   E   1    0000    0.0000      0.00       0.00         0.00
95130   Immunotherapy, insect venom    E   1    0000    0.0000      0.00       0.00         0.00
95131   Immunotherapy, insect venoms   E   1    0000    0.0000      0.00       0.00         0.00
95132   Immunotherapy, insect venoms   E   1    0000    0.0000      0.00       0.00         0.00
95133   Immunotherapy, insect venoms   E   1    0000    0.0000      0.00       0.00         0.00
95134   Immunotherapy, insect venoms   E   1    0000    0.0000      0.00       0.00         0.00
95144   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95145   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95146   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95147   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95148   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95149   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95165   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95170   Antigen therapy services       S   S    0437    0.3945     18.85       42.97       49.25
95180   Rapid desensitization          X   X    0370    1.0430     49.82      113.60      130.21
95199   Allergy immunology services    X   1    0381    0.2773      0.00       0.00         0.00
95250   Glucose monitoring, cont       V   V    0607    1.6604     79.32      180.85      207.28
95251   Gluc monitor, cont, phys i&r   B   B    0000    0.0000      0.00       0.00         0.00
95805   Multiple sleep latency test    S   S    0209   11.2822     538.95    1,228.86    1,408.47
95806   Sleep study, unattended        S   S    0213    2.2980     109.78     250.30      286.88
95807   Sleep study, attended          S   S    0209   11.2822     538.95    1,228.86    1,408.47
95808   Polysomnography, 1-3           S   S    0209   11.2822     538.95    1,228.86    1,408.47
95810   Polysomnography, 4 or more     S   S    0209   11.2822     538.95    1,228.86    1,408.47
95811   Polysomnography w/cpap         S   S    0209   11.2822     538.95    1,228.86    1,408.47
95812   Eeg, 41-60 minutes             S   S    0213    2.2980     109.78     250.30      286.88
95813   Eeg, over 1 hour               S   S    0213    2.2980     109.78     250.30      286.88
95816   Eeg, awake and drowsy          S   S    0213    2.2980     109.78     250.30      286.88
95819   Eeg, awake and asleep          S   S    0213    2.2980     109.78     250.30      286.88
95822   Eeg, coma or sleep only        S   S    0213    2.2980     109.78     250.30      286.88
95824   Eeg, cerebral death only       S   S    0216    2.6846     128.24     292.41      335.15
95827   Eeg, all night recording       S   S    0213    2.2980     109.78     250.30      286.88
95829   Surgery electrocorticogram     N   N    0000    0.0000      0.00       0.00         0.00
95830   Insert electrodes for EEG      B   B    0000    0.0000      0.00       0.00         0.00
95831   Limb muscle testing, manual    A   3    0000    0.0000      M01        M01         M01
95832   Hand muscle testing, manual    A   3    0000    0.0000      M01        M01         M01
95833   Body muscle testing, manual    A   3    0000    0.0000      M01        M01         M01
95834   Body muscle testing, manual    A   3    0000    0.0000      M01        M01         M01
95851   Range of motion measurements   A   3    0000    0.0000      M01        M01         M01
95852   Range of motion measurements   A   3    0000    0.0000      M01        M01         M01
95857   Tensilon test                  S   S    0218    1.1550     55.17      125.80      144.19
95860   Muscle test, one limb          S   S    0218    1.1550     55.17      125.80      144.19
95861   Muscle test, 2 limbs           S   S    0218    1.1550     55.17      125.80      144.19
95863   Muscle test, 3 limbs           S   S    0218    1.1550     55.17      125.80      144.19
95864   Muscle test, 4 limbs           S   S    0218    1.1550     55.17      125.80      144.19
95865   Muscle test, larynx            S   S    0218    1.1550     55.17      125.80      144.19
95866   Muscle test, hemidiaphragm     S   S    0218    1.1550     55.17      125.80      144.19
95867   Muscle test cran nerv unilat   S   S    0218    1.1550     55.17      125.80      144.19
95868   Muscle test cran nerve bilat   S   S    0218    1.1550     55.17      125.80      144.19
95869   Muscle test, thor paraspinal   S   S    0218    1.1550     55.17      125.80      144.19
95870   Muscle test, nonparaspinal     S   S    0215    0.5804     27.73       63.22       72.46
95872   Muscle test, one fiber         S   S    0218    1.1550     55.17      125.80      144.19
95873   Guide nerv destr, elec stim    N   N    0000    0.0000      0.00       0.00         0.00
95874   Guide nerv destr, needle emg   N   N    0000    0.0000      0.00       0.00         0.00
95875   Limb exercise test             S   S    0215    0.5804     27.73       63.22       72.46
95900   Motor nerve conduction test    S   S    0215    0.5804     27.73       63.22       72.46
95903   Motor nerve conduction test    S   S    0215    0.5804     27.73       63.22       72.46
95904   Sense nerve conduction test    S   S    0215    0.5804     27.73       63.22       72.46
95920   Intraop nerve test add-on      N   N    0000    0.0000      0.00       0.00         0.00
95921   Autonomic nerv function test   S   S    0218    1.1550     55.17      125.80      144.19
95922   Autonomic nerv function test   S   S    0218    1.1550     55.17      125.80      144.19
95923   Autonomic nerv function test   S   S    0218    1.1550     55.17      125.80      144.19
95925   Somatosensory testing          S   S    0216    2.6846     128.24     292.41      335.15
95926   Somatosensory testing          S   S    0216    2.6846     128.24     292.41      335.15
95927   Somatosensory testing          S   S    0216    2.6846     128.24     292.41      335.15
95928   C motor evoked, uppr limbs     S   S    0218    1.1550     55.17      125.80      144.19
95929   C motor evoked, lwr limbs      S   S    0218    1.1550     55.17      125.80      144.19
95930   Visual evoked potential test   S   S    0216    2.6846     128.24     292.41      335.15
95933   Blink reflex test              S   S    0215    0.5804     27.73       63.22       72.46
95934   H-reflex test                  S   S    0215    0.5804     27.73       63.22       72.46
95936   H-reflex test                  S   S    0215    0.5804     27.73       63.22       72.46
95937   Neuromuscular junction test    S   S    0218    1.1550     55.17      125.80      144.19
95950   Ambulatory eeg monitoring      S   S    0209   11.2822     538.95    1,228.86    1,408.47
95951   EEG monitoring/videorecord     S   S    0209   11.2822     538.95    1,228.86    1,408.47
95953   EEG monitoring/computer        S   S    0209   11.2822     538.95    1,228.86    1,408.47
95954   EEG monitoring/giving drugs    S   S    0218    1.1550     55.17      125.80      144.19
95955   EEG during surgery             N   N    0000    0.0000      0.00       0.00         0.00
95956   Eeg monitoring, cable/radio    S   S    0209   11.2822     538.95    1,228.86    1,408.47
95957   EEG digital analysis           N   N    0000    0.0000      0.00       0.00         0.00
95958   EEG monitoring/function test   S   S    0213    2.2980     109.78     250.30      286.88
95961   Electrode stimulation, brain   S   S    0216    2.6846     128.24     292.41      335.15
95962   Electrode stim, brain add-on   S   S    0216    2.6846     128.24     292.41      335.15
95965   Meg, spontaneous               S   S    0067   61.6965    2,947.24   6,719.98    7,702.19
95966   Meg, evoked, single            S   S    0065   16.5911     792.56    1,807.10    2,071.23
95967   Meg, evoked, each add’l        S   S    0065   16.5911     792.56    1,807.10    2,071.23
95970   Analyze neurostim, no prog     S   S    0218    1.1550     55.17      125.80      144.19
95971   Analyze neurostim, simple      S   S    0692    1.8376     87.78      200.15      229.41
95972   Analyze neurostim, complex     S   S    0663    1.5313     73.15      166.79      191.17
95973   Analyze neurostim, complex     S   S    0663    1.5313     73.15      166.79      191.17
95974   Cranial neurostim, complex     S   S    0663    1.5313     73.15      166.79      191.17
95975   Cranial neurostim, complex     S   S    0692    1.8376     87.78      200.15      229.41
95978   Analyze neurostim brain/1h     S   S    0692    1.8376     87.78      200.15      229.41
95979   Analyz neurostim brain addon   S   S    0663    1.5313     73.15      166.79      191.17
95980   Io anal gast n-stim init       N    N   0000    0.0000      0.00       0.00         0.00
95981   Io anal gast n-stim subsq      S    S   0218    1.1550     55.17      125.80      144.19
95982   Io ga n-stim subsq w/reprog    S    S   0692    1.8376     87.78      200.15      229.41
95990   Spin/brain pump refil & main   T   T    0125    2.3544     112.47     256.44      293.92
95991   Spin/brain pump refil & main   T   T    0125    2.3544     112.47     256.44      293.92
95999   Neurological procedure         S   1    0215    0.5804      0.00       0.00         0.00
96000   Motion analysis, video/3d      S   S    0216    2.6846     128.24     292.41      335.15
96001   Motion test w/ft press meas    S   1    0216    2.6846      0.00       0.00         0.00
96002   Dynamic surface emg            S   S    0218    1.1550     55.17      125.80      144.19
96003   Dynamic fine wire emg          S   1    0215    0.5804      0.00       0.00         0.00
96004   Phys review of motion tests    B   B    0000    0.0000      0.00       0.00         0.00
96020   Functional brain mapping       N   N    0000    0.0000      0.00       0.00         0.00
96040   Genetic counseling, 30 min     B   1    0000    0.0000      0.00       0.00         0.00
96101   Psycho testing by psych/phys   Q   Q    0382    2.6169     125.01     285.03      326.69
96102   Psycho testing by technician   Q   Q    0382    2.6169     125.01     285.03      326.69
96103   Psycho testing admin by comp   Q   Q    0373    1.2448     59.46      135.58      155.40
96105   Assessment of aphasia          A   1    0000    0.0000      0.00       0.00         0.00
96110   Developmental test, lim        Q   Q    0373    1.2448     59.46      135.58      155.40
96111   Developmental test, extend     Q   Q    0382    2.6169     125.01     285.03      326.69
96116   Neurobehavioral status exam    Q   Q    0382    2.6169     125.01     285.03      326.69
96118   Neuropsych tst by psych/phys   Q   Q    0382    2.6169     125.01     285.03      326.69
96119   Neuropsych testing by tech     Q   Q    0382    2.6169     125.01     285.03      326.69
96120   Neuropsych tst admin w/comp    Q   Q    0373    1.2448     59.46      135.58      155.40
96125   Cognitive test by hc pro       A    1   0000    0.0000      0.00       0.00         0.00
96150   Assess hlth/behave, init       Q   1    0432    0.3128      0.00       0.00         0.00
96151   Assess hlth/behave, subseq     Q   1    0432    0.3128      0.00       0.00         0.00
96152   Intervene hlth/behave, indiv   Q   1    0432    0.3128      0.00       0.00         0.00
96153   Intervene hlth/behave, group   Q   1    0432    0.3128      0.00       0.00         0.00
96154   Interv hlth/behav, fam w/pt    Q   1    0432    0.3128      0.00       0.00         0.00
96155   Interv hlth/behav fam no pt    E   1    0000    0.0000      0.00       0.00         0.00
96401   Chemo, anti-neopl, sq/im       S   S    0438    0.8041     38.41       87.58      100.38
96402   Chemo hormon antineopl sq/im   S   S    0438    0.8041     38.41       87.58      100.38
96405   Intralesional chemo admin      S   S    0438    0.8041     38.41       87.58      100.38
96406   Intralesional chemo admin      S   S    0438    0.8041     38.41       87.58      100.38
96409   Chemo, iv push, sngl drug      S   S    0439    1.6544     79.03      180.20      206.54
96411   Chemo, iv push, addl drug      S   S    0439    1.6544     79.03      180.20      206.54
96413   Chemo, iv infusion, 1 hr       S   S    0441    2.3446     112.00     255.37      292.70
96415   Chemo, iv infusion, addl hr    S   S    0438    0.8041     38.41       87.58      100.38
96416   Chemo prolong infuse w/pump    S   S    0441    2.3446     112.00     255.37      292.70
96417   Chemo iv infus each addl seq   S   S    0438    0.8041     38.41       87.58      100.38
96420   Chemotherapy, push technique   S   S    0439    1.6544     79.03      180.20      206.54
96422   Chemotherapy,infusion method   S   S    0441    2.3446     112.00     255.37      292.70
96423   Chemo, infuse method add-on    S   S    0438    0.8041     38.41       87.58      100.38
96425   Chemotherapy,infusion method   S   S    0441    2.3446     112.00     255.37      292.70
96440   Chemotherapy, intracavitary    S   S    0441    2.3446     112.00     255.37      292.70
96445   Chemotherapy, intracavitary    S   S    0441    2.3446     112.00     255.37      292.70
96450   Chemotherapy, into CNS         S   S    0441    2.3446     112.00     255.37      292.70
96521   Refill/maint, portable pump    S   S    0440    1.7998     85.98      196.03      224.69
96522   Refill/maint pump/resvr syst   S   S    0440    1.7998     85.98      196.03      224.69
96523   Irrig drug delivery device     Q   Q    0624    0.5689     27.18       61.96       71.02
96542   Chemotherapy injection         S   S    0438    0.8041     38.41       87.58      100.38
96549   Chemotherapy, unspecified      S   1    0436    0.2545      0.00       0.00         0.00
96567   Photodynamic tx, skin          T   T    0013    0.7930     37.88       86.37       99.00
96570   Photodynamic tx, 30 min         T   T    0015   1.4595        69.72    158.97     182.20
96571   Photodynamic tx, addl 15 min    T   T    0015   1.4595        69.72    158.97     182.20
96900   Ultraviolet light therapy       S   S    0001   0.4806        22.96     52.35      60.00
96902   Trichogram                      N   N    0000   0.0000         0.00     0.00        0.00
96904   Whole body photography          N   N    0000   0.0000         0.00     0.00        0.00
96910   Photochemotherapy with UV-B     S   S    0001   0.4806        22.96     52.35      60.00
96912   Photochemotherapy with UV-A     S   S    0001   0.4806        22.96     52.35      60.00
96913   Photochemotherapy, UV-A or B    S   S    0683   2.6045        124.42   283.68     325.15
96920   Laser tx, skin < 250 sq cm      T   1    0015   1.4595         0.00     0.00        0.00
96921   Laser tx, skin 250-500 sq cm    T   1    0015   1.4595         0.00     0.00        0.00
96922   Laser tx, skin > 500 sq cm      T   1    0015   1.4595         0.00     0.00        0.00
96999   Dermatological procedure        T   1    0012   0.2963         0.00     0.00        0.00
97001   Pt evaluation                   A   3    0000   0.0000         M01      M01        M01
97002   Pt re-evaluation                A   3    0000   0.0000         M01      M01        M01
97003   Ot evaluation                   A   3    0000   0.0000         M01      M01        M01
97004   Ot re-evaluation                A   3    0000   0.0000         M01      M01        M01
97005   Athletic train eval             E   1    0000   0.0000         0.00     0.00        0.00
97006   Athletic train reeval           E   1    0000   0.0000         0.00     0.00        0.00
97010   Hot or cold packs therapy       A   3    0000   0.0000         M01      M01        M01
97012   Mechanical traction therapy     A   3    0000   0.0000         M01      M01        M01
97014   Electric stimulation therapy    E   3    0000   0.0000         M01      M01        M01
97016   Vasopneumatic device therapy    A   3    0000   0.0000         M01      M01        M01
97018   Paraffin bath therapy           A   3    0000   0.0000         M01      M01        M01
97022   Whirlpool therapy               A   3    0000   0.0000         M01      M01        M01
97024   Diathermy treatment             A   3    0000   0.0000         M01      M01        M01
97026   Infrared therapy                A   3    0000   0.0000         M01      M01        M01
97028   Ultraviolet therapy             A   3    0000   0.0000         M01      M01        M01
97032   Electrical stimulation          A   3    0000   0.0000         M01      M01        M01
97033   Electric current therapy        A   3    0000   0.0000         M01      M01        M01
97034   Contrast bath therapy           A   3    0000   0.0000         M01      M01        M01
97035   Ultrasound therapy              A   3    0000   0.0000         M01      M01        M01
97036   Hydrotherapy                    A   3    0000   0.0000         M01      M01        M01
97039   Physical therapy treatment      A   1    0000   0.0000         0.00     0.00        0.00
97110   Therapeutic exercises           A   3    0000   0.0000         M01      M01        M01
97112   Neuromuscular reeducation       A   3    0000   0.0000         M01      M01        M01
97113   Aquatic therapy/exercises       A   3    0000   0.0000         M01      M01        M01
97116   Gait training therapy           A   3    0000   0.0000         M01      M01        M01
97124   Massage therapy                 A   3    0000   0.0000         M01      M01        M01
97139   Physical medicine procedure     A   1    0000   0.0000         0.00     0.00        0.00
97140   Manual therapy                  A   3    0000   0.0000         M01      M01        M01
97150   Group therapeutic procedures    A   3    0000   0.0000         M01      M01        M01
97530   Therapeutic activities          A   3    0000   0.0000         M01      M01        M01
97532   Cognitive skills development    A   3    0000   0.0000         M01      M01        M01
97533   Sensory integration             A   3    0000   0.0000         M01      M01        M01
97535   Self care mngment training      A   1    0000   0.0000         0.00     0.00        0.00
97537   Community/work reintegration    A   1    0000   0.0000         0.00     0.00        0.00
97542   Wheelchair mngment training     A   3    0000   0.0000         M01      M01        M01
97545   Work hardening                  A   1    0000   0.0000         0.00     0.00        0.00
97546   Work hardening add-on           A   1    0000   0.0000         0.00     0.00        0.00
97597   Active wound care/20 cm or <    T   T    0015   1.4595        69.72    158.97     182.20
97598   Active wound care > 20 cm       T   T    0015   1.4595        69.72    158.97     182.20
97602   Wound(s) care non-selective     T   T    0015   1.4595        69.72    158.97     182.20
97605   Neg press wound tx, < 50 cm     T   T    0013   0.7930        37.88     86.37      99.00
97606   Neg press wound tx, > 50 cm     T   T    0015   1.4595        69.72    158.97     182.20
97750   Physical performance test       A   3    0000   0.0000         M01      M01        M01
97755   Assistive technology assess     A   3    0000   0.0000         M01      M01        M01
97760   Orthotic mgmt and training      A   3    0000   0.0000         M01      M01        M01
97761   Prosthetic training             A   3    0000   0.0000         M01      M01        M01
97762   C/o for orthotic/prosth use     A   3    0000   0.0000         M01      M01        M01
97799   Physical medicine procedure     A   1    0000   0.0000         0.00     0.00        0.00
97802   Medical nutrition, indiv, in    A   1    0000   0.0000         0.00     0.00        0.00
97803   Med nutrition, indiv, subseq    A   1    0000   0.0000         0.00     0.00        0.00
97804   Medical nutrition, group        A   1    0000   0.0000         0.00     0.00        0.00
97810   Acupunct w/o stimul 15 min      E   1    0000   0.0000         0.00     0.00        0.00
97811   Acupunct w/o stimul addl 15m    E   1    0000   0.0000         0.00     0.00        0.00
97813   Acupunct w/stimul 15 min        E   1    0000   0.0000         0.00     0.00        0.00
97814   Acupunct w/stimul addl 15m      E   1    0000   0.0000         0.00     0.00        0.00
98925   Osteopathic manipulation        S   S    0060   0.4482        21.41     48.82      55.95
98926   Osteopathic manipulation        S   S    0060   0.4482        21.41     48.82      55.95
98927   Osteopathic manipulation        S   S    0060   0.4482        21.41     48.82      55.95
98928   Osteopathic manipulation        S   S    0060   0.4482        21.41     48.82      55.95
98929   Osteopathic manipulation        S   S    0060   0.4482        21.41     48.82      55.95
98940   Chiropractic manipulation       S   1    0060   0.4482         0.00     0.00        0.00
98941   Chiropractic manipulation       S   1    0060   0.4482         0.00     0.00        0.00
98942   Chiropractic manipulation       S   1    0060   0.4482         0.00     0.00        0.00
98943   Chiropractic manipulation       E   1    0000   0.0000         0.00     0.00        0.00
98960   Self-mgmt educ & train, 1 pt    E   1    0000   0.0000         0.00     0.00        0.00
98961   Self-mgmt educ/train, 2-4 pt    E   1    0000   0.0000         0.00     0.00        0.00
98962   Self-mgmt educ/train, 5-8 pt    E   1    0000   0.0000         0.00     0.00        0.00
98966   Hc pro phone call 5-10 min      E    1   0000   0.0000         0.00     0.00        0.00
98967   Hc pro phone call 11-20 min     E    1   0000   0.0000         0.00     0.00        0.00
98968   Hc pro phone call 21-30 min     E    1   0000   0.0000         0.00     0.00        0.00
98969   Online service by hc pro        E    1   0000   0.0000         0.00     0.00        0.00
99000   Specimen handling               E   1    0000   0.0000         0.00     0.00        0.00
99001   Specimen handling               E   1    0000   0.0000         0.00     0.00        0.00
99002   Device handling                 B   1    0000   0.0000         0.00     0.00        0.00
99024   Postop follow-up visit          B   1    0000   0.0000         0.00     0.00        0.00
99026   In-hospital on call service     E   1    0000   0.0000         0.00     0.00        0.00
99027   Out-of-hosp on call service     E   1    0000   0.0000         0.00     0.00        0.00
99050   Medical services after hrs      B   B    0000   0.0000         0.00     0.00        0.00
99051   Med serv, eve/wkend/holiday     B   B    0000   0.0000         0.00     0.00        0.00
99053   Med serv 10pm-8am, 24 hr fac    B   B    0000   0.0000         0.00     0.00        0.00
99056   Non-office medical services     B   1    0000   0.0000         0.00     0.00        0.00
99058   Office emergency care           B   B    0000   0.0000         0.00     0.00        0.00
99060   Out of office emerg med serv    B   1    0000   0.0000         0.00     0.00        0.00
99070   Special supplies                B   B    0000   0.0000         0.00     0.00        0.00
99071   Patient education materials     B   1    0000   0.0000         0.00     0.00        0.00
99075   Medical testimony               E   1    0000   0.0000         0.00     0.00        0.00
99078   Group health education          N   1    0000   0.0000         0.00     0.00        0.00
99080   Special reports or forms        B   1    0000   0.0000         0.00     0.00        0.00
99082   Unusual physician travel        B   B    0000   0.0000         0.00     0.00        0.00
99090   Computer data analysis          B   1    0000   0.0000         0.00     0.00        0.00
99091   Collect/review data from pt     N   1    0000   0.0000         0.00     0.00        0.00
99100   Special anesthesia service      B   1    0000   0.0000         0.00     0.00        0.00
99116   Anesthesia with hypothermia     B   1    0000   0.0000         0.00     0.00        0.00
99135   Special anesthesia procedure    B   1    0000   0.0000         0.00     0.00        0.00
99140   Emergency anesthesia            B   1    0000   0.0000         0.00     0.00        0.00
99143   Mod cs by same phys, < 5 yrs    N   N    0000   0.0000         0.00     0.00        0.00
99144   Mod cs by same phys, 5 yrs +    N   N    0000   0.0000         0.00     0.00        0.00
99145   Mod cs by same phys add-on      N   N    0000   0.0000         0.00     0.00        0.00
99148   Mod cs diff phys < 5 yrs        N   N    0000   0.0000         0.00     0.00        0.00
99149   Mod cs diff phys 5 yrs +        N   N    0000   0.0000         0.00     0.00        0.00
99150   Mod cs diff phys add-on         N   N    0000   0.0000         0.00     0.00        0.00
99170   Anogenital exam, child          T   T    0191   0.1309         6.25     14.26      16.34
99172   Ocular function screen          E   1    0000   0.0000         0.00     0.00        0.00
99173   Visual acuity screen            E   1    0000   0.0000         0.00     0.00        0.00
99174   Ocular photoscreening           E    1   0000   0.0000         0.00     0.00        0.00
99175   Induction of vomiting           N   N    0000   0.0000         0.00     0.00        0.00
99183   Hyperbaric oxygen therapy       B   B    0000   0.0000         0.00     0.00        0.00
99185   Regional hypothermia            N   N    0000   0.0000         0.00     0.00        0.00
99186   Total body hypothermia          N   N    0000   0.0000         0.00     0.00        0.00
99190   Special pump services           C   1    0000   0.0000         0.00     0.00        0.00
99191   Special pump services           C   1    0000   0.0000         0.00     0.00        0.00
99192   Special pump services           C   1    0000   0.0000         0.00     0.00        0.00
99195   Phlebotomy                      X   X    0624   0.5689        27.18     61.96      71.02
99199   Special service/proc/report     B   1    0000   0.0000         0.00     0.00        0.00
99201   Office/outpatient visit, new    V   V    0604   0.8388        40.07     91.36     104.72
99202   Office/outpatient visit, new    V   V    0605   0.9964        47.60    108.53     124.39
99203   Office/outpatient visit, new    V   V    0606   1.3226        63.18    144.06     165.11
99204   Office/outpatient visit, new    V   V    0607   1.6604        79.32    180.85     207.28
99205   Office/outpatient visit, new    Q   Q    0608   2.1740        103.85   236.79     271.40
99211   Office/outpatient visit, est    V   V    0604   0.8388        40.07     91.36     104.72
99212   Office/outpatient visit, est    V   V    0605   0.9964        47.60    108.53     124.39
99213   Office/outpatient visit, est    V   V    0605   0.9964        47.60    108.53     124.39
99214   Office/outpatient visit, est    V   V    0606   1.3226        63.18    144.06     165.11
99215   Office/outpatient visit, est    Q   Q    0607   1.6604        79.32    180.85     207.28
99217   Observation care discharge      B   B    0000   0.0000         0.00     0.00        0.00
99218   Observation care                B   B    0000   0.0000         0.00     0.00        0.00
99219   Observation care                B   B    0000   0.0000         0.00     0.00        0.00
99220   Observation care                B   B    0000   0.0000         0.00     0.00        0.00
99221   Initial hospital care           B   B    0000   0.0000         0.00     0.00        0.00
99222   Initial hospital care           B   B    0000   0.0000         0.00     0.00        0.00
99223   Initial hospital care           B   B    0000   0.0000         0.00     0.00        0.00
99231   Subsequent hospital care        B   B    0000   0.0000         0.00     0.00        0.00
99232   Subsequent hospital care        B   B    0000   0.0000         0.00     0.00        0.00
99233   Subsequent hospital care        B   B    0000   0.0000         0.00     0.00        0.00
99234   Observ/hosp same date           B   B    0000   0.0000         0.00     0.00        0.00
99235   Observ/hosp same date           B   B    0000   0.0000         0.00     0.00        0.00
99236   Observ/hosp same date           B   B    0000   0.0000         0.00     0.00        0.00
99238   Hospital discharge day          B   B    0000   0.0000         0.00     0.00        0.00
99239   Hospital discharge day          B   B    0000   0.0000         0.00     0.00        0.00
99241   Office consultation             B   B    0000   0.0000         0.00     0.00        0.00
99242   Office consultation             B   B    0000   0.0000         0.00     0.00        0.00
99243   Office consultation             B   B    0000   0.0000         0.00     0.00        0.00
99244   Office consultation             B   B    0000   0.0000         0.00     0.00        0.00
99245   Office consultation             B   B    0000   0.0000         0.00     0.00        0.00
99251   Initial inpatient consult       C   C    0000   0.0000         0.00     0.00        0.00
99252   Initial inpatient consult       C   C    0000   0.0000         0.00     0.00        0.00
99253   Initial inpatient consult       C   C    0000   0.0000         0.00     0.00        0.00
99254   Initial inpatient consult       C   C    0000   0.0000         0.00     0.00        0.00
99255   Initial inpatient consult       C   C    0000   0.0000         0.00     0.00        0.00
99281   Emergency dept visit            V   V    0609   0.7970        38.07     86.81      99.50
99282   Emergency dept visit            V   V    0613   1.3137        62.76    143.09     164.00
99283   Emergency dept visit            V   V    0614   2.0750        99.12    226.01     259.04
99284   Emergency dept visit            Q   Q    0615   3.3377        159.44   363.54     416.68
99285   Emergency dept visit            Q   Q    0616   4.9535        236.63   539.54     618.39
99288   Direct advanced life support    B   B    0000   0.0000         0.00     0.00        0.00
99289   Ped crit care transport         N   1    0000   0.0000         0.00     0.00        0.00
99290   Ped crit care transport addl    N   1    0000   0.0000         0.00     0.00        0.00
99291   Critical care, first hour       Q   Q    0617   7.3166        349.51   796.92     913.40
99292   Critical care, add’l 30 min     N   1    0000   0.0000         0.00     0.00        0.00
99293   Ped critical care, initial      C   C    0000   0.0000         0.00     0.00        0.00
99294   Ped critical care, subseq       C   C    0000   0.0000         0.00     0.00        0.00
99295   Neonate crit care, initial      C   C    0000   0.0000         0.00     0.00        0.00
99296   Neonate critical care subseq    C   C    0000   0.0000         0.00     0.00        0.00
99298   Ic for lbw infant < 1500 gm     C   C    0000   0.0000         0.00     0.00        0.00
99299   Ic, lbw infant 1500-2500 gm     C   C    0000   0.0000         0.00     0.00        0.00
99300   Ic, infant pbw 2501-5000 gm     N   N    0000   0.0000         0.00     0.00        0.00
99304   Nursing facility care, init     B   B    0000   0.0000         0.00     0.00        0.00
99305   Nursing facility care, init     B   B    0000   0.0000         0.00     0.00        0.00
99306   Nursing facility care, init     B   B    0000   0.0000         0.00     0.00        0.00
99307   Nursing fac care, subseq        B   B    0000   0.0000         0.00     0.00        0.00
99308   Nursing fac care, subseq        B   B    0000   0.0000         0.00     0.00        0.00
99309   Nursing fac care, subseq        B   B    0000   0.0000         0.00     0.00        0.00
99310   Nursing fac care, subseq        B   B    0000   0.0000         0.00     0.00        0.00
99315   Nursing fac discharge day       B   B    0000   0.0000         0.00     0.00        0.00
99316   Nursing fac discharge day       B   B    0000   0.0000         0.00     0.00        0.00
99318   Annual nursing fac assessmnt    B   B    0000   0.0000         0.00     0.00        0.00
99324   Domicil/r-home visit new pat    B   B    0000   0.0000         0.00     0.00        0.00
99325   Domicil/r-home visit new pat    B   B    0000   0.0000         0.00     0.00        0.00
99326   Domicil/r-home visit new pat    B   B    0000   0.0000         0.00     0.00        0.00
99327   Domicil/r-home visit new pat    B   B    0000   0.0000         0.00     0.00        0.00
99328   Domicil/r-home visit new pat    B   B    0000   0.0000         0.00     0.00        0.00
99334   Domicil/r-home visit est pat    B   B    0000   0.0000         0.00     0.00        0.00
99335   Domicil/r-home visit est pat    B   B    0000   0.0000         0.00     0.00        0.00
99336   Domicil/r-home visit est pat    B   B    0000   0.0000         0.00     0.00        0.00
99337   Domicil/r-home visit est pat    B   B    0000   0.0000         0.00     0.00        0.00
99339   Domicil/r-home care supervis    B   1    0000   0.0000         0.00     0.00        0.00
99340   Domicil/r-home care supervis    B   1    0000   0.0000         0.00     0.00        0.00
99341   Home visit, new patient         B   B    0000   0.0000         0.00     0.00        0.00
99342   Home visit, new patient         B   B    0000   0.0000         0.00     0.00        0.00
99343   Home visit, new patient         B   B    0000   0.0000         0.00     0.00        0.00
99344   Home visit, new patient         B   B    0000   0.0000         0.00     0.00        0.00
99345   Home visit, new patient         B   B    0000   0.0000         0.00     0.00        0.00
99347   Home visit, est patient         B   B    0000   0.0000         0.00     0.00        0.00
99348   Home visit, est patient         B   B    0000   0.0000         0.00     0.00        0.00
99349   Home visit, est patient         B   B    0000   0.0000         0.00     0.00        0.00
99350   Home visit, est patient         B   B    0000   0.0000         0.00     0.00        0.00
99354   Prolonged service, office       N   1    0000   0.0000         0.00     0.00        0.00
99355   Prolonged service, office       N   1    0000   0.0000         0.00     0.00        0.00
99356   Prolonged service, inpatient    C   C    0000   0.0000         0.00     0.00        0.00
99357   Prolonged service, inpatient    C   C    0000   0.0000         0.00     0.00        0.00
99358   Prolonged serv, w/o contact     N   1    0000   0.0000         0.00     0.00        0.00
99359   Prolonged serv, w/o contact     N   1    0000   0.0000         0.00     0.00        0.00
99360   Physician standby services      B   B    0000   0.0000         0.00     0.00        0.00


