[Federal Register Volume 65, Number 137 (Monday, July 17, 2000)]
[Proposed Rules]
[Pages 44176-44358]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-17830]
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Part III
Department of Health and Human Services
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Health Care Financing Administration
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42 CFR Parts 410 and 414
Medicare Program; Revisions to Payment Policies Under the Physician Fee
Schedule for Calendar Year 2001; Proposed Rule
Federal Register / Vol. 65, No. 137 / Monday, July 17, 2000 /
Proposed Rules
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 410 and 414
[HCFA-1120-P]
RIN 0938-AK11
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule for Calendar Year 2001
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Proposed rule.
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SUMMARY: This proposed rule would make several changes affecting
Medicare Part B payment. The changes include: Refinement of resource-
based practice expense relative value units (RVUs); changes to the
geographic practice cost indices; resource-based malpractice RVUs;
critical care RVUs; care plan oversight and physician certification/
recertification; observation care codes; ocular photodynamic therapy
and other ophthalmological treatments; electrical bioimpedance; the
global period for insertion, removal, and replacement of pacemakers and
cardioverter defibrillators; antigen supply; low intensity ultrasound;
and the implantation of ventricular assist devices. This proposed rule
also discusses or clarifies the payment policy for incomplete medical
direction, pulse oximetry services, outpatient therapy supervision,
outpatient therapy caps, and the second 5-year refinement of work RVUs
for services furnished beginning January 1, 2002. We are proposing
these changes to ensure that our payment systems are updated to reflect
changes in medical practice and the relative value of services. We
solicit comments on the proposed policy changes.
DATES: To be assured of consideration, we must receive comments at the
appropriate address, as provided below, no later than 5 p.m. on
September 15, 2000.
ADDRESSES: Mail written comments (1 original and 3 copies) to the
following address only: Health Care Financing Administration,
Department of Health and Human Services, Attention: HCFA-1120-P, P.O.
Box 8013, Baltimore, MD 21244-8013.
Please allow sufficient time for mailed comments to be timely
received in the event of delivery delays. If you prefer, you may
deliver your written comments by courier (1 original and 3 copies) to
one of the following addresses: Room 443-G, Hubert H. Humphrey
Building, 200 Independence Avenue, SW., Washington, DC 20201 or Room
C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244.
Comments mailed to the two above addresses may be delayed and
received too late to be considered.
Because of staff and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. In commenting, please refer
to file code HCFA-1120-P. Comments received timely will be available
for public inspection as they are received, generally beginning
approximately 3 weeks after publication of a document, in Room 443-G of
the Department's office at 200 Independence Avenue, SW., Washington,
DC, on Monday through Friday of each week from 8:30 to 5 p.m. (phone:
(202) 690-7890).
FOR FURTHER INFORMATION CONTACT:
Bob Ulikowski, (410) 786-5721 (for issues related to resource-based
malpractice relative value units and geographic practice cost index
changes).
Carolyn Mullen, (410) 786-4589 or Marc Hartstein, (410) 786-4539,
(for issues related to resource-based practice expense relative value
units).
Rick Ensor, (410) 786-5617 (for issues related to care plan
oversight and physician certification/recertification).
Jim Menas, (410) 786-4507 (for issues related to incomplete medical
direction and the 5-year review).
Roberta Epps, (410) 786-1858 (for outpatient therapy-related
issues).
Cathleen Scally, (410) 786-5714 (for issues related to observation
care codes).
Diane Milstead, (410) 786-3355 (for all other issues).
SUPPLEMENTARY INFORMATION:
Copies: To order copies of the Federal Register containing this
document, send your request to: New Orders, Superintendent of
Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date
of the issue requested and enclose a check or money order payable to
the Superintendent of Documents, or enclose your Visa or Master Card
number and expiration date. Credit card orders can also be placed by
calling the order desk at (202) 512-1800 or by faxing to (202) 512-
2250. The cost for each copy is $8. As an alternative, you can view and
photocopy the Federal Register document at most libraries designated as
Federal Depository Libraries and at many other public and academic
libraries throughout the country that receive the Federal Register.
This Federal Register document is also available from the Federal
Register online database through GPO Access, a service of the U.S.
Government Printing Office. The Website address is: http://www.access.gpo.gov/nara/index.html.
Information on the Lewin report referenced in the preamble can be
found on our homepage. This data can be accessed by using the following
directions:
1. Go to the HCFA homepage (http://www.hcfa.gov).
2. Click on ``Medicare.''
3. Click on ``Professional/Technical Information.''
4. Select Medicare Payment Systems.
5. Select Physician Fee Schedule.
Or, you can go directly to the Physician Fee Schedule page by typing
the following: http://www.hcfa.gov/medicare/pfsmain.htm.
To assist readers in referencing sections contained in this
preamble, we are providing the following table of contents. Some of the
issues discussed in this preamble affect the payment policies but do
not require changes to the regulations in the Code of Federal
Regulations.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
II. Specific Proposals for Calendar Year 2001
A. Resource-Based Practice Expense Relative Value Units
B. Geographic Practice Cost Index Changes
C. Resource-Based Malpractice Relative Value Units
D. Critical Care Relative Value Units
E. Care Plan Oversight and Physician Certification/
Recertification
F. Observation Care Codes
G. Ocular Photodynamic Therapy and Other Ophthalmalogical
Treatments
H. Electrical Bioimpedance
I. Global Period for Insertion, Removal, and Replacement of
Pacemakers and Cardioverter Defibrillators
J. Antigen Supply
K. Low Intensity Ultrasound
L. Implantation of Ventricular Assist Devices
III. Other Issues
A. Incomplete Medical Direction
B. Payment for Pulse Oximetry Services
C. Outpatient Therapy Supervision
D. Outpatient Therapy Caps
IV. Five Year Refinement of Relative Value Units
V. Collection of Information Requirements
VI. Response to Comments
VII. Regulatory Impact Analysis
VIII. Federalism
Addendum A--Explanation and Use of Addendum B
Addendum B--2001 Relative Value Units and Related Information Used
in Determining Medicare Payments for 2001
Addendum C--Clinical Staff Times for Selected Codes
Addendum D--Comparison of 1999 and Proposed 2002 Office Rent Index
By Fee Schedule Area
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Addendum E--Comparison of 1999 and Proposed 2002 Malpractice GPCIs
By Fee Schedule Area
Addendum F--2002 Geographic Practice Cost Indices by Medicare
Carrier and Locality
Addendum G--2001 Geographic Practice Cost Indices by Medicare
Carrier and Locality
Addendum H--Proposed 2002 Versus 1999 Geographic Adjustment Factors
(GAF)
In addition, because of the many organizations and terms to which
we refer by acronym in this proposed rule, we are listing these
acronyms and their corresponding terms in alphabetical order below:
AMA American Medical Association
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act
CF Conversion factor
CFR Code of Federal Regulations
CPT [Physicians'] Current Procedural Terminology [4th Edition, 1997,
copyrighted by the American Medical Association]
CPEP Clinical Practice Expert Panel
CRNA Certified Registered Nurse Anesthetist
E/M Evaluation and management
EB Electrical bioimpedance
FMR Fair market rental
GAF Geographic adjustment factor
GPCI Geographic practice cost index
HCFA Health Care Financing Administration
HCPCS HCFA Common Procedure Coding System
HHA Home health agency
HHS [Department of] Health and Human Services
IDTFs Independent Diagnostic Testing Facilities
MCM Medicare Carrier Manual
MEDPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MGMA Medical Group Management Association
MSA Metropolitan Statistical Area
NAMCS National Ambulatory Medical Care Survey
OBRA Omnibus Budget Reconciliation Act
PC Professional component
PEAC Practice Expense Advisory Committee
PPAC Practicing Physicians Advisory Council
PPS Prospective payment system
RUC [AMA's Specialty Society] Relative [Value] Update Committee
RVU Relative value unit
SGR Standard growth rate
SMS [AMA's] Socioeconomic Monitoring System
TC Technical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid for physician services
under section 1848 of the Social Security Act (the Act), ``Payment for
Physicians' Services.'' This section contains three major elements--(1)
a fee schedule for the payment of physicians' services; (2) a
sustainable growth rate for the rates of increase in Medicare
expenditures for physicians' services; and (3) limits on the amounts
that nonparticipating physicians can charge beneficiaries. The Act
requires that payments under the fee schedule be based on national
uniform relative value units (RVUs) based on the resources used in
furnishing a service. Section 1848(c) of the Act requires that national
RVUs be established for physician work, practice expense, and
malpractice expense.
Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments
in RVUs may not cause total physician fee schedule payments to differ
by more than $20 million from what they would have been had the
adjustments not been made. If adjustments to RVUs cause expenditures to
change by more than $20 million, we must make adjustments to the
conversion factors (CFs) to preserve budget neutrality.
B. Published Changes to the Fee Schedule
We published a final rule on November 25, 1991 (56 FR 59502) to
implement section 1848 of the Act by establishing a fee schedule for
physicians' services furnished on or after January 1, 1992. In the
November 1991 final rule (56 FR 59511), we stated our intention to
update RVUs for new and revised codes in the American Medical
Association's (AMA's) Physicians' Current Procedural Terminology (CPT)
through an ``interim RVU'' process every year. We published the updates
to the RVUs and fee schedule policies are as follows:
November 25, 1992, a final notice with comment period on
new and revised RVUs only (57 FR 55914).
December 2, 1993, a final rule with comment period (58 FR
63626) revised the refinement process used to establish physician work
RVUs and to revise payment policies for specific physicians' services
and supplies. (We solicited comments on new and revised RVUs only.)
December 8, 1994, a final rule with comment period (59 FR
63410) revised the geographic adjustment factor (GAF) values, fee
schedule payment areas, and payment policies for specific physicians'
services. The final rule also discussed the process for periodic review
and adjustment of RVUs not less frequently than every 5 years as
required by section 1848(c)(2)(B)(i) of the Act.
December 8, 1995, a final rule with comment period (60 FR
63124) revised various policies affecting payment for physicians'
services including Medicare payment for physicians' services in
teaching settings, the RVUs for certain existing procedure codes, and
established interim RVUs for new and revised procedure codes. The rule
also included the final revised 1996 geographic practice cost indices
(GPCIs).
November 22, 1996, a final rule with comment period (61 FR
59490) revised the policy for payment for diagnostic services,
transportation in connection with furnishing diagnostic tests, changes
in geographic payment areas (localities), and changes in the procedure
status codes for a variety of services.
October 31, 1997, a final rule with comment period (62 FR
59048) revised the GPCIs, physician supervision of diagnostic tests,
establishment of independent diagnostic testing facilities, the
methodology used to develop reasonable compensation equivalent limits,
payment to participating and nonparticipating suppliers, global
surgical services, caloric vestibular testing, and clinical
consultations. It also implemented certain provisions of the Balanced
Budget Act of 1997 (BBA) (Public Law 105-33), enacted on August 5,
1997, and implemented the RVUs for certain existing procedure codes and
established interim RVUs for new and revised procedure codes.
November 2, 1998, a final rule with comment period (63 FR
58814) revised the policy for resource-based practice expense RVUs,
medical direction rules for anesthesia services, and payment for
abnormal Pap smears. We also rebased the Medicare economic index (MEI)
from a 1989 base year to a 1996 base year. Under the law, we were also
required to develop a resource-based system for determining practice
expense RVUs. The BBA delayed, for 1 year, implementation of the
resource-based practice expense RVUs until January 1, 1999. Also, the
BBA revised our payment policy for nonphysician practitioners, for
outpatient rehabilitation services, and for drugs and biologicals not
paid on a cost or prospective payment basis. In addition, the BBA
permitted certain physicians and practitioners to opt out of Medicare
and furnish covered services to Medicare beneficiaries through private
contracts and permits payment for professional consultations via
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interactive telecommunication systems. Furthermore, we finalized the
1998 interim RVUs and issued interim RVUs for new and revised codes for
1999. The final rule also announced the CY 1999 Medicare physician fee
schedule CF under the Medicare Supplementary Medical Insurance (Part B)
program as required by section 1848(d) of the Act. The 1999 Medicare
physician fee schedule CF was $34.7315.
November 2, 1999, a final rule with comment period (64 FR
59380) made several changes affecting Medicare Part B payment. The
changes included: implementation of resource-based malpractice
insurance RVUs; refinement of resource-based practice expense RVUs;
payment for physician pathology and independent laboratory services;
discontinuous anesthesia time; diagnostic tests; prostate screening;
use of CPT modifier -25; qualifications for nurse practitioners; an
increase in the work RVUs for pediatric services; adjustments to the
practice expense RVUs for physician interpretation of Pap smears; and a
number of other changes relating to coding and payment. Furthermore, we
finalized the 1999 interim physician work RVUs and issued interim RVUs
for new and revised codes for 2000. The final rule solicited public
comments on the second 5-year refinement of work RVUs for services
furnished beginning January 1, 2002 and requested public comments on
potentially misvalued work RVUs for all services in the CY 2000
physician fee schedule. The final rule conformed the regulations to
existing law and policy regarding: removal of the x-ray as a
prerequisite for chiropractic manipulation; the exclusion of payment
for assisted suicide; and optometrist services. The final rule also
announced the CY 2000 Medicare physician fee schedule CF under the
Medicare Supplementary Medical Insurance (Part B) program as required
by section 1848(d) of the Act. The 2000 Medicare physician fee schedule
CF was $36.6137.
This proposed rule would affect the regulations set forth at Part
410, Supplementary medical insurance (SMI) benefits and Part 414,
Payment for Part B medical and other services.
II. Specific Proposals for Calendar Year 2001
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Public
Law 103-432), enacted on October 31, 1994, required us to develop a
methodology for a resource-based system for determining practice
expense RVUs for each physician's service beginning in 1998. In
developing the methodology, we were to consider the staff, equipment,
and supplies used in providing medical and surgical services in various
settings. The legislation specifically required that, in implementing
the new system of practice expense RVUs, we must apply the same budget-
neutrality provisions that we apply to other adjustments under the
physician fee schedule.
Section 4505(a) of the BBA delayed the effective date of the
resource-based practice expense RVU system until January 1, 1999. In
addition, section 4505(b) of the BBA provided for a 4-year transition
period from charge-based practice expense RVUs to resource-based RVUs.
The practice expense RVUs for CY 1999 were the product of 75 percent of
charge-based RVUs and 25 percent of the resource-based RVUs. For CY
2000, the RVUs were 50 percent charge-based and 50 percent resource-
based. For CY 2001, the RVUs will be 25 percent charge-based and 75
percent resource-based. After CY 2001, the RVUs will be totally
resource-based.
Section 4505(e) of the BBA provided that, in 1998, the practice
expense RVUs be adjusted for certain services in anticipation of
implementation of resource-based practice expenses beginning in 1999.
As a result, we increased practice expense RVUs for office visits. For
other services in which practice expense RVUs exceeded 110 percent of
the work RVUs and were furnished less than 75 percent of the time in an
office setting, we reduced the 1998 practice expense RVUs to a number
equal to 110 percent of the work RVUs. This limitation did not apply to
services that had proposed resource-based practice expense RVUs that
increased from their 1997 practice expense RVUs as reflected in the
June 18, 1997 proposed rule (62 FR 33196). The services affected, and
the final RVUs for 1998, were published in the October 1997 final rule
(62 FR 59103).
The most recent legislation affecting resource-based practice
expense was included in the Balanced Budget Refinement Act of 1999
(BBRA) (Public Law 106-113). Section 212 of the BBRA stated that we
must establish a process under which we accept and use, to the maximum
extent practicable and consistent with sound data practices, data
collected or developed by entities and organizations. These data would
supplement the data we normally collect in determining the practice
expense component of the physician fee schedule for payments in CY 2001
and CY 2002.
2. Current Methodology for Computing Practice Expense Relative Value
Unit System
Effective with services on or after January 1, 1999, we established
a new methodology for computing resource-based practice expense RVUs
that used the two significant sources of actual practice expense data
we have available: the Clinical Practice Expert Panel (CPEP) data and
the AMA's Socioeconomic Monitoring System (SMS) data. The methodology
was based on an assumption that current aggregate specialty practice
costs are a reasonable way to establish initial estimates of relative
resource costs of physicians' services across specialties. The
methodology allocated these aggregate specialty practice costs to
specific procedures and, thus, can be seen as a ``top-down'' approach.
The methodology can be summarized as follows:
(a) Practice Expense Cost Pools. We used actual practice expense
data by specialty, derived from the 1995 through 1997 SMS survey data,
to create six cost pools--administrative labor, clinical labor, medical
supplies, medical equipment, office supplies, and all other expenses.
There were three steps in the creation of the cost pools.
Step (1) We used the AMA's SMS survey of actual cost data
to determine practice expenses per hour by cost category. The practice
expenses per hour for each physician respondent's practice was
calculated as the practice expenses for the practice divided by the
total number of hours spent in patient care activities. The practice
expenses per hour for the specialty were an average of the practice
expenses per hour for the respondent physicians in that specialty. In
addition, for the CY 2000 physician fee schedule, we used data from a
survey submitted by the Society of Thoracic Surgeons in calculating the
thoracic and cardiac surgery's practice expense per hour. (See the
November 1999 final rule (64 FR 59391) for additional information
concerning acceptance of this data.)
Step (2) We determined the total number of physician hours
(by specialty) spent treating Medicare patients. This was calculated
from physician time data for each procedure code and from Medicare
claims data.
Step (3) We calculated the practice expense pools by
specialty and by cost category by multiplying the specialty practice
expenses per hour for each category by the total physician hours.
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For services with work RVUs equal to zero (including the technical
component (TC) of services with a TC and professional component (PC)),
we created a separate practice expense pool using the average clinical
staff time from the CPEP data (since these codes by definition do not
have physician time), and the ``all physicians'' practice expense per
hour.
(b) Cost Allocation Methodology. For each specialty, we separated
the six practice expense pools into two groups and used a different
allocation basis for each group.
(1) Direct Costs
For direct costs (including clinical labor, medical supplies, and
medical equipment), we used the CPEP data as the allocation basis. The
CPEP data for clinical labor, medical supplies, and medical equipment
were used to allocate the clinical labor, medical supplies, and medical
equipment cost pools, respectively.
For the separate practice expense pool for services with work RVUs
equal to zero, we used 1998 practice expense RVUs to allocate the
direct cost pools (clinical labor, medical supplies, and medical
equipment cost pools) as an interim measure. Also, for all radiology
services that are assigned work RVUs, we used the 1998 practice expense
relative values for radiology services as an interim measure to
allocate the direct practice expense cost pool for radiology. For all
other specialties that perform radiology services, we used the CPEP
data for radiology services in the allocation of that specialty's
direct practice expense cost pools.
(2) Indirect Costs
To allocate the cost pools for indirect costs, including
administrative labor, office expenses, and all other expenses, we used
the total direct costs, as described above, in combination with the
physician fee schedule work RVUs. We converted the work RVUs to dollars
using the Medicare CF (expressed in 1995 dollars for consistency with
the SMS survey years).
The SMS pool was divided by the CPEP pool for each specialty to
produce a scaling factor that was applied to the CPEP direct cost
inputs. This was intended to match costs counted as practice expenses
in the SMS survey with items counted as practice expense in the CPEP
process. When the specialty specific scaling factor exceeds the average
scaling factor by more than three standard deviations, we used the
average scaling factor. (See the November 1999 final rule (64 FR 59390)
for further discussion of this issue).
For procedures performed by more than one specialty, the final
procedure code allocation was a weighted average of allocations for the
specialties that perform the procedure, with the weights being the
frequency with which each specialty performs the procedure on Medicare
patients.
(c) Other Methodological Issues.
(1) Global Practice Expense Relative Value Units
For services with the PC and TC paid under the physician fee
schedule, the global practice expense RVUs were set equal to the sum of
the PC and TC.
(2) Practice Expenses Per Hour Adjustments and Specialty Crosswalks
Since many specialties identified in our claims data did not
correspond exactly to the specialties included in the practice expense
tables from the SMS survey data, it was necessary to crosswalk these
specialties to the most appropriate SMS specialty category. We also
made the following adjustments to the practice expense per hour data
(for the rationale for these adjustments to the practice expense per
hour see the November 1998 final rule (63 FR 58841):
We set the medical materials and supplies practice
expenses per hour for the specialty of ``oncology'' equal to the ``all
physician'' medical materials and supplies practice expenses per hour.
We based the administrative payroll, office, and other
practice expenses per hour for the specialties of ``physical therapy''
and ``occupational therapy'' on data used to develop the salary
equivalency guidelines for these specialties. We set the remaining
practice expense per hour categories equal to the ``all physician''
practice expenses per hour from the SMS survey data.
Due to uncertainty concerning the appropriate crosswalk
and time data for the nonphysician specialty ``audiologist,'' we
derived the resource-based practice expense RVUs for codes performed by
audiologists from the practice expenses per hour of the other
specialties that perform these codes.
For the specialty of ``emergency medicine,'' we used the
``all physician'' practice expense per hour to create practice expense
cost pools for the categories ``clerical payroll'' and ``other
expenses.''
For the specialty of ``podiatry,'' we used the ``all
physician'' practice expense per hour to create the practice expense
pool.
For the specialty of ``pathology,'' we removed the
supervision and autopsy hours reimbursed through Part A of the Medicare
program from the practice expense per hour calculation.
For the specialty ``maxillofacial prosthetics,'' we used
the ``all physician'' practice expense per hour to create practice
expense cost pools and, as an interim measure, allocated these pools
using the 1998 practice expense RVUs.
We split the practice expenses per hour for the specialty
``radiology'' into ``radiation oncology'' and ``radiology other than
radiation oncology'' and used this split practice expense per hour to
create practice expense cost pools for these specialties.
(3) Time Associated With the Work RVUs
The time data resulting from the refinement of the work RVUs have
been, on average, 25 percent greater than the time data obtained by the
Harvard study for the same services. We increased the Harvard research
team's time data to ensure consistency between these data sources.
For services with no assigned physician time (such as, dialysis,
physical therapy, psychology, and many radiology and other diagnostic
services), we calculated estimated total physician time based on work
RVUs, maximum clinical staff time for each service as shown in the CPEP
data, or the judgment of our clinical staff.
We calculated the time for CPT codes 00100 through 01996 using the
base and time units from the anesthesia fee schedule and the Medicare
allowed claims data.
3. Refinement
(a) Background. Section 4505(d)(1)(C) of the BBA required us to
develop a refinement process to be used during each of the 4 years of
the transition period. We did not propose a specific long-term
refinement process in the June 1998 proposed rule (63 FR 30835).
Rather, we set out the parameters for an acceptable refinement process
for practice expense RVUs and solicited comments on our proposal. We
received a large variety of comments about broad methodology issues,
practice expense per hour data, and detailed code level data. We made
some adjustments to our proposal when we were convinced an adjustment
was appropriate. We also indicated that we would consider other
comments for possible refinement and that the values of all codes would
be considered interim for 1999 and for future years during the
transition period.
We outlined in the November 1998 final rule (63 FR 58832) the steps
we were undertaking as part of the initial
[[Page 44180]]
refinement process. These steps included--
Establishment of a mechanism to receive independent advice
for dealing with broad practice expense RVU technical and
methodological issues;
Evaluation of any additional recommendations from the
General Accounting Office, the Medicare Payment Advisory Commission
(MedPAC), and the Practicing Physicians Advisory Council (PPAC); and
Consultation with physician and other groups about these
issues.
We also discussed a proposal submitted by the AMA's Specialty
Society Relative Value Update Committee (RUC) for development of a new
advisory committee, the Practice Expense Advisory Committee (PEAC), to
review comments and recommendations on the code-specific CPEP data
during the refinement period. In addition, we solicited comments and
suggestions about our practice expense methodology from organizations
that have a broad range of interests and expertise in practice expense
and survey issues.
In the July 22, 1999 proposed rule and the November 1999 final
rule, we provided further information on refinement activities
underway, including the formation of the PEAC and the support contract
that we awarded to focus on methodologic issues. The following is an
update on activities with respect to these initiatives, as well as the
status of refinement with respect to other areas of concern such as the
SMS data and CPEP inputs.
(b) SMS Data. We have received many comments on both our 1998 and
1999 proposed and final rules from a number of medical specialty
societies expressing concerns regarding the accuracy of the SMS data.
Some commenters stated their belief that the sample size for their
specialty was not large enough to yield reliable data. Other
specialties not represented in the SMS survey objected that the
crosswalk used for their practice expense per hour was not appropriate
and requested that their own data be used instead. Commenters also
raised questions about whether the direct patient care hours for their
specialty were overstated by the SMS to the specialty's disadvantage.
We consider dealing with these issues to be one of the major
priorities of the refinement effort. Therefore, we have undertaken the
following activities:
(1) Interim Final Rule on Supplemental Practice Expense Survey Data
On May 3, 2000, we published an interim final rule (65 FR 25664)
that set forth the criteria for physician and non-physician specialty
groups to submit supplemental practice expense survey data for use in
determining payments under the physician fee schedule. Section 212 of
the BBRA required us to establish a process under which we will accept
and use, to the maximum extent practicable and consistent with sound
data practices, data collected or developed by entities and
organizations to supplement the data we normally collect in determining
the practice expense component of the physician fee schedule for
payments in CY 2001 and CY 2002.
To obtain data that could be used in computing practice expense
RVUs beginning January 1, 2001, we published the criteria in the May
2000 interim final rule (65 FR 25666) that we will apply to
supplemental survey data submitted to us by August 1, 2000. We also
provided a 60-day period for submission of comments on the criteria
that we will consider for survey data submitted between August 2, 2000
and August 1, 2001 for use in computing the practice expense RVUs for
the CY 2002 physician fee schedule. (See the May 2000 interim final
rule for further information on the criteria and process). We intend to
respond to comments received on this interim final rule in the
physician fee schedule final rule to be published this fall. We believe
this is an important step in addressing the concerns of those
specialties that believe they are underrepresented in the SMS survey
data or believe they have not been surveyed by the SMS.
(2) Proposals for SMS Refinement
As we indicated in the November 1999 final rule, we awarded a
contract to The Lewin Group to obtain independent advice dealing with
broad practice expense RVU technical and methodological issues.
Specific activities we requested the contractor to evaluate included
the following:
Evaluation of SMS data for validity and reliability.
Identification and evaluation of alternative and
supplementary data sources from specialty and multi-specialty
societies.
Development of options for validating the Harvard/RUC
physician procedure time data.
Evaluation of the indirect cost allocation methodology.
Advice on developing a process for the 5-year review of
practice expense RVUs.
The Lewin Group issued their first draft report, ``Practice Expense
Methodology,'' dated September 24, 1999. We have placed this report on
our homepage under the title ``Practice Expense Methodology Report.''
(Access to our homepage is discussed under the ``Supplementary
Information'' section above.) The report contains various
recommendations aimed at increasing the validity and reliability of the
AMA's SMS survey. As we discuss below, the AMA will no longer be
collecting data through the SMS survey. However, the AMA is currently
pilot-testing an alternative practice expense survey of physician
practices. Although The Lewin Group's recommendations were made
specifically to address improving the SMS survey for calculating
practice expense RVUs, we believe the recommendations will be useful in
making refinements to the practice level survey or designing any other
survey instrument that may be used in calculating practice expense
RVUs. The recommendations fell into the three following areas:
The use of data supplementary to the SMS survey.
Suggested changes to the survey instrument.
Recommendations for using the data in calculating the
specialty-specific practice expense per hour.
The report recognized the need for additional data obtained either
through oversampling or additional surveys. We would welcome the
receipt of additional objective and valid data that would help ensure
that our specialty-specific practice expense per hour calculations are
as accurate as possible. However, to ensure consistency of the data
across specialties, the report also stressed the need for any
supplementary data to adhere to the same format, survey instrument,
sample frame, and definitions as the SMS survey. We share this concern,
and in the May 2000 interim final rule we identified the specific
criteria that all supplementary surveys must meet to ensure that data
are valid, reliable, and consistent with the SMS data already in use.
In line with the report's recommendations on the use of the SMS
data, we are proposing to do the following:
The Lewin Group recommended that we update the SMS survey
data currently being used for practice expense per hour with new SMS
data. They also recommended using a rolling 3-year average to determine
practice expense per hour values. We are currently using data from the
1995 through 1997 SMS survey (1994 through 1996 practice expense data).
The latest data available is from the 1998 SMS survey and we have
incorporated this data into our practice expense per hour calculations.
Although The Lewin
[[Page 44181]]
Group has recommended using a rolling 3-year average, we have decided
to base the practice expense per hour calculations on a 4-year average.
We are concerned that substituting data from the 1998 SMS for data from
the 1999 SMS may exacerbate changes in the practice expense per hour
calculations that may be explained by sampling error. We believe that
using an additional year of SMS data will have the advantage of
minimizing changes in the practice expense per hour data that result
from sampling error, while allowing our calculations to be based on
more survey data.
The Lewin Group recommended that we standardize survey
data from the SMS so that it reflects a common base year. They raised a
concern that variations in sample size for a given specialty across the
3 years may produce a different result than if the survey response were
standardized to reflect a common year. This could disadvantage those
specialties that were more heavily sampled in the early years. We
evaluated this recommendation and found that standardizing the SMS data
we are currently using to reflect a 1995 cost year has virtually no
impact on the practice expense per hour calculations. However, this
issue will be more of a concern in using the later SMS data because
response rates were lower in the 1998 SMS survey than in prior years.
For this reason, we are standardizing the practice expense data so that
it reflects a common base year. Using the MEI, we standardized the
practice expense data so that it reflects a 1995 cost year consistent
with the pricing information that we are using for the estimates of
practice expense inputs for individual procedures.
The table below reflects the practice expense per hour calculations
we are using in determining the CY 2001 practice expense RVUs.
BILLING CODE 4120-01-P
[[Page 44182]]
[GRAPHIC] [TIFF OMITTED] TP17JY00.000
[[Page 44183]]
[GRAPHIC] [TIFF OMITTED] TP17JY00.001
BILLING CODE 4120-01-C
[[Page 44184]]
The Lewin Group also recommended that we revise edits and
trims to the SMS survey data, both practice expenses and hours, to
exclude data that fall outside set acceptable ranges (for example,
three standard deviations from the geometric mean). We asked the AMA
about their reaction to The Lewin Group's recommendation and the AMA
replied:
Trimming outlier values will further reduce sample size.
Trimming expense values can also be problematic because high expense
responses on the SMS are often justified when practice size and
structure are taken into account. A trim may also disproportionately
impact specialties with highly skewed distributions of PE-HR.
For this reason, we are not taking action in response to The Lewin
Group's recommendation at this time.
In addition, The Lewin Group recommended that we account
for item non-response to questions related to practice expenses and
patient care hours. We asked the AMA for their reaction to this
recommendation as well. The AMA replied that they would need more
information and added that there is no evidence that a pattern of non-
response bias exists for practice expense, although it is a
possibility. We are considering whether to study this issue further
but, at this time, are not making any adjustments in response to this
recommendation.
The report also makes suggestions on changes to the survey
instrument used to collect practice expense data from practitioners.
Though the original SMS survey does collect some information on
practice expenses, it was not designed as a vehicle to calculate a
specialty-specific practice expense per hour. We, and the contractor,
have held several meetings with the AMA's SMS staff to discuss
revisions to the survey that would help make our calculations more
precise.
We understand that the AMA is currently piloting a new practice-
level survey designed to address some of the limitations of the SMS. If
the pilot of the survey is successful, we earlier understood that the
AMA plans were to conduct the practice survey initially in CY 2000 and,
in alternate years thereafter, the practice expense survey and the SMS
survey. The AMA has recently indicated that its plans about the future
of the SMS and collection of practice level survey data are unclear at
this time. While the AMA has not made a final decision at this time
about whether the practice level survey will be done, they have
indicated concern to us about low response rates from the pilot test.
Nevertheless, we are proceeding to make recommendations to the AMA
regarding collection of practice expense data through the practice
level survey. We will continue our discussion with the AMA regarding
its plans for future practice expense data collection following
completion of the practice level survey. And, as we stated earlier, we
believe these recommendations will be useful in the design of the
practice level survey or any other survey of practice expenses used in
developing RVUs for practice expenses.
The use of this practice level survey, as it is currently
contemplated, responds to several of our contractor's recommendations.
For example, it would address the recommendation that information be
collected on each physician's percent share of practice expense and
hours within the practice by collecting information at the total
practice, rather than the individual physician owner level. The
practice level survey also currently contains, as requested, questions
on the number of hours the physician's office is open in a typical week
and on the salaries for the mid-level practitioners used by the
practice (that is, physician assistants, nurse practitioners, clinical
nurse specialists, nurse mid-wives, certified registered nurse
anesthetists, and physical and occupational therapists).
We are also suggesting additional changes in the survey questions
or directions, generally reflecting our contractor's recommendations.
We believe that the following changes would give more precise and
reliable data on which to base our practice expense calculations:
Emphasize the benefit of involving the practice manager or
accountant in the completion of the survey and the need to link the
practice expense data to the practice's tax information whenever
possible.
Include a question concerning how many patient care hours
are spent on uncompensated care, that is, care that the law requires
one to provide, but for which one is not compensated. This would not
include charity care that is voluntarily provided.
Add a question concerning the amount or percentage of
revenue generated by mid-level practitioners.
Add a question concerning the amount or percentage of
supply costs that relates to separately billable supplies (for example,
drugs, casting supplies, and laboratory supplies).
In addition, we are recommending that the survey include
more specific questions on patient care hours and that separately
billed mid-level practitioner hours be included.
The Lewin Group also recommended that the survey include questions
about a typical week, rather than the most recent week. We are not
adopting this suggestion because we believe that questions about the
most recent week are likely to yield more concrete, accurate answers,
whereas questions about a typical week are more likely based on
estimates. As we have already stated, the AMA will no longer be
collecting data through the SMS and the AMA has also expressed concern
about low response rates from the pilot of the practice level survey.
At this time, we are unclear as to the AMA's plans with regard to
future practice expense data collection efforts.
As we indicated earlier, we are currently proposing to use data
from the 1998 SMS in developing the 2001 practice expense relative
value units. Furthermore, data from the 1999 SMS will become available
later this year. In addition, section 1848(c)(2)(B) of the Act requires
that not less often than every 5 years, we review and make adjustments
to RVUs. Thus, by law we are required to review and make adjustments to
the practice expense RVUs no later than 2007. Regardless of whether the
AMA continues to collect data on practice expenses, we will be
developing plans for making refinements to practice expense RVUs beyond
2002.
We welcome comments on long-term strategies for refining the
practice expense RVUs and any suggestions for how to collect practice
expense data in the event it is no longer collected by the AMA. We will
consider these comments and any further decisions by the AMA with
regard to its practice expense data collection efforts in developing
our refinement strategy beyond 2002.
(3) Direct Patient Care Hours
We have received many comments from specialty societies concerning
our calculation of direct patient care hours. This is a major issue
because the patient care hours are one half of the ratio used to
determine the practice expense per hour for each specialty. (The
practice expenses of practitioners in a specialty are divided by the
direct patient care hours in order to calculate the practice expense
per hour). If the reported hours do not reflect the actual average
billable hours for a specialty, the practice expense per hour will be
over-or understated.
Several commenters representing surgical specialty societies have
raised concern that the hours computed for their specialties have been
overstated. This may be a result of SMS survey respondents including
non-billable
[[Page 44185]]
hours (such as stand-by time) when asked how many hours they worked
each week. If this is the case, this would decrease the practice
expense per hour for these specialties. In addition, commenters
representing emergency room physicians raised the issue that the hours
spent on uncompensated care were probably also included in the survey
responses to the detriment of this specialty.
We agree with the commenters that there is a need to increase the
level of confidence in the direct patient care hour data. We are
already taking steps to improve the future accuracy of these data. As
mentioned above, we are recommending that the future survey questions
be worded more precisely so that only the appropriate practitioner
hours are included. In addition, we have asked our contractor to give
priority to recommendations on steps we can take to improve the
accuracy of the patient care hours.
As a first step in accomplishing this, The Lewin Group issued their
second draft report on December 6, 1999, entitled ``Validating Patient
Care Hours Used in HCFA's Practice Expense Methodology.'' This report
explores alternative methods that we might use to validate the time
data collected by the SMS survey. The validation techniques attempt to
achieve two goals: (1) Identifying inaccurate existing data and (2)
identifying inconsistencies in new data to be derived from future
survey efforts.
The Lewin Group developed the following four validation techniques
to analyze the SMS data used in computing the specialty-specific
patient care hours:
Method 1: Compare the patient care hour data reported at
the beginning of the SMS survey (that asks for the total hours worked
in a week) to responses from the detailed questions on patient care
hours appearing later in the SMS survey.
Method 2: Calculate ratios of SMS time pools to Harvard/
RUC time pools by specialty, using Harvard/RUC procedure time data and
Medicare claims data.
Method 3: Compare newly reported SMS data to historical
SMS data to identify outliers.
Method 4: Compare SMS data on annual hours worked with
annual hours data reported in the Medical Group Management
Association's (MGMA) ``Physician Compensation and Production Survey''.
We have placed this report on our homepage under the title
``Validating Patient Care Hours.''
We agree with our contractor that no single validation approach
exists that can be used to validate both existing and new data on
patient care hours with a high level of confidence. However, the
approaches described above, when used together, could be effective
tools that will help to ensure the accuracy and reliability of existing
and future data used in the calculation of practice expense RVUs. These
validation efforts would allow us, and the medical community, to be
more confident in the use of future data to update practice expense
RVUs. Therefore, we extended The Lewin Group's contract so that, among
other refinement tasks, the above analyses can be carried out. We are
aware that even with the above initiatives, it might not be possible to
address all concerns regarding refinement of the patient care hours in
the short term. Therefore, we welcome any comments and suggestions as
to other steps we could take to verify and improve the accuracy of the
specialty-specific patient care hours.
(c) CPEP Data.
(1) Relative Value Update Committee's Practice Expense Advisory
Committee
The PEAC, a subcommittee of the RUC, held its initial meetings last
year and the RUC made recommendations on CPEP inputs for clinical staff
times, supplies, and equipment on approximately 65 CPT codes. We
discussed our actions with regard to these recommendations in the
November 1999 final rule. The PEAC continues to meet to refine the CPEP
direct cost inputs, and we anticipate that we will receive additional
RUC recommendations in July. We will address these recommendations in
this year's physician fee schedule final rule.
In the November 1999 final rule, we deferred action on the RUC
recommendations for a few groups of CPT codes on which we had
significant questions. We are now proposing to accept the RUC
recommendations with the revisions noted below:
Prostate Procedures
52647 Non-contact laser coagulation of prostate, including control of
postoperative bleeding, complete (vasectomy, meatotomy,
cystourethroscopy, urethral calibration and/or dilation, and internal
urethrotomy are included)
53850 Transurethral destruction of prostate tissue; by microwave
thermotherapy
53852 Transurethral destruction of prostate tissue; by radiofrequency
thermotherapy
We are accepting the total clinical staff time recommended for the
in-office setting, but are moving 60 minutes from post to intra-service
time for each of the above procedures because the staff time for
observation of the patient during recovery from anesthesia belongs in
the intra-service period. We are reducing the out of office preservice
clinical staff time for CPT codes 52647 and 53852 to 30 minutes to
match the RUC recommendation for CPT code 53850 and the time allotted
in the office for each service and are making the out-of-office
postservice time equal to the in-office postservice time because we
believe there is no reason that these times should differ.
The supplies for all three procedures were adjusted to reflect
three postoperative visits and to conform with the overall adjustment
to supplies made in the November 1999 final rule. For CPT code 52647,
we deleted the flexible cystoscope from the equipment because only one
scope is required for the procedure. We also deleted the sterilizer
because it is not typically used. For CPT code 53850, the RUC
recommendations included the inputs for two different scenarios using
two different devices. We chose what we believe to be the most
typically used device and the inputs that accompany this. For CPT code
53852, we deleted the cystoscopes and sterilizer from the equipment
because we believe that they are not typically used.
Chemotherapy Procedures
96408 Chemotherapy administration, intravenous; push technique
96410 Chemotherapy administration, intravenous; infusion technique, up
to one hour
The RUC had recommended 102 minutes of clinical staff time for CPT
code 96408 and 121 minutes for CPT code 96410. In the November 1999
final rule, we solicited comments on these codes to assist us in our
review. In response, the American Society of Clinical Oncology provided
a breakdown by specific tasks of the above staff times. Included in
this breakdown were 20 minutes for pre- and postprocedure education and
15 minutes for three phone calls after each visit.
Because we believe that the times for patient education and phone
calls should be averaged over the whole course of chemotherapy
treatment, and because there appeared to be some duplication in the
pre- and postprocedure education tasks, we reduced both the patient
education and phone call times by 5 minutes. Therefore, we are
proposing 92 minutes
[[Page 44186]]
of clinical staff time for CPT code 96408 and 111 minutes for CPT code
96410. For supplies, the specialty society agreed that we should delete
the silver nitrate stick and HEPA filters from both procedures and the
infusion pump cassette from CPT code 96408.
(2) Clinical Staff Time
In the November 1999 final rule, we removed estimates of all
clinical staff time allotted to the use of clinical staff in the
facility setting from the CPEP data. Commenters have since noted that
the clinical staff times reported by some CPEP panels for pre- and
postservice times for 0-day global services performed in the office
were recorded in the intra-service field in the CPEP database. These
times were, therefore, deleted along with the times for the use of
clinical staff in the facility setting, unlike the pre- and postservice
times for 10 and 90-day global services that were entered into the
separate pre and post data fields. The commenters argued that these
pre- and postservice staff times for the relevant 0-day global services
should be reinstated because these times are for staff in the office
before and after the patient is in the facility.
We agree that these data are not comparable to the data we excluded
for clinical staff used in the facility setting. We reviewed the ``CPEP
Recorders' Notes Files'' compiled for each CPEP panel by Abt
Associates, Inc., the contractor managing the CPEP panels. When the
notes indicate that clinical staff estimates were for activities
performed in physicians' offices, we are proposing to reinstate the
time data for 0-day global services. The fact that we have reinstated
these time data does not mean that we necessarily agree that the amount
of time assigned is correct. Like all the other raw CPEP data, these
time data are subject to refinement and possible revision.
The entire recorders' notes file is available on our website and is
entitled ``CPEP Recorders' Notes Files.'' Addendum C shows a list of
the codes for which pre- or postclinical staff time has been added, as
well as the times that are now assigned.
(3) Supplies
In the November 1999 final rule (64 FR 59392), we indicated that
casting materials are bundled into the payment for the initial fracture
management procedures and that separate billing for the supplies is not
allowed. However, commenters noted that our policy has been to allow
separate payment for splints, casts, and other devices used for the
reduction of all fractures and dislocations under section 1861(s)(5) of
the Act. Since we provide separate payment for splints and casting
supplies, we are now proposing to remove these types of expenses from
practice expense inputs for all applicable fracture management and
cast/strapping application procedure codes under the physician fee
schedule.
In the November 1999 final rule, we deleted certain casting
supplies (fiberglass roll, cast padding, and cast shoe) from the list
of supplies for the casting and strapping CPT codes 29000 through
29750. We have identified additional CPT codes for the treatment of
fractures/dislocations that have these supplies included in the CPEP
data. Since these supplies are currently separately billable, we are
proposing to remove the fiberglass roll, cast padding, and cast shoe
from the following CPT codes: 23500 through 23680; 24500 through 24685;
25500 through 25695; 26600 through 26785; 27500 through 27566; 27750
through 27848; and 28400 through 28675.
In addition, we are also proposing to remove additional casting and
splinting supplies from all the CPT codes referenced above because
these supplies are also currently separately billable under section
1861(s)(5) of the Act. The list of supplies is as follows: stockingnet/
stockinette; plaster bandage; Denver splint; dome paste bandage; cast
sole; elastoplast roll; fiberglass splint; Ace wrap; Kerlix; Webril;
Malleable Archbars; and elastics.
We welcome comments on whether these supplies should be deleted
from additional procedures outside the code ranges referenced above,
and whether we have appropriately identified all the casting supplies
in our supply list.
(4) Equipment
We are currently using the original CPEP definitions for equipment
that distinguish between ``procedure specific equipment'' and
``overhead'' equipment. The main distinction between the two categories
is that procedure specific equipment is used only for a limited number
of procedures, while overhead equipment is used over a wide range of
services. In terms of actual application, we assume a 50-percent
utilization rate for procedure specific equipment, but a 100-percent
rate for all overhead equipment. In addition, the methodology assumes
that the procedure specific equipment is used only during the
intraservice period, while it assumes that the overhead equipment is
used for the entire service. We believe this distinction was more
important under our original ``bottom-up'' methodology when the
accuracy of the practice expense RVUs was almost totally dependent on
the precision of the CPEP inputs. Under our current ``top-down''
methodology, however, when the CPEP inputs are used only as allocators
of the specialty-specific practice expense pools, the distinction has
served to hinder the process of refining the CPEP inputs while not
leading to a substantive distinction in how we value services.
We are proposing to combine both categories of equipment into a
single ``equipment'' category, assuming an average 50-percent
utilization for all equipment. We believe that this will be beneficial
to our refinement process for the following reasons:
The current definition of the two categories of equipment
necessitates many subjective decisions. While it might be obvious that
an examination table is used for a wide range of services and,
therefore, would be overhead equipment, it is somewhat more arbitrary
to classify equipment such as cystoscopes or specific x-ray machines as
overhead or procedure specific.
The various CPEP panels were not consistent in their
application of the distinction between the two categories. Most of the
items that were classified by some of the CPEP panels as overhead
equipment were classified by another panel as procedure specific. In
addition, equipment that would seem to be very similar was sometimes
treated in different ways. For example, an examination table or a
stretcher were considered to be overhead, but an electric table or a
wheelchair were considered procedure-specific.
It would simplify the refinement process to have only one
category of equipment to consider rather than having to decide for all
7000 codes to which category each piece of equipment belongs.
We are also proposing to delete from the CPEP data equipment that
is not used typically with any service, but is on ``standby'' for many
services, or that is used for multiple services at the same time. In
either of these cases, it is difficult to allocate the cost of this
equipment appropriately to individual CPT codes. Examples of
``standby'' equipment are crash carts, defibrillators, wheelchairs, and
stretchers. Examples of equipment used for multiple procedures at the
same time are cabinets, refrigerators, and autoclaves.
Following is the list of equipment that we are proposing to delete
at this time from the CPEP inputs of all services: autoclave,
wheelchair, refrigerator, film file cabinet, hazard material spill kit,
embryo freezer, water system, flammable reagent cabinet, utility
freezer, ultra low temperature freezer,
[[Page 44187]]
acid cabinet, bulk storage refrigerator, abortion clinic security
system, abortion clinic security guard, gomco suction machine, doppler,
laser printer, lead shielding, defibrillator with cardiac monitor,
blood pressure/pulseox monitor, blood pressure monitor, printer, crash
cart--no defibrillator, and smoke evacuator.
The following is a list of equipment that we are proposing to
delete as ``standby'' equipment for most codes, but that we believe
typically may be used with a designated subset of procedures:
X-ray view box--four panel (retain when currently in the
CPEP data for codes in the range CPT codes 70010 through 79999).
ECG machine--3 channel (retain when currently in the CPEP
data for CPT codes 93000 through 93221).
Pulse oximeter (retain when currently in the CPEP data for
CPT codes 94620, 94621, 94680, 94681 and 94690; 94760 through 94770,
95807 through 95811 and 95819).
ECG/blood pressure monitor--3 channel (retain when
currently in the CPEP data for CPT codes 43200 through 43202 and 43234
through 43239).
Cardiac monitor (retain when currently in the CPEP data
for CPT codes 31615 through 31628).
ECG-Burdick (except for HCPCS code G0166).
We welcome comments on this proposal and on any additional
equipment that should not be considered a direct expense because the
cost cannot appropriately be allocated to an individual service.
Neither of these proposals to improve the CPEP equipment data have a
significant impact on any specialty.
(5) CPEP Anomalies
In the November 1999 final rule, we made corrections to the CPEP
data for a number of codes that we learned contained errors and
anomalies that we could easily correct. Since that time, we have
discovered some additional anomalies, and we are proposing to correct
them at this time. As we stated in the final rule, though certain
revisions may be made now, all practice expense inputs for these codes
are still subject to further comment, refinement, and potential PEAC
and RUC review and recommendations.
We have identified several CPT codes that were not costed
by the CPEP panels and were not assigned CPEP inputs. We are now
crosswalking these services to the CPEP inputs of the most appropriate
other service. The CPEP inputs for these codes are subject to
refinement. We welcome comments on the crosswalks that we have chosen.
The codes and their crosswalks are shown below:
------------------------------------------------------------------------
CPT and HCPCS code Crosswalk
------------------------------------------------------------------------
27347 Remove knee cyst................. 27345 Removal of knee cyst.
28289 Repair hallux rigidus............ 28288 Partial removal of foot
bone.
31643 Diag bronchoscope/catheter....... 31629 Bronchoscopy with biopsy.
36831 Av fistula excision.............. 34111 Removal of arm artery
clot.
36833 Av fistula revision.............. 36832 Av fistula revision.
45126 Pelvic exenteration.............. 58240 Removal of pelvis
contents.
57106 Remove vagina wall, partial...... 57110 Removal of vagina wall,
complete.
57107 Remove vagina tissue, part....... 57111 Remove vagina tissue,
complete.
59610 Vbac delivery.................... 59400 Obstetrical care.
59612 Vbac delivery only............... 59409 Obstetrical care.
59614 Vbac care after delivery......... 59410 Obstetrical care.
59618 Attempted vbac delivery.......... 59410 Obstetrical care.
59620 Attempted vbac delivery only..... 59514 Cesarean delivery only.
59622 Attempted vbac after care........ 59515 Cesarean delivery.
67220 Treatment of choroid lesion...... 67208 Treatment of retinal
lesion.
76831 Echo exam, uterus................ 76830 Echo exam, transvaginal.
78206 Liver image (3d) w/flow.......... 78205 Liver imaging (3D).
------------------------------------------------------------------------
The following services can be performed in the office, but
either have no CPEP data for the office setting or have been assigned
the same inputs as for the facility setting. Until these codes can be
refined, we are proposing the following crosswalks for the in-office
practice expense inputs so that costs in the office setting are
appropriately reflected.
------------------------------------------------------------------------
CPT code Crosswalk
------------------------------------------------------------------------
20225 Bone biopsy, trocar/needle....... 20220 Bone biopsy, trocar/
needle.
57105 Biopsy of vagina................. 57100 Biopsy of vagina (for
intraservice period)
------------------------------------------------------------------------
Because the following either are not performed in the
office setting or because we do not have appropriate CPEP inputs for
the in-office setting for these services, we are designating the
following CPT and HCPCS codes as ``N/A'' in the office setting: 99183
(Hyperbaric oxygen therapy); 21493 (Treatment of hyoid bone fracture);
21494 (Treatment of hyoid bone fracture with manipulation); 32997
(Total lung lavage); 33968 (Remove aortic assist device); 66830
(Removal of lens lesion); 69990 (Micro-surgery add-on); 92961
(Cardioversion, electric, internal) and we are designating G0167
(Hyperbaric oxygen treatment; no physician required) as carrier priced.
The TC for CPT code 93660 (Tilt table evaluation) is
carrier priced, but we are proposing to price it nationally. Therefore,
we are reinstating the original CPEP data.
We are crosswalking all CPEP inputs for CPT code 44201
(Laparascopy, jejunostomy) from the inputs for CPT code 44200
(Laparoscopy, enterolysis) to reflect that it is a 90-day global
service.
We are adjusting the CPEP inputs for CPT codes 15001 (Skin
graft add-on); 15351 (Skin hemograft add-on); and 15401 (Skin
heterograft add-on) to reflect that these are ZZZ services.
CPT code 00103 (Anesthesia for blepharoplasty), which was
not costed by the anesthesia CPEP panel, was inadvertently crosswalked
to the CPEP inputs of two different CPT codes. We are deleting the
crosswalk to the procedure CPT code 21450 and will
[[Page 44188]]
retain the crosswalk to the anesthesia CPT code 00140 (Anesthesia for
procedures on eye).
We believe that the supply inputs for the retrobulbar
injection codes (CPT codes 67500, 67505, and 67515) have been
inappropriately crosswalked by the CPEP panel from adjacent surgical
procedure codes. After consultation with an ophthalmology specialty
society, we have adjusted the supplies so that the list now includes
one alcohol swab, one pair of nonsterile gloves, one 5-cc syringe, and
one 25-gauge needle.
In several of the in-office ophthalmology codes, the
supply list includes the costs for 50 to 100 sterile towels. The
specialty society has confirmed that this is a typographical error and
that the quantity should not exceed five for any one visit or
procedure. We have made the appropriate adjustments.
The supply list for CPT code 68761 (Close tear duct
opening by plug), currently does not include the costs of a punctal
plug. We have received a comment from the specialty society
representing optometrists requesting that we add this supply because it
is typically used for this procedure. We agree with this comment and
are proposing the addition of a punctal plug to the CPEP supplies. We
have also deleted the inappropriate inputs from HCPCS code A4263,
permanent tear duct plug.
We have discovered a calculation error that affects the
total cost of supplies for some of the codes for which the RUC made
recommendations in 1999. We have made the appropriate corrections and
are using the corrected values for this rule.
We have adjusted the clinical staff and supply inputs for
HCPCS code G0170, skin biograft, to reflect that it is a 10-day global
service with one postprocedure visit.
After consultation with the specialty society, we have also
adjusted the supplies for CPT code 53040, drainage of deep periurethral
abscess, to correct for anomalies in the quantity of supplies between
the in and out of office settings.
(d) Calculation of Practice Expense Pools--Other Issues.
(1) Technical Refinement to Practice Expense Pools
The Act requires payment of some practitioner services (services of
certified registered nurse anesthetists, nurse practitioners, clinical
nurse specialists, physician assistants, and certified nurse mid-wives)
based on a percentage of the physician fee schedule payment amount.
Since the payment under the physician fee schedule for a service
performed by a midlevel practitioner is required to be based on a
percentage of the amount paid to a physician for a service, we are
proposing using only physician practice expense data in determining the
practice expense RVUs for each practitioner service. Removal of the
services performed by midlevel practitioners from the practice expense
calculations would assist in simplifying the methodology and would also
be consistent with the statutory requirement that we pay for their
services based on a percentage of the fee schedule amount.
(2) Medicare Utilization Data
We have received comments from several surgical specialties urging
us to evaluate the Medicare claims data to eliminate potential errors.
(For example, claims for non-surgeons performing complex surgeries that
are generally performed by surgical specialties only.) These commenters
were concerned that incorrect specialty utilization will decrease a
specialty's practice expense pool and recommended that these claims
should either be reassigned to the appropriate specialty or excluded
during refinement. To determine whether potential errors in the claim
data have an adverse impact on any specialty or merely represent
``noise'' that creates no significant effect, we ran the following
analyses:
First, we analyzed the utilization for CPT codes 63045 through
63048, the highest volume neurosurgical procedures performed by
neurosurgeons. Our utilization data indicates that 91 percent of
allowed services for these codes are performed by neurosurgeons and
orthopedic surgeons. Of the 9 percent of allowed services when the
utilization data indicates another specialty, 3 percent are attributed
to general surgeons. An additional 2 percent are attributed to the HCFA
specialty code for a clinic or other group practice, when it is likely
that a surgeon who is a member of a multispecialty clinic is providing
the surgical service. Of the remaining 4 percent of allowed services,
the data indicates a specialty of general practice, family practice, or
neurology.
For the utilization attributed to general and family practitioners,
the data indicate that, in most cases, these physicians are serving as
assistants-at-surgery. With respect to neurology (2 percent of the
allowed services), we believe it is possible that a physician may
practice as both a neurologist and neurosurgeon and designate neurology
as the specialty for reporting on Medicare claims. For an insignificant
percentage of the allowed services (under 1 percent of the allowed
services for all remaining specialties combined), our data indicate a
specialty that would not be expected to perform the neurosurgical
procedure. In these cases, the incorrect CPT code might have been
transcribed on the Medicare claim or the incorrect specialty code may
have been reported. There was a similar pattern for services associated
with other surgical specialties.
We then tested the impact of reassigning to the dominant specialty
this small proportion of allowed services associated with specialties
not expected to perform them. We selected three of the specialties that
commented on the possibility of erroneous utilization data and
identified the complete range of specialized codes associated with each
specialty. We reassigned to each dominant specialty the utilization
currently assigned to other specialties not expected to perform the
services. In addition, to test the ``worst-case'' scenario, we then
crosswalked all frequencies for their complete range of codes to the
selected individual specialty.
Neurosurgery
When we recoded CPT codes 61000 through 64999 to neurosurgery only,
the impact on neurosurgery was a 0.55-percent increase. When we recoded
the specialty for only those specialties that would not be expected to
provide CPT codes 61000 through 64999 (specialties other than
neurosurgery, orthopedic surgery, group practice or physician
assistant) to neurosurgery, the resulting impact on neurosurgery was a
0.69-percent increase. In reviewing the utilization data for this code
range, we found services that are predominantly performed by
radiologists and anesthesiologists (such as CPT code 62311). When we
recoded only those services predominantly performed by neurosurgeons,
the impact was even less.
Ophthalmology
When we recoded the specialty for all utilization in the range of
CPT codes 65091 through 68899 to ophthalmology only, the impact on
ophthalmology was 0.31 percent. When we recoded the specialty for only
those specialties that would not be expected to provide CPT codes 65091
through 68899 to ophthalmology, the resulting impact on ophthalmology
was a 0.32-percent increase.
Otolaryngology
When we recoded the specialty for all utilization in the range of
CPT codes
[[Page 44189]]
69000 through 69979 to otolaryngology, the impact on otolaryngology was
a -0.36 percent. When we recoded the specialty for only those
specialties that would be expected to provide CPT codes 69000 through
69979 to otolaryngology, the resulting impact on otolaryngology was
-0.35 percent.
We believe that these simulations exaggerate the potential impact
of possible errors in the utilization data because, as discussed in the
above analysis of CPT codes 63045 to 63048, our simulations likely
reassigned the specialty in situations in which the specialty was
correctly coded. In any case, in no scenario did the impacts even
approach a 1-percent increase or decrease.
We also believe these simulations demonstrate that the small
percentage of potential errors in our very large database have no
adverse effect on specialty-specific practice expense RVUs. Therefore,
we are not proposing any further action at this time.
(3) Allocation of Practice Expense Pools to Codes
The Lewin Group has recently begun the third phase of the project.
This phase will concentrate specifically on evaluating the indirect
cost allocation methodology. They will evaluate the validity of our
current methodology that allocates indirect costs using direct costs
and work RVUs and consider alternatives to allocating indirect costs by
the current method. The Lewin Group will perform a variety of tasks
during this phase of the project to evaluate the advantages and
shortcomings of our current indirect cost allocation methodology, as
well as of any alternative methodologies. The preliminary tasks for
Phase III include--
Analyzing the current indirect cost allocation methodology
to identify its advantages and shortcomings;
Considering alternate ways in which our methodology might
weight direct costs and work RVUs in the allocation of indirect costs
and predicting the effects of these alternatives;
Evaluating the impact and value of changing the
methodology to use time rather than work measurements to allocate
indirect costs;
Interviewing experts in the field on potential
alternatives to the current indirect cost allocation methodology; and
Reviewing other relevant efforts to allocate indirect
costs associated with physician and non-physician practice expenses.
The Lewin Group's draft final report will present the findings from
all three phases of The Lewin Group's analysis of our practice expense
methodology. As mentioned above, we are planning to extend The Lewin
Group's contract for another year to obtain additional assistance on
issues related to practice expense refinement.
(e) Site of Service. Clarifying the Definition of Facility/
Nonfacility.
For purposes of practice expense calculations, we make a
distinction between services performed in a non-facility and a facility
setting. This distinction takes into account the higher expenses of the
practitioner in the non-facility setting when the practitioner
typically bears the cost of the resources (for example, clinical staff,
supplies, and equipment) associated with the services. In the facility
setting, because these costs are not incurred by the physician,
Medicare payment to the facility includes the cost of the resources for
the services furnished. The purpose of the distinction in the site-of-
service is to ensure that Medicare does not duplicate payment, to the
physician and the facility, for any of the practice expenses incurred
in performing a service for a Medicare patient.
For purposes of applying the site-of-service differential, we are
defining hospitals, skilled nursing facilities, and ambulatory surgical
centers as facilities because they will receive a facility payment for
their provision of services. We have been advised that community mental
health centers (CMHCs) should also be defined as a facility setting
since CMHCs also receive a separate facility payment for their
services. Therefore, we are proposing to revise Sec. 414.22(b)(5)(i)
(Practice expense RVUs) to add CMHCs to the settings listed in which we
would apply the facility practice expense RVUs.
In addition, while we have indicated in previously published rules
that the non-facility practice expense RVUs are applicable to
outpatient therapy services (physical therapy, occupational therapy,
and speech language pathology) furnished by comprehensive outpatient
rehabilitation facilities or outpatient rehabilitation providers, there
is confusion about this issue. Only the facility can bill for therapy
services furnished to hospital and SNF patients. Because this facility
payment must include amounts reflecting practice expenses, the higher
nonfacility RVUs are used to pay for therapy services even in the
facility setting. Therefore, we would amend Sec. 414.22(b)(5)(i) to
specifically provide that the nonfacility practice expense RVUs are
applicable to outpatient therapy services regardless of the actual
setting.
B. Geographic Practice Cost Index Changes
1. Background
The Act requires that payments vary among fee schedule areas
according to the extent that relative costs vary as measured by the
GPCIs. Generally, the fee schedule areas that existed under the prior
reasonable charge system were retained under the fee schedule from
calendar years 1992 to 1996. We implemented a comprehensive revision in
fee schedule payment areas (localities) in 1997, reducing the number of
localities from 210 to 89. A detailed discussion of fee schedule areas
can be found in the July 2, 1996 proposed rule (61 FR 34615) and the
November 1996 final rule (61 FR 59494). We are required by section
1848(e)(1)(A) of the Act to develop separate indices to measure
relative cost differences among fee schedule areas compared to the
national average for each of the three fee schedule components. While
requiring that the practice expense and malpractice indices reflect the
full relative cost differences, the Act requires that the work index
reflect only one-quarter of the relative cost differences compared to
the national average.
Section 1848(e)(1)(C) requires us to review and, if necessary,
adjust the GPCIs at least every 3 years. This section of the Act also
requires us to phase in the adjustment over 2 years and implement only
one-half of any adjustment in the first year if more than 1 year has
elapsed since the last GPCI revision.
The GPCIs were first implemented in 1992. The first review and
revision was implemented in 1995, and the second review was implemented
in 1998. This constitutes the third GPCI review and revision and will
be implemented in 2001.
2. Development of the Geographic Practice Cost Indices
The GPCIs were developed by a joint effort of researchers at the
Urban Institute and the Center for Health Economics Research under
contract to HCFA. Indices were developed that measured the relative
cost differences among areas compared to the national average in a
``market basket'' of goods. In this case, the market basket consists of
the resources involved with operating a private medical practice. The
resource inputs are physician work or net income; employee wages;
office rents; medical equipment, supplies; malpractice insurance; and
other miscellaneous expenses. Employee wages, rents, medical equipment,
[[Page 44190]]
supplies, and other miscellaneous expenses are combined to comprise the
practice expense component of the GPCI. The weights of these components
in the original GPCIs (from 1992 through 1994), the first (1995 through
1997) and second (1998 through 2000) GPCI revisions, and the new
weights for the third proposed GPCI revision (2001 through 2003) are as
follows:
GPCI Component Weights
----------------------------------------------------------------------------------------------------------------
1992-1994 1995-2000 2001-2003
GPCIs GPCIs GPCIs
----------------------------------------------------------------------------------------------------------------
Physician Work.................................................. 54.2 54.2 54.5
Practice Expense................................................ 40.2 41.0 42.3
(Employee Wages)............................................ (15.7) (16.3) (16.8)
(Rent)...................................................... (11.1) (10.3) (11.6)
(Miscellaneous)............................................. (13.4) (14.4) (13.9)
Malpractice..................................................... 5.6 4.8 3.2
-----------------------------------------------
100.0 100.0 100.0
----------------------------------------------------------------------------------------------------------------
The resource inputs and their weights were obtained from the AMA's
Socioeconomic Characteristics of Medical Practice Survey. The weights
for the 1992 through 1994 GPCIs were from the AMA's 1987 survey, the
latest available when the original GPCIs were being developed. The
weights for the 1995 through 1997 and 1998 through 2000 GPCIs were from
the 1989 survey. The 1989 weights are those used in the revised
Medicare Economic Index (MEI) discussed in the November 25, 1992 final
rule (Medicare Program; Revision of the Medicare Economic Index) (57 FR
55899). The weights in the proposed 2001 through 2003 GPCIs are from
the 1997 AMA survey and were used in the MEI revision discussed in
November 2, 1998 final rule (Medicare Program; Revisions to Payment
Policies and Adjustments to the Relative Value Units Under the
Physician Fee Schedule for Calendar Year 1999) (63 FR 58846).
The MEI is a measure of annual increases in the cost of operating a
private medical practice and is used in the annual update of the
physician fee schedule CFs. Because the GPCIs and the MEI use the same
resource inputs to measure the costs of a private medical practice (the
GPCIs measure relative costs among areas while the MEI measures the
national annual rate of increase in costs), we believe the same weights
should be used.
Once the components and their weights were determined, data sources
had to be found that were widely and consistently available in all
physician fee schedule areas to measure costs. After examining many
sources, the following proxies were selected as the best available
sources for measuring each component of the original 1992 through 1994
GPCIs:
Physician work--The median hourly earnings, based on a 20
percent sample of 1980 census data, of workers in six professional
specialty occupation categories (engineers, surveyors, and architects;
natural scientists and mathematicians; teachers, counselors, and
librarians; social scientists, social workers, and lawyers; registered
nurses and pharmacists; writers, artists, and editors) with 5 or more
years of college. Adjustments were made to produce a standard
occupational mix in each area. The actual reported earnings of
physicians were not used to adjust geographical differences in fees
because these fees are, in large part, the determinants of the
earnings. We believe that the earnings of physicians will vary among
areas to the same degree that the earnings of other professionals vary.
Employee wages--Median hourly wages of clerical workers,
registered nurses, licensed practical nurses, and health technicians
were also based on a 20-percent sample of 1980 census data.
Office rents--Residential apartment rental data produced
annually by the Department of Housing and Urban Development (HUD) were
used because there were insufficient data on commercial rents across
all physician fee schedule areas.
Miscellaneous expenses--The Urban Institute and the Center
for Health Economics Research assumed that this component is
represented by a national market and that costs do not vary appreciably
among areas. This component's index is 1.000 for all areas to indicate
no variation from the national average.
Malpractice--Premiums in 1985 and 1986 for a mature
``claims made'' policy (a policy that covers malpractice claims made
during the covered period) providing $100,000 to $300,000 of coverage
were used. Adjustments were made to incorporate the costs of $1 million
to $3 million coverage and mandatory patient compensation fund
requirements. Premium data were collected for physicians in three risk
classes--low-risk (general practitioners who do not perform surgery),
moderate risk (general surgeons), and high-risk (orthopedic surgeons).
The areas selected for measurement purposes were the Metropolitan
Statistical Areas (MSAs). Non-MSA areas within a State were aggregated
into one residual area. Using MSAs for measurement satisfied the
criteria of (1) homogeneity in resource input prices within the area,
and (2) a size large enough so that market areas are self-contained to
minimize border crossing; that is, physicians would not move their
offices a few miles to secure higher payments and patients would tend
to receive services within their area.
The Act requires, however, that the GPCIs reflect cost differences
among fee schedule areas. Thus, it was necessary to map Medicare
localities to the MSA and non-MSA aggregation of GPCI data. Where
localities crossed MSA boundaries, MSA indices were converted to
Medicare locality indices by population weights.
Detailed discussions of the methodology and data sources of the
1992 through 1994 GPCIs can be obtained by requesting the following
studies from the National Technical Information Service by calling 1-
800-553-NTIS or, for residents of Springfield, Virginia, (703) 487-
4650.
The Urban Institute report ``The Geographic Medicare
Index: Alternative Approaches,'' NTIS PB89-216592.
The supplement to ``The Geographic Medicare Index:
Alternative Approaches,'' NTIS PB91-113506. This was published in the
September 4, 1990 notice for the model fee schedule (55 FR 36238).
The Urban Institute report, ``Refining the Malpractice
Geographic Practice Cost Index,'' February 1991, NTIS PB91-155218. The
related diskette is NTIS PB91-507491. This is the final version of the
1992 through 1994 GPCIs
[[Page 44191]]
as published in the November 1991 final rule (56 FR 59785).
3. Revised 1995 Through 1997 Geographic Practice Cost Indices
The main criticism of the original GPCIs was that they were
outdated because they were based on old data; for example, 1980 census
data and 1985 and 1986 malpractice premiums. This was, however, the
most recent data available when the GPCIs were established. The revised
1995 through 1997 GPCIs were based on the most current data available
when they were developed in 1993 and 1994.
We made some minor changes from the original GPCI methodology in
calculating some of the revised 1995 through 1997 indices. One
methodological change was made that applied across all indices. As
mentioned earlier, under the original GPCIs, where Medicare localities
crossed MSA boundaries, MSA indices were converted to locality indices
by population weights. Medicare expenditure weights were not used
because the expenditures under the reasonable charge system contained
large differences unrelated to relative cost differences among areas.
In calculating the revised GPCIs, where localities crossed MSA
boundaries, locality indices were calculated by weights based on the
proportion of localities' RVUs provided in each MSA to reflect relative
cost differences among areas. Full fee schedule RVUS were used rather
than actual 1993 payments because 1993 fee schedule payments still
reflected some reasonable charge payment levels. The advantages of RVU
weighting are (1) the GPCIs more closely reflect physician practice
costs in the area where the services are provided rather than where the
population lives, and (2) budget neutrality is preserved when we
combine multiple localities into larger areas, such as statewide
localities.
a. Work Geographic Practice Cost Indices. Data from the 20-percent
sample of census data of median hourly earnings for the same six
categories of professional specialty occupations as used in the 1992
through 1994 work GPCIs were used in calculating the 1995 through 1997
work GPCIs. The 1992 through 1994 work GPCIs were calculated using 1980
census data of earnings for professionals with 5 or more years of
college. That sample was no longer available with the 1990 census. The
1990 census educational classifications were by highest degree earned
and not by years of schooling as in the 1980 census. Thus, it was not
possible to obtain earnings data that exactly compared to the 1980
data.
For 1990, data were available for all-education and advanced-degree
samples, but not for 5 or more years of college. We elected to use the
all-education sample because its larger sample sizes made it more
stable and accurate in the less populous areas. Although it could be
argued that physicians' earnings might more closely approximate the
earnings of professionals with advanced degrees, the differences
between the all-education and advanced-degree indices were negligible
in all but a few of the smallest localities. We believed that the small
sample sizes of advanced-degree occupations in these small localities
may produce inaccurate results.
The 1992 through 1994 work GPCIs used metropolitan-wide median
wages for each county within an MSA. That is, all counties within an
MSA were assigned the MSA-wide median wage even if there were wage
variations within the MSA. We believed that this was appropriate for
all but Consolidated Metropolitan Statistical Areas (CMSAs), the
largest of the MSAs, such as New York. In these CMSAs, we replaced
metropolitan-wide earnings with county-specific earnings. We believed
this change was appropriate because costs were, in fact, higher in
central city areas (for example, Manhattan and San Francisco) than in
the rest of the CMSA. County earnings better account for cost variation
within these large metropolitan areas.
b. Practice Expense Geographic Practice Cost Indices. (1) Employee
Wage Indices. Data from the 20-percent sample of census data of median
hourly earnings for the same categories of medical and clerical
occupations used in the 1992 through 1994 practice expense GPCIs were
used in the 1995 through 1997 practice expense GPCIs. The 1995 through
1997 practice expense GPCIs used 1990 rather than 1980 census data. As
with the work GPCIs, county level data were used for CMSAs to better
reflect the cost variations within these large metropolitan areas.
(2) Rent Indices. As with the original rent indices, the HUD fair
market rental (FMR) data for residential rents were again used as the
proxy for physician office rents. The 1995 through 1997 practice
expense GPCIs reflect 1994 HUD FMRs. Like the work GPCI and the
employee wage index of the practice expense GPCIs, county level data
were used in CMSAs to recognize the variations within the CMSA.
The major criticism of the rent indices was that residential rather
than commercial rent data were used. As mentioned earlier, for
constructing the GPCIs, we needed data that were widely and
consistently available across all physician fee schedule areas. As with
the original GPCIs, we again searched for private sources of commercial
rent data that were widely and consistently available.
The private sources we found were not adequate. None of the sources
collected data for nonmetropolitan areas, nor did any collect data for
all metropolitan areas. The sources did not reflect the average
commercial space in the area, but rather the particular type of space
most relevant to the needs of a particular source's clients. In
addition, the sample sizes were small. A comparison of the average
rental for any particular city showed significant variation depending
upon the source. Also, the private commercial rent data tended to be
for very high priced real estate of the type likely to be used by large
institutions such as banks, insurance companies, or financial firms and
not for the type of office space used by physicians.
Among the sources of commercial rent data available, the most
promising were data from the Building Owners and Managers Association,
the General Services Administration, and the U.S. Postal Service. These
data were analyzed in depth. We did not use data from the Building
Owners and Managers Association and the General Services Administration
because of poor geographic coverage, especially outside of large
metropolitan areas. That is, data were not widely and consistently
available for all physician fee schedule areas. The U.S. Postal Service
data had much better geographic coverage, but sample sizes in many
areas were unacceptably small and could have led to erroneous results.
No acceptable national commercial rent data are readily available
for physician office rents. Thus, some proxy must be used for this
portion of the index. In addition, commercial rent data are not
available for all areas from published statistical sources.
We believe that the HUD FMR data remain the best available data for
constructing the office rental index. They are available for all areas,
are updated on an annual basis, and are consistent among areas and from
year to year. Moreover, physicians are frequently located in areas and
office space that are residential rather than commercial (for example,
in apartment complexes and small strip commercial centers adjacent to
residential areas).
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As
mentioned earlier, the GPCI assumes that this
[[Page 44192]]
component has a national market and that input prices do not vary among
geographic areas. We were unable to find any data sources that
demonstrated price differences by geographic area. Anecdotal and
interview data from suppliers and manufacturers were inconclusive.
While some price differences may exist, they are more likely to be
based on volume discounts rather than on geographic areas. Generally,
it appears that manufacturers' prices do not vary among areas except
for shipping costs. Since manufacturers and suppliers are located all
over the country, shipping costs on the mainland do not vary
significantly.
We did consider an add-on for shipping costs to Alaska, Hawaii, and
Puerto Rico to recognize the added shipping distance. We decided
against the add-on because there were no data to indicate how much the
costs of shipping medical equipment and supplies to these areas
increased their total costs. We were able to ascertain that commercial
shippers like United Parcel Service and Federal Express generally
charge about 10 percent more to ship to Puerto Rico and about 20
percent more to ship to Alaska and Hawaii from the mainland.
Medical equipment and supplies represent about 7 percent of
physician practice costs. Even assuming that shipping costs represent 5
percent of total equipment and supply costs, which we believe to be a
high estimate, recognizing a 20 percent increase in shipping costs
would only increase payment levels by 0.07 percent or 0.0007 (.20 x
.05 x .07 = .0007). The medical equipment, supplies, and
miscellaneous expense index for all areas continued to be 1.000 in the
revised 1995 through 1997 GPCIs.
c. Malpractice Geographic Practice Cost Indices. Again, malpractice
premium data for a $1 million to $3 million mature ``claims made''
policy were collected, with mandatory patient compensation funds
considered. However, more recent and more comprehensive malpractice
insurance data were used in calculating the 1995 through 1997
malpractice GPCIs. The 1995 through 1997 malpractice GPCIs were based
on 1990 through 1992 premium data. Malpractice premiums are very
volatile and may change significantly from year to year. We decided to
use the most recent 3-year average available rather than just the most
recent single year to smooth out this volatility and present a more
accurate indication of malpractice premium trends over time.
We collected data on more specialties and from more insurers. We
collected data on 20 specialties, rather than on only three as in the
1992 through 1994 malpractice GPCIs. The 1992 through 1994 malpractice
GPCI data were largely drawn from a single nationwide insurer (St. Paul
Fire and Marine) and were supplemented by several State-specific
carriers in States in which St. Paul did not offer coverage. Subsequent
analyses suggest that these data were not representative of insurers
operating in many States. For the revised malpractice GPCI, data were
collected from insurers that, on average, represented 82 percent of the
market in each State, with the lowest State market share being 60
percent. We believe that the more recent and much more comprehensive
data greatly improved the accuracy of the malpractice GPCIs for 1995
through 1997.
Detailed discussions of the methodology and data sources of the
1995 through 1997 GPCIs can be obtained by requesting the following
studies from NTIS by calling 1-800-553-NTIS, or (703) 487-4650 in
Springfield, Virginia:
``Updating the Geographic Practice Cost Index: Revised
Cost Shares.'' Debra A. Dayhoff, John E. Schneider, and Gregory C.
Pope. NTIS PB94-161072.
``Updating the Geographic Practice Cost Index: The
Physician Work GPCI.'' Gregory C. Pope and Deborah A. Dayhoff. NTIS
PB94-161080.
``Updating the Geographic Practice Cost Index: The
Practice Expense GPCI.'' Gregory C. Pope, Deborah A. Dayhoff, Angella
R. Merrill, and Killard W. Adamache. NTIS PB94-161098.
``Updating the Geographic Practice Cost Index: The
Malpractice GPCI.'' Stephen Zuckerman and Stephen Norton. NTIS PB94-
161106.
4. Revised 1998 Through 2000 Geographic Practice Cost Indices
The same data sources and methodology used for the 1995 through
1997 GPCIs were used for the revised 1998 through 2000 GPCIs with a few
very minor modifications. No acceptable additional data sources were
found. The cost shares were the same as in the 1995 through 1997 GPCIs
because no changes were made in the MEI weights.
Indices for fee schedule areas are based on the indices for the
individual counties within the fee schedule area. Fee schedule RVUs are
again used to weight the county indices (to reflect volumes of services
within counties) when mapping to fee schedule areas and in constructing
the national average indices. However, we used more recent data, 1994
rather than 1992 RVUs, in the county, locality, and national mapping in
the proposed GPCIs. The payment effect of this is negligible in most
cases and generally results in changes at the third decimal point if at
all.
a. Work Geographic Practice Cost Indices. The work GPCIs are based
on the decennial census. The 1992 through 1994 work GPCIs were based on
1980 census data because 1990 census data were not yet available. The
work GPCIs were revised in 1995 with new data from the 1990 census. New
census data will not be available again until after the 2000 census. We
searched for other data that would enable us to update the work GPCIs
between the decennial censuses but no acceptable data sources were
found. The most promising sources of data were the hospital wage data
that we collected to calculate the prospective payment system (PPS)
hospital wage index and the payroll per worker data collected by the
U.S. Bureau of Labor Statistics from State unemployment insurance
agencies (``the ES-202 data'').
The PPS hospital wage data were examined when we constructed the
original GPCIs. They were rejected in favor of census data because of
their lack of an occupation mix adjustment and their unrepresentative
occupational composition (hospital employees rather than professionals
or physician office employees). ES-202 data consist of total payroll
divided by counts of wage and salary workers. Their major disadvantages
were that they did not measure hourly earnings, only payroll per
employee, and no occupational detail is available. Also, they did not
adjust for part-time or full-time and hours worked, and the numbers of
workers are small for certain States, leading to unstable estimates of
payroll per worker. We compared the changes by State from 1989 to 1993
in the PPS wage data and the ES-202 data to see if there was any
correlation between the two series. The correlation between the two was
only moderate: 0.55. The changes indicated by both series were
generally small, for example, a few percentage points. The difference
between the two series by State was in many cases as large as, or
greater than, the change indicated by either series. The average
difference between the two series (2.1 percent) is as large as the
change indicated by either series. In addition, changes for particular
States were substantially different between the two series. For
example, Indiana relative wages rose by 1.9 percent according to the
PPS data, but fell 5.7 percent according to the ES-202 data.
Since we were unable to find an acceptable data source for updating
the work GPCIs, we examined the
[[Page 44193]]
consequences of not updating the work GPCIs between the decennial
censuses. We compared the changes between the 1992 through 1994 work
GPCIs, based on the 1980 census and the 1995 through 1997 GPCIs, based
on the 1990 census. On average, the full variation State work GPCIs
changed by about 5 percent. This translates to about a 1.2 percent
change in the quarter work GPCI required by law. Since work makes up
about one-half of the GPCI cost shares, this translates into an average
payment change per State of about 0.6 percent from updating the work
GPCI based on the 10-year change in relative wages indicated by the
census data. Even the maximum change in the full variation State work
GPCIs from the 1992 through 1994 to the 1995 through 1997 GPCIs of 14
percent translates into only about a 1.8 percent change in payments.
The largest full work GPCI changes for individual payment areas were
from 16 to 20 percent, or about a 4 to 5 percent change in the quarter
work GPCI, or about a 2.4 percent change in payments. However, 80
percent of payment areas experienced payment changes of less than 1
percent, and 50 percent of payment localities experienced payment
changes of less than 0.5 percent as a result of changes in the census
data from 1980 to 1990.
We, therefore, made no changes in the 1998 through 2000 work GPCIs
from the 1995 through 1997 work GPCIs, other than the generally
negligible changes resulting from using 1994, rather than 1992, RVUs
for this GPCI update because we were unable to find acceptable data for
use between the decennial censuses. We believe that making no changes
is preferable to making inaccurate changes based on unacceptable data.
We believe that this is a reasonable position given the generally small
magnitude of the changes in payments resulting from the changes in the
work GPCIs from the 1980 to the 1990 census data.
b. Practice Expense Geographic Practice Cost Indices. (1) Employee
Wage Indices. As with the work GPCIs, the employee wage portion of the
practice expense GPCIs is based on decennial census data. For the same
reasons discussed above pertaining to the work GPCIs, we made no
changes in the employee wage indices during the 1998 through 2000 GPCI
update. The average change from the 1992 through 1994 to the 1995
through 1997 employee wage indices across States was about 6 percent.
Since the employee wage index had a weight of about 16 percent in the
GPCI cost shares, this translated into a 1 percent average change in
payments. The maximum payment change in any payment area resulting from
changes from the 1992 through 1994 to the 1995 through 1997 employee
wage indices was about 3.2 percent. Payment changes in over two-thirds
of the payment areas were less than 1 percent.
(2) Rent Indices. The office rental indices were again based on HUD
residential rent data. The rental indices were based on 1996 HUD data
as opposed to the 1994 HUD data in the 1995 through 1997 GPCIs. HUD
made two small methodological changes in developing the data. First,
HUD used the 40th percentile of area rents rather than the 45th
percentile. This did not materially affect the GPCIs, which measure
relative rents among areas. Second, HUD established a rental floor for
rural counties at the statewide rural average. This had the effect of
raising the office rental indices slightly in rural areas.
We made one methodological change in the rent indices. HUD
publishes FMRs only for metropolitan areas as a whole. For the 1995
through 1997 GPCIs, HUD used a special tabulation of the 1990 census
data to allocate rents by county within CMSAs. In some metropolitan
areas, this had the effect of reducing the central city index below the
suburban index, probably because of lower unmeasured housing quality in
central cities than in suburbs. This may not have been the best
indicator of relative physician rents, since the GPCIs are intended to
measure rental costs for offices of similar quality in different areas.
The metropolitan-wide rent is most appropriate for measuring the cost
of space of an average quality across the metropolitan area, which is
why HUD publishes only metropolitan-wide FMRs. Also, the census county
adjustments can be updated only once every 10 years. For this reason,
we believed that the county-specific adjustment should not be made for
all large metropolitan areas, but should be retained only for the New
York City Primary MSA. Available evidence suggested that rents vary
substantially among the boroughs of New York City and that, given the
current locality configuration, the county-specific rental adjustment
appropriately reflected these patterns in the New York City area,
especially the higher rents in Manhattan.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As
with the 1992 through 1994 and 1995 through 1997 GPCIs, this component
was given a national value of 1.000, indicating no measurable
difference among areas in costs.
c. Malpractice Geographic Practice Cost Indices. Again, malpractice
premium data were collected for a mature ``claims made'' policy with $1
million to $3 million limits of coverage, with adjustments made for
mandatory patient compensation funds. As with the 1995 through 1997
GPCIs, data were collected for the 20 largest Medicare-billing
physician specialties. The premium data represent at least 50 percent
of the market in each State. Again, we used an average of the 3 most
recent premium years to smooth out the considerable year-to-year
fluctuations that can occur in malpractice premiums. The revised 1998
through 2000 malpractice indices were based on 1992 through 1994
premium data, the latest years available when the Health Economics
Research (HER) GPCI study was being conducted in 1995 through 1996.
Another change from the 1995 through 1997 indices is that we weighted
the specialty shares of the 20 specialties by fee schedule RVUs rather
than allowed charges.
Detailed discussions of the methodology and data sources of the
1998 through 2000 GPCIs may be obtained by requesting the following
study from NTIS by calling 1-800-533-NTIS, or, for residents of
Springfield, Virginia, (703) 487-4650: ``Second Update of the
Geographic Practice Cost Index.'' Gregory C. Pope and Killard W.
Adamache.
5. Proposed 2001 Through 2003 Geographic Practice Cost Indices
We propose using the same data sources and methodology used for the
1998 through 2000 GPCIs for the 2001 through 2003 GPCIs (hereafter
referred to as proposed GPCIs). No acceptable additional data sources
were found. The only differences between the 1998 through 2000 GPCIs
and the proposed GPCIs are in the cost shares and RVU weighting. As
shown in the cost share table in the discussion of the development of
the GPCIs, the cost shares have been changed to reflect the revisions
in the MEI. This does not affect the work or malpractice GPCIs since
they are stand-alone indices. The change has a small effect on the
practice expense GPCIs because it changes slightly the weights among
the employee wage, rents and miscellaneous components of the practice
expense index. We used more recent RVU data--1998 rather than 1994--in
the county, locality, and national mapping in the proposed GPCIs. The
payment effect of this is generally negligible.
a. Work Geographic Practice Cost Indices. For the same reasons
discussed
[[Page 44194]]
in the section on the 1998 through 2000 work GPCIs, no significant
changes are being proposed in the 2001 through 2003 work GPCIs because
we were unable to find acceptable data for use between the decennial
censuses. There are general negligible changes resulting from the use
of 1998 rather than 1994 RVUs for weighting.
b. Practice Expense Geographic Practice Cost Indices. (1) Employee
Wage Indices. As with the work GPCIs, the employee wage indices are
based on decennial census data. For the same reasons discussed above
pertaining to the work GPCIs, we are proposing no changes in the
employee wage indices during this GPCI update.
(2) Rent Indices. The office rental indices are again based on HUD
residential rent data. No changes have been made in the methodology.
The proposed rental indices are based on 2000 rather than 1994 HUD
data.
The proposed rental indices are compared to the current rental
indices in Addendum D. A reduction in an area's rent index does not
necessarily mean that rents have gone down in that area since the last
GPCI update. Since the GPCIs measure area costs compared to the
national average, a decrease in an area's rent index means that an
area's rental costs have decreased when compared to the change in
national average rental costs. The indices are arranged in descending
order of change. The rental index has a cost share of about 12 percent
of the GPCI. This means that the actual effect on payments will be
about 12 percent of the change in the rental indices. While the new
rental indices show significant changes in a few areas, primarily in
the San Francisco Bay area, 80 of the 89 areas change by less than 10
percent, which translates into about a 1 percent change in payments.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As
with all previous GPCIs, this component would be given a national value
of 1.000, indicating no measurable differences among areas in costs.
c. Malpractice Geographic Practice Cost Indices. We propose using
the same methodology described in the 1998 through 2000 malpractice
GPCI section in the proposed malpractice GPCIs for 2001 through 2003.
The only difference is that we used more recent data. The proposed
malpractice indices are based on 1996 through 1998 data compared to the
1992 through 1994 data used in the previous GPCI update.
Addendum E shows the changes from the 1998 through 2000 indices to
the proposed malpractice GPCIs. A change in an area's malpractice GPCI
does not mean that absolute malpractice premiums have changed by that
amount. It, rather, reflects the area's new position compared to the
national average. As with past GPCI revisions, the changes in the
proposed malpractice GPCIs are relatively large in some cases,
reflecting the significant changes in malpractice premiums that occur
from year to year. As Addendum E shows, two-thirds of the payment areas
experience changes of less than 12 percent. It should be noted,
however, that the weight of the malpractice GPCI is only about 3
percent of the total GPCI. Therefore, a 12 percent change in the
malpractice GPCI translates into only a 0.4 percent change in payments.
Even the largest 42 percent change in the malpractice GPCI translates
into only a 1.3 percent change in payments. The mean change in the
malpractice GPCIs is 11 percent, or about a 0.4 percent change in
payments.
The proposed 2002 fully-effective revised GPCIs and the
transitional 2001 revised GPCIs can be found at Addendum F and Addendum
G, respectively. Since the proposed revised GPCIs could result in total
payments either greater or less than payments that would have been made
if the GPCIs were not revised, it was necessary to adjust the GPCIs for
budget neutrality as required by law. Therefore, we adjusted the 2001
through 2002 GPCIs as follows: work by 0.99699; practice expense by
0.99235; and malpractice by 1.00215.
C. Resource-Based Malpractice Relative Value Units
In the July 1999 proposed rule (64 FR 39610) and the November 1999
final rule (64 FR 59383) for the CY 2000 physician fee schedule, we
discussed the methodology used to calculate resource based malpractice
RVUs and proposed interim RVUs effective January 1, 2000. (See
``Legislative History'' section for dates and Federal Register
citations for these rules.) The methodology can be briefly summarized
as follows:
Actual malpractice premium data were collected for the top
20 Medicare physician specialties.
All Medicare specialties were mapped to insurer rating
classes (ISO codes).
A national average premium was calculated for every
specialty.
Specialty risk factors showing the relative malpractice
costs among specialties were created by dividing each specialty
national average premium by the lowest average premium.
Specialty-weighted malpractice RVUs were calculated for
each procedure by summing, for all specialties providing the procedure,
the product of each specialty's risk factor times the proportion of
total service count for that procedure provided by the specialty.
This number was multiplied by the procedure's work RVUs to
account for differences in risk-of-service among procedures.
The new malpractice RVUs were adjusted by the appropriate
factor to attain budget neutrality.
The malpractice RVUs were based on 1993 through 1995 premium data,
the most recent premium data readily available. In last year's proposed
and final rules we stated that we planned to collect more recent data,
but did not expect that newer data would change the values
significantly since malpractice premiums have been remarkably stable in
recent years.
We have now obtained, and are currently examining, malpractice
premium data for 1996 through 1998. The malpractice RVUs in the fall
final rule will reflect the newer data. While we have not yet completed
the proposed malpractice RVU calculations, the table below compares the
1993 through 1995 average premiums (that were used to calculate the
2000 malpractice RVUs) with the 1996 through 1998 average premiums
(that will be used to calculate the 2001 malpractice RVUs). As the
table below shows, there was very little change in the national average
premiums from 1993 through 1995 to 1996 through 1998. We, therefore,
anticipate minimal changes in malpractice RVUs from use of the more
recent data.
[[Page 44195]]
[GRAPHIC] [TIFF OMITTED] TP17JY00.002
In addition, in response to comments received on last year's rules,
we are proposing to accept a comment regarding crosswalking
specialties. We are proposing to crosswalk surgical oncology to general
surgery rather than to all physicians. The malpractice values to be
included in the final rule reflecting the updated data will remain
interim.
D. Critical Care Relative Value Units
In the November 1999 final rule (64 FR 59423), we established
interim work RVUs for CPT codes 99291 and 99292 (critical care
services) of 3.6 and 1.8, respectively, which were decreased from the
previous RVUs for these services. These work RVUs were established
because of the change in the CPT definition of critical care services
in CPT 2000. We also discussed in detail what changes in the definition
most concerned us. We received many comments on the interim work RVUs
for critical care.
This year we proposed new coding language to the AMA CPT Editorial
Panel (the Panel) to resolve physician concerns. The Panel, with input
from various specialty societies, accepted the language that we
proposed with some modifications. The AMA has given us copyright
permission to publish the introduction for CPT codes 99291 and 99292 as
it will appear in CPT 2001. For CPT 2001, the introduction for critical
care services will be as follows (new language in italics):
Critical care is the direct delivery by a physician(s) of
medical care for a critically ill or critically injured patient. A
critical illness or injury acutely impairs one or more vital organ
systems such that there is a high probability of imminent or life
threatening deterioration in the patient's condition. Critical care
involves decision making of high complexity, to assess, manipulate,
and support vital system function(s) to treat single or multiple
vital organ system failure and/or to prevent further life
threatening deterioration of the patient's condition. Examples of
vital organ system failure include, but are not limited to: central
nervous system failure, circulatory failure, shock, renal, hepatic,
metabolic and/or respiratory failure. Although critical care
typically requires interpretation of multiple physiologic parameters
and/or application of advanced technology(s), critical care may be
provided in life threatening situations when these elements are not
present. Critical care may be provided on multiple days, even if no
changes are made in the treatment rendered to the patient, provided
that the patient's condition continues to require the level of
physician attention described above.
Providing medical care to a critically ill, injured, or post-
operative patient qualifies as a critical care service only if both
the illness or injury and the treatment being provided meet the
above requirements. Critical care is usually, but not always, given
in a critical care area, such as the coronary care unit, intensive
care unit, pediatric intensive care unit, respiratory care unit, or
the emergency care facility. Critical care services provided to
infants older * * * [no change to this paragraph]
Services for a patient who is not critically ill but happens to
be in a critical care unit are reported using other appropriate E/M
codes.
Critical care and other E/M services may be provided to the same
patient on the same date by the same physician.
The following services are included in reporting critical care
when performed during the critical period by the physician(s)
providing critical care: the interpretation of cardiac output
measurements (93561,93562), chest x-rays (71010, 71015, 71020),
pulse oximetry (94760, 94761, 94762), blood gases, and information
data stored in computers (eg, ECGs, blood pressures, hematologic
data (99090); gastric intubation (43762, 91105); temporary
transcutaneous pacing (92953); ventilator management (94656, 94657,
94660, and 94662); and vascular access procedures (36000, 36410,
36415, 36540 and 36600). Any services performed which are not listed
above should be reported separately.
The critical care codes 99291 and 99292 are used to report the
total duration of time spent by a physician providing critical care
services to a critically ill or critically injured patient, even if
the time spent by the physician on that date is not continuous. For
any given period of time spent providing critical care services, the
physician must devote his or her full attention to the patient and,
therefore, cannot provide services to any other patient during the
same period of time.
Time spent with the individual patient should be recorded in the
patient's record.
[[Page 44196]]
The time that can be reported as critical care is the time spent
engaged in work directly related to the individual patient's care
whether the time was spent at the immediate bedside or elsewhere on
the floor or unit. For example, time spent on the unit or at the
nursing station on the floor reviewing test results or imaging
studies, discussing the critically ill patient's care with other
medical staff or documenting critical care services in the medical
record would be reported as critical care, even though it does not
occur at the bedside. Also, when the patient is unable or clinically
incompetent to participate in discussions, time spent on the floor
or unit with family members or surrogate decision makers obtaining a
medical history, reviewing the patients condition or prognosis, or
discussing treatment or limitation(s) of treatment may be reported
as critical care, provided that the conversation bears directly on
the management of the patient.
Time spent in activities that occur outside of the unit or off
the floor (eg, telephone calls, whether taken at home, in the
office, or elsewhere in the hospital) may not be reported as
critical care since the physician is not immediately available to
the patient. Time spent in activities that do not directly
contribute to the treatment of the patient may not be reported as
critical care, even if they are performed in the critical care unit
(eg, participation in administrative meetings or telephone calls to
discuss other patients). Time spent performing separately reportable
procedures or services should not be included in the time reported
as critical care time.
The remainder of the introduction as published in CPT 2000, as well
as the descriptors for the two CPT codes (99290 and 99291), remains
unchanged.
Adoption of this revised introduction for the critical care CPT
codes 99291 and 99292 is consistent with our view of the appropriate
intensity of these services and addresses the concerns we had raised in
the November 1999 final rule. Therefore, based on implementation of
this revised introduction for critical care services for CY 2001, we
are proposing to value the physician work at 4.0 RVUs for CPT code
99291 and 2.0 RVUs for CPT code 99292.
In addition, consistent with our discussion in the proposal for
electrical bioimpedance (EB) (see section II.H), we are proposing to
not allow separate Medicare payment for EB when provided in conjunction
with critical care services (CPT codes 99291 and 99292).
E. Care Plan Oversight and Physician Certification/Recertification
The Panel considered changes to the definition of care plan
oversight for 2001. After analyzing the definition changes, we are
concerned that these codes (CPT codes 99375 and 99378) will no longer
be consistent with our coverage criteria.
In anticipation of the likely CPT revisions, we would establish two
new HCPCS codes for care plan oversight that are consistent with our
coverage criteria. For the 2001 physician fee schedule, we would
establish a new HCPCS code Gxxx1, that will use the CPT 2000 definition
associated with CPT code 99375 and a new HCPCS code Gxxx2, that will
use the CPT 2000 definition associated with CPT code 99378. The current
policy guidance that applied to CPT codes 99375 and 99378, including
our past responses to questions on care plan oversight, will continue
to apply to these G codes. The current payments for CPT codes 99375 and
99378 will be maintained in Gxxx1 and Gxxx2.
In addition, we would establish two new HCPCS codes (Gxxx3 and
Gxxx4) to describe the services involved in physician certification
(and recertification) and development of a plan of care for a patient
for whom the physician has prescribed Medicare-covered home health
services. The proposed text of the new codes will read as follows:
Gxxx3............................. Physician services for initial
certification of Medicare-covered
services by a home health agency,
per patient's home health
certification period.
This code would be used when the patient has not received Medicare-
covered home health services for at least 60 days.
Gxxx4............................. Physician services for
recertification of Medicare-covered
services by a home health agency,
per patient's home health
certification period
This code would be used after a patient has received services for
at least 60 days (or one certification period) when the physician signs
the certification after the initial certification period.
The use of these HCPCS codes (Gxxx3 and Gxxx4) would be restricted
to physicians who are permitted to certify that home health services
are required by a patient pursuant to section 1814(a)(2)(C) and section
1835(a)(2)(A) of the Act. The Gxxx3 code would be billed only once
every 60 days, except in the rare situation when the patient starts a
new episode before 60 days elapses and requires a new plan of care to
start a new episode. Consistent with section 1835(a)(2) of the Act, a
physician who has a significant ownership interest in, or a significant
financial or contractual relationship with a home health agency (HHA),
generally cannot bill this code for patients served by that HHA.
For services within the episode (generally beyond the first week or
two of care plan implementation) that are consistent with the
definition of care plan oversight (HCPCS code Gxxx1), the care plan
oversight code (CPT code 99375) would be used.
Because we believe that the physician work associated with HCPCS
code Gxxx3 equates to that of a level 3 established patient office
visit (CPT code 99213), we are proposing a value of .67 for the work
RVUs. For Gxxx4, because we believe the work equates to a level 2
established patient office visit (CPT code 99212), we are proposing a
value of .45 for the work RVUs. For practice expense RVUs, we are
proposing to crosswalk both Gxxx3 and Gxxx4 to the practice expense
inputs currently used for care plan oversight (CPT code 99375).
F. Observation Care Codes
In 1998, the AMA added new CPT codes 99234 to 99236, Observation or
inpatient hospital care services (including the admission and discharge
services) for a patient on the same date. We accepted the RUC
recommendations for work RVUs for these new codes. The work RVUs for
each code are the sum of the applicable admission work for CPT codes
99218 to 99220 (or CPT codes 99221 to 99223) plus the discharge work
(CPT codes 99217 or 99238). For example, CPT code 99234 has 2.56 work
RVUs, which is the sum of the work RVUs for CPT code 99221 (1.28) plus
the work RVUs for CPT code 99217 (1.28). However, it has come to our
attention that allowing payment for these CPT codes conflicts with two
policies currently in the Medicare Carrier Manual (MCM).
Section 15505.1(c) of the MCM states that we will pay for only the
initial hospital care service code when a patient is admitted as an
inpatient and discharged on the same day. Physicians are not paid for
both an inpatient hospital admission and hospital discharge management
on the same day. In addition, section 15504.b of the MCM instructs that
CPT codes 99218 to 99220 (Initial observation care) should be used if
the patient is discharged on the same day as the admission for
observation because each of these codes represents a full day of care
and, thus, paying for a code representing both admission and discharge
on the same day would be duplicative. CPT code 99217 (Observation care
discharge) may be billed only on the second or subsequent days in
observation.
[[Page 44197]]
These two payment policies result in different payments for
patients whose inpatient stay is less than 24 hours based solely on
whether they were in the hospital at midnight. For example, a physician
who admits a patient to observation or to inpatient care at 8 a.m. and
then discharges the patient at 8 p.m. the same day, would be allowed
payment for only the admission service. On the other hand, a physician
who admits a patient to observation or to inpatient care at 8 p.m. and
then discharges the patient at 8 a.m. the next day, would be allowed
payment for both the admission and discharge services.
In response to these concerns, and to clarify our payment policy,
we are proposing the following:
Inpatient stay of 24 hours or more--We would pay for both inpatient
hospital admission services (CPT codes 99221 to 99223) and hospital
discharge services (CPT codes 99238 to 99239) when a patient is a
hospital inpatient for a period of 24 hours or more. The medical record
must document that the patient was an inpatient for at least 24 hours
for both of these services to be paid.
Inpatient or observation stay of less than 8 hours--If a patient is
admitted as a hospital inpatient or an observation patient for less
than 8 hours, we would pay for only the admission service (CPT codes
99221 to 99223 or 99218 to 99220) on that day. The discharge service is
not considered to be a separately billable service.
Inpatient or observation stay of 8 or more hours, but less than 24
hours--If a patient is admitted as a hospital inpatient or an
observation patient for a period of 8 or more hours, but less than 24
hours, we would pay for both the admission and discharge services under
CPT codes 99234 to 99236 with the following proposed physician work
RVUs and documentation requirements:
Physician Work RVUs--To properly value both the admission and
discharge work of these services, we are proposing to continue valuing
the admission portion of the physician work as equivalent to CPT codes
99218 to 99220 (or CPT codes 99221 to 99223), but to reduce the
discharge work RVUs from 1.28 to 0.67. This would make the discharge
portion of the work equal to the work for CPT code 99213 (Office or
other outpatient visits) instead of CPT code 99217 (or CPT code 99238).
Thus, the proposed work RVUs would be as follows: CPT code 99234--1.95
RVUs; CPT code 99235--2.81 RVUs; CPT code 99236--3.66 RVUs. We would
not pay CPT codes 99217, 99238, and 99239 for hospital inpatient or
observation admissions between 8 and 24 hours in length.
Our reasoning for these proposed RVUs is that we believe that the
physician work typically required for discharging an inpatient or
observation admission patient after a period of at least 8 hours, but
less than 24 hours, is less than that required for an admission of 24
hours or more. The typical work (for example, history, physical
examination, and medical decision making) and the typical face to face
time required to discharge such a patient is comparable to the
requirements for CPT code 99213. Moreover, the typical time for CPT
code 99238 is up to 30 minutes and the physician work is 1.28 RVUs, so
a clear work anomaly would be created if we made the work value of
discharging a patient with a stay of less than 24 hours identical to
the work of discharging a patient with a length of stay of 24 hours or
more.
Our proposal would avoid creating such a rank order anomaly and
would place admission and discharge valuation in proper order. For
example, for observation stays of less than 8 hours, we would pay only
the admission portion and would not pay separately for the discharge
because the extra work is minimal. For observation stays of more than 8
hours, but less than 24 hours, we would recognize the discharge
component since there is significant extra work involved, but not as
much as a discharge for a 24 hour or longer admission for which we
would pay the full value of CPT code 99238. Our proposal would allow
payment for CPT codes 99234 through 99236 only for stays of equal to or
greater than 8 hours, but less than 24 hours.
In addition to the documentation guidelines for history, physical
examination, and medical decision making described in CPT 2000 for CPT
codes 99234 to 99236, we would require the following to be documented
in the medical record:
A stay involving 8 hours, but less than 24 hours.
That the billing physician was present and personally
performed the services.
Admission and discharge notes written by the billing
physician.
We believe this policy would harmonize current policy on hospital
admissions and discharges and also accommodate the observation codes as
they are described in CPT 2000. The policy would not be tied to the
``midnight'' time frame of the hospital inpatient census.
If these proposals are adopted in the final rule, the work RVUs for
CPT codes 99234 to 99236 would be considered interim for 2001.
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
Ocular photodynamic therapy is a treatment recently approved by the
Food and Drug Administration for age-related macular degeneration, the
most common cause of blindness in the elderly. For CPT 2000, ocular
photodynamic therapy was added to CPT code 67220, which was formerly
limited to photocoagulation by laser.
We believe that ocular photodynamic therapy is significantly
different from laser photocoagulation and, therefore, we are proposing
to establish new HCPCS codes that specifically identify these
procedures. A discussion of each of these codes follows:
Gxxx5............................. Destruction of localized lesion of
choroid (e.g., choroidal
neovascularization);
photocoagulation (e.g., by laser),
one or more sessions
This code would be used in place of CPT code 67220. We would
maintain the work and malpractice RVUs and the CPEP inputs presently
used for CPT code 67220 for payment of this new ``G'' code.
Gxxx6............................. Destruction of localized lesion of
choroid (e.g., choroidal
neovascularization); ocular
photodynamic therapy (includes
intravenous infusion)
We are proposing a value of 0.55 work RVUs for Gxxx6. This value is
half the physician work value for CPT code 96570 (Photodynamic therapy
by endoscopic application of light to ablate abnormal tissue via
activation of photosensitive drug(s); first 30 minutes), and it is
identical to the physician work value for CPT code 96571 (Photodynamic
therapy by endoscopic application of light to ablate abnormal tissue
via activation of photosensitive drug(s); each additional 15 minutes).
We note that the total time of laser light application for ocular
photodynamic therapy is 83 seconds, which is considerably shorter than
the time of laser light application for CPT codes 96570 and 96571.
We are also proposing that the global period for Gxxx6 be ``XXX.''
Because of the global designation, significant, separately identifiable
evaluation and management (E/M) services may be billed on the same day
as Gxxx6 with the use of the -25 modifier. Patients will, typically,
have fluorescein angiography as well as an E/M service before ocular
photodynamic therapy to determine whether they will benefit from the
therapy and to discuss the
[[Page 44198]]
treatment. Any E/M services performed after the treatment may be billed
separately.
For Gxxx6 we are proposing the following practice expense inputs
for non-facility settings:
Clinical Staff Time: Registered nurse/ophthalmology
technician--40 minutes.
Supplies: Ophthaine, mydriacil, myolfrin, gonisol, post
myd spectacles, verteporfin and also infusion supplies including
sterile and non-sterile gloves, butterfly needle, syringe, band aid,
alcohol swab, staff gown, iv infusion set, and infusion pump cassette.
Equipment: Laser, infusion pump, and exam lane.
For the malpractice component of Gxxx6, we are proposing 0.52 RVUs
(the value assigned to CPT code 67220, Destruction of localized lesion
of choroid). Although we are establishing procedure codes for ocular
photodynamic therapy, coverage of the procedure is at the discretion of
the local carrier.
In instances where both eyes are treated the same day, we are
proposing the use of the following HCPCS add-on code:
Gxxx7 Destruction of localized lesion of choroid (for example,
choroidal neovascularization); ocular photodynamic therapy (includes
intravenous infusion)--other eye (List separately in addition to
Gxxx6)
For this add-on code we are proposing a ``ZZZ'' global period, with
.28 work RVUs (half of that proposed for Gxxx6) and .52 malpractice
RVUs (identical to that proposed for Gxxx6). The practice expense
inputs for services in the non-facility setting would be as follows:
Clinical Staff Time: Registered nurse/ophthalmology
technician--5 minutes.
Supplies: Ophthaine, mydriacil, myolfrin, gonisol.
In addition, we have identified several other specific
ophthalmological treatments that are not distinctly identified in CPT
2000. We are proposing to establish specific HCPCS codes for these
procedures.
Gxxx8 Destruction of localized lesion of choroid (e.g., choroidal
neovascularization); transpupillary thermotherapy, one or more
sessions
Gxxx9 Destruction of localized lesion of choroid (e.g., choroidal
neovascularization); photocoagulation, feeder vessel technique, one
or more sessions
Gxx10 Destruction of macular drusen, photocoagulation, one or more
sessions
We are not proposing RVUs for HCPCS codes Gxxx8 through Gxx10.
These codes are being established for tracking purposes only. These
procedures are considered experimental in nature at this time and,
therefore, are not covered under Medicare.
H. Electrical Bioimpedance
Electrical bioimpedance (EB), a noninvasive method of measuring
cardiac input, is a covered procedure under Medicare, if medically
necessary. Performance of this procedure is reported by the Level 2
HCPCS code M0302, and the procedure is currently carrier priced. We are
proposing the following RVUs for this procedure:
1. Practice Expense
We are proposing the following direct inputs for determining
practice expense RVUs. (We note, however, that a final determination of
the practice expense RVUS will depend on how we value physician work.)
The practice expense RVU in Addendum B reflects the value for the
technical portion of the service. If the service is given physician
work, a separate PC will be established with an additional practice
expense RVU.
Clinical staff: Registered nurse--15 minutes.
Supplies: Four disposable sensors, patient gown, exam
table paper, and pillowcase.
Equipment: Cardiac output monitor and exam table.
2. Malpractice
We are proposing 0.02 RVUs for this procedure. This value is
equivalent to the TC of an EKG, which is a similar procedure.
3. Physician Work
The uses for which this procedure are covered (for example,
differentiating cardiogenic from pulmonary causes of acute dyspnea, the
need for intravenous inotropic therapy, fluid management, and the uses
indicated in section 50-54 of the Coverage Issues Manual, HCFA Pub. 6)
require a clinical evaluation of the patient on the same day that EB is
performed. The procedure reports measurements that can not be
interpreted without other clinical information.
With respect to proposed RVUs for physician work, we have
insufficient information to propose a work value. We are collecting
information and invite comments on this subject as well as on the
proposed inputs for practice expense and malpractice. In your comments,
please be sure to compare your proposed value for the physician work
component for this service to other similar services with established
physician work values. Please also include the reason why you believe
the physician work is similar. At this time, we have received comments
proposing no physician work values, proposing physician work values
similar to that for the interpretation of an EKG (CPT code 93010--0.17
work RVUs), proposing work values similar to total body plethysmography
(CPT code 93720--0.17 work RVUs), and similar to interpretation of
cardiovascular stress test (CPT code 93018--0.30 work RVUs).
We also are proposing that the payment for this procedure be
included in reporting critical care. Therefore, separate payment would
not be made for this procedure when provided in conjunction with
critical care services (CPT codes 99291 and 99292).
I. Global Period for Insertion, Removal, and Replacement of Pacemakers
and Cardioverter Defibrillators
Currently, there is a 90-day global period in the physician fee
schedule for all CPT codes involving the insertion, removal, and
replacement of pacemakers or cardioverter defibrillators. During the
global surgical period, no separate payment may be made for any E/M
service furnished by the surgeon, unless the visit is: (1) Unrelated to
the diagnosis for which the surgical procedure was performed; (2) for
treating the underlying condition; or (3) an added course of treatment
that is not part of normal recovery from surgery.
In these situations, the surgeon must use CPT modifier -24 that
attests that the E/M service provided, although performed during the
postoperative period, was for a reason unrelated to the original
procedure. Services submitted with a -24 modifier must be sufficiently
documented to establish that the visit was unrelated to the surgery. An
ICD-9-CM code that clearly indicates that the reason for the encounter
was unrelated to the surgery is acceptable documentation.
Many patients receiving pacemakers or cardioverter defibrillators
have clinically serious cardiac diseases (related to the reason for the
procedure) that require significant postoperative care. In these cases,
it is difficult to separate care during the postoperative period for
the related cardiac problem(s) from the postoperative care for the
pacemaker or cardioverter defibrillator procedure. As medical practice
has changed, cardiologists predominantly perform pacemaker or
cardioverter defibrillator procedures. Thus, the physician performing
the pacemaker or cardioverter defibrillator procedure now is typically
the same physician who is expected to furnish care for the patient's
[[Page 44199]]
related cardiac disease. Therefore, a single physician is providing
postoperative care for both the pacemaker or cardioverter defibrillator
insertion and the related medical problem(s), but can be paid only for
the insertion because of the global period policy.
We believe it is common for patients undergoing pacemaker and
cardioverter defibrillator procedures to require significant care for
related cardiac disease during the postoperative period. This care
overlaps substantially with the care furnished for the pacemaker or
cardioverter defibrillator procedure and may be coded with the same
ICD-9-CM diagnosis code; therefore, using the -24 modifier is
inadequate to allow appropriate payment for the physician performing
both postoperative care and care for the patient's other cardiac
conditions.
We are proposing to change the global period for CPT codes 33206,
33207, 33208, 33212, 33213, 33214, 33216, 33217, 33218, 33220, 33233,
33234, 33235, 33240, 33241, 33244, 33249, 33282, and 33284 from 90 days
to 0 days. This would permit separate payment for any care furnished
during the postoperative period by the physician who performed the
pacemaker or cardioverter defibrillator procedure.
We are soliciting comments on whether it is appropriate to reduce
the global period for these CPT codes. We are also proposing to ask the
RUC to revise the RVUs for these CPT codes. If RUC recommendations are
not received in time for our consideration for the CY 2001 physician
fee schedule final rule, we propose to implement interim work RVUs, as
listed below.
------------------------------------------------------------------------
2000 work Proposed
CPT code RVUs work RVUs
------------------------------------------------------------------------
33206......................................... 6.67 3.11
33207......................................... 8.04 3.30
33208......................................... 8.13 2.64
33212......................................... 5.52 3.32
33213......................................... 6.37 4.92
33214......................................... 7.75 4.27
33216......................................... 5.39 3.21
33217......................................... 5.75 3.57
33218......................................... 5.44 3.26
33220......................................... 5.52 2.90
33233......................................... 3.29 1.11
33234......................................... 7.82 5.64
33235......................................... 9.40 4.58
33240......................................... 7.50 5.13
33241......................................... 3.24 1.51
33244......................................... 13.76 9.85
33249......................................... 14.23 11.41
33282......................................... 4.17 2.83
33284......................................... 2.50 1.16
------------------------------------------------------------------------
In calculating the proposed interim RVUs, we have subtracted the
work RVUs of all postoperative visits after the day of surgery from the
total work RVUs. We used our database to calculate the number of
postoperative visits. Where our database did not contain the number of
postoperative visits, we crosswalked a number from the most clinically
similar procedure. We have included an example to illustrate the
calculation.
Example: For CPT code 33206, the 2000 work relative value is 6.67
units. The proposed work value is 3.11 (6.67 minus 3.56). The 3.56
units represents the work based on the pattern of E/M services in the
global period.
----------------------------------------------------------------------------------------------------------------
E/M Frequency Work Total
----------------------------------------------------------------------------------------------------------------
99213.................................................................... 1.5 .67 1.00
99231.................................................................... 2.0 .4 1.28
99238.................................................................... 1.0 1.28 1.28
------------
Total E/M Work....................................................... ........... ........... 3.56
----------------------------------------------------------------------------------------------------------------
We would also adjust practice expense inputs for supplies, staff
time, and equipment to account for the change in the global period.
Because these would be 0-day global services only priced in the
facility setting, there would be no direct CPEP inputs associated with
them. The adjusted practice expense RVUs are reflected in Addendum B.
We welcome comments on our proposed calculation of interim RVUs and
request that commenters recommending RVUs include the methodology
employed so that we can appropriately evaluate the recommended RVUs. As
an alternative to applying a 0-day global period as discussed above, we
are interested in other suggestions that might address the issue of
assuring appropriate payment for these services (for example, adjusting
the global period to 10 days for these services). We invite public
comment on such alternatives.
J. Antigen Supply
Section 410.68(b), Antigens: Scope and conditions, provides for
beneficiaries to receive a supply of antigen for no more than 12 weeks
at one time. A specialty society has indicated that this limitation is
not reflective of current industry standards and guidelines (for
example, duration of potency for allergy extracts has changed since the
policy was implemented.) Therefore, we are proposing to change this
limitation from 12 weeks to 12 months and would revise the regulations
to reflect this change. We are requesting comments on this proposal.
K. Low Intensity Ultrasound
In the November 1999 (64 FR 59419) final rule, we assigned RVUs to
CPT code 20979, low intensity ultrasound stimulation to aid bone
healing. Commenters expressed concern about the RVUs assigned to this
service. Because of the concerns raised by commenters, and because CPT
code 20979 is a noncovered service under Medicare, we are proposing to
remove the RVUs that were assigned to this code at this time. We may
reconsider this at a future date.
L. Implantation of Ventricular Assist Devices
In the April 11, 2000 correction notice (65 FR 19332) to the
November 1999 final rule, we inadvertently published practice expense
RVUs based on the work RVUs associated with a 90-day global period for
CPT codes 33975 and 33976 (implantation of ventricular assist devices).
However, in the same notice, the global periods and associated work
RVUs for CPT codes 33975 and 33976 were revised to reflect an ``XXX''
(the global concept does not apply). In calculating the practice
expense RVUs, we reflected changes made in CPEP data that result from
changes in the global period. However, the practice expense RVUs are
also a function, in part, of the physician work RVUs. In calculating
the revised practice expense RVUs, we did not use the work RVUs that
reflected the global period change. Effective January 1, 2001, we would
revise the practice expense RVUs associated with these CPT codes to
reflect the revision in the global periods and work RVUs.
[[Page 44200]]
III. Other Issues
A. Incomplete Medical Direction
Under current policy, medical supervision by an anesthesiologist
occurs if the anesthesiologist is involved in furnishing more than four
concurrent procedures or is performing other services while directing
fewer than four concurrent procedures. Payment is based on three base
units plus one unit for induction if the physician is present at
induction.
Under current policy, medical direction by an anesthesiologist
occurs if the anesthesiologist is involved in two to four concurrent
anesthesia procedures or a single anesthesia procedure with a qualified
anesthetist. For each anesthesia procedure, the anesthesiologist must--
Perform a pre-anesthesia examination and evaluation;
Prescribe the anesthesia plan;
Personally participate in the most demanding procedures of
the anesthesia plan, including emergence and induction;
Ensure that any procedures in the anesthesia plan that he
or she does not perform are performed by a qualified anesthetist;
Monitor the course of anesthesia administration at
frequent intervals;
Remain physically present and available for immediate
diagnosis and treatment of emergencies; and
Provide indicated post anesthesia care.
We currently do not have a national policy that instructs the
carriers how to pay for a service when the anesthesiologist does not
fulfill all the medical direction requirements. One option carriers may
use is to instruct the anesthesiologist to report this service as a
reduced or unusual service and determine appropriate payment. We are
considering clarifying this policy and making other revisions to the
medical supervision payment policy. We are considering the following:
1. To specify that the physician furnishing medical supervision
must perform, at a minimum, the preoperative evaluation, participate in
induction, remain available for consultation, and provide a minimum
level of monitoring.
2. To establish payment for medical supervision at 40 percent of
the payment amount for the service performed by the physician alone.
3. To apply the proposed medical supervision payment amounts to
incompletely medically-directed cases.
4. To limit the number of concurrent cases the physician can
supervise to five concurrent cases.
Payment for medical supervision is payment for the physician
service. In addition, the certified registered nurse anesthetist (CRNA)
service furnished under medical supervision is paid at 50 percent of
the amount that would have been paid if the service had been performed
by the physician alone.
We invite comments from the public, but in particular, the
physicians and practitioners most affected by this policy. We are not
proposing a change at this time, but will consider the comments we
receive should we develop a future proposal.
B. Payment for Pulse Oximetry Services
In the November 1999 final rule (64 FR 59413), we indicated that we
would adopt our proposal to bundle payment for certain diagnostic
codes, including pulse oximetry CPT codes 94760 and 94761, into the
payment for other services. We believe that continuing to pay
separately for these codes duplicates amounts included in both facility
payments and practice expense RVUs. However, we did not address how we
would treat situations when these services are performed without any
other billable service and, thus, are not reflected in facility
payments or other practice expense RVUs. We will continue to pay
separately for these services (CPT codes 94760 and 94761) when they are
medically necessary and there are no other services payable under the
physician fee schedule billed on the same date by the same supplier.
C. Outpatient Therapy Supervision
In the November 1998 final rule (63 FR 58868), we stated that we
were maintaining our current requirement that therapy assistants of
therapists in private practice (formerly known as therapists in
independent practice (PTIP)) must be personally supervised by the
therapist and be employed directly by the therapist; employed by the
partnership or group to which the therapist belongs; or employed by the
same practice. Personal supervision requires that the therapist be in
the same room during the performance of the service. Levels of
supervision are defined at Sec. 410.32 (Diagnostic X-ray tests,
diagnostic laboratory, and other diagnostic tests: Conditions.)
The November 1998 final rule did not change pre-existing
regulations at Sec. 410.60(c)(2) (Supervision of physical therapy
services) for therapy assistants in a private practice setting. In that
final rule, we codified the statutory requirements for coverage of
outpatient occupational therapy services by establishing Sec. 410.59
(Outpatient occupational therapy services: Conditions). Section 410.59
parallels the requirements in Sec. 410.60 for outpatient physical
therapy, as revised in the November 1998 final rule. We also made
conforming changes in Sec. 410.61 (Plan of treatment requirements for
outpatient rehabilitation services) to include occupational therapy.
The personal supervision requirements for therapy assistants and
aides in a private practice setting are long-standing. The outpatient
physical therapy benefit, enacted in 1972, applied to PTIP (that is,
individual therapists in independent practice in their own offices).
Services performed by employees of a PTIP were covered if furnished
under the direct personal supervision of the PTIP. This requirement was
necessary to assure beneficiary health and safety and quality of care.
In 1981, in response to the conference committee report (H.R. 96-
1479) accompanying the Omnibus Reconciliation Act of 1980 (Public Law
96-499), we revised our Medicare Carriers Manual instructions (see
section 2215F, HCFA Pub. 6). These revised instructions stated that the
services of employees of a PTIP who are not qualified physical
therapists must be furnished under the direct personal supervision of a
supervising therapist who must be the employer or on the employer's
staff. Therefore, a licensed physical therapist had to directly and
personally supervise the services of assistants and aides. Thus, even
before the November 1998 final rule, the regulations and manuals
clearly stated that the PTIP must directly and personally supervise all
services for which he or she bills.
As noted above, pre-existing supervision requirements for therapy
assistants in a private practice setting were not affected by the
November 1998 final rule. However, we received comments from the
therapy industry and other interested parties who erroneously believed
that we had either misinterpreted the supervision requirement or had
established a new requirement for therapy assistants in the private
practice setting.
These comments and the confusion possibly resulted from the one
revision in supervision requirements made in the final rule. This
revision related not to therapy assistants, but to qualified therapists
in a private practice setting. As referenced in the November 1998 final
rule (63 FR 58868), the Congress was concerned about the requirement
for therapists in independent practice to directly supervise all
services performed by their employees, even if those employees were
fully-licensed
[[Page 44201]]
therapists. The therapist in independent practice had to be on the
premises whenever services were furnished to Medicare beneficiaries,
including services furnished by a licensed therapist. Therefore, a
therapist in independent practice could not have more than one office
open at the same time because he or she could not be on both premises
at once. Congressional statements in both the House and Senate
committee reports associated with our fiscal year 1997 appropriations
process addressed this issue. The House committee report urged us to
modify the regulations so that certified therapists need not be on the
premises to supervise other licensed therapists. We were also urged by
the Senate to review this concern and recommend changes in our
regulations or instructions. To address this concern expressed in both
the 1997 House and Senate Appropriations Committee reports, we revised
the regulations at Sec. 410.59(c)(2) and Sec. 410.60(c)(2).
Accordingly, effective January 1, 1999, as specified in the
November 1998 final rule, the revised regulations permit legally
authorized (see Sec. 410.59(c)(1)(i) and Sec. 410.60(c)(1)(i))
therapists who own the practice to be off the premises when other
legally authorized therapists are present to furnish supervision for
therapy assistants. These regulations also restated which practitioners
are qualified as therapists under section 1861(p) of the Act. In
accordance with the November 1998 final rule, the term ``independent''
was removed from the description of a therapist in independent
practice. In its place, the term ``private'' was added. The benefit is
now described in terms of an individual physical therapist or
occupational therapist in private practice.
This change did not affect the required degree of supervision for
physical therapist assistants. Assistants still must be personally
supervised by the therapist in private practice and employed directly
by the therapist, by the partnership, or group to which the therapist
belongs.
D. Outpatient Therapy Caps
Section 221 of the BBRA placed a 2-year moratorium on Medicare Part
B outpatient therapy caps (the $1500 cap on outpatient physical therapy
services including speech language-pathology services and the $1500 cap
on outpatient occupational therapy services in all nonhospital
settings). The two $1500 caps were implemented in 1999 as required by
the BBA.
The BBRA also requires us to submit to the Congress a report by
January 1, 2001 that includes recommendations on--(1) the establishment
of a mechanism for assuring appropriate utilization of outpatient
therapy services; (2) the establishment of an alternative payment
policy for these services based on classifications of individuals by
diagnostic category, functional status, prior use of services (in both
inpatient and outpatient settings), and other criteria, in place of
uniform dollar limitations; and (3) how to do this in a budget-neutral
manner.
We are gathering information on alternatives or options that we can
use to achieve these objectives. We have received the following
informal recommendations for legislation:
Institute a cap per diagnosis rather than per year.
Establish payment based on patient groupings by primary
diagnosis and average number of treatments, with options for variants.
Base payment on an episode of occurrence of illness or
injury, with a cap amount adjusted to address geographic differences in
the cost of furnishing services.
Develop a sustainable growth rate (SGR) for outpatient
therapy services to control growth in the volume of services.
The outpatient therapy cap was also a topic of discussion at the
PPAC meeting in December 1999. As a result of these discussions, the
PPAC recommended continuation of the current moratorium with focused
medical review, indicating that such a review could lead to the desired
budget-neutral outcome.
We would like comments from the public on additional alternatives
that we could consider in developing a payment policy for outpatient
therapy services. We will consider this information as we prepare our
report to the Congress on outpatient therapy services.
IV. Five-Year Refinement of Relative Value Units
Section 1848(c)(2)(B)(i) of the Act requires that we review all
RVUs for services in the physician fee schedule no less often than
every 5 years. The first 5-year review was undertaken as part of the
final rule published December 1994 (59 FR 63140), with the resulting
changes effective for services furnished beginning January 1, 1997. In
the final rule published November 1999 (64 FR 59427), we included a
discussion of the first 5-year refinement and outlined our plans for
the second 5-year refinement of work RVUs. We also solicited comments
on potentially misvalued work RVUs as well as data sources and
methodologies to assist us in identifying misvalued services. We
received comments from approximately 30 specialty groups,
organizations, and individuals. While some of the comments were on the
proposed process, comments also included requests for evaluating over
900 codes.
As we had discussed in the November 1999 final rule, in addition to
performing internal review and analysis, we will be sharing these
comments with the RUC, which currently makes recommendations to us on
the assignment of RVUs to new and revised CPT codes. The RUC's
perspective will be helpful because of its experience in recommending
RVUs for the codes that have been added to the CPT, or revised by the
CPT panel, since we implemented the physician fee schedule in 1992. We
emphasize, however, as we reiterated for the first 5-year review, we
have the responsibility for analyzing the comments concerning the 5-
year review and deciding whether to revise RVUs. We are not delegating
this responsibility to the RUC or any other organization.
Current initiatives underway (see discussion that follows on
physician time) will assist us in our identification of misvalued
codes. However, we will not be able to identify those codes that we
believe have misvalued work RVUs before late in the year 2000 or early
in the year 2001. We propose to perform the 5-year review in two
phases. The first phase will take place in CY 2000 with consideration
of public comments. The second phase will occur in CY 2001 when we use
the contracted research to identify misvalued codes. We will work with
the RUC and the medical community to minimize work duplication. For
example, we will ask the RUC to defer action in CY 2000 on those codes
that were identified by public comments and that our research later
indicates might be misvalued. Furthermore, to focus on each phase of
the review and prevent duplicative work, we propose to concentrate on
intraspecialty issues and anomalies in CY 2000 and consider cross
specialty misvaluations and issues in CY 2001. This is because we
believe that validation of time across a wide range of services will
allow direct comparison of pre-, intra-, and postservice work RVUs
across specialties with the potential to identify a large number of
misvalued codes. Again, we will work closely with the medical community
to analyze and interpret the data as well as to organize the review in
an efficient manner.
Physician Time Data
We currently have initiatives underway to validate the physician
time
[[Page 44202]]
data and identify potentially misvalued codes to be considered during
the 5-year review. A discussion of these activities follows.
Under a contract with HCFA, Health Economics Research (HER) is
reviewing secondary data sources to validate time estimates for
physicians' services. Physician time estimates are a factor used in the
calculation of the practice expense RVUs and one of the primary
determinates of physician work. These secondary data sources are as
follows:
The National Ambulatory Medical Care Survey (NAMCS).
D.J. Sullivan Associates Hospital Data.
MGMA Practice Cost Survey Data.
The NAMCS is a survey conducted by the Center for Disease Control
that collects self-reported information on over 20,000 office visits
annually including physician face-to-face time (called the duration of
the visit). Various comparative analyses, both at the physician
specialty level and for all physicians, can be made between projected
E/M codes in the NAMCS data and with the actual E/M codes reported in
the Medicare Part B National Claims History. (E/M codes are not
captured in the NAMCS data. However, a method is used to map the time
of the physician visit to an appropriate E/M code. This represents the
``projected'' E/M code.) The analysis was performed on the 1997 NAMCS.
The D.J. Sullivan database groups approximately 495,000 inpatient
and outpatient records into 177 small clinically similar classes. The
database captures information from the hospital record such as the
procedure, time the patient enters the operating room, time of
incision, time of wound closure, and time the patient exits the
operating room. Data are presented for all hospitals and for all
hospitals by categories: community hospitals, teaching hospitals, and
university-based hospitals.
HER is analyzing a sample of the D.J. Sullivan database to
determine whether it can be used for validating skin-to-skin time for
selected surgical procedures. The selected procedures are high volume
procedures or procedures on the RUC multispecialty list.
The MGMA Physician Profiling Database contains information at the
physician practice level on the number of services by CPT code,
physician specialty, and clinical work week. The database contains
information on almost 4,000 physicians, primarily from Florida,
Minnesota, New York, and Washington. Analysis will focus on comparing
expected clinical times based on current time estimates attributable to
CPT codes to total practice hours worked.
V. Collection of Information Requirements
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1995.
VI. Response to Comments
Because of the large number of items of correspondence we normally
receive on Federal Register documents published for comment, we are not
able to acknowledge or respond to them individually. We will consider
all comments we receive by the date and time specified in the DATES
section of this preamble, and we will respond to the major comments in
the final rule.
VII. Regulatory Impact Analysis
We have examined the impacts of this proposed rule as required by
Executive Order of 1993 (EO) 12866, the Unfunded Mandates Reform Act of
1995 (EO) 12875 (UMRA) (Public Law 104-4), the Regulatory Flexibility
Act of 1980 (RFA) (Public Law 96-354) and the Federalism Executive
Order of 1999 (EO) 13132.
EO 12866 directs agencies to assess costs and benefits of available
regulatory alternatives and, when regulation is necessary, to select
regulatory approaches that maximize net benefits (including potential
economic, environmental, public health and safety effects, distributive
impacts, and equity). A regulatory impact analysis (RIA) must be
prepared for major rules with economically significant effects ($100
million or more annually). While the changes in the Medicare physician
fee schedule are for the most part, budget neutral, they do involve
redistribution of Medicare spending among procedures and physician
specialties and geographic areas. However, the redistributive effect of
this rule on any particular specialty or geographic area is, in our
estimate, unlikely to exceed $100 million. The effect of the practice
expense changes are estimated to increase payments to one specialty by
about $90 million and decrease payments to another specialty by
approximately $45 million. All other physician specialties will be
affected by less than these amounts. The GPCI changes are expected to
increase payments by less than $10 million in one locality and decrease
payments by about $20 million in another locality. The effect on all
other payment localities are likely to be less than these amounts.
Since we estimate that these changes are unlikely to redistribute more
than $100 million in Medicare allowed charges, we are not considering
this proposed rule to be a major rule. However, we will reconsider this
decision for the final rule if our estimates based on new data exceed
$100 million.
The UMRA also requires (in section 202) that agencies prepare an
assessment of anticipated costs and benefits before developing any rule
that may result in expenditure in any one year by State, local, or
tribal governments, in the aggregate, or by the private sector, of $100
million or more. We have determined that this proposed rule will have
no consequential effect on State, local, or tribal governments. We
believe the private sector cost of this rule falls below the above
stated threshold as well.
The RFA requires that we analyze regulatory options for small
businesses and other small entities. We prepare a Regulatory
Flexibility Analysis unless we certify that a rule would not have a
significant economic impact on a substantial number of small entities.
The analysis must include a justification of why action is being taken,
the kinds and number of small entities the rule affects, and an
explanation of any meaningful options that achieve the objectives and
lessen significant adverse economic impact on the small entities.
In addition, section 1102(b) of the Act requires us to prepare a
regulatory impact analysis if a rule may have a significant impact on
the operations of a substantial number of small rural hospitals. This
analysis must conform to the provisions of section 603 of the RFA. For
purposes of section 1102(b) of the Act, we define a small rural
hospital as a hospital that is located outside of a Metropolitan
Statistical Area and has fewer than 50 beds.
For purposes of the RFA, all physicians are considered to be small
entities. There are about 700,000 physicians and other practitioners
who receive Medicare payment under the physician fee schedule. We have
prepared the following analysis, which, together with the rest of this
preamble, meets all four assessment requirements. It explains the
rationale for and purpose of the rule, details the costs and benefits
of the rule, analyzes alternatives, and presents the measures we
considered to minimize the burden on small entities.
A. Resource-Based Practice Expense Relative Value Units
Revisions in resource-based practice expense RVUs for physicians'
services are calculated to be budget neutral, that
[[Page 44203]]
is, the total practice expense RVUs for calendar year 2001 are
calculated to be the same as the total practice expense RVUs that we
estimate would have occurred without the changes proposed in this
regulation. This also means that increases in practice expense RVUs for
some services will necessarily be offset by corresponding decreases in
values for other services.
Table 1 shows the impact on total allowed charges by specialty of
this proposed rule's practice expense changes. There are six changes
that we made that have on effect on payment for practice expenses. We
show the impact of each individual provision and the combined impact on
the practice expense RVUs.
BILLING CODE 4120-01-P
[GRAPHIC] [TIFF OMITTED] TP17JY00.003
BILLING CODE 4120-01-C
[[Page 44204]]
The column labeled ``Clinical Staff'' refers to the proposal
discussed earlier with respect to clinical staff times and 0-day global
surgical services. As we indicated, clinical staff times for pre-and
postsurgical services provided in the office were reinstated to the
estimates of practice expense inputs for individual procedures. This
change has nearly a 2.0 percent increase in payments for
gastroenterology and small positive or negative impacts for all other
specialties. The negative impacts on some specialties offset the
positive impact for other specialties.
The column labeled ``Overhead Equipment'' refers to the provision
described earlier to remove the distinction between procedure specific
and overhead equipment. As we indicated, this change is largely
designed to simplify the refinement process and remove a distinction
that was more relevant under the ``bottom-up'' rather than the ``top-
down'' methodology for determining the practice expense RVUs. This
proposal has some small impacts on a few specialties.
The column labeled ``Standby Equipment'' refers to our proposal to
remove certain types of equipment from equipment inputs that are used
to value individual procedure codes. These types of equipment are not
typically used with any individual service, but are on ``standby'' or
used for multiple services at the same time. This proposal also has
some small impact on payments to a few specialties.
The column labeled ``Midlevel Practitioners'' refers to the
provision we described earlier to remove utilization data associated
with the provision of services by midlevel practitioners that are paid
a percentage of the physician fee schedule amount. This change to the
model would mean that we would no longer create separate practice
expense pools for midlevel practitioners. It would also mean that
specialty-specific practice expense RVUs for midlevel practitioners
determined after the scaling factor adjustments are made would no
longer be used in the weight averaging step.
The greater the extent that allowed services for midlevel
practitioners represent a higher proportion of the total number of
allowed services for a given code, the more likely this change will
have an impact on the practice expense RVU for the service. In some
cases, this change would mean that we are no longer weight averaging
specialty-specific practice expense RVUs that are higher in value than
the RVUs determined for the remaining physician specialties. This would
cause the practice expense value for the service to decline in value
from what would result from including higher specialty-specific
practice expense RVUs for the midlevel practitioner. In general, the
impact of this provision would be small for most specialties. The
impact on specialty level payments are more likely for specialties that
frequently perform services in conjunction with midlevel practitioners.
The column labeled ``New SMS Data'' refers to our proposal to
recalculate the practice expense per hour data based on data from the
1995 through 1998 SMS. (We refer to the SMS based on its publication
year. The practice expense data is actually from surveys performed the
year prior to publication. For example, the 1998 SMS includes 1997 cost
data.) As indicated in the table, this change would have an impact on
specialty level payments. These changes in payment would be in the same
direction as relative changes in the practice expense per hour. That
is, an increase in practice expense per hour for a specialty relative
to other specialties would result in increased payments for that
specialty. For cardiac and thoracic surgery, there is an additional
factor influencing the impact. As we indicated in the November 1999
final rule (64 FR 59391), we weight averaged 1998 SMS data from an
oversample for cardiac and thoracic surgery with data from the 1996 and
1997 SMS. At that time, we did not use data from the 1995 SMS in
determining the practice expense per hour. Since we are using 1995
through 1998 SMS data for all other physician specialties, we
recalculated the practice expense per hour for cardiac and thoracic
surgery using data from the 1995 through 1998 SMS. In addition, we are
continuing to use 1998 SMS data from the oversample in this
calculation.
The total impact column shows the product of each individual
provision for the years 2001 and 2002 relative to continuing with our
current policy. The figures may not add due to rounding. Table 2 shows
the total impact over the 2001 and 2002 period of these changes and the
2001 impact. The difference between the two columns reflects the effect
of the transition to fully implemented practice expense RVUs. That is,
the impact in the 2001 column will reflect 75 percent of the impact on
the fully implemented RVUs. These impacts are in addition to the
impacts announced in previous rules related to the adoption of
resource-based practice relative value units.
BILLING CODE 4120-01-P
[[Page 44205]]
[GRAPHIC] [TIFF OMITTED] TP17JY00.004
Table 3 shows the impact on payments for selected high volume
procedures of all of the practice expense changes previously discussed.
This table isolates the impact of the practice expense changes only on
payments. It does not show what actual payments for these procedures
will be in 2001 because the payment calculations do not include the
effect of the transition or the impact of the physician fee schedule
update which is unknown at this time.
[[Page 44206]]
[GRAPHIC] [TIFF OMITTED] TP17JY00.005
[[Page 44207]]
[GRAPHIC] [TIFF OMITTED] TP17JY00.006
BILLING CODE 4120-01-C
B. Geographic Practice Cost Index Changes
Section 1848(e)(1)(A) of the Act requires that payments under the
Medicare physician fee schedule vary among payment areas only to the
extent that area costs vary as reflected by the area GPCIs. The GPCIs
measure area cost differences in the three components of the physician
fee schedule: physician work, practice expenses (employee wages, rent,
medical supplies, and equipment), and malpractice insurance. Section
1848(e)(1)(C) of the Act requires that the GPCIs be reviewed and, if
necessary, revised at least every 3 years. The first GPCI revision was
implemented in 1995. The second revision was implemented in 1998, and
the next revision will be implemented in 2001. Section 1848(e)(1)(C) of
the Act also requires that the GPCI revisions be phased in equally over
a 2-year period if more than one year has elapsed since the last
adjustment.
An estimate of the overall effects of proposed GPCI changes on fee
schedule area payments can be demonstrated by a comparison of area
geographic adjustment factors (GAFs). The GAFs are a weighted composite
of each area's work, practice expense, and malpractice expense GPCIs
using the national GPCI cost share weights. While not actually used in
computing the fee schedule payment for a specific service, the GAFs are
useful in comparing overall area costs and payments. The actual effect
on payment for any actual service will deviate from the GAF to the
extent that the service's proportions of work, practice expense, and
malpractice expense RVUs differ from those of the GAF. Addendum H shows
the estimated effects of the proposed GPCIs on area GAFs in descending
order.
Only 14 of the 89 fee schedule areas would change by at least 2
percent. Only 16 areas would change by from 1 to 1.9 percent. The
remaining 59 areas are estimated to experience payment changes of less
than 1 percent under the proposed changes. These are very minor changes
that would be expected in that we are revising only the rent indices,
comprising 11.6 percent of the total GPCI, and the malpractice expense
indices, comprising 3.2 percent of the GPCI. Thus, only about 15
percent of the GPCI would be subject to change. The effects in the
transition year 2001, would only be one-half of these amounts as the
proposed revised GPCIs would be phased in over a 2-year period as
required by law.
[[Page 44208]]
C. Resource-Based Malpractice Relative Value Units
As indicated earlier, we are currently examining the more recent
malpractice data. The malpractice RVUs in the fall final rule will
reflect the newer data and the refinements made as a result of comments
made on last year's rules.
While we anticipate there would be little impact, this would be
fully discussed in the final rule.
D. Critical Care Relative Value Units
As we explained earlier in the preamble in the November 1999 final
rule, we established interim work RVUs for 2000 for CPT codes 99291 and
99292 (critical care services). These RVUs were decreased due to
concerns about changes in the CPT definition for these services. In
this proposed rule, based on changes the Panel is making to the
definition for critical care for CY 2001, we are proposing to increase
the work RVUs for critical care services and value the physician work
at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292. Any
impact of this proposal would be incorporated in the physician fee
budget neutrality calculation.
E. Care Plan Oversight
We are proposing to establish two new HCPCS codes for care plan
oversight that are consistent with our coverage criteria. We would also
establish two new HCPCS codes to describe the services involved in
physician certification or recertification and development of a plan of
care for a patient for whom the physician has prescribed Medicare-
covered home health services.
We are assuming there would be no additional cost or savings as a
result of the two new HCPCS codes for care plan oversight. We are
merely instituting these codes for consistency with our coverage
criteria, and they would be used in place of the CPT codes when these
services are provided.
For the new HCPCS codes for physician certification or
recertification and development of a plan of care, the payment for
these services is currently included in the payment for a variety of
services such as E/M that are provided independently to patients as
part of a global surgical service. Under this proposal, we would
instead pay separately. Since we are proposing to pay separately for a
service that is currently included in our payment for other services,
this proposal would increase Medicare expenditures for physicians'
services without an adjustment to the physician fee schedule CF. For
this reason, we are proposing to adjust the physician fee schedule CF
to ensure that Medicare payments for physicians' services do not
increase as a result of this proposal.
F. Observation Care Codes
Our proposal is budget-neutral. We believe physicians have not been
billing for the discharge component of a hospital or observation stay
of less than 24 hours so those physicians would be seeing an increase
in payment. However, physicians who have been billing 99234 to 99236
and physicians who have been billing 99238 or 99217 for stays less than
24 hours in length (for example, where the patient was in the hospital
at the time of the midnight census) would see a small reduction in
payment. This policy clarification will give clear guidance to
physicians and Medicare contractors in reviewing medical records and
would assure consistent payment across contractors.
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
As previously stated, we would establish national HCPCS codes and
payment amounts for ocular photodynamic therapy. If we did not
establish national codes and pricing for this procedure, carriers that
determined that this procedure is covered would use unlisted codes and
determine pricing locally. There will be no budget effects associated
with establishing national codes and payment amounts for this service
since national pricing would substitute for use of unlisted codes and
carrier pricing.
H. Electrical Bioimpedance
As stated earlier, we are establishing a national payment amount
for electrical bioimpedance. This change will have little impact on the
Medicare program costs. It establishes national pricing amounts for a
service currently priced by carriers.
I. Global Period for Insertion, Removal, and Replacement of Pacemakers
and Cardioverter Defibrillators
We are proposing to change the global period for certain CPT codes
involving the insertion, removal, and replacement of pacemakers and
cardioverter defibrillators from 90 days to 0 days. We would also
implement interim RVUs to account for the change in the global period
from 90 to 0 days. Since we are making RVU adjustments to accommodate
the change in global period, we do not anticipate any costs or savings.
There is no redistributive impact of this proposal since it only
affects physicians that insert, remove or replace pacemakers or
cardioverter defibrillators.
J. Antigen Supply
Our proposal to change from a 12-week to a 12-month supply of
antigen could benefit beneficiaries since they could obtain a year's
supply of medication in a single visit. We anticipate that this
proposed change would have no impact on program costs. There is no
redistributive impact of this proposal since it only aggregates four
prescriptions into one and the cost to the beneficiary remains the
same.
Other issues mentioned in the preamble are merely discussions or
clarifications and, therefore, have no budgetary impact.
Budget-Neutrality
Each year since the fee schedule has been implemented, our
actuaries have determined any adjustments needed to meet the budget-
neutrality requirement of the statute. A component of the actuarial
determination of budget-neutrality involves estimating the impact of
changes in the volume-and-intensity of physicians' services provided to
Medicare beneficiaries as a result of the proposed changes. Consistent
with the provision in the November 1998 final rule, the actuaries would
use a model that assumes a 30 percent volume-and-intensity response to
price reductions.
Impact on Beneficiaries
Although changes in physicians' payments when the physician fee
schedule was implemented in 1992 were large, we detected no problems
with beneficiary access to care. Furthermore, since beginning our
transition to a resource-based practice expense system in 1999, we have
not found that there are problems with beneficiary access to care.
VIII. Federalism
We have reviewed this proposed rule under the threshold criteria of
EO 13132, Federalism, and we have determined that the proposed rule
does not significantly affect the rights, roles, and responsibilities
of States.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare,
[[Page 44209]]
Reporting and recordkeeping requirements, Rural areas, X-rays.
For the reasons set forth in the preamble, HCFA proposes to amend
42 CFR chapter IV as follows:
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
1. The authority citation for part 410 continues to read as
follows:
Authority: Secs. 1102, and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 410.68, republish the introductory text and revise the
introductory text for paragraph (b) to read as follows:
Sec. 410.68 Antigens: Scope and conditions.
Medicare Part B pays for--
* * * * *
(b) A supply of antigen sufficient for not more than 12 months that
is--
* * * * *
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
1. The authority citation for part 414 continues to read as
follows:
Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social
Security Act (42 U.S.C. 1302, 1395(hh), and 1395rr(b)(1).
2. Revise Sec. 414.22(b)(5)(i) to read as follows:
Sec. 414.22 Relative value units (RVUs).
* * * * *
(b) * * *
(5) * * *
(i) Usually there are two levels of practice expense RVUs that
correspond to each code.
(A) Facility practice expense RVUs. The lower facility practice
expense RVUs apply to services furnished to patients in the hospital,
skilled nursing facility, community mental health center, or in an
ambulatory surgical center when the physician performs procedures on
the ASC approved procedures list. (The facility practice expense RVUs
for a particular code may not be greater than the non-facility RVUs for
the code.)
(B) Non-facility practice expense RVUs. The higher non-facility
practice expense RVUs apply to services performed in the following
settings: a physician's office, a patient's home, an ASC if the
physician is performing a procedure not on the ASC approved procedures
list, a nursing facility, or a facility or institution other than a
hospital or skilled nursing facility.
(C) Outpatient therapy services. Outpatient therapy services billed
under the physician fee schedule are paid using the non-facility
practice expense RVU component.
* * * * *
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: May 25, 2000.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing Administration.
Dated: June 26, 2000.
Donna E. Shalala,
Secretary.
Note: These addenda will not appear in the Code of Federal
Regulations.
Addendum A--Explanation and Use of Addendum B
The addenda on the following pages provide various data pertaining
to the Medicare fee schedule for physicians' services furnished in
2001. Addendum B contains the RVUs for work, non-facility practice
expense, facility practice expense, and malpractice expense, and other
information for all services included in the physician fee schedule.
Addendum B--2001 Relative Value Units and Related Information Used
in Determining Medicare Payments for 2001
This addendum contains the following information for each CPT code
and alphanumeric HCPCS code, except for alphanumeric codes beginning
with B (enteral and parenteral therapy), E (durable medical equipment),
K (temporary codes for nonphysicians' services or items), or L
(orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for
the service. Alphanumeric HCPCS codes are included at the end of this
addendum.
2. Modifier. A modifier is shown if there is a technical component
(modifier TC) and a professional component (PC) (modifier -26) for the
service. If there is a PC and TC for the service, Addendum B contains
three entries for the code: One for the global values (both
professional and technical); one for modifier -26 (PC); and one for
modifier TC. The global service is not designated by a modifier, and
physicians must bill using the code without a modifier if the physician
furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be
RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the physician fee schedule and whether it is separately
payable if the service is covered.
A = Active code. These codes are separately payable under the fee
schedule if covered. There will be RVUs for codes with this status. The
presence of an ``A'' indicator does not mean that Medicare has made a
national decision regarding the coverage of the service. Carriers
remain responsible for coverage decisions in the absence of a national
Medicare policy.
B = Bundled code. Payment for covered services is always bundled
into payment for other services not specified. If RVUs are shown, they
are not used for Medicare payment. If these services are covered,
payment for them is subsumed by the payment for the services to which
they are incident. (An example is a telephone call from a hospital
nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment
amounts for these services, generally on a case-by-case basis following
review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the
beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes
are for items or services that we chose to exclude from the physician
fee schedule payment by regulation. No RVUs are shown, and no payment
may be made under the physician fee schedule for these codes. Payment
for them, if they are covered, continues under reasonable charge or
other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not
recognize codes assigned this status. Medicare uses another code for
reporting of, and payment for, these services.
N = Noncovered service. These codes are noncovered services.
Medicare payment may not be made for these codes. If RVUs are shown,
they are not used for Medicare payment.
P= Bundled or excluded code. There are no RVUs for these services.
No separate payment should be made for them under the physician fee
schedule.
--If the item or service is covered as incident to a physician's
service and is furnished on the same day as a physician's service,
payment for it is bundled into the payment for the physician's service
to which it is
[[Page 44210]]
incident (an example is an elastic bandage furnished by a physician
incident to a physician's service).
--If the item or service is covered as other than incident to a
physician's service, it is excluded from the physician fee schedule
(for example, colostomy supplies) and is paid under the other payment
provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If
the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are
only paid if there are no other services payable under the physician
fee schedule billed on the same date by the same provider. If any other
services payable under the physician fee schedule are billed on the
same date by the same provider, these services are bundled into the
service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that
is not within the definition of ``physicians' services'' for physician
fee schedule payment purposes. No RVUs are shown for these codes, and
no payment may be made under the physician fee schedule. (Examples are
ambulance services and clinical diagnostic laboratory services.)
4. Description of code.This is an abbreviated version of the
narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work
for this service in 2001. Codes that are not used for Medicare payment
are identified with a ``+.''
6. Fully implemented non-facility practice expense RVUs. These are
the fully implemented resource-based practice expense RVUs for non-
facility settings.
7. Year 2001 Transition non-facility practice expense RVUs. Blended
non-facility practice expense RVUs for use in 2001.
8. Fully implemented facility practice expense RVUs. These are the
fully implemented resource-based practice expense RVUs for facility
settings.
9. Year 2001 transition facility practice expense RVUs. Blended
facility practice expense RVUs for use in 2001.
10. Malpractice expense RVUs. These are the RVUs for the
malpractice expense for the service for 2001.
11. Fully implemented non-facility total. This is the sum of the
work, fully implemented non-facility practice expense, and malpractice
expense RVUs.
12. Year 2001 transition non-facility total. This is the sum of the
work, transition non-facility practice expense, and malpractice expense
RVUs for use in 2001.
13. Fully implemented facility total. This is the sum of the work,
fully implemented facility practice expense, and malpractice expense
RVUs.
14. Year 2001 transition facility total. This is the sum of the
work, transition facility practice expense, and malpractice expense
RVUs for use in 2001.
15. Global period. This indicator shows the number of days in the
global period for the code (0, 10, or 90 days). An explanation of the
alpha codes follows:
MMM = The code describes a service furnished in uncomplicated
maternity cases including antepartum care, delivery, and postpartum
care. The usual global surgical concept does not apply. See the 1999
Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example,
unlisted surgery codes).
ZZZ = The code is part of another service and falls within the
global period for the other service.
--------------------
\1\ CPT codes and descriptions only are copyright 2000 American Medical
Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 1994 American Dental Association. All rights reserved.
\3\ PE RVUs = Practice Expense Relative Value Units.
[[Page 44210]]
Addendum B.--Relative Value Units (RVUs) and Related Information
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fully Year 2001 Fully Year 2001
implemented transitional Fully Year 2001 Mal- implemented transitional Fully Year 2001
CPT \1\/ Mod Status Description Physician non- non- implemented transitional practice non- non- implemented transitional Global
HCPCS work RVUs facility PE facility PE facility PE facility PE RVUs facility facility facility facility
\2\ RVUs RVUs RVUs RVUs total total total total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
10120 .......... A Remove foreign body 1.22 1.67 1.38 0.67 0.63 0.10 2.99 2.70 1.99 1.95 010
10121 .......... A Remove foreign body 2.69 2.61 2.23 1.70 1.55 0.24 5.54 5.16 4.63 4.48 010
10140 .......... A Drainage of 1.53 1.32 1.12 0.82 0.75 0.11 2.96 2.76 2.46 2.39 010
hematoma/fluid.
10160 .......... A Puncture drainage 1.20 1.45 1.19 0.73 0.65 0.09 2.74 2.48 2.02 1.94 010
of lesion.
10180 .......... A Complex drainage, 2.25 1.32 1.28 1.24 1.22 0.23 3.80 3.76 3.72 3.70 010
wound.
11000 .......... A Debride infected 0.60 0.52 0.50 0.24 0.29 0.04 1.16 1.14 0.88 0.93 000
skin.
11001 .......... A Debride infected 0.30 0.29 0.29 0.12 0.16 0.02 0.61 0.61 0.44 0.48 ZZZ
skin add-on.
11010 .......... A Debride skin, fx... 4.20 2.39 2.87 2.10 2.65 0.36 6.95 7.43 6.66 7.21 010
11011 .......... A Debride skin/ 4.95 3.67 4.03 2.61 3.24 0.48 9.10 9.46 8.04 8.67 000
muscle, fx.
11012 .......... A Debride skin/muscle/ 6.88 4.94 5.49 4.14 4.89 0.71 12.53 13.08 11.73 12.48 000
bone, fx.
11040 .......... A Debride skin, 0.50 0.45 0.45 0.21 0.27 0.03 0.98 0.98 0.74 0.80 000
partial.
11041 .......... A Debride skin, full. 0.82 0.61 0.61 0.33 0.40 0.06 1.49 1.49 1.21 1.28 000
11042 .......... A Debride skin/tissue 1.12 0.85 0.82 0.46 0.52 0.09 2.06 2.03 1.67 1.73 000
11043 .......... A Debride tissue/ 2.38 2.41 2.30 1.38 1.53 0.22 5.01 4.90 3.98 4.13 010
muscle.
11044 .......... A Debride tissue/ 3.06 3.11 3.10 1.81 2.12 0.30 6.47 6.46 5.17 5.48 010
muscle/bone.
11055 .......... R Trim skin lesion... 0.27 0.34 0.33 0.12 0.16 0.02 0.63 0.62 0.41 0.45 000
11056 .......... R Trim skin lesions, 0.39 0.38 0.38 0.16 0.22 0.03 0.80 0.80 0.58 0.64 000
2 to 4.
11057 .......... R Trim skin lesions, 0.50 0.42 0.39 0.21 0.23 0.03 0.95 0.92 0.74 0.76 000
over 4.
11100 .......... A Biopsy of skin 0.81 1.47 1.24 0.38 0.42 0.04 2.32 2.09 1.23 1.27 000
lesion.
11101 .......... A Biopsy, skin add-on 0.41 0.68 0.59 0.20 0.23 0.02 1.11 1.02 0.63 0.66 ZZZ
11200 .......... A Removal of skin 0.77 1.03 0.89 0.31 0.35 0.04 1.84 1.70 1.12 1.16 010
tags.
11201 .......... A Remove skin tags 0.29 0.42 0.36 0.12 0.14 0.02 0.73 0.67 0.43 0.45 ZZZ
add-on.
11300 .......... A Shave skin lesion.. 0.51 0.98 0.88 0.22 0.31 0.03 1.52 1.42 0.76 0.85 000
11301 .......... A Shave skin lesion.. 0.85 1.08 0.99 0.40 0.48 0.04 1.97 1.88 1.29 1.37 000
11302 .......... A Shave skin lesion.. 1.05 1.18 1.13 0.48 0.60 0.05 2.28 2.23 1.58 1.70 000
11303 .......... A Shave skin lesion.. 1.24 1.29 1.34 0.56 0.79 0.06 2.59 2.64 1.86 2.09 000
11305 .......... A Shave skin lesion.. 0.67 0.78 0.73 0.29 0.36 0.04 1.49 1.44 1.00 1.07 000
11306 .......... A Shave skin lesion.. 0.99 1.03 0.97 0.44 0.52 0.05 2.07 2.01 1.48 1.56 000
11307 .......... A Shave skin lesion.. 1.14 1.13 1.10 0.51 0.64 0.05 2.32 2.29 1.70 1.83 000
11308 .......... A Shave skin lesion.. 1.41 1.21 1.29 0.62 0.85 0.07 2.69 2.77 2.10 2.33 000
11310 .......... A Shave skin lesion.. 0.73 1.08 1.00 0.34 0.44 0.04 1.85 1.77 1.11 1.21 000
11311 .......... A Shave skin lesion.. 1.05 1.19 1.12 0.51 0.61 0.05 2.29 2.22 1.61 1.71 000
11312 .......... A Shave skin lesion.. 1.20 1.27 1.26 0.58 0.74 0.05 2.52 2.51 1.83 1.99 000
[[Page 44211]]
11313 .......... A Shave skin lesion.. 1.62 1.51 1.54 0.76 0.98 0.08 3.21 3.24 2.46 2.68 000
11400 .......... A Removal of skin 0.91 2.30 1.87 0.71 0.68 0.07 3.28 2.85 1.69 1.66 010
lesion.
11401 .......... A Removal of skin 1.32 2.34 1.94 0.87 0.84 0.10 3.76 3.36 2.29 2.26 010
lesion.
11402 .......... A Removal of skin 1.61 2.42 2.06 0.95 0.96 0.11 4.14 3.78 2.67 2.68 010
lesion.
11403 .......... A Removal of skin 1.92 2.63 2.29 1.08 1.13 0.15 4.70 4.36 3.15 3.20 010
lesion.
11404 .......... A Removal of skin 2.20 2.78 2.46 1.17 1.25 0.18 5.16 4.84 3.55 3.63 010
lesion.
11406 .......... A Removal of skin 2.76 3.07 2.81 1.39 1.55 0.25 6.08 5.82 4.40 4.56 010
lesion.
11420 .......... A Removal of skin 1.06 1.92 1.58 0.76 0.71 0.08 3.06 2.72 1.90 1.85 010
lesion.
11421 .......... A Removal of skin 1.53 2.25 1.88 0.97 0.92 0.11 3.89 3.52 2.61 2.56 010
lesion.
11422 .......... A Removal of skin 1.76 2.44 2.09 1.04 1.04 0.12 4.32 3.97 2.92 2.92 010
lesion.
11423 .......... A Removal of skin 2.17 2.73 2.40 1.21 1.26 0.17 5.07 4.74 3.55 3.60 010
lesion.
11424 .......... A Removal of skin 2.62 2.87 2.53 1.38 1.41 0.20 5.69 5.35 4.20 4.23 010
lesion.
11426 .......... A Removal of skin 3.78 3.51 3.13 1.85 1.89 0.32 7.61 7.23 5.95 5.99 010
lesion.
11440 .......... A Removal of skin 1.15 2.45 2.03 0.92 0.88 0.08 3.68 3.26 2.15 2.11 010
lesion.
11441 .......... A Removal of skin 1.61 2.59 2.17 1.14 1.09 0.11 4.31 3.89 2.86 2.81 010
lesion.
11442 .......... A Removal of skin 1.87 2.66 2.30 1.24 1.24 0.13 4.66 4.30 3.24 3.24 010
lesion.
11443 .......... A Removal of skin 2.49 3.12 2.73 1.54 1.55 0.18 5.79 5.40 4.21 4.22 010
lesion.
11444 .......... A Removal of skin 3.42 3.55 3.06 1.93 1.85 0.25 7.22 6.73 5.60 5.52 010
lesion.
11446 .......... A Removal of skin 4.49 4.02 3.50 2.45 2.32 0.32 8.83 8.31 7.26 7.13 010
lesion.
11450 .......... A Removal, sweat 2.73 3.83 3.60 1.08 1.54 0.24 6.80 6.57 4.05 4.51 090
gland lesion.
11451 .......... A Removal, sweat 3.95 4.79 4.38 1.56 1.96 0.37 9.11 8.70 5.88 6.28 090
gland lesion.
11462 .......... A Removal, sweat 2.51 3.82 3.52 1.01 1.41 0.23 6.56 6.26 3.75 4.15 090
gland lesion.
11463 .......... A Removal, sweat 3.95 5.26 4.49 1.63 1.77 0.39 9.60 8.83 5.97 6.11 090
gland lesion.
11470 .......... A Removal, sweat 3.25 4.28 3.97 1.30 1.73 0.31 7.84 7.53 4.86 5.29 090
gland lesion.
11471 .......... A Removal, sweat 4.41 5.38 4.70 1.81 2.03 0.42 10.21 9.53 6.64 6.86 090
gland lesion.
11600 .......... A Removal of skin 1.41 2.47 2.16 0.97 1.04 0.09 3.97 3.66 2.47 2.54 010
lesion.
11601 .......... A Removal of skin 1.93 2.56 2.30 1.09 1.20 0.11 4.60 4.34 3.13 3.24 010
lesion.
11602 .......... A Removal of skin 2.09 2.62 2.46 1.29 1.46 0.12 4.83 4.67 3.50 3.67 010
lesion.
11603 .......... A Removal of skin 2.35 2.79 2.70 1.36 1.63 0.15 5.29 5.20 3.86 4.13 010
lesion.
11604 .......... A Removal of skin 2.58 2.96 2.92 1.44 1.78 0.18 5.72 5.68 4.20 4.54 010
lesion.
11606 .......... A Removal of skin 3.43 3.50 3.47 1.75 2.16 0.28 7.21 7.18 5.46 5.87 010
lesion.
11620 .......... A Removal of skin 1.34 2.44 2.19 0.99 1.11 0.09 3.87 3.62 2.42 2.54 010
lesion.
11621 .......... A Removal of skin 1.97 2.59 2.42 1.24 1.41 0.11 4.67 4.50 3.32 3.49 010
lesion.
11622 .......... A Removal of skin 2.34 2.75 2.66 1.45 1.69 0.14 5.23 5.14 3.93 4.17 010
lesion.
11623 .......... A Removal of skin 2.93 2.70 2.73 1.69 1.97 0.20 5.83 5.86 4.82 5.10 010
lesion.
11624 .......... A Removal of skin 3.43 3.01 3.13 1.91 2.30 0.25 6.69 6.81 5.59 5.98 010
lesion.
11626 .......... A Removal of skin 4.30 3.96 3.90 2.29 2.64 0.34 8.60 8.54 6.93 7.28 010
lesion.
11640 .......... A Removal of skin 1.53 2.53 2.35 1.16 1.32 0.10 4.16 3.98 2.79 2.95 010
lesion.
11641 .......... A Removal of skin 2.44 2.88 2.73 1.61 1.78 0.14 5.46 5.31 4.19 4.36 010
lesion.
11642 .......... A Removal of skin 2.93 2.79 2.79 1.82 2.06 0.18 5.90 5.90 4.93 5.17 010
lesion.
11643 .......... A Removal of skin 3.50 3.12 3.16 2.10 2.39 0.24 6.86 6.90 5.84 6.13 010
lesion.
11644 .......... A Removal of skin 4.55 3.74 3.76 2.60 2.90 0.32 8.61 8.63 7.47 7.77 010
lesion.
11646 .......... A Removal of skin 5.95 4.94 4.88 3.31 3.66 0.46 11.35 11.29 9.72 10.07 010
lesion.
11719 .......... R Trim nail(s)....... 0.11 0.48 0.43 0.04 0.10 0.01 0.60 0.55 0.16 0.22 000
11720 .......... A Debride nail, 1-5.. 0.32 0.40 0.39 0.13 0.19 0.02 0.74 0.73 0.47 0.53 000
11721 .......... A Debride nail, 6 or 0.54 0.51 0.53 0.21 0.31 0.04 1.09 1.11 0.79 0.89 000
more.
11730 .......... A Removal of nail 1.13 0.72 0.66 0.45 0.46 0.07 1.92 1.86 1.65 1.66 000
plate.
11732 .......... A Remove nail plate, 0.57 0.28 0.28 0.23 0.24 0.04 0.89 0.89 0.84 0.85 ZZZ
add-on.
11740 .......... A Drain blood from 0.37 0.64 0.59 0.14 0.21 0.03 1.04 0.99 0.54 0.61 000
under nail.
11750 .......... A Removal of nail bed 1.86 1.49 1.69 0.78 1.16 0.12 3.47 3.67 2.76 3.14 010
11752 .......... A Remove nail bed/ 2.67 1.84 2.15 1.65 2.00 0.20 4.71 5.02 4.52 4.87 010
finger tip.
11755 .......... A Biopsy, nail unit.. 1.31 0.97 1.00 0.57 0.70 0.08 2.36 2.39 1.96 2.09 000
11760 .......... A Repair of nail bed. 1.58 1.54 1.41 1.13 1.10 0.13 3.25 3.12 2.84 2.81 010
11762 .......... A Reconstruction of 2.89 1.97 2.18 1.75 2.01 0.20 5.06 5.27 4.84 5.10 010
nail bed.
11765 .......... A Excision of nail 0.69 0.93 0.84 0.42 0.45 0.05 1.67 1.58 1.16 1.19 010
fold, toe.
11770 .......... A Removal of 2.61 2.77 2.80 1.27 1.68 0.24 5.62 5.65 4.12 4.53 010
pilonidal lesion.
11771 .......... A Removal of 5.74 5.00 4.98 3.95 4.19 0.55 11.29 11.27 10.24 10.48 090
pilonidal lesion.
11772 .......... A Removal of 6.98 5.85 5.70 4.45 4.65 0.70 13.53 13.38 12.13 12.33 090
pilonidal lesion.
11900 .......... A Injection into skin 0.52 0.69 0.59 0.22 0.23 0.02 1.23 1.13 0.76 0.77 000
lesions.
11901 .......... A Added skin lesions 0.80 0.82 0.73 0.37 0.39 0.03 1.65 1.56 1.20 1.22 000
injection.
11920 .......... R Correct skin color 1.61 2.01 1.83 0.78 0.91 0.17 3.79 3.61 2.56 2.69 000
defects.
11921 .......... R Correct skin color 1.93 2.21 2.04 1.00 1.13 0.20 4.34 4.17 3.13 3.26 000
defects.
11922 .......... R Correct skin color 0.49 0.36 0.37 0.26 0.29 0.05 0.90 0.91 0.80 0.83 ZZZ
defects.
11950 .......... R Therapy for contour 0.84 1.01 1.08 0.35 0.59 0.06 1.91 1.98 1.25 1.49 000
defects.
11951 .......... R Therapy for contour 1.19 1.34 1.33 0.53 0.72 0.09 2.62 2.61 1.81 2.00 000
defects.
11952 .......... R Therapy for contour 1.69 2.09 1.89 0.80 0.92 0.11 3.89 3.69 2.60 2.72 000
defects.
11954 .......... R Therapy for contour 1.85 2.36 2.09 0.71 0.86 0.20 4.41 4.14 2.76 2.91 000
defects.
11960 .......... A Insert tissue 9.08 NA NA 10.01 9.61 0.89 NA NA 19.98 19.58 090
expander(s).
11970 .......... A Replace tissue 7.06 NA NA 4.89 5.78 0.75 NA NA 12.70 13.59 090
expander.
11971 .......... A Remove tissue 2.13 5.96 5.10 3.56 3.30 0.22 8.31 7.45 5.91 5.65 090
expander(s).
11975 .......... N Insert 1.48 1.46 1.38 0.59 0.73 0.11 3.05 2.97 2.18 2.32 XXX
contraceptive cap.
11976 .......... R Removal of 1.78 1.52 1.49 0.65 0.84 0.13 3.43 3.40 2.56 2.75 XXX
contraceptive cap.
11977 .......... N Removal/reinsert 3.30 2.19 2.28 1.31 1.62 0.25 5.74 5.83 4.86 5.17 XXX
contra cap.
11980 .......... A Implant hormone 1.48 1.46 1.46 0.59 0.59 0.11 3.05 3.05 2.18 2.18 000
pellet(s).
12001 .......... A Repair superficial 1.70 2.17 1.78 0.78 0.74 0.15 4.02 3.63 2.63 2.59 010
wound(s).
12002 .......... A Repair superficial 1.86 2.26 1.91 0.82 0.83 0.16 4.28 3.93 2.84 2.85 010
wound(s).
12004 .......... A Repair superficial 2.24 2.45 2.15 0.94 1.02 0.20 4.89 4.59 3.38 3.46 010
wound(s).
12005 .......... A Repair superficial 2.86 2.84 2.53 1.17 1.28 0.26 5.96 5.65 4.29 4.40 010
wound(s).
12006 .......... A Repair superficial 3.67 3.97 3.46 1.74 1.79 0.34 7.98 7.47 5.75 5.80 010
wound(s).
12007 .......... A Repair superficial 4.12 4.29 3.71 2.04 2.02 0.38 8.79 8.21 6.54 6.52 010
wound(s).
12011 .......... A Repair superficial 1.76 2.27 1.90 0.79 0.79 0.16 4.19 3.82 2.71 2.71 010
wound(s).
12013 .......... A Repair superficial 1.99 2.38 2.07 0.84 0.91 0.18 4.55 4.24 3.01 3.08 010
wound(s).
[[Page 44212]]
12014 .......... A Repair superficial 2.46 2.68 2.33 1.01 1.08 0.22 5.36 5.01 3.69 3.76 010
wound(s).
12015 .......... A Repair superficial 3.19 3.09 2.76 1.20 1.34 0.29 6.57 6.24 4.68 4.82 010
wound(s).
12016 .......... A Repair superficial 3.93 3.35 3.13 1.50 1.74 0.36 7.64 7.42 5.79 6.03 010
wound(s).
12017 .......... A Repair superficial 4.71 5.03 4.69 2.11 2.50 0.44 10.18 9.84 7.26 7.65 010
wound(s).
12018 .......... A Repair superficial 5.53 5.66 5.64 2.54 3.30 0.46 11.65 11.63 8.53 9.29 010
wound(s).
12020 .......... A Closure of split 2.62 2.59 2.27 1.51 1.46 0.23 5.44 5.12 4.36 4.31 010
wound.
12021 .......... A Closure of split 1.84 2.00 1.67 1.11 1.00 0.15 3.99 3.66 3.10 2.99 010
wound.
12031 .......... A Layer closure of 2.15 2.66 2.19 1.16 1.07 0.14 4.95 4.48 3.45 3.36 010
wound(s).
12032 .......... A Layer closure of 2.47 2.74 2.34 1.23 1.21 0.15 5.36 4.96 3.85 3.83 010
wound(s).
12034 .......... A Layer closure of 2.92 2.97 2.63 1.39 1.44 0.24 6.13 5.79 4.55 4.60 010
wound(s).
12035 .......... A Layer closure of 3.43 2.98 2.76 1.62 1.74 0.32 6.73 6.51 5.37 5.49 010
wound(s).
12036 .......... A Layer closure of 4.05 4.89 4.30 2.34 2.39 0.40 9.34 8.75 6.79 6.84 010
wound(s).
12037 .......... A Layer closure of 4.67 5.11 4.67 2.81 2.95 0.44 10.22 9.78 7.92 8.06 010
wound(s).
12041 .......... A Layer closure of 2.37 2.95 2.44 1.19 1.12 0.17 5.49 4.98 3.73 3.66 010
wound(s).
12042 .......... A Layer closure of 2.74 2.93 2.52 1.36 1.34 0.18 5.85 5.44 4.28 4.26 010
wound(s).
12044 .......... A Layer closure of 3.14 2.99 2.68 1.54 1.60 0.26 6.39 6.08 4.94 5.00 010
wound(s).
12045 .......... A Layer closure of 3.64 3.33 3.08 1.80 1.93 0.32 7.29 7.04 5.76 5.89 010
wound(s).
12046 .......... A Layer closure of 4.25 4.95 4.48 2.40 2.57 0.37 9.57 9.10 7.02 7.19 010
wound(s).
12047 .......... A Layer closure of 4.65 4.99 4.83 2.79 3.18 0.44 10.08 9.92 7.88 8.27 010
wound(s).
12051 .......... A Layer closure of 2.47 2.91 2.46 1.35 1.29 0.17 5.55 5.10 3.99 3.93 010
wound(s).
12052 .......... A Layer closure of 2.77 2.88 2.56 1.30 1.38 0.17 5.82 5.50 4.24 4.32 010
wound(s).
12053 .......... A Layer closure of 3.12 3.03 2.75 1.45 1.57 0.23 6.38 6.10 4.80 4.92 010
wound(s).
12054 .......... A Layer closure of 3.46 3.36 3.23 1.57 1.88 0.29 7.11 6.98 5.32 5.63 010
wound(s).
12055 .......... A Layer closure of 4.43 4.12 3.97 2.09 2.45 0.39 8.94 8.79 6.91 7.27 010
wound(s).
12056 .......... A Layer closure of 5.24 5.87 5.69 2.89 3.45 0.43 11.54 11.36 8.56 9.12 010
wound(s).
12057 .......... A Layer closure of 5.96 5.55 5.67 3.52 4.15 0.49 12.00 12.12 9.97 10.60 010
wound(s).
13100 .......... A Repair of wound or 3.12 3.25 2.75 1.83 1.68 0.22 6.59 6.09 5.17 5.02 010
lesion.
13101 .......... A Repair of wound or 3.92 3.54 3.22 2.28 2.28 0.23 7.69 7.37 6.43 6.43 010
lesion.
13102 .......... A Repair wound/lesion 1.24 0.72 0.72 0.57 0.57 0.08 2.04 2.04 1.89 1.89 ZZZ
add-on.
13120 .......... A Repair of wound or 3.30 3.39 2.91 1.82 1.73 0.25 6.94 6.46 5.37 5.28 010
lesion.
13121 .......... A Repair of wound or 4.33 3.76 3.54 2.32 2.46 0.27 8.36 8.14 6.92 7.06 010
lesion.
13122 .......... A Repair wound/lesion 1.44 0.84 0.84 0.66 0.66 0.09 2.37 2.37 2.19 2.19 ZZZ
add-on.
13131 .......... A Repair of wound or 3.79 3.64 3.27 2.17 2.17 0.26 7.69 7.32 6.22 6.22 010
lesion.
13132 .......... A Repair of wound or 5.95 4.50 4.62 3.19 3.63 0.34 10.79 10.91 9.48 9.92 010
lesion.
13133 .......... A Repair wound/lesion 2.19 1.19 1.19 1.01 1.01 0.12 3.50 3.50 3.32 3.32 ZZZ
add-on.
13150 .......... A Repair of wound or 3.81 4.97 4.21 2.50 2.35 0.29 9.07 8.31 6.60 6.45 010
lesion.
13151 .......... A Repair of wound or 4.45 4.98 4.40 2.95 2.88 0.30 9.73 9.15 7.70 7.63 010
lesion.
13152 .......... A Repair of wound or 6.33 5.64 5.62 3.85 4.28 0.40 12.37 12.35 10.58 11.01 010
lesion.
13153 .......... A Repair wound/lesion 2.38 1.32 1.32 1.09 1.09 0.15 3.85 3.85 3.62 3.62 ZZZ
add-on.
13160 .......... A Late closure of 10.48 NA NA 6.26 5.60 1.08 NA NA 17.82 17.16 090
wound.
13300 .......... D Repair of wound or 5.27 2.09 3.12 2.09 3.12 0.44 7.80 8.83 7.80 8.83 010
lesion.
14000 .......... A Skin tissue 5.89 7.03 6.20 4.52 4.32 0.46 13.38 12.55 10.87 10.67 090
rearrangement.
14001 .......... A Skin tissue 8.47 8.26 7.48 5.82 5.65 0.67 17.40 16.62 14.96 14.79 090
rearrangement.
14020 .......... A Skin tissue 6.59 7.45 6.92 5.13 5.18 0.51 14.55 14.02 12.23 12.28 090
rearrangement.
14021 .......... A Skin tissue 10.06 8.94 8.39 6.89 6.85 0.73 19.73 19.18 17.68 17.64 090
rearrangement.
14040 .......... A Skin tissue 7.87 7.82 7.70 5.80 6.19 0.53 16.22 16.10 14.20 14.59 090
rearrangement.
14041 .......... A Skin tissue 11.49 9.68 9.40 7.65 7.88 0.69 21.86 21.58 19.83 20.06 090
rearrangement.
14060 .......... A Skin tissue 8.50 8.34 8.36 6.60 7.05 0.60 17.44 17.46 15.70 16.15 090
rearrangement.
14061 .......... A Skin tissue 12.29 10.66 10.84 8.55 9.26 0.75 23.70 23.88 21.59 22.30 090
rearrangement.
14300 .......... A Skin tissue 11.76 9.70 10.34 8.10 9.14 0.92 22.38 23.02 20.78 21.82 090
rearrangement.
14350 .......... A Skin tissue 9.61 NA NA 5.92 6.09 0.90 NA NA 16.43 16.60 090
rearrangement.
15000 .......... A Skin graft......... 0.04 2.40 2.38 1.93 2.03 0.36 2.80 2.78 2.33 2.43 000
15001 .......... A Skin graft add-on.. 0.01 0.60 0.60 0.48 0.48 0.09 0.70 0.70 0.58 0.58 ZZZ
15050 .......... A Skin pinch graft... 4.30 4.82 4.10 3.66 3.23 0.41 9.53 8.81 8.37 7.94 090
15100 .......... A Skin split graft... 9.05 6.17 5.86 6.01 5.74 0.94 16.16 15.85 16.00 15.73 090
15101 .......... A Skin split graft 1.72 1.15 1.30 0.77 1.01 0.18 3.05 3.20 2.67 2.91 ZZZ
add-on.
15120 .......... A Skin split graft... 9.83 8.00 7.64 6.56 6.56 0.80 18.63 18.27 17.19 17.19 090
15121 .......... A Skin split graft 2.67 1.69 2.06 1.29 1.76 0.26 4.62 4.99 4.22 4.69 ZZZ
add-on.
15200 .......... A Skin full graft.... 8.03 8.74 7.68 5.43 5.19 0.72 17.49 16.43 14.18 13.94 090
15201 .......... A Skin full graft add- 1.32 1.08 1.27 0.66 0.95 0.13 2.53 2.72 2.11 2.40 ZZZ
on.
15220 .......... A Skin full graft.... 7.87 9.02 8.08 5.95 5.78 0.68 17.57 16.63 14.50 14.33 090
15221 .......... A Skin full graft add- 1.19 0.86 1.08 0.58 0.87 0.11 2.16 2.38 1.88 2.17 ZZZ
on.
15240 .......... A Skin full graft.... 9.04 8.62 8.12 6.69 6.67 0.77 18.43 17.93 16.50 16.48 090
15241 .......... A Skin full graft add- 1.86 1.40 1.70 0.95 1.36 0.17 3.43 3.73 2.98 3.39 ZZZ
on.
15260 .......... A Skin full graft.... 10.06 8.73 8.57 7.27 7.48 0.65 19.44 19.28 17.98 18.19 090
15261 .......... A Skin full graft add- 2.23 1.52 1.91 1.15 1.64 0.17 3.92 4.31 3.55 4.04 ZZZ
on.
15350 .......... A Skin homograft..... 0.04 7.54 6.24 4.12 3.67 0.40 7.98 6.68 4.56 4.11 090
15351 .......... A Skin homograft add- 0.01 0.80 0.80 0.46 0.46 0.09 0.90 0.90 0.56 0.56 ZZZ
on.
15400 .......... A Skin heterograft... 0.04 4.25 3.48 4.25 3.48 0.34 4.63 3.86 4.63 3.86 090
15401 .......... A Skin heterograft 0.01 0.80 0.80 0.46 0.46 0.09 0.90 0.90 0.56 0.56 ZZZ
add-on.
15570 .......... A Form skin pedicle 9.21 8.32 7.73 5.85 5.88 0.91 18.44 17.85 15.97 16.00 090
flap.
15572 .......... A Form skin pedicle 9.27 7.55 7.12 5.21 5.37 0.87 17.69 17.26 15.35 15.51 090
flap.
15574 .......... A Form skin pedicle 9.88 8.04 7.50 6.45 6.30 0.86 18.78 18.24 17.19 17.04 090
flap.
15576 .......... A Form skin pedicle 8.69 8.41 7.16 6.13 5.45 0.71 17.81 16.56 15.53 14.85 090
flap.
15580 .......... D Attach skin pedicle 9.46 3.75 3.98 3.75 3.98 0.98 14.19 14.42 14.19 14.42 090
graft.
15600 .......... A Skin graft......... 1.91 5.35 4.69 2.20 2.33 0.19 7.45 6.79 4.30 4.43 090
15610 .......... A Skin graft......... 2.42 2.39 2.56 2.39 2.56 0.25 5.06 5.23 5.06 5.23 090
15620 .......... A Skin graft......... 2.94 6.16 5.55 3.12 3.27 0.27 9.37 8.76 6.33 6.48 090
15625 .......... D Skin graft......... 1.91 0.76 1.14 0.76 1.14 0.20 2.87 3.25 2.87 3.25 090
15630 .......... A Skin graft......... 3.27 5.77 5.31 3.38 3.51 0.29 9.33 8.87 6.94 7.07 090
15650 .......... A Transfer skin 3.97 6.52 6.08 3.51 3.82 0.33 10.82 10.38 7.81 8.12 090
pedicle flap.
15732 .......... A Muscle-skin graft, 17.84 NA NA 11.13 12.55 1.47 NA NA 30.44 31.86 090
head/neck.
[[Page 44213]]
15734 .......... A Muscle-skin graft, 17.79 NA NA 11.07 13.46 1.88 NA NA 30.74 33.13 090
trunk.
15736 .......... A Muscle-skin graft, 16.27 NA NA 10.44 12.23 1.72 NA NA 28.43 30.22 090
arm.
15738 .......... A Muscle-skin graft, 17.92 NA NA 11.01 11.76 1.91 NA NA 30.84 31.59 090
leg.
15740 .......... A Island pedicle flap 10.25 8.51 9.20 6.82 7.94 0.64 19.40 20.09 17.71 18.83 090
graft.
15750 .......... A Neurovascular 11.41 NA NA 8.03 9.27 1.17 NA NA 20.61 21.85 090
pedicle graft.
15756 .......... A Free muscle flap, 35.23 NA NA 21.45 24.25 3.62 NA NA 60.30 63.10 090
microvasc.
15757 .......... A Free skin flap, 35.23 NA NA 21.62 24.38 3.37 NA NA 60.22 62.98 090
microvasc.
15758 .......... A Free fascial flap, 35.10 NA NA 21.39 24.21 3.40 NA NA 59.89 62.71 090
microvasc.
15760 .......... A Composite skin 8.74 8.14 8.08 6.03 6.50 0.72 17.60 17.54 15.49 15.96 090
graft.
15770 .......... A Derma-fat-fascia 7.52 NA NA 5.73 6.32 0.81 NA NA 14.06 14.65 090
graft.
15775 .......... R Hair transplant 3.96 2.92 2.97 1.58 1.97 0.42 7.30 7.35 5.96 6.35 000
punch grafts.
15776 .......... R Hair transplant 5.54 5.40 5.14 2.20 2.74 0.59 11.53 11.27 8.33 8.87 000
punch grafts.
15780 .......... A Abrasion treatment 7.29 6.57 5.34 6.57 5.34 0.54 14.40 13.17 14.40 13.17 090
of skin.
15781 .......... A Abrasion treatment 4.85 4.69 4.54 4.41 4.33 0.29 9.83 9.68 9.55 9.47 090
of skin.
15782 .......... A Abrasion treatment 4.32 4.04 3.35 3.73 3.12 0.27 8.63 7.94 8.32 7.71 090
of skin.
15783 .......... A Abrasion treatment 4.29 4.43 3.83 3.12 2.84 0.26 8.98 8.38 7.67 7.39 090
of skin.
15786 .......... A Abrasion, lesion, 2.03 1.69 1.44 1.24 1.10 0.11 3.83 3.58 3.38 3.24 010
single.
15787 .......... A Abrasion, lesions, 0.33 0.28 0.27 0.18 0.20 0.02 0.63 0.62 0.53 0.55 ZZZ
add-on.
15788 .......... R Chemical peel, 2.09 2.82 2.52 1.04 1.18 0.10 5.01 4.71 3.23 3.37 090
face, epiderm.
15789 .......... R Chemical peel, 4.92 5.69 4.67 3.38 2.94 0.30 10.91 9.89 8.60 8.16 090
face, dermal.
15792 .......... R Chemical peel, 1.86 2.68 2.15 1.62 1.35 0.11 4.65 4.12 3.59 3.32 090
nonfacial.
15793 .......... A Chemical peel, 3.74 NA NA 3.42 2.70 0.16 NA NA 7.32 6.60 090
nonfacial.
15810 .......... A Salabrasion........ 4.74 3.80 3.88 3.80 3.88 0.38 8.92 9.00 8.92 9.00 090
15811 .......... A Salabrasion........ 5.39 3.94 3.97 3.94 3.97 0.57 9.90 9.93 9.90 9.93 090
15819 .......... A Plastic surgery, 9.38 NA NA 6.41 6.98 0.83 NA NA 16.62 17.19 090
neck.
15820 .......... A Revision of lower 5.15 7.27 6.99 6.76 6.61 0.30 12.72 12.44 12.21 12.06 090
eyelid.
15821 .......... A Revision of lower 5.72 7.76 7.53 6.87 6.86 0.30 13.78 13.55 12.89 12.88 090
eyelid.
15822 .......... A Revision of upper 4.45 7.00 6.58 6.08 5.89 0.23 11.68 11.26 10.76 10.57 090
eyelid.
15823 .......... A Revision of upper 7.05 8.32 8.33 7.20 7.49 0.33 15.70 15.71 14.58 14.87 090
eyelid.
15824 .......... R Removal of forehead 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15825 .......... R Removal of neck 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15826 .......... R Removal of brow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15828 .......... R Removal of face 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15829 .......... R Removal of skin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15831 .......... A Excise excessive 12.40 NA NA 7.24 8.10 1.24 NA NA 20.88 21.74 090
skin tissue.
15832 .......... A Excise excessive 11.59 NA NA 7.78 8.09 1.20 NA NA 20.57 20.88 090
skin tissue.
15833 .......... A Excise excessive 10.64 NA NA 7.42 7.25 1.31 NA NA 19.37 19.20 090
skin tissue.
15834 .......... A Excise excessive 10.85 NA NA 6.16 6.57 1.23 NA NA 18.24 18.65 090
skin tissue.
15835 .......... A Excise excessive 11.67 NA NA 5.60 6.10 1.36 NA NA 18.63 19.13 090
skin tissue.
15836 .......... A Excise excessive 9.34 NA NA 6.08 6.13 0.95 NA NA 16.37 16.42 090
skin tissue.
15837 .......... A Excise excessive 8.43 6.36 6.39 6.36 6.39 0.82 15.61 15.64 15.61 15.64 090
skin tissue.
15838 .......... A Excise excessive 7.13 NA NA 5.41 5.65 0.53 NA NA 13.07 13.31 090
skin tissue.
15839 .......... A Excise excessive 9.38 6.10 5.24 5.57 4.84 0.80 16.28 15.42 15.75 15.02 090
skin tissue.
15840 .......... A Graft for face 13.26 NA NA 9.46 11.05 1.06 NA NA 23.78 25.37 090
nerve palsy.
15841 .......... A Graft for face 23.26 NA NA 14.47 15.43 2.51 NA NA 40.24 41.20 090
nerve palsy.
15842 .......... A Graft for face 37.96 NA NA 22.96 25.09 5.53 NA NA 66.45 68.58 090
nerve palsy.
15845 .......... A Skin and muscle 12.57 NA NA 8.67 10.26 0.87 NA NA 22.11 23.70 090
repair, face.
15850 .......... B Removal of sutures. 0.78 1.32 1.09 0.31 0.33 0.05 2.15 1.92 1.14 1.16 XXX
15851 .......... A Removal of sutures. 0.86 1.48 1.19 0.34 0.34 0.06 2.40 2.11 1.26 1.26 000
15852 .......... A Dressing change,not 0.86 1.63 1.34 0.35 0.38 0.07 2.56 2.27 1.28 1.31 000
for burn.
15860 .......... A Test for blood flow 1.95 1.11 1.20 0.87 1.02 0.19 3.25 3.34 3.01 3.16 000
in graft.
15876 .......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15877 .......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15878 .......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15879 .......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15920 .......... A Removal of tail 7.95 NA NA 5.38 4.84 0.75 NA NA 14.08 13.54 090
bone ulcer.
15922 .......... A Removal of tail 9.90 NA NA 6.94 6.83 1.03 NA NA 17.87 17.76 090
bone ulcer.
15931 .......... A Remove sacrum 9.24 NA NA 5.52 4.94 0.95 NA NA 15.71 15.13 090
pressure sore.
15933 .......... A Remove sacrum 10.85 NA NA 7.87 7.78 1.13 NA NA 19.85 19.76 090
pressure sore.
15934 .......... A Remove sacrum 12.69 NA NA 8.16 8.15 1.34 NA NA 22.19 22.18 090
pressure sore.
15935 .......... A Remove sacrum 14.57 NA NA 9.76 10.37 1.53 NA NA 25.86 26.47 090
pressure sore.
15936 .......... A Remove sacrum 12.38 NA NA 8.76 9.36 1.30 NA NA 22.44 23.04 090
pressure sore.
15937 .......... A Remove sacrum 14.21 NA NA 9.97 11.13 1.49 NA NA 25.67 26.83 090
pressure sore.
15940 .......... A Remove hip pressure 9.34 NA NA 5.84 5.34 0.96 NA NA 16.14 15.64 090
sore.
15941 .......... A Remove hip pressure 11.43 NA NA 9.32 8.90 1.20 NA NA 21.95 21.53 090
sore.
15944 .......... A Remove hip pressure 11.46 NA NA 8.41 8.82 1.19 NA NA 21.06 21.47 090
sore.
15945 .......... A Remove hip pressure 12.69 NA NA 9.35 10.04 1.33 NA NA 23.37 24.06 090
sore.
15946 .......... A Remove hip pressure 21.57 NA NA 13.99 15.00 2.15 NA NA 37.71 38.72 090
sore.
15950 .......... A Remove thigh 7.54 NA NA 5.21 4.73 0.77 NA NA 13.52 13.04 090
pressure sore.
15951 .......... A Remove thigh 10.72 NA NA 7.94 8.03 1.11 NA NA 19.77 19.86 090
pressure sore.
15952 .......... A Remove thigh 11.39 NA NA 7.10 7.26 1.19 NA NA 19.68 19.84 090
pressure sore.
15953 .......... A Remove thigh 12.63 NA NA 8.66 8.96 1.31 NA NA 22.60 22.90 090
pressure sore.
15956 .......... A Remove thigh 15.52 NA NA 10.36 12.40 1.61 NA NA 27.49 29.53 090
pressure sore.
15958 .......... A Remove thigh 15.48 NA NA 10.45 12.46 1.59 NA NA 27.52 29.53 090
pressure sore.
15999 .......... C Removal of pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
sore.
16000 .......... A Initial treatment 0.89 0.91 0.78 0.26 0.29 0.07 1.87 1.74 1.22 1.25 000
of burn(s).
16010 .......... A Treatment of 0.87 1.01 0.85 0.36 0.36 0.07 1.95 1.79 1.30 1.30 000
burn(s).
16015 .......... A Treatment of 2.35 1.62 1.77 0.99 1.30 0.21 4.18 4.33 3.55 3.86 000
burn(s).
16020 .......... A Treatment of 0.80 0.99 0.84 0.25 0.28 0.06 1.85 1.70 1.11 1.14 000
burn(s).
16025 .......... A Treatment of 1.85 1.58 1.31 0.67 0.63 0.16 3.59 3.32 2.68 2.64 000
burn(s).
16030 .......... A Treatment of 2.08 2.51 2.02 0.89 0.81 0.19 4.78 4.29 3.16 3.08 000
burn(s).
16035 .......... A Incision of burn 4.82 2.82 2.63 2.09 2.08 0.48 8.12 7.93 7.39 7.38 090
scab.
[[Page 44214]]
17000 .......... A Destroy benign/ 0.60 0.99 0.86 0.27 0.32 0.03 1.62 1.49 0.90 0.95 010
premal lesion.
17003 .......... A Destroy lesions, 2- 0.15 0.24 0.22 0.07 0.09 0.01 0.40 0.38 0.23 0.25 ZZZ
14.
17004 .......... A Destroy lesions, 15 2.79 2.34 2.37 1.28 1.57 0.11 5.24 5.27 4.18 4.47 010
or more.
17106 .......... A Destruction of skin 4.59 4.03 3.55 2.68 2.53 0.27 8.89 8.41 7.54 7.39 090
lesions.
17107 .......... A Destruction of skin 9.16 6.56 5.93 4.90 4.68 0.51 16.23 15.60 14.57 14.35 090
lesions.
17108 .......... A Destruction of skin 13.20 8.58 8.96 7.14 7.88 0.76 22.54 22.92 21.10 21.84 090
lesions.
17110 .......... A Destruct lesion, 1- 0.65 0.93 0.81 0.26 0.30 0.04 1.62 1.50 0.95 0.99 010
14.
17111 .......... A Destruct lesion, 15 0.92 1.13 1.01 0.38 0.45 0.05 2.10 1.98 1.35 1.42 010
or more.
17250 .......... A Chemical cautery, 0.50 0.62 0.56 0.20 0.24 0.04 1.16 1.10 0.74 0.78 000
tissue.
17260 .......... A Destruction of skin 0.91 1.22 1.22 0.41 0.62 0.04 2.17 2.17 1.36 1.57 010
lesions.
17261 .......... A Destruction of skin 1.17 1.34 1.38 0.55 0.79 0.05 2.56 2.60 1.77 2.01 010
lesions.
17262 .......... A Destruction of skin 1.58 1.54 1.65 0.75 1.06 0.06 3.18 3.29 2.39 2.70 010
lesions.
17263 .......... A Destruction of skin 1.79 1.65 1.85 0.84 1.24 0.07 3.51 3.71 2.70 3.10 010
lesions.
17264 .......... A Destruction of skin 1.94 1.72 1.99 0.90 1.38 0.08 3.74 4.01 2.92 3.40 010
lesions.
17266 .......... A Destruction of skin 2.34 1.92 2.29 0.99 1.59 0.11 4.37 4.74 3.44 4.04 010
lesions.
17270 .......... A Destruction of skin 1.32 1.41 1.42 0.60 0.81 0.06 2.79 2.80 1.98 2.19 010
lesions.
17271 .......... A Destruction of skin 1.49 1.50 1.60 0.71 1.01 0.06 3.05 3.15 2.26 2.56 010
lesions.
17272 .......... A Destruction of skin 1.77 1.64 1.83 0.85 1.24 0.07 3.48 3.67 2.69 3.08 010
lesions.
17273 .......... A Destruction of skin 2.05 1.78 2.04 0.97 1.43 0.08 3.91 4.17 3.10 3.56 010
lesions.
17274 .......... A Destruction of skin 2.59 2.04 2.40 1.24 1.80 0.11 4.74 5.10 3.94 4.50 010
lesions.
17276 .......... A Destruction of skin 3.20 2.35 2.69 1.59 2.12 0.15 5.70 6.04 4.94 5.47 010
lesions.
17280 .......... A Destruction of skin 1.17 1.25 1.39 0.54 0.85 0.05 2.47 2.61 1.76 2.07 010
lesions.
17281 .......... A Destruction of skin 1.72 1.61 1.78 0.82 1.18 0.07 3.40 3.57 2.61 2.97 010
lesions.
17282 .......... A Destruction of skin 2.04 1.77 2.03 0.98 1.43 0.08 3.89 4.15 3.10 3.55 010
lesions.
17283 .......... A Destruction of skin 2.64 2.07 2.37 1.24 1.75 0.11 4.82 5.12 3.99 4.50 010
lesions.
17284 .......... A Destruction of skin 3.21 2.35 2.72 1.51 2.09 0.13 5.69 6.06 4.85 5.43 010
lesions.
17286 .......... A Destruction of skin 4.44 2.93 3.37 2.45 3.01 0.21 7.58 8.02 7.10 7.66 010
lesions.
17304 .......... A Chemosurgery of 7.60 7.45 6.68 3.67 3.84 0.31 15.36 14.59 11.58 11.75 000
skin lesion.
17305 .......... A 2nd stage 2.85 3.44 3.19 1.38 1.65 0.11 6.40 6.15 4.34 4.61 000
chemosurgery.
17306 .......... A 3rd stage 2.85 3.47 2.98 1.40 1.43 0.11 6.43 5.94 4.36 4.39 000
chemosurgery.
17307 .......... A Followup skin 2.85 3.27 2.85 1.41 1.46 0.11 6.23 5.81 4.37 4.42 000
lesion therapy.
17310 .......... A Extensive skin 0.95 1.37 1.06 0.48 0.40 0.05 2.37 2.06 1.48 1.40 000
chemosurgery.
17340 .......... A Cryotherapy of skin 0.76 1.30 1.05 0.26 0.27 0.05 2.11 1.86 1.07 1.08 010
17360 .......... A Skin peel therapy.. 1.43 1.46 1.17 0.76 0.64 0.06 2.95 2.66 2.25 2.13 010
17380 .......... R Hair removal by 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrolysis.
17999 .......... C Skin tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
19000 .......... A Drainage of breast 0.84 1.15 0.97 0.30 0.33 0.07 2.06 1.88 1.21 1.24 000
lesion.
19001 .......... A Drain breast lesion 0.42 0.78 0.65 0.15 0.18 0.03 1.23 1.10 0.60 0.63 ZZZ
add-on.
19020 .......... A Incision of breast 3.57 6.16 5.00 3.17 2.76 0.34 10.07 8.91 7.08 6.67 090
lesion.
19030 .......... A Injection for 1.53 9.87 7.54 0.53 0.53 0.06 11.46 9.13 2.12 2.12 000
breast x-ray.
19100 .......... A Biopsy of breast... 1.27 3.14 2.53 0.45 0.51 0.09 4.50 3.89 1.81 1.87 000
19101 .......... A Biopsy of breast... 3.18 9.36 7.66 2.82 2.75 0.23 12.77 11.07 6.23 6.16 010
19110 .......... A Nipple exploration. 4.30 7.17 6.05 4.16 3.79 0.42 11.89 10.77 8.88 8.51 090
19112 .......... A Excise breast duct 3.67 6.51 5.52 2.91 2.82 0.35 10.53 9.54 6.93 6.84 090
fistula.
19120 .......... A Removal of breast 5.56 4.14 3.89 3.43 3.36 0.55 10.25 10.00 9.54 9.47 090
lesion.
19125 .......... A Excision, breast 6.06 4.75 4.35 3.61 3.50 0.60 11.41 11.01 10.27 10.16 090
lesion.
19126 .......... A Excision, addl 2.93 NA NA 1.10 1.22 0.30 NA NA 4.33 4.45 ZZZ
breast lesion.
19140 .......... A Removal of breast 5.14 8.52 7.56 3.50 3.79 0.52 14.18 13.22 9.16 9.45 090
tissue.
19160 .......... A Removal of breast 5.99 NA NA 4.32 4.36 0.59 NA NA 10.90 10.94 090
tissue.
19162 .......... A Remove breast 13.53 NA NA 7.73 8.34 1.33 NA NA 22.59 23.20 090
tissue, nodes.
19180 .......... A Removal of breast.. 8.80 NA NA 5.68 5.78 0.87 NA NA 15.35 15.45 090
19182 .......... A Removal of breast.. 7.73 NA NA 4.85 5.29 0.77 NA NA 13.35 13.79 090
19200 .......... A Removal of breast.. 15.49 NA NA 8.87 9.43 1.51 NA NA 25.87 26.43 090
19220 .......... A Removal of breast.. 15.72 NA NA 8.85 9.55 1.49 NA NA 26.06 26.76 090
19240 .......... A Removal of breast.. 0.16 NA NA 8.61 9.02 1.58 NA NA 10.35 10.76 090
19260 .......... A Removal of chest 15.44 NA NA 10.02 8.89 1.68 NA NA 27.14 26.01 090
wall lesion.
19271 .......... A Revision of chest 18.90 NA NA 13.36 13.81 2.13 NA NA 34.39 34.84 090
wall.
19272 .......... A Extensive chest 21.55 NA NA 13.92 13.86 2.52 NA NA 37.99 37.93 090
wall surgery.
19290 .......... A Place needle wire, 1.27 4.76 3.69 0.44 0.45 0.05 6.08 5.01 1.76 1.77 000
breast.
19291 .......... A Place needle wire, 0.63 1.64 1.30 0.22 0.23 0.03 2.30 1.96 0.88 0.89 ZZZ
breast.
19316 .......... A Suspension of 10.69 NA NA 7.28 8.65 1.13 NA NA 19.10 20.47 090
breast.
19318 .......... A Reduction of large 15.62 NA NA 10.09 11.42 1.65 NA NA 27.36 28.69 090
breast.
19324 .......... A Enlarge breast..... 5.85 NA NA 3.58 3.58 0.61 NA NA 10.04 10.04 090
19325 .......... A Enlarge breast with 8.45 NA NA 5.03 5.37 0.90 NA NA 14.38 14.72 090
implant.
19328 .......... A Removal of breast 5.68 NA NA 4.38 4.31 0.60 NA NA 10.66 10.59 090
implant.
19330 .......... A Removal of implant 7.59 NA NA 5.11 4.89 0.80 NA NA 13.50 13.28 090
material.
19340 .......... A Immediate breast 6.33 NA NA 3.25 4.33 0.67 NA NA 10.25 11.33 ZZZ
prosthesis.
19342 .......... A Delayed breast 11.20 NA NA 7.61 8.64 1.19 NA NA 20.00 21.03 090
prosthesis.
19350 .......... A Breast 8.92 12.18 11.06 6.56 6.84 0.95 22.05 20.93 16.43 16.71 090
reconstruction.
19355 .......... A Correct inverted 7.57 12.61 10.80 4.45 4.68 0.75 20.93 19.12 12.77 13.00 090
nipple(s).
19357 .......... A Breast 18.16 NA NA 13.19 13.19 1.92 NA NA 33.27 33.27 090
reconstruction.
19361 .......... A Breast 19.26 NA NA 11.68 14.22 2.04 NA NA 32.98 35.52 090
reconstruction.
19364 .......... A Breast 0.41 NA NA 24.19 22.67 4.22 NA NA 28.82 27.30 090
reconstruction.
19366 .......... A Breast 21.28 NA NA 11.78 13.29 2.15 NA NA 35.21 36.72 090
reconstruction.
19367 .......... A Breast 25.73 NA NA 15.11 16.80 2.72 NA NA 43.56 45.25 090
reconstruction.
19368 .......... A Breast 32.42 NA NA 17.88 18.87 3.46 NA NA 53.76 54.75 090
reconstruction.
19369 .......... A Breast 29.82 NA NA 17.95 18.93 3.17 NA NA 50.94 51.92 090
reconstruction.
19370 .......... A Surgery of breast 8.05 NA NA 5.86 6.07 0.86 NA NA 14.77 14.98 090
capsule.
19371 .......... A Removal of breast 9.35 NA NA 6.90 7.32 0.99 NA NA 17.24 17.66 090
capsule.
19380 .......... A Revise breast 9.14 NA NA 7.07 7.50 0.97 NA NA 17.18 17.61 090
reconstruction.
19396 .......... A Design custom 2.17 4.88 4.09 1.15 1.29 0.23 7.28 6.49 3.55 3.69 000
breast implant.
19499 .......... C Breast surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
[[Page 44215]]
20000 .......... A Incision of abscess 2.12 1.92 1.67 1.16 1.10 0.15 4.19 3.94 3.43 3.37 010
20005 .......... A Incision of deep 3.42 2.69 2.52 2.14 2.10 0.31 6.42 6.25 5.87 5.83 010
abscess.
20100 .......... A Explore wound, neck 10.08 5.57 5.53 4.71 4.88 0.94 16.59 16.55 15.73 15.90 010
20101 .......... A Explore wound, 3.22 3.07 2.73 1.87 1.83 0.30 6.59 6.25 5.39 5.35 010
chest.
20102 .......... A Explore wound, 3.94 3.50 3.15 1.88 1.93 0.39 7.83 7.48 6.21 6.26 010
abdomen.
20103 .......... A Explore wound, 5.30 3.96 3.67 3.01 2.96 0.53 9.79 9.50 8.84 8.79 010
extremity.
20150 .......... A Excise epiphyseal 13.69 NA NA 9.58 10.55 1.03 NA NA 24.30 25.27 090
bar.
20200 .......... A Muscle biopsy...... 1.46 1.56 1.48 0.62 0.77 0.17 3.19 3.11 2.25 2.40 000
20205 .......... A Deep muscle biopsy. 2.35 3.53 3.16 0.99 1.25 0.28 6.16 5.79 3.62 3.88 000
20206 .......... A Needle biopsy, 0.99 2.80 2.36 0.36 0.53 0.06 3.85 3.41 1.41 1.58 000
muscle.
20220 .......... A Bone biopsy, trocar/ 1.27 4.00 3.36 2.50 2.23 0.06 5.33 4.69 3.83 3.56 000
needle.
20225 .......... A Bone biopsy, trocar/ 1.87 3.63 3.37 2.72 2.69 0.10 5.60 5.34 4.69 4.66 000
needle.
20240 .......... A Bone biopsy, 3.23 NA NA 3.80 3.36 0.27 NA NA 7.30 6.86 010
excisional.
20245 .......... A Bone biopsy, 3.95 NA NA 4.18 4.11 0.36 NA NA 8.49 8.42 010
excisional.
20250 .......... A Open bone biopsy... 5.03 NA NA 3.92 4.32 0.46 NA NA 9.41 9.81 010
20251 .......... A Open bone biopsy... 5.56 NA NA 4.43 4.91 0.67 NA NA 10.66 11.14 010
20500 .......... A Injection of sinus 1.23 4.92 3.79 3.48 2.71 0.09 6.24 5.11 4.80 4.03 010
tract.
20501 .......... A Inject sinus tract 0.76 10.92 8.27 0.26 0.28 0.03 11.71 9.06 1.05 1.07 000
for x-ray.
20520 .......... A Removal of foreign 1.85 4.52 3.58 2.81 2.30 0.15 6.52 5.58 4.81 4.30 010
body.
20525 .......... A Removal of foreign 3.50 5.52 4.75 3.82 3.47 0.34 9.36 8.59 7.66 7.31 010
body.
20550 .......... A Inject tendon/ 0.86 1.79 1.45 0.22 0.27 0.06 2.71 2.37 1.14 1.19 000
ligament/cyst.
20600 .......... A Drain/inject, joint/ 0.66 1.23 1.05 0.27 0.33 0.05 1.94 1.76 0.98 1.04 000
bursa.
20605 .......... A Drain/inject, joint/ 0.68 1.53 1.27 0.27 0.33 0.05 2.26 2.00 1.00 1.06 000
bursa.
20610 .......... A Drain/inject, joint/ 0.79 1.90 1.55 0.51 0.51 0.06 2.75 2.40 1.36 1.36 000
bursa.
20615 .......... A Treatment of bone 2.28 3.83 3.01 2.41 1.94 0.16 6.27 5.45 4.85 4.38 010
cyst.
20650 .......... A Insert and remove 2.23 3.81 3.15 2.75 2.36 0.17 6.21 5.55 5.15 4.76 010
bone pin.
20660 .......... A Apply,remove 2.51 NA NA 1.42 1.49 0.45 NA NA 4.38 4.45 000
fixation device.
20661 .......... A Application of head 4.89 NA NA 6.04 5.57 0.83 NA NA 11.76 11.29 090
brace.
20662 .......... A Application of 6.07 NA NA 4.96 5.50 0.64 NA NA 11.67 12.21 090
pelvis brace.
20663 .......... A Application of 5.43 NA NA 4.17 4.39 0.55 NA NA 10.15 10.37 090
thigh brace.
20664 .......... A Halo brace 8.06 NA NA 7.71 6.82 1.38 NA NA 17.15 16.26 090
application.
20665 .......... A Removal of fixation 1.31 2.16 1.76 1.13 0.98 0.17 3.64 3.24 2.61 2.46 010
device.
20670 .......... A Removal of support 1.74 5.07 4.00 3.24 2.63 0.17 6.98 5.91 5.15 4.54 010
implant.
20680 .......... A Removal of support 3.35 4.28 4.11 4.28 4.11 0.33 7.96 7.79 7.96 7.79 090
implant.
20690 .......... A Apply bone fixation 3.52 NA NA 1.90 2.42 0.33 NA NA 5.75 6.27 090
device.
20692 .......... A Apply bone fixation 6.41 NA NA 3.39 4.04 0.64 NA NA 10.44 11.09 090
device.
20693 .......... A Adjust bone 5.86 NA NA 10.52 8.57 0.66 NA NA 17.04 15.09 090
fixation device.
20694 .......... A Remove bone 4.16 7.47 6.31 5.40 4.76 0.43 12.06 10.90 9.99 9.35 090
fixation device.
20802 .......... A Replantation, arm, 41.15 NA NA 22.58 27.17 3.51 NA NA 67.24 71.83 090
complete.
20805 .......... A Replant, forearm, 0.50 NA NA 39.31 42.01 3.56 NA NA 43.37 46.07 090
complete.
20808 .......... A Replantation hand, 61.65 NA NA 47.48 51.18 5.46 NA NA 114.59 118.29 090
complete.
20816 .......... A Replantation digit, 30.94 NA NA 43.71 40.46 3.20 NA NA 77.85 74.60 090
complete.
20822 .......... A Replantation digit, 25.59 NA NA 34.68 32.36 2.64 NA NA 62.91 60.59 090
complete.
20824 .......... A Replantation thumb, 30.94 NA NA 41.90 39.10 3.26 NA NA 76.10 73.30 090
complete.
20827 .......... A Replantation thumb, 26.41 NA NA 39.21 35.93 2.72 NA NA 68.34 65.06 090
complete.
20838 .......... A Replantation foot, 41.41 NA NA 24.36 28.51 4.99 NA NA 70.76 74.91 090
complete.
20900 .......... A Removal of bone for 5.58 5.46 4.86 5.46 4.86 0.55 11.59 10.99 11.59 10.99 090
graft.
20902 .......... A Removal of bone for 7.55 NA NA 7.80 7.19 0.78 NA NA 16.13 15.52 090
graft.
20910 .......... A Remove cartilage 5.34 7.05 5.50 6.05 4.75 0.43 12.82 11.27 11.82 10.52 090
for graft.
20912 .......... A Remove cartilage 6.35 NA NA 6.46 6.10 0.55 NA NA 13.36 13.00 090
for graft.
20920 .......... A Removal of fascia 5.31 NA NA 5.07 4.87 0.51 NA NA 10.89 10.69 090
for graft.
20922 .......... A Removal of fascia 6.61 9.82 8.56 5.79 5.53 0.84 17.27 16.01 13.24 12.98 090
for graft.
20924 .......... A Removal of tendon 6.48 NA NA 6.30 6.20 0.68 NA NA 13.46 13.36 090
for graft.
20926 .......... A Removal of tissue 5.53 NA NA 5.49 4.82 0.73 NA NA 11.75 11.08 090
for graft.
20930 .......... B Spinal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
allograft.
20931 .......... A Spinal bone 1.81 NA NA 0.95 1.18 0.31 NA NA 3.07 3.30 ZZZ
allograft.
20936 .......... B Spinal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
autograft.
20937 .......... A Spinal bone 2.79 NA NA 1.48 1.83 0.34 NA NA 4.61 4.96 ZZZ
autograft.
20938 .......... A Spinal bone 3.02 NA NA 1.58 1.97 0.44 NA NA 5.04 5.43 ZZZ
autograft.
20950 .......... A Fluid pressure, 1.26 NA NA 1.89 1.71 0.13 NA NA 3.28 3.10 000
muscle.
20955 .......... A Fibula bone graft, 39.21 NA NA 27.44 30.31 3.88 NA NA 70.53 73.40 090
microvasc.
20956 .......... A Iliac bone graft, 39.27 NA NA 26.61 27.26 4.68 NA NA 70.56 71.21 090
microvasc.
20957 .......... A Mt bone graft, 40.65 NA NA 18.71 21.60 4.84 NA NA 64.20 67.09 090
microvasc.
20962 .......... A Other bone graft, 39.27 NA NA 25.96 26.77 4.28 NA NA 69.51 70.32 090
microvasc.
20969 .......... A Bone/skin graft, 43.92 NA NA 29.77 33.22 4.12 NA NA 77.81 81.26 090
microvasc.
20970 .......... A Bone/skin graft, 43.06 NA NA 28.35 31.93 4.49 NA NA 75.90 79.48 090
iliac crest.
20972 .......... A Bone/skin graft, 42.99 NA NA 18.95 24.96 3.89 NA NA 65.83 71.84 090
metatarsal.
20973 .......... A Bone/skin graft, 45.76 NA NA 27.76 32.28 4.73 NA NA 78.25 82.77 090
great toe.
20974 .......... A Electrical bone 0.62 0.39 1.22 0.31 1.16 0.04 1.05 1.88 0.97 1.82 000
stimulation.
20975 .......... A Electrical bone 2.60 NA NA 1.38 1.81 0.31 NA NA 4.29 4.72 000
stimulation.
20979 .......... N Us bone stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20999 .......... C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
21010 .......... A Incision of jaw 10.14 NA NA 6.91 7.96 0.50 NA NA 17.55 18.60 090
joint.
21015 .......... A Resection of facial 5.29 NA NA 6.39 6.37 0.52 NA NA 12.20 12.18 090
tumor.
21025 .......... A Excision of bone, 10.06 6.87 6.28 6.28 5.83 0.77 17.70 17.11 17.11 16.66 090
lower jaw.
21026 .......... A Excision of facial 4.85 4.92 4.54 4.62 4.32 0.38 10.15 9.77 9.85 9.55 090
bone(s).
21029 .......... A Contour of face 7.71 5.99 6.79 5.61 6.51 0.62 14.32 15.12 13.94 14.84 090
bone lesion.
21030 .......... A Removal of face 6.46 5.03 4.68 4.36 4.18 0.47 11.96 11.61 11.29 11.11 090
bone lesion.
21031 .......... A Remove exostosis, 3.24 3.11 3.33 2.04 2.53 0.24 6.59 6.81 5.52 6.01 090
mandible.
21032 .......... A Remove exostosis, 3.24 3.09 3.37 2.13 2.65 0.25 6.58 6.86 5.62 6.14 090
maxilla.
21034 .......... A Removal of face 16.17 9.33 8.89 9.33 8.89 1.32 26.82 26.38 26.82 26.38 090
bone lesion.
21040 .......... A Removal of jaw bone 2.11 2.75 2.81 1.67 2.00 0.16 5.02 5.08 3.94 4.27 090
lesion.
[[Page 44216]]
21041 .......... A Removal of jaw bone 6.71 5.21 5.47 4.15 4.68 0.49 12.41 12.67 11.35 11.88 090
lesion.
21044 .......... A Removal of jaw bone 11.86 NA NA 7.44 8.17 0.89 NA NA 20.19 20.92 090
lesion.
21045 .......... A Extensive jaw 16.17 NA NA 9.67 11.01 1.25 NA NA 27.09 28.43 090
surgery.
21050 .......... A Removal of jaw 10.77 NA NA 10.66 11.21 0.74 NA NA 22.17 22.72 090
joint.
21060 .......... A Remove jaw joint 10.23 NA NA 10.05 10.59 0.77 NA NA 21.05 21.59 090
cartilage.
21070 .......... A Remove coronoid 8.20 NA NA 5.61 6.06 0.71 NA NA 14.52 14.97 090
process.
21076 .......... A Prepare face/oral 13.42 9.51 11.14 7.16 9.38 0.94 23.87 25.50 21.52 23.74 010
prosthesis.
21077 .......... A Prepare face/oral 33.75 23.92 28.02 18.00 23.58 2.44 60.11 64.21 54.19 59.77 090
prosthesis.
21079 .......... A Prepare face/oral 22.34 16.90 20.25 12.45 16.92 1.51 40.75 44.10 36.30 40.77 090
prosthesis.
21080 .......... A Prepare face/oral 25.10 18.99 22.76 13.99 19.01 1.74 45.83 49.60 40.83 45.85 090
prosthesis.
21081 .......... A Prepare face/oral 22.88 17.31 20.74 12.75 17.32 1.60 41.79 45.22 37.23 41.80 090
prosthesis.
21082 .......... A Prepare face/oral 20.87 14.79 17.32 11.13 14.58 1.47 37.13 39.66 33.47 36.92 090
prosthesis.
21083 .......... A Prepare face/oral 19.30 14.60 17.50 10.76 14.62 1.31 35.21 38.11 31.37 35.23 090
prosthesis.
21084 .......... A Prepare face/oral 22.51 17.03 20.41 12.54 17.04 1.61 41.15 44.53 36.66 41.16 090
prosthesis.
21085 .......... A Prepare face/oral 0.09 6.38 7.47 4.80 6.29 0.66 7.13 8.22 5.55 7.04 010
prosthesis.
21086 .......... A Prepare face/oral 24.92 18.85 22.59 13.89 18.87 1.84 45.61 49.35 40.65 45.63 090
prosthesis.
21087 .......... A Prepare face/oral 24.92 17.66 20.68 13.29 17.41 1.81 44.39 47.41 40.02 44.14 090
prosthesis.
21088 .......... C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21089 .......... C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21100 .......... A Maxillofacial 4.22 4.63 3.76 3.57 2.97 0.24 9.09 8.22 8.03 7.43 090
fixation.
21110 .......... A Interdental 5.21 4.87 5.15 3.78 4.34 0.34 10.42 10.70 9.33 9.89 090
fixation.
21116 .......... A Injection, jaw 0.81 6.59 5.14 0.30 0.42 0.05 7.45 6.00 1.16 1.28 000
joint x-ray.
21120 .......... A Reconstruction of 4.93 10.09 8.54 36 5.00 0.40 15.42 13.87 10.69 10.33 090
chin.
21121 .......... A Reconstruction of 7.64 7.18 6.92 5.67 5.79 0.60 15.42 15.16 13.91 14.03 090
chin.
21122 .......... A Reconstruction of 8.52 NA NA 6.54 6.60 0.72 NA NA 15.78 15.84 090
chin.
21123 .......... A Reconstruction of 11.16 NA NA 8.28 8.42 0.90 NA NA 20.34 20.48 090
chin.
21125 .......... A Augmentation, lower 10.62 7.83 7.15 7.23 6.70 0.81 19.26 18.58 18.66 18.13 090
jaw bone.
21127 .......... A Augmentation, lower 11.12 8.80 8.75 6.67 7.15 0.92 20.84 20.79 18.71 19.19 090
jaw bone.
21137 .......... A Reduction of 9.82 NA NA 7.56 7.60 0.88 NA NA 18.26 18.30 090
forehead.
21138 .......... A Reduction of 12.19 NA NA 7.64 8.14 1.06 NA NA 20.89 21.39 090
forehead.
21139 .......... A Reduction of 14.61 NA NA 9.69 10.16 1.27 NA NA 25.57 26.04 090
forehead.
21141 .......... A Reconstruct 18.10 NA NA 10.87 12.04 1.42 NA NA 30.39 31.56 090
midface, lefort.
21142 .......... A Reconstruct 18.81 NA NA 12.55 13.44 1.77 NA NA 33.13 34.02 090
midface, lefort.
21143 .......... A Reconstruct 19.58 NA NA 10.42 11.99 1.21 NA NA 31.21 32.78 090
midface, lefort.
21145 .......... A Reconstruct 19.94 NA NA 10.50 11.77 1.46 NA NA 31.90 33.17 090
midface, lefort.
21146 .......... A Reconstruct 20.71 NA NA 10.73 12.08 1.61 NA NA 33.05 34.40 090
midface, lefort.
21147 .......... A Reconstruct 21.77 NA NA 11.27 12.63 1.53 NA NA 34.57 35.93 090
midface, lefort.
21150 .......... A Reconstruct 25.24 NA NA 12.53 14.41 1.85 NA NA 39.62 41.50 090
midface, lefort.
21151 .......... A Reconstruct 28.30 NA NA 18.33 19.36 3.25 NA NA 49.88 50.91 090
midface, lefort.
21154 .......... A Reconstruct 30.52 NA NA 16.26 18.21 3.14 NA NA 49.92 51.87 090
midface, lefort.
21155 .......... A Reconstruct 34.45 NA NA 16.97 19.54 3.54 NA NA 54.96 57.53 090
midface, lefort.
21159 .......... A Reconstruct 42.38 NA NA 24.58 26.85 3.77 NA NA 70.73 73.00 090
midface, lefort.
21160 .......... A Reconstruct 46.44 NA NA 22.57 26.14 3.51 NA NA 72.52 76.09 090
midface, lefort.
21172 .......... A Reconstruct orbit/ 27.80 NA NA 14.67 16.51 1.92 NA NA 44.39 46.23 090
forehead.
21175 .......... A Reconstruct orbit/ 33.17 NA NA 18.18 20.25 3.75 NA NA 55.10 57.17 090
forehead.
21179 .......... A Reconstruct entire 22.25 NA NA 16.07 16.46 2.52 NA NA 40.84 41.23 090
forehead.
21180 .......... A Reconstruct entire 25.19 NA NA 18.29 18.73 2.21 NA NA 45.69 46.13 090
forehead.
21181 .......... A Contour cranial 9.90 NA NA 7.67 7.68 1.04 NA NA 18.61 18.62 090
bone lesion.
21182 .......... A Reconstruct cranial 32.19 NA NA 21.35 22.42 2.77 NA NA 56.31 57.38 090
bone.
21183 .......... A Reconstruct cranial 35.31 NA NA 20.50 22.39 3.14 NA NA 58.95 60.84 090
bone.
21184 .......... A Reconstruct cranial 38.24 NA NA 23.46 25.21 6.52 NA NA 68.22 69.97 090
bone.
21188 .......... A Reconstruction of 22.46 NA NA 14.77 15.48 1.87 NA NA 39.10 39.81 090
midface.
21193 .......... A Reconstruct lower 17.15 NA NA 10.11 10.92 1.42 NA NA 28.68 29.49 090
jaw bone.
21194 .......... A Reconstruct lower 19.84 NA NA 11.79 12.71 1.64 NA NA 33.27 34.19 090
jaw bone.
21195 .......... A Reconstruct lower 17.24 NA NA 11.58 12.03 1.34 NA NA 30.16 30.61 090
jaw bone.
21196 .......... A Reconstruct lower 18.91 NA NA 12.33 12.94 1.50 NA NA 32.74 33.35 090
jaw bone.
21198 .......... A Reconstruct lower 14.16 NA NA 10.93 12.22 1.03 NA NA 26.12 27.41 090
jaw bone.
21206 .......... A Reconstruct upper 14.10 NA NA 9.40 9.80 1.02 NA NA 24.52 24.92 090
jaw bone.
21208 .......... A Augmentation of 10.23 8.98 9.79 7.88 8.96 0.79 20.00 20.81 18.90 19.98 090
facial bones.
21209 .......... A Reduction of facial 6.72 6.89 6.41 5.19 5.14 0.55 14.16 13.68 12.46 12.41 090
bones.
21210 .......... A Face bone graft.... 10.23 8.24 9.23 7.69 8.82 0.75 19.22 20.21 18.67 19.80 090
21215 .......... A Lower jaw bone 10.77 8.20 9.37 6.51 8.10 0.78 19.75 20.92 18.06 19.65 090
graft.
21230 .......... A Rib cartilage graft 10.77 NA NA 9.26 9.76 0.96 NA NA 20.99 21.49 090
21235 .......... A Ear cartilage graft 6.72 10.51 9.89 7.24 7.44 0.53 17.76 17.14 14.49 14.69 090
21240 .......... A Reconstruction of 14.05 NA NA 11.16 12.57 1.09 NA NA 26.30 27.71 090
jaw joint.
21242 .......... A Reconstruction of 12.95 NA NA 11.56 12.54 1.09 NA NA 25.60 26.58 090
jaw joint.
21243 .......... A Reconstruction of 20.79 NA NA 13.46 14.00 1.53 NA NA 35.78 36.32 090
jaw joint.
21244 .......... A Reconstruction of 11.86 NA NA 8.38 9.83 0.95 NA NA 21.19 22.64 090
lower jaw.
21245 .......... A Reconstruction of 11.86 9.40 10.16 9.40 10.16 0.91 22.17 22.93 22.17 22.93 090
jaw.
21246 .......... A Reconstruction of 12.47 9.52 9.54 9.52 9.54 0.96 22.95 22.97 22.95 22.97 090
jaw.
21247 .......... A Reconstruct lower 22.63 NA NA 15.57 18.43 1.62 NA NA 39.82 42.68 090
jaw bone.
21248 .......... A Reconstruction of 11.48 8.26 9.62 7.35 8.94 0.85 20.59 21.95 19.68 21.27 090
jaw.
21249 .......... A Reconstruction of 17.52 10.88 13.39 9.72 12.52 1.33 29.73 32.24 28.57 31.37 090
jaw.
21255 .......... A Reconstruct lower 16.72 NA NA 9.49 12.11 1.66 NA NA 27.87 30.49 090
jaw bone.
21256 .......... A Reconstruction of 16.19 NA NA 12.52 14.22 1.38 NA NA 30.09 31.79 090
orbit.
21260 .......... A Revise eye sockets. 16.52 NA NA 9.95 12.39 0.67 NA NA 27.14 29.58 090
21261 .......... A Revise eye sockets. 31.49 NA NA 19.07 19.13 2.38 NA NA 52.94 53.00 090
21263 .......... A Revise eye sockets. 28.42 NA NA 14.51 19.37 1.12 NA NA 44.05 48.91 090
21267 .......... A Revise eye sockets. 18.90 NA NA 14.03 14.49 1.12 NA NA 34.05 34.51 090
21268 .......... A Revise eye sockets. 24.48 NA NA 14.81 15.27 3.89 NA NA 43.18 43.64 090
21270 .......... A Augmentation, cheek 10.23 7.86 8.50 7.86 8.50 0.89 18.98 19.62 18.98 19.62 090
bone.
21275 .......... A Revision, 11.24 NA NA 9.88 9.84 1.05 NA NA 22.17 22.13 090
orbitofacial bones.
[[Page 44217]]
21280 .......... A Revision of eyelid. 6.03 NA NA 5.99 6.29 0.29 NA NA 12.31 12.61 090
21282 .......... A Revision of eyelid. 3.49 NA NA 4.96 4.76 0.20 NA NA 8.65 8.45 090
21295 .......... A Revision of jaw 1.53 NA NA 4.26 3.46 0.11 NA NA 5.90 5.10 090
muscle/bone.
21296 .......... A Revision of jaw 4.25 NA NA 4.31 4.22 0.35 NA NA 8.91 8.82 090
muscle/bone.
21299 .......... C Cranio/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maxillofacial
surgery.
21300 .......... A Treatment of skull 0.72 2.35 2.01 0.28 0.46 0.08 3.15 2.81 1.08 1.26 000
fracture.
21310 .......... A Treatment of nose 0.58 2.28 1.91 0.16 0.32 0.06 2.92 2.55 0.80 0.96 000
fracture.
21315 .......... A Treatment of nose 1.51 2.88 2.65 1.15 1.35 0.12 4.51 4.28 2.78 2.98 010
fracture.
21320 .......... A Treatment of nose 1.85 4.06 3.68 1.87 2.04 0.14 6.05 5.67 3.86 4.03 010
fracture.
21325 .......... A Treatment of nose 3.77 NA NA 3.39 3.65 0.31 NA NA 7.47 7.73 090
fracture.
21330 .......... A Treatment of nose 5.38 NA NA 5.02 5.37 0.47 NA NA 10.87 11.22 090
fracture.
21335 .......... A Treatment of nose 8.61 NA NA 6.57 7.50 0.65 NA NA 15.83 16.76 090
fracture.
21336 .......... A Treat nasal septal 5.72 NA NA 4.95 4.82 0.47 NA NA 11.14 11.01 090
fracture.
21337 .......... A Treat nasal septal 2.70 4.90 4.44 2.92 2.96 0.23 7.83 7.37 5.85 5.89 090
fracture.
21338 .......... A Treat nasoethmoid 6.46 NA NA 5.95 5.82 0.53 NA NA 12.94 12.81 090
fracture.
21339 .......... A Treat nasoethmoid 8.09 NA NA 6.31 6.66 0.65 NA NA 15.05 15.40 090
fracture.
21340 .......... A Treatment of nose 10.77 NA NA 9.24 9.35 0.69 NA NA 20.70 20.81 090
fracture.
21343 .......... A Treatment of sinus 12.95 NA NA 9.34 9.49 1.20 NA NA 23.49 23.64 090
fracture.
21344 .......... A Treatment of sinus 19.72 NA NA 12.80 12.09 1.78 NA NA 34.30 33.59 090
fracture.
21345 .......... A Treat nose/jaw 8.16 7.45 7.73 7.41 7.70 0.64 16.25 16.53 16.21 16.50 090
fracture.
21346 .......... A Treat nose/jaw 10.61 NA NA 8.90 9.23 0.83 NA NA 20.34 20.67 090
fracture.
21347 .......... A Treat nose/jaw 12.69 NA NA 9.02 9.58 1.08 NA NA 22.79 23.35 090
fracture.
21348 .......... A Treat nose/jaw 16.69 NA NA 9.60 10.28 1.44 NA NA 27.73 28.41 090
fracture.
21355 .......... A Treat cheek bone 3.77 3.49 3.04 2.04 1.95 0.32 7.58 7.13 6.13 6.04 010
fracture.
21356 .......... A Treat cheek bone 4.15 NA NA 3.02 3.51 0.34 NA NA 7.51 8.00 010
fracture.
21360 .......... A Treat cheek bone 6.46 NA NA 5.24 5.86 0.52 NA NA 12.22 12.84 090
fracture.
21365 .......... A Treat cheek bone 14.95 NA NA 10.72 11.39 1.28 NA NA 26.95 27.62 090
fracture.
21366 .......... A Treat cheek bone 17.77 NA NA 11.76 12.10 1.52 NA NA 31.05 31.39 090
fracture.
21385 .......... A Treat eye socket 9.16 NA NA 6.79 7.70 0.67 NA NA 16.62 17.53 090
fracture.
21386 .......... A Treat eye socket 9.16 NA NA 7.48 8.07 0.75 NA NA 17.39 17.98 090
fracture.
21387 .......... A Treat eye socket 9.70 NA NA 7.82 7.89 0.78 NA NA 18.30 18.37 090
fracture.
21390 .......... A Treat eye socket 10.13 NA NA 8.15 9.14 0.74 NA NA 19.02 20.01 090
fracture.
21395 .......... A Treat eye socket 12.68 NA NA 9.36 9.63 1.16 NA NA 23.20 23.47 090
fracture.
21400 .......... A Treat eye socket 1.40 2.87 2.61 0.92 1.14 0.12 4.39 4.13 2.44 2.66 090
fracture.
21401 .......... A Treat eye socket 3.26 4.25 3.89 2.99 2.94 0.25 7.76 7.40 6.50 6.45 090
fracture.
21406 .......... A Treat eye socket 7.01 NA NA 5.96 5.88 0.60 NA NA 13.57 13.49 090
fracture.
21407 .......... A Treat eye socket 8.61 NA NA 7.39 7.47 0.70 NA NA 16.70 16.78 090
fracture.
21408 .......... A Treat eye socket 12.38 NA NA 10.01 9.81 1.21 NA NA 23.60 23.40 090
fracture.
21421 .......... A Treat mouth roof 5.14 6.39 6.46 5.27 5.62 0.38 11.91 11.98 10.79 11.14 090
fracture.
21422 .......... A Treat mouth roof 8.32 NA NA 7.00 7.73 0.69 NA NA 16.01 16.74 090
fracture.
21423 .......... A Treat mouth roof 10.40 NA NA 7.66 8.41 0.82 NA NA 18.88 19.63 090
fracture.
21431 .......... A Treat craniofacial 7.05 NA NA 5.51 5.77 0.54 NA NA 13.10 13.36 090
fracture.
21432 .......... A Treat craniofacial 8.61 NA NA 7.63 7.56 0.94 NA NA 17.18 17.11 090
fracture.
21433 .......... A Treat craniofacial 25.35 NA NA 15.99 16.87 2.11 NA NA 43.45 44.33 090
fracture.
21435 .......... A Treat craniofacial 17.25 NA NA 12.27 12.80 1.36 NA NA 30.88 31.41 090
fracture.
21436 .......... A Treat craniofacial 28.04 NA NA 17.76 17.30 1.88 NA NA 47.68 47.22 090
fracture.
21440 .......... A Treat dental ridge 2.70 5.00 4.58 3.20 3.23 0.20 7.90 7.48 6.10 6.13 090
fracture.
21445 .......... A Treat dental ridge 5.38 6.14 6.26 4.89 5.33 0.42 11.94 12.06 10.69 11.13 090
fracture.
21450 .......... A Treat lower jaw 2.97 5.56 4.94 2.21 2.43 0.23 8.76 8.14 5.41 5.63 090
fracture.
21451 .......... A Treat lower jaw 4.87 5.91 6.02 4.91 5.27 0.37 11.15 11.26 10.15 10.51 090
fracture.
21452 .......... A Treat lower jaw 1.98 7.04 5.66 3.86 3.27 0.15 9.17 7.79 5.99 5.40 090
fracture.
21453 .......... A Treat lower jaw 5.54 6.56 6.72 5.62 6.02 0.44 12.54 12.70 11.60 12.00 090
fracture.
21454 .......... A Treat lower jaw 6.46 NA NA 5.14 5.79 0.48 NA NA 12.08 12.73 090
fracture.
21461 .......... A Treat lower jaw 8.09 8.05 8.45 7.27 7.87 0.65 16.79 17.19 16.01 16.61 090
fracture.
21462 .......... A Treat lower jaw 9.79 8.97 9.65 7.50 8.55 0.76 19.52 20.20 18.05 19.10 090
fracture.
21465 .......... A Treat lower jaw 11.91 NA NA 7.31 7.77 0.95 NA NA 20.17 20.63 090
fracture.
21470 .......... A Treat lower jaw 15.34 NA NA 9.27 11.53 1.21 NA NA 25.82 28.08 090
fracture.
21480 .......... A Reset dislocated 0.61 1.47 1.32 0.18 0.35 0.05 2.13 1.98 0.84 1.01 000
jaw.
21485 .......... A Reset dislocated 3.99 3.51 3.23 3.01 2.85 0.27 7.77 7.49 7.27 7.11 090
jaw.
21490 .......... A Repair dislocated 11.86 NA NA 7.14 7.07 0.84 NA NA 19.84 19.77 090
jaw.
21493 .......... A Treat hyoid bone 1.27 NA NA 2.96 2.63 0.10 NA NA 4.33 4.00 090
fracture.
21494 .......... A Treat hyoid bone 6.28 NA NA 4.95 5.75 0.45 NA NA 11.68 12.48 090
fracture.
21495 .......... A Treat hyoid bone 5.69 NA NA 5.11 5.14 0.41 NA NA 11.21 11.24 090
fracture.
21497 .......... A Interdental wiring. 3.86 4.17 4.21 3.45 3.67 0.30 8.33 8.37 7.61 7.83 090
21499 .......... C Head surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21501 .......... A Drain neck/chest 3.81 3.83 3.37 3.38 3.03 0.37 8.01 7.55 7.56 7.21 090
lesion.
21502 .......... A Drain chest lesion. 7.12 NA NA 7.34 6.65 0.78 NA NA 15.24 14.55 090
21510 .......... A Drainage of bone 5.74 NA NA 7.54 6.69 0.63 NA NA 13.91 13.06 090
lesion.
21550 .......... A Biopsy of neck/ 2.06 2.16 1.85 1.24 1.16 0.12 4.34 4.03 3.42 3.34 010
chest.
21555 .......... A Remove lesion, neck/ 4.35 4.09 3.50 2.48 2.30 0.39 8.83 8.24 7.22 7.04 090
chest.
21556 .......... A Remove lesion, neck/ 5.57 NA NA 3.20 3.43 0.52 NA NA 9.29 9.52 090
chest.
21557 .......... A Remove tumor, neck/ 8.88 NA NA 7.42 7.87 0.81 NA NA 17.11 17.56 090
chest.
21600 .......... A Partial removal of 6.89 NA NA 8.46 7.57 0.79 NA NA 16.14 15.25 090
rib.
21610 .......... A Partial removal of 14.61 NA NA 10.21 9.06 1.99 NA NA 26.81 25.66 090
rib.
21615 .......... A Removal of rib..... 9.87 NA NA 8.99 9.49 1.30 NA NA 20.16 20.66 090
21616 .......... A Removal of rib and 12.04 NA NA 12.12 11.06 1.45 NA NA 25.61 24.55 090
nerves.
21620 .......... A Partial removal of 6.79 NA NA 8.80 8.46 0.78 NA NA 16.37 16.03 090
sternum.
21627 .......... A Sternal debridement 6.81 NA NA 14.79 12.46 0.84 NA NA 22.44 20.11 090
21630 .......... A Extensive sternum 17.38 NA NA 13.86 13.89 1.95 NA NA 33.19 33.22 090
surgery.
21632 .......... A Extensive sternum 18.14 NA NA 15.27 14.58 2.27 NA NA 35.68 34.99 090
surgery.
21700 .......... A Revision of neck 6.19 7.62 6.84 7.24 6.56 0.74 14.55 13.77 14.17 13.49 090
muscle.
21705 .......... A Revision of neck 9.60 NA NA 6.97 6.54 1.27 NA NA 17.84 17.41 090
muscle/rib.
[[Page 44218]]
21720 .......... A Revision of neck 5.68 6.76 6.11 6.06 5.59 0.82 13.26 12.61 12.56 12.09 090
muscle.
21725 .......... A Revision of neck 6.99 NA NA 6.21 5.97 0.68 NA NA 13.88 13.64 090
muscle.
21740 .......... A Reconstruction of 16.80 NA NA 15.15 13.80 1.95 NA NA 33.90 32.55 090
sternum.
21750 .......... A Repair of sternum 10.77 NA NA 13.25 11.93 1.35 NA NA 25.37 24.05 090
separation.
21800 .......... A Treatment of rib 0.96 1.80 1.56 0.79 0.80 0.09 2.85 2.61 1.84 1.85 090
fracture.
21805 .......... A Treatment of rib 2.75 NA NA 6.10 4.94 0.29 NA NA 9.14 7.98 090
fracture.
21810 .......... A Treatment of rib 6.86 NA NA 7.31 7.47 0.56 NA NA 14.73 14.89 090
fracture(s).
21820 .......... A Treat sternum 1.28 2.18 2.01 1.14 1.23 0.12 3.58 3.41 2.54 2.63 090
fracture.
21825 .......... A Treat sternum 7.41 NA NA 11.97 10.85 0.95 NA NA 20.33 19.21 090
fracture.
21899 .......... C Neck/chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21920 .......... A Biopsy soft tissue 2.06 2.26 1.91 0.81 0.82 0.10 4.42 4.07 2.97 2.98 010
of back.
21925 .......... A Biopsy soft tissue 4.49 10.40 8.33 4.30 3.76 0.43 15.32 13.25 9.22 8.68 090
of back.
21930 .......... A Remove lesion, back 0.05 4.41 4.05 2.66 2.73 0.47 4.93 4.57 3.18 3.25 090
or flank.
21935 .......... A Remove tumor, back. 17.96 NA NA 11.85 10.68 1.79 NA NA 31.60 30.43 090
22100 .......... A Remove part of neck 9.73 NA NA 8.02 8.09 1.34 NA NA 19.09 19.16 090
vertebra.
22101 .......... A Remove part, thorax 9.81 NA NA 8.02 8.19 1.23 NA NA 19.06 19.23 090
vertebra.
22102 .......... A Remove part, lumbar 9.81 NA NA 8.21 7.38 1.37 NA NA 19.39 18.56 090
vertebra.
22103 .......... A Remove extra spine 2.34 NA NA 1.21 1.51 0.33 NA NA 3.88 4.18 ZZZ
segment.
22110 .......... A Remove part of neck 12.74 NA NA 10.11 10.22 1.88 NA NA 24.73 24.84 090
vertebra.
22112 .......... A Remove part, thorax 12.81 NA NA 10.01 10.19 1.57 NA NA 24.39 24.57 090
vertebra.
22114 .......... A Remove part, lumbar 12.81 NA NA 9.71 9.25 1.37 NA NA 23.89 23.43 090
vertebra.
22116 .......... A Remove extra spine 2.32 NA NA 1.18 1.49 0.32 NA NA 3.82 4.13 ZZZ
segment.
22210 .......... A Revision of neck 23.82 NA NA 15.82 15.62 3.46 NA NA 43.10 42.90 090
spine.
22212 .......... A Revision of thorax 19.42 NA NA 14.23 15.36 1.99 NA NA 35.64 36.77 090
spine.
22214 .......... A Revision of lumbar 19.45 NA NA 13.92 14.54 2.35 NA NA 35.72 36.34 090
spine.
22216 .......... A Revise, extra spine 6.04 NA NA 3.18 3.76 0.81 NA NA 10.03 10.61 ZZZ
segment.
22220 .......... A Revision of neck 21.37 NA NA 14.41 15.32 3.15 NA NA 38.93 39.84 090
spine.
22222 .......... A Revision of thorax 21.52 NA NA 13.17 13.57 1.01 NA NA 35.70 36.10 090
spine.
22224 .......... A Revision of lumbar 21.52 NA NA 14.80 15.08 2.43 NA NA 38.75 39.03 090
spine.
22226 .......... A Revise, extra spine 6.04 NA NA 3.14 3.73 0.73 NA NA 9.91 10.50 ZZZ
segment.
22305 .......... A Treat spine process 2.05 2.74 2.67 1.69 1.88 0.21 5.00 4.93 3.95 4.14 090
fracture.
22310 .......... A Treat spine 2.61 3.91 3.62 2.98 2.92 0.27 6.79 6.50 5.86 5.80 090
fracture.
22315 .......... A Treat spine 8.84 NA NA 8.43 7.82 1.14 NA NA 18.41 17.80 090
fracture.
22318 .......... A Treat odontoid fx w/ 21.50 NA NA 14.06 14.06 3.89 NA NA 39.45 39.45 090
o graft.
22319 .......... A Treat odontoid fx w/ 0.24 NA NA 16.20 16.20 4.34 NA NA 20.78 20.78 090
graft.
22325 .......... A Treat spine 18.30 NA NA 13.71 12.54 2.29 NA NA 34.30 33.13 090
fracture.
22326 .......... A Treat neck spine 19.59 NA NA 14.47 15.18 3.18 NA NA 37.24 37.95 090
fracture.
22327 .......... A Treat thorax spine 19.20 NA NA 14.25 15.02 2.64 NA NA 36.09 36.86 090
fracture.
22328 .......... A Treat each add 4.61 NA NA 2.40 3.00 0.68 NA NA 7.69 8.29 ZZZ
spine fx.
22505 .......... A Manipulation of 1.87 3.92 3.30 2.67 2.36 0.13 5.92 5.30 4.67 4.36 010
spine.
22548 .......... A Neck spine fusion.. 25.82 NA NA 17.04 18.95 4.66 NA NA 47.52 49.43 090
22554 .......... A Neck spine fusion.. 18.62 NA NA 12.91 15.06 3.14 NA NA 34.67 36.82 090
22556 .......... A Thorax spine fusion 23.46 NA NA 16.15 18.00 3.20 NA NA 42.81 44.66 090
22558 .......... A Lumbar spine fusion 22.28 NA NA 14.70 16.50 2.62 NA NA 39.60 41.40 090
22585 .......... A Additional spinal 5.53 NA NA 2.86 3.61 0.85 NA NA 9.24 9.99 ZZZ
fusion.
22590 .......... A Spine & skull 20.51 NA NA 14.50 16.73 3.38 NA NA 38.39 40.62 090
spinal fusion.
22595 .......... A Neck spinal fusion. 19.39 NA NA 13.54 15.94 3.23 NA NA 36.16 38.56 090
22600 .......... A Neck spine fusion.. 16.14 NA NA 11.95 13.78 2.53 NA NA 30.62 32.45 090
22610 .......... A Thorax spine fusion 16.02 NA NA 11.94 13.74 2.22 NA NA 30.18 31.98 090
22612 .......... A Lumbar spine fusion 0.21 NA NA 14.60 16.54 2.62 NA NA 17.43 19.37 090
22614 .......... A Spine fusion, extra 6.44 NA NA 3.43 4.11 0.82 NA NA 10.69 11.37 ZZZ
segment.
22630 .......... A Lumbar spine fusion 20.84 NA NA 14.78 16.09 3.05 NA NA 38.67 39.98 090
22632 .......... A Spine fusion, extra 5.23 NA NA 2.75 3.42 0.72 NA NA 8.70 9.37 ZZZ
segment.
22800 .......... A Fusion of spine.... 18.25 NA NA 12.94 15.15 2.09 NA NA 33.28 35.49 090
22802 .......... A Fusion of spine.... 30.88 NA NA 20.27 22.89 3.38 NA NA 54.53 57.15 090
22804 .......... A Fusion of spine.... 36.27 NA NA 23.15 25.05 3.82 NA NA 63.24 65.14 090
22808 .......... A Fusion of spine.... 26.27 NA NA 17.62 18.21 3.79 NA NA 47.68 48.27 090
22810 .......... A Fusion of spine.... 30.27 NA NA 19.42 19.56 3.51 NA NA 53.20 53.34 090
22812 .......... A Fusion of spine.... 32.70 NA NA 20.84 22.67 3.60 NA NA 57.14 58.97 090
22818 .......... A Kyphectomy, 1-2 31.83 NA NA 19.46 22.26 4.31 NA NA 55.60 58.40 090
segments.
22819 .......... A Kyphectomy, 3 or 36.44 NA NA 21.62 23.88 4.93 NA NA 62.99 65.25 090
more.
22830 .......... A Exploration of 10.85 NA NA 9.03 10.01 1.31 NA NA 21.19 22.17 090
spinal fusion.
22840 .......... A Insert spine 12.54 NA NA 7.83 7.50 1.61 NA NA 21.98 21.65 ZZZ
fixation device.
22841 .......... B Insert spine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixation device.
22842 .......... A Insert spine 12.58 NA NA 6.66 6.86 1.63 NA NA 20.87 21.07 ZZZ
fixation device.
22843 .......... A Insert spine 13.46 NA NA 7.13 7.67 1.64 NA NA 22.23 22.77 ZZZ
fixation device.
22844 .......... A Insert spine 16.44 NA NA 10.23 10.51 1.76 NA NA 28.43 28.71 ZZZ
fixation device.
22845 .......... A Insert spine 11.96 NA NA 7.53 7.20 1.95 NA NA 21.44 21.11 ZZZ
fixation device.
22846 .......... A Insert spine 12.42 NA NA 7.82 8.01 0.02 NA NA 20.26 20.45 ZZZ
fixation device.
22847 .......... A Insert spine 13.80 NA NA 8.46 8.73 1.63 NA NA 23.89 24.16 ZZZ
fixation device.
22848 .......... A Insert pelv 0.06 NA NA 4.50 4.93 0.64 NA NA 5.20 5.63 ZZZ
fixation device.
22849 .......... A Reinsert spinal 18.51 NA NA 12.98 12.93 2.25 NA NA 33.74 33.69 090
fixation.
22850 .......... A Remove spine 9.52 NA NA 7.91 8.42 1.19 NA NA 18.62 19.13 090
fixation device.
22851 .......... A Apply spine prosth 6.71 NA NA 4.78 5.32 0.93 NA NA 12.42 12.96 ZZZ
device.
22852 .......... A Remove spine 9.01 NA NA 7.70 8.44 1.09 NA NA 17.80 18.54 090
fixation device.
22855 .......... A Remove spine 15.13 NA NA 10.71 10.06 2.35 NA NA 28.19 27.54 090
fixation device.
22899 .......... C Spine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
22900 .......... A Remove abdominal 5.80 NA NA 4.20 3.97 0.57 NA NA 10.57 10.34 090
wall lesion.
22999 .......... C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23000 .......... A Removal of calcium 4.36 7.21 6.29 6.05 5.42 0.40 11.97 11.05 10.81 10.18 090
deposits.
23020 .......... A Release shoulder 8.93 NA NA 9.25 8.91 0.93 NA NA 19.11 18.77 090
joint.
23030 .......... A Drain shoulder 3.43 5.16 4.46 3.87 3.49 0.33 8.92 8.22 7.63 7.25 010
lesion.
[[Page 44219]]
23031 .......... A Drain shoulder 2.74 5.07 3.94 3.59 2.83 0.26 8.07 6.94 6.59 5.83 010
bursa.
23035 .......... A Drain shoulder bone 8.61 NA NA 13.34 11.69 0.88 NA NA 22.83 21.18 090
lesion.
23040 .......... A Exploratory 9.20 NA NA 10.17 10.14 0.95 NA NA 20.32 20.29 090
shoulder surgery.
23044 .......... A Exploratory 7.12 NA NA 8.88 8.54 0.74 NA NA 16.74 16.40 090
shoulder surgery.
23065 .......... A Biopsy shoulder 2.27 2.51 2.06 1.35 1.19 0.11 4.89 4.44 3.73 3.57 010
tissues.
23066 .......... A Biopsy shoulder 4.16 6.46 5.17 5.60 4.52 0.41 11.03 9.74 10.17 9.09 090
tissues.
23075 .......... A Removal of shoulder 2.39 4.55 3.87 2.82 2.57 0.23 7.17 6.49 5.44 5.19 010
lesion.
23076 .......... A Removal of shoulder 7.63 NA NA 7.40 6.51 0.78 NA NA 15.81 14.92 090
lesion.
23077 .......... A Remove tumor of 16.09 NA NA 12.87 11.66 1.58 NA NA 30.54 29.33 090
shoulder.
23100 .......... A Biopsy of shoulder 6.03 NA NA 7.77 7.63 0.60 NA NA 14.40 14.26 090
joint.
23101 .......... A Shoulder joint 5.58 NA NA 7.56 7.34 0.57 NA NA 13.71 13.49 090
surgery.
23105 .......... A Remove shoulder 8.23 NA NA 8.88 9.12 0.85 NA NA 17.96 18.20 090
joint lining.
23106 .......... A Incision of 5.96 NA NA 7.72 7.08 0.64 NA NA 14.32 13.68 090
collarbone joint.
23107 .......... A Explore treat 8.62 NA NA 9.11 9.41 0.88 NA NA 18.61 18.91 090
shoulder joint.
23120 .......... A Partial removal, 7.11 NA NA 8.29 7.47 0.73 NA NA 16.13 15.31 090
collar bone.
23125 .......... A Removal of collar 9.39 NA NA 9.53 9.45 0.97 NA NA 19.89 19.81 090
bone.
23130 .......... A Remove shoulder 7.55 NA NA 8.46 8.26 0.77 NA NA 16.78 16.58 090
bone, part.
23140 .......... A Removal of bone 6.89 NA NA 7.59 6.82 0.68 NA NA 15.16 14.39 090
lesion.
23145 .......... A Removal of bone 9.09 NA NA 9.27 9.16 0.84 NA NA 19.20 19.09 090
lesion.
23146 .......... A Removal of bone 7.83 NA NA 9.24 8.35 0.82 NA NA 17.89 17.00 090
lesion.
23150 .......... A Removal of humerus 8.48 NA NA 8.56 8.22 0.85 NA NA 17.89 17.55 090
lesion.
23155 .......... A Removal of humerus 10.35 NA NA 11.00 10.64 1.08 NA NA 22.43 22.07 090
lesion.
23156 .......... A Removal of humerus 8.68 NA NA 8.91 8.76 0.89 NA NA 18.48 18.33 090
lesion.
23170 .......... A Remove collar bone 6.86 NA NA 9.29 8.27 0.72 NA NA 16.87 15.85 090
lesion.
23172 .......... A Remove shoulder 6.90 NA NA 8.46 7.75 0.72 NA NA 16.08 15.37 090
blade lesion.
23174 .......... A Remove humerus 9.51 NA NA 10.19 9.96 0.94 NA NA 20.64 20.41 090
lesion.
23180 .......... A Remove collar bone 8.53 NA NA 13.76 11.49 0.88 NA NA 23.17 20.90 090
lesion.
23182 .......... A Remove shoulder 8.15 NA NA 15.56 13.45 0.84 NA NA 24.55 22.44 090
blade lesion.
23184 .......... A Remove humerus 9.38 NA NA 13.89 12.81 0.95 NA NA 24.22 23.14 090
lesion.
23190 .......... A Partial removal of 7.24 NA NA 7.41 7.21 0.74 NA NA 15.39 15.19 090
scapula.
23195 .......... A Removal of head of 9.81 NA NA 9.72 9.71 1.02 NA NA 20.55 20.54 090
humerus.
23200 .......... A Removal of collar 12.08 NA NA 13.47 12.59 1.22 NA NA 26.77 25.89 090
bone.
23210 .......... A Removal of shoulder 12.49 NA NA 12.91 2.13 1.25 NA NA 26.65 25.87 090
blade.
23220 .......... A Partial removal of 14.56 NA NA 13.24 13.20 1.47 NA NA 29.27 29.23 090
humerus.
23221 .......... A Partial removal of 17.74 NA NA 13.30 14.90 1.26 NA NA 32.30 33.90 090
humerus.
23222 .......... A Partial removal of 23.92 NA NA 18.68 18.09 2.43 NA NA 45.03 44.44 090
humerus.
23330 .......... A Remove shoulder 1.85 4.49 3.52 3.23 2.57 0.18 6.52 5.55 5.26 4.60 010
foreign body.
23331 .......... A Remove shoulder 7.38 NA NA 8.38 6.90 0.76 NA NA 16.52 15.04 090
foreign body.
23332 .......... A Remove shoulder 11.62 NA NA 10.68 10.65 1.19 NA NA 23.49 23.46 090
foreign body.
23350 .......... A Injection for 0.01 9.23 7.06 0.35 0.40 0.04 9.28 7.11 0.40 0.45 000
shoulder x-ray.
23395 .......... A Muscle 16.85 NA NA 12.97 12.75 1.74 NA NA 31.56 31.34 090
transfer,shoulder/
arm.
23397 .......... A Muscle transfers... 16.13 NA NA 13.20 13.69 1.68 NA NA 31.01 31.50 090
23400 .......... A Fixation of 13.54 NA NA 12.60 12.12 1.42 NA NA 27.56 27.08 090
shoulder blade.
23405 .......... A Incision of tendon 8.37 NA NA 9.54 9.19 0.86 NA NA 18.77 18.42 090
& muscle.
23406 .......... A Incise tendon(s) & 10.79 NA NA 10.12 10.14 1.13 NA NA 22.04 22.06 090
muscle(s).
23410 .......... A Repair of tendon(s) 12.45 NA NA 11.14 11.32 1.27 NA NA 24.86 25.04 090
23412 .......... A Repair of tendon(s) 13.31 NA NA 11.64 12.36 1.36 NA NA 26.31 27.03 090
23415 .......... A Release of shoulder 9.97 NA NA 9.04 8.19 1.02 NA NA 20.03 19.18 090
ligament.
23420 .......... A Repair of shoulder. 13.30 NA NA 12.33 13.22 1.36 NA NA 26.99 27.88 090
23430 .......... A Repair biceps 9.98 NA NA 9.86 9.39 1.02 NA NA 20.86 20.39 090
tendon.
23440 .......... A Remove/transplant 10.48 NA NA 10.08 9.51 1.08 NA NA 21.64 21.07 090
tendon.
23450 .......... A Repair shoulder 13.40 NA NA 11.50 12.09 1.37 NA NA 26.27 26.86 090
capsule.
23455 .......... A Repair shoulder 14.37 NA NA 12.18 13.36 1.47 NA NA 28.02 29.20 090
capsule.
23460 .......... A Repair shoulder 15.37 NA NA 12.93 13.52 1.56 NA NA 29.86 30.45 090
capsule.
23462 .......... A Repair shoulder 15.30 NA NA 12.51 13.49 1.50 NA NA 29.31 30.29 090
capsule.
23465 .......... A Repair shoulder 15.85 NA NA 13.04 13.62 1.63 NA NA 30.52 31.10 090
capsule.
23466 .......... A Repair shoulder 14.22 NA NA 12.07 13.30 1.47 NA NA 27.76 28.99 090
capsule.
23470 .......... A Reconstruct 17.15 NA NA 13.68 14.81 1.76 NA NA 32.59 33.72 090
shoulder joint.
23472 .......... A Reconstruct 16.92 NA NA 13.56 15.22 1.74 NA NA 32.22 33.88 090
shoulder joint.
23480 .......... A Revision of collar 11.18 NA NA 10.44 9.62 1.16 NA NA 22.78 21.96 090
bone.
23485 .......... A Revision of collar 13.43 NA NA 11.62 11.80 1.37 NA NA 26.42 26.60 090
bone.
23490 .......... A Reinforce clavicle. 11.86 NA NA 10.42 10.52 1.24 NA NA 23.52 23.62 090
23491 .......... A Reinforce shoulder 14.21 NA NA 11.99 12.44 1.48 NA NA 27.68 28.13 090
bones.
23500 .......... A Treat clavicle 2.08 3.25 2.89 1.98 1.93 0.21 5.54 5.18 4.27 4.22 090
fracture.
23505 .......... A Treat clavicle 3.69 5.01 4.46 3.42 3.26 0.37 9.07 8.52 7.48 7.32 090
fracture.
23515 .......... A Treat clavicle 7.41 NA NA 7.20 7.28 0.76 NA NA 15.37 15.45 090
fracture.
23520 .......... A Treat clavicle 2.16 3.36 2.90 2.24 2.06 0.21 5.73 5.27 4.61 4.43 090
dislocation.
23525 .......... A Treat clavicle 3.60 4.33 3.79 3.22 2.95 0.37 8.30 7.76 7.19 6.92 090
dislocation.
23530 .......... A Treat clavicle 7.31 NA NA 6.84 6.92 0.74 NA NA 14.89 14.97 090
dislocation.
23532 .......... A Treat clavicle 8.01 NA NA 7.06 7.26 0.84 NA NA 15.91 16.11 090
dislocation.
23540 .......... A Treat clavicle 2.23 3.76 3.24 1.95 1.88 0.21 6.20 5.68 4.39 4.32 090
dislocation.
23545 .......... A Treat clavicle 3.25 4.21 3.70 3.06 2.83 0.32 7.78 7.27 6.63 6.40 090
dislocation.
23550 .......... A Treat clavicle 7.24 NA NA 7.13 7.51 0.73 NA NA 15.10 15.48 090
dislocation.
23552 .......... A Treat clavicle 8.45 NA NA 7.82 7.84 0.84 NA NA 17.11 17.13 090
dislocation.
23570 .......... A Treat shoulder 2.23 3.27 2.91 2.24 2.14 0.23 5.73 5.37 4.70 4.60 090
blade fx.
23575 .......... A Treat shoulder 4.06 5.31 4.73 3.84 3.63 0.41 9.78 9.20 8.31 8.10 090
blade fx.
23585 .......... A Treat scapula 8.96 NA NA 8.31 8.32 0.92 NA NA 18.19 18.20 090
fracture.
23600 .......... A Treat humerus 2.93 5.05 4.58 3.13 3.14 0.30 8.28 7.81 6.36 6.37 090
fracture.
23605 .......... A Treat humerus 4.87 7.53 6.94 5.92 5.73 0.51 12.91 12.32 11.30 11.11 090
fracture.
23615 .......... A Treat humerus 9.35 NA NA 8.98 9.53 0.96 NA NA 19.29 19.84 090
fracture.
23616 .......... A Treat humerus 21.27 NA NA 14.89 17.22 2.19 NA NA 38.35 40.68 090
fracture.
23620 .......... A Treat humerus 2.40 4.75 4.35 2.84 2.91 0.25 7.40 7.00 5.49 5.56 090
fracture.
[[Page 44220]]
23625 .......... A Treat humerus 3.93 6.64 6.02 4.91 4.72 0.41 10.98 10.36 9.25 9.06 090
fracture.
23630 .......... A Treat humerus 7.35 NA NA 7.19 7.59 0.75 NA NA 15.29 15.69 090
fracture.
23650 .......... A Treat shoulder 3.39 4.63 4.04 2.59 2.51 0.32 8.34 7.75 6.30 6.22 090
dislocation.
23655 .......... A Treat shoulder 4.57 NA NA 3.53 3.44 0.46 NA NA 8.56 8.47 090
dislocation.
23660 .......... A Treat shoulder 7.49 NA NA 6.92 7.43 0.69 NA NA 15.10 15.61 090
dislocation.
23665 .......... A Treat dislocation/ 4.47 6.69 5.93 5.19 4.80 0.46 11.62 10.86 10.12 9.73 090
fracture.
23670 .......... A Treat dislocation/ 7.90 NA NA 7.60 8.06 0.81 NA NA 16.31 16.77 090
fracture.
23675 .......... A Treat dislocation/ 6.05 7.64 6.80 6.07 5.62 0.62 14.31 13.47 12.74 12.29 090
fracture.
23680 .......... A Treat dislocation/ 10.06 NA NA 8.81 9.61 1.03 NA NA 19.90 20.70 090
fracture.
23700 .......... A Fixation of 2.52 NA NA 3.01 2.83 0.26 NA NA 5.79 5.61 010
shoulder.
23800 .......... A Fusion of shoulder 14.16 NA NA 12.61 13.69 1.41 NA NA 28.18 29.26 090
joint.
23802 .......... A Fusion of shoulder 16.60 NA NA 10.43 11.64 1.70 NA NA 28.73 29.94 090
joint.
23900 .......... A Amputation of arm & 19.72 NA NA 14.47 14.26 1.86 NA NA 36.05 35.84 090
girdle.
23920 .......... A Amputation at 14.61 NA NA 12.09 12.83 1.52 NA NA 28.22 28.96 090
shoulder joint.
23921 .......... A Amputation follow- 5.49 6.18 5.79 6.17 5.79 0.50 12.17 11.78 12.16 11.78 090
up surgery.
23929 .......... C Shoulder surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23930 .......... A Drainage of arm 2.94 4.99 4.18 3.53 3.09 0.29 8.22 7.41 6.76 6.32 010
lesion.
23931 .......... A Drainage of arm 1.79 4.71 3.74 3.09 2.52 0.17 6.67 5.70 5.05 4.48 010
bursa.
23935 .......... A Drain arm/elbow 6.09 NA NA 10.72 9.31 0.62 NA NA 17.43 16.02 090
bone lesion.
24000 .......... A Exploratory elbow 5.82 NA NA 5.39 5.78 0.58 NA NA 11.79 12.18 090
surgery.
24006 .......... A Release elbow joint 9.31 NA NA 7.69 7.71 0.96 NA NA 17.96 17.98 090
24065 .......... A Biopsy arm/elbow 2.08 4.92 3.91 2.84 2.35 0.11 7.11 6.10 5.03 4.54 010
soft tissue.
24066 .......... A Biopsy arm/elbow 5.21 7.51 6.37 5.97 5.21 0.55 13.27 12.13 11.73 10.97 090
soft tissue.
24075 .......... A Remove arm/elbow 3.92 6.99 5.78 5.32 4.53 0.38 11.29 10.08 9.62 8.83 090
lesion.
24076 .......... A Remove arm/elbow 6.30 NA NA 6.39 5.79 0.64 NA NA 13.33 12.73 090
lesion.
24077 .......... A Remove tumor of arm/ 11.76 NA NA 12.18 11.79 1.17 NA NA 25.11 24.72 090
elbow.
24100 .......... A Biopsy elbow joint 4.93 NA NA 5.70 5.42 0.46 NA NA 11.09 10.81 090
lining.
24101 .......... A Explore/treat elbow 6.13 NA NA 6.01 6.34 0.63 NA NA 12.77 13.10 090
joint.
24102 .......... A Remove elbow joint 8.03 NA NA 7.06 7.69 0.83 NA NA 15.92 16.55 090
lining.
24105 .......... A Removal of elbow 3.61 NA NA 4.48 4.38 0.37 NA NA 8.46 8.36 090
bursa.
24110 .......... A Remove humerus 7.39 NA NA 8.52 8.48 0.78 NA NA 16.69 16.65 090
lesion.
24115 .......... A Remove/graft bone 9.63 NA NA 9.29 9.05 0.85 NA NA 19.77 19.53 090
lesion.
24116 .......... A Remove/graft bone 11.81 NA NA 10.82 10.75 1.20 NA NA 23.83 23.76 090
lesion.
24120 .......... A Remove elbow lesion 6.65 NA NA 6.03 6.16 0.68 NA NA 13.36 13.49 090
24125 .......... A Remove/graft bone 7.89 NA NA 6.68 6.58 0.76 NA NA 15.33 15.23 090
lesion.
24126 .......... A Remove/graft bone 8.31 NA NA 7.03 7.28 0.87 NA NA 16.21 16.46 090
lesion.
24130 .......... A Removal of head of 6.25 NA NA 6.08 6.38 0.65 NA NA 12.98 13.28 090
radius.
24134 .......... A Removal of arm bone 9.73 NA NA 13.90 12.78 0.94 NA NA 24.57 23.45 090
lesion.
24136 .......... A Remove radius bone 7.99 NA NA 5.71 6.67 0.80 NA NA 14.50 15.46 090
lesion.
24138 .......... A Remove elbow bone 8.05 NA NA 7.08 7.04 0.84 NA NA 15.97 15.93 090
lesion.
24140 .......... A Partial removal of 9.18 NA NA 14.49 13.25 0.95 NA NA 24.62 23.38 090
arm bone.
24145 .......... A Partial removal of 7.58 NA NA 9.69 9.00 0.77 NA NA 18.04 17.35 090
radius.
24147 .......... A Partial removal of 7.54 NA NA 9.78 9.13 0.80 NA NA 18.12 17.47 090
elbow.
24149 .......... A Radical resection 14.20 NA NA 10.47 11.28 1.46 NA NA 26.13 26.94 090
of elbow.
24150 .......... A Extensive humerus 13.27 NA NA 13.12 13.66 1.34 NA NA 27.73 28.27 090
surgery.
24151 .......... A Extensive humerus 15.58 NA NA 13.96 14.22 1.50 NA NA 31.04 31.30 090
surgery.
24152 .......... A Extensive radius 10.06 NA NA 8.75 8.41 0.95 NA NA 19.76 19.42 090
surgery.
24153 .......... A Extensive radius 11.54 NA NA 6.76 7.90 0.67 NA NA 18.97 20.11 090
surgery.
24155 .......... A Removal of elbow 11.73 NA NA 8.75 9.48 1.18 NA NA 21.66 22.39 090
joint.
24160 .......... A Remove elbow joint 7.83 NA NA 6.94 6.52 0.78 NA NA 15.55 15.13 090
implant.
24164 .......... A Remove radius head 6.23 NA NA 6.05 6.04 0.65 NA NA 12.93 12.92 090
implant.
24200 .......... A Removal of arm 1.76 4.50 3.53 2.68 2.16 0.14 6.40 5.43 4.58 4.06 010
foreign body.
24201 .......... A Removal of arm 4.56 7.24 6.26 5.90 5.26 0.48 12.28 11.30 10.94 10.30 090
foreign body.
24220 .......... A Injection for elbow 1.31 10.07 7.69 0.46 0.48 0.07 11.45 9.07 1.84 1.86 000
x-ray.
24301 .......... A Muscle/tendon 10.20 NA NA 8.30 8.37 1.04 NA NA 19.54 19.61 090
transfer.
24305 .......... A Arm tendon 7.45 NA NA 6.79 5.93 0.75 NA NA 14.99 14.13 090
lengthening.
24310 .......... A Revision of arm 5.98 NA NA 7.11 6.13 0.63 NA NA 13.72 12.74 090
tendon.
24320 .......... A Repair of arm 10.56 NA NA 8.99 9.24 0.98 NA NA 20.53 20.78 090
tendon.
24330 .......... A Revision of arm 9.60 NA NA 7.94 8.33 1.03 NA NA 18.57 18.96 090
muscles.
24331 .......... A Revision of arm 10.65 NA NA 8.36 8.88 1.11 NA NA 20.12 20.64 090
muscles.
24340 .......... A Repair of biceps 7.89 NA NA 6.92 7.09 0.81 NA NA 15.62 15.79 090
tendon.
24341 .......... A Repair arm tendon/ 7.90 NA NA 6.92 7.09 0.82 NA NA 15.64 15.81 090
muscle.
24342 .......... A Repair of ruptured 10.62 NA NA 8.47 9.17 1.10 NA NA 20.19 20.89 090
tendon.
24350 .......... A Repair of tennis 5.25 NA NA 5.42 5.21 0.54 NA NA 11.21 11.00 090
elbow.
24351 .......... A Repair of tennis 5.91 NA NA 5.92 5.68 0.62 NA NA 12.45 12.21 090
elbow.
24352 .......... A Repair of tennis 6.43 NA NA 6.28 6.26 0.66 NA NA 13.37 13.35 090
elbow.
24354 .......... A Repair of tennis 6.48 NA NA 6.15 6.14 0.68 NA NA 13.31 13.30 090
elbow.
24356 .......... A Revision of tennis 6.68 NA NA 6.36 6.75 0.70 NA NA 13.74 14.13 090
elbow.
24360 .......... A Reconstruct elbow 12.34 NA NA 9.30 10.66 1.27 NA NA 22.91 24.27 090
joint.
24361 .......... A Reconstruct elbow 14.08 NA NA 10.11 11.15 1.46 NA NA 25.65 26.69 090
joint.
24362 .......... A Reconstruct elbow 14.99 NA NA 10.56 11.49 1.34 NA NA 26.89 27.82 090
joint.
24363 .......... A Replace elbow joint 18.49 NA NA 12.70 15.04 1.91 NA NA 33.10 35.44 090
24365 .......... A Reconstruct head of 8.39 NA NA 7.30 7.52 0.87 NA NA 16.56 16.78 090
radius.
24366 .......... A Reconstruct head of 9.13 NA NA 7.66 8.47 0.95 NA NA 17.74 18.55 090
radius.
24400 .......... A Revision of humerus 11.06 NA NA 11.09 10.61 1.13 NA NA 23.28 22.80 090
24410 .......... A Revision of humerus 14.82 NA NA 12.58 13.25 1.37 NA NA 28.77 29.44 090
24420 .......... A Revision of humerus 13.44 NA NA 15.22 14.75 1.36 NA NA 30.02 29.55 090
24430 .......... A Repair of humerus.. 12.81 NA NA 11.39 12.37 1.32 NA NA 25.52 26.50 090
24435 .......... A Repair humerus with 13.17 NA NA 12.30 13.16 1.36 NA NA 26.83 27.69 090
graft.
24470 .......... A Revision of elbow 8.74 NA NA 7.50 7.78 0.92 NA NA 17.16 17.44 090
joint.
24495 .......... A Decompression of 8.12 NA NA 9.76 8.88 0.91 NA NA 18.79 17.91 090
forearm.
24498 .......... A Reinforce humerus.. 11.92 NA NA 11.03 11.09 1.23 NA NA 24.18 24.24 090
[[Page 44221]]
24500 .......... A Treat humerus 3.21 4.58 4.13 2.80 2.79 0.32 8.11 7.66 6.33 6.32 090
fracture.
24505 .......... A Treat humerus 5.17 8.00 7.22 6.14 5.83 0.53 13.70 12.92 11.84 11.53 090
fracture.
24515 .......... A Treat humerus 11.65 NA NA 10.15 10.23 1.16 NA NA 22.96 23.04 090
fracture.
24516 .......... A Treat humerus 11.65 NA NA 10.54 10.52 1.20 NA NA 23.39 23.37 090
fracture.
24530 .......... A Treat humerus 3.50 5.56 4.91 4.12 3.83 0.35 9.41 8.76 7.97 7.68 090
fracture.
24535 .......... A Treat humerus 6.87 8.06 7.36 6.18 5.95 0.72 15.65 14.95 13.77 13.54 090
fracture.
24538 .......... A Treat humerus 9.43 NA NA 9.30 9.14 0.96 NA NA 19.69 19.53 090
fracture.
24545 .......... A Treat humerus 10.46 NA NA 9.07 9.51 1.08 NA NA 20.61 21.05 090
fracture.
24546 .......... A Treat humerus 15.69 NA NA 12.32 11.95 1.62 NA NA 29.63 29.26 090
fracture.
24560 .......... A Treat humerus 2.80 4.38 3.87 2.51 2.47 0.28 7.46 6.95 5.59 5.55 090
fracture.
24565 .......... A Treat humerus 5.56 6.97 6.16 5.29 4.90 0.57 13.10 12.29 11.42 11.03 090
fracture.
24566 .......... A Treat humerus 7.79 NA NA 8.61 8.10 0.78 NA NA 17.18 16.67 090
fracture.
24575 .......... A Treat humerus 10.66 NA NA 7.58 7.80 1.10 NA NA 19.34 19.56 090
fracture.
24576 .......... A Treat humerus 2.86 4.16 3.71 2.79 2.68 0.29 7.31 6.86 5.94 5.83 090
fracture.
24577 .......... A Treat humerus 5.79 7.36 6.61 5.60 5.29 0.60 13.75 13.00 11.99 11.68 090
fracture.
24579 .......... A Treat humerus 11.60 NA NA 9.20 9.17 1.19 NA NA 21.99 21.96 090
fracture.
24582 .......... A Treat humerus 8.55 NA NA 9.11 8.63 0.88 NA NA 18.54 18.06 090
fracture.
24586 .......... A Treat elbow 15.21 NA NA 10.30 11.72 1.56 NA NA 27.07 28.49 090
fracture.
24587 .......... A Treat elbow 15.16 NA NA 10.15 11.34 1.46 NA NA 26.77 27.96 090
fracture.
24600 .......... A Treat elbow 4.23 6.17 5.16 4.11 3.61 0.42 10.82 9.81 8.76 8.26 090
dislocation.
24605 .......... A Treat elbow 5.42 NA NA 4.37 3.90 0.56 NA NA 10.35 9.88 090
dislocation.
24615 .......... A Treat elbow 9.42 NA NA 7.21 7.93 0.98 NA NA 17.61 18.33 090
dislocation.
24620 .......... A Treat elbow 6.98 NA NA 5.96 5.50 0.70 NA NA 13.64 13.18 090
fracture.
24635 .......... A Treat elbow 13.19 NA NA 14.41 13.81 1.37 NA NA 28.97 28.37 090
fracture.
24640 .......... A Treat elbow 1.20 2.98 2.51 1.33 1.27 0.11 4.29 3.82 2.64 2.58 010
dislocation.
24650 .......... A Treat radius 2.16 4.07 3.66 2.31 2.34 0.22 6.45 6.04 4.69 4.72 090
fracture.
24655 .......... A Treat radius 4.40 6.56 5.74 4.70 4.34 0.45 11.41 10.59 9.55 9.19 090
fracture.
24665 .......... A Treat radius 8.14 NA NA 8.26 8.13 0.84 NA NA 17.24 17.11 090
fracture.
24666 .......... A Treat radius 9.49 NA NA 9.03 9.56 0.98 NA NA 19.50 20.03 090
fracture.
24670 .......... A Treat ulnar 2.54 4.01 3.54 2.60 2.48 0.26 6.81 6.34 5.40 5.28 090
fracture.
24675 .......... A Treat ulnar 4.72 6.71 5.99 5.01 4.71 0.49 11.92 11.20 10.22 9.92 090
fracture.
24685 .......... A Treat ulnar 8.80 NA NA 8.61 8.74 0.91 NA NA 18.32 18.45 090
fracture.
24800 .......... A Fusion of elbow 11.20 NA NA 8.79 9.47 1.13 NA NA 21.12 21.80 090
joint.
24802 .......... A Fusion/graft of 13.69 NA NA 10.59 11.25 1.37 NA NA 25.65 26.31 090
elbow joint.