99363   Anticoag mgmt, init             B   1    0000   0.0000         0.00     0.00       0.00
99364   Anticoag mgmt, subseq           B   1    0000   0.0000         0.00     0.00       0.00
99366   Team conf w/pat by hc pro       N   N    0000   0.0000         0.00     0.00       0.00
99367   Team conf w/o pat by phys       N   N    0000   0.0000         0.00     0.00       0.00
99368   Team conf w/o pat by hc pro     N   N    0000   0.0000         0.00     0.00       0.00




99374   Home health care supervision    B   B    0000   0.0000         0.00     0.00        0.00
99375   Home health care supervision    E   1    0000   0.0000         0.00     0.00        0.00
99377   Hospice care supervision        B   B    0000   0.0000         0.00     0.00        0.00
99378   Hospice care supervision        E   1    0000   0.0000         0.00     0.00        0.00
99379   Nursing fac care supervision    B   B    0000   0.0000         0.00     0.00        0.00
99380   Nursing fac care supervision    B   B    0000   0.0000         0.00     0.00        0.00
99381   Prev visit, new, infant         E   1    0000   0.0000         0.00     0.00        0.00
99382   Prev visit, new, age 1-4        E   1    0000   0.0000         0.00     0.00        0.00
99383   Prev visit, new, age 5-11       E   1    0000   0.0000         0.00     0.00        0.00
99384   Prev visit, new, age 12-17      E   1    0000   0.0000         0.00     0.00        0.00
99385   Prev visit, new, age 18-39      E   1    0000   0.0000         0.00     0.00        0.00
99386   Prev visit, new, age 40-64      E   1    0000   0.0000         0.00     0.00        0.00
99387   Prev visit, new, 65 & over      E   1    0000   0.0000         0.00     0.00        0.00
99391   Prev visit, est, infant         E   1    0000   0.0000         0.00     0.00        0.00
99392   Prev visit, est, age 1-4        E   1    0000   0.0000         0.00     0.00        0.00
99393   Prev visit, est, age 5-11       E   1    0000   0.0000         0.00     0.00        0.00
99394   Prev visit, est, age 12-17      E   1    0000   0.0000         0.00     0.00        0.00
99395   Prev visit, est, age 18-39      E   1    0000   0.0000         0.00     0.00        0.00
99396   Prev visit, est, age 40-64      E   1    0000   0.0000         0.00     0.00        0.00
99397   Prev visit, est, 65 & over      E   1    0000   0.0000         0.00     0.00        0.00
99401   Preventive counseling, indiv    E   1    0000   0.0000         0.00     0.00        0.00
99402   Preventive counseling, indiv    E   1    0000   0.0000         0.00     0.00        0.00
99403   Preventive counseling, indiv    E   1    0000   0.0000         0.00     0.00        0.00
99404   Preventive counseling, indiv    E   1    0000   0.0000         0.00     0.00        0.00
99406   Behav chng smoking 3-10 min     X    X   0031   0.1648         7.87     17.95      20.57
99407   Behav chng smoking < 10 min     X    X   0031   0.1648         7.87     17.95      20.57
99408   Audit/dast, 15-30 min           E    1   0000   0.0000         0.00     0.00        0.00
99409   Audit/dast, over 30 min         E    1   0000   0.0000         0.00     0.00       0.00
99411   Preventive counseling, group    E   1    0000   0.0000         0.00     0.00       0.00
99412   Preventive counseling, group    E   1    0000   0.0000         0.00     0.00       0.00
99420   Health risk assessment test     E   1    0000   0.0000         0.00     0.00       0.00
99429   Unlisted preventive service     E   3    0000   0.0000         M01      M01        M01
99431   Initial care, normal newborn    V   V    0605   0.9964        47.60    108.53     124.39
99432   Newborn care, not in hosp       N   1    0000   0.0000         0.00     0.00       0.00
99433   Normal newborn care/hospital    C   C    0000   0.0000         0.00     0.00       0.00
99435   Newborn discharge day hosp      B   B    0000   0.0000         0.00     0.00       0.00
99436   Attendance, birth               N   1    0000   0.0000         0.00     0.00       0.00
99440   Newborn resuscitation           S   S    0094   2.4590        117.47   267.83     306.98
99441   Phone e/m by phys 5-10 min      E    1   0000   0.0000         0.00     0.00       0.00
99442   Phone e/m by phys 11-20 min     E    1   0000   0.0000         0.00     0.00       0.00
99443   Phone e/m by phys 21-30 min     E    1   0000   0.0000         0.00     0.00       0.00
99444   Online e/m by phys              E    1   0000   0.0000         0.00     0.00       0.00
99450   Life/disability evaluation      E   1    0000   0.0000         0.00     0.00       0.00
99455   Disability examination          B   1    0000   0.0000         0.00     0.00       0.00
99456   Disability examination          B   1    0000   0.0000         0.00     0.00       0.00
99477   Init day hosp neonate care      C    C   0000   0.0000         0.00     0.00       0.00
99499   Unlisted e&m service            B   1    0000   0.0000         0.00     0.00       0.00
99500   Home visit, prenatal            E   1    0000   0.0000         0.00     0.00       0.00
99501   Home visit, postnatal           E   1    0000   0.0000         0.00     0.00       0.00
99502   Home visit, nb care             E   1    0000   0.0000         0.00     0.00       0.00
99503   Home visit, resp therapy        E   1    0000   0.0000         0.00     0.00       0.00
99504   Home visit mech ventilator      E   1    0000   0.0000         0.00     0.00       0.00
99505   Home visit, stoma care          E   1    0000   0.0000         0.00     0.00       0.00
99506   Home visit, im injection        E   1    0000   0.0000         0.00     0.00       0.00
99507   Home visit, cath maintain       E   1    0000   0.0000         0.00     0.00       0.00
99509   Home visit day life activity    E   1    0000   0.0000         0.00     0.00       0.00
99510   Home visit, sing/m/fam couns    E   1    0000   0.0000         0.00     0.00       0.00
99511   Home visit, fecal/enema mgmt    E   1    0000   0.0000         0.00     0.00       0.00
99512   Home visit for hemodialysis     E   1    0000   0.0000         0.00     0.00       0.00
99600   Home visit nos                  E   1    0000   0.0000         0.00     0.00       0.00
99601   Home infusion/visit, 2 hrs      E   1    0000   0.0000         0.00     0.00       0.00
99602   Home infusion, each addtl hr    E   1    0000   0.0000         0.00     0.00       0.00
99605   Mtms by pharm, np, 15 min       E    1   0000   0.0000         0.00     0.00       0.00
99606   Mtms by pharm, est, 15 min      E    1   0000   0.0000         0.00     0.00       0.00
99607   Mtms by pharm, addl 15 min      E    1   0000   0.0000         0.00     0.00       0.00
0001F   Heart failure composite         M   1    0000   0.0000         0.00     0.00       0.00
0005F   Osteoarthritis composite        M   1    0000   0.0000         0.00     0.00       0.00
0012F   Cap bacterial assess            M   1    0000   0.0000         0.00     0.00       0.00
0014F   Comp preop assess cat surg      M    1   0000   0.0000         0.00     0.00       0.00
0015F   Melan follow-up complete        M    1   0000   0.0000         0.00     0.00       0.00
0016T   Thermotx choroid vasc lesion    T   1    0235   4.1331         0.00     0.00       0.00
0017T   Photocoagulat macular drusen    T   1    0235   4.1331         0.00     0.00       0.00
0019T   Extracorp shock wave tx, ms     A   1    0000   0.0000         0.00     0.00       0.00