24900 .......... A Amputation of upper 9.60 NA NA 9.51 9.22 0.01 NA NA 19.12 18.83 090
arm.
24920 .......... A Amputation of upper 9.54 NA NA 10.71 9.87 0.95 NA NA 21.20 20.36 090
arm.
24925 .......... A Amputation follow- 7.07 NA NA 7.99 7.69 0.71 NA NA 15.77 15.47 090
up surgery.
24930 .......... A Amputation follow- 10.25 NA NA 10.57 10.14 0.99 NA NA 21.81 21.38 090
up surgery.
24931 .......... A Amputate upper arm 12.72 NA NA 8.32 9.27 1.29 NA NA 22.33 23.28 090
& implant.
24935 .......... A Revision of 15.56 NA NA 11.27 12.17 1.58 NA NA 28.41 29.31 090
amputation.
24940 .......... C Revision of upper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
arm.
24999 .......... C Upper arm/elbow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
25000 .......... A Incision of tendon 3.38 NA NA 6.31 5.74 0.35 NA NA 10.04 9.47 090
sheath.
25020 .......... A Decompression of 5.92 NA NA 9.90 8.61 0.66 NA NA 16.48 15.19 090
forearm.
25023 .......... A Decompression of 12.96 NA NA 15.26 12.92 1.34 NA NA 29.56 27.22 090
forearm.
25028 .......... A Drainage of forearm 5.25 NA NA 9.03 7.33 0.53 NA NA 14.81 13.11 090
lesion.
25031 .......... A Drainage of forearm 4.14 NA NA 8.88 6.84 0.36 NA NA 13.38 11.34 090
bursa.
25035 .......... A Treat forearm bone 7.36 NA NA 14.13 12.31 0.74 NA NA 22.23 20.41 090
lesion.
25040 .......... A Explore/treat wrist 7.18 NA NA 8.10 7.62 0.74 NA NA 16.02 15.54 090
joint.
25065 .......... A Biopsy forearm soft 1.99 2.38 1.99 2.38 1.99 0.10 4.47 4.08 4.47 4.08 010
tissues.
25066 .......... A Biopsy forearm soft 4.13 NA NA 7.02 5.68 0.42 NA NA 11.57 10.23 090
tissues.
25075 .......... A Removal of forearm 3.74 NA NA 6.64 5.58 0.36 NA NA 10.74 9.68 090
lesion.
25076 .......... A Removal of forearm 4.92 NA NA 11.14 9.38 0.51 NA NA 16.57 14.81 090
lesion.
25077 .......... A Remove tumor, 9.76 NA NA 13.92 12.74 0.97 NA NA 24.65 23.47 090
forearm/wrist.
25085 .......... A Incision of wrist 5.50 NA NA 9.05 8.04 0.57 NA NA 15.12 14.11 090
capsule.
25100 .......... A Biopsy of wrist 3.90 NA NA 6.23 5.84 0.41 NA NA 10.54 10.15 090
joint.
25101 .......... A Explore/treat wrist 4.69 NA NA 6.87 6.55 0.49 NA NA 12.05 11.73 090
joint.
25105 .......... A Remove wrist joint 5.85 NA NA 9.39 8.79 0.60 NA NA 15.84 15.24 090
lining.
25107 .......... A Remove wrist joint 6.43 NA NA 9.68 8.69 0.67 NA NA 16.78 15.79 090
cartilage.
25110 .......... A Remove wrist tendon 3.92 NA NA 7.29 6.23 0.39 NA NA 11.60 10.54 090
lesion.
25111 .......... A Remove wrist tendon 3.39 NA NA 5.61 5.08 0.34 NA NA 9.34 8.81 090
lesion.
25112 .......... A Reremove wrist 4.53 NA NA 6.48 5.87 0.47 NA NA 11.48 10.87 090
tendon lesion.
25115 .......... A Remove wrist/ 8.82 NA NA 14.82 13.05 0.92 NA NA 24.56 22.79 090
forearm lesion.
25116 .......... A Remove wrist/ 7.11 NA NA 13.57 12.30 0.74 NA NA 21.42 20.15 090
forearm lesion.
25118 .......... A Excise wrist tendon 4.37 NA NA 6.82 6.42 0.46 NA NA 11.65 11.25 090
sheath.
25119 .......... A Partial removal of 6.04 NA NA 9.52 8.94 0.62 NA NA 16.18 15.60 090
ulna.
25120 .......... A Removal of forearm 6.10 NA NA 13.04 11.55 0.64 NA NA 19.78 18.29 090
lesion.
25125 .......... A Remove/graft 7.48 NA NA 13.71 12.14 0.77 NA NA 21.96 20.39 090
forearm lesion.
25126 .......... A Remove/graft 7.55 NA NA 12.31 11.08 0.77 NA NA 20.63 19.40 090
forearm lesion.
25130 .......... A Removal of wrist 5.26 NA NA 7.11 6.48 0.54 NA NA 12.91 12.28 090
lesion.
25135 .......... A Remove & graft 6.89 NA NA 7.85 7.37 0.73 NA NA 15.47 14.99 090
wrist lesion.
25136 .......... A Remove & graft 5.97 NA NA 6.73 6.33 0.62 NA NA 13.32 12.92 090
wrist lesion.
25145 .......... A Remove forearm bone 6.37 NA NA 13.10 11.44 0.66 NA NA 20.13 18.47 090
lesion.
25150 .......... A Partial removal of 7.09 NA NA 10.39 9.60 0.72 NA NA 18.20 17.41 090
ulna.
25151 .......... A Partial removal of 7.39 NA NA 13.68 11.82 0.77 NA NA 21.84 19.98 090
radius.
25170 .......... A Extensive forearm 11.09 NA NA 15.34 14.16 1.16 NA NA 27.59 26.41 090
surgery.
25210 .......... A Removal of wrist 5.95 NA NA 7.52 6.97 0.62 NA NA 14.09 13.54 090
bone.
25215 .......... A Removal of wrist 7.89 NA NA 10.54 10.26 0.81 NA NA 19.24 18.96 090
bones.
25230 .......... A Partial removal of 5.23 NA NA 6.97 6.74 0.53 NA NA 12.73 12.50 090
radius.
25240 .......... A Partial removal of 5.17 NA NA 9.08 8.25 0.53 NA NA 14.78 13.95 090
ulna.
25246 .......... A Injection for wrist 1.45 9.41 7.19 0.51 0.52 0.06 10.92 8.70 2.02 2.03 000
x-ray.
25248 .......... A Remove forearm 5.14 NA NA 9.35 7.61 0.51 NA NA 15.00 13.26 090
foreign body.
[[Page 44222]]
25250 .......... A Removal of wrist 6.60 NA NA 7.76 7.35 0.68 NA NA 15.04 14.63 090
prosthesis.
25251 .......... A Removal of wrist 9.57 NA NA 11.62 10.95 0.98 NA NA 22.17 21.50 090
prosthesis.
25260 .......... A Repair forearm 7.80 NA NA 14.75 12.31 0.81 NA NA 23.36 20.92 090
tendon/muscle.
25263 .......... A Repair forearm 7.82 NA NA 15.68 13.33 0.81 NA NA 24.31 21.96 090
tendon/muscle.
25265 .......... A Repair forearm 9.88 NA NA 15.12 13.49 1.02 NA NA 26.02 24.39 090
tendon/muscle.
25270 .......... A Repair forearm 0.06 NA NA 13.71 11.20 0.62 NA NA 14.39 11.88 090
tendon/muscle.
25272 .......... A Repair forearm 7.04 NA NA 14.21 11.59 0.74 NA NA 21.99 19.37 090
tendon/muscle.
25274 .......... A Repair forearm 8.75 NA NA 14.57 12.72 0.91 NA NA 24.23 22.38 090
tendon/muscle.
25280 .......... A Revise wrist/ 7.22 NA NA 13.53 11.29 0.74 NA NA 21.49 19.25 090
forearm tendon.
25290 .......... A Incise wrist/ 5.29 NA NA 15.56 12.34 0.55 NA NA 21.40 18.18 090
forearm tendon.
25295 .......... A Release wrist/ 6.55 NA NA 13.48 10.94 0.68 NA NA 20.71 18.17 090
forearm tendon.
25300 .......... A Fusion of tendons 8.80 NA NA 8.84 8.63 0.87 NA NA 18.51 18.30 090
at wrist.
25301 .......... A Fusion of tendons 8.40 NA NA 8.59 8.28 0.83 NA NA 17.82 17.51 090
at wrist.
25310 .......... A Transplant forearm 8.14 NA NA 13.96 12.41 0.84 NA NA 22.94 21.39 090
tendon.
25312 .......... A Transplant forearm 9.57 NA NA 14.54 12.98 0.98 NA NA 25.09 23.53 090
tendon.
25315 .......... A Revise palsy hand 10.20 NA NA 15.39 13.73 1.10 NA NA 26.69 25.03 090
tendon(s).
25316 .......... A Revise palsy hand 12.33 NA NA 17.72 16.16 1.23 NA NA 31.28 29.72 090
tendon(s).
25320 .......... A Repair/revise wrist 10.77 NA NA 10.08 9.89 1.11 NA NA 21.96 21.77 090
joint.
25332 .......... A Revise wrist joint. 11.41 NA NA 10.55 10.62 1.16 NA NA 23.12 23.19 090
25335 .......... A Realignment of hand 12.88 NA NA 12.61 12.55 1.36 NA NA 26.85 26.79 090
25337 .......... A Reconstruct ulna/ 10.17 NA NA 11.84 11.21 1.06 NA NA 23.07 22.44 090
radioulnar.
25350 .......... A Revision of radius. 8.78 NA NA 14.38 12.85 0.91 NA NA 24.07 22.54 090
25355 .......... A Revision of radius. 10.17 NA NA 14.58 13.41 1.05 NA NA 25.80 24.63 090
25360 .......... A Revision of ulna... 8.43 NA NA 14.20 12.39 0.90 NA NA 23.53 21.72 090
25365 .......... A Revise radius & 12.40 NA NA 15.38 14.33 1.20 NA NA 28.98 27.93 090
ulna.
25370 .......... A Revise radius or 13.36 NA NA 13.22 13.11 1.30 NA NA 27.88 27.77 090
ulna.
25375 .......... A Revise radius & 13.04 NA NA 15.79 15.47 1.27 NA NA 30.10 29.78 090
ulna.
25390 .......... A Shorten radius or 10.40 NA NA 15.26 13.84 1.07 NA NA 26.73 25.31 090
ulna.
25391 .......... A Lengthen radius or 13.65 NA NA 17.57 16.23 1.42 NA NA 32.64 31.30 090
ulna.
25392 .......... A Shorten radius & 13.95 NA NA 15.11 14.71 1.46 NA NA 30.52 30.12 090
ulna.
25393 .......... A Lengthen radius & 15.87 NA NA 17.48 16.97 1.62 NA NA 34.97 34.46 090
ulna.
25400 .......... A Repair radius or 10.92 NA NA 15.57 14.60 1.13 NA NA 27.62 26.65 090
ulna.
25405 .......... A Repair/graft radius 14.38 NA NA 17.81 16.73 1.48 NA NA 33.67 32.59 090
or ulna.
25415 .......... A Repair radius & 13.35 NA NA 16.86 15.74 1.39 NA NA 31.60 30.48 090
ulna.
25420 .......... A Repair/graft radius 16.33 NA NA 18.39 17.78 1.69 NA NA 36.41 35.80 090
& ulna.
25425 .......... A Repair/graft radius 13.21 NA NA 23.60 20.96 1.33 NA NA 38.14 35.50 090
or ulna.
25426 .......... A Repair/graft radius 15.82 NA NA 18.25 16.87 1.33 NA NA 35.40 34.02 090
& ulna.
25440 .......... A Repair/graft wrist 10.44 NA NA 9.94 9.91 1.09 NA NA 21.47 21.44 090
bone.
25441 .......... A Reconstruct wrist 12.90 NA NA 11.18 11.47 1.35 NA NA 25.43 25.72 090
joint.
25442 .......... A Reconstruct wrist 10.85 NA NA 10.12 9.51 1.13 NA NA 22.10 21.49 090
joint.
25443 .......... A Reconstruct wrist 10.39 NA NA 11.43 11.12 1.09 NA NA 22.91 22.60 090
joint.
25444 .......... A Reconstruct wrist 11.15 NA NA 11.68 11.51 1.16 NA NA 23.99 23.82 090
joint.
25445 .......... A Reconstruct wrist 9.69 NA NA 11.68 11.57 0.01 NA NA 21.38 21.27 090
joint.
25446 .......... A Wrist replacement.. 16.55 NA NA 13.37 14.97 1.70 NA NA 31.62 33.22 090
25447 .......... A Repair wrist 10.37 NA NA 9.93 10.07 1.07 NA NA 21.37 21.51 090
joint(s).
25449 .......... A Remove wrist joint 14.49 NA NA 14.15 12.74 1.50 NA NA 30.14 28.73 090
implant.
25450 .......... A Revision of wrist 7.87 NA NA 12.13 11.08 0.65 NA NA 20.65 19.60 090
joint.
25455 .......... A Revision of wrist 9.49 NA NA 10.71 10.40 0.72 NA NA 20.92 20.61 090
joint.
25490 .......... A Reinforce radius... 9.54 NA NA 13.69 12.63 0.99 NA NA 24.22 23.16 090
25491 .......... A Reinforce ulna..... 9.96 NA NA 14.89 13.64 1.04 NA NA 25.89 24.64 090
25492 .......... A Reinforce radius 12.33 NA NA 13.65 13.28 1.29 NA NA 27.27 26.90 090
and ulna.
25500 .......... A Treat fracture of 2.45 3.72 3.42 2.31 2.37 0.23 6.40 6.10 4.99 5.05 090
radius.
25505 .......... A Treat fracture of 5.21 6.95 6.18 5.06 4.76 0.53 12.69 11.92 10.80 10.50 090
radius.
25515 .......... A Treat fracture of 9.18 NA NA 8.77 8.65 0.86 NA NA 18.81 18.69 090
radius.
25520 .......... A Treat fracture of 6.26 7.20 6.96 5.77 5.89 0.64 14.10 13.86 12.67 12.79 090
radius.
25525 .......... A Treat fracture of 12.24 NA NA 10.45 10.86 1.28 NA NA 23.97 24.38 090
radius.
25526 .......... A Treat fracture of 12.98 NA NA 13.57 13.39 1.34 NA NA 27.89 27.71 090
radius.
25530 .......... A Treat fracture of 2.09 3.73 3.46 2.38 2.45 0.21 6.03 5.76 4.68 4.75 090
ulna.
25535 .......... A Treat fracture of 5.14 6.75 6.03 5.19 4.86 0.51 12.40 11.68 10.84 10.51 090
ulna.
25545 .......... A Treat fracture of 8.90 NA NA 8.68 8.57 0.92 NA NA 18.50 18.39 090
ulna.
25560 .......... A Treat fracture 2.44 3.76 3.44 2.24 2.30 0.23 6.43 6.11 4.91 4.97 090
radius & ulna.
25565 .......... A Treat fracture 5.63 7.23 6.69 5.24 5.20 0.57 13.43 12.89 11.44 11.40 090
radius & ulna.
25574 .......... A Treat fracture 7.01 NA NA 7.62 7.81 0.73 NA NA 15.36 15.55 090
radius & ulna.
25575 .......... A Treat fracture 10.45 NA NA 9.50 10.03 1.08 NA NA 21.03 21.56 090
radius/ulna.
25600 .......... A Treat fracture 2.63 4.06 3.82 2.50 2.65 0.27 6.96 6.72 5.40 5.55 090
radius/ulna.
25605 .......... A Treat fracture 5.81 7.43 6.65 5.58 5.26 0.60 13.84 13.06 11.99 11.67 090
radius/ulna.
25611 .......... A Treat fracture 7.77 NA NA 8.73 8.18 0.80 NA NA 17.30 16.75 090
radius/ulna.
25620 .......... A Treat fracture 8.55 NA NA 8.32 8.18 0.88 NA NA 17.75 17.61 090
radius/ulna.
25622 .......... A Treat wrist bone 2.61 4.01 3.63 2.44 2.45 0.27 6.89 6.51 5.32 5.33 090
fracture.
25624 .......... A Treat wrist bone 4.53 6.71 6.03 4.70 4.52 0.47 11.71 11.03 9.70 9.52 090
fracture.
25628 .......... A Treat wrist bone 8.43 NA NA 8.42 8.25 0.89 NA NA 17.74 17.57 090
fracture.
25630 .......... A Treat wrist bone 2.88 4.17 3.72 2.44 2.43 0.29 7.34 6.89 5.61 5.60 090
fracture.
25635 .......... A Treat wrist bone 4.39 6.59 5.86 4.42 4.23 0.45 11.43 10.70 9.26 9.07 090
fracture.
25645 .......... A Treat wrist bone 7.25 NA NA 7.67 7.57 0.75 NA NA 15.67 15.57 090
fracture.
25650 .......... A Treat wrist bone 3.05 4.16 3.84 2.59 2.67 0.31 7.52 7.20 5.95 6.03 090
fracture.
25660 .......... A Treat wrist 4.76 NA NA 4.48 3.86 0.48 NA NA 9.72 9.10 090
dislocation.
25670 .......... A Treat wrist 7.92 NA NA 8.33 8.17 0.82 NA NA 17.07 16.91 090
dislocation.
25675 .......... A Treat wrist 4.67 6.25 5.31 4.56 4.04 0.47 11.39 10.45 9.70 9.18 090
dislocation.
25676 .......... A Treat wrist 8.04 NA NA 8.36 8.26 0.81 NA NA 17.21 17.11 090
dislocation.
25680 .......... A Treat wrist 5.99 NA NA 5.67 4.92 0.53 NA NA 12.19 11.44 090
fracture.
25685 .......... A Treat wrist 9.78 NA NA 9.16 9.26 0.98 NA NA 19.92 20.02 090
fracture.
25690 .......... A Treat wrist 5.50 NA NA 6.22 5.99 0.56 NA NA 12.28 12.05 090
dislocation.
[[Page 44223]]
25695 .......... A Treat wrist 8.34 NA NA 8.42 8.23 0.87 NA NA 17.63 17.44 090
dislocation.
25800 .......... A Fusion of wrist 9.76 NA NA 9.55 10.08 0.01 NA NA 19.32 19.85 090
joint.
25805 .......... A Fusion/graft of 11.28 NA NA 10.41 11.18 1.17 NA NA 22.86 23.63 090
wrist joint.
25810 .......... A Fusion/graft of 10.57 NA NA 9.98 10.64 1.08 NA NA 21.63 22.29 090
wrist joint.
25820 .......... A Fusion of hand 7.45 NA NA 8.42 8.54 0.74 NA NA 16.61 16.73 090
bones.
25825 .......... A Fuse hand bones 9.27 NA NA 9.25 9.71 0.95 NA NA 19.47 19.93 090
with graft.
25830 .......... A Fusion, radioulnar 10.06 NA NA 14.63 13.31 1.03 NA NA 25.72 24.40 090
jnt/ulna.
25900 .......... A Amputation of 9.01 NA NA 12.78 11.51 0.95 NA NA 22.74 21.47 090
forearm.
25905 .......... A Amputation of 9.12 NA NA 14.20 12.58 0.95 NA NA 24.27 22.65 090
forearm.
25907 .......... A Amputation follow- 7.80 NA NA 14.07 12.11 0.82 NA NA 22.69 20.73 090
up surgery.
25909 .......... A Amputation follow- 8.96 NA NA 13.79 11.85 0.96 NA NA 23.71 21.77 090
up surgery.
25915 .......... A Amputation of 17.08 NA NA 14.03 14.82 1.83 NA NA 32.94 33.73 090
forearm.
25920 .......... A Amputate hand at 8.68 NA NA 8.72 8.44 0.92 NA NA 18.32 18.04 090
wrist.
25922 .......... A Amputate hand at 7.42 NA NA 8.81 8.11 0.77 NA NA 17.00 16.30 090
wrist.
25924 .......... A Amputation follow- 8.46 NA NA 9.23 8.96 0.61 NA NA 18.30 18.03 090
up surgery.
25927 .......... A Amputation of hand. 8.80 NA NA 12.32 10.95 0.93 NA NA 22.05 20.68 090
25929 .......... A Amputation follow- 7.59 NA NA 7.83 7.16 0.76 NA NA 16.18 15.51 090
up surgery.
25931 .......... A Amputation follow- 7.81 NA NA 13.10 11.06 0.79 NA NA 21.70 19.66 090
up surgery.
25999 .......... C Forearm or wrist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26010 .......... A Drainage of finger 1.54 4.47 3.48 3.06 2.43 0.12 6.13 5.14 4.72 4.09 010
abscess.
26011 .......... A Drainage of finger 2.19 6.18 5.05 5.27 4.37 0.22 8.59 7.46 7.68 6.78 010
abscess.
26020 .......... A Drain hand tendon 4.67 NA NA 10.75 9.07 0.49 NA NA 15.91 14.23 090
sheath.
26025 .......... A Drainage of palm 4.82 NA NA 10.69 9.24 0.50 NA NA 16.01 14.56 090
bursa.
26030 .......... A Drainage of palm 5.93 NA NA 11.55 10.22 0.62 NA NA 18.10 16.77 090
bursa(s).
26034 .......... A Treat hand bone 6.23 NA NA 12.79 10.74 0.64 NA NA 19.66 17.61 090
lesion.
26035 .......... A Decompress fingers/ 9.51 NA NA 14.74 12.46 0.97 NA NA 25.22 22.94 090
hand.
26037 .......... A Decompress fingers/ 7.25 NA NA 11.30 10.20 0.75 NA NA 19.30 18.20 090
hand.
26040 .......... A Release palm 3.33 NA NA 10.46 8.62 0.34 NA NA 14.13 12.29 090
contracture.
26045 .......... A Release palm 5.56 NA NA 11.77 10.14 0.57 NA NA 17.90 16.27 090
contracture.
26055 .......... A Incise finger 2.69 6.79 5.98 6.46 5.74 0.28 9.76 8.95 9.43 8.71 090
tendon sheath.
26060 .......... A Incision of finger 2.81 NA NA 6.76 5.38 0.30 NA NA 9.87 8.49 090
tendon.
26070 .......... A Explore/treat hand 3.69 NA NA 9.24 7.68 0.32 NA NA 13.25 11.69 090
joint.
26075 .......... A Explore/treat 3.79 NA NA 10.07 8.58 0.35 NA NA 14.21 12.72 090
finger joint.
26080 .......... A Explore/treat 4.24 NA NA 10.91 9.04 0.43 NA NA 15.58 13.71 090
finger joint.
26100 .......... A Biopsy hand joint 3.67 NA NA 7.50 6.44 0.36 NA NA 11.53 10.47 090
lining.
26105 .......... A Biopsy finger joint 3.71 NA NA 10.99 9.38 0.38 NA NA 15.08 13.47 090
lining.
26110 .......... A Biopsy finger joint 3.53 NA NA 10.26 8.49 0.36 NA NA 14.15 12.38 090
lining.
26115 .......... A Removal of hand 3.86 6.64 5.53 6.64 5.53 0.39 10.89 9.78 10.89 9.78 090
lesion.
26116 .......... A Removal of hand 5.53 NA NA 11.69 9.78 0.57 NA NA 17.79 15.88 090
lesion.
26117 .......... A Remove tumor, hand/ 8.55 NA NA 13.40 11.43 0.88 NA NA 22.83 20.86 090
finger.
26121 .......... A Release palm 7.54 NA NA 13.48 12.36 0.78 NA NA 21.80 20.68 090
contracture.
26123 .......... A Release palm 9.29 NA NA 14.43 13.29 0.97 NA NA 24.69 23.55 090
contracture.
26125 .......... A Release palm 4.61 NA NA 2.51 2.59 0.49 NA NA 7.61 7.69 ZZZ
contracture.
26130 .......... A Remove wrist joint 5.42 NA NA 13.13 11.21 0.56 NA NA 19.11 17.19 090
lining.
26135 .......... A Revise finger 6.96 NA NA 14.52 12.21 0.73 NA NA 22.21 19.90 090
joint, each.
26140 .......... A Revise finger 6.17 NA NA 13.67 11.45 0.64 NA NA 20.48 18.26 090
joint, each.
26145 .......... A Tendon excision, 6.32 NA NA 13.99 11.77 0.66 NA NA 20.97 18.75 090
palm/finger.
26160 .......... A Remove tendon 3.15 6.63 5.60 6.63 5.60 0.32 10.10 9.07 10.10 9.07 090
sheath lesion.
26170 .......... A Removal of palm 4.77 NA NA 7.54 6.42 0.53 NA NA 12.84 11.72 090
tendon, each.
26180 .......... A Removal of finger 5.18 NA NA 7.99 7.08 0.55 NA NA 13.72 12.81 090
tendon.
26185 .......... A Remove finger bone. 5.25 NA NA 7.57 6.83 0.54 NA NA 13.36 12.62 090
26200 .......... A Remove hand bone 5.51 NA NA 11.89 10.13 0.56 NA NA 17.96 16.20 090
lesion.
26205 .......... A Remove/graft bone 7.70 NA NA 12.85 11.38 0.81 NA NA 21.36 19.89 090
lesion.
26210 .......... A Removal of finger 5.15 NA NA 12.13 10.16 0.53 NA NA 17.81 15.84 090
lesion.
26215 .......... A Remove/graft finger 7.10 NA NA 12.28 10.72 0.66 NA NA 20.04 18.48 090
lesion.
26230 .......... A Partial removal of 6.33 NA NA 11.46 9.75 0.66 NA NA 18.45 16.74 090
hand bone.
26235 .......... A Partial removal, 6.19 NA NA 10.63 9.11 0.65 NA NA 17.47 15.95 090
finger bone.
26236 .......... A Partial removal, 5.32 NA NA 10.62 9.01 0.55 NA NA 16.49 14.88 090
finger bone.
26250 .......... A Extensive hand 7.55 NA NA 15.21 13.04 0.75 NA NA 23.51 21.34 090
surgery.
26255 .......... A Extensive hand 12.43 NA NA 17.34 15.43 1.19 NA NA 30.96 29.05 090
surgery.
26260 .......... A Extensive finger 7.03 NA NA 13.81 11.91 0.72 NA NA 21.56 19.66 090
surgery.
26261 .......... A Extensive finger 9.09 NA NA 16.65 14.58 0.66 NA NA 26.40 24.33 090
surgery.
26262 .......... A Partial removal of 5.67 NA NA 12.62 10.75 0.59 NA NA 18.88 17.01 090
finger.
26320 .......... A Removal of implant 3.98 NA NA 11.03 9.23 0.41 NA NA 15.42 13.62 090
from hand.
26350 .......... A Repair finger/hand 5.99 NA NA 17.09 14.38 0.62 NA NA 23.70 20.99 090
tendon.
26352 .......... A Repair/graft hand 7.68 NA NA 18.11 15.37 0.80 NA NA 26.59 23.85 090
tendon.
26356 .......... A Repair finger/hand 8.07 NA NA 18.25 15.64 0.85 NA NA 27.17 24.56 090
tendon.
26357 .......... A Repair finger/hand 8.58 NA NA 18.19 15.43 0.89 NA NA 27.66 24.90 090
tendon.
26358 .......... A Repair/graft hand 9.14 NA NA 18.03 15.53 0.95 NA NA 28.12 25.62 090
tendon.
26370 .......... A Repair finger/hand 7.11 NA NA 17.56 14.99 0.74 NA NA 25.41 22.84 090
tendon.
26372 .......... A Repair/graft hand 8.76 NA NA 18.63 15.71 0.90 NA NA 28.29 25.37 090
tendon.
26373 .......... A Repair finger/hand 8.16 NA NA 17.00 14.61 0.84 NA NA 26.00 23.61 090
tendon.
26390 .......... A Revise hand/finger 9.19 NA NA 14.62 13.12 0.95 NA NA 24.76 23.26 090
tendon.
26392 .......... A Repair/graft hand 10.26 NA NA 19.52 16.98 1.07 NA NA 30.85 28.31 090
tendon.
26410 .......... A Repair hand tendon. 4.63 NA NA 13.51 11.03 0.48 NA NA 18.62 16.14 090
26412 .......... A Repair/graft hand 6.31 NA NA 15.08 12.94 0.66 NA NA 22.05 19.91 090
tendon.
26415 .......... A Excision, hand/ 8.34 NA NA 13.72 12.12 0.74 NA NA 22.80 21.20 090
finger tendon.
26416 .......... A Graft hand or 9.37 NA NA 16.12 14.44 0.96 NA NA 26.45 24.77 090
finger tendon.
26418 .......... A Repair finger 4.25 NA NA 13.70 11.25 0.44 NA NA 18.39 15.94 090
tendon.
26420 .......... A Repair/graft finger 6.77 NA NA 15.04 12.82 0.70 NA NA 22.51 20.29 090
tendon.
26426 .......... A Repair finger/hand 6.15 NA NA 14.32 12.45 0.64 NA NA 21.11 19.24 090
tendon.
26428 .......... A Repair/graft finger 7.21 NA NA 16.32 13.73 0.74 NA NA 24.27 21.68 090
tendon.
[[Page 44224]]
26432 .......... A Repair finger 4.02 NA NA 11.21 9.26 0.42 NA NA 15.65 13.70 090
tendon.
26433 .......... A Repair finger 4.56 NA NA 12.10 10.15 0.48 NA NA 17.14 15.19 090
tendon.
26434 .......... A Repair/graft finger 6.09 NA NA 12.26 10.54 0.61 NA NA 18.96 17.24 090
tendon.
26437 .......... A Realignment of 5.82 NA NA 12.08 10.16 0.61 NA NA 18.51 16.59 090
tendons.
26440 .......... A Release palm/finger 5.02 NA NA 15.82 12.83 0.53 NA NA 21.37 18.38 090
tendon.
26442 .......... A Release palm & 8.16 NA NA 17.40 13.97 0.85 NA NA 26.41 22.98 090
finger tendon.
26445 .......... A Release hand/finger 4.31 NA NA 15.64 12.61 0.45 NA NA 20.40 17.37 090
tendon.
26449 .......... A Release forearm/ 0.07 NA NA 16.13 13.61 0.74 NA NA 16.94 14.42 090
hand tendon.
26450 .......... A Incision of palm 3.67 NA NA 7.21 6.03 0.38 NA NA 11.26 10.08 090
tendon.
26455 .......... A Incision of finger 3.64 NA NA 7.16 5.88 0.38 NA NA 11.18 9.90 090
tendon.
26460 .......... A Incise hand/finger 3.46 NA NA 6.78 5.55 0.36 NA NA 10.60 9.37 090
tendon.
26471 .......... A Fusion of finger 5.73 NA NA 11.56 9.80 0.59 NA NA 17.88 16.12 090
tendons.
26474 .......... A Fusion of finger 5.32 NA NA 12.03 10.27 0.55 NA NA 17.90 16.14 090
tendons.
26476 .......... A Tendon lengthening. 5.18 NA NA 11.86 9.68 0.52 NA NA 17.56 15.38 090
26477 .......... A Tendon shortening.. 5.15 NA NA 11.88 9.99 0.53 NA NA 17.56 15.67 090
26478 .......... A Lengthening of hand 5.80 NA NA 12.34 10.42 0.60 NA NA 18.74 16.82 090
tendon.
26479 .......... A Shortening of hand 5.74 NA NA 12.60 10.89 0.60 NA NA 18.94 17.23 090
tendon.
26480 .......... A Transplant hand 6.69 NA NA 16.32 14.01 0.70 NA NA 23.71 21.40 090
tendon.
26483 .......... A Transplant/graft 8.29 NA NA 17.42 15.37 0.86 NA NA 26.57 24.52 090
hand tendon.
26485 .......... A Transplant palm 7.70 NA NA 17.18 14.65 0.79 NA NA 25.67 23.14 090
tendon.
26489 .......... A Transplant/graft 9.55 NA NA 13.84 11.30 0.86 NA NA 24.25 21.71 090
palm tendon.
26490 .......... A Revise thumb tendon 8.41 NA NA 13.39 12.16 0.88 NA NA 22.68 21.45 090
26492 .......... A Tendon transfer 9.62 NA NA 13.93 12.82 0.95 NA NA 24.50 23.39 090
with graft.
26494 .......... A Hand tendon/muscle 8.47 NA NA 14.18 12.61 0.90 NA NA 23.55 21.98 090
transfer.
26496 .......... A Revise thumb tendon 9.59 NA NA 13.44 12.45 0.01 NA NA 23.04 22.05 090
26497 .......... A Finger tendon 9.57 NA NA 13.77 12.50 0.96 NA NA 24.30 23.03 090
transfer.
26498 .......... A Finger tendon 0.14 NA NA 16.18 15.33 1.45 NA NA 17.77 16.92 090
transfer.
26499 .......... A Revision of finger. 8.98 NA NA 15.42 13.67 0.81 NA NA 25.21 23.46 090
26500 .......... A Hand tendon 5.96 NA NA 12.82 10.56 0.62 NA NA 19.40 17.14 090
reconstruction.
26502 .......... A Hand tendon 7.14 NA NA 12.04 10.46 0.71 NA NA 19.89 18.31 090
reconstruction.
26504 .......... A Hand tendon 7.47 NA NA 11.60 10.52 0.74 NA NA 19.81 18.73 090
reconstruction.
26508 .......... A Release thumb 6.01 NA NA 12.28 10.34 0.62 NA NA 18.91 16.97 090
contracture.
26510 .......... A Thumb tendon 5.43 NA NA 11.54 9.78 0.56 NA NA 17.53 15.77 090
transfer.
26516 .......... A Fusion of knuckle 7.15 NA NA 12.67 10.63 0.74 NA NA 20.56 18.52 090
joint.
26517 .......... A Fusion of knuckle 8.83 NA NA 14.66 12.91 0.90 NA NA 24.39 22.64 090
joints.
26518 .......... A Fusion of knuckle 9.02 NA NA 14.10 12.34 0.94 NA NA 24.06 22.30 090
joints.
26520 .......... A Release knuckle 5.30 NA NA 15.82 13.08 0.55 NA NA 21.67 18.93 090
contracture.
26525 .......... A Release finger 5.33 NA NA 15.99 12.98 0.55 NA NA 21.87 18.86 090
contracture.
26530 .......... A Revise knuckle 6.69 NA NA 16.00 13.40 0.68 NA NA 23.37 20.77 090
joint.
26531 .......... A Revise knuckle with 7.91 NA NA 16.42 14.12 0.82 NA NA 25.15 22.85 090
implant.
26535 .......... A Revise finger joint 5.24 NA NA 8.96 8.03 0.39 NA NA 14.59 13.66 090
26536 .......... A Revise/implant 6.37 NA NA 14.44 12.73 0.64 NA NA 21.45 19.74 090
finger joint.
26540 .......... A Repair hand joint.. 6.43 NA NA 12.69 11.32 0.67 NA NA 19.79 18.42 090
26541 .......... A Repair hand joint 8.62 NA NA 13.84 12.81 0.88 NA NA 23.34 22.31 090
with graft.
26542 .......... A Repair hand joint 6.78 NA NA 12.19 10.68 0.71 NA NA 19.68 18.17 090
with graft.
26545 .......... A Reconstruct finger 6.92 NA NA 13.16 11.30 0.73 NA NA 20.81 18.95 090
joint.
26546 .......... A Repair nonunion 8.92 NA NA 13.85 12.59 0.93 NA NA 23.70 22.44 090
hand.
26548 .......... A Reconstruct finger 8.03 NA NA 14.07 12.12 0.84 NA NA 22.94 20.99 090
joint.
26550 .......... A Construct thumb 21.24 NA NA 16.51 17.76 2.24 NA NA 39.99 41.24 090
replacement.
26551 .......... A Great toe-hand 46.58 NA NA 29.27 33.42 4.99 NA NA 80.84 84.99 090
transfer.
26553 .......... A Single transfer, 46.27 NA NA 27.76 32.21 4.95 NA NA 78.98 83.43 090
toe-hand.
26554 .......... A Double transfer, 54.95 NA NA 31.20 36.98 5.74 NA NA 91.89 97.67 090
toe-hand.
26555 .......... A Positional change 16.63 NA NA 18.52 18.07 1.73 NA NA 36.88 36.43 090
of finger.
26556 .......... A Toe joint transfer. 47.26 NA NA 31.42 35.14 5.06 NA NA 83.74 87.46 090
26560 .......... A Repair of web 5.38 NA NA 10.33 9.01 0.53 NA NA 16.24 14.92 090
finger.
26561 .......... A Repair of web 10.92 NA NA 16.52 14.80 1.13 NA NA 28.57 26.85 090
finger.
26562 .......... A Repair of web 9.68 NA NA 14.66 13.89 1.02 NA NA 25.36 24.59 090
finger.
26565 .......... A Correct metacarpal 6.74 NA NA 12.83 11.20 0.70 NA NA 20.27 18.64 090
flaw.
26567 .......... A Correct finger 6.82 NA NA 12.46 10.51 0.71 NA NA 19.99 18.04 090
deformity.
26568 .......... A Lengthen metacarpal/ 9.08 NA NA 18.19 15.94 0.91 NA NA 28.18 25.93 090
finger.
26580 .......... A Repair hand 18.18 NA NA 14.46 15.43 1.51 NA NA 34.15 35.12 090
deformity.
26585 .......... A Repair finger 14.05 NA NA 11.55 12.18 0.84 NA NA 26.44 27.07 090
deformity.
26587 .......... C Reconstruct extra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
finger.
26590 .......... A Repair finger 17.96 NA NA 16.48 16.87 1.79 NA NA 36.23 36.62 090
deformity.
26591 .......... A Repair muscles of 3.25 NA NA 11.27 9.08 0.34 NA NA 14.86 12.67 090
hand.
26593 .......... A Release muscles of 5.31 NA NA 11.47 9.72 0.55 NA NA 17.33 15.58 090
hand.
26596 .......... A Excision 8.95 NA NA 8.35 8.50 0.87 NA NA 18.17 18.32 090
constricting
tissue.
26597 .......... A Release of scar 9.82 NA NA 14.98 13.41 1.03 NA NA 25.83 24.26 090
contracture.
26600 .......... A Treat metacarpal 1.96 3.68 3.18 2.21 2.08 0.20 5.84 5.34 4.37 4.24 090
fracture.
26605 .......... A Treat metacarpal 2.85 5.36 4.64 3.79 3.47 0.30 8.51 7.79 6.94 6.62 090
fracture.
26607 .......... A Treat metacarpal 5.36 NA NA 7.43 6.54 0.55 NA NA 13.34 12.45 090
fracture.
26608 .......... A Treat metacarpal 5.36 NA NA 7.18 6.35 0.56 NA NA 13.10 12.27 090
fracture.
26615 .......... A Treat metacarpal 5.33 NA NA 7.02 6.59 0.55 NA NA 12.90 12.47 090
fracture.
26641 .......... A Treat thumb 3.94 5.64 4.53 3.69 3.07 0.37 9.95 8.84 8.00 7.38 090
dislocation.
26645 .......... A Treat thumb 4.41 6.57 5.53 4.65 4.09 0.42 11.40 10.36 9.48 8.92 090
fracture.
26650 .......... A Treat thumb 5.72 NA NA 7.55 6.75 0.59 NA NA 13.86 13.06 090
fracture.
26665 .......... A Treat thumb 7.60 NA NA 8.22 7.90 0.78 NA NA 16.60 16.28 090
fracture.
26670 .......... A Treat hand 3.69 5.54 4.42 3.48 2.87 0.35 9.58 8.46 7.52 6.91 090
dislocation.
26675 .......... A Treat hand 4.64 5.97 5.66 3.59 3.87 0.47 11.08 10.77 8.70 8.98 090
dislocation.
26676 .......... A Pin hand 5.52 NA NA 7.52 6.96 0.57 NA NA 13.61 13.05 090
dislocation.
26685 .......... A Treat hand 6.98 NA NA 7.78 7.40 0.72 NA NA 15.48 15.10 090
dislocation.
26686 .......... A Treat hand 7.94 NA NA 8.12 7.80 0.81 NA NA 16.87 16.55 090
dislocation.
[[Page 44225]]
26700 .......... A Treat knuckle 3.69 4.18 3.38 2.20 1.89 0.35 8.22 7.42 6.24 5.93 090
dislocation.
26705 .......... A Treat knuckle 4.19 5.45 4.57 3.80 3.33 0.41 10.05 9.17 8.40 7.93 090
dislocation.
26706 .......... A Pin knuckle 5.12 NA NA 5.20 5.17 0.53 NA NA 10.85 10.82 090
dislocation.
26715 .......... A Treat knuckle 5.74 NA NA 7.09 6.44 0.60 NA NA 13.43 12.78 090
dislocation.
26720 .......... A Treat finger 1.66 2.57 2.23 1.30 1.27 0.16 4.39 4.05 3.12 3.09 090
fracture, each.
26725 .......... A Treat finger 3.33 4.49 3.79 2.76 2.49 0.34 8.16 7.46 6.43 6.16 090
fracture, each.
26727 .......... A Treat finger 5.23 NA NA 7.52 6.31 0.54 NA NA 13.29 12.08 090
fracture, each.
26735 .......... A Treat finger 5.98 NA NA 7.45 6.60 0.61 NA NA 14.04 13.19 090
fracture, each.
26740 .......... A Treat finger 1.94 3.17 2.69 2.13 1.91 0.19 5.30 4.82 4.26 4.04 090
fracture, each.
26742 .......... A Treat finger 3.85 6.32 5.28 4.54 3.94 0.39 10.56 9.52 8.78 8.18 090
fracture, each.
26746 .......... A Treat finger 5.81 NA NA 7.49 6.91 0.61 NA NA 13.91 13.33 090
fracture, each.
26750 .......... A Treat finger 1.70 2.98 2.46 1.73 1.52 0.16 4.84 4.32 3.59 3.38 090
fracture, each.
26755 .......... A Treat finger 3.10 4.25 3.48 2.50 2.17 0.31 7.66 6.89 5.91 5.58 090
fracture, each.
26756 .......... A Pin finger 4.39 NA NA 7.24 5.95 0.46 NA NA 12.09 10.80 090
fracture, each.
26765 .......... A Treat finger 4.17 NA NA 6.45 5.56 0.43 NA NA 11.05 10.16 090
fracture, each.
26770 .......... A Treat finger 3.02 4.07 3.26 1.96 1.68 0.29 7.38 6.57 5.27 4.99 090
dislocation.
26775 .......... A Treat finger 3.71 5.31 4.29 3.22 2.72 0.37 9.39 8.37 7.30 6.80 090
dislocation.
26776 .......... A Pin finger 4.80 NA NA 7.35 6.08 0.51 NA NA 12.66 11.39 090
dislocation.
26785 .......... A Treat finger 4.21 NA NA 6.37 5.58 0.44 NA NA 11.02 10.23 090
dislocation.
26820 .......... A Thumb fusion with 8.26 NA NA 13.49 11.92 0.86 NA NA 22.61 21.04 090
graft.
26841 .......... A Fusion of thumb.... 7.13 NA NA 12.94 11.38 0.74 NA NA 20.81 19.25 090
26842 .......... A Thumb fusion with 8.24 NA NA 13.80 12.68 0.85 NA NA 22.89 21.77 090
graft.
26843 .......... A Fusion of hand 7.61 NA NA 12.96 11.45 0.76 NA NA 21.33 19.82 090
joint.
26844 .......... A Fusion/graft of 8.73 NA NA 13.60 12.20 0.88 NA NA 23.21 21.81 090
hand joint.
26850 .......... A Fusion of knuckle.. 6.97 NA NA 12.42 10.57 0.73 NA NA 20.12 18.27 090
26852 .......... A Fusion of knuckle 8.46 NA NA 13.34 11.56 0.88 NA NA 22.68 20.90 090
with graft.
26860 .......... A Fusion of finger 4.69 NA NA 11.32 9.66 0.49 NA NA 16.50 14.84 090
joint.
26861 .......... A Fusion of finger 1.74 NA NA 0.95 1.23 0.18 NA NA 2.87 3.15 ZZZ
jnt, add-on.
26862 .......... A Fusion/graft of 7.37 NA NA 12.64 10.88 0.76 NA NA 20.77 19.01 090
finger joint.
26863 .......... A Fuse/graft added 3.90 NA NA 2.14 2.52 0.40 NA NA 6.44 6.82 ZZZ
joint.
26910 .......... A Amputate metacarpal 7.60 NA NA 12.61 10.86 0.79 NA NA 21.00 19.25 090
bone.
26951 .......... A Amputation of 4.59 NA NA 11.14 9.13 0.48 NA NA 16.21 14.20 090
finger/thumb.
26952 .......... A Amputation of 6.31 NA NA 12.54 10.49 0.66 NA NA 19.51 17.46 090
finger/thumb.
26989 .......... C Hand/finger surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
26990 .......... A Drainage of pelvis 7.48 NA NA 13.74 11.15 0.73 NA NA 21.95 19.36 090
lesion.
26991 .......... A Drainage of pelvis 6.68 10.94 8.70 8.25 6.68 0.65 18.27 16.03 15.58 14.01 090
bursa.
26992 .......... A Drainage of bone 13.02 NA NA 17.03 14.50 1.36 NA NA 31.41 28.88 090
lesion.
27000 .......... A Incision of hip 5.62 NA NA 6.50 5.38 0.58 NA NA 12.70 11.58 090
tendon.
27001 .......... A Incision of hip 6.94 NA NA 7.23 6.06 0.71 NA NA 14.88 13.71 090
tendon.
27003 .......... A Incision of hip 7.34 NA NA 7.97 7.82 0.76 NA NA 16.07 15.92 090
tendon.
27005 .......... A Incision of hip 9.66 NA NA 9.26 7.86 0.98 NA NA 19.90 18.50 090
tendon.
27006 .......... A Incision of hip 9.68 NA NA 9.31 8.24 1.01 NA NA 20.00 18.93 090
tendons.
27025 .......... A Incision of hip/ 11.16 NA NA 9.68 8.92 1.17 NA NA 22.01 21.25 090
thigh fascia.
27030 .......... A Drainage of hip 13.01 NA NA 11.13 11.45 1.34 NA NA 25.48 25.80 090
joint.
27033 .......... A Exploration of hip 13.39 NA NA 11.29 11.59 1.37 NA NA 26.05 26.35 090
joint.
27035 .......... A Denervation of hip 16.69 NA NA 15.61 14.93 1.69 NA NA 33.99 33.31 090
joint.
27036 .......... A Excision of hip 12.88 NA NA 12.40 12.41 1.33 NA NA 26.61 26.62 090
joint/muscle.
27040 .......... A Biopsy of soft 2.87 5.04 3.98 3.62 2.91 0.17 8.08 7.02 6.66 5.95 010
tissues.
27041 .......... A Biopsy of soft 9.89 NA NA 7.86 6.62 0.84 NA NA 18.59 17.35 090
tissues.
27047 .......... A Remove hip/pelvis 7.45 8.29 6.73 6.51 5.40 0.74 16.48 14.92 14.70 13.59 090
lesion.
27048 .......... A Remove hip/pelvis 6.25 NA NA 7.01 6.43 0.63 NA NA 13.89 13.31 090
lesion.
27049 .......... A Remove tumor, hip/ 13.66 NA NA 11.99 11.74 1.33 NA NA 26.98 26.73 090
pelvis.
27050 .......... A Biopsy of 4.36 NA NA 5.89 5.72 0.44 NA NA 10.69 10.52 090
sacroiliac joint.
27052 .......... A Biopsy of hip joint 6.23 NA NA 7.20 7.26 0.64 NA NA 14.07 14.13 090
27054 .......... A Removal of hip 8.54 NA NA 9.20 9.45 0.87 NA NA 18.61 18.86 090
joint lining.
27060 .......... A Removal of ischial 5.43 NA NA 6.58 6.00 0.55 NA NA 12.56 11.98 090
bursa.
27062 .......... A Remove femur lesion/ 5.37 NA NA 6.38 5.93 0.55 NA NA 12.30 11.85 090
bursa.
27065 .......... A Removal of hip bone 5.90 NA NA 7.63 7.24 0.60 NA NA 14.13 13.74 090
lesion.
27066 .......... A Removal of hip bone 10.33 NA NA 10.85 10.28 1.04 NA NA 22.22 21.65 090
lesion.
27067 .......... A Remove/graft hip 13.83 NA NA 12.50 12.53 1.42 NA NA 27.75 27.78 090
bone lesion.
27070 .......... A Partial removal of 10.72 NA NA 16.03 14.03 1.10 NA NA 27.85 25.85 090
hip bone.
27071 .......... A Partial removal of 11.46 NA NA 16.51 14.69 1.17 NA NA 29.14 27.32 090
hip bone.
27075 .......... A Extensive hip 17.23 NA NA 15.10 15.00 1.76 NA NA 34.09 33.99 090
surgery.
27076 .......... A Extensive hip 22.12 NA NA 18.00 17.94 2.24 NA NA 42.36 42.30 090
surgery.
27077 .......... A Extensive hip 23.13 NA NA 18.85 19.29 2.42 NA NA 44.40 44.84 090
surgery.
27078 .......... A Extensive hip 13.44 NA NA 13.15 12.36 1.39 NA NA 27.98 27.19 090
surgery.
27079 .......... A Extensive hip 13.75 NA NA 14.37 13.12 1.40 NA NA 29.52 28.27 090
surgery.
27080 .......... A Removal of tail 6.39 NA NA 6.58 6.23 0.67 NA NA 13.64 13.29 090
bone.
27086 .......... A Remove hip foreign 1.87 4.35 3.42 3.24 2.59 0.15 6.37 5.44 5.26 4.61 010
body.
27087 .......... A Remove hip foreign 8.54 NA NA 7.93 6.93 0.85 NA NA 17.32 16.32 090
body.
27090 .......... A Removal of hip 11.15 NA NA 10.02 9.98 1.15 NA NA 22.32 22.28 090
prosthesis.
27091 .......... A Removal of hip 22.14 NA NA 15.90 17.30 2.17 NA NA 40.21 41.61 090
prosthesis.
27093 .......... A Injection for hip x- 1.30 10.78 8.31 0.50 0.60 0.08 12.16 9.69 1.88 1.98 000
ray.
27095 .......... A Injection for hip x- 1.50 11.04 8.53 0.54 0.66 0.09 12.63 10.12 2.13 2.25 000
ray.
27096 .......... A Inject sacroiliac 1.10 10.67 10.67 0.42 0.42 0.09 11.86 11.86 1.61 1.61 000
joint.
27097 .......... A Revision of hip 8.80 NA NA 8.56 8.51 0.92 NA NA 18.28 18.23 090
tendon.
27098 .......... A Transfer tendon to 8.83 NA NA 8.53 8.49 0.92 NA NA 18.28 18.24 090
pelvis.
27100 .......... A Transfer of 11.08 NA NA 10.94 10.29 1.10 NA NA 23.12 22.47 090
abdominal muscle.
27105 .......... A Transfer of spinal 11.77 NA NA 10.83 9.72 1.23 NA NA 23.83 22.72 090
muscle.
27110 .......... A Transfer of 13.26 NA NA 13.65 13.12 1.18 NA NA 28.09 27.56 090
iliopsoas muscle.
27111 .......... A Transfer of 12.15 NA NA 10.73 11.20 1.27 NA NA 24.15 24.62 090
iliopsoas muscle.
27120 .......... A Reconstruction of 18.01 NA NA 13.71 15.19 1.84 NA NA 33.56 35.04 090
hip socket.
[[Page 44226]]
27122 .......... A Reconstruction of 14.98 NA NA 12.87 14.13 1.54 NA NA 29.39 30.65 090
hip socket.
27125 .......... A Partial hip 14.69 NA NA 12.35 13.65 1.50 NA NA 28.54 29.84 090
replacement.
27130 .......... A Total hip 20.12 NA NA 15.52 17.65 2.05 NA NA 37.69 39.82 090
replacement.
27132 .......... A Total hip 23.30 NA NA 17.33 19.95 2.38 NA NA 43.01 45.63 090
replacement.
27134 .......... A Revise hip joint 28.52 NA NA 19.92 23.45 2.92 NA NA 51.36 54.89 090
replacement.
27137 .......... A Revise hip joint 21.17 NA NA 16.19 18.46 2.17 NA NA 39.53 41.80 090
replacement.
27138 .......... A Revise hip joint 22.17 NA NA 16.66 19.07 2.28 NA NA 41.11 43.52 090
replacement.
27140 .......... A Transplant femur 12.24 NA NA 10.71 11.03 1.26 NA NA 24.21 24.53 090
ridge.
27146 .......... A Incision of hip 17.43 NA NA 14.75 14.02 1.80 NA NA 33.98 33.25 090
bone.
27147 .......... A Revision of hip 20.58 NA NA 15.95 16.57 2.08 NA NA 38.61 39.23 090
bone.
27151 .......... A Incision of hip 22.51 NA NA 10.14 12.41 2.36 NA NA 35.01 7.28 090
bones.
27156 .......... A Revision of hip 24.63 NA NA 17.71 18.25 2.57 NA NA 44.91 45.45 090
bones.
27158 .......... A Revision of pelvis. 19.74 NA NA 12.98 13.65 2.06 NA NA 34.78 35.45 090
27161 .......... A Incision of neck of 16.71 NA NA 12.76 13.45 1.71 NA NA 31.18 31.87 090
femur.
27165 .......... A Incision/fixation 17.91 NA NA 13.67 14.80 1.82 NA NA 33.40 34.53 090
of femur.
27170 .......... A Repair/graft femur 16.07 NA NA 12.71 13.99 1.65 NA NA 30.43 31.71 090
head/neck.
27175 .......... A Treat slipped 8.46 NA NA 6.54 5.23 0.89 NA NA 15.89 14.58 090
epiphysis.
27176 .......... A Treat slipped 12.05 NA NA 8.95 9.53 1.19 NA NA 22.19 22.77 090
epiphysis.
27177 .......... A Treat slipped 15.08 NA NA 10.55 11.28 1.57 NA NA 27.20 27.93 090
epiphysis.
27178 .......... A Treat slipped 11.99 NA NA 9.15 9.70 1.03 NA NA 22.17 22.72 090
epiphysis.
27179 .......... A Revise head/neck of 12.98 NA NA 9.77 10.35 1.35 NA NA 24.10 24.68 090
femur.
27181 .......... A Treat slipped 14.68 NA NA 8.52 9.96 1.37 NA NA 24.57 26.01 090
epiphysis.
27185 .......... A Revision of femur 9.18 NA NA 7.81 6.61 0.80 NA NA 17.79 16.59 090
epiphysis.
27187 .......... A Reinforce hip bones 13.54 NA NA 12.00 13.04 1.38 NA NA 26.92 27.96 090
27193 .......... A Treat pelvic ring 5.56 6.49 5.52 4.93 4.35 0.57 12.62 11.65 11.06 10.48 090
fracture.
27194 .......... A Treat pelvic ring 9.65 8.11 7.14 7.12 6.40 1.01 18.77 17.80 17.78 17.06 090
fracture.
27200 .......... A Treat tail bone 1.84 2.55 2.32 1.47 1.51 0.18 4.57 4.34 3.49 3.53 090
fracture.
27202 .......... A Treat tail bone 7.04 NA NA 14.51 12.55 0.89 NA NA 22.44 20.48 090
fracture.
27215 .......... A Treat pelvic 10.05 NA NA 8.86 9.65 0.01 NA NA 18.92 19.71 090
fracture(s).
27216 .......... A Treat pelvic ring 15.19 NA NA 10.99 9.41 1.56 NA NA 27.74 26.16 090
fracture.
27217 .......... A Treat pelvic ring 14.11 NA NA 11.67 12.70 1.44 NA NA 27.22 28.25 090
fracture.
27218 .......... A Treat pelvic ring 20.15 NA NA 11.30 12.42 1.96 NA NA 33.41 34.53 090
fracture.
27220 .......... A Treat hip socket 6.18 6.86 6.30 5.27 5.11 0.64 13.68 13.12 12.09 11.93 090
fracture.
27222 .......... A Treat hip socket 12.70 NA NA 9.47 8.83 1.32 NA NA 23.49 22.85 090
fracture.
27226 .......... A Treat hip wall 14.91 NA NA 11.99 13.28 1.11 NA NA 28.01 29.30 090
fracture.
27227 .......... A Treat hip 23.45 NA NA 16.20 17.50 2.53 NA NA 42.18 43.48 090
fracture(s).
27228 .......... A Treat hip 27.16 NA NA 18.25 19.10 2.79 NA NA 48.20 49.05 090
fracture(s).
27230 .......... A Treat thigh 5.50 6.74 5.95 5.24 4.83 0.55 12.79 12.00 11.29 10.88 090
fracture.
27232 .......... A Treat thigh 10.68 NA NA 8.43 8.76 1.11 NA NA 20.22 20.55 090
fracture.
27235 .......... A Treat thigh 12.16 NA NA 10.08 11.19 1.25 NA NA 23.49 24.60 090
fracture.
27236 .......... A Treat thigh 15.60 NA NA 11.76 13.41 1.59 NA NA 28.95 30.60 090
fracture.
27238 .......... A Treat thigh 5.52 NA NA 5.46 5.43 0.56 NA NA 11.54 11.51 090
fracture.
27240 .......... A Treat thigh 12.50 NA NA 9.40 9.68 1.30 NA NA 23.20 23.48 090
fracture.
27244 .......... A Treat thigh 15.94 NA NA 11.98 13.41 1.63 NA NA 29.55 30.98 090
fracture.
27245 .......... A Treat thigh 20.31 NA NA 14.39 15.22 2.09 NA NA 36.79 37.62 090
fracture.
27246 .......... A Treat thigh 4.71 6.42 5.87 5.14 4.91 0.49 11.62 11.07 10.34 10.11 090
fracture.
27248 .......... A Treat thigh 10.45 NA NA 9.00 9.87 1.06 NA NA 20.51 21.38 090
fracture.
27250 .......... A Treat hip 6.95 NA NA 4.85 4.50 0.68 NA NA 12.48 12.13 090
dislocation.
27252 .......... A Treat hip 10.39 NA NA 7.49 6.80 1.08 NA NA 18.96 18.27 090
dislocation.
27253 .......... A Treat hip 12.92 NA NA 9.98 11.05 1.33 NA NA 24.23 25.30 090
dislocation.
27254 .......... A Treat hip 18.26 NA NA 12.39 12.95 1.83 NA NA 32.48 33.04 090
dislocation.
27256 .......... A Treat hip 4.12 NA NA 3.69 3.28 0.39 NA NA 8.20 7.79 010
dislocation.
27257 .......... A Treat hip 5.22 NA NA 4.02 4.27 0.53 NA NA 9.77 10.02 010
dislocation.
27258 .......... A Treat hip 15.43 NA NA 12.63 13.20 1.58 NA NA 29.64 30.21 090
dislocation.
27259 .......... A Treat hip 21.55 NA NA 16.20 16.82 2.14 NA NA 39.89 40.51 090
dislocation.
27265 .......... A Treat hip 5.05 NA NA 5.09 4.76 0.53 NA NA 10.67 10.34 090
dislocation.
27266 .......... A Treat hip 7.49 NA NA 6.64 6.19 0.78 NA NA 14.91 14.46 090
dislocation.
27275 .......... A Manipulation of hip 2.27 NA NA 3.01 2.77 0.24 NA NA 5.52 5.28 010
joint.
27280 .......... A Fusion of 13.39 NA NA 12.61 12.19 1.38 NA NA 27.38 26.96 090
sacroiliac joint.
27282 .......... A Fusion of pubic 11.34 NA NA 11.09 10.76 0.84 NA NA 23.27 22.94 090
bones.
27284 .......... A Fusion of hip joint 16.76 NA NA 12.97 13.66 1.65 NA NA 31.38 32.07 090
27286 .......... A Fusion of hip joint 16.79 NA NA 13.55 14.29 1.76 NA NA 32.10 32.84 090
27290 .......... A Amputation of leg 23.28 NA NA 15.77 18.72 2.28 NA NA 41.33 44.28 090
at hip.
27295 .......... A Amputation of leg 18.65 NA NA 13.33 14.49 1.97 NA NA 33.95 35.11 090
at hip.
27299 .......... C Pelvis/hip joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
27301 .......... A Drain thigh/knee 6.49 13.61 10.88 12.20 9.82 0.67 20.77 18.04 19.36 16.98 090
lesion.
27303 .......... A Drainage of bone 8.28 NA NA 12.58 11.03 0.85 NA NA 21.71 20.16 090
lesion.
27305 .......... A Incise thigh tendon 5.92 NA NA 7.98 7.02 0.63 NA NA 14.53 13.57 090
& fascia.
27306 .......... A Incision of thigh 4.62 NA NA 6.45 5.38 0.48 NA NA 11.55 10.48 090
tendon.
27307 .......... A Incision of thigh 5.80 NA NA 7.16 6.19 0.60 NA NA 13.56 12.59 090
tendons.
27310 .......... A Exploration of knee 9.27 NA NA 8.82 9.22 0.95 NA NA 19.04 19.44 090
joint.
27315 .......... A Partial removal, 6.97 NA NA 4.77 5.04 0.72 NA NA 12.46 12.73 090
thigh nerve.
27320 .......... A Partial removal, 6.30 NA NA 4.38 4.69 0.62 NA NA 11.30 11.61 090
thigh nerve.
27323 .......... A Biopsy, thigh soft 2.28 4.98 3.98 3.12 2.59 0.14 7.40 6.40 5.54 5.01 010
tissues.
27324 .......... A Biopsy, thigh soft 4.90 NA NA 6.24 5.39 0.53 NA NA 11.67 10.82 090
tissues.
27327 .......... A Removal of thigh 4.47 7.39 6.17 5.65 4.86 0.45 12.31 11.09 10.57 9.78 090
lesion.
27328 .......... A Removal of thigh 5.57 NA NA 6.33 5.85 0.56 NA NA 12.46 11.98 090
lesion.
27329 .......... A Remove tumor, thigh/ 14.14 NA NA 13.21 13.08 1.40 NA NA 28.75 28.62 090
knee.
27330 .......... A Biopsy, knee joint 4.97 NA NA 5.57 5.66 0.51 NA NA 11.05 11.14 090
lining.
27331 .......... A Explore/treat knee 5.88 NA NA 6.55 6.67 0.60 NA NA 13.03 13.15 090
joint.
27332 .......... A Removal of knee 8.27 NA NA 7.78 8.31 0.83 NA NA 16.88 17.41 090
cartilage.
27333 .......... A Removal of knee 7.30 NA NA 7.31 7.66 0.74 NA NA 15.35 15.70 090
cartilage.
[[Page 44227]]
27334 .......... A Remove knee joint 8.70 NA NA 8.56 9.02 0.90 NA NA 18.16 18.62 090
lining.
27335 .......... A Remove knee joint 0.10 NA NA 9.34 9.99 1.02 NA NA 10.46 11.11 090
lining.
27340 .......... A Removal of kneecap 4.18 NA NA 5.18 4.93 0.43 NA NA 9.79 9.54 090
bursa.
27345 .......... A Removal of knee 5.92 NA NA 6.40 6.33 0.61 NA NA 12.93 12.86 090
cyst.
27347 .......... A Remove knee cyst... 5.78 2.59 2.59 2.59 2.59 0.59 8.96 8.96 8.96 8.96 090
27350 .......... A Removal of kneecap. 8.17 NA NA 7.89 8.36 0.84 NA NA 16.90 17.37 090
27355 .......... A Remove femur lesion 7.65 NA NA 8.88 8.72 0.78 NA NA 17.31 17.15 090
27356 .......... A Remove femur lesion/ 9.48 NA NA 10.01 9.73 0.97 NA NA 20.46 20.18 090
graft.
27357 .......... A Remove femur lesion/ 10.53 NA NA 10.44 10.22 1.08 NA NA 22.05 21.83 090
graft.
27358 .......... A Remove femur lesion/ 4.74 NA NA 2.53 3.13 0.49 NA NA 7.76 8.36 ZZZ
fixation.
27360 .......... A Partial removal, 10.50 NA NA 15.94 14.28 1.09 NA NA 27.53 25.87 090
leg bone(s).
27365 .......... A Extensive leg 16.27 NA NA 13.16 13.65 1.64 NA NA 31.07 31.56 090
surgery.
27370 .......... A Injection for knee 0.96 10.98 8.40 0.34 0.42 0.04 11.98 9.40 1.34 1.42 000
x-ray.
27372 .......... A Removal of foreign 5.07 6.87 6.08 5.94 5.38 0.51 12.45 11.66 11.52 10.96 090
body.
27380 .......... A Repair of kneecap 7.16 NA NA 7.48 7.75 0.74 NA NA 15.38 15.65 090
tendon.
27381 .......... A Repair/graft 10.34 NA NA 9.18 9.94 1.07 NA NA 20.59 21.35 090
kneecap tendon.
27385 .......... A Repair of thigh 7.76 NA NA 7.84 8.20 0.79 NA NA 16.39 16.75 090
muscle.
27386 .......... A Repair/graft of 10.56 NA NA 9.80 10.50 1.08 NA NA 21.44 22.14 090
thigh muscle.
27390 .......... A Incision of thigh 5.33 NA NA 6.78 6.27 0.54 NA NA 12.65 12.14 090
tendon.
27391 .......... A Incision of thigh 7.20 NA NA 7.78 7.31 0.75 NA NA 15.73 15.26 090
tendons.
27392 .......... A Incision of thigh 9.20 NA NA 9.65 9.32 0.93 NA NA 19.78 19.45 090
tendons.
27393 .......... A Lengthening of 6.39 NA NA 7.29 7.01 0.64 NA NA 14.32 14.04 090
thigh tendon.
27394 .......... A Lengthening of 8.50 NA NA 9.27 8.51 0.87 NA NA 18.64 17.88 090
thigh tendons.
27395 .......... A Lengthening of 11.73 NA NA 11.95 11.81 1.21 NA NA 24.89 24.75 090
thigh tendons.
27396 .......... A Transplant of thigh 7.86 NA NA 9.00 8.67 0.80 NA NA 17.66 17.33 090
tendon.
27397 .......... A Transplants of 11.28 NA NA 10.64 10.39 1.17 NA NA 23.09 22.84 090
thigh tendons.
27400 .......... A Revise thigh 9.02 NA NA 9.64 9.37 0.92 NA NA 19.58 19.31 090
muscles/tendons.
27403 .......... A Repair of knee 8.33 NA NA 7.99 8.38 0.86 NA NA 17.18 17.57 090
cartilage.
27405 .......... A Repair of knee 8.65 NA NA 8.60 9.03 0.89 NA NA 18.14 18.57 090
ligament.
27407 .......... A Repair of knee 10.28 NA NA 9.36 9.43 1.02 NA NA 20.66 20.73 090
ligament.
27409 .......... A Repair of knee 12.90 NA NA 10.76 11.92 1.34 NA NA 25.00 26.16 090
ligaments.
27418 .......... A Repair degenerated 10.85 NA NA 9.78 10.58 1.12 NA NA 21.75 22.55 090
kneecap.
27420 .......... A Revision of 9.83 NA NA 8.76 9.50 0.99 NA NA 19.58 20.32 090
unstable kneecap.
27422 .......... A Revision of 9.78 NA NA 8.74 9.48 0.01 NA NA 18.53 19.27 090
unstable kneecap.
27424 .......... A Revision/removal of 9.81 NA NA 8.68 9.44 1.02 NA NA 19.51 20.27 090
kneecap.
27425 .......... A Lateral retinacular 5.22 NA NA 6.30 6.28 0.53 NA NA 12.05 12.03 090
release.
27427 .......... A Reconstruction, 9.36 NA NA 8.41 9.10 0.94 NA NA 18.71 19.40 090
knee.
27428 .......... A Reconstruction, 0.14 NA NA 11.45 12.30 1.40 NA NA 12.99 13.84 090
knee.
27429 .......... A Reconstruction, 15.52 NA NA 11.72 11.85 1.56 NA NA 28.80 28.93 090
knee.
27430 .......... A Revision of thigh 9.67 NA NA 8.77 9.12 0.97 NA NA 19.41 19.76 090
muscles.
27435 .......... A Incision of knee 9.49 NA NA 8.58 8.34 0.98 NA NA 19.05 18.81 090]
joint.
27437 .......... A Revise kneecap..... 8.46 NA NA 8.61 8.98 0.85 NA NA 17.92 18.29 090
27438 .......... A Revise kneecap with 11.23 NA NA 9.88 10.76 1.15 NA NA 22.26 23.14 090
implant.
27440 .......... A Revision of knee 10.43 NA NA 9.34 10.12 0.73 NA NA 20.50 21.28 090
joint.
27441 .......... A Revision of knee 10.82 NA NA 9.90 9.91 0.78 NA NA 21.50 21.51 090
joint.
27442 .......... A Revision of knee 11.89 NA NA 10.48 11.41 1.22 NA NA 23.59 24.52 090
joint.
27443 .......... A Revision of knee 10.93 NA NA 10.12 10.85 1.12 NA NA 22.17 22.90 090
joint.
27445 .......... A Revision of knee 17.68 NA NA 13.68 15.54 1.83 NA NA 33.19 35.05 090
joint.
27446 .......... A Revision of knee 15.84 NA NA 12.81 14.34 1.60 NA NA 30.25 31.78 090
joint.
27447 .......... A Total knee 21.48 NA NA 15.77 18.24 2.19 NA NA 39.44 41.91 090
replacement.
27448 .......... A Incision of thigh.. 11.06 NA NA 10.60 11.25 1.14 NA NA 22.80 23.45 090
27450 .......... A Incision of thigh.. 13.98 NA NA 12.36 13.30 1.43 NA NA 27.77 28.71 090
27454 .......... A Realignment of 17.56 NA NA 13.81 14.62 1.76 NA NA 33.13 33.94 090
thigh bone.
27455 .......... A Realignment of knee 12.82 NA NA 11.21 11.67 1.27 NA NA 25.30 25.76 090
27457 .......... A Realignment of knee 13.45 NA NA 10.66 11.60 1.37 NA NA 25.48 26.42 090
27465 .......... A Shortening of thigh 13.87 NA NA 12.19 12.46 1.43 NA NA 27.49 27.76 090
bone.
27466 .......... A Lengthening of 16.33 NA NA 14.41 14.45 1.67 NA NA 32.41 32.45 090
thigh bone.
27468 .......... A Shorten/lengthen 18.97 NA NA 13.33 14.57 1.94 NA NA 34.24 35.48 090
thighs.
27470 .......... A Repair of thigh.... 16.07 NA NA 14.32 15.26 1.64 NA NA 32.03 32.97 090
27472 .......... A Repair/graft of 17.72 NA NA 15.17 16.67 1.83 NA NA 34.72 36.22 090
thigh.
27475 .......... A Surgery to stop leg 8.64 NA NA 8.40 8.40 0.86 NA NA 17.90 17.90 090
growth.
27477 .......... A Surgery to stop leg 9.85 NA NA 8.85 9.58 0.96 NA NA 19.66 20.39 090
growth.
27479 .......... A Surgery to stop leg 12.80 NA NA 10.34 10.91 1.35 NA NA 24.49 25.06 090
growth.
27485 .......... A Surgery to stop leg 8.84 NA NA 8.40 8.45 0.89 NA NA 18.13 18.18 090
growth.
27486 .......... A Revise/replace knee 19.27 NA NA 14.63 16.73 1.97 NA NA 35.87 37.97 090
joint.
27487 .......... A Revise/replace knee 25.27 NA NA 17.88 20.94 2.57 NA NA 45.72 48.78 090
joint.
27488 .......... A Removal of knee 15.74 NA NA 12.79 13.98 1.61 NA NA 30.14 31.33 090
prosthesis.
27495 .......... A Reinforce thigh.... 15.55 NA NA 14.05 15.18 1.59 NA NA 31.19 32.32 090
27496 .......... A Decompression of 6.11 NA NA 7.27 6.68 0.66 NA NA 14.04 13.45 090
thigh/knee.
27497 .......... A Decompression of 7.17 NA NA 8.00 7.51 0.75 NA NA 15.92 15.43 090
thigh/knee.
27498 .......... A Decompression of 7.99 NA NA 7.07 7.02 0.87 NA NA 15.93 15.88 090
thigh/knee.
27499 .......... A Decompression of 0.09 NA NA 7.31 7.46 0.93 NA NA 8.33 8.48 090
thigh/knee.
27500 .......... A Treatment of thigh 5.92 8.41 7.78 6.31 6.20 0.61 14.94 14.31 12.84 12.73 090
fracture.
27501 .......... A Treatment of thigh 5.92 9.23 8.39 7.38 7.00 0.62 15.77 14.93 13.92 13.54 090
fracture.
27502 .......... A Treatment of thigh 10.58 NA NA 9.81 9.44 1.10 NA NA 21.49 21.12 090
fracture.
27503 .......... A Treatment of thigh 10.58 NA NA 9.94 9.54 1.10 NA NA 21.62 21.22 090
fracture.
27506 .......... A Treatment of thigh 17.45 NA NA 13.20 14.25 1.79 NA NA 32.44 33.49 090
fracture.
27507 .......... A Treatment of thigh 13.99 NA NA 11.28 12.64 1.43 NA NA 26.70 28.06 090
fracture.
27508 .......... A Treatment of thigh 5.83 6.53 6.04 4.93 4.84 0.60 12.96 12.47 11.36 11.27 090
fracture.
27509 .......... A Treatment of thigh 7.71 NA NA 8.20 7.30 0.80 NA NA 16.71 15.81 090
fracture.
27510 .......... A Treatment of thigh 9.13 NA NA 6.83 6.97 0.95 NA NA 16.91 17.05 090
fracture.
27511 .......... A Treatment of thigh 13.64 NA NA 11.89 12.99 1.40 NA NA 26.93 28.03 090
fracture.
[[Page 44228]]
27513 .......... A Treatment of thigh 17.92 NA NA 14.17 14.98 1.83 NA NA 33.92 34.73 090
fracture.
27514 .......... A Treatment of thigh 17.30 NA NA 13.43 14.35 1.78 NA NA 32.51 33.43 090
fracture.
27516 .......... A Treat thigh fx 5.37 7.23 6.73 5.35 5.32 0.56 13.16 12.66 11.28 11.25 090
growth plate.
27517 .......... A Treat thigh fx 8.78 7.73 7.92 7.15 7.49 0.90 17.41 17.60 16.83 17.17 090
growth plate.
27519 .......... A Treat thigh fx 15.02 NA NA 12.56 12.86 1.51 NA NA 29.09 29.39 090
growth plate.
27520 .......... A Treat kneecap 2.86 4.93 4.52 3.20 3.23 0.30 8.09 7.68 6.36 6.39 090
fracture.
27524 .......... A Treat kneecap 0.10 NA NA 8.07 8.86 1.03 NA NA 9.20 9.99 090
fracture.
27530 .......... A Treat knee fracture 3.78 5.45 5.01 3.86 3.82 0.39 9.62 9.18 8.03 7.99 090
27532 .......... A Treat knee fracture 7.30 7.01 6.80 5.42 5.61 0.76 15.07 14.86 13.48 13.67 090
27535 .......... A Treat knee fracture 11.50 NA NA 10.81 11.28 1.18 NA NA 23.49 23.96 090
27536 .......... A Treat knee fracture 15.65 NA NA 11.06 11.47 1.61 NA NA 28.32 28.73 090
27538 .......... A Treat knee 4.87 6.83 6.04 4.92 4.61 0.51 12.21 11.42 10.30 9.99 090
fracture(s).
27540 .......... A Treat knee fracture 13.10 NA NA 9.57 10.15 1.33 NA NA 24.00 24.58 090
27550 .......... A Treat knee 5.76 6.61 5.66 4.89 4.37 0.57 12.94 11.99 11.22 10.70 090
dislocation.
27552 .......... A Treat knee 7.90 NA NA 7.09 6.25 0.82 NA NA 15.81 14.97 090
dislocation.
27556 .......... A Treat knee 14.41 NA NA 12.83 13.01 1.51 NA NA 28.75 28.93 090
dislocation.
27557 .......... A Treat knee 16.77 NA NA 13.73 14.26 1.72 NA NA 32.22 32.75 090
dislocation.
27558 .......... A Treat knee 17.72 NA NA 14.37 14.74 1.80 NA NA 33.89 34.26 090
dislocation.
27560 .......... A Treat kneecap 3.82 5.45 4.48 3.18 2.77 0.36 9.63 8.66 7.36 6.95 090
dislocation.
27562 .......... A Treat kneecap 5.79 NA NA 4.82 5.02 0.59 NA NA 11.20 11.40 090
dislocation.
27566 .......... A Treat kneecap 12.23 NA NA 9.06 9.67 1.26 NA NA 22.55 23.16 090
dislocation.
27570 .......... A Fixation of knee 1.74 NA NA 2.73 2.52 0.18 NA NA 4.65 4.44 010
joint.
27580 .......... A Fusion of knee..... 19.37 NA NA 15.02 15.53 1.98 NA NA 36.37 36.88 090
27590 .......... A Amputate leg at 12.03 NA NA 11.31 10.96 1.30 NA NA 24.64 24.29 090
thigh.
27591 .......... A Amputate leg at 12.68 NA NA 12.89 12.86 1.34 NA NA 26.91 26.88 090
thigh.
27592 .......... A Amputate leg at 10.02 NA NA 10.44 10.03 1.07 NA NA 21.53 21.12 090
thigh.
27594 .......... A Amputation follow- 6.92 NA NA 8.06 7.04 0.75 NA NA 15.73 14.71 090
up surgery.
27596 .......... A Amputation follow- 10.60 NA NA 11.01 10.26 1.15 NA NA 22.76 22.01 090
up surgery.
27598 .......... A Amputate lower leg 10.53 NA NA 10.22 10.39 1.10 NA NA 21.85 22.02 090
at knee.
27599 .......... C Leg surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
27600 .......... A Decompression of 5.65 NA NA 7.34 6.43 0.65 NA NA 13.64 12.73 090
lower leg.
27601 .......... A Decompression of 5.64 NA NA 7.42 6.48 0.64 NA NA 13.70 12.76 090
lower leg.
27602 .......... A Decompression of 7.35 NA NA 7.32 6.59 0.86 NA NA 15.53 14.80 090
lower leg.
27603 .......... A Drain lower leg 4.94 13.35 10.66 9.08 7.46 0.50 18.79 16.10 14.52 12.90 090
lesion.
27604 .......... A Drain lower leg 4.47 9.03 7.05 7.19 5.67 0.37 13.87 11.89 12.03 10.51 090
bursa.
27605 .......... A Incision of 2.87 7.59 6.01 3.45 2.91 0.28 10.74 9.16 6.60 6.06 010
achilles tendon.
27606 .......... A Incision of 4.14 8.89 7.24 4.46 3.92 0.42 13.45 11.80 9.02 8.48 010
achilles tendon.
27607 .......... A Treat lower leg 7.97 NA NA 13.03 11.40 0.80 NA NA 21.80 20.17 090
bone lesion.
27610 .......... A Explore/treat ankle 8.34 NA NA 9.19 8.91 0.84 NA NA 18.37 18.09 090
joint.
27612 .......... A Exploration of 7.33 NA NA 7.23 7.59 0.68 NA NA 15.24 15.60 090
ankle joint.
27613 .......... A Biopsy lower leg 2.17 5.26 4.13 2.70 2.21 0.13 7.56 6.43 5.00 4.51 010
soft tissue.
27614 .......... A Biopsy lower leg 5.66 9.43 7.69 6.43 5.44 0.55 15.64 13.90 12.64 11.65 090
soft tissue.
27615 .......... A Remove tumor, lower 12.56 NA NA 15.09 13.55 1.26 NA NA 28.91 27.37 090
leg.
27618 .......... A Remove lower leg 5.09 10.20 8.22 5.89 4.99 0.48 15.77 13.79 11.46 10.56 090
lesion.
27619 .......... A Remove lower leg 8.40 10.81 9.23 8.11 7.20 0.80 20.01 18.43 17.31 16.40 090
lesion.
27620 .......... A Explore/treat ankle 5.98 NA NA 7.06 6.93 0.58 NA NA 13.62 13.49 090
joint.
27625 .......... A Remove ankle joint 8.30 NA NA 8.46 8.71 0.78 NA NA 17.54 17.79 090
lining.
27626 .......... A Remove ankle joint 8.91 NA NA 8.91 9.34 0.88 NA NA 18.70 19.13 090
lining.
27630 .......... A Removal of tendon 4.80 9.61 8.05 6.02 5.36 0.45 14.86 13.30 11.27 10.61 090
lesion.
27635 .......... A Remove lower leg 7.78 NA NA 9.47 9.29 0.78 NA NA 18.03 17.85 090
bone lesion.
27637 .......... A Remove/graft leg 9.85 NA NA 10.80 10.40 1.01 NA NA 21.66 21.26 090
bone lesion.
27638 .......... A Remove/graft leg 10.57 NA NA 11.24 10.91 1.06 NA NA 22.87 22.54 090
bone lesion.
27640 .......... A Partial removal of 11.37 NA NA 15.60 14.36 1.14 NA NA 28.11 26.87 090
tibia.
27641 .......... A Partial removal of 9.24 NA NA 14.09 12.50 0.92 NA NA 24.25 22.66 090
fibula.
27645 .......... A Extensive lower leg 14.17 NA NA 15.60 14.86 1.46 NA NA 31.23 30.49 090
surgery.
27646 .......... A Extensive lower leg 12.66 NA NA 15.38 14.45 1.24 NA NA 29.28 28.35 090
surgery.
27647 .......... A Extensive ankle/ 12.24 NA NA 10.41 10.51 1.02 NA NA 23.67 23.77 090
heel surgery.
27648 .......... A Injection for ankle 0.96 8.42 6.46 0.34 0.40 0.05 9.43 7.47 1.35 1.41 000
x-ray.
27650 .......... A Repair achilles 9.69 NA NA 8.44 8.77 0.95 NA NA 19.08 19.41 090
tendon.
27652 .......... A Repair/graft 10.33 NA NA 8.66 9.32 0.98 NA NA 19.97 20.63 090
achilles tendon.
27654 .......... A Repair of achilles 10.02 NA NA 8.93 9.66 0.90 NA NA 19.85 20.58 090
tendon.
27656 .......... A Repair leg fascia 4.57 12.05 9.90 6.14 5.47 0.44 17.06 14.91 11.15 10.48 090
defect.
27658 .......... A Repair of leg 4.98 8.99 7.83 7.53 6.74 0.46 14.43 13.27 12.97 12.18 090
tendon, each.
27659 .......... A Repair of leg 6.81 12.60 11.04 8.15 7.71 0.61 20.02 18.46 15.57 15.13 090
tendon, each.
27664 .......... A Repair of leg 4.59 9.19 7.82 7.94 6.88 0.45 14.23 12.86 12.98 11.92 090
tendon, each.
27665 .......... A Repair of leg 5.40 12.76 10.91 7.88 7.25 0.53 18.69 16.84 13.81 13.18 090
tendon, each.
27675 .......... A Repair lower leg 7.18 NA NA 7.18 7.12 0.69 NA NA 15.05 14.99 090
tendons.
27676 .......... A Repair lower leg 8.42 NA NA 8.29 8.27 0.74 NA NA 17.45 17.43 090
tendons.
27680 .......... A Release of lower 5.74 NA NA 6.93 6.32 0.54 NA NA 13.21 12.60 090
leg tendon.
27681 .......... A Release of lower 6.82 NA NA 7.58 7.31 0.68 NA NA 15.08 14.81 090
leg tendons.
27685 .......... A Revision of lower 6.50 7.33 6.54 7.29 6.51 0.56 14.39 13.60 14.35 13.57 090
leg tendon.
27686 .......... A Revise lower leg 7.46 8.98 8.52 8.58 8.22 0.74 17.18 16.72 16.78 16.42 090
tendons.
27687 .......... A Revision of calf 6.24 NA NA 7.22 6.89 0.56 NA NA 14.02 13.69 090
tendon.
27690 .......... A Revise lower leg 8.71 NA NA 8.15 7.94 0.76 NA NA 17.62 17.41 090
tendon.
27691 .......... A Revise lower leg 9.96 NA NA 9.62 9.36 0.95 NA NA 20.53 20.27 090
tendon.
27692 .......... A Revise additional 1.87 NA NA 0.90 1.23 0.19 NA NA 2.96 3.29 ZZZ
leg tendon.
27695 .......... A Repair of ankle 6.51 NA NA 7.91 7.88 0.63 NA NA 15.05 15.02 090
ligament.
27696 .......... A Repair of ankle 8.27 NA NA 8.64 8.40 0.76 NA NA 17.67 17.43 090
ligaments.
27698 .......... A Repair of ankle 9.36 NA NA 8.47 9.15 0.84 NA NA 18.67 19.35 090
ligament.
27700 .......... A Revision of ankle 9.29 NA NA 7.03 8.05 0.68 NA NA 17.00 18.02 090
joint.
27702 .......... A Reconstruct ankle 13.67 NA NA 11.57 12.76 1.41 NA NA 26.65 27.84 090
joint.
27703 .......... A Reconstruction, 15.87 NA NA 11.62 12.47 1.32 NA NA 28.81 29.66 090
ankle joint.
[[Page 44229]]
27704 .......... A Removal of ankle 7.62 NA NA 8.28 7.80 0.67 NA NA 16.57 16.09 090
implant.
27705 .......... A Incision of tibia.. 10.38 NA NA 10.17 10.54 1.06 NA NA 21.61 21.98 090
27707 .......... A Incision of fibula. 4.37 NA NA 7.01 6.55 0.45 NA NA 11.83 11.37 090
27709 .......... A Incision of tibia & 9.95 NA NA 10.05 10.51 1.02 NA NA 21.02 21.48 090
fibula.
27712 .......... A Realignment of 14.25 NA NA 12.30 12.21 1.46 NA NA 28.01 27.92 090
lower leg.
27715 .......... A Revision of lower 14.39 NA NA 13.32 13.41 1.47 NA NA 29.18 29.27 090
leg.
27720 .......... A Repair of tibia.... 11.79 NA NA 11.93 12.47 1.21 NA NA 24.93 25.47 090
27722 .......... A Repair/graft of 11.82 NA NA 11.76 11.67 1.21 NA NA 24.79 24.70 090
tibia.
27724 .......... A Repair/graft of 14.99 NA NA 13.71 14.49 1.54 NA NA 30.24 31.02 090
tibia.
27725 .......... A Repair of lower leg 15.59 NA NA 13.93 13.28 1.58 NA NA 31.10 30.45 090
27727 .......... A Repair of lower leg 14.01 NA NA 12.63 12.02 1.41 NA NA 28.05 27.44 090
27730 .......... A Repair of tibia 7.41 13.48 11.09 8.85 7.61 0.74 21.63 19.24 17.00 15.76 090
epiphysis.
27732 .......... A Repair of fibula 5.32 12.65 10.80 7.02 6.58 0.53 18.50 16.65 12.87 12.43 090
epiphysis.
27734 .......... A Repair lower leg 8.48 NA NA 8.27 8.25 0.76 NA NA 17.51 17.49 090
epiphyses.
27740 .......... A Repair of leg 9.30 20.08 17.33 8.60 8.72 0.97 30.35 27.60 18.87 18.99 090
epiphyses.
27742 .......... A Repair of leg 10.30 14.63 13.49 9.00 9.27 0.93 25.86 24.72 20.23 20.50 090
epiphyses.
27745 .......... A Reinforce tibia.... 10.07 NA NA 10.23 10.11 1.02 NA NA 21.32 21.20 090
27750 .......... A Treatment of tibia 3.19 5.08 4.75 3.49 3.55 0.32 8.59 8.26 7.00 7.06 090
fracture.
27752 .......... A Treatment of tibia 5.84 7.42 6.95 5.66 5.63 0.61 13.87 13.40 12.11 12.08 090
fracture.
27756 .......... A Treatment of tibia 6.78 NA NA 9.22 8.94 0.70 NA NA 16.70 16.42 090
fracture.
27758 .......... A Treatment of tibia 11.67 NA NA 10.82 11.60 1.19 NA NA 23.68 24.46 090
fracture.
27759 .......... A Treatment of tibia 13.76 NA NA 11.97 12.71 1.41 NA NA 27.14 27.88 090
fracture.
27760 .......... A Treatment of ankle 3.01 4.87 4.35 3.19 3.09 0.31 8.19 7.67 6.51 6.41 090
fracture.
27762 .......... A Treatment of ankle 5.25 6.98 6.15 5.19 4.81 0.53 12.76 11.93 10.97 10.59 090
fracture.
27766 .......... A Treatment of ankle 8.36 NA NA 7.54 7.79 0.86 NA NA 16.76 17.01 090
fracture.
27780 .......... A Treatment of fibula 2.65 4.78 4.12 3.01 2.79 0.26 7.69 7.03 5.92 5.70 090
fracture.
27781 .......... A Treatment of fibula 4.40 5.98 5.38 4.28 4.10 0.45 10.83 10.23 9.13 8.95 090
fracture.
27784 .......... A Treatment of fibula 7.11 NA NA 7.50 7.14 0.73 NA NA 15.34 14.98 090
fracture.
27786 .......... A Treatment of ankle 2.84 4.83 4.31 3.12 3.02 0.29 7.96 7.44 6.25 6.15 090
fracture.
27788 .......... A Treatment of ankle 4.45 5.99 5.38 4.20 4.04 0.46 10.90 10.29 9.11 8.95 090
fracture.
27792 .......... A Treatment of ankle 7.66 NA NA 7.21 7.41 0.78 NA NA 15.65 15.85 090
fracture.
27808 .......... A Treatment of ankle 2.83 5.74 5.06 3.79 3.60 0.29 8.86 8.18 6.91 6.72 090
fracture.
27810 .......... A Treatment of ankle 5.13 6.97 6.60 5.17 5.25 0.53 12.63 12.26 10.83 10.91 090
fracture.
27814 .......... A Treatment of ankle 10.68 NA NA 9.69 9.98 1.10 NA NA 21.47 21.76 090
fracture.
27816 .......... A Treatment of ankle 2.89 5.27 4.90 3.77 3.77 0.29 8.45 8.08 6.95 6.95 090
fracture.
27818 .......... A Treatment of ankle 5.50 7.19 7.04 5.29 5.61 0.56 13.25 13.10 11.35 11.67 090
fracture.
27822 .......... A Treatment of ankle 9.20 NA NA 10.68 10.76 0.95 NA NA 20.83 20.91 090
fracture.
27823 .......... A Treatment of ankle 11.80 NA NA 12.04 12.50 1.21 NA NA 25.05 25.51 090
fracture.
27824 .......... A Treat lower leg 2.89 5.71 5.23 3.86 3.84 0.29 8.89 8.41 7.04 7.02 090
fracture.
27825 .......... A Treat lower leg 6.19 7.68 7.53 5.83 6.14 0.64 14.51 14.36 12.66 12.97 090
fracture.
27826 .......... A Treat lower leg 8.54 NA NA 10.34 10.30 0.88 NA NA 19.76 19.72 090
fracture.
27827 .......... A Treat lower leg 14.06 NA NA 13.38 13.21 1.44 NA NA 28.88 28.71 090
fracture.
27828 .......... A Treat lower leg 16.23 NA NA 14.48 14.33 1.67 NA NA 32.38 32.23 090
fracture.
27829 .......... A Treat lower leg 5.49 NA NA 7.46 7.23 0.56 NA NA 13.51 13.28 090
joint.
27830 .......... A Treat lower leg 3.79 5.32 4.87 3.48 3.49 0.38 9.49 9.04 7.65 7.66 090
dislocation.
27831 .......... A Treat lower leg 4.56 NA NA 4.35 4.34 0.46 NA NA 9.37 9.36 090
dislocation.
27832 .......... A Treat lower leg 6.49 NA NA 7.25 6.99 0.68 NA NA 14.42 14.16 090
dislocation.
27840 .......... A Treat ankle 4.58 NA NA 4.37 3.79 0.45 NA NA 9.40 8.82 090
dislocation.
27842 .......... A Treat ankle 6.21 NA NA 4.42 3.92 0.64 NA NA 11.27 10.77 090
dislocation.
27846 .......... A Treat ankle 9.79 NA NA 9.17 9.21 0.96 NA NA 19.92 19.96 090
dislocation.
27848 .......... A Treat ankle 11.20 NA NA 10.48 10.13 1.15 NA NA 22.83 22.48 090
dislocation.
27860 .......... A Fixation of ankle 2.34 NA NA 3.05 2.67 0.23 NA NA 5.62 5.24 010
joint.
27870 .......... A Fusion of ankle 13.91 NA NA 12.27 12.82 1.40 NA NA 27.58 28.13 090
joint.
27871 .......... A Fusion of 9.17 NA NA 9.43 9.19 0.92 NA NA 19.52 19.28 090
tibiofibular joint.
27880 .......... A Amputation of lower 11.85 NA NA 10.61 10.23 1.27 NA NA 23.73 23.35 090
leg.
27881 .......... A Amputation of lower 12.34 NA NA 11.70 11.71 1.31 NA NA 25.35 25.36 090
leg.
27882 .......... A Amputation of lower 8.94 NA NA 11.10 10.32 0.98 NA NA 21.02 20.24 090
leg.
27884 .......... A Amputation follow- 8.21 NA NA 9.64 8.15 0.89 NA NA 18.74 17.25 090
up surgery.
27886 .......... A Amputation follow- 9.32 NA NA 9.71 9.23 1.01 NA NA 20.04 19.56 090
up surgery.
27888 .......... A Amputation of foot 9.67 NA NA 9.73 9.87 1.01 NA NA 20.41 20.55 090
at ankle.
27889 .......... A Amputation of foot 9.98 NA NA 8.85 8.93 1.10 NA NA 19.93 20.01 090
at ankle.
27892 .......... A Decompression of 7.39 NA NA 7.49 6.54 0.80 NA NA 15.68 14.73 090
leg.
27893 .......... A Decompression of 7.35 NA NA 6.92 6.11 0.69 NA NA 14.96 14.15 090
leg.
27894 .......... A Decompression of 10.49 NA NA 8.68 7.61 1.12 NA NA 20.29 19.22 090
leg.
27899 .......... C Leg/ankle surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
28001 .......... A Drainage of bursa 2.73 4.44 3.47 2.80 2.24 0.18 7.35 6.38 5.71 5.15 010
of foot.
28002 .......... A Treatment of foot 4.62 5.68 4.87 3.86 3.51 0.37 10.67 9.86 8.85 8.50 010
infection.
28003 .......... A Treatment of foot 8.41 8.93 7.65 8.93 7.65 0.66 18.00 16.72 18.00 16.72 090
infection.
28005 .......... A Treat foot bone 8.68 NA NA 9.06 7.90 0.74 NA NA 18.48 17.32 090
lesion.
28008 .......... A Incision of foot 4.45 6.25 5.42 5.32 4.72 0.31 11.01 10.18 10.08 9.48 090
fascia.
28010 .......... A Incision of toe 2.84 5.83 5.36 4.08 4.04 0.19 8.86 8.39 7.11 7.07 090
tendon.
28011 .......... A Incision of toe 4.14 7.19 5.87 5.81 4.84 0.33 11.66 10.34 10.28 9.31 090
tendons.
28020 .......... A Exploration of foot 5.01 7.63 6.92 5.57 5.37 0.41 13.05 12.34 10.99 10.79 090
joint.
28022 .......... A Exploration of foot 4.67 6.36 5.51 5.09 4.56 0.35 11.38 10.53 10.11 9.58 090
joint.
28024 .......... A Exploration of toe 4.38 6.15 5.26 4.94 4.35 0.32 10.85 9.96 9.64 9.05 090
joint.
28030 .......... A Removal of foot 6.15 NA NA 3.22 3.48 0.42 NA NA 9.79 10.05 090
nerve.
28035 .......... A Decompression of 5.09 6.67 6.68 4.89 5.35 0.42 12.18 12.19 10.40 10.86 090
tibia nerve.
28043 .......... A Excision of foot 3.54 5.87 4.87 4.26 3.67 0.27 9.68 8.68 8.07 7.48 090
lesion.
28045 .......... A Excision of foot 4.72 6.46 5.93 4.88 4.74 0.36 11.54 11.01 9.96 9.82 090
lesion.
28046 .......... A Resection of tumor, 10.18 9.50 8.58 9.50 8.58 0.82 20.50 19.58 20.50 19.58 090
foot.
28050 .......... A Biopsy of foot 4.25 5.67 5.30 4.71 4.58 0.33 10.25 9.88 9.29 9.16 090
joint lining.
28052 .......... A Biopsy of foot 3.94 5.86 5.43 5.04 4.82 0.32 10.12 9.69 9.30 9.08 090
joint lining.
[[Page 44230]]
28054 .......... A Biopsy of toe joint 3.45 5.92 5.05 5.53 4.76 0.29 9.66 8.79 9.27 8.50 090
lining.
28060 .......... A Partial removal, 5.23 6.92 6.34 5.56 5.32 0.38 12.53 11.95 11.17 10.93 090
foot fascia.
28062 .......... A Removal of foot 6.52 8.48 8.28 5.39 5.96 0.45 15.45 15.25 12.36 12.93 090
fascia.
28070 .......... A Removal of foot 5.10 6.01 5.72 5.15 5.08 0.37 11.48 11.19 10.62 10.55 090
joint lining.
28072 .......... A Removal of foot 4.58 6.92 6.06 5.78 5.21 0.41 11.91 11.05 10.77 10.20 090
joint lining.
28080 .......... A Removal of foot 3.58 5.96 5.58 4.51 4.49 0.26 9.80 9.42 8.35 8.33 090
lesion.
28086 .......... A Excise foot tendon 4.78 8.96 7.57 6.38 5.63 0.47 14.21 12.82 11.63 10.88 090
sheath.
28088 .......... A Excise foot tendon 3.86 6.57 5.91 5.66 5.23 0.35 10.78 10.12 9.87 9.44 090
sheath.
28090 .......... A Removal of foot 4.41 6.26 5.52 4.67 4.32 0.32 10.99 10.25 9.40 9.05 090
lesion.
28092 .......... A Removal of toe 3.64 6.95 5.76 5.01 4.31 0.28 10.87 9.68 8.93 8.23 090
lesions.
28100 .......... A Removal of ankle/ 5.66 8.94 7.95 6.41 6.05 0.49 15.09 14.10 12.56 12.20 090
heel lesion.
28102 .......... A Remove/graft foot 7.73 NA NA 7.70 7.63 0.72 NA NA 16.15 16.08 090
lesion.
28103 .......... A Remove/graft foot 6.50 13.01 11.28 5.70 5.80 0.52 20.03 18.30 12.72 12.82 090
lesion.
28104 .......... A Removal of foot 5.12 6.78 6.26 5.75 5.49 0.38 12.28 11.76 11.25 10.99 090
lesion.
28106 .......... A Remove/graft foot 7.16 NA NA 5.96 6.21 0.53 NA NA 13.65 13.90 090
lesion.
28107 .......... A Remove/graft foot 5.56 6.52 6.21 6.03 5.84 0.40 12.48 12.17 11.99 11.80 090
lesion.
28108 .......... A Removal of toe 4.16 5.74 5.45 4.42 4.46 0.28 10.18 9.89 8.86 8.90 090
lesions.
28110 .......... A Part removal of 4.08 6.83 6.07 5.66 5.19 0.31 11.22 10.46 10.05 9.58 090
metatarsal.
28111 .......... A Part removal of 5.01 8.32 7.61 6.41 6.18 0.42 13.75 13.04 11.84 11.61 090
metatarsal.
28112 .......... A Part removal of 4.49 7.09 6.39 6.11 5.66 0.35 11.93 11.23 10.95 10.50 090
metatarsal.
28113 .......... A Part removal of 4.79 7.03 6.48 5.93 5.65 0.36 12.18 11.63 11.08 10.80 090
metatarsal.
28114 .......... A Removal of 9.79 9.64 9.72 9.27 9.44 0.82 20.25 20.33 19.88 20.05 090
metatarsal heads.
28116 .......... A Revision of foot... 7.75 7.07 6.79 5.89 5.91 0.56 15.38 15.10 14.20 14.22 090
28118 .......... A Removal of heel 5.96 6.95 6.76 5.99 6.04 0.48 13.39 13.20 12.43 12.48 090
bone.
28119 .......... A Removal of heel 5.39 6.61 6.43 5.11 5.31 0.37 12.37 12.19 10.87 11.07 090
spur.
28120 .......... A Part removal of 5.40 10.73 9.42 8.00 7.37 0.47 16.60 15.29 13.87 13.24 090
ankle/heel.
28122 .......... A Partial removal of 7.29 8.78 7.80 7.92 7.16 0.56 16.63 15.65 15.77 15.01 090
foot bone.
28124 .......... A Partial removal of 4.81 7.35 6.63 6.29 5.83 0.32 12.48 11.76 11.42 10.96 090
toe.
28126 .......... A Partial removal of 3.52 6.27 5.78 5.70 5.36 0.24 10.03 9.54 9.46 9.12 090
toe.
28130 .......... A Removal of ankle 8.11 NA NA 7.88 7.82 0.75 NA NA 16.74 16.68 090
bone.
28140 .......... A Removal of 6.91 7.66 7.08 6.70 6.36 0.59 15.16 14.58 14.20 13.86 090
metatarsal.
28150 .......... A Removal of toe..... 4.09 6.78 5.98 5.87 5.30 0.32 11.19 10.39 10.28 9.71 090
28153 .......... A Partial removal of 3.66 6.30 5.81 4.54 4.49 0.24 10.20 9.71 8.44 8.39 090
toe.
28160 .......... A Partial removal of 3.74 6.47 5.97 5.95 5.58 0.27 10.48 9.98 9.96 9.59 090
toe.
28171 .......... A Extensive foot 9.60 NA NA 6.92 7.36 0.62 NA NA 17.14 17.58 090
surgery.
28173 .......... A Extensive foot 8.80 9.04 8.34 7.65 7.30 0.71 18.55 17.85 17.16 16.81 090
surgery.
28175 .......... A Extensive foot 6.05 7.41 7.02 5.84 5.84 0.41 13.87 13.48 12.30 12.30 090
surgery.
28190 .......... A Removal of foot 1.96 5.06 3.94 2.52 2.03 0.13 7.15 6.03 4.61 4.12 010
foreign body.
28192 .......... A Removal of foot 4.64 6.70 5.56 4.66 4.03 0.36 11.70 10.56 9.66 9.03 090
foreign body.
28193 .......... A Removal of foot 5.73 6.90 5.82 5.51 4.78 0.42 13.05 11.97 11.66 10.93 090
foreign body.
28200 .......... A Repair of foot 4.60 6.57 6.30 5.38 5.41 0.33 11.50 11.23 10.31 10.34 090
tendon.
28202 .......... A Repair/graft of 6.84 7.03 6.85 5.91 6.01 0.53 14.40 14.22 13.28 13.38 090
foot tendon.
28208 .......... A Repair of foot 4.37 6.29 5.48 4.84 4.39 0.31 10.97 10.16 9.52 9.07 090
tendon.
28210 .......... A Repair/graft of 6.35 8.04 7.55 5.64 5.75 0.46 14.85 14.36 12.45 12.56 090
foot tendon.
28220 .......... A Release of foot 4.53 6.13 5.65 5.12 4.89 0.30 10.96 10.48 9.95 9.72 090
tendon.
28222 .......... A Release of foot 5.62 6.54 6.64 6.05 6.28 0.36 12.52 12.62 12.03 12.26 090
tendons.
28225 .......... A Release of foot 3.66 5.90 5.07 4.71 4.18 0.25 9.81 8.98 8.62 8.09 090
tendon.
28226 .......... A Release of foot 4.53 6.11 5.50 5.33 4.92 0.33 10.97 10.36 10.19 9.78 090
tendons.
28230 .......... A Incision of foot 4.24 6.24 5.34 5.64 4.89 0.31 10.79 9.89 10.19 9.44 090
tendon(s).
28232 .......... A Incision of toe 3.39 6.44 5.27 5.38 4.47 0.25 10.08 8.91 9.02 8.11 090
tendon.
28234 .......... A Incision of foot 3.37 6.52 5.31 4.80 4.02 0.24 10.13 8.92 8.41 7.63 090
tendon.
28238 .......... A Revision of foot 7.73 7.38 7.50 6.40 6.76 0.56 15.67 15.79 14.69 15.05 090
tendon.
28240 .......... A Release of big toe. 4.36 6.09 5.15 5.29 4.55 0.32 10.77 9.83 9.97 9.23 090
28250 .......... A Revision of foot 5.92 7.01 6.47 6.17 5.84 0.42 13.35 12.81 12.51 12.18 090
fascia.
28260 .......... A Release of midfoot 7.96 7.47 6.81 6.37 5.98 0.57 16.00 15.34 14.90 14.51 090
joint.
28261 .......... A Revision of foot 11.73 9.37 8.63 8.39 7.90 0.84 21.94 21.20 20.96 20.47 090
tendon.
28262 .......... A Revision of foot 15.83 15.10 14.56 13.41 13.29 1.48 32.41 31.87 30.72 30.60 090
and ankle.
28264 .......... A Release of midfoot 10.35 8.87 9.25 8.87 9.25 0.86 20.08 20.46 20.08 20.46 090
joint.
28270 .......... A Release of foot 4.76 6.73 5.76 6.01 5.22 0.32 11.81 10.84 11.09 10.30 090
contracture.
28272 .......... A Release of toe 3.80 5.84 4.93 4.49 3.92 0.24 9.88 8.97 8.53 7.96 090
joint, each.
28280 .......... A Fusion of toes..... 5.19 6.73 5.65 5.93 5.05 0.45 12.37 11.29 11.57 10.69 090
28285 .......... A Repair of hammertoe 4.59 6.72 6.23 5.48 5.30 0.32 11.63 11.14 10.39 10.21 090
28286 .......... A Repair of hammertoe 4.56 6.64 5.95 5.30 4.95 0.32 11.52 10.83 10.18 9.83 090
28288 .......... A Partial removal of 4.74 6.58 5.95 6.58 5.95 0.38 11.70 11.07 11.70 11.07 090
foot bone.
28289 .......... A Repair hallux 7.04 8.05 8.05 7.23 7.23 0.55 15.64 15.64 14.82 14.82 090
rigidus.
28290 .......... A Correction of 5.66 7.57 7.13 7.47 7.06 0.46 13.69 13.25 13.59 13.18 090
bunion.
28292 .......... A Correction of 7.04 7.75 7.73 6.41 6.72 0.50 15.29 15.27 13.95 14.26 090
bunion.
28293 .......... A Correction of 9.15 8.84 9.22 6.78 7.68 0.61 18.60 18.98 16.54 17.44 090
bunion.
28294 .......... A Correction of 8.56 8.28 8.70 6.60 7.44 0.55 17.39 17.81 15.71 16.55 090
bunion.
28296 .......... A Correction of 9.18 8.83 9.01 7.42 7.96 0.66 18.67 18.85 17.26 17.80 090
bunion.
28297 .......... A Correction of 9.18 8.75 9.01 8.75 9.01 0.74 18.67 18.93 18.67 18.93 090
bunion.
28298 .......... A Correction of 7.94 8.15 8.48 7.09 7.69 0.54 16.63 16.96 15.57 16.17 090
bunion.
28299 .......... A Correction of 8.88 8.35 8.91 7.05 7.94 0.61 17.84 18.40 16.54 17.43 090
bunion.
28300 .......... A Incision of heel 9.54 9.20 8.67 8.19 7.91 0.87 19.61 19.08 18.60 18.32 090
bone.
28302 .......... A Incision of ankle 9.55 12.77 11.99 8.55 8.83 0.78 23.10 22.32 18.88 19.16 090
bone.
28304 .......... A Incision of midfoot 9.16 8.77 8.33 7.06 7.04 0.68 18.61 18.17 16.90 16.88 090
bones.
28305 .......... A Incise/graft 10.50 13.32 12.66 9.03 9.45 0.61 24.43 23.77 20.14 20.56 090
midfoot bones.
28306 .......... A Incision of 5.86 6.76 6.31 5.35 5.25 0.45 13.07 12.62 11.66 11.56 090
metatarsal.
28307 .......... A Incision of 6.33 7.90 7.52 7.43 7.17 0.51 14.74 14.36 14.27 14.01 090
metatarsal.
28308 .......... A Incision of 5.29 6.16 6.17 4.45 4.89 0.35 11.80 11.81 10.09 10.53 090
metatarsal.
28309 .......... A Incision of 12.78 NA NA 9.49 8.98 0.99 NA NA 23.26 22.75 090
metatarsals.
28310 .......... A Revision of big toe 5.43 7.09 6.45 5.65 5.37 0.37 12.89 12.25 11.45 11.17 090
[[Page 44231]]
28312 .......... A Revision of toe.... 4.55 6.86 6.38 6.10 5.81 0.33 11.74 11.26 10.98 10.69 090
28313 .......... A Repair deformity of 5.01 7.38 6.23 7.38 6.23 0.45 12.84 11.69 12.84 11.69 090
toe.
28315 .......... A Removal of sesamoid 4.86 6.23 5.82 4.73 4.70 0.33 11.42 11.01 9.92 9.89 090
bone.
28320 .......... A Repair of foot 9.18 NA NA 8.07 8.41 0.82 NA NA 18.07 18.41 090
bones.
28322 .......... A Repair of 8.34 7.30 6.74 7.24 6.70 0.74 16.38 15.82 16.32 15.78 090
metatarsals.
28340 .......... A Resect enlarged toe 6.98 7.81 7.58 5.73 6.02 0.52 15.31 15.08 13.23 13.52 090
tissue.
28341 .......... A Resect enlarged toe 8.41 8.27 8.28 6.18 6.71 0.55 17.23 17.24 15.14 15.67 090
28344 .......... A Repair extra toe(s) 4.26 5.68 5.27 5.15 4.87 0.38 10.32 9.91 9.79 9.51 090
28345 .......... A Repair webbed 5.92 6.98 6.69 6.46 6.30 0.48 13.38 13.09 12.86 12.70 090
toe(s).
28360 .......... A Reconstruct cleft 13.34 NA NA 12.26 12.43 1.39 NA NA 26.99 27.16 090
foot.
28400 .......... A Treatment of heel 2.16 5.13 4.55 3.91 3.63 0.21 7.50 6.92 6.28 6.00 090
fracture.
28405 .......... A Treatment of heel 4.57 5.88 5.47 5.33 5.06 0.44 10.89 10.48 10.34 10.07 090
fracture.
28406 .......... A Treatment of heel 6.31 NA NA 7.65 7.39 0.65 NA NA 14.61 14.35 090
fracture.
28415 .......... A Treat heel fracture 15.97 NA NA 13.83 12.82 1.58 NA NA 31.38 30.37 090
28420 .......... A Treat/graft heel 16.64 NA NA 14.33 13.70 1.67 NA NA 32.64 32.01 090
fracture.
28430 .......... A Treatment of ankle 2.09 4.67 4.17 3.30 3.14 0.20 6.96 6.46 5.59 5.43 090
fracture.
28435 .......... A Treatment of ankle 3.40 5.18 4.80 4.24 4.09 0.31 8.89 8.51 7.95 7.80 090
fracture.
28436 .......... A Treatment of ankle 4.71 NA NA 6.25 5.83 0.50 NA NA 11.46 11.04 090
fracture.
28445 .......... A Treat ankle 9.33 NA NA 9.36 9.41 0.90 NA NA 19.59 19.64 090
fracture.
28450 .......... A Treat midfoot 1.90 4.55 3.92 3.18 2.89 0.18 6.63 6.00 5.26 4.97 090
fracture, each.
28455 .......... A Treat midfoot 3.09 4.22 3.86 4.11 3.77 0.25 7.56 7.20 7.45 7.11 090
fracture, each.
28456 .......... A Treat midfoot 2.68 NA NA 4.98 4.35 0.26 NA NA 7.92 7.29 090
fracture.
28465 .......... A Treat midfoot 7.01 NA NA 7.40 7.05 0.65 NA NA 15.06 14.71 090
fracture, each.
28470 .......... A Treat metatarsal 1.99 4.00 3.49 2.69 2.51 0.19 6.18 5.67 4.87 4.69 090
fracture.
28475 .......... A Treat metatarsal 2.97 4.48 4.00 3.93 3.58 0.26 7.71 7.23 7.16 6.81 090
fracture.
28476 .......... A Treat metatarsal 3.38 NA NA 5.64 5.15 0.32 NA NA 9.34 8.85 090
fracture.
28485 .......... A Treat metatarsal 5.71 NA NA 6.80 6.37 0.48 NA NA 12.99 12.56 090
fracture.
28490 .......... A Treat big toe 1.09 2.18 1.88 1.53 1.39 0.10 3.37 3.07 2.72 2.58 090
fracture.
28495 .......... A Treat big toe 1.58 2.24 1.99 1.74 1.61 0.12 3.94 3.69 3.44 3.31 090
fracture.
28496 .......... A Treat big toe 2.33 7.03 5.84 4.40 3.86 0.23 9.59 8.40 6.96 6.42 090
fracture.
28505 .......... A Treat big toe 3.81 9.21 7.72 5.77 5.14 0.34 13.36 11.87 9.92 9.29 090
fracture.
28510 .......... A Treatment of toe 1.09 1.93 1.69 1.46 1.34 0.09 3.11 2.87 2.64 2.52 090
fracture.
28515 .......... A Treatment of toe 1.46 2.13 1.90 1.66 1.55 0.11 3.70 3.47 3.23 3.12 090
fracture.
28525 .......... A Treat toe fracture. 3.32 8.37 6.84 5.44 4.64 0.30 11.99 10.46 9.06 8.26 090
28530 .......... A Treat sesamoid bone 1.06 2.75 2.34 2.31 2.01 0.08 3.89 3.48 3.45 3.15 090
fracture.
28531 .......... A Treat sesamoid bone 2.35 8.01 6.53 3.15 2.88 0.17 10.53 9.05 5.67 5.40 090
fracture.
28540 .......... A Treat foot 2.04 3.30 2.64 3.27 2.62 0.15 5.49 4.83 5.46 4.81 090
dislocation.
28545 .......... A Treat foot 2.45 3.17 2.73 3.17 2.73 0.22 5.84 5.40 5.84 5.40 090
dislocation.
28546 .......... A Treat foot 3.20 4.91 4.43 4.91 4.43 0.30 8.41 7.93 8.41 7.93 090
dislocation.
28555 .......... A Repair foot 6.30 6.33 6.26 6.33 6.26 0.59 13.22 13.15 13.22 13.15 090
dislocation.
28570 .......... A Treat foot 1.66 3.68 3.19 3.32 2.92 0.14 5.48 4.99 5.12 4.72 090
dislocation.
28575 .......... A Treat foot 3.31 3.36 3.27 3.36 3.27 0.32 6.99 6.90 6.99 6.90 090
dislocation.
28576 .......... A Treat foot 4.17 5.30 4.73 5.30 4.73 0.41 9.88 9.31 9.88 9.31 090
dislocation.
28585 .......... A Repair foot 7.99 8.58 7.78 7.12 6.69 0.71 17.28 16.48 15.82 15.39 090
dislocation.
28600 .......... A Treat foot 1.89 4.01 3.19 3.52 2.83 0.16 6.06 5.24 5.57 4.88 090
dislocation.
28605 .......... A Treat foot 2.71 4.63 4.09 3.98 3.60 0.26 7.60 7.06 6.95 6.57 090
dislocation.
28606 .......... A Treat foot 4.90 14.59 11.89 6.15 5.56 0.50 19.99 17.29 11.55 10.96 090
dislocation.
28615 .......... A Repair foot 7.77 NA NA 8.27 7.55 0.77 NA NA 16.81 16.09 090
dislocation.
28630 .......... A Treat toe 1.70 1.84 1.66 1.76 1.60 0.14 3.68 3.50 3.60 3.44 010
dislocation.
28635 .......... A Treat toe 1.91 2.15 2.01 2.15 2.01 0.15 4.21 4.07 4.21 4.07 010
dislocation.
28636 .......... A Treat toe 2.77 5.54 4.85 2.57 2.62 0.26 8.57 7.88 5.60 5.65 010
dislocation.
28645 .......... A Repair toe 4.22 5.25 4.82 3.81 3.74 0.31 9.78 9.35 8.34 8.27 090
dislocation.
28660 .......... A Treat toe 1.23 2.48 2.03 1.70 1.45 0.11 3.82 3.37 3.04 2.79 010
dislocation.
28665 .......... A Treat toe 1.92 2.21 1.92 2.21 1.92 0.14 4.27 3.98 4.27 3.98 010
dislocation.
28666 .......... A Treat toe 2.66 8.41 6.97 2.58 2.60 0.26 11.33 9.89 5.50 5.52 010
dislocation.
28675 .......... A Repair of toe 2.92 6.74 5.87 4.12 3.91 0.28 9.94 9.07 7.32 7.11 090
dislocation.
28705 .......... A Fusion of foot 15.21 NA NA 11.91 13.03 1.40 NA NA 28.52 29.64 090
bones.
28715 .......... A Fusion of foot 13.10 NA NA 11.12 11.69 1.28 NA NA 25.50 26.07 090
bones.
28725 .......... A Fusion of foot 11.61 NA NA 10.22 10.23 1.06 NA NA 22.89 22.90 090
bones.
28730 .......... A Fusion of foot 10.76 NA NA 9.42 9.51 0.01 NA NA 20.19 20.28 090
bones.
28735 .......... A Fusion of foot 10.85 NA NA 9.22 9.56 0.96 NA NA 21.03 21.37 090
bones.
28737 .......... A Revision of foot 9.64 NA NA 8.25 8.60 0.86 NA NA 18.75 19.10 090
bones.
28740 .......... A Fusion of foot 8.02 10.13 8.99 7.76 7.22 0.70 18.85 17.71 16.48 15.94 090
bones.
28750 .......... A Fusion of big toe 7.30 10.13 9.04 8.01 7.45 0.70 18.13 17.04 16.01 15.45 090
joint.
28755 .......... A Fusion of big toe 4.74 7.26 6.45 5.46 5.10 0.38 12.38 11.57 10.58 10.22 090
joint.
28760 .......... A Fusion of big toe 7.75 7.39 7.01 6.62 6.43 0.59 15.73 15.35 14.96 14.77 090
joint.
28800 .......... A Amputation of 8.21 NA NA 8.02 7.82 0.82 NA NA 17.05 16.85 090
midfoot.
28805 .......... A Amputation thru 8.39 NA NA 7.92 7.66 0.89 NA NA 17.20 16.94 090
metatarsal.
28810 .......... A Amputation toe & 6.21 NA NA 6.82 6.18 0.65 NA NA 13.68 13.04 090
metatarsal.
28820 .......... A Amputation of toe.. 4.41 8.78 7.29 6.11 5.28 0.44 13.63 12.14 10.96 10.13 090
28825 .......... A Partial amputation 3.59 8.11 6.73 5.74 4.96 0.35 12.05 10.67 9.68 8.90 090
of toe.
28899 .......... C Foot/toes surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29000 .......... A Application of body 2.25 2.42 2.32 1.26 1.45 0.34 5.01 4.91 3.85 4.04 000
cast.
29010 .......... A Application of body 2.06 2.14 2.24 1.24 1.56 0.26 4.46 4.56 3.56 3.88 000
cast.
29015 .......... A Application of body 2.41 2.85 2.77 1.18 1.52 0.14 5.40 5.32 3.73 4.07 000
cast.
29020 .......... A Application of body 2.11 2.55 2.41 1.03 1.27 0.12 4.78 4.64 3.26 3.50 000
cast.
29025 .......... A Application of body 2.40 2.44 2.03 1.34 1.21 0.27 5.11 4.70 4.01 3.88 000
cast.
29035 .......... A Application of body 1.77 2.33 2.28 0.95 1.24 0.19 4.29 4.24 2.91 3.20 000
cast.
29040 .......... A Application of body 2.22 1.83 1.92 0.90 1.22 0.18 4.23 4.32 3.30 3.62 000
cast.
29044 .......... A Application of body 2.12 2.53 2.47 1.30 1.54 0.23 4.88 4.82 3.65 3.89 000
cast.
29046 .......... A Application of body 2.41 2.02 2.12 1.45 1.69 0.25 4.68 4.78 4.11 4.35 000
cast.
29049 .......... A Application of 0.89 1.46 1.21 0.36 0.39 0.09 2.44 2.19 1.34 1.37 000
figure eight.
[[Page 44232]]
29055 .......... A Application of 1.78 2.07 1.88 1.03 1.10 0.18 4.03 3.84 2.99 3.06 000
shoulder cast.
29058 .......... A Application of 1.31 1.69 1.45 0.66 0.67 0.12 3.12 2.88 2.09 2.10 000
shoulder cast.
29065 .......... A Application of long 0.87 1.20 1.12 0.52 0.61 0.09 2.16 2.08 1.48 1.57 000
arm cast.
29075 .......... A Application of 0.77 1.15 1.03 0.45 0.50 0.08 2.00 1.88 1.30 1.35 000
forearm cast.
29085 .......... A Apply hand/wrist 0.87 1.18 1.02 0.46 0.48 0.09 2.14 1.98 1.42 1.44 000
cast.
29105 .......... A Apply long arm 0.87 1.19 1.03 0.37 0.41 0.09 2.15 1.99 1.33 1.37 000
splint.
29125 .......... A Apply forearm 0.59 1.03 0.87 0.25 0.29 0.06 1.68 1.52 0.90 0.94 000
splint.
29126 .......... A Apply forearm 0.77 1.46 1.20 0.38 0.39 0.07 2.30 2.04 1.22 1.23 000
splint.
29130 .......... A Application of 0.50 0.79 0.64 0.22 0.21 0.05 1.34 1.19 0.77 0.76 000
finger splint.
29131 .......... A Application of 0.55 1.30 1.08 0.33 0.35 0.05 1.90 1.68 0.93 0.95 000
finger splint.
29200 .......... A Strapping of chest. 0.65 0.99 0.82 0.25 0.26 0.06 1.70 1.53 0.96 0.97 000
29220 .......... A Strapping of low 0.64 0.90 0.78 0.33 0.35 0.05 1.59 1.47 1.02 1.04 000
back.
29240 .......... A Strapping of 0.71 1.09 0.89 0.27 0.28 0.07 1.87 1.67 1.05 1.06 000
shoulder.
29260 .......... A Strapping of elbow 0.55 0.90 0.74 0.23 0.24 0.05 1.50 1.34 0.83 0.84 000
or wrist.
29280 .......... A Strapping of hand 0.51 0.98 0.79 0.22 0.22 0.05 1.54 1.35 0.78 0.78 000
or finger.
29305 .......... A Application of hip 2.03 2.25 2.20 1.23 1.43 0.21 4.49 4.44 3.47 3.67 000
cast.
29325 .......... A Application of hip 2.32 2.10 2.10 1.35 1.54 0.24 4.66 4.66 3.91 4.10 000
casts.
29345 .......... A Application of long 1.40 1.57 1.46 0.80 0.88 0.14 3.11 3.00 2.34 2.42 000
leg cast.
29355 .......... A Application of long 1.53 1.58 1.48 0.85 0.94 0.15 3.26 3.16 2.53 2.62 000
leg cast.
29358 .......... A Apply long leg cast 1.43 1.71 1.71 0.90 1.10 0.14 3.28 3.28 2.47 2.67 000
brace.
29365 .......... A Application of long 1.18 1.42 1.30 0.69 0.75 0.12 2.72 2.60 1.99 2.05 000
leg cast.
29405 .......... A Apply short leg 0.86 1.12 1.06 0.49 0.58 0.09 2.07 2.01 1.44 1.53 000
cast.
29425 .......... A Apply short leg 1.01 1.10 1.09 0.55 0.68 0.10 2.21 2.20 1.66 1.79 000
cast.
29435 .......... A Apply short leg 1.18 1.63 1.54 0.75 0.88 0.11 2.92 2.83 2.04 2.17 000
cast.
29440 .......... A Addition of walker 0.57 0.85 0.70 0.30 0.29 0.06 1.48 1.33 0.93 0.92 000
to cast.
29445 .......... A Apply rigid leg 1.78 1.85 1.85 0.85 1.10 0.16 3.79 3.79 2.79 3.04 000
cast.
29450 .......... A Application of leg 1.02 1.06 0.90 0.54 0.51 0.08 2.16 2.00 1.64 1.61 000
cast.
29505 .......... A Application, long 0.69 1.34 1.16 0.35 0.42 0.07 2.10 1.92 1.11 1.18 000
leg splint.
29515 .......... A Application lower 0.73 1.01 0.89 0.35 0.39 0.06 1.80 1.68 1.14 1.18 000
leg splint.
29520 .......... A Strapping of hip... 0.54 1.06 0.89 0.36 0.37 0.03 1.63 1.46 0.93 0.94 000
29530 .......... A Strapping of knee.. 0.57 0.97 0.82 0.24 0.28 0.05 1.59 1.44 0.86 0.90 000
29540 .......... A Strapping of ankle. 0.51 0.46 0.43 0.23 0.26 0.03 1.00 0.97 0.77 0.80 000
29550 .......... A Strapping of toes.. 0.47 0.44 0.41 0.22 0.24 0.03 0.94 0.91 0.72 0.74 000
29580 .......... A Application of 0.57 0.76 0.79 0.29 0.43 0.05 1.38 1.41 0.91 1.05 000
paste boot.
29590 .......... A Application of foot 0.76 0.67 0.58 0.37 0.35 0.05 1.48 1.39 1.18 1.16 000
splint.
29700 .......... A Removal/revision of 0.57 0.72 0.63 0.29 0.31 0.06 1.35 1.26 0.92 0.94 000
cast.
29705 .......... A Removal/revision of 0.76 0.89 0.76 0.39 0.39 0.08 1.73 1.60 1.23 1.23 000
cast.
29710 .......... A Removal/revision of 1.34 1.50 1.25 0.76 0.69 0.12 2.96 2.71 2.22 2.15 000
cast.
29715 .......... A Removal/revision of 0.94 1.16 1.10 0.40 0.53 0.10 2.20 2.14 1.44 1.57 000
cast.
29720 .......... A Repair of body cast 0.68 1.34 1.07 0.47 0.42 0.07 2.09 1.82 1.22 1.17 000
29730 .......... A Windowing of cast.. 0.75 0.86 0.72 0.37 0.35 0.08 1.69 1.55 1.20 1.18 000
29740 .......... A Wedging of cast.... 1.12 1.26 1.05 0.51 0.49 0.11 2.49 2.28 1.74 1.72 000
29750 .......... A Wedging of clubfoot 1.26 1.19 1.03 0.69 0.65 0.11 2.56 2.40 2.06 2.02 000
cast.
29799 .......... C Casting/strapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29800 .......... A Jaw arthroscopy/ 6.43 NA NA 7.69 6.86 0.59 NA NA 14.71 13.88 090
surgery.
29804 .......... A Jaw arthroscopy/ 8.14 NA NA 8.18 8.56 0.62 NA NA 16.94 17.32 090
surgery.
29815 .......... A Shoulder 5.89 NA NA 6.70 6.34 0.58 NA NA 13.17 12.81 090
arthroscopy.
29819 .......... A Shoulder 7.62 NA NA 8.57 8.70 0.78 NA NA 16.97 17.10 090
arthroscopy/
surgery.
29820 .......... A Shoulder 7.07 NA NA 8.28 8.32 0.73 NA NA 16.08 16.12 090
arthroscopy/
surgery.
29821 .......... A Shoulder 7.72 NA NA 8.60 8.75 0.78 NA NA 17.10 17.25 090
arthroscopy/
surgery.
29822 .......... A Shoulder 7.43 NA NA 8.51 8.60 0.76 NA NA 16.70 16.79 090
arthroscopy/
surgery.
29823 .......... A Shoulder 8.17 NA NA 8.92 9.13 0.83 NA NA 17.92 18.13 090
arthroscopy/
surgery.
29825 .......... A Shoulder 7.62 NA NA 8.63 8.75 0.78 NA NA 17.03 17.15 090
arthroscopy/
surgery.
29826 .......... A Shoulder 8.99 NA NA 9.34 9.69 0.93 NA NA 19.26 19.61 090
arthroscopy/
surgery.
29830 .......... A Elbow arthroscopy.. 5.76 NA NA 5.44 5.52 0.62 NA NA 11.82 11.90 090
29834 .......... A Elbow arthroscopy/ 6.28 NA NA 6.10 6.16 0.64 NA NA 13.02 13.08 090
surgery.
29835 .......... A Elbow arthroscopy/ 6.48 NA NA 6.15 6.25 0.66 NA NA 13.29 13.39 090
surgery.
29836 .......... A Elbow arthroscopy/ 7.55 NA NA 6.84 7.04 0.77 NA NA 15.16 15.36 090
surgery.
29837 .......... A Elbow arthroscopy/ 6.87 NA NA 6.34 6.49 0.71 NA NA 13.92 14.07 090
surgery.
29838 .......... A Elbow arthroscopy/ 7.71 NA NA 6.91 7.10 0.80 NA NA 15.42 15.61 090
surgery.
29840 .......... A Wrist arthroscopy.. 5.54 NA NA 7.35 6.41 0.57 NA NA 13.46 12.52 090
29843 .......... A Wrist arthroscopy/ 6.01 NA NA 7.45 7.11 0.66 NA NA 14.12 13.78 090
surgery.
29844 .......... A rist arthroscopy/ 6.37 NA NA 7.70 7.29 0.67 NA NA 14.74 14.33 090
surgery.
29845 .......... A Wrist arthroscopy/ 7.52 NA NA 7.72 7.69 0.77 NA NA 16.01 15.98 090
surgery.
29846 .......... A Wrist arthroscopy/ 6.75 NA NA 9.98 9.50 0.71 NA NA 17.44 16.96 090
surgery.
29847 .......... A Wrist arthroscopy/ 7.08 NA NA 9.84 9.22 0.74 NA NA 17.66 17.04 090
surgery.
29848 .......... A Wrist endoscopy/ 5.44 NA NA 7.30 6.52 0.58 NA NA 13.32 12.54 090
surgery.
29850 .......... A Knee arthroscopy/ 8.19 NA NA 6.68 7.46 0.71 NA NA 15.58 16.36 090
surgery.
29851 .......... A Knee arthroscopy/ 13.10 NA NA 10.43 10.79 1.37 NA NA 24.90 25.26 090
surgery.
29855 .......... A Tibial arthroscopy/ 10.62 NA NA 9.42 10.24 1.09 NA NA 21.13 21.95 090
surgery.
29856 .......... A Tibial arthroscopy/ 14.14 NA NA 11.36 11.69 1.47 NA NA 26.97 27.30 090
surgery.
29860 .......... A Hip arthroscopy, dx 8.05 NA NA 7.10 6.64 0.77 NA NA 15.92 15.46 090
29861 .......... A Hip arthroscopy/ 9.15 NA NA 8.23 8.72 0.88 NA NA 18.26 18.75 090
surgery.
29862 .......... A Hip arthroscopy/ 9.90 NA NA 8.63 9.21 0.95 NA NA 19.48 20.06 090
surgery.
29863 .......... A Hip arthroscopy/ 9.90 NA NA 8.97 9.09 0.95 NA NA 19.82 19.94 090
surgery.
29870 .......... A Knee arthroscopy, 5.07 NA NA 5.50 5.22 0.52 NA NA 11.09 10.81 090
dx.
29871 .......... A Knee arthroscopy/ 6.55 NA NA 7.26 7.28 0.59 NA NA 14.40 14.42 090
drainage.
29874 .......... A Knee arthroscopy/ 7.05 NA NA 7.02 7.37 0.68 NA NA 14.75 15.10 090
surgery.
29875 .......... A Knee arthroscopy/ 6.31 NA NA 6.72 6.92 0.66 NA NA 13.69 13.89 090
surgery.
29876 .......... A Knee arthroscopy/ 7.92 NA NA 8.07 8.42 0.80 NA NA 16.79 17.14 090
surgery.
29877 .......... A Knee arthroscopy/ 7.35 NA NA 7.30 7.67 0.76 NA NA 15.41 15.78 090
surgery.
29879 .......... A Knee arthroscopy/ 8.04 NA NA 7.67 8.15 0.84 NA NA 16.55 17.03 090
surgery.
[[Page 44233]]
29880 .......... A Knee arthroscopy/ 8.50 NA NA 7.93 8.49 0.89 NA NA 17.32 17.88 090
surgery.
29881 .......... A Knee arthroscopy/ 7.76 NA NA 7.53 7.97 0.80 NA NA 16.09 16.53 090
surgery.
29882 .......... A Knee arthroscopy/ 8.65 NA NA 7.96 8.55 0.90 NA NA 17.51 18.10 090
surgery.
29883 .......... A Knee arthroscopy/ 9.46 NA NA 8.45 9.16 0.98 NA NA 18.89 19.60 090
surgery.
29884 .......... A Knee arthroscopy/ 7.33 NA NA 7.74 7.99 0.75 NA NA 15.82 16.07 090
surgery.
29885 .......... A Knee arthroscopy/ 9.09 NA NA 8.72 8.77 0.95 NA NA 18.76 18.81 090
surgery.
29886 .......... A Knee arthroscopy/ 7.54 NA NA 7.89 7.76 0.78 NA NA 16.21 16.08 090
surgery.
29887 .......... A Knee arthroscopy/ 9.04 NA NA 8.69 9.22 0.94 NA NA 18.67 19.20 090
surgery.
29888 .......... A Knee arthroscopy/ 13.90 NA NA 11.22 12.56 1.41 NA NA 26.53 27.87 090
surgery.
29889 .......... A Knee arthroscopy/ 15.13 NA NA 12.34 12.04 1.56 NA NA 29.03 28.73 090
surgery.
29891 .......... A Ankle arthroscopy/ 8.40 NA NA 8.15 8.52 0.81 NA NA 17.36 17.73 090
surgery.
29892 .......... A Ankle arthroscopy/ 0.09 NA NA 8.53 8.80 0.87 NA NA 9.49 9.76 090
surgery.
29893 .......... A Scope, plantar 5.22 NA NA 4.74 4.97 0.37 NA NA 10.33 10.56 090
fasciotomy.
29894 .......... A Ankle arthroscopy/ 7.21 NA NA 7.25 7.59 0.65 NA NA 15.11 15.45 090
surgery.
29895 .......... A Ankle arthroscopy/ 6.99 NA NA 7.16 7.46 0.65 NA NA 14.80 15.10 090
surgery.
29897 .......... A Ankle arthroscopy/ 7.18 NA NA 7.69 7.91 0.68 NA NA 15.55 15.77 090
surgery.
29898 .......... A Ankle arthroscopy/ 8.32 NA NA 7.47 8.09 0.74 NA NA 16.53 17.15 090
surgery.
29909 .......... C Arthroscopy of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
joint.
30000 .......... A Drainage of nose 1.43 2.14 1.76 1.31 1.14 0.11 3.68 3.30 2.85 2.68 010
lesion.
30020 .......... A Drainage of nose 1.43 2.30 1.89 1.36 1.18 0.07 3.80 3.39 2.86 2.68 010
lesion.
30100 .......... A Intranasal biopsy.. 0.94 1.12 1.03 0.51 0.57 0.07 2.13 2.04 1.52 1.58 000
30110 .......... A Removal of nose 1.63 2.28 2.06 0.85 0.99 0.11 4.02 3.80 2.59 2.73 010
polyp(s).
30115 .......... A Removal of nose 4.35 NA NA 3.92 3.70 0.31 NA NA 8.58 8.36 090
polyp(s).
30117 .......... A Removal of 3.16 3.90 3.70 2.79 2.86 0.23 7.29 7.09 6.18 6.25 090
intranasal lesion.
30118 .......... A Removal of 9.69 NA NA 7.57 7.85 0.71 NA NA 17.97 18.25 090
intranasal lesion.
30120 .......... A Revision of nose... 5.27 5.38 5.61 5.38 5.61 0.40 11.05 11.28 11.05 11.28 090
30124 .......... A Removal of nose 3.10 NA NA 2.98 2.60 0.21 NA NA 6.29 5.91 090
lesion.
30125 .......... A Removal of nose 7.16 NA NA 5.89 5.92 0.48 NA NA 13.53 13.56 090
lesion.
30130 .......... A Removal of 3.38 NA NA 3.45 3.04 0.23 NA NA 7.06 6.65 090
turbinate bones.
30140 .......... A Removal of 3.43 NA NA 3.87 3.73 0.25 NA NA 7.55 7.41 090
turbinate bones.
30150 .......... A Partial removal of 9.14 NA NA 7.75 7.96 0.77 NA NA 17.66 17.87 090
nose.
30160 .......... A Removal of nose.... 9.58 NA NA 7.80 8.71 0.75 NA NA 18.13 19.04 090
30200 .......... A Injection treatment 0.78 1.02 0.87 0.42 0.42 0.06 1.86 1.71 1.26 1.26 000
of nose.
30210 .......... A Nasal sinus therapy 1.08 1.75 1.38 0.60 0.52 0.08 2.91 2.54 1.76 1.68 010
30220 .......... A Insert nasal septal 1.54 2.09 1.98 0.84 1.04 0.11 3.74 3.63 2.49 2.69 010
button.
30300 .......... A Remove nasal 1.04 2.18 1.76 0.38 0.41 0.08 3.30 2.88 1.50 1.53 010
foreign body.
30310 .......... A Remove nasal 1.96 NA NA 1.72 1.73 0.14 NA NA 3.82 3.83 010
foreign body.
30320 .......... A Remove nasal 4.52 NA NA 4.79 4.76 0.33 NA NA 9.64 9.61 090
foreign body.
30400 .......... R Reconstruction of 9.83 NA NA 7.94 8.66 0.84 NA NA 18.61 19.33 090
nose.
30410 .......... R Reconstruction of 12.98 NA NA 9.79 11.22 1.14 NA NA 23.91 25.34 090
nose.
30420 .......... R Reconstruction of 15.88 NA NA 11.32 13.23 1.25 NA NA 28.45 30.36 090
nose.
30430 .......... R Revision of nose... 7.21 NA NA 6.40 6.45 0.62 NA NA 14.23 14.28 090
30435 .......... R Revision of nose... 11.71 NA NA 9.22 9.68 1.03 NA NA 21.96 22.42 090
30450 .......... R Revision of nose... 18.65 NA NA 13.02 12.82 1.65 NA NA 33.32 33.12 090
30460 .......... A Revision of nose... 9.96 NA NA 8.39 8.62 0.87 NA NA 19.22 19.45 090
30462 .......... A Revision of nose... 19.57 NA NA 13.07 14.46 1.90 NA NA 34.54 35.93 090
30520 .......... A Repair of nasal 5.70 NA NA 5.13 5.55 0.41 NA NA 11.24 11.66 090
septum.
30540 .......... A Repair nasal defect 7.75 NA NA 5.44 5.88 0.54 NA NA 13.73 14.17 090
30545 .......... A Repair nasal defect 11.38 NA NA 8.13 9.04 0.88 NA NA 20.39 21.30 090
30560 .......... A Release of nasal 1.26 1.92 1.59 1.30 1.13 0.09 3.27 2.94 2.65 2.48 010
adhesions.
30580 .......... A Repair upper jaw 6.69 4.64 5.17 4.64 5.17 0.49 11.82 12.35 11.82 12.35 090
fistula.
30600 .......... A Repair mouth/nose 6.02 4.17 4.15 4.17 4.15 0.47 10.66 10.64 10.66 10.64 090
fistula.
30620 .......... A Intranasal 5.97 NA NA 5.72 6.07 0.45 NA NA 12.14 12.49 090
reconstruction.
30630 .......... A Repair nasal septum 7.12 NA NA 6.25 6.38 0.53 NA NA 13.90 14.03 090
defect.
30801 .......... A Cauterization, 1.09 2.14 1.73 1.88 1.54 0.08 3.31 2.90 3.05 2.71 010
inner nose.
30802 .......... A Cauterization, 2.03 2.62 2.22 2.41 2.06 0.14 4.79 4.39 4.58 4.23 010
inner nose.
30901 .......... A Control of 1.21 1.84 1.53 0.40 0.45 0.10 3.15 2.84 1.71 1.76 000
nosebleed.
30903 .......... A Control of 1.54 2.18 1.87 0.58 0.67 0.12 3.84 3.53 2.24 2.33 000
nosebleed.
30905 .......... A Control of 1.97 3.88 3.40 0.85 1.12 0.15 6.00 5.52 2.97 3.24 000
nosebleed.
30906 .......... A Repeat control of 2.45 4.16 3.41 1.29 1.26 0.18 6.79 6.04 3.92 3.89 000
nosebleed.
30915 .......... A Ligation, nasal 7.20 NA NA 6.04 5.87 0.52 NA NA 13.76 13.59 090
sinus artery.
30920 .......... A Ligation, upper jaw 9.83 NA NA 7.56 8.26 0.70 NA NA 18.09 18.79 090
artery.
30930 .......... A Therapy, fracture 1.26 NA NA 1.77 1.52 0.09 NA NA 3.12 2.87 010
of nose.
30999 .......... C Nasal surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31000 .......... A Irrigation, 1.15 2.00 1.62 0.62 0.58 0.08 3.23 2.85 1.85 1.81 010
maxillary sinus.
31002 .......... A Irrigation, 1.91 NA NA 1.76 1.45 0.13 NA NA 3.80 3.49 010
sphenoid sinus.
31020 .......... A Exploration, 2.94 3.60 3.42 3.15 3.09 0.21 6.75 6.57 6.30 6.24 090
maxillary sinus.
31030 .......... A Exploration, 5.92 4.44 5.10 4.24 4.95 0.43 10.79 11.45 10.59 11.30 090
maxillary sinus.
31032 .......... A Explore 6.57 NA NA 5.41 6.02 0.48 NA NA 12.46 13.07 090
sinus,remove
polyps.
31040 .......... A Exploration behind 9.42 NA NA 6.21 6.82 0.69 NA NA 16.32 16.93 090
upper jaw.
31050 .......... A Exploration, 5.28 NA NA 4.47 4.93 0.39 NA NA 10.14 10.60 090
sphenoid sinus.
31051 .......... A Sphenoid sinus 7.11 NA NA 5.79 6.47 0.55 NA NA 13.45 14.13 090
surgery.
31070 .......... A Exploration of 4.28 NA NA 4.30 4.50 0.31 NA NA 8.89 9.09 090
frontal sinus.
31075 .......... A Exploration of 9.16 NA NA 7.33 8.23 0.63 NA NA 17.12 18.02 090
frontal sinus.
31080 .......... A Removal of frontal 11.42 NA NA 8.36 8.77 0.81 NA NA 20.59 21.00 090
sinus.
31081 .......... A Removal of frontal 12.75 NA NA 8.91 9.48 1.86 NA NA 23.52 24.09 090
sinus.
31084 .......... A Removal of frontal 13.51 NA NA 9.56 11.18 1.03 NA NA 24.10 25.72 090
sinus.
31085 .......... A Removal of frontal 14.20 NA NA 9.85 11.63 1.35 NA NA 25.40 27.18 090
sinus.
31086 .......... A Removal of frontal 12.86 NA NA 9.37 9.98 0.96 NA NA 23.19 23.80 090
sinus.
31087 .......... A Removal of frontal 13.10 NA NA 9.24 9.75 0.93 NA NA 23.27 23.78 090
sinus.
31090 .......... A Exploration of 9.53 NA NA 7.89 8.76 0.68 NA NA 18.10 18.97 090
sinuses.
31200 .......... A Removal of ethmoid 4.97 NA NA 5.43 5.33 0.28 NA NA 10.68 10.58 090
sinus.
[[Page 44234]]
31201 .......... A Removal of ethmoid 8.37 NA NA 6.87 7.06 0.59 NA NA 15.83 16.02 090
sinus.
31205 .......... A Removal of ethmoid 10.24 NA NA 8.10 8.25 0.61 NA NA 18.95 19.10 090
sinus.
31225 .......... A Removal of upper 19.23 NA NA 13.72 15.57 1.41 NA NA 34.36 36.21 090
jaw.
31230 .......... A Removal of upper 21.94 NA NA 15.38 17.43 1.67 NA NA 38.99 41.04 090
jaw.
31231 .......... A Nasal endoscopy, dx 1.10 1.68 1.63 0.58 0.81 0.08 2.86 2.81 1.76 1.99 000
31233 .......... A Nasal/sinus 2.18 2.28 2.47 1.20 1.66 0.15 4.61 4.80 3.53 3.99 000
endoscopy, dx.
31235 .......... A Nasal/sinus 2.64 2.54 2.55 1.45 1.74 0.18 5.36 5.37 4.27 4.56 000
endoscopy, dx.
31237 .......... A Nasal/sinus 2.98 2.80 2.99 1.60 2.09 0.21 5.99 6.18 4.79 5.28 000
endoscopy, surg.
31238 .......... A Nasal/sinus 3.26 3.21 3.38 1.79 2.32 0.23 6.70 6.87 5.28 5.81 000
endoscopy, surg.
31239 .......... A Nasal/sinus 8.70 NA NA 6.28 7.31 0.44 NA NA 15.42 16.45 010
endoscopy, surg.
31240 .......... A Nasal/sinus 2.61 NA NA 1.47 1.88 0.18 NA NA 4.26 4.67 000
endoscopy, surg.
31254 .......... A Revision of ethmoid 4.65 NA NA 2.65 3.38 0.32 NA NA 7.62 8.35 000
sinus.
31255 .......... A Removal of ethmoid 6.96 NA NA 3.92 5.02 0.50 NA NA 11.38 12.48 000
sinus.
31256 .......... A Exploration 3.29 NA NA 1.89 2.40 0.23 NA NA 5.41 5.92 000
maxillary sinus.
31267 .......... A Endoscopy, 5.46 NA NA 3.09 3.74 0.39 NA NA 8.94 9.59 000
maxillary sinus.
31276 .......... A Sinus endoscopy, 8.85 NA NA 4.88 5.48 0.63 NA NA 14.36 14.96 000
surgical.
31287 .......... A Nasal/sinus 3.92 NA NA 2.24 2.85 0.28 NA NA 6.44 7.05 000
endoscopy, surg.
31288 .......... A Nasal/sinus 4.58 NA NA 2.61 3.33 0.32 NA NA 7.51 8.23 000
endoscopy, surg.
31290 .......... A Nasal/sinus 17.24 NA NA 10.95 12.68 1.28 NA NA 29.47 31.20 010
endoscopy, surg.
31291 .......... A Nasal/sinus 18.19 NA NA 11.31 13.18 1.73 NA NA 31.23 33.10 010
endoscopy, surg.
31292 .......... A Nasal/sinus 14.76 NA NA 9.54 10.79 1.03 NA NA 25.33 26.58 010
endoscopy, surg.
31293 .......... A Nasal/sinus 16.21 NA NA 10.18 11.61 1.09 NA NA 27.48 28.91 010
endoscopy, surg.
31294 .......... A Nasal/sinus 19.06 NA NA 11.83 13.41 1.71 NA NA 32.60 34.18 010
endoscopy, surg.
31299 .......... C Sinus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31300 .......... A Removal of larynx 14.29 NA NA 14.94 14.35 1.02 NA NA 30.25 29.66 090
lesion.
31320 .......... A Diagnostic 5.26 NA NA 11.08 9.36 0.39 NA NA 16.73 15.01 090
incision, larynx.
31360 .......... A Removal of larynx.. 17.08 NA NA 16.69 17.62 1.24 NA NA 35.01 35.94 090
31365 .......... A Removal of larynx.. 24.16 NA NA 20.46 22.56 1.77 NA NA 46.39 48.49 090
31367 .......... A Partial removal of 21.86 NA NA 21.00 20.42 1.59 NA NA 44.45 43.87 090
larynx.
31368 .......... A Partial removal of 27.09 NA NA 24.85 25.90 1.98 NA NA 53.92 54.97 090
larynx.
31370 .......... A Partial removal of 21.38 NA NA 20.88 20.32 1.60 NA NA 43.86 43.30 090
larynx.
31375 .......... A Partial removal of 20.21 NA NA 18.41 17.84 1.41 NA NA 40.03 39.46 090
larynx.
31380 .......... A Partial removal of 20.21 NA NA 18.61 18.64 1.44 NA NA 40.26 40.29 090
larynx.
31382 .......... A Partial removal of 20.52 NA NA 20.08 19.42 1.51 NA NA 42.11 41.45 090
larynx.
31390 .......... A Removal of larynx & 27.53 NA NA 25.18 26.23 1.99 NA NA 54.70 55.75 090
pharynx.
31395 .......... A Reconstruct larynx 31.09 NA NA 29.74 31.40 2.25 NA NA 63.08 64.74 090
& pharynx.
31400 .......... A Revision of larynx. 10.31 NA NA 13.34 12.13 0.74 NA NA 24.39 23.18 090
31420 .......... A Removal of 10.22 NA NA 13.25 12.13 0.74 NA NA 24.21 23.09 090
epiglottis.
31500 .......... A Insert emergency 2.33 NA NA 0.64 0.79 0.17 NA NA 3.14 3.29 000
airway.
31502 .......... A Change of windpipe 0.65 1.59 1.35 0.26 0.35 0.04 2.28 2.04 0.95 1.04 000
airway.
31505 .......... A Diagnostic 0.61 1.49 1.24 0.31 0.35 0.05 2.15 1.90 0.97 1.01 000
laryngoscopy.
31510 .......... A Laryngoscopy with 1.92 2.37 1.93 0.96 0.87 0.14 4.43 3.99 3.02 2.93 000
biopsy.
31511 .......... A Remove foreign 2.16 2.56 2.18 0.78 0.85 0.18 4.90 4.52 3.12 3.19 000
body, larynx.
31512 .......... A Removal of larynx 2.07 2.49 2.35 1.07 1.29 0.19 4.75 4.61 3.33 3.55 000
lesion.
31513 .......... A Injection into 2.10 NA NA 1.24 1.56 0.15 NA NA 3.49 3.81 000
vocal cord.
31515 .......... A Laryngoscopy for 1.80 2.18 1.94 0.81 0.92 0.12 4.10 3.86 2.73 2.84 000
aspiration.
31520 .......... A Diagnostic 2.56 NA NA 1.34 1.45 0.18 NA NA 4.08 4.19 000
laryngoscopy.
31525 .......... A Diagnostic 2.63 2.54 2.50 1.44 1.68 0.18 5.35 5.31 4.25 4.49 000
laryngoscopy.
31526 .......... A Diagnostic 2.57 NA NA 1.49 1.89 0.18 NA NA 4.24 4.64 000
laryngoscopy.
31527 .......... A Laryngoscopy for 3.27 NA NA 1.66 2.06 0.23 NA NA 5.16 5.56 000
treatment.
31528 .......... A Laryngoscopy and 2.37 NA NA 1.28 1.67 0.18 NA NA 3.83 4.22 000
dilatation.
31529 .......... A Laryngoscopy and 2.68 NA NA 1.46 1.76 0.19 NA NA 4.33 4.63 000
dilatation.
31530 .......... A Operative 3.39 NA NA 1.72 2.28 0.23 NA NA 5.34 5.90 000
laryngoscopy.
31531 .......... A Operative 3.59 NA NA 2.07 2.63 0.26 NA NA 5.92 6.48 000
laryngoscopy.
31535 .......... A Operative 3.16 NA NA 1.78 2.28 0.23 NA NA 5.17 5.67 000
laryngoscopy.
31536 .......... A Operative 3.56 NA NA 2.04 2.59 0.26 NA NA 5.86 6.41 000
laryngoscopy.
31540 .......... A Operative 4.13 NA NA 2.34 2.99 0.30 NA NA 6.77 7.42 000
laryngoscopy.
31541 .......... A Operative 4.53 NA NA 2.56 3.16 0.32 NA NA 7.41 8.01 000
laryngoscopy.
31560 .......... A Operative 5.46 NA NA 3.02 3.62 0.39 NA NA 8.87 9.47 000
laryngoscopy.
31561 .......... A Operative 0.06 NA NA 3.33 4.20 0.43 NA NA 3.82 4.69 000
laryngoscopy.
31570 .......... A Laryngoscopy with 3.87 3.80 4.01 2.16 2.78 0.29 7.96 8.17 6.32 6.94 000
injection.
31571 .......... A Laryngoscopy with 4.27 NA NA 2.40 3.02 0.31 NA NA 6.98 7.60 000
injection.
31575 .......... A Diagnostic 1.10 1.81 1.78 0.60 0.87 0.08 2.99 2.96 1.78 2.05 000
laryngoscopy.
31576 .......... A Laryngoscopy with 1.97 1.95 2.05 1.03 1.36 0.13 4.05 4.15 3.13 3.46 000
biopsy.
31577 .......... A Remove foreign 2.47 2.26 2.43 1.26 1.68 0.18 4.91 5.08 3.91 4.33 000
body, larynx.
31578 .......... A Removal of larynx 2.84 2.57 2.78 0.94 1.55 0.20 5.61 5.82 3.98 4.59 000
lesion.
31579 .......... A Diagnostic 2.26 2.52 2.52 1.19 1.53 0.16 4.94 4.94 3.61 3.95 000
laryngoscopy.
31580 .......... A Revision of larynx. 12.38 NA NA 13.61 13.90 0.88 NA NA 26.87 27.16 090
31582 .......... A Revision of larynx. 21.62 NA NA 19.32 19.34 1.54 NA NA 42.48 42.50 090
31584 .......... A Treat larynx 19.64 NA NA 16.79 16.04 1.54 NA NA 37.97 37.22 090
fracture.
31585 .......... A Treat larynx 4.64 NA NA 7.46 6.62 0.32 NA NA 12.42 11.58 090
fracture.
31586 .......... A Treat larynx 8.03 NA NA 10.88 9.94 0.57 NA NA 19.48 18.54 090
fracture.
31587 .......... A Revision of larynx. 11.99 NA NA 12.34 11.21 0.88 NA NA 25.21 24.08 090
31588 .......... A Revision of larynx. 13.11 NA NA 14.69 13.92 0.94 NA NA 28.74 27.97 090
31590 .......... A Reinnervate larynx. 6.97 NA NA 10.11 9.15 0.47 NA NA 17.55 16.59 090
31595 .......... A Larynx nerve 8.34 NA NA 9.68 9.12 0.61 NA NA 18.63 18.07 090
surgery.
31599 .......... C Larynx surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31600 .......... A Incision of 3.62 NA NA 1.61 2.29 0.34 NA NA 5.57 6.25 000
windpipe.
31601 .......... A Incision of 4.45 NA NA 2.16 2.95 0.36 NA NA 6.97 7.76 000
windpipe.
31603 .......... A Incision of 4.15 NA NA 1.86 2.54 0.38 NA NA 6.39 7.07 000
windpipe.
31605 .......... A Incision of 3.58 NA NA 1.31 2.05 0.36 NA NA 5.25 5.99 000
windpipe.
31610 .......... A Incision of 8.76 NA NA 9.71 9.09 0.70 NA NA 19.17 18.55 090
windpipe.
[[Page 44235]]
31611 .......... A Surgery/speech 5.64 NA NA 8.30 7.98 0.41 NA NA 14.35 14.03 090
prosthesis.
31612 .......... A Puncture/clear 0.91 1.24 1.25 0.40 0.62 0.06 2.21 2.22 1.37 1.59 000
windpipe.
31613 .......... A Repair windpipe 4.59 NA NA 8.03 6.62 0.37 NA NA 12.99 11.58 090
opening.
31614 .......... A Repair windpipe 7.12 NA NA 10.28 9.54 0.53 NA NA 17.93 17.19 090
opening.
31615 .......... A Visualization of 2.09 2.90 2.71 1.10 1.36 0.14 5.13 4.94 3.33 3.59 000
windpipe.
31622 .......... A Dx bronchoscope/ 2.78 3.12 3.18 1.12 1.68 0.13 6.03 6.09 4.03 4.59 000
wash.
31623 .......... A Dx bronchoscope/ 2.88 3.16 3.21 1.16 1.71 0.15 6.19 6.24 4.19 4.74 000
brush.
31624 .......... A Dx bronchoscope/ 2.88 2.68 2.85 1.16 1.71 0.15 5.71 5.88 4.19 4.74 000
lavage.
31625 .......... A Bronchoscopy with 3.37 2.68 3.02 1.27 1.96 0.16 6.21 6.55 4.80 5.49 000
biopsy.
31628 .......... A Bronchoscopy with 3.81 3.13 3.49 1.33 2.14 0.13 7.07 7.43 5.27 6.08 000
biopsy.
31629 .......... A Bronchoscopy with 3.37 NA NA 1.20 1.91 0.11 NA NA 4.68 5.39 000
biopsy.
31630 .......... A Bronchoscopy with 3.82 NA NA 2.06 2.56 0.34 NA NA 6.22 6.72 000
repair.
31631 .......... A Bronchoscopy with 4.37 NA NA 2.07 2.62 0.31 NA NA 6.75 7.30 000
dilation.
31635 .......... A Remove foreign 3.68 NA NA 1.64 2.33 0.23 NA NA 5.55 6.24 000
body, airway.
31640 .......... A Bronchoscopy & 4.94 NA NA 2.47 3.22 0.37 NA NA 7.78 8.53 000
remove lesion.
31641 .......... A Bronchoscopy, treat 5.03 NA NA 2.09 3.07 0.28 NA NA 7.40 8.38 000
blockage.
31643 .......... A Diag bronchoscope/ 3.50 1.73 2.13 1.47 1.94 0.20 5.43 5.83 5.17 5.64 000
catheter.
31645 .......... A Bronchoscopy, clear 3.16 NA NA 1.17 1.82 0.13 NA NA 4.46 5.11 000
airways.
31646 .......... A Bronchoscopy, 2.72 NA NA 1.04 1.59 0.12 NA NA 3.88 4.43 000
reclear airway.
31656 .......... A Bronchoscopy, inj 2.17 NA NA 0.91 1.33 0.10 NA NA 3.18 3.60 000
for xray.
31700 .......... A Insertion of airway 1.34 1.69 1.64 0.61 0.83 0.08 3.11 3.06 2.03 2.25 000
catheter.
31708 .......... A Instill airway 1.41 NA NA 0.59 0.65 0.06 NA NA 2.06 2.12 000
contrast dye.
31710 .......... A Insertion of airway 1.30 NA NA 0.70 0.77 0.05 NA NA 2.05 2.12 000
catheter.
31715 .......... A Injection for 1.11 NA NA 0.71 0.66 0.04 NA NA 1.86 1.81 000
bronchus x-ray.
31717 .......... A Bronchial brush 2.12 2.92 2.39 0.82 0.81 0.08 5.12 4.59 3.02 3.01 000
biopsy.
31720 .......... A Clearance of 1.06 1.74 1.51 0.33 0.45 0.06 2.86 2.63 1.45 1.57 000
airways.
31725 .......... A Clearance of 1.96 NA NA 0.64 0.86 0.08 NA NA 2.68 2.90 000
airways.
31730 .......... A Intro, windpipe 2.85 2.27 2.37 1.07 1.47 0.15 5.27 5.37 4.07 4.47 000
wire/tube.
31750 .......... A Repair of windpipe. 13.02 NA NA 14.19 13.05 0.01 NA NA 27.22 26.08 090
31755 .......... A Repair of windpipe. 15.93 NA NA 16.14 15.71 1.20 NA NA 33.27 32.84 090
31760 .......... A Repair of windpipe. 22.35 NA NA 13.56 13.13 2.09 NA NA 38.00 37.57 090
31766 .......... A Reconstruction of 30.43 NA NA 16.74 17.55 3.73 NA NA 50.90 51.71 090
windpipe.
31770 .......... A Repair/graft of 22.51 NA NA 16.73 16.64 2.06 NA NA 41.30 41.21 090
bronchus.
31775 .......... A Reconstruct 23.54 NA NA 18.57 18.37 2.80 NA NA 44.91 44.71 090
bronchus.
31780 .......... A Reconstruct 17.72 NA NA 13.24 14.63 1.70 NA NA 32.66 34.05 090
windpipe.
31781 .......... A Reconstruct 23.53 NA NA 16.29 16.79 2.83 NA NA 42.65 43.15 090
windpipe.
31785 .......... A Remove windpipe 17.23 NA NA 12.42 11.74 1.35 NA NA 31.00 30.32 090
lesion.
31786 .......... A Remove windpipe 23.98 NA NA 17.54 16.76 1.99 NA NA 43.51 42.73 090
lesion.
31800 .......... A Repair of windpipe 7.43 NA NA 6.72 6.37 0.74 NA NA 14.89 14.54 090
injury.
31805 .......... A Repair of windpipe 13.13 NA NA 12.40 11.97 1.72 NA NA 27.25 26.82 090
injury.
31820 .......... A Closure of windpipe 4.49 7.10 6.30 7.10 6.30 0.34 11.93 11.13 11.93 11.13 090
lesion.
31825 .......... A Repair of windpipe 6.81 9.62 8.57 9.62 8.57 0.52 16.95 15.90 16.95 15.90 090
defect.
31830 .......... A Revise windpipe 4.50 6.87 6.15 6.87 6.15 0.36 11.73 11.01 11.73 11.01 090
scar.
31899 .......... C Airways surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
32000 .......... A Drainage of chest.. 1.54 3.01 2.50 0.50 0.62 0.07 4.62 4.11 2.11 2.23 000
32001 .......... D Total lung lavage.. 0.06 2.38 2.38 2.38 2.38 0.60 3.04 3.04 3.04 3.04 000
32002 .......... A Treatment of 2.19 NA NA 0.84 0.99 0.11 NA NA 3.14 3.29 000
collapsed lung.
32005 .......... A Treat lung lining 2.19 NA NA 0.93 0.99 0.18 NA NA 3.30 3.36 000
chemically.
32020 .......... A Insertion of chest 3.98 NA NA 1.57 1.89 0.37 NA NA 5.92 6.24 000
tube.
32035 .......... A Exploration of 8.67 NA NA 10.06 9.38 1.05 NA NA 19.78 19.10 090
chest.
32036 .......... A Exploration of 9.68 NA NA 11.25 10.37 1.19 NA NA 22.12 21.24 090
chest.
32095 .......... A Biopsy through 8.36 NA NA 10.17 9.87 0.98 NA NA 19.51 19.21 090
chest wall.
32100 .......... A Exploration/biopsy 11.84 NA NA 11.45 11.64 1.45 NA NA 24.74 24.93 090
of chest.
32110 .......... A Explore/repair 13.62 NA NA 11.89 12.04 1.67 NA NA 27.18 27.33 090
chest.
32120 .......... A Re-exploration of 11.54 NA NA 12.00 11.57 1.45 NA NA 24.99 24.56 090
chest.
32124 .......... A Explore chest free 12.72 NA NA 11.18 11.35 1.57 NA NA 25.47 25.64 090
adhesions.
32140 .......... A Removal of lung 13.93 NA NA 12.89 13.02 1.68 NA NA 28.50 28.63 090
lesion(s).
32141 .......... A Remove/treat lung 0.14 NA NA 10.96 11.86 1.74 NA NA 12.84 13.74 090
lesions.
32150 .......... A Removal of lung 14.15 NA NA 12.31 12.04 1.71 NA NA 28.17 27.90 090
lesion(s).
32151 .......... A Remove lung foreign 14.21 NA NA 13.42 12.55 1.76 NA NA 29.39 28.52 090
body.
32160 .......... A Open chest heart 9.30 NA NA 7.25 7.92 1.07 NA NA 17.62 18.29 090
massage.
32200 .......... A Drain, open, lung 15.29 NA NA 11.18 10.26 1.25 NA NA 27.72 26.80 090
lesion.
32201 .......... A Drain, percut, lung 0.04 NA NA 6.43 5.65 0.32 NA NA 6.79 6.01 000
lesion.
32215 .......... A Treat chest lining. 11.33 NA NA 12.10 11.14 1.37 NA NA 24.80 23.84 090
32220 .......... A Release of lung.... 19.27 NA NA 15.25 15.73 2.28 NA NA 36.80 37.28 090
32225 .......... A Partial release of 13.96 NA NA 12.48 12.57 1.74 NA NA 28.18 28.27 090
lung.
32310 .......... A Removal of chest 13.44 NA NA 12.13 12.26 1.65 NA NA 27.22 27.35 090
lining.
32320 .......... A Free/remove chest 20.54 NA NA 14.86 16.06 2.50 NA NA 37.90 39.10 090
lining.
32400 .......... A Needle biopsy chest 1.76 1.69 1.67 0.57 0.83 0.07 3.52 3.50 2.40 2.66 000
lining.
32402 .......... A Open biopsy chest 7.56 NA NA 10.48 9.92 0.94 NA NA 18.98 18.42 090
lining.
32405 .......... A Biopsy, lung or 1.93 2.45 2.41 0.67 1.08 0.08 4.46 4.42 2.68 3.09 000
mediastinum.
32420 .......... A Puncture/clear lung 2.18 NA NA 0.83 1.03 0.10 NA NA 3.11 3.31 000
32440 .......... A Removal of lung.... 21.02 NA NA 15.28 16.50 2.60 NA NA 38.90 40.12 090
32442 .......... A Sleeve 26.24 NA NA 16.28 17.08 3.28 NA NA 45.80 46.60 090
pneumonectomy.
32445 .......... A Removal of lung.... 25.09 NA NA 16.11 17.63 3.09 NA NA 44.29 45.81 090
32480 .......... A Partial removal of 18.32 NA NA 13.25 14.59 2.25 NA NA 33.82 35.16 090
lung.
32482 .......... A Bilobectomy........ 19.71 NA NA 14.24 15.33 2.38 NA NA 36.33 37.42 090
32484 .......... A Segmentectomy...... 20.69 NA NA 14.81 15.76 2.54 NA NA 38.04 38.99 090
32486 .......... A Sleeve lobectomy... 23.92 NA NA 17.05 17.28 3.04 NA NA 44.01 44.24 090
32488 .......... A Completion 25.71 NA NA 17.26 17.76 3.19 NA NA 46.16 46.66 090
pneumonectomy.
32491 .......... R Lung volume 21.25 NA NA 15.68 15.95 2.84 NA NA 39.77 40.04 090
reduction.
32500 .......... A Partial removal of 14.30 NA NA 12.90 13.33 1.79 NA NA 28.99 29.42 090
lung.
[[Page 44236]]
32501 .......... A Repair bronchus add- 4.69 NA NA 1.86 2.57 0.53 NA NA 7.08 7.79 ZZZ
on.
32520 .......... A Remove lung & 21.68 NA NA 15.82 17.47 2.75 NA NA 40.25 41.90 090
revise chest.
32522 .......... A Remove lung & 24.20 NA NA 16.66 18.44 3.03 NA NA 43.89 45.67 090
revise chest.
32525 .......... A Remove lung & 26.50 NA NA 17.13 19.22 3.29 NA NA 46.92 49.01 090
revise chest.
32540 .......... A Removal of lung 14.64 NA NA 13.15 13.03 1.81 NA NA 29.60 29.48 090
lesion.
32601 .......... A Thoracoscopy, 5.46 NA NA 4.52 4.33 0.68 NA NA 10.66 10.47 000
diagnostic.
32602 .......... A Thoracoscopy, 5.96 NA NA 4.71 4.58 0.74 NA NA 11.41 11.28 000
diagnostic.
32603 .......... A Thoracoscopy, 7.81 NA NA 5.26 4.89 0.78 NA NA 13.85 13.48 000
diagnostic.
32604 .......... A Thoracoscopy, 8.78 NA NA 6.02 5.57 1.07 NA NA 15.87 15.42 000
diagnostic.
32605 .......... A Thoracoscopy, 6.93 NA NA 5.50 5.07 0.86 NA NA 13.29 12.86 000
diagnostic.
32606 .......... A Thoracoscopy, 8.40 NA NA 5.71 5.33 1.04 NA NA 15.15 14.77 000
diagnostic.
32650 .......... A Thoracoscopy, 10.75 NA NA 10.60 10.02 1.26 NA NA 22.61 22.03 090
surgical.
32651 .......... A Thoracoscopy, 12.91 NA NA 10.60 11.16 1.55 NA NA 25.06 25.62 090
surgical.
32652 .......... A Thoracoscopy, 18.66 NA NA 13.59 14.48 2.30 NA NA 34.55 35.44 090
surgical.
32653 .......... A Thoracoscopy, 12.87 NA NA 11.41 11.36 1.55 NA NA 25.83 25.78 090
surgical.
32654 .......... A Thoracoscopy, 12.44 NA NA 8.98 9.86 1.48 NA NA 22.90 23.78 090
surgical.
32655 .......... A Thoracoscopy, 13.10 NA NA 10.70 11.67 1.54 NA NA 25.34 26.31 090
surgical.
32656 .......... A Thoracoscopy, 12.91 NA NA 11.57 12.30 1.61 NA NA 26.09 26.82 090
surgical.
32657 .......... A Thoracoscopy, 13.65 NA NA 11.49 12.27 1.65 NA NA 26.79 27.57 090
surgical.
32658 .......... A Thoracoscopy, 11.63 NA NA 11.47 12.07 1.45 NA NA 24.55 25.15 090
surgical.
32659 .......... A Thoracoscopy, 11.59 NA NA 11.18 11.85 1.46 NA NA 24.23 24.90 090
surgical.
32660 .......... A Thoracoscopy, 17.43 NA NA 15.53 16.85 2.29 NA NA 35.25 36.57 090
surgical.
32661 .......... A Thoracoscopy, 13.25 NA NA 12.02 11.53 1.65 NA NA 26.92 26.43 090
surgical.
32662 .......... A Thoracoscopy, 16.44 NA NA 12.76 13.52 2.03 NA NA 31.23 31.99 090
surgical.
32663 .......... A Thoracoscopy, 18.47 NA NA 13.50 14.78 2.25 NA NA 34.22 35.50 090
surgical.
32664 .......... A Thoracoscopy, 14.20 NA NA 10.80 10.96 1.64 NA NA 26.64 26.80 090
surgical.
32665 .......... A Thoracoscopy, 15.54 NA NA 11.27 12.34 1.80 NA NA 28.61 29.68 090
surgical.
32800 .......... A Repair lung hernia. 13.69 NA NA 13.17 12.13 1.41 NA NA 28.27 27.23 090
32810 .......... A Close chest after 13.05 NA NA 12.42 11.08 1.66 NA NA 27.13 25.79 090
drainage.
32815 .......... A Close bronchial 23.15 NA NA 17.73 17.43 2.94 NA NA 43.82 43.52 090
fistula.
32820 .......... A Reconstruct injured 21.48 NA NA 15.97 17.14 2.40 NA NA 39.85 41.02 090
chest.
32850 .......... X Donor pneumonectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
32851 .......... A Lung transplant, 38.63 NA NA 24.89 25.60 5.21 NA NA 68.73 69.44 090
single.
32852 .......... A Lung transplant 41.80 NA NA 25.98 27.00 5.81 NA NA 73.59 74.61 090
with bypass.
32853 .......... A Lung transplant, 47.81 NA NA 28.44 30.00 6.43 NA NA 82.68 84.24 090
double.
32854 .......... A Lung transplant 50.98 NA NA 30.44 32.08 6.75 NA NA 88.17 89.81 090
with bypass.
32900 .......... A Removal of rib(s).. 20.27 NA NA 14.63 13.27 2.40 NA NA 37.30 35.94 090
32905 .......... A Revise & repair 20.75 NA NA 14.48 14.32 2.55 NA NA 37.78 37.62 090
chest wall.
32906 .......... A Revise & repair 26.77 NA NA 17.44 17.26 3.34 NA NA 47.55 47.37 090
chest wall.
32940 .......... A Revision of lung... 19.43 NA NA 14.32 13.83 2.37 NA NA 36.12 35.63 090
32960 .......... A Therapeutic 1.84 1.90 1.68 0.55 0.67 0.13 3.87 3.65 2.52 2.64 000
pneumothorax.
32997 .......... A Total lung lavage.. 0.06 NA NA 2.28 2.28 0.58 NA NA 2.92 2.92 000
32999 .......... C Chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
33010 .......... A Drainage of heart 2.24 NA NA 0.99 1.16 0.27 NA NA 3.50 3.67 000
sac.
33011 .......... A Repeat drainage of 2.24 NA NA 1.02 1.07 0.26 NA NA 3.52 3.57 000
heart sac.
33015 .......... A Incision of heart 6.80 NA NA 5.20 5.06 0.88 NA NA 12.88 12.74 090
sac.
33020 .......... A Incision of heart 12.61 NA NA 10.08 11.16 1.63 NA NA 24.32 25.40 090
sac.
33025 .......... A Incision of heart 12.09 NA NA 10.01 11.12 1.55 NA NA 23.65 24.76 090
sac.
33030 .......... A Partial removal of 18.71 NA NA 15.79 17.43 2.41 NA NA 36.91 38.55 090
heart sac.
33031 .......... A Partial removal of 21.79 NA NA 17.76 16.92 2.90 NA NA 42.45 41.61 090
heart sac.
33050 .......... A Removal of heart 14.36 NA NA 12.85 12.15 1.77 NA NA 28.98 28.28 090
sac lesion.
33120 .......... A Removal of heart 24.56 NA NA 21.22 23.25 3.19 NA NA 48.97 51.00 090
lesion.
33130 .......... A Removal of heart 21.39 NA NA 15.50 15.29 2.42 NA NA 39.31 39.10 090
lesion.
33140 .......... A Heart revascularize 0.20 NA NA 12.66 12.66 2.56 NA NA 15.42 15.42 090
(tmr).
33200 .......... A Insertion of heart 12.48 NA NA 11.57 12.01 1.45 NA NA 25.50 25.94 090
pacemaker.
33201 .......... A Insertion of heart 10.18 NA NA 12.09 12.10 1.34 NA NA 23.61 23.62 090
pacemaker.
33206 .......... A Insertion of heart 3.11 NA NA 1.28 2.95 0.84 NA NA 5.23 6.90 000
pacemaker.
33207 .......... A Insertion of heart 3.30 NA NA 1.36 3.42 1.03 NA NA 5.69 7.75 000
pacemaker.
33208 .......... A Insertion of heart 2.64 NA NA 1.10 3.25 1.07 NA NA 4.81 6.96 000
pacemaker.
33210 .......... A Insertion of heart 3.30 NA NA 1.35 1.91 0.42 NA NA 5.07 5.63 000
electrode.
33211 .......... A Insertion of heart 3.40 NA NA 1.44 1.98 0.44 NA NA 5.28 5.82 000
electrode.
33212 .......... A Insertion of pulse 3.32 NA NA 1.36 2.48 0.71 NA NA 5.39 6.51 000
generator.
33213 .......... A Insertion of pulse 4.92 NA NA 2.03 2.98 0.82 NA NA 7.77 8.72 000
generator.
33214 .......... A Upgrade of 4.27 NA NA 1.75 2.78 0.99 NA NA 7.01 8.04 000
pacemaker system.
33216 .......... A Revise eltrd pacing- 3.21 NA NA 1.33 2.36 0.70 NA NA 5.24 6.27 000
defib.
33217 .......... A Revise eltrd pacing- 3.57 NA NA 1.48 2.47 0.76 NA NA 5.81 6.80 000
defib.
33218 .......... A Revise eltrd pacing- 3.26 NA NA 1.34 2.25 0.70 NA NA 5.30 6.21 000
defib.
33220 .......... A Revise eltrd pacing- 2.90 NA NA 1.19 2.14 0.71 NA NA 4.80 5.75 000
defib.
33222 .......... A Revise pocket, 4.96 NA NA 4.21 4.64 0.62 NA NA 9.79 10.22 090
pacemaker.
33223 .......... A Revise pocket, 6.46 NA NA 5.63 5.77 0.88 NA NA 12.97 13.11 090
pacing-defib.
33233 .......... A Removal of 1.11 NA NA 0.46 1.06 0.44 NA NA 2.01 2.61 000
pacemaker system.
33234 .......... A Removal of 5.64 NA NA 2.35 2.53 1.05 NA NA 9.04 9.22 000
pacemaker system.
33235 .......... A Removal pacemaker 4.58 NA NA 1.91 2.29 1.26 NA NA 7.75 8.13 000
electrode.
33236 .......... A Remove electrode/ 12.60 NA NA 11.19 9.47 1.63 NA NA 25.42 23.70 090
thoracotomy.
33237 .......... A Remove electrode/ 13.71 NA NA 12.01 11.61 1.77 NA NA 27.49 27.09 090
thoracotomy.
33238 .......... A Remove electrode/ 15.22 NA NA 11.41 11.35 1.41 NA NA 28.04 27.98 090
thoracotomy.
33240 .......... A Insert pulse 5.13 NA NA 2.14 3.07 1.03 NA NA 8.30 9.23 000
generator.
33241 .......... A Remove pulse 1.51 NA NA 0.63 1.06 0.44 NA NA 2.58 3.01 000
generator.
33242 .......... D Repair pulse 6.17 2.45 3.68 2.45 3.68 0.83 9.45 10.68 9.45 10.68 090
generator/leads.
33243 .......... A Remove eltrd/ 22.64 NA NA 13.53 12.60 3.03 NA NA 39.20 38.27 090
thoracotomy.
33244 .......... A Remove eltrd, 9.85 NA NA 4.11 5.53 1.83 NA NA 15.79 17.21 000
transven.
33245 .......... A Insert epic eltrd 14.30 NA NA 13.63 14.49 1.83 NA NA 29.76 30.62 090
pace-defib.
[[Page 44237]]
33246 .......... A Insert epic eltrd/ 20.71 NA NA 17.00 18.39 2.74 NA NA 40.45 41.84 090
generator.
33247 .......... D Insert/replace 10.21 4.05 6.09 4.05 6.09 1.27 15.53 17.57 15.53 17.57 090
leads.
33249 .......... A Eltrd/insert pace- 11.41 NA NA 4.80 7.57 1.79 NA NA 18.00 20.77 000
defib.
33250 .......... A Ablate heart 21.85 NA NA 14.28 13.85 2.97 NA NA 39.10 38.67 090
dysrhythm focus.
33251 .......... A Ablate heart 24.88 NA NA 18.57 18.38 3.26 NA NA 46.71 46.52 090
dysrhythm focus.
33253 .......... A Reconstruct atria.. 31.06 NA NA 21.60 22.12 4.12 NA NA 56.78 57.30 090
33261 .......... A Ablate heart 24.88 NA NA 18.92 17.98 2.94 NA NA 46.74 45.80 090
dysrhythm focus.
33282 .......... A Implant pat-active 2.83 NA NA 1.15 1.15 0.53 NA NA 4.51 4.51 000
ht record.
33284 .......... A Remove pat-active 1.16 NA NA 0.47 0.47 0.33 NA NA 1.96 1.96 000
ht record.
33300 .......... A Repair of heart 17.92 NA NA 14.78 14.98 2.33 NA NA 35.03 35.23 090
wound.
33305 .......... A Repair of heart 21.44 NA NA 17.53 17.87 2.81 NA NA 41.78 42.12 090
wound.
33310 .......... A Exploratory heart 18.51 NA NA 16.72 15.60 2.48 NA NA 37.71 36.59 090
surgery.
33315 .......... A Exploratory heart 22.37 NA NA 17.98 17.41 0.03 NA NA 40.38 39.81 090
surgery.
33320 .......... A Repair major blood 16.79 NA NA 13.62 14.05 2.14 NA NA 32.55 32.98 090
vessel(s).
33321 .......... A Repair major vessel 20.20 NA NA 16.08 17.96 2.36 NA NA 38.64 40.52 090
33322 .......... A Repair major blood 20.62 NA NA 16.85 18.54 2.70 NA NA 40.17 41.86 090
vessel(s).
33330 .......... A Insert major vessel 21.43 NA NA 15.66 15.18 2.79 NA NA 39.88 39.40 090
graft.
33332 .......... A Insert major vessel 23.96 NA NA 15.85 15.98 3.29 NA NA 43.10 43.23 090
graft.
33335 .......... A Insert major vessel 30.01 NA NA 20.81 19.70 3.99 NA NA 54.81 53.70 090
graft.
33400 .......... A Repair of aortic 25.34 NA NA 22.27 23.81 3.34 NA NA 50.95 52.49 090
valve.
33401 .......... A Valvuloplasty, open 23.91 NA NA 18.29 20.83 3.19 NA NA 45.39 47.93 090
33403 .......... A Valvuloplasty, w/cp 24.89 NA NA 21.83 23.48 3.47 NA NA 50.19 51.84 090
bypass.
33404 .......... A Prepare heart-aorta 28.54 NA NA 23.34 25.98 3.68 NA NA 55.56 58.20 090
conduit.
33405 .......... A Replacement of 30.61 NA NA 21.23 24.19 3.97 NA NA 55.81 58.77 090
aortic valve.
33406 .......... A Replacement of 32.30 NA NA 22.08 26.20 4.18 NA NA 58.56 62.68 090
aortic valve.
33410 .......... A Replacement of 32.46 NA NA 21.99 21.99 4.21 NA NA 58.66 58.66 090
aortic valve.
33411 .......... A Replacement of 32.47 NA NA 22.05 26.23 4.21 NA NA 58.73 62.91 090
aortic valve.
33412 .......... A Replacement of 34.79 NA NA 25.59 29.58 4.18 NA NA 64.56 68.55 090
aortic valve.
33413 .......... A Replacement of 35.24 NA NA 26.30 30.24 4.59 NA NA 66.13 70.07 090
aortic valve.
33414 .......... A Repair of aortic 30.35 NA NA 26.14 28.67 3.88 NA NA 60.37 62.90 090
valve.
33415 .......... A Revision, 27.15 NA NA 22.75 25.17 2.84 NA NA 52.74 55.16 090
subvalvular tissue.
33416 .......... A Revise ventricle 30.35 NA NA 21.71 23.92 0.04 NA NA 52.10 54.31 090
muscle.
33417 .......... A Repair of aortic 28.53 NA NA 25.47 27.62 3.72 NA NA 57.72 59.87 090
valve.
33420 .......... A Revision of mitral 22.70 NA NA 11.43 13.95 1.58 NA NA 35.71 38.23 090
valve.
33422 .......... A Revision of mitral 25.94 NA NA 19.74 22.55 3.34 NA NA 49.02 51.83 090
valve.
33425 .......... A Repair of mitral 0.27 NA NA 19.58 22.74 3.47 NA NA 23.32 26.48 090
valve.
33426 .......... A Repair of mitral 31.03 NA NA 21.42 24.74 4.03 NA NA 56.48 59.80 090
valve.
33427 .......... A Repair of mitral 33.72 NA NA 22.50 26.29 4.42 NA NA 60.64 64.43 090
valve.
33430 .......... A Replacement of 31.43 NA NA 21.56 25.55 4.09 NA NA 57.08 61.07 090
mitral valve.
33460 .......... A Revision of 23.60 NA NA 18.32 20.78 0.03 NA NA 41.95 44.41 090
tricuspid valve.
33463 .......... A Valvuloplasty, 25.62 NA NA 19.22 22.06 3.34 NA NA 48.18 51.02 090
tricuspid.
33464 .......... A Valvuloplasty, 27.33 NA NA 20.03 23.18 3.57 NA NA 50.93 54.08 090
tricuspid.
33465 .......... A Replace tricuspid 28.79 NA NA 20.61 24.05 3.65 NA NA 53.05 56.49 090
valve.
33468 .......... A Revision of 30.12 NA NA 28.69 30.51 3.93 NA NA 62.74 64.56 090
tricuspid valve.
33470 .......... A Revision of 20.81 NA NA 11.28 13.84 2.50 NA NA 34.59 37.15 090
pulmonary valve.
33471 .......... A Valvotomy, 22.25 NA NA 13.15 16.51 1.75 NA NA 37.15 40.51 090
pulmonary valve.
33472 .......... A Revision of 22.25 NA NA 14.81 17.75 2.53 NA NA 39.59 42.53 090
pulmonary valve.
33474 .......... A Revision of 23.04 NA NA 19.11 21.21 2.62 NA NA 44.77 46.87 090
pulmonary valve.
33475 .......... A Replacement, 28.41 NA NA 22.03 25.00 3.73 NA NA 54.17 57.14 090
pulmonary valve.
33476 .......... A Revision of heart 25.77 NA NA 16.56 20.06 2.38 NA NA 44.71 48.21 090
chamber.
33478 .......... A Revision of heart 26.74 NA NA 22.18 24.62 3.68 NA NA 52.60 55.04 090
chamber.
33496 .......... A Repair, prosth 27.25 NA NA 22.69 25.15 3.63 NA NA 53.57 56.03 090
valve clot.
33500 .......... A Repair heart vessel 25.55 NA NA 19.25 22.07 3.10 NA NA 47.90 50.72 090
fistula.
33501 .......... A Repair heart vessel 17.78 NA NA 14.32 14.58 2.09 NA NA 34.19 34.45 090
fistula.
33502 .......... A Coronary artery 21.04 NA NA 23.68 21.60 2.86 NA NA 47.58 45.50 090
correction.
33503 .......... A Coronary artery 21.78 NA NA 14.97 17.73 2.70 NA NA 39.45 42.21 090
graft.
33504 .......... A Coronary artery 24.66 NA NA 23.84 25.24 2.63 NA NA 51.13 52.53 090
graft.
33505 .......... A Repair artery w/ 26.84 NA NA 15.91 19.94 3.16 NA NA 45.91 49.94 090
tunnel.
33506 .......... A Repair artery, 26.71 NA NA 19.83 22.84 2.94 NA NA 49.48 52.49 090
translocation.
33510 .......... A CABG, vein, single. 25.12 NA NA 18.98 21.73 3.27 NA NA 47.37 50.12 090
33511 .......... A CABG, vein, two.... 27.40 NA NA 19.87 23.08 3.56 NA NA 50.83 54.04 090
33512 .......... A CABG, vein, three.. 29.67 NA NA 20.57 24.28 3.79 NA NA 54.03 57.74 090
33513 .......... A CABG, vein, four... 31.95 NA NA 21.68 25.80 4.11 NA NA 57.74 61.86 090
33514 .......... A CABG, vein, five... 0.35 NA NA 23.07 27.75 4.49 NA NA 27.91 32.59 090
33516 .......... A Cabg, vein, six or 37.40 NA NA 24.08 29.22 4.78 NA NA 66.26 71.40 090
more.
33517 .......... A CABG, artery-vein, 2.57 NA NA 1.05 1.56 0.33 NA NA 3.95 4.46 ZZZ
single.
33518 .......... A CABG, artery-vein, 4.85 NA NA 1.98 2.94 0.63 NA NA 7.46 8.42 ZZZ
two.
33519 .......... A CABG, artery-vein, 7.12 NA NA 2.91 4.31 0.92 NA NA 10.95 12.35 ZZZ
three.
33521 .......... A CABG, artery-vein, 9.40 NA NA 3.84 5.69 1.21 NA NA 14.45 16.30 ZZZ
four.
33522 .......... A CABG, artery-vein, 11.67 NA NA 4.78 7.07 1.49 NA NA 17.94 20.23 ZZZ
five.
33523 .......... A Cabg, art-vein, six 13.95 NA NA 5.73 8.46 1.78 NA NA 21.46 24.19 ZZZ
or more.
33530 .......... A Coronary artery, 5.86 NA NA 2.39 3.54 0.76 NA NA 9.01 10.16 ZZZ
bypass/reop.
33533 .......... A CABG, arterial, 25.83 NA NA 19.25 22.15 3.33 NA NA 48.41 51.31 090
single.
33534 .......... A CABG, arterial, two 28.82 NA NA 19.86 23.50 3.68 NA NA 52.36 56.00 090
33535 .......... A CABG, arterial, 31.81 NA NA 20.88 25.15 3.96 NA NA 56.65 60.92 090
three.
33536 .......... A Cabg, arterial, 34.79 NA NA 21.59 26.58 4.39 NA NA 60.77 65.76 090
four or more.
33542 .......... A Removal of heart 28.85 NA NA 22.46 25.18 3.76 NA NA 55.07 57.79 090
lesion.
33545 .......... A Repair of heart 36.78 NA NA 25.43 28.55 4.80 NA NA 67.01 70.13 090
damage.
33572 .......... A Open coronary 4.45 NA NA 1.82 2.24 0.58 NA NA 6.85 7.27 ZZZ
endarterectomy.
33600 .......... A Closure of valve... 29.51 NA NA 20.23 23.98 2.58 NA NA 52.32 56.07 090
33602 .......... A Closure of valve... 28.54 NA NA 20.00 23.27 2.84 NA NA 51.38 54.65 090
33606 .......... A Anastomosis/artery- 30.74 NA NA 22.08 25.73 3.97 NA NA 56.79 60.44 090
aorta.
[[Page 44238]]
33608 .......... A Repair anomaly w/ 31.09 NA NA 24.35 27.54 4.27 NA NA 59.71 62.90 090
conduit.
33610 .......... A Repair by 30.61 NA NA 25.44 28.22 3.64 NA NA 59.69 62.47 090
enlargement.
33611 .......... A Repair double 32.30 NA NA 23.19 27.03 4.44 NA NA 59.93 63.77 090
ventricle.
33612 .......... A Repair double 33.26 NA NA 26.76 30.00 4.51 NA NA 64.53 67.77 090
ventricle.
33615 .......... A Repair, simple 32.06 NA NA 26.81 29.68 3.88 NA NA 62.75 65.62 090
fontan.
33617 .......... A Repair, modified 34.03 NA NA 28.98 31.89 4.75 NA NA 67.76 70.67 090
fontan.
33619 .......... A Repair single 37.57 NA NA 34.35 36.98 5.03 NA NA 76.95 79.58 090
ventricle.
33641 .......... A Repair heart septum 21.39 NA NA 15.27 17.84 2.78 NA NA 39.44 42.01 090
defect.
33645 .......... A Revision of heart 24.82 NA NA 20.05 22.45 3.32 NA NA 48.19 50.59 090
veins.
33647 .......... A Repair heart septum 28.73 NA NA 23.71 26.36 3.81 NA NA 56.25 58.90 090
defects.
33660 .......... A Repair of heart 25.54 NA NA 22.37 24.40 3.13 NA NA 51.04 53.07 090
defects.
33665 .......... A Repair of heart 28.60 NA NA 23.01 25.74 0.04 NA NA 51.65 54.38 090
defects.
33670 .......... A Repair of heart 32.73 NA NA 16.81 22.38 3.35 NA NA 52.89 58.46 090
chambers.
33681 .......... A Repair heart septum 27.67 NA NA 23.93 26.21 3.60 NA NA 55.20 57.48 090
defect.
33684 .......... A Repair heart septum 29.65 NA NA 22.11 25.43 3.63 NA NA 55.39 58.71 090
defect.
33688 .......... A Repair heart septum 30.62 NA NA 13.26 19.08 3.74 NA NA 47.62 53.44 090
defect.
33690 .......... A Reinforce pulmonary 19.55 NA NA 17.97 19.31 2.38 NA NA 39.90 41.24 090
artery.
33692 .......... A Repair of heart 30.75 NA NA 21.05 24.97 4.22 NA NA 56.02 59.94 090
defects.
33694 .......... A Repair of heart 31.73 NA NA 21.44 25.55 3.36 NA NA 56.53 60.64 090
defects.
33697 .......... A Repair of heart 33.71 NA NA 22.24 26.74 4.52 NA NA 60.47 64.97 090
defects.
33702 .......... A Repair of heart 26.54 NA NA 22.68 24.93 3.55 NA NA 52.77 55.02 090
defects.
33710 .......... A Repair of heart 29.71 NA NA 20.63 24.34 4.15 NA NA 54.49 58.20 090
defects.
33720 .......... A Repair of heart 26.56 NA NA 21.31 23.91 3.56 NA NA 51.43 54.03 090
defect.
33722 .......... A Repair of heart 28.41 NA NA 24.35 26.53 3.97 NA NA 56.73 58.91 090
defect.
33730 .......... A Repair heart-vein 31.67 NA NA 18.46 23.30 4.24 NA NA 54.37 59.21 090
defect(s).
33732 .......... A Repair heart-vein 28.16 NA NA 19.98 23.39 3.93 NA NA 52.07 55.48 090
defect.
33735 .......... A Revision of heart 21.39 NA NA 16.06 19.02 2.21 NA NA 39.66 42.62 090
chamber.
33736 .......... A Revision of heart 23.52 NA NA 21.57 23.15 3.03 NA NA 48.12 49.70 090
chamber.
33737 .......... A Revision of heart 21.76 NA NA 18.24 20.18 0.86 NA NA 40.86 42.80 090
chamber.
33750 .......... A Major vessel shunt. 21.41 NA NA 13.17 15.87 2.72 NA NA 37.30 40.00 090
33755 .......... A Major vessel shunt. 21.79 NA NA 12.97 15.72 1.37 NA NA 36.13 38.88 090
33762 .......... A Major vessel shunt. 21.79 NA NA 12.97 15.72 2.95 NA NA 37.71 40.46 090
33764 .......... A Major vessel shunt 21.79 NA NA 14.29 16.71 2.07 NA NA 38.15 40.57 090
& graft.
33766 .......... A Major vessel shunt. 22.76 NA NA 20.06 21.04 3.08 NA NA 45.90 46.88 090
33767 .......... A Major vessel shunt. 24.50 NA NA 15.20 18.37 3.49 NA NA 43.19 46.36 090
33770 .......... A Repair great 33.29 NA NA 22.08 26.50 2.76 NA NA 58.13 62.55 090
vessels defect.
33771 .......... A Repair great 34.65 NA NA 16.38 22.63 2.87 NA NA 53.90 60.15 090
vessels defect.
33774 .......... A Repair great 30.98 NA NA 23.14 25.84 1.18 NA NA 55.30 58.00 090
vessels defect.
33775 .......... A Repair great 32.20 NA NA 17.10 21.31 2.67 NA NA 51.97 56.18 090
vessels defect.
33776 .......... A Repair great 34.04 NA NA 17.83 22.85 2.82 NA NA 54.69 59.71 090
vessels defect.
33777 .......... A Repair great 33.46 NA NA 17.60 21.69 2.77 NA NA 53.83 57.92 090
vessels defect.
33778 .......... A Repair great 35.82 NA NA 24.62 29.16 2.97 NA NA 63.41 67.95 090
vessels defect.
33779 .......... A Repair great 36.21 NA NA 16.37 23.09 4.72 NA NA 57.30 64.02 090
vessels defect.
33780 .......... A Repair great 36.94 NA NA 18.98 25.26 5.08 NA NA 61.00 67.28 090
vessels defect.
33781 .......... A Repair great 36.45 NA NA 16.86 23.53 3.02 NA NA 56.33 63.00 090
vessels defect.
33786 .......... A Repair arterial 34.84 NA NA 18.14 24.00 2.88 NA NA 55.86 61.72 090
trunk.
33788 .......... A Revision of 26.62 NA NA 14.64 18.93 2.21 NA NA 43.47 47.76 090
pulmonary artery.
33800 .......... A Aortic suspension.. 16.24 NA NA 17.96 17.31 1.95 NA NA 36.15 35.50 090
33802 .......... A Repair vessel 17.66 NA NA 17.86 18.67 2.40 NA NA 37.92 38.73 090
defect.
33803 .......... A Repair vessel 19.60 NA NA 12.10 14.93 2.35 NA NA 34.05 36.88 090
defect.
33813 .......... A Repair septal 20.65 NA NA 16.34 18.25 2.92 NA NA 39.91 41.82 090
defect.
33814 .......... A Repair septal 25.77 NA NA 21.49 23.81 3.47 NA NA 50.73 53.05 090
defect.
33820 .......... A Revise major vessel 16.29 NA NA 16.46 17.21 2.05 NA NA 34.80 35.55 090
33822 .......... A Revise major vessel 17.32 NA NA 11.20 13.57 2.19 NA NA 30.71 33.08 090
33824 .......... A Revise major vessel 19.52 NA NA 17.41 18.88 2.45 NA NA 39.38 40.85 090
33840 .......... A Remove aorta 20.63 NA NA 19.94 21.11 2.89 NA NA 43.46 44.63 090
constriction.
33845 .......... A Remove aorta 22.12 NA NA 18.65 20.59 3.10 NA NA 43.87 45.81 090
constriction.
33851 .......... A Remove aorta 21.27 NA NA 22.24 23.03 2.92 NA NA 46.43 47.22 090
constriction.
33852 .......... A Repair septal 23.71 NA NA 21.42 23.14 3.07 NA NA 48.20 49.92 090
defect.
33853 .......... A Repair septal 31.72 NA NA 28.53 30.86 4.07 NA NA 64.32 66.65 090
defect.
33860 .......... A Ascending aortic 33.96 NA NA 22.70 26.44 4.46 NA NA 61.12 64.86 090
graft.
33861 .......... A Ascending aortic 34.52 NA NA 22.46 26.26 4.58 NA NA 61.56 65.36 090
graft.
33863 .......... A Ascending aortic 36.47 NA NA 23.38 26.95 4.77 NA NA 64.62 68.19 090
graft.
33870 .......... A Transverse aortic 40.31 NA NA 25.09 30.84 5.38 NA NA 70.78 76.53 090
arch graft.
33875 .......... A Thoracic aortic 33.06 NA NA 21.33 24.48 4.27 NA NA 58.66 61.81 090
graft.
33877 .......... A Thoracoabdominal 42.60 NA NA 26.55 31.88 5.48 NA NA 74.63 79.96 090
graft.
33910 .......... A Remove lung artery 24.59 NA NA 17.98 17.46 3.12 NA NA 45.69 45.17 090
emboli.
33915 .......... A Remove lung artery 21.02 NA NA 13.96 13.73 2.26 NA NA 37.24 37.01 090
emboli.
33916 .......... A Surgery of great 25.83 NA NA 17.22 17.68 3.27 NA NA 46.32 46.78 090
vessel.
33917 .......... A Repair pulmonary 24.50 NA NA 20.89 22.98 3.30 NA NA 48.69 50.78 090
artery.
33918 .......... A Repair pulmonary 26.45 NA NA 14.82 19.01 3.77 NA NA 45.04 49.23 090
atresia.
33919 .......... A Repair pulmonary 32.67 NA NA 17.28 22.71 4.56 NA NA 54.51 59.94 090
atresia.
33920 .......... A Repair pulmonary 31.95 NA NA 23.86 27.43 4.47 NA NA 60.28 63.85 090
atresia.
33922 .......... A Transect pulmonary 23.52 NA NA 20.14 22.13 2.40 NA NA 46.06 48.05 090
artery.
33924 .......... A Remove pulmonary 5.50 NA NA 2.25 2.77 0.77 NA NA 8.52 9.04 ZZZ
shunt.
33930 .......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart/lung.
33935 .......... R Transplantation, 60.96 NA NA 33.84 43.58 8.06 NA NA 102.86 112.60 090
heart/lung.
33940 .......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart.
33945 .......... R Transplantation of 42.10 NA NA 26.76 32.64 5.60 NA NA 74.46 80.34 090
heart.
33960 .......... A External 19.36 NA NA 6.06 6.45 1.59 NA NA 27.01 27.40 XXX
circulation assist.
33961 .......... A External 10.93 NA NA 4.16 5.02 1.35 NA NA 16.44 17.30 ZZZ
circulation assist.
33968 .......... A Remove aortic 0.64 NA NA 0.25 0.25 0.27 NA NA 1.16 1.16 000
assist device.
[[Page 44239]]
33970 .......... A Aortic circulation 6.75 NA NA 2.77 4.09 0.91 NA NA 10.43 11.75 000
assist.
33971 .......... A Aortic circulation 9.69 NA NA 9.64 8.63 1.29 NA NA 20.62 19.61 090
assist.
33973 .......... A Insert balloon 9.76 NA NA 3.98 5.03 1.32 NA NA 15.06 16.11 000
device.
33974 .......... A Remove intra-aortic 14.41 NA NA 12.73 11.06 1.94 NA NA 29.08 27.41 090
balloon.
33975 .......... A Implant ventricular 0.21 NA NA 8.53 10.25 2.86 NA NA 11.60 13.32 XXX
device.
33976 .......... A Implant ventricular 0.23 NA NA 9.36 12.27 3.91 NA NA 13.50 16.41 XXX
device.
33977 .......... A Remove ventricular 19.29 NA NA 13.26 13.31 2.56 NA NA 35.11 35.16 090
device.
33978 .......... A Remove ventricular 21.73 NA NA 14.17 14.48 2.89 NA NA 38.79 39.10 090
device.
33999 .......... C Cardiac surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
34001 .......... A Removal of artery 12.91 NA NA 6.36 7.37 1.56 NA NA 20.83 21.84 090
clot.
34051 .......... A Removal of artery 15.21 NA NA 7.77 8.22 1.85 NA NA 24.83 25.28 090
clot.
34101 .......... A Removal of artery 9.97 NA NA 5.04 6.04 1.13 NA NA 16.14 17.14 090
clot.
34111 .......... A Removal of arm 8.07 NA NA 4.36 5.33 0.84 NA NA 13.27 14.24 090
artery clot.
34151 .......... A Removal of artery 16.86 NA NA 7.91 9.18 1.87 NA NA 26.64 27.91 090
clot.
34201 .......... A Removal of artery 9.13 NA NA 5.09 6.23 1.06 NA NA 15.28 16.42 090
clot.
34203 .......... A Removal of leg 12.21 NA NA 6.34 7.10 1.43 NA NA 19.98 20.74 090
artery clot.
34401 .......... A Removal of vein 12.86 NA NA 6.31 6.92 1.25 NA NA 20.42 21.03 090
clot.
34421 .......... A Removal of vein 9.93 NA NA 5.56 6.19 0.97 NA NA 16.46 17.09 090
clot.
34451 .......... A Removal of vein 14.44 NA NA 6.90 8.08 1.60 NA NA 22.94 24.12 090
clot.
34471 .......... A Removal of vein 10.18 NA NA 4.96 4.67 0.01 NA NA 15.15 14.86 090
clot.
34490 .......... A Removal of vein 7.60 NA NA 5.56 6.14 0.76 NA NA 13.92 14.50 090
clot.
34501 .......... A Repair valve, 10.93 NA NA 8.35 8.26 1.43 NA NA 20.71 20.62 090
femoral vein.
34502 .......... A Reconstruct vena 26.95 NA NA 12.48 14.42 2.97 NA NA 42.40 44.34 090
cava.
34510 .......... A Transposition of 13.25 NA NA 10.63 10.39 1.64 NA NA 25.52 25.28 090
vein valve.
34520 .......... A Cross-over vein 13.74 NA NA 7.91 8.47 1.64 NA NA 23.29 23.85 090
graft.
34530 .......... A Leg vein fusion.... 17.61 NA NA 9.52 10.49 0.02 NA NA 27.15 28.12 090
35001 .......... A Repair defect of 19.64 NA NA 9.31 11.30 2.51 NA NA 31.46 33.45 090
artery.
35002 .......... A Repair artery 0.21 NA NA 9.42 10.50 2.43 NA NA 12.06 13.14 090
rupture, neck.
35005 .......... A Repair defect of 18.12 NA NA 8.19 8.93 1.40 NA NA 27.71 28.45 090
artery.
35011 .......... A Repair defect of 11.65 NA NA 5.72 7.77 1.36 NA NA 18.73 20.78 090
artery.
35013 .......... A Repair artery 17.40 NA NA 7.73 9.79 0.02 NA NA 25.15 27.21 090
rupture, arm.
35021 .......... A Repair defect of 19.65 NA NA 10.14 12.53 2.42 NA NA 32.21 34.60 090
artery.
35022 .......... A Repair artery 23.18 NA NA 9.78 11.35 2.15 NA NA 35.11 6.68 090
rupture, chest.
35045 .......... A Repair defect of 11.26 NA NA 6.68 8.36 1.26 NA NA 19.20 20.88 090
arm artery.
35081 .......... A Repair defect of 28.01 NA NA 12.65 15.31 3.30 NA NA 43.96 46.62 090
artery.
35082 .......... A Repair artery 36.35 NA NA 14.91 17.40 4.14 NA NA 55.40 57.89 090
rupture, aorta.
35091 .......... A Repair defect of 35.40 NA NA 15.36 17.67 4.28 NA NA 55.04 57.35 090
artery.
35092 .......... A Repair artery 38.39 NA NA 16.08 19.19 4.48 NA NA 58.95 62.06 090
rupture, aorta.
35102 .......... A Repair defect of 30.76 NA NA 13.47 16.11 3.65 NA NA 47.88 50.52 090
artery.
35103 .......... A Repair artery 33.57 NA NA 14.15 17.71 3.84 NA NA 51.56 55.12 090
rupture, groin.
35111 .......... A Repair defect of 16.43 NA NA 7.76 10.60 1.82 NA NA 26.01 28.85 090
artery.
35112 .......... A Repair artery 18.69 NA NA 8.32 9.08 2.14 NA NA 29.15 29.91 090
rupture,spleen.
35121 .......... A Repair defect of 25.99 NA NA 11.71 13.97 3.10 NA NA 40.80 43.06 090
artery.
35122 .......... A Repair artery 33.45 NA NA 14.23 15.54 3.69 NA NA 51.37 52.68 090
rupture, belly.
35131 .......... A Repair defect of 18.55 NA NA 8.94 11.01 2.20 NA NA 29.69 31.76 090
artery.
35132 .......... A Repair artery 21.95 NA NA 9.94 12.52 2.47 NA NA 34.36 36.94 090
rupture, groin.
35141 .......... A Repair defect of 14.46 NA NA 7.31 9.47 1.73 NA NA 23.50 25.66 090
artery.
35142 .......... A Repair artery 15.86 NA NA 7.63 10.09 1.92 NA NA 25.41 27.87 090
rupture, thigh.
35151 .......... A Repair defect of 0.17 NA NA 8.20 10.32 2.01 NA NA 10.38 12.50 090
artery.
35152 .......... A Repair artery 16.70 NA NA 8.18 8.65 2.01 NA NA 26.89 27.36 090
rupture, knee.
35161 .......... A Repair defect of 18.76 NA NA 9.56 11.48 2.19 NA NA 30.51 32.43 090
artery.
35162 .......... A Repair artery 19.78 NA NA 9.78 12.40 2.26 NA NA 31.82 34.44 090
rupture.
35180 .......... A Repair blood vessel 13.62 NA NA 6.97 7.23 1.53 NA NA 22.12 22.38 090
lesion.
35182 .......... A Repair blood vessel 17.74 NA NA 8.93 9.59 2.19 NA NA 28.86 29.52 090
lesion.
35184 .......... A Repair blood vessel 12.25 NA NA 6.22 7.31 1.45 NA NA 19.92 21.01 090
lesion.
35188 .......... A Repair blood vessel 14.28 NA NA 6.78 7.29 1.70 NA NA 22.76 23.27 090
lesion.
35189 .......... A Repair blood vessel 18.43 NA NA 9.10 9.90 2.17 NA NA 29.70 30.50 090
lesion.
35190 .......... A Repair blood vessel 12.75 NA NA 6.37 7.58 1.48 NA NA 20.60 21.81 090
lesion.
35201 .......... A Repair blood vessel 9.99 NA NA 5.28 6.69 1.23 NA NA 16.50 17.91 090
lesion.
35206 .......... A Repair blood vessel 9.25 NA NA 6.15 7.37 1.06 NA NA 16.46 17.68 090
lesion.
35207 .......... A Repair blood vessel 10.15 NA NA 8.67 9.43 1.06 NA NA 19.88 20.64 090
lesion.
35211 .......... A Repair blood vessel 22.12 NA NA 17.68 16.89 2.91 NA NA 42.71 41.92 090
lesion.
35216 .......... A Repair blood vessel 18.75 NA NA 13.90 13.32 2.24 NA NA 34.89 34.31 090
lesion.
35221 .......... A Repair blood vessel 16.42 NA NA 7.89 8.93 1.81 NA NA 26.12 27.16 090
lesion.
35226 .......... A Repair blood vessel 9.06 NA NA 6.96 7.93 1.15 NA NA 17.17 18.14 090
lesion.
35231 .......... A Repair blood vessel 0.12 NA NA 6.65 8.57 1.38 NA NA 8.15 10.07 090
lesion.
35236 .......... A Repair blood vessel 10.54 NA NA 6.73 8.19 1.23 NA NA 18.50 19.96 090
lesion.
35241 .......... A Repair blood vessel 23.12 NA NA 19.86 18.56 2.84 NA NA 45.82 44.52 090
lesion.
35246 .......... A Repair blood vessel 19.84 NA NA 14.12 15.19 2.42 NA NA 36.38 37.45 090
lesion.
35251 .......... A Repair blood vessel 17.49 NA NA 8.01 8.61 1.87 NA NA 27.37 27.97 090
lesion.
35256 .......... A Repair blood vessel 11.38 NA NA 7.05 8.65 1.37 NA NA 19.80 21.40 090
lesion.
35261 .......... A Repair blood vessel 11.63 NA NA 5.81 7.83 1.38 NA NA 18.82 20.84 090
lesion.
35266 .......... A Repair blood vessel 10.30 NA NA 6.37 7.85 1.24 NA NA 17.91 19.39 090
lesion.
35271 .......... A Repair blood vessel 22.12 NA NA 17.64 16.63 2.95 NA NA 42.71 41.70 090
lesion.
35276 .......... A Repair blood vessel 18.75 NA NA 15.11 14.28 2.50 NA NA 36.36 35.53 090
lesion.
35281 .......... A Repair blood vessel 16.48 NA NA 7.93 10.64 1.84 NA NA 26.25 28.96 090
lesion.
35286 .......... A Repair blood vessel 11.87 NA NA 7.52 8.82 1.39 NA NA 20.78 22.08 090
lesion.
35301 .......... A Rechanneling of 18.70 NA NA 9.48 11.03 2.29 NA NA 30.47 32.02 090
artery.
35311 .......... A Rechanneling of 23.85 NA NA 12.09 15.05 3.12 NA NA 39.06 42.02 090
artery.
35321 .......... A Rechanneling of 11.97 NA NA 5.92 7.96 1.40 NA NA 19.29 21.33 090
artery.
35331 .......... A Rechanneling of 23.52 NA NA 10.77 11.70 2.88 NA NA 37.17 38.10 090
artery.
35341 .......... A Rechanneling of 25.11 NA NA 11.34 13.22 3.07 NA NA 39.52 41.40 090
artery.
[[Page 44240]]
35351 .......... A Rechanneling of 20.11 NA NA 9.40 11.11 2.33 NA NA 31.84 33.55 090
artery.
35355 .......... A Rechanneling of 16.09 NA NA 7.85 10.07 1.86 NA NA 25.80 28.02 090
artery.
35361 .......... A Rechanneling of 23.59 NA NA 10.70 13.28 2.74 NA NA 37.03 39.61 090
artery.
35363 .......... A Rechanneling of 24.66 NA NA 11.26 14.62 2.81 NA NA 38.73 42.09 090
artery.
35371 .......... A Rechanneling of 11.64 NA NA 5.94 7.85 1.37 NA NA 18.95 20.86 090
artery.
35372 .......... A Rechanneling of 13.56 NA NA 6.68 8.05 1.59 NA NA 21.83 23.20 090
artery.
35381 .......... A Rechanneling of 15.81 NA NA 7.75 9.52 1.85 NA NA 25.41 27.18 090
artery.
35390 .......... A Reoperation, 3.19 NA NA 1.22 1.37 0.40 NA NA 4.81 4.96 ZZZ
carotid add-on.
35400 .......... A Angioscopy......... 0.03 NA NA 1.14 1.47 0.27 NA NA 1.44 1.77 ZZZ
35450 .......... A Repair arterial 10.07 NA NA 4.51 6.39 1.17 NA NA 15.75 17.63 000
blockage.
35452 .......... A Repair arterial 6.91 NA NA 3.31 3.66 0.83 NA NA 11.05 11.40 000
blockage.
35454 .......... A Repair arterial 6.04 NA NA 2.87 3.96 0.71 NA NA 9.62 10.71 000
blockage.
35456 .......... A Repair arterial 7.35 NA NA 3.42 4.76 0.87 NA NA 11.64 12.98 000
blockage.
35458 .......... A Repair arterial 9.49 NA NA 4.26 5.94 1.13 NA NA 14.88 16.56 000
blockage.
35459 .......... A Repair arterial 8.63 NA NA 3.85 5.46 0.99 NA NA 13.47 15.08 000
blockage.
35460 .......... A Repair venous 6.04 NA NA 2.71 2.89 0.64 NA NA 9.39 9.57 000
blockage.
35470 .......... A Repair arterial 8.63 NA NA 4.00 5.58 0.68 NA NA 13.31 14.89 000
blockage.
35471 .......... A Repair arterial 10.07 NA NA 4.60 6.46 0.82 NA NA 15.49 17.35 000
blockage.
35472 .......... A Repair arterial 6.91 NA NA 3.34 3.49 0.55 NA NA 10.80 10.95 000
blockage.
35473 .......... A Repair arterial 6.04 NA NA 2.97 4.03 0.41 NA NA 9.42 10.48 000
blockage.
35474 .......... A Repair arterial 7.36 NA NA 3.48 4.81 0.53 NA NA 11.37 12.70 000
blockage.
35475 .......... R Repair arterial 9.49 NA NA 4.15 5.86 0.51 NA NA 14.15 15.86 000
blockage.
35476 .......... A Repair venous 6.04 NA NA 2.87 3.01 0.26 NA NA 9.17 9.31 000
blockage.
35480 .......... A Atherectomy, open.. 11.08 NA NA 4.78 6.89 1.16 NA NA 17.02 19.13 000
35481 .......... A Atherectomy, open.. 7.61 NA NA 3.77 4.01 0.95 NA NA 12.33 12.57 000
35482 .......... A Atherectomy, open.. 6.65 NA NA 3.27 4.44 0.83 NA NA 10.75 11.92 000
35483 .......... A Atherectomy, open.. 8.10 NA NA 3.70 5.19 0.98 NA NA 12.78 14.27 000
35484 .......... A Atherectomy, open.. 10.44 NA NA 4.65 6.24 1.11 NA NA 16.20 17.79 000
35485 .......... A Atherectomy, open.. 9.49 NA NA 4.26 4.42 1.15 NA NA 14.90 15.06 000
35490 .......... A Atherectomy, 11.08 NA NA 4.91 6.99 1.03 NA NA 17.02 19.10 000
percutaneous.
35491 .......... A Atherectomy, 7.61 NA NA 3.51 3.81 0.77 NA NA 11.89 12.19 000
percutaneous.
35492 .......... A Atherectomy, 6.65 NA NA 3.22 4.40 0.71 NA NA 10.58 11.76 000
percutaneous.
35493 .......... A Atherectomy, 8.10 NA NA 4.06 5.46 0.91 NA NA 13.07 14.47 000
percutaneous.
35494 .......... A Atherectomy, 10.44 NA NA 4.53 6.15 0.50 NA NA 15.47 17.09 000
percutaneous.
35495 .......... A Atherectomy, 9.49 NA NA 4.74 4.78 1.09 NA NA 15.32 15.36 000
percutaneous.
35500 .......... A Harvest vein for 6.45 NA NA 2.42 2.42 0.73 NA NA 9.60 9.60 ZZZ
bypass.
35501 .......... A Artery bypass graft 19.19 NA NA 7.22 10.67 2.39 NA NA 28.80 32.25 090
35506 .......... A Artery bypass graft 19.67 NA NA 9.22 12.12 2.41 NA NA 31.30 34.20 090
35507 .......... A Artery bypass graft 19.67 NA NA 9.17 11.74 2.43 NA NA 31.27 33.84 090
35508 .......... A Artery bypass graft 18.65 NA NA 9.04 11.69 2.42 NA NA 30.11 32.76 090
35509 .......... A Artery bypass graft 18.07 NA NA 8.17 11.26 2.21 NA NA 28.45 31.54 090
35511 .......... A Artery bypass graft 16.83 NA NA 8.06 8.87 0.02 NA NA 24.91 25.72 090
35515 .......... A Artery bypass graft 18.65 NA NA 8.73 9.60 2.39 NA NA 29.77 30.64 090
35516 .......... A Artery bypass graft 16.32 NA NA 7.60 10.41 0.02 NA NA 23.94 26.75 090
35518 .......... A Artery bypass graft 15.42 NA NA 6.88 9.76 1.74 NA NA 24.04 26.92 090
35521 .......... A Artery bypass graft 16.17 NA NA 7.91 10.69 1.88 NA NA 25.96 28.74 090
35526 .......... A Artery bypass graft 0.20 NA NA 10.05 11.05 2.48 NA NA 12.73 13.73 090
35531 .......... A Artery bypass graft 25.61 NA NA 11.45 14.08 3.04 NA NA 40.10 42.73 090
35533 .......... A Artery bypass graft 20.52 NA NA 9.51 12.84 2.27 NA NA 32.30 35.63 090
35536 .......... A Artery bypass graft 23.11 NA NA 10.45 13.64 2.90 NA NA 36.46 39.65 090
35541 .......... A Artery bypass graft 25.80 NA NA 11.88 14.22 3.08 NA NA 40.76 43.10 090
35546 .......... A Artery bypass graft 25.54 NA NA 11.51 14.44 2.91 NA NA 39.96 42.89 090
35548 .......... A Artery bypass graft 21.57 NA NA 10.11 12.89 2.34 NA NA 34.02 36.80 090
35549 .......... A Artery bypass graft 23.35 NA NA 10.99 14.05 2.69 NA NA 37.03 40.09 090
35551 .......... A Artery bypass graft 26.67 NA NA 12.32 14.46 2.85 NA NA 41.84 43.98 090
35556 .......... A Artery bypass graft 21.76 NA NA 10.06 12.62 2.57 NA NA 34.39 36.95 090
35558 .......... A Artery bypass graft 14.04 NA NA 7.06 9.49 1.61 NA NA 22.71 25.14 090
35560 .......... A Artery bypass graft 23.56 NA NA 11.13 13.83 2.84 NA NA 37.53 40.23 090
35563 .......... A Artery bypass graft 15.14 NA NA 7.86 8.15 1.71 NA NA 24.71 25.00 090
35565 .......... A Artery bypass graft 15.14 NA NA 7.51 10.15 1.78 NA NA 24.43 27.07 090
35566 .......... A Artery bypass graft 26.92 NA NA 15.00 16.85 3.22 NA NA 45.14 46.99 090
35571 .......... A Artery bypass graft 18.58 NA NA 10.37 13.03 2.22 NA NA 31.17 33.83 090
35582 .......... A Vein bypass graft.. 27.13 NA NA 11.64 15.17 3.14 NA NA 41.91 45.44 090
35583 .......... A Vein bypass graft.. 22.37 NA NA 11.14 13.90 2.63 NA NA 36.14 38.90 090
35585 .......... A Vein bypass graft.. 28.39 NA NA 14.75 17.29 3.33 NA NA 46.47 49.01 090
35587 .......... A Vein bypass graft.. 19.05 NA NA 11.39 14.23 2.23 NA NA 32.67 35.51 090
35601 .......... A Artery bypass graft 17.50 NA NA 7.99 11.10 2.16 NA NA 27.65 30.76 090
35606 .......... A Artery bypass graft 18.71 NA NA 8.65 11.25 2.27 NA NA 29.63 32.23 090
35612 .......... A Artery bypass graft 15.76 NA NA 7.68 10.31 1.90 NA NA 25.34 27.97 090
35616 .......... A Artery bypass graft 15.70 NA NA 7.35 10.07 1.93 NA NA 24.98 27.70 090
35621 .......... A Artery bypass graft 14.54 NA NA 7.40 9.89 1.74 NA NA 23.68 26.17 090
35623 .......... A Bypass graft, not 16.62 NA NA 8.02 8.20 0.02 NA NA 24.66 24.84 090
vein.
35626 .......... A Artery bypass graft 23.63 NA NA 11.33 14.06 2.98 NA NA 37.94 40.67 090
35631 .......... A Artery bypass graft 24.60 NA NA 11.14 13.20 0.03 NA NA 35.77 37.83 090
35636 .......... A Artery bypass graft 22.46 NA NA 10.15 11.28 2.70 NA NA 35.31 36.44 090
35641 .......... A Artery bypass graft 24.57 NA NA 11.55 14.24 0.03 NA NA 36.15 38.84 090
35642 .......... A Artery bypass graft 17.98 NA NA 7.79 8.65 2.16 NA NA 27.93 28.79 090
35645 .......... A Artery bypass graft 17.47 NA NA 7.99 9.02 1.85 NA NA 27.31 28.34 090
35646 .......... A Artery bypass graft 25.81 NA NA 11.76 15.27 3.08 NA NA 40.65 44.16 090
35650 .......... A Artery bypass graft 14.36 NA NA 6.73 9.34 1.71 NA NA 22.80 25.41 090
35651 .......... A Artery bypass graft 25.04 NA NA 11.42 15.10 2.81 NA NA 39.27 42.95 090
35654 .......... A Artery bypass graft 18.61 NA NA 8.81 12.16 2.20 NA NA 29.62 32.97 090
[[Page 44241]]
35656 .......... A Artery bypass graft 19.53 NA NA 9.10 11.64 2.27 NA NA 30.90 33.44 090
35661 .......... A Artery bypass graft 13.18 NA NA 6.64 8.92 1.55 NA NA 21.37 23.65 090
35663 .......... A Artery bypass graft 14.17 NA NA 7.32 9.72 1.72 NA NA 23.21 25.61 090
35665 .......... A Artery bypass graft 15.40 NA NA 7.58 10.28 1.84 NA NA 24.82 27.52 090
35666 .......... A Artery bypass graft 19.19 NA NA 11.41 14.00 2.28 NA NA 32.88 35.47 090
35671 .......... A Artery bypass graft 14.80 NA NA 9.43 11.31 1.75 NA NA 25.98 27.86 090
35681 .......... A Composite bypass 1.60 NA NA 2.45 4.24 0.19 NA NA 4.24 6.03 ZZZ
graft.
35682 .......... A Composite bypass 7.20 2.71 4.44 2.70 4.43 0.85 10.76 12.49 10.75 12.48 ZZZ
graft.
35683 .......... A Composite bypass 8.50 3.20 4.81 3.18 4.79 1.01 12.71 14.32 12.69 14.30 ZZZ
graft.
35691 .......... A Arterial 18.05 NA NA 8.23 11.50 2.27 NA NA 28.55 31.82 090
transposition.
35693 .......... A Arterial 15.36 NA NA 7.00 7.80 1.94 NA NA 24.30 25.10 090
transposition.
35694 .......... A Arterial 19.16 NA NA 8.26 8.73 2.33 NA NA 29.75 30.22 090
transposition.
35695 .......... A Arterial 19.16 NA NA 8.42 8.85 2.16 NA NA 29.74 30.17 090
transposition.
35700 .......... A Reoperation, bypass 3.08 NA NA 3.17 2.82 0.38 NA NA 6.63 6.28 ZZZ
graft.
35701 .......... A Exploration, 5.55 NA NA 3.58 4.27 0.64 NA NA 9.77 10.46 090
carotid artery.
35721 .......... A Exploration, 5.28 NA NA 4.73 5.06 0.62 NA NA 10.63 10.96 090
femoral artery.
35741 .......... A Exploration 5.37 NA NA 4.39 4.85 0.62 NA NA 10.38 10.84 090
popliteal artery.
35761 .......... A Exploration of 5.37 NA NA 4.30 4.80 0.61 NA NA 10.28 10.78 090
artery/vein.
35800 .......... A Explore neck 7.02 NA NA 4.16 4.55 0.82 NA NA 12.00 12.39 090
vessels.
35820 .......... A Explore chest 12.88 NA NA 5.28 6.11 1.70 NA NA 19.86 20.69 090
vessels.
35840 .......... A Explore abdominal 9.77 NA NA 5.36 5.98 1.08 NA NA 16.21 16.83 090
vessels.
35860 .......... A Explore limb 5.55 NA NA 3.71 4.36 0.65 NA NA 9.91 10.56 090
vessels.
35870 .......... A Repair vessel graft 22.17 NA NA 10.63 10.86 2.63 NA NA 35.43 35.66 090
defect.
35875 .......... A Removal of clot in 10.13 NA NA 6.31 6.96 1.08 NA NA 17.52 18.17 090
graft.
35876 .......... A Removal of clot in 0.17 NA NA 9.03 9.00 1.92 NA NA 11.12 11.09 090
graft.
35879 .......... A Revise graft w/vein 0.16 NA NA 8.30 8.30 1.97 NA NA 10.43 10.43 090
35881 .......... A Revise graft w/vein 0.18 NA NA 8.83 8.83 2.21 NA NA 11.22 11.22 090
35901 .......... A Excision, graft, 8.19 NA NA 5.91 6.38 0.97 NA NA 15.07 15.54 090
neck.
35903 .......... A Excision, graft, 9.39 NA NA 8.10 8.02 1.08 NA NA 18.57 18.49 090
extremity.
35905 .......... A Excision, graft, 18.19 NA NA 12.25 11.14 2.15 NA NA 32.59 31.48 090
thorax.
35907 .......... A Excision, graft, 19.24 NA NA 9.67 9.20 2.29 NA NA 31.20 30.73 090
abdomen.
36000 .......... A Place needle in 0.18 0.55 0.48 0.05 0.10 0.01 0.74 0.67 0.24 0.29 XXX
vein.
36005 .......... A Injection, 0.95 15.60 11.83 0.33 0.38 0.05 16.60 12.83 1.33 1.38 000
venography.
36010 .......... A Place catheter in 2.43 NA NA 0.87 1.23 0.16 NA NA 3.46 3.82 XXX
vein.
36011 .......... A Place catheter in 3.14 NA NA 1.13 1.36 0.20 NA NA 4.47 4.70 XXX
vein.
36012 .......... A Place catheter in 3.52 NA NA 1.26 1.67 0.15 NA NA 4.93 5.34 XXX
vein.
36013 .......... A Place catheter in 2.52 NA NA 0.83 1.20 0.21 NA NA 3.56 3.93 XXX
artery.
36014 .......... A Place catheter in 3.02 NA NA 1.09 1.44 0.12 NA NA 4.23 4.58 XXX
artery.
36015 .......... A Place catheter in 3.52 NA NA 1.26 1.67 0.15 NA NA 4.93 5.34 XXX
artery.
36100 .......... A Establish access to 3.02 NA NA 1.23 1.63 0.32 NA NA 4.57 4.97 XXX
artery.
36120 .......... A Establish access to 2.01 NA NA 0.73 1.15 0.12 NA NA 2.86 3.28 XXX
artery.
36140 .......... A Establish access to 2.01 NA NA 0.72 0.92 0.13 NA NA 2.86 3.06 XXX
artery.
36145 .......... A Artery to vein 2.01 NA NA 0.73 1.15 0.09 NA NA 2.83 3.25 XXX
shunt.
36160 .......... A Establish access to 2.52 NA NA 0.97 1.36 0.23 NA NA 3.72 4.11 XXX
aorta.
36200 .......... A Place catheter in 3.02 NA NA 1.08 1.55 0.16 NA NA 4.26 4.73 XXX
aorta.
36215 .......... A Place catheter in 4.68 NA NA 1.71 2.04 0.28 NA NA 6.67 7.00 XXX
artery.
36216 .......... A Place catheter in 5.28 NA NA 1.90 2.32 0.25 NA NA 7.43 7.85 XXX
artery.
36217 .......... A Place catheter in 6.30 NA NA 2.32 2.80 0.36 NA NA 8.98 9.46 XXX
artery.
36218 .......... A Place catheter in 1.01 NA NA 0.40 0.47 0.06 NA NA 1.47 1.54 ZZZ
artery.
36245 .......... A Place catheter in 4.68 NA NA 1.80 2.21 0.35 NA NA 6.83 7.24 XXX
artery.
36246 .......... A Place catheter in 5.28 NA NA 1.95 2.36 0.33 NA NA 7.56 7.97 XXX
artery.
36247 .......... A Place catheter in 6.30 NA NA 2.28 2.77 0.35 NA NA 8.93 9.42 XXX
artery.
36248 .......... A Place catheter in 1.01 NA NA 0.41 0.48 0.07 NA NA 1.49 1.56 ZZZ
artery.
36260 .......... A Insertion of 9.71 NA NA 5.40 5.88 0.93 NA NA 16.04 16.52 090
infusion pump.
36261 .......... A Revision of 5.45 NA NA 3.05 2.89 0.53 NA NA 9.03 8.87 090
infusion pump.
36262 .......... A Removal of infusion 4.02 NA NA 2.50 2.40 0.41 NA NA 6.93 6.83 090
pump.
36299 .......... C Vessel injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
36400 .......... A Drawing blood...... 0.18 0.56 0.45 0.05 0.06 0.02 0.76 0.65 0.25 0.26 XXX
36405 .......... A Drawing blood...... 0.18 0.44 0.45 0.05 0.16 0.01 0.63 0.64 0.24 0.35 XXX
36406 .......... A Drawing blood...... 0.18 0.50 0.42 0.05 0.08 0.01 0.69 0.61 0.24 0.27 XXX
36410 .......... A Drawing blood...... 0.18 0.43 0.38 0.05 0.10 0.01 0.62 0.57 0.24 0.29 XXX
36415 .......... I Drawing blood...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
36420 .......... A Establish access to 1.01 NA NA 0.34 0.39 0.10 NA NA 1.45 1.50 XXX
vein.
36425 .......... A Establish access to 0.76 2.63 2.00 0.18 0.16 0.06 3.45 2.82 1.00 0.98 XXX
vein.
36430 .......... A Blood transfusion 0.00 1.02 1.03 1.02 1.03 0.05 1.07 1.08 1.07 1.08 XXX
service.
36440 .......... A Blood transfusion 1.03 NA NA 0.28 0.47 0.10 NA NA 1.41 1.60 XXX
service.
36450 .......... A Exchange 2.23 NA NA 0.70 1.04 0.14 NA NA 3.07 3.41 XXX
transfusion
service.
36455 .......... A Exchange 2.43 NA NA 0.91 1.30 0.14 NA NA 3.48 3.87 XXX
transfusion
service.
36460 .......... A Transfusion 6.59 NA NA 2.32 3.02 0.60 NA NA 9.51 10.21 XXX
service, fetal.
36468 .......... R Injection(s), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spider veins.
36469 .......... R Injection(s), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spider veins.
36470 .......... A Injection therapy 1.09 2.65 2.06 0.41 0.38 0.11 3.85 3.26 1.61 1.58 010
of vein.
36471 .......... A Injection therapy 1.57 3.07 2.41 0.58 0.54 0.14 4.78 4.12 2.29 2.25 010
of veins.
36481 .......... A Insertion of 6.99 NA NA 2.84 3.57 0.40 NA NA 10.23 10.96 000
catheter, vein.
36488 .......... A Insertion of 1.35 NA NA 0.67 0.77 0.11 NA NA 2.13 2.23 000
catheter, vein.
36489 .......... A Insertion of 1.22 3.56 2.98 0.62 0.77 0.09 4.87 4.29 1.93 2.08 000
catheter, vein.
36490 .......... A Insertion of 1.67 NA NA 0.81 0.98 0.13 NA NA 2.61 2.78 000
catheter, vein.
36491 .......... A Insertion of 1.43 NA NA 0.73 0.97 0.13 NA NA 2.29 2.53 000
catheter, vein.
36493 .......... A Repositioning of 1.21 NA NA 0.82 0.79 0.06 NA NA 2.09 2.06 000
cvc.
36500 .......... A Insertion of 3.52 NA NA 1.28 0.98 0.17 NA NA 4.97 4.67 000
catheter, vein.
36510 .......... A Insertion of 1.09 NA NA 0.65 0.58 0.07 NA NA 1.81 1.74 000
catheter, vein.
36520 .......... A Plasma and/or cell 1.74 NA NA 0.96 1.24 0.10 NA NA 2.80 3.08 000
exchange.
[[Page 44242]]
36521 .......... A Apheresis w/ adsorp/ 1.74 NA NA 0.96 0.96 0.09 NA NA 2.79 2.79 000
reinfuse.
36522 .......... A Photopheresis...... 1.67 6.96 5.89 1.08 1.48 0.06 8.69 7.62 2.81 3.21 000
36530 .......... R Insertion of 6.20 NA NA 3.49 3.93 0.63 NA NA 10.32 10.76 010
infusion pump.
36531 .......... R Revision of 4.87 NA NA 3.26 3.63 0.49 NA NA 8.62 8.99 010
infusion pump.
36532 .......... R Removal of infusion 3.30 NA NA 1.58 1.67 0.33 NA NA 5.21 5.30 010
pump.
36533 .......... A Insertion of access 5.32 4.17 4.29 3.32 3.66 0.52 10.01 10.13 9.16 9.50 010
device.
36534 .......... A Revision of access 2.80 NA NA 1.43 1.91 0.22 NA NA 4.45 4.93 010
device.
36535 .......... A Removal of access 2.27 2.66 2.49 1.90 1.92 0.23 5.16 4.99 4.40 4.42 010
device.
36550 .......... A Declot vascular 0.00 0.54 0.54 0.06 0.06 0.32 0.86 0.86 0.38 0.38 XXX
device.
36600 .......... A Withdrawal of 0.32 0.36 0.35 0.09 0.14 0.02 0.70 0.69 0.43 0.48 XXX
arterial blood.
36620 .......... A Insertion catheter, 1.15 NA NA 0.25 0.37 0.08 NA NA 1.48 1.60 000
artery.
36625 .......... A Insertion catheter, 2.11 NA NA 0.56 0.65 0.17 NA NA 2.84 2.93 000
artery.
36640 .......... A Insertion catheter, 2.10 NA NA 0.77 1.21 0.19 NA NA 3.06 3.50 000
artery.
36660 .......... A Insertion catheter, 1.40 NA NA 0.45 0.47 0.07 NA NA 1.92 1.94 000
artery.
36680 .......... A Insert needle, bone 1.20 NA NA 0.51 0.72 0.11 NA NA 1.82 2.03 000
cavity.
36800 .......... A Insertion of 2.43 NA NA 1.55 1.77 0.21 NA NA 4.19 4.41 000
cannula.
36810 .......... A Insertion of 3.97 NA NA 2.27 2.89 0.39 NA NA 6.63 7.25 000
cannula.
36815 .......... A Insertion of 2.62 NA NA 1.81 2.14 0.27 NA NA 4.70 5.03 000
cannula.
36819 .......... A Av fusion by 0.14 NA NA 6.63 6.63 1.55 NA NA 8.32 8.32 090
basilic vein.
36821 .......... A Av fusion direct 8.93 NA NA 4.95 5.68 0.99 NA NA 14.87 15.60 090
any site.
36822 .......... A Insertion of 5.42 NA NA 9.86 8.92 0.70 NA NA 15.98 15.04 090
cannula(s).
36823 .......... A Insertion of 0.21 NA NA 11.62 11.62 0.67 NA NA 12.50 12.50 090
cannula(s).
36825 .......... A Artery-vein graft.. 9.84 NA NA 5.64 7.17 1.10 NA NA 16.58 18.11 090
36830 .......... A Artery-vein graft.. 0.12 NA NA 6.26 7.40 1.36 NA NA 7.74 8.88 090
36831 .......... A Av fistula excision 0.08 2.77 2.77 2.77 2.77 0.85 3.70 3.70 3.70 3.70 090
36832 .......... A Av fistula revision 10.50 NA NA 5.63 6.15 1.16 NA NA 17.29 17.81 090
36833 .......... A Av fistula revision 11.95 4.44 4.44 4.44 4.44 1.33 17.72 17.72 17.72 17.72 090
36834 .......... A Repair A-V aneurysm 9.93 NA NA 3.95 5.08 1.13 NA NA 15.01 16.14 090
36835 .......... A Artery to vein 7.15 NA NA 4.94 4.63 0.80 NA NA 12.89 12.58 090
shunt.
36860 .......... A External cannula 2.01 1.97 2.18 1.58 1.88 0.13 4.11 4.32 3.72 4.02 000
declotting.
36861 .......... A Cannula declotting. 2.52 NA NA 1.72 2.04 0.22 NA NA 4.46 4.78 000
37140 .......... A Revision of 23.60 NA NA 10.40 12.22 1.06 NA NA 35.06 36.88 090
circulation.
37145 .......... A Revision of 24.61 NA NA 9.22 11.56 0.95 NA NA 34.78 37.12 090
circulation.
37160 .......... A Revision of 21.60 NA NA 9.43 11.89 2.29 NA NA 33.32 35.78 090
circulation.
37180 .......... A Revision of 24.61 NA NA 10.80 11.95 2.45 NA NA 37.86 39.01 090
circulation.
37181 .......... A Splice spleen/ 26.68 NA NA 11.53 13.10 2.56 NA NA 40.77 42.34 090
kidney veins.
37195 .......... A Thrombolytic 0.00 8.14 8.19 8.14 8.19 0.39 8.53 8.58 8.53 8.58 XXX
therapy, stroke.
37200 .......... A Transcatheter 4.56 NA NA 1.62 1.65 0.25 NA NA 6.43 6.46 000
biopsy.
37201 .......... A Transcatheter 0.05 NA NA 2.52 3.38 0.25 NA NA 2.82 3.68 000
therapy infuse.
37202 .......... A Transcatheter 5.68 NA NA 3.08 3.48 0.74 NA NA 9.50 9.90 000
therapy infuse.
37203 .......... A Transcatheter 5.03 NA NA 2.56 2.96 0.25 NA NA 7.84 8.24 000
retrieval.
37204 .......... A Transcatheter 18.14 NA NA 6.41 8.54 0.77 NA NA 25.32 27.45 000
occlusion.
37205 .......... A Transcatheter stent 8.28 NA NA 3.84 4.28 0.61 NA NA 12.73 13.17 000
37206 .......... A Transcatheter stent 4.13 NA NA 1.58 1.89 0.32 NA NA 6.03 6.34 ZZZ
add-on.
37207 .......... A Transcatheter stent 8.28 NA NA 3.72 4.19 0.97 NA NA 12.97 13.44 000
37208 .......... A Transcatheter stent 4.13 NA NA 1.57 1.88 0.49 NA NA 6.19 6.50 ZZZ
add-on.
37209 .......... A Exchange arterial 2.27 NA NA 0.83 1.01 0.11 NA NA 3.21 3.39 000
catheter.
37250 .......... A Iv us first vessel 2.10 NA NA 0.88 0.97 0.24 NA NA 3.22 3.31 ZZZ
add-on.
37251 .......... A Iv us each add 1.60 NA NA 0.68 0.75 0.19 NA NA 2.47 2.54 ZZZ
vessel add-on.
37565 .......... A Ligation of neck 4.44 NA NA 2.61 2.99 0.44 NA NA 7.49 7.87 090
vein.
37600 .......... A Ligation of neck 4.57 NA NA 3.29 3.82 0.42 NA NA 8.28 8.81 090
artery.
37605 .......... A Ligation of neck 6.19 NA NA 3.72 4.30 0.75 NA NA 10.66 11.24 090
artery.
37606 .......... A Ligation of neck 6.28 NA NA 4.11 4.69 1.11 NA NA 11.50 12.08 090
artery.
37607 .......... A Ligation of a-v 6.16 NA NA 3.66 3.58 0.69 NA NA 10.51 10.43 090
fistula.
37609 .......... A Temporal artery 2.30 6.02 5.12 2.13 2.20 0.22 8.54 7.64 4.65 4.72 010
procedure.
37615 .......... A Ligation of neck 5.73 NA NA 3.72 4.32 0.58 NA NA 10.03 10.63 090
artery.
37616 .......... A Ligation of chest 16.49 NA NA 12.76 10.71 1.70 NA NA 30.95 28.90 090
artery.
37617 .......... A Ligation of abdomen 15.95 NA NA 7.53 7.82 1.61 NA NA 25.09 25.38 090
artery.
37618 .......... A Ligation of 4.84 NA NA 3.47 3.95 0.54 NA NA 8.85 9.33 090
extremity artery.
37620 .......... A Revision of major 10.56 NA NA 5.50 6.52 0.78 NA NA 16.84 17.86 090
vein.
37650 .......... A Revision of major 5.13 NA NA 3.72 3.88 0.60 NA NA 9.45 9.61 090
vein.
37660 .......... A Revision of major 10.61 NA NA 6.05 6.10 1.19 NA NA 17.85 17.90 090
vein.
37700 .......... A Revise leg vein.... 3.73 NA NA 3.00 3.24 0.41 NA NA 7.14 7.38 090
37720 .......... A Removal of leg vein 5.66 NA NA 3.59 4.08 0.62 NA NA 9.87 10.36 090
37730 .......... A Removal of leg 7.33 NA NA 4.50 5.26 0.80 NA NA 12.63 13.39 090
veins.
37735 .......... A Removal of leg 10.53 NA NA 5.92 6.70 1.16 NA NA 17.61 18.39 090
veins/lesion.
37760 .......... A Revision of leg 10.47 NA NA 5.64 6.26 1.08 NA NA 17.19 17.81 090
veins.
37780 .......... A Revision of leg 3.84 NA NA 3.03 2.79 0.43 NA NA 7.30 7.06 090
vein.
37785 .......... A Revise secondary 3.88 6.63 5.24 2.84 2.40 0.40 10.91 9.52 7.12 6.68 090
varicosity.
37788 .......... A Revascularization, 22.01 NA NA 11.76 12.93 1.43 NA NA 35.20 36.37 090
penis.
37790 .......... A Penile venous 8.34 NA NA 7.25 6.99 0.53 NA NA 16.12 15.86 090
occlusion.
37799 .......... C Vascular surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
38100 .......... A Removal of spleen, 13.01 NA NA 6.20 6.97 1.30 NA NA 20.51 21.28 090
total.
38101 .......... A Removal of spleen, 13.74 NA NA 6.39 6.69 1.39 NA NA 21.52 21.82 090
partial.
38102 .......... A Removal of spleen, 4.80 NA NA 1.80 2.03 0.48 NA NA 7.08 7.31 ZZZ
total.
38115 .......... A Repair of ruptured 14.19 NA NA 6.68 7.08 1.43 NA NA 22.30 22.70 090
spleen.
38120 .......... A Laparoscopy, 0.17 NA NA 7.66 7.66 1.04 NA NA 8.87 8.87 090
splenectomy.
38129 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
spleen.
38200 .......... A Injection for 2.64 NA NA 0.97 1.19 0.12 NA NA 3.73 3.95 000
spleen x-ray.
38230 .......... R Bone marrow 4.54 NA NA 2.39 2.55 0.23 NA NA 7.16 7.32 010
collection.
38231 .......... R Stem cell 1.50 NA NA 0.59 0.82 0.06 NA NA 2.15 2.38 000
collection.
38240 .......... R Bone marrow/stem 2.24 NA NA 0.82 1.18 0.11 NA NA 3.17 3.53 XXX
transplant.
[[Page 44243]]
38241 .......... R Bone marrow/stem 2.24 NA NA 0.85 1.19 0.10 NA NA 3.19 3.53 XXX
transplant.
38300 .......... A Drainage, lymph 1.53 3.69 2.93 2.21 1.82 0.14 5.36 4.60 3.88 3.49 010
node lesion.
38305 .......... A Drainage, lymph 4.61 6.96 5.75 5.53 4.68 0.36 11.93 10.72 10.50 9.65 090
node lesion.
38308 .......... A Incision of lymph 4.95 NA NA 4.88 4.58 0.43 NA NA 10.26 9.96 090
channels.
38380 .......... A Thoracic duct 7.46 NA NA 7.35 6.72 0.60 NA NA 15.41 14.78 090
procedure.
38381 .......... A Thoracic duct 12.88 NA NA 11.92 10.99 1.66 NA NA 26.46 25.53 090
procedure.
38382 .......... A Thoracic duct 10.08 NA NA 8.65 7.80 1.06 NA NA 19.79 18.94 090
procedure.
38500 .......... A Biopsy/removal, 2.88 2.47 2.29 2.11 2.02 0.28 5.63 5.45 5.27 5.18 010
lymph nodes.
38505 .......... A Needle biopsy, 1.14 2.75 2.37 1.05 1.09 0.09 3.98 3.60 2.28 2.32 000
lymph nodes.
38510 .......... A Biopsy/removal, 4.14 NA NA 4.00 3.69 0.38 NA NA 8.52 8.21 090
lymph nodes.
38520 .......... A Biopsy/removal, 5.12 NA NA 4.95 4.52 0.53 NA NA 10.60 10.17 090
lymph nodes.
38525 .......... A Biopsy/removal, 4.66 NA NA 3.67 3.46 0.47 NA NA 8.80 8.59 090
lymph nodes.
38530 .......... A Biopsy/removal, 6.13 NA NA 5.96 5.33 0.66 NA NA 12.75 12.12 090
lymph nodes.
38542 .......... A Explore deep 5.91 NA NA 5.46 5.25 0.50 NA NA 11.87 11.66 090
node(s), neck.
38550 .......... A Removal, neck/ 6.92 NA NA 5.22 4.79 0.50 NA NA 12.64 12.21 090
armpit lesion.
38555 .......... A Removal, neck/ 14.14 NA NA 10.98 10.21 1.53 NA NA 26.65 25.88 090
armpit lesion.
38562 .......... A Removal, pelvic 10.49 NA NA 6.19 6.51 0.84 NA NA 17.52 17.84 090
lymph nodes.
38564 .......... A Removal, abdomen 10.83 NA NA 6.04 6.54 0.01 NA NA 16.88 17.38 090
lymph nodes.
38570 .......... A Laparoscopy, lymph 9.25 NA NA 4.49 5.10 0.81 NA NA 14.55 15.16 010
node biop.
38571 .......... A Laparoscopy, 12.38 NA NA 5.27 6.28 0.78 NA NA 18.43 19.44 010
lymphadenectomy.
38572 .......... A Laparoscopy, 14.32 NA NA 6.18 7.35 1.04 NA NA 21.54 22.71 010
lymphadenectomy.
38589 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
lymphatic.
38700 .......... A Removal of lymph 8.24 NA NA 11.93 11.41 0.63 NA NA 20.80 20.28 090
nodes, neck.
38720 .......... A Removal of lymph 13.61 NA NA 14.13 14.66 1.03 NA NA 28.77 29.30 090
nodes, neck.
38724 .......... A Removal of lymph 14.54 NA NA 14.51 14.78 1.11 NA NA 30.16 30.43 090
nodes, neck.
38740 .......... A Remove armpit lymph 6.77 NA NA 4.44 4.61 0.67 NA NA 11.88 12.05 090
nodes.
38745 .......... A Remove armpit lymph 8.84 NA NA 6.35 7.01 0.86 NA NA 16.05 16.71 090
nodes.
38746 .......... A Remove thoracic 4.39 NA NA 1.76 1.94 0.56 NA NA 6.71 6.89 ZZZ
lymph nodes.
38747 .......... A Remove abdominal 4.89 NA NA 1.82 2.06 0.45 NA NA 7.16 7.40 ZZZ
lymph nodes.
38760 .......... A Remove groin lymph 8.74 NA NA 5.38 5.84 0.83 NA NA 14.95 15.41 090
nodes.
38765 .......... A Remove groin lymph 16.06 NA NA 9.64 10.67 1.34 NA NA 27.04 28.07 090
nodes.
38770 .......... A Remove pelvis lymph 13.23 NA NA 6.48 8.81 0.85 NA NA 20.56 22.89 090
nodes.
38780 .......... A Remove abdomen 16.59 NA NA 8.63 10.83 1.26 NA NA 26.48 28.68 090
lymph nodes.
38790 .......... A Inject for 1.29 21.16 16.32 0.48 0.81 0.09 22.54 17.70 1.86 2.19 000
lymphatic x-ray.
38792 .......... A Identify sentinel 0.52 NA NA 0.21 0.21 0.01 NA NA 0.74 0.74 000
node.
38794 .......... A Access thoracic 4.45 NA NA 1.51 1.90 0.17 NA NA 6.13 6.52 090
lymph duct.
38999 .......... C Blood/lymph system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
39000 .......... A Exploration of 6.10 NA NA 9.45 8.73 0.75 NA NA 16.30 15.58 090
chest.
39010 .......... A Exploration of 11.79 NA NA 12.37 12.39 1.52 NA NA 25.68 25.70 090
chest.
39200 .......... A Removal chest 13.62 NA NA 12.96 12.86 1.65 NA NA 28.23 28.13 090
lesion.
39220 .......... A Removal chest 17.42 NA NA 14.12 14.64 2.16 NA NA 33.70 34.22 090
lesion.
39400 .......... A Visualization of 5.61 NA NA 9.32 8.38 0.72 NA NA 15.65 14.71 010
chest.
39499 .......... C Chest procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
39501 .......... A Repair diaphragm 13.19 NA NA 8.29 9.11 1.35 NA NA 22.83 23.65 090
laceration.
39502 .......... A Repair 16.33 NA NA 8.51 9.62 1.64 NA NA 26.48 27.59 090
paraesophageal
hernia.
39503 .......... A Repair of diaphragm 37.54 NA NA 15.86 18.73 3.26 NA NA 56.66 59.53 090
hernia.
39520 .......... A Repair of diaphragm 16.10 NA NA 11.26 11.85 1.82 NA NA 29.18 29.77 090
hernia.
39530 .......... A Repair of diaphragm 15.41 NA NA 9.17 10.69 1.68 NA NA 26.26 27.78 090
hernia.
39531 .......... A Repair of diaphragm 16.42 NA NA 9.08 9.52 1.79 NA NA 27.29 27.73 090
hernia.
39540 .......... A Repair of diaphragm 13.32 NA NA 8.75 9.81 1.39 NA NA 23.46 24.52 090
hernia.
39541 .......... A Repair of diaphragm 14.41 NA NA 8.37 9.58 1.47 NA NA 24.25 25.46 090
hernia.
39545 .......... A Revision of 13.37 NA NA 11.21 10.55 1.59 NA NA 26.17 25.51 090
diaphragm.
39560 .......... A Resect diaphragm, 0.12 NA NA 8.66 8.66 1.22 NA NA 10.00 10.00 090
simple.
39561 .......... A Resect diaphragm, 17.50 NA NA 10.85 10.85 1.79 NA NA 30.14 30.14 090
complex.
39599 .......... C Diaphragm surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40490 .......... A Biopsy of lip...... 1.22 1.56 1.37 0.61 0.66 0.06 2.84 2.65 1.89 1.94 000
40500 .......... A Partial excision of 4.28 5.19 5.17 5.07 5.08 0.31 9.78 9.76 9.66 9.67 090
lip.
40510 .......... A Partial excision of 4.70 5.84 5.78 5.76 5.72 0.37 10.91 10.85 10.83 10.79 090
lip.
40520 .......... A Partial excision of 4.67 6.77 6.30 6.05 5.76 0.41 11.85 11.38 11.13 10.84 090
lip.
40525 .......... A Reconstruct lip 7.55 NA NA 7.43 7.83 0.69 NA NA 15.67 16.07 090
with flap.
40527 .......... A Reconstruct lip 9.13 NA NA 8.34 8.98 0.79 NA NA 18.26 18.90 090
with flap.
40530 .......... A Partial removal of 5.40 5.98 5.87 5.54 5.54 0.45 11.83 11.72 11.39 11.39 090
lip.
40650 .......... A Repair lip......... 3.64 4.89 4.75 3.95 4.05 0.32 8.85 8.71 7.91 8.01 090
40652 .......... A Repair lip......... 4.26 6.11 5.86 5.73 5.57 0.40 10.77 10.52 10.39 10.23 090
40654 .......... A Repair lip......... 5.31 6.68 6.60 6.48 6.45 0.48 12.47 12.39 12.27 12.24 090
40700 .......... A Repair cleft lip/ 12.79 NA NA 9.72 9.59 0.98 NA NA 23.49 23.36 090
nasal.
40701 .......... A Repair cleft lip/ 15.85 NA NA 10.38 13.03 1.38 NA NA 27.61 30.26 090
nasal.
40702 .......... A Repair cleft lip/ 13.04 NA NA 8.77 9.12 0.95 NA NA 22.76 23.11 090
nasal.
40720 .......... A Repair cleft lip/ 13.55 NA NA 10.71 10.64 1.31 NA NA 25.57 25.50 090
nasal.
40761 .......... A Repair cleft lip/ 14.72 NA NA 11.41 11.50 1.31 NA NA 27.44 27.53 090
nasal.
40799 .......... C Lip surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40800 .......... A Drainage of mouth 1.17 1.68 1.46 0.48 0.56 0.09 2.94 2.72 1.74 1.82 010
lesion.
40801 .......... A Drainage of mouth 2.53 2.22 2.13 1.69 1.73 0.18 4.93 4.84 4.40 4.44 010
lesion.
40804 .......... A Removal, foreign 1.24 2.27 1.86 1.85 1.55 0.09 3.60 3.19 3.18 2.88 010
body, mouth.
40805 .......... A Removal, foreign 2.69 2.72 2.72 2.34 2.43 0.19 5.60 5.60 5.22 5.31 010
body, mouth.
40806 .......... A Incision of lip 0.31 0.70 0.62 0.51 0.48 0.03 1.04 0.96 0.85 0.82 000
fold.
40808 .......... A Biopsy of mouth 0.96 1.77 1.53 1.76 1.53 0.07 2.80 2.56 2.79 2.56 010
lesion.
40810 .......... A Excision of mouth 1.31 2.31 2.05 1.97 1.80 0.10 3.72 3.46 3.38 3.21 010
lesion.
40812 .......... A Excise/repair mouth 2.31 2.60 2.36 2.48 2.27 0.17 5.08 4.84 4.96 4.75 010
lesion.
40814 .......... A Excise/repair mouth 3.42 3.66 3.62 3.66 3.62 0.25 7.33 7.29 7.33 7.29 090
lesion.
40816 .......... A Excision of mouth 3.67 3.95 3.84 3.95 3.84 0.26 7.88 7.77 7.88 7.77 090
lesion.
40818 .......... A Excise oral mucosa 2.41 3.82 3.48 3.82 3.48 0.14 6.37 6.03 6.37 6.03 090
for graft.
[[Page 44244]]
40819 .......... A Excise lip or cheek 2.41 3.18 2.72 3.05 2.62 0.17 5.76 5.30 5.63 5.20 090
fold.
40820 .......... A Treatment of mouth 1.28 2.07 1.70 1.90 1.57 0.09 3.44 3.07 3.27 2.94 010
lesion.
40830 .......... A Repair mouth 1.76 2.20 1.83 1.89 1.60 0.15 4.11 3.74 3.80 3.51 010
laceration.
40831 .......... A Repair mouth 2.46 2.28 2.24 2.28 2.24 0.21 4.95 4.91 4.95 4.91 010
laceration.
40840 .......... R Reconstruction of 8.73 5.72 6.00 5.72 6.00 0.66 15.11 15.39 15.11 15.39 090
mouth.
40842 .......... R Reconstruction of 8.73 5.44 5.79 5.44 5.79 0.71 14.88 15.23 14.88 15.23 090
mouth.
40843 .......... R Reconstruction of 12.10 8.08 8.45 6.31 7.12 0.63 20.81 21.18 19.04 19.85 090
mouth.
40844 .......... R Reconstruction of 16.01 8.60 9.61 8.60 9.61 1.44 26.05 27.06 26.05 27.06 090
mouth.
40845 .......... R Reconstruction of 18.58 10.03 13.07 10.03 13.07 1.56 30.17 33.21 30.17 33.21 090
mouth.
40899 .......... C Mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
41000 .......... A Drainage of mouth 1.30 2.00 1.71 1.27 1.16 0.10 3.40 3.11 2.67 2.56 010
lesion.
41005 .......... A Drainage of mouth 1.26 1.83 1.54 1.28 1.13 0.10 3.19 2.90 2.64 2.49 010
lesion.
41006 .......... A Drainage of mouth 3.24 3.56 2.95 3.01 2.53 0.24 7.04 6.43 6.49 6.01 090
lesion.
41007 .......... A Drainage of mouth 3.10 3.24 3.22 2.80 2.89 0.16 6.50 6.48 6.06 6.15 090
lesion.
41008 .......... A Drainage of mouth 3.37 3.12 2.63 2.99 2.53 0.24 6.73 6.24 6.60 6.14 090
lesion.
41009 .......... A Drainage of mouth 3.59 3.26 3.34 2.79 2.99 0.27 7.12 7.20 6.65 6.85 090
lesion.
41010 .......... A Incision of tongue 1.06 2.80 2.20 2.80 2.20 0.06 3.92 3.32 3.92 3.32 010
fold.
41015 .......... A Drainage of mouth 3.96 3.74 3.04 2.98 2.47 0.29 7.99 7.29 7.23 6.72 090
lesion.
41016 .......... A Drainage of mouth 4.07 3.55 3.66 3.00 3.25 0.32 7.94 8.05 7.39 7.64 090
lesion.
41017 .......... A Drainage of mouth 4.07 3.74 3.19 3.05 2.67 0.32 8.13 7.58 7.44 7.06 090
lesion.
41018 .......... A Drainage of mouth 5.10 4.17 4.20 3.46 3.66 0.34 9.61 9.64 8.90 9.10 090
lesion.
41100 .......... A Biopsy of tongue... 1.63 2.26 1.91 2.18 1.85 0.11 4.00 3.65 3.92 3.59 010
41105 .......... A Biopsy of tongue... 1.42 2.04 1.81 2.04 1.81 0.11 3.57 3.34 3.57 3.34 010
41108 .......... A Biopsy of floor of 1.05 1.96 1.70 1.88 1.64 0.08 3.09 2.83 3.01 2.77 010
mouth.
41110 .......... A Excision of tongue 1.51 2.60 2.30 2.17 1.98 0.11 4.22 3.92 3.79 3.60 010
lesion.
41112 .......... A Excision of tongue 2.73 3.15 3.01 3.15 3.01 0.20 6.08 5.94 6.08 5.94 090
lesion.
41113 .......... A Excision of tongue 3.19 3.13 3.27 3.13 3.27 0.23 6.55 6.69 6.55 6.69 090
lesion.
41114 .......... A Excision of tongue 8.47 NA NA 5.85 6.12 0.62 NA NA 14.94 15.21 090
lesion.
41115 .......... A Excision of tongue 1.74 2.37 2.26 2.15 2.10 0.12 4.23 4.12 4.01 3.96 010
fold.
41116 .......... A Excision of mouth 2.44 3.06 2.97 3.02 2.94 0.18 5.68 5.59 5.64 5.56 090
lesion.
41120 .......... A Partial removal of 9.77 NA NA 7.88 7.89 0.73 NA NA 18.38 18.39 090
tongue.
41130 .......... A Partial removal of 11.15 NA NA 8.64 8.94 0.82 NA NA 20.61 20.91 090
tongue.
41135 .......... A Tongue and neck 23.09 NA NA 14.89 16.13 1.71 NA NA 39.69 40.93 090
surgery.
41140 .......... A Removal of tongue.. 25.50 NA NA 15.51 16.76 1.90 NA NA 42.91 44.16 090
41145 .......... A Tongue removal, 30.06 NA NA 19.45 20.77 2.20 NA NA 51.71 53.03 090
neck surgery.
41150 .......... A Tongue, mouth, jaw 23.04 NA NA 15.76 16.97 1.70 NA NA 40.50 41.71 090
surgery.
41153 .......... A Tongue, mouth, neck 23.77 NA NA 16.30 19.01 1.79 NA NA 41.86 44.57 090
surgery.
41155 .......... A Tongue, jaw, & neck 27.72 NA NA 18.54 22.03 2.03 NA NA 48.29 51.78 090
surgery.
41250 .......... A Repair tongue 1.91 2.35 2.05 1.44 1.37 0.16 4.42 4.12 3.51 3.44 010
laceration.
41251 .......... A Repair tongue 2.27 2.15 2.18 1.72 1.85 0.17 4.59 4.62 4.16 4.29 010
laceration.
41252 .......... A Repair tongue 2.97 2.95 2.85 2.12 2.23 0.24 6.16 6.06 5.33 5.44 010
laceration.
41500 .......... A Fixation of tongue. 3.71 NA NA 3.72 3.68 0.25 NA NA 7.68 7.64 090
41510 .......... A Tongue to lip 3.42 NA NA 4.55 4.10 0.21 NA NA 8.18 7.73 090
surgery.
41520 .......... A Reconstruction, 2.73 2.62 2.75 2.62 2.75 0.20 5.55 5.68 5.55 5.68 090
tongue fold.
41599 .......... C Tongue and mouth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
41800 .......... A Drainage of gum 1.17 1.69 1.46 1.06 0.98 0.10 2.96 2.73 2.33 2.25 010
lesion.
41805 .......... A Removal foreign 1.24 1.68 1.49 1.68 1.49 0.09 3.01 2.82 3.01 2.82 010
body, gum.
41806 .......... A Removal foreign 2.69 2.33 2.19 2.13 2.04 0.20 5.22 5.08 5.02 4.93 010
body,jawbone.
41820 .......... R Excision, gum, each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quadrant.
41821 .......... R Excision of gum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flap.
41822 .......... R Excision of gum 2.31 2.52 2.71 0.97 1.55 0.18 5.01 5.20 3.46 4.04 010
lesion.
41823 .......... R Excision of gum 3.30 3.19 3.38 2.69 3.00 0.23 6.72 6.91 6.22 6.53 090
lesion.
41825 .......... A Excision of gum 1.31 2.10 1.98 1.92 1.85 0.10 3.51 3.39 3.33 3.26 010
lesion.
41826 .......... A Excision of gum 2.31 2.39 2.36 2.36 2.33 0.17 4.87 4.84 4.84 4.81 010
lesion.
41827 .......... A Excision of gum 3.42 3.22 3.44 3.22 3.44 0.25 6.89 7.11 6.89 7.11 090
lesion.
41828 .......... R Excision of gum 3.09 2.77 3.18 2.16 2.73 0.21 6.07 6.48 5.46 6.03 010
lesion.
41830 .......... R Removal of gum 3.35 2.96 3.22 2.57 2.93 0.24 6.55 6.81 6.16 6.52 010
tissue.
41850 .......... R Treatment of gum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lesion.
41870 .......... R Gum graft.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
41872 .......... R Repair gum......... 2.59 2.77 2.85 2.15 2.39 0.19 5.55 5.63 4.93 5.17 090
41874 .......... R Repair tooth socket 3.09 2.64 2.90 2.18 2.56 0.24 5.97 6.23 5.51 5.89 090
41899 .......... C Dental surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42000 .......... A Drainage mouth roof 1.23 2.11 1.75 1.32 1.16 0.09 3.43 3.07 2.64 2.48 010
lesion.
42100 .......... A Biopsy roof of 1.31 2.05 1.75 2.03 1.74 0.10 3.46 3.16 3.44 3.15 010
mouth.
42104 .......... A Excision lesion, 1.64 2.11 2.02 2.11 2.02 0.11 3.86 3.77 3.86 3.77 010
mouth roof.
42106 .......... A Excision lesion, 2.10 2.37 2.38 2.37 2.38 0.15 4.62 4.63 4.62 4.63 010
mouth roof.
42107 .......... A Excision lesion, 4.44 3.76 4.15 3.76 4.15 0.32 8.52 8.91 8.52 8.91 090
mouth roof.
42120 .......... A Remove palate/ 6.17 NA NA 5.39 5.89 0.45 NA NA 12.01 12.51 090
lesion.
42140 .......... A Excision of uvula.. 1.62 3.07 2.67 2.69 2.39 0.11 4.80 4.40 4.42 4.12 090
42145 .......... A Repair palate, 8.05 NA NA 6.65 7.39 0.57 NA NA 15.27 16.01 090
pharynx/uvula.
42160 .......... A Treatment mouth 1.80 2.62 2.38 2.20 2.07 0.13 4.55 4.31 4.13 4.00 010
roof lesion.
42180 .......... A Repair palate...... 2.50 2.35 2.37 1.86 2.00 0.18 5.03 5.05 4.54 4.68 010
42182 .......... A Repair palate...... 3.83 2.74 3.00 2.74 3.00 0.29 6.86 7.12 6.86 7.12 010
42200 .......... A Reconstruct cleft 0.12 NA NA 9.18 8.84 1.03 NA NA 10.33 9.99 090
palate.
42205 .......... A Reconstruct cleft 9.59 NA NA 6.94 8.07 0.85 NA NA 17.38 18.51 090
palate.
42210 .......... A Reconstruct cleft 14.50 NA NA 8.56 9.82 1.15 NA NA 24.21 25.47 090
palate.
42215 .......... A Reconstruct cleft 8.82 NA NA 7.61 7.79 0.76 NA NA 17.19 17.37 090
palate.
42220 .......... A Reconstruct cleft 7.02 NA NA 5.90 5.89 0.49 NA NA 13.41 13.40 090
palate.
42225 .......... A Reconstruct cleft 9.54 NA NA 8.73 8.42 0.80 NA NA 19.07 18.76 090
palate.
42226 .......... A Lengthening of 10.01 NA NA 8.28 8.35 0.79 NA NA 19.08 19.15 090
palate.
42227 .......... A Lengthening of 9.52 NA NA 6.01 6.52 0.78 NA NA 16.31 16.82 090
palate.
42235 .......... A Repair palate...... 7.87 NA NA 5.85 5.89 0.59 NA NA 14.31 14.35 090
[[Page 44245]]
42260 .......... A Repair nose to lip 9.80 6.88 6.24 6.88 6.24 0.76 17.44 16.80 17.44 16.80 090
fistula.
42280 .......... A Preparation, palate 1.54 1.31 1.52 0.73 1.09 0.10 2.95 3.16 2.37 2.73 010
mold.
42281 .......... A Insertion, palate 1.93 1.58 1.59 0.95 1.11 0.13 3.64 3.65 3.01 3.17 010
prosthesis.
42299 .......... C Palate/uvula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
42300 .......... A Drainage of 1.93 2.27 1.96 1.69 1.53 0.14 4.34 4.03 3.76 3.60 010
salivary gland.
42305 .......... A Drainage of 6.07 NA NA 4.81 4.20 0.46 NA NA 11.34 10.73 090
salivary gland.
42310 .......... A Drainage of 1.56 2.04 1.81 1.39 1.32 0.11 3.71 3.48 3.06 2.99 010
salivary gland.
42320 .......... A Drainage of 2.35 2.43 2.32 1.97 1.98 0.17 4.95 4.84 4.49 4.50 010
salivary gland.
42325 .......... A Create salivary 2.75 2.87 2.73 1.02 1.34 0.22 5.84 5.70 3.99 4.31 090
cyst drain.
42326 .......... A Create salivary 3.78 4.10 4.20 1.55 2.29 0.27 8.15 8.25 5.60 6.34 090
cyst drain.
42330 .......... A Removal of salivary 2.21 2.40 2.10 1.13 1.15 0.16 4.77 4.47 3.50 3.52 010
stone.
42335 .......... A Removal of salivary 3.31 3.13 3.02 3.13 3.02 0.24 6.68 6.57 6.68 6.57 090
stone.
42340 .......... A Removal of salivary 4.60 4.26 4.35 4.26 4.35 0.32 9.18 9.27 9.18 9.27 090
stone.
42400 .......... A Biopsy of salivary 0.78 2.06 1.76 0.39 0.51 0.06 2.90 2.60 1.23 1.35 000
gland.
42405 .......... A Biopsy of salivary 3.29 2.95 2.63 2.92 2.61 0.24 6.48 6.16 6.45 6.14 010
gland.
42408 .......... A Excision of 4.54 3.84 3.76 3.84 3.76 0.34 8.72 8.64 8.72 8.64 090
salivary cyst.
42409 .......... A Drainage of 2.81 3.00 3.01 3.00 3.01 0.20 6.01 6.02 6.01 6.02 090
salivary cyst.
42410 .......... A Excise parotid 9.34 NA NA 7.15 6.98 0.78 NA NA 17.27 17.10 090
gland/lesion.
42415 .......... A Excise parotid 16.89 NA NA 11.50 12.07 1.30 NA NA 29.69 30.26 090
gland/lesion.
42420 .......... A Excise parotid 19.59 NA NA 13.03 13.79 1.48 NA NA 34.10 34.86 090
gland/lesion.
42425 .......... A Excise parotid 13.02 NA NA 9.62 10.23 0.99 NA NA 23.63 24.24 090
gland/lesion.
42426 .......... A Excise parotid 21.26 NA NA 13.97 16.82 1.60 NA NA 36.83 39.68 090
gland/lesion.
42440 .......... A Excise submaxillary 6.97 NA NA 5.37 6.11 0.53 NA NA 12.87 3.61 090
gland.
42450 .......... A Excise sublingual 4.62 4.28 4.14 4.28 4.14 0.34 9.24 9.10 9.24 9.10 090
gland.
42500 .......... A Repair salivary 4.30 4.26 4.45 4.26 4.45 0.32 8.88 9.07 8.88 9.07 090
duct.
42505 .......... A Repair salivary 6.18 4.72 5.39 4.72 5.39 0.47 11.37 12.04 11.37 12.04 090
duct.
42507 .......... A Parotid duct 6.11 NA NA 5.60 5.46 0.46 NA NA 12.17 12.03 090
diversion.
42508 .......... A Parotid duct 9.10 NA NA 6.93 7.26 0.68 NA NA 16.71 17.04 090
diversion.
42509 .......... A Parotid duct 11.54 NA NA 8.74 8.54 0.82 NA NA 21.10 20.90 090
diversion.
42510 .......... A Parotid duct 8.15 NA NA 6.60 7.03 0.81 NA NA 15.56 15.99 090
diversion.
42550 .......... A Injection for 1.25 11.98 9.11 0.44 0.45 0.05 13.28 10.41 1.74 1.75 000
salivary x-ray.
42600 .......... A Closure of salivary 4.82 5.56 5.23 4.93 4.75 0.37 10.75 10.42 10.12 9.94 090
fistula.
42650 .......... A Dilation of 0.77 0.94 0.81 0.39 0.40 0.06 1.77 1.64 1.22 1.23 000
salivary duct.
42660 .......... A Dilation of 1.13 1.08 0.95 1.08 0.95 0.07 2.28 2.15 2.28 2.15 000
salivary duct.
42665 .......... A Ligation of 2.53 3.15 2.92 3.02 2.82 0.18 5.86 5.63 5.73 5.53 090
salivary duct.
42699 .......... C Salivary surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42700 .......... A Drainage of tonsil 1.62 2.57 2.16 1.62 1.45 0.11 4.30 3.89 3.35 3.18 010
abscess.
42720 .......... A Drainage of throat 5.42 4.43 3.84 4.26 3.71 0.39 10.24 9.65 10.07 9.52 010
abscess.
42725 .......... A Drainage of throat 10.72 NA NA 7.92 7.15 0.84 NA NA 19.48 18.71 090
abscess.
42800 .......... A Biopsy of throat... 1.39 2.43 2.02 2.13 1.80 0.10 3.92 3.51 3.62 3.29 010
42802 .......... A Biopsy of throat... 1.54 2.49 2.15 2.20 1.93 0.11 4.14 3.80 3.85 3.58 010
42804 .......... A Biopsy of upper 1.24 2.37 2.07 2.05 1.83 0.09 3.70 3.40 3.38 3.16 010
nose/throat.
42806 .......... A Biopsy of upper 1.58 2.74 2.44 2.25 2.07 0.11 4.43 4.13 3.94 3.76 010
nose/throat.
42808 .......... A Excise pharynx 2.30 3.89 3.60 2.64 2.66 0.16 6.35 6.06 5.10 5.12 010
lesion.
42809 .......... A Remove pharynx 1.81 2.77 2.30 1.49 1.34 0.14 4.72 4.25 3.44 3.29 010
foreign body.
42810 .......... A Excision of neck 3.25 4.76 4.42 3.81 3.71 0.27 8.28 7.94 7.33 7.23 090
cyst.
42815 .......... A Excision of neck 7.07 NA NA 5.89 6.58 0.55 NA NA 13.51 14.20 090
cyst.
42820 .......... A Remove tonsils and 3.91 NA NA 3.48 3.47 0.26 NA NA 7.65 7.64 090
adenoids.
42821 .......... A Remove tonsils and 4.29 NA NA 3.68 3.83 0.31 NA NA 8.28 8.43 090
adenoids.
42825 .......... A Removal of tonsils. 3.42 NA NA 3.27 3.17 0.25 NA NA 6.94 6.84 090
42826 .......... A Removal of tonsils. 3.38 NA NA 3.22 3.43 0.24 NA NA 6.84 7.05 090
42830 .......... A Removal of adenoids 2.57 NA NA 2.16 2.13 0.18 NA NA 4.91 4.88 090
42831 .......... A Removal of adenoids 2.71 NA NA 2.26 2.34 0.19 NA NA 5.16 5.24 090
42835 .......... A Removal of adenoids 2.30 NA NA 2.53 2.40 0.16 NA NA 4.99 4.86 090
42836 .......... A Removal of adenoids 3.18 NA NA 3.13 3.11 0.23 NA NA 6.54 6.52 090
42842 .......... A Extensive surgery 8.76 NA NA 6.93 7.01 0.63 NA NA 16.32 16.40 090
of throat.
42844 .......... A Extensive surgery 14.31 NA NA 10.50 10.82 1.07 NA NA 25.88 26.20 090
of throat.
42845 .......... A Extensive surgery 24.29 NA NA 16.02 17.07 1.82 NA NA 42.13 43.18 090
of throat.
42860 .......... A Excision of tonsil 2.22 NA NA 2.59 2.46 0.16 NA NA 4.97 4.84 090
tags.
42870 .......... A Excision of lingual 5.40 NA NA 5.28 4.59 0.38 NA NA 11.06 10.37 090
tonsil.
42890 .......... A Partial removal of 12.94 NA NA 9.75 9.75 0.94 NA NA 23.63 23.63 090
pharynx.
42892 .......... A Revision of 15.83 NA NA 11.21 11.37 1.15 NA NA 28.19 28.35 090
pharyngeal walls.
42894 .......... A Revision of 22.88 NA NA 15.71 16.14 1.69 NA NA 40.28 40.71 090
pharyngeal walls.
42900 .......... A Repair throat wound 5.25 NA NA 3.50 3.78 0.39 NA NA 9.14 9.42 010
42950 .......... A Reconstruction of 8.10 NA NA 6.67 7.42 0.62 NA NA 15.39 16.14 090
throat.
42953 .......... A Repair throat, 8.96 NA NA 8.11 7.80 0.75 NA NA 17.82 17.51 090
esophagus.
42955 .......... A Surgical opening of 7.39 NA NA 5.88 5.31 0.59 NA NA 13.86 13.29 090
throat.
42960 .......... A Control throat 2.33 NA NA 1.87 1.70 0.17 NA NA 4.37 4.20 010
bleeding.
42961 .......... A Control throat 5.59 NA NA 4.66 3.97 0.40 NA NA 10.65 9.96 090
bleeding.
42962 .......... A Control throat 7.14 NA NA 5.44 5.70 0.52 NA NA 13.10 13.36 090
bleeding.
42970 .......... A Control nose/throat 5.43 NA NA 3.38 2.82 0.34 NA NA 9.15 8.59 090
bleeding.
42971 .......... A Control nose/throat 6.21 NA NA 4.91 4.47 0.45 NA NA 11.57 11.13 090
bleeding.
42972 .......... A Control nose/throat 7.20 NA NA 5.08 5.05 0.53 NA NA 12.81 12.78 090
bleeding.
42999 .......... C Throat surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43020 .......... A Incision of 8.09 NA NA 6.52 6.68 0.76 NA NA 15.37 15.53 090
esophagus.
43030 .......... A Throat muscle 7.69 NA NA 6.15 6.91 0.62 NA NA 14.46 15.22 090
surgery.
43045 .......... A Incision of 20.12 NA NA 12.89 13.05 2.34 NA NA 35.35 35.51 090
esophagus.
43100 .......... A Excision of 9.19 NA NA 6.75 6.74 0.87 NA NA 16.81 16.80 090
esophagus lesion.
43101 .......... A Excision of 16.24 NA NA 10.02 10.09 1.88 NA NA 28.14 28.21 090
esophagus lesion.
43107 .......... A Removal of 28.79 NA NA 16.57 18.53 3.29 NA NA 48.65 50.61 090
esophagus.
43108 .......... A Removal of 34.19 NA NA 16.97 19.58 3.79 NA NA 54.95 57.56 090
esophagus.
43112 .......... A Removal of 31.22 NA NA 18.51 19.76 3.63 NA NA 53.36 54.61 090
esophagus.
[[Page 44246]]
43113 .......... A Removal of 35.27 NA NA 18.53 20.75 4.18 NA NA 57.98 60.20 090
esophagus.
43116 .......... A Partial removal of 31.22 NA NA 17.68 20.12 3.01 NA NA 51.91 54.35 090
esophagus.
43117 .......... A Partial removal of 30.02 NA NA 17.24 19.79 3.45 NA NA 50.71 53.26 090
esophagus.
43118 .......... A Partial removal of 33.20 NA NA 17.18 19.74 3.39 NA NA 53.77 56.33 090
esophagus.
43121 .......... A Partial removal of 29.19 NA NA 17.78 19.13 3.40 NA NA 50.37 51.72 090
esophagus.
43122 .......... A Parital removal of 29.11 NA NA 15.73 17.59 3.21 NA NA 48.05 49.91 090
esophagus.
43123 .......... A Partial removal of 33.20 NA NA 19.23 21.28 3.58 NA NA 56.01 58.06 090
esophagus.
43124 .......... A Removal of 27.32 NA NA 16.53 18.50 2.94 NA NA 46.79 48.76 090
esophagus.
43130 .......... A Removal of 11.75 NA NA 8.86 9.50 1.06 NA NA 21.67 22.31 090
esophagus pouch.