0026T   Measure remnant lipoproteins    A   1    0000    0.0000        0.00     0.00       0.00
0027T   Endoscopic epidural lysis       T   1    0220   18.0518        0.00     0.00       0.00
0028T   Dexa body composition study     N   1    0000    0.0000        0.00     0.00       0.00
0029T   Magnetic tx for incontinence    A   1    0000    0.0000        0.00     0.00       0.00
0030T   Antiprothrombin antibody        A   1    0000    0.0000        0.00     0.00       0.00
0031T   Speculoscopy                    N   1    0000    0.0000        0.00     0.00       0.00
0032T   Speculoscopy w/direct sample    N   1    0000    0.0000        0.00     0.00       0.00
0041T   Detect ur infect agnt w/cpas    A   1    0000    0.0000        0.00     0.00       0.00
0042T   Ct perfusion w/contrast, cbf    N   1    0000    0.0000        0.00     0.00       0.00
0043T   Co expired gas analysis         A   1    0000    0.0000        0.00     0.00       0.00
0046T   Cath lavage, mammary duct(s     T   1    0021   16.1001        0.00     0.00       0.00
0047T   Cath lavage, mammary duct(s)    T   1    0021   16.1001        0.00     0.00       0.00
0048T   Implant ventricular device      C   1    0000    0.0000        0.00     0.00       0.00
0049T   External circulation assist     C   1    0000    0.0000        0.00     0.00       0.00
0050T   Removal circulation assist      C   1    0000    0.0000        0.00     0.00       0.00
0051T   Implant total heart system      C   1    0000    0.0000        0.00     0.00       0.00
0052T   Replace component heart syst    C   1    0000    0.0000        0.00     0.00       0.00
0053T   Replace component heart syst    C   1    0000    0.0000        0.00     0.00       0.00



0058T   Cryopreservation, ovary tiss    X   1    0344    0.8167        0.00     0.00       0.00
0059T   Cryopreservation, oocyte        X   1    0344    0.8167        0.00     0.00       0.00
0060T   Electrical impedance scan       B   1    0000    0.0000        0.00     0.00       0.00
0061T   Destruction of tumor, breast    B   1    0000    0.0000        0.00     0.00       0.00
0062T   Rep intradisc annulus;1 lev     T   1    0050   29.1900        0.00     0.00       0.00
0063T   Rep intradisc annulus;>1lev     T   1    0050   29.1900        0.00     0.00       0.00
0064T   Spectroscop eval expired gas    X   1    0367    0.5677        0.00     0.00       0.00

0066T   Ct colonography;screen          E   1    0000    0.0000        0.00     0.00       0.00
0067T   Ct colonography;dx              S   1    0332    3.0109        0.00     0.00       0.00
0068T   Interp/rept heart sound         B   1    0000    0.0000        0.00     0.00       0.00
0069T   Analysis only heart sound       N   1    0000    0.0000        0.00     0.00       0.00
0070T   Interp only heart sound         B   B    0000    0.0000        0.00     0.00       0.00
0071T   U/s leiomyomata ablate <200     S   1    0067   61.6965        0.00     0.00       0.00
0072T   U/s leiomyomata ablate >200     S   1    0067   61.6965        0.00     0.00       0.00
0073T   Delivery, comp imrt             S   1    0412    5.4582        0.00     0.00       0.00

0075T   Perq stent/chest vert art       C   1    0000    0.0000        0.00      0.00       0.00
0076T   S&i stent/chest vert art        C   1    0000    0.0000        0.00      0.00       0.00
0077T   Cereb therm perfusion probe     C   1    0000    0.0000        0.00      0.00       0.00
0078T   Endovasc aort repr w/device     C   1    0000    0.0000        0.00      0.00       0.00
0079T   Endovasc visc extnsn repr       C   1    0000    0.0000        0.00      0.00       0.00
0080T   Endovasc aort repr rad s&i      C   1    0000    0.0000        0.00      0.00       0.00
0081T   Endovasc visc extnsn s&i        C   1    0000    0.0000        0.00      0.00       0.00
0084T   Temp prostate urethral stent    T   1    0164    2.0077        0.00      0.00       0.00
0085T   Breath test heart reject        X   1    0340    0.6310        0.00      0.00       0.00
0086T   L ventricle fill pressure       N   1    0000    0.0000        0.00      0.00       0.00
0087T   Sperm eval hyaluronan           X   1    0344    0.8167        0.00      0.00       0.00
0088T   Rf tongue base vol reduxn       T   1    0253   16.3288        0.00      0.00       0.00
0089T   Actigraphy testing, 3-day       S   1    0218    1.1550        0.00      0.00       0.00
0090T   Cervical artific disc           C   1    0000    0.0000        0.00      0.00       0.00
0092T   Artific disc addl               C   1    0000    0.0000        0.00      0.00       0.00
0093T   Cervical artific diskectomy     C   1    0000    0.0000        0.00      0.00       0.00
0095T   Artific diskectomy addl         C   1    0000    0.0000        0.00      0.00       0.00
0096T   Rev cervical artific disc       C   1    0000    0.0000        0.00      0.00       0.00
0098T   Rev artific disc addl           C   1    0000    0.0000        0.00      0.00       0.00
0099T   Implant corneal ring            T   T    0233   16.1710       772.49   1,761.35   2,018.79
0100T   Prosth retina receive&gen       T   1    0672   37.2078        0.00      0.00       0.00
0101T   Extracorp shockwv tx,hi enrg    T   1    0050   29.1900        0.00      0.00       0.00
0102T   Extracorp shockwv tx,anesth     T   1    0050   29.1900        0.00      0.00       0.00
0103T   Holotranscobalamin              A   1    0000    0.0000        0.00      0.00       0.00
0104T   At rest cardio gas rebreathe    A   1    0000    0.0000        0.00      0.00       0.00
0105T   Exerc cardio gas rebreathe      A   1    0000    0.0000        0.00      0.00       0.00
0106T   Touch quant sensory test        X   1    0341    0.0844        0.00      0.00       0.00
0107T   Vibrate quant sensory test      X   1    0341    0.0844        0.00      0.00       0.00
0108T   Cool quant sensory test         X   1    0341    0.0844        0.00      0.00       0.00
0109T   Heat quant sensory test         X   1    0341    0.0844        0.00      0.00       0.00
0110T   Nos quant sensory test          X   1    0341    0.0844        0.00      0.00       0.00
0111T   Rbc membranes fatty acids       A   1    0000    0.0000        0.00      0.00       0.00




0123T   Scleral fistulization           T   1    0234   23.1758        0.00     0.00       0.00
0124T   Conjunctival drug placement     T   1    0232    5.1169        0.00     0.00       0.00
0126T   Chd risk imt study              Q   1    0340    0.6310        0.00     0.00       0.00
0130T   Chron care drug investigatn     B   1    0000    0.0000        0.00     0.00       0.00


0137T   Prostate saturation sampling    T   1    0184   11.0338        0.00     0.00       0.00
0140T   Exhaled breath condensate ph    A   1    0000    0.0000        0.00     0.00       0.00
0141T   Perq islet transplant           E   1    0000    0.0000        0.00     0.00       0.00
0142T   Open islet transplant           E   1    0000    0.0000        0.00     0.00       0.00
0143T   Laparoscopic islet transplnt    E   1    0000    0.0000        0.00     0.00       0.00
0144T   CT heart wo dye; qual calc      S   1    0282    1.5839        0.00     0.00       0.00
0145T   CT heart w/wo dye funct         S   1    0383    4.7005        0.00     0.00       0.00
0146T   CCTA w/wo dye                   S   1    0383    4.7005        0.00     0.00       0.00
0147T   CCTA w/wo, quan calcium         S   1    0383    4.7005        0.00     0.00       0.00
0148T   CCTA w/wo, strxr                S   1    0383    4.7005        0.00     0.00       0.00
0149T   CCTA w/wo, strxr quan calc      S   1    0383    4.7005        0.00     0.00       0.00
0150T   CCTA w/wo, disease strxr        S   1    0383    4.7005        0.00     0.00       0.00
0151T   CT heart funct add-on           S   1    0282    1.5839        0.00     0.00       0.00




0155T   Lap impl gast curve electrd     T   1    0130   34.3958        0.00      0.00        0.00
0156T   Lap remv gast curve electrd     T   1    0130   34.3958        0.00      0.00        0.00
0157T   Open impl gast curve electrd    C   1    0000    0.0000        0.00      0.00        0.00
0158T   Open remv gast curve electrd    C   1    0000    0.0000        0.00      0.00        0.00
0159T   Cad breast mri                  N   1    0000    0.0000        0.00      0.00        0.00
0160T   Tcranial magn stim tx plan      S   1    0216    2.6846        0.00      0.00        0.00
0161T   Tcranial magn stim tx deliv     S   1    0216    2.6846        0.00      0.00        0.00
0162T   Anal program gast neurostim     S   1    0692    1.8376        0.00      0.00        0.00
0163T   Lumb artif diskectomy addl      C   1    0000    0.0000        0.00      0.00        0.00
0164T   Remove lumb artif disc addl     C   1    0000    0.0000        0.00      0.00        0.00
0165T   Revise lumb artif disc addl     C   1    0000    0.0000        0.00      0.00        0.00
0166T   Tcath vsd close w/o bypass      C   1    0000    0.0000        0.00      0.00        0.00
0167T   Tcath vsd close w bypass        C   1    0000    0.0000        0.00      0.00        0.00
0168T   Rhinophototx light app bilat    T   1    0251    2.5002        0.00      0.00        0.00
0169T   Place stereo cath brain         C   1    0000    0.0000        0.00      0.00        0.00
0170T   Anorectal fistula plug rpr      T   1    0150   30.1606        0.00      0.00        0.00
0171T   Lumbar spine proces distract    T   1    0050   29.1900        0.00      0.00        0.00
0172T   Lumbar spine process addl       T   1    0050   29.1900        0.00      0.00        0.00
0173T   Iop monit io pressure           N   1    0000    0.0000        0.00      0.00        0.00
0174T   Cad cxr with interp             N   1    0000    0.0000        0.00      0.00        0.00
0175T   Cad cxr remote                  N   1    0000    0.0000        0.00      0.00        0.00
0176T   Aqu canal dilat w/o retent      T   1    0673   39.7101        0.00      0.00        0.00
0177T   Aqu canal dilat w retent        T   1    0673   39.7101        0.00      0.00        0.00
0178T   64 Lead ecg w I&R               B   1    0000    0.0000        0.00      0.00        0.00
0179T   64 Lead ecg w tracing           X   1    0100    2.5547        0.00      0.00        0.00
0180T   64 Lead ecg w I&R only          B   1    0000    0.0000        0.00      0.00        0.00
0181T   Corneal hysteresis              S   1    0230    0.5903        0.00      0.00        0.00
0182T   Hdr elect brachytherapy         S   1    1519   27.4751   *    0.00      0.00        0.00
0183T   Wound ultrasound                T    T   0015    1.4595       69.72     158.97     182.20
0184T   Exc rectal tumor endoscopic     C   C    0000    0.0000        0.00      0.00        0.00
0185T   Comptr probability analysis     N   N    0000    0.0000        0.00      0.00        0.00
0186T   Suprachoroidal drug delivery    T    T   0236   18.2350       871.09   1,986.16   2,276.46
0187T   Ophthalmic dx image anterior    S    S   0230    0.5903       28.20      64.30      73.69
0500F   Initial prenatal care visit     M   1    0000    0.0000        0.00      0.00        0.00
0501F   Prenatal flow sheet             M   1    0000    0.0000        0.00      0.00        0.00
0502F   Subsequent prenatal care        M   1    0000    0.0000        0.00      0.00        0.00
0503F   Postpartum care visit           M   1    0000    0.0000        0.00      0.00        0.00
0505F   Hemodialysis plan doc'd         M   1    0000    0.0000        0.00      0.00        0.00
0507F   Periton dialysis plan doc'd     M   1    0000    0.0000        0.00      0.00        0.00
0509F   Urine Incon Plan Doc'd          M   1    0000    0.0000        0.00      0.00        0.00
0513F   Elev BP plan of care doc'd      M    1   0000    0.0000        0.00      0.00        0.00
0514F   Care plan Hgb doc'd ESA pt      M    1   0000    0.0000        0.00      0.00        0.00
0516F   Anemia plan of care doc'd       M    1   0000    0.0000        0.00      0.00        0.00
0517F   Glaucoma plan of care doc'd     M    1   0000    0.0000        0.00      0.00        0.00
0518F   Fall plan of care doc'd         M    1   0000    0.0000        0.00      0.00        0.00
0519F   Plan'd chemo doc'd b/4 txmnt    M    1   0000    0.0000        0.00      0.00        0.00
0520F   Tissue dose done w/in 5 days    M    1   0000    0.0000        0.00      0.00        0.00
0521F   Plan of care 4 pain doc'd       M    1   0000    0.0000        0.00      0.00        0.00
1000F   Tobacco use assessed            M   1    0000    0.0000        0.00      0.00        0.00
1002F   Assess anginal symptom/level    M   1    0000    0.0000        0.00      0.00        0.00
1003F   Level of activity assess        M   1    0000    0.0000        0.00      0.00        0.00
1004F   Clin symp vol ovrld assess      M   1    0000    0.0000        0.00      0.00        0.00
1005F   Asthma symptoms evaluate        M   1    0000    0.0000        0.00      0.00        0.00
1006F   Osteoarthritis assess           M   1    0000    0.0000        0.00      0.00        0.00
1007F   Anti-inflm/anlgsc otc assess    M   1    0000    0.0000        0.00      0.00        0.00
1008F   Gi/renal risk assess            M   1    0000    0.0000        0.00      0.00        0.00
1015F   Copd symptoms assess            M   1    0000    0.0000        0.00      0.00        0.00
1018F   Assess dyspnea not present      M   1    0000    0.0000        0.00      0.00        0.00
1019F   Assess dyspnea present          M   1    0000    0.0000        0.00      0.00        0.00
1022F   Pneumo imm status assess        M   1    0000    0.0000        0.00      0.00        0.00
1026F   Co-morbid condition assess      M   1    0000    0.0000        0.00      0.00        0.00
1030F   Influenza imm status assess     M   1    0000    0.0000        0.00      0.00        0.00
1034F   Current tobacco smoker          M   1    0000    0.0000        0.00      0.00        0.00
1035F   Smokeless tobacco user          M   1    0000    0.0000        0.00      0.00        0.00
1036F   Tobacco non-user                M   1    0000    0.0000        0.00      0.00        0.00
1038F   Persistent asthma               M   1    0000    0.0000        0.00      0.00        0.00
1039F   Intermittent asthma             M   1    0000    0.0000        0.00      0.00        0.00
1040F   Dsm-IV info MDD doc'd           M   1    0000    0.0000        0.00      0.00        0.00
1050F   History of mole changes         M   1    0000    0.0000        0.00      0.00        0.00
1055F   Visual funct status assess      M   1    0000    0.0000        0.00      0.00        0.00
1060F   Doc Perm/cont/parox atr Fib     M   1    0000    0.0000        0.00      0.00        0.00
1061F   Doc Lack Perm+cont+parox fib    M   1    0000    0.0000        0.00      0.00        0.00
1065F   Ischm Stroke symp lt3 hrsb/4    M   1    0000    0.0000        0.00      0.00        0.00
1066F   Ischm Stroke symp ge3 hrsb/4    M   1    0000    0.0000        0.00      0.00        0.00
1070F   Alarm Symp assessed -absent     M   1    0000    0.0000        0.00      0.00        0.00
1071F   Alarm Symp assessed-1+prsnt     M   1    0000    0.0000        0.00      0.00        0.00

1090F   Pres/absn ruine incon assess    M   1    0000   0.0000         0.00     0.00       0.00
1091F   Urine incon characterized       M   1    0000   0.0000         0.00     0.00       0.00
1100F   Pt falls assess-doc'd ge2+/yr   M   1    0000   0.0000         0.00     0.00       0.00
1101F   Pt falls assess-doc'd le1/y     M   1    0000   0.0000         0.00     0.00       0.00
1110F   Pt lft inpt fac w/in 60 days    M   1    0000   0.0000         0.00     0.00       0.00
1111F   Dschrg med/current med merge    M   1    0000   0.0000         0.00     0.00       0.00
1116F   Auric/peri pain assessed        M    1   0000   0.0000         0.00     0.00       0.00
1118F   GERD symps assessed 12 month    M    1   0000   0.0000         0.00     0.00       0.00
1119F   Init. Eval for condition        M    1   0000   0.0000         0.00     0.00       0.00
1121F   Subs. Eval for condition        M    1   0000   0.0000         0.00     0.00       0.00
1123F   ACP discuss/dscn mkr doc'd      M    1   0000   0.0000         0.00     0.00       0.00
1124F   ACP discuss-no dscnmkr doc'd    M    1   0000   0.0000         0.00     0.00       0.00
1125F   Amnt Pain noted; pain prsnt     M    1   0000   0.0000         0.00     0.00       0.00
1126F   Amnt Pain noted; none prsnt     M    1   0000   0.0000         0.00     0.00       0.00
1127F   New episode for condition       M    1   0000   0.0000         0.00     0.00       0.00
1128F   Subs. episode for condition     M    1   0000   0.0000         0.00     0.00       0.00
2000F   Blood pressure, measured        M   1    0000   0.0000         0.00     0.00       0.00
2001F   Weight recorded                 M   1    0000   0.0000         0.00     0.00       0.00
2002F   Clin sign vol ovrld assess      M   1    0000   0.0000         0.00     0.00       0.00
2004F   Initial exam involved joints    M   1    0000   0.0000         0.00     0.00       0.00
2010F   Vital signs recorded            M   1    0000   0.0000         0.00     0.00       0.00
2014F   Mental status assess            M   1    0000   0.0000         0.00     0.00       0.00
2018F   Hydration status assess         M   1    0000   0.0000         0.00     0.00       0.00
2019F   Dilated macul exam done         M   1    0000   0.0000         0.00     0.00       0.00
2020F   Dilated fundus eval done        M   1    0000   0.0000         0.00     0.00       0.00
2021F   Dilat macul+exam done           M   1    0000   0.0000         0.00     0.00       0.00
2022F   Dil retina exam interp rev      M   1    0000   0.0000         0.00     0.00       0.00
2024F   7 field photo interp doc rev    M   1    0000   0.0000         0.00     0.00       0.00
2026F   Eye image valid to dx rev       M   1    0000   0.0000         0.00     0.00       0.00
2027F   Optic nerve head eval done      M   1    0000   0.0000         0.00     0.00       0.00
2028F   Foot exam performed             M   1    0000   0.0000         0.00     0.00       0.00
2029F   Complete phys skin exam done    M   1    0000   0.0000         0.00     0.00       0.00
2030F   H2O stat docÆd, normal          M   1    0000   0.0000         0.00     0.00       0.00
2031F   H2O stat docÆd, dehydrated      M   1    0000   0.0000         0.00     0.00       0.00
2035F   Tymp memb motion exam'd         M    1   0000   0.0000         0.00     0.00       0.00
3006F   Cxr doc rev                     M   1    0000   0.0000         0.00     0.00       0.00
3011F   Lipid panel doc rev             M   1    0000   0.0000         0.00     0.00       0.00
3014F   Screen mammo doc rev            M   1    0000   0.0000         0.00     0.00       0.00
3017F   Colorectal ca screen doc rev    M   1    0000   0.0000         0.00     0.00       0.00
3020F   Lvf assess                      M   1    0000   0.0000         0.00     0.00       0.00
3021F   Lvef mod/sever deprs syst       M   1    0000   0.0000         0.00     0.00       0.00
3022F   Lvef >= 40% systolic            M   1    0000   0.0000         0.00     0.00       0.00
3023F   Spirom doc rev                  M   1    0000   0.0000         0.00     0.00       0.00
3025F   Spirom fev/fvc<70% w copd       M   1    0000   0.0000         0.00     0.00       0.00
3027F   Spirom fev/fvc=>70%/ w/o copd   M   1    0000   0.0000         0.00     0.00       0.00
3028F   O2 saturation doc rev           M   1    0000   0.0000         0.00     0.00       0.00
3035F   O2 saturation <=88% /pao<=55    M   1    0000   0.0000         0.00     0.00       0.00
3037F   O2 saturation> 88% /pao>55      M   1    0000   0.0000         0.00     0.00       0.00
3040F   Fev<40% predicted value         M   1    0000   0.0000         0.00     0.00       0.00
3042F   Fev>=40% predicted value        M   1    0000   0.0000         0.00     0.00       0.00
3044F   Hg a 1 c level 1t 7.0%          M   1    0000   0.0000         0.00     0.00       0.00
3045F   HG a1c level 7.0-9.0%           M   1    0000   0.0000         0.00     0.00       0.00
3046F   Hemoglobin a1c level > 9.0%     M   1    0000   0.0000         0.00     0.00       0.00