43135 .......... A Removal of 16.10 NA NA 11.12 11.52 1.90 NA NA 29.12 29.52 090
esophagus pouch.
43200 .......... A Esophagus endoscopy 1.59 5.33 4.55 1.09 1.37 0.11 7.03 6.25 2.79 3.07 000
43202 .......... A Esophagus 1.89 4.72 4.20 1.04 1.44 0.13 6.74 6.22 3.06 3.46 000
endoscopy, biopsy.
43204 .......... A Esophagus endoscopy 3.77 NA NA 1.58 2.31 0.24 NA NA 5.59 6.32 000
& inject.
43205 .......... A Esophagus endoscopy/ 3.79 NA NA 1.57 1.91 0.23 NA NA 5.59 5.93 000
ligation.
43215 .......... A Esophagus endoscopy 2.60 NA NA 1.20 1.68 0.19 NA NA 3.99 4.47 000
43216 .......... A Esophagus endoscopy/ 2.40 NA NA 1.11 1.55 0.17 NA NA 3.68 4.12 000
lesion.
43217 .......... A Esophagus endoscopy 2.90 NA NA 1.28 1.83 0.19 NA NA 4.37 4.92 000
43219 .......... A Esophagus endoscopy 2.80 NA NA 1.36 1.86 0.20 NA NA 4.36 4.86 000
43220 .......... A Esoph endoscopy, 2.10 NA NA 1.03 1.40 0.13 NA NA 3.26 3.63 000
dilation.
43226 .......... A Esoph endoscopy, 2.34 NA NA 1.09 1.52 0.15 NA NA 3.58 4.01 000
dilation.
43227 .......... A Esoph endoscopy, 3.60 NA NA 1.51 2.21 0.23 NA NA 5.34 6.04 000
repair.
43228 .......... A Esoph endoscopy, 3.77 NA NA 1.66 2.37 0.26 NA NA 5.69 6.40 000
ablation.
43234 .......... A Upper GI endoscopy, 2.01 3.50 3.32 0.98 1.43 0.14 5.65 5.47 3.13 3.58 000
exam.
43235 .......... A Uppr gi endoscopy, 2.39 4.70 4.36 1.11 1.67 0.15 7.24 6.90 3.65 4.21 000
diagnosis.
43239 .......... A Upper GI endoscopy, 2.69 4.92 4.62 1.21 1.84 0.17 7.78 7.48 4.07 4.70 000
biopsy.
43241 .......... A Upper GI endoscopy 2.59 NA NA 1.16 1.64 0.17 NA NA 3.92 4.40 000
with tube.
43243 .......... A Upper gi endoscopy 4.57 NA NA 1.86 2.76 0.28 NA NA 6.71 7.61 000
& inject.
43244 .......... A Upper GI endoscopy/ 4.59 NA NA 1.86 2.34 0.28 NA NA 6.73 7.21 000
ligation.
43245 .......... A Operative upper GI 3.39 NA NA 1.44 2.09 0.22 NA NA 5.05 5.70 000
endoscopy.
43246 .......... A Place gastrostomy 4.33 NA NA 1.74 2.60 0.30 NA NA 6.37 7.23 000
tube.
43247 .......... A Operative upper GI 3.39 NA NA 1.44 2.09 0.22 NA NA 5.05 5.70 000
endoscopy.
43248 .......... A Uppr gi endoscopy/ 3.15 NA NA 1.36 1.96 0.20 NA NA 4.71 5.31 000
guide wire.
43249 .......... A Esoph endoscopy, 2.90 NA NA 1.26 1.81 0.18 NA NA 4.34 4.89 000
dilation.
43250 .......... A Upper GI endoscopy/ 3.20 NA NA 1.37 1.98 0.21 NA NA 4.78 5.39 000
tumor.
43251 .......... A Operative upper GI 3.70 NA NA 1.54 2.26 0.24 NA NA 5.48 6.20 000
endoscopy.
43255 .......... A Operative upper GI 4.40 NA NA 1.71 2.60 0.27 NA NA 6.38 7.27 000
endoscopy.
43258 .......... A Operative upper GI 4.55 NA NA 1.85 2.75 0.29 NA NA 6.69 7.59 000
endoscopy.
43259 .......... A Endoscopic 4.89 NA NA 2.03 2.61 0.30 NA NA 7.22 7.80 000
ultrasound exam.
43260 .......... A Endo 5.96 NA NA 2.34 3.38 0.36 NA NA 8.66 9.70 000
cholangiopancreato
graph.
43261 .......... A Endo 6.27 NA NA 2.45 3.46 0.38 NA NA 9.10 10.11 000
cholangiopancreato
graph.
43262 .......... A Endo 7.39 NA NA 2.85 4.34 0.46 NA NA 10.70 12.19 000
cholangiopancreato
graph.
43263 .......... A Endo 6.19 NA NA 2.42 3.40 0.38 NA NA 8.99 9.97 000
cholangiopancreato
graph.
43264 .......... A Endo 8.90 NA NA 3.39 4.96 0.54 NA NA 12.83 14.40 000
cholangiopancreato
graph.
43265 .......... A Endo 8.90 NA NA 3.38 4.39 0.54 NA NA 12.82 13.83 000
cholangiopancreato
graph.
43267 .......... A Endo 7.39 NA NA 2.85 4.15 0.46 NA NA 10.70 12.00 000
cholangiopancreato
graph.
43268 .......... A Endo 7.39 NA NA 2.85 4.34 0.46 NA NA 10.70 12.19 000
cholangiopancreato
graph.
43269 .......... A Endo 6.04 NA NA 2.37 3.58 0.37 NA NA 8.78 9.99 000
cholangiopancreato
graph.
43271 .......... A Endo 7.39 NA NA 2.84 4.20 0.44 NA NA 10.67 12.03 000
cholangiopancreato
graph.
43272 .......... A Endo 7.39 NA NA 2.85 3.66 0.44 NA NA 10.68 11.49 000
cholangiopancreato
graph.
43280 .......... A Laparoscopy, 17.25 NA NA 8.58 9.66 1.72 NA NA 27.55 28.63 090
fundoplasty.
43289 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
esoph.
43300 .......... A Repair of esophagus 9.14 NA NA 6.78 7.81 0.88 NA NA 16.80 17.83 090
43305 .......... A Repair esophagus 17.39 NA NA 12.11 12.80 1.32 NA NA 30.82 31.51 090
and fistula.
43310 .......... A Repair of esophagus 27.47 NA NA 17.92 18.05 3.07 NA NA 48.46 48.59 090
43312 .......... A Repair esophagus 30.50 NA NA 22.78 20.81 3.46 NA NA 56.74 54.77 090
and fistula.
43320 .......... A Fuse esophagus & 16.07 NA NA 10.44 11.00 1.69 NA NA 28.20 28.76 090
stomach.
43324 .......... A Revise esophagus & 16.58 NA NA 8.54 9.63 1.66 NA NA 26.78 27.87 090
stomach.
43325 .......... A Revise esophagus & 16.17 NA NA 8.91 9.83 1.66 NA NA 26.74 27.66 090
stomach.
43326 .......... A Revise esophagus & 15.91 NA NA 10.41 9.85 1.84 NA NA 28.16 27.60 090
stomach.
43330 .......... A Repair of esophagus 15.94 NA NA 8.50 9.46 1.54 NA NA 25.98 26.94 090
43331 .......... A Repair of esophagus 16.23 NA NA 10.62 11.85 1.72 NA NA 28.57 29.80 090
43340 .......... A Fuse esophagus & 15.81 NA NA 10.01 10.88 1.70 NA NA 27.52 28.39 090
intestine.
43341 .......... A Fuse esophagus & 16.81 NA NA 14.01 13.19 1.33 NA NA 32.15 31.33 090
intestine.
43350 .......... A Surgical opening, 12.72 NA NA 8.22 8.30 1.19 NA NA 22.13 22.21 090
esophagus.
43351 .......... A Surgical opening, 14.79 NA NA 10.69 10.40 1.76 NA NA 27.24 26.95 090
esophagus.
43352 .......... A Surgical opening, 12.30 NA NA 9.57 9.58 1.29 NA NA 23.16 23.17 090
esophagus.
43360 .......... A Gastrointestinal 28.78 NA NA 16.03 17.82 2.97 NA NA 47.78 49.57 090
repair.
43361 .......... A Gastrointestinal 32.65 NA NA 18.56 20.78 3.21 NA NA 54.42 56.64 090
repair.
43400 .......... A Ligate esophagus 17.09 NA NA 8.46 9.28 1.39 NA NA 26.94 27.76 090
veins.
43401 .......... A Esophagus surgery 17.81 NA NA 9.27 9.56 1.76 NA NA 28.84 29.13 090
for veins.
43405 .......... A Ligate/staple 16.13 NA NA 8.97 10.62 1.77 NA NA 26.87 28.52 090
esophagus.
43410 .......... A Repair esophagus 10.86 NA NA 8.91 9.10 1.16 NA NA 20.93 21.12 090
wound.
43415 .......... A Repair esophagus 17.06 NA NA 10.65 11.45 1.90 NA NA 29.61 30.41 090
wound.
43420 .......... A Repair esophagus 11.57 NA NA 7.50 7.22 0.85 NA NA 19.92 19.64 090
opening.
43425 .......... A Repair esophagus 16.95 NA NA 11.60 11.40 0.02 NA NA 28.57 28.37 090
opening.
43450 .......... A Dilate esophagus... 1.38 1.22 1.10 0.59 0.63 0.09 2.69 2.57 2.06 2.10 000
43453 .......... A Dilate esophagus... 1.51 NA NA 0.63 0.88 0.10 NA NA 2.24 2.49 000
43456 .......... A Dilate esophagus... 2.57 NA NA 1.01 1.43 0.16 NA NA 3.74 4.16 000
43458 .......... A Dilate esophagus... 3.06 NA NA 1.20 1.31 0.20 NA NA 4.46 4.57 000
43460 .......... A Pressure treatment 3.80 NA NA 1.46 1.55 0.28 NA NA 5.54 5.63 000
esophagus.
43496 .......... C Free jejunum flap, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
43499 .......... C Esophagus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
[[Page 44247]]
43500 .......... A Surgical opening of 8.44 NA NA 4.25 4.85 0.82 NA NA 13.51 14.11 090
stomach.
43501 .......... A Surgical repair of 15.31 NA NA 7.11 7.66 1.53 NA NA 23.95 24.50 090
stomach.
43502 .......... A Surgical repair of 17.67 NA NA 8.22 8.49 1.80 NA NA 27.69 27.96 090
stomach.
43510 .......... A Surgical opening of 9.99 NA NA 5.93 6.70 0.77 NA NA 16.69 17.46 090
stomach.
43520 .......... A Incision of pyloric 7.63 NA NA 5.17 5.09 0.88 NA NA 13.68 13.60 090
muscle.
43600 .......... A Biopsy of stomach.. 1.91 NA NA 0.93 0.83 0.12 NA NA 2.96 2.86 000
43605 .......... A Biopsy of stomach.. 9.15 NA NA 4.55 5.02 0.90 NA NA 14.60 15.07 090
43610 .......... A Excision of stomach 11.15 NA NA 5.60 6.42 1.11 NA NA 17.86 18.68 090
lesion.
43611 .......... A Excision of stomach 13.63 NA NA 6.59 7.16 1.33 NA NA 21.55 22.12 090
lesion.
43620 .......... A Removal of stomach. 22.54 NA NA 10.41 11.98 2.25 NA NA 35.20 36.77 090
43621 .......... A Removal of stomach. 23.06 NA NA 10.53 12.07 2.29 NA NA 35.88 37.42 090
43622 .......... A Removal of stomach. 24.41 NA NA 11.08 12.48 2.44 NA NA 37.93 39.33 090
43631 .......... A Removal of stomach, 19.66 NA NA 8.75 9.93 1.96 NA NA 30.37 31.55 090
partial.
43632 .......... A Removal of stomach, 19.66 NA NA 8.72 9.91 1.95 NA NA 30.33 31.52 090
partial.
43633 .......... A Removal of stomach, 20.10 NA NA 8.87 10.02 0.02 NA NA 28.99 30.14 090
partial.
43634 .......... A Removal of stomach, 21.86 NA NA 9.57 12.83 2.21 NA NA 33.64 36.90 090
partial.
43635 .......... A Removal of stomach, 2.06 NA NA 0.77 0.87 0.20 NA NA 3.03 3.13 ZZZ
partial.
43638 .......... A Removal of stomach, 21.76 NA NA 9.67 10.71 2.19 NA NA 33.62 34.66 090
partial.
43639 .......... A Removal of stomach, 22.25 NA NA 9.92 10.90 2.25 NA NA 34.42 35.40 090
partial.
43640 .......... A Vagotomy & pylorus 14.81 NA NA 6.93 8.00 1.47 NA NA 23.21 24.28 090
repair.
43641 .......... A Vagotomy & pylorus 15.03 NA NA 7.26 8.25 1.50 NA NA 23.79 24.78 090
repair.
43651 .......... A Laparoscopy, vagus 10.15 NA NA 4.70 4.90 1.01 NA NA 15.86 16.06 090
nerve.
43652 .......... A Laparoscopy, vagus 12.15 NA NA 5.44 5.73 1.03 NA NA 18.62 18.91 090
nerve.
43653 .......... A Laparoscopy, 7.73 NA NA 4.27 4.88 0.74 NA NA 12.74 13.35 090
gastrostomy.
43659 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
stom.
43750 .......... A Place gastrostomy 4.49 NA NA 2.51 3.06 0.34 NA NA 7.34 7.89 010
tube.
43760 .......... A Change gastrostomy 1.10 1.24 1.12 0.44 0.52 0.08 2.42 2.30 1.62 1.70 000
tube.
43761 .......... A Reposition 2.01 NA NA 0.80 0.89 0.10 NA NA 2.91 3.00 000
gastrostomy tube.
43800 .......... A Reconstruction of 10.46 NA NA 5.44 5.94 1.04 NA NA 16.94 17.44 090
pylorus.
43810 .......... A Fusion of stomach 11.19 NA NA 5.57 6.25 1.07 NA NA 17.83 18.51 090
and bowel.
43820 .......... A Fusion of stomach 11.74 NA NA 5.78 6.59 1.16 NA NA 18.68 19.49 090
and bowel.
43825 .......... A Fusion of stomach 14.68 NA NA 6.87 8.16 1.45 NA NA 23.00 24.29 090
and bowel.
43830 .......... A Place gastrostomy 7.28 NA NA 4.12 4.77 0.70 NA NA 12.10 12.75 090
tube.
43831 .......... A Place gastrostomy 7.84 NA NA 4.28 4.62 0.74 NA NA 12.86 13.20 090
tube.
43832 .......... A Place gastrostomy 11.92 NA NA 6.20 6.81 1.14 NA NA 19.26 19.87 090
tube.
43840 .......... A Repair of stomach 11.89 NA NA 5.83 6.50 1.18 NA NA 18.90 19.57 090
lesion.
43842 .......... A Gastroplasty for 14.71 NA NA 9.81 11.08 1.49 NA NA 26.01 27.28 090
obesity.
43843 .......... A Gastroplasty for 14.85 NA NA 9.14 10.58 1.47 NA NA 25.46 26.90 090
obesity.
43846 .......... A Gastric bypass for 19.15 NA NA 11.04 12.30 1.90 NA NA 32.09 33.35 090
obesity.
43847 .......... A Gastric bypass for 21.44 NA NA 12.44 13.35 2.06 NA NA 35.94 36.85 090
obesity.
43848 .......... A Revision 23.41 NA NA 13.40 14.07 2.34 NA NA 39.15 39.82 090
gastroplasty.
43850 .......... A Revise stomach- 19.69 NA NA 8.65 9.65 1.91 NA NA 30.25 31.25 090
bowel fusion.
43855 .......... A Revise stomach- 20.83 NA NA 9.19 9.73 1.92 NA NA 31.94 32.48 090
bowel fusion.
43860 .......... A Revise stomach- 19.91 NA NA 8.82 9.73 1.98 NA NA 30.71 31.62 090
bowel fusion.
43865 .......... A Revise stomach- 21.12 NA NA 9.32 10.62 2.12 NA NA 32.56 33.86 090
bowel fusion.
43870 .......... A Repair stomach 7.40 NA NA 4.20 4.72 0.72 NA NA 12.32 12.84 090
opening.
43880 .......... A Repair stomach- 19.63 NA NA 9.10 9.06 1.97 NA NA 30.70 30.66 090
bowel fistula.
43999 .......... C Stomach surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44005 .......... A Freeing of bowel 13.84 NA NA 6.49 7.12 1.37 NA NA 21.70 22.33 090
adhesion.
44010 .......... A Incision of small 10.68 NA NA 5.65 6.11 1.06 NA NA 17.39 17.85 090
bowel.
44015 .......... A Insert needle cath 2.62 NA NA 0.97 1.51 0.25 NA NA 3.84 4.38 ZZZ
bowel.
44020 .......... A Exploration of 11.93 NA NA 5.74 6.43 1.15 NA NA 18.82 19.51 090
small bowel.
44021 .......... A Decompress small 12.01 NA NA 6.17 6.53 1.17 NA NA 19.35 19.71 090
bowel.
44025 .......... A Incision of large 12.18 NA NA 5.84 6.48 1.20 NA NA 19.22 19.86 090
bowel.
44050 .......... A Reduce bowel 11.40 NA NA 5.56 6.28 1.13 NA NA 18.09 18.81 090
obstruction.
44055 .......... A Correct malrotation 13.14 NA NA 6.14 6.68 1.28 NA NA 20.56 21.10 090
of bowel.
44100 .......... A Biopsy of bowel.... 2.01 NA NA 0.99 1.12 0.14 NA NA 3.14 3.27 000
44110 .......... A Excision of bowel 10.07 NA NA 5.10 5.91 0.97 NA NA 16.14 16.95 090
lesion(s).
44111 .......... A Excision of bowel 12.19 NA NA 6.31 7.36 1.17 NA NA 19.67 20.72 090
lesion(s).
44120 .......... A Removal of small 14.50 NA NA 6.72 7.61 1.43 NA NA 22.65 23.54 090
intestine.
44121 .......... A Removal of small 4.45 NA NA 1.67 1.88 0.44 NA NA 6.56 6.77 ZZZ
intestine.
44125 .......... A Removal of small 14.96 NA NA 6.91 8.10 1.48 NA NA 23.35 24.54 090
intestine.
44130 .......... A Bowel to bowel 12.36 NA NA 5.92 6.79 1.22 NA NA 19.50 20.37 090
fusion.
44139 .......... A Mobilization of 2.23 NA NA 0.83 0.94 0.22 NA NA 3.28 3.39 ZZZ
colon.
44140 .......... A Partial removal of 18.35 NA NA 8.53 9.48 1.81 NA NA 28.69 29.64 090
colon.
44141 .......... A Partial removal of 19.51 NA NA 11.51 11.85 1.94 NA NA 32.96 33.30 090
colon.
44143 .......... A Partial removal of 20.17 NA NA 11.77 12.16 0.02 NA NA 31.96 32.35 090
colon.
44144 .......... A Partial removal of 18.89 NA NA 10.59 11.22 1.88 NA NA 31.36 31.99 090
colon.
44145 .......... A Partial removal of 23.18 NA NA 10.67 11.60 2.30 NA NA 36.15 37.08 090
colon.
44146 .......... A Partial removal of 24.16 NA NA 13.81 14.42 2.40 NA NA 40.37 40.98 090
colon.
44147 .......... A Partial removal of 18.17 NA NA 9.06 10.96 1.81 NA NA 29.04 30.94 090
colon.
44150 .......... A Removal of colon... 21.01 NA NA 12.63 13.50 2.11 NA NA 35.75 36.62 090
44151 .......... A Removal of colon/ 20.04 NA NA 12.85 12.41 1.98 NA NA 34.87 34.43 090
ileostomy.
44152 .......... A Removal of colon/ 24.41 NA NA 14.96 15.41 2.39 NA NA 41.76 42.21 090
ileostomy.
44153 .......... A Removal of colon/ 26.83 NA NA 15.33 16.75 2.72 NA NA 44.88 46.30 090
ileostomy.
44155 .......... A Removal of colon/ 24.44 NA NA 13.60 14.72 2.44 NA NA 40.48 41.60 090
ileostomy.
44156 .......... A Removal of colon/ 23.01 NA NA 14.36 13.86 2.33 NA NA 39.70 39.20 090
ileostomy.
44160 .......... A Removal of colon... 15.88 NA NA 7.58 9.06 1.58 NA NA 25.04 26.52 090
44200 .......... A Laparoscopy, 14.44 NA NA 6.71 7.28 1.41 NA NA 22.56 23.13 090
enterolysis.
44201 .......... A Laparoscopy, 9.78 NA NA 5.28 5.28 1.35 NA NA 16.41 16.41 090
jejunostomy.
44202 .......... A Laparo, resect 22.04 NA NA 9.89 11.01 2.17 NA NA 34.10 35.22 090
intestine.
44209 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
intestine.
[[Page 44248]]
44300 .......... A Open bowel to skin. 8.88 NA NA 5.48 5.75 0.88 NA NA 15.24 15.51 090
44310 .......... A Ileostomy/ 11.70 NA NA 8.53 8.54 1.16 NA NA 21.39 21.40 090
jejunostomy.
44312 .......... A Revision of 5.88 NA NA 4.39 4.13 0.53 NA NA 10.80 10.54 090
ileostomy.
44314 .......... A Revision of 11.04 NA NA 8.64 8.29 1.05 NA NA 20.73 20.38 090
ileostomy.
44316 .......... A Devise bowel pouch. 15.47 NA NA 11.30 11.09 1.47 NA NA 28.24 28.03 090
44320 .......... A Colostomy.......... 12.94 NA NA 9.77 9.35 1.28 NA NA 23.99 23.57 090
44322 .......... A Colostomy with 11.98 NA NA 9.54 9.62 1.18 NA NA 22.70 22.78 090
biopsies.
44340 .......... A Revision of 5.66 NA NA 3.91 3.39 0.55 NA NA 10.12 9.60 090
colostomy.
44345 .......... A Revision of 11.32 NA NA 6.66 6.31 1.12 NA NA 19.10 18.75 090
colostomy.
44346 .......... A Revision of 12.46 NA NA 7.06 7.10 1.23 NA NA 20.75 20.79 090
colostomy.
44360 .......... A Small bowel 2.92 NA NA 1.36 1.89 0.18 NA NA 4.46 4.99 000
endoscopy.
44361 .......... A Small bowel 3.23 NA NA 1.45 2.05 0.19 NA NA 4.87 5.47 000
endoscopy/biopsy.
44363 .......... A Small bowel 3.94 NA NA 1.67 2.06 0.23 NA NA 5.84 6.23 000
endoscopy.
44364 .......... A Small bowel 4.22 NA NA 1.81 2.62 0.27 NA NA 6.30 7.11 000
endoscopy.
44365 .......... A Small bowel 3.73 NA NA 1.66 2.36 0.24 NA NA 5.63 6.33 000
endoscopy.
44366 .......... A Small bowel 4.97 NA NA 2.08 3.05 0.31 NA NA 7.36 8.33 000
endoscopy.
44369 .......... A Small bowel 5.09 NA NA 2.13 3.12 0.32 NA NA 7.54 8.53 000
endoscopy.
44372 .......... A Small bowel 4.97 NA NA 2.11 3.07 0.33 NA NA 7.41 8.37 000
endoscopy.
44373 .......... A Small bowel 3.94 NA NA 1.75 2.49 0.25 NA NA 5.94 6.68 000
endoscopy.
44376 .......... A Small bowel 5.69 NA NA 2.33 2.85 0.37 NA NA 8.39 8.91 000
endoscopy.
44377 .......... A Small bowel 5.98 NA NA 2.46 3.00 0.37 NA NA 8.81 9.35 000
endoscopy/biopsy.
44378 .......... A Small bowel 7.71 NA NA 3.08 3.74 0.50 NA NA 11.29 11.95 000
endoscopy.
44380 .......... A Small bowel 1.51 NA NA 0.83 1.07 0.10 NA NA 2.44 2.68 000
endoscopy.
44382 .......... A Small bowel 1.82 NA NA 0.95 1.26 0.11 NA NA 2.88 3.19 000
endoscopy.
44385 .......... A Endoscopy of bowel 1.82 3.11 2.97 0.89 1.30 0.13 5.06 4.92 2.84 3.25 000
pouch.
44386 .......... A Endoscopy, bowel 2.12 4.25 3.61 1.06 1.21 0.17 6.54 5.90 3.35 3.50 000
pouch/biop.
44388 .......... A Colon endoscopy.... 2.82 4.27 4.18 1.31 1.96 0.22 7.31 7.22 4.35 5.00 000
44389 .......... A Colonoscopy with 3.13 4.68 4.60 1.43 2.16 0.22 8.03 7.95 4.78 5.51 000
biopsy.
44390 .......... A Colonoscopy for 3.83 5.47 4.82 1.64 1.94 0.31 9.61 8.96 5.78 6.08 000
foreign body.
44391 .......... A Colonoscopy for 4.32 5.14 5.28 1.69 2.70 0.29 9.75 9.89 6.30 7.31 000
bleeding.
44392 .......... A Colonoscopy & 3.82 5.07 5.20 1.67 2.65 0.28 9.17 9.30 5.77 6.75 000
polypectomy.
44393 .......... A Colonoscopy, lesion 4.84 5.39 5.51 2.03 2.99 0.34 10.57 10.69 7.21 8.17 000
removal.
44394 .......... A Colonoscopy w/snare 4.43 6.60 6.35 1.90 2.83 0.32 11.35 11.10 6.65 7.58 000
44500 .......... A Intro, 0.49 NA NA 0.34 0.35 0.02 NA NA 0.85 0.86 000
gastrointestinal
tube.
44602 .......... A Suture, small 10.61 NA NA 5.30 6.05 1.05 NA NA 16.96 17.71 090
intestine.
44603 .......... A Suture, small 0.14 NA NA 6.56 7.39 1.38 NA NA 8.08 8.91 090
intestine.
44604 .......... A Suture, large 14.28 NA NA 6.64 7.12 1.39 NA NA 22.31 22.79 090
intestine.
44605 .......... A Repair of bowel 15.37 NA NA 7.32 8.03 1.50 NA NA 24.19 24.90 090
lesion.
44615 .......... A Intestinal 14.19 NA NA 6.60 6.78 1.39 NA NA 22.18 22.36 090
stricturoplasty.
44620 .......... A Repair bowel 10.87 NA NA 5.31 5.60 1.08 NA NA 17.26 17.55 090
opening.
44625 .......... A Repair bowel 13.41 NA NA 6.26 7.30 1.33 NA NA 21.00 22.04 090
opening.
44626 .......... A Repair bowel 22.59 NA NA 9.70 10.36 2.23 NA NA 34.52 35.18 090
opening.
44640 .......... A Repair bowel-skin 14.83 NA NA 7.19 7.17 1.48 NA NA 23.50 23.48 090
fistula.
44650 .......... A Repair bowel 15.25 NA NA 7.31 7.47 1.50 NA NA 24.06 24.22 090
fistula.
44660 .......... A Repair bowel- 14.63 NA NA 6.83 7.39 1.24 NA NA 22.70 23.26 090
bladder fistula.
44661 .......... A Repair bowel- 16.99 NA NA 7.85 9.67 1.57 NA NA 26.41 28.23 090
bladder fistula.
44680 .......... A Surgical revision, 13.72 NA NA 6.82 7.75 1.37 NA NA 21.91 22.84 090
intestine.
44700 .......... A Suspend bowel w/ 14.35 NA NA 7.02 8.35 1.25 NA NA 22.62 23.95 090
prosthesis.
44799 .......... C Intestine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44800 .......... A Excision of bowel 11.23 NA NA 5.53 5.57 1.09 NA NA 17.85 17.89 090
pouch.
44820 .......... A Excision of 10.31 NA NA 5.32 5.56 1.01 NA NA 16.64 16.88 090
mesentery lesion.
44850 .......... A Repair of mesentery 9.57 NA NA 4.96 5.24 0.95 NA NA 15.48 15.76 090
44899 .......... C Bowel surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44900 .......... A Drain app abscess, 8.82 NA NA 5.13 5.01 0.81 NA NA 14.76 14.64 090
open.
44901 .......... A Drain app abscess, 3.38 NA NA 4.22 3.86 0.32 NA NA 7.92 7.56 000
percut.
44950 .......... A Appendectomy....... 8.70 NA NA 4.70 4.85 0.86 NA NA 14.26 14.41 090
44955 .......... A Appendectomy add-on 1.53 NA NA 0.57 0.88 0.14 NA NA 2.24 2.55 ZZZ
44960 .......... A Appendectomy....... 10.74 NA NA 5.75 5.91 1.07 NA NA 17.56 17.72 090
44970 .......... A Laparoscopy, 8.70 NA NA 4.18 4.46 0.86 NA NA 13.74 14.02 090
appendectomy.
44979 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
app.
45000 .......... A Drainage of pelvic 4.52 NA NA 3.55 3.10 0.38 NA NA 8.45 8.00 090
abscess.
45005 .......... A Drainage of rectal 1.99 4.11 3.43 1.45 1.44 0.19 6.29 5.61 3.63 3.62 010
abscess.
45020 .......... A Drainage of rectal 4.72 NA NA 3.39 3.25 0.45 NA NA 8.56 8.42 090
abscess.
45100 .......... A Biopsy of rectum... 3.68 4.47 3.86 1.98 2.00 0.35 8.50 7.89 6.01 6.03 090
45108 .......... A Removal of 4.76 5.51 4.86 3.01 2.98 0.48 10.75 10.10 8.25 8.22 090
anorectal lesion.
45110 .......... A Removal of rectum.. 23.80 NA NA 11.62 13.14 2.33 NA NA 37.75 39.27 090
45111 .......... A Partial removal of 16.48 NA NA 8.49 9.56 1.63 NA NA 26.60 27.67 090
rectum.
45112 .......... A Removal of rectum.. 25.96 NA NA 11.93 13.31 2.55 NA NA 40.44 41.82 090
45113 .......... A Partial proctectomy 25.99 NA NA 11.18 12.74 2.48 NA NA 39.65 41.21 090
45114 .......... A Partial removal of 23.22 NA NA 10.86 12.32 2.29 NA NA 36.37 37.83 090
rectum.
45116 .......... A Partial removal of 20.89 NA NA 9.88 10.33 2.04 NA NA 32.81 33.26 090
rectum.
45119 .......... A Remove rectum w/ 26.21 NA NA 11.68 13.12 2.58 NA NA 40.47 41.91 090
reservoir.
45120 .......... A Removal of rectum.. 0.25 NA NA 11.47 13.05 2.31 NA NA 14.03 15.61 090
45121 .......... A Removal of rectum 27.51 NA NA 12.98 12.66 2.65 NA NA 43.14 42.82 090
and colon.
45123 .......... A Partial proctectomy 14.20 NA NA 6.99 8.44 1.41 NA NA 22.60 24.05 090
45126 .......... A Pelvic exenteration 38.39 14.50 14.50 14.50 14.50 2.73 55.62 55.62 55.62 55.62 090
45130 .......... A Excision of rectal 13.97 NA NA 6.76 7.49 1.41 NA NA 22.14 22.87 090
prolapse.
45135 .......... A Excision of rectal 16.39 NA NA 8.01 10.34 1.62 NA NA 26.02 28.35 090
prolapse.
45150 .......... A Excision of rectal 5.67 5.23 4.84 3.05 3.21 0.56 11.46 11.07 9.28 9.44 090
stricture.
45160 .......... A Excision of rectal 13.02 NA NA 6.28 6.74 1.30 NA NA 20.60 21.06 090
lesion.
45170 .......... A Excision of rectal 9.77 NA NA 5.01 5.01 0.98 NA NA 15.76 15.76 090
lesion.
45190 .......... A Destruction, rectal 8.28 NA NA 4.45 4.72 0.83 NA NA 13.56 13.83 090
tumor.
[[Page 44249]]
45300 .......... A Proctosigmoidoscopy 0.70 1.27 1.10 0.33 0.40 0.06 2.03 1.86 1.09 1.16 000
45303 .......... A Proctosigmoidoscopy 0.80 1.46 1.27 0.37 0.45 0.07 2.33 2.14 1.24 1.32 000
45305 .......... A Proctosigmoidoscopy 1.01 1.43 1.30 0.45 0.57 0.10 2.54 2.41 1.56 1.68 000
& biopsy.
45307 .......... A Proctosigmoidoscopy 1.71 2.57 2.27 0.69 0.86 0.16 4.44 4.14 2.56 2.73 000
45308 .......... A Proctosigmoidoscopy 1.51 1.62 1.52 0.64 0.79 0.14 3.27 3.17 2.29 2.44 000
45309 .......... A Proctosigmoidoscopy 2.01 2.19 1.95 0.81 0.92 0.19 4.39 4.15 3.01 3.12 000
45315 .......... A Proctosigmoidoscopy 2.54 2.66 2.32 1.00 1.07 0.23 5.43 5.09 3.77 3.84 000
45317 .......... A Proctosigmoidoscopy 2.73 2.08 1.90 1.08 1.15 0.25 5.06 4.88 4.06 4.13 000
45320 .......... A Proctosigmoidoscopy 2.88 2.07 2.06 1.13 1.36 0.26 5.21 5.20 4.27 4.50 000
45321 .......... A Proctosigmoidoscopy 2.12 NA NA 0.85 1.04 0.18 NA NA 3.15 3.34 000
45330 .......... A Diagnostic 0.96 1.68 1.59 0.42 0.65 0.07 2.71 2.62 1.45 1.68 000
sigmoidoscopy.
45331 .......... A Sigmoidoscopy and 1.26 1.93 1.89 0.53 0.84 0.09 3.28 3.24 1.88 2.19 000
biopsy.
45332 .......... A Sigmoidoscopy...... 1.96 3.39 3.02 0.78 1.06 0.14 5.49 5.12 2.88 3.16 000
45333 .......... A Sigmoidoscopy & 1.96 3.04 2.89 0.78 1.19 0.14 5.14 4.99 2.88 3.29 000
polypectomy.
45334 .......... A Sigmoidoscopy for 2.99 NA NA 1.15 1.60 0.20 NA NA 4.34 4.79 000
bleeding.
45337 .......... A Sigmoidoscopy & 2.36 NA NA 0.93 1.40 0.17 NA NA 3.46 3.93 000
decompress.
45338 .......... A Sigmoidoscopy...... 2.57 3.29 3.08 1.01 1.37 0.18 6.04 5.83 3.76 4.12 000
45339 .......... A Sigmoidoscopy...... 3.14 2.36 2.65 1.20 1.78 0.22 5.72 6.01 4.56 5.14 000
45355 .......... A Surgical 3.52 NA NA 1.26 1.26 0.28 NA NA 5.06 5.06 000
colonoscopy.
45378 .......... A Diagnostic 3.70 5.39 5.16 1.63 2.34 0.26 9.35 9.12 5.59 6.30 000
colonoscopy.
45378 53 A Diagnostic 0.96 1.68 1.59 0.42 0.65 0.07 2.71 2.62 1.45 1.68 000
colonoscopy.
45379 .......... A Colonoscopy........ 4.72 5.92 5.89 1.99 2.94 0.34 10.98 10.95 7.05 8.00 000
45380 .......... A Colonoscopy and 4.01 5.61 5.51 1.74 2.61 0.26 9.88 9.78 6.01 6.88 000
biopsy.
45382 .......... A Colonoscopy/control 5.73 6.72 6.63 2.18 3.23 0.36 12.81 12.72 8.27 9.32 000
bleeding.
45383 .......... A Lesion removal 5.87 6.47 6.46 2.40 3.41 0.40 12.74 12.73 8.67 9.68 000
colonoscopy.
45384 .......... A Colonoscopy........ 4.70 7.26 6.85 1.98 2.89 0.32 12.28 11.87 7.00 7.91 000
45385 .......... A Lesion removal 5.31 7.43 7.38 2.20 3.46 0.35 13.09 13.04 7.86 9.12 000
colonoscopy.
45500 .......... A Repair of rectum... 7.29 NA NA 3.96 4.59 0.73 NA NA 11.98 12.61 090
45505 .......... A Repair of rectum... 6.02 NA NA 3.07 4.01 0.60 NA NA 9.69 10.63 090
45520 .......... A Treatment of rectal 0.55 0.65 0.65 0.19 0.31 0.06 1.26 1.26 0.80 0.92 000
prolapse.
45540 .......... A Correct rectal 12.92 NA NA 6.67 7.69 1.26 NA NA 20.85 21.87 090
prolapse.
45541 .......... A Correct rectal 10.64 NA NA 5.78 7.10 1.07 NA NA 17.49 18.81 090
prolapse.
45550 .......... A Repair rectum/ 18.26 NA NA 8.56 9.54 1.82 NA NA 28.64 29.62 090
remove sigmoid.
45560 .......... A Repair of rectocele 8.40 NA NA 4.74 4.86 0.68 NA NA 13.82 13.94 090
45562 .......... A Exploration/repair 12.21 NA NA 6.06 6.74 1.14 NA NA 19.41 20.09 090
of rectum.
45563 .......... A Exploration/repair 18.63 NA NA 9.22 10.38 1.80 NA NA 29.65 30.81 090
of rectum.
45800 .......... A Repair rect/bladder 14.11 NA NA 6.53 7.56 1.11 NA NA 21.75 22.78 090
fistula.
45805 .......... A Repair fistula w/ 16.50 NA NA 8.45 9.68 1.49 NA NA 26.44 27.67 090
colostomy.
45820 .......... A Repair 14.67 NA NA 6.76 7.51 1.28 NA NA 22.71 23.46 090
rectourethral
fistula.
45825 .......... A Repair fistula w/ 16.87 NA NA 8.91 9.36 1.49 NA NA 27.27 27.72 090
colostomy.
45900 .......... A Reduction of rectal 1.83 NA NA 0.76 0.73 0.18 NA NA 2.77 2.74 010
prolapse.
45905 .......... A Dilation of anal 1.61 2.85 2.33 0.70 0.72 0.15 4.61 4.09 2.46 2.48 010
sphincter.
45910 .......... A Dilation of rectal 1.96 3.89 3.15 0.82 0.85 0.16 6.01 5.27 2.94 2.97 010
narrowing.
45915 .......... A Remove rectal 2.20 3.90 3.14 0.78 0.80 0.19 6.29 5.53 3.17 3.19 010
obstruction.
45999 .......... C Rectum surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
46030 .......... A Removal of rectal 1.23 2.61 2.07 1.08 0.92 0.12 3.96 3.42 2.43 2.27 010
marker.
46040 .......... A Incision of rectal 4.96 5.00 4.21 2.94 2.66 0.50 10.46 9.67 8.40 8.12 090
abscess.
46045 .......... A Incision of rectal 4.32 NA NA 2.64 2.48 0.43 NA NA 7.39 7.23 090
abscess.
46050 .......... A Incision of anal 1.19 3.17 2.54 1.12 1.00 0.11 4.47 3.84 2.42 2.30 010
abscess.
46060 .......... A Incision of rectal 5.69 NA NA 3.51 4.09 0.57 NA NA 9.77 10.35 090
abscess.
46070 .......... A Incision of anal 2.71 NA NA 2.56 2.29 0.28 NA NA 5.55 5.28 090
septum.
46080 .......... A Incision of anal 2.49 3.29 3.05 1.55 1.74 0.25 6.03 5.79 4.29 4.48 010
sphincter.
46083 .......... A Incise external 1.40 4.20 3.32 1.23 1.09 0.11 5.71 4.83 2.74 2.60 010
hemorrhoid.
46200 .......... A Removal of anal 3.42 3.38 3.43 2.19 2.54 0.34 7.14 19 5.95 6.30 090
fissure.
46210 .......... A Removal of anal 2.67 4.94 3.92 2.01 1.72 0.25 7.86 6.84 4.93 4.64 090
crypt.
46211 .......... A Removal of anal 4.25 4.53 3.91 2.65 2.50 0.41 9.19 8.57 7.31 7.16 090
crypts.
46220 .......... A Removal of anal tab 1.56 1.22 1.09 0.58 0.61 0.15 2.93 2.80 2.29 2.32 010
46221 .......... A Ligation of 1.43 2.79 2.27 0.53 0.58 0.14 4.36 3.84 2.10 2.15 010
hemorrhoid(s).
46230 .......... A Removal of anal 2.57 3.87 3.13 1.59 1.42 0.25 6.69 5.95 4.41 4.24 010
tabs.
46250 .......... A Hemorrhoidectomy... 4.53 5.02 4.54 2.77 2.85 0.44 9.99 9.51 7.74 7.82 090
46255 .......... A Hemorrhoidectomy... 5.36 5.69 5.55 3.05 3.57 0.53 11.58 11.44 8.94 9.46 090
46257 .......... A Remove hemorrhoids 6.28 NA NA 3.35 3.93 0.63 NA NA 10.26 10.84 090
& fissure.
46258 .......... A Remove hemorrhoids 6.67 NA NA 3.43 4.17 0.66 NA NA 10.76 11.50 090
& fistula.
46260 .......... A Hemorrhoidectomy... 7.42 NA NA 4.17 4.78 0.74 NA NA 12.33 12.94 090
46261 .......... A Remove hemorrhoids 8.24 NA NA 4.39 5.09 0.83 NA NA 13.46 14.16 090
& fissure.
46262 .......... A Remove hemorrhoids 8.73 NA NA 4.61 5.28 0.87 NA NA 14.21 14.88 090
& fistula.
46270 .......... A Removal of anal 3.72 4.65 4.00 2.44 2.34 0.37 8.74 8.09 6.53 6.43 090
fistula.
46275 .......... A Removal of anal 4.56 4.41 4.67 2.65 3.35 0.46 9.43 9.69 7.67 8.37 090
fistula.
46280 .......... A Removal of anal 5.98 NA NA 3.54 4.31 0.61 NA NA 10.13 10.90 090
fistula.
46285 .......... A Removal of anal 4.09 3.61 3.33 2.45 2.46 0.41 8.11 7.83 6.95 6.96 090
fistula.
46288 .......... A Repair anal fistula 7.13 NA NA 4.06 4.01 0.71 NA NA 11.90 11.85 090
46320 .......... A Removal of 1.61 3.45 2.78 1.26 1.14 0.15 5.21 4.54 3.02 2.90 010
hemorrhoid clot.
46500 .......... A Injection into 1.61 2.33 1.84 0.59 0.53 0.16 4.10 3.61 2.36 2.30 010
hemorrhoids.
46600 .......... A Diagnostic anoscopy 0.50 0.70 0.60 0.15 0.19 0.04 1.24 1.14 0.69 0.73 000
46604 .......... A Anoscopy and 1.31 0.90 0.78 0.48 0.46 0.11 2.32 2.20 1.90 1.88 000
dilation.
46606 .......... A Anoscopy and biopsy 0.81 0.79 0.69 0.30 0.32 0.08 1.68 1.58 1.19 1.21 000
46608 .......... A Anoscopy/ remove 1.51 1.72 1.58 0.49 0.66 0.13 3.36 3.22 2.13 2.30 000
for body.
46610 .......... A Anoscopy/remove 1.32 1.34 1.24 0.49 0.60 0.11 2.77 2.67 1.92 2.03 000
lesion.
46611 .......... A Anoscopy........... 1.81 1.86 1.63 0.67 0.73 0.16 3.83 3.60 2.64 2.70 000
46612 .......... A Anoscopy/ remove 2.34 2.23 2.05 0.87 1.03 0.20 4.77 4.59 3.41 3.57 000
lesions.
46614 .......... A Anoscopy/control 2.01 1.56 1.59 0.72 0.96 0.17 3.74 3.77 2.90 3.14 000
bleeding.
46615 .......... A Anoscopy........... 2.68 1.63 1.64 1.00 1.17 0.23 4.54 4.55 3.91 4.08 000
[[Page 44250]]
46700 .......... A Repair of anal 7.25 NA NA 3.89 4.58 0.74 NA NA 11.88 12.57 090
stricture.
46705 .......... A Repair of anal 7.17 NA NA 4.16 4.10 0.73 NA NA 12.06 12.00 090
stricture.
46715 .......... A Repair of 7.46 NA NA 4.26 4.15 0.86 NA NA 12.58 12.47 090
anovaginal fistula.
46716 .......... A Repair of 12.85 NA NA 6.75 6.71 1.21 NA NA 20.81 20.77 090
anovaginal fistula.
46730 .......... A Construction of 22.39 NA NA 12.17 12.04 1.91 NA NA 36.47 36.34 090
absent anus.
46735 .......... A Construction of 27.02 NA NA 12.49 12.91 2.59 NA NA 42.10 42.52 090
absent anus.
46740 .......... A Construction of 24.19 NA NA 10.81 11.24 2.31 NA NA 37.31 37.74 090
absent anus.
46742 .......... A Repair of 29.67 NA NA 15.06 16.65 0.03 NA NA 44.76 46.35 090
imperforated anus.
46744 .......... A Repair of cloacal 33.21 NA NA 14.24 16.70 2.51 NA NA 49.96 52.42 090
anomaly.
46746 .......... A Repair of cloacal 36.74 NA NA 17.86 19.98 3.23 NA NA 57.83 59.95 090
anomaly.
46748 .......... A Repair of cloacal 40.52 NA NA 19.36 21.85 1.94 NA NA 61.82 64.31 090
anomaly.
46750 .......... A Repair of anal 8.14 NA NA 4.60 5.08 0.74 NA NA 13.48 13.96 090
sphincter.
46751 .......... A Repair of anal 8.77 NA NA 5.63 5.33 0.86 NA NA 15.26 14.96 090
sphincter.
46753 .......... A Reconstruction of 6.58 NA NA 3.36 3.85 0.67 NA NA 10.61 11.10 090
anus.
46754 .......... A Removal of suture 1.54 4.61 3.86 1.07 1.21 0.13 6.28 5.53 2.74 2.88 010
from anus.
46760 .......... A Repair of anal 11.46 NA NA 5.98 6.33 1.08 NA NA 18.52 18.87 090
sphincter.
46761 .......... A Repair of anal 10.99 NA NA 5.34 5.86 1.06 NA NA 17.39 17.91 090
sphincter.
46762 .......... A Implant artificial 10.09 NA NA 4.91 5.24 0.93 NA NA 15.93 16.26 090
sphincter.
46900 .......... A Destruction, anal 1.91 3.10 2.43 0.76 0.68 0.16 5.17 4.50 2.83 2.75 010
lesion(s).
46910 .......... A Destruction, anal 1.86 3.34 2.68 1.34 1.18 0.15 5.35 4.69 3.35 3.19 010
lesion(s).
46916 .......... A Cryosurgery, anal 1.86 3.17 2.56 1.55 1.35 0.09 5.12 4.51 3.50 3.30 010
lesion(s).
46917 .......... A Laser surgery, anal 1.86 4.07 3.58 1.37 1.56 0.16 6.09 5.60 3.39 3.58 010
lesions.
46922 .......... A Excision of anal 1.86 3.38 2.88 1.35 1.36 0.18 5.42 4.92 3.39 3.40 010
lesion(s).
46924 .......... A Destruction, anal 2.76 4.63 4.17 1.62 1.91 0.22 7.61 7.15 4.60 4.89 010
lesion(s).
46934 .......... A Destruction of 4.08 5.46 4.42 3.21 2.73 0.33 9.87 8.83 7.62 7.14 090
hemorrhoids.
46935 .......... A Destruction of 2.43 3.74 3.25 0.88 1.10 0.22 6.39 5.90 3.53 3.75 010
hemorrhoids.
46936 .......... A Destruction of 4.30 5.01 4.38 3.22 3.04 0.37 9.68 9.05 7.89 7.71 090
hemorrhoids.
46937 .......... A Cryotherapy of 2.69 3.86 3.53 1.69 1.91 0.12 6.67 6.34 4.50 4.72 010
rectal lesion.
46938 .......... A Cryotherapy of 4.66 5.32 4.67 2.92 2.87 0.47 10.45 9.80 8.05 8.00 090
rectal lesion.
46940 .......... A Treatment of anal 2.32 2.67 2.14 0.85 0.78 0.23 5.22 4.69 3.40 3.33 010
fissure.
46942 .......... A Treatment of anal 2.04 2.43 1.95 0.70 0.65 0.21 4.68 4.20 2.95 2.90 010
fissure.
46945 .......... A Ligation of 2.14 3.51 2.80 1.93 1.62 0.20 5.85 5.14 4.27 3.96 090
hemorrhoids.
46946 .......... A Ligation of 0.03 4.40 3.56 2.21 1.91 0.27 4.70 3.86 2.51 2.21 090
hemorrhoids.
46999 .......... C Anus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47000 .......... A Needle biopsy of 1.90 8.42 6.70 0.66 0.88 0.09 10.41 8.69 2.65 2.87 000
liver.
47001 .......... A Needle biopsy, 1.90 NA NA 0.71 0.91 0.18 NA NA 2.79 2.99 ZZZ
liver add-on.
47010 .......... A Open drainage, 10.28 NA NA 7.57 7.51 0.54 NA NA 18.39 18.33 090
liver lesion.
47011 .......... A Percut drain, liver 3.70 NA NA 5.55 4.92 0.20 NA NA 9.45 8.82 000
lesion.
47015 .......... A Inject/aspirate 9.70 NA NA 5.96 6.30 0.85 NA NA 16.51 16.85 090
liver cyst.
47100 .......... A Wedge biopsy of 7.49 NA NA 4.82 4.51 0.74 NA NA 13.05 12.74 090
liver.
47120 .......... A Partial removal of 22.79 NA NA 12.23 12.43 2.21 NA NA 37.23 37.43 090
liver.
47122 .......... A Extensive removal 35.39 NA NA 16.94 17.48 3.39 NA NA 55.72 56.26 090
of liver.
47125 .......... A Partial removal of 31.58 NA NA 15.59 16.42 3.05 NA NA 50.22 51.05 090
liver.
47130 .......... A Partial removal of 34.25 NA NA 16.58 17.64 3.31 NA NA 54.14 55.20 090
liver.
47133 .......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
liver.
47134 .......... R Partial removal, 39.15 NA NA 15.52 17.20 3.78 NA NA 58.45 60.13 XXX
donor liver.
47135 .......... R Transplantation of 81.52 NA NA 41.25 45.72 8.02 NA NA 130.79 135.26 090
liver.
47136 .......... R Transplantation of 68.60 NA NA 39.63 38.81 6.62 NA NA 114.85 114.03 090
liver.
47300 .......... A Surgery for liver 9.68 NA NA 5.63 6.30 0.95 NA NA 16.26 16.93 090
lesion.
47350 .......... A Repair liver wound. 12.56 NA NA 6.89 7.19 1.23 NA NA 20.68 20.98 090
47360 .......... A Repair liver wound. 17.28 NA NA 9.41 10.02 1.70 NA NA 28.39 29.00 090
47361 .......... A Repair liver wound. 30.25 NA NA 14.23 14.65 2.96 NA NA 47.44 47.86 090
47362 .......... A Repair liver wound. 11.88 NA NA 6.85 6.56 1.12 NA NA 19.85 19.56 090
47399 .......... C Liver surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47400 .......... A Incision of liver 20.86 NA NA 10.64 10.30 1.96 NA NA 33.46 33.12 090
duct.
47420 .......... A Incision of bile 16.72 NA NA 8.24 8.75 1.67 NA NA 26.63 27.14 090
duct.
47425 .......... A Incision of bile 16.68 NA NA 8.53 9.58 1.63 NA NA 26.84 27.89 090
duct.
47460 .......... A Incise bile duct 15.17 NA NA 7.83 10.09 1.26 NA NA 24.26 26.52 090
sphincter.
47480 .......... A Incision of 9.10 NA NA 5.92 6.50 0.89 NA NA 15.91 16.49 090
gallbladder.
47490 .......... A Incision of 7.23 NA NA 7.41 6.53 0.30 NA NA 14.94 14.06 090
gallbladder.
47500 .......... A Injection for liver 1.96 NA NA 0.68 0.92 0.08 NA NA 2.72 2.96 000
x-rays.
47505 .......... A Injection for liver 0.76 14.95 11.48 0.26 0.46 0.03 15.74 12.27 1.05 1.25 000
x-rays.
47510 .......... A Insert catheter, 7.83 NA NA 8.28 6.99 0.32 NA NA 16.43 15.14 090
bile duct.
47511 .......... A Insert bile duct 10.50 NA NA 9.50 7.90 0.41 NA NA 20.41 18.81 090
drain.
47525 .......... A Change bile duct 5.55 NA NA 3.24 2.86 0.22 NA NA 9.01 8.63 010
catheter.
47530 .......... A Revise/reinsert 5.85 NA NA 4.84 4.04 0.28 NA NA 10.97 10.17 090
bile tube.
47550 .......... A Bile duct endoscopy 3.02 NA NA 1.13 1.27 0.30 NA NA 4.45 4.59 ZZZ
add-on.
47552 .......... A Biliary endoscopy 6.04 NA NA 2.51 2.25 0.49 NA NA 9.04 8.78 000
thru skin.
47553 .......... A Biliary endoscopy 6.35 NA NA 2.67 3.03 0.28 NA NA 9.30 9.66 000
thru skin.
47554 .......... A Biliary endoscopy 9.06 NA NA 3.58 3.75 0.74 NA NA 13.38 13.55 000
thru skin.
47555 .......... A Biliary endoscopy 7.56 NA NA 3.09 3.03 0.31 NA NA 10.96 10.90 000
thru skin.
47556 .......... A Biliary endoscopy 8.56 NA NA 3.44 3.29 0.33 NA NA 12.33 12.18 000
thru skin.
47560 .......... A Laparoscopy w/ 4.89 NA NA 1.94 2.21 0.46 NA NA 7.29 7.56 000
cholangio.
47561 .......... A Laparo w/cholangio/ 5.18 NA NA 2.17 2.70 0.47 NA NA 7.82 8.35 000
biopsy.
47562 .......... A Laparoscopic 11.09 NA NA 4.91 5.85 1.09 NA NA 17.09 18.03 090
cholecystectomy.
47563 .......... A Laparo 11.94 NA NA 5.39 6.33 1.17 NA NA 18.50 19.44 090
cholecystectomy/
graph.
47564 .......... A Laparo 14.23 NA NA 6.97 7.77 1.37 NA NA 22.57 23.37 090
cholecystectomy/
explr.
47570 .......... A Laparo 12.58 NA NA 6.01 6.99 1.27 NA NA 19.86 20.84 090
cholecystoenterost
omy.
47579 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
biliary.
47600 .......... A Removal of 11.42 NA NA 6.01 6.55 1.14 NA NA 18.57 19.11 090
gallbladder.
47605 .......... A Removal of 12.36 NA NA 6.32 6.95 1.22 NA NA 19.90 20.53 090
gallbladder.
47610 .......... A Removal of 15.83 NA NA 7.71 8.33 1.57 NA NA 25.11 25.73 090
gallbladder.
[[Page 44251]]
47612 .......... A Removal of 15.80 NA NA 7.59 9.55 1.58 NA NA 24.97 26.93 090
gallbladder.
47620 .......... A Removal of 17.36 NA NA 8.26 9.24 1.73 NA NA 27.35 28.33 090
gallbladder.
47630 .......... A Remove bile duct 9.11 NA NA 3.19 3.41 0.47 NA NA 12.77 12.99 090
stone.
47700 .......... A Exploration of bile 15.62 NA NA 8.29 8.29 1.37 NA NA 25.28 25.28 090
ducts.
47701 .......... A Bile duct revision. 29.55 NA NA 13.79 12.57 2.87 NA NA 46.21 44.99 090
47711 .......... A Excision of bile 19.37 NA NA 9.86 10.67 1.86 NA NA 31.09 31.90 090
duct tumor.
47712 .......... A Excision of bile 25.44 NA NA 12.03 12.30 2.67 NA NA 40.14 40.41 090
duct tumor.
47715 .......... A Excision of bile 15.81 NA NA 8.14 8.34 1.55 NA NA 25.50 25.70 090
duct cyst.
47716 .......... A Fusion of bile duct 13.83 NA NA 7.50 7.41 1.30 NA NA 22.63 22.54 090
cyst.
47720 .......... A Fuse gallbladder & 13.38 NA NA 7.62 8.20 1.33 NA NA 22.33 22.91 090
bowel.
47721 .......... A Fuse upper gi 16.08 NA NA 8.58 9.53 1.58 NA NA 26.24 27.19 090
structures.
47740 .......... A Fuse gallbladder & 15.54 NA NA 8.50 9.15 1.57 NA NA 25.61 26.26 090
bowel.
47741 .......... A Fuse gallbladder & 17.95 NA NA 9.26 10.84 1.78 NA NA 28.99 30.57 090
bowel.
47760 .......... A Fuse bile ducts and 21.74 NA NA 10.66 11.15 2.17 NA NA 34.57 35.06 090
bowel.
47765 .......... A Fuse liver ducts & 20.93 NA NA 10.91 12.15 2.07 NA NA 33.91 35.15 090
bowel.
47780 .......... A Fuse bile ducts and 22.29 NA NA 10.93 11.74 2.21 NA NA 35.43 36.24 090
bowel.
47785 .......... A Fuse bile ducts and 26.23 NA NA 12.90 13.22 2.63 NA NA 41.76 42.08 090
bowel.
47800 .......... A Reconstruction of 19.60 NA NA 10.05 11.13 1.91 NA NA 31.56 32.64 090
bile ducts.
47801 .......... A Placement, bile 12.76 NA NA 9.29 8.46 0.74 NA NA 22.79 21.96 090
duct support.
47802 .......... A Fuse liver duct & 18.13 NA NA 10.16 10.41 1.85 NA NA 30.14 30.39 090
intestine.
47900 .......... A Suture bile duct 16.74 NA NA 8.90 10.26 1.68 NA NA 27.32 28.68 090
injury.
47999 .......... C Bile tract surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
48000 .......... A Drainage of abdomen 14.91 NA NA 7.96 7.88 1.32 NA NA 24.19 24.11 090
48001 .......... A Placement of drain, 18.83 NA NA 8.88 8.87 1.85 NA NA 29.56 29.55 090
pancreas.
48005 .......... A Resect/debride 22.40 NA NA 10.42 10.31 2.21 NA NA 35.03 34.92 090
pancreas.
48020 .......... A Removal of 14.22 NA NA 6.90 7.02 1.02 NA NA 22.14 22.26 090
pancreatic stone.
48100 .......... A Biopsy of pancreas. 11.08 NA NA 6.40 5.94 1.08 NA NA 18.56 18.10 090
48102 .......... A Needle biopsy, 4.68 8.18 6.79 2.36 2.43 0.19 13.05 11.66 7.23 7.30 010
pancreas.
48120 .......... A Removal of pancreas 14.36 NA NA 6.86 7.78 1.42 NA NA 22.64 23.56 090
lesion.
48140 .......... A Partial removal of 20.78 NA NA 9.96 11.08 2.05 NA NA 32.79 33.91 090
pancreas.
48145 .......... A Partial removal of 21.76 NA NA 10.48 12.12 2.16 NA NA 34.40 36.04 090
pancreas.
48146 .......... A Pancreatectomy..... 23.91 NA NA 12.41 13.78 2.44 NA NA 38.76 40.13 090
48148 .......... A Removal of 15.71 NA NA 8.55 8.65 1.54 NA NA 25.80 25.90 090
pancreatic duct.
48150 .......... A Partial removal of 43.48 NA NA 20.63 21.59 4.28 NA NA 68.39 69.35 090
pancreas.
48152 .......... A Pancreatectomy..... 39.63 NA NA 19.18 20.50 4.06 NA NA 62.87 64.19 090
48153 .......... A Pancreatectomy..... 43.38 NA NA 20.61 21.57 4.31 NA NA 68.30 69.26 090
48154 .......... A Pancreatectomy..... 39.95 NA NA 18.95 20.33 3.99 NA NA 62.89 64.27 090
48155 .......... A Removal of pancreas 22.32 NA NA 12.72 15.08 2.20 NA NA 37.24 39.60 090
48160 .......... N Pancreas removal/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
48180 .......... A Fuse pancreas and 22.39 NA NA 10.26 11.11 2.22 NA NA 34.87 35.72 090
bowel.
48400 .......... A Injection, intraop 1.95 NA NA 0.70 0.81 0.10 NA NA 2.75 2.86 ZZZ
add-on.
48500 .......... A Surgery of pancreas 13.84 NA NA 6.28 7.03 1.23 NA NA 21.35 22.10 090
cyst.
48510 .......... A Drain pancreatic 12.96 NA NA 7.05 7.33 0.92 NA NA 20.93 21.21 090
pseudocyst.
48511 .......... A Drain pancreatic 0.04 NA NA 4.03 3.85 0.29 NA NA 4.36 4.18 000
pseudocyst.
48520 .......... A Fuse pancreas cyst 14.12 NA NA 6.77 8.14 1.38 NA NA 22.27 23.64 090
and bowel.
48540 .......... A Fuse pancreas cyst 17.86 NA NA 8.20 9.59 1.80 NA NA 27.86 29.25 090
and bowel.
48545 .......... A Pancreatorrhaphy... 16.47 NA NA 8.27 8.28 1.76 NA NA 26.50 26.51 090
48547 .......... A Duodenal exclusion. 23.40 NA NA 10.30 10.73 2.42 NA NA 36.12 36.55 090
48550 .......... X Donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreatectomy.
48554 .......... R Transpl allograft 34.17 NA NA 13.55 15.01 3.26 NA NA 50.98 52.44 090
pancreas.
48556 .......... A Removal, allograft 15.71 NA NA 8.37 8.25 1.50 NA NA 25.58 25.46 090
pancreas.
48999 .......... C Pancreas surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
49000 .......... A Exploration of 11.68 NA NA 6.06 6.39 1.14 NA NA 18.88 19.21 090
abdomen.
49002 .......... A Reopening of 10.49 NA NA 5.89 6.06 1.03 NA NA 17.41 17.58 090
abdomen.
49010 .......... A Exploration behind 12.28 NA NA 6.94 7.09 1.22 NA NA 20.44 20.59 090
abdomen.
49020 .......... A Drain abdominal 16.79 NA NA 9.33 8.31 1.12 NA NA 27.24 26.22 090
abscess.
49021 .......... A Drain abdominal 3.38 NA NA 5.05 4.80 0.20 NA NA 8.63 8.38 000
abscess.
49040 .......... A Drain, open, abdom 9.94 NA NA 6.76 6.85 0.67 NA NA 17.37 17.46 090
abscess.
49041 .......... A Drain, percut, 0.04 NA NA 5.31 4.81 0.27 NA NA 5.62 5.12 000
abdom abscess.
49060 .......... A Drain, open, retrop 11.66 NA NA 7.76 7.32 0.65 NA NA 20.07 19.63 090
abscess.
49061 .......... A Drain, percut, 3.70 NA NA 5.44 4.84 0.21 NA NA 9.35 8.75 000
retroper absc.
49062 .......... A Drain to peritoneal 11.36 NA NA 6.91 7.37 1.07 NA NA 19.34 19.80 090
cavity.
49080 .......... A Puncture, 1.35 2.99 2.48 0.59 0.68 0.08 4.42 3.91 2.02 2.11 000
peritoneal cavity.
49081 .......... A Removal of 1.26 2.80 2.30 0.55 0.62 0.08 4.14 3.64 1.89 1.96 000
abdominal fluid.
49085 .......... A Remove abdomen 8.93 NA NA 5.26 4.88 0.90 NA NA 15.09 14.71 090
foreign body.
49180 .......... A Biopsy, abdominal 1.73 6.65 5.48 0.60 0.95 0.08 8.46 7.29 2.41 2.76 000
mass.
49200 .......... A Removal of 10.25 NA NA 6.01 6.78 0.92 NA NA 17.18 17.95 090
abdominal lesion.
49201 .......... A Removal of 14.84 NA NA 8.23 9.46 1.28 NA NA 24.35 25.58 090
abdominal lesion.
49215 .......... A Excise sacral spine 23.20 NA NA 10.76 10.38 2.18 NA NA 36.14 35.76 090
tumor.
49220 .......... A Multiple surgery, 14.88 NA NA 7.69 9.11 1.45 NA NA 24.02 25.44 090
abdomen.
49250 .......... A Excision of 8.35 NA NA 5.00 4.98 0.79 NA NA 14.14 14.12 090
umbilicus.
49255 .......... A Removal of omentum. 11.14 NA NA 6.28 6.11 1.04 NA NA 18.46 18.29 090
49320 .......... A Diag laparo 5.10 NA NA 2.89 3.38 0.47 NA NA 8.46 8.95 010
separate proc.
49321 .......... A Laparoscopy, biopsy 5.40 NA NA 2.95 3.54 0.49 NA NA 8.84 9.43 010
49322 .......... A Laparoscopy, 5.70 NA NA 3.23 3.75 0.49 NA NA 9.42 9.94 010
aspiration.
49323 .......... A Laparo drain 9.48 NA NA 4.25 5.01 0.90 NA NA 14.63 15.39 090
lymphocele.
49329 .......... C Laparo proc, abdm/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
per/oment.
49400 .......... A Air injection into 1.88 NA NA 0.81 0.91 0.11 NA NA 2.80 2.90 000
abdomen.
49420 .......... A Insert abdominal 2.22 NA NA 0.94 1.13 0.16 NA NA 3.32 3.51 000
drain.
49421 .......... A Insert abdominal 5.54 NA NA 3.81 3.98 0.56 NA NA 9.91 10.08 090
drain.
49422 .......... A Remove perm cannula/ 6.25 NA NA 2.98 3.36 0.63 NA NA 9.86 10.24 010
catheter.
49423 .......... A Exchange drainage 1.46 NA NA 0.67 0.80 0.15 NA NA 2.28 2.41 000
catheter.
[[Page 44252]]
49424 .......... A Assess cyst, 0.76 NA NA 0.43 0.48 0.05 NA NA 1.24 1.29 000
contrast inject.
49425 .......... A Insert abdomen- 11.37 NA NA 7.00 7.55 1.21 NA NA 19.58 20.13 090
venous drain.
49426 .......... A Revise abdomen- 9.63 NA NA 5.77 5.79 0.99 NA NA 16.39 16.41 090
venous shunt.
49427 .......... A Injection, 0.89 NA NA 0.47 0.49 0.04 NA NA 1.40 1.42 000
abdominal shunt.
49428 .......... A Ligation of shunt.. 2.38 NA NA 1.88 1.69 0.29 NA NA 4.55 4.36 010
49429 .......... A Removal of shunt... 7.40 NA NA 3.71 3.68 0.79 NA NA 11.90 11.87 010
49495 .......... A Repair inguinal 5.84 NA NA 3.22 3.77 0.56 NA NA 9.62 10.17 090
hernia, init.
49496 .......... A Repair inguinal 8.79 NA NA 6.12 5.96 0.85 NA NA 15.76 15.60 090
hernia, init.
49500 .......... A Repair inguinal 4.68 NA NA 3.04 3.63 0.43 NA NA 8.15 8.74 090
hernia.
49501 .......... A Repair inguinal 7.58 NA NA 3.99 4.36 0.75 NA NA 12.32 12.69 090
hernia, init.
49505 .......... A Repair inguinal 6.49 3.90 4.15 3.58 3.91 0.64 11.03 11.28 10.71 11.04 090
hernia.
49507 .......... A Repair inguinal 8.17 NA NA 5.30 5.34 0.81 NA NA 14.28 14.32 090
hernia.
49520 .......... A Rerepair inguinal 8.22 NA NA 4.75 4.98 0.82 NA NA 13.79 14.02 090
hernia.
49521 .......... A Repair inguinal 10.22 NA NA 5.09 5.19 1.02 NA NA 16.33 16.43 090
hernia, rec.
49525 .......... A Repair inguinal 7.32 NA NA 4.28 4.72 0.73 NA NA 12.33 12.77 090
hernia.
49540 .......... A Repair lumbar 8.87 NA NA 5.01 5.17 0.89 NA NA 14.77 14.93 090
hernia.
49550 .......... A Repair femoral 7.37 NA NA 3.95 4.21 0.74 NA NA 12.06 12.32 090
hernia.
49553 .......... A Repair femoral 8.06 NA NA 4.32 4.49 0.80 NA NA 13.18 13.35 090
hernia, init.
49555 .......... A Repair femoral 7.71 NA NA 4.59 5.09 0.77 NA NA 13.07 13.57 090
hernia.
49557 .......... A Repair femoral 9.52 NA NA 4.85 5.29 0.95 NA NA 15.32 15.76 090
hernia, recur.
49560 .......... A Repair abdominal 9.88 NA NA 5.33 5.53 0.99 NA NA 16.20 16.40 090
hernia.
49561 .......... A Repair incisional 12.17 NA NA 5.87 5.94 1.21 NA NA 19.25 19.32 090
hernia.
49565 .......... A Rerepair abdominal 9.88 NA NA 5.44 5.82 0.98 NA NA 16.30 16.68 090
hernia.
49566 .......... A Repair incisional 12.30 NA NA 5.91 6.17 1.22 NA NA 19.43 19.69 090
hernia.
49568 .......... A Hernia repair w/ 4.89 NA NA 1.84 2.08 0.49 NA NA 7.22 7.46 ZZZ
mesh.
49570 .......... A Repair epigastric 4.86 NA NA 3.11 3.52 0.49 NA NA 8.46 8.87 090
hernia.
49572 .......... A Repair epigastric 5.75 NA NA 3.47 4.12 0.57 NA NA 9.79 10.44 090
hernia.
49580 .......... A Repair umbilical 3.34 NA NA 2.52 2.94 0.34 NA NA 6.20 6.62 090
hernia.
49582 .......... A Repair umbilical 5.68 NA NA 4.23 4.42 0.57 NA NA 10.48 10.67 090
hernia.
49585 .......... A Repair umbilical 5.32 NA NA 3.55 3.86 0.53 NA NA 9.40 9.71 090
hernia.
49587 .......... A Repair umbilical 6.46 NA NA 3.68 3.96 0.64 NA NA 10.78 11.06 090
hernia.
49590 .......... A Repair abdominal 7.29 NA NA 4.29 4.75 0.73 NA NA 12.31 12.77 090
hernia.
49600 .......... A Repair umbilical 10.96 NA NA 5.89 5.85 0.95 NA NA 17.80 17.76 090
lesion.
49605 .......... A Repair umbilical 24.94 NA NA 12.12 11.42 2.20 NA NA 39.26 38.56 090
lesion.
49606 .......... A Repair umbilical 21.31 NA NA 9.86 9.65 1.91 NA NA 33.08 32.87 090
lesion.
49610 .......... A Repair umbilical 10.50 NA NA 6.57 6.42 1.05 NA NA 18.12 17.97 090
lesion.
49611 .......... A Repair umbilical 8.92 NA NA 6.05 6.98 0.68 NA NA 15.65 16.58 090
lesion.
49650 .......... A Laparo hernia 6.27 NA NA 3.26 3.67 0.62 NA NA 10.15 10.56 090
repair initial.
49651 .......... A Laparo hernia 8.24 NA NA 4.34 4.67 0.82 NA NA 13.40 13.73 090
repair recur.
49659 .......... C Laparo proc, hernia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
repair.
49900 .......... A Repair of abdominal 12.28 NA NA 6.77 6.07 1.20 NA NA 20.25 19.55 090
wall.
49905 .......... A Omental flap....... 6.55 NA NA 2.52 2.82 0.64 NA NA 9.71 10.01 ZZZ
49906 .......... C Free omental flap, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
49999 .......... C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
50010 .......... A Exploration of 10.98 NA NA 6.47 7.44 0.75 NA NA 18.20 19.17 090
kidney.
50020 .......... A Renal abscess, open 14.66 NA NA 12.90 11.52 0.68 NA NA 28.24 26.86 090
drain.
50021 .......... A Renal abscess, 3.38 NA NA 10.51 8.58 0.15 NA NA 14.04 12.11 000
percut drain.
50040 .......... A Drainage of kidney. 14.94 NA NA 10.67 9.95 0.79 NA NA 26.40 25.68 090
50045 .......... A Exploration of 15.46 NA NA 7.82 8.53 1.13 NA NA 24.41 25.12 090
kidney.
50060 .......... A Removal of kidney 19.30 NA NA 9.13 10.17 1.14 NA NA 29.57 30.61 090
stone.
50065 .......... A Incision of kidney. 20.79 NA NA 9.72 11.07 1.17 NA NA 31.68 33.03 090
50070 .......... A Incision of kidney. 20.32 NA NA 9.53 10.64 1.44 NA NA 31.29 32.40 090
50075 .......... A Removal of kidney 25.34 NA NA 11.47 13.18 1.50 NA NA 38.31 40.02 090
stone.
50080 .......... A Removal of kidney 14.71 NA NA 9.85 10.70 0.81 NA NA 25.37 26.22 090
stone.
50081 .......... A Removal of kidney 21.80 NA NA 12.02 13.08 1.23 NA NA 35.05 36.11 090
stone.
50100 .......... A Revise kidney blood 16.09 NA NA 9.23 9.73 1.74 NA NA 27.06 27.56 090
vessels.
50120 .......... A Exploration of 15.91 NA NA 8.04 8.99 0.95 NA NA 24.90 25.85 090
kidney.
50125 .......... A Explore and drain 16.52 NA NA 8.39 9.26 1.24 NA NA 26.15 27.02 090
kidney.
50130 .......... A Removal of kidney 17.29 NA NA 8.52 9.86 1.05 NA NA 26.86 28.20 090
stone.
50135 .......... A Exploration of 19.18 NA NA 9.15 11.49 1.18 NA NA 29.51 31.85 090
kidney.
50200 .......... A Biopsy of kidney... 2.63 NA NA 0.92 1.40 0.14 NA NA 3.69 4.17 000
50205 .......... A Biopsy of kidney... 11.31 NA NA 6.15 6.14 0.88 NA NA 18.34 18.33 090
50220 .......... A Removal of kidney.. 17.15 NA NA 8.57 10.04 1.18 NA NA 26.90 28.37 090
50225 .......... A Removal of kidney.. 20.23 NA NA 9.50 11.61 1.26 NA NA 30.99 33.10 090
50230 .......... A Removal of kidney.. 22.07 NA NA 10.07 12.55 1.37 NA NA 33.51 35.99 090
50234 .......... A Removal of kidney & 22.40 NA NA 10.18 12.15 1.38 NA NA 33.96 35.93 090
ureter.
50236 .......... A Removal of kidney & 24.86 NA NA 12.99 14.56 1.51 NA NA 39.36 40.93 090
ureter.
50240 .......... A Partial removal of 0.22 NA NA 11.95 13.30 1.37 NA NA 13.54 14.89 090
kidney.
50280 .......... A Removal of kidney 15.67 NA NA 7.90 8.87 0.01 NA NA 23.58 24.55 090
lesion.
50290 .......... A Removal of kidney 14.73 NA NA 7.49 8.03 1.16 NA NA 23.38 23.92 090
lesion.
50300 .......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kidney.
50320 .......... A Removal of donor 22.21 NA NA 10.33 12.22 1.74 NA NA 34.28 36.17 090
kidney.
50340 .......... A Removal of kidney.. 12.15 NA NA 9.28 10.35 1.03 NA NA 22.46 23.53 090
50360 .......... A Transplantation of 31.53 NA NA 17.33 19.63 2.91 NA NA 51.77 54.07 090
kidney.
50365 .......... A Transplantation of 36.81 NA NA 20.38 23.62 3.32 NA NA 60.51 63.75 090
kidney.
50370 .......... A Remove transplanted 13.72 NA NA 9.07 9.81 1.24 NA NA 24.03 24.77 090
kidney.
50380 .......... A Reimplantation of 20.76 NA NA 12.42 12.06 1.79 NA NA 34.97 34.61 090
kidney.
50390 .......... A Drainage of kidney 1.96 NA NA 0.68 0.97 0.08 NA NA 2.72 3.01 000
lesion.
50392 .......... A Insert kidney drain 3.38 NA NA 1.17 1.52 0.13 NA NA 4.68 5.03 000
50393 .......... A Insert ureteral 4.16 NA NA 1.43 1.89 0.16 NA NA 5.75 6.21 000
tube.
50394 .......... A Injection for 0.76 13.48 10.26 0.26 0.35 0.03 14.27 11.05 1.05 1.14 000
kidney x-ray.
50395 .......... A Create passage to 3.38 NA NA 1.16 1.77 0.13 NA NA 4.67 5.28 000
kidney.
[[Page 44253]]
50396 .......... A Measure kidney 2.09 NA NA 0.87 0.79 0.09 NA NA 3.05 2.97 000
pressure.
50398 .......... A Change kidney tube. 1.46 0.94 0.85 0.50 0.52 0.06 2.46 2.37 2.02 2.04 000
50400 .......... A Revision of kidney/ 19.50 NA NA 9.19 10.60 1.17 NA NA 29.86 31.27 090
ureter.
50405 .......... A Revision of kidney/ 23.93 NA NA 12.24 13.87 1.48 NA NA 37.65 39.28 090
ureter.
50500 .......... A Repair of kidney 19.57 NA NA 10.73 11.43 1.54 NA NA 31.84 32.54 090
wound.
50520 .......... A Close kidney-skin 17.23 NA NA 10.77 10.88 1.08 NA NA 29.08 29.19 090
fistula.
50525 .......... A Repair renal- 22.27 NA NA 12.53 12.82 0.02 NA NA 34.82 35.11 090
abdomen fistula.
50526 .......... A Repair renal- 24.02 NA NA 15.04 13.29 2.40 NA NA 41.46 39.71 090
abdomen fistula.
50540 .......... A Revision of 19.93 NA NA 9.46 10.73 1.37 NA NA 30.76 32.03 090
horseshoe kidney.
50541 .......... A Laparo ablate renal 0.16 NA NA 6.40 6.40 1.03 NA NA 7.59 7.59 090
cyst.
50544 .......... A Laparoscopy, 22.40 NA NA 8.49 8.49 1.36 NA NA 32.25 32.25 090
pyeloplasty.
50546 .......... A Laparoscopic 20.48 NA NA 8.03 8.03 1.41 NA NA 29.92 29.92 090
nephrectomy.
50547 .......... A Laparo removal 25.50 NA NA 11.10 11.10 1.98 NA NA 38.58 38.58 090
donor kidney.
50548 .......... A Laparo-asst remove 24.40 NA NA 9.19 9.19 1.52 NA NA 35.11 35.11 090
k/ureter.
50549 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
renal.
50551 .......... A Kidney endoscopy... 5.60 4.47 3.95 1.82 1.96 0.32 10.39 9.87 7.74 7.88 000
50553 .......... A Kidney endoscopy... 5.99 16.44 12.78 2.02 1.97 0.33 22.76 19.10 8.34 8.29 000
50555 .......... A Kidney endoscopy & 6.53 12.06 10.32 2.15 2.89 0.34 18.93 17.19 9.02 9.76 000
biopsy.
50557 .......... A Kidney endoscopy & 6.62 18.22 14.94 2.16 2.90 0.37 25.21 21.93 9.15 9.89 000
treatment.
50559 .......... A Renal endoscopy/ 6.78 NA NA 2.44 2.19 0.30 NA NA 9.52 9.27 000
radiotracer.
50561 .......... A Kidney endoscopy & 7.59 16.47 13.74 2.50 3.27 0.42 24.48 21.75 10.51 11.28 000
treatment.
50570 .......... A Kidney endoscopy... 9.54 NA NA 3.10 2.72 0.54 NA NA 13.18 12.80 000
50572 .......... A Kidney endoscopy... 10.35 NA NA 3.42 4.53 0.56 NA NA 4.33 15.44 000
50574 .......... A Kidney endoscopy & 11.02 NA NA 3.67 4.67 0.62 NA NA 15.31 16.31 000
biopsy.
50575 .......... A Kidney endoscopy... 13.98 NA NA 4.56 6.12 0.79 NA NA 19.33 20.89 000
50576 .......... A Kidney endoscopy & 10.99 NA NA 3.60 5.06 0.64 NA NA 15.23 16.69 000
treatment.
50578 .......... A Renal endoscopy/ 11.35 NA NA 4.50 4.40 0.57 NA NA 16.42 16.32 000
radiotracer.
50580 .......... A Kidney endoscopy & 11.86 NA NA 3.86 3.87 0.68 NA NA 16.40 16.41 000
treatment.
50590 .......... A Fragmenting of 9.09 9.63 9.94 4.74 6.27 0.52 19.24 19.55 14.35 15.88 090
kidney stone.
50600 .......... A Exploration of 15.84 NA NA 8.00 8.63 0.99 NA NA 24.83 25.46 090
ureter.
50605 .......... A Insert ureteral 15.46 NA NA 8.13 7.76 1.10 NA NA 24.69 24.32 090
support.
50610 .......... A Removal of ureter 15.92 NA NA 8.35 9.46 0.99 NA NA 25.26 26.37 090
stone.
50620 .......... A Removal of ureter 15.16 NA NA 7.68 8.88 0.90 NA NA 23.74 24.94 090
stone.
50630 .......... A Removal of ureter 14.94 NA NA 7.54 9.10 0.92 NA NA 23.40 24.96 090
stone.
50650 .......... A Removal of ureter.. 17.41 NA NA 8.68 9.79 1.06 NA NA 27.15 28.26 090
50660 .......... A Removal of ureter.. 19.55 NA NA 9.71 10.67 1.20 NA NA 30.46 31.42 090
50684 .......... A Injection for 0.76 12.30 9.36 0.25 0.32 0.04 13.10 10.16 1.05 1.12 000
ureter x-ray.
50686 .......... A Measure ureter 1.51 4.53 3.50 0.70 0.63 0.09 6.13 5.10 2.30 2.23 000
pressure.
50688 .......... A Change of ureter 1.17 NA NA 1.68 1.37 0.05 NA NA 2.90 2.59 010
tube.
50690 .......... A Injection for 1.16 13.98 10.57 0.39 0.38 0.06 15.20 11.79 1.61 1.60 000
ureter x-ray.
50700 .......... A Revision of ureter. 15.21 NA NA 8.84 10.04 0.94 NA NA 24.99 26.19 090
50715 .......... A Release of ureter.. 18.90 NA NA 10.86 11.20 1.38 NA NA 31.14 31.48 090
50722 .......... A Release of ureter.. 16.35 NA NA 8.85 9.44 1.17 NA NA 26.37 26.96 090
50725 .......... A Release/revise 18.49 NA NA 9.63 10.49 1.34 NA NA 29.46 30.32 090
ureter.
50727 .......... A Revise ureter...... 8.18 NA NA 5.83 5.83 0.52 NA NA 14.53 14.53 090
50728 .......... A Revise ureter...... 12.02 NA NA 7.31 7.63 0.91 NA NA 20.24 20.56 090
50740 .......... A Fusion of ureter & 18.42 NA NA 9.01 10.29 1.49 NA NA 28.92 30.20 090
kidney.
50750 .......... A Fusion of ureter & 19.51 NA NA 9.68 11.07 1.13 NA NA 30.32 31.71 090
kidney.
50760 .......... A Fusion of ureters.. 18.42 NA NA 9.26 10.60 1.19 NA NA 28.87 30.21 090
50770 .......... A Splicing of ureters 19.51 NA NA 9.50 11.26 1.19 NA NA 30.20 31.96 090
50780 .......... A Reimplant ureter in 18.36 NA NA 9.14 10.59 1.18 NA NA 28.68 30.13 090
bladder.
50782 .......... A Reimplant ureter in 19.54 NA NA 9.98 11.22 1.29 NA NA 30.81 32.05 090
bladder.
50783 .......... A Reimplant ureter in 20.55 NA NA 10.13 11.34 1.32 NA NA 32.00 33.21 090
bladder.
50785 .......... A Reimplant ureter in 20.52 NA NA 9.91 11.62 1.30 NA NA 31.73 33.44 090
bladder.
50800 .......... A Implant ureter in 14.52 NA NA 8.88 10.64 0.92 NA NA 24.32 26.08 090
bowel.
50810 .......... A Fusion of ureter & 20.05 NA NA 11.82 12.28 1.62 NA NA 33.49 33.95 090
bowel.
50815 .......... A Urine shunt to 19.93 NA NA 10.71 13.39 1.28 NA NA 31.92 34.60 090
bowel.
50820 .......... A Construct bowel 21.89 NA NA 11.13 13.50 1.46 NA NA 34.48 36.85 090
bladder.
50825 .......... A Construct bowel 28.18 NA NA 13.90 18.71 1.71 NA NA 43.79 48.60 090
bladder.
50830 .......... A Revise urine flow.. 31.28 NA NA 14.48 16.54 2.15 NA NA 47.91 49.97 090
50840 .......... A Replace ureter by 0.20 NA NA 10.89 11.78 1.25 NA NA 12.34 13.23 090
bowel.
50845 .......... A Appendico- 20.89 NA NA 9.44 10.84 1.26 NA NA 31.59 32.99 090
vesicostomy.
50860 .......... A Transplant ureter 15.36 NA NA 8.30 9.19 1.01 NA NA 24.67 25.56 090
to skin.
50900 .......... A Repair of ureter... 13.62 NA NA 7.39 8.25 0.97 NA NA 21.98 22.84 090
50920 .......... A Closure ureter/skin 14.33 NA NA 7.86 8.48 1.03 NA NA 23.22 23.84 090
fistula.
50930 .......... A Closure ureter/ 18.72 NA NA 9.15 10.26 1.34 NA NA 29.21 30.32 090
bowel fistula.
50940 .......... A Release of ureter.. 14.51 NA NA 7.70 8.46 0.95 NA NA 23.16 23.92 090
50945 .......... A Laparoscopy 0.17 NA NA 7.00 7.00 1.07 NA NA 8.24 8.24 090
ureterolithotomy.
50951 .......... A Endoscopy of ureter 5.84 4.70 3.98 1.91 1.89 0.34 10.88 10.16 8.09 8.07 000
50953 .......... A Endoscopy of ureter 6.24 16.67 12.95 2.04 1.98 0.36 23.27 19.55 8.64 8.58 000
50955 .......... A Ureter endoscopy & 6.75 11.95 9.66 2.21 2.35 0.37 19.07 16.78 9.33 9.47 000
biopsy.
50957 .......... A Ureter endoscopy & 6.79 12.00 9.68 2.24 2.36 0.38 19.17 16.85 9.41 9.53 000
treatment.
50959 .......... A Ureter endoscopy & 4.40 NA NA 1.41 1.98 0.25 NA NA 6.06 6.63 000
tracer.
50961 .......... A Ureter endoscopy & 6.05 22.24 17.39 1.98 2.20 0.33 28.62 23.77 8.36 8.58 000
treatment.
50970 .......... A Ureter endoscopy... 7.14 NA NA 2.36 3.17 0.41 NA NA 9.91 10.72 000
50972 .......... A Ureter endoscopy & 6.89 NA NA 2.27 2.12 0.40 NA NA 9.56 9.41 000
catheter.
50974 .......... A Ureter endoscopy & 9.17 NA NA 3.02 4.17 0.50 NA NA 12.69 13.84 000
biopsy.
50976 .......... A Ureter endoscopy & 9.04 NA NA 2.99 3.98 0.51 NA NA 12.54 13.53 000
treatment.
50978 .......... A Ureter endoscopy & 5.10 NA NA 2.02 2.62 0.33 NA NA 7.45 8.05 000
tracer.
50980 .......... A Ureter endoscopy & 6.85 NA NA 2.24 2.53 0.38 NA NA 9.47 9.76 000
treatment.
51000 .......... A Drainage of bladder 0.78 1.70 1.41 0.25 0.32 0.05 2.53 2.24 1.08 1.15 000
51005 .......... A Drainage of bladder 1.02 2.85 2.26 0.35 0.39 0.08 3.95 3.36 1.45 1.49 000
[[Page 44254]]
51010 .......... A Drainage of bladder 3.53 6.54 5.17 1.74 1.57 0.22 10.29 8.92 5.49 5.32 010
51020 .......... A Incise & treat 6.71 NA NA 5.06 5.65 0.42 NA NA 12.19 12.78 090
bladder.
51030 .......... A Incise & treat 6.77 NA NA 5.30 5.21 0.40 NA NA 12.47 12.38 090
bladder.
51040 .......... A Incise & drain 4.40 NA NA 3.88 4.22 0.27 NA NA 8.55 8.89 090
bladder.
51045 .......... A Incise bladder/ 6.77 NA NA 5.03 5.12 0.43 NA NA 12.23 12.32 090
drain ureter.
51050 .......... A Removal of bladder 6.92 NA NA 4.59 5.38 0.41 NA NA 11.92 12.71 090
stone.
51060 .......... A Removal of ureter 8.85 NA NA 5.53 6.79 0.53 NA NA 14.91 16.17 090
stone.
51065 .......... A Removal of ureter 8.85 NA NA 5.62 6.14 0.52 NA NA 14.99 15.51 090
stone.
51080 .......... A Drainage of bladder 5.96 NA NA 5.17 5.28 0.36 NA NA 11.49 11.60 090
abscess.
51500 .......... A Removal of bladder 10.14 NA NA 6.01 6.37 0.82 NA NA 16.97 17.33 090
cyst.
51520 .......... A Removal of bladder 9.29 NA NA 5.81 6.67 0.57 NA NA 15.67 16.53 090
lesion.
51525 .......... A Removal of bladder 13.97 NA NA 7.33 8.39 0.85 NA NA 22.15 23.21 090
lesion.
51530 .......... A Removal of bladder 12.38 NA NA 6.96 7.73 0.85 NA NA 20.19 20.96 090
lesion.
51535 .......... A Repair of ureter 12.57 NA NA 7.28 7.54 0.84 NA NA 20.69 20.95 090
lesion.
51550 .......... A Partial removal of 15.66 NA NA 8.00 8.91 1.10 NA NA 24.76 25.67 090
bladder.
51555 .......... A Partial removal of 21.23 NA NA 10.20 10.98 1.38 NA NA 32.81 33.59 090
bladder.
51565 .......... A Revise bladder & 21.62 NA NA 10.54 12.20 1.37 NA NA 33.53 35.19 090
ureter(s).
51570 .......... A Removal of bladder. 24.24 NA NA 11.55 12.91 1.50 NA NA 37.29 38.65 090
51575 .......... A Removal of bladder 30.45 NA NA 14.21 16.86 1.90 NA NA 46.56 49.21 090
& nodes.
51580 .......... A Remove bladder/ 31.08 NA NA 14.62 16.38 1.93 NA NA 47.63 49.39 090
revise tract.
51585 .......... A Removal of bladder 35.23 NA NA 15.82 18.68 2.21 NA NA 53.26 56.12 090
& nodes.
51590 .......... A Remove bladder/ 32.66 NA NA 14.75 17.72 2.03 NA NA 49.44 52.41 090
revise tract.
51595 .......... A Remove bladder/ 37.14 NA NA 16.05 21.21 2.21 NA NA 55.40 60.56 090
revise tract.
51596 .......... A Remove bladder/ 39.52 NA NA 17.23 22.39 2.37 NA NA 59.12 64.28 090
create pouch.
51597 .......... A Removal of pelvic 38.35 NA NA 17.07 21.11 2.53 NA NA 57.95 61.99 090
structures.
51600 .......... A Injection for 0.88 13.95 10.54 0.30 0.30 0.04 14.87 11.46 1.22 1.22 000
bladder x-ray.
51605 .......... A Preparation for 0.64 12.73 9.63 0.22 0.25 0.03 13.40 10.30 0.89 0.92 000
bladder xray.
51610 .......... A Injection for 1.05 14.61 11.03 0.35 0.34 0.05 15.71 12.13 1.45 1.44 000
bladder x-ray.
51700 .......... A Irrigation of 0.88 3.59 2.75 0.31 0.29 0.05 4.52 3.68 1.24 1.22 000
bladder.
51705 .......... A Change of bladder 1.02 2.41 1.91 1.19 1.00 0.06 3.49 2.99 2.27 2.08 010
tube.
51710 .......... A Change of bladder 1.49 4.56 3.58 1.33 1.15 0.09 6.14 5.16 2.91 2.73 010
tube.
51715 .......... A Endoscopic 3.74 3.88 3.63 1.23 1.64 0.22 7.84 7.59 5.19 5.60 000
injection/implant.
51720 .......... A Treatment of 1.96 3.79 2.97 0.64 0.60 0.11 5.86 5.04 2.71 2.67 000
bladder lesion.
51725 .......... A Simple 1.51 0.90 0.95 NA NA 0.12 2.53 2.58 NA NA 000
cystometrogram.
51725 26 A Simple 1.51 0.50 0.55 0.50 0.55 0.09 2.10 2.15 2.10 2.15 000
cystometrogram.
51725 TC A Simple 0.00 0.40 0.40 NA NA 0.03 0.43 0.43 NA NA 000
cystometrogram.
51726 .......... A Complex 1.71 1.08 1.16 NA NA 0.14 2.93 3.01 NA NA 000
cystometrogram.
51726 26 A Complex 1.71 0.57 0.65 0.57 0.65 0.10 2.38 2.46 2.38 2.46 000
cystometrogram.
51726 TC A Complex 0.00 0.51 0.51 NA NA 0.04 0.55 0.55 NA NA 000
cystometrogram.
51736 .......... A Urine flow 0.61 0.36 0.38 NA NA 0.05 1.02 1.04 NA NA 000
measurement.
51736 26 A Urine flow 0.61 0.20 0.22 0.20 0.22 0.04 0.85 0.87 0.85 0.87 000
measurement.
51736 TC A Urine flow 0.00 0.16 0.16 NA NA 0.01 0.17 0.17 NA NA 000
measurement.
51741 .......... A Electro- 1.14 0.60 0.60 NA NA 0.09 1.83 1.83 NA NA 000
uroflowmetry,
first.
51741 26 A Electro- 1.14 0.38 0.38 0.38 0.38 0.07 1.59 1.59 1.59 1.59 000
uroflowmetry,
first.
51741 TC A Electro- 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA 000
uroflowmetry,
first.
51772 .......... A Urethra pressure 1.61 1.00 1.00 NA NA 0.14 2.75 2.75 NA NA 000
profile.
51772 26 A Urethra pressure 1.61 0.55 0.55 0.55 0.55 0.10 2.26 2.26 2.26 2.26 000
profile.
51772 TC A Urethra pressure 0.00 0.45 0.45 NA NA 0.04 0.49 0.49 NA NA 000
profile.
51784 .......... A Anal/urinary muscle 1.53 0.92 0.97 NA NA 0.13 2.58 2.63 NA NA 000
study.
51784 26 A Anal/urinary muscle 1.53 0.51 0.56 0.51 0.56 0.10 2.14 2.19 2.14 2.19 000
study.
51784 TC A Anal/urinary muscle 0.00 0.41 0.41 NA NA 0.03 0.44 0.44 NA NA 000
study.
51785 .......... A Anal/urinary muscle 1.53 0.92 0.97 NA NA 0.12 2.57 2.62 NA NA 000
study.
51785 26 A Anal/urinary muscle 1.53 0.51 0.56 0.51 0.56 0.09 2.13 2.18 2.13 2.18 000
study.
51785 TC A Anal/urinary muscle 0.00 0.41 0.41 NA NA 0.03 0.44 0.44 NA NA 000
study.
51792 .......... A Urinary reflex 1.10 1.86 1.92 NA NA 0.17 3.13 3.19 NA NA 000
study.
51792 26 A Urinary reflex 1.10 0.44 0.49 0.44 0.49 0.06 1.60 1.65 1.60 1.65 000
study.
51792 TC A Urinary reflex 0.00 1.42 1.43 NA NA 0.11 1.53 1.54 NA NA 000
study.
51795 .......... A Urine voiding 1.53 1.43 1.47 NA NA 0.17 3.13 3.17 NA NA 000
pressure study.
51795 26 A Urine voiding 1.53 0.51 0.54 0.51 0.54 0.09 2.13 2.16 2.13 2.16 000
pressure study.
51795 TC A Urine voiding 0.00 0.92 0.93 NA NA 0.08 1.00 1.01 NA NA 000
pressure study.
51797 .......... A Intraabdominal 1.60 1.02 1.02 NA NA 0.14 2.76 2.76 NA NA 000
pressure test.
51797 26 A Intraabdominal 1.60 0.54 0.54 0.54 0.54 0.10 2.24 2.24 2.24 2.24 000
pressure test.
51797 TC A Intraabdominal 0.00 0.48 0.48 NA NA 0.04 0.52 0.52 NA NA 000
pressure test.
51800 .......... A Revision of bladder/ 17.42 NA NA 8.67 9.76 1.09 NA NA 27.18 28.27 090
urethra.
51820 .......... A Revision of urinary 17.89 NA NA 9.70 9.28 1.37 NA NA 28.96 28.54 090
tract.
51840 .......... A Attach bladder/ 10.71 NA NA 6.15 7.12 0.74 NA NA 17.60 18.57 090
urethra.
51841 .......... A Attach bladder/ 13.03 NA NA 7.54 8.64 0.90 NA NA 21.47 22.57 090
urethra.
51845 .......... A Repair bladder neck 9.73 NA NA 6.06 7.45 0.59 NA NA 16.38 17.77 090
51860 .......... A Repair of bladder 12.02 NA NA 7.20 7.47 0.93 NA NA 20.15 20.42 090
wound.
51865 .......... A Repair of bladder 15.04 NA NA 8.04 9.00 1.05 NA NA 24.13 25.09 090
wound.
51880 .......... A Repair of bladder 7.66 NA NA 5.11 5.18 0.53 NA NA 13.30 13.37 090
opening.
51900 .......... A Repair bladder/ 12.97 NA NA 7.39 8.70 0.89 NA NA 21.25 22.56 090
vagina lesion.
51920 .......... A Close bladder- 11.81 NA NA 6.58 6.97 0.85 NA NA 19.24 19.63 090
uterus fistula.
51925 .......... A Hysterectomy/ 15.58 NA NA 8.84 9.36 1.17 NA NA 25.59 26.11 090
bladder repair.
51940 .......... A Correction of 28.43 NA NA 14.08 15.70 1.90 NA NA 44.41 46.03 090
bladder defect.
51960 .......... A Revision of bladder 23.01 NA NA 11.95 14.77 1.39 NA NA 36.35 39.17 090
& bowel.
51980 .......... A Construct bladder 11.36 NA NA 6.52 6.92 0.73 NA NA 18.61 19.01 090
opening.
51990 .......... A Laparo urethral 12.50 NA NA 5.95 5.95 0.87 NA NA 19.32 19.32 090
suspension.
51992 .......... A Laparo sling 14.01 NA NA 6.10 6.10 0.86 NA NA 20.97 20.97 090
operation.
52000 .......... A Cystoscopy......... 2.01 3.01 2.62 0.66 0.86 0.11 5.13 4.74 2.78 2.98 000
52005 .......... A Cystoscopy & ureter 2.37 4.72 4.14 0.77 1.18 0.13 7.22 6.64 3.27 3.68 000
catheter.
52007 .......... A Cystoscopy and 3.02 NA NA 0.99 1.51 0.17 NA NA 4.18 4.70 000
biopsy.
[[Page 44255]]
52010 .......... A Cystoscopy & duct 3.02 4.94 4.22 0.99 1.26 0.17 8.13 7.41 4.18 4.45 000
catheter.
52204 .......... A Cystoscopy......... 2.37 5.46 4.74 0.77 1.22 0.13 7.96 7.24 3.27 3.72 000
52214 .......... A Cystoscopy and 3.71 5.82 5.13 1.21 1.67 0.21 9.74 9.05 5.13 5.59 000
treatment.
52224 .......... A Cystoscopy and 3.14 5.67 5.04 1.02 1.55 0.18 8.99 8.36 4.34 4.87 000
treatment.
52234 .......... A Cystoscopy and 4.63 6.55 6.19 1.51 2.41 0.26 11.44 11.08 6.40 7.30 000
treatment.
52235 .......... A Cystoscopy and 5.45 6.82 6.74 1.78 2.96 0.31 12.58 12.50 7.54 8.72 000
treatment.
52240 .......... A Cystoscopy and 9.72 8.23 9.06 3.17 5.27 0.55 18.50 19.33 13.44 15.54 000
treatment.
52250 .......... A Cystoscopy and 4.50 NA NA 1.47 1.88 0.26 NA NA 6.23 6.64 000
radiotracer.
52260 .......... A Cystoscopy and 3.92 NA NA 1.28 1.53 0.22 NA NA 5.42 5.67 000
treatment.
52265 .......... A Cystoscopy and 2.94 3.39 2.91 0.96 1.09 0.17 6.50 6.02 4.07 4.20 000
treatment.
52270 .......... A Cystoscopy & revise 3.37 6.14 5.55 1.10 1.77 0.19 9.70 9.11 4.66 5.33 000
urethra.
52275 .......... A Cystoscopy & revise 4.70 6.65 5.92 1.53 2.08 0.27 11.62 10.89 6.50 7.05 000
urethra.
52276 .......... A Cystoscopy and 0.05 6.76 6.31 1.63 2.47 0.29 7.10 6.65 1.97 2.81 000
treatment.
52277 .......... A Cystoscopy and 6.17 NA NA 2.03 2.83 0.36 NA NA 8.56 9.36 000
treatment.
52281 .......... A Cystoscopy and 2.80 3.39 3.17 0.91 1.31 0.16 6.35 6.13 3.87 4.27 000
treatment.
52282 .......... A Cystoscopy, implant 6.40 6.97 6.47 2.09 2.81 0.36 13.73 13.23 8.85 9.57 000
stent.
52283 .......... A Cystoscopy and 3.74 6.06 4.96 1.22 1.33 0.21 10.01 8.91 5.17 5.28 000
treatment.
52285 .......... A Cystoscopy and 3.61 6.27 5.50 1.18 1.68 0.21 10.09 9.32 5.00 5.50 000
treatment.
52290 .......... A Cystoscopy and 4.59 NA NA 1.50 1.76 0.26 NA NA 6.35 6.61 000
treatment.
52300 .......... A Cystoscopy and 5.31 NA NA 1.73 2.24 0.31 NA NA 7.35 7.86 000
treatment.
52301 .......... A Cystoscopy and 5.51 NA NA 1.73 2.24 0.40 NA NA 7.64 8.15 000
treatment.
52305 .......... A Cystoscopy and 5.31 NA NA 1.73 2.25 0.31 NA NA 7.35 7.87 000
treatment.
52310 .......... A Cystoscopy and 2.81 13.88 11.22 0.92 1.50 0.16 16.85 14.19 3.89 4.47 000
treatment.
52315 .......... A Cystoscopy and 5.21 14.82 12.22 1.70 2.38 0.30 20.33 17.73 7.21 7.89 000
treatment.
52317 .......... A Remove bladder 6.72 23.00 18.93 2.19 3.32 0.38 30.10 26.03 9.29 10.42 000
stone.
52318 .......... A Remove bladder 9.19 NA NA 2.99 4.38 0.52 NA NA 12.70 14.09 000
stone.
52320 .......... A Cystoscopy and 4.70 NA NA 1.52 2.46 0.27 NA NA 6.49 7.43 000
treatment.
52325 .......... A Cystoscopy, stone 6.16 NA NA 2.00 3.34 0.35 NA NA 8.51 9.85 000
removal.
52327 .......... A Cystoscopy, inject 5.19 NA NA 1.72 2.29 0.30 NA NA 7.21 7.78 000
material.
52330 .......... A Cystoscopy and 5.04 18.80 15.04 1.64 2.17 0.29 24.13 20.37 6.97 7.50 000
treatment.
52332 .......... A Cystoscopy and 2.83 28.16 21.99 0.92 1.56 0.16 31.15 24.98 3.91 4.55 000
treatment.
52334 .......... A Create passage to 4.83 NA NA 1.57 2.08 0.28 NA NA 6.68 7.19 000
kidney.
52335 .......... A Endoscopy of 5.86 NA NA 1.91 2.71 0.33 NA NA 8.10 8.90 000
urinary tract.
52336 .......... A Cystoscopy, stone 6.88 NA NA 2.23 3.73 0.39 NA NA 9.50 11.00 000
removal.
52337 .......... A Cystoscopy, stone 7.97 NA NA 2.58 4.32 0.45 NA NA 11.00 12.74 000
removal.
52338 .......... A Cystoscopy and 7.34 NA NA 2.39 3.40 0.42 NA NA 10.15 11.16 000
treatment.
52339 .......... A Cystoscopy and 8.82 NA NA 2.89 3.77 0.51 NA NA 12.22 13.10 000
treatment.
52340 .......... A Cystoscopy and 9.68 NA NA 5.10 5.22 0.55 NA NA 15.33 15.45 090
treatment.
52450 .......... A Incision of 7.64 NA NA 5.85 5.74 0.43 NA NA 13.92 13.81 090
prostate.
52500 .......... A Revision of bladder 8.47 NA NA 6.08 6.58 0.48 NA NA 15.03 15.53 090
neck.
52510 .......... A Dilation prostatic 6.72 NA NA 5.24 5.94 0.38 NA NA 12.34 13.04 090
urethra.
52601 .......... A Prostatectomy 12.37 NA NA 7.37 8.75 0.70 NA NA 20.44 21.82 090
(TURP).
52606 .......... A Control postop 8.13 NA NA 5.63 5.12 0.47 NA NA 14.23 13.72 090
bleeding.
52612 .......... A Prostatectomy, 7.98 NA NA 5.95 6.85 0.46 NA NA 14.39 15.29 090
first stage.
52614 .......... A Prostatectomy, 6.84 NA NA 5.69 6.19 0.39 NA NA 12.92 13.42 090
second stage.
52620 .......... A Remove residual 6.61 NA NA 5.50 5.57 0.37 NA NA 12.48 12.55 090
prostate.
52630 .......... A Remove prostate 7.26 NA NA 5.73 6.47 0.41 NA NA 13.40 14.14 090
regrowth.
52640 .......... A Relieve bladder 6.62 NA NA 5.12 5.59 0.37 NA NA 12.11 12.58 090
contracture.
52647 .......... A Laser surgery of 10.36 54.31 43.83 4.50 6.47 0.58 65.25 54.77 15.44 17.41 090
prostate.
52648 .......... A Laser surgery of 11.21 NA NA 6.94 8.43 0.64 NA NA 18.79 20.28 090
prostate.
52700 .......... A Drainage of 6.80 NA NA 5.58 5.08 0.40 NA NA 12.78 12.28 090
prostate abscess.
53000 .......... A Incision of urethra 2.28 6.48 5.34 2.26 2.17 0.14 8.90 7.76 4.68 4.59 010
53010 .......... A Incision of urethra 3.64 NA NA 3.59 3.65 0.30 NA NA 7.53 7.59 090
53020 .......... A Incision of urethra 1.77 3.92 3.16 0.63 0.70 0.11 5.80 5.04 2.51 2.58 000
53025 .......... A Incision of urethra 1.13 4.23 3.39 0.42 0.53 0.07 5.43 4.59 1.62 1.73 000
53040 .......... A Drainage of urethra 6.40 12.20 9.65 7.34 6.01 0.38 18.98 16.43 14.12 12.79 090
abscess.
53060 .......... A Drainage of urethra 2.63 5.75 4.45 2.39 1.93 0.18 8.56 7.26 5.20 4.74 010
abscess.
53080 .......... A Drainage of urinary 6.29 NA NA 8.27 7.28 0.36 NA NA 14.92 13.93 090
leakage.
53085 .......... A Drainage of urinary 10.27 NA NA 8.94 8.54 0.61 NA NA 19.82 19.42 090
leakage.
53200 .......... A Biopsy of urethra.. 2.59 4.96 4.02 0.91 0.98 0.15 7.70 6.76 3.65 3.72 000
53210 .......... A Removal of urethra. 12.57 NA NA 7.18 7.19 0.80 NA NA 20.55 20.56 090
53215 .......... A Removal of urethra. 15.58 NA NA 7.90 8.64 0.94 NA NA 24.42 25.16 090
53220 .......... A Treatment of 0.07 NA NA 4.93 4.99 0.41 NA NA 5.41 5.47 090
urethra lesion.
53230 .......... A Removal of urethra 9.58 NA NA 5.69 6.42 0.56 NA NA 15.83 16.56 090
lesion.
53235 .......... A Removal of urethra 10.14 NA NA 5.87 5.77 0.59 NA NA 16.60 16.50 090
lesion.
53240 .......... A Surgery for urethra 6.45 NA NA 4.60 4.63 0.42 NA NA 11.47 11.50 090
pouch.
53250 .......... A Removal of urethra 5.89 NA NA 4.14 4.21 0.38 NA NA 10.41 10.48 090
gland.
53260 .......... A Treatment of 2.98 5.36 4.33 2.10 1.88 0.19 8.53 7.50 5.27 5.05 010
urethra lesion.
53265 .......... A Treatment of 3.12 5.80 4.86 2.09 2.08 0.19 9.11 8.17 5.40 5.39 010
urethra lesion.
53270 .......... A Removal of urethra 3.09 5.44 4.31 2.23 1.90 0.21 8.74 7.61 5.53 5.20 010
gland.
53275 .......... A Repair of urethra 4.53 NA NA 2.98 2.88 0.26 NA NA 7.77 7.67 010
defect.
53400 .......... A Revise urethra, 12.77 NA NA 7.06 7.32 0.74 NA NA 20.57 20.83 090
stage 1.
53405 .......... A Revise urethra, 14.48 NA NA 7.59 8.51 0.82 NA NA 22.89 23.81 090
stage 2.
53410 .......... A Reconstruction of 16.44 NA NA 8.26 8.52 0.95 NA NA 25.65 25.91 090
urethra.
53415 .......... A Reconstruction of 19.41 NA NA 8.73 9.77 1.19 NA NA 29.33 30.37 090
urethra.
53420 .......... A Reconstruct 14.08 NA NA 7.84 8.83 0.84 NA NA 22.76 23.75 090
urethra, stage 1.
53425 .......... A Reconstruct 15.98 NA NA 8.55 8.92 0.90 NA NA 25.43 25.80 090
urethra, stage 2.
53430 .......... A Reconstruction of 16.34 NA NA 8.36 8.21 0.97 NA NA 25.67 25.52 090
urethra.
53440 .......... A Correct bladder 12.34 NA NA 7.20 8.97 0.72 NA NA 20.26 22.03 090
function.
53442 .......... A Remove perineal 8.27 NA NA 5.29 5.55 0.47 NA NA 14.03 14.29 090
prosthesis.
53443 .......... A Reconstruction of 19.89 NA NA 9.18 9.61 1.25 NA NA 30.32 30.75 090
urethra.
53445 .......... A Correct urine flow 14.06 NA NA 7.78 10.03 0.82 NA NA 22.66 24.91 090
control.
[[Page 44256]]
53447 .......... A Remove artificial 13.17 NA NA 7.14 7.84 0.75 NA NA 21.06 21.76 090
sphincter.
53449 .......... A Correct artificial 9.70 NA NA 6.03 6.81 0.55 NA NA 16.28 17.06 090
sphincter.
53450 .......... A Revision of urethra 6.14 NA NA 4.45 4.08 0.34 NA NA 10.93 10.56 090
53460 .......... A Revision of urethra 7.12 NA NA 4.78 4.25 0.42 NA NA 12.32 11.79 090
53502 .......... A Repair of urethra 7.63 NA NA 5.28 5.31 0.48 NA NA 13.39 13.42 090
injury.
53505 .......... A Repair of urethra 7.63 NA NA 4.91 5.09 0.45 NA NA 12.99 13.17 090
injury.
53510 .......... A Repair of urethra 10.11 NA NA 6.38 6.68 0.68 NA NA 17.17 17.47 090
injury.
53515 .......... A Repair of urethra 13.31 NA NA 6.88 7.61 0.78 NA NA 20.97 21.70 090
injury.
53520 .......... A Repair of urethra 8.68 NA NA 5.33 5.60 0.52 NA NA 14.53 14.80 090
defect.
53600 .......... A Dilate urethra 1.21 3.77 2.92 0.48 0.45 0.07 5.05 4.20 1.76 1.73 000
stricture.
53601 .......... A Dilate urethra 0.98 3.70 2.85 0.40 0.38 0.06 4.74 3.89 1.44 1.42 000
stricture.
53605 .......... A Dilate urethra 1.28 NA NA 0.42 0.44 0.08 NA NA 1.78 1.80 000
stricture.
53620 .......... A Dilate urethra 1.62 5.61 4.34 0.53 0.53 0.10 7.33 6.06 2.25 2.25 000
stricture.
53621 .......... A Dilate urethra 1.35 5.61 4.31 0.44 0.43 0.08 7.04 5.74 1.87 1.86 000
stricture.
53660 .......... A Dilation of urethra 0.71 3.54 2.73 0.32 0.32 0.04 4.29 3.48 1.07 1.07 000
53661 .......... A Dilation of urethra 0.72 3.61 2.78 0.24 0.25 0.04 4.37 3.54 1.00 1.01 000
53665 .......... A Dilation of urethra 0.76 NA NA 0.26 0.29 0.05 NA NA 1.07 1.10 000
53670 .......... A Insert urinary 0.50 3.33 2.56 0.19 0.20 0.03 3.86 3.09 0.72 0.73 000
catheter.
53675 .......... A Insert urinary 1.47 4.46 3.47 0.47 0.48 0.09 6.02 5.03 2.03 2.04 000
catheter.
53850 .......... A Prostatic microwave 9.45 12.11 10.90 4.17 4.95 0.53 22.09 20.88 14.15 14.93 090
thermotx.
53852 .......... A Prostatic rf 9.88 67.86 52.80 4.28 5.11 0.56 78.30 63.24 14.72 15.55 090
thermotx.
53899 .......... C Urology surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
54000 .......... A Slitting of prepuce 1.54 5.16 4.04 1.30 1.15 0.09 6.79 5.67 2.93 2.78 010
54001 .......... A Slitting of prepuce 2.19 5.51 4.36 1.80 1.58 0.13 7.83 6.68 4.12 3.90 010
54015 .......... A Drain penis lesion. 5.32 6.48 5.09 2.83 2.35 0.32 12.12 10.73 8.47 7.99 010
54050 .......... A Destruction, penis 1.24 2.28 1.81 0.49 0.47 0.07 3.59 3.12 1.80 1.78 010
lesion(s).
54055 .......... A Destruction, penis 1.22 5.92 4.61 1.28 1.13 0.07 7.21 5.90 2.57 2.42 010
lesion(s).
54056 .......... A Cryosurgery, penis 1.24 2.75 2.21 0.53 0.54 0.05 4.04 3.50 1.82 1.83 010
lesion(s).
54057 .......... A Laser surg, penis 1.24 2.67 2.42 1.19 1.31 0.07 3.98 3.73 2.50 2.62 010
lesion(s).
54060 .......... A Excision of penis 1.93 4.98 4.05 1.43 1.39 0.11 7.02 6.09 3.47 3.43 010
lesion(s).
54065 .......... A Destruction, penis 2.42 5.01 4.43 1.92 2.11 0.13 7.56 6.98 4.47 4.66 010
lesion(s).
54100 .......... A Biopsy of penis.... 1.90 3.38 2.71 0.71 0.71 0.10 5.38 4.71 2.71 2.71 000
54105 .......... A Biopsy of penis.... 3.50 5.83 4.65 1.94 1.73 0.20 9.53 8.35 5.64 5.43 010
54110 .......... A Treatment of penis 10.13 NA NA 7.28 7.10 0.60 NA NA 18.01 17.83 090
lesion.
54111 .......... A Treat penis lesion, 13.57 NA NA 8.38 8.78 0.78 NA NA 22.73 23.13 090
graft.
54112 .......... A Treat penis lesion, 15.86 NA NA 9.30 9.92 0.96 NA NA 26.12 26.74 090
graft.
54115 .......... A Treatment of penis 6.15 10.08 8.70 5.98 5.62 0.36 16.59 15.21 12.49 12.13 090
lesion.
54120 .......... A Partial removal of 9.97 NA NA 7.21 7.16 0.57 NA NA 17.75 17.70 090
penis.
54125 .......... A Removal of penis... 13.53 NA NA 8.44 9.47 0.79 NA NA 22.76 23.79 090
54130 .......... A Remove penis & 20.14 NA NA 10.99 12.22 1.20 NA NA 32.33 33.56 090
nodes.
54135 .......... A Remove penis & 26.36 NA NA 13.30 14.79 1.54 NA NA 41.20 42.69 090
nodes.
54150 .......... A Circumcision....... 1.81 5.36 4.17 1.64 1.38 0.12 7.29 6.10 3.57 3.31 010
54152 .......... A Circumcision....... 2.31 NA NA 1.57 1.67 0.15 NA NA 4.03 4.13 010
54160 .......... A Circumcision....... 2.48 5.57 4.63 1.64 1.68 0.17 8.22 7.28 4.29 4.33 010
54161 .......... A Circumcision....... 3.27 NA NA 1.86 1.99 0.19 NA NA 5.32 5.45 010
54200 .......... A Treatment of penis 1.06 2.36 1.86 0.37 0.37 0.06 3.48 2.98 1.49 1.49 010
lesion.
54205 .......... A Treatment of penis 7.93 NA NA 6.51 6.27 0.46 NA NA 14.90 14.66 090
lesion.
54220 .......... A Treatment of penis 2.42 1.79 1.77 0.94 1.13 0.14 4.35 4.33 3.50 3.69 000
lesion.
54230 .......... A Prepare penis study 1.34 NA NA 0.44 0.69 0.08 NA NA 1.86 2.11 000
54231 .......... A Dynamic 2.04 1.92 1.83 0.79 0.98 0.14 4.10 4.01 2.97 3.16 000
cavernosometry.
54235 .......... A Penile injection... 1.19 1.02 0.88 0.39 0.41 0.07 2.28 2.14 1.65 1.67 000
54240 .......... A Penis study........ 1.31 0.95 0.98 NA NA 0.14 2.40 2.43 NA NA 000
54240 26 A Penis study........ 1.31 0.44 0.47 0.44 0.47 0.09 1.84 1.87 1.84 1.87 000
54240 TC A Penis study........ 0.00 0.51 0.51 NA NA 0.05 0.56 0.56 NA NA 000
54250 .......... A Penis study........ 2.22 1.05 1.00 NA NA 0.15 3.42 3.37 NA NA 000
54250 26 A Penis study........ 2.22 0.72 0.68 0.72 0.68 0.13 3.07 3.03 3.07 3.03 000
54250 TC A Penis study........ 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA 000
54300 .......... A Revision of penis.. 10.41 NA NA 8.03 7.89 0.61 NA NA 19.05 18.91 090
54304 .......... A Revision of penis.. 12.49 NA NA 9.06 9.15 0.78 NA NA 22.33 22.42 090
54308 .......... A Reconstruction of 11.83 NA NA 8.59 8.03 0.77 NA NA 21.19 20.63 090
urethra.
54312 .......... A Reconstruction of 13.57 NA NA 9.81 9.90 0.69 NA NA 24.07 24.16 090
urethra.
54316 .......... A Reconstruction of 16.82 NA NA 12.01 12.09 0.95 NA NA 29.78 29.86 090
urethra.
54318 .......... A Reconstruction of 11.25 NA NA 8.97 8.77 0.64 NA NA 20.86 20.66 090
urethra.
54322 .......... A Reconstruction of 13.01 NA NA 8.63 8.54 0.74 NA NA 22.38 22.29 090
urethra.
54324 .......... A Reconstruction of 16.31 NA NA 10.48 10.84 1.18 NA NA 27.97 28.33 090
urethra.
54326 .......... A Reconstruction of 15.72 NA NA 9.95 10.32 1.11 NA NA 26.78 27.15 090
urethra.
54328 .......... A Revise penis/ 15.65 NA NA 9.77 10.24 0.88 NA NA 26.30 26.77 090
urethra.
54332 .......... A Revise penis/ 17.08 NA NA 10.52 11.29 1.03 NA NA 28.63 29.40 090
urethra.
54336 .......... A Revise penis/ 20.04 NA NA 12.59 14.54 1.47 NA NA 34.10 36.05 090
urethra.
54340 .......... A Secondary urethral 8.91 NA NA 7.43 7.22 0.63 NA NA 16.97 16.76 090
surgery.
54344 .......... A Secondary urethral 15.94 NA NA 9.85 11.90 1.03 NA NA 26.82 28.87 090
surgery.
54348 .......... A Secondary urethral 17.15 NA NA 10.71 11.19 1.15 NA NA 29.01 29.49 090
surgery.
54352 .......... A Reconstruct urethra/ 24.74 NA NA 13.45 14.48 1.11 NA NA 39.30 40.33 090
penis.
54360 .......... A Penis plastic 11.93 NA NA 7.82 7.77 0.70 NA NA 20.45 20.40 090
surgery.
54380 .......... A Repair penis....... 13.18 NA NA 9.50 9.68 0.86 NA NA 23.54 23.72 090
54385 .......... A Repair penis....... 15.39 NA NA 11.18 11.22 0.99 NA NA 27.56 27.60 090
54390 .......... A Repair penis and 21.61 NA NA 13.64 13.91 1.39 NA NA 36.64 36.91 090
bladder.
54400 .......... A Insert semi-rigid 8.99 NA NA 5.75 7.00 0.53 NA NA 15.27 16.52 090
prosthesis.
54401 .......... A Insert self-contd 10.28 NA NA 6.51 7.95 0.61 NA NA 17.40 18.84 090
prosthesis.
54402 .......... A Remove penis 9.21 NA NA 5.83 6.00 0.54 NA NA 15.58 15.75 090
prosthesis.
54405 .......... A Insert multi-comp 13.43 NA NA 7.57 9.69 0.78 NA NA 21.78 23.90 090
prosthesis.
54407 .......... A Remove multi-comp 13.34 NA NA 7.18 8.43 0.77 NA NA 21.29 22.54 090
prosthesis.
[[Page 44257]]
54409 .......... A Revise penis 12.20 NA NA 6.84 7.56 0.71 NA NA 19.75 20.47 090
prosthesis.
54420 .......... A Revision of penis.. 11.42 NA NA 8.37 8.38 0.67 NA NA 20.46 20.47 090
54430 .......... A Revision of penis.. 10.15 NA NA 7.24 7.33 0.60 NA NA 17.99 18.08 090
54435 .......... A Revision of penis.. 6.12 NA NA 5.44 5.21 0.34 NA NA 11.90 11.67 090
54440 .......... C Repair of penis.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
54450 .......... A Preputial 1.12 0.91 0.87 0.44 0.52 0.07 2.10 2.06 1.63 1.71 000
stretching.
54500 .......... A Biopsy of testis... 1.31 5.27 4.07 0.43 0.44 0.08 6.66 5.46 1.82 1.83 000
54505 .......... A Biopsy of testis... 3.46 NA NA 2.43 2.33 0.21 NA NA 6.10 6.00 010
54510 .......... A Removal of testis 5.45 NA NA 3.27 3.28 0.34 NA NA 9.06 9.07 090
lesion.
54520 .......... A Removal of testis.. 5.23 NA NA 3.37 3.97 0.32 NA NA 8.92 9.52 090
54530 .......... A Removal of testis.. 8.58 NA NA 4.87 5.64 0.53 NA NA 13.98 14.75 090
54535 .......... A Extensive testis 12.16 NA NA 6.67 7.32 0.79 NA NA 19.62 20.27 090
surgery.
54550 .......... A Exploration for 7.78 NA NA 4.41 4.73 0.47 NA NA 12.66 12.98 090
testis.
54560 .......... A Exploration for 11.13 NA NA 6.54 6.87 0.75 NA NA 18.42 18.75 090
testis.
54600 .......... A Reduce testis 7.01 NA NA 3.98 4.24 0.41 NA NA 11.40 11.66 090
torsion.
54620 .......... A Suspension of 4.90 NA NA 2.99 3.14 0.29 NA NA 8.18 8.33 010
testis.
54640 .......... A Suspension of 6.90 NA NA 4.00 5.06 0.47 NA NA 11.37 12.43 090
testis.
54650 .......... A Orchiopexy (Fowler- 11.45 NA NA 6.40 6.92 0.63 NA NA 18.48 19.00 090
Stephens).
54660 .......... A Revision of testis. 5.11 NA NA 3.74 3.73 0.29 NA NA 9.14 9.13 090
54670 .......... A Repair testis 6.41 NA NA 3.70 3.94 0.42 NA NA 10.53 10.77 090
injury.
54680 .......... A Relocation of 12.65 NA NA 7.35 7.74 0.86 NA NA 20.86 21.25 090
testis(es).
54690 .......... A Laparoscopy, 10.96 NA NA 6.35 6.73 0.69 NA NA 18.00 18.38 090
orchiectomy.
54692 .......... A Laparoscopy, 12.88 NA NA 5.50 5.50 0.87 NA NA 19.25 19.25 090
orchiopexy.
54699 .......... C Laparoscope proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
testis.
54700 .......... A Drainage of scrotum 3.43 7.72 6.04 3.15 2.61 0.22 11.37 9.69 6.80 6.26 010
54800 .......... A Biopsy of 2.33 5.30 4.51 0.81 1.14 0.14 7.77 6.98 3.28 3.61 000
epididymis.
54820 .......... A Exploration of 5.14 NA NA 3.38 3.25 0.36 NA NA 8.88 8.75 090
epididymis.
54830 .......... A Remove epididymis 5.38 NA NA 3.43 3.53 0.33 NA NA 9.14 9.24 090
lesion.
54840 .......... A Remove epididymis 5.20 NA NA 3.36 3.83 0.31 NA NA 8.87 9.34 090
lesion.
54860 .......... A Removal of 6.32 NA NA 3.91 4.34 0.36 NA NA 10.59 11.02 090
epididymis.
54861 .......... A Removal of 8.90 NA NA 4.74 5.54 0.51 NA NA 14.15 14.95 090
epididymis.
54900 .......... A Fusion of spermatic 13.20 NA NA 6.43 7.25 0.74 NA NA 20.37 21.19 090
ducts.
54901 .......... A Fusion of spermatic 17.94 NA NA 9.45 10.42 1.18 NA NA 28.57 29.54 090
ducts.
55000 .......... A Drainage of 1.43 1.76 1.43 0.48 0.47 0.10 3.29 2.96 2.01 2.00 000
hydrocele.
55040 .......... A Removal of 5.36 NA NA 3.22 3.74 0.35 NA NA 8.93 9.45 090
hydrocele.
55041 .......... A Removal of 7.74 NA NA 4.19 5.17 0.50 NA NA 12.43 13.41 090
hydroceles.
55060 .......... A Repair of hydrocele 5.52 NA NA 3.28 3.58 0.37 NA NA 9.17 9.47 090
55100 .......... A Drainage of scrotum 2.13 8.89 6.84 3.34 2.68 0.13 11.15 9.10 5.60 4.94 010
abscess.
55110 .......... A Explore scrotum.... 5.70 NA NA 3.35 3.46 0.35 NA NA 9.40 9.51 090
55120 .......... A Removal of scrotum 5.09 NA NA 3.17 2.86 0.30 NA NA 8.56 8.25 090
lesion.
55150 .......... A Removal of scrotum. 7.22 NA NA 4.26 4.67 0.46 NA NA 11.94 12.35 090
55175 .......... A Revision of scrotum 5.24 NA NA 3.37 3.75 0.31 NA NA 8.92 9.30 090
55180 .......... A Revision of scrotum 10.72 NA NA 5.97 6.33 0.72 NA NA 17.41 17.77 090
55200 .......... A Incision of sperm 4.24 NA NA 2.93 2.73 0.27 NA NA 7.44 7.24 090
duct.
55250 .......... A Removal of sperm 3.29 8.34 6.97 2.79 2.81 0.20 11.83 10.46 6.28 6.30 090
duct(s).
55300 .......... A Prepare, sperm duct 3.51 NA NA 1.44 1.82 0.19 NA NA 5.14 5.52 000
x-ray.
55400 .......... A Repair of sperm 8.49 NA NA 4.84 5.41 0.52 NA NA 13.85 14.42 090
duct.
55450 .......... A Ligation of sperm 4.12 7.19 6.10 2.26 2.40 0.31 11.62 10.53 6.69 6.83 010
duct.
55500 .......... A Removal of 5.59 NA NA 3.46 3.77 0.43 NA NA 9.48 9.79 090
hydrocele.
55520 .......... A Removal of sperm 6.03 NA NA 3.59 3.54 0.57 NA NA 10.19 10.14 090
cord lesion.
55530 .......... A Revise spermatic 5.66 NA NA 3.53 4.06 0.36 NA NA 9.55 10.08 090
cord veins.
55535 .......... A Revise spermatic 6.56 NA NA 3.82 4.06 0.41 NA NA 10.79 11.03 090
cord veins.
55540 .......... A Revise hernia & 7.67 NA NA 4.23 4.41 0.73 NA NA 12.63 12.81 090
sperm veins.
55550 .......... A Laparo ligate 6.57 NA NA 3.31 3.68 0.41 NA NA 10.29 10.66 090
spermatic vein.
55559 .......... C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
spermatic cord.
55600 .......... A Incise sperm duct 6.38 NA NA 3.91 4.10 0.36 NA NA 10.65 10.84 090
pouch.
55605 .......... A Incise sperm duct 7.96 NA NA 4.62 4.99 0.52 NA NA 13.10 13.47 090
pouch.
55650 .......... A Remove sperm duct 11.80 NA NA 5.95 6.42 0.70 NA NA 18.45 18.92 090
pouch.
55680 .......... A Remove sperm pouch 5.19 NA NA 4.11 4.29 0.30 NA NA 9.60 9.78 090
lesion.
55700 .......... A Biopsy of prostate. 1.57 3.49 3.03 0.51 0.79 0.09 5.15 4.69 2.17 2.45 000
55705 .......... A Biopsy of prostate. 4.57 NA NA 3.47 3.52 0.25 NA NA 8.29 8.34 010
55720 .......... A Drainage of 7.64 NA NA 5.38 4.99 0.44 NA NA 13.46 13.07 090
prostate abscess.
55725 .......... A Drainage of 8.68 NA NA 5.97 6.00 0.52 NA NA 15.17 15.20 090
prostate abscess.
55801 .......... A Removal of prostate 17.80 NA NA 8.80 10.06 1.09 NA NA 27.69 28.95 090
55810 .......... A Extensive prostate 22.58 NA NA 10.48 12.71 1.32 NA NA 34.38 36.61 090
surgery.
55812 .......... A Extensive prostate 27.51 NA NA 12.82 14.41 1.65 NA NA 41.98 43.57 090
surgery.
55815 .......... A Extensive prostate 30.46 NA NA 13.67 17.09 1.88 NA NA 46.01 49.43 090
surgery.
55821 .......... A Removal of prostate 14.25 NA NA 7.43 9.26 0.85 NA NA 22.53 24.36 090
55831 .......... A Removal of prostate 15.62 NA NA 7.90 9.88 0.94 NA NA 24.46 26.44 090
55840 .......... A Extensive prostate 22.69 NA NA 11.18 12.89 1.37 NA NA 35.24 36.95 090
surgery.
55842 .......... A Extensive prostate 24.38 NA NA 11.79 14.04 1.50 NA NA 37.67 39.92 090
surgery.
55845 .......... A Extensive prostate 28.55 NA NA 13.05 16.60 1.69 NA NA 43.29 46.84 090
surgery.
55859 .......... A Percut/needle 12.52 NA NA 6.97 6.83 0.69 NA NA 20.18 20.04 090
insert, pros.
55860 .......... A Surgical exposure, 14.45 NA NA 7.90 7.86 0.78 NA NA 23.13 23.09 090
prostate.
55862 .......... A Extensive prostate 18.39 NA NA 9.50 10.30 1.19 NA NA 29.08 29.88 090
surgery.
55865 .......... A Extensive prostate 22.87 NA NA 10.55 14.57 1.40 NA NA 34.82 38.84 090
surgery.
55870 .......... A Electroejaculation. 2.58 1.65 1.74 0.91 1.18 0.14 4.37 4.46 3.63 3.90 000
55899 .......... C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
55970 .......... N Sex transformation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M to F.
55980 .......... N Sex transformation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
F to M.
56300 .......... D Laparoscopy; 5.10 2.02 2.72 2.02 2.72 0.47 7.59 8.29 7.59 8.29 010
diagnostic.
56301 .......... D Laparoscopy; tubal 5.60 2.22 2.94 2.22 2.94 0.43 8.25 8.97 8.25 8.97 010
cautery.
[[Page 44258]]
56302 .......... D Laparoscopy; tubal 5.60 2.22 3.09 2.22 3.09 0.43 8.25 9.12 8.25 9.12 010
block.
56303 .......... D Laparoscopy; excise 11.79 4.67 5.00 4.67 5.00 0.93 17.39 17.72 17.39 17.72 090
lesions.
56304 .......... D Laparoscopy; lysis. 11.29 4.48 4.88 4.48 4.88 1.04 16.81 17.21 16.81 17.21 090
56305 .......... D Laparoscopy; biopsy 5.40 2.14 2.94 2.14 2.94 0.50 8.04 8.84 8.04 8.84 010
56306 .......... D Laparoscopy; 5.70 2.26 3.02 2.26 3.02 0.48 8.44 9.20 8.44 9.20 010
aspiration.
56307 .......... D Laparoscopy; remove 11.05 4.38 5.23 4.38 5.23 0.86 16.29 17.14 16.29 17.14 010
adnexa.
56308 .......... D Laparoscopy; 14.19 5.63 6.77 5.63 6.77 1.09 20.91 22.05 20.91 22.05 010
hysterectomy.
56309 .......... D Laparoscopy; remove 14.21 5.63 5.52 5.63 5.52 1.13 20.97 20.86 20.97 20.86 010
myoma.
56310 .......... D Laparoscopic 14.44 5.72 6.54 5.72 6.54 1.42 21.58 22.40 21.58 22.40 090
enterolysis.
56311 .......... D Laparoscopic lymph 9.25 3.67 4.48 3.67 4.48 0.82 13.74 14.55 13.74 14.55 010
node biop.
56312 .......... D Laparoscopic 12.38 4.91 6.01 4.91 6.01 0.77 18.06 19.16 18.06 19.16 010
lymphadenectomy.
56313 .......... D Laparoscopic 14.32 5.68 6.98 5.68 6.98 1.02 21.02 22.32 21.02 22.32 010
lymphadenectomy.
56314 .......... D Lapar; drain 9.48 3.76 4.65 3.76 4.65 0.91 14.15 15.04 14.15 15.04 090
lymphocele.
56315 .......... D Laparoscopic 8.70 3.45 3.92 3.45 3.92 0.86 13.01 13.48 13.01 13.48 090
appendectomy.
56316 .......... D Laparoscopic hernia 6.27 2.49 3.09 2.49 3.09 0.62 9.38 9.98 9.38 9.98 090
repair.
56317 .......... D Laparoscopic hernia 8.24 3.27 3.87 3.27 3.87 0.83 12.34 12.94 12.34 12.94 090
repair.
56318 .......... D Laparoscopic 10.96 4.34 5.22 4.34 5.22 0.69 15.99 16.87 15.99 16.87 090
orchiectomy.
56320 .......... D Laparoscopy, 6.57 2.60 3.15 2.60 3.15 0.41 9.58 10.13 9.58 10.13 090
spermatic veins.
56321 .......... D Laparoscopy; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adrenalectomy.
56322 .......... D Laparoscopy, vagus 10.15 4.02 4.39 4.02 4.39 1.01 15.18 15.55 15.18 15.55 090
nerves.
56323 .......... D Laparoscopy, vagus 12.15 4.82 5.27 4.82 5.27 1.16 18.13 18.58 18.13 18.58 090
nerves.
56324 .......... D Laparoscopy, 12.58 4.99 6.23 4.99 6.23 1.26 18.83 20.07 18.83 20.07 090
cholecystoenter.
56340 .......... D Laparoscopic 11.09 4.40 5.47 4.40 5.47 1.10 16.59 17.66 16.59 17.66 090
cholecystectomy.
56341 .......... D Laparoscopic 11.94 4.73 5.84 4.73 5.84 1.18 17.85 18.96 17.85 18.96 090
cholecystectomy.
56342 .......... D Laparoscopic 14.23 5.64 6.77 5.64 6.77 1.38 21.25 22.38 21.25 22.38 090
cholecystectomy.
56343 .......... D Laparoscopic 13.74 5.45 5.52 5.45 5.52 1.11 20.30 20.37 20.30 20.37 090
salpingostomy.
56344 .......... D Laparoscopic 12.88 5.11 5.22 5.11 5.22 1.11 19.10 19.21 19.10 19.21 090
fimbrioplasty.
56345 .......... D Laparoscopic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
splenectomy.
56346 .......... D Laparoscopic 7.73 3.06 3.98 3.06 3.98 0.74 11.53 12.45 11.53 12.45 090
gastrostomy.
56347 .......... D Laparoscopic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
jejunostomy.
56348 .......... D Laparo; resect 22.04 8.74 10.15 8.74 10.15 2.19 32.97 34.38 32.97 34.38 090
intestine.
56349 .......... D Laparoscopy; 17.25 6.84 8.35 6.84 8.35 1.73 25.82 27.33 25.82 27.33 090
fundoplasty.
56350 .......... D Hysteroscopy; 3.33 1.32 1.53 1.32 1.53 0.25 4.90 5.11 4.90 5.11 000
diagnostic.
56351 .......... D Hysteroscopy; 4.75 1.88 1.95 1.88 1.95 0.36 6.99 7.06 6.99 7.06 000
biopsy.
56352 .......... D Hysteroscopy; lysis 6.17 2.45 2.86 2.45 2.86 0.47 9.09 9.50 9.09 9.50 000
56353 .......... D Hysteroscopy; 0.07 2.78 3.11 2.78 3.11 0.53 3.38 3.71 3.38 3.71 000
resect septum.
56354 .......... D Hysteroscopy; 0.10 3.96 4.31 3.96 4.31 0.75 4.81 5.16 4.81 5.16 000
remove myoma.
56355 .......... D Hysteroscopy; 5.21 2.07 2.09 2.07 2.09 0.39 7.67 7.69 7.67 7.69 000
remove impact.
56356 .......... D Hysteroscopy; 6.17 2.45 3.03 2.45 3.03 0.47 9.09 9.67 9.09 9.67 000
ablation.
56362 .......... D Laparoscopy w/ 4.89 1.94 2.21 1.94 2.21 0.47 7.30 7.57 7.30 7.57 000
cholangio.
56363 .......... D Laparoscopy w/ 5.18 2.05 2.61 2.05 2.61 0.47 7.70 8.26 7.70 8.26 000
biopsy.
56399 .......... D Laparoscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
56405 .......... A I & D of vulva/ 1.44 2.15 1.82 1.20 1.11 0.11 3.70 3.37 2.75 2.66 010
perineum.