3048F   Ldl-c <100 mg/dl                M   1    0000   0.0000         0.00     0.00       0.00
3049F   Ldl-c 100-129 mg/dl             M   1    0000   0.0000         0.00     0.00       0.00
3050F   Ldl-c> = 130 mg/dl              M   1    0000   0.0000         0.00     0.00       0.00
3060F   Pos microalbuminuria rev        M   1    0000   0.0000         0.00     0.00       0.00
3061F   Neg microalbuminuria rev        M   1    0000   0.0000         0.00     0.00       0.00
3062F   Pos macroalbuminuria rev        M   1    0000   0.0000         0.00     0.00       0.00
3066F   Nephropathy doc tx              M   1    0000   0.0000         0.00     0.00       0.00
3072F   Low risk for retinopathy        M   1    0000   0.0000         0.00     0.00       0.00
3073F   Pre-surg eye measures doc’d     M   1    0000   0.0000         0.00     0.00       0.00
3074F   Syst bp lt 130 mm hg            M   1    0000   0.0000         0.00     0.00       0.00
3075F   Syst bp ge 130-139 mm hg        M   1    0000   0.0000         0.00     0.00       0.00

3077F   Syst bp> = 140 mm hg6 it        M   1    0000   0.0000         0.00     0.00       0.00
3078F   Diast bp < 80 mm hg             M   1    0000   0.0000         0.00     0.00       0.00
3079F   Diast bp 80-89 mm hg            M   1    0000   0.0000         0.00     0.00       0.00
3080F   Diast bp> = 90 mm hg            M   1    0000   0.0000         0.00     0.00       0.00
3082F   Kt/v lt 1.2                     M   1    0000   0.0000         0.00     0.00       0.00
3083F   Kt/v ge 1.2 and <1.7           M   1    0000   0.0000   0.00   0.00   0.00
3084F   Kt/v ge 1.7                    M   1    0000   0.0000   0.00   0.00   0.00
3085F   Suicide risk assessed          M   1    0000   0.0000   0.00   0.00   0.00
3088F   MDD, mild                      M   1    0000   0.0000   0.00   0.00   0.00
3089F   MDD, moderate                  M   1    0000   0.0000   0.00   0.00   0.00
3090F   MDD, severe; w/o psych         M   1    0000   0.0000   0.00   0.00   0.00
3091F   Mdd, severe; w/ psych          M   1    0000   0.0000   0.00   0.00   0.00
3092F   MDD, in remission              M   1    0000   0.0000   0.00   0.00   0.00
3093F   Doc new diag 1st/addl mdd      M   1    0000   0.0000   0.00   0.00   0.00
3095F   Central dexa results doc’d     M   1    0000   0.0000   0.00   0.00   0.00
3096F   Central dexa ordered           M   1    0000   0.0000   0.00   0.00   0.00
3100F   Image test ref carot diam      M   1    0000   0.0000   0.00   0.00   0.00


3110F   Pres/absn hmrgh/lesion doc'd   M   1    0000   0.0000   0.00   0.00   0.00
3111F   Ct/mri brain done w/in 24hrs   M   1    0000   0.0000   0.00   0.00   0.00
3112F   Ct/mri brain done gt 24hrs     M   1    0000   0.0000   0.00   0.00   0.00
3120F   12-lead ecg performed          M   1    0000   0.0000   0.00   0.00   0.00
3130F   Upper gi endoscopy performed   M   1    0000   0.0000   0.00   0.00   0.00
3132F   Doc ref upper gi endoscopy     M   1    0000   0.0000   0.00   0.00   0.00
3140F   Upper gi endo shows barrtt's   M   1    0000   0.0000   0.00   0.00   0.00
3141F   Upper gi endo not barrtt's     M   1    0000   0.0000   0.00   0.00   0.00
3142F   Barium swallow test ordered    M   1    0000   0.0000   0.00   0.00   0.00

3150F   Forceps esoph biopsy done      M    1   0000   0.0000   0.00   0.00   0.00
3155F   Cytogen test marrow b/4 tx     M   1    0000   0.0000   0.00   0.00   0.00
3160F   Doc fe+stores b/4 epo thx      M   1    0000   0.0000   0.00   0.00   0.00
3170F   Flow cyto done b/4 tx          M   1    0000   0.0000   0.00   0.00   0.00
3200F   Barium swallow test not req    M   1    0000   0.0000   0.00   0.00   0.00
3210F   Grp a strep test performed     M   1    0000   0.0000   0.00   0.00   0.00
3215F   Pt immunity to hep A doc'd     M   1    0000   0.0000   0.00   0.00   0.00
3216F   Pt immunity to hep B doc'd     M   1    0000   0.0000   0.00   0.00   0.00
3218F   Rna tstng hep c doc'd-done     M   1    0000   0.0000   0.00   0.00   0.00
3220F   Hep C quant rna tstng doc'd    M   1    0000   0.0000   0.00   0.00   0.00
3230F   Note hring tst w/in 6 mon      M   1    0000   0.0000   0.00   0.00   0.00
3260F   Pt cat/pn cat/hist grd doc'd   M   1    0000   0.0000   0.00   0.00   0.00
3265F   RNA tstng HepC vir ord/doc'd   M   1    0000   0.0000   0.00   0.00   0.00
3266F   HepC gn tstng doc'd b/4txmnt   M   1    0000   0.0000   0.00   0.00   0.00
3268F   PSA/T/G1Sc doc'd b/4 txmnt     M   1    0000   0.0000   0.00   0.00   0.00
3269F   Bone scn b/4 txmnt/aftr Dx     M   1    0000   0.0000   0.00   0.00   0.00
3270F   No bone scn b/4 txmnt/aftrDx   M   1    0000   0.0000   0.00   0.00   0.00
3271F   Low risk, prostate cancer      M   1    0000   0.0000   0.00   0.00   0.00
3272F   Med. risk, prostate cancer     M   1    0000   0.0000   0.00   0.00   0.00
3273F   High risk, prostate cancer     M   1    0000   0.0000   0.00   0.00   0.00
3274F   Prost Cncr rsk not lw/md/hgh   M   1    0000   0.0000   0.00   0.00   0.00
3278F   Serum lvls CA/iPTH/lpd ord     M   1    0000   0.0000   0.00   0.00   0.00
3279F   Hgb lvl >/=13 g/dL             M   1    0000   0.0000   0.00   0.00   0.00
3280F   Hgb lvl 11-12.9 g/dL           M   1    0000   0.0000   0.00   0.00   0.00
3281F   Hgb lvl <11 g/dL               M   1    0000   0.0000   0.00   0.00   0.00
3284F   IOP down >15% of pre-svc lvl   M   1    0000   0.0000   0.00   0.00   0.00
3285F   IOP down <15% of pre-svc lvl   M   1    0000   0.0000   0.00   0.00   0.00
3288F   Fall risk assessment doc'd     M   1    0000   0.0000   0.00   0.00   0.00
3290F   Pt=D(Rh)- and unsensitized     M   1    0000   0.0000   0.00   0.00   0.00
3291F   Pt=D(Rh)+or sensitized         M   1    0000   0.0000   0.00   0.00   0.00
3292F   HIV tstng asked/doc'd/revw'd   M   1    0000   0.0000   0.00   0.00   0.00
3300F   AJCC stage doc'd b/4 thxpy     M   1    0000   0.0000   0.00   0.00   0.00
3301F   Cancer stage doc'd, metast     M   1    0000   0.0000   0.00   0.00   0.00
3302F   AJCC stage 0 doc'd             M   1    0000   0.0000   0.00   0.00   0.00
3303F   AJCC stage IA doc'd            M   1    0000   0.0000   0.00   0.00   0.00
3304F   AJCC stage IB doc'd            M   1    0000   0.0000   0.00   0.00   0.00
3305F   AJCC stage IC doc'd            M   1    0000   0.0000   0.00   0.00   0.00
3306F   AJCC stage IIA doc'd           M   1    0000   0.0000   0.00   0.00   0.00
3307F   AJCC stage IIB doc'd           M   1    0000   0.0000   0.00   0.00   0.00
3308F   AJCC stage IIC doc'd           M   1    0000   0.0000   0.00   0.00   0.00
3309F   AJCC stage IIIA doc'd          M   1    0000   0.0000   0.00   0.00   0.00
3310F   AJCC stage IIIB doc'd          M   1    0000   0.0000   0.00   0.00   0.00
3311F   AJCC stage IIIC doc'd          M   1    0000   0.0000   0.00   0.00   0.00
3312F   AJCC stage IVA doc'd           M   1    0000   0.0000   0.00   0.00   0.00
3313F   AJCC stage IVB doc'd           E   1    0000   0.0000   0.00   0.00   0.00   X
3314F   AJCC stage IVC doc'd           E   1    0000   0.0000   0.00   0.00   0.00   X
3315F   ER +or PR +breast cancer       M   1    0000   0.0000   0.00   0.00   0.00
3316F   ER- or PR- breast cancer       M   1    0000   0.0000   0.00   0.00   0.00
3317F   Path rpt malig cancer doc'd    M   1    0000   0.0000   0.00   0.00   0.00
3318F   Path rpt malig cancer doc'd    M   1    0000   0.0000   0.00   0.00   0.00
3319F   X-ray/CT/Ultrsnd et al ord'd   M   1    0000   0.0000   0.00   0.00   0.00
3320F   No Xray/CT/ et al ord'd        M   1    0000   0.0000   0.00   0.00   0.00
3325F   Preop asses 4 cataract surg    M    1   0000   0.0000   0.00   0.00   0.00
4000F   Tobacco use txmnt counseling   M   1    0000   0.0000   0.00   0.00   0.00
4001F   Tobacco use txmnt, pharmacol   M   1    0000   0.0000   0.00   0.00   0.00
4002F   Statin therapy, rx             M   1    0000   0.0000   0.00   0.00   0.00
4003F   Pt ed write/oral, pts w/ hf    M   1    0000   0.0000   0.00   0.00   0.00
4005F   Pharm thx for op rx’d          M   1    0000   0.0000   0.00   0.00   0.00
4006F   Beta-blocker therapy, rx       M   1    0000   0.0000   0.00   0.00   0.00

4009F   ACE/ARB inhibitor therapy Rx   M   1    0000   0.0000   0.00   0.00   0.00
4011F   Oral antiplatelet tx, rx       M   1    0000   0.0000   0.00   0.00   0.00
4012F   Warfarin therapy rx            M   1    0000   0.0000   0.00   0.00   0.00
4014F   Written discharge instr prvd   M   1    0000   0.0000   0.00   0.00   0.00
4015F   Persist asthma medicine ctrl   M   1    0000   0.0000   0.00   0.00   0.00
4016F   Anti-inflm/anlgsc agent rx     M   1    0000   0.0000   0.00   0.00   0.00
4017F   Gi prophylaxis for nsaid rx    M   1    0000   0.0000   0.00   0.00   0.00
4018F   Therapy exercise joint rx      M   1    0000   0.0000   0.00   0.00   0.00
4019F   Doc recpt counsl vit d/calc+   M   1    0000   0.0000   0.00   0.00   0.00
4025F   Inhaled broncholidator rx      M   1    0000   0.0000   0.00   0.00   0.00
4030F   Oxygen therapy rx              M   1    0000   0.0000   0.00   0.00   0.00
4033F   Pulmonary rehab rec            M   1    0000   0.0000   0.00   0.00   0.00
4035F   Influenza imm rec              M   1    0000   0.0000   0.00   0.00   0.00
4037F   Influenza imm order/admin      M   1    0000   0.0000   0.00   0.00   0.00
4040F   Pneumoc imm order/admin        M   1    0000   0.0000   0.00   0.00   0.00
4041F   Doc order cefazolin/cefurox    M   1    0000   0.0000   0.00   0.00   0.00
4042F   doc antibio not given          M   1    0000   0.0000   0.00   0.00   0.00
4043F   Doc order given stop antibio   M   1    0000   0.0000   0.00   0.00   0.00
4044F   Doc order given vte prophylx   M   1    0000   0.0000   0.00   0.00   0.00
4045F   Empiric antibiotic rx          M   1    0000   0.0000   0.00   0.00   0.00
4046F   Doc antibio given b/4 surg     M   1    0000   0.0000   0.00   0.00   0.00
4047F   Doc antibio given b/4 surg     M   1    0000   0.0000   0.00   0.00   0.00
4048F   Doc antibio given b/4 surg     M   1    0000   0.0000   0.00   0.00   0.00
4049F   Doc order given stop antibio   M   1    0000   0.0000   0.00   0.00   0.00
4050F   Ht care plan doc               M   1    0000   0.0000   0.00   0.00   0.00
4051F   Referred for an AV fistula     M   1    0000   0.0000   0.00   0.00   0.00
4052F   Hemodialysis via AV fistula    M   1    0000   0.0000   0.00   0.00   0.00
4053F   Hemodialysis via av graft      M   1    0000   0.0000   0.00   0.00   0.00
4054F   Hemodialysis via catheter      M   1    0000   0.0000   0.00   0.00   0.00
4055F   Pt. rcvng periton dialysis     M   1    0000   0.0000   0.00   0.00   0.00
4056F   Approp. oral rehyd. recommÆd   M   1    0000   0.0000   0.00   0.00   0.00
4058F   Ped gastro ed given, caregvr   M   1    0000   0.0000   0.00   0.00   0.00
4060F   Psych svcs provided            M   1    0000   0.0000   0.00   0.00   0.00
4062F   Pt referral psych docÆd        M   1    0000   0.0000   0.00   0.00   0.00
4064F   Antidepressant rx              M   1    0000   0.0000   0.00   0.00   0.00
4065F   Antipsychotic rx               M   1    0000   0.0000   0.00   0.00   0.00
4066F   Ect provided                   M   1    0000   0.0000   0.00   0.00   0.00
4067F   Pt referral for ect docÆd      M   1    0000   0.0000   0.00   0.00   0.00
4070F   Dvt prophylx recv'd day 2      M   1    0000   0.0000   0.00   0.00   0.00
4073F   Oral Antiplat thx rx dischrg   M   1    0000   0.0000   0.00   0.00   0.00
4075F   Anticoag thx rx at dischrg     M   1    0000   0.0000   0.00   0.00   0.00
4077F   Doc t-pa admin considered      M   1    0000   0.0000   0.00   0.00   0.00
4079F   Doc rehab svcs considered      M   1    0000   0.0000   0.00   0.00   0.00
4084F   Aspirin recv'd w/in 24 hrs     M   1    0000   0.0000   0.00   0.00   0.00
4090F   Pt rcvng epo thxpy             M   1    0000   0.0000   0.00   0.00   0.00
4095F   Pt not rcvng epo thxpy         M   1    0000   0.0000   0.00   0.00   0.00
4100F   Biphos thxpy vein ord/rec'vd   M   1    0000   0.0000   0.00   0.00   0.00
4110F   Int. mam art used for cabg     M   1    0000   0.0000   0.00   0.00   0.00
4115F   Beta blckr admin w/in 24 hrs   M   1    0000   0.0000   0.00   0.00   0.00
4120F   Anitbiot rx'd/given            M   1    0000   0.0000   0.00   0.00   0.00
4124F   Anitbiot not rx'd/given        M   1    0000   0.0000   0.00   0.00   0.00
4130F   Topical prep rx, AOE           M    1   0000   0.0000   0.00   0.00   0.00
4131F   Syst antimicrobial thx rx      M   1    0000   0.0000   0.00   0.00   0.00
4132F   No syst antimicrobial thx rx   M   1    0000   0.0000   0.00   0.00   0.00
4133F   Antihist/decong rx/recom       M   1    0000   0.0000   0.00   0.00   0.00
4134F   No antihist/decong rx/recom    M   1    0000   0.0000   0.00   0.00   0.00
4135F   Systemic corticosteroids rx    M   1    0000   0.0000   0.00   0.00   0.00
4136F   Syst corticosteroids not rx    M   1    0000   0.0000   0.00   0.00   0.00
4150F   Pt recvng antivir txmnt hepc   M   1    0000   0.0000   0.00   0.00   0.00
4151F   Pt not recvng antiv hep c      M   1    0000   0.0000   0.00   0.00   0.00
4152F   Doc'd pegintf/rib thxy consd   M   1    0000   0.0000   0.00   0.00   0.00
4153F   Combo pegintf/rib rx           M   1    0000   0.0000   0.00   0.00   0.00
4154F   Hep A vac series recommended   M   1    0000   0.0000   0.00   0.00   0.00
4155F   Hep A vac series prev recvd    M   1    0000   0.0000   0.00   0.00   0.00
4156F   Hep B vac series recommended   M   1    0000   0.0000   0.00   0.00   0.00
4157F   Hep B vac series prev recvd    M   1    0000   0.0000   0.00   0.00   0.00
4158F   Pt edu re: alcoh drnkng done   M   1    0000   0.0000   0.00   0.00   0.00
4159F   Contrcp talk b/4 antiv txmnt   M   1    0000   0.0000   0.00   0.00   0.00
4163F   Pt couns. 4 txmnt opt, prost   M   1    0000   0.0000   0.00   0.00   0.00
4164F   Adjv hrmnl thxpy Rx'd          M   1    0000   0.0000   0.00   0.00   0.00
4165F   3D-CRT/IMRT received           M   1    0000   0.0000   0.00   0.00   0.00
4167F   Hd Bed tilted, 1st day vent    M   1    0000   0.0000   0.00   0.00   0.00
4168F   Pt care, ICU&vent w/in 24hrs   M   1    0000   0.0000   0.00   0.00   0.00
4169F   No pt care ICU/vent in 24hrs   M   1    0000   0.0000   0.00   0.00   0.00
4171F   Pt. rcvng ESA thxpy            M   1    0000   0.0000   0.00   0.00   0.00
4172F   Pt. not rcvng ESA thxpy        M   1    0000   0.0000   0.00   0.00   0.00
4174F   Couns., potent. Glauc impct    M   1    0000   0.0000   0.00   0.00   0.00
4175F   Vis of >=20/40 w/in 90 days    M   1    0000   0.0000   0.00   0.00   0.00
4176F   Talk re UV light, pt/crgvr     M   1    0000   0.0000   0.00   0.00   0.00
4177F   Talk pt/crgvr re: AREDS,prev   M   1    0000   0.0000   0.00   0.00   0.00
4178F   AntiD glbln rcv'd w/in 26wks   M   1    0000   0.0000   0.00   0.00   0.00
4179F   Tamoxifen/AI prescribed        M   1    0000   0.0000   0.00   0.00   0.00
4180F   Adjv thxpyRx'd/rcv'd Stg3A-C   M   1    0000   0.0000   0.00   0.00   0.00
4181F   Conformal rad'n thxpy rcv'd    M   1    0000   0.0000   0.00   0.00   0.00
4182F   No conformal rad'n thxpy       M   1    0000   0.0000   0.00   0.00   0.00
4185F   Continuous PPI or H2RA rcv'd   M   1    0000   0.0000   0.00   0.00   0.00
4186F   No Cont. PPI or H2RA rcv'd     M   1    0000   0.0000   0.00   0.00   0.00
4187F   Anti rheum DrugthxpyRx'd/gvn   M   1    0000   0.0000   0.00   0.00   0.00
4188F   Approp ACE/ARB tstng done      M   1    0000   0.0000   0.00   0.00   0.00
4189F   Approp dogoxin tstng done      M   1    0000   0.0000   0.00   0.00   0.00
4190F   Approp diuretic tstng done     M   1    0000   0.0000   0.00   0.00   0.00
4191F   Approp anticonvuls tstng       M   1    0000   0.0000   0.00   0.00   0.00
4200F   External beam to prost only    M   1    0000   0.0000   0.00   0.00   0.00
4201F   Extrnl beam other than prost   M   1    0000   0.0000   0.00   0.00   0.00
4210F   ACE/ARB thxpy for >= 6 mons    M   1    0000   0.0000   0.00   0.00   0.00
4220F   Digoxin thxpy for >= 6 mons    M   1    0000   0.0000   0.00   0.00   0.00
4221F   Diuretic thxpy for >= 6 mons   M   1    0000   0.0000   0.00   0.00   0.00
4230F   Anticonv thxpy for >= 6 mons   M    1   0000   0.0000   0.00   0.00   0.00
5005F   Pt counsld on exam for moles   M   1    0000   0.0000   0.00   0.00   0.00
5010F   Macul+fndngs to dr mng dm      M   1    0000   0.0000   0.00   0.00   0.00
5015F   Doc fx & test/txmnt for op     M   1    0000   0.0000   0.00   0.00   0.00
5020F   Txmnts 2 main Dr by 1 mon      M    1   0000   0.0000   0.00   0.00   0.00
5050F   Plan 2 main Dr. by 1 month     M    1   0000   0.0000   0.00   0.00   0.00
6005F   Care level rationale doc       M   1    0000   0.0000   0.00   0.00   0.00
6010F   dysphag test done b/4 eating   M   1    0000   0.0000   0.00   0.00   0.00
6015F   Dysphag test done b/4 eating   M   1    0000   0.0000   0.00   0.00   0.00
6020F   NPO (nothing-mouth) ordered    M   1    0000   0.0000   0.00   0.00   0.00
6030F   Max sterile barriers follw'd   M    1   0000   0.0000   0.00   0.00   0.00
7010F   Pt info into recall system     M    1   0000   0.0000   0.00   0.00   0.00
A0021   Outside state ambulance serv   E   1    0000   0.0000   0.00   0.00   0.00
A0080   Noninterest escort in non er   E   1    0000   0.0000   0.00   0.00   0.00
A0090   Interest escort in non er      E   1    0000   0.0000   0.00   0.00   0.00
A0100   Nonemergency transport taxi    E   1    0000   0.0000   0.00   0.00   0.00
A0110   Nonemergency transport bus     E   1    0000   0.0000   0.00   0.00   0.00
A0120   Noner transport mini-bus       E   1    0000   0.0000   0.00   0.00   0.00
A0130   Noner transport wheelch van    E   1    0000   0.0000   0.00   0.00   0.00
A0140   Nonemergency transport air     E   1    0000   0.0000   0.00   0.00   0.00
A0160   Noner transport case worker    E   1    0000   0.0000   0.00   0.00   0.00
A0170   Transport parking fees/tolls   E   1    0000   0.0000   0.00   0.00   0.00
A0180   Noner transport lodgng recip   E   1    0000   0.0000   0.00   0.00   0.00
A0190   Noner transport meals recip    E   1    0000   0.0000   0.00   0.00   0.00
A0200   Noner transport lodgng escrt   E   1    0000   0.0000   0.00   0.00   0.00
A0210   Noner transport meals escort   E   1    0000   0.0000   0.00   0.00   0.00
A0225   Neonatal emergency transport   E   1    0000   0.0000   0.00   0.00   0.00
A0380   Basic life support mileage     E   1    0000   0.0000   0.00   0.00   0.00
A0382   Basic support routine suppls   A   1    0000   0.0000   0.00   0.00   0.00
A0384   Bls defibrillation supplies    A   1    0000   0.0000   0.00   0.00   0.00
A0390   Advanced life support mileag   E   1    0000   0.0000   0.00   0.00   0.00
A0392   Als defibrillation supplies    A   1    0000   0.0000   0.00   0.00   0.00
A0394   Als IV drug therapy supplies   A   1    0000   0.0000   0.00   0.00   0.00
A0396   Als esophageal intub suppls    A   1    0000   0.0000   0.00   0.00   0.00
A0398   Als routine disposble suppls   A   1    0000   0.0000   0.00   0.00   0.00
A0420   Ambulance waiting 1/2 hr       A   1    0000   0.0000   0.00   0.00   0.00
A0422   Ambulance 02 life sustaining   A   1    0000   0.0000   0.00   0.00   0.00
A0424   Extra ambulance attendant      A   1    0000   0.0000   0.00   0.00   0.00
A0425   Ground mileage                 A   1    0000   0.0000   0.00   0.00   0.00
A0426   Als 1                          A   1    0000   0.0000   0.00   0.00   0.00
A0427   ALS1-emergency                 A   1    0000   0.0000   0.00   0.00   0.00
A0428   bls                            A   1    0000   0.0000   0.00   0.00   0.00
A0429   BLS-emergency                  A   1    0000   0.0000   0.00   0.00   0.00
A0430   Fixed wing air transport       A   1    0000   0.0000   0.00   0.00   0.00
A0431   Rotary wing air transport      A   1    0000   0.0000   0.00   0.00   0.00
A0432   PI volunteer ambulance co      A   1    0000   0.0000   0.00   0.00   0.00
A0433   als 2                          A   1    0000   0.0000   0.00   0.00   0.00
A0434   Specialty care transport       A   1    0000   0.0000   0.00   0.00   0.00
A0435   Fixed wing air mileage         A   1    0000   0.0000   0.00   0.00   0.00
A0436   Rotary wing air mileage        A   1    0000   0.0000   0.00   0.00   0.00
A0888   Noncovered ambulance mileage   E   1    0000   0.0000   0.00   0.00   0.00
A0998   Ambulance response/treatment   E   1    0000   0.0000   0.00   0.00   0.00
A0999   Unlisted ambulance service     A   1    0000   0.0000   0.00   0.00   0.00
A4206   1 CC sterile syringe&needle    E   3    0000   0.0000   M01    M01    M01
A4207   2 CC sterile syringe&needle    E   3    0000   0.0000   M01    M01    M01
A4208   3 CC sterile syringe&needle    E   3    0000   0.0000   M01    M01    M01
A4209   5+ CC sterile syringe&needle   E   3    0000   0.0000   M01    M01    M01
A4210   Nonneedle injection device     E   1    0000   0.0000   0.00   0.00   0.00
A4211   Supp for self-adm injections   E   1    0000   0.0000   0.00   0.00   0.00
A4212   Non coring needle or stylet    B   B    0000   0.0000   0.00   0.00   0.00
A4213   20+ CC syringe only            E   3    0000   0.0000   M01    M01    M01
A4215   Sterile needle                 E   3    0000   0.0000   M01    M01    M01
A4216   Sterile water/saline, 10 ml    A   3    0000   0.0000   M01    M01    M01
A4217   Sterile water/saline, 500 ml   A   3    0000   0.0000   M01    M01    M01
A4218   Sterile saline or water        N   N    0000   0.0000   0.00   0.00   0.00
A4220   Infusion pump refill kit       N   N    0000   0.0000   0.00   0.00   0.00
A4221   Maint drug infus cath per wk   Y   Y    0000   0.0000   0.00   0.00   0.00
A4222   Infusion supplies with pump    Y   Y    0000   0.0000   0.00   0.00   0.00
A4223   Infusion supplies w/o pump     E   Y    0000   0.0000   0.00   0.00   0.00
A4230   Infus insulin pump non needl   Y   Y    0000   0.0000   0.00   0.00   0.00
A4231   Infusion insulin pump needle   Y   Y    0000   0.0000   0.00   0.00   0.00
A4232   Syringe w/needle insulin 3cc   E   Y    0000   0.0000   0.00   0.00   0.00
A4233   Alkalin batt for glucose mon   Y   Y    0000   0.0000   0.00   0.00   0.00
A4234   J-cell batt for glucose mon    Y   Y    0000   0.0000   0.00   0.00   0.00
A4235   Lithium batt for glucose mon   Y   Y    0000   0.0000   0.00   0.00   0.00
A4236   Silvr oxide batt glucose mon   Y   Y    0000   0.0000   0.00   0.00   0.00
A4244   Alcohol or peroxide per pint   E   3    0000   0.0000   M01    M01    M01
A4245   Alcohol wipes per box          E   3    0000   0.0000   M01    M01    M01
A4246   Betadine/phisohex solution     E   3    0000   0.0000   M01    M01    M01
A4247   Betadine/iodine swabs/wipes    E   3    0000   0.0000   M01    M01    M01
A4248   Chlorhexidine antisept         N   1    0000   0.0000   0.00   0.00   0.00
A4250   Urine reagent strips/tablets   E   3    0000   0.0000   M01    M01    M01
A4252   Blood ketone test or strip     E    1   0000   0.0000   0.00   0.00   0.00
A4253   Blood glucose/reagent strips   Y   Y    0000   0.0000   0.00   0.00   0.00
A4255   Glucose monitor platforms      Y   Y    0000   0.0000   0.00   0.00   0.00
A4256   Calibrator solution/chips      Y   Y    0000   0.0000   0.00   0.00   0.00
A4257   Replace Lensshield Cartridge   Y   Y    0000   0.0000   0.00   0.00   0.00
A4258   Lancet device each             Y   Y    0000   0.0000   0.00   0.00   0.00
A4259   Lancets per box                Y   Y    0000   0.0000   0.00   0.00   0.00
A4261   Cervical cap contraceptive     E   3    0000   0.0000   M01    M01    M01
A4262   Temporary tear duct plug       N   1    0000   0.0000   0.00   0.00   0.00
A4263   Permanent tear duct plug       N   1    0000   0.0000   0.00   0.00   0.00
A4265   Paraffin                       Y   Y    0000   0.0000   0.00   0.00   0.00
A4266   Diaphragm                      E   3    0000   0.0000   M01    M01    M01
A4267   Male condom                    E   3    0000   0.0000   M01    M01    M01
A4268   Female condom                  E   3    0000   0.0000   M01    M01    M01
A4269   Spermicide                     E   3    0000   0.0000   M01    M01    M01
A4270   Disposable endoscope sheath    N   1    0000   0.0000   0.00   0.00   0.00
A4280   Brst prsths adhsv attchmnt     A   3    0000   0.0000   M01    M01    M01
A4281   Replacement breastpump tube    E   3    0000   0.0000   M01    M01    M01
A4282   Replacement breastpump adpt    E   3    0000   0.0000   M01    M01    M01
A4283   Replacement breastpump cap     E   3    0000   0.0000   M01    M01    M01
A4284   Replcmnt breast pump shield    E   3    0000   0.0000   M01    M01    M01
A4285   Replcmnt breast pump bottle    E   3    0000   0.0000   M01    M01    M01
A4286   Replcmnt breastpump lok ring   E   3    0000   0.0000   M01    M01    M01
A4290   Sacral nerve stim test lead    B   1    0000   0.0000   0.00   0.00   0.00
A4300   Cath impl vasc access portal   N   N    0000   0.0000   0.00   0.00   0.00
A4301   Implantable access syst perc   N   N    0000   0.0000   0.00   0.00   0.00
A4305   Drug delivery system >=50 ML   N   N    0000   0.0000   0.00   0.00   0.00
A4306   Drug delivery system <=5 ML    N   N    0000   0.0000   0.00   0.00   0.00
A4310   Insert tray w/o bag/cath       A   3    0000   0.0000   M01    M01    M01
A4311   Catheter w/o bag 2-way latex   A   3    0000   0.0000   M01    M01    M01
A4312   Cath w/o bag 2-way silicone    A   3    0000   0.0000   M01    M01    M01
A4313   Catheter w/bag 3-way           A   3    0000   0.0000   M01    M01    M01
A4314   Cath w/drainage 2-way latex    A   3    0000   0.0000   M01    M01    M01
A4315   Cath w/drainage 2-way silcne   A   3    0000   0.0000   M01    M01    M01
A4316   Cath w/drainage 3-way          A   3    0000   0.0000   M01    M01    M01
A4320   Irrigation tray                A   3    0000   0.0000   M01    M01    M01
A4321   Cath therapeutic irrig agent   A   3    0000   0.0000   M01    M01    M01
A4322   Irrigation syringe             A   3    0000   0.0000   M01    M01    M01
A4326   Male external catheter         A   3    0000   0.0000   M01    M01    M01
A4327   Fem urinary collect dev cup    A   1    0000   0.0000   0.00   0.00   0.00
A4328   Fem urinary collect pouch      A   3    0000   0.0000   M01    M01    M01
A4330   Stool collection pouch         A   3    0000   0.0000   M01    M01    M01
A4331   Extension drainage tubing      A   3    0000   0.0000   M01    M01    M01
A4332   Lube sterile packet            A   3    0000   0.0000   M01    M01    M01
A4333   Urinary cath anchor device     A   3    0000   0.0000   M01    M01    M01
A4334   Urinary cath leg strap         A   3    0000   0.0000   M01    M01    M01
A4335   Incontinence supply            A   1    0000   0.0000   0.00   0.00   0.00
A4338   Indwelling catheter latex      A   3    0000   0.0000   M01    M01    M01
A4340   Indwelling catheter special    A   3    0000   0.0000   M01    M01    M01
A4344   Cath indw foley 2 way silicn   A   3    0000   0.0000   M01    M01    M01
A4346   Cath indw foley 3 way          A   3    0000   0.0000   M01    M01    M01
A4349   Disposable male external cat   A   3    0000   0.0000   M01    M01    M01
A4351   Straight tip urine catheter    A   3    0000   0.0000   M01    M01    M01
A4352   Coude tip urinary catheter     A   3    0000   0.0000   M01    M01    M01
A4353   Intermittent urinary cath      A   3    0000   0.0000   M01    M01    M01
A4354   Cath insertion tray w/bag      A   3    0000   0.0000   M01    M01    M01
A4355   Bladder irrigation tubing      A   3    0000   0.0000   M01    M01    M01
A4356   Ext ureth clmp or compr dvc    A   3    0000   0.0000   M01    M01    M01
A4357   Bedside drainage bag           A   3    0000   0.0000   M01    M01    M01
A4358   Urinary leg or abdomen bag     A   3    0000   0.0000   M01    M01    M01
A4361   Ostomy face plate              A   3    0000   0.0000   M01    M01    M01
A4362   Solid skin barrier             A   3    0000   0.0000   M01    M01    M01
A4363   Ostomy clamp, replacement      A   3    0000   0.0000   M01    M01    M01
A4364   Adhesive, liquid or equal      A   3    0000   0.0000   M01    M01    M01
A4365   Adhesive remover wipes         A   3    0000   0.0000   M01    M01    M01
A4366   Ostomy vent                    A   3    0000   0.0000   M01    M01    M01
A4367   Ostomy belt                    A   3    0000   0.0000   M01    M01    M01
A4368   Ostomy filter                  A   3    0000   0.0000   M01    M01    M01
A4369   Skin barrier liquid per oz     A   3    0000   0.0000   M01    M01    M01
A4371   Skin barrier powder per oz     A   3    0000   0.0000   M01    M01    M01
A4372   Skin barrier solid 4x4 equiv   A   3    0000   0.0000   M01    M01    M01
A4373   Skin barrier with flange       A   3    0000   0.0000   M01    M01    M01
A4375   Drainable plastic pch w fcpl   A   3    0000   0.0000   M01    M01    M01
A4376   Drainable rubber pch w fcplt   A   3    0000   0.0000   M01    M01    M01
A4377   Drainable plstic pch w/o fp    A   3    0000   0.0000   M01    M01    M01
A4378   Drainable rubber pch w/o fp    A   3    0000   0.0000   M01    M01    M01
A4379   Urinary plastic pouch w fcpl   A   3    0000   0.0000   M01    M01    M01
A4380   Urinary rubber pouch w fcplt   A   3    0000   0.0000   M01    M01    M01
A4381   Urinary plastic pouch w/o fp   A   3    0000   0.0000   M01    M01    M01
A4382   Urinary hvy plstc pch w/o fp   A   3    0000   0.0000   M01    M01    M01
A4383   Urinary rubber pouch w/o fp    A   3    0000   0.0000   M01    M01    M01
A4384   Ostomy faceplt/silicone ring   A   3    0000   0.0000   M01    M01    M01
A4385   Ost skn barrier sld ext wear   A   3    0000   0.0000   M01    M01    M01
A4387   Ost clsd pouch w att st barr   A   3    0000   0.0000   M01    M01    M01
A4388   Drainable pch w ex wear barr   A   3    0000   0.0000   M01    M01    M01
A4389   Drainable pch w st wear barr   A   3    0000   0.0000   M01    M01    M01
A4390   Drainable pch ex wear convex   A   3    0000   0.0000   M01    M01    M01
A4391   Urinary pouch w ex wear barr   A   3    0000   0.0000   M01    M01    M01
A4392   Urinary pouch w st wear barr   A   3    0000   0.0000   M01    M01    M01
A4393   Urine pch w ex wear bar conv   A   3    0000   0.0000   M01    M01    M01
A4394   Ostomy pouch liq deodorant     A   3    0000   0.0000   M01    M01    M01
A4395   Ostomy pouch solid deodorant   A   3    0000   0.0000   M01    M01    M01
A4396   Peristomal hernia supprt blt   A   3    0000   0.0000   M01    M01    M01
A4397   Irrigation supply sleeve       A   3    0000   0.0000   M01    M01    M01
A4398   Ostomy irrigation bag          A   3    0000   0.0000   M01    M01    M01
A4399   Ostomy irrig cone/cath w brs   A   3    0000   0.0000   M01    M01    M01
A4400   Ostomy irrigation set          A   3    0000   0.0000   M01    M01    M01
A4402   Lubricant per ounce            A   3    0000   0.0000   M01    M01    M01
A4404   Ostomy ring each               A   3    0000   0.0000   M01    M01    M01
A4405   Nonpectin based ostomy paste   A   3    0000   0.0000   M01    M01    M01
A4406   Pectin based ostomy paste      A   3    0000   0.0000   M01    M01    M01
A4407   Ext wear ost skn barr <=4sq”   A   3    0000   0.0000   M01    M01    M01
A4408   Ext wear ost skn barr >4sq”    A   3    0000   0.0000   M01    M01    M01
A4409   Ost skn barr w flng <=4 sq”    A   3    0000   0.0000   M01    M01    M01
A4410   Ost skn barr w flng >4sq”      A   3    0000   0.0000   M01    M01    M01
A4411   Ost skn barr extnd =4sq        A   3    0000   0.0000   M01    M01    M01
A4412   Ost pouch drain high output    A   3    0000   0.0000   M01    M01    M01
A4413   2 pc drainable ost pouch       A   3    0000   0.0000   M01    M01    M01
A4414   Ostomy sknbarr w flng <=4sq”   A   3    0000   0.0000   M01    M01    M01
A4415   Ostomy skn barr w flng >4sq”   A   3    0000   0.0000   M01    M01    M01
A4416   Ost pch clsd w barrier/filtr   A   3    0000   0.0000   M01    M01    M01
A4417   Ost pch w bar/bltinconv/fltr   A   3    0000   0.0000   M01    M01    M01
A4418   Ost pch clsd w/o bar w filtr   A   3    0000   0.0000   M01    M01    M01
A4419   Ost pch for bar w flange/flt   A   3    0000   0.0000   M01    M01    M01
A4420   Ost pch clsd for bar w lk fl   A   1    0000   0.0000   0.00   0.00   0.00
A4421   Ostomy supply misc             E   3    0000   0.0000   M01    M01    M01
A4422   Ost pouch absorbent material   A   3    0000   0.0000   M01    M01    M01
A4423   Ost pch for bar w lk fl/fltr   A   3    0000   0.0000   M01    M01    M01
A4424   Ost pch drain w bar & filter   A   3    0000   0.0000   M01    M01    M01
A4425   Ost pch drain for barrier fl   A   3    0000   0.0000   M01    M01    M01
A4426   Ost pch drain 2 piece system   A   3    0000   0.0000   M01    M01    M01
A4427   Ost pch drain/barr lk flng/f   A   3    0000   0.0000   M01    M01    M01
A4428   Urine ost pouch w faucet/tap   A   3    0000   0.0000   M01    M01    M01
A4429   Urine ost pouch w bltinconv    A   3    0000   0.0000   M01    M01    M01
A4430   Ost urine pch w b/bltin conv   A   3    0000   0.0000   M01    M01    M01
A4431   Ost pch urine w barrier/tapv   A   3    0000   0.0000   M01    M01    M01
A4432   Os pch urine w bar/fange/tap   A   3    0000   0.0000   M01    M01    M01
A4433   Urine ost pch bar w lock fln   A   3    0000   0.0000   M01    M01    M01
A4434   Ost pch urine w lock flng/ft   A   3    0000   0.0000   M01    M01    M01
A4450   Non-waterproof tape            A   3    0000   0.0000   M01    M01    M01
A4452   Waterproof tape                A   3    0000   0.0000   M01    M01    M01
A4455   Adhesive remover per ounce     A   3    0000   0.0000   M01    M01    M01
A4458   Reusable enema bag             E   3    0000   0.0000   M01    M01    M01
A4461   Surgicl dress hold non-reuse   A   3    0000   0.0000   M01    M01    M01
A4463   Surgical dress holder reuse    A   3    0000   0.0000   M01    M01    M01
A4465   Non-elastic extremity binder   A   3    0000   0.0000   M01    M01    M01
A4470   Gravlee jet washer             A   1    0000   0.0000   0.00   0.00   0.00
A4480   Vabra aspirator                A   1    0000   0.0000   0.00   0.00   0.00
A4481   Tracheostoma filter            A   3    0000   0.0000   M01    M01    M01
A4483   Moisture exchanger             A   1    0000   0.0000   0.00   0.00   0.00
A4490   Above knee surgical stocking   E   3    0000   0.0000   M01    M01    M01
A4495   Thigh length surg stocking     E   3    0000   0.0000   M01    M01    M01
A4500   Below knee surgical stocking   E   3    0000   0.0000   M01    M01    M01
A4510   Full length surg stocking      E   3    0000   0.0000   M01    M01    M01
A4520   Incontinence garment anytype   E   1    0000   0.0000   0.00   0.00   0.00
A4550   Surgical trays                 B   B    0000   0.0000   0.00   0.00   0.00
A4554   Disposable underpads           E   3    0000   0.0000   M01    M01    M01
A4556   Electrodes, pair               Y   Y    0000   0.0000   0.00   0.00   0.00
A4557   Lead wires, pair               Y   Y    0000   0.0000   0.00   0.00   0.00
A4558   Conductive paste or gel        Y   Y    0000   0.0000   0.00   0.00   0.00
A4559   Coupling gel or paste          Y   Y    0000   0.0000   0.00   0.00   0.00
A4561   Pessary rubber, any type       N   N    0000   0.0000   0.00   0.00   0.00
A4562   Pessary, non rubber,any type   N   N    0000   0.0000   0.00   0.00   0.00
A4565   Slings                         A   3    0000   0.0000   M01    M01    M01
A4570   Splint                         E   1    0000   0.0000   0.00   0.00   0.00
A4575   Hyperbaric o2 chamber disps    E   1    0000   0.0000   0.00   0.00   0.00
A4580   Cast supplies (plaster)        E   1    0000   0.0000   0.00   0.00   0.00
A4590   Special casting material       E   1    0000   0.0000   0.00   0.00   0.00
A4595   TENS suppl 2 lead per month    Y   Y    0000   0.0000   0.00   0.00   0.00
A4600   Sleeve, inter limb comp dev    Y   1    0000   0.0000   0.00   0.00   0.00
A4601   Lith ion batt, non-pros use    Y   1    0000   0.0000   0.00   0.00   0.00
A4604   Tubing with heating element    Y   Y    0000   0.0000   0.00   0.00   0.00
A4605   Trach suction cath close sys   Y   Y    0000   0.0000   0.00   0.00   0.00
A4606   Oxygen probe used w oximeter   A   3    0000   0.0000   M01    M01    M01
A4608   Transtracheal oxygen cath      Y   Y    0000   0.0000   0.00   0.00   0.00
A4611   Heavy duty battery             Y   Y    0000   0.0000   0.00   0.00   0.00
A4612   Battery cables                 Y   Y    0000   0.0000   0.00   0.00   0.00
A4613   Battery charger                Y   Y    0000   0.0000   0.00   0.00   0.00
A4614   Hand-held PEFR meter           N   N    0000   0.0000   0.00   0.00   0.00
A4615   Cannula nasal                  Y   Y    0000   0.0000   0.00   0.00   0.00
A4616   Tubing (oxygen) per foot       Y   Y    0000   0.0000   0.00   0.00   0.00
A4617   Mouth piece                    Y   Y    0000   0.0000   0.00   0.00   0.00
A4618   Breathing circuits             Y   Y    0000   0.0000   0.00   0.00   0.00
A4619   Face tent                      Y   Y    0000   0.0000   0.00   0.00   0.00
A4620   Variable concentration mask    Y   Y    0000   0.0000   0.00   0.00   0.00
A4623   Tracheostomy inner cannula     A   3    0000   0.0000   M01    M01    M01
A4624   Tracheal suction tube          Y   Y    0000   0.0000   0.00   0.00   0.00
A4625   Trach care kit for new trach   A   3    0000   0.0000   M01    M01    M01
A4626   Tracheostomy cleaning brush    A   3    0000   0.0000   M01    M01    M01
A4627   Spacer bag/reservoir           E   3    0000   0.0000   M01    M01    M01
A4628   Oropharyngeal suction cath     Y   Y    0000   0.0000   0.00   0.00   0.00
A4629   Tracheostomy care kit          A   3    0000   0.0000   M01    M01    M01
A4630   Repl bat t.e.n.s. own by pt    Y   Y    0000   0.0000   0.00   0.00   0.00
A4633   Uvl replacement bulb           Y   Y    0000   0.0000   0.00   0.00   0.00
A4634   Replacement bulb th lightbox   A   1    0000   0.0000   0.00   0.00   0.00
A4635   Underarm crutch pad            Y   Y    0000   0.0000   0.00   0.00   0.00
A4636   Handgrip for cane etc          Y   Y    0000   0.0000   0.00   0.00   0.00
A4637   Repl tip cane/crutch/walker    Y   Y    0000   0.0000   0.00   0.00   0.00
A4638   Repl batt pulse gen sys        Y   1    0000   0.0000   0.00   0.00   0.00
A4639   Infrared ht sys replcmnt pad   Y   Y    0000   0.0000   0.00   0.00   0.00
A4640   Alternating pressure pad       Y   Y    0000   0.0000   0.00   0.00   0.00
A4641   Diagnostic imaging agent       N   N    0000   0.0000   0.00   0.00   0.00
A4642   Satumomab pendetide per dose   N   N    0000   0.0000   0.00   0.00   0.00
A4648   Implantable tissue marker      N    N   0000   0.0000   0.00   0.00   0.00
A4649   Surgical supplies              A   1    0000   0.0000   0.00   0.00   0.00
A4650   Implant radiation dosimeter    N    N   0000   0.0000   0.00   0.00   0.00
A4651   Calibrated microcap tube       A   1    0000   0.0000   0.00   0.00   0.00
A4652   Microcapillary tube sealant    A   1    0000   0.0000   0.00   0.00   0.00
A4653   PD catheter anchor belt        A   1    0000   0.0000   0.00   0.00   0.00
A4657   Syringe w/wo needle            A   1    0000   0.0000   0.00   0.00   0.00
A4660   Sphyg/bp app w cuff and stet   A   3    0000   0.0000   M01    M01    M01
A4663   Dialysis blood pressure cuff   A   3    0000   0.0000   M01    M01    M01
A4670   Automatic bp monitor, dial     E   3    0000   0.0000   M01    M01    M01
A4671   Disposable cycler set          B   1    0000   0.0000   0.00   0.00   0.00
A4672   Drainage ext line, dialysis    B   1    0000   0.0000   0.00   0.00   0.00
A4673   Ext line w easy lock connect   B   1    0000   0.0000   0.00   0.00   0.00
A4674   Chem/antisept solution, 8oz    B   1    0000   0.0000   0.00   0.00   0.00
A4680   Activated carbon filter, ea    A   1    0000   0.0000   0.00   0.00   0.00
A4690   Dialyzer, each                 A   1    0000   0.0000   0.00   0.00   0.00
A4706   Bicarbonate conc sol per gal   A   1    0000   0.0000   0.00   0.00   0.00
A4707   Bicarbonate conc pow per pac   A   1    0000   0.0000   0.00   0.00   0.00
A4708   Acetate conc sol per gallon    A   1    0000   0.0000   0.00   0.00   0.00
A4709   Acid conc sol per gallon       A   1    0000   0.0000   0.00   0.00   0.00
A4714   Treated water per gallon       A   1    0000   0.0000   0.00   0.00   0.00
A4719   "Y set" tubing                 A   1    0000   0.0000   0.00   0.00   0.00
A4720   Dialysat sol fld vol > 249cc   A   1    0000   0.0000   0.00   0.00   0.00
A4721   Dialysat sol fld vol > 999cc   A   1    0000   0.0000   0.00   0.00   0.00
A4722   Dialys sol fld vol > 1999cc    A   1    0000   0.0000   0.00   0.00   0.00
A4723   Dialys sol fld vol > 2999cc    A   1    0000   0.0000   0.00   0.00   0.00
A4724   Dialys sol fld vol > 3999cc    A   1    0000   0.0000   0.00   0.00   0.00
A4725   Dialys sol fld vol > 4999cc    A   1    0000   0.0000   0.00   0.00   0.00
A4726   Dialys sol fld vol > 5999cc    A   1    0000   0.0000   0.00   0.00   0.00
A4728   Dialysate solution, non-dex    B   1    0000   0.0000   0.00   0.00   0.00
A4730   Fistula cannulation set, ea    A   1    0000   0.0000   0.00   0.00   0.00
A4736   Topical anesthetic, per gram   A   1    0000   0.0000   0.00   0.00   0.00
A4737   Inj anesthetic per 10 ml       A   1    0000   0.0000   0.00   0.00   0.00
A4740   Shunt accessory                A   1    0000   0.0000   0.00   0.00   0.00
A4750   Art or venous blood tubing     A   1    0000   0.0000   0.00   0.00   0.00
A4755   Comb art/venous blood tubing   A   1    0000   0.0000   0.00   0.00   0.00
A4760   Dialysate sol test kit, each   A   1    0000   0.0000   0.00   0.00   0.00
A4765   Dialysate conc pow per pack    A   1    0000   0.0000   0.00   0.00   0.00
A4766   Dialysate conc sol add 10 ml   A   1    0000   0.0000   0.00   0.00   0.00
A4770   Blood collection tube/vacuum   A   1    0000   0.0000   0.00   0.00   0.00
A4771   Serum clotting time tube       A   1    0000   0.0000   0.00   0.00   0.00
A4772   Blood glucose test strips      A   3    0000   0.0000   M01    M01    M01
A4773   Occult blood test strips       A   3    0000   0.0000   M01    M01    M01
A4774   Ammonia test strips            A   1    0000   0.0000   0.00   0.00   0.00
A4802   Protamine sulfate per 50 mg    A   1    0000   0.0000   0.00   0.00   0.00
A4860   Disposable catheter tips       A   1    0000   0.0000   0.00   0.00   0.00
A4870   Plumb/elec wk hm hemo equip    A   1    0000   0.0000   0.00   0.00   0.00
A4890   Repair/maint cont hemo equip   A   1    0000   0.0000   0.00   0.00   0.00
A4911   Drain bag/bottle               A   1    0000   0.0000   0.00   0.00   0.00
A4913   Misc dialysis supplies noc     A   1    0000   0.0000   0.00   0.00   0.00
A4918   Venous pressure clamp          A   1    0000   0.0000   0.00   0.00   0.00
A4927   Non-sterile gloves             A   3    0000   0.0000   M01    M01    M01
A4928   Surgical mask                  A   1    0000   0.0000   0.00   0.00   0.00
A4929   Tourniquet for dialysis, ea    A   1    0000   0.0000   0.00   0.00   0.00
A4930   Sterile, gloves per pair       A   3    0000   0.0000   M01    M01    M01
A4931   Reusable oral thermometer      A   3    0000   0.0000   M01    M01    M01
A4932   Reusable rectal thermometer    E   3    0000   0.0000   M01    M01    M01
A5051   Pouch clsd w barr attached     A   3    0000   0.0000   M01    M01    M01
A5052   Clsd ostomy pouch w/o barr     A   3    0000   0.0000   M01    M01    M01
A5053   Clsd ostomy pouch faceplate    A   3    0000   0.0000   M01    M01    M01
A5054   Clsd ostomy pouch w/flange     A   3    0000   0.0000   M01    M01    M01
A5055   Stoma cap                      A   3    0000   0.0000   M01    M01    M01
A5061   Pouch drainable w barrier at   A   3    0000   0.0000   M01    M01    M01
A5062   Drnble ostomy pouch w/o barr   A   3    0000   0.0000   M01    M01    M01
A5063   Drain ostomy pouch w/flange    A   3    0000   0.0000   M01    M01    M01
A5071   Urinary pouch w/barrier        A   3    0000   0.0000   M01    M01    M01
A5072   Urinary pouch w/o barrier      A   3    0000   0.0000   M01    M01    M01
A5073   Urinary pouch on barr w/flng   A   3    0000   0.0000   M01    M01    M01
A5081   Continent stoma plug           A   3    0000   0.0000   M01    M01    M01
A5082   Continent stoma catheter       A   3    0000   0.0000   M01    M01    M01
A5083   Stoma absorptive cover         A    1   0000   0.0000   0.00   0.00   0.00
A5093   Ostomy accessory convex inse   A   3    0000   0.0000   M01    M01    M01
A5102   Bedside drain btl w/wo tube    A   3    0000   0.0000   M01    M01    M01
A5105   Urinary suspensory             A   3    0000   0.0000   M01    M01    M01
A5112   Urinary leg bag                A   3    0000   0.0000   M01    M01    M01
A5113   Latex leg strap                A   3    0000   0.0000   M01    M01    M01
A5114   Foam/fabric leg strap          A   3    0000   0.0000   M01    M01    M01
A5120   Skin barrier, wipe or swab     A   3    0000   0.0000   M01    M01    M01
A5121   Solid skin barrier 6x6         A   3    0000   0.0000   M01    M01    M01
A5122   Solid skin barrier 8x8            A   3    0000   0.0000            M01             M01             M01
A5126   Disk/foam pad +or- adhesive       A   3    0000   0.0000            M01             M01             M01
A5131   Appliance cleaner                 A   3    0000   0.0000            M01             M01             M01
A5200   Percutaneous catheter anchor      A   1    0000   0.0000            0.00            0.00            0.00
A5500   Diab shoe for density insert      Y   Y    0000   0.0000            0.00            0.00            0.00
A5501   Diabetic custom molded shoe       Y   Y    0000   0.0000            0.00            0.00            0.00
A5503   Diabetic shoe w/roller/rockr      Y   Y    0000   0.0000            0.00            0.00            0.00
A5504   Diabetic shoe with wedge          Y   Y    0000   0.0000            0.00            0.00            0.00
A5505   Diab shoe w/metatarsal bar        Y   Y    0000   0.0000            0.00            0.00            0.00
A5506   Diabetic shoe w/off set heel      Y   Y    0000   0.0000            0.00            0.00            0.00
A5507   Modification diabetic shoe        Y   Y    0000   0.0000            0.00            0.00            0.00
A5508   Diabetic deluxe shoe              Y   Y    0000   0.0000            0.00            0.00            0.00
A5510   Compression form shoe insert      E   1    0000   0.0000            0.00            0.00            0.00
A5512   Multi den insert direct form      Y   Y    0000   0.0000            0.00            0.00            0.00
A5513   Multi den insert custom mold      Y   Y    0000   0.0000            0.00            0.00            0.00
A6000   Wound warming wound cover         E   3    0000   0.0000            M01             M01             M01
A6010   Collagen based wound filler       A   3    0000   0.0000            M01             M01             M01
A6011   Collagen gel/paste wound fil      A   3    0000   0.0000            M01             M01             M01
A6021   Collagen dressing <=16 sq in      A   3    0000   0.0000            M01             M01             M01
A6022   Collagen drsg>6<=48 sq in         A   3    0000   0.0000            M01             M01             M01
A6023   Collagen dressing >48 sq in       A   3    0000   0.0000            M01             M01             M01
A6024   Collagen dsg wound filler         A   3    0000   0.0000            M01             M01             M01
A6025   Silicone gel sheet, each          E   3    0000   0.0000            M01             M01             M01
A6154   Wound pouch each                  A   3    0000   0.0000            M01             M01             M01
A6196   Alginate dressing <=16 sq in      A   3    0000   0.0000            M01             M01             M01
A6197   Alginate drsg >16 <=48 sq in      A   3    0000   0.0000            M01             M01             M01
A6198   alginate dressing > 48 sq in      A   3    0000   0.0000            M01             M01             M01
A6199   Alginate drsg wound filler        A   3    0000   0.0000            M01             M01             M01
A6200   Compos drsg <=16 no border        E   3    0000   0.0000            M01             M01             M01
A6201   Compos drsg >16<=48 no bdr        E   3    0000   0.0000            M01             M01             M01
A6202   Compos drsg >48 no border         E   3    0000   0.0000            M01             M01             M01
A6203   Composite drsg <= 16 sq in        A   3    0000   0.0000            M01             M01             M01
A6204   Composite drsg >16<=48 sq in      A   3    0000   0.0000            M01             M01             M01
A6205   Composite drsg > 48 sq in         A   3    0000   0.0000            M01             M01             M01
A6206   Contact layer <= 16 sq in         A   3    0000   0.0000            M01             M01             M01
A6207   Contact layer >16<= 48 sq in      A   3    0000   0.0000            M01             M01             M01
A6208   Contact layer > 48 sq in          A   3    0000   0.0000            M01             M01             M01
A6209   Foam drsg <=16 sq in w/o bdr      A   3    0000   0.0000            M01             M01             M01
A6210   Foam drg >16<=48 sq in w/o b      A   3    0000   0.0000            M01             M01             M01
A6211   Foam drg > 48 sq in w/o brdr      A   3    0000   0.0000            M01             M01             M01
A6212   Foam drg <=16 sq in w/border      A   3    0000   0.0000            M01             M01             M01
A6213   Foam drg >16<=48 sq in w/bdr      A   3    0000   0.0000            M01             M01             M01
A6214   Foam drg > 48 sq in w/border      A   3    0000   0.0000            M01             M01             M01
A6215   Foam dressing wound filler        A   3    0000   0.0000            M01             M01             M01
A6216   Non-sterile gauze<=16 sq in       A   3    0000   0.0000            M01             M01             M01
A6217   Non-sterile gauze>16<=48 sq       A   1    0000   0.0000            0.00            0.00            0.00
A6218   Non-sterile gauze > 48 sq in      A   3    0000   0.0000            M01             M01             M01
A6219   Gauze <= 16 sq in w/border        A   3    0000   0.0000            M01             M01             M01
A6220   Gauze >16 <=48 sq in w/bordr      A   3    0000   0.0000            M01             M01             M01
A6221   Gauze > 48 sq in w/border         A   3    0000   0.0000            M01             M01             M01
A6222   Gauze <=16 in no w/sal w/o b      A   3    0000   0.0000            M01             M01             M01
A6223   Gauze >16<=48 no w/sal w/o b      A   3    0000   0.0000            M01             M01             M01
A6224   Gauze > 48 in no w/sal w/o b      A   3    0000   0.0000            M01             M01             M01
A6228   Gauze <= 16 sq in water/sal       A   3    0000   0.0000            M01             M01             M01
A6229   Gauze >16<=48 sq in watr/sal      A   3    0000   0.0000            M01             M01             M01
A6230   Gauze > 48 sq in water/salne      A   3    0000   0.0000            M01             M01             M01
A6231   Hydrogel dsg<=16 sq in            A   3    0000   0.0000            M01             M01             M01
A6232   Hydrogel dsg>16<=48 sq in         A   3    0000   0.0000            M01             M01             M01
A6233   Hydrogel dressing >48 sq in       A   3    0000   0.0000            M01             M01             M01
A6234   Hydrocolld drg <=16 w/o bdr       A   3    0000   0.0000            M01             M01             M01
A6235   Hydrocolld drg >16<=48 w/o b      A   3    0000   0.0000            M01             M01             M01
A6236   Hydrocolld drg > 48 in w/o b      A   3    0000   0.0000            M01             M01             M01
A6237   Hydrocolld drg <=16 in w/bdr      A   3    0000   0.0000            M01             M01             M01
A6238   Hydrocolld drg >16<=48 w/bdr      A   3    0000   0.0000            M01             M01             M01
A6239   Hydrocolld drg > 48 in w/bdr      A   3    0000   0.0000            M01             M01             M01
A6240   Hydrocolld drg filler paste       A   3    0000   0.0000            M01             M01             M01
A6241   Hydrocolloid drg filler dry       A   3    0000   0.0000            M01             M01             M01
A6242   Hydrogel drg <=16 in w/o bdr      A   3    0000   0.0000            M01             M01             M01
A6243   Hydrogel drg >16<=48 w/o bdr      A   3    0000   0.0000            M01             M01             M01
A6244   Hydrogel drg >48 in w/o bdr       A   3    0000   0.0000            M01             M01             M01
A6245   Hydrogel drg <= 16 in w/bdr       A   3    0000   0.0000            M01             M01             M01
A6246   Hydrogel drg >16<=48 in w/b       A   3    0000   0.0000            M01             M01             M01
A6247   Hydrogel drg > 48 sq in w/b       A   3    0000   0.0000            M01             M01             M01
A6248   Hydrogel drsg gel filler          A   3    0000   0.0000            M01             M01             M01
A6250   Skin seal protect moisturizr      A   3    0000   0.0000            M01             M01             M01
A6251   Absorpt drg <=16 sq in w/o b      A   3    0000   0.0000            M01             M01             M01
A6252   Absorpt drg >16 <=48 w/o bdr      A   3    0000   0.0000            M01             M01             M01
A6253   Absorpt drg > 48 sq in w/o b      A   3    0000   0.0000            M01             M01             M01
A6254   Absorpt drg <=16 sq in w/bdr      A   3    0000   0.0000            M01             M01             M01
A6255   Absorpt drg >16<=48 in w/bdr      A   3    0000   0.0000            M01             M01             M01
A6256   Absorpt drg > 48 sq in w/bdr      A   3    0000   0.0000            M01             M01             M01
A6257   Transparent film <= 16 sq in      A   3    0000   0.0000            M01             M01             M01
A6258   Transparent film >16<=48 in       A   3    0000   0.0000            M01             M01             M01
A6259   Transparent film > 48 sq in       A   3    0000   0.0000            M01             M01             M01
A6260   Wound cleanser any type/size      A   3    0000   0.0000            M01             M01             M01
A6261   Wound filler gel/paste /oz        A   1    0000   0.0000            0.00            0.00            0.00
A6262   Wound filler dry form / gram      A   1    0000   0.0000            0.00            0.00            0.00
A6266   Impreg gauze no h20/sal/yard      A   3    0000   0.0000            M01             M01             M01
A6402   Sterile gauze <= 16 sq in         A   3    0000   0.0000            M01             M01             M01
A6403   Sterile gauze>16 <= 48 sq in      A   3    0000   0.0000            M01             M01             M01
A6404   Sterile gauze > 48 sq in          A   3    0000   0.0000            M01             M01             M01
A6407   Packing strips, non-impreg        A   3    0000   0.0000            M01             M01             M01
A6410   Sterile eye pad                   A   3    0000   0.0000            M01             M01             M01
A6411   Non-sterile eye pad               A   1    0000   0.0000            0.00            0.00            0.00
A6412   Occlusive eye patch               E   3    0000   0.0000            M01             M01             M01
A6413   Adhesive bandage, first-aid       E    1   0000   0.0000            0.00            0.00            0.00        X
A6441   Pad band w>=3” <5”/yd             A   3    0000   0.0000            M01             M01             M01
A6442   Conform band n/s w<3”/yd          A   3    0000   0.0000            M01             M01             M01
A6443   Conform band n/s w>=3”<5”/yd      A   3    0000   0.0000            M01             M01             M01
A6444   Conform band n/s w>=5”/yd         A   3    0000   0.0000            M01             M01             M01
A6445   Conform band s w <3”/yd           A   3    0000   0.0000            M01             M01             M01
A6446   Conform band s w>=3” <5”/yd       A   3    0000   0.0000            M01             M01             M01
A6447   Conform band s w >=5”/yd          A   3    0000   0.0000            M01             M01             M01
A6448   Lt compres band <3”/yd            A   3    0000   0.0000            M01             M01             M01
A6449   Lt compres band >=3” <5”/yd       A   3    0000   0.0000            M01             M01             M01
A6450   Lt compres band >=5”/yd           A   1    0000   0.0000            0.00            0.00            0.00
A6451   Mod compres band w>=3”<5”/yd      A   1    0000   0.0000            0.00            0.00            0.00
A6452   High compres band w>=3”<5”yd      A   3    0000   0.0000            M01             M01             M01
A6453   Self-adher band w <3”/yd          A   3    0000   0.0000            M01             M01             M01
A6454   Self-adher band w>=3” <5”/yd      A   3    0000   0.0000            M01             M01             M01
A6455   Self-adher band >=5”/yd           A   3    0000   0.0000            M01             M01             M01
A6456   Zinc paste band w >=3”<5”/yd      A   3    0000   0.0000            M01             M01             M01
A6457   Tubular dressing                  A   3    0000   0.0000            M01             M01             M01
A6501   Compres burngarment bodysuit      A   3    0000   0.0000            M01             M01             M01
A6502   Compres burngarment chinstrp      A   3    0000   0.0000            M01             M01             M01
A6503   Compres burngarment facehood      A   3    0000   0.0000            M01             M01             M01
A6504   Cmprsburngarment glove-wrist      A   3    0000   0.0000            M01             M01             M01
A6505   Cmprsburngarment glove-elbow      A   3    0000   0.0000            M01             M01             M01
A6506   Cmprsburngrmnt glove-axilla       A   3    0000   0.0000            M01             M01             M01
A6507   Cmprs burngarment foot-knee       A   3    0000   0.0000            M01             M01             M01
A6508   Cmprs burngarment foot-thigh      A   3    0000   0.0000            M01             M01             M01
A6509   Compres burn garment jacket       A   3    0000   0.0000            M01             M01             M01
A6510   Compres burn garment leotard      A   3    0000   0.0000            M01             M01             M01
A6511   Compres burn garment panty        A   3    0000   0.0000            M01             M01             M01
A6512   Compres burn garment, noc         A   3    0000   0.0000            M01             M01             M01
A6513   Compress burn mask face/neck      B   B    0000   0.0000            0.00            0.00            0.00
A6530   Compression stocking BK18-30      E   3    0000   0.0000            M01             M01             M01
A6531   Compression stocking BK30-40      A   3    0000   0.0000            M01             M01             M01
A6532   Compression stocking BK40-50      A   3    0000   0.0000            M01             M01             M01
A6533   Gc stocking thighlngth 18-30      E   3    0000   0.0000            M01             M01             M01
A6534   Gc stocking thighlngth 30-40      E   3    0000   0.0000            M01             M01             M01
A6535   Gc stocking thighlngth 40-50      E   3    0000   0.0000            M01             M01             M01
A6536   Gc stocking full lngth 18-30      E   3    0000   0.0000            M01             M01             M01
A6537   Gc stocking full lngth 30-40      E   3    0000   0.0000            M01             M01             M01
A6538   Gc stocking full lngth 40-50      E   3    0000   0.0000            M01             M01             M01
A6539   Gc stocking waistlngth 18-30      E   3    0000   0.0000            M01             M01             M01
A6540   Gc stocking waistlngth 30-40      E   3    0000   0.0000            M01             M01             M01
A6541   Gc stocking waistlngth 40-50      E   3    0000   0.0000            M01             M01             M01
A6542   Gc stocking custom made           E   3    0000   0.0000            M01             M01             M01
A6543   Gc stocking lymphedema            E   3    0000   0.0000            M01             M01             M01
A6544   Gc stocking garter belt           E   3    0000   0.0000            M01             M01             M01
A6549   G compression stocking            E   3    0000   0.0000            M01             M01             M01
A6550   Neg pres wound ther drsg set      Y   Y    0000   0.0000            0.00            0.00            0.00
A7000   Disposable canister for pump      Y   Y    0000   0.0000            0.00            0.00            0.00
A7001   Nondisposable pump canister       Y   Y    0000   0.0000            0.00            0.00            0.00
A7002   Tubing used w suction pump        Y   Y    0000   0.0000            0.00            0.00            0.00
A7003   Nebulizer administration set      Y   Y    0000   0.0000            0.00            0.00            0.00
A7004   Disposable nebulizer sml vol      Y   Y    0000   0.0000            0.00            0.00            0.00
A7005   Nondisposable nebulizer set       Y   Y    0000   0.0000            0.00            0.00            0.00
A7006   Filtered nebulizer admin set      Y   Y    0000   0.0000            0.00            0.00            0.00
A7007   Lg vol nebulizer disposable       Y   Y    0000   0.0000            0.00            0.00            0.00
A7008   Disposable nebulizer prefill      Y   Y    0000   0.0000            0.00            0.00            0.00
A7009   Nebulizer reservoir bottle        Y   Y    0000   0.0000            0.00            0.00            0.00
A7010   Disposable corrugated tubing      Y   Y    0000   0.0000            0.00            0.00            0.00
A7011   Nondispos corrugated tubing       Y   Y    0000   0.0000            0.00            0.00            0.00
A7012   Nebulizer water collec devic      Y   Y    0000   0.0000            0.00            0.00            0.00
A7013   Disposable compressor filter      Y   Y    0000   0.0000            0.00            0.00            0.00
A7014   Compressor nondispos filter       Y   Y    0000   0.0000            0.00            0.00            0.00
A7015   Aerosol mask used w nebulize      Y   Y    0000   0.0000            0.00            0.00            0.00
A7016   Nebulizer dome & mouthpiece       Y   Y    0000   0.0000            0.00            0.00            0.00
A7017   Nebulizer not used w oxygen       Y   1    0000   0.0000            0.00            0.00            0.00
A7018   Water distilled w/nebulizer       Y   Y    0000   0.0000            0.00            0.00            0.00
A7025   Replace chest compress vest       Y   Y    0000   0.0000            0.00            0.00            0.00
A7026   Replace chst cmprss sys hose      Y   Y    0000   0.0000            0.00            0.00            0.00
A7027   Combination oral/nasal mask       Y    Y   0000   0.0000            0.00            0.00            0.00
A7028   Repl oral cushion combo mask      Y    Y   0000   0.0000            0.00            0.00            0.00
A7029   Repl nasal pillow comb mask       Y    Y   0000   0.0000            0.00            0.00            0.00
A7030   CPAP full face mask               Y   Y    0000   0.0000            0.00            0.00            0.00
A7031   Replacement facemask interfa      Y   Y    0000   0.0000            0.00            0.00            0.00
A7032   Replacement nasal cushion         Y   Y    0000   0.0000            0.00            0.00            0.00
A7033   Replacement nasal pillows         Y   Y    0000   0.0000            0.00            0.00            0.00
A7034   Nasal application device          Y   Y    0000   0.0000            0.00            0.00            0.00
A7035   Pos airway press headgear         Y   Y    0000   0.0000            0.00            0.00            0.00
A7036   Pos airway press chinstrap        Y   Y    0000   0.0000            0.00            0.00            0.00
A7037   Pos airway pressure tubing        Y   Y    0000   0.0000            0.00            0.00            0.00
A7038   Pos airway pressure filter        Y   Y    0000   0.0000            0.00            0.00            0.00
A7039   Filter, non disposable w pap      Y   Y    0000   0.0000            0.00            0.00            0.00
A7040   One way chest drain valve         A   1    0000   0.0000            0.00            0.00            0.00
A7041   Water seal drain container        A   1    0000   0.0000            0.00            0.00            0.00
A7042   Implanted pleural catheter        A   1    0000   0.0000            0.00            0.00            0.00
A7043   Vacuum drainagebottle/tubing      A   1    0000   0.0000            0.00            0.00            0.00
A7044   PAP oral interface                Y   1    0000   0.0000            0.00            0.00            0.00
A7045   Repl exhalation port for PAP      Y   1    0000   0.0000            0.00            0.00            0.00
A7046   Repl water chamber, PAP dev       Y   Y    0000   0.0000            0.00            0.00            0.00
A7501   Tracheostoma valve w diaphra      A   3    0000   0.0000            M01             M01             M01
A7502   Replacement diaphragm/fplate      A   3    0000   0.0000            M01             M01             M01
A7503   HMES filter holder or cap         A   3    0000   0.0000            M01             M01             M01
A7504   Tracheostoma HMES filter          A   3    0000   0.0000            M01             M01             M01
A7505   HMES or trach valve housing       A   3    0000   0.0000            M01             M01             M01
A7506   HMES/trachvalve adhesivedisk      A   3    0000   0.0000            M01             M01             M01
A7507   Integrated filter & holder        A   3    0000   0.0000            M01             M01             M01
A7508   Housing & Integrated Adhesiv      A   3    0000   0.0000            M01             M01             M01
A7509   Heat & moisture exchange sys      A   3    0000   0.0000            M01             M01             M01
A7520   Trach/laryn tube non-cuffed       A   3    0000   0.0000            M01             M01             M01
A7521   Trach/laryn tube cuffed           A   3    0000   0.0000            M01             M01             M01
A7522   Trach/laryn tube stainless        A   3    0000   0.0000            M01             M01             M01
A7523   Tracheostomy shower protect       A   3    0000   0.0000            M01             M01             M01
A7524   Tracheostoma stent/stud/bttn      A   3    0000   0.0000            M01             M01             M01
A7525   Tracheostomy mask                 A   3    0000   0.0000            M01             M01             M01
A7526   Tracheostomy tube collar          A   3    0000   0.0000            M01             M01             M01
A7527   Trach/laryn tube plug/stop        A   3    0000   0.0000            M01             M01             M01
A8000   Soft protect helmet prefab        Y   Y    0000   0.0000            0.00            0.00            0.00
A8001   Hard protect helmet prefab        Y   Y    0000   0.0000            0.00            0.00            0.00
A8002   Soft protect helmet custom        Y   Y    0000   0.0000            0.00            0.00            0.00
A8003   Hard protect helmet custom        Y   Y    0000   0.0000            0.00            0.00            0.00
A8004   Repl soft interface, helmet       Y   Y    0000   0.0000            0.00            0.00            0.00
A9150   Misc/exper non-prescript dru      B   1    0000   0.0000            0.00            0.00            0.00
A9152   Single vitamin nos                E   1    0000   0.0000            0.00            0.00            0.00
A9153   Multi-vitamin nos                 E   1    0000   0.0000            0.00            0.00            0.00
A9155   Artificial saliva                 B    B   0000   0.0000            0.00            0.00            0.00
A9180   Lice treatment, topical           E   1    0000   0.0000            0.00            0.00            0.00
A9270   Non-covered item or service       E   1    0000   0.0000            0.00            0.00            0.00
A9274   Ext amb insulin delivery sys      E    1   0000   0.0000            0.00            0.00            0.00
A9275   Disp home glucose monitor         E   3    0000   0.0000            M01             M01             M01
A9276   Disposable sensor, CGM sys        E    1   0000   0.0000            0.00            0.00            0.00
A9277   External transmitter, CGM         E    1   0000   0.0000            0.00            0.00            0.00
A9278   External receiver, CGM sys        E    1   0000   0.0000            0.00            0.00            0.00
A9279   Monitoring feature/deviceNOC      E   1    0000   0.0000            0.00            0.00            0.00
A9280   Alert device, noc                 E   1    0000   0.0000            0.00            0.00            0.00
A9281   Reaching/grabbing device          E   1    0000   0.0000            0.00            0.00            0.00
A9282   Wig any type                      E   1    0000   0.0000            0.00            0.00            0.00
A9283   Foot press off load supp dev      E    1   0000   0.0000            0.00            0.00            0.00
A9300   Exercise equipment                E   1    0000   0.0000            0.00            0.00            0.00
A9500   Technetium TC 99m sestamibi       N   N    0000   0.0000            0.00            0.00            0.00
A9501   Technetium TC-99m teboroxime      N    N   0000   0.0000            0.00            0.00            0.00
A9502   Technetium TC99M tetrofosmin      N   1    0000   0.0000            0.00            0.00            0.00
A9503   Technetium TC 99m medronate       N   1    0000   0.0000            0.00            0.00            0.00
A9504   Technetium tc 99m apcitide        N   N    0000   0.0000            0.00            0.00            0.00
A9505   Thallous chloride TL 201/mci      N   N    0000   0.0000            0.00            0.00            0.00
A9507   Indium/111 capromab pendetid      N   1    0000   0.0000            0.00            0.00            0.00
A9508   Iobenguane sulfate I-131          N   1    0000   0.0000            0.00            0.00            0.00
A9509   Iodine I-123 sod iodide mil       N    N   0000   0.0000            0.00            0.00            0.00
A9510   Technetium TC99m Disofenin        N   N    0000   0.0000            0.00            0.00            0.00
A9512   Technetiumtc99mpertechnetate      N   1    0000   0.0000            0.00            0.00            0.00
A9516   Iodine I-123 sod iodide mic       N   1    0000   0.0000            0.00            0.00            0.00
A9517   Th I131 so iodide cap millic      H   3    1064   0.0000            M01             M01             M01
A9521   Technetiumtc-99m exametazine      N   1    0000   0.0000            0.00            0.00            0.00
A9524   Iodinated I-131 serumalbumin      N   1    0000   0.0000            0.00            0.00            0.00
A9526   Ammonia N-13, per dose            N   1    0000   0.0000            0.00            0.00            0.00
A9527   Iodine I-125 sodium iodide        H   1    2632   0.0000            0.00            0.00            0.00
A9528   Dx I131 so iodide cap millic      N   1    0000   0.0000            0.00            0.00            0.00
A9529   Dx I131 so iodide sol millic      N   N    0000   0.0000            0.00            0.00            0.00
A9530   Th I131 so iodide sol millic      H   1    1150   0.0000            0.00            0.00            0.00
A9531   Dx I131 so iodide microcurie      N   N    0000   0.0000            0.00            0.00            0.00
A9532   I-125 serum albumin micro         N   N    0000   0.0000            0.00            0.00            0.00
A9535   Injection, methylene blue         N   1    0000   0.0000            0.00            0.00            0.00
A9536   Tc99m depreotide                  N   1    0000   0.0000            0.00            0.00            0.00
A9537   Tc99m mebrofenin                  N   1    0000   0.0000            0.00            0.00            0.00
A9538   Tc99m pyrophosphate               N   1    0000   0.0000            0.00            0.00            0.00
A9539   Tc99m pentetate                   N   1    0000   0.0000            0.00            0.00            0.00
A9540   Tc99m MAA                         N   1    0000   0.0000            0.00            0.00            0.00
A9541   Tc99m sulfur colloid              N   1    0000   0.0000            0.00            0.00            0.00
A9542   In111 ibritumomab, dx             N   1    0000   0.0000            0.00            0.00            0.00
A9543   Y90 ibritumomab, rx               H   1    1643   0.0000            0.00            0.00            0.00
A9544   I131 tositumomab, dx              N   1    0000   0.0000            0.00            0.00            0.00
A9545   I131 tositumomab, rx              H   1    1645   0.0000            0.00            0.00            0.00
A9546   Co57/58                           N   1    0000   0.0000            0.00            0.00            0.00
A9547   In111 oxyquinoline                N   1    0000   0.0000            0.00            0.00            0.00
A9548   In111 pentetate                   N   1    0000   0.0000            0.00            0.00            0.00
A9550   Tc99m gluceptate                  N   1    0000   0.0000            0.00            0.00            0.00
A9551   Tc99m succimer                    N   1    0000   0.0000            0.00            0.00            0.00
A9552   F18 fdg                           N   1    0000   0.0000            0.00            0.00            0.00
A9553   Cr51 chromate                     N   1    0000   0.0000            0.00            0.00            0.00
A9554   I125 iothalamate, dx              N   N    0000   0.0000            0.00            0.00            0.00
A9555   Rb82 rubidium                     N   1    0000   0.0000            0.00            0.00            0.00
A9556   Ga67 gallium                      N   1    0000   0.0000            0.00            0.00            0.00
A9557   Tc99m bicisate                    N   1    0000   0.0000            0.00            0.00            0.00
A9558   Xe133 xenon 10mci                 N   1    0000   0.0000            0.00            0.00            0.00
A9559   Co57 cyano                        N   1    0000   0.0000            0.00            0.00            0.00
A9560   Tc99m labeled rbc                 N   1    0000   0.0000            0.00            0.00            0.00
A9561   Tc99m oxidronate                  N   1    0000   0.0000            0.00            0.00            0.00
A9562   Tc99m mertiatide                  N   1    0000   0.0000            0.00            0.00            0.00
A9563   P32 Na phosphate                  H   1    1675   0.0000            0.00            0.00            0.00
A9564   P32 chromic phosphate             H   1    1676   0.0000            0.00            0.00            0.00