56420 .......... A Drainage of gland 1.39 2.15 1.83 1.11 1.05 0.11 3.65 3.33 2.61 2.55 010
abscess.
56440 .......... A Surgery for vulva 2.84 3.29 3.18 2.12 2.30 0.22 6.35 6.24 5.18 5.36 010
lesion.
56441 .......... A Lysis of labial 1.97 2.35 2.21 1.89 1.87 0.13 4.45 4.31 3.99 3.97 010
lesion(s).
56501 .......... A Destruction, vulva 1.53 2.12 1.74 1.24 1.08 0.11 3.76 3.38 2.88 2.72 010
lesion(s).
56515 .......... A Destruction, vulva 1.88 2.50 2.52 1.81 2.00 0.13 4.51 4.53 3.82 4.01 010
lesion(s).
56605 .......... A Biopsy of vulva/ 1.10 1.64 1.42 0.46 0.53 0.09 2.83 2.61 1.65 1.72 000
perineum.
56606 .......... A Biopsy of vulva/ 0.55 1.41 1.15 0.21 0.25 0.04 2.00 1.74 0.80 0.84 ZZZ
perineum.
56620 .......... A Partial removal of 7.47 NA NA 4.57 5.18 0.56 NA NA 12.60 13.21 090
vulva.
56625 .......... A Complete removal of 8.40 NA NA 5.37 6.54 0.63 NA NA 14.40 15.57 090
vulva.
56630 .......... A Extensive vulva 12.36 NA NA 7.07 8.96 0.94 NA NA 20.37 22.26 090
surgery.
56631 .......... A Extensive vulva 16.20 NA NA 9.56 12.01 1.21 NA NA 26.97 29.42 090
surgery.
56632 .......... A Extensive vulva 20.29 NA NA 8.00 11.79 1.52 NA NA 29.81 33.60 090
surgery.
56633 .......... A Extensive vulva 16.47 NA NA 8.68 10.84 1.24 NA NA 26.39 28.55 090
surgery.
56634 .......... A Extensive vulva 17.88 NA NA 10.18 12.97 1.34 NA NA 29.40 32.19 090
surgery.
56637 .......... A Extensive vulva 21.97 NA NA 11.79 14.66 1.64 NA NA 35.40 38.27 090
surgery.
56640 .......... A Extensive vulva 22.17 NA NA 11.69 14.18 1.64 NA NA 35.50 37.99 090
surgery.
56700 .......... A Partial removal of 2.52 2.87 2.65 1.88 1.91 0.18 5.57 5.35 4.58 4.61 010
hymen.
56720 .......... A Incision of hymen.. 0.68 1.48 1.24 0.62 0.60 0.05 2.21 1.97 1.35 1.33 000
56740 .......... A Remove vagina gland 3.76 3.30 3.25 2.45 2.62 0.31 7.37 7.32 6.52 6.69 010
lesion.
56800 .......... A Repair of vagina... 3.89 NA NA 2.54 2.70 0.29 NA NA 6.72 6.88 010
56805 .......... A Repair clitoris.... 18.86 NA NA 8.80 9.79 1.08 NA NA 28.74 29.73 090
56810 .......... A Repair of perineum. 4.13 NA NA 2.60 2.66 0.32 NA NA 7.05 7.11 010
57000 .......... A Exploration of 2.97 NA NA 2.21 2.21 0.22 NA NA 5.40 5.40 010
vagina.
57010 .......... A Drainage of pelvic 6.03 NA NA 3.64 3.45 0.48 NA NA 10.15 9.96 090
abscess.
57020 .......... A Drainage of pelvic 1.50 1.46 1.27 0.59 0.62 0.11 3.07 2.88 2.20 2.23 000
fluid.
57061 .......... A Destruction vagina 1.25 2.05 1.76 1.16 1.09 0.10 3.40 3.11 2.51 2.44 010
lesion(s).
57065 .......... A Destruction vagina 2.61 2.68 2.79 2.10 2.35 0.20 5.49 5.60 4.91 5.16 010
lesion(s).
57100 .......... A Biopsy of vagina... 0.97 1.32 1.16 0.40 0.47 0.08 2.37 2.21 1.45 1.52 000
57105 .......... A Biopsy of vagina... 1.69 2.01 1.93 2.01 1.93 0.12 3.82 3.74 3.82 3.74 010
57106 .......... A Remove vagina wall, 6.36 2.46 2.46 2.46 2.46 0.51 9.33 9.33 9.33 9.33 090
partial.
57107 .......... A Remove vagina 0.23 NA NA 10.00 10.00 1.75 NA NA 11.98 11.98 090
tissue, part.
57109 .......... A Vaginectomy partial 0.27 NA NA 11.68 11.68 1.81 NA NA 13.76 13.76 090
w/nodes.
57110 .......... A Remove vagina wall, 14.29 NA NA 6.89 7.31 1.07 NA NA 22.25 22.67 090
complete.
57111 .......... A Remove vagina 0.27 NA NA 11.75 11.75 2.03 NA NA 14.05 14.05 090
tissue, compl.
57112 .......... A Vaginectomy w/ 0.29 NA NA 12.28 12.28 1.89 NA NA 14.46 14.46 090
nodes, compl.
57120 .......... A Closure of vagina.. 7.41 NA NA 4.32 5.14 0.56 NA NA 12.29 13.11 090
57130 .......... A Remove vagina 2.43 NA NA 1.94 2.17 0.19 NA NA 4.56 4.79 010
lesion.
57135 .......... A Remove vagina 2.67 2.67 2.53 2.07 2.08 0.20 5.54 5.40 4.94 4.95 010
lesion.
57150 .......... A Treat vagina 0.55 0.87 0.71 0.21 0.21 0.04 1.46 1.30 0.80 0.80 000
infection.
[[Page 44259]]
57160 .......... A Insert pessary/ 0.89 1.25 1.01 0.34 0.32 0.07 2.21 1.97 1.30 1.28 000
other device.
57170 .......... A Fitting of 0.91 1.27 1.04 0.34 0.34 0.07 2.25 2.02 1.32 1.32 000
diaphragm/cap.
57180 .......... A Treat vaginal 1.58 2.07 1.70 1.34 1.16 0.12 3.77 3.40 3.04 2.86 010
bleeding.
57200 .......... A Repair of vagina... 3.94 NA NA 2.80 2.84 0.31 NA NA 7.05 7.09 090
57210 .......... A Repair vagina/ 5.17 NA NA 3.25 3.33 0.40 NA NA 8.82 8.90 090
perineum.
57220 .......... A Revision of urethra 4.31 NA NA 3.12 3.55 0.32 NA NA 7.75 8.18 090
57230 .......... A Repair of urethral 5.64 NA NA 3.87 3.95 0.40 NA NA 9.91 9.99 090
lesion.
57240 .......... A Repair bladder & 6.07 NA NA 4.08 4.87 0.44 NA NA 10.59 11.38 090
vagina.
57250 .......... A Repair rectum & 5.53 NA NA 3.57 4.33 0.42 NA NA 9.52 10.28 090
vagina.
57260 .......... A Repair of vagina... 8.27 NA NA 4.62 5.81 0.63 NA NA 13.52 14.71 090
57265 .......... A Extensive repair of 11.34 NA NA 6.36 7.33 0.86 NA NA 18.56 19.53 090
vagina.
57268 .......... A Repair of bowel 6.76 NA NA 4.02 4.92 0.52 NA NA 11.30 12.20 090
bulge.
57270 .......... A Repair of bowel 12.11 NA NA 5.94 6.31 0.92 NA NA 18.97 19.34 090
pouch.
57280 .......... A Suspension of 15.04 NA NA 7.07 7.62 1.13 NA NA 23.24 23.79 090
vagina.
57282 .......... A Repair of vaginal 8.86 NA NA 4.88 6.03 0.67 NA NA 14.41 15.56 090
prolapse.
57284 .......... A Repair paravaginal 12.70 NA NA 6.65 7.32 0.93 NA NA 20.28 20.95 090
defect.
57288 .......... A Repair bladder 13.02 NA NA 6.52 7.80 0.80 NA NA 20.34 21.62 090
defect.
57289 .......... A Repair bladder & 11.58 NA NA 6.26 6.92 0.78 NA NA 18.62 19.28 090
vagina.
57291 .......... A Construction of 7.95 NA NA 5.54 5.61 0.62 NA NA 14.11 14.18 090
vagina.
57292 .......... A Construct vagina 13.09 NA NA 6.67 6.78 1.08 NA NA 20.84 20.95 090
with graft.
57300 .......... A Repair rectum- 7.61 NA NA 4.49 5.51 0.69 NA NA 12.79 13.81 090
vagina fistula.
57305 .......... A Repair rectum- 13.77 NA NA 6.74 7.10 1.34 NA NA 21.85 22.21 090
vagina fistula.
57307 .......... A Fistula repair & 15.93 NA NA 7.55 7.32 1.57 NA NA 25.05 24.82 090
colostomy.
57308 .......... A Fistula repair, 9.94 NA NA 5.53 6.11 0.86 NA NA 16.33 16.91 090
transperine.
57310 .......... A Repair 6.78 NA NA 4.40 4.47 0.43 NA NA 11.61 11.68 090
urethrovaginal
lesion.
57311 .......... A Repair 7.98 NA NA 5.06 5.31 0.41 NA NA 13.45 13.70 090
urethrovaginal
lesion.
57320 .......... A Repair bladder- 8.01 NA NA 4.91 6.07 0.51 NA NA 13.43 14.59 090
vagina lesion.
57330 .......... A Repair bladder- 12.35 NA NA 6.37 7.03 0.78 NA NA 19.50 20.16 090
vagina lesion.
57335 .......... A Repair vagina...... 18.73 NA NA 8.67 8.38 1.37 NA NA 28.77 28.48 090
57400 .......... A Dilation of vagina. 2.27 NA NA 1.24 1.02 0.16 NA NA 3.67 3.45 000
57410 .......... A Pelvic examination. 1.75 2.48 1.96 1.02 0.86 0.11 4.34 3.82 2.88 2.72 000
57415 .......... A Remove vaginal 2.17 3.13 2.45 1.92 1.54 0.16 5.46 4.78 4.25 3.87 010
foreign body.
57452 .......... A Examination of 0.99 1.52 1.32 0.36 0.45 0.08 2.59 2.39 1.43 1.52 000
vagina.
57454 .......... A Vagina examination 1.27 1.60 1.53 0.48 0.69 0.10 2.97 2.90 1.85 2.06 000
& biopsy.
57460 .......... A Cervix excision.... 2.83 1.89 1.97 1.10 1.37 0.21 4.93 5.01 4.14 4.41 000
57500 .......... A Biopsy of cervix... 0.97 1.29 1.12 0.41 0.46 0.08 2.34 2.17 1.46 1.51 000
57505 .......... A Endocervical 1.14 1.76 1.49 1.16 1.04 0.09 2.99 2.72 2.39 2.27 010
curettage.
57510 .......... A Cauterization of 1.90 2.87 2.29 1.45 1.23 0.14 4.91 4.33 3.49 3.27 010
cervix.
57511 .......... A Cryocautery of 1.90 2.21 1.89 0.72 0.77 0.14 4.25 3.93 2.76 2.81 010
cervix.
57513 .......... A Laser surgery of 1.90 2.37 2.35 1.44 1.65 0.14 4.41 4.39 3.48 3.69 010
cervix.
57520 .......... A Conization of 4.04 3.87 3.84 2.63 2.91 0.31 8.22 8.19 6.98 7.26 090
cervix.
57522 .......... A Conization of 3.36 3.44 3.52 2.35 2.70 0.26 7.06 7.14 5.97 6.32 090
cervix.
57530 .......... A Removal of cervix.. 4.79 NA NA 3.32 3.47 0.37 NA NA 8.48 8.63 090
57531 .......... A Removal of cervix, 0.28 NA NA 13.09 14.64 2.16 NA NA 15.53 17.08 090
radical.
57540 .......... A Removal of residual 12.22 NA NA 6.01 6.34 0.01 NA NA 18.24 18.57 090
cervix.
57545 .......... A Remove cervix/ 13.03 NA NA 6.27 5.95 1.02 NA NA 20.32 20.00 090
repair pelvis.
57550 .......... A Removal of residual 5.53 NA NA 3.58 4.34 0.43 NA NA 9.54 10.30 090
cervix.
57555 .......... A Remove cervix/ 8.95 NA NA 5.28 6.63 0.70 NA NA 14.93 16.28 090
repair vagina.
57556 .......... A Remove cervix, 8.37 NA NA 4.61 5.96 0.64 NA NA 13.62 14.97 090
repair bowel.
57700 .......... A Revision of cervix. 3.55 NA NA 2.43 2.47 0.26 NA NA 6.24 6.28 090
57720 .......... A Revision of cervix. 4.13 NA NA 3.05 3.04 0.31 NA NA 7.49 7.48 090
57800 .......... A Dilation of 0.77 1.06 0.93 0.33 0.38 0.06 1.89 1.76 1.16 1.21 000
cervical canal.
57820 .......... A D & c of residual 1.67 2.36 2.34 2.02 2.08 0.13 4.16 4.14 3.82 3.88 010
cervix.
58100 .......... A Biopsy of uterus 0.71 1.91 1.61 0.27 0.38 0.06 2.68 2.38 1.04 1.15 000
lining.
58120 .......... A Dilation and 3.27 3.48 3.34 2.26 2.43 0.25 7.00 6.86 5.78 5.95 010
curettage.
58140 .......... A Removal of uterus 14.60 NA NA 6.86 7.41 1.24 NA NA 22.70 23.25 090
lesion.
58145 .......... A Removal of uterus 8.04 NA NA 4.58 5.67 0.60 NA NA 13.22 14.31 090
lesion.
58150 .......... A Total hysterectomy. 15.24 NA NA 7.21 8.01 1.19 NA NA 23.64 24.44 090
58152 .......... A Total hysterectomy. 15.09 NA NA 7.16 8.62 1.16 NA NA 23.41 24.87 090
58180 .......... A Partial 15.29 NA NA 7.22 8.06 1.23 NA NA 23.74 24.58 090
hysterectomy.
58200 .......... A Extensive 21.59 NA NA 10.53 11.42 1.65 NA NA 33.77 34.66 090
hysterectomy.
58210 .......... A Extensive 28.85 NA NA 13.32 14.81 2.18 NA NA 44.35 45.84 090
hysterectomy.
58240 .......... A Removal of pelvis 38.39 NA NA 17.96 21.27 2.98 NA NA 59.33 62.64 090
contents.
58260 .......... A Vaginal 12.20 NA NA 5.65 6.79 0.94 NA NA 18.79 19.93 090
hysterectomy.
58262 .......... A Vaginal 13.99 NA NA 6.41 7.36 1.06 NA NA 21.46 22.41 090
hysterectomy.
58263 .......... A Vaginal 15.28 NA NA 6.89 7.97 1.16 NA NA 23.33 24.41 090
hysterectomy.
58267 .......... A Hysterectomy & 0.15 NA NA 6.76 8.20 1.15 NA NA 8.06 9.50 090
vagina repair.
58270 .......... A Hysterectomy & 13.48 NA NA 6.19 7.44 1.03 NA NA 20.70 21.95 090
vagina repair.
58275 .......... A Hysterectomy/revise 14.98 NA NA 6.76 8.06 1.17 NA NA 22.91 24.21 090
vagina.
58280 .......... A Hysterectomy/revise 15.41 NA NA 6.92 8.04 1.18 NA NA 23.51 24.63 090
vagina.
58285 .......... A Extensive 18.57 NA NA 9.33 10.15 1.42 NA NA 29.32 30.14 090
hysterectomy.
58300 .......... N Insert intrauterine 1.01 1.31 1.19 0.40 0.51 0.08 2.40 2.28 1.49 1.60 XXX
device.
58301 .......... A Remove intrauterine 1.27 1.41 1.18 0.48 0.48 0.10 2.78 2.55 1.85 1.85 000
device.
58321 .......... A Artificial 0.92 0.90 0.87 0.36 0.46 0.07 1.89 1.86 1.35 1.45 000
insemination.
58322 .......... A Artificial 1.10 0.94 0.90 0.42 0.51 0.08 2.12 2.08 1.60 1.69 000
insemination.
58323 .......... A Sperm washing...... 0.23 0.46 0.39 0.09 0.11 0.02 0.71 0.64 0.34 0.36 000
58340 .......... A Catheter for 0.88 8.09 6.22 0.32 0.40 0.06 9.03 7.16 1.26 1.34 000
hysterography.
58345 .......... A Reopen fallopian 4.66 NA NA 1.72 2.24 0.26 NA NA 6.64 7.16 010
tube.
58350 .......... A Reopen fallopian 1.01 1.81 1.55 1.02 0.95 0.08 2.90 2.64 2.11 2.04 010
tube.
58400 .......... A Suspension of 6.36 NA NA 3.79 4.37 0.49 NA NA 10.64 11.22 090
uterus.
58410 .......... A Suspension of 12.73 NA NA 6.43 6.32 0.94 NA NA 20.10 19.99 090
uterus.
58520 .......... A Repair of ruptured 11.92 NA NA 5.93 5.60 1.03 NA NA 18.88 18.55 090
uterus.
[[Page 44260]]
58540 .......... A Revision of uterus. 14.64 NA NA 5.92 6.10 1.11 NA NA 21.67 21.85 090
58550 .......... A Laparo-asst vag 14.19 NA NA 6.44 7.38 1.11 NA NA 21.74 22.68 010
hysterectomy.
58551 .......... A Laparoscopy, remove 14.21 NA NA 6.35 6.06 1.15 NA NA 21.71 21.42 010
myoma.
58555 .......... A Hysteroscopy, dx, 3.33 2.58 2.48 1.39 1.58 0.26 6.17 6.07 4.98 5.17 000
sep proc.
58558 .......... A Hysteroscopy, 4.75 3.14 2.90 1.95 2.00 0.36 8.25 8.01 7.06 7.11 000
biopsy.
58559 .......... A Hysteroscopy, lysis 6.17 2.43 2.85 2.43 2.85 0.48 9.08 9.50 9.08 9.50 000
58560 .......... A Hysteroscopy, 0.07 2.76 3.09 2.76 3.09 0.54 3.37 3.70 3.37 3.70 000
resect septum.
58561 .......... A Hysteroscopy, 0.10 3.94 4.29 3.94 4.29 0.77 4.81 5.16 4.81 5.16 000
remove myoma.
58562 .......... A Hysteroscopy, 5.21 NA NA 2.12 2.13 0.40 A NA 7.73 7.74 000
remove fb.
58563 .......... A Hysteroscopy, 6.17 2.41 3.00 2.41 3.00 0.48 9.06 9.65 9.06 9.65 000
ablation.
58578 .......... C Laparo proc, uterus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
58579 .......... C Hysteroscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
58600 .......... A Division of 3.84 NA NA 2.44 2.98 0.30 NA NA 6.58 7.12 090
fallopian tube.
58605 .......... A Division of 3.34 NA NA 2.36 2.77 0.26 NA NA 5.96 6.37 090
fallopian tube.
58611 .......... A Ligate oviduct(s) 0.63 NA NA 0.24 0.31 0.05 NA NA 0.92 0.99 ZZZ
add-on.
58615 .......... A Occlude fallopian 3.90 NA NA 3.03 3.06 0.30 NA NA 7.23 7.26 010
tube(s).
58660 .......... A Laparoscopy, lysis. 11.29 NA NA 5.31 5.50 1.04 NA NA 17.64 17.83 090
58661 .......... A Laparoscopy, remove 11.05 NA NA 5.00 5.69 0.87 NA NA 16.92 17.61 010
adnexa.
58662 .......... A Laparoscopy, excise 11.79 NA NA 5.26 5.45 0.94 NA NA 17.99 18.18 090
lesions.
58670 .......... A Laparoscopy, tubal 5.60 NA NA 3.32 3.77 0.43 NA NA 9.35 9.80 090
cautery.
58671 .......... A Laparoscopy, tubal 5.60 NA NA 3.38 3.96 0.43 NA NA 9.41 9.99 090
block.
58672 .......... A Laparoscopy, 12.88 NA NA 6.14 5.99 1.10 NA NA 20.12 19.97 090
fimbrioplasty.
58673 .......... A Laparoscopy, 13.74 NA NA 6.54 6.34 1.12 NA NA 21.40 21.20 090
salpingostomy.
58679 .......... C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
oviduct-ovary.
58700 .......... A Removal of 6.49 NA NA 3.66 4.46 0.58 NA NA 10.73 11.53 090
fallopian tube.
58720 .......... A Removal of ovary/ 11.36 NA NA 5.60 6.24 0.95 NA NA 17.91 18.55 090
tube(s).
58740 .......... A Revise fallopian 5.83 NA NA 3.55 4.40 0.46 NA NA 9.84 10.69 090
tube(s).
58750 .......... A Repair oviduct..... 14.84 NA NA 7.02 6.98 1.20 NA NA 23.06 23.02 090
58752 .......... A Revise ovarian 14.84 NA NA 6.85 6.97 1.09 NA NA 22.78 22.90 090
tube(s).
58760 .......... A Remove tubal 13.13 NA NA 6.39 6.18 0.99 NA NA 20.51 20.30 090
obstruction.
58770 .......... A Create new tubal 13.97 NA NA 6.66 6.43 1.14 NA NA 21.77 21.54 090
opening.
58800 .......... A Drainage of ovarian 4.14 3.80 3.58 3.80 3.58 0.28 8.22 8.00 8.22 8.00 090
cyst(s).
58805 .......... A Drainage of ovarian 5.88 NA NA 3.39 4.27 0.52 NA NA 9.79 10.67 090
cyst(s).
58820 .......... A Drain ovary 4.22 NA NA 3.23 3.17 0.25 NA NA 7.70 7.64 090
abscess, open.
58822 .......... A Drain ovary 10.13 NA NA 5.20 4.86 0.85 NA NA 16.18 15.84 090
abscess, percut.
58823 .......... A Drain pelvic 3.38 NA NA 3.02 2.96 0.23 NA NA 6.63 6.57 000
abscess, percut.
58825 .......... A Transposition, 6.13 NA NA 3.72 3.88 0.48 NA NA 10.33 10.49 090
ovary(s).
58900 .......... A Biopsy of ovary(s). 5.99 NA NA 3.50 4.03 0.51 NA NA 10.00 10.53 090
58920 .......... A Partial removal of 6.78 NA NA 3.78 4.68 0.60 NA NA 11.16 12.06 090
ovary(s).
58925 .......... A Removal of ovarian 11.36 NA NA 5.51 5.91 0.01 NA NA 16.88 17.28 090
cyst(s).
58940 .......... A Removal of ovary(s) 7.29 NA NA 3.90 4.69 0.66 NA NA 11.85 12.64 090
58943 .......... A Removal of ovary(s) 18.43 NA NA 9.10 10.11 1.53 NA NA 29.06 30.07 090
58950 .......... A Resect ovarian 15.27 NA NA 7.94 9.01 1.24 NA NA 24.45 25.52 090
malignancy.
58951 .......... A Resect ovarian 21.81 NA NA 10.57 12.90 1.70 NA NA 34.08 36.41 090
malignancy.
58952 .......... A Resect ovarian 25.01 NA NA 11.83 13.79 1.94 NA NA 38.78 40.74 090
malignancy.
58960 .......... A Exploration of 14.65 NA NA 7.72 9.31 1.16 NA NA 23.53 25.12 090
abdomen.
58970 .......... A Retrieval of oocyte 3.53 7.26 6.13 1.70 1.96 0.25 11.04 9.91 5.48 5.74 000
58974 .......... C Transfer of embryo. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
58976 .......... A Transfer of embryo. 3.83 2.20 2.39 1.52 1.88 0.29 6.32 6.51 5.64 6.00 000
58999 .......... C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
59000 .......... A Amniocentesis...... 1.30 1.49 1.38 0.50 0.64 0.19 2.98 2.87 1.99 2.13 000
59012 .......... A Fetal cord 3.45 NA NA 1.64 1.94 0.51 NA NA 5.60 5.90 000
puncture,prenatal.
59015 .......... A Chorion biopsy..... 2.20 1.25 1.26 0.87 0.98 0.32 3.77 3.78 3.39 3.50 000
59020 .......... A Fetal contract 0.66 0.79 0.92 NA NA 0.21 1.66 1.79 NA NA 000
stress test.
59020 26 A Fetal contract 0.66 0.26 0.39 0.26 0.39 0.13 1.05 1.18 1.05 1.18 000
stress test.
59020 TC A Fetal contract 0.00 0.53 0.53 NA NA 0.08 0.61 0.61 NA NA 000
stress test.
59025 .......... A Fetal non-stress 0.53 0.44 0.49 NA NA 0.10 1.07 1.12 NA NA 000
test.
59025 26 A Fetal non-stress 0.53 0.21 0.26 0.21 0.26 0.08 0.82 0.87 0.82 0.87 000
test.
59025 TC A Fetal non-stress 0.00 0.23 0.23 NA NA 0.02 0.25 0.25 NA NA 000
test.
59030 .......... A Fetal scalp blood 1.99 NA NA 1.02 1.19 0.30 NA NA 3.31 3.48 000
sample.
59050 .......... A Fetal monitor w/ 0.89 NA NA 0.34 0.48 0.12 NA NA 1.35 1.49 XXX
report.
59051 .......... A Fetal monitor/ 0.74 NA NA 0.28 0.43 0.10 NA NA 1.12 1.27 XXX
interpret only.
59100 .......... A Remove uterus 12.35 NA NA 6.08 5.68 1.80 NA NA 20.23 19.83 090
lesion.
59120 .......... A Treat ectopic 11.49 NA NA 5.77 6.46 1.67 NA NA 18.93 19.62 090
pregnancy.
59121 .......... A Treat ectopic 11.67 NA NA 5.90 5.89 1.70 NA NA 19.27 19.26 090
pregnancy.
59130 .......... A Treat ectopic 14.22 NA NA 6.97 6.85 2.07 NA NA 23.26 23.14 090
pregnancy.
59135 .......... A Treat ectopic 13.88 NA NA 6.83 7.80 2.01 NA NA 22.72 23.69 090
pregnancy.
59136 .......... A Treat ectopic 13.18 NA NA 6.55 6.60 1.92 NA NA 21.65 21.70 090
pregnancy.
59140 .......... A Treat ectopic 5.46 NA NA 3.41 3.82 0.79 NA NA 9.66 10.07 090
pregnancy.
59150 .......... A Treat ectopic 6.89 NA NA 4.06 4.28 0.01 NA NA 10.96 11.18 090
pregnancy.
59151 .......... A Treat ectopic 7.86 NA NA 4.07 5.39 1.15 NA NA 13.08 14.40 090
pregnancy.
59160 .......... A D & c after 2.71 3.24 3.23 2.06 2.34 0.39 6.34 6.33 5.16 5.44 010
delivery.
59200 .......... A Insert cervical 0.79 1.21 1.06 0.30 0.37 0.11 2.11 1.96 1.20 1.27 000
dilator.
59300 .......... A Episiotomy or 2.41 1.57 1.45 0.96 0.99 0.34 4.32 4.20 3.71 3.74 000
vaginal repair.
59320 .......... A Revision of cervix. 2.48 NA NA 1.36 1.50 0.36 NA NA 4.20 4.34 000
59325 .......... A Revision of cervix. 4.07 NA NA 1.99 2.28 0.59 NA NA 6.65 6.94 000
59350 .......... A Repair of uterus... 4.95 NA NA 1.96 2.43 0.73 NA NA 7.64 8.11 000
59400 .......... A Obstetrical care... 23.06 NA NA 13.43 14.14 3.35 NA NA 39.84 40.55 MMM
59409 .......... A Obstetrical care... 13.50 NA NA 5.14 6.43 1.97 NA NA 20.61 21.90 MMM
59410 .......... A Obstetrical care... 14.78 NA NA 6.05 7.34 2.15 NA NA 22.98 24.27 MMM
59412 .......... A Antepartum 1.71 1.19 1.22 0.66 0.83 0.25 3.15 3.18 2.62 2.79 MMM
manipulation.
59414 .......... A Deliver placenta... 1.61 NA NA 1.14 1.17 0.24 NA NA 2.99 3.02 MMM
[[Page 44261]]
59425 .......... A Antepartum care 4.81 4.65 4.27 4.65 4.27 0.71 10.17 9.79 10.17 9.79 MMM
only.
59426 .......... A Antepartum care 8.28 7.95 7.30 7.93 7.29 1.20 17.43 16.78 17.41 16.77 MMM
only.
59430 .......... A Care after delivery 2.13 1.16 0.97 1.15 0.97 0.32 3.61 3.42 3.60 3.42 MMM
59510 .......... A Cesarean delivery.. 26.22 NA NA 15.65 16.32 3.82 NA NA 45.69 46.36 MMM
59514 .......... A Cesarean delivery 15.97 NA NA 6.06 7.53 2.32 NA NA 24.35 25.82 MMM
only.
59515 .......... A Cesarean delivery.. 17.37 NA NA 7.63 8.93 2.53 NA NA 27.53 28.83 MMM
59525 .......... A Remove uterus after 8.54 NA NA 3.23 3.46 1.24 NA NA 13.01 13.24 ZZZ
cesarean.
59610 .......... A Vbac delivery...... 24.62 NA NA 14.37 14.85 3.58 NA NA 42.57 43.05 MMM
59612 .......... A Vbac delivery only. 15.06 NA NA 5.85 6.96 2.20 NA NA 23.11 24.22 MMM
59614 .......... A Vbac care after 16.34 NA NA 7.07 8.10 2.38 NA NA 25.79 26.82 MMM
delivery.
59618 .......... A Attempted vbac 27.78 NA NA 11.46 13.18 4.05 NA NA 43.29 45.01 MMM
delivery.
59620 .......... A Attempted vbac 17.53 NA NA 6.75 8.05 2.55 NA NA 26.83 28.13 MMM
delivery only.
59622 .......... A Attempted vbac 18.93 NA NA 8.55 9.62 2.76 NA NA 30.24 31.31 MMM
after care.
59812 .......... A Treatment of 3.25 2.94 3.19 2.23 2.65 0.48 6.67 6.92 5.96 6.38 090
miscarriage.
59820 .......... A Care of miscarriage 4.01 3.22 3.43 2.50 2.89 0.59 7.82 8.03 7.10 7.49 090
59821 .......... A Treatment of 4.47 3.48 3.35 2.69 2.76 0.66 8.61 8.48 7.82 7.89 090
miscarriage.
59830 .......... A Treat uterus 6.11 NA NA 3.65 3.97 0.89 NA NA 10.65 10.97 090
infection.
59840 .......... R Abortion........... 3.01 3.26 3.32 2.12 2.46 0.44 6.71 6.77 5.57 5.91 010
59841 .......... R Abortion........... 5.24 4.80 4.62 3.34 3.52 0.75 10.79 10.61 9.33 9.51 010
59850 .......... R Abortion........... 5.91 NA NA 2.50 2.96 0.86 NA NA 9.27 9.73 090
59851 .......... R Abortion........... 5.93 NA NA 2.90 3.34 0.86 NA NA 9.69 10.13 090
59852 .......... R Abortion........... 8.24 NA NA 4.36 4.77 1.19 NA NA 13.79 14.20 090
59855 .......... R Abortion........... 6.12 NA NA 3.18 3.51 0.89 NA NA 10.19 10.52 090
59856 .......... R Abortion........... 7.48 NA NA 3.58 4.07 1.09 NA NA 12.15 12.64 090
59857 .......... R Abortion........... 9.29 NA NA 4.34 4.94 1.36 NA NA 14.99 15.59 090
59866 .......... R Abortion (mpr)..... 0.04 NA NA 1.59 1.97 0.58 NA NA 2.21 2.59 000
59870 .......... A Evacuate mole of 4.28 NA NA 2.85 2.93 0.62 NA NA 7.75 7.83 090
uterus.
59871 .......... A Remove cerclage 2.13 1.89 1.90 0.85 1.12 0.32 4.34 4.35 3.30 3.57 000
suture.
59898 .......... C Laparo proc, ob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
care/deliver.
59899 .......... C Maternity care 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
60000 .......... A Drain thyroid/ 1.76 2.10 1.74 1.80 1.51 0.11 3.97 3.61 3.67 3.38 010
tongue cyst.
60001 .......... A Aspirate/inject 0.97 1.51 1.42 0.36 0.56 0.07 2.55 2.46 1.40 1.60 000
thyriod cyst.
60100 .......... A Biopsy of thyroid.. 0.97 2.09 1.85 0.35 0.55 0.06 3.12 2.88 1.38 1.58 000
60200 .......... A Remove thyroid 9.55 NA NA 6.22 6.30 0.87 NA NA 16.64 16.72 090
lesion.
60210 .......... A Partial thyroid 10.88 NA NA 6.24 7.04 1.01 NA NA 18.13 18.93 090
excision.
60212 .......... A Parital thyroid 16.03 NA NA 8.05 8.49 1.54 NA NA 25.62 26.06 090
excision.
60220 .......... A Partial removal of 10.53 NA NA 6.21 6.98 0.97 NA NA 17.71 18.48 090
thyroid.
60225 .......... A Partial removal of 14.19 NA NA 7.67 8.60 1.30 NA NA 23.16 24.09 090
thyroid.
60240 .......... A Removal of thyroid. 16.06 NA NA 8.92 9.56 1.49 NA NA 26.47 27.11 090
60252 .......... A Removal of thyroid. 18.20 NA NA 10.11 11.29 1.64 NA NA 29.95 31.13 090
60254 .......... A Extensive thyroid 23.88 NA NA 13.75 15.53 1.99 NA NA 39.62 41.40 090
surgery.
60260 .......... A Repeat thyroid 15.46 NA NA 8.98 7.59 1.42 NA NA 25.86 24.47 090
surgery.
60270 .......... A Removal of thyroid. 17.94 NA NA 11.42 12.36 1.86 NA NA 31.22 32.16 090
60271 .......... A Removal of thyroid. 14.89 NA NA 8.95 10.01 1.39 NA NA 25.23 26.29 090
60280 .......... A Remove thyroid duct 5.87 NA NA 4.56 5.24 0.48 NA NA 10.91 11.59 090
lesion.
60281 .......... A Remove thyroid duct 8.53 NA NA 6.21 6.03 0.74 NA NA 15.48 15.30 090
lesion.
60500 .......... A Explore parathyroid 16.23 NA NA 7.86 8.98 1.58 NA NA 25.67 26.79 090
glands.
60502 .......... A Re-explore 20.35 NA NA 9.85 10.48 1.97 NA NA 32.17 32.80 090
parathyroids.
60505 .......... A Explore parathyroid 21.49 NA NA 12.26 12.76 2.20 NA NA 35.95 36.45 090
glands.
60512 .......... A Autotransplant 4.45 NA NA 1.77 1.96 0.44 NA NA 6.66 6.85 ZZZ
parathyroid.
60520 .......... A Removal of thymus 16.81 NA NA 11.17 12.05 1.90 NA NA 29.88 30.76 090
gland.
60521 .......... A Removal of thymus 18.87 NA NA 14.18 14.31 2.43 NA NA 35.48 35.61 090
gland.
60522 .......... A Removal of thymus 23.09 NA NA 15.47 15.28 2.88 NA NA 41.44 41.25 090
gland.
60540 .......... A Explore adrenal 17.03 NA NA 7.84 9.15 1.40 NA NA 26.27 27.58 090
gland.
60545 .......... A Explore adrenal 19.88 NA NA 9.60 11.07 1.68 NA NA 31.16 32.63 090
gland.
60600 .......... A Remove carotid body 17.93 NA NA 14.06 13.66 1.95 NA NA 33.94 33.54 090
lesion.
60605 .......... A Remove carotid body 20.24 NA NA 17.41 15.96 1.89 NA NA 39.54 38.09 090
lesion.
60650 .......... A Laparoscopy 0.20 NA NA 9.24 9.24 1.35 NA NA 10.79 10.79 090
adrenalectomy.
60659 .......... C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
endocrine.
60699 .......... C Endocrine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
61000 .......... A Remove cranial 1.58 1.54 1.45 1.39 1.33 0.13 3.25 3.16 3.10 3.04 000
cavity fluid.
61001 .......... A Remove cranial 1.49 1.53 1.39 1.35 1.25 0.13 3.15 3.01 2.97 2.87 000
cavity fluid.
61020 .......... A Remove brain cavity 1.51 1.96 1.81 1.38 1.38 0.28 3.75 3.60 3.17 3.17 000
fluid.
61026 .......... A Injection into 1.69 1.96 1.98 1.50 1.63 0.24 3.89 3.91 3.43 3.56 000
brain canal.
61050 .......... A Remove brain canal 1.51 NA NA 1.43 1.41 0.16 NA NA 3.10 3.08 000
fluid.
61055 .......... A Injection into 2.10 NA NA 1.55 1.67 0.12 NA NA 3.77 3.89 000
brain canal.
61070 .......... A Brain canal shunt 0.89 6.07 4.69 1.07 0.94 0.09 7.05 5.67 2.05 1.92 000
procedure.
61105 .......... A Twist drill hole... 5.14 NA NA 3.47 4.14 1.03 NA NA 9.64 10.31 090
61107 .......... A Drill skull for 0.05 NA NA 3.03 3.77 0.01 NA NA 3.09 3.83 000
implantation.
61108 .......... A Drill skull for 10.19 NA NA 6.74 8.10 2.04 NA NA 18.97 20.33 090
drainage.
61120 .......... A Burr hole for 8.76 NA NA 5.61 5.82 1.78 NA NA 16.15 16.36 090
puncture.
61140 .......... A Pierce skull for 15.90 NA NA 9.47 10.94 3.06 NA NA 28.43 29.90 090
biopsy.
61150 .......... A Pierce skull for 17.57 NA NA 10.72 12.02 3.40 NA NA 31.69 32.99 090
drainage.
61151 .......... A Pierce skull for 12.42 NA NA 7.98 6.56 2.51 NA NA 22.91 21.49 090
drainage.
61154 .......... A Pierce skull & 14.99 NA NA 9.72 11.77 2.94 NA NA 27.65 29.70 090
remove clot.
61156 .......... A Pierce skull for 16.32 NA NA 9.90 11.82 3.25 NA NA 29.47 31.39 090
drainage.
61210 .......... A Pierce skull, 5.84 NA NA 3.46 4.23 1.15 NA NA 10.45 11.22 000
implant device.
61215 .......... A Insert brain-fluid 4.89 NA NA 3.95 4.42 0.95 NA NA 9.79 10.26 090
device.
61250 .......... A Pierce skull & 10.42 NA NA 6.47 7.03 2.07 NA NA 18.96 19.52 090
explore.
61253 .......... A Pierce skull & 12.36 NA NA 7.27 8.06 2.40 NA NA 22.03 22.82 090
explore.
61304 .......... A Open skull for 21.96 NA NA 12.11 15.64 4.20 NA NA 38.27 41.80 090
exploration.
61305 .......... A Open skull for 26.61 NA NA 14.68 18.91 0.05 NA NA 41.34 45.57 090
exploration.
[[Page 44262]]
61312 .......... A Open skull for 24.57 NA NA 14.00 17.05 4.77 NA NA 43.34 46.39 090
drainage.
61313 .......... A Open skull for 24.93 NA NA 14.21 17.18 4.81 NA NA 43.95 46.92 090
drainage.
61314 .......... A Open skull for 24.23 NA NA 13.79 17.29 4.73 NA NA 42.75 46.25 090
drainage.
61315 .......... A Open skull for 27.68 NA NA 15.59 18.32 5.37 NA NA 48.64 51.37 090
drainage.
61320 .......... A Open skull for 25.62 NA NA 14.44 15.90 4.90 NA NA 44.96 46.42 090
drainage.
61321 .......... A Open skull for 28.50 NA NA 15.58 17.07 5.28 NA NA 49.36 50.85 090
drainage.
61330 .......... A Decompress eye 23.32 NA NA 15.92 15.46 2.77 NA NA 42.01 41.55 090
socket.
61332 .......... A Explore/biopsy eye 27.28 NA NA 18.15 19.24 4.31 NA NA 49.74 50.83 090
socket.
61333 .......... A Explore orbit/ 27.95 NA NA 16.54 17.96 3.08 NA NA 47.57 48.99 090
remove lesion.
61334 .......... A Explore orbit/ 18.27 NA NA 11.69 12.74 2.49 NA NA 32.45 33.50 090
remove object.
61340 .......... A Relieve cranial 18.66 NA NA 11.26 12.46 3.47 NA NA 33.39 34.59 090
pressure.
61343 .......... A Incise skull (press 29.77 NA NA 17.15 21.02 5.80 NA NA 52.72 56.59 090
relief).
61345 .......... A Relieve cranial 27.20 NA NA 16.05 17.24 5.29 NA NA 48.54 49.73 090
pressure.
61440 .......... A Incise skull for 26.63 NA NA 13.99 16.12 2.95 NA NA 43.57 45.70 090
surgery.
61450 .......... A Incise skull for 25.95 NA NA 14.08 16.10 5.14 NA NA 45.17 47.19 090
surgery.
61458 .......... A Incise skull for 27.29 NA NA 15.32 18.89 5.28 NA NA 47.89 51.46 090
brain wound.
61460 .......... A Incise skull for 28.39 NA NA 16.16 18.92 4.73 NA NA 49.28 52.04 090
surgery.
61470 .......... A Incise skull for 26.06 NA NA 14.01 14.27 4.30 NA NA 44.37 44.63 090
surgery.
61480 .......... A Incise skull for 26.49 NA NA 14.70 15.11 4.97 NA NA 46.16 46.57 090
surgery.
61490 .......... A Incise skull for 25.66 NA NA 14.23 13.85 4.81 NA NA 44.70 44.32 090
surgery.
61500 .......... A Removal of skull 17.92 NA NA 10.53 13.25 3.14 NA NA 31.59 34.31 090
lesion.
61501 .......... A Remove infected 14.84 NA NA 8.90 11.10 2.53 NA NA 26.27 28.47 090
skull bone.
61510 .......... A Removal of brain 28.45 NA NA 15.99 19.33 5.53 NA NA 49.97 53.31 090
lesion.
61512 .......... A Remove brain lining 35.09 NA NA 19.46 22.47 6.83 NA NA 61.38 64.39 090
lesion.
61514 .......... A Removal of brain 25.26 NA NA 14.44 17.76 4.82 NA NA 44.52 47.84 090
abscess.
61516 .......... A Removal of brain 24.61 NA NA 14.35 17.95 4.78 NA NA 43.74 47.34 090
lesion.
61518 .......... A Removal of brain 37.32 NA NA 21.33 24.14 7.20 NA NA 65.85 68.66 090
lesion.
61519 .......... A Remove brain lining 41.39 NA NA 23.33 25.97 8.02 NA NA 72.74 75.38 090
lesion.
61520 .......... A Removal of brain 54.84 NA NA 30.85 32.32 9.62 NA NA 95.31 96.78 090
lesion.
61521 .......... A Removal of brain 44.48 NA NA 24.54 27.35 8.18 NA NA 77.20 80.01 090
lesion.
61522 .......... A Removal of brain 29.45 NA NA 16.97 18.14 5.79 NA NA 52.21 53.38 090
abscess.
61524 .......... A Removal of brain 27.86 NA NA 16.22 19.61 5.32 NA NA 49.40 52.79 090
lesion.
61526 .......... A Removal of brain 52.17 NA NA 29.68 31.49 6.38 NA NA 88.23 90.04 090
lesion.
61530 .......... A Removal of brain 43.86 NA NA 25.95 28.69 6.16 NA NA 75.97 78.71 090
lesion.
61531 .......... A Implant brain 14.63 NA NA 9.29 11.03 2.88 NA NA 26.80 28.54 090
electrodes.
61533 .......... A Implant brain 19.71 NA NA 11.78 13.45 3.88 NA NA 35.37 37.04 090
electrodes.
61534 .......... A Removal of brain 20.97 NA NA 12.50 11.11 3.84 NA NA 37.31 35.92 090
lesion.
61535 .......... A Remove brain 11.63 NA NA 7.51 7.71 2.13 NA NA 21.27 21.47 090
electrodes.
61536 .......... A Removal of brain 35.52 NA NA 20.13 21.06 7.13 NA NA 62.78 63.71 090
lesion.
61538 .......... A Removal of brain 26.81 NA NA 15.73 19.69 5.27 NA NA 47.81 51.77 090
tissue.
61539 .......... A Removal of brain 32.08 NA NA 18.32 19.97 6.37 NA NA 56.77 58.42 090
tissue.
61541 .......... A Incision of brain 28.85 NA NA 16.71 17.91 5.40 NA NA 50.96 52.16 090
tissue.
61542 .......... A Removal of brain 31.02 NA NA 18.34 19.16 6.27 NA NA 55.63 56.45 090
tissue.
61543 .......... A Removal of brain 29.22 NA NA 16.60 17.13 5.25 NA NA 51.07 51.60 090
tissue.
61544 .......... A Remove & treat 25.50 NA NA 13.80 17.96 3.85 NA NA 43.15 47.31 090
brain lesion.
61545 .......... A Excision of brain 43.80 NA NA 24.49 25.33 8.32 NA NA 76.61 77.45 090
tumor.
61546 .......... A Removal of 31.30 NA NA 18.13 20.93 5.86 NA NA 55.29 58.09 090
pituitary gland.
61548 .......... A Removal of 21.53 NA NA 13.00 16.18 3.48 NA NA 38.01 41.19 090
pituitary gland.
61550 .......... A Release of skull 14.65 NA NA 8.48 9.57 0.57 NA NA 23.70 24.79 090
seams.
61552 .......... A Release of skull 19.56 NA NA 9.50 10.88 1.48 NA NA 30.54 31.92 090
seams.
61556 .......... A Incise skull/ 22.26 NA NA 11.57 12.89 3.45 NA NA 37.28 38.60 090
sutures.
61557 .......... A Incise skull/ 22.38 NA NA 12.04 13.27 4.12 NA NA 38.54 39.77 090
sutures.
61558 .......... A Excision of skull/ 25.58 NA NA 13.85 15.20 5.17 NA NA 44.60 45.95 090
sutures.
61559 .......... A Excision of skull/ 32.79 NA NA 18.43 20.07 6.63 NA NA 57.85 59.49 090
sutures.
61563 .......... A Excision of skull 26.83 NA NA 15.39 16.65 4.50 NA NA 46.72 47.98 090
tumor.
61564 .......... A Excision of skull 33.83 NA NA 14.31 17.17 0.05 NA NA 48.19 51.05 090
tumor.
61570 .......... A Remove foreign 24.60 NA NA 13.36 14.50 4.45 NA NA 42.41 43.55 090
body, brain.
61571 .......... A Incise skull for 26.39 NA NA 14.48 15.83 4.79 NA NA 45.66 47.01 090
brain wound.
61575 .......... A Skull base/ 34.36 NA NA 20.37 24.23 5.12 NA NA 59.85 63.71 090
brainstem surgery.
61576 .......... A Skull base/ 52.43 NA NA 30.84 30.79 6.55 NA NA 89.82 89.77 090
brainstem surgery.
61580 .......... A Craniofacial 30.35 NA NA 18.00 19.20 2.98 NA NA 51.33 52.53 090
approach, skull.
61581 .......... A Craniofacial 34.60 NA NA 0.50 21.84 2.46 NA NA 57.56 58.90 090
approach, skull.
61582 .......... A Craniofacial 31.66 NA NA 18.04 19.41 5.44 NA NA 55.14 56.51 090
approach, skull.
61583 .......... A Craniofacial 36.21 NA NA 21.39 22.75 6.91 NA NA 64.51 65.87 090
approach, skull.
61584 .......... A Orbitocranial 34.65 NA NA 19.94 21.44 6.45 NA NA 61.04 62.54 090
approach/skull.
61585 .......... A Orbitocranial 38.61 NA NA 21.82 23.62 7.01 NA NA 67.44 69.24 090
approach/skull.
61586 .......... A Resect nasopharynx, 25.10 NA NA 15.15 17.16 3.10 NA NA 43.35 45.36 090
skull.
61590 .......... A Infratemporal 41.78 NA NA 24.15 26.01 4.74 NA NA 70.67 72.53 090
approach/skull.
61591 .......... A Infratemporal 43.68 NA NA 25.73 27.58 5.52 NA NA 74.93 76.78 090
approach/skull.
61592 .......... A Orbitocranial 39.64 NA NA 22.75 24.57 7.30 NA NA 69.69 71.51 090
approach/skull.
61595 .......... A Transtemporal 29.57 NA NA 18.42 19.36 3.03 NA NA 51.02 51.96 090
approach/skull.
61596 .......... A Transcochlear 35.63 NA NA 21.17 22.62 4.03 NA NA 60.83 62.28 090
approach/skull.
61597 .......... A Transcondylar 37.96 NA NA 21.90 23.55 5.65 NA NA 65.51 67.16 090
approach/skull.
61598 .......... A Transpetrosal 33.41 NA NA 19.41 20.83 5.09 NA NA 57.91 59.33 090
approach/skull.
61600 .......... A Resect/excise 25.85 NA NA 15.58 16.50 2.80 NA NA 44.23 45.15 090
cranial lesion.
61601 .......... A Resect/excise 27.89 NA NA 16.37 17.44 5.14 NA NA 49.40 50.47 090
cranial lesion.
61605 .......... A Resect/excise 29.33 NA NA 17.76 18.77 2.67 NA NA 49.76 50.77 090
cranial lesion.
61606 .......... A Resect/excise 38.83 NA NA 22.70 24.32 7.06 NA NA 68.59 70.21 090
cranial lesion.
61607 .......... A Resect/excise 36.27 NA NA 20.76 22.39 6.59 NA NA 63.62 65.25 090
cranial lesion.
61608 .......... A Resect/excise 42.10 NA NA 23.94 25.89 8.11 NA NA 74.15 76.10 090
cranial lesion.
61609 .......... A Transect artery, 9.89 NA NA 4.59 5.39 0.02 NA NA 14.50 15.30 ZZZ
sinus.
61610 .......... A Transect artery, 29.67 NA NA 14.59 16.80 4.63 NA NA 48.89 51.10 ZZZ
sinus.
[[Page 44263]]
61611 .......... A Transect artery, 7.42 NA NA 2.94 3.67 1.50 NA NA 11.86 12.59 ZZZ
sinus.
61612 .......... A Transect artery, 27.88 NA NA 14.12 16.09 4.21 NA NA 46.21 48.18 ZZZ
sinus.
61613 .......... A Remove aneurysm, 40.86 NA NA 23.29 25.25 8.27 NA NA 72.42 74.38 090
sinus.
61615 .......... A Resect/excise 32.07 NA NA 19.39 20.53 4.42 NA NA 55.88 57.02 090
lesion, skull.
61616 .......... A Resect/excise 43.33 NA NA 25.79 27.49 7.27 NA NA 76.39 78.09 090
lesion, skull.
61618 .......... A Repair dura........ 16.99 NA NA 10.79 11.17 2.83 NA NA 30.61 30.99 090
61619 .......... A Repair dura........ 20.71 NA NA 12.44 13.18 3.40 NA NA 36.55 37.29 090
61624 .......... A Occlusion/ 20.15 NA NA 7.28 9.61 1.04 NA NA 28.47 30.80 000
embolization cath.
61626 .......... A Occlusion/ 16.62 NA NA 5.88 7.83 0.74 NA NA 23.24 25.19 000
embolization cath.
61680 .......... A Intracranial vessel 30.71 NA NA 17.66 21.67 5.90 NA NA 54.27 58.28 090
surgery.
61682 .......... A Intracranial vessel 61.57 NA NA 33.18 34.47 11.84 NA NA 106.59 107.88 090
surgery.
61684 .......... A Intracranial vessel 39.81 NA NA 22.68 25.09 8.05 NA NA 70.54 72.95 090
surgery.
61686 .......... A Intracranial vessel 64.49 NA NA 35.15 36.13 12.87 NA NA 112.51 113.49 090
surgery.
61690 .......... A Intracranial vessel 29.31 NA NA 16.43 19.77 5.46 NA NA 51.20 54.54 090
surgery.
61692 .......... A Intracranial vessel 51.87 NA NA 28.24 28.99 9.05 NA NA 89.16 89.91 090
surgery.
61700 .......... A Inner skull vessel 50.52 NA NA 27.43 29.17 9.86 NA NA 87.81 89.55 090
surgery.
61702 .......... A Inner skull vessel 48.41 NA NA 26.43 29.68 9.56 NA NA 84.40 87.65 090
surgery.
61703 .......... A Clamp neck artery.. 17.47 NA NA 10.57 11.24 3.28 NA NA 31.32 31.99 090
61705 .......... A Revise circulation 36.20 NA NA 19.36 22.77 6.67 NA NA 62.23 65.64 090
to head.
61708 .......... A Revise circulation 35.30 NA NA 15.57 18.52 2.42 NA NA 53.29 56.24 090
to head.
61710 .......... A Revise circulation 29.67 NA NA 13.92 14.95 3.62 NA NA 47.21 48.24 090
to head.
61711 .......... A Fusion of skull 36.33 NA NA 20.00 23.97 7.04 NA NA 63.37 67.34 090
arteries.
61720 .......... A Incise skull/brain 16.77 NA NA 10.36 12.78 3.29 NA NA 30.42 32.84 090
surgery.
61735 .......... A Incise skull/brain 20.43 NA NA 12.35 12.78 3.98 NA NA 36.76 37.19 090
surgery.
61750 .......... A Incise skull/brain 18.20 NA NA 10.57 11.60 3.52 NA NA 32.29 33.32 090
biopsy.
61751 .......... A Brain biopsy w/ ct/ 17.62 NA NA 10.41 13.07 3.47 NA NA 31.50 34.16 090
mr guide.
61760 .......... A Implant brain 22.27 NA NA 6.98 9.30 4.18 NA NA 33.43 35.75 090
electrodes.
61770 .......... A Incise skull for 21.44 NA NA 12.86 14.90 3.85 NA NA 38.15 40.19 090
treatment.
61790 .......... A Treat trigeminal 10.86 NA NA 5.06 7.04 1.75 NA NA 17.67 19.65 090
nerve.
61791 .......... A Treat trigeminal 14.61 NA NA 8.91 9.33 2.90 NA NA 26.42 26.84 090
tract.
61793 .......... A Focus radiation 17.24 NA NA 10.48 13.01 3.31 NA NA 31.03 33.56 090
beam.
61795 .......... A Brain surgery using 4.04 NA NA 2.08 2.77 0.80 NA NA 6.92 7.61 ZZZ
computer.
61850 .......... A Implant 12.39 NA NA 7.71 8.94 2.10 NA NA 22.20 23.43 090
neuroelectrodes.
61855 .......... D Implant 13.39 5.31 6.80 5.31 6.80 2.63 21.33 22.82 21.33 22.82 090
neuroelectrodes.
61860 .......... A Implant 20.87 NA NA 12.64 11.69 4.22 NA NA 37.73 36.78 090
neuroelectrodes.
61862 .......... A Implant 19.34 NA NA 11.59 11.59 3.89 NA NA 34.82 34.82 090
neurostimul,
subcort.
61865 .......... D Implant 22.97 9.11 11.12 9.11 11.12 4.65 36.73 38.74 36.73 38.74 090
neuroelectrodes.
61870 .......... A Implant 14.94 NA NA 8.59 7.58 3.03 NA NA 26.56 25.55 090
neuroelectrodes.
61875 .......... A Implant 15.06 NA NA 8.64 8.30 3.05 NA NA 26.75 26.41 090
neuroelectrodes.
61880 .......... A Revise/remove 6.29 NA NA 4.94 5.01 1.25 NA NA 12.48 12.55 090
neuroelectrode.
61885 .......... A Implant neurostim 5.85 NA NA 4.03 3.56 1.18 NA NA 11.06 10.59 090
one array.
61886 .......... A Implant neurostim 0.08 NA NA 5.82 5.82 1.43 NA NA 7.33 7.33 090
arrays.
61888 .......... A Revise/remove 5.07 NA NA 3.74 3.42 1.02 NA NA 9.83 9.51 010
neuroreceiver.
62000 .......... A Treat skull 12.53 NA NA 5.31 5.54 0.90 NA NA 18.74 18.97 090
fracture.
62005 .......... A Treat skull 16.17 NA NA 8.46 9.35 2.61 NA NA 27.24 28.13 090
fracture.
62010 .......... A Treatment of head 19.81 NA NA 11.42 13.78 3.72 NA NA 34.95 37.31 090
injury.
62100 .......... A Repair brain fluid 22.03 NA NA 13.45 15.95 3.82 NA NA 39.30 41.80 090
leakage.
62115 .......... A Reduction of skull 21.66 NA NA 11.16 12.58 2.96 NA NA 35.78 37.20 090
defect.
62116 .......... A Reduction of skull 23.59 NA NA 12.76 14.18 4.47 NA NA 40.82 42.24 090
defect.
62117 .......... A Reduction of skull 26.60 NA NA 15.26 16.66 5.38 NA NA 47.24 48.64 090
defect.
62120 .......... A Repair skull cavity 23.35 NA NA 13.79 14.93 3.46 NA NA 40.60 41.74 090
lesion.
62121 .......... A Incise skull repair 21.58 NA NA 13.05 14.54 3.52 NA NA 38.15 39.64 090
62140 .......... A Repair of skull 13.51 NA NA 8.29 9.86 2.56 NA NA 24.36 25.93 090
defect.
62141 .......... A Repair of skull 14.91 NA NA 9.38 11.49 2.80 NA NA 27.09 29.20 090
defect.
62142 .......... A Remove skull plate/ 10.79 NA NA 7.00 8.47 2.06 NA NA 19.85 21.32 090
flap.
62143 .......... A Replace skull plate/ 13.05 NA NA 8.43 8.81 2.47 NA NA 23.95 24.33 090
flap.
62145 .......... A Repair of skull & 18.82 NA NA 11.28 12.03 3.76 NA NA 33.86 34.61 090
brain.
62146 .......... A Repair of skull 16.12 NA NA 9.96 10.45 2.93 NA NA 29.01 29.50 090
with graft.
62147 .......... A Repair of skull 19.34 NA NA 11.52 12.21 3.22 NA NA 34.08 34.77 090
with graft.
62180 .......... A Establish brain 21.06 NA NA 12.49 13.22 0.04 NA NA 33.59 34.32 090
cavity shunt.
62190 .......... A Establish brain 11.07 NA NA 7.06 8.60 2.21 NA NA 20.34 21.88 090
cavity shunt.
62192 .......... A Establish brain 12.25 NA NA 8.00 9.66 2.28 NA NA 22.53 24.19 090
cavity shunt.
62194 .......... A Replace/irrigate 5.03 NA NA 1.94 1.97 0.47 NA NA 7.44 7.47 010
catheter.
62200 .......... A Establish brain 18.32 NA NA 11.14 12.96 3.67 NA NA 33.13 34.95 090
cavity shunt.
62201 .......... A Establish brain 14.86 NA NA 9.34 9.39 2.71 NA NA 26.91 26.96 090
cavity shunt.
62220 .......... A Establish brain 0.13 NA NA 8.26 10.08 2.52 NA NA 10.91 12.73 090
cavity shunt.
62223 .......... A Establish brain 12.87 NA NA 8.15 9.96 2.43 NA NA 23.45 25.26 090
cavity shunt.
62225 .......... A Replace/irrigate 5.41 NA NA 3.91 4.24 1.07 NA NA 10.39 10.72 090
catheter.
62230 .......... A Replace/revise 10.54 NA NA 6.44 7.50 2.02 NA NA 19.00 20.06 090
brain shunt.
62256 .......... A Remove brain cavity 6.60 NA NA 5.08 5.54 1.30 NA NA 12.98 13.44 090
shunt.
62258 .......... A Replace brain 14.54 NA NA 8.43 10.33 2.80 NA NA 25.77 27.67 090
cavity shunt.
62263 .......... A Lysis epidural 6.02 5.33 5.33 2.27 2.27 0.88 12.23 12.23 9.17 9.17 010
adhesions.
62268 .......... A Drain spinal cord 4.74 NA NA 2.52 2.70 0.42 NA NA 7.68 7.86 000
cyst.
62269 .......... A Needle biopsy, 5.02 NA NA 2.42 2.29 0.28 NA NA 7.72 7.59 000
spinal cord.
62270 .......... A Spinal fluid tap, 1.13 3.10 2.52 0.45 0.53 0.14 4.37 3.79 1.72 1.80 000
diagnostic.
62272 .......... A Drain spinal fluid. 1.35 2.97 2.50 0.61 0.73 0.19 4.51 4.04 2.15 2.27 000
62273 .......... A Treat epidural 2.15 1.27 1.26 1.06 1.10 0.14 3.56 3.55 3.35 3.39 000
spine lesion.
62274 .......... D Inject spinal 1.78 0.71 0.73 0.71 0.73 0.12 2.61 2.63 2.61 2.63 000
anesthetic.
62275 .......... D Inject spinal 1.79 0.71 0.69 0.71 0.69 0.12 2.62 2.60 2.62 2.60 000
anesthetic.
62276 .......... D Inject spinal 2.04 0.81 0.94 0.81 0.94 0.14 2.99 3.12 2.99 3.12 000
anesthetic.
62277 .......... D Inject spinal 2.15 0.85 0.87 0.85 0.87 0.14 3.14 3.16 3.14 3.16 000
anesthetic.
62278 .......... D Inject spinal 1.51 0.60 0.72 0.60 0.72 0.11 2.22 2.34 2.22 2.34 000
anesthetic.
[[Page 44264]]
62279 .......... D Inject spinal 1.58 0.63 0.70 0.63 0.70 0.11 2.32 2.39 2.32 2.39 000
anesthetic.
62280 .......... A Treat spinal cord 2.63 4.36 3.46 0.71 0.73 0.17 7.16 6.26 3.51 3.53 010
lesion.
62281 .......... A Treat spinal cord 2.66 3.46 2.83 0.58 0.67 0.18 6.30 5.67 3.42 3.51 010
lesion.
62282 .......... A Treat spinal canal 2.33 5.32 4.45 0.59 0.90 0.15 7.80 6.93 3.07 3.38 010
lesion.
62284 .......... A Injection for 1.54 4.00 3.54 0.67 1.04 0.11 5.65 5.19 2.32 2.69 000
myelogram.
62287 .......... A Percutaneous 8.08 NA NA 4.88 5.55 0.83 NA NA 13.79 14.46 090
diskectomy.
62288 .......... D Injection into 1.74 0.69 0.82 0.69 0.82 0.14 2.57 2.70 2.57 2.70 000
spinal canal.
62289 .......... D Injection into 1.64 0.65 0.78 0.65 0.78 0.11 2.40 2.53 2.40 2.53 000
spinal canal.
62290 .......... A Inject for spine 0.03 4.16 3.63 1.30 1.48 0.21 4.40 3.87 1.54 1.72 000
disk x-ray.
62291 .......... A Inject for spine 2.91 5.21 4.39 1.13 1.33 0.21 8.33 7.51 4.25 4.45 000
disk x-ray.
62292 .......... A Injection into disk 7.86 NA NA 3.98 5.33 0.71 NA NA 12.55 13.90 090
lesion.
62294 .......... A Injection into 11.83 NA NA 6.37 6.36 0.68 NA NA 18.88 18.87 090
spinal artery.
62298 .......... D Injection into 2.20 0.87 0.94 0.87 0.94 0.14 3.21 3.28 3.21 3.28 000
spinal canal.
62310 .......... A Inject spine c/t... 1.91 3.22 3.22 0.42 0.42 0.26 5.39 5.39 2.59 2.59 000
62311 .......... A Inject spine l/s 1.54 3.71 3.71 0.36 0.36 0.25 5.50 5.50 2.15 2.15 000
(cd).
62318 .......... A Inject spine w/ 2.04 3.28 3.28 0.45 0.45 0.32 5.64 5.64 2.81 2.81 000
cath, c/t.
62319 .......... A Inject spine w/cath 1.87 3.26 3.26 0.39 0.39 0.28 5.41 5.41 2.54 2.54 000
l/s (cd).
62350 .......... A Implant spinal 6.87 NA NA 3.38 3.48 0.67 NA NA 10.92 11.02 090
canal cath.
62351 .......... A Implant spinal 0.10 NA NA 6.49 6.27 1.61 NA NA 8.20 7.98 090
canal cath.
62355 .......... A Remove spinal canal 5.45 NA NA 2.58 2.88 0.51 NA NA 8.54 8.84 090
catheter.
62360 .......... A Insert spine 2.62 NA NA 1.93 1.75 0.23 NA NA 4.78 4.60 090
infusion device.
62361 .......... A Implant spine 5.42 NA NA 2.93 2.93 0.54 NA NA 8.89 8.89 090
infusion pump.
62362 .......... A Implant spine 7.04 NA NA 3.83 3.83 0.86 NA NA 11.73 11.73 090
infusion pump.
62365 .......... A Remove spine 5.42 NA NA 2.95 3.16 0.72 NA NA 9.09 9.30 090
infusion device.
62367 .......... C Analyze spine 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
infusion pump.
62367 26 A Analyze spine 0.48 0.13 0.19 0.13 0.19 0.05 0.66 0.72 0.66 0.72 XXX
infusion pump.
62367 TC C Analyze spine 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
infusion pump.
62368 .......... C Analyze spine 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
infusion pump.
62368 26 A Analyze spine 0.75 0.20 0.30 0.20 0.30 0.06 1.01 1.11 1.01 1.11 XXX
infusion pump.
62368 TC C Analyze spine 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
infusion pump.
63001 .......... A Removal of spinal 15.82 NA NA 10.93 12.92 2.62 NA NA 29.37 31.36 090
lamina.
63003 .......... A Removal of spinal 15.95 NA NA 11.15 13.13 2.70 NA NA 29.80 31.78 090
lamina.
63005 .......... A Removal of spinal 14.92 NA NA 10.68 12.46 2.29 NA NA 27.89 29.67 090
lamina.
63011 .......... A Removal of spinal 14.52 NA NA 8.83 9.33 1.74 NA NA 25.09 25.59 090
lamina.
63012 .......... A Removal of spinal 15.40 NA NA 9.82 11.96 2.25 NA NA 27.47 29.61 090
lamina.
63015 .......... A Removal of spinal 19.35 NA NA 12.81 15.37 3.59 NA NA 35.75 38.31 090
lamina.
63016 .......... A Removal of spinal 19.20 NA NA 12.92 15.42 3.29 NA NA 35.41 37.91 090
lamina.
63017 .......... A Removal of spinal 15.94 NA NA 11.19 13.15 2.55 NA NA 29.68 31.64 090
lamina.
63020 .......... A Neck spine disk 14.81 NA NA 10.52 12.24 2.69 NA NA 28.02 29.74 090
surgery.
63030 .......... A Low back disk 0.12 NA NA 9.13 10.43 1.95 NA NA 11.20 12.50 090
surgery.
63035 .......... A Spinal disk surgery 3.15 NA NA 1.63 2.17 0.51 NA NA 5.29 5.83 ZZZ
add-on.
63040 .......... A Neck spine disk 18.81 NA NA 12.60 15.06 3.09 NA NA 34.50 36.96 090
surgery.
63042 .......... A Low back disk 17.47 NA NA 11.98 14.20 2.69 NA NA 32.14 34.36 090
surgery.
63045 .......... A Removal of spinal 16.50 NA NA 11.36 13.45 2.91 NA NA 30.77 32.86 090
lamina.
63046 .......... A Removal of spinal 15.80 NA NA 11.12 13.06 2.63 NA NA 29.55 31.49 090
lamina.
63047 .......... A Removal of spinal 14.61 NA NA 10.50 12.24 2.22 NA NA 27.33 29.07 090
lamina.
63048 .......... A Remove spinal 3.26 NA NA 1.70 2.25 0.51 NA NA 5.47 6.02 ZZZ
lamina add-on.
63055 .......... A Decompress spinal 21.99 NA NA 14.25 17.13 3.94 NA NA 40.18 43.06 090
cord.
63056 .......... A Decompress spinal 20.36 NA NA 13.44 16.01 3.01 NA NA 36.81 39.38 090
cord.
63057 .......... A Decompress spine 5.26 NA NA 2.65 3.03 0.86 NA NA 8.77 9.15 ZZZ
cord add-on.
63064 .......... A Decompress spinal 24.61 NA NA 15.92 18.41 4.26 NA NA 44.79 47.28 090
cord.
63066 .......... A Decompress spine 3.26 NA NA 1.65 1.91 0.53 NA NA 5.44 5.70 ZZZ
cord add-on.
63075 .......... A Neck spine disk 19.41 NA NA 12.94 14.47 3.38 NA NA 35.73 37.26 090
surgery.
63076 .......... A Neck spine disk 4.05 NA NA 2.09 2.78 0.70 NA NA 6.84 7.53 ZZZ
surgery.
63077 .......... A Spine disk surgery, 21.44 NA NA 14.55 15.91 2.72 NA NA 38.71 40.07 090
thorax.
63078 .......... A Spine disk surgery, 3.28 NA NA 1.69 1.98 0.40 NA NA 5.37 5.66 ZZZ
thorax.
63081 .......... A Removal of 23.73 NA NA 15.60 18.78 4.08 NA NA 43.41 46.59 090
vertebral body.
63082 .......... A Remove vertebral 4.37 NA NA 2.27 3.01 0.74 NA NA 7.38 8.12 ZZZ
body add-on.
63085 .......... A Removal of 26.92 NA NA 17.62 20.65 4.10 NA NA 48.64 51.67 090
vertebral body.
63086 .......... A Remove vertebral 3.19 NA NA 1.63 2.18 0.49 NA NA 5.31 5.86 ZZZ
body add-on.
63087 .......... A Removal of 35.57 NA NA 21.82 24.03 4.66 NA NA 62.05 64.26 090
vertebral body.
63088 .......... A Remove vertebral 4.33 NA NA 2.25 2.98 0.61 NA NA 7.19 7.92 ZZZ
body add-on.
63090 .......... A Removal of 28.16 NA NA 17.58 21.11 3.66 NA NA 49.40 52.93 090
vertebral body.
63091 .......... A Remove vertebral 3.03 NA NA 1.54 1.90 0.37 NA NA 4.94 5.30 ZZZ
body add-on.
63170 .......... A Incise spinal cord 19.83 NA NA 13.14 14.98 3.84 NA NA 36.81 38.65 090
tract(s).
63172 .......... A Drainage of spinal 17.66 NA NA 12.50 14.65 3.36 NA NA 33.52 35.67 090
cyst.
63173 .......... A Drainage of spinal 21.99 NA NA 14.53 15.10 4.25 NA NA 40.77 41.34 090
cyst.
63180 .......... A Revise spinal cord 18.27 NA NA 12.60 12.60 2.76 NA NA 33.63 33.63 090
ligaments.
63182 .......... A Revise spinal cord 20.50 NA NA 12.26 13.66 3.22 NA NA 35.98 37.38 090
ligaments.
63185 .......... A Incise spinal 15.04 NA NA 9.08 11.03 2.43 NA NA 26.55 28.50 090
column/nerves.
63190 .......... A Incise spinal 17.45 NA NA 11.60 13.91 2.84 NA NA 31.89 34.20 090
column/nerves.
63191 .......... A Incise spinal 17.54 NA NA 10.76 11.61 2.78 NA NA 31.08 31.93 090
column/nerves.
63194 .......... A Incise spinal 19.19 NA NA 12.06 12.58 3.89 NA NA 35.14 35.66 090
column & cord.
63195 .......... A Incise spinal 18.84 NA NA 12.39 13.05 3.71 NA NA 34.94 35.60 090
column & cord.
63196 .......... A Incise spinal 22.30 NA NA 11.82 13.10 4.52 NA NA 38.64 39.92 090
column & cord.
63197 .......... A Incise spinal 21.11 NA NA 12.24 13.08 4.27 NA NA 37.62 38.46 090
column & cord.
63198 .......... A Incise spinal 25.38 NA NA 10.42 12.24 5.14 NA NA 40.94 42.76 090
column & cord.
63199 .......... A Incise spinal 26.89 NA NA 16.23 17.98 4.52 NA NA 47.64 49.39 090
column & cord.
63200 .......... A Release of spinal 19.18 NA NA 12.71 12.92 3.23 NA NA 35.12 35.33 090
cord.
63250 .......... A Revise spinal cord 40.76 NA NA 21.25 23.53 5.30 NA NA 67.31 69.59 090
vessels.
63251 .......... A Revise spinal cord 41.20 NA NA 22.47 23.02 7.84 NA NA 71.51 72.06 090
vessels.
63252 .......... A Revise spinal cord 41.19 NA NA 22.29 24.38 7.47 NA NA 70.95 73.04 090
vessels.
[[Page 44265]]
63265 .......... A Excise intraspinal 21.56 NA NA 12.65 15.46 4.01 NA NA 38.22 41.03 090
lesion.
63266 .......... A Excise intraspinal 22.30 NA NA 13.25 16.59 4.17 NA NA 39.72 43.06 090
lesion.
63267 .......... A Excise intraspinal 17.95 NA NA 10.97 13.59 3.14 NA NA 32.06 34.68 090
lesion.
63268 .......... A Excise intraspinal 18.52 NA NA 9.47 10.51 3.31 NA NA 31.30 32.34 090
lesion.
63270 .......... A Excise intraspinal 26.80 NA NA 15.44 16.50 5.33 NA NA 47.57 48.63 090
lesion.
63271 .......... A Excise intraspinal 26.92 NA NA 15.53 18.87 5.19 NA NA 47.64 50.98 090
lesion.
63272 .......... A Excise intraspinal 25.32 NA NA 14.59 17.22 4.72 NA NA 44.63 47.26 090
lesion.
63273 .......... A Excise intraspinal 24.29 NA NA 14.34 15.52 4.53 NA NA 43.16 44.34 090
lesion.
63275 .......... A Biopsy/excise 23.68 NA NA 13.69 17.34 4.31 NA NA 41.68 45.33 090
spinal tumor.
63276 .......... A Biopsy/excise 23.45 NA NA 13.66 17.11 4.29 NA NA 41.40 44.85 090
spinal tumor.
63277 .......... A Biopsy/excise 20.83 NA NA 12.43 15.54 3.64 NA NA 36.90 40.01 090
spinal tumor.
63278 .......... A Biopsy/excise 20.56 NA NA 12.29 15.36 3.52 NA NA 36.37 39.44 090
spinal tumor.
63280 .......... A Biopsy/excise 28.35 NA NA 16.18 19.75 5.51 NA NA 50.04 53.61 090
spinal tumor.
63281 .......... A Biopsy/excise 28.05 NA NA 15.97 19.49 5.42 NA NA 49.44 52.96 090
spinal tumor.
63282 .......... A Biopsy/excise 26.39 NA NA 15.33 18.04 4.95 NA NA 46.67 49.38 090
spinal tumor.
63283 .......... A Biopsy/excise 0.25 NA NA 13.15 14.96 4.52 NA NA 17.92 19.73 090
spinal tumor.
63285 .......... A Biopsy/excise 0.36 NA NA 20.07 21.70 7.01 NA NA 27.44 29.07 090
spinal tumor.
63286 .......... A Biopsy/excise 35.63 NA NA 19.65 22.54 6.85 NA NA 62.13 65.02 090
spinal tumor.
63287 .......... A Biopsy/excise 36.70 NA NA 20.64 22.46 7.13 NA NA 64.47 66.29 090
spinal tumor.
63290 .......... A Biopsy/excise 37.38 NA NA 20.76 22.94 6.99 NA NA 65.13 67.31 090
spinal tumor.
63300 .......... A Removal of 24.43 NA NA 14.23 15.36 4.35 NA NA 43.01 44.14 090
vertebral body.
63301 .......... A Removal of 27.60 NA NA 15.56 16.68 4.63 NA NA 47.79 48.91 090
vertebral body.
63302 .......... A Removal of 27.81 NA NA 15.88 17.71 4.56 NA NA 48.25 50.08 090
vertebral body.
63303 .......... A Removal of 30.50 NA NA 16.81 17.63 4.47 NA NA 51.78 52.60 090
vertebral body.
63304 .......... A Removal of 30.33 NA NA 17.38 18.82 6.14 NA NA 53.85 55.29 090
vertebral body.
63305 .......... A Removal of 32.03 NA NA 17.54 19.26 5.24 NA NA 54.81 56.53 090
vertebral body.
63306 .......... A Removal of 32.22 NA NA 17.96 19.65 5.44 NA NA 55.62 57.31 090
vertebral body.
63307 .......... A Removal of 31.63 NA NA 16.57 19.05 4.17 NA NA 52.37 54.85 090
vertebral body.
63308 .......... A Remove vertebral 5.25 NA NA 2.63 3.07 0.86 NA NA 8.74 9.18 ZZZ
body add-on.
63600 .......... A Remove spinal cord 14.02 NA NA 5.67 7.16 1.51 NA NA 21.20 22.69 090
lesion.
63610 .......... A Stimulation of 8.73 NA NA 3.15 4.19 0.54 NA NA 12.42 13.46 000
spinal cord.
63615 .......... A Remove lesion of 16.28 NA NA 9.65 10.37 3.14 NA NA 29.07 29.79 090
spinal cord.
63650 .......... A Implant 6.74 NA NA 3.62 4.73 0.55 NA NA 10.91 12.02 090
neuroelectrodes.
63655 .......... A Implant 10.29 NA NA 6.79 8.17 1.75 NA NA 18.83 20.21 090
neuroelectrodes.
63660 .......... A Revise/remove 6.16 NA NA 3.54 4.50 0.71 NA NA 10.41 11.37 090
neuroelectrode.
63685 .......... A Implant 7.04 NA NA 3.95 4.97 0.89 NA NA 11.88 12.90 090
neuroreceiver.
63688 .......... A Revise/remove 5.39 NA NA 3.23 4.03 0.73 NA NA 9.35 10.15 090
neuroreceiver.
63700 .......... A Repair of spinal 16.53 NA NA 10.18 10.72 2.48 NA NA 29.19 29.73 090
herniation.
63702 .......... A Repair of spinal 18.48 NA NA 11.60 12.17 3.04 NA NA 33.12 33.69 090
herniation.
63704 .......... A Repair of spinal 21.18 NA NA 12.09 12.92 3.87 NA NA 37.14 37.97 090
herniation.
63706 .......... A Repair of spinal 24.11 NA NA 13.90 14.86 2.61 NA NA 40.62 41.58 090
herniation.
63707 .......... A Repair spinal fluid 11.26 NA NA 7.60 9.06 1.78 NA NA 20.64 22.10 090
leakage.
63709 .......... A Repair spinal fluid 14.32 NA NA 9.24 11.20 2.18 NA NA 25.74 27.70 090
leakage.
63710 .......... A Graft repair of 14.07 NA NA 8.98 9.38 2.49 NA NA 25.54 25.94 090
spine defect.
63740 .......... A Install spinal 11.36 NA NA 7.38 8.93 2.15 NA NA 20.89 22.44 090
shunt.
63741 .......... A Install spinal 8.25 NA NA 4.63 5.94 1.28 NA NA 14.16 15.47 090
shunt.
63744 .......... A Revision of spinal 8.10 NA NA 5.35 6.22 1.41 NA NA 14.86 15.73 090
shunt.
63746 .......... A Removal of spinal 6.43 NA NA 3.61 4.21 0.73 NA NA 10.77 11.37 090
shunt.
64400 .......... A Injection for nerve 1.11 2.10 1.71 0.26 0.33 0.09 3.30 2.91 1.46 1.53 000
block.
64402 .......... A Injection for nerve 1.25 3.65 2.91 0.45 0.51 0.08 4.98 4.24 1.78 1.84 000
block.
64405 .......... A Injection for nerve 1.32 2.26 1.87 0.30 0.40 0.12 3.70 3.31 1.74 1.84 000
block.
64408 .......... A Injection for nerve 1.41 2.39 2.08 0.59 0.73 0.13 3.93 3.62 2.13 2.27 000
block.
64410 .......... A Injection for nerve 1.43 2.32 1.93 0.30 0.42 0.09 3.84 3.45 1.82 1.94 000
block.
64412 .......... A Injection for nerve 1.18 2.63 2.14 0.25 0.36 0.10 3.91 3.42 1.53 1.64 000
block.
64413 .......... A Injection for nerve 1.40 2.47 2.05 0.37 0.48 0.11 3.98 3.56 1.88 1.99 000
block.
64415 .......... A Injection for nerve 1.48 2.66 2.07 0.31 0.30 0.11 4.25 3.66 1.90 1.89 000
block.
64417 .......... A Injection for nerve 1.44 2.26 1.87 0.32 0.41 0.11 3.81 3.42 1.87 1.96 000
block.
64418 .......... A Injection for nerve 1.32 2.13 1.83 0.28 0.44 0.10 3.55 3.25 1.70 1.86 000
block.
64420 .......... A Injection for nerve 1.18 2.18 1.81 0.27 0.38 0.08 3.44 3.07 1.53 1.64 000
block.
64421 .......... A Injection for nerve 1.68 2.51 2.11 0.37 0.50 0.11 4.30 3.90 2.16 2.29 000
block.
64425 .......... A Injection for nerve 1.75 2.15 1.77 0.40 0.46 0.12 4.02 3.64 2.27 2.33 000
block.
64430 .......... A Injection for nerve 1.46 2.58 2.13 0.42 0.51 0.10 4.14 3.69 1.98 2.07 000
block.
64435 .......... A Injection for nerve 1.45 2.71 2.16 0.52 0.52 0.11 4.27 3.72 2.08 2.08 000
block.
64440 .......... D Injection for nerve 1.34 0.53 0.61 0.53 0.61 0.10 1.97 2.05 1.97 2.05 000
block.
64441 .......... D Injection for nerve 1.79 0.71 0.81 0.71 0.81 0.12 2.62 2.72 2.62 2.72 000
block.
64442 .......... D Injection for nerve 1.41 0.56 0.74 0.56 0.74 0.11 2.08 2.26 2.08 2.26 000
block.
64443 .......... D Inject, nerve block 0.98 0.39 0.46 0.39 0.46 0.07 1.44 1.51 1.44 1.51 ZZZ
add-on.
64445 .......... A Injection for nerve 1.48 2.98 2.37 0.34 0.39 0.10 4.56 3.95 1.92 1.97 000
block.
64450 .......... A Injection for nerve 1.27 1.54 1.30 0.33 0.39 0.09 2.90 2.66 1.69 1.75 000
block.
64470 .......... A Inj paravertebral c/ 1.85 3.62 3.62 0.50 0.50 0.12 5.59 5.59 2.47 2.47 000
t.
64472 .......... A Inj paravertebral c/ 1.29 3.29 3.29 0.37 0.37 0.09 4.67 4.67 1.75 1.75 ZZZ
t add-on.
64475 .......... A Inj paravertebral l/ 1.41 3.45 3.45 0.38 0.38 0.10 4.96 4.96 1.89 1.89 000
s.
64476 .......... A Inj paravertebral l/ 0.98 3.58 3.58 0.26 0.26 0.07 4.63 4.63 1.31 1.31 ZZZ
s add-on.
64479 .......... A Inj foramen 2.20 3.71 3.71 0.61 0.61 0.15 6.06 6.06 2.96 2.96 000
epidural c/t.
64480 .......... A Inj foramen 1.54 3.77 3.77 0.39 0.39 0.11 5.42 5.42 2.04 2.04 ZZZ
epidural add-on.
64483 .......... A Inj foramen 1.90 3.59 3.59 0.52 0.52 0.10 5.59 5.59 2.52 2.52 000
epidural l/s.
64484 .......... A Inj foramen 1.33 3.69 3.69 0.34 0.34 0.10 5.12 5.12 1.77 1.77 ZZZ
epidural add-on.
64505 .......... A Injection for nerve 1.36 2.06 1.71 0.35 0.43 0.09 3.51 3.16 1.80 1.88 000
block.
64508 .......... A Injection for nerve 1.12 1.93 1.73 0.40 0.58 0.13 3.18 2.98 1.65 1.83 000
block.
64510 .......... A Injection for nerve 1.22 2.16 1.81 0.26 0.39 0.08 3.46 3.11 1.56 1.69 000
block.
64520 .......... A Injection for nerve 1.35 3.35 2.71 0.29 0.41 0.10 4.80 4.16 1.74 1.86 000
block.
64530 .......... A Injection for nerve 1.58 2.63 2.29 0.36 0.59 0.11 4.32 3.98 2.05 2.28 000
block.
[[Page 44266]]
64550 .......... A Apply 0.18 0.47 0.47 0.05 0.16 0.01 0.66 0.66 0.24 0.35 000
neurostimulator.
64553 .......... A Implant 2.31 1.58 1.46 1.21 1.19 0.06 3.95 3.83 3.58 3.56 010
neuroelectrodes.
64555 .......... A Implant 2.27 2.10 1.69 0.52 0.51 0.16 4.53 4.12 2.95 2.94 010
neuroelectrodes.
64560 .......... A Implant 2.36 2.11 1.98 0.85 1.03 0.17 4.64 4.51 3.38 3.56 010
neuroelectrodes.
64565 .......... A Implant 1.76 2.27 1.91 0.56 0.63 0.13 4.16 3.80 2.45 2.52 010
neuroelectrodes.
64573 .......... A Implant 7.50 NA NA 5.19 4.75 0.84 NA NA 13.53 13.09 090
neuroelectrodes.
64575 .......... A Implant 4.35 NA NA 3.30 3.31 0.68 NA NA 8.33 8.34 090
neuroelectrodes.
64577 .......... A Implant 4.62 NA NA 3.51 3.38 0.74 NA NA 8.87 8.74 090
neuroelectrodes.
64580 .......... A Implant 4.12 NA NA 3.50 3.42 0.38 NA NA 8.00 7.92 090
neuroelectrodes.
64585 .......... A Revise/remove 2.06 4.14 3.37 1.89 1.68 0.26 6.46 5.69 4.21 4.00 010
neuroelectrode.
64590 .......... A Implant 2.40 NA NA 2.27 2.20 0.37 NA NA 5.04 4.97 010
neuroreceiver.
64595 .......... A Revise/remove 1.73 NA NA 1.95 1.77 0.14 NA NA 3.82 3.64 010
neuroreceiver.
64600 .......... A Injection treatment 3.45 3.01 2.72 1.92 1.90 0.34 6.80 6.51 5.71 5.69 010
of nerve.
64605 .......... A Injection treatment 5.61 3.48 3.03 2.44 2.25 0.43 9.52 9.07 8.48 8.29 010
of nerve.
64610 .......... A Injection treatment 7.16 NA NA 4.01 4.98 1.28 NA NA 12.45 13.42 010
of nerve.
64612 .......... A Destroy nerve, face 1.96 2.62 2.36 1.58 1.58 0.14 4.72 4.46 3.68 3.68 010
muscle.
64613 .......... A Destroy nerve, 1.96 1.48 1.50 1.25 1.33 0.36 3.80 3.82 3.57 3.65 010
spine muscle.
64620 .......... A Injection treatment 2.84 2.78 2.36 0.63 0.75 0.20 5.82 5.40 3.67 3.79 010
of nerve.
64622 .......... A Destr paravertebrl 0.03 4.03 3.52 0.73 1.04 0.21 4.27 3.76 0.97 1.28 010
nerve l/s.
64623 .......... A Destr paravertebral 0.99 3.01 2.49 0.24 0.41 0.07 4.07 3.55 1.30 1.47 ZZZ
n add-on.
64626 .......... A Destr paravertebrl 3.28 3.64 3.64 0.94 0.94 0.22 7.14 7.14 4.44 4.44 010
nerve c/t.
64627 .......... A Destr paravertebral 1.16 3.00 3.00 0.33 0.33 0.08 4.24 4.24 1.57 1.57 ZZZ
n add-on.
64630 .......... A Injection treatment 0.03 2.79 2.57 0.72 1.01 0.25 3.07 2.85 1.00 1.29 010
of nerve.
64640 .......... A Injection treatment 2.76 4.44 3.58 0.93 0.95 0.20 7.40 6.54 3.89 3.91 010
of nerve.
64680 .......... A Injection treatment 2.62 2.46 2.27 0.69 0.94 0.16 5.24 5.05 3.47 3.72 010
of nerve.
64702 .......... A Revise finger/toe 4.23 NA NA 3.63 3.87 0.44 NA NA 8.30 8.54 090
nerve.
64704 .......... A Revise hand/foot 4.57 NA NA 2.95 3.58 0.36 NA NA 7.88 8.51 090
nerve.
64708 .......... A Revise arm/leg 6.12 NA NA 4.69 5.34 0.66 NA NA 11.47 12.12 090
nerve.
64712 .......... A Revision of sciatic 7.75 NA NA 4.63 5.79 0.74 NA NA 13.12 14.28 090
nerve.
64713 .......... A Revision of arm 0.11 NA NA 5.02 6.32 1.14 NA NA 6.27 7.57 090
nerve(s).
64714 .......... A Revise low back 10.33 NA NA 3.77 4.49 0.78 NA NA 14.88 15.60 090
nerve(s).
64716 .......... A Revision of cranial 6.31 NA NA 4.65 4.80 0.59 NA NA 11.55 11.70 090
nerve.
64718 .......... A Revise ulnar nerve 5.99 NA NA 4.81 5.40 0.74 NA NA 11.54 12.13 090
at elbow.
64719 .......... A Revise ulnar nerve 4.85 NA NA 4.28 4.55 0.53 NA NA 9.66 9.93 090
at wrist.
64721 .......... A Carpal tunnel 4.29 5.58 5.47 5.31 5.26 0.49 10.36 10.25 10.09 10.04 090
surgery.
64722 .......... A Relieve pressure on 4.70 NA NA 2.81 3.51 0.40 NA NA 7.91 8.61 090
nerve(s).
64726 .......... A Release foot/toe 4.18 NA NA 2.85 2.33 0.31 NA NA 7.34 6.82 090
nerve.
64727 .......... A Internal nerve 3.10 NA NA 1.49 2.00 0.33 NA NA 4.92 5.43 ZZZ
revision.
64732 .......... A Incision of brow 4.41 NA NA 3.36 3.69 0.75 NA NA 8.52 8.85 090
nerve.
64734 .......... A Incision of cheek 4.92 NA NA 3.30 3.73 0.72 NA NA 8.94 9.37 090
nerve.
64736 .......... A Incision of chin 4.60 NA NA 2.77 3.29 0.39 NA NA 7.76 8.28 090
nerve.
64738 .......... A Incision of jaw 5.73 NA NA 3.28 3.84 0.58 NA NA 9.59 10.15 090
nerve.
64740 .......... A Incision of tongue 5.59 NA NA 3.39 3.95 0.38 NA NA 9.36 9.92 090
nerve.
64742 .......... A Incision of facial 6.22 NA NA 4.51 4.74 0.53 NA NA 11.26 11.49 090
nerve.
64744 .......... A Incise nerve, back 5.24 NA NA 3.50 4.19 0.92 NA NA 9.66 10.35 090
of head.
64746 .......... A Incise diaphragm 5.93 NA NA 4.98 4.76 0.68 NA NA 11.59 11.37 090
nerve.
64752 .......... A Incision of vagus 7.06 NA NA 5.30 5.04 0.67 NA NA 13.03 12.77 090
nerve.
64755 .......... A Incision of stomach 13.52 NA NA 6.15 7.45 1.22 NA NA 20.89 22.19 090
nerves.
64760 .......... A Incision of vagus 6.96 NA NA 3.39 4.35 0.64 NA NA 10.99 11.95 090
nerve.
64761 .......... A Incision of pelvis 6.41 NA NA 3.68 4.03 0.44 NA NA 10.53 10.88 090
nerve.
64763 .......... A Incise hip/thigh 6.93 NA NA 5.18 5.19 0.71 NA NA 12.82 12.83 090
nerve.
64766 .......... A Incise hip/thigh 8.67 NA NA 5.11 5.64 1.34 NA NA 15.12 15.65 090
nerve.
64771 .......... A Sever cranial nerve 7.35 NA NA 5.17 5.62 0.86 NA NA 13.38 13.83 090
64772 .......... A Incision of spinal 7.21 NA NA 4.72 5.38 1.14 NA NA 13.07 13.73 090
nerve.
64774 .......... A Remove skin nerve 5.17 NA NA 3.54 3.40 0.52 NA NA 9.23 9.09 090
lesion.
64776 .......... A Remove digit nerve 5.12 NA NA 3.70 3.53 0.44 NA NA 9.26 9.09 090
lesion.
64778 .......... A Digit nerve surgery 3.11 NA NA 1.45 1.83 0.34 NA NA 4.90 5.28 ZZZ
add-on.
64782 .......... A Remove limb nerve 6.23 NA NA 3.47 3.88 0.45 NA NA 10.15 10.56 090
lesion.
64783 .......... A Limb nerve surgery 3.72 NA NA 1.85 2.27 0.37 NA NA 5.94 6.36 ZZZ
add-on.
64784 .......... A Remove nerve lesion 9.82 NA NA 6.37 6.31 1.06 NA NA 17.25 17.19 090
64786 .......... A Remove sciatic 15.46 NA NA 9.79 10.78 1.93 NA NA 27.18 28.17 090
nerve lesion.
64787 .......... A Implant nerve end.. 4.30 NA NA 2.20 2.59 0.43 NA NA 6.93 7.32 ZZZ
64788 .......... A Remove skin nerve 4.61 NA NA 3.22 3.40 0.49 NA NA 8.32 8.50 090
lesion.
64790 .......... A Removal of nerve 11.31 NA NA 6.84 7.06 1.47 NA NA 19.62 19.84 090
lesion.
64792 .......... A Removal of nerve 14.92 NA NA 8.43 8.76 1.97 NA NA 25.32 25.65 090
lesion.
64795 .......... A Biopsy of nerve.... 3.01 NA NA 1.77 1.97 0.43 NA NA 5.21 5.41 000
64802 .......... A Remove sympathetic 9.15 NA NA 6.02 5.98 1.03 NA NA 16.20 16.16 090
nerves.
64804 .......... A Remove sympathetic 14.64 NA NA 7.75 9.28 1.83 NA NA 24.22 25.75 090
nerves.
64809 .......... A Remove sympathetic 13.67 NA NA 6.71 7.90 1.68 NA NA 22.06 23.25 090
nerves.
64818 .......... A Remove sympathetic 10.30 NA NA 6.01 6.83 1.16 NA NA 17.47 18.29 090
nerves.
64820 .......... A Remove sympathetic 10.37 NA NA 7.51 7.61 1.08 NA NA 18.96 19.06 090
nerves.
64831 .......... A Repair of digit 9.44 NA NA 6.77 6.00 0.99 NA NA 17.20 16.43 090
nerve.
64832 .......... A Repair nerve add-on 5.66 NA NA 3.03 2.65 0.59 NA NA 9.28 8.90 ZZZ
64834 .......... A Repair of hand or 10.19 NA NA 6.82 6.07 1.06 NA NA 18.07 17.32 090
foot nerve.
64835 .......... A Repair of hand or 10.94 NA NA 7.51 7.25 1.14 NA NA 19.59 19.33 090
foot nerve.
64836 .......... A Repair of hand or 10.94 NA NA 7.50 7.44 1.17 NA NA 19.61 19.55 090
foot nerve.
64837 .......... A Repair nerve add-on 6.26 NA NA 3.16 3.58 0.65 NA NA 10.07 10.49 ZZZ
64840 .......... A Repair of leg nerve 13.02 NA NA 8.76 9.38 1.03 NA NA 22.81 23.43 090
64856 .......... A Repair/transpose 13.80 NA NA 8.98 8.96 1.52 NA NA 24.30 24.28 090
nerve.
64857 .......... A Repair arm/leg 14.49 NA NA 9.50 9.71 1.54 NA NA 25.53 25.74 090
nerve.
64858 .......... A Repair sciatic 16.49 NA NA 9.97 10.46 2.38 NA NA 28.84 29.33 090
nerve.
64859 .......... A Nerve surgery...... 4.26 NA NA 2.27 2.65 0.45 NA NA 6.98 7.36 ZZZ
[[Page 44267]]
64861 .......... A Repair of arm 19.24 NA NA 12.35 12.90 1.68 NA NA 33.27 33.82 090
nerves.
64862 .......... A Repair of low back 19.44 NA NA 11.27 14.30 3.93 NA NA 34.64 37.67 090
nerves.
64864 .......... A Repair of facial 12.55 NA NA 9.35 9.15 1.12 NA NA 23.02 22.82 090
nerve.
64865 .......... A Repair of facial 15.24 NA NA 10.71 11.38 1.37 NA NA 27.32 27.99 090
nerve.
64866 .......... A Fusion of facial/ 15.74 NA NA 10.98 11.27 1.42 NA NA 28.14 28.43 090
other nerve.
64868 .......... A Fusion of facial/ 14.04 NA NA 10.55 10.95 1.62 NA NA 26.21 26.61 090
other nerve.
64870 .......... A Fusion of facial/ 15.99 NA NA 9.58 10.96 1.71 NA NA 27.28 28.66 090
other nerve.
64872 .......... A Subsequent repair 1.99 NA NA 1.11 1.22 0.22 NA NA 3.32 3.43 ZZZ
of nerve.
64874 .......... A Repair & revise 2.98 NA NA 1.47 1.69 0.32 NA NA 4.77 4.99 ZZZ
nerve add-on.
64876 .......... A Repair nerve/ 3.38 NA NA 1.34 1.67 0.37 NA NA 5.09 5.42 ZZZ
shorten bone.
64885 .......... A Nerve graft, head 17.53 NA NA 11.23 11.87 1.47 NA NA 30.23 30.87 090
or neck.
64886 .......... A Nerve graft, head 20.75 NA NA 13.47 14.21 1.74 NA NA 35.96 36.70 090
or neck.
64890 .......... A Nerve graft, hand 15.15 NA NA 11.58 12.01 1.57 NA NA 28.30 28.73 090
or foot.
64891 .......... A Nerve graft, hand 16.14 NA NA 11.15 11.19 1.54 NA NA 28.83 28.87 090
or foot.
64892 .......... A Nerve graft, arm or 14.65 NA NA 9.04 9.78 1.74 NA NA 25.43 26.17 090
leg.
64893 .......... A Nerve graft, arm or 15.60 NA NA 9.64 11.01 2.41 NA NA 27.65 29.02 090
leg.
64895 .......... A Nerve graft, hand 19.25 NA NA 13.16 13.44 1.81 NA NA 34.22 34.50 090
or foot.
64896 .......... A Nerve graft, hand 20.49 NA NA 13.13 14.60 2.18 NA NA 35.80 37.27 090
or foot.
64897 .......... A Nerve graft, arm or 18.24 NA NA 11.21 11.84 1.91 NA NA 31.36 31.99 090
leg.
64898 .......... A Nerve graft, arm or 19.50 NA NA 12.61 13.37 1.97 NA NA 34.08 34.84 090
leg.
64901 .......... A Nerve graft add-on. 10.22 NA NA 5.56 6.93 1.02 NA NA 16.80 18.17 ZZZ
64902 .......... A Nerve graft add-on. 11.83 NA NA 5.81 7.59 1.07 NA NA 18.71 20.49 ZZZ
64905 .......... A Nerve pedicle 14.02 NA NA 8.70 9.08 1.02 NA NA 23.74 24.12 090
transfer.
64907 .......... A Nerve pedicle 18.83 NA NA 11.86 12.43 1.97 NA NA 32.66 33.23 090
transfer.
64999 .......... C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
65091 .......... A Revise eye......... 6.46 NA NA 9.51 9.06 0.27 NA NA 16.24 15.79 090
65093 .......... A Revise eye with 6.87 NA NA 9.66 9.30 0.28 NA NA 16.81 16.45 090
implant.
65101 .......... A Removal of eye..... 7.03 NA NA 9.87 9.50 0.30 NA NA 17.20 16.83 090
65103 .......... A Remove eye/insert 7.57 NA NA 9.90 9.69 0.30 NA NA 17.77 17.56 090
implant.
65105 .......... A Remove eye/attach 8.49 NA NA 10.42 10.35 0.33 NA NA 19.24 19.17 090
implant.
65110 .......... A Removal of eye..... 13.95 NA NA 13.21 14.07 0.68 NA NA 27.84 28.70 090
65112 .......... A Remove eye/revise 16.38 NA NA 15.27 14.75 1.19 NA NA 32.84 32.32 090
socket.
65114 .......... A Remove eye/revise 17.53 NA NA 15.13 14.89 0.82 NA NA 33.48 33.24 090
socket.
65125 .......... A Revise ocular 3.12 4.76 4.24 1.53 1.82 0.16 8.04 7.52 4.81 5.10 090
implant.
65130 .......... A Insert ocular 7.15 NA NA 9.61 9.34 0.30 NA NA 17.06 16.79 090
implant.
65135 .......... A Insert ocular 7.33 NA NA 9.42 8.54 0.31 NA NA 17.06 16.18 090
implant.
65140 .......... A Attach ocular 8.02 NA NA 10.08 9.25 0.32 NA NA 18.42 17.59 090
implant.
65150 .......... A Revise ocular 6.26 NA NA 8.93 8.57 0.25 NA NA 15.44 15.08 090
implant.
65155 .......... A Reinsert ocular 8.66 NA NA 10.99 10.83 0.40 NA NA 20.05 19.89 090
implant.
65175 .......... A Removal of ocular 6.28 NA NA 9.04 8.66 0.25 NA NA 15.57 15.19 090
implant.
65205 .......... A Remove foreign body 0.71 5.10 3.93 0.20 0.25 0.04 5.85 4.68 0.95 1.00 000
from eye.
65210 .......... A Remove foreign body 0.84 5.26 4.07 0.30 0.35 0.04 6.14 4.95 1.18 1.23 000
from eye.
65220 .......... A Remove foreign body 0.71 6.81 5.25 0.19 0.28 0.06 7.58 6.02 0.96 1.05 000
from eye.
65222 .......... A Remove foreign body 0.93 5.21 4.06 0.27 0.36 0.04 6.18 5.03 1.24 1.33 000
from eye.
65235 .......... A Remove foreign body 7.57 NA NA 6.79 6.62 0.32 NA NA 14.68 14.51 090
from eye.
65260 .......... A Remove foreign body 10.96 NA NA 11.60 11.04 0.42 NA NA 22.98 22.42 090
from eye.
65265 .......... A Remove foreign body 12.59 NA NA 13.36 12.75 0.50 NA NA 26.45 25.84 090
from eye.
65270 .......... A Repair of eye wound 1.90 3.47 2.92 2.06 1.86 0.08 5.45 4.90 4.04 3.84 010
65272 .......... A Repair of eye wound 3.82 5.06 4.24 4.10 3.52 0.15 9.03 8.21 8.07 7.49 090
65273 .......... A Repair of eye wound 4.36 NA NA 4.48 4.23 0.17 NA NA 9.01 8.76 090
65275 .......... A Repair of eye wound 5.34 4.96 3.90 4.39 3.47 0.27 10.57 9.51 10.00 9.08 090
65280 .......... A Repair of eye wound 7.66 NA NA 7.28 7.75 0.30 NA NA 15.24 15.71 090
65285 .......... A Repair of eye wound 12.90 NA NA 13.49 13.45 0.51 NA NA 26.90 26.86 090
65286 .......... A Repair of eye wound 5.51 7.87 7.20 6.72 6.34 0.22 13.60 12.93 12.45 12.07 090
65290 .......... A Repair of eye 5.41 NA NA 6.06 6.16 0.22 NA NA 11.69 11.79 090
socket wound.
65400 .......... A Removal of eye 6.06 7.21 7.16 6.02 6.27 0.24 13.51 13.46 12.32 12.57 090
lesion.
65410 .......... A Biopsy of cornea... 1.47 1.71 1.72 0.70 0.96 0.06 3.24 3.25 2.23 2.49 000
65420 .......... A Removal of eye 4.17 7.11 6.49 6.03 5.68 0.16 11.44 10.82 10.36 10.01 090
lesion.
65426 .......... A Removal of eye 5.25 7.24 7.00 6.14 6.17 0.21 12.70 12.46 11.60 11.63 090
lesion.
65430 .......... A Corneal smear...... 1.47 5.77 4.48 0.70 0.67 0.06 7.30 6.01 2.23 2.20 000
65435 .......... A Curette/treat 0.92 1.34 1.22 0.42 0.53 0.04 2.30 2.18 1.38 1.49 000
cornea.
65436 .......... A Curette/treat 4.19 5.20 4.32 4.27 3.62 0.16 9.55 8.67 8.62 7.97 090
cornea.
65450 .......... A Treatment of 3.27 6.87 6.04 5.61 5.10 0.12 10.26 9.43 9.00 8.49 090
corneal lesion.
65600 .......... A Revision of cornea. 3.40 4.82 4.33 1.54 1.87 0.14 8.36 7.87 5.08 5.41 090
65710 .......... A Corneal transplant. 12.35 NA NA 12.32 12.62 0.49 NA NA 25.16 25.46 090
65730 .......... A Corneal transplant. 14.25 NA NA 13.79 14.45 0.55 NA NA 28.59 29.25 090
65750 .......... A Corneal transplant. 0.15 NA NA 14.19 15.01 0.58 NA NA 14.92 15.74 090
65755 .......... A Corneal transplant. 14.89 NA NA 12.87 14.02 0.58 NA NA 28.34 29.49 090
65760 .......... N Revision of cornea. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65765 .......... N Revision of cornea. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65767 .......... N Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
65770 .......... A Revise cornea with 17.56 NA NA 15.04 15.03 0.69 NA NA 33.29 33.28 090
implant.
65771 .......... N Radial keratotomy.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65772 .......... A Correction of 4.29 5.92 5.72 5.32 5.27 0.17 10.38 10.18 9.78 9.73 090
astigmatism.
65775 .......... A Correction of 5.79 NA NA 7.37 7.26 0.23 NA NA 13.39 13.28 090
astigmatism.
65800 .......... A Drainage of eye.... 1.91 2.04 2.00 1.39 1.51 0.08 4.03 3.99 3.38 3.50 000
65805 .......... A Drainage of eye.... 1.91 2.04 2.02 1.39 1.53 0.08 4.03 4.01 3.38 3.52 000
65810 .......... A Drainage of eye.... 4.87 NA NA 7.40 7.01 0.19 NA NA 12.46 12.07 090
65815 .......... A Drainage of eye.... 5.05 8.08 7.28 6.93 6.42 0.20 13.33 12.53 12.18 11.67 090
65820 .......... A Relieve inner eye 8.13 NA NA 9.40 9.64 0.32 NA NA 17.85 18.09 090
pressure.
65850 .......... A Incision of eye.... 10.52 NA NA 9.59 10.33 0.41 NA NA 20.52 21.26 090
65855 .......... A Laser surgery of 4.30 4.31 4.86 3.28 4.09 0.17 8.78 9.33 7.75 8.56 090
eye.
[[Page 44268]]
65860 .......... A Incise inner eye 3.55 3.83 3.93 2.99 3.30 0.14 7.52 7.62 6.68 6.99 090
adhesions.
65865 .......... A Incise inner eye 5.60 NA NA 6.28 6.38 0.22 NA NA 12.10 12.20 090
adhesions.
65870 .......... A Incise inner eye 6.27 NA NA 6.62 6.56 0.25 NA NA 13.14 13.08 090
adhesions.
65875 .......... A Incise inner eye 6.54 NA NA 6.74 6.76 0.26 NA NA 13.54 13.56 090
adhesions.
65880 .......... A Incise inner eye 7.09 NA NA 6.98 7.09 0.28 NA NA 14.35 14.46 090
adhesions.
65900 .......... A Remove eye lesion.. 10.93 NA NA 11.68 10.91 0.48 NA NA 23.09 22.32 090
65920 .......... A Remove implant from 8.40 NA NA 7.63 7.99 0.33 NA NA 16.36 16.72 090
eye.
65930 .......... A Remove blood clot 7.44 NA NA 8.12 8.17 0.29 NA NA 15.85 15.90 090
from eye.
66020 .......... A Injection treatment 1.59 2.30 2.20 1.49 1.59 0.07 3.96 3.86 3.15 3.25 010
of eye.
66030 .......... A Injection treatment 1.25 2.13 1.75 1.32 1.14 0.05 3.43 3.05 2.62 2.44 010
of eye.
66130 .......... A Remove eye lesion.. 7.69 6.85 6.57 5.97 5.91 0.31 14.85 14.57 13.97 13.91 090
66150 .......... A Glaucoma surgery... 8.30 NA NA 8.55 8.89 0.32 NA NA 17.17 17.51 090
66155 .......... A Glaucoma surgery... 8.29 NA NA 8.49 8.84 0.32 NA NA 17.10 17.45 090
66160 .......... A Glaucoma surgery... 10.17 NA NA 9.99 10.42 0.41 NA NA 20.57 21.00 090
66165 .......... A Glaucoma surgery... 8.01 NA NA 8.86 9.04 0.32 NA NA 17.19 17.37 090
66170 .......... A Glaucoma surgery... 12.16 NA NA 11.02 11.56 0.48 NA NA 23.66 24.20 090
66172 .......... A Incision of eye.... 15.04 NA NA 12.79 12.89 0.59 NA NA 28.42 28.52 090
66180 .......... A Implant eye shunt.. 14.55 NA NA 12.25 13.53 0.57 NA NA 27.37 28.65 090
66185 .......... A Revise eye shunt... 8.14 NA NA 8.41 8.74 0.32 NA NA 16.87 17.20 090
66220 .......... A Repair eye lesion.. 7.77 NA NA 10.07 9.17 0.32 NA NA 18.16 17.26 090
66225 .......... A Repair/graft eye 11.05 NA NA 9.69 10.57 0.43 NA NA 21.17 22.05 090
lesion.
66250 .......... A Follow-up surgery 5.98 7.20 7.19 5.98 6.27 0.24 13.42 13.41 12.20 12.49 090
of eye.
66500 .......... A Incision of iris... 3.71 NA NA 4.07 4.16 0.14 NA NA 7.92 8.01 090
66505 .......... A Incision of iris... 4.08 NA NA 4.18 4.02 0.16 NA NA 8.42 8.26 090
66600 .......... A Remove iris and 8.68 NA NA 9.15 9.40 0.34 NA NA 18.17 18.42 090
lesion.
66605 .......... A Removal of iris.... 12.79 NA NA 12.30 12.45 0.53 NA NA 25.62 25.77 090
66625 .......... A Removal of iris.... 5.13 7.37 7.06 6.97 6.76 0.20 12.70 12.39 12.30 12.09 090
66630 .......... A Removal of iris.... 6.16 NA NA 8.01 7.85 0.24 NA NA 14.41 14.25 090
66635 .......... A Removal of iris.... 6.25 NA NA 6.13 6.47 0.25 NA NA 12.63 12.97 090
66680 .......... A Repair iris & 5.44 NA NA 5.71 5.91 0.21 NA NA 11.36 11.56 090
ciliary body.
66682 .......... A Repair iris & 6.21 NA NA 8.04 7.88 0.24 NA NA 14.49 14.33 090
ciliary body.
66700 .......... A Destruction, 4.78 7.63 7.15 6.35 6.19 0.20 12.61 12.13 11.33 11.17 090
ciliary body.
66710 .......... A Destruction, 4.78 7.66 7.17 6.35 6.19 0.19 12.63 12.14 11.32 11.16 090
ciliary body.
66720 .......... A Destruction, 4.78 7.40 6.98 6.32 6.17 0.20 12.38 11.96 11.30 11.15 090
ciliary body.
66740 .......... A Destruction, 4.78 NA NA 5.89 5.85 0.19 NA NA 10.86 10.82 090
ciliary body.
66761 .......... A Revision of iris... 4.07 4.37 4.49 3.59 3.91 0.16 8.60 8.72 7.82 8.14 090
66762 .......... A Revision of iris... 4.58 4.49 4.74 3.77 4.20 0.18 9.25 9.50 8.53 8.96 090
66770 .......... A Removal of inner 5.18 4.77 5.13 4.06 4.59 0.20 10.15 10.51 9.44 9.97 090
eye lesion.
66820 .......... A Incision, secondary 3.89 NA NA 6.90 6.34 0.15 NA NA 10.94 10.38 090
cataract.
66821 .......... A After cataract 2.35 3.06 3.00 2.43 2.53 0.10 5.51 5.45 4.88 4.98 090
laser surgery.
66825 .......... A Reposition 8.23 NA NA 9.01 8.75 0.32 NA NA 17.56 17.30 090
intraocular lens.
66830 .......... A Removal of lens 8.20 NA NA 6.37 6.86 0.32 NA NA 14.89 15.38 090
lesion.
66840 .......... A Removal of lens 7.91 NA NA 6.26 7.06 0.32 NA NA 14.49 15.29 090
material.
66850 .......... A Removal of lens 9.11 NA NA 6.80 7.82 0.36 NA NA 16.27 17.29 090
material.
66852 .......... A Removal of lens 9.97 NA NA 7.29 8.45 0.39 NA NA 17.65 18.81 090
material.
66920 .......... A Extraction of lens. 8.86 NA NA 6.71 7.68 0.35 NA NA 15.92 16.89 090
66930 .......... A Extraction of lens. 10.18 NA NA 8.73 9.39 0.40 NA NA 19.31 19.97 090
66940 .......... A Extraction of lens. 8.93 NA NA 8.11 8.75 0.35 NA NA 17.39 18.03 090
66983 .......... A Remove cataract/ 8.99 NA NA 5.17 6.56 0.49 NA NA 14.65 16.04 090
insert lens.
66984 .......... A Remove cataract/ 10.28 NA NA 7.15 8.43 0.43 NA NA 17.86 19.14 090
insert lens.
66985 .......... A Insert lens 8.39 NA NA 6.37 7.28 0.34 NA NA 15.10 16.01 090
prosthesis.
66986 .......... A Exchange lens 12.28 NA NA 8.37 9.59 0.49 NA NA 21.14 22.36 090
prosthesis.
66999 .......... C Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67005 .......... A Partial removal of 5.70 NA NA 2.77 3.78 0.22 NA NA 8.69 9.70 090
eye fluid.
67010 .......... A Partial removal of 6.87 NA NA 3.35 4.56 0.27 NA NA 10.49 11.70 090
eye fluid.
67015 .......... A Release of eye 6.92 NA NA 7.77 7.58 0.27 NA NA 14.96 14.77 090
fluid.
67025 .......... A Replace eye fluid.. 6.84 14.66 12.83 7.24 7.26 0.27 21.77 19.94 14.35 14.37 090
67027 .......... A Implant eye drug 10.85 16.52 14.84 9.18 9.34 0.42 27.79 26.11 20.45 20.61 090
system.
67028 .......... A Injection eye drug. 2.52 7.78 6.71 1.22 1.79 0.10 10.40 9.33 3.84 4.41 000
67030 .......... A Incise inner eye 4.84 NA NA 6.85 6.58 0.19 NA NA 11.88 11.61 090
strands.
67031 .......... A Laser surgery, eye 3.67 3.91 4.03 3.07 3.40 0.14 7.72 7.84 6.88 7.21 090
strands.
67036 .......... A Removal of inner 11.89 NA NA 8.19 9.69 0.47 NA NA 20.55 22.05 090
eye fluid.
67038 .......... A Strip retinal 21.24 NA NA 14.31 17.07 0.83 NA NA 36.38 39.14 090
membrane.
67039 .......... A Laser treatment of 14.52 NA NA 11.69 13.10 0.56 NA NA 26.77 28.18 090
retina.
67040 .......... A Laser treatment of 17.23 NA NA 13.01 14.90 0.68 NA NA 30.92 32.81 090
retina.
67101 .......... A Repair detached 7.53 10.72 10.29 8.67 8.75 0.30 18.55 18.12 16.50 16.58 090
retina.
67105 .......... A Repair detached 7.41 7.49 8.10 5.58 6.67 0.29 15.19 15.80 13.28 14.37 090
retina.
67107 .......... A Repair detached 14.84 NA NA 13.04 14.21 0.58 NA NA 28.46 29.63 090
retina.
67108 .......... A Repair detached 20.82 NA NA 17.33 19.21 0.81 NA NA 38.96 40.84 090
retina.
67110 .......... A Repair detached 8.81 18.21 16.29 10.08 10.19 0.34 27.36 25.44 19.23 19.34 090
retina.
67112 .......... A Rerepair detached 16.86 NA NA 15.40 16.03 0.66 NA NA 32.92 33.55 090
retina.
67115 .......... A Release encircling 4.99 NA NA 6.45 6.33 0.19 NA NA 11.63 11.51 090
material.
67120 .......... A Remove eye implant 5.98 14.12 12.38 6.82 6.90 0.24 20.34 18.60 13.04 13.12 090
material.
67121 .......... A Remove eye implant 10.67 NA NA 11.58 11.24 0.42 NA NA 22.67 22.33 090
material.
67141 .......... A Treatment of retina 5.20 7.65 7.29 6.60 6.50 0.20 13.05 12.69 12.00 11.90 090
67145 .......... A Treatment of retina 5.37 5.24 5.69 4.18 4.90 0.21 10.82 11.27 9.76 10.48 090
67208 .......... A Treatment of 6.70 8.03 8.02 6.84 7.13 0.26 14.99 14.98 13.80 14.09 090
retinal lesion.
67210 .......... A Treatment of 8.82 7.27 7.90 5.85 6.84 0.34 16.43 17.06 15.01 16.00 090
retinal lesion.
67218 .......... A Treatment of 13.52 NA NA 12.19 12.75 0.53 NA NA 26.24 26.80 090
retinal lesion.
67220 .......... N Treatment of 13.13 6.66 6.66 6.60 6.60 0.52 20.31 20.31 20.25 20.25 090
choroid lesion.
67227 .......... A Treatment of 6.58 8.46 8.31 6.86 7.11 0.27 15.31 15.16 13.71 13.96 090
retinal lesion.
67228 .......... A Treatment of 12.74 9.91 9.98 7.40 8.10 0.50 23.15 23.22 20.64 21.34 090
retinal lesion.
[[Page 44269]]
67250 .......... A Reinforce eye wall. 8.66 NA NA 10.24 9.58 0.39 NA NA 19.29 18.63 090
67255 .......... A Reinforce/graft eye 8.90 NA NA 9.83 10.03 0.35 NA NA 19.08 19.28 090
wall.
67299 .......... C Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67311 .......... A Revise eye muscle.. 6.65 NA NA 6.39 6.78 0.27 NA NA 13.31 13.70 090
67312 .......... A Revise two eye 8.54 NA NA 7.34 8.05 0.33 NA NA 16.21 16.92 090
muscles.
67314 .......... A Revise eye muscle.. 7.52 NA NA 6.81 7.35 0.30 NA NA 14.63 15.17 090
67316 .......... A Revise two eye 9.66 NA NA 7.38 8.32 0.38 NA NA 17.42 18.36 090
muscles.
67318 .......... A Revise eye 7.85 NA NA 7.22 7.10 0.31 NA NA 15.38 15.26 090
muscle(s).
67320 .......... A Revise eye 4.33 NA NA 6.84 7.72 0.17 NA NA 11.34 12.22 ZZZ
muscle(s) add-on.
67331 .......... A Eye surgery follow- 4.06 NA NA 5.18 6.31 0.16 NA NA 9.40 10.53 ZZZ
up add-on.
67332 .......... A Rerevise eye 4.49 NA NA 5.90 7.11 0.18 NA NA 10.57 11.78 ZZZ
muscles add-on.
67334 .......... A Revise eye muscle w/ 3.98 NA NA 5.45 5.80 0.15 NA NA 9.58 9.93 ZZZ
suture.
67335 .......... A Eye suture during 2.49 NA NA 1.20 1.64 0.10 NA NA 3.79 4.23 ZZZ
surgery.
67340 .......... A Revise eye muscle 4.93 NA NA 6.30 6.86 0.20 NA NA 11.43 11.99 ZZZ
add-on.
67343 .......... A Release eye tissue. 7.35 NA NA 7.13 6.93 0.29 NA NA 14.77 14.57 090
67345 .......... A Destroy nerve of 2.96 4.01 3.61 1.42 1.67 0.27 7.24 6.84 4.65 4.90 010
eye muscle.
67350 .......... A Biopsy eye muscle.. 2.87 NA NA 2.49 2.52 0.12 NA NA 5.48 5.51 000
67399 .......... C Eye muscle surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67400 .......... A Explore/biopsy eye 9.76 NA NA 10.99 11.16 0.43 NA NA 21.18 21.35 090
socket.
67405 .......... A Explore/drain eye 7.93 NA NA 9.58 9.55 0.39 NA NA 17.90 17.87 090
socket.
67412 .......... A Explore/treat eye 9.50 NA NA 12.32 12.08 0.41 NA NA 22.23 21.99 090
socket.
67413 .......... A Explore/treat eye 0.10 NA NA 10.94 10.40 0.49 NA NA 11.53 10.99 090
socket.
67414 .......... A Explr/decompress 11.13 NA NA 13.25 12.22 0.52 NA NA 24.90 23.87 090
eye socket.
67415 .......... A Aspiration, orbital 1.76 NA NA 0.80 1.13 0.09 NA NA 2.65 2.98 000
contents.
67420 .......... A Explore/treat eye 20.06 NA NA 17.90 17.98 1.07 NA NA 39.03 39.11 090
socket.
67430 .......... A Explore/treat eye 13.39 NA NA 15.11 14.22 0.59 NA NA 29.09 28.20 090
socket.
67440 .......... A Explore/drain eye 13.09 NA NA 13.67 14.16 0.54 NA NA 27.30 27.79 090
socket.
67445 .......... A Explr/decompress 14.42 NA NA 14.50 13.90 0.61 NA NA 29.53 28.93 090
eye socket.
67450 .......... A Explore/biopsy eye 13.51 NA NA 14.35 14.80 0.66 NA NA 28.52 28.97 090
socket.
67500 .......... A Inject/treat eye 0.79 2.24 1.88 0.20 0.35 0.05 3.08 2.72 1.04 1.19 000
socket.
67505 .......... A Inject/treat eye 0.82 0.91 0.97 0.21 0.44 0.04 1.77 1.83 1.07 1.30 000
socket.
67515 .......... A Inject/treat eye 0.61 0.70 0.68 0.30 0.38 0.03 1.34 1.32 0.94 1.02 000
socket.
67550 .......... A Insert eye socket 10.19 NA NA 10.23 10.28 0.49 NA NA 20.91 20.96 090
implant.
67560 .......... A Revise eye socket 10.60 NA NA 10.48 10.11 0.48 NA NA 21.56 21.19 090
implant.
67570 .......... A Decompress optic 13.58 NA NA 13.96 12.52 0.81 NA NA 28.35 26.91 090
nerve.
67599 .......... C Orbit surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67700 .......... A Drainage of eyelid 35 5.11 3.97 0.60 0.58 0.06 6.52 5.38 2.01 1.99 010
abscess.
67710 .......... A Incision of eyelid. 1.02 5.22 4.19 0.50 0.65 0.04 6.28 5.25 1.56 1.71 010
67715 .......... A Incision of eyelid 1.22 NA NA 0.60 0.81 0.05 NA NA 1.87 2.08 010
fold.
67800 .......... A Remove eyelid 1.38 5.25 4.19 0.67 0.76 0.06 6.69 5.63 2.11 2.20 010
lesion.
67801 .......... A Remove eyelid 1.88 5.47 4.48 0.92 1.07 0.08 7.43 6.44 2.88 3.03 010
lesions.
67805 .......... A Remove eyelid 2.22 5.74 4.68 1.08 1.19 0.09 8.05 6.99 3.39 3.50 010
lesions.
67808 .......... A Remove eyelid 3.80 NA NA 3.41 3.14 0.16 NA NA 7.37 7.10 090
lesion(s).
67810 .......... A Biopsy of eyelid... 1.48 4.18 3.36 0.72 0.76 0.06 5.72 4.90 2.26 2.30 000
67820 .......... A Revise eyelashes... 0.89 1.43 1.18 0.38 0.39 0.04 2.36 2.11 1.31 1.32 000
67825 .......... A Revise eyelashes... 1.38 6.51 5.13 1.51 1.38 0.06 7.95 6.57 2.95 2.82 010
67830 .......... A Revise eyelashes... 1.70 7.77 6.40 1.77 1.90 0.07 9.54 8.17 3.54 3.67 010
67835 .......... A Revise eyelashes... 5.56 NA NA 4.07 4.71 0.23 NA NA 9.86 10.50 090
67840 .......... A Remove eyelid 2.04 5.51 4.46 0.99 1.07 0.09 7.64 6.59 3.12 3.20 010
lesion.
67850 .......... A Treat eyelid lesion 1.69 6.87 5.38 1.83 1.60 0.07 8.63 7.14 3.59 3.36 010
67875 .......... A Closure of eyelid 1.35 7.38 6.00 1.58 1.65 0.06 8.79 7.41 2.99 3.06 000
by suture.
67880 .......... A Revision of eyelid. 3.80 8.92 7.76 2.83 3.19 0.15 12.87 11.71 6.78 7.14 090
67882 .......... A Revision of eyelid. 5.07 11.35 10.03 4.05 4.55 0.21 16.63 15.31 9.33 9.83 090
67900 .......... A Repair brow defect. 6.14 8.86 7.67 6.58 5.96 0.30 15.30 14.11 13.02 12.40 090
67901 .......... A Repair eyelid 6.97 NA NA 8.46 8.43 0.34 NA NA 15.77 15.74 090
defect.
67902 .......... A Repair eyelid 7.03 NA NA 6.60 7.05 0.32 NA NA 13.95 14.40 090
defect.
67903 .......... A Repair eyelid 6.37 9.22 8.82 9.22 8.82 0.40 15.99 15.59 15.99 15.59 090
defect.
67904 .......... A Repair eyelid 6.26 12.49 11.24 7.32 7.36 0.27 19.02 17.77 13.85 13.89 090
defect.
67906 .......... A Repair eyelid 6.79 8.77 8.06 8.39 7.78 0.27 15.83 15.12 15.45 14.84 090
defect.
67908 .......... A Repair eyelid 5.13 8.37 7.81 6.10 6.11 0.20 13.70 13.14 11.43 11.44 090
defect.
67909 .......... A Revise eyelid 5.40 8.13 7.71 6.00 6.11 0.24 13.77 13.35 11.64 11.75 090
defect.
67911 .......... A Revise eyelid 5.27 NA NA 6.46 6.42 0.24 NA NA 11.97 11.93 090
defect.
67914 .......... A Repair eyelid 3.68 8.93 7.80 3.03 3.37 0.15 12.76 11.63 6.86 7.20 090
defect.
67915 .......... A Repair eyelid 3.18 7.86 6.24 1.53 1.49 0.12 11.16 9.54 4.83 4.79 090
defect.
67916 .......... A Repair eyelid 5.31 12.81 11.19 4.98 5.32 0.23 18.35 16.73 10.52 10.86 090
defect.
67917 .......... A Repair eyelid 6.02 9.21 8.70 6.31 6.53 0.26 15.49 14.98 12.59 12.81 090
defect.
67921 .......... A Repair eyelid 3.40 8.59 7.46 2.80 3.12 0.13 12.12 10.99 6.33 6.65 090
defect.
67922 .......... A Repair eyelid 3.06 7.91 6.26 2.64 2.30 0.12 11.09 9.44 5.82 5.48 090
defect.
67923 .......... A Repair eyelid 5.88 12.25 10.94 4.89 5.42 0.24 18.37 17.06 11.01 11.54 090
defect.
67924 .......... A Repair eyelid 5.79 8.01 7.74 5.80 6.08 0.24 14.04 13.77 11.83 12.11 090
defect.
67930 .......... A Repair eyelid wound 3.61 9.17 7.22 2.63 2.32 0.16 12.94 10.99 6.40 6.09 010
67935 .......... A Repair eyelid wound 6.22 13.33 11.03 5.17 4.91 0.30 19.85 17.55 11.69 11.43 090
67938 .......... A Remove eyelid 1.33 6.15 4.75 0.52 0.53 0.07 7.55 6.15 1.92 1.93 010
foreign body.
67950 .......... A Revision of eyelid. 5.82 7.80 7.59 7.00 6.99 0.28 13.90 13.69 13.10 13.09 090
67961 .......... A Revision of eyelid. 5.69 7.62 7.41 7.62 7.41 0.26 13.57 13.36 13.57 13.36 090
67966 .......... A Revision of eyelid. 6.57 7.04 7.24 6.19 6.61 0.31 13.92 14.12 13.07 13.49 090
67971 .......... A Reconstruction of 9.79 NA NA 7.89 8.82 0.41 NA NA 18.09 19.02 090
eyelid.
67973 .......... A Reconstruction of 12.87 NA NA 9.93 11.12 0.58 NA NA 23.38 24.57 090
eyelid.
67974 .......... A Reconstruction of 12.84 NA NA 10.47 11.67 0.59 NA NA 23.90 25.10 090
eyelid.
67975 .......... A Reconstruction of 9.13 NA NA 9.76 8.45 0.37 NA NA 19.26 17.95 090
eyelid.
67999 .......... C Revision of eyelid. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
68020 .......... A Incise/drain eyelid 1.37 5.19 4.03 0.66 0.63 0.06 6.62 5.46 2.09 2.06 010
lining.
[[Page 44270]]
68040 .......... A Treatment of eyelid 0.85 5.00 3.87 0.38 0.41 0.04 5.89 4.76 1.27 1.30 000
lesions.
68100 .......... A Biopsy of eyelid 1.35 5.39 4.31 0.65 0.76 0.06 6.80 5.72 2.06 2.17 000
lining.
68110 .......... A Remove eyelid 1.77 6.10 4.91 1.36 1.36 0.07 7.94 6.75 3.20 3.20 010
lining lesion.
68115 .......... A Remove eyelid 2.36 5.91 4.96 1.14 1.38 0.10 8.37 7.42 3.60 3.84 010
lining lesion.
68130 .......... A Remove eyelid 4.93 NA NA 2.40 2.91 0.19 NA NA 7.52 8.03 090
lining lesion.
68135 .......... A Remove eyelid 1.84 5.47 4.30 0.89 0.87 0.08 7.39 6.22 2.81 2.79 010
lining lesion.
68200 .......... A Treat eyelid by 0.49 5.17 4.02 0.24 0.32 0.02 5.68 4.53 0.75 0.83 000
injection.
68320 .......... A Revise/graft eyelid 5.37 5.28 5.56 5.28 5.56 0.22 10.87 11.15 10.87 11.15 090
lining.
68325 .......... A Revise/graft eyelid 7.36 NA NA 8.48 8.56 0.34 NA NA 16.18 16.26 090
lining.
68326 .......... A Revise/graft eyelid 7.15 NA NA 7.76 7.96 0.31 NA NA 15.22 15.42 090
lining.
68328 .......... A Revise/graft eyelid 8.18 NA NA 7.63 8.17 0.40 NA NA 16.21 16.75 090
lining.
68330 .......... A Revise eyelid 4.83 6.45 6.28 5.11 5.27 0.19 11.47 11.30 10.13 10.29 090
lining.
68335 .......... A Revise/graft eyelid 7.19 NA NA 5.23 6.07 0.30 NA NA 12.72 13.56 090
lining.
68340 .......... A Separate eyelid 4.17 11.25 9.29 3.83 3.73 0.17 15.59 13.63 8.17 8.07 090
adhesions.
68360 .......... A Revise eyelid 4.37 6.19 5.95 4.84 4.94 0.17 10.73 10.49 9.38 9.48 090
lining.
68362 .......... A Revise eyelid 7.34 NA NA 7.65 7.91 0.29 NA NA 15.28 15.54 090
lining.
68399 .......... C Eyelid lining 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
68400 .......... A Incise/drain tear 1.69 8.04 6.30 1.91 1.71 0.07 9.80 8.06 3.67 3.47 010
gland.
68420 .......... A Incise/drain tear 2.30 8.48 6.64 2.16 1.90 0.10 10.88 9.04 4.56 4.30 010
sac.
68440 .......... A Incise tear duct 0.94 5.14 4.06 0.46 0.55 0.04 6.12 5.04 1.44 1.53 010
opening.
68500 .......... A Removal of tear 11.02 NA NA 8.72 8.61 0.52 NA NA 20.26 20.15 090
gland.
68505 .......... A Partial removal, 10.94 NA NA 9.97 9.84 0.65 NA NA 21.56 21.43 090
tear gland.
68510 .......... A Biopsy of tear 4.61 9.83 8.37 2.27 2.70 0.18 14.62 13.16 7.06 7.49 000
gland.
68520 .......... A Removal of tear sac 7.51 NA NA 6.63 7.21 0.32 NA NA 14.46 15.04 090
68525 .......... A Biopsy of tear sac. 4.43 NA NA 2.13 2.60 0.18 NA NA 6.74 7.21 000
68530 .......... A Clearance of tear 3.66 10.17 8.40 2.54 2.68 0.15 13.98 12.21 6.35 6.49 010
duct.
68540 .......... A Remove tear gland 10.60 NA NA 7.73 8.05 0.53 NA NA 18.86 19.18 090
lesion.
68550 .......... A Remove tear gland 13.26 NA NA 8.92 9.77 0.95 NA NA 23.13 23.98 090
lesion.
68700 .......... A Repair tear ducts.. 6.60 NA NA 5.59 4.92 0.27 NA NA 12.46 11.79 090
68705 .......... A Revise tear duct 2.06 5.70 4.55 1.00 1.03 0.09 7.85 6.70 3.15 3.18 010
opening.
68720 .......... A Create tear sac 8.96 NA NA 6.65 7.66 0.38 NA NA 15.99 17.00 090
drain.
68745 .......... A Create tear duct 8.63 NA NA 6.39 6.57 0.35 NA NA 15.37 15.55 090
drain.
68750 .......... A Create tear duct 8.66 NA NA 6.92 7.78 0.36 NA NA 15.94 16.80 090
drain.
68760 .......... A Close tear duct 1.73 5.34 4.26 0.84 0.88 0.07 7.14 6.06 2.64 2.68 010
opening.
68761 .......... A Close tear duct 1.36 6.11 4.83 0.61 0.71 0.07 7.54 6.26 2.04 2.14 010
opening.
68770 .......... A Close tear system 7.02 11.88 10.06 5.03 4.92 0.31 19.21 17.39 12.36 12.25 090
fistula.
68801 .......... A Dilate tear duct 0.94 5.95 4.58 0.44 0.45 0.04 6.93 5.56 1.42 1.43 010
opening.
68810 .......... A Probe nasolacrimal 1.90 7.39 5.69 1.74 1.46 0.08 9.37 7.67 3.72 3.44 010
duct.
68811 .......... A Probe nasolacrimal 2.35 NA NA 2.00 1.91 0.10 NA NA 4.45 4.36 010
duct.
68815 .......... A Probe nasolacrimal 3.20 8.35 6.79 2.42 2.34 0.14 11.69 10.13 5.76 5.68 010
duct.
68840 .......... A Explore/irrigate 1.25 6.56 5.05 0.54 0.54 0.05 7.86 6.35 1.84 1.84 010
tear ducts.
68850 .......... A Injection for tear 0.80 12.29 9.36 0.31 0.37 0.03 13.12 10.19 1.14 1.20 000
sac x-ray.
68899 .......... C Tear duct system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69000 .......... A Drain external ear 1.45 1.78 1.43 0.53 0.49 0.10 3.33 2.98 2.08 2.04 010
lesion.
69005 .......... A Drain external ear 2.11 2.17 1.94 1.82 1.68 0.15 4.43 4.20 4.08 3.94 010
lesion.
69020 .......... A Drain outer ear 1.48 1.86 1.52 0.72 0.66 0.11 3.45 3.11 2.31 2.25 010
canal lesion.
69090 .......... N Pierce earlobes.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
69100 .......... A Biopsy of external 0.81 1.43 1.25 0.40 0.48 0.04 2.28 2.10 1.25 1.33 000
ear.
69105 .......... A Biopsy of external 0.85 1.25 1.16 0.84 0.85 0.06 2.16 2.07 1.75 1.76 000
ear canal.
69110 .......... A Remove external 3.44 3.23 3.14 2.52 2.60 0.25 6.92 6.83 6.21 6.29 090
ear, partial.
69120 .......... A Removal of external 4.05 NA NA 3.88 3.12 0.32 NA NA 8.25 7.49 090
ear.
69140 .......... A Remove ear canal 7.97 NA NA 7.00 7.42 0.56 NA NA 15.53 15.95 090
lesion(s).
69145 .......... A Remove ear canal 2.62 2.89 2.85 2.19 2.32 0.19 5.70 5.66 5.00 5.13 090
lesion(s).
69150 .......... A Extensive ear canal 13.43 NA NA 10.15 10.45 1.01 NA NA 24.59 24.89 090
surgery.
69155 .......... A Extensive ear/neck 20.80 NA NA 13.90 14.75 1.65 NA NA 36.35 37.20 090
surgery.
69200 .......... A Clear outer ear 0.77 1.20 1.02 0.55 0.53 0.06 2.03 1.85 1.38 1.36 000
canal.
69205 .......... A Clear outer ear 1.20 NA NA 1.29 1.26 0.09 NA NA 2.58 2.55 010
canal.
69210 .......... A Remove impacted ear 0.61 1.11 0.90 0.24 0.24 0.04 1.76 1.55 0.89 0.89 000
wax.
69220 .......... A Clean out mastoid 0.83 1.25 1.07 0.42 0.45 0.06 2.14 1.96 1.31 1.34 000
cavity.
69222 .......... A Clean out mastoid 1.40 1.83 1.57 1.42 1.27 0.10 3.33 3.07 2.92 2.77 010
cavity.
69300 .......... R Revise external ear 6.36 NA NA 4.14 4.54 0.51 NA NA 11.01 11.41 YYY
69310 .......... A Rebuild outer ear 10.79 NA NA 8.63 9.14 0.77 NA NA 20.19 20.70 090
canal.
69320 .......... A Rebuild outer ear 16.96 NA NA 12.58 13.41 1.21 NA NA 30.75 31.58 090
canal.
69399 .......... C Outer ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69400 .......... A Inflate middle ear 0.83 1.24 1.05 0.43 0.45 0.06 2.13 1.94 1.32 1.34 000
canal.
69401 .......... A Inflate middle ear 0.63 1.14 0.92 0.35 0.33 0.05 1.82 1.60 1.03 1.01 000
canal.
69405 .......... A Catheterize middle 2.63 2.61 2.09 1.41 1.19 0.18 5.42 4.90 4.22 4.00 010
ear canal.
69410 .......... A Inset middle ear 0.33 1.10 0.99 0.15 0.28 0.02 1.45 1.34 0.50 0.63 000
(baffle).
69420 .......... A Incision of eardrum 1.33 1.89 1.61 0.70 0.71 0.10 3.32 3.04 2.13 2.14 010
69421 .......... A Incision of eardrum 1.73 2.14 1.92 1.60 1.51 0.12 3.99 3.77 3.45 3.36 010
69424 .......... A Remove ventilating 0.85 1.35 1.18 0.70 0.69 0.06 2.26 2.09 1.61 1.60 000
tube.