A9566   Tc99m fanolesomab                 N   1    0000   0.0000            0.00            0.00            0.00
A9567   Technetium TC-99m aerosol         N   1    0000   0.0000            0.00            0.00            0.00
A9568   Technetium tc99m arcitumomab      N   1    0000   0.0000            0.00            0.00            0.00
A9569   Technetium TC-99m auto WBC        N   N    0000   0.0000            0.00            0.00            0.00
A9570   Indium In-111 auto WBC            N   N    0000   0.0000            0.00            0.00            0.00
A9571   Indium IN-111 auto platelet       N   N    0000   0.0000            0.00            0.00            0.00
A9572   Indium In-111 pentetreotide       N   N    0000   0.0000            0.00            0.00            0.00
A9576   Inj prohance multipack            N   N    0000   0.0000            0.00            0.00            0.00
A9577   Inj multihance                    N   N    0000   0.0000            0.00            0.00            0.00
A9578   Inj multihance multipack          N   N    0000   0.0000            0.00            0.00            0.00
A9579   Gad-base MR contrast NOS,1ml      N   N    0000   0.0000            0.00            0.00            0.00
A9600   Strontium-89 chloride             H   1    0701   0.0000            0.00            0.00            0.00
A9605   Samarium sm153 lexidronamm        H   1    0702   0.0000            0.00            0.00            0.00
A9698   Non-rad contrast materialNOC      N   1    0000   0.0000            0.00            0.00            0.00
A9699   Noc therapeutic radiopharm        N   1    0000   0.0000            0.00            0.00            0.00
A9700   Echocardiography Contrast         B   1    0000   0.0000            0.00            0.00            0.00
A9900   Supply/accessory/service          Y   1    0000   0.0000            0.00            0.00            0.00
A9901   Delivery/set up/dispensing        A   1    0000   0.0000            0.00            0.00            0.00
A9999   DME supply or accessory, nos      Y   1    0000   0.0000            0.00            0.00            0.00
B4034   Enter feed supkit syr by day      Y   Y    0000   0.0000            0.00            0.00            0.00
B4035   Enteral feed supp pump per d      Y   Y    0000   0.0000            0.00            0.00            0.00
B4036   Enteral feed sup kit grav by      Y   Y    0000   0.0000            0.00            0.00            0.00
B4081   Enteral ng tubing w/ stylet       Y   Y    0000   0.0000            0.00            0.00            0.00
B4082   Enteral ng tubing w/o stylet      Y   Y    0000   0.0000            0.00            0.00            0.00
B4083   Enteral stomach tube levine       Y   Y    0000   0.0000            0.00            0.00            0.00