69433 .......... A Create eardrum 1.52 1.91 1.79 0.83 0.98 0.11 3.54 3.42 2.46 2.61 010
opening.
69436 .......... A Create eardrum 1.96 NA NA 1.74 1.88 0.14 NA NA 3.84 3.98 010
opening.
69440 .......... A Exploration of 7.57 NA NA 6.41 7.07 0.53 NA NA 14.51 15.17 090
middle ear.
69450 .......... A Eardrum revision... 5.57 NA NA 5.22 5.58 0.40 NA NA 11.19 11.55 090
69501 .......... A Mastoidectomy...... 9.07 NA NA 7.18 8.09 0.66 NA NA 16.91 17.82 090
69502 .......... A Mastoidectomy...... 12.38 NA NA 9.54 10.78 0.89 NA NA 22.81 24.05 090
69505 .......... A Remove mastoid 12.99 NA NA 9.81 11.24 0.94 NA NA 23.74 25.17 090
structures.
69511 .......... A Extensive mastoid 13.52 NA NA 10.10 11.61 0.96 NA NA 24.58 26.09 090
surgery.
69530 .......... A Extensive mastoid 19.19 NA NA 13.64 14.76 1.43 NA NA 34.26 35.38 090
surgery.
69535 .......... A Remove part of 36.14 NA NA 22.50 23.73 2.61 NA NA 61.25 62.48 090
temporal bone.
69540 .......... A Remove ear lesion.. 1.20 1.82 1.71 1.31 1.33 0.09 3.11 3.00 2.60 2.62 010
[[Page 44271]]
69550 .......... A Remove ear lesion.. 10.99 NA NA 8.56 9.70 0.77 NA NA 20.32 21.46 090
69552 .......... A Remove ear lesion.. 19.46 NA NA 13.33 14.54 1.38 NA NA 34.17 35.38 090
69554 .......... A Remove ear lesion.. 33.16 NA NA 20.30 21.43 2.94 NA NA 56.40 57.53 090
69601 .......... A Mastoid surgery 13.24 NA NA 10.43 11.63 0.95 NA NA 24.62 25.82 090
revision.
69602 .......... A Mastoid surgery 13.58 NA NA 10.11 11.64 0.96 NA NA 24.65 26.18 090
revision.
69603 .......... A Mastoid surgery 14.02 NA NA 10.43 12.01 0.01 NA NA 24.46 26.04 090
revision.
69604 .......... A Mastoid surgery 14.02 NA NA 10.34 11.94 0.01 NA NA 24.37 25.97 090
revision.
69605 .......... A Mastoid surgery 18.49 NA NA 13.31 14.04 1.24 NA NA 33.04 33.77 090
revision.
69610 .......... A Repair of eardrum.. 4.43 3.67 3.01 3.08 2.56 0.31 8.41 7.75 7.82 7.30 010
69620 .......... A Repair of eardrum.. 5.89 5.78 6.09 3.28 4.22 0.42 12.09 12.40 9.59 10.53 090
69631 .......... A Repair eardrum 9.86 NA NA 8.16 9.07 0.70 NA NA 18.72 19.63 090
structures.
69632 .......... A Rebuild eardrum 12.75 NA NA 10.21 11.47 0.91 NA NA 23.87 25.13 090
structures.
69633 .......... A Rebuild eardrum 12.10 NA NA 9.88 11.02 0.86 NA NA 22.84 23.98 090
structures.
69635 .......... A Repair eardrum 13.33 NA NA 10.10 11.55 0.95 NA NA 24.38 25.83 090
structures.
69636 .......... A Rebuild eardrum 15.22 NA NA 11.65 13.28 1.09 NA NA 27.96 29.59 090
structures.
69637 .......... A Rebuild eardrum 15.11 NA NA 11.53 13.16 1.08 NA NA 27.72 29.35 090
structures.
69641 .......... A Revise middle ear & 12.71 NA NA 9.75 11.11 0.91 NA NA 23.37 24.73 090
mastoid.
69642 .......... A Revise middle ear & 16.84 NA NA 12.51 14.41 1.19 NA NA 30.54 32.44 090
mastoid.
69643 .......... A Revise middle ear & 15.32 NA NA 11.67 13.33 1.10 NA NA 28.09 29.75 090
mastoid.
69644 .......... A Revise middle ear & 16.97 NA NA 12.53 14.46 1.20 NA NA 30.70 32.63 090
mastoid.
69645 .......... A Revise middle ear & 16.38 NA NA 12.23 14.06 1.16 NA NA 29.77 31.60 090
mastoid.
69646 .......... A Revise middle ear & 17.99 NA NA 13.16 15.24 1.29 NA NA 32.44 34.52 090
mastoid.
69650 .......... A Release middle ear 9.66 NA NA 7.50 8.51 0.69 NA NA 17.85 18.86 090
bone.
69660 .......... A Revise middle ear 11.90 NA NA 8.73 10.10 0.85 NA NA 21.48 22.85 090
bone.
69661 .......... A Revise middle ear 15.74 NA NA 11.29 13.17 1.14 NA NA 28.17 30.05 090
bone.
69662 .......... A Revise middle ear 15.44 NA NA 11.11 12.94 1.10 NA NA 27.65 29.48 090
bone.
69666 .......... A Repair middle ear 9.75 NA NA 7.59 8.60 0.69 NA NA 18.03 19.04 090
structures.
69667 .......... A Repair middle ear 9.76 NA NA 7.59 8.61 0.69 NA NA 18.04 19.06 090
structures.
69670 .......... A Remove mastoid air 11.51 NA NA 9.03 9.54 0.79 NA NA 21.33 21.84 090
cells.
69676 .......... A Remove middle ear 9.52 NA NA 7.94 8.27 0.66 NA NA 18.12 18.45 090
nerve.
69700 .......... A Close mastoid 8.23 NA NA 5.44 6.21 0.62 NA NA 14.29 15.06 090
fistula.
69710 .......... N Implant/replace 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
69711 .......... A Remove/repair 10.44 NA NA 8.24 8.47 0.73 NA NA 19.41 19.64 090
hearing aid.
69720 .......... A Release facial 14.38 NA NA 11.15 12.66 1.03 NA NA 26.56 28.07 090
nerve.
69725 .......... A Release facial 25.38 NA NA 16.53 16.37 1.62 NA NA 43.53 43.37 090
nerve.
69740 .......... A Repair facial nerve 15.96 NA NA 10.68 11.22 1.11 NA NA 27.75 28.29 090
69745 .......... A Repair facial nerve 16.69 NA NA 11.02 12.59 1.80 NA NA 29.51 31.08 090
69799 .......... C Middle ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69801 .......... A Incise inner ear... 8.56 NA NA 6.68 7.57 0.61 NA NA 15.85 16.74 090
69802 .......... A Incise inner ear... 13.10 NA NA 9.55 10.21 1.04 NA NA 23.69 24.35 090
69805 .......... A Explore inner ear.. 13.82 NA NA 9.50 10.69 0.97 NA NA 24.29 25.48 090
69806 .......... A Explore inner ear.. 12.35 NA NA 9.21 10.60 0.88 NA NA 22.44 23.83 090
69820 .......... A Establish inner ear 10.34 NA NA 7.91 8.33 0.55 NA NA 18.80 19.22 090
window.
69840 .......... A Revise inner ear 10.26 NA NA 8.49 8.67 0.40 NA NA 19.15 19.33 090
window.
69905 .......... A Remove inner ear... 11.10 NA NA 8.48 9.67 0.77 NA NA 20.35 21.54 090
69910 .......... A Remove inner ear & 13.63 NA NA 9.74 11.37 0.97 NA NA 24.34 25.97 090
mastoid.
69915 .......... A Incise inner ear 21.23 NA NA 14.11 15.39 1.50 NA NA 36.84 38.12 090
nerve.
69930 .......... A Implant cochlear 16.81 NA NA 11.34 13.52 1.21 NA NA 29.36 31.54 090
device.
69949 .......... C Inner ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69950 .......... A Incise inner ear 25.64 NA NA 15.46 16.48 2.34 NA NA 43.44 44.46 090
nerve.
69955 .......... A Release facial 27.04 NA NA 17.99 19.00 2.31 NA NA 47.34 48.35 090
nerve.
69960 .......... A Release inner ear 27.04 NA NA 16.77 17.42 2.52 NA NA 46.33 46.98 090
canal.
69970 .......... A Remove inner ear 30.04 NA NA 18.13 18.94 2.13 NA NA 50.30 51.11 090
lesion.
69979 .......... C Temporal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69990 .......... R Microsurgery add-on 3.47 NA NA 1.79 1.79 0.64 NA NA 5.90 5.90 ZZZ
70010 .......... A Contrast x-ray of 1.19 4.79 4.86 NA NA 0.24 6.22 6.29 NA NA XXX
brain.
70010 26 A Contrast x-ray of 1.19 0.41 0.45 0.41 0.45 0.05 1.65 1.69 1.65 1.69 XXX
brain.
70010 TC A Contrast x-ray of 0.00 4.38 4.41 NA NA 0.19 4.57 4.60 NA NA XXX
brain.
70015 .......... A Contrast x-ray of 1.19 1.77 1.82 NA NA 0.12 3.08 3.13 NA NA XXX
brain.
70015 26 A Contrast x-ray of 1.19 0.40 0.44 0.40 0.44 0.05 1.64 1.68 1.64 1.68 XXX
brain.
70015 TC A Contrast x-ray of 0.00 1.37 1.38 NA NA 0.07 1.44 1.45 NA NA XXX
brain.
70030 .......... A X-ray eye for 0.17 0.48 0.49 NA NA 0.03 0.68 0.69 NA NA XXX
foreign body.
70030 26 A X-ray eye for 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
foreign body.
70030 TC A X-ray eye for 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
foreign body.
70100 .......... A X-ray exam of jaw.. 0.18 0.59 0.60 NA NA 0.03 0.80 0.81 NA NA XXX
70100 26 A X-ray exam of jaw.. 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
70100 TC A X-ray exam of jaw.. 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
70110 .......... A X-ray exam of jaw.. 0.25 0.72 0.73 NA NA 0.04 1.01 1.02 NA NA XXX
70110 26 A X-ray exam of jaw.. 0.25 0.09 0.10 0.09 0.10 0.01 0.35 0.36 0.35 0.36 XXX
70110 TC A X-ray exam of jaw.. 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
70120 .......... A X-ray exam of 0.18 0.69 0.70 NA NA 0.04 0.91 0.92 NA NA XXX
mastoids.
70120 26 A X-ray exam of 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
mastoids.
70120 TC A X-ray exam of 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
mastoids.
70130 .......... A X-ray exam of 0.34 0.91 0.93 NA NA 0.05 1.30 1.32 NA NA XXX
mastoids.
70130 26 A X-ray exam of 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX
mastoids.
70130 TC A X-ray exam of 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
mastoids.
70134 .......... A X-ray exam of 0.34 0.86 0.88 NA NA 0.05 1.25 1.27 NA NA XXX
middle ear.
70134 26 A X-ray exam of 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX
middle ear.
70134 TC A X-ray exam of 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
middle ear.
70140 .......... A X-ray exam of 0.19 0.70 0.71 NA NA 0.04 0.93 0.94 NA NA XXX
facial bones.
70140 26 A X-ray exam of 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX
facial bones.
70140 TC A X-ray exam of 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
facial bones.
[[Page 44272]]
70150 .......... A X-ray exam of 0.26 0.88 0.90 NA NA 0.05 1.19 1.21 NA NA XXX
facial bones.
70150 26 A X-ray exam of 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 XXX
facial bones.
70150 TC A X-ray exam of 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
facial bones.
70160 .......... A X-ray exam of nasal 0.17 0.59 0.60 NA NA 0.03 0.79 0.80 NA NA XXX
bones.
70160 26 A X-ray exam of nasal 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
bones.
70160 TC A X-ray exam of nasal 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
bones.
70170 .......... A X-ray exam of tear 0.30 1.07 1.09 NA NA 0.06 1.43 1.45 NA NA XXX
duct.
70170 26 A X-ray exam of tear 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX
duct.
70170 TC A X-ray exam of tear 0.00 0.96 0.97 NA NA 0.05 1.01 1.02 NA NA XXX
duct.
70190 .......... A X-ray exam of eye 0.21 0.70 0.71 NA NA 0.04 0.95 0.96 NA NA XXX
sockets.
70190 26 A X-ray exam of eye 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 XXX
sockets.
70190 TC A X-ray exam of eye 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
sockets.
70200 .......... A X-ray exam of eye 0.28 0.89 0.91 NA NA 0.05 1.22 1.24 NA NA XXX
sockets.
70200 26 A X-ray exam of eye 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 XXX
sockets.
70200 TC A X-ray exam of eye 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
sockets.
70210 .......... A X-ray exam of 0.17 0.69 0.70 NA NA 0.04 0.90 0.91 NA NA XXX
sinuses.
70210 26 A X-ray exam of 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
sinuses.
70210 TC A X-ray exam of 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
sinuses.
70220 .......... A X-ray exam of 0.25 0.88 0.90 NA NA 0.05 1.18 1.20 NA NA XXX
sinuses.
70220 26 A X-ray exam of 0.25 0.09 0.10 0.09 0.10 0.01 0.35 0.36 0.35 0.36 XXX
sinuses.
70220 TC A X-ray exam of 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
sinuses.
70240 .......... A X-ray exam, 0.19 0.49 0.50 NA NA 0.03 0.71 0.72 NA NA XXX
pituitary saddle.
70240 26 A X-ray exam, 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX
pituitary saddle.
70240 TC A X-ray exam, 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
pituitary saddle.
70250 .......... A X-ray exam of skull 0.24 0.71 0.72 NA NA 0.04 0.99 1.00 NA NA XXX
70250 26 A X-ray exam of skull 0.24 0.08 0.09 0.08 0.09 0.01 0.33 0.34 0.33 0.34 XXX
70250 TC A X-ray exam of skull 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
70260 .......... A X-ray exam of skull 0.34 1.02 1.04 NA NA 0.06 1.42 1.44 NA NA XXX
70260 26 A X-ray exam of skull 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX
70260 TC A X-ray exam of skull 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX
70300 .......... A X-ray exam of teeth 0.10 0.30 0.30 NA NA 0.03 0.43 0.43 NA NA XXX
70300 26 A X-ray exam of teeth 0.10 0.04 0.04 0.04 0.04 0.01 0.15 0.15 0.15 0.15 XXX
70300 TC A X-ray exam of teeth 0.00 0.26 0.26 NA NA 0.02 0.28 0.28 NA NA XXX
70310 .......... A X-ray exam of teeth 0.16 0.48 0.49 NA NA 0.03 0.67 0.68 NA NA XXX
70310 26........ A X-ray exam of teeth 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
70310 TC A X-ray exam of teeth 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
70320 .......... A Full mouth x-ray of 0.22 0.87 0.89 NA NA 0.05 1.14 1.16 NA NA XXX
teeth.
70320 26 A Full mouth x-ray of 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
teeth.
70320 TC A Full mouth x-ray of 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
teeth.
70328 .......... A X-ray exam of jaw 0.18 0.56 0.57 NA NA 0.03 0.77 0.78 NA NA XXX
joint.
70328 26 A X-ray exam of jaw 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
joint.
70328 TC A X-ray exam of jaw 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
joint.
70330 .......... A X-ray exam of jaw 0.24 0.93 0.95 NA NA 0.05 1.22 1.24 NA NA XXX
joints.
70330 26 A X-ray exam of jaw 0.24 0.08 0.09 0.08 0.09 0.01 0.33 0.34 0.33 0.34 XXX
joints.
70330 TC A X-ray exam of jaw 0.00 0.85 0.86 NA NA 0.04 0.89 0.90 NA NA XXX
joints.
70332 .......... A X-ray exam of jaw 0.54 2.31 2.34 NA NA 0.12 2.97 3.00 NA NA XXX
joint.
70332 26 A X-ray exam of jaw 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
joint.
70332 TC A X-ray exam of jaw 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
joint.
70336 .......... A Magnetic image, jaw 1.48 11.85 11.91 NA NA 0.56 13.89 13.95 NA NA XXX
joint.
70336 26 A Magnetic image, jaw 1.48 0.52 0.51 0.52 0.51 0.06 2.06 2.05 2.06 2.05 XXX
joint.
70336 TC A Magnetic image, jaw 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
joint.
70350 .......... A X-ray head for 0.17 0.44 0.45 NA NA 0.03 0.64 0.65 NA NA XXX
orthodontia.
70350 26 A X-ray head for 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
orthodontia.
70350 TC A X-ray head for 0.00 0.38 0.38 NA NA 0.02 0.40 0.40 NA NA XXX
orthodontia.
70355 .......... A Panoramic x-ray of 0.20 0.65 0.66 NA NA 0.04 0.89 0.90 NA NA XXX
jaws.
70355 26 A Panoramic x-ray of 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
jaws.
70355 TC A Panoramic x-ray of 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
jaws.
70360 .......... A X-ray exam of neck. 0.17 0.48 0.49 NA NA 0.03 0.68 0.69 NA NA XXX
70360 26 A X-ray exam of neck. 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
70360 TC A X-ray exam of neck. 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
70370 .......... A Throat x-ray & 0.32 1.43 1.45 NA NA 0.07 1.82 1.84 NA NA XXX
fluoroscopy.
70370 26 A Throat x-ray & 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX
fluoroscopy.
70370 TC A Throat x-ray & 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
fluoroscopy.
70371 .......... A Speech evaluation, 0.84 2.41 2.45 NA NA 0.13 3.38 3.42 NA NA XXX
complex.
70371 26 A Speech evaluation, 0.84 0.29 0.32 0.29 0.32 0.03 1.16 1.19 1.16 1.19 XXX
complex.
70371 TC A Speech evaluation, 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
complex.
70373 .......... A Contrast x-ray of 0.44 1.95 1.98 NA NA 0.11 2.50 2.53 NA NA XXX
larynx.
70373 26 A Contrast x-ray of 0.44 0.15 0.17 0.15 0.17 0.02 0.61 0.63 0.61 0.63 XXX
larynx.
70373 TC A Contrast x-ray of 0.00 1.80 1.81 NA NA 0.09 1.89 1.90 NA NA XXX
larynx.
70380 .......... A X-ray exam of 0.17 0.73 0.75 NA NA 0.04 0.94 0.96 NA NA XXX
salivary gland.
70380 26 A X-ray exam of 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
salivary gland.
70380 TC A X-ray exam of 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
salivary gland.
70390 .......... A X-ray exam of 0.38 1.93 1.95 NA NA 0.11 2.42 2.44 NA NA XXX
salivary duct.
70390 26 A X-ray exam of 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX
salivary duct.
70390 TC A X-ray exam of 0.00 1.80 1.81 NA NA 0.09 1.89 1.90 NA NA XXX
salivary duct.
70450 .......... A CAT scan of head or 0.85 5.07 5.13 NA NA 0.25 6.17 6.23 NA NA XXX
brain.
70450 26 A CAT scan of head or 0.85 0.30 0.33 0.30 0.33 0.03 1.18 1.21 1.18 1.21 XXX
brain.
70450 TC A CAT scan of head or 0.00 4.77 4.80 NA NA 0.22 4.99 5.02 NA NA XXX
brain.
70460 .......... A Contrast CAT scan 1.13 6.11 6.18 NA NA 0.31 7.55 7.62 NA NA XXX
of head.
70460 26 A Contrast CAT scan 1.13 0.39 0.43 0.39 0.43 0.05 1.57 1.61 1.57 1.61 XXX
of head.
70460 TC A Contrast CAT scan 0.00 5.72 5.75 NA NA 0.26 5.98 6.01 NA NA XXX
of head.
70470 .......... A Contrast CAT scans 1.27 7.59 7.67 NA NA 0.37 9.23 9.31 NA NA XXX
of head.
[[Page 44273]]
70470 26 A Contrast CAT scans 1.27 0.44 0.48 0.44 0.48 0.05 1.76 1.80 1.76 1.80 XXX
of head.
70470 TC A Contrast CAT scans 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
of head.
70480 .......... A CAT scan of skull.. 1.28 5.22 5.29 NA NA 0.27 6.77 6.84 NA NA XXX
70480 26 A CAT scan of skull.. 1.28 0.45 0.49 0.45 0.49 0.05 1.78 1.82 1.78 1.82 XXX
70480 TC A CAT scan of skull.. 0.00 4.77 4.80 NA NA 0.22 4.99 5.02 NA NA XXX
70481 .......... A Contrast CAT scan 1.38 6.20 6.28 NA NA 0.31 7.89 7.97 NA NA XXX
of skull.
70481 26 A Contrast CAT scan 1.38 0.48 0.53 0.48 0.53 0.05 1.91 1.96 1.91 1.96 XXX
of skull.
70481 TC A Contrast CAT scan 0.00 5.72 5.75 NA NA 0.26 5.98 6.01 NA NA XXX
of skull.
70482 .......... A Contrast CAT scans 1.45 7.66 7.75 7.50 0.56 0.38 9.49 9.58 9.33 2.39 XXX
of skull.
70482 26 A Contrast CAT scans 1.45 0.51 0.56 0.51 0.56 0.06 2.02 2.07 2.02 2.07 XXX
of skull.
70482 TC A Contrast CAT scans 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
of skull.
70486 .......... A Cat scan of face/ 1.14 5.17 5.24 5.05 0.44 0.27 6.58 6.65 6.46 1.85 XXX
jaw.
70486 26 A Cat scan of face/ 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
jaw.
70486 TC A Cat scan of face/ 0.00 4.77 4.80 NA NA 0.22 4.99 5.02 NA NA XXX
jaw.
70487 .......... A Contrast CAT scan, 1.30 6.17 6.24 6.04 0.49 0.31 7.78 7.85 7.65 2.10 XXX
face/jaw.
70487 26 A Contrast CAT scan, 1.30 0.45 0.49 0.45 0.49 0.05 1.80 1.84 1.80 1.84 XXX
face/jaw.
70487 TC A Contrast CAT scan, 0.00 5.72 5.75 NA NA 0.26 5.98 6.01 NA NA XXX
face/jaw.
70488 .......... A Contrast cat scans, 1.42 7.64 7.73 7.49 0.54 0.38 9.44 9.53 9.29 2.34 XXX
face/jaw.
70488 26 A Contrast cat scans, 1.42 0.49 0.54 0.49 0.54 0.06 1.97 2.02 1.97 2.02 XXX
face/jaw.
70488 TC A Contrast cat scans, 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
face/jaw.
70490 .......... A CAT scan of neck 1.28 5.22 5.29 5.09 0.49 0.27 6.77 6.84 6.64 2.04 XXX
tissue.
70490 26 A CAT scan of neck 1.28 0.45 0.49 0.45 0.49 0.05 1.78 1.82 1.78 1.82 XXX
tissue.
70490 TC A CAT scan of neck 0.00 4.77 4.80 NA NA 0.22 4.99 5.02 NA NA XXX
tissue.
70491 .......... A Contrast CAT of 1.38 6.20 6.28 6.06 0.53 0.31 7.89 7.97 7.75 2.22 XXX
neck tissue.
70491 26 A Contrast CAT of 1.38 0.48 0.53 0.48 0.53 0.05 1.91 1.96 1.91 1.96 XXX
neck tissue.
70491 TC A Contrast CAT of 0.00 5.72 5.75 NA NA 0.26 5.98 6.01 NA NA XXX
neck tissue.
70492 .......... A Contrast CAT of 1.45 7.65 7.74 7.49 0.55 0.38 9.48 9.57 9.32 2.38 XXX
neck tissue.
70492 26 A Contrast CAT of 1.45 0.50 0.55 0.50 0.55 0.06 2.01 2.06 2.01 2.06 XXX
neck tissue.
70492 TC A Contrast CAT of 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
neck tissue.
70540 .......... A Magnetic image, 1.48 11.85 11.97 NA NA 0.56 13.89 14.01 NA NA XXX
face/neck.
70540 26 A Magnetic image, 1.48 0.52 0.57 0.52 0.57 0.06 2.06 2.11 2.06 2.11 XXX
face/neck.
70540 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
face/neck.
70541 .......... R Magnetic image, 1.81 11.96 12.05 NA NA 0.57 14.34 14.43 NA NA XXX
head (MRA).
70541 26 R Magnetic image, 1.81 0.63 0.65 0.63 0.65 0.07 2.51 2.53 2.51 2.53 XXX
head (MRA).
70541 TC R Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
head (MRA).
70551 .......... A Magnetic image, 1.48 11.85 11.97 NA NA 0.56 13.89 14.01 NA NA XXX
brain (MRI).
70551 26 A Magnetic image, 1.48 0.52 0.57 0.52 0.57 0.06 2.06 2.11 2.06 2.11 XXX
brain (MRI).
70551 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
brain (MRI).
70552 .......... A Magnetic image, 1.78 14.22 14.36 NA NA 0.67 16.67 16.81 NA NA XXX
brain (MRI).
70552 26 A Magnetic image, 1.78 0.63 0.69 0.63 0.69 0.07 2.48 2.54 2.48 2.54 XXX
brain (MRI).
70552 TC A Magnetic image, 0.00 13.59 13.67 NA NA 0.60 14.19 14.27 NA NA XXX
brain (MRI).
70553 .......... A Magnetic image, 2.36 25.98 26.22 NA NA 1.21 29.55 29.79 NA NA XXX
brain (mri).
70553 26 A Magnetic image, 2.36 0.82 0.91 0.82 0.91 0.09 3.27 3.36 3.27 3.36 XXX
brain (mri).
70553 TC A Magnetic image, 0.00 25.16 25.31 NA NA 1.12 26.28 26.43 NA NA XXX
brain (mri).
71010 .......... A Chest x-ray........ 0.18 0.54 0.55 NA NA 0.03 0.75 0.76 NA NA XXX
71010 26 A Chest x-ray........ 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
71010 TC A Chest x-ray........ 0.00 0.48 0.48 NA NA 0.02 0.50 0.50 NA NA XXX
71015 .......... A Chest x-ray........ 0.21 0.60 0.61 NA NA 0.03 0.84 0.85 NA NA XXX
71015 26 A Chest x-ray........ 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 XXX
71015 TC A Chest x-ray........ 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
71020 .......... A Chest x-ray........ 0.22 0.71 0.72 NA NA 0.04 0.97 0.98 NA NA XXX
71020 26 A Chest x-ray........ 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
71020 TC A Chest x-ray........ 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
71021 .......... A Chest x-ray........ 0.27 0.83 0.85 NA NA 0.05 1.15 1.17 NA NA XXX
71021 26 A Chest x-ray........ 0.27 0.09 0.10 0.09 0.10 0.01 0.37 0.38 0.37 0.38 XXX
71021 TC A Chest x-ray........ 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
71022 .......... A Chest x-ray........ 0.31 0.85 0.87 NA NA 0.05 1.21 1.23 NA NA XXX
71022 26 A Chest x-ray........ 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 XXX
71022 TC A Chest x-ray........ 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
71023 .......... A Chest x-ray and 0.38 0.93 0.95 NA NA 0.05 1.36 1.38 NA NA XXX
fluoroscopy.
71023 26 A Chest x-ray and 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 XXX
fluoroscopy.
71023 TC A Chest x-ray and 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
fluoroscopy.
71030 .......... A Chest x-ray........ 0.31 0.90 0.92 NA NA 0.05 1.26 1.28 NA NA XXX
71030 26 A Chest x-ray........ 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 XXX
71030 TC A Chest x-ray........ 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
71034 .......... A Chest x-ray and 0.46 1.63 1.66 NA NA 0.09 2.18 2.21 NA NA XXX
fluoroscopy.
71034 26 A Chest x-ray and 0.46 0.17 0.19 0.17 0.19 0.02 0.65 0.67 0.65 0.67 XXX
fluoroscopy.
71034 TC A Chest x-ray and 0.00 1.46 1.47 NA NA 0.07 1.53 1.54 NA NA XXX
fluoroscopy.
71035 .......... A Chest x-ray........ 0.18 0.59 0.60 NA NA 0.03 0.80 0.81 NA NA XXX
71035 26 A Chest x-ray........ 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
71035 TC A Chest x-ray........ 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
71036 .......... A X-ray guidance for 0.54 1.77 1.80 NA NA 0.10 2.41 2.44 NA NA XXX
biopsy.
71036 26 A X-ray guidance for 0.54 0.18 0.20 0.18 0.20 0.02 0.74 0.76 0.74 0.76 XXX
biopsy.
71036 TC A X-ray guidance for 0.00 1.59 1.60 NA NA 0.08 1.67 1.68 NA NA XXX
biopsy.
71040 .......... A Contrast x-ray of 0.58 1.68 1.71 NA NA 0.09 2.35 2.38 NA NA XXX
bronchi.
71040 26 A Contrast x-ray of 0.58 0.20 0.22 0.20 0.22 0.02 0.80 0.82 0.80 0.82 XXX
bronchi.
71040 TC A Contrast x-ray of 0.00 1.48 1.49 NA NA 0.07 1.55 1.56 NA NA XXX
bronchi.
71060 .......... A Contrast x-ray of 0.74 2.49 2.53 NA NA 0.14 3.37 3.41 NA NA XXX
bronchi.
71060 26 A Contrast x-ray of 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX
bronchi.
71060 TC A Contrast x-ray of 0.00 2.23 2.24 NA NA 0.11 2.34 2.35 NA NA XXX
bronchi.
71090 .......... A X-ray & pacemaker 0.54 1.92 1.94 NA NA 0.11 2.57 2.59 NA NA XXX
insertion.
71090 26 A X-ray & pacemaker 0.54 0.22 0.23 0.22 0.23 0.02 0.78 0.79 0.78 0.79 XXX
insertion.
[[Page 44274]]
71090 TC A X-ray & pacemaker 0.00 1.70 1.71 NA NA 0.09 1.79 1.80 NA NA XXX
insertion.
71100 .......... A X-ray exam of ribs. 0.22 0.66 0.67 NA NA 0.04 0.92 0.93 NA NA XXX
71100 26 A X-ray exam of ribs. 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
71100 TC A X-ray exam of ribs. 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
71101 .......... A X-ray exam of ribs/ 0.27 0.76 0.78 NA NA 0.04 1.07 1.09 NA NA XXX
chest.
71101 26 A X-ray exam of ribs/ 0.27 0.09 0.10 0.09 0.10 0.01 0.37 0.38 0.37 0.38 XXX
chest.
71101 TC A X-ray exam of ribs/ 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
chest.
71110 .......... A X-ray exam of ribs. 0.27 0.88 0.90 NA NA 0.05 1.20 1.22 NA NA XXX
71110 26 A X-ray exam of ribs. 0.27 0.09 0.10 0.09 0.10 0.01 0.37 0.38 0.37 0.38 XXX
71110 TC A X-ray exam of ribs. 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
71111 .......... A X-ray exam of ribs/ 0.32 1.01 1.03 NA NA 0.06 1.39 1.41 NA NA XXX
chest.
71111 26 A X-ray exam of ribs/ 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX
chest.
71111 TC A X-ray exam of ribs/ 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX
chest.
71120 .......... A X-ray exam of 0.20 0.72 0.74 NA NA 0.04 0.96 0.98 NA NA XXX
breastbone.
71120 26 A X-ray exam of 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
breastbone.
71120 TC A X-ray exam of 0.00 0.65 0.66 NA NA 0.03 0.68 0.69 NA NA XXX
breastbone.
71130 .......... A X-ray exam of 0.22 0.79 0.81 NA NA 0.04 1.05 1.07 NA NA XXX
breastbone.
71130 26 A X-ray exam of 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
breastbone.
71130 TC A X-ray exam of 0.00 0.71 0.72 NA NA 0.03 0.74 0.75 NA NA XXX
breastbone.
71250 .......... A Cat scan of chest.. 1.16 6.37 6.45 NA NA 0.32 7.85 7.93 NA NA XXX
71250 26 A Cat scan of chest.. 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
71250 TC A Cat scan of chest.. 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
71260 .......... A Contrast CAT scan 1.24 7.58 7.66 NA NA 0.37 9.19 9.27 NA NA XXX
of chest.
71260 26 A Contrast CAT scan 1.24 0.43 0.47 0.43 0.47 0.05 1.72 1.76 1.72 1.76 XXX
of chest.
71260 TC A Contrast CAT scan 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
of chest.
71270 .......... A Contrast CAT scans 1.38 9.42 9.52 NA NA 0.44 11.24 11.34 NA NA XXX
of chest.
71270 26 A Contrast CAT scans 1.38 0.48 0.53 0.48 0.53 0.05 1.91 1.96 1.91 1.96 XXX
of chest.
71270 TC A Contrast CAT scans 0.00 8.94 8.99 NA NA 0.39 9.33 9.38 NA NA XXX
of chest.
71550 .......... A Magnetic image, 1.60 11.89 12.02 NA NA 0.56 14.05 14.18 NA NA XXX
chest (mri).
71550 26 A Magnetic image, 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
chest (mri).
71550 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
chest (mri).
71555 .......... R Magnetic image, 1.81 11.96 12.07 NA NA 0.57 14.34 14.45 NA NA XXX
chest (mra).
71555 26 R Magnetic image, 1.81 0.63 0.67 0.63 0.67 0.07 2.51 2.55 2.51 2.55 XXX
chest (mra).
71555 TC R Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
chest (mra).
72010 .......... A X-ray exam of spine 0.45 1.20 1.23 NA NA 0.07 1.72 1.75 NA NA XXX
72010 26 A X-ray exam of spine 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX
72010 TC A X-ray exam of spine 0.00 1.04 1.05 NA NA 0.05 1.09 1.10 NA NA XXX
72020 .......... A X-ray exam of spine 0.15 0.47 0.48 NA NA 0.03 0.65 0.66 NA NA XXX
72020 26 A X-ray exam of spine 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 XXX
72020 TC A X-ray exam of spine 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
72040 .......... A X-ray exam of neck 0.22 0.69 0.70 NA NA 0.04 0.95 0.96 NA NA XXX
spine.
72040 26 A X-ray exam of neck 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
spine.
72040 TC A X-ray exam of neck 0.00 0.61 0.61 NA NA 0.03 0.64 0.64 NA NA XXX
spine.
72050 .......... A X-ray exam of neck 0.31 1.01 1.03 NA NA 0.06 1.38 1.40 NA NA XXX
spine.
72050 26 A X-ray exam of neck 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 XXX
spine.
72050 TC A X-ray exam of neck 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX
spine.
72052 .......... A X-ray exam of neck 0.36 1.27 1.29 NA NA 0.06 1.69 1.71 NA NA XXX
spine.
72052 26 A X-ray exam of neck 0.36 0.13 0.14 0.13 0.14 0.01 0.50 0.51 0.50 0.51 XXX
spine.
72052 TC A X-ray exam of neck 0.00 1.14 1.15 NA NA 0.05 1.19 1.20 NA NA XXX
spine.
72069 .......... A X-ray exam of trunk 0.22 0.58 0.59 NA NA 0.03 0.83 0.84 NA NA XXX
spine.
72069 26 A X-ray exam of trunk 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
spine.
72069 TC A X-ray exam of trunk 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
spine.
72070 .......... A X-ray exam of 0.22 0.73 0.75 NA NA 0.04 0.99 1.01 NA NA XXX
thoracic spine.
72070 26 A X-ray exam of 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
thoracic spine.
72070 TC A X-ray exam of 0.00 0.65 0.66 NA NA 0.03 0.68 0.69 NA NA XXX
thoracic spine.
72072 .......... A X-ray exam of 0.22 0.82 0.84 NA NA 0.05 1.09 1.11 NA NA XXX
thoracic spine.
72072 26 A X-ray exam of 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
thoracic spine.
72072 TC A X-ray exam of 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
thoracic spine.
72074 .......... A X-ray exam of 0.22 1.00 1.02 NA NA 0.06 1.28 1.30 NA NA XXX
thoracic spine.
72074 26 A X-ray exam of 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
thoracic spine.
72074 TC A X-ray exam of 0.00 0.92 0.93 NA NA 0.05 0.97 0.98 NA NA XXX
thoracic spine.
72080 .......... A X-ray exam of trunk 0.22 0.75 0.77 NA NA 0.04 1.01 1.03 NA NA XXX
spine.
72080 26 A X-ray exam of trunk 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
spine.
72080 TC A X-ray exam of trunk 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
spine.
72090 .......... A X-ray exam of trunk 0.28 0.77 0.79 NA NA 0.04 1.09 1.11 NA NA XXX
spine.
72090 26 A X-ray exam of trunk 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 XXX
spine.
72090 TC A X-ray exam of trunk 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
spine.
72100 .......... A X-ray exam of lower 0.22 0.75 0.77 NA NA 0.04 1.01 1.03 NA NA XXX
spine.
72100 26 A X-ray exam of lower 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
spine.
72100 TC A X-ray exam of lower 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
spine.
72110 .......... A X-ray exam of lower 0.31 1.03 1.05 NA NA 0.06 1.40 1.42 NA NA XXX
spine.
72110 26 A X-ray exam of lower 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 XXX
spine.
72110 TC A X-ray exam of lower 0.00 0.92 0.93 NA NA 0.05 0.97 0.98 NA NA XXX
spine.
72114 .......... A X-ray exam of lower 0.36 1.33 1.35 NA NA 0.07 1.76 1.78 NA NA XXX
spine.
72114 26 A X-ray exam of lower 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX
spine.
72114 TC A X-ray exam of lower 0.00 1.20 1.21 NA NA 0.05 1.25 1.26 NA NA XXX
spine.
72120 .......... A X-ray exam of lower 0.22 0.98 1.00 NA NA 0.06 1.26 1.28 NA NA XXX
spine.
72120 26 A X-ray exam of lower 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
spine.
72120 TC A X-ray exam of lower 0.00 0.90 0.91 NA NA 0.05 0.95 0.96 NA NA XXX
spine.
72125 .......... A CAT scan of neck 1.16 6.37 6.45 NA NA 0.32 7.85 7.93 NA NA XXX
spine.
72125 26 A CAT scan of neck 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
spine.
72125 TC A CAT scan of neck 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
spine.
[[Page 44275]]
72126 .......... A Contrast CAT scan 1.22 7.57 7.65 NA NA 0.37 9.16 9.24 NA NA XXX
of neck.
72126 26 A Contrast CAT scan 1.22 0.42 0.46 0.42 0.46 0.05 1.69 1.73 1.69 1.73 XXX
of neck.
72126 TC A Contrast CAT scan 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
of neck.
72127 .......... A Contrast CAT scans 1.27 9.38 9.47 NA NA 0.44 11.09 11.18 NA NA XXX
of neck.
72127 26 A Contrast CAT scans 1.27 0.44 0.48 0.44 0.48 0.05 1.76 1.80 1.76 1.80 XXX
of neck.
72127 TC A Contrast CAT scans 0.00 8.94 8.99 NA NA 0.39 9.33 9.38 NA NA XXX
of neck.
72128 .......... A CAT scan of thorax 1.16 6.37 6.45 NA NA 0.32 7.85 7.93 NA NA XXX
spine.
72128 26 A CAT scan of thorax 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
spine.
72128 TC A CAT scan of thorax 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
spine.
72129 .......... A Contrast CAT scan 1.22 7.57 7.65 NA NA 0.37 9.16 9.24 NA NA XXX
of thorax.
72129 26 A Contrast CAT scan 1.22 0.42 0.46 0.42 0.46 0.05 1.69 1.73 1.69 1.73 XXX
of thorax.
72129 TC A Contrast CAT scan 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
of thorax.
72130 .......... A Contrast CAT scans 1.27 9.38 9.47 NA NA 0.44 11.09 11.18 NA NA XXX
of thorax.
72130 26 A Contrast CAT scans 1.27 0.44 0.48 0.44 0.48 0.05 1.76 1.80 1.76 1.80 XXX
of thorax.
72130 TC A Contrast CAT scans 0.00 8.94 8.99 NA NA 0.39 9.33 9.38 NA NA XXX
of thorax.
72131 .......... A CAT scan of lower 1.16 6.37 6.45 NA NA 0.32 7.85 7.93 NA NA XXX
spine.
72131 26 A CAT scan of lower 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
spine.
72131 TC A CAT scan of lower 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
spine.
72132 .......... A Contrast CAT of 1.22 7.57 7.65 NA NA 0.37 9.16 9.24 NA NA XXX
lower spine.
72132 26 A Contrast CAT of 1.22 0.42 0.46 0.42 0.46 0.05 1.69 1.73 1.69 1.73 XXX
lower spine.
72132 TC A Contrast CAT of 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
lower spine.
72133 .......... A Contrst cat scans, 1.27 9.39 9.48 NA NA 0.44 11.10 11.19 NA NA XXX
low spine.
72133 26 A Contrst cat scans, 1.27 0.45 0.49 0.45 0.49 0.05 1.77 1.81 1.77 1.81 XXX
low spine.
72133 TC A Contrst cat scans, 0.00 8.94 8.99 NA NA 0.39 9.33 9.38 NA NA XXX
low spine.
72141 .......... A Magnetic image, 1.60 11.89 12.02 NA NA 0.56 14.05 14.18 NA NA XXX
neck spine.
72141 26 A Magnetic image, 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
neck spine.
72141 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
neck spine.
72142 .......... A Magnetic image, 1.92 14.27 14.41 NA NA 0.68 16.87 17.01 NA NA XXX
neck spine.
72142 26 A Magnetic image, 1.92 0.68 0.74 0.68 0.74 0.08 2.68 2.74 2.68 2.74 XXX
neck spine.
72142 TC A Magnetic image, 0.00 13.59 13.67 NA NA 0.60 14.19 14.27 NA NA XXX
neck spine.
72146 .......... A Magnetic image, 1.60 13.14 13.27 NA NA 0.61 15.35 15.48 NA NA XXX
chest spine.
72146 26 A Magnetic image, 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
chest spine.
72146 TC A Magnetic image, 0.00 12.58 12.65 NA NA 0.55 13.13 13.20 NA NA XXX
chest spine.
72147 .......... A Magnetic image, 1.92 14.26 14.41 NA NA 0.68 16.86 17.01 NA NA XXX
chest spine.
72147 26 A Magnetic image, 1.92 0.67 0.74 0.67 0.74 0.08 2.67 2.74 2.67 2.74 XXX
chest spine.
72147 TC A Magnetic image, 0.00 13.59 13.67 NA NA 0.60 14.19 14.27 NA NA XXX
chest spine.
72148 .......... A Magnetic image, 1.48 13.10 13.22 NA NA 0.61 15.19 15.31 NA NA XXX
lumbar spine.
72148 26 A Magnetic image, 1.48 0.52 0.57 0.52 0.57 0.06 2.06 2.11 2.06 2.11 XXX
lumbar spine.
72148 TC A Magnetic image, 0.00 12.58 12.65 NA NA 0.55 13.13 13.20 NA NA XXX
lumbar spine.
72149 .......... A Magnetic image, 1.78 14.22 14.36 NA NA 0.67 16.67 16.81 NA NA XXX
lumbar spine.
72149 26 A Magnetic image, 1.78 0.63 0.69 0.63 0.69 0.07 2.48 2.54 2.48 2.54 XXX
lumbar spine.
72149 TC A Magnetic image, 0.00 13.59 13.67 NA NA 0.60 14.19 14.27 NA NA XXX
lumbar spine.
72156 .......... A Magnetic image, 2.57 26.06 26.30 NA NA 1.22 29.85 30.09 NA NA XXX
neck spine.
72156 26 A Magnetic image, 2.57 0.90 0.99 0.90 0.99 0.10 3.57 3.66 3.57 3.66 XXX
neck spine.
72156 TC A Magnetic image, 0.00 25.16 25.31 NA NA 1.12 26.28 26.43 NA NA XXX
neck spine.
72157 .......... A Magnetic image, 2.57 26.06 26.30 NA NA 1.22 29.85 30.09 NA NA XXX
chest spine.
72157 26 A Magnetic image, 2.57 0.90 0.99 0.90 0.99 0.10 3.57 3.66 3.57 3.66 XXX
chest spine.
72157 TC A Magnetic image, 0.00 25.16 25.31 NA NA 1.12 26.28 26.43 NA NA XXX
chest spine.
72158 .......... A Magnetic image, 2.36 25.98 26.22 NA NA 1.21 29.55 29.79 NA NA XXX
lumbar spine.
72158 26 A Magnetic image, 2.36 0.82 0.91 0.82 0.91 0.09 3.27 3.36 3.27 3.36 XXX
lumbar spine.
72158 TC A Magnetic image, 0.00 25.16 25.31 NA NA 1.12 26.28 26.43 NA NA XXX
lumbar spine.
72159 .......... N Magnetic image, 1.80 13.29 13.36 NA NA 0.62 15.71 15.78 NA NA XXX
spine (mra).
72159 26 N Magnetic image, 1.80 0.71 0.71 0.71 0.71 0.07 2.58 2.58 2.58 2.58 XXX
spine (mra).
72159 TC N Magnetic image, 0.00 12.58 12.65 NA NA 0.55 13.13 13.20 NA NA XXX
spine (mra).
72170 .......... A X-ray exam of 0.17 0.59 0.60 NA NA 0.03 0.79 0.80 NA NA XXX
pelvis.
72170 26 A X-ray exam of 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
pelvis.
72170 TC A X-ray exam of 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
pelvis.
72190 .......... A X-ray exam of 0.21 0.74 0.76 NA NA 0.04 0.99 1.01 NA NA XXX
pelvis.
72190 26 A X-ray exam of 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 XXX
pelvis.
72190 TC A X-ray exam of 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
pelvis.
72192 .......... A CAT scan of pelvis. 1.09 6.35 6.43 NA NA 0.31 7.75 7.83 NA NA XXX
72192 26 A CAT scan of pelvis. 1.09 0.38 0.42 0.38 0.42 0.04 1.51 1.55 1.51 1.55 XXX
72192 TC A CAT scan of pelvis. 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
72193 .......... A Contrast CAT scan 1.16 7.32 7.40 NA NA 0.36 8.84 8.92 NA NA XXX
of pelvis.
72193 26 A Contrast CAT scan 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
of pelvis.
72193 TC A Contrast CAT scan 0.00 6.92 6.96 NA NA 0.31 7.23 7.27 NA NA XXX
of pelvis.
72194 .......... A Contrast CAT scans 1.22 9.00 9.09 NA NA 0.42 10.64 10.73 NA NA XXX
of pelvis.
72194 26 A Contrast CAT scans 1.22 0.42 0.46 0.42 0.46 0.05 1.69 1.73 1.69 1.73 XXX
of pelvis.
72194 TC A Contrast CAT scans 0.00 8.58 8.63 NA NA 0.37 8.95 9.00 NA NA XXX
of pelvis.
72196 .......... A Magnetic image, 1.60 11.89 12.02 NA NA 0.56 14.05 14.18 NA NA XXX
pelvis.
72196 26 A Magnetic image, 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
pelvis.
72196 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
pelvis.
72198 .......... N Magnetic image, 1.80 12.04 12.13 NA NA 0.57 14.41 14.50 NA NA XXX
pelvis (mra).
72198 26 N Magnetic image, 1.80 0.71 0.73 0.71 0.73 0.07 2.58 2.60 2.58 2.60 XXX
pelvis (mra).
72198 TC N Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
pelvis (mra).
72200 .......... A X-ray exam 0.17 0.59 0.60 NA NA 0.03 0.79 0.80 NA NA XXX
sacroiliac joints.
72200 26 A X-ray exam 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
sacroiliac joints.
72200 TC A X-ray exam 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
sacroiliac joints.
72202 .......... A X-ray exam 0.19 0.70 0.71 NA NA 0.04 0.93 0.94 NA NA XXX
sacroiliac joints.
72202 26 A X-ray exam 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX
sacroiliac joints.
72202 TC A X-ray exam 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
sacroiliac joints.
72220 .......... A X-ray exam of 0.17 0.64 0.65 NA NA 0.04 0.85 0.86 NA NA XXX
tailbone.
[[Page 44276]]
72220 26 A X-ray exam of 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
tailbone.
72220 TC A X-ray exam of 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
tailbone.
72240 .......... A Contrast x-ray of 0.91 5.10 5.17 NA NA 0.26 6.27 6.34 NA NA XXX
neck spine.
72240 26 A Contrast x-ray of 0.91 0.30 0.34 0.30 0.34 0.04 1.25 1.29 1.25 1.29 XXX
neck spine.
72240 TC A Contrast x-ray of 0.00 4.80 4.83 NA NA 0.22 5.02 5.05 NA NA XXX
neck spine.
72255 .......... A Contrast x-ray, 0.91 4.66 4.73 NA NA 0.23 5.80 5.87 NA NA XXX
thorax spine.
72255 26 A Contrast x-ray, 0.91 0.28 0.32 0.28 0.32 0.04 1.23 1.27 1.23 1.27 XXX
thorax spine.
72255 TC A Contrast x-ray, 0.00 4.38 4.41 NA NA 0.19 4.57 4.60 NA NA XXX
thorax spine.
72265 .......... A Contrast x-ray, 0.83 4.38 4.44 NA NA 0.23 5.44 5.50 NA NA XXX
lower spine.
72265 26 A Contrast x-ray, 0.83 0.26 0.30 0.26 0.30 0.04 1.13 1.17 1.13 1.17 XXX
lower spine.
72265 TC A Contrast x-ray, 0.00 4.12 4.14 NA NA 0.19 4.31 4.33 NA NA XXX
lower spine.
72270 .......... A Contrast x-ray of 1.33 6.61 6.70 NA NA 0.34 8.28 8.37 NA NA XXX
spine.
72270 26 A Contrast x-ray of 1.33 0.44 0.49 0.44 0.49 0.06 1.83 1.88 1.83 1.88 XXX
spine.
72270 TC A Contrast x-ray of 0.00 6.17 6.21 NA NA 0.28 6.45 6.49 NA NA XXX
spine.
72275 .......... A Epidurography...... 0.54 2.23 2.24 NA NA 0.24 3.01 3.02 NA NA XXX
72275 26 A Epidurography...... 0.54 0.17 0.17 0.17 0.17 0.05 0.76 0.76 0.76 0.76 XXX
72275 TC A Epidurography...... 0.00 2.06 2.07 NA NA 0.19 2.25 2.26 NA NA XXX
72285 .......... A X-ray c/t spine 1.16 8.88 8.93 NA NA 0.41 10.45 10.50 NA NA XXX
disk.
72285 26 A X-ray c/t spine 1.16 0.41 0.41 0.41 0.41 0.04 1.61 1.61 1.61 1.61 XXX
disk.
72285 TC A X-ray c/t spine 0.00 8.47 8.52 NA NA 0.37 8.84 8.89 NA NA XXX
disk.
72295 .......... A X-ray of lower 0.83 8.24 8.32 NA NA 0.38 9.45 9.53 NA NA XXX
spine disk.
72295 26 A X-ray of lower 0.83 0.29 0.32 0.29 0.32 0.04 1.16 1.19 1.16 1.19 XXX
spine disk.
72295 TC A X-ray of lower 0.00 7.95 8.00 NA NA 0.34 8.29 8.34 NA NA XXX
spine disk.
73000 .......... A X-ray exam of 0.16 0.59 0.60 NA NA 0.03 0.78 0.79 NA NA XXX
collar bone.
73000 26 A X-ray exam of 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
collar bone.
73000 TC A X-ray exam of 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
collar bone.
73010 .......... A X-ray exam of 0.17 0.59 0.60 NA NA 0.03 0.79 0.80 NA NA XXX
shoulder blade.
73010 26 A X-ray exam of 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
shoulder blade.
73010 TC A X-ray exam of 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
shoulder blade.
73020 .......... A X-ray exam of 0.15 0.53 0.54 NA NA 0.03 0.71 0.72 NA NA XXX
shoulder.
73020 26 A X-ray exam of 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 XXX
shoulder.
73020 TC A X-ray exam of 0.00 0.48 0.48 NA NA 0.02 0.50 0.50 NA NA XXX
shoulder.
73030 .......... A X-ray exam of 0.18 0.64 0.65 NA NA 0.04 0.86 0.87 NA NA XXX
shoulder.
73030 26 A X-ray exam of 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
shoulder.
73030 TC A X-ray exam of 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
shoulder.
73040 .......... A Contrast x-ray of 0.54 2.31 2.34 NA NA 0.12 2.97 3.00 NA NA XXX
shoulder.
73040 26 A Contrast x-ray of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
shoulder.
73040 TC A Contrast x-ray of 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
shoulder.
73050 .......... A X-ray exam of 0.20 0.74 0.76 NA NA 0.04 0.98 1.00 NA NA XXX
shoulders.
73050 26 A X-ray exam of 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
shoulders.
73050 TC A X-ray exam of 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
shoulders.
73060 .......... A X-ray exam of 0.17 0.64 0.65 NA NA 0.04 0.85 0.86 NA NA XXX
humerus.
73060 26 A X-ray exam of 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
humerus.
73060 TC A X-ray exam of 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
humerus.
73070 .......... A X-ray exam of elbow 15 0.58 0.59 NA NA 0.03 0.76 0.77 NA NA XXX
73070 26 A X-ray exam of elbow 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 XXX
73070 TC A X-ray exam of elbow 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
73080 .......... A X-ray exam of elbow 0.17 0.64 0.65 NA NA 0.04 0.85 0.86 NA NA XXX
73080 26 A X-ray exam of elbow 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73080 TC A X-ray exam of elbow 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
73085 .......... A Contrast x-ray of 0.54 2.32 2.35 NA NA 0.12 2.98 3.01 NA NA XXX
elbow.
73085 26 A Contrast x-ray of 0.54 0.20 0.22 0.20 0.22 0.02 0.76 0.78 0.76 0.78 XXX
elbow.
73085 TC A Contrast x-ray of 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
elbow.
73090 .......... A X-ray exam of 0.16 0.59 0.60 NA NA 0.03 0.78 0.79 NA NA XXX
forearm.
73090 26 A X-ray exam of 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
forearm.
73090 TC A X-ray exam of 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
forearm.
73092 .......... A X-ray exam of arm, 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
infant.
73092 26 A X-ray exam of arm, 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
infant.
73092 TC A X-ray exam of arm, 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
infant.
73100 .......... A X-ray exam of wrist 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
73100 26 A X-ray exam of wrist 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
73100 TC A X-ray exam of wrist 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
73110 .......... A X-ray exam of wrist 0.17 0.60 0.61 NA NA 0.03 0.80 0.81 NA NA XXX
73110 26 A X-ray exam of wrist 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73110 TC A X-ray exam of wrist 0.00 0.54 0.54 NA NA 0.02 0.56 0.56 NA NA XXX
73115 .......... A Contrast x-ray of 0.54 1.79 1.82 NA NA 0.10 2.43 2.46 NA NA XXX
wrist.
73115 26 A Contrast x-ray of 0.54 0.20 0.22 0.20 0.22 0.02 0.76 0.78 0.76 0.78 XXX
wrist.
73115 TC A Contrast x-ray of 0.00 1.59 1.60 NA NA 0.08 1.67 1.68 NA NA XXX
wrist.
73120 .......... A X-ray exam of hand. 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
73120 26 A X-ray exam of hand. 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
73120 TC A X-ray exam of hand. 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
73130 .......... A X-ray exam of hand. 0.17 0.60 0.61 NA NA 0.03 0.80 0.81 NA NA XXX
73130 26 A X-ray exam of hand. 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73130 TC A X-ray exam of hand. 0.00 0.54 0.54 NA NA 0.02 0.56 0.56 NA NA XXX
73140 .......... A X-ray exam of 0.13 0.47 0.48 NA NA 0.03 0.63 0.64 NA NA XXX
finger(s).
73140 26 A X-ray exam of 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 XXX
finger(s).
73140 TC A X-ray exam of 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
finger(s).
73200 .......... A CAT scan of arm.... 1.09 5.39 5.46 NA NA 0.26 6.74 6.81 NA NA XXX
73200 26 A CAT scan of arm.... 1.09 0.38 0.42 0.38 0.42 0.04 1.51 1.55 1.51 1.55 XXX
73200 TC A CAT scan of arm.... 0.00 5.01 5.04 NA NA 0.22 5.23 5.26 NA NA XXX
73201 .......... A Contrast CAT scan 1.16 6.37 6.45 NA NA 0.32 7.85 7.93 NA NA XXX
of arm.
73201 26 A Contrast CAT scan 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
of arm.
[[Page 44277]]
73201 TC A Contrast CAT scan 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
of arm.
73202 .......... A Contrast CAT scans 1.22 7.94 8.02 NA NA 0.38 9.54 9.62 NA NA XXX
of arm.
73202 26 A Contrast CAT scans 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 XXX
of arm.
73202 TC A Contrast CAT scans 0.00 7.51 7.55 NA NA 0.33 7.84 7.88 NA NA XXX
of arm.
73220 .......... A Magnetic image, arm/ 1.48 11.85 11.97 NA NA 0.56 13.89 14.01 NA NA XXX
hand.
73220 26 A Magnetic image, arm/ 1.48 0.52 0.57 0.52 0.57 0.06 2.06 2.11 2.06 2.11 XXX
hand.
73220 TC A Magnetic image, arm/ 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
hand.
73221 .......... A Magnetic image, 1.48 11.85 11.91 NA NA 0.56 13.89 13.95 NA NA XXX
joint of arm.
73221 26 A Magnetic image, 1.48 0.52 0.51 0.52 0.51 0.06 2.06 2.05 2.06 2.05 XXX
joint of arm.
73221 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
joint of arm.
73225 .......... N Magnetic image, 1.73 12.02 12.10 NA NA 0.57 14.32 14.40 NA NA XXX
upper (mra).
73225 26 N Magnetic image, 1.73 0.69 0.70 0.69 0.70 0.07 2.49 2.50 2.49 2.50 XXX
upper (mra).
73225 TC N Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
upper (mra).
73500 .......... A X-ray exam of hip.. 0.17 0.54 0.55 NA NA 0.03 0.74 0.75 NA NA XXX
73500 26 A X-ray exam of hip.. 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73500 TC A X-ray exam of hip.. 0.00 0.48 0.48 NA NA 0.02 0.50 0.50 NA NA XXX
73510 .......... A X-ray exam of hip.. 0.21 0.65 0.66 NA NA 0.04 0.90 0.91 NA NA XXX
73510 26 A X-ray exam of hip.. 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 XXX
73510 TC A X-ray exam of hip.. 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
73520 .......... A X-ray exam of hips. 0.26 0.76 0.78 NA NA 0.04 1.06 1.08 NA NA XXX
73520 26 A X-ray exam of hips. 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 XXX
73520 TC A X-ray exam of hips. 0.00 0.67 0.68 NA NA 0.03 0.70 0.71 NA NA XXX
73525 .......... A Contrast x-ray of 0.54 2.31 2.34 NA NA 0.12 2.97 3.00 NA NA XXX
hip.
73525 26 A Contrast x-ray of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
hip.
73525 TC A Contrast x-ray of 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
hip.
73530 .......... A X-ray exam of hip.. 0.29 0.63 0.64 NA NA 0.03 0.95 0.96 NA NA XXX
73530 26 A X-ray exam of hip.. 0.29 0.10 0.11 0.10 0.11 0.01 0.40 0.41 0.40 0.41 XXX
73530 TC A X-ray exam of hip.. 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
73540 .......... A X-ray exam of 0.20 0.65 0.66 NA NA 0.04 0.89 0.90 NA NA XXX
pelvis & hips.
73540 26 A X-ray exam of 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
pelvis & hips.
73540 TC A X-ray exam of 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
pelvis & hips.
73542 .......... A X-ray exam, 0.54 2.25 2.26 NA NA 0.14 2.93 2.94 NA NA XXX
sacroiliac joint.
73542 26 A X-ray exam, 0.54 0.19 0.19 0.19 0.19 0.04 0.77 0.77 0.77 0.77 XXX
sacroiliac joint.
73542 TC A X-ray exam, 0.00 2.06 2.07 NA NA 0.10 2.16 2.17 NA NA XXX
sacroiliac joint.
73550 .......... A X-ray exam of thigh 0.17 0.64 0.65 NA NA 0.04 0.85 0.86 NA NA XXX
73550 26 A X-ray exam of thigh 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73550 TC A X-ray exam of thigh 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
73560 .......... A X-ray exam of knee, 0.17 0.59 0.60 NA NA 0.03 0.79 0.80 NA NA XXX
1 or 2.
73560 26 A X-ray exam of knee, 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
1 or 2.
73560 TC A X-ray exam of knee, 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
1 or 2.
73562 .......... A X-ray exam of knee, 0.18 0.64 0.65 NA NA 0.04 0.86 0.87 NA NA XXX
3.
73562 26 A X-ray exam of knee, 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
3.
73562 TC A X-ray exam of knee, 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
3.
73564 .......... A X-ray exam, knee, 4 0.22 0.71 0.72 NA NA 0.04 0.97 0.98 NA NA XXX
or more.
73564 26 A X-ray exam, knee, 4 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
or more.
73564 TC A X-ray exam, knee, 4 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
or more.
73565 .......... A X-ray exam of knees 0.17 0.56 0.57 NA NA 0.03 0.76 0.77 NA NA XXX
73565 26 A X-ray exam of knees 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73565 TC A X-ray exam of knees 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
73580 .......... A Contrast x-ray of 0.54 2.83 2.87 NA NA 0.14 3.51 3.55 NA NA XXX
knee joint.
73580 26 A Contrast x-ray of 0.54 0.18 0.20 0.18 0.20 0.02 0.74 0.76 0.74 0.76 XXX
knee joint.
73580 TC A Contrast x-ray of 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
knee joint.
73590 .......... A X-ray exam of lower 0.17 0.59 0.60 NA NA 0.03 0.79 0.80 NA NA XXX
leg.
73590 26 A X-ray exam of lower 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
leg.
73590 TC A X-ray exam of lower 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
leg.
73592 .......... A X-ray exam of leg, 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
infant.
73592 26 A X-ray exam of leg, 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
infant.
73592 TC A X-ray exam of leg, 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
infant.
73600 .......... A X-ray exam of ankle 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
73600 26 A X-ray exam of ankle 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
73600 TC A X-ray exam of ankle 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
73610 .......... A X-ray exam of ankle 0.17 0.60 0.61 NA NA 0.03 0.80 0.81 NA NA XXX
73610 26 A X-ray exam of ankle 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73610 TC A X-ray exam of ankle 0.00 0.54 0.54 NA NA 0.02 0.56 0.56 NA NA XXX
73615 .......... A Contrast x-ray of 0.54 2.31 2.34 NA NA 0.12 2.97 3.00 NA NA XXX
ankle.
73615 26 A Contrast x-ray of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
ankle.
73615 TC A Contrast x-ray of 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
ankle.
73620 .......... A X-ray exam of foot. 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
73620 26 A X-ray exam of foot. 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
73620 TC A X-ray exam of foot. 0.00 0.50 0.50 NA NA 0.02 0.52 0.52 NA NA XXX
73630 .......... A X-ray exam of foot. 0.17 0.60 0.61 NA NA 0.03 0.80 0.81 NA NA XXX
73630 26 A X-ray exam of foot. 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
73630 TC A X-ray exam of foot. 0.00 0.54 0.54 NA NA 0.02 0.56 0.56 NA NA XXX
73650 .......... A X-ray exam of heel. 0.16 0.54 0.55 NA NA 0.03 0.73 0.74 NA NA XXX
73650 26 A X-ray exam of heel. 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
73650 TC A X-ray exam of heel. 0.00 0.48 0.48 NA NA 0.02 0.50 0.50 NA NA XXX
73660 .......... A X-ray exam of 0.13 0.47 0.48 NA NA 0.03 0.63 0.64 NA NA XXX
toe(s).
73660 26 A X-ray exam of 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 XXX
toe(s).
73660 TC A X-ray exam of 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
toe(s).
3700 .......... A CAT scan of leg.... 1.09 5.39 5.46 NA NA 0.26 6.74 6.81 NA NA XXX
73700 26 A CAT scan of leg.... 1.09 0.38 0.42 0.38 0.42 0.04 1.51 1.55 1.51 1.55 XXX
73700 TC A CAT scan of leg.... 0.00 5.01 5.04 NA NA 0.22 5.23 5.26 NA NA XXX
[[Page 44278]]
73701 .......... A Contrast CAT scan 1.16 6.37 6.45 NA NA 0.32 7.85 7.93 NA NA XXX
of leg.
73701 26 A Contrast CAT scan 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
of leg.
73701 TC A Contrast CAT scan 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
of leg.
73702 .......... A Contrast CAT scans 1.22 7.93 8.01 NA NA 0.38 9.53 9.61 NA NA XXX
of leg.
73702 26 A Contrast CAT scans 1.22 0.42 0.46 0.42 0.46 0.05 1.69 1.73 1.69 1.73 XXX
of leg.
73702 TC A Contrast CAT scans 0.00 7.51 7.55 NA NA 0.33 7.84 7.88 NA NA XXX
of leg.
73720 .......... A Magnetic image, leg/ 1.48 11.85 11.97 NA NA 0.56 13.89 14.01 NA NA XXX
foot.
73720 26 A Magnetic image, leg/ 1.48 0.52 0.57 0.52 0.57 0.06 2.06 2.11 2.06 2.11 XXX
foot.
73720 TC A Magnetic image, leg/ 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
foot.
73721 .......... A Magnetic image, 1.48 11.85 11.91 NA NA 0.56 13.89 13.95 NA NA XXX
joint of leg.
73721 26 A Magnetic image, 1.48 0.52 0.51 0.52 0.51 0.06 2.06 2.05 2.06 2.05 XXX
joint of leg.
73721 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
joint of leg.
73725 .......... R Magnetic image/ 1.82 11.96 12.05 NA NA 0.57 14.35 14.44 NA NA XXX
lower (mra).
73725 26 R Magnetic image/ 1.82 0.63 0.65 0.63 0.65 0.07 2.52 2.54 2.52 2.54 XXX
lower (mra).
73725 TC R Magnetic image/ 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
lower (mra).
74000 .......... A X-ray exam of 0.18 0.59 0.60 NA NA 0.03 0.80 0.81 NA NA XXX
abdomen.
74000 26 A X-ray exam of 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
abdomen.
74000 TC A X-ray exam of 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
abdomen.
74010 .......... A X-ray exam of 0.23 0.66 0.67 NA NA 0.04 0.93 0.94 NA NA XXX
abdomen.
74010 26 A X-ray exam of 0.23 0.08 0.09 0.08 0.09 0.01 0.32 0.33 0.32 0.33 XXX
abdomen.
74010 TC A X-ray exam of 0.00 0.58 0.58 NA NA 0.03 0.61 0.61 NA NA XXX
abdomen.
74020 .......... A X-ray exam of 0.27 0.72 0.73 NA NA 0.04 1.03 1.04 NA NA XXX
abdomen.
74020 26 A X-ray exam of 0.27 0.09 0.10 0.09 0.10 0.01 0.37 0.38 0.37 0.38 XXX
abdomen.
74020 TC A X-ray exam of 0.00 0.63 0.63 NA NA 0.03 0.66 0.66 NA NA XXX
abdomen.
74022 .......... A X-ray exam series, 0.32 0.85 0.87 NA NA 0.05 1.22 1.24 NA NA XXX
abdomen.
74022 26 A X-ray exam series, 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX
abdomen.
74022 TC A X-ray exam series, 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
abdomen.
74150 .......... A CAT scan of abdomen 1.19 6.13 6.20 NA NA 0.31 7.63 7.70 NA NA XXX
74150 26 A CAT scan of abdomen 1.19 0.41 0.45 0.41 0.45 0.05 1.65 1.69 1.65 1.69 XXX
74150 TC A CAT scan of abdomen 0.00 5.72 5.75 NA NA 0.26 5.98 6.01 NA NA XXX
74160 .......... A Contrast CAT scan 1.27 7.36 7.44 NA NA 0.36 8.99 9.07 NA NA XXX
of abdomen.
74160 26 A Contrast CAT scan 1.27 0.44 0.48 0.44 0.48 0.05 1.76 1.80 1.76 1.80 XXX
of abdomen.
74160 TC A Contrast CAT scan 0.00 6.92 6.96 NA NA 0.31 7.23 7.27 NA NA XXX
of abdomen.
74170 .......... A Contrast CAT scans, 1.40 9.07 9.17 NA NA 0.43 10.90 11.00 NA NA XXX
abdomen.
74170 26 A Contrast CAT scans, 1.40 0.49 0.54 0.49 0.54 0.06 1.95 2.00 1.95 2.00 XXX
abdomen.
74170 TC A Contrast CAT scans, 0.00 8.58 8.63 NA NA 0.37 8.95 9.00 NA NA XXX
abdomen.
74181 .......... A Magnetic image/ 1.60 11.89 12.02 NA NA 0.56 14.05 14.18 NA NA XXX
abdomen (mri).
74181 26 A Magnetic image/ 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
abdomen (mri).
74181 TC A Magnetic image/ 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
abdomen (mri).
74185 .......... R Magnetic image/ 1.80 11.96 12.07 NA NA 0.57 14.33 14.44 NA NA XXX
abdomen (MRA).
74185 26 R Magnetic image/ 1.80 0.63 0.67 0.63 0.67 0.07 2.50 2.54 2.50 2.54 XXX
abdomen (MRA).
74185 TC R Magnetic image/ 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
abdomen (MRA).
74190 .......... A X-ray exam of 0.48 1.49 1.49 NA NA 0.08 2.05 2.05 NA NA XXX
peritoneum.
74190 26 A X-ray exam of 0.48 0.17 0.16 0.17 0.16 0.02 0.67 0.66 0.67 0.66 XXX
peritoneum.
74190 TC A X-ray exam of 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
peritoneum.
74210 .......... A Contrst x-ray exam 0.36 1.33 1.35 NA NA 0.06 1.75 1.77 NA NA XXX
of throat.
74210 26 A Contrst x-ray exam 0.36 0.13 0.14 0.13 0.14 0.01 0.50 0.51 0.50 0.51 XXX
of throat.
74210 TC A Contrst x-ray exam 0.00 1.20 1.21 NA NA 0.05 1.25 1.26 NA NA XXX
of throat.
74220 .......... A Contrast x-ray, 0.46 1.36 1.39 NA NA 0.07 1.89 1.92 NA NA XXX
esophagus.
74220 26 A Contrast x-ray, 0.46 0.16 0.18 0.16 0.18 0.02 0.64 0.66 0.64 0.66 XXX
esophagus.
74220 TC A Contrast x-ray, 0.00 1.20 1.21 NA NA 0.05 1.25 1.26 NA NA XXX
esophagus.
74230 .......... A Cinema x-ray, 0.53 1.51 1.54 NA NA 0.08 2.12 2.15 NA NA XXX
throat/esoph.
74230 26 A Cinema x-ray, 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX
throat/esoph.
74230 TC A Cinema x-ray, 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
throat/esoph.
74235 .......... A Remove esophagus 1.19 3.06 3.12 NA NA 0.17 4.42 4.48 NA NA XXX
obstruction.
74235 26 A Remove esophagus 1.19 0.41 0.45 0.41 0.45 0.05 1.65 1.69 1.65 1.69 XXX
obstruction.
74235 TC A Remove esophagus 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
obstruction.
74240 .......... A X-ray exam, upper 0.69 1.72 1.76 NA NA 0.10 2.51 2.55 NA NA XXX
gi tract.
74240 26 A X-ray exam, upper 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
gi tract.
74240 TC A X-ray exam, upper 0.00 1.48 1.49 NA NA 0.07 1.55 1.56 NA NA XXX
gi tract.
74241 .......... A X-ray exam, upper 0.69 1.75 1.79 NA NA 0.10 2.54 2.58 NA NA XXX
gi tract.
74241 26 A X-ray exam, upper 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
gi tract.
74241 TC A X-ray exam, upper 0.00 1.51 1.52 NA NA 0.07 1.58 1.59 NA NA XXX
gi tract.
74245 .......... A X-ray exam, upper 0.91 2.72 2.77 NA NA 0.15 3.78 3.83 NA NA XXX
gi tract.
74245 26 A X-ray exam, upper 0.91 0.32 0.35 0.32 0.35 0.04 1.27 1.30 1.27 1.30 XXX
gi tract.
74245 TC A X-ray exam, upper 0.00 2.40 2.42 NA NA 0.11 2.51 2.53 NA NA XXX
gi tract.
74246 .......... A Contrst x-ray uppr 0.69 1.90 1.94 NA NA 0.11 2.70 2.74 NA NA XXX
gi tract.
74246 26 A Contrst x-ray uppr 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
gi tract.
74246 TC A Contrst x-ray uppr 0.00 1.66 1.67 NA NA 0.08 1.74 1.75 NA NA XXX
gi tract.
74247 .......... A Contrst x-ray uppr 0.69 1.94 1.98 NA NA 0.12 2.75 2.79 NA NA XXX
gi tract.
74247 26 A Contrst x-ray uppr 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
gi tract.
74247 TC A Contrst x-ray uppr 0.00 1.70 1.71 NA NA 0.09 1.79 1.80 NA NA XXX
gi tract.
74249 .......... A Contrst x-ray uppr 0.91 2.92 2.97 NA NA 0.16 3.99 4.04 NA NA XXX
gi tract.
74249 26 A Contrst x-ray uppr 0.91 0.32 0.35 0.32 0.35 0.04 1.27 1.30 1.27 1.30 XXX
gi tract.
74249 TC A Contrst x-ray uppr 0.00 2.60 2.62 NA NA 0.12 2.72 2.74 NA NA XXX
gi tract.
74250 .......... A X-ray exam of small 0.47 1.48 1.51 NA NA 0.08 2.03 2.06 NA NA XXX
bowel.
74250 26 A X-ray exam of small 0.47 0.16 0.18 0.16 0.18 0.02 0.65 0.67 0.65 0.67 XXX
bowel.
74250 TC A X-ray exam of small 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
bowel.
74251 .......... A X-ray exam of small 0.69 1.56 1.57 NA NA 0.09 2.34 2.35 NA NA XXX
bowel.
74251 26 A X-ray exam of small 0.69 0.24 0.24 0.24 0.24 0.03 0.96 0.96 0.96 0.96 XXX
bowel.
74251 TC A X-ray exam of small 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
bowel.
74260 .......... A X-ray exam of small 0.50 1.68 1.71 NA NA 0.09 2.27 2.30 NA NA XXX
bowel.
[[Page 44279]]
74260 26 A X-ray exam of small 0.50 0.17 0.19 0.17 0.19 0.02 0.69 0.71 0.69 0.71 XXX
bowel.
74260 TC A X-ray exam of small 0.00 1.51 1.52 NA NA 0.07 1.58 1.59 NA NA XXX
bowel.
74270 .......... A Contrast x-ray exam 0.69 1.96 2.00 NA NA 0.12 2.77 2.81 NA NA XXX
of colon.
74270 26 A Contrast x-ray exam 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
of colon.
74270 TC A Contrast x-ray exam 0.00 1.72 1.73 NA NA 0.09 1.81 1.82 NA NA XXX
of colon.
74280 .......... A Contrast x-ray exam 0.99 2.60 2.65 NA NA 0.15 3.74 3.79 NA NA XXX
of colon.
74280 26 A Contrast x-ray exam 0.99 0.34 0.38 0.34 0.38 0.04 1.37 1.41 1.37 1.41 XXX
of colon.
74280 TC A Contrast x-ray exam 0.00 2.26 2.27 NA NA 0.11 2.37 2.38 NA NA XXX
of colon.
74283 .......... A Contrast x-ray exam 2.02 3.29 3.38 NA NA 0.20 5.51 5.60 NA NA XXX
of colon.
74283 26 A Contrast x-ray exam 2.02 0.70 0.77 0.70 0.77 0.08 2.80 2.87 2.80 2.87 XXX
of colon.
74283 TC A Contrast x-ray exam 0.00 2.59 2.61 NA NA 0.12 2.71 2.73 NA NA XXX
of colon.
74290 .......... A Contrast x-ray, 0.32 0.85 0.87 NA NA 0.05 1.22 1.24 NA NA XXX
gallbladder.
74290 26 A Contrast x-ray, 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX
gallbladder.
74290 TC A Contrast x-ray, 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
gallbladder.
74291 .......... A Contrast x-rays, 0.20 0.49 0.50 NA NA 0.03 0.72 0.73 NA NA XXX
gallbladder.
74291 26 A Contrast x-rays, 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
gallbladder.
74291 TC A Contrast x-rays, 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
gallbladder.
74300 .......... C X-ray bile ducts/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
pancreas.
74300 26 A X-ray bile ducts/ 0.36 0.13 0.14 0.13 0.14 0.01 0.50 0.51 0.50 0.51 XXX
pancreas.
74300 TC C X-ray bile ducts/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
pancreas.
74301 .......... C X-rays at surgery 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA ZZZ
add-on.
74301 26 A X-rays at surgery 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 ZZZ
add-on.
74301 TC C X-rays at surgery 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA ZZZ
add-on.
74305 .......... A X-ray bile ducts/ 0.42 0.94 0.97 NA NA 0.06 1.42 1.45 NA NA XXX
pancreas.
74305 26 A X-ray bile ducts/ 0.42 0.15 0.17 0.15 0.17 0.02 0.59 0.61 0.59 0.61 XXX
pancreas.
74305 TC A X-ray bile ducts/ 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
pancreas.
74320 .......... A Contrast x-ray of 0.54 3.38 3.42 NA NA 0.16 4.08 4.12 NA NA XXX
bile ducts.
74320 26 A Contrast x-ray of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
bile ducts.
74320 TC A Contrast x-ray of 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
bile ducts.
74327 .......... A X-ray bile stone 0.70 2.02 2.06 NA NA 0.12 2.84 2.88 NA NA XXX
removal.
74327 26 A X-ray bile stone 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
removal.
74327 TC A X-ray bile stone 0.00 1.78 1.79 NA NA 0.09 1.87 1.88 NA NA XXX
removal.
74328 .......... A Xray bile duct 0.70 3.43 3.48 NA NA 0.17 4.30 4.35 NA NA XXX
endoscopy.
74328 26 A Xray bile duct 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
endoscopy.
74328 TC A Xray bile duct 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
endoscopy.
74329 .......... A X-ray for pancreas 0.70 3.43 3.48 NA NA 0.17 4.30 4.35 NA NA XXX
endoscopy.
74329 26 A X-ray for pancreas 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
endoscopy.
74329 TC A X-ray for pancreas 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
endoscopy.
74330 .......... A X-ray bile/panc 0.90 3.50 3.53 NA NA 0.18 4.58 4.61 NA NA XXX
endoscopy.
74330 26 A X-ray bile/panc 0.90 0.31 0.32 0.31 0.32 0.04 1.25 1.26 1.25 1.26 XXX
endoscopy.
74330 TC A X-ray bile/panc 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
endoscopy.
74340 .......... A X-ray guide for GI 0.54 2.84 2.88 NA NA 0.14 3.52 3.56 NA NA XXX
tube.
74340 26 A X-ray guide for GI 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
tube.
74340 TC A X-ray guide for GI 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
tube.
74350 .......... A X-ray guide, 0.76 3.45 3.50 NA NA 0.17 4.38 4.43 NA NA XXX
stomach tube.
74350 26 A X-ray guide, 0.76 0.26 0.29 0.26 0.29 0.03 1.05 1.08 1.05 1.08 XXX
stomach tube.
74350 TC A X-ray guide, 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
stomach tube.
74355 .......... A X-ray guide, 0.76 2.91 2.96 NA NA 0.15 3.82 3.87 NA NA XXX
intestinal tube.
74355 26 A X-ray guide, 0.76 0.26 0.29 0.26 0.29 0.03 1.05 1.08 1.05 1.08 XXX
intestinal tube.
74355 TC A X-ray guide, 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
intestinal tube.
74360 .......... A X-ray guide, GI 0.54 3.38 3.42 NA NA 0.16 4.08 4.12 NA NA XXX
dilation.
74360 26 A X-ray guide, GI 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
dilation.
74360 TC A X-ray guide, GI 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
dilation.
74363 .......... A X-ray, bile duct 0.88 6.47 6.54 NA NA 0.32 7.67 7.74 NA NA XXX
dilation.
74363 26 A X-ray, bile duct 0.88 0.30 0.33 0.30 0.33 0.04 1.22 1.25 1.22 1.25 XXX
dilation.
74363 TC A X-ray, bile duct 0.00 6.17 6.21 NA NA 0.28 6.45 6.49 NA NA XXX
dilation.
74400 .......... A Contrst x-ray, 0.49 1.87 1.90 NA NA 0.11 2.47 2.50 NA NA XXX
urinary tract.
74400 26 A Contrst x-ray, 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
urinary tract.
74400 TC A Contrst x-ray, 0.00 1.70 1.71 NA NA 0.09 1.79 1.80 NA NA XXX
urinary tract.
74410 .......... A Contrst x-ray, 0.49 2.14 2.17 NA NA 0.11 2.74 2.77 NA NA XXX
urinary tract.
74410 26 A Contrst x-ray, 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
urinary tract.
74410 TC A Contrst x-ray, 0.00 1.97 1.98 NA NA 0.09 2.06 2.07 NA NA XXX
urinary tract.
74415 .......... A Contrst x-ray, 0.49 2.31 2.34 NA NA 0.12 2.92 2.95 NA NA XXX
urinary tract.
74415 26 A Contrst x-ray, 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
urinary tract.
74415 TC A Contrst x-ray, 0.00 2.14 2.15 NA NA 0.10 2.24 2.25 NA NA XXX
urinary tract.
74420 .......... A Contrst x-ray, 0.36 2.77 2.80 NA NA 0.14 3.27 3.30 NA NA XXX
urinary tract.
74420 26 A Contrst x-ray, 0.36 0.12 0.13 0.12 0.13 0.02 0.50 0.51 0.50 0.51 XXX
urinary tract.
74420 TC A Contrst x-ray, 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
urinary tract.
74425 .......... A Contrst x-ray, 0.36 1.44 1.46 NA NA 0.07 1.87 1.89 NA NA XXX
urinary tract.
74425 26 A Contrst x-ray, 0.36 0.12 0.13 0.12 0.13 0.01 0.49 0.50 0.49 0.50 XXX
urinary tract.
74425 TC A Contrst x-ray, 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
urinary tract.
74430 .......... A Contrast x-ray, 0.32 1.18 1.20 NA NA 0.06 1.56 1.58 NA NA XXX
bladder.
74430 26 A Contrast x-ray, 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 XXX
bladder.
74430 TC A Contrast x-ray, 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
bladder.
74440 .......... A X-ray, male genital 0.38 1.27 1.29 NA NA 0.07 1.72 1.74 NA NA XXX
tract.
74440 26 A X-ray, male genital 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX
tract.
74440 TC A X-ray, male genital 0.00 1.14 1.15 NA NA 0.05 1.19 1.20 NA NA XXX
tract.
74445 .......... A X-ray exam of penis 1.14 1.53 1.58 NA NA 0.11 2.78 2.83 NA NA XXX
74445 26 A X-ray exam of penis 1.14 0.39 0.43 0.39 0.43 0.06 1.59 1.63 1.59 1.63 XXX
74445 TC A X-ray exam of penis 0.00 1.14 1.15 NA NA 0.05 1.19 1.20 NA NA XXX
74450 .......... A X-ray, urethra/ 0.33 1.59 1.61 NA NA 0.08 2.00 2.02 NA NA XXX
bladder.
74450 26 A X-ray, urethra/ 0.33 0.11 0.12 0.11 0.12 0.01 0.45 0.46 0.45 0.46 XXX
bladder.
[[Page 44280]]
74450 TC A X-ray, urethra/ 0.00 1.48 1.49 NA NA 0.07 1.55 1.56 NA NA XXX
bladder.
74455 .......... A X-ray, urethra/ 0.33 1.70 1.72 NA NA 0.09 2.12 2.14 NA NA XXX
bladder.
74455 26 A X-ray, urethra/ 0.33 0.11 0.12 0.11 0.12 0.01 0.45 0.46 0.45 0.46 XXX
bladder.
74455 TC A X-ray, urethra/ 0.00 1.59 1.60 NA NA 0.08 1.67 1.68 NA NA XXX
bladder.
74470 .......... A X-ray exam of 0.54 1.45 1.48 NA NA 0.08 2.07 2.10 NA NA XXX
kidney lesion.
74470 26 A X-ray exam of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
kidney lesion.
74470 TC A X-ray exam of 0.00 1.26 1.27 NA NA 0.06 1.32 1.33 NA NA XXX
kidney lesion.
74475 .......... A X-ray control, cath 0.54 4.31 4.35 NA NA 0.21 5.06 5.10 NA NA XXX
insert.
74475 26 A X-ray control, cath 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
insert.
74475 TC A X-ray control, cath 0.00 4.12 4.14 NA NA 0.19 4.31 4.33 NA NA XXX
insert.
74480 .......... A X-ray control, cath 0.54 4.31 4.35 NA NA 0.21 5.06 5.10 NA NA XXX
insert.
74480 26 A X-ray control, cath 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
insert.
74480 TC A X-ray control, cath 0.00 4.12 4.14 NA NA 0.19 4.31 4.33 NA NA XXX
insert.
74485 .......... A X-ray guide, GU 0.54 3.37 3.41 NA NA 0.16 4.07 4.11 NA NA XXX
dilation.
74485 26 A X-ray guide, GU 0.54 0.18 0.20 0.18 0.20 0.02 0.74 0.76 0.74 0.76 XXX
dilation.
74485 TC A X-ray guide, GU 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
dilation.
74710 .......... A X-ray measurement 0.34 1.19 1.21 NA NA 0.06 1.59 1.61 NA NA XXX
of pelvis.
74710 26 A X-ray measurement 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 XXX
of pelvis.
74710 TC A X-ray measurement 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
of pelvis.
74740 .......... A X-ray, female 0.38 1.45 1.47 NA NA 0.08 1.91 1.93 NA NA XXX
genital tract.
74740 26 A X-ray, female 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX
genital tract.
74740 TC A X-ray, female 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
genital tract.
74742 .......... A X-ray, fallopian 0.61 3.40 3.44 NA NA 0.16 4.17 4.21 NA NA XXX
tube.
74742 26 A X-ray, fallopian 0.61 0.21 0.23 0.21 0.23 0.02 0.84 0.86 0.84 0.86 XXX
tube.
74742 TC A X-ray, fallopian 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
tube.
74775 .......... A X-ray exam of 0.62 1.70 1.73 NA NA 0.10 2.42 2.45 NA NA XXX
perineum.
74775 26 A X-ray exam of 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 XXX
perineum.
74775 TC A X-ray exam of 0.00 1.48 1.49 NA NA 0.07 1.55 1.56 NA NA XXX
perineum.
75552 .......... A Magnetic image, 1.60 11.89 12.02 NA NA 0.56 14.05 14.18 NA NA XXX
myocardium.
75552 26 A Magnetic image, 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
myocardium.
75552 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
myocardium.
75553 .......... A Magnetic image, 0.02 12.03 12.12 NA NA 0.58 12.63 12.72 NA NA XXX
myocardium.
75553 26 A Magnetic image, 0.02 0.70 0.72 0.70 0.72 0.08 0.80 0.82 0.80 0.82 XXX
myocardium.
75553 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
myocardium.
75554 .......... A Cardiac MRI/ 1.83 12.01 12.11 NA NA 0.57 14.41 14.51 NA NA XXX
function.
75554 26 A Cardiac MRI/ 1.83 0.68 0.71 0.68 0.71 0.07 2.58 2.61 2.58 2.61 XXX
function.
75554 TC A Cardiac MRI/ 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
function.
75555 .......... A Cardiac MRI/limited 1.74 12.02 12.11 NA NA 0.56 14.32 14.41 NA NA XXX
study.
75555 26 A Cardiac MRI/limited 1.74 0.69 0.71 0.69 0.71 0.06 2.49 2.51 2.49 2.51 XXX
study.
75555 TC A Cardiac MRI/limited 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
study.
75556 .......... N Cardiac MRI/flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mapping.
75600 .......... A Contrast x-ray exam 0.49 12.94 13.02 NA NA 0.58 14.01 14.09 NA NA XXX
of aorta.
75600 26 A Contrast x-ray exam 0.49 0.20 0.21 0.20 0.21 0.02 0.71 0.72 0.71 0.72 XXX
of aorta.
75600 TC A Contrast x-ray exam 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
of aorta.
75605 .......... A Contrast x-ray exam 1.14 13.17 13.27 NA NA 0.60 14.91 15.01 NA NA XXX
of aorta.
75605 26 A Contrast x-ray exam 1.14 0.43 0.46 0.43 0.46 0.04 1.61 1.64 1.61 1.64 XXX
of aorta.
75605 TC A Contrast x-ray exam 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
of aorta.
75625 .......... A Contrast x-ray exam 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
of aorta.
75625 26 A Contrast x-ray exam 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
of aorta.
75625 TC A Contrast x-ray exam 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
of aorta.
75630 .......... A X-ray aorta, leg 1.79 13.92 14.00 NA NA 0.66 16.37 16.45 NA NA XXX
arteries.
75630 26 A X-ray aorta, leg 1.79 0.65 0.65 0.65 0.65 0.07 2.51 2.51 2.51 2.51 XXX
arteries.
75630 TC A X-ray aorta, leg 0.00 13.27 13.35 NA NA 0.59 13.86 13.94 NA NA XXX
arteries.
75650 .......... A Artery x-rays, head 1.49 13.26 13.38 NA NA 0.62 15.37 15.49 NA NA XXX
& neck.
75650 26 A Artery x-rays, head 1.49 0.52 0.57 0.52 0.57 0.06 2.07 2.12 2.07 2.12 XXX
& neck.
75650 TC A Artery x-rays, head 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
& neck.
75658 .......... A Artery x-rays, arm. 1.31 13.25 13.35 NA NA 0.61 15.17 15.27 NA NA XXX
75658 26 A Artery x-rays, arm. 1.31 0.51 0.54 0.51 0.54 0.05 1.87 1.90 1.87 1.90 XXX
75658 TC A Artery x-rays, arm. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75660 .......... A Artery x-rays, head 1.31 13.21 13.32 NA NA 0.61 15.13 15.24 NA NA XXX
& neck.
75660 26 A Artery x-rays, head 1.31 0.47 0.51 0.47 0.51 0.05 1.83 1.87 1.83 1.87 XXX
& neck.
75660 TC A Artery x-rays, head 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
& neck.
75662 .......... A Artery x-rays, head 1.66 13.37 13.48 NA NA 0.62 15.65 15.76 NA NA XXX
& neck.
75662 26 A Artery x-rays, head 1.66 0.63 0.67 0.63 0.67 0.06 2.35 2.39 2.35 2.39 XXX
& neck.
75662 TC A Artery x-rays, head 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
& neck.
75665 .......... A Artery x-rays, head 1.31 13.21 13.32 NA NA 0.62 15.14 15.25 NA NA XXX
& neck.
75665 26 A Artery x-rays, head 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 XXX
& neck.
75665 TC A Artery x-rays, head 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
& neck.
75671 .......... A Artery x-rays, head 1.66 13.32 13.45 NA NA 0.63 15.61 15.74 NA NA XXX
& neck.
75671 26 A Artery x-rays, head 1.66 0.58 0.64 0.58 0.64 0.07 2.31 2.37 2.31 2.37 XXX
& neck.
75671 TC A Artery x-rays, head 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
& neck.
75676 .......... A Artery x-rays, neck 1.31 13.21 13.32 NA NA 0.62 15.14 15.25 NA NA XXX
75676 26 A Artery x-rays, neck 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 XXX
75676 TC A Artery x-rays, neck 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75680 .......... A Artery x-rays, neck 1.66 13.32 13.45 NA NA 0.63 15.61 15.74 NA NA XXX
75680 26 A Artery x-rays, neck 1.66 0.58 0.64 0.58 0.64 0.07 2.31 2.37 2.31 2.37 XXX
75680 TC A Artery x-rays, neck 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75685 .......... A Artery x-rays, 1.31 13.20 13.31 NA NA 0.61 15.12 15.23 NA NA XXX
spine.
75685 26 A Artery x-rays, 1.31 0.46 0.50 0.46 0.50 0.05 1.82 1.86 1.82 1.86 XXX
spine.
75685 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
spine.
75705 .......... A Artery x-rays, 2.18 13.51 13.65 NA NA 0.65 16.34 16.48 NA NA XXX
spine.
75705 26 A Artery x-rays, 2.18 0.77 0.84 0.77 0.84 0.09 3.04 3.11 3.04 3.11 XXX
spine.
[[Page 44281]]
75705 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
spine.
75710 .......... A Artery x-rays, arm/ 1.14 13.15 13.25 NA NA 0.61 14.90 15.00 NA NA XXX
leg.
75710 26 A Artery x-rays, arm/ 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 XXX
leg.
75710 TC A Artery x-rays, arm/ 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
leg.
75716 .......... A Artery x-rays, arms/ 1.31 13.20 13.31 NA NA 0.61 15.12 15.23 NA NA XXX
legs.
75716 26 A Artery x-rays, arms/ 1.31 0.46 0.50 0.46 0.50 0.05 1.82 1.86 1.82 1.86 XXX
legs.
75716 TC A Artery x-rays, arms/ 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
legs.
75722 .......... A Artery x-rays, 1.14 13.17 13.27 NA NA 0.60 14.91 15.01 NA NA XXX
kidney.
75722 26 A Artery x-rays, 1.14 0.43 0.46 0.43 0.46 0.04 1.61 1.64 1.61 1.64 XXX
kidney.
75722 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
kidney.
75724 .......... A Artery x-rays, 1.49 13.34 13.44 NA NA 0.61 15.44 15.54 NA NA XXX
kidneys.
75724 26 A Artery x-rays, 1.49 0.60 0.63 0.60 0.63 0.05 2.14 2.17 2.14 2.17 XXX
kidneys.
75724 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
kidneys.
75726 .......... A Artery x-rays, 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
abdomen.
75726 26 A Artery x-rays, 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
abdomen.
75726 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
abdomen.
75731 .......... A Artery x-rays, 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
adrenal gland.
75731 26 A Artery x-rays, 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
adrenal gland.
75731 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
adrenal gland.
75733 .......... A Artery x-rays, 1.31 13.21 13.32 NA NA 0.61 15.13 15.24 NA NA XXX
adrenals.
75733 26 A Artery x-rays, 1.31 0.47 0.51 0.47 0.51 0.05 1.83 1.87 1.83 1.87 XXX
adrenals.
75733 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
adrenals.
75736 .......... A Artery x-rays, 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
pelvis.
75736 26 A Artery x-rays, 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
pelvis.
75736 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
pelvis.
75741 .......... A Artery x-rays, lung 1.31 13.19 13.31 NA NA 0.61 15.11 15.23 NA NA XXX
75741 26 A Artery x-rays, lung 1.31 0.45 0.50 0.45 0.50 0.05 1.81 1.86 1.81 1.86 XXX
75741 TC A Artery x-rays, lung 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75743 .......... A Artery x-rays, 1.66 13.32 13.45 NA NA 0.63 15.61 15.74 NA NA XXX
lungs.
75743 26 A Artery x-rays, 1.66 0.58 0.64 0.58 0.64 0.07 2.31 2.37 2.31 2.37 XXX
lungs.
75743 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
lungs.
75746 .......... A Artery x-rays, lung 1.14 13.14 13.25 NA NA 0.60 14.88 14.99 NA NA XXX
75746 26 A Artery x-rays, lung 1.14 0.40 0.44 0.40 0.44 0.04 1.58 1.62 1.58 1.62 XXX
75746 TC A Artery x-rays, lung 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75756 .......... A Artery x-rays, 1.14 13.22 13.31 NA NA 0.60 14.96 15.05 NA NA XXX
chest.
75756 26 A Artery x-rays, 1.14 0.48 0.50 0.48 0.50 0.04 1.66 1.68 1.66 1.68 XXX
chest.
75756 TC A Artery x-rays, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
chest.
75774 .......... A Artery x-ray, each 0.36 12.87 12.95 NA NA 0.57 13.80 13.88 NA NA ZZZ
vessel.
75774 26 A Artery x-ray, each 0.36 0.13 0.14 0.13 0.14 0.01 0.50 0.51 0.50 0.51 ZZZ
vessel.
75774 TC A Artery x-ray, each 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA ZZZ
vessel.
75790 .......... A Visualize A-V shunt 1.84 2.01 2.09 NA NA 0.15 4.00 4.08 NA NA XXX
75790 26 A Visualize A-V shunt 1.84 0.64 0.71 0.64 0.71 0.08 2.56 2.63 2.56 2.63 XXX
75790 TC A Visualize A-V shunt 0.00 1.37 1.38 NA NA 0.07 1.44 1.45 NA NA XXX
75801 .......... A Lymph vessel x-ray, 0.81 5.75 5.81 NA NA 0.29 6.85 6.91 NA NA XXX
arm/leg.
75801 26 A Lymph vessel x-ray, 0.81 0.28 0.31 0.28 0.31 0.04 1.13 1.16 1.13 1.16 XXX
arm/leg.
75801 TC A Lymph vessel x-ray, 0.00 5.47 5.50 NA NA 0.25 5.72 5.75 NA NA XXX
arm/leg.
75803 .......... A Lymph vessel x- 1.17 5.87 5.94 NA NA 0.30 7.34 7.41 NA NA XXX
ray,arms/legs.
75803 26 A Lymph vessel x- 1.17 0.40 0.44 0.40 0.44 0.05 1.62 1.66 1.62 1.66 XXX
ray,arms/legs.
75803 TC A Lymph vessel x- 0.00 5.47 5.50 NA NA 0.25 5.72 5.75 NA NA XXX
ray,arms/legs.
75805 .......... A Lymph vessel x-ray, 0.81 6.46 6.53 NA NA 0.31 7.58 7.65 NA NA XXX
trunk.
75805 26 A Lymph vessel x-ray, 0.81 0.29 0.32 0.29 0.32 0.03 1.13 1.16 1.13 1.16 XXX
trunk.
75805 TC A Lymph vessel x-ray, 0.00 6.17 6.21 NA NA 0.28 6.45 6.49 NA NA XXX
trunk.
75807 .......... A Lymph vessel x-ray, 1.17 6.57 6.65 NA NA 0.33 8.07 8.15 NA NA XXX
trunk.
75807 26 A Lymph vessel x-ray, 1.17 0.40 0.44 0.40 0.44 0.05 1.62 1.66 1.62 1.66 XXX
trunk.
75807 TC A Lymph vessel x-ray, 0.00 6.17 6.21 NA NA 0.28 6.45 6.49 NA NA XXX
trunk.
75809 .......... A Nonvascular shunt, 0.47 0.95 0.97 NA NA 0.06 1.48 1.50 NA NA XXX
x-ray.
75809 26 A Nonvascular shunt, 0.47 0.16 0.17 0.16 0.17 0.02 0.65 0.66 0.65 0.66 XXX
x-ray.
75809 TC A Nonvascular shunt, 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
x-ray.
75810 .......... A Vein x-ray, spleen/ 1.14 13.13 13.24 NA NA 0.61 14.88 14.99 NA NA XXX
liver.
75810 26 A Vein x-ray, spleen/ 1.14 0.39 0.43 0.39 0.43 0.05 1.58 1.62 1.58 1.62 XXX
liver.
75810 TC A Vein x-ray, spleen/ 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
liver.
75820 .......... A Vein x-ray, arm/leg 0.70 1.20 1.24 NA NA 0.08 1.98 2.02 NA NA XXX
75820 26 A Vein x-ray, arm/leg 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
75820 TC A Vein x-ray, arm/leg 0.00 0.96 0.97 NA NA 0.05 1.01 1.02 NA NA XXX
75822 .......... A Vein x-ray, arms/ 1.06 1.87 1.92 NA NA 0.11 3.04 3.09 NA NA XXX
legs.
75822 26 A Vein x-ray, arms/ 1.06 0.37 0.41 0.37 0.41 0.04 1.47 1.51 1.47 1.51 XXX
legs.
75822 TC A Vein x-ray, arms/ 0.00 1.50 1.51 NA NA 0.07 1.57 1.58 NA NA XXX
legs.
75825 .......... A Vein x-ray, trunk.. 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
75825 26 A Vein x-ray, trunk.. 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
75825 TC A Vein x-ray, trunk.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75827 .......... A Vein x-ray, chest.. 1.14 13.13 13.24 NA NA 0.61 14.88 14.99 NA NA XXX
75827 26 A Vein x-ray, chest.. 1.14 0.39 0.43 0.39 0.43 0.05 1.58 1.62 1.58 1.62 XXX
75827 TC A Vein x-ray, chest.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75831 .......... A Vein x-ray, kidney. 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
75831 26 A Vein x-ray, kidney. 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
75831 TC A Vein x-ray, kidney. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75833 .......... A Vein x-ray, kidneys 1.49 13.26 13.38 NA NA 0.62 15.37 15.49 NA NA XXX
75833 26 A Vein x-ray, kidneys 1.49 0.52 0.57 0.52 0.57 0.06 2.07 2.12 2.07 2.12 XXX
75833 TC A Vein x-ray, kidneys 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75840 .......... A Vein x-ray, adrenal 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
gland.
75840 26 A Vein x-ray, adrenal 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
gland.
75840 TC A Vein x-ray, adrenal 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
gland.
[[Page 44282]]
75842 .......... A Vein x-ray, adrenal 1.49 13.26 13.38 NA NA 0.62 15.37 15.49 NA NA XXX
glands.
75842 26 A Vein x-ray, adrenal 1.49 0.52 0.57 0.52 0.57 0.06 2.07 2.12 2.07 2.12 XXX
glands.
75842 TC A Vein x-ray, adrenal 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
glands.
75860 .......... A Vein x-ray, neck... 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
75860 26 A Vein x-ray, neck... 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
75860 TC A Vein x-ray, neck... 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75870 .......... A Vein x-ray, skull.. 1.14 13.14 13.25 NA NA 0.61 14.89 15.00 NA NA XXX
75870 26 A Vein x-ray, skull.. 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 XXX
75870 TC A Vein x-ray, skull.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75872 .......... A Vein x-ray, skull.. 1.14 13.13 13.24 NA NA 0.61 14.88 14.99 NA NA XXX
75872 26 A Vein x-ray, skull.. 1.14 0.39 0.43 0.39 0.43 0.05 1.58 1.62 1.58 1.62 XXX
75872 TC A Vein x-ray, skull.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75880 .......... A Vein x-ray, eye 0.70 1.20 1.24 NA NA 0.08 1.98 2.02 NA NA XXX
socket.
75880 26 A Vein x-ray, eye 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
socket.
75880 TC A Vein x-ray, eye 0.00 0.96 0.97 NA NA 0.05 1.01 1.02 NA NA XXX
socket.
75885 .......... A Vein x-ray, liver.. 1.44 13.24 13.36 NA NA 0.62 15.30 15.42 NA NA XXX
75885 26 A Vein x-ray, liver.. 1.44 0.50 0.55 0.50 0.55 0.06 2.00 2.05 2.00 2.05 XXX
75885 TC A Vein x-ray, liver.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75887 .......... A Vein x-ray, liver.. 1.44 13.24 13.36 NA NA 0.62 15.30 15.42 NA NA XXX
75887 26 A Vein x-ray, liver.. 1.44 0.50 0.55 0.50 0.55 0.06 2.00 2.05 2.00 2.05 XXX
75887 TC A Vein x-ray, liver.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75889 .......... A Vein x-ray, liver.. 1.14 13.13 13.24 NA NA 0.61 14.88 14.99 NA NA XXX
75889 26 A Vein x-ray, liver.. 1.14 0.39 0.43 0.39 0.43 0.05 1.58 1.62 1.58 1.62 XXX
75889 TC A Vein x-ray, liver.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75891 .......... A Vein x-ray, liver.. 1.14 13.13 13.24 NA NA 0.61 14.88 14.99 NA NA XXX
75891 26 A Vein x-ray, liver.. 1.14 0.39 0.43 0.39 0.43 0.05 1.58 1.62 1.58 1.62 XXX
75891 TC A Vein x-ray, liver.. 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
75893 .......... A Venous sampling by 0.54 12.93 13.02 NA NA 0.58 14.05 14.14 NA NA XXX
catheter.
75893 26 A Venous sampling by 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
catheter.
75893 TC A Venous sampling by 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
catheter.
75894 .......... A X-rays, transcath 1.31 24.86 25.04 NA NA 1.13 27.30 27.48 NA NA XXX
therapy.
75894 26 A X-rays, transcath 1.31 0.46 0.50 0.46 0.50 0.05 1.82 1.86 1.82 1.86 XXX
therapy.
75894 TC A X-rays, transcath 0.00 24.40 24.54 NA NA 1.08 25.48 25.62 NA NA XXX
therapy.
75896 .......... A X-rays, transcath 1.31 21.70 21.86 NA NA 0.99 24.00 24.16 NA NA XXX
therapy.
75896 26 A X-rays, transcath 1.31 0.48 0.52 0.48 0.52 0.05 1.84 1.88 1.84 1.88 XXX
therapy.
75896 TC A X-rays, transcath 0.00 21.22 21.34 NA NA 0.94 22.16 22.28 NA NA XXX
therapy.
75898 .......... A Follow-up angiogram 1.65 1.66 1.72 NA NA 0.12 3.43 3.49 NA NA XXX
75898 26 A Follow-up angiogram 1.65 0.59 0.64 0.59 0.64 0.07 2.31 2.36 2.31 2.36 XXX
75898 TC A Follow-up angiogram 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
75900 .......... A Arterial catheter 0.49 21.37 21.51 NA NA 0.97 22.83 22.97 NA NA XXX
exchange.
75900 26 A Arterial catheter 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
exchange.
75900 TC A Arterial catheter 0.00 21.20 21.32 NA NA 0.95 22.15 22.27 NA NA XXX
exchange.
75940 .......... A X-ray placement, 0.54 12.93 13.02 NA NA 0.58 14.05 14.14 NA NA XXX
vein filter.
75940 26 A X-ray placement, 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
vein filter.
75940 TC A X-ray placement, 0.00 12.74 12.81 NA NA 0.56 13.30 13.37 NA NA XXX
vein filter.
75945 .......... A Intravascular us... 0.40 4.76 4.81 NA NA 0.24 5.40 5.45 NA NA XXX
75945 26 A Intravascular us... 0.40 0.15 0.17 0.15 0.17 0.03 0.58 0.60 0.58 0.60 XXX
75945 TC A Intravascular us... 0.00 4.61 4.64 NA NA 0.21 4.82 4.85 NA NA XXX
75946 .......... A Intravascular us 0.40 2.47 2.50 NA NA 0.13 3.00 3.03 NA NA ZZZ
add-on.
75946 26 A Intravascular us 0.40 0.15 0.17 0.15 0.17 0.02 0.57 0.59 0.57 0.59 ZZZ
add-on.
75946 TC A Intravascular us 0.00 2.32 2.33 NA NA 0.11 2.43 2.44 NA NA ZZZ
add-on.
75960 .......... A Transcatheter 0.82 15.36 15.48 NA NA 0.70 16.88 17.00 NA NA XXX
intro, stent.
75960 26 A Transcatheter 0.82 0.30 0.33 0.30 0.33 0.04 1.16 1.19 1.16 1.19 XXX
intro, stent.
75960 TC A Transcatheter 0.00 15.06 15.15 NA NA 0.66 15.72 15.81 NA NA XXX
intro, stent.
75961 .......... A Retrieval, broken 4.25 12.10 12.31 NA NA 0.63 16.98 17.19 NA NA XXX
catheter.
75961 26 A Retrieval, broken 4.25 1.48 1.63 1.48 1.63 0.16 5.89 6.04 5.89 6.04 XXX
catheter.
75961 TC A Retrieval, broken 0.00 10.62 10.68 NA NA 0.47 11.09 11.15 NA NA XXX
catheter.
75962 .......... A Repair arterial 0.54 16.11 16.22 NA NA 0.73 17.38 17.49 NA NA XXX
blockage.
75962 26 A Repair arterial 0.54 0.20 0.22 0.20 0.22 0.02 0.76 0.78 0.76 0.78 XXX
blockage.
75962 TC A Repair arterial 0.00 15.91 16.00 NA NA 0.71 16.62 16.71 NA NA XXX
blockage.
75964 .......... A Repair artery 0.36 8.61 8.67 NA NA 0.39 9.36 9.42 NA NA ZZZ
blockage, each.
75964 26 A Repair artery 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 ZZZ
blockage, each.
75964 TC A Repair artery 0.00 8.48 8.53 NA NA 0.37 8.85 8.90 NA NA ZZZ
blockage, each.
75966 .......... A Repair arterial 1.31 16.40 16.53 NA NA 0.76 18.47 18.60 NA NA XXX
blockage.
75966 26 A Repair arterial 1.31 0.49 0.53 0.49 0.53 0.05 1.85 1.89 1.85 1.89 XXX
blockage.
75966 TC A Repair arterial 0.00 15.91 16.00 NA NA 0.71 16.62 16.71 NA NA XXX
blockage.
75968 .......... A Repair artery 0.36 8.62 8.68 NA NA 0.38 9.36 9.42 NA NA ZZZ
blockage, each.
75968 26 A Repair artery 0.36 0.14 0.15 0.14 0.15 0.01 0.51 0.52 0.51 0.52 ZZZ
blockage, each.
75968 TC A Repair artery 0.00 8.48 8.53 NA NA 0.37 8.85 8.90 NA NA ZZZ
blockage, each.
75970 .......... A Vascular biopsy.... 0.83 11.97 12.07 NA NA 0.55 13.35 13.45 NA NA XXX
75970 26 A Vascular biopsy.... 0.83 0.30 0.33 0.30 0.33 0.03 1.16 1.19 1.16 1.19 XXX
75970 TC A Vascular biopsy.... 0.00 11.67 11.74 NA NA 0.52 12.19 12.26 NA NA XXX
75978 .......... A Repair venous 0.54 16.10 16.27 NA NA 0.73 17.37 17.54 NA NA XXX
blockage.
75978 26 A Repair venous 0.54 0.19 0.27 0.19 0.27 0.02 0.75 0.83 0.75 0.83 XXX
blockage.
75978 TC A Repair venous 0.00 15.91 16.00 NA NA 0.71 16.62 16.71 NA NA XXX
blockage.
75980 .......... A Contrast xray exam 1.44 5.97 6.05 NA NA 0.31 7.72 7.80 NA NA XXX
bile duct.
75980 26 A Contrast xray exam 1.44 0.50 0.55 0.50 0.55 0.06 2.00 2.05 2.00 2.05 XXX
bile duct.
75980 TC A Contrast xray exam 0.00 5.47 5.50 NA NA 0.25 5.72 5.75 NA NA XXX
bile duct.
75982 .......... A Contrast xray exam 1.44 6.67 6.76 NA NA 0.34 8.45 8.54 NA NA XXX
bile duct.
75982 26 A Contrast xray exam 1.44 0.50 0.55 0.50 0.55 0.06 2.00 2.05 2.00 2.05 XXX
bile duct.
75982 TC A Contrast xray exam 0.00 6.17 6.21 NA NA 0.28 6.45 6.49 NA NA XXX
bile duct.
75984 .......... A Xray control 0.72 2.22 .26 NA NA 0.12 3.06 3.10 NA NA XXX
catheter change.
[[Page 44283]]
75984 26 A Xray control 0.72 0.25 0.28 0.25 0.28 0.03 1.00 1.03 1.00 1.03 XXX
catheter change.
75984 TC A Xray control 0.00 1.97 1.98 NA NA 0.09 2.06 2.07 NA NA XXX
catheter change.
75989 .......... A Abscess drainage 1.19 3.60 3.66 NA NA 0.19 4.98 5.04 NA NA XXX
under x-ray.
75989 26 A Abscess drainage 1.19 0.41 0.45 0.41 0.45 0.05 1.65 1.69 1.65 1.69 XXX
under x-ray.
75989 TC A Abscess drainage 0.00 3.19 3.21 NA NA 0.14 3.33 3.35 NA NA XXX
under x-ray.
75992 .......... A Atherectomy, x-ray 0.54 16.12 16.23 NA NA 0.73 17.39 17.50 NA NA XXX
exam.
75992 26 A Atherectomy, x-ray 0.54 0.21 0.23 0.21 0.23 0.02 0.77 0.79 0.77 0.79 XXX
exam.
75992 TC A Atherectomy, x-ray 0.00 15.91 16.00 NA NA 0.71 16.62 16.71 NA NA XXX
exam.
75993 .......... A Atherectomy, x-ray 0.36 8.63 8.69 NA NA 0.38 9.37 9.43 NA NA ZZZ
exam.
75993 26 A Atherectomy, x-ray 0.36 0.15 0.16 0.15 0.16 0.01 0.52 0.53 0.52 0.53 ZZZ
exam.
75993 TC A Atherectomy, x-ray 0.00 8.48 8.53 NA NA 0.37 8.85 8.90 NA NA ZZZ
exam.
75994 .......... A Atherectomy, x-ray 1.31 16.41 16.53 NA NA 0.77 18.49 18.61 NA NA XXX
exam.
75994 26 A Atherectomy, x-ray 1.31 0.50 0.53 0.50 0.53 0.06 1.87 1.90 1.87 1.90 XXX
exam.
75994 TC A Atherectomy, x-ray 0.00 15.91 16.00 NA NA 0.71 16.62 16.71 NA NA XXX
exam.
75995 .......... A Atherectomy, x-ray 1.31 16.38 16.51 NA NA 0.75 18.44 18.57 NA NA XXX
exam.
75995 26 A Atherectomy, x-ray 1.31 0.47 0.51 0.47 0.51 0.04 1.82 1.86 1.82 1.86 XXX
exam.
75995 TC A Atherectomy, x-ray 0.00 15.91 16.00 NA NA 0.71 16.62 16.71 NA NA XXX
exam.
75996 .......... A Atherectomy, x-ray 0.36 8.61 8.67 NA NA 0.38 9.35 9.41 NA NA ZZZ
exam.
75996 26 A Atherectomy, x-ray 0.36 0.13 0.14 0.13 0.14 0.01 0.50 0.51 0.50 0.51 ZZZ
exam.
75996 TC A Atherectomy, x-ray 0.00 8.48 8.53 NA NA 0.37 8.85 8.90 NA NA ZZZ
exam.
76000 .......... A Fluoroscope 0.17 1.38 1.40 NA NA 0.07 1.62 1.64 NA NA XXX
examination.
76000 26 A Fluoroscope 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
examination.
76000 TC A Fluoroscope 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
examination.
76001 .......... A Fluoroscope exam, 0.67 2.88 2.93 NA NA 0.15 3.70 3.75 NA NA XXX
extensive.
76001 26 A Fluoroscope exam, 0.67 0.23 0.26 0.23 0.26 0.03 0.93 0.96 0.93 0.96 XXX
extensive.
76001 TC A Fluoroscope exam, 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
extensive.
76003 .......... A Needle localization 0.54 1.50 1.53 NA NA 0.08 2.12 2.15 NA NA XXX
by x-ray.
76003 26 A Needle localization 0.54 0.18 0.20 0.18 0.20 0.02 0.74 0.76 0.74 0.76 XXX
by x-ray.
76003 TC A Needle localization 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
by x-ray.
76005 .......... A Fluoroguide for 0.60 1.48 1.49 NA NA 0.09 2.17 2.18 NA NA XXX
spine inject.
76005 26 A Fluoroguide for 0.60 0.20 0.20 0.20 0.20 0.03 0.83 0.83 0.83 0.83 XXX
spine inject.
76005 TC A Fluoroguide for 0.00 1.28 1.29 NA NA 0.06 1.34 1.35 NA NA XXX
spine inject.
76006 .......... A X-ray stress view.. 0.41 0.14 0.14 NA NA 0.02 0.57 0.57 NA NA XXX
76010 .......... A X-ray, nose to 0.18 0.59 0.60 NA NA 0.03 0.80 0.81 NA NA XXX
rectum.
76010 26 A X-ray, nose to 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 XXX
rectum.
76010 TC A X-ray, nose to 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
rectum.
76020 .......... A X-rays for bone age 0.19 0.60 0.61 NA NA 0.03 0.82 0.83 NA NA XXX
76020 26 A X-rays for bone age 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX
76020 TC A X-rays for bone age 0.00 0.53 0.53 NA NA 0.02 0.55 0.55 NA NA XXX
76040 .......... A X-rays, bone 0.27 0.89 0.91 NA NA 0.05 1.21 1.23 NA NA XXX
evaluation.
76040 26 A X-rays, bone 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX
evaluation.
76040 TC A X-rays, bone 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA XXX
evaluation.
76061 .......... A X-rays, bone survey 0.45 1.17 1.20 NA NA 0.07 1.69 1.72 NA NA XXX
76061 26 A X-rays, bone survey 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX
76061 TC A X-rays, bone survey 0.00 1.01 1.02 NA NA 0.05 1.06 1.07 NA NA XXX
76062 .......... A X-rays, bone survey 0.54 1.65 1.68 NA NA 0.09 2.28 2.31 NA NA XXX
76062 26 A X-rays, bone survey 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
76062 TC A X-rays, bone survey 0.00 1.46 1.47 NA NA 0.07 1.53 1.54 NA NA XXX
76065 .......... A X-rays, bone 0.28 0.84 0.86 NA NA 0.05 1.17 1.19 NA NA XXX
evaluation.
76065 26 A X-rays, bone 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 XXX
evaluation.
76065 TC A X-rays, bone 0.00 0.74 0.75 NA NA 0.04 0.78 0.79 NA NA XXX
evaluation.
76066 .......... A Joint(s) survey, 0.31 1.23 1.25 NA NA 0.06 1.60 1.62 NA NA XXX
single film.
76066 26 A Joint(s) survey, 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 XXX
single film.
76066 TC A Joint(s) survey, 0.00 1.12 1.13 NA NA 0.05 1.17 1.18 NA NA XXX
single film.
76070 .......... I CT scan, bone 0.25 3.08 3.11 NA NA 0.14 3.47 3.50 NA NA XXX
density study.
76070 26 I CT scan, bone 0.25 0.10 0.11 0.10 0.11 0.01 0.36 0.37 0.36 0.37 XXX
density study.
76070 TC I CT scan, bone 0.00 2.98 3.00 NA NA 0.13 3.11 3.13 NA NA XXX
density study.
76075 .......... A Dual energy x-ray 0.30 3.24 3.27 NA NA 0.15 3.69 3.72 NA NA XXX
study.
76075 26 A Dual energy x-ray 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX
study.
76075 TC A Dual energy x-ray 0.00 3.13 3.15 NA NA 0.14 3.27 3.29 NA NA XXX
study.
76076 .......... A Dual energy x-ray 0.22 0.84 0.86 NA NA 0.05 1.11 1.13 NA NA XXX
study.
76076 26 A Dual energy x-ray 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
study.
76076 TC A Dual energy x-ray 0.00 0.76 0.77 NA NA 0.04 0.80 0.81 NA NA XXX
study.
76078 .......... A Photodensitometry.. 0.20 0.83 0.85 NA NA 0.05 1.08 1.10 NA NA XXX
76078 26 A Photodensitometry.. 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
76078 TC A Photodensitometry.. 0.00 0.76 0.77 NA NA 0.04 0.80 0.81 NA NA XXX
76080 .......... A X-ray exam of 0.54 1.26 1.29 NA NA 0.07 1.87 1.90 NA NA XXX
fistula.
76080 26 A X-ray exam of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
fistula.
76080 TC A X-ray exam of 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
fistula.
76086 .......... A X-ray of mammary 0.36 2.78 2.81 NA NA 0.13 3.27 3.30 NA NA XXX
duct.
76086 26 A X-ray of mammary 0.36 0.13 0.14 0.13 0.14 0.01 0.50 0.51 0.50 0.51 XXX
duct.
76086 TC A X-ray of mammary 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
duct.
76088 .......... A X-ray of mammary 0.45 3.86 3.90 NA NA 0.18 4.49 4.53 NA NA XXX
ducts.
76088 26 A X-ray of mammary 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX
ducts.
76088 TC A X-ray of mammary 0.00 3.70 3.72 NA NA 0.16 3.86 3.88 NA NA XXX
ducts.
76090 .......... A Mammogram, one 0.58 1.27 1.26 NA NA 0.07 1.92 1.91 NA NA XXX
breast.
76090 26 A Mammogram, one 0.58 0.20 0.18 0.20 0.18 0.02 0.80 0.78 0.80 0.78 XXX
breast.
76090 TC A Mammogram, one 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
breast.
76091 .......... A Mammogram, both 0.69 1.56 1.56 NA NA 0.09 2.34 2.34 NA NA XXX
breasts.
76091 26 A Mammogram, both 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95 XXX
breasts.
76091 TC A Mammogram, both 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
breasts.
76092 .......... X Mamm0gram, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
[[Page 44284]]
76093 .......... A Magnetic image, 1.63 18.39 18.54 NA NA 0.84 20.86 21.01 NA NA XXX
breast.
76093 26 A Magnetic image, 1.63 0.57 0.62 0.57 0.62 0.06 2.26 2.31 2.26 2.31 XXX
breast.
76093 TC A Magnetic image, 0.00 17.82 17.92 NA NA 0.78 18.60 18.70 NA NA XXX
breast.
76094 .......... A Magnetic image, 1.63 24.74 24.93 NA NA 1.12 27.49 27.68 NA NA XXX
both breasts.
76094 26 A Magnetic image, 1.63 0.57 0.62 0.57 0.62 0.06 2.26 2.31 2.26 2.31 XXX
both breasts.
76094 TC A Magnetic image, 0.00 24.17 24.31 NA NA 1.06 25.23 25.37 NA NA XXX
both breasts.
76095 .......... A Stereotactic breast 1.59 7.80 7.89 NA NA 0.40 9.79 9.88 NA NA XXX
biopsy.
76095 26 A Stereotactic breast 1.59 0.56 0.61 0.56 0.61 0.08 2.23 2.28 2.23 2.28 XXX
biopsy.
76095 TC A Stereotactic breast 0.00 7.24 7.28 NA NA 0.32 7.56 7.60 NA NA XXX
biopsy.
76096 .......... A X-ray of needle 0.56 1.52 1.55 NA NA 0.08 2.16 2.19 NA NA XXX
wire, breast.
76096 26 A X-ray of needle 0.56 0.20 0.22 0.20 0.22 0.02 0.78 0.80 0.78 0.80 XXX
wire, breast.
76096 TC A X-ray of needle 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
wire, breast.
76098 .......... A X-ray exam, breast 0.16 0.48 0.49 NA NA 0.03 0.67 0.68 NA NA XXX
specimen.
76098 26 A X-ray exam, breast 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
specimen.
76098 TC A X-ray exam, breast 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
specimen.
76100 .......... A X-ray exam of body 0.58 1.46 1.49 NA NA 0.08 2.12 2.15 NA NA XXX
section.
76100 26 A X-ray exam of body 0.58 0.20 0.22 0.20 0.22 0.02 0.80 0.82 0.80 0.82 XXX
section.
76100 TC A X-ray exam of body 0.00 1.26 1.27 NA NA 0.06 1.32 1.33 NA NA XXX
section.
76101 .......... A Complex body 0.58 1.64 1.67 NA NA 0.09 2.31 2.34 NA NA XXX
section x-ray.
76101 26 A Complex body 0.58 0.20 0.22 0.20 0.22 0.02 0.80 0.82 0.80 0.82 XXX
section x-ray.
76101 TC A Complex body 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
section x-ray.
76102 .......... A Complex body 0.58 1.95 1.98 NA NA 0.11 2.64 2.67 NA NA XXX
section x-rays.
76102 26 A Complex body 0.58 0.20 0.22 0.20 0.22 0.02 0.80 0.82 0.80 0.82 XXX
section x-rays.
76102 TC A Complex body 0.00 1.75 1.76 NA NA 0.09 1.84 1.85 NA NA XXX
section x-rays.
76120 .......... A Cinematic x-rays... 0.38 1.21 1.23 NA NA 0.07 1.66 1.68 NA NA XXX
76120 26 A Cinematic x-rays... 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 XXX
76120 TC A Cinematic x-rays... 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
76125 .......... A Cinematic x-rays 0.27 0.89 0.91 NA NA 0.05 1.21 1.23 NA NA ZZZ
add-on.
76125 26 A Cinematic x-rays 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 ZZZ
add-on.
76125 TC A Cinematic x-rays 0.00 0.79 0.80 NA NA 0.04 0.83 0.84 NA NA ZZZ
add-on.
76140 .......... I X-ray consultation. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76150 .......... A X-ray exam, dry 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
process.
76350 .......... C Special x-ray 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
contrast study.
76355 .......... A CAT scan for 1.21 8.77 8.86 NA NA 0.41 10.39 10.48 NA NA XXX
localization.
76355 26 A CAT scan for 1.21 0.42 0.46 0.42 0.46 0.05 1.68 1.72 1.68 1.72 XXX
localization.
76355 TC A CAT scan for 0.00 8.35 8.40 NA NA 0.36 8.71 8.76 NA NA XXX
localization.
76360 .......... A CAT scan for needle 1.16 8.75 8.84 NA NA 0.41 10.32 10.41 NA NA XXX
biopsy.
76360 26 A CAT scan for needle 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
biopsy.
76360 TC A CAT scan for needle 0.00 8.35 8.40 NA NA 0.36 8.71 8.76 NA NA XXX
biopsy.
76365 .......... A CAT scan for cyst 1.16 8.75 8.84 NA NA 0.41 10.32 10.41 NA NA XXX
aspiration.
76365 26 A CAT scan for cyst 1.16 0.40 0.44 0.40 0.44 0.05 1.61 1.65 1.61 1.65 XXX
aspiration.
76365 TC A CAT scan for cyst 0.00 8.35 8.40 NA NA 0.36 8.71 8.76 NA NA XXX
aspiration.
76370 .......... A CAT scan for 0.85 3.27 3.32 NA NA 0.16 4.28 4.33 NA NA XXX
therapy guide.
76370 26 A CAT scan for 0.85 0.29 0.32 0.29 0.32 0.03 1.17 1.20 1.17 1.20 XXX
therapy guide.
76370 TC A CAT scan for 0.00 2.98 3.00 NA NA 0.13 3.11 3.13 NA NA XXX
therapy guide.
76375 .......... A 3d/holograph 0.16 3.64 3.67 NA NA 0.16 3.96 3.99 NA NA XXX
reconstr add-on.
76375 26 A 3d/holograph 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 XXX
reconstr add-on.
76375 TC A 3d/holograph 0.00 3.58 3.60 NA NA 0.15 3.73 3.75 NA NA XXX
reconstr add-on.
76380 .......... A CAT scan follow-up 0.98 3.88 3.94 NA NA 0.19 5.05 5.11 NA NA XXX
study.
76380 26........ A CAT scan follow-up 0.98 0.34 0.38 0.34 0.38 0.04 1.36 1.40 1.36 1.40 XXX
study.
76380 TC A CAT scan follow-up 0.00 3.54 3.56 NA NA 0.15 3.69 3.71 NA NA XXX
study.
76390 .......... A Mr spectroscopy.... 1.40 11.82 11.95 NA NA 0.56 13.78 13.91 NA NA XXX
76390 26 A Mr spectroscopy.... 1.40 0.49 0.55 0.49 0.55 0.06 1.95 2.01 1.95 2.01 XXX
76390 TC A Mr spectroscopy.... 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
76400 .......... A Magnetic image, 1.60 11.89 12.02 NA NA 0.56 14.05 14.18 NA NA XXX
bone marrow.
76400 26 A Magnetic image, 1.60 0.56 0.62 0.56 0.62 0.06 2.22 2.28 2.22 2.28 XXX
bone marrow.
76400 TC A Magnetic image, 0.00 11.33 11.40 NA NA 0.50 11.83 11.90 NA NA XXX
bone marrow.
76499 .......... C Radiographic 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
76499 26 C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76499 TC C Radiographic 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
76506 .......... A Echo exam of head.. 0.63 1.68 1.71 NA NA 0.10 2.41 2.44 NA NA XXX
76506 26 A Echo exam of head.. 0.63 0.24 0.26 0.24 0.26 0.03 0.90 0.92 0.90 0.92 XXX
76506 TC A Echo exam of head.. 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
76511 .......... A Echo exam of eye... 0.94 1.69 1.66 NA NA 0.09 2.72 2.69 NA NA XXX
76511 26 A Echo exam of eye... 0.94 0.43 0.39 0.43 0.39 0.03 1.40 1.36 1.40 1.36 XXX
76511 TC A Echo exam of eye... 0.00 1.26 1.27 NA NA 0.06 1.32 1.33 NA NA XXX
76512 .......... A Echo exam of eye... 0.66 1.84 1.86 NA NA 0.10 2.60 2.62 NA NA XXX
76512 26 A Echo exam of eye... 0.66 0.31 0.32 0.31 0.32 0.02 0.99 1.00 0.99 1.00 XXX
76512 TC A Echo exam of eye... 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
76513 .......... A Echo exam of eye, 0.66 1.83 1.85 NA NA 0.10 2.59 2.61 NA NA XXX
water bath.
76513 26 A Echo exam of eye, 0.66 0.30 0.31 0.30 0.31 0.02 0.98 0.99 0.98 0.99 XXX
water bath.
76513 TC A Echo exam of eye, 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
water bath.
76516 .......... A Echo exam of eye... 0.54 1.52 1.53 NA NA 0.08 2.14 2.15 NA NA XXX
76516 26 A Echo exam of eye... 0.54 0.26 0.26 0.26 0.26 0.02 0.82 0.82 0.82 0.82 XXX
76516 TC A Echo exam of eye... 0.00 1.26 1.27 NA NA 0.06 1.32 1.33 NA NA XXX
76519 .......... A Echo exam of eye... 0.54 1.52 1.53 NA NA 0.08 2.14 2.15 NA NA XXX
76519 26 A Echo exam of eye... 0.54 0.26 0.26 0.26 0.26 0.02 0.82 0.82 0.82 0.82 XXX
76519 TC A Echo exam of eye... 0.00 1.26 1.27 NA NA 0.06 1.32 1.33 NA NA XXX
76529 .......... A Echo exam of eye... 0.57 1.65 1.66 NA NA 0.09 2.31 2.32 NA NA XXX
76529 26 A Echo exam of eye... 0.57 0.27 0.27 0.27 0.27 0.02 0.86 0.86 0.86 0.86 XXX
76529 TC A Echo exam of eye... 0.00 1.38 1.39 NA NA 0.07 1.45 1.46 NA NA XXX
76536 .......... A Echo exam of head 0.56 1.64 1.67 NA NA 0.09 2.29 2.32 NA NA XXX
and neck.
[[Page 44285]]
76536 26 A Echo exam of head 0.56 0.20 0.22 0.20 0.22 0.02 0.78 0.80 0.78 0.80 XXX
and neck.
76536 TC A Echo exam of head 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
and neck.
76604 .......... A Echo exam of chest. 0.55 1.51 1.54 NA NA 0.08 2.14 2.17 NA NA XXX
76604 26 A Echo exam of chest. 0.55 0.19 0.21 0.19 0.21 0.02 0.76 0.78 0.76 0.78 XXX
76604 TC A Echo exam of chest. 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
76645 .......... A Echo exam of 0.54 1.26 1.29 NA NA 0.07 1.87 1.90 NA NA XXX
breast(s).
76645 26 A Echo exam of 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
breast(s).
76645 TC A Echo exam of 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
breast(s).
76700 .......... A Echo exam of 0.81 2.27 2.31 NA NA 0.12 3.20 3.24 NA NA XXX
abdomen.
76700 26 A Echo exam of 0.81 0.28 0.31 0.28 0.31 0.03 1.12 1.15 1.12 1.15 XXX
abdomen.
76700 TC A Echo exam of 0.00 1.99 2.00 NA NA 0.09 2.08 2.09 NA NA XXX
abdomen.
76705 .......... A Echo exam of 0.59 1.65 1.68 NA NA 0.09 2.33 2.36 NA NA XXX
abdomen.
76705 26 A Echo exam of 0.59 0.21 0.23 0.21 0.23 0.02 0.82 0.84 0.82 0.84 XXX
abdomen.
76705 TC A Echo exam of 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
abdomen.
76770 .......... A Echo exam abdomen 0.74 2.25 2.29 NA NA 0.12 3.11 3.15 NA NA XXX
back wall.
76770 26 A Echo exam abdomen 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX
back wall.
76770 TC A Echo exam abdomen 0.00 1.99 2.00 NA NA 0.09 2.08 2.09 NA NA XXX
back wall.
76775 .......... A Echo exam abdomen 0.58 1.64 1.67 NA NA 0.09 2.31 2.34 NA NA XXX
back wall.
76775 26 A Echo exam abdomen 0.58 0.20 0.22 0.20 0.22 0.02 0.80 0.82 0.80 0.82 XXX
back wall.
76775 TC A Echo exam abdomen 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
back wall.
76778 .......... A Echo exam kidney 0.74 2.25 2.29 NA NA 0.12 3.11 3.15 NA NA XXX
transplant.
76778 26 A Echo exam kidney 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX
transplant.
76778 TC A Echo exam kidney 0.00 1.99 2.00 NA NA 0.09 2.08 2.09 NA NA XXX
transplant.
76800 .......... A Echo exam spinal 1.13 1.81 1.86 NA NA 0.12 3.06 3.11 NA NA XXX
canal.
76800 26 A Echo exam spinal 1.13 0.37 0.41 0.37 0.41 0.05 1.55 1.59 1.55 1.59 XXX
canal.
76800 TC A Echo exam spinal 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
canal.
76805 .......... A Echo exam of 0.99 2.47 2.52 NA NA 0.14 3.60 3.65 NA NA XXX
pregnant uterus.
76805 26 A Echo exam of 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX
pregnant uterus.
76805 TC A Echo exam of 0.00 2.12 2.13 NA NA 0.10 2.22 2.23 NA NA XXX
pregnant uterus.
76810 .......... A Echo exam of 1.97 4.95 5.04 NA NA 0.26 7.18 7.27 NA NA XXX
pregnant uterus.
76810 26 A Echo exam of 1.97 0.71 0.77 0.71 0.77 0.07 2.75 2.81 2.75 2.81 XXX
pregnant uterus.
76810 TC A Echo exam of 0.00 4.24 4.27 NA NA 0.19 4.43 4.46 NA NA XXX
pregnant uterus.
76815 .......... A Echo exam of 0.65 1.68 1.71 NA NA 0.09 2.42 2.45 NA NA XXX
pregnant uterus.
76815 26 A Echo exam of 0.65 0.24 0.26 0.24 0.26 0.02 0.91 0.93 0.91 0.93 XXX
pregnant uterus.
76815 TC A Echo exam of 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
pregnant uterus.
76816 .......... A Echo exam follow-up/ 0.57 1.33 1.36 NA NA 0.07 1.97 2.00 NA NA XXX
repeat.
76816 26 A Echo exam follow-up/ 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 XXX
repeat.
76816 TC A Echo exam follow-up/ 0.00 1.12 1.13 NA NA 0.05 1.17 1.18 NA NA XXX
repeat.
76818 .......... A Fetal biophysical 0.77 1.92 1.95 NA NA 0.11 2.80 2.83 NA NA XXX
profile.
76818 26 A Fetal biophysical 0.77 0.29 0.31 0.29 0.31 0.03 1.09 1.11 1.09 1.11 XXX
profile.
76818 TC A Fetal biophysical 0.00 1.63 1.64 NA NA 0.08 1.71 1.72 NA NA XXX
profile.
76825 .......... A Echo exam of fetal 1.67 2.63 2.58 NA NA 0.15 4.45 4.40 NA NA XXX
heart.
76825 26 A Echo exam of fetal 1.67 0.64 0.58 0.64 0.58 0.06 2.37 2.31 2.37 2.31 XXX
heart.
76825 TC A Echo exam of fetal 0.00 1.99 2.00 NA NA 0.09 2.08 2.09 NA NA XXX
heart.
76826 .......... A Echo exam of fetal 0.83 1.03 1.15 NA NA 0.07 1.93 2.05 NA NA XXX
heart.
76826 26 A Echo exam of fetal 0.83 0.32 0.43 0.32 0.43 0.03 1.18 1.29 1.18 1.29 XXX
heart.
76826 TC A Echo exam of fetal 0.00 0.71 0.72 NA NA 0.04 0.75 0.76 NA NA XXX
heart.
76827 .......... A Echo exam of fetal 0.58 1.96 2.09 NA NA 0.12 2.66 2.79 NA NA XXX
heart.
76827 26 A Echo exam of fetal 0.58 0.22 0.34 0.22 0.34 0.02 0.82 0.94 0.82 0.94 XXX
heart.
76827 TC A Echo exam of fetal 0.00 1.74 1.75 NA NA 0.10 1.84 1.85 NA NA XXX
heart.
76828 .......... A Echo exam of fetal 0.56 1.34 1.37 NA NA 0.09 1.99 2.02 NA NA XXX
heart.
76828 26 A Echo exam of fetal 0.56 0.22 0.24 0.22 0.24 0.02 0.80 0.82 0.80 0.82 XXX
heart.
76828 TC A Echo exam of fetal 0.00 1.12 1.13 NA NA 0.07 1.19 1.20 NA NA XXX
heart.
76830 .......... A Echo exam, 0.69 1.77 1.81 NA NA 0.11 2.57 2.61 NA NA XXX
transvaginal.
76830 26 A Echo exam, 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
transvaginal.
76830 TC A Echo exam, 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
transvaginal.
76831 .......... A Echo exam, uterus.. 0.72 1.79 1.82 NA NA 0.11 2.62 2.65 NA NA XXX
76831 26 A Echo exam, uterus.. 0.72 0.26 0.28 0.26 0.28 0.03 1.01 1.03 1.01 1.03 XXX
76831 TC A Echo exam, uterus.. 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
76856 .......... A Echo exam of pelvis 0.69 1.77 1.81 NA NA 0.11 2.57 2.61 NA NA XXX
76856 26 A Echo exam of pelvis 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 XXX
76856 TC A Echo exam of pelvis 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
76857 .......... A Echo exam of pelvis 0.38 1.20 1.22 NA NA 0.07 1.65 1.67 NA NA XXX
76857 26 A Echo exam of pelvis 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX
76857 TC A Echo exam of pelvis 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
76870 .......... A Echo exam of 0.64 1.75 1.78 NA NA 0.11 2.50 2.53 NA NA XXX
scrotum.
76870 26 A Echo exam of 0.64 0.22 0.24 0.22 0.24 0.03 0.89 0.91 0.89 0.91 XXX
scrotum.
76870 TC A Echo exam of 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
scrotum.
76872 .......... A Echo exam, 0.69 1.76 1.80 NA NA 0.11 2.56 2.60 NA NA XXX
transrectal.
76872 26 A Echo exam, 0.69 0.23 0.26 0.23 0.26 0.03 0.95 0.98 0.95 0.98 XXX
transrectal.