B4087   Gastro/jejuno tube, std           A   1    0000   0.0000             0.00           0.00            0.00
B4088   Gastro/jejuno tube, low-pro       A   1    0000   0.0000             0.00           0.00            0.00
B4100   Food thickener oral               E   1    0000   0.0000             0.00           0.00            0.00
B4102   EF adult fluids and electro       Y   Y    0000   0.0000             0.00           0.00            0.00
B4103   EF ped fluid and electrolyte      Y   Y    0000   0.0000             0.00           0.00            0.00
B4104   Additive for enteral formula      E   1    0000   0.0000             0.00           0.00            0.00
B4149   EF blenderized foods              Y   Y    0000   0.0000             0.00           0.00            0.00
B4150   EF complet w/intact nutrient      Y   Y    0000   0.0000             0.00           0.00            0.00
B4152   EF calorie dense>/=1.5Kcal        Y   Y    0000   0.0000             0.00           0.00            0.00
B4153   EF hydrolyzed/amino acids         Y   Y    0000   0.0000             0.00           0.00            0.00
B4154   EF spec metabolic noninherit      Y   Y    0000   0.0000             0.00           0.00            0.00
B4155   EF incomplete/modular             Y   Y    0000   0.0000             0.00           0.00            0.00
B4157   EF special metabolic inherit      Y   Y    0000   0.0000             0.00           0.00            0.00
B4158   EF ped complete intact nut        Y   Y    0000   0.0000             0.00           0.00            0.00
B4159   EF ped complete soy based         Y   Y    0000   0.0000             0.00           0.00            0.00
B4160   EF ped caloric dense>/=0.7kc      Y   Y    0000   0.0000             0.00           0.00            0.00
B4161   EF ped hydrolyzed/amino acid      Y   Y    0000   0.0000             0.00           0.00            0.00
B4162   EF ped specmetabolic inherit      Y   Y    0000   0.0000             0.00           0.00            0.00
B4164   Parenteral 50% dextrose solu      Y   Y    0000   0.0000             0.00           0.00            0.00
B4168   Parenteral sol amino acid 3.      Y   Y    0000   0.0000             0.00           0.00            0.00
B4172   Parenteral sol amino acid 5.      Y   Y    0000   0.0000             0.00           0.00            0.00
B4176   Parenteral sol amino acid 7-      Y   Y    0000   0.0000             0.00           0.00            0.00
B4178   Parenteral sol amino acid >       Y   Y    0000   0.0000             0.00           0.00            0.00
B4180   Parenteral sol carb > 50%         Y   Y    0000   0.0000             0.00           0.00            0.00
B4185   Parenteral sol 10 gm lipids       B   B    0000   0.0000             0.00           0.00            0.00
B4189   Parenteral sol amino acid &       Y   Y    0000   0.0000             0.00           0.00            0.00
B4193   Parenteral sol 52-73 gm prot      Y   Y    0000   0.0000             0.00           0.00            0.00
B4197   Parenteral sol 74-100 gm pro      Y   Y    0000   0.0000             0.00           0.00            0.00
B4199   Parenteral sol > 100gm prote      Y   Y    0000   0.0000             0.00           0.00            0.00
B4216   Parenteral nutrition additiv      Y   Y    0000   0.0000             0.00           0.00            0.00
B4220   Parenteral supply kit premix      Y   Y    0000   0.0000             0.00           0.00            0.00
B4222   Parenteral supply kit homemi      Y   Y    0000   0.0000             0.00           0.00            0.00
B4224   Parenteral administration ki      Y   Y    0000   0.0000             0.00           0.00            0.00
B5000   Parenteral sol renal-amirosy      Y   Y    0000   0.0000             0.00           0.00            0.00
B5100   Parenteral sol hepatic-fream      Y   Y    0000   0.0000             0.00           0.00            0.00
B5200   Parenteral sol stres-brnch c      Y   Y    0000   0.0000             0.00           0.00            0.00
B9000   Enter infusion pump w/o alrm      Y   Y    0000   0.0000             0.00           0.00            0.00
B9002   Enteral infusion pump w/ ala      Y   Y    0000   0.0000             0.00           0.00            0.00
B9004   Parenteral infus pump portab      Y   Y    0000   0.0000             0.00           0.00            0.00
B9006   Parenteral infus pump statio      Y   Y    0000   0.0000             0.00           0.00            0.00
B9998   Enteral supp not otherwise c      Y   Y    0000   0.0000             0.00           0.00            0.00
B9999   Parenteral supp not othrws c      Y   1    0000   0.0000             0.00           0.00            0.00
C1300   HYPERBARIC Oxygen                 S   S    0659   1.5579            74.42          169.69          194.49
C1713   Anchor/screw bn/bn,tis/bn         N   N    0000   0.0000             0.00           0.00            0.00
C1714   Cath, trans atherectomy, dir      N   N    0000   0.0000             0.00           0.00            0.00
C1715   Brachytherapy needle              N   N    0000   0.0000             0.00           0.00            0.00
C1716   Brachytx non-str, Gold 198        H   1    1716   0.0000             0.00           0.00            0.00
C1717   Brachytx, non-str, HDR Ir-192     H   1    1717   0.0000             0.00           0.00            0.00

C1719   Brachytx, NS, Non-HDRIr-192       H   1    1719   0.0000            0.00            0.00            0.00

C1721   AICD, dual chamber                N   N    0000   0.0000            0.00            0.00            0.00
C1722   AICD, single chamber              N   N    0000   0.0000            0.00            0.00            0.00
C1724   Cath, trans atherec,rotation      N   N    0000   0.0000            0.00            0.00            0.00
C1725   Cath, translumin non-laser        N   N    0000   0.0000            0.00            0.00            0.00
C1726   Cath, bal dil, non-vascular       N   N    0000   0.0000            0.00            0.00            0.00
C1727   Cath, bal tis dis, non-vas        N   N    0000   0.0000            0.00            0.00            0.00
C1728   Cath, brachytx seed adm           N   N    0000   0.0000            0.00            0.00            0.00
C1729   Cath, drainage                    N   N    0000   0.0000            0.00            0.00            0.00
C1730   Cath, EP, 19 or few elect         N   N    0000   0.0000            0.00            0.00            0.00
C1731   Cath, EP, 20 or more elec         N   N    0000   0.0000            0.00            0.00            0.00
C1732   Cath, EP, diag/abl, 3D/vect       N   N    0000   0.0000            0.00            0.00            0.00
C1733   Cath, EP, othr than cool-tip      N   N    0000   0.0000            0.00            0.00            0.00
C1750   Cath, hemodialysis,long-term      N   N    0000   0.0000            0.00            0.00            0.00
C1751   Cath, inf, per/cent/midline       N   N    0000   0.0000            0.00            0.00            0.00
C1752   Cath,hemodialysis,short-term      N   N    0000   0.0000            0.00            0.00            0.00
C1753   Cath, intravas ultrasound         N   N    0000   0.0000            0.00            0.00            0.00
C1754   Catheter, intradiscal             N   N    0000   0.0000            0.00            0.00            0.00
C1755   Catheter, intraspinal             N   N    0000   0.0000            0.00            0.00            0.00
C1756   Cath, pacing, transesoph          N   N    0000   0.0000            0.00            0.00            0.00
C1757   Cath, thrombectomy/embolect       N   N    0000   0.0000            0.00            0.00            0.00
C1758   Catheter, ureteral                N   N    0000   0.0000            0.00            0.00            0.00
C1759   Cath, intra echocardiography      N   N    0000   0.0000            0.00            0.00            0.00
C1760   Closure dev, vasc                 N   N    0000   0.0000            0.00            0.00            0.00
C1762   Conn tiss, human(inc fascia)      N   N    0000   0.0000            0.00            0.00            0.00
C1763   Conn tiss, non-human              N   N    0000   0.0000            0.00            0.00            0.00
C1764   Event recorder, cardiac           N   N    0000   0.0000            0.00            0.00            0.00
C1765   Adhesion barrier                  N   N    0000   0.0000            0.00            0.00            0.00
C1766   Intro/sheath,strble,non-peel      N   N    0000   0.0000            0.00            0.00            0.00
C1767   Generator, neuro non-recharg      N   N    0000   0.0000            0.00            0.00            0.00
C1768   Graft, vascular                   N   N    0000   0.0000            0.00            0.00            0.00
C1769   Guide wire                        N   N    0000   0.0000            0.00            0.00            0.00
C1770   Imaging coil, MR, insertable      N   N    0000   0.0000            0.00            0.00            0.00
C1771   Rep dev, urinary, w/sling         N   N    0000   0.0000            0.00            0.00            0.00
C1772   Infusion pump, programmable       N   N    0000   0.0000            0.00            0.00            0.00
C1773   Ret dev, insertable               N   N    0000   0.0000            0.00            0.00            0.00
C1776   Joint device (implantable)        N   N    0000   0.0000            0.00            0.00            0.00
C1777   Lead, AICD, endo single coil      N   N    0000   0.0000            0.00            0.00            0.00
C1778   Lead, neurostimulator             N   N    0000   0.0000            0.00            0.00            0.00
C1779   Lead, pmkr, transvenous VDD       N   N    0000   0.0000            0.00            0.00            0.00
C1780   Lens, intraocular (new tech)      N   N    0000   0.0000            0.00            0.00            0.00
C1781   Mesh (implantable)                N   N    0000   0.0000            0.00            0.00            0.00
C1782   Morcellator                       N   1    0000   0.0000            0.00            0.00            0.00
C1783   Ocular imp, aqueous drain de      N   1    0000   0.0000            0.00            0.00            0.00
C1784   Ocular dev, intraop, det ret      N   1    0000   0.0000            0.00            0.00            0.00
C1785   Pmkr, dual, rate-resp             N   N    0000   0.0000            0.00            0.00            0.00
C1786   Pmkr, single, rate-resp           N   N    0000   0.0000            0.00            0.00            0.00
C1787   Patient progr, neurostim          N   1    0000   0.0000            0.00            0.00            0.00
C1788   Port, indwelling, imp             N   N    0000   0.0000            0.00            0.00            0.00
C1789   Prosthesis, breast, imp           N   N    0000   0.0000            0.00            0.00            0.00
C1813   Prosthesis, penile, inflatab      N   1    0000   0.0000            0.00            0.00            0.00
C1814   Retinal tamp, silicone oil        N   N    0000   0.0000            0.00            0.00            0.00
C1815   Pros, urinary sph, imp            N   N    0000   0.0000            0.00            0.00            0.00
C1816   Receiver/transmitter, neuro       N   N    0000   0.0000            0.00            0.00            0.00
C1817   Septal defect imp sys             N   N    0000   0.0000            0.00            0.00            0.00
C1818   Integrated keratoprosthesis       N   N    0000   0.0000            0.00            0.00            0.00
C1819   Tissue local excision             N   N    0000   0.0000            0.00            0.00            0.00
C1820   Generator neuro rechg bat sys     N   N    0000   0.0000            0.00            0.00            0.00

C1821   Interspinous implant              H   H    1821   0.0000        APC by Report   APC by Report   APC by Report
C1874   Stent, coated/cov w/del sys       N   N    0000   0.0000            0.00            0.00            0.00
C1875   Stent, coated/cov w/o del sy      N   N    0000   0.0000            0.00            0.00            0.00
C1876   Stent, non-coa/non-cov w/del      N   N    0000   0.0000            0.00            0.00            0.00
C1877   Stent, non-coat/cov w/o del       N   N    0000   0.0000            0.00            0.00            0.00
C1878   Matrl for vocal cord              N   1    0000   0.0000            0.00            0.00            0.00
C1879   Tissue marker, implantable        N   N    0000   0.0000            0.00            0.00            0.00
C1880   Vena cava filter                  N   N    0000   0.0000            0.00            0.00            0.00
C1881   Dialysis access system            N   N    0000   0.0000            0.00            0.00            0.00
C1882   AICD, other than sing/dual        N   N    0000   0.0000            0.00            0.00            0.00
C1883   Adapt/ext, pacing/neuro lead      N   N    0000   0.0000            0.00            0.00            0.00
C1884   Embolization Protect syst         N   1    0000   0.0000            0.00            0.00            0.00
C1885   Cath, translumin angio laser      N   N    0000   0.0000            0.00            0.00            0.00
C1887   Catheter, guiding                 N   N    0000   0.0000            0.00            0.00            0.00
C1888   Endovas non-cardiac abl cath      N   N    0000   0.0000            0.00            0.00            0.00
C1891   Infusion pump,non-prog, perm      N   N    0000   0.0000            0.00            0.00            0.00
C1892   Intro/sheath,fixed,peel-away      N   N    0000   0.0000            0.00            0.00            0.00
C1893   Intro/sheath, fixed,non-peel      N   N    0000   0.0000            0.00            0.00            0.00
C1894   Intro/sheath, non-laser           N   N    0000   0.0000            0.00            0.00            0.00
C1895   Lead, AICD, endo dual coil        N   N    0000   0.0000            0.00            0.00            0.00
C1896   Lead, AICD, non sing/dual         N   N    0000   0.0000            0.00            0.00            0.00
C1897   Lead, neurostim test kit          N   N    0000   0.0000            0.00            0.00            0.00
C1898   Lead, pmkr, other than trans      N   N    0000   0.0000            0.00            0.00            0.00
C1899   Lead, pmkr/AICD combination       N   N    0000   0.0000            0.00            0.00            0.00
C1900   Lead, coronary venous             N   N    0000   0.0000            0.00            0.00            0.00
C2614   Probe, perc lumb disc             N   N    0000   0.0000            0.00            0.00            0.00
C2615   Sealant, pulmonary, li