76872 TC A Echo exam, 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
transrectal.
76873 .......... A Echograp trans r, 1.38 2.53 2.54 NA NA 0.20 4.11 4.12 NA NA XXX
pros study.
76873 26 A Echograp trans r, 1.38 0.47 0.47 0.47 0.47 0.07 1.92 1.92 1.92 1.92 XXX
pros study.
76873 TC A Echograp trans r, 0.00 2.06 2.07 NA NA 0.13 2.19 2.20 NA NA XXX
pros study.
76880 .......... A Echo exam of 0.59 1.65 1.68 NA NA 0.09 2.33 2.36 NA NA XXX
extremity.
76880 26 A Echo exam of 0.59 0.21 0.23 0.21 0.23 0.02 0.82 0.84 0.82 0.84 XXX
extremity.
76880 TC A Echo exam of 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
extremity.
76885 .......... A Echo exam, infant 0.74 1.79 1.82 NA NA 0.11 2.64 2.67 NA NA XXX
hips.
76885 26 A Echo exam, infant 0.74 0.26 0.28 0.26 0.28 0.03 1.03 1.05 1.03 1.05 XXX
hips.
76885 TC A Echo exam, infant 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
hips.
76886 .......... A Echo exam, infant 0.62 1.66 1.69 NA NA 0.09 2.37 2.40 NA NA XXX
hips.
76886 26 A Echo exam, infant 0.62 0.22 0.24 0.22 0.24 0.02 0.86 0.88 0.86 0.88 XXX
hips.
[[Page 44286]]
76886 TC A Echo exam, infant 0.00 1.44 1.45 NA NA 0.07 1.51 1.52 NA NA XXX
hips.
76930 .......... A Echo guide for 0.67 1.80 1.83 NA NA 0.10 2.57 2.60 NA NA XXX
heart sac tap.
76930 26 A Echo guide for 0.67 0.27 0.29 0.27 0.29 0.02 0.96 0.98 0.96 0.98 XXX
heart sac tap.
76930 TC A Echo guide for 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
heart sac tap.
76932 .......... A Echo guide for 0.67 1.80 1.83 NA NA 0.10 2.57 2.60 NA NA XXX
heart biopsy.
76932 26 A Echo guide for 0.67 0.27 0.29 0.27 0.29 0.02 0.96 0.98 0.96 0.98 XXX
heart biopsy.
76932 TC A Echo guide for 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
heart biopsy.
76934 .......... A Echo guide for 0.67 1.76 1.80 NA NA 0.11 2.54 2.58 NA NA XXX
chest tap.
76934 26 A Echo guide for 0.67 0.23 0.26 0.23 0.26 0.03 0.93 0.96 0.93 0.96 XXX
chest tap.
76934 TC A Echo guide for 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
chest tap.
76936 .......... A Echo guide for 1.99 7.07 7.27 NA NA 0.40 9.46 9.66 NA NA XXX
artery repair.
76936 26 A Echo guide for 1.99 0.71 0.87 0.71 0.87 0.11 2.81 2.97 2.81 2.97 XXX
artery repair.
76936 TC A Echo guide for 0.00 6.36 6.40 NA NA 0.29 6.65 6.69 NA NA XXX
artery repair.
76938 .......... A Echo exam for 0.67 1.76 1.80 NA NA 0.11 2.54 2.58 NA NA XXX
drainage.
76938 26 A Echo exam for 0.67 0.23 0.26 0.23 0.26 0.03 0.93 0.96 0.93 0.96 XXX
drainage.
76938 TC A Echo exam for 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
drainage.
76941 .......... A Echo guide for 1.34 2.07 2.11 NA NA 0.12 3.53 3.57 NA NA XXX
transfusion.
76941 26 A Echo guide for 1.34 0.53 0.56 0.53 0.56 0.05 1.92 1.95 1.92 1.95 XXX
transfusion.
76941 TC A Echo guide for 0.00 1.54 1.55 NA NA 0.07 1.61 1.62 NA NA XXX
transfusion.
76942 .......... A Echo guide for 0.67 1.76 1.80 NA NA 0.11 2.54 2.58 NA NA XXX
biopsy.
76942 26 A Echo guide for 0.67 0.23 0.26 0.23 0.26 0.03 0.93 0.96 0.93 0.96 XXX
biopsy.
76942 TC A Echo guide for 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
biopsy.
76945 .......... A Echo guide, villus 0.67 1.77 1.89 NA NA 0.10 2.54 2.66 NA NA XXX
sampling.
76945 26 A Echo guide, villus 0.67 0.23 0.34 0.23 0.34 0.03 0.93 1.04 0.93 1.04 XXX
sampling.
76945 TC A Echo guide, villus 0.00 1.54 1.55 NA NA 0.07 1.61 1.62 NA NA XXX
sampling.
76946 .......... A Echo guide for 0.38 1.67 1.69 NA NA 0.09 2.14 2.16 NA NA XXX
amniocentesis.
76946 26 A Echo guide for 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 XXX
amniocentesis.
76946 TC A Echo guide for 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
amniocentesis.
76948 .......... A Echo guide, ova 0.38 1.66 1.68 NA NA 0.10 2.14 2.16 NA NA XXX
aspiration.
76948 26 A Echo guide, ova 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 XXX
aspiration.
76948 TC A Echo guide, ova 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
aspiration.
76950 .......... A Echo guidance 0.58 1.52 1.55 NA NA 0.09 2.19 2.22 NA NA XXX
radiotherapy.
76950 26 A Echo guidance 0.58 0.20 0.22 0.20 0.22 0.03 0.81 0.83 0.81 0.83 XXX
radiotherapy.
76950 TC A Echo guidance 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
radiotherapy.
76960 .......... A Echo guidance 0.58 1.52 1.55 NA NA 0.09 2.19 2.22 NA NA XXX
radiotherapy.
76960 26 A Echo guidance 0.58 0.20 0.22 0.20 0.22 0.03 0.81 0.83 0.81 0.83 XXX
radiotherapy.
76960 TC A Echo guidance 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
radiotherapy.
76965 .......... A Echo guidance 1.34 6.08 6.40 NA NA 0.32 7.74 8.06 NA NA XXX
radiotherapy.
76965 26 A Echo guidance 1.34 0.45 0.74 0.45 0.74 0.07 1.86 2.15 1.86 2.15 XXX
radiotherapy.
76965 TC A Echo guidance 0.00 5.63 5.66 NA NA 0.25 5.88 5.91 NA NA XXX
radiotherapy.
76970 .......... A Ultrasound exam 0.40 1.21 1.24 NA NA 0.07 1.68 1.71 NA NA XXX
follow-up.
76970 26 A Ultrasound exam 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX
follow-up.
76970 TC A Ultrasound exam 0.00 1.07 1.08 NA NA 0.05 1.12 1.13 NA NA XXX
follow-up.
76975 .......... A GI endoscopic 0.81 1.81 1.84 NA NA 0.11 2.73 2.76 NA NA XXX
ultrasound.
76975 26 A GI endoscopic 0.81 0.28 0.30 0.28 0.30 0.03 1.12 1.14 1.12 1.14 XXX
ultrasound.
76975 TC A GI endoscopic 0.00 1.53 1.54 NA NA 0.08 1.61 1.62 NA NA XXX
ultrasound.
76977 .......... A Us bone density 0.05 0.86 0.87 NA NA 0.05 0.96 0.97 NA NA XXX
measure.
76977 26 A Us bone density 0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 XXX
measure.
76977 TC A Us bone density 0.00 0.84 0.85 NA NA 0.04 0.88 0.89 NA NA XXX
measure.
76986 .......... A Echo exam at 1.20 3.08 3.14 NA NA 0.18 4.46 4.52 NA NA XXX
surgery.
76986 26 A Echo exam at 1.20 0.43 0.47 0.43 0.47 0.06 1.69 1.73 1.69 1.73 XXX
surgery.
76986 TC A Echo exam at 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
surgery.
76999 .......... C Echo examination 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
76999 26 C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76999 TC C Echo examination 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
77261 .......... A Radiation therapy 1.39 0.55 0.58 0.55 0.58 0.05 1.99 2.02 1.99 2.02 XXX
planning.
77262 .......... A Radiation therapy 2.11 0.81 0.86 0.81 0.86 0.08 3.00 3.05 3.00 3.05 XXX
planning.
77263 .......... A Radiation therapy 3.14 1.20 1.28 1.20 1.28 0.12 4.46 4.54 4.46 4.54 XXX
planning.
77280 .......... A Set radiation 0.70 3.75 3.80 NA NA 0.18 4.63 4.68 NA NA XXX
therapy field.
77280 26 A Set radiation 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
therapy field.
77280 TC A Set radiation 0.00 3.51 3.53 NA NA 0.15 3.66 3.68 NA NA XXX
therapy field.
77285 .......... A Set radiation 1.05 5.99 6.06 NA NA 0.30 7.34 7.41 NA NA XXX
therapy field.
77285 26 A Set radiation 1.05 0.36 0.40 0.36 0.40 0.04 1.45 1.49 1.45 1.49 XXX
therapy field.
77285 TC A Set radiation 0.00 5.63 5.66 NA NA 0.26 5.89 5.92 NA NA XXX
therapy field.
77290 .......... A Set radiation 1.56 7.12 7.22 NA NA 0.36 9.04 9.14 NA NA XXX
therapy field.
77290 26 A Set radiation 1.56 0.54 0.60 0.54 0.60 0.06 2.16 2.22 2.16 2.22 XXX
therapy field.
77290 TC A Set radiation 0.00 6.58 6.62 NA NA 0.30 6.88 6.92 NA NA XXX
therapy field.
77295 .......... A Set radiation 4.57 29.82 30.15 NA NA 1.44 35.83 36.16 NA NA XXX
therapy field.
77295 26 A Set radiation 4.57 1.58 1.75 1.58 1.75 0.17 6.32 6.49 6.32 6.49 XXX
therapy field.
77295 TC A Set radiation 0.00 28.24 28.40 NA NA 1.27 29.51 29.67 NA NA XXX
therapy field.
77299 .......... C Radiation therapy 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
planning.
77299 26 C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77299 TC C Radiation therapy 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
planning.
77300 .......... A Radiation therapy 0.62 1.57 1.60 NA NA 0.08 2.27 2.30 NA NA XXX
dose plan.
77300 26 A Radiation therapy 0.62 0.21 0.23 0.21 0.23 0.02 0.85 0.87 0.85 0.87 XXX
dose plan.
77300 TC A Radiation therapy 0.00 1.36 1.37 NA NA 0.06 1.42 1.43 NA NA XXX
dose plan.
77305 .......... A Radiation therapy 0.70 2.12 2.16 NA NA 0.12 2.94 2.98 NA NA XXX
dose plan.
77305 26 A Radiation therapy 0.70 0.24 0.27 0.24 0.27 0.03 0.97 1.00 0.97 1.00 XXX
dose plan.
77305 TC A Radiation therapy 0.00 1.88 1.89 NA NA 0.09 1.97 1.98 NA NA XXX
dose plan.
77310 .......... A Radiation therapy 1.05 2.72 2.77 NA NA 0.15 3.92 3.97 NA NA XXX
dose plan.
77310 26 A Radiation therapy 1.05 0.36 0.40 0.36 0.40 0.04 1.45 1.49 1.45 1.49 XXX
dose plan.
77310 TC A Radiation therapy 0.00 2.36 2.37 NA NA 0.11 2.47 2.48 NA NA XXX
dose plan.
[[Page 44287]]
77315 .......... A Radiation therapy 1.56 3.23 3.31 NA NA 0.18 4.97 5.05 NA NA XXX
dose plan.
77315 26 A Radiation therapy 1.56 0.54 0.60 0.54 0.60 0.06 2.16 2.22 2.16 2.22 XXX
dose plan.
77315 TC A Radiation therapy 0.00 2.69 2.71 NA NA 0.12 2.81 2.83 NA NA XXX
dose plan.
77321 .......... A Radiation therapy 0.95 4.42 4.48 NA NA 0.22 5.59 5.65 NA NA XXX
port plan.
77321 26 A Radiation therapy 0.95 0.33 0.37 0.33 0.37 0.04 1.32 1.36 1.32 1.36 XXX
port plan.
77321 TC A Radiation therapy 0.00 4.09 4.11 NA NA 0.18 4.27 4.29 NA NA XXX
port plan.
77326 .......... A Radiation therapy 0.93 2.71 2.76 NA NA 0.15 3.79 3.84 NA NA XXX
dose plan.
77326 26 A Radiation therapy 0.93 0.32 0.36 0.32 0.36 0.04 1.29 1.33 1.29 1.33 XXX
dose plan.
77326 TC A Radiation therapy 0.00 2.39 2.40 NA NA 0.11 2.50 2.51 NA NA XXX
dose plan.
77327 .......... A Radiation therapy 1.39 3.99 4.06 NA NA 0.21 5.59 5.66 NA NA XXX
dose plan.
77327 26 A Radiation therapy 1.39 0.48 0.53 0.48 0.53 0.06 1.93 1.98 1.93 1.98 XXX
dose plan.
77327 TC A Radiation therapy 0.00 3.51 3.53 NA NA 0.15 3.66 3.68 NA NA XXX
dose plan.
77328 .......... A Radiation therapy 2.09 5.73 5.83 NA NA 0.30 8.12 8.22 NA NA XXX
dose plan.
77328 26 A Radiation therapy 2.09 0.72 0.79 0.72 0.79 0.08 2.89 2.96 2.89 2.96 XXX
dose plan.
77328 TC A Radiation therapy 0.00 5.01 5.04 NA NA 0.22 5.23 5.26 NA NA XXX
dose plan.
77331 .......... A Special radiation 0.87 0.81 0.84 NA NA 0.05 1.73 1.76 NA NA XXX
dosimetry.
77331 26 A Special radiation 0.87 0.30 0.33 0.30 0.33 0.03 1.20 1.23 1.20 1.23 XXX
dosimetry.
77331 TC A Special radiation 0.00 0.51 0.51 NA NA 0.02 0.53 0.53 NA NA XXX
dosimetry.
77332 .......... A Radiation treatment 0.54 1.55 1.58 NA NA 0.08 2.17 2.20 NA NA XXX
aid(s).
77332 26 A Radiation treatment 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 XXX
aid(s).
77332 TC A Radiation treatment 0.00 1.36 1.37 NA NA 0.06 1.42 1.43 NA NA XXX
aid(s).
77333 .......... A Radiation treatment 0.84 2.21 2.25 NA NA 0.12 3.17 3.21 NA NA XXX
aid(s).
77333 26 A Radiation treatment 0.84 0.29 0.32 0.29 0.32 0.03 1.16 1.19 1.16 1.19 XXX
aid(s).
77333 TC A Radiation treatment 0.00 1.92 1.93 NA NA 0.09 2.01 2.02 NA NA XXX
aid(s).
77334 .......... A Radiation treatment 1.24 3.71 3.77 NA NA 0.19 5.14 5.20 NA NA XXX
aid(s).
77334 26 A Radiation treatment 1.24 0.43 0.47 0.43 0.47 0.05 1.72 1.76 1.72 1.76 XXX
aid(s).
77334 TC A Radiation treatment 0.00 3.28 3.30 NA NA 0.14 3.42 3.44 NA NA XXX
aid(s).
77336 .......... A Radiation physics 0.00 3.01 3.03 NA NA 0.13 3.14 3.16 NA NA XXX
consult.
77370 .......... A Radiation physics 0.00 3.53 3.55 NA NA 0.15 3.68 3.70 NA NA XXX
consult.
77380 .......... D Proton beam 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
delivery.
77380 26 D Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
delivery.
77380 TC D Proton beam 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
delivery.
77381 .......... D Proton beam 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
treatment.
77381 26 D Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
77381 TC D Proton beam 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
treatment.
77399 .......... C External radiation 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
dosimetry.
77399 26 C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77399 TC C External radiation 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
dosimetry.
77401 .......... A Radiation treatment 0.00 1.79 1.80 NA NA 0.09 1.88 1.89 NA NA XXX
delivery.
77402 .......... A Radiation treatment 0.00 1.79 1.80 NA NA 0.09 1.88 1.89 NA NA XXX
delivery.
77403 .......... A Radiation treatment 0.00 1.79 1.80 NA NA 0.09 1.88 1.89 NA NA XXX
delivery.
77404 .......... A Radiation treatment 0.00 1.79 1.80 NA NA 0.09 1.88 1.89 NA NA XXX
delivery.
77406 .......... A Radiation treatment 0.00 1.79 1.80 NA NA 0.09 1.88 1.89 NA NA XXX
delivery.
77407 .......... A Radiation treatment 0.00 2.11 2.12 NA NA 0.10 2.21 2.22 NA NA XXX
delivery.
77408 .......... A Radiation treatment 0.00 2.11 2.12 NA NA 0.10 2.21 2.22 NA NA XXX
delivery.
77409 .......... A Radiation treatment 0.00 2.11 2.12 NA NA 0.10 2.21 2.22 NA NA XXX
delivery.
77411 .......... A Radiation treatment 0.00 2.11 2.12 NA NA 0.10 2.21 2.22 NA NA XXX
delivery.
77412 .......... A Radiation treatment 0.00 2.36 2.37 NA NA 0.11 2.47 2.48 NA NA XXX
delivery.
77413 .......... A Radiation treatment 0.00 2.36 2.37 NA NA 0.11 2.47 2.48 NA NA XXX
delivery.
77414 .......... A Radiation treatment 0.00 2.36 2.37 NA NA 0.11 2.47 2.48 NA NA XXX
delivery.
77416 .......... A Radiation treatment 0.00 2.36 2.37 NA NA 0.11 2.47 2.48 NA NA XXX
delivery.
77417 .......... A Radiology port 0.00 0.60 0.60 NA NA 0.03 0.63 0.63 NA NA XXX
film(s).
77419 .......... D Weekly radiation 3.60 1.43 1.51 1.43 1.51 0.13 5.16 5.24 5.16 5.24 XXX
therapy.
77420 .......... D Weekly radiation 1.61 0.64 0.68 0.64 0.68 0.06 2.31 2.35 2.31 2.35 XXX
therapy.
77425 .......... D Weekly radiation 2.44 0.97 1.03 0.97 1.03 0.10 3.51 3.57 3.51 3.57 XXX
therapy.
77427 .......... A Radiation tx 3.31 1.14 1.14 1.14 1.14 0.11 4.56 4.56 4.56 4.56 XXX
management, x5.
77430 .......... D Weekly radiation 3.60 1.43 1.51 1.43 1.51 0.13 5.16 5.24 5.16 5.24 XXX
therapy.
77431 .......... A Radiation therapy 1.81 0.73 0.77 0.73 0.77 0.07 2.61 2.65 2.61 2.65 XXX
management.
77432 .......... A Stereotactic 7.93 3.10 3.67 3.10 3.67 0.31 11.34 11.91 11.34 11.91 XXX
radiation trmt.
77470 .......... A Special radiation 2.09 11.99 12.13 NA NA 0.58 14.66 14.80 NA NA XXX
treatment.
77470 26 A Special radiation 2.09 0.72 0.79 0.72 0.79 0.08 2.89 2.96 2.89 2.96 XXX
treatment.
77470 TC A Special radiation 0.00 11.27 11.34 NA NA 0.50 11.77 11.84 NA NA XXX
treatment.
77499 .......... C Radiation therapy 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
management.
77499 26 C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77499 TC C Radiation therapy 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
management.
77520 .......... C Proton beam 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
delivery.
77523 .......... C Proton beam 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
delivery.
77600 .......... R Hyperthermia 1.56 3.62 3.70 NA NA 0.19 5.37 5.45 NA NA XXX
treatment.
77600 26 R Hyperthermia 1.56 0.54 0.60 0.54 0.60 0.06 2.16 2.22 2.16 2.22 XXX
treatment.
77600 TC R Hyperthermia 0.00 3.08 3.10 NA NA 0.13 3.21 3.23 NA NA XXX
treatment.
77605 .......... R Hyperthermia 2.09 4.85 4.94 NA NA 0.28 7.22 7.31 NA NA XXX
treatment.
77605 26 R Hyperthermia 2.09 0.74 0.81 0.74 0.81 0.09 2.92 2.99 2.92 2.99 XXX
treatment.
77605 TC R Hyperthermia 0.00 4.11 4.13 NA NA 0.19 4.30 4.32 NA NA XXX
treatment.
77610 .......... R Hyperthermia 1.56 3.62 3.70 NA NA 0.19 5.37 5.45 NA NA XXX
treatment.
77610 26 R Hyperthermia 1.56 0.54 0.60 0.54 0.60 0.06 2.16 2.22 2.16 2.22 XXX
treatment.
77610 TC R Hyperthermia 0.00 3.08 3.10 NA NA 0.13 3.21 3.23 NA NA XXX
treatment.
77615 .......... R Hyperthermia 2.09 4.83 4.92 NA NA 0.27 7.19 7.28 NA NA XXX
treatment.
77615 26 R Hyperthermia 2.09 0.72 0.79 0.72 0.79 0.08 2.89 2.96 2.89 2.96 XXX
treatment.
77615 TC R Hyperthermia 0.00 4.11 4.13 NA NA 0.19 4.30 4.32 NA NA XXX
treatment.
77620 .......... R Hyperthermia 1.56 3.70 3.76 NA NA 0.19 5.45 5.51 NA NA XXX
treatment.
77620 26 R Hyperthermia 1.56 0.62 0.66 0.62 0.66 0.06 2.24 2.28 2.24 2.28 XXX
treatment.
77620 TC R Hyperthermia 0.00 3.08 3.10 NA NA 0.13 3.21 3.23 NA NA XXX
treatment.
[[Page 44288]]
77750 .......... A Infuse radioactive 4.91 3.05 3.19 NA NA 0.24 8.20 8.34 NA NA 090
materials.
77750 26 A Infuse radioactive 4.91 1.70 1.83 1.70 1.83 0.18 6.79 6.92 6.79 6.92 090
materials.
77750 TC A Infuse radioactive 0.00 1.35 1.36 NA NA 0.06 1.41 1.42 NA NA 090
materials.
77761 .......... A Radioelement 3.81 3.68 3.85 NA NA 0.28 7.77 7.94 NA NA 090
application.
77761 26 A Radioelement 3.81 1.15 1.30 1.15 1.30 0.16 5.12 5.27 5.12 5.27 090
application.
77761 TC A Radioelement 0.00 2.53 2.55 NA NA 0.12 2.65 2.67 NA NA 090
application.
77762 .......... A Radioelement 5.72 5.66 5.83 NA NA 0.40 11.78 11.95 NA NA 090
application.
77762 26 A Radioelement 5.72 2.01 2.16 2.01 2.16 0.24 7.97 8.12 7.97 8.12 090
application.
77762 TC A Radioelement 0.00 3.65 3.67 NA NA 0.16 3.81 3.83 NA NA 090
application.
77763 .......... A Radioelement 8.57 7.50 7.76 NA NA 0.55 16.62 16.88 NA NA 090
application.
77763 26 A Radioelement 8.57 2.96 3.19 2.96 3.19 0.35 11.88 12.11 11.88 12.11 090
application.
77763 TC A Radioelement 0.00 4.54 4.57 NA NA 0.20 4.74 4.77 NA NA 090
application.
77776 .......... A Radioelement 4.66 3.16 3.50 NA NA 0.31 8.13 8.47 NA NA XXX
application.
77776 26 A Radioelement 4.66 0.96 1.29 0.96 1.29 0.20 5.82 6.15 5.82 6.15 XXX
application.
77776 TC A Radioelement 0.00 2.20 2.21 NA NA 0.11 2.31 2.32 NA NA XXX
application.
77777 .......... A Radioelement 7.48 6.85 7.09 NA NA 0.50 14.83 15.07 NA NA 090
application.
77777 26 A Radioelement 7.48 2.57 2.78 2.57 2.78 0.31 10.36 10.57 10.36 10.57 090
application.
77777 TC A Radioelement 0.00 4.28 4.31 NA NA 0.19 4.47 4.50 NA NA 090
application.
77778 .......... A Radioelement 11.19 9.04 9.38 NA NA 0.67 20.90 21.24 NA NA 090
application.
77778 26 A Radioelement 11.19 3.85 4.16 3.85 4.16 0.44 15.48 15.79 15.48 15.79 090
application.
77778 TC A Radioelement 0.00 5.19 5.22 NA NA 0.23 5.42 5.45 NA NA 090
application.
77781 .......... A High intensity 1.66 21.10 21.27 NA NA 0.98 23.74 23.91 NA NA 090
brachytherapy.
77781 26 A High intensity 1.66 0.57 0.62 0.57 0.62 0.07 2.30 2.35 2.30 2.35 090
brachytherapy.
77781 TC A High intensity 0.00 20.53 20.65 NA NA 0.91 21.44 21.56 NA NA 090
brachytherapy.
77782 .......... A High intensity 2.49 21.39 21.58 NA NA 1.01 24.89 25.08 NA NA 090
brachytherapy.
77782 26 A High intensity 2.49 0.86 0.93 0.86 0.93 0.10 3.45 3.52 3.45 3.52 090
brachytherapy.
77782 TC A High intensity 0.00 20.53 20.65 NA NA 0.91 21.44 21.56 NA NA 090
brachytherapy.
77783 .......... A High intensity 3.73 21.81 22.03 NA NA 1.05 26.59 26.81 NA NA 090
brachytherapy.
77783 26 A High intensity 3.73 1.28 1.38 1.28 1.38 0.14 5.15 5.25 5.15 5.25 090
brachytherapy.
77783 TC A High intensity 0.00 20.53 20.65 NA NA 0.91 21.44 21.56 NA NA 090
brachytherapy.
77784 .......... A High intensity 5.61 22.46 22.73 NA NA 1.12 29.19 29.46 NA NA 090
brachytherapy.
77784 26 A High intensity 5.61 1.93 2.08 1.93 2.08 0.21 7.75 7.90 7.75 7.90 090
brachytherapy.
77784 TC A High intensity 0.00 20.53 20.65 NA NA 0.91 21.44 21.56 NA NA 090
brachytherapy.
77789 .......... A Radioelement 1.12 0.86 0.89 NA NA 0.06 2.04 2.07 NA NA 090
application.
77789 26 A Radioelement 1.12 0.40 0.43 0.40 0.43 0.04 1.56 1.59 1.56 1.59 090
application.
77789 TC A Radioelement 0.00 0.46 0.46 NA NA 0.02 0.48 0.48 NA NA 090
application.
77790 .......... A Radioelement 1.05 0.87 0.91 NA NA 0.06 1.98 2.02 NA NA XXX
handling.
77790 26 A Radioelement 1.05 0.36 0.40 0.36 0.40 0.04 1.45 1.49 1.45 1.49 XXX
handling.
77790 TC A Radioelement 0.00 0.51 0.51 NA NA 0.02 0.53 0.53 NA NA XXX
handling.
77799 .......... C Radium/radioisotope 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
therapy.
77799 26 C Radium/radioisotope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
77799 TC C Radium/radioisotope 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
therapy.
78000 .......... A Thyroid, single 0.19 1.05 1.07 NA NA 0.06 1.30 1.32 NA NA XXX
uptake.
78000 26 A Thyroid, single 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX
uptake.
78000 TC A Thyroid, single 0.00 0.98 0.99 NA NA 0.05 1.03 1.04 NA NA XXX
uptake.
78001 .......... A Thyroid, multiple 0.26 1.41 1.43 NA NA 0.07 1.74 1.76 NA NA XXX
uptakes.
78001 26 A Thyroid, multiple 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 XXX
uptakes.
78001 TC A Thyroid, multiple 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
uptakes.
78003 .......... A Thyroid suppress/ 0.33 1.10 1.12 NA NA 0.06 1.49 1.51 NA NA XXX
stimul.
78003 26 A Thyroid suppress/ 0.33 0.12 0.13 0.12 0.13 0.01 0.46 0.47 0.46 0.47 XXX
stimul.
78003 TC A Thyroid suppress/ 0.00 0.98 0.99 NA NA 0.05 1.03 1.04 NA NA XXX
stimul.
78006 .......... A Thyroid imaging 0.49 2.57 2.61 NA NA 0.13 3.19 3.23 NA NA XXX
with uptake.
78006 26 A Thyroid imaging 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
with uptake.
78006 TC A Thyroid imaging 0.00 2.40 2.42 NA NA 0.11 2.51 2.53 NA NA XXX
with uptake.
78007 .......... A Thyroid image, mult 0.50 2.78 2.82 NA NA 0.14 3.42 3.46 NA NA XXX
uptakes.
78007 26 A Thyroid image, mult 0.50 0.18 0.20 0.18 0.20 0.02 0.70 0.72 0.70 0.72 XXX
uptakes.
78007 TC A Thyroid image, mult 0.00 2.60 2.62 NA NA 0.12 2.72 2.74 NA NA XXX
uptakes.
78010 .......... A Thyroid imaging.... 0.39 1.98 2.00 NA NA 0.11 2.48 2.50 NA NA XXX
78010 26 A Thyroid imaging.... 0.39 0.14 0.15 0.14 0.15 0.02 0.55 0.56 0.55 0.56 XXX
78010 TC A Thyroid imaging.... 0.00 1.84 1.85 NA NA 0.09 1.93 1.94 NA NA XXX
78011 .......... A Thyroid imaging 0.45 2.59 2.63 NA NA 0.13 3.17 3.21 NA NA XXX
with flow.
78011 26 A Thyroid imaging 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX
with flow.
78011 TC A Thyroid imaging 0.00 2.43 2.45 NA NA 0.11 2.54 2.56 NA NA XXX
with flow.
78015 .......... A Thyroid met imaging 0.67 2.84 2.89 NA NA 0.15 3.66 3.71 NA NA XXX
78015 26 A Thyroid met imaging 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 XXX
78015 TC A Thyroid met imaging 0.00 2.60 2.62 NA NA 0.12 2.72 2.74 NA NA XXX
78016 .......... A Thyroid met imaging/ 0.82 3.82 3.87 NA NA 0.18 4.82 4.87 NA NA XXX
studies.
78016 26 A Thyroid met imaging/ 0.82 0.30 0.33 0.30 0.33 0.03 1.15 1.18 1.15 1.18 XXX
studies.
78016 TC A Thyroid met imaging/ 0.00 3.52 3.54 NA NA 0.15 3.67 3.69 NA NA XXX
studies.
78018 .......... A Thyroid met 0.86 5.79 5.86 NA NA 0.28 6.93 7.00 NA NA XXX
imaging, body.
78018 26 A Thyroid met 0.86 0.31 0.35 0.31 0.35 0.03 1.20 1.24 1.20 1.24 XXX
imaging, body.
78018 TC A Thyroid met 0.00 5.48 5.51 NA NA 0.25 5.73 5.76 NA NA XXX
imaging, body.
78020 .......... A Thyroid met uptake. 0.60 0.39 0.39 NA NA 0.00 0.99 0.99 NA NA ZZZ
78020 26 A Thyroid met uptake. 0.60 0.24 0.24 0.24 0.24 0.00 0.84 0.84 0.84 0.84 ZZZ
78020 TC A Thyroid met uptake. 0.00 0.15 0.15 NA NA 0.00 0.15 0.15 NA NA ZZZ
78070 .......... A Parathyroid nuclear 0.82 2.13 2.13 NA NA 0.12 3.07 3.07 NA NA XXX
imaging.
78070 26 A Parathyroid nuclear 0.82 0.29 0.28 0.29 0.28 0.03 1.14 1.13 1.14 1.13 XXX
imaging.
78070 TC A Parathyroid nuclear 0.00 1.84 1.85 NA NA 0.09 1.93 1.94 NA NA XXX
imaging.
78075 .......... A Adrenal nuclear 0.74 5.76 5.81 NA NA 0.28 6.78 6.83 NA NA XXX
imaging.
78075 26 A Adrenal nuclear 0.74 0.28 0.30 0.28 0.30 0.03 1.05 1.07 1.05 1.07 XXX
imaging.
78075 TC A Adrenal nuclear 0.00 5.48 5.51 NA NA 0.25 5.73 5.76 NA NA XXX
imaging.
78099 .......... C Endocrine nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
[[Page 44289]]
78099 26 C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78099 TC C Endocrine nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
78102 .......... A Bone marrow 0.55 2.26 2.29 NA NA 0.12 2.93 2.96 NA NA XXX
imaging, ltd.
78102 26 A Bone marrow 0.55 0.20 0.22 0.20 0.22 0.02 0.77 0.79 0.77 0.79 XXX
imaging, ltd.
78102 TC A Bone marrow 0.00 2.06 2.07 NA NA 0.10 2.16 2.17 NA NA XXX
imaging, ltd.
78103 .......... A Bone marrow 0.75 3.48 3.53 NA NA 0.17 4.40 4.45 NA NA XXX
imaging, mult.
78103 26 A Bone marrow 0.75 0.27 0.30 0.27 0.30 0.03 1.05 1.08 1.05 1.08 XXX
imaging, mult.
78103 TC A Bone marrow 0.00 3.21 3.23 NA NA 0.14 3.35 3.37 NA NA XXX
imaging, mult.
78104 .......... A Bone marrow 0.80 4.41 4.46 NA NA 0.22 5.43 5.48 NA NA XXX
imaging, body.
78104 26 A Bone marrow 0.80 0.29 0.32 0.29 0.32 0.03 1.12 1.15 1.12 1.15 XXX
imaging, body.
78104 TC A Bone marrow 0.00 4.12 4.14 NA NA 0.19 4.31 4.33 NA NA XXX
imaging, body.
78110 .......... A Plasma volume, 0.19 1.03 1.05 NA NA 0.06 1.28 1.30 NA NA XXX
single.
78110 26 A Plasma volume, 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 XXX
single.
78110 TC A Plasma volume, 0.00 0.96 0.97 NA NA 0.05 1.01 1.02 NA NA XXX
single.
78111 .......... A Plasma volume, 0.22 2.68 2.71 NA NA 0.13 3.03 3.06 NA NA XXX
multiple.
78111 26 A Plasma volume, 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
multiple.
78111 TC A Plasma volume, 0.00 2.60 2.62 NA NA 0.12 2.72 2.74 NA NA XXX
multiple.
78120 .......... A Red cell mass, 0.23 1.83 1.85 NA NA 0.10 2.16 2.18 NA NA XXX
single.
78120 26 A Red cell mass, 0.23 0.08 0.09 0.08 0.09 0.01 0.32 0.33 0.32 0.33 XXX
single.
78120 TC A Red cell mass, 0.00 1.75 1.76 NA NA 0.09 1.84 1.85 NA NA XXX
single.
78121 .......... A Red cell mass, 0.32 3.06 3.09 NA NA 0.13 3.51 3.54 NA NA XXX
multiple.
78121 26 A Red cell mass, 0.32 0.12 0.13 0.12 0.13 0.01 0.45 0.46 0.45 0.46 XXX
multiple.
78121 TC A Red cell mass, 0.00 2.94 2.96 NA NA 0.12 3.06 3.08 NA NA XXX
multiple.
78122 .......... A Blood volume....... 0.45 4.81 4.86 NA NA 0.23 5.49 5.54 NA NA XXX
78122 26 A Blood volume....... 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX
78122 TC A Blood volume....... 0.00 4.65 4.68 NA NA 0.21 4.86 4.89 NA NA XXX
78130 .......... A Red cell survival 0.61 3.10 3.14 NA NA 0.14 3.85 3.89 NA NA XXX
study.
78130 26 A Red cell survival 0.61 0.22 0.24 0.22 0.24 0.02 0.85 0.87 0.85 0.87 XXX
study.
78130 TC A Red cell survival 0.00 2.88 2.90 NA NA 0.12 3.00 3.02 NA NA XXX
study.
78135 .......... A Red cell survival 0.64 5.16 5.21 NA NA 0.24 6.04 6.09 NA NA XXX
kinetics.
78135 26 A Red cell survival 0.64 0.23 0.25 0.23 0.25 0.02 0.89 0.91 0.89 0.91 XXX
kinetics.
78135 TC A Red cell survival 0.00 4.93 4.96 NA NA 0.22 5.15 5.18 NA NA XXX
kinetics.
78140 .......... A Red cell 0.61 4.19 4.23 NA NA 0.20 5.00 5.04 NA NA XXX
sequestration.
78140 26 A Red cell 0.61 0.21 0.23 0.21 0.23 0.02 0.84 0.86 0.84 0.86 XXX
sequestration.
78140 TC A Red cell 0.00 3.98 4.00 NA NA 0.18 4.16 4.18 NA NA XXX
sequestration.
78160 .......... A Plasma iron 0.33 3.82 3.85 NA NA 0.17 4.32 4.35 NA NA XXX
turnover.
78160 26 A Plasma iron 0.33 0.12 0.13 0.12 0.13 0.01 0.46 0.47 0.46 0.47 XXX
turnover.
78160 TC A Plasma iron 0.00 3.70 3.72 NA NA 0.16 3.86 3.88 NA NA XXX
turnover.
78162 .......... A Iron absorption 0.45 3.42 3.45 NA NA 0.15 4.02 4.05 NA NA XXX
exam.
78162 26 A Iron absorption 0.45 0.18 0.19 0.18 0.19 0.01 0.64 0.65 0.64 0.65 XXX
exam.
78162 TC A Iron absorption 0.00 3.24 3.26 NA NA 0.14 3.38 3.40 NA NA XXX
exam.
78170 .......... A Red cell iron 0.41 5.52 5.56 NA NA 0.26 6.19 6.23 NA NA XXX
utilization.
78170 26 A Red cell iron 0.41 0.15 0.16 0.15 0.16 0.02 0.58 0.59 0.58 0.59 XXX
utilization.
78170 TC A Red cell iron 0.00 5.37 5.40 NA NA 0.24 5.61 5.64 NA NA XXX
utilization.
78172 .......... C Total body iron 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
estimation.
78172 26 A Total body iron 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX
estimation.
78172 TC C Total body iron 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
estimation.
78185 .......... A Spleen imaging..... 0.40 2.53 2.56 NA NA 0.13 3.06 3.09 NA NA XXX
78185 26 A Spleen imaging..... 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX
78185 TC A Spleen imaging..... 0.00 2.39 2.40 NA NA 0.11 2.50 2.51 NA NA XXX
78190 .......... A Platelet survival, 1.09 6.21 6.26 NA NA 0.30 7.60 7.65 NA NA XXX
kinetics.
78190 26 A Platelet survival, 1.09 0.43 0.45 0.43 0.45 0.04 1.56 1.58 1.56 1.58 XXX
kinetics.
78190 TC A Platelet survival, 0.00 5.78 5.81 NA NA 0.26 6.04 6.07 NA NA XXX
kinetics.
78191 .......... A Platelet survival.. 0.61 7.64 7.70 NA NA 0.34 8.59 8.65 NA NA XXX
78191 26 A Platelet survival.. 0.61 0.22 0.24 0.22 0.24 0.02 0.85 0.87 0.85 0.87 XXX
78191 TC A Platelet survival.. 0.00 7.42 7.46 NA NA 0.32 7.74 7.78 NA NA XXX
78195 .......... A Lymph system 1.20 4.55 4.55 NA NA 0.24 5.99 5.99 NA NA XXX
imaging.
78195 26 A Lymph system 1.20 0.43 0.41 0.43 0.41 0.05 1.68 1.66 1.68 1.66 XXX
imaging.
78195 TC A Lymph system 0.00 4.12 4.14 NA NA 0.19 4.31 4.33 NA NA XXX
imaging.
78199 .......... C Blood/lymph nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78199 26 C Blood/lymph nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78199 TC C Blood/lymph nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78201 .......... A Liver imaging...... 0.44 2.55 2.57 NA NA 0.13 3.12 3.14 NA NA XXX
78201 26 A Liver imaging...... 0.44 0.16 0.17 0.16 0.17 0.02 0.62 0.63 0.62 0.63 XXX
78201 TC A Liver imaging...... 0.00 2.39 2.40 NA NA 0.11 2.50 2.51 NA NA XXX
78202 .......... A Liver imaging with 0.51 3.09 3.13 NA NA 0.14 3.74 3.78 NA NA XXX
flow.
78202 26 A Liver imaging with 0.51 0.18 0.20 0.18 0.20 0.02 0.71 0.73 0.71 0.73 XXX
flow.
78202 TC A Liver imaging with 0.00 2.91 2.93 NA NA 0.12 3.03 3.05 NA NA XXX
flow.
78205 .......... A Liver imaging (3D). 0.71 6.22 6.29 NA NA 0.30 7.23 7.30 NA NA XXX
78205 26 A Liver imaging (3D). 0.71 0.25 0.28 0.25 0.28 0.03 0.99 1.02 0.99 1.02 XXX
78205 TC A Liver imaging (3D). 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
78206 .......... A Liver image (3d) w/ 0.96 6.34 6.38 NA NA 0.13 7.43 7.47 NA NA XXX
flow.
78206 26 A Liver image (3d) w/ 0.96 0.35 0.35 0.35 0.35 0.04 1.35 1.35 1.35 1.35 XXX
flow.
78206 TC A Liver image (3d) w/ 0.00 5.99 6.03 NA NA 0.09 6.08 6.12 NA NA XXX
flow.
78215 .......... A Liver and spleen 0.49 3.14 3.18 NA NA 0.14 3.77 3.81 NA NA XXX
imaging.
78215 26 A Liver and spleen 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
imaging.
78215 TC A Liver and spleen 0.00 2.97 2.99 NA NA 0.12 3.09 3.11 NA NA XXX
imaging.
78216 .......... A Liver & spleen 0.57 3.72 3.76 NA NA 0.17 4.46 4.50 NA NA XXX
image/flow.
78216 26 A Liver & spleen 0.57 0.20 0.22 0.20 0.22 0.02 0.79 0.81 0.79 0.81 XXX
image/flow.
78216 TC A Liver & spleen 0.00 3.52 3.54 NA NA 0.15 3.67 3.69 NA NA XXX
image/flow.
78220 .......... A Liver function 0.49 3.93 3.97 NA NA 0.18 4.60 4.64 NA NA XXX
study.
78220 26 A Liver function 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
study.
[[Page 44290]]
78220 TC A Liver function 0.00 3.76 3.78 NA NA 0.16 3.92 3.94 NA NA XXX
study.
78223 .......... A Hepatobiliary 0.84 4.00 4.05 NA NA 0.19 5.03 5.08 NA NA XXX
imaging.
78223 26 A Hepatobiliary 0.84 0.30 0.33 0.30 0.33 0.03 1.17 1.20 1.17 1.20 XXX
imaging.
78223 TC A Hepatobiliary 0.00 3.70 3.72 NA NA 0.16 3.86 3.88 NA NA XXX
imaging.
78230 .......... A Salivary gland 0.45 2.35 2.38 NA NA 0.13 2.93 2.96 NA NA XXX
imaging.
78230 26 A Salivary gland 0.45 0.15 0.17 0.15 0.17 0.02 0.62 0.64 0.62 0.64 XXX
imaging.
78230 TC A Salivary gland 0.00 2.20 2.21 NA NA 0.11 2.31 2.32 NA NA XXX
imaging.
78231 .......... A Serial salivary 0.52 3.40 3.44 NA NA 0.16 4.08 4.12 NA NA XXX
imaging.
78231 26 A Serial salivary 0.52 0.19 0.21 0.19 0.21 0.02 0.73 0.75 0.73 0.75 XXX
imaging.
78231 TC A Serial salivary 0.00 3.21 3.23 NA NA 0.14 3.35 3.37 NA NA XXX
imaging.
78232 .......... A Salivary gland 0.47 3.75 3.79 NA NA 0.17 4.39 4.43 NA NA XXX
function exam.
78232 26 A Salivary gland 0.47 0.17 0.19 0.17 0.19 0.02 0.66 0.68 0.66 0.68 XXX
function exam.
78232 TC A Salivary gland 0.00 3.58 3.60 NA NA 0.15 3.73 3.75 NA NA XXX
function exam.
78258 .......... A Esophageal motility 0.74 3.17 3.22 NA NA 0.15 4.06 4.11 NA NA XXX
study.
78258 26 A Esophageal motility 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX
study.
78258 TC A Esophageal motility 0.00 2.91 2.93 NA NA 0.12 3.03 3.05 NA NA XXX
study.
78261 .......... A Gastric mucosa 0.69 4.40 4.45 NA NA 0.22 5.31 5.36 NA NA XXX
imaging.
78261 26 A Gastric mucosa 0.69 0.26 0.28 0.26 0.28 0.03 0.98 1.00 0.98 1.00 XXX
imaging.
78261 TC A Gastric mucosa 0.00 4.14 4.17 NA NA 0.19 4.33 4.36 NA NA XXX
imaging.
78262 .......... A Gastroesophageal 0.68 4.55 4.60 NA NA 0.21 5.44 5.49 NA NA XXX
reflux exam.
78262 26 A Gastroesophageal 0.68 0.25 0.27 0.25 0.27 0.02 0.95 0.97 0.95 0.97 XXX
reflux exam.
78262 TC A Gastroesophageal 0.00 4.30 4.33 NA NA 0.19 4.49 4.52 NA NA XXX
reflux exam.
78264 .......... A Gastric emptying 0.78 4.45 4.51 NA NA 0.22 5.45 5.51 NA NA XXX
study.
78264 26 A Gastric emptying 0.78 0.28 0.31 0.28 0.31 0.03 1.09 1.12 1.09 1.12 XXX
study.
78264 TC A Gastric emptying 0.00 4.17 4.20 NA NA 0.19 4.36 4.39 NA NA XXX
study.
78267 .......... X Breath tst attain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anal c-14.
78268 .......... X Breath test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, c-14.
78270 .......... A Vit B-12 absorption 0.20 1.63 1.65 NA NA 0.09 1.92 1.94 NA NA XXX
exam.
78270 26 A Vit B-12 absorption 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
exam.
78270 TC A Vit B-12 absorption 0.00 1.56 1.57 NA NA 0.08 1.64 1.65 NA NA XXX
exam.
78271 .......... A Vit B-12 absorp 0.20 1.73 1.75 NA NA 0.09 2.02 2.04 NA NA XXX
exam, IF.
78271 26 A Vit B-12 absorp 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 XXX
exam, IF.
78271 TC A Vit B-12 absorp 0.00 1.66 1.67 NA NA 0.08 1.74 1.75 NA NA XXX
exam, IF.
78272 .......... A Vit B-12 absorp, 0.27 2.45 2.47 NA NA 0.12 2.84 2.86 NA NA XXX
combined.
78272 26 A Vit B-12 absorp, 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 XXX
combined.
78272 TC A Vit B-12 absorp, 0.00 2.35 2.36 NA NA 0.11 2.46 2.47 NA NA XXX
combined.
78278 .......... A Acute GI blood loss 0.99 5.28 5.35 NA NA 0.26 6.53 6.60 NA NA XXX
imaging.
78278 26 A Acute GI blood loss 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX
imaging.
78278 TC A Acute GI blood loss 0.00 4.93 4.96 NA NA 0.22 5.15 5.18 NA NA XXX
imaging.
78282 .......... C GI protein loss 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78282 26 A GI protein loss 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 XXX
exam.
78282 TC C GI protein loss 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78290 .......... A Meckel's divert 0.68 3.32 3.37 NA NA 0.16 4.16 4.21 NA NA XXX
exam.
78290 26 A Meckel's divert 0.68 0.24 0.27 0.24 0.27 0.03 0.95 0.98 0.95 0.98 XXX
exam.
78290 TC A Meckel's divert 0.00 3.08 3.10 NA NA 0.13 3.21 3.23 NA NA XXX
exam.
78291 .......... A Leveen/shunt 0.88 3.42 3.47 NA NA 0.16 4.46 4.51 NA NA XXX
patency exam.
78291 26 A Leveen/shunt 0.88 0.32 0.35 0.32 0.35 0.03 1.23 1.26 1.23 1.26 XXX
patency exam.
78291 TC A Leveen/shunt 0.00 3.10 3.12 NA NA 0.13 3.23 3.25 NA NA XXX
patency exam.
78299 .......... C GI nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
78299 26 C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78299 TC C GI nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
78300 .......... A Bone imaging, 0.62 2.73 2.77 NA NA 0.14 3.49 3.53 NA NA XXX
limited area.
78300 26 A Bone imaging, 0.62 0.22 0.24 0.22 0.24 0.02 0.86 0.88 0.86 0.88 XXX
limited area.
78300 TC A Bone imaging, 0.00 2.51 2.53 NA NA 0.12 2.63 2.65 NA NA XXX
limited area.
78305 .......... A Bone imaging, 0.83 3.99 4.04 NA NA 0.19 5.01 5.06 NA NA XXX
multiple areas.
78305 26 A Bone imaging, 0.83 0.29 0.32 0.29 0.32 0.03 1.15 1.18 1.15 1.18 XXX
multiple areas.
78305 TC A Bone imaging, 0.00 3.70 3.72 NA NA 0.16 3.86 3.88 NA NA XXX
multiple areas.
78306 .......... A Bone imaging, whole 0.86 4.62 4.68 NA NA 0.22 5.70 5.76 NA NA XXX
body.
78306 26 A Bone imaging, whole 0.86 0.30 0.33 0.30 0.33 0.03 1.19 1.22 1.19 1.22 XXX
body.
78306 TC A Bone imaging, whole 0.00 4.32 4.35 NA NA 0.19 4.51 4.54 NA NA XXX
body.
78315 .......... A Bone imaging, 3 1.02 5.19 5.25 NA NA 0.26 6.47 6.53 NA NA XXX
phase.
78315 26 A Bone imaging, 3 1.02 0.36 0.39 0.36 0.39 0.04 1.42 1.45 1.42 1.45 XXX
phase.
78315 TC A Bone imaging, 3 0.00 4.83 4.86 NA NA 0.22 5.05 5.08 NA NA XXX
phase.
78320 .......... A Bone imaging (3D).. 1.04 6.35 6.42 NA NA 0.31 7.70 7.77 NA NA XXX
78320 26 A Bone imaging (3D).. 1.04 0.38 0.41 0.38 0.41 0.04 1.46 1.49 1.46 1.49 XXX
78320 TC A Bone imaging (3D).. 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
78350 .......... A Bone mineral, 0.22 0.84 0.86 NA NA 0.05 1.11 1.13 NA NA XXX
single photon.
78350 26 A Bone mineral, 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 XXX
single photon.
78350 TC A Bone mineral, 0.00 0.76 0.77 NA NA 0.04 0.80 0.81 NA NA XXX
single photon.
78351 .......... N Bone mineral, dual 0.30 1.45 1.14 0.12 0.14 0.01 1.76 1.45 0.43 0.45 XXX
photon.
78399 .......... C Musculoskeletal 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78399 26 C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78399 TC C Musculoskeletal 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78414 .......... C Non-imaging heart 0.00 0.00 0.18 NA NA 0.00 0.00 0.18 NA NA XXX
function.
78414 26 A Non-imaging heart 0.45 0.17 0.18 0.17 0.18 0.02 0.64 0.65 0.64 0.65 XXX
function.
78414 TC C Non-imaging heart 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
function.
78428 .......... A Cardiac shunt 0.78 2.59 2.62 NA NA 0.14 3.51 3.54 NA NA XXX
imaging.
78428 26 A Cardiac shunt 0.78 0.31 0.33 0.31 0.33 0.03 1.12 1.14 1.12 1.14 XXX
imaging.
78428 TC A Cardiac shunt 0.00 2.28 2.29 NA NA 0.11 2.39 2.40 NA NA XXX
imaging.
78445 .......... A Vascular flow 0.49 2.06 2.09 NA NA 0.11 2.66 2.69 NA NA XXX
imaging.
78445 26 A Vascular flow 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 XXX
imaging.
78445 TC A Vascular flow 0.00 1.88 1.89 NA NA 0.09 1.97 1.98 NA NA XXX
imaging.
[[Page 44291]]
78455 .......... A Venous thrombosis 0.73 4.29 4.34 NA NA 0.21 5.23 5.28 NA NA XXX
study.
78455 26 A Venous thrombosis 0.73 0.26 0.29 0.26 0.29 0.03 1.02 1.05 1.02 1.05 XXX
study.
78455 TC A Venous thrombosis 0.00 4.03 4.05 NA NA 0.18 4.21 4.23 NA NA XXX
study.
78456 .......... A Acute venous 0.01 4.28 4.30 NA NA 0.30 4.59 4.61 NA NA XXX
thrombus image.
78456 26 A Acute venous 0.01 0.37 0.37 0.37 0.37 0.05 0.43 0.43 0.43 0.43 XXX
thrombus image.
78456 TC A Acute venous 0.00 3.91 3.93 NA NA 0.25 4.16 4.18 NA NA XXX
thrombus image.
78457 .......... A Venous thrombosis 0.77 2.96 3.01 NA NA 0.15 3.88 3.93 NA NA XXX
imaging.
78457 26 A Venous thrombosis 0.77 0.27 0.30 0.27 0.30 0.03 1.07 1.10 1.07 1.10 XXX
imaging.
78457 TC A Venous thrombosis 0.00 2.69 2.71 NA NA 0.12 2.81 2.83 NA NA XXX
imaging.
78458 .......... A Ven thrombosis 0.90 4.41 4.45 NA NA 0.21 5.52 5.56 NA NA XXX
images, bilat.
78458 26 A Ven thrombosis 0.90 0.34 0.36 0.34 0.36 0.03 1.27 1.29 1.27 1.29 XXX
images, bilat.
78458 TC A Ven thrombosis 0.00 4.07 4.09 NA NA 0.18 4.25 4.27 NA NA XXX
images, bilat.
78459 .......... I Heart muscle 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
imaging (PET).
78459 26 I Heart muscle 1.88 0.75 0.93 0.75 0.93 0.07 2.70 2.88 2.70 2.88 XXX
imaging (PET).
78459 TC I Heart muscle 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
imaging (PET).
78460 .......... A Heart muscle blood, 0.86 2.70 2.74 NA NA 0.14 3.70 3.74 NA NA XXX
single.
78460 26 A Heart muscle blood, 0.86 0.31 0.34 0.31 0.34 0.03 1.20 1.23 1.20 1.23 XXX
single.
78460 TC A Heart muscle blood, 0.00 2.39 2.40 NA NA 0.11 2.50 2.51 NA NA XXX
single.
78461 .......... A Heart muscle blood, 1.23 5.23 5.29 NA NA 0.26 6.72 6.78 NA NA XXX
multiple.
78461 26 A Heart muscle blood, 1.23 0.46 0.49 0.46 0.49 0.04 1.73 1.76 1.73 1.76 XXX
multiple.
78461 TC A Heart muscle blood, 0.00 4.77 4.80 NA NA 0.22 4.99 5.02 NA NA XXX
multiple.
78464 .......... A Heart image (3d), 1.09 7.55 7.62 NA NA 0.36 9.00 9.07 NA NA XXX
single.
78464 26 A Heart image (3d), 1.09 0.40 0.43 0.40 0.43 0.04 1.53 1.56 1.53 1.56 XXX
single.
78464 TC A Heart image (3d), 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
single.
78465 .......... A Heart image (3d), 1.46 12.49 12.60 NA NA 0.58 14.53 14.64 NA NA XXX
multiple.
78465 26 A Heart image (3d), 1.46 0.56 0.60 0.56 0.60 0.05 2.07 2.11 2.07 2.11 XXX
multiple.
78465 TC A Heart image (3d), 0.00 11.93 12.00 NA NA 0.53 12.46 12.53 NA NA XXX
multiple.
78466 .......... A Heart infarct image 0.69 2.91 2.95 NA NA 0.15 3.75 3.79 NA NA XXX
78466 26 A Heart infarct image 0.69 0.26 0.28 0.26 0.28 0.03 0.98 1.00 0.98 1.00 XXX
78466 TC A Heart infarct image 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
78468 .......... A Heart infarct image 0.80 3.99 4.04 NA NA 0.19 4.98 5.03 NA NA XXX
(ef).
78468 26 A Heart infarct image 0.80 0.29 0.32 0.29 0.32 0.03 1.12 1.15 1.12 1.15 XXX
(ef).
78468 TC A Heart infarct image 0.00 3.70 3.72 NA NA 0.16 3.86 3.88 NA NA XXX
(ef).
78469 .......... A Heart infarct image 0.92 5.60 5.66 NA NA 0.27 6.79 6.85 NA NA XXX
(3D).
78469 26 A Heart infarct image 0.92 0.32 0.35 0.32 0.35 0.03 1.27 1.30 1.27 1.30 XXX
(3D).
78469 TC A Heart infarct image 0.00 5.28 5.31 NA NA 0.24 5.52 5.55 NA NA XXX
(3D).
78472 .......... A Gated heart, 0.98 5.93 5.99 NA NA 0.30 7.21 7.27 NA NA XXX
planar, single.
78472 26 A Gated heart, 0.98 0.36 0.39 0.36 0.39 0.04 1.38 1.41 1.38 1.41 XXX
planar, single.
78472 TC A Gated heart, 0.00 5.57 5.60 NA NA 0.26 5.83 5.86 NA NA XXX
planar, single.
78473 .......... A Gated heart, 1.47 8.89 8.98 NA NA 0.41 10.77 10.86 NA NA XXX
multiple.
78473 26 A Gated heart, 1.47 0.54 0.58 0.54 0.58 0.05 2.06 2.10 2.06 2.10 XXX
multiple.
78473 TC A Gated heart, 0.00 8.35 8.40 NA NA 0.36 8.71 8.76 NA NA XXX
multiple.
78478 .......... A Heart wall motion 0.62 1.81 1.84 NA NA 0.10 2.53 2.56 NA NA ZZZ
add-on.
78478 26 A Heart wall motion 0.62 0.24 0.26 0.24 0.26 0.02 0.88 0.90 0.88 0.90 ZZZ
add-on.
78478 TC A Heart wall motion 0.00 1.57 1.58 NA NA 0.08 1.65 1.66 NA NA ZZZ
add-on.
78480 .......... A Heart function add- 0.62 1.81 1.84 NA NA 0.10 2.53 2.56 NA NA ZZZ
on.
78480 26 A Heart function add- 0.62 0.24 0.26 0.24 0.26 0.02 0.88 0.90 0.88 0.90 ZZZ
on.
78480 TC A Heart function add- 0.00 1.57 1.58 NA NA 0.08 1.65 1.66 NA NA ZZZ
on.
78481 .......... A Heart first pass, 0.98 5.66 5.72 NA NA 0.27 6.91 6.97 NA NA XXX
single.
78481 26 A Heart first pass, 0.98 0.38 0.41 0.38 0.41 0.03 1.39 1.42 1.39 1.42 XXX
single.
78481 TC A Heart first pass, 0.00 5.28 5.31 NA NA 0.24 5.52 5.55 NA NA XXX
single.
78483 .......... A Heart first pass, 1.47 8.53 8.62 NA NA 0.40 10.40 10.49 NA NA XXX
multiple.
78483 26 A Heart first pass, 1.47 0.57 0.61 0.57 0.61 0.05 2.09 2.13 2.09 2.13 XXX
multiple.
78483 TC A Heart first pass, 0.00 7.96 8.01 NA NA 0.35 8.31 8.36 NA NA XXX
multiple.
78491 .......... I Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
single.
78491 26 I Heart image (pet), 1.50 0.59 0.81 0.59 0.81 0.05 2.14 2.36 2.14 2.36 XXX
single.
78491 TC I Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
single.
78492 .......... I Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
multiple.
78492 26 I Heart image (pet), 1.87 0.74 0.92 0.74 0.92 0.07 2.68 2.86 2.68 2.86 XXX
multiple.
78492 TC I Heart image (pet), 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
multiple.
78494 .......... A Heart image, spect. 1.19 6.02 6.05 NA NA 0.30 7.51 7.54 NA NA XXX
78494 26 A Heart image, spect. 1.19 0.44 0.44 0.44 0.44 0.04 1.67 1.67 1.67 1.67 XXX
78494 TC A Heart image, spect. 0.00 5.58 5.61 NA NA 0.26 5.84 5.87 NA NA XXX
78496 .......... A Heart first pass 0.50 1.77 1.78 NA NA 0.28 2.55 2.56 NA NA ZZZ
add-on.
78496 26 A Heart first pass 0.50 0.20 0.20 0.20 0.20 0.02 0.72 0.72 0.72 0.72 ZZZ
add-on.
78496 TC A Heart first pass 0.00 1.57 1.58 NA NA 0.26 1.83 1.84 NA NA ZZZ
add-on.
78499 .......... C Cardiovascular 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78499 26 C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78499 TC C Cardiovascular 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78580 .......... A Lung perfusion 0.74 3.73 3.78 NA NA 0.18 4.65 4.70 NA NA XXX
imaging.
78580 26 A Lung perfusion 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX
imaging.
78580 TC A Lung perfusion 0.00 3.47 3.49 NA NA 0.15 3.62 3.64 NA NA XXX
imaging.
78584 .......... A Lung V/Q image 0.99 3.59 3.65 NA NA 0.18 4.76 4.82 NA NA XXX
single breath.
78584 26 A Lung V/Q image 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 XXX
single breath.
78584 TC A Lung V/Q image 0.00 3.24 3.26 NA NA 0.14 3.38 3.40 NA NA XXX
single breath.
78585 .......... A Lung V/Q imaging... 1.09 6.08 6.15 NA NA 0.30 7.47 7.54 NA NA XXX
78585 26 A Lung V/Q imaging... 1.09 0.38 0.42 0.38 0.42 0.04 1.51 1.55 1.51 1.55 XXX
78585 TC A Lung V/Q imaging... 0.00 5.70 5.73 NA NA 0.26 5.96 5.99 NA NA XXX
78586 .......... A Aerosol lung image, 0.40 2.76 2.80 NA NA 0.14 3.30 3.34 NA NA XXX
single.
78586 26 A Aerosol lung image, 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX
single.
78586 TC A Aerosol lung image, 0.00 2.62 2.64 NA NA 0.12 2.74 2.76 NA NA XXX
single.
78587 .......... A Aerosol lung image, 0.49 3.00 3.04 NA NA 0.14 3.63 3.67 NA NA XXX
multiple.
[[Page 44292]]
78587 26 A Aerosol lung image, 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
multiple.
78587 TC A Aerosol lung image, 0.00 2.83 2.85 NA NA 0.12 2.95 2.97 NA NA XXX
multiple.
78588 .......... A Perfusion lung 1.09 3.87 3.89 NA NA 0.19 5.15 5.17 NA NA XXX
image.
78588 26 A Perfusion lung 1.09 0.39 0.39 0.39 0.39 0.04 1.52 1.52 1.52 1.52 XXX
image.
78588 TC A Perfusion lung 0.00 3.48 3.50 NA NA 0.15 3.63 3.65 NA NA XXX
image.
78591 .......... A Vent image, 1 0.40 3.02 3.06 NA NA 0.14 3.56 3.60 NA NA XXX
breath, 1 proj.
78591 26 A Vent image, 1 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 XXX
breath, 1 proj.
78591 TC A Vent image, 1 0.00 2.88 2.90 NA NA 0.12 3.00 3.02 NA NA XXX
breath, 1 proj.
78593 .......... A Vent image, 1 proj, 0.49 3.66 3.70 NA NA 0.17 4.32 4.36 NA NA XXX
gas.
78593 26 A Vent image, 1 proj, 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
gas.
78593 TC A Vent image, 1 proj, 0.00 3.49 3.51 NA NA 0.15 3.64 3.66 NA NA XXX
gas.
78594 .......... A Vent image, mult 0.53 5.22 5.27 NA NA 0.24 5.99 6.04 NA NA XXX
proj, gas.
78594 26 A Vent image, mult 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX
proj, gas.
78594 TC A Vent image, mult 0.00 5.03 5.06 NA NA 0.22 5.25 5.28 NA NA XXX
proj, gas.
78596 .......... A Lung differential 1.27 7.60 7.68 NA NA 0.37 9.24 9.32 NA NA XXX
function.
78596 26 A Lung differential 1.27 0.45 0.49 0.45 0.49 0.05 1.77 1.81 1.77 1.81 XXX
function.
78596 TC A Lung differential 0.00 7.15 7.19 NA NA 0.32 7.47 7.51 NA NA XXX
function.
78599 .......... C Respiratory nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78599 26 C Respiratory nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78599 TC C Respiratory nuclear 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78600 .......... A Brain imaging, ltd 0.44 3.07 3.11 NA NA 0.14 3.65 3.69 NA NA XXX
static.
78600 26 A Brain imaging, ltd 0.44 0.16 0.18 0.16 0.18 0.02 0.62 0.64 0.62 0.64 XXX
static.
78600 TC A Brain imaging, ltd 0.00 2.91 2.93 NA NA 0.12 3.03 3.05 NA NA XXX
static.
78601 .......... A Brain imaging, ltd 0.51 3.62 3.66 NA NA 0.17 4.30 4.34 NA NA XXX
w/ flow.
78601 26 A Brain imaging, ltd 0.51 0.18 0.20 0.18 0.20 0.02 0.71 0.73 0.71 0.73 XXX
w/ flow.
78601 TC A Brain imaging, ltd 0.00 3.44 3.46 NA NA 0.15 3.59 3.61 NA NA XXX
w/ flow.
78605 .......... A Brain imaging, 0.53 3.63 3.67 NA NA 0.17 4.33 4.37 NA NA XXX
complete.
78605 26 A Brain imaging, 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX
complete.
78605 TC A Brain imaging, 0.00 3.44 3.46 NA NA 0.15 3.59 3.61 NA NA XXX
complete.
78606 .......... A Brain imaging, 0.64 4.14 4.18 NA NA 0.19 4.97 5.01 NA NA XXX
compl w/flow.
78606 26 A Brain imaging, 0.64 0.23 0.25 0.23 0.25 0.02 0.89 0.91 0.89 0.91 XXX
compl w/flow.
78606 TC A Brain imaging, 0.00 3.91 3.93 NA NA 0.17 4.08 4.10 NA NA XXX
compl w/flow.
78607 .......... A Brain imaging (3D). 1.23 7.08 7.16 NA NA 0.35 8.66 8.74 NA NA XXX
78607 26 A Brain imaging (3D). 1.23 0.45 0.49 0.45 0.49 0.05 1.73 1.77 1.73 1.77 XXX
78607 TC A Brain imaging (3D). 0.00 6.63 6.67 NA NA 0.30 6.93 6.97 NA NA XXX
78608 .......... N Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78609 .......... N Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78610 .......... A Brain flow imaging 0.30 1.70 1.72 NA NA 0.09 2.09 2.11 NA NA XXX
only.
78610 26 A Brain flow imaging 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX
only.
78610 TC A Brain flow imaging 0.00 1.59 1.60 NA NA 0.08 1.67 1.68 NA NA XXX
only.
78615 .......... A Cerebral blood flow 0.42 4.05 4.08 NA NA 0.19 4.66 4.69 NA NA XXX
imaging.
78615 26 A Cerebral blood flow 0.42 0.16 0.17 0.16 0.17 0.02 0.60 0.61 0.60 0.61 XXX
imaging.
78615 TC A Cerebral blood flow 0.00 3.89 3.91 NA NA 0.17 4.06 4.08 NA NA XXX
imaging.
78630 .......... A Cerebrospinal fluid 0.68 5.33 5.39 NA NA 0.26 6.27 6.33 NA NA XXX
scan.
78630 26 A Cerebrospinal fluid 0.68 0.24 0.27 0.24 0.27 0.03 0.95 0.98 0.95 0.98 XXX
scan.
78630 TC A Cerebrospinal fluid 0.00 5.09 5.12 NA NA 0.23 5.32 5.35 NA NA XXX
scan.
78635 .......... A CSF 0.61 2.83 2.86 NA NA 0.14 3.58 3.61 NA NA XXX
ventriculography.
78635 26 A CSF 0.61 0.26 0.27 0.26 0.27 0.02 0.89 0.90 0.89 0.90 XXX
ventriculography.
78635 TC A CSF 0.00 2.57 2.59 NA NA 0.12 2.69 2.71 NA NA XXX
ventriculography.
78645 .......... A CSF shunt 0.57 3.68 3.72 NA NA 0.17 4.42 4.46 NA NA XXX
evaluation.
78645 26 A CSF shunt 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 XXX
evaluation.
78645 TC A CSF shunt 0.00 3.47 3.49 NA NA 0.15 3.62 3.64 NA NA XXX
evaluation.
78647 .......... A Cerebrospinal fluid 0.90 6.30 6.37 NA NA 0.30 7.50 7.57 NA NA XXX
scan.
78647 26 A Cerebrospinal fluid 0.90 0.33 0.36 0.33 0.36 0.03 1.26 1.29 1.26 1.29 XXX
scan.
78647 TC A Cerebrospinal fluid 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
scan.
78650 .......... A CSF leakage imaging 0.61 4.91 4.96 NA NA 0.23 5.75 5.80 NA NA XXX
78650 26 A CSF leakage imaging 0.61 0.22 0.24 0.22 0.24 0.02 0.85 0.87 0.85 0.87 XXX
78650 TC A CSF leakage imaging 0.00 4.69 4.72 NA NA 0.21 4.90 4.93 NA NA XXX
78660 .......... A Nuclear exam of 0.53 2.33 2.36 NA NA 0.12 2.98 3.01 NA NA XXX
tear flow.
78660 26 A Nuclear exam of 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 XXX
tear flow.
78660 TC A Nuclear exam of 0.00 2.14 2.15 NA NA 0.10 2.24 2.25 NA NA XXX
tear flow.
78699 .......... C Nervous system 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78699 26 C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78699 TC C Nervous system 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78700 .......... A Kidney imaging, 0.45 3.24 3.28 NA NA 0.15 3.84 3.88 NA NA XXX
static.
78700 26 A Kidney imaging, 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 XXX
static.
78700 TC A Kidney imaging, 0.00 3.08 3.10 NA NA 0.13 3.21 3.23 NA NA XXX
static.
78701 .......... A Kidney imaging with 0.49 3.77 3.81 NA NA 0.17 4.43 4.47 NA NA XXX
flow.
78701 26 A Kidney imaging with 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 XXX
flow.
78701 TC A Kidney imaging with 0.00 3.60 3.62 NA NA 0.15 3.75 3.77 NA NA XXX
flow.
78704 .......... A Imaging renogram... 0.74 4.26 4.31 NA NA 0.21 5.21 5.26 NA NA XXX
78704 26 A Imaging renogram... 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 XXX
78704 TC A Imaging renogram... 0.00 4.00 4.02 NA NA 0.18 4.18 4.20 NA NA XXX
78707 .......... A Kidney flow/ 0.96 4.86 4.92 NA NA 0.24 6.06 6.12 NA NA XXX
function image.
78707 26 A Kidney flow/ 0.96 0.34 0.37 0.34 0.37 0.04 1.34 1.37 1.34 1.37 XXX
function image.
78707 TC A Kidney flow/ 0.00 4.52 4.55 NA NA 0.20 4.72 4.75 NA NA XXX
function image.
78708 .......... A Kidney flow/ 1.21 4.95 4.99 NA NA 0.25 6.41 6.45 NA NA XXX
function image.
78708 26 A Kidney flow/ 1.21 0.43 0.44 0.43 0.44 0.05 1.69 1.70 1.69 1.70 XXX
function image.
78708 TC A Kidney flow/ 0.00 4.52 4.55 NA NA 0.20 4.72 4.75 NA NA XXX
function image.
78709 .......... A Kidney flow/ 1.41 5.02 5.04 NA NA 0.25 6.68 6.70 NA NA XXX
function image.
78709 26 A Kidney flow/ 1.41 0.50 0.49 0.50 0.49 0.05 1.96 1.95 1.96 1.95 XXX
function image.
78709 TC A Kidney flow/ 0.00 4.52 4.55 NA NA 0.20 4.72 4.75 NA NA XXX
function image.
[[Page 44293]]
78710 .......... A Kidney imaging (3D) 0.66 6.20 6.27 NA NA 0.30 7.16 7.23 NA NA XXX
78710 26 A Kidney imaging (3D) 0.66 0.23 0.26 0.23 0.26 0.03 0.92 0.95 0.92 0.95 XXX
78710 TC A Kidney imaging (3D) 0.00 5.97 6.01 NA NA 0.27 6.24 6.28 NA NA XXX
78715 .......... A Renal vascular flow 0.30 1.70 1.72 NA NA 0.09 2.09 2.11 NA NA XXX
exam.
78715 26 A Renal vascular flow 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 XXX
exam.
78715 TC A Renal vascular flow 0.00 1.59 1.60 NA NA 0.08 1.67 1.68 NA NA XXX
exam.
78725 .......... A Kidney function 0.38 1.94 1.96 NA NA 0.10 2.42 2.44 NA NA XXX
study.
78725 26 A Kidney function 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 XXX
study.
78725 TC A Kidney function 0.00 1.80 1.81 NA NA 0.09 1.89 1.90 NA NA XXX
study.
78730 .......... A Urinary bladder 0.36 1.61 1.63 NA NA 0.09 2.06 2.08 NA NA XXX
retention.
78730 26 A Urinary bladder 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 XXX
retention.
78730 TC A Urinary bladder 0.00 1.48 1.49 NA NA 0.07 1.55 1.56 NA NA XXX
retention.
78740 .......... A Ureteral reflux 0.57 2.34 2.37 NA NA 0.12 3.03 3.06 NA NA XXX
study.
78740 26 A Ureteral reflux 0.57 0.20 0.22 0.20 0.22 0.02 0.79 0.81 0.79 0.81 XXX
study.
78740 TC A Ureteral reflux 0.00 2.14 2.15 NA NA 0.10 2.24 2.25 NA NA XXX
study.
78760 .......... A Testicular imaging. 0.66 2.94 2.99 NA NA 0.15 3.75 3.80 NA NA XXX
78760 26 A Testicular imaging. 0.66 0.23 0.26 0.23 0.26 0.03 0.92 0.95 0.92 0.95 XXX
78760 TC A Testicular imaging. 0.00 2.71 2.73 NA NA 0.12 2.83 2.85 NA NA XXX
78761 .......... A Testicular imaging/ 0.71 3.49 3.54 NA NA 0.17 4.37 4.42 NA NA XXX
flow.
78761 26 A Testicular imaging/ 0.71 0.25 0.28 0.25 0.28 0.03 0.99 1.02 0.99 1.02 XXX
flow.
78761 TC A Testicular imaging/ 0.00 3.24 3.26 NA NA 0.14 3.38 3.40 NA NA XXX
flow.
78799 .......... C Genitourinary 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78799 26 C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78799 TC C Genitourinary 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear exam.
78800 .......... A Tumor imaging, 0.66 3.67 3.72 NA NA 0.18 4.51 4.56 NA NA XXX
limited area.
78800 26 A Tumor imaging, 0.66 0.23 0.26 0.23 0.26 0.03 0.92 0.95 0.92 0.95 XXX
limited area.
78800 TC A Tumor imaging, 0.00 3.44 3.46 NA NA 0.15 3.59 3.61 NA NA XXX
limited area.
78801 .......... A Tumor imaging, mult 0.79 4.55 4.61 NA NA 0.22 5.56 5.62 NA NA XXX
areas.
78801 26 A Tumor imaging, mult 0.79 0.28 0.31 0.28 0.31 0.03 1.10 1.13 1.10 1.13 XXX
areas.
78801 TC A Tumor imaging, mult 0.00 4.27 4.30 NA NA 0.19 4.46 4.49 NA NA XXX
areas.
78802 .......... A Tumor imaging, 0.86 5.90 5.96 NA NA 0.29 7.05 7.11 NA NA XXX
whole body.
78802 26 A Tumor imaging, 0.86 0.31 0.34 0.31 0.34 0.03 1.20 1.23 1.20 1.23 XXX
whole body.
78802 TC A Tumor imaging, 0.00 5.59 5.62 NA NA 0.26 5.85 5.88 NA NA XXX
whole body.
78803 .......... A Tumor imaging (3D). 1.09 7.03 7.10 NA NA 0.34 8.46 8.53 NA NA XXX
78803 26 A Tumor imaging (3D). 1.09 0.40 0.43 0.40 0.43 0.04 1.53 1.56 1.53 1.56 XXX
78803 TC A Tumor imaging (3D). 0.00 6.63 6.67 NA NA 0.30 6.93 6.97 NA NA XXX
78805 .......... A Abscess imaging, 0.73 3.70 3.75 NA NA 0.18 4.61 4.66 NA NA XXX
ltd area.
78805 26 A Abscess imaging, 0.73 0.26 0.29 0.26 0.29 0.03 1.02 1.05 1.02 1.05 XXX
ltd area.
78805 TC A Abscess imaging, 0.00 3.44 3.46 NA NA 0.15 3.59 3.61 NA NA XXX
ltd area.
78806 .......... A Abscess imaging, 0.86 6.81 6.88 NA NA 0.33 8.00 8.07 NA NA XXX
whole body.
78806 26 A Abscess imaging, 0.86 0.31 0.34 0.31 0.34 0.03 1.20 1.23 1.20 1.23 XXX
whole body.
78806 TC A Abscess imaging, 0.00 6.50 6.54 NA NA 0.30 6.80 6.84 NA NA XXX
whole body.
78807 .......... A Nuclear 1.09 7.04 7.11 NA NA 0.34 8.47 8.54 NA NA XXX
localization/
abscess.
78807 26 A Nuclear 1.09 0.41 0.44 0.41 0.44 0.04 1.54 1.57 1.54 1.57 XXX
localization/
abscess.
78807 TC A Nuclear 0.00 6.63 6.67 NA NA 0.30 6.93 6.97 NA NA XXX
localization/
abscess.
78810 .......... N Tumor imaging (PET) 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78810 26 N Tumor imaging (PET) 1.93 0.77 0.95 0.77 0.95 0.07 2.77 2.95 2.77 2.95 XXX
78810 TC N Tumor imaging (PET) 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78890 .......... B Nuclear medicine 0.05 1.34 1.35 NA NA 0.06 1.45 1.46 NA NA XXX
data proc.
78890 26 B Nuclear medicine 0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 XXX
data proc.
78890 TC B Nuclear medicine 0.00 1.32 1.33 NA NA 0.05 1.37 1.38 NA NA XXX
data proc.
78891 .......... B Nuclear med data 0.10 2.69 2.71 NA NA 0.12 2.91 2.93 NA NA XXX
proc.
78891 26 B Nuclear med data 0.10 0.04 0.04 0.04 0.04 0.01 0.15 0.15 0.15 0.15 XXX
proc.
78891 TC B Nuclear med data 0.00 2.65 2.67 NA NA 0.11 2.76 2.78 NA NA XXX
proc.
78990 .......... I Provide diag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radionuclide(s).
78999 .......... C Nuclear diagnostic 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
78999 26 C Nuclear diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78999 TC C Nuclear diagnostic 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
exam.
79000 .......... A Init hyperthyroid 1.80 3.29 3.37 NA NA 0.19 5.28 5.36 NA NA XXX
therapy.
79000 26 A Init hyperthyroid 1.80 0.64 0.70 0.64 0.70 0.07 2.51 2.57 2.51 2.57 XXX
therapy.
79000 TC A Init hyperthyroid 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
therapy.
79001 .......... A Repeat hyperthyroid 1.05 1.69 1.73 NA NA 0.10 2.84 2.88 NA NA XXX
therapy.
79001 26 A Repeat hyperthyroid 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 XXX
therapy.
79001 TC A Repeat hyperthyroid 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
therapy.
79020 .......... A Thyroid ablation... 1.81 3.28 3.36 NA NA 0.19 5.28 5.36 NA NA XXX
79020 26 A Thyroid ablation... 1.81 0.63 0.69 0.63 0.69 0.07 2.51 2.57 2.51 2.57 XXX
79020 TC A Thyroid ablation... 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
79030 .......... A Thyroid ablation, 2.10 3.39 3.48 NA NA 0.20 5.69 5.78 NA NA XXX
carcinoma.
79030 26 A Thyroid ablation, 2.10 0.74 0.81 0.74 0.81 0.08 2.92 2.99 2.92 2.99 XXX
carcinoma.
79030 TC A Thyroid ablation, 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
carcinoma.
79035 .......... A Thyroid metastatic 2.52 3.57 3.67 NA NA 0.21 6.30 6.40 NA NA XXX
therapy.
79035 26 A Thyroid metastatic 2.52 0.92 1.00 0.92 1.00 0.09 3.53 3.61 3.53 3.61 XXX
therapy.
79035 TC A Thyroid metastatic 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
therapy.
79100 .......... A Hematopoetic 1.32 3.13 3.19 NA NA 0.17 4.62 4.68 NA NA XXX
nuclear therapy.
79100 26 A Hematopoetic 1.32 0.48 0.52 0.48 0.52 0.05 1.85 1.89 1.85 1.89 XXX
nuclear therapy.
79100 TC A Hematopoetic 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
nuclear therapy.
79200 .......... A Intracavitary 1.99 3.37 3.45 NA NA 0.19 5.55 5.63 NA NA XXX
nuclear trmt.
79200 26 A Intracavitary 1.99 0.72 0.78 0.72 0.78 0.07 2.78 2.84 2.78 2.84 XXX
nuclear trmt.
79200 TC A Intracavitary 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
nuclear trmt.
79300 .......... C Interstitial 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear therapy.
79300 26 A Interstitial 1.60 0.58 0.63 0.58 0.63 0.06 2.24 2.29 2.24 2.29 XXX
nuclear therapy.
79300 TC C Interstitial 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear therapy.
[[Page 44294]]
79400 .......... A Nonhemato nuclear 1.96 3.36 3.44 NA NA 0.19 5.51 5.59 NA NA XXX
therapy.
79400 26 A Nonhemato nuclear 1.96 0.71 0.77 0.71 0.77 0.07 2.74 2.80 2.74 2.80 XXX
therapy.
79400 TC A Nonhemato nuclear 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
therapy.
79420 .......... C Intravascular 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear ther.
79420 26 A Intravascular 1.51 0.53 0.58 0.53 0.58 0.06 2.10 2.15 2.10 2.15 XXX
nuclear ther.
79420 TC C Intravascular 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
nuclear ther.
79440 .......... A Nuclear joint 1.99 3.42 3.49 NA NA 0.20 5.61 5.68 NA NA XXX
therapy.
79440 26 A Nuclear joint 1.99 0.77 0.82 0.77 0.82 0.08 2.84 2.89 2.84 2.89 XXX
therapy.
79440 TC A Nuclear joint 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
therapy.
79900 .......... C Provide ther 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
radiopharm(s).
79999 .......... C Nuclear medicine 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
therapy.
79999 26 C Nuclear medicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79999 TC C Nuclear medicine 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
therapy.
80048 .......... X Basic metabolic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80049 .......... D Metabolic panel, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
basic.
80050 .......... N General health 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80051 .......... X Electrolyte panel.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80053 .......... X Comprehen metabolic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80054 .......... D Comprehen metabolic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80055 .......... I Obstetric panel.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80058 .......... D Hepatic function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80059 .......... D Hepatitis panel.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80061 .......... X Lipid panel........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80069 .......... X Renal function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80072 .......... X Arthritis panel.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80074 .......... X Acute hepatitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80076 .......... X Hepatic function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80090 .......... X Torch antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80091 .......... D Thyroid panel...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80092 .......... D Thyroid panel w/TSH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80100 .......... X Drug screen........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80101 .......... X Drug screen........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80102 .......... X Drug confirmation.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80103 .......... X Drug analysis, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue prep.
80150 .......... X Assay of amikacin.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80152 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amitriptyline.
80154 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzodiazepines.
80156 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
carbamazepine.
80158 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyclosporine.
80160 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
desipramine.
80162 .......... X Assay of digoxin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80164 .......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dipropylacetic
acid.
80166 .......... X Assay of doxepin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80168 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ethosuximide.
80170 .......... X Assay of gentamicin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80172 .......... X Assay of gold...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80174 .......... X Assay of imipramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80176 .......... X Assay of lidocaine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80178 .......... X Assay of lithium... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80182 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nortriptyline.
80184 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenobarbital.
80185 .......... X Assay of phenytoin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
total.
80186 .......... X Assay of phenytoin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
free.
80188 .......... X Assay of primidone. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80190 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procainamide.
80192 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procainamide.
80194 .......... X Assay of quinidine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80196 .......... X Assay of salicylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80197 .......... X Assay of tacrolimus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80198 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
theophylline.
80200 .......... X Assay of tobramycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80201 .......... X Assay of topiramate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80202 .......... X Assay of vancomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80299 .......... X Quantitative assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug.
80400 .......... X Acth stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80402 .......... X Acth stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80406 .......... X Acth stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80408 .......... X Aldosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suppression eval.
80410 .......... X Calcitonin stimul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80412 .......... X CRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80414 .......... X Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
response.
80415 .......... X Estradiol response 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80416 .......... X Renin stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80417 .......... X Renin stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80418 .......... X Pituitary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation panel.
80420 .......... X Dexamethasone panel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80422 .......... X Glucagon tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80424 .......... X Glucagon tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80426 .......... X Gonadotropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone panel.
80428 .......... X Growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80430 .......... X Growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80432 .......... X Insulin suppression 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
[[Page 44295]]
80434 .......... X Insulin tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80435 .......... X Insulin tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80436 .......... X Metyrapone panel... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80438 .......... X TRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80439 .......... X TRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80440 .......... X TRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80500 .......... A Lab pathology 0.37 0.19 0.20 0.16 0.18 0.01 0.57 0.58 0.54 0.56 XXX
consultation.
80502 .......... A Lab pathology 1.33 0.63 0.56 0.57 0.52 0.04 2.00 1.93 1.94 1.89 XXX
consultation.
81000 .......... X Urinalysis, nonauto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/scope.
81001 .......... X Urinalysis, auto w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scope.
81002 .......... X Urinalysis nonauto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o scope.
81003 .......... X Urinalysis, auto, w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o scope.
81005 .......... X Urinalysis......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
81007 .......... X Urine screen for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
81015 .......... X Microscopic exam of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine.
81020 .......... X Urinalysis, glass 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
81025 .......... X Urine pregnancy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
81050 .......... X Urinalysis, volume 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
measure.
81099 .......... X Urinalysis test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
82000 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetaldehyde.
82003 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetaminophen.
82009 .......... X Test for acetone/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ketones.
82010 .......... X Acetone assay...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82013 .......... X Acetylcholinesteras 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e assay.
82016 .......... X Acylcarnitines, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82017 .......... X Acylcarnitines, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
82024 .......... X Assay of acth...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82030 .......... X Assay of adp & amp. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82040 .......... X Assay of serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
albumin.
82042 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
albumin.
82043 .......... X Microalbumin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
82044 .......... X Microalbumin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
semiquant.
82055 .......... X Assay of ethanol... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82075 .......... X Assay of breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ethanol.
82085 .......... X Assay of aldolase.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82088 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aldosterone.
82101 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alkaloids.
82103 .......... X Alpha-1- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitrypsin, total.
82104 .......... X Alpha-1- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitrypsin, pheno.
82105 .......... X Alpha-fetoprotein, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
82106 .......... X Alpha-fetoprotein, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amniotic.
82108 .......... X Assay of aluminum.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82120 .......... X Amines, vaginal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid qual.
82127 .......... X Amino acid, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82128 .......... X Amino acids, mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82131 .......... X Amino acids, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
82135 .......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aminolevulinic
acid.
82136 .......... X Amino acids, quant, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2-5.
82139 .......... X Amino acids, quan, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
6 or more.
82140 .......... X Assay of ammonia... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82143 .......... X Amniotic fluid scan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82145 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amphetamines.
82150 .......... X Assay of amylase... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82154 .......... X Androstanediol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucuronide.
82157 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
androstenedione.
82160 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
androsterone.
82163 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
angiotensin II.
82164 .......... X Angiotensin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme test.
82172 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
apolipoprotein.
82175 .......... X Assay of arsenic... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82180 .......... X Assay of ascorbic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
82190 .......... X Atomic absorption.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82205 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barbiturates.
82232 .......... X Assay of beta-2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protein.
82239 .......... X Bile acids, total.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82240 .......... X Bile acids, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholylglycine.
82247 .......... X Bilirubin, total... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82248 .......... X Bilirubin, direct.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82251 .......... I Assay of bilirubin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82252 .......... X Fecal bilirubin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82261 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
biotinidase.
82270 .......... X Test for blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
feces.
82273 .......... X Test for blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other source.
82286 .......... X Assay of bradykinin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82300 .......... X Assay of cadmium... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82306 .......... X Assay of vitamin D. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82307 .......... X Assay of vitamin D. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82308 .......... X Assay of calcitonin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82310 .......... X Assay of calcium... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82330 .......... X Assay of calcium... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82331 .......... X Calcium infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82340 .......... X Assay of calcium in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine.
[[Page 44296]]
82355 .......... X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
82360 .......... X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82365 .......... X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82370 .......... X X-ray assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calculus.
82374 .......... X Assay, blood carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dioxide.
82375 .......... X Assay, blood carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monoxide.
82376 .......... X Test for carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monoxide.
82378 .......... X Carcinoembryonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
82379 .......... X Assay of carnitine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82380 .......... X Assay of carotene.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82382 .......... X Assay, urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82383 .......... X Assay, blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82384 .......... X Assay, three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82387 .......... X Assay of cathepsin- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
d.
82390 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceruloplasmin.
82397 .......... X Chemiluminescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82415 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloramphenicol.
82435 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
82436 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
82438 .......... X Assay, other fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chlorides.
82441 .......... X Test for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chlorohydrocarbons.
82465 .......... X Assay of serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholesterol.
82480 .......... X Assay, serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholinesterase.
82482 .......... X Assay, rbc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholinesterase.
82485 .......... X Assay, chondroitin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
82486 .......... X Gas/liquid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82487 .......... X Paper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82488 .......... X Paper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82489 .......... X Thin layer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82491 .......... X Chromotography, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant, sing.
82492 .......... X Chromotography, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant, mult.
82495 .......... X Assay of chromium.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82507 .......... X Assay of citrate... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82520 .......... X Assay of cocaine... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82523 .......... X Collagen crosslinks 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82525 .......... X Assay of copper.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82528 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
corticosterone.
82530 .......... X Cortisol, free..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82533 .......... X Total cortisol..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82540 .......... X Assay of creatine.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82541 .......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography,
qual.
82542 .......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography,
quant.
82543 .......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotograph/
isotope.
82544 .......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotograph/
isotope.
82550 .......... X Assay of ck (cpk).. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82552 .......... X Assay of cpk in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood.
82553 .......... X Creatine, MB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fraction.
82554 .......... X Creatine, isoforms. 0.00 0.00 0.00 0.00 0.00 0.00 00 0.00 0.00 0.00 XXX
82565 .......... X Assay of creatinine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82570 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
creatinine.
82575 .......... X Creatinine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clearance test.
82585 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryofibrinogen.
82595 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryoglobulin.
82600 .......... X Assay of cyanide... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82607 .......... X Vitamin B-12....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82608 .......... X B-12 binding 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
capacity.
82615 .......... X Test for urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cystines.
82626 .......... X Dehydroepiandroster 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one.
82627 .......... X Dehydroepiandroster 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one.
82633 .......... X Desoxycorticosteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e.
82634 .......... X Deoxycortisol...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82638 .......... X Assay of dibucaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
number.
82646 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydrocodeinone.
82649 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydromorphinone.
82651 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydrotestosteron
e.
82652 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydroxyvitamin d.
82654 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dimethadione.
82657 .......... X Enzyme cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity.
82658 .......... X Enzyme cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity, ra.
82664 .......... X Electrophoretic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82666 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
epiandrosterone.
82668 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
erythropoietin.
82670 .......... X Assay of estradiol. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82671 .......... X Assay of estrogens. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82672 .......... X Assay of estrogen.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82677 .......... X Assay of estriol... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82679 .......... X Assay of estrone... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82690 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ethchlorvynol.
82693 .......... X Assay of ethylene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glycol.
82696 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
etiocholanolone.
82705 .......... X Fats/lipids, feces, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82710 .......... X Fats/lipids, feces, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
[[Page 44297]]
82715 .......... X Assay of fecal fat. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82725 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fatty acids.
82726 .......... X Long chain fatty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids.
82728 .......... X Assay of ferritin.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82731 .......... X Assay of fetal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fibronectin.
82735 .......... X Assay of fluoride.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82742 .......... X Assay of flurazepam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82746 .......... X Blood folic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
82747 .......... X Assay of folic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid, rbc.
82757 .......... X Assay of semen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fructose.
82759 .......... X Assay of rbc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
galactokinase.
82760 .......... X Assay of galactose. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82775 .......... X Assay galactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transferase.
82776 .......... X Galactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transferase test.
82784 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gammaglobulin igm.
82785 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gammaglobulin ige.
82787 .......... X Igg 1, 2, 3 and 4.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82800 .......... X Blood pH........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82803 .......... X Blood gases: pH, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pO2 & pCO2.
82805 .......... X Blood gases W/02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saturation.
82810 .......... X Blood gases, O2 sat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
only.
82820 .......... X Hemoglobin-oxygen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
affinity.
82926 .......... X Assay of gastric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
82928 .......... X Assay of gastric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
82938 .......... X Gastrin test....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82941 .......... X Assay of gastrin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82943 .......... X Assay of glucagon.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82946 .......... X Glucagon tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82947 .......... X Assay of glucose, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
82948 .......... X Reagent strip/blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucose.
82950 .......... X Glucose test....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82951 .......... X Glucose tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test (GTT).
82952 .......... X GTT-added samples.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82953 .......... X Glucose-tolbutamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82955 .......... X Assay of g6pd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
82960 .......... X Test for G6PD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
82962 .......... X Glucose blood test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82963 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucosidase.
82965 .......... X Assay of gdh enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82975 .......... X Assay of glutamine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82977 .......... X Assay of GGT....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82978 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glutathione.
82979 .......... X Assay, rbc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glutathione.
82980 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glutethimide.
82985 .......... X Glycated protein... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83001 .......... X Gonadotropin (FSH). 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83002 .......... X Gonadotropin (LH).. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83003 .......... X Assay, growth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone (hgh).
????? .......... X Assay of guanosine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83010 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
haptoglobin, quant.
83012 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
haptoglobins.
83013 .......... X H pylori breath tst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
83014 .......... X H pylori drug admin/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collect.
83015 .......... X Heavy metal screen. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83018 .......... X Quantitative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen, metals.
83020 .......... X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrophoresis.
83020 26 A Hemoglobin 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX
electrophoresis.
83021 .......... X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography.
83026 .......... X Hemoglobin, copper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
83030 .......... X Fetal hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83033 .......... X Fetal fecal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin assay.
83036 .......... X Glycated hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
83045 .......... X Blood methemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
83050 .......... X Blood methemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83051 .......... X Assay of plasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin.
83055 .......... X Blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfhemoglobin
test.
83060 .......... X Blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfhemoglobin
assay.
83065 .......... X Assay of hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heat.
83068 .......... X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stability screen.
83069 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin.
83070 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemosiderin, qual.
83071 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemosiderin, quant.
83080 .......... X Assay of b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hexosaminidase.
83088 .......... X Assay of histamine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83150 .......... X Assay of for hva... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83491 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
corticosteroids.
83497 .......... X Assay of 5-hiaa.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83498 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
progesterone.
83499 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
progesterone.
83500 .......... X Assay, free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxyproline.
83505 .......... X Assay, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxyproline.
83516 .......... X Immunoassay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonantibody.
[[Page 44298]]
83518 .......... X Immunoassay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dipstick.
83519 .......... X Immunoassay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonantibody.
83520 .......... X Immunoassay, RIA... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83525 .......... X Assay of insulin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83527 .......... X Assay of insulin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83528 .......... X Assay of intrinsic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
factor.
83540 .......... X Assay of iron...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83550 .......... X Iron binding test.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83570 .......... X Assay of idh enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83582 .......... X Assay of ketogenic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
steroids.
83586 .......... X Assay 17- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ketosteroids.
83593 .......... X Fractionation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ketosteroids.
83605 .......... X Assay of lactic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
83615 .......... X Lactate (LD) (LDH) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
83625 .......... X Assay of ldh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzymes.
83632 .......... X Placental lactogen. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83633 .......... X Test urine for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactose.
83634 .......... X Assay of urine for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactose.
83655 .......... X Assay of lead...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83661 .......... X Assay of l/s ratio. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83662 .......... X L/S ratio, foam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stability.
83670 .......... X Assay of lap enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83690 .......... X Assay of lipase.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83715 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
83716 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
83718 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoprotein.
83719 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoprotein.
83721 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoprotein.
83727 .......... X Assay of lrh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone.
83735 .......... X Assay of magnesium. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83775 .......... X Assay of md enzyme. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83785 .......... X Assay of manganese. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83788 .......... X Mass spectrometry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
83789 .......... X Mass spectrometry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
83805 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meprobamate.
83825 .......... X Assay of mercury... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83835 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metanephrines.
83840 .......... X Assay of methadone. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83857 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methemalbumin.
83858 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methsuximide.
83864 .......... X Mucopolysaccharides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83866 .......... X Mucopolysaccharides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
83872 .......... X Assay synovial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid mucin.
83873 .......... X Assay of csf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protein.
83874 .......... X Assay of myoglobin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83883 .......... X Assay, nephelometry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
not spec.
83885 .......... X Assay of nickel.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83887 .......... X Assay of nicotine.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83890 .......... X Molecule isolate... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83891 .......... X Molecule isolate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nucleic.
83892 .......... X Molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostics.
83893 .......... X Molecule dot/slot/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blot.
83894 .......... X Molecule gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrophor.
83896 .......... X Molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostics.
83897 .......... X Molecule nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfer.
83898 .......... X Molecule nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ampli.
83901 .......... X Molecule nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ampli.
83902 .......... X Molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostics.
83903 .......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scan.
83904 .......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
83905 .......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
83906 .......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
83912 .......... X Genetic examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83912 26 A Genetic examination 0.37 0.18 0.19 0.16 0.18 0.01 0.56 0.57 0.54 0.56 XXX
83915 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nucleotidase.
83916 .......... X Oligoclonal bands.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83918 .......... X Assay, organic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids quant.
83919 .......... X Assay, organic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids qual.
83925 .......... X Assay of opiates... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83930 .......... X Assay of blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
osmolality.
83935 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
osmolality.
83937 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
osteocalcin.
83945 .......... X Assay of oxalate... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83970 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parathormone.
83986 .......... X Assay of body fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acidity.
83992 .......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phencyclidine.
84022 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenothiazine.
84030 .......... X Assay of blood pku. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84035 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenylketones.
84060 .......... X Assay acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84061 .......... X Phosphatase, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
forensic exam.
84066 .......... X Assay prostate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
[[Page 44299]]
84075 .......... X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84078 .......... X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84080 .......... X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatases.
84081 .......... X Amniotic fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme test.
84085 .......... X Assay of rbc pg6d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
84087 .......... X Assay phosphohexose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzymes.
84100 .......... X Assay of phosphorus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84105 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphorus.
84106 .......... X Test for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphobilinogen.
84110 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphobilinogen.
84119 .......... X Test urine for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84120 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84126 .......... X Assay of feces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84127 .......... X Assay of feces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84132 .......... X Assay of serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
potassium.
84133 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
potassium.
84134 .......... X Assay of prealbumin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84135 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pregnanediol.
84138 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pregnanetriol.
84140 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pregnenolone.
84143 .......... X Assay of 17- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxypregneno.
84144 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
progesterone.
84146 .......... X Assay of prolactin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84150 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prostaglandin.
84153 .......... X Assay of psa, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84154 .......... X Assay of psa, free. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84155 .......... X Assay of protein... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84160 .......... X Assay of serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protein.
84165 .......... X Assay of serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proteins.
84165 26 A Assay of serum 0.37 0.17 0.18 0.16 0.18 0.01 0.55 0.56 0.54 0.56 XXX
proteins.
84181 .......... X Western blot test.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84181 26 A Western blot test.. 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 XXX
84182 .......... X Protein, western 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blot test.
84182 26 A Protein, western 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 XXX
blot test.
84202 .......... X Assay RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protoporphyrin.
84203 .......... X Test RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protoporphyrin.
84206 .......... X Assay of proinsulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84207 .......... X Assay of vitamin b- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
6.
84210 .......... X Assay of pyruvate.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84220 .......... X Assay of pyruvate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kinase.
84228 .......... X Assay of quinine... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84233 .......... X Assay of estrogen.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84234 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
progesterone.
84235 .......... X Assay of endocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone.
84238 .......... X Assay, nonendocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
receptor.
84244 .......... X Assay of renin..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84252 .......... X Assay of vitamin b- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.
84255 .......... X Assay of selenium.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84260 .......... X Assay of serotonin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84270 .......... X Assay of sex 0.00 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone globul.
84275 .......... X Assay of sialic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
84285 .......... X Assay of silica.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84295 .......... X Assay of serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium.
84300 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium.
84305 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
somatomedin.
84307 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
somatostatin.
84311 .......... X Spectrophotometry.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84315 .......... X Body fluid specific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gravity.
84375 .......... X Chromatogram assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sugars.
84376 .......... X Sugars, single, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
84377 .......... X Sugars, multiple, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
84378 .......... X Sugars single quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84379 .......... X Sugars multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
84392 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
84402 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testosterone.
84403 .......... X Assay of total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testosterone.
84425 .......... X Assay of vitamin b- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.
84430 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thiocyanate.
84432 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroglobulin.
84436 .......... X Assay of total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroxine.
84437 .......... X Assay of neonatal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroxine.
84439 .......... X Assay of free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroxine.
84442 .......... X Assay of thyroid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity.
84443 .......... X Assay thyroid stim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone.
84445 .......... X Assay of tsi....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84446 .......... X Assay of vitamin e. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84449 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transcortin.
84450 .......... X Transferase (AST) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(SGOT).
84460 .......... X Alanine amino (ALT) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(SGPT).
84466 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transferrin.
84478 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
triglycerides.
84479 .......... X Assay of thyroid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(t3 or t4).
[[Page 44300]]
84480 .......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
triiodothyronine
(t3).
84481 .......... X Free assay (FT-3).. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84482 .......... X T3 reverse......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84484 .......... X Assay of troponin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
84485 .......... X Assay duodenal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid trypsin.
84488 .......... X Test feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trypsin.
84490 .......... X Assay of feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trypsin.
84510 .......... X Assay of tyrosine.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84512 .......... X Assay of troponin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
84520 .......... X Assay of urea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nitrogen.
84525 .......... X Urea nitrogen semi- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
84540 .......... X Assay of urine/urea- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
n.
84545 .......... X Urea-N clearance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84550 .......... X Assay of blood/uric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
84560 .......... X Assay of urine/uric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
84577 .......... X Assay of feces/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84578 .......... X Test urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84580 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84583 .......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84585 .......... X Assay of urine vma. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84586 .......... X Assay of vip....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84588 .......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vasopressin.
84590 .......... X Assay of vitamin a. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84597 .......... X Assay of vitamin k. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84600 .......... X Assay of volatiles. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84620 .......... X Xylose tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84630 .......... X Assay of zinc...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84681 .......... X Assay of c-peptide. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84702 .......... X Chorionic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gonadotropin test.
84703 .......... X Chorionic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gonadotropin assay.
84830 .......... X Ovulation tests.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84999 .......... X Clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85002 .......... X Bleeding time test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85007 .......... X Differential WBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85008 .......... X Nondifferential WBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85009 .......... X Differential WBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85013 .......... X Hematocrit......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85014 .......... X Hematocrit......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85018 .......... X Hemoglobin......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85021 .......... X Automated hemogram. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85022 .......... X Automated hemogram. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85023 .......... X Automated hemogram. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85024 .......... X Automated hemogram. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85025 .......... X Automated hemogram. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85027 .......... X Automated hemogram. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85031 .......... X Manual hemogram, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cbc.
85041 .......... X Red blood cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(RBC) count.
85044 .......... X Reticulocyte count. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85045 .......... X Reticulocyte count. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85046 .......... X Reticyte/hgb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentrate.
85048 .......... X White blood cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(WBC) count.
85060 .......... A Blood smear 0.45 0.20 0.21 0.19 0.20 0.01 0.66 0.67 0.65 0.66 XXX
interpretation.
85095 .......... A Bone marrow 1.08 4.30 3.41 0.42 0.50 0.03 5.41 4.52 1.53 1.61 XXX
aspiration.
85097 .......... A Bone marrow 0.94 0.40 0.43 0.40 0.43 0.03 1.37 1.40 1.37 1.40 XXX
interpretation.
85102 .......... A Bone marrow biopsy. 1.37 4.41 3.53 0.53 0.62 0.04 5.82 4.94 1.94 2.03 XXX
85130 .......... X Chromogenic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
substrate assay.
85170 .......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retraction.
85175 .......... X Blood clot lysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time.
85210 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
II test.
85220 .......... X Blood clot factor V 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85230 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VII test.
85240 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85244 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85245 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85246 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85247 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85250 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IX test.
85260 .......... X Blood clot factor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85270 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XI test.
85280 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XII test.
85290 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XIII test.
85291 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XIII test.
85292 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
85293 .......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
85300 .......... X Antithrombin III 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85301 .......... X Antithrombin III 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85302 .......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor antigen.
85303 .......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor test.
85305 .......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor assay.
85306 .......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor test.
85335 .......... X Factor inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85337 .......... X Thrombomodulin..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 44301]]
85345 .......... X Coagulation time... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85347 .......... X Coagulation time... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85348 .......... X Coagulation time... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85360 .......... X Euglobulin lysis... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85362 .......... X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
products.
85366 .......... X Fibrinogen test.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85370 .......... X Fibrinogen test.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85378 .......... X Fibrin degradation. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85379 .......... X Fibrin degradation. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85384 .......... X Fibrinogen......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85385 .......... X Fibrinogen......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85390 .......... X Fibrinolysins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
85390 26 A Fibrinolysins 0.37 0.12 0.15 0.12 0.15 0.01 0.50 0.53 0.50 0.53 XXX
screen.
85400 .......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasmin.
85410 .......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antiplasmin.
85415 .......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasminogen.
85420 .......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasminogen.
85421 .......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasminogen.
85441 .......... X Heinz bodies, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct.
85445 .......... X Heinz bodies, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
induced.
85460 .......... X Hemoglobin, fetal.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85461 .......... X Hemoglobin, fetal.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85475 .......... X Hemolysin.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85520 .......... X Heparin assay...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85525 .......... X Heparin............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85530 .......... X Heparin-protamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tolerance.
85535 .......... X Iron stain, blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells.
85540 .......... X Wbc alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
85547 .......... X RBC mechanical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fragility.
85549 .......... X Muramidase......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85555 .......... X RBC osmotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fragility.
85557 .......... X RBC osmotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fragility.
85576 .......... X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aggregation.
85576 26 A Blood platelet 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX
aggregation.
85585 .......... X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
estimation.
85590 .......... X Platelet count, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manual.
85595 .......... X Platelet count, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated.
85597 .......... X Platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
neutralization.
85610 .......... X Prothrombin time... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85611 .......... X Prothrombin test... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85612 .......... X Viper venom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prothrombin time.
85613 .......... X Russell viper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venom, diluted.
85635 .......... X Reptilase test..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85651 .......... X Rbc sed rate, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonautomated.
85652 .......... X Rbc sed rate, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated.
85660 .......... X RBC sickle cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85670 .......... X Thrombin time, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasma.
85675 .......... X Thrombin time, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
85705 .......... X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibition.
85730 .......... X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time, partial.
85732 .......... X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time, partial.
85810 .......... X Blood viscosity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
85999 .......... X Hematology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
86000 .......... X Agglutinins, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
febrile.
86003 .......... X Allergen specific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IgE.
86005 .......... X Allergen specific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IgE.
86021 .......... X WBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
86022 .......... X Platelet antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86023 .......... X Immunoglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86038 .......... X Antinuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86039 .......... X Antinuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies (ANA).
86060 .......... X Antistreptolysin o, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
86063 .......... X Antistreptolysin o, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86077 .......... A Physician blood 0.94 0.50 0.46 0.40 0.38 0.03 1.47 1.43 1.37 1.35 XXX
bank service.
86078 .......... A Physician blood 0.94 0.52 0.48 0.40 0.39 0.02 1.48 1.44 1.36 1.35 XXX
bank service.
86079 .......... A Physician blood 0.94 0.51 0.47 0.40 0.39 0.02 1.47 1.43 1.36 1.35 XXX
bank service.
86140 .......... X C-reactive protein. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86147 .......... X Cardiolipin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86148 .......... X Phospholipid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86155 .......... X Chemotaxis assay... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86156 .......... X Cold agglutinin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86157 .......... X Cold agglutinin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
86160 .......... X Complement, antigen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86161 .......... X Complement/function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity.
86162 .......... X Complement, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(CH50).
86171 .......... X Complement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixation, each.
86185 .......... X Counterimmunoelectr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ophoresis.
86215 .......... X Deoxyribonuclease, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86225 .......... X DNA antibody....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86226 .......... X DNA antibody, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single strand.
86235 .......... X Nuclear antigen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86243 .......... X Fc receptor........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 44302]]
86255 .......... X Fluorescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody, screen.
86255 26 A Fluorescent 0.37 0.18 0.19 0.16 0.18 0.01 0.56 0.57 0.54 0.56 XXX
antibody, screen.
86256 .......... X Fluorescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody, titer.
86256 26 A Fluorescent 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX
antibody, titer.
86277 .......... X Growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86280 .......... X Hemagglutination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibition.
86308 .......... X Heterophile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86309 .......... X Heterophile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86310 .......... X Heterophile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86316 .......... X Immunoassay, tumor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
86317 .......... X Immunoassay,infecti 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ous agent.
86318 .......... X Immunoassay,infecti 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ous agent.
86320 .......... X Serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoelectrophore
sis.
86320 26 A Serum 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX
immunoelectrophore
sis.
86325 .......... X Other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoelectrophore
sis.
86325 26 A Other 0.37 0.18 0.19 0.15 0.17 0.01 0.56 0.57 0.53 0.55 XXX
immunoelectrophore
sis.
86327 .......... X Immunoelectrophores 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
is assay.
86327 26 A Immunoelectrophores 0.42 0.17 0.18 0.17 0.18 0.01 0.60 0.61 0.60 0.61 XXX
is assay.
86329 .......... X Immunodiffusion.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86331 .......... X Immunodiffusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ouchterlony.
86332 .......... X Immune complex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86334 .......... X Immunofixation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
86334 26 A Immunofixation 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX
procedure.
86337 .......... X Insulin antibodies. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86340 .......... X Intrinsic factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86341 .......... X Islet cell antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86343 .......... X Leukocyte histamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
release.
86344 .......... X Leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phagocytosis.
86353 .......... X Lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation.
86359 .......... X T cells, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
86360 .......... X T cell, absolute 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count/ratio.
86361 .......... X T cell, absolute 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
86376 .......... X Microsomal antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 .00 XXX
86378 .......... X Migration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitory factor.
86382 .......... X Neutralization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, viral.
86384 .......... X Nitroblue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tetrazolium dye.
86403 .......... X Particle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutination test.
86406 .......... X Particle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutination test.
86430 .......... X Rheumatoid factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86431 .......... X Rheumatoid factor, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
86485 .......... C Skin test, candida. 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
86490 .......... A Coccidioidomycosis 0.00 0.29 0.29 NA NA 0.02 0.31 0.31 NA NA XXX
skin test.
86510 .......... A Histoplasmosis skin 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA XXX
test.
86580 .......... A TB intradermal test 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX
86585 .......... A TB tine test....... 0.00 0.21 0.21 NA NA 0.01 0.22 0.22 NA NA XXX
86586 .......... C Skin test, unlisted 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
86588 .......... D Streptocollus, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct screen.
86590 .......... X Streptokinase, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86592 .......... X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qualitative.
86593 .......... X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
86602 .......... X Antinomyces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86603 .......... X Adenovirus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86606 .......... X Aspergillus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86609 .......... X Bacterium antibody. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86612 .......... X Blastomyces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86615 .......... X Bordetella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86617 .......... X Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86618 .......... X Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86619 .......... X Borrelia antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86622 .......... X Brucella antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86625 .......... X Campylobacter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86628 .......... X Candida antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86631 .......... X Chlamydia antibody. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86632 .......... X Chlamydia igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86635 .......... X Coccidioides 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86638 .......... X Q fever antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86641 .......... X Cryptococcus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86644 .......... X CMV antibody....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86645 .......... X CMV antibody, IgM.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86648 .......... X Diphtheria antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86651 .......... X Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86652 .......... X Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86653 .......... X Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86654 .......... X Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86658 .......... X Enterovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86663 .......... X Epstein-barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86664 .......... X Epstein-barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86665 .......... X Epstein-barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86668 .......... X Francisella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tularensis.
86671 .......... X Fungus antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86674 .......... X Giardia lamblia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86677 .......... X Helicobacter pylori 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 44303]]
86682 .......... X Helminth antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86684 .......... X Hemophilus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
influenza.
86687 .......... X Htlv-i antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86688 .......... X Htlv-ii antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86689 .......... X HTLV/HIV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirmatory test.
86692 .......... X Hepatitis, delta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
86694 .......... X Herpes simplex test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86695 .......... X Herpes simplex test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86698 .......... X Histoplasma........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86701 .......... X HIV-1.............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86702 .......... X HIV-2.............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86703 .......... X HIV-1/HIV-2, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86704 .......... X Hep b core 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody, igg/igm.
86705 .......... X Hep b core 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody, igm.
86706 .......... X Hep b surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86707 .......... X Hep be antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86708 .......... X Hep a antibody, igg/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
igm.
86709 .......... X Hep a antibody, igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86710 .......... X Influenza virus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86713 .......... X Legionella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86717 .......... X Leishmania antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86720 .......... X Leptospira antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86723 .......... X Listeria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monocytogenes ab.
86727 .......... X Lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
choriomeningitis
ab.
86729 .......... X Lympho venereum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86732 .......... X Mucormycosis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86735 .......... X Mumps antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86738 .......... X Mycoplasma antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86741 .......... X Neisseria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meningitidis.
86744 .......... X Nocardia antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86747 .......... X Parvovirus antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86750 .......... X Malaria antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86753 .......... X Protozoa antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nos.
86756 .......... X Respiratory virus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86759 .......... X Rotavirus antibody. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86762 .......... X Rubella antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86765 .......... X Rubeola antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86768 .......... X Salmonella antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86771 .......... X Shigella antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86774 .......... X Tetanus antibody... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86777 .......... X Toxoplasma antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86778 .......... X Toxoplasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody, igm.
86781 .......... X Treponema pallidum, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirm.
86784 .......... X Trichinella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86787 .......... X Varicella-zoster 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86790 .......... X Virus antibody nos. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86793 .......... X Yersinia antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86800 .......... X Thyroglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86803 .......... X Hepatitis c ab test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86804 .......... X Hep c ab test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirm.
86805 .......... X Lymphocytotoxicity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86806 .......... X Lymphocytotoxicity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86807 .......... X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
86808 .......... X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
86812 .......... X HLA typing, A, B, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or C.
86813 .......... X HLA typing, A, B, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or C.
86816 .......... X HLA typing, DR/DQ.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86817 .......... X HLA typing, DR/DQ.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86821 .......... X Lymphocyte culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mixed.
86822 .......... X Lymphocyte culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primed.
86849 .......... X Immunology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
86850 .......... X RBC antibody screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86860 .......... X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elution.
86870 .......... X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
86880 .......... X Coombs test........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86885 .......... X Coombs test........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86886 .......... X Coombs test........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86890 .......... X Autologous blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
process.
86891 .......... X Autologous blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
op salvage.
86900 .......... X Blood typing, ABO.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86901 .......... X Blood typing, Rh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(D).
86903 .......... X Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen screen.
86904 .......... X Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
patient serum.
86905 .......... X Blood typing, RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigens.
86906 .......... X Blood typing, Rh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenotype.
86910 .......... N Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
paternity test.
86911 .......... N Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen system.
86915 .......... X Bone marrow/stem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cell prep.
86920 .......... X Compatibility test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86921 .......... X Compatibility test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86922 .......... X Compatibility test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86927 .......... X Plasma, fresh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frozen.
[[Page 44304]]
86930 .......... X Frozen blood prep.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86931 .......... X Frozen blood thaw.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86932 .......... X Frozen blood freeze/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thaw.
86940 .......... X Hemolysins/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutinins, auto.
86941 .......... X Hemolysins/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutinins.
86945 .......... X Blood product/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
irradiation.
86950 .......... X Leukacyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfusion.
86965 .......... X Pooling blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platelets.
86970 .......... X RBC pretreatment... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86971 .......... X RBC pretreatment... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86972 .......... X RBC pretreatment... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86975 .......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86976 .......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86977 .......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86978 .......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86985 .......... X Split blood or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
products.
86999 .......... X Transfusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
87001 .......... X Small animal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inoculation.
87003 .......... X Small animal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inoculation.
87015 .......... X Specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentration.
87040 .......... X Blood culture for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87045 .......... X Stool culture for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87060 .......... X Nose/throat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture, bact.
87070 .......... X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87072 .......... X Culture of specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
by kit.
87075 .......... X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87076 .......... X Bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87081 .......... X Bacteria culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
87082 .......... X Culture of specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
by kit.
87083 .......... X Culture of specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
by kit.
87084 .......... X Culture of specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
by kit.
87085 .......... X Culture of specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
by kit.
87086 .......... X Urine culture/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colony count.
87087 .......... X Urine bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87088 .......... X Urine bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87101 .......... X Skin fungus culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87102 .......... X Fungus isolation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87103 .......... X Blood fungus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87106 .......... X Fungus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87109 .......... X Mycoplasma culture. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87110 .......... X Culture, chlamydia. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87116 .......... X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87117 .......... X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87118 .......... X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87140 .......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluorescent.
87143 .......... X Culture typing, GLC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
method.
87145 .......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phage method.
87147 .......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serologic.
87151 .......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serologic.
87155 .......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
precipitin.
87158 .......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
added method.
87163 .......... X Special 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
microbiology
culture.
87164 .......... X Dark field 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
87164 26 A Dark field 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 XXX
examination.
87166 .......... X Dark field 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
87174 .......... X Endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87175 .......... X Assay, endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87176 .......... X Endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87177 .......... X Ova and parasites 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
smears.
87181 .......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87184 .......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87186 .......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, MIC.
87187 .......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, MBC.
87188 .......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87190 .......... X TB antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity.
87192 .......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87197 .......... X Bactericidal level, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
87205 .......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87206 .......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87207 .......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87207 26 A Smear, stain & 0.37 0.18 0.19 0.16 0.18 0.01 0.56 0.57 0.54 0.56 XXX
interpret.
87208 .......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87210 .......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87211 .......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87220 .......... X Tissue exam for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fungi.
87230 .......... X Assay, toxin or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
87250 .......... X Virus inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for test.
87252 .......... X Virus inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for test.
87253 .......... X Virus inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for test.
87260 .......... X Adenovirus ag, dfa. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87265 .......... X Pertussis ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87270 .......... X Chylmd trach ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
[[Page 44305]]
87272 .......... X Cryptosporidum ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87274 .......... X Herpes simplex ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87276 .......... X Influenza ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87278 .......... X Legion pneumo ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87280 .......... X Resp syncytial ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87285 .......... X Trepon pallidum ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87290 .......... X Varicella ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87299 .......... X Ag detection nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87301 .......... X Adenovirus ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87320 .......... X Chylmd trach ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87324 .......... X Clostridium ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87328 .......... X Cryptospor ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87332 .......... X Cytomegalovirus ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87335 .......... X E coli 0157 ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87338 .......... X Hpylori, stool, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87340 .......... X Hepatitis b surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ag, eia.
87350 .......... X Hepatitis be ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87380 .......... X Hepatitis delta ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87385 .......... X Histoplasma capsul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ag, eia.
87390 .......... X Hiv-1 ag, eia...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87391 .......... X Hiv-2 ag, eia...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87420 .......... X Resp syncytial ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87425 .......... X Rotavirus ag, eia.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87430 .......... X Strep a ag, eia.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87449 .......... X Ag detect nos, eia, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
87450 .......... X Ag detect nos, eia, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
87470 .......... X Bartonella, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87471 .......... X Bartonella, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87472 .......... X Bartonella, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87475 .......... X Lyme dis, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87476 .......... X Lyme dis, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87477 .......... X Lyme dis, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87480 .......... X Candida, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87481 .......... X Candida, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87482 .......... X Candida, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87485 .......... X Chylmd pneum, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87486 .......... X Chylmd pneum, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87487 .......... X Chylmd pneum, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87490 .......... X Chylmd trach, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87491 .......... X Chylmd trach, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87492 .......... X Chylmd trach, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87495 .......... X Cytomeg, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87496 .......... X Cytomeg, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87497 .......... X Cytomeg, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87510 .......... X Gardner vag, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87511 .......... X Gardner vag, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87512 .......... X Gardner vag, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87515 .......... X Hepatitis b, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87516 .......... X Hepatitis b , dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87517 .......... X Hepatitis b , dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87520 .......... X Hepatitis c , rna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87521 .......... X Hepatitis c , rna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87522 .......... X Hepatitis c, rna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87525 .......... X Hepatitis g , dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87526 .......... X Hepatitis g, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87527 .......... X Hepatitis g, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87528 .......... X Hsv, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87529 .......... X Hsv, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87530 .......... X Hsv, dna, quant.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87531 .......... X Hhv-6, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87532 .......... X Hhv-6, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87533 .......... X Hhv-6, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87534 .......... X Hiv-1, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87535 .......... X Hiv-1, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87536 .......... X Hiv-1, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87537 .......... X Hiv-2, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87538 .......... X Hiv-2, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87539 .......... X Hiv-2, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87540 .......... X Legion pneumo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir prob.
87541 .......... X Legion pneumo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp prob.
87542 .......... X Legion pneumo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87550 .......... X Mycobacteria, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87551 .......... X Mycobacteria, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87552 .......... X Mycobacteria, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87555 .......... X M.tuberculo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87556 .......... X M.tuberculo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87557 .......... X M.tuberculo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87560 .......... X M.avium-intra, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir prob.
87561 .......... X M.avium-intra, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp prob.
87562 .......... X M.avium-intra, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87580 .......... X M.pneumon, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87581 .......... X M.pneumon, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
[[Page 44306]]
87582 .......... X M.pneumon, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87590 .......... X N.gonorrhoeae, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir prob.
87591 .......... X N.gonorrhoeae, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp prob.
87592 .......... X N.gonorrhoeae, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87620 .......... X Hpv, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87621 .......... X Hpv, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87622 .......... X Hpv, dna, quant.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87650 .......... X Strep a, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87651 .......... X Strep a, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87652 .......... X Strep a, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87797 .......... X Detect agent nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, dir.
87798 .......... X Detect agent nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, amp.
87799 .......... X Detect agent nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, quant.
87810 .......... X Chylmd trach assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/optic.
87850 .......... X N. gonorrhoeae 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay w/optic.
87880 .......... X Strep a assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
optic.
87899 .......... X Agent nos assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
optic.
87999 .......... X Microbiology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88000 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88005 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88007 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88012 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88014 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88016 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88020 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88025 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88027 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88028 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88029 .......... N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88036 .......... N Limited autopsy.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88037 .......... N Limited autopsy.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88040 .......... N Forensic autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy).
88045 .......... N Coroner's autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy).
88099 .......... N Necropsy (autopsy) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88104 .......... A Cytopathology, 0.56 0.90 0.79 NA NA 0.03 1.49 1.38 NA NA XXX
fluids.
88104 26 A Cytopathology, 0.56 0.24 0.24 0.24 0.24 0.01 0.81 0.81 0.81 0.81 XXX
fluids.
88104 TC A Cytopathology, 0.00 0.66 0.55 NA NA 0.02 0.68 0.57 NA NA XXX
fluids.
88106 .......... A Cytopathology, 0.56 0.56 0.53 NA NA 0.03 1.15 1.12 NA NA XXX
fluids.
88106 26 A Cytopathology, 0.56 0.24 0.24 0.24 0.24 0.01 0.81 0.81 0.81 0.81 XXX
fluids.
88106 TC A Cytopathology, 0.00 0.32 0.29 NA NA 0.02 0.34 0.31 NA NA XXX
fluids.
88107 .......... A Cytopathology, 0.76 0.94 0.83 NA NA 0.04 1.74 1.63 NA NA XXX
fluids.
88107 26 A Cytopathology, 0.76 0.33 0.31 0.33 0.31 0.02 1.11 1.09 1.11 1.09 XXX
fluids.
88107 TC A Cytopathology, 0.00 0.61 0.52 NA NA 0.02 0.63 0.54 NA NA XXX
fluids.
88108 .......... A Cytopath, 0.56 0.81 0.74 NA NA 0.03 1.40 1.33 NA NA XXX
concentrate tech.
88108 26 A Cytopath, 0.56 0.24 0.25 0.24 0.25 0.01 0.81 0.82 0.81 0.82 XXX
concentrate tech.
88108 TC A Cytopath, 0.00 0.57 0.49 NA NA 0.02 0.59 0.51 NA NA XXX
concentrate tech.
88125 .......... A Forensic 0.26 0.30 0.25 NA NA 0.02 0.58 0.53 NA NA XXX
cytopathology.
88125 26 A Forensic 0.26 0.11 0.10 0.11 0.10 0.01 0.38 0.37 0.38 0.37 XXX
cytopathology.
88125 TC A Forensic 0.00 0.19 0.15 NA NA 0.01 0.20 0.16 NA NA XXX
cytopathology.
88130 .......... X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
88140 .......... X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
88141 .......... A Cytopath, c/v, 0.42 0.19 0.23 0.19 0.23 0.01 0.62 0.66 0.62 0.66 XXX
interpret.
88142 .......... X Cytopath, c/v, thin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layer.
88143 .......... X Cytopath c/v thin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layer redo.
88144 .......... X Cytopath, c/v thin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyr redo.
88145 .......... X Cytopath, c/v thin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyr sel.
88147 .......... X Cytopath, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated.
88148 .......... X Cytopath, c/v, auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rescreen.
88150 .......... X Cytopath, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manual.
88152 .......... X Cytopath, c/v, auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
redo.
88153 .......... X Cytopath, c/v, redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88154 .......... X Cytopath, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
select.
88155 .......... X Cytopath, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
index add-on.
88160 .......... A Cytopath smear, 0.50 1.08 0.90 NA NA 0.03 1.61 1.43 NA NA XXX
other source.
88160 26 A Cytopath smear, 0.50 0.21 0.20 0.21 0.20 0.01 0.72 0.71 0.72 0.71 XXX
other source.
88160 TC A Cytopath smear, 0.00 0.87 0.70 NA NA 0.02 0.89 0.72 NA NA XXX
other source.
88161 .......... A Cytopath smear, 0.50 0.52 0.50 NA NA 0.03 1.05 1.03 NA NA XXX
other source.
88161 26 A Cytopath smear, 0.50 0.21 0.21 0.21 0.21 0.01 0.72 0.72 0.72 0.72 XXX
other source.
88161 TC A Cytopath smear, 0.00 0.31 0.29 NA NA 0.02 0.33 0.31 NA NA XXX
other source.
88162 .......... A Cytopath smear, 0.76 0.94 0.92 NA NA 0.04 1.74 1.72 NA NA XXX
other source.
88162 26 A Cytopath smear, 0.76 0.33 0.36 0.33 0.36 0.02 1.11 1.14 1.11 1.14 XXX
other source.
88162 TC A Cytopath smear, 0.00 0.61 0.56 NA NA 0.02 0.63 0.58 NA NA XXX
other source.
88164 .......... X Cytopath tbs, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manual.
88165 .......... X Cytopath tbs, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
redo.
88166 .......... X Cytopath tbs, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
auto redo.
88167 .......... X Cytopath tbs, c/v, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
select.
88170 .......... A Fine needle 1.27 0.88 0.93 NA NA 0.08 2.23 2.28 NA NA XXX
aspiration.
88170 26 A Fine needle 1.27 0.53 0.54 0.53 0.54 0.05 1.85 1.86 1.85 1.86 XXX
aspiration.
88170 TC A Fine needle 0.00 0.35 0.39 NA NA 0.03 0.38 0.42 NA NA XXX
aspiration.
88171 .......... A Fine needle 1.27 0.75 0.93 NA NA 0.07 2.09 2.27 NA NA XXX
aspiration.
88171 26 A Fine needle 1.27 0.48 0.55 0.48 0.55 0.04 1.79 1.86 1.79 1.86 XXX
aspiration.
88171 TC A Fine needle 0.00 0.27 0.38 NA NA 0.03 0.30 0.41 NA NA XXX
aspiration.
[[Page 44307]]
88172 .......... A Evaluation of smear 0.60 1.13 1.04 NA NA 0.04 1.77 1.68 NA NA XXX
88172 26 A Evaluation of smear 0.60 0.26 0.29 0.26 0.29 0.02 0.88 0.91 0.88 0.91 XXX
88172 TC A Evaluation of smear 0.00 0.87 0.75 NA NA 0.02 0.89 0.77 NA NA XXX
88173 .......... A Interpretation of 1.39 1.42 1.30 NA NA 0.06 2.87 2.75 NA NA XXX
smear.
88173 26 A Interpretation of 1.39 0.60 0.57 0.60 0.57 0.04 2.03 2.00 2.03 2.00 XXX
smear.
88173 TC A Interpretation of 0.00 0.82 0.73 NA NA 0.02 0.84 0.75 NA NA XXX
smear.
88180 .......... A Cell marker study.. 0.36 0.76 0.66 NA NA 0.03 1.15 1.05 NA NA XXX
88180 26 A Cell marker study.. 0.36 0.15 0.16 0.15 0.16 0.01 0.52 0.53 0.52 0.53 XXX
88180 TC A Cell marker study.. 0.00 0.61 0.50 NA NA 0.02 0.63 0.52 NA NA XXX
88182 .......... A Cell marker study.. 0.77 1.15 1.11 NA NA 0.05 1.97 1.93 NA NA XXX
88182 26 A Cell marker study.. 0.77 0.33 0.37 0.33 0.37 0.02 1.12 1.16 1.12 1.16 XXX
88182 TC A Cell marker study.. 0.00 0.82 0.74 NA NA 0.03 0.85 0.77 NA NA XXX
88199 .......... C Cytopathology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
88199 26 C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88199 TC C Cytopathology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
88230 .......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lymphocyte.
88233 .......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
skin/biopsy.
88235 .......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placenta.
88237 .......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bone marrow.
88239 .......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tumor.
88240 .......... X Cell cryopreserve/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
storage.
88241 .......... X Frozen cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preparation.
88245 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 20-25.
88248 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 50-100.
88249 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 100.
88261 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 5.
88262 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 15-20.
88263 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 45.
88264 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 20-25.
88267 .......... X Chromosome analys, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placenta.
88269 .......... X Chromosome analys, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amniotic.
88271 .......... X Cytogenetics, dna 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
88272 .......... X Cytogenetics, 3-5.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88273 .......... X Cytogenetics, 10-30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88274 .......... X Cytogenetics, 25-99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88275 .......... X Cytogenetics, 100- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
300.
88280 .......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
karyotype study.
88283 .......... X Chromosome banding 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
88285 .......... X Chromosome count, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
additional.
88289 .......... X Chromosome study, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
additional.
88291 .......... A Cyto/molecular 0.52 0.22 0.22 0.22 0.22 0.01 0.75 0.75 0.75 0.75 XXX
report.
88299 .......... C Cytogenetic study.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88300 .......... A Surgical path, 0.08 0.40 0.36 NA NA 0.02 0.50 0.46 NA NA XXX
gross.
88300 26 A Surgical path, 0.08 0.03 0.05 0.03 0.05 0.01 0.12 0.14 0.12 0.14 XXX
gross.
88300 TC A Surgical path, 0.00 0.37 0.31 NA NA 0.01 0.38 0.32 NA NA XXX
gross.
88302 .......... A Tissue exam by 0.13 1.29 1.08 NA NA 0.03 1.45 1.24 NA NA XXX
pathologist.
88302 26 A Tissue exam by 0.13 0.06 0.09 0.06 0.09 0.01 0.20 0.23 0.20 0.23 XXX
pathologist.
88302 TC A Tissue exam by 0.00 1.23 0.99 NA NA 0.02 1.25 1.01 NA NA XXX
pathologist.
88304 .......... A Tissue exam by 0.22 0.82 0.77 NA NA 0.03 1.07 1.02 NA NA XXX
pathologist.
88304 26 A Tissue exam by 0.22 0.09 0.13 0.09 0.13 0.01 0.32 0.36 0.32 0.36 XXX
pathologist.
88304 TC A Tissue exam by 0.00 0.73 0.64 NA NA 0.02 0.75 0.66 NA NA XXX
pathologist.
88305 .......... A Tissue exam by 0.75 1.57 1.46 NA NA 0.05 2.37 2.26 NA NA XXX
pathologist.
88305 26 A Tissue exam by 0.75 0.33 0.39 0.33 0.39 0.02 1.10 1.16 1.10 1.16 XXX
pathologist.
88305 TC A Tissue exam by 0.00 1.24 1.07 NA NA 0.03 1.27 1.10 NA NA XXX
pathologist.
88307 .......... A Tissue exam by 1.59 2.92 2.60 NA NA 0.09 4.60 4.28 NA NA XXX
pathologist.
88307 26 A Tissue exam by 1.59 0.68 0.72 0.68 0.72 0.04 2.31 2.35 2.31 2.35 XXX
pathologist.
88307 TC A Tissue exam by 0.00 2.24 1.88 NA NA 0.05 2.29 1.93 NA NA XXX
pathologist.
88309 .......... A Tissue exam by 2.28 3.90 3.44 NA NA 0.11 6.29 5.83 NA NA XXX
pathologist.
88309 26 A Tissue exam by 2.28 0.98 1.00 0.98 1.00 0.06 3.32 3.34 3.32 3.34 XXX
pathologist.
88309 TC A Tissue exam by 0.00 2.92 2.44 NA NA 0.05 2.97 2.49 NA NA XXX
pathologist.
88311 .......... A Decalcify tissue... 0.24 0.18 0.20 NA NA 0.02 0.44 0.46 NA NA XXX
88311 26 A Decalcify tissue... 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 XXX
88311 TC A Decalcify tissue... 0.00 0.08 0.09 NA NA 0.01 0.09 0.10 NA NA XXX
88312 .......... A Special stains..... 0.54 1.62 1.29 NA NA 0.02 2.18 1.85 NA NA XXX
88312 26 A Special stains..... 0.54 0.23 0.21 0.23 0.21 0.01 0.78 0.76 0.78 0.76 XXX
88312 TC A Special stains..... 0.00 1.39 1.08 NA NA 0.01 1.40 1.09 NA NA XXX
88313 .......... A Special stains..... 0.24 1.14 0.92 NA NA 0.02 1.40 1.18 NA NA XXX
88313 26 A Special stains..... 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 XXX
88313 TC A Special stains..... 0.00 1.04 0.81 NA NA 0.01 1.05 0.82 NA NA XXX
88314 .......... A Histochemical stain 0.45 2.25 1.86 NA NA 0.03 2.73 2.34 NA NA XXX
88314 26 A Histochemical stain 0.45 0.19 0.24 0.19 0.24 0.01 0.65 0.70 0.65 0.70 XXX
88314 TC A Histochemical stain 0.00 2.06 1.62 NA NA 0.02 2.08 1.64 NA NA XXX
88318 .......... A Chemical 0.42 0.71 0.60 NA NA 0.02 1.15 1.04 NA NA XXX
histochemistry.
88318 26 A Chemical 0.42 0.18 0.17 0.18 0.17 0.01 0.61 0.60 0.61 0.60 XXX
histochemistry.
88318 TC A Chemical 0.00 0.53 0.43 NA NA 0.01 0.54 0.44 NA NA XXX
histochemistry.
88319 .......... A Enzyme 0.53 2.16 1.75 NA NA 0.03 2.72 2.31 NA NA XXX
histochemistry.
88319 26 A Enzyme 0.53 0.23 0.24 0.23 0.24 0.01 0.77 0.78 0.77 0.78 XXX
histochemistry.
88319 TC A Enzyme 0.00 1.93 1.51 NA NA 0.02 1.95 1.53 NA NA XXX
histochemistry.
88321 .......... A Microslide 1.30 0.62 0.58 0.56 0.53 0.04 1.96 1.92 1.90 1.87 XXX
consultation.
88323 .......... A Microslide 1.35 1.82 1.56 NA NA 0.06 3.23 2.97 NA NA XXX
consultation.
88323 26 A Microslide 1.35 0.59 0.55 0.59 0.55 0.04 1.98 1.94 1.98 1.94 XXX
consultation.
88323 TC A Microslide 0.00 1.23 1.01 NA NA 0.02 1.25 1.03 NA NA XXX
consultation.
[[Page 44308]]
88325 .......... A Comprehensive 2.22 0.99 0.87 0.95 0.84 0.06 3.27 3.15 3.23 3.12 XXX
review of data.
88329 .......... A Pathology consult 0.67 0.40 0.40 0.29 0.32 0.02 1.09 1.09 0.98 1.01 XXX
in surgery.
88331 .......... A Pathology consult 1.19 0.84 0.94 NA NA 0.06 2.09 2.19 NA NA XXX
in surgery.
88331 26 A Pathology consult 1.19 0.51 0.54 0.51 0.54 0.03 1.73 1.76 1.73 1.76 XXX
in surgery.
88331 TC A Pathology consult 0.00 0.33 0.40 NA NA 0.03 0.36 0.43 NA NA XXX
in surgery.
88332 .......... A Pathology consult 0.59 0.47 0.51 NA NA 0.04 1.10 1.14 NA NA XXX
in surgery.
88332 26 A Pathology consult 0.59 0.25 0.27 0.25 0.27 0.02 0.86 0.88 0.86 0.88 XXX
in surgery.
88332 TC A Pathology consult 0.00 0.22 0.24 NA NA 0.02 0.24 0.26 NA NA XXX
in surgery.
88342 .......... A Immunocytochemistry 0.85 1.34 1.18 NA NA 0.04 2.23 2.07 NA NA XXX
88342 26 A Immunocytochemistry 0.85 0.36 0.36 0.36 0.36 0.02 1.23 1.23 1.23 1.23 XXX
88342 TC A Immunocytochemistry 0.00 0.98 0.82 NA NA 0.02 1.00 0.84 NA NA XXX
88346 .......... A Immunofluorescent 0.86 1.60 1.36 NA NA 0.04 2.50 2.26 NA NA XXX
study.
88346 26 A Immunofluorescent 0.86 0.37 0.36 0.37 0.36 0.02 1.25 1.24 1.25 1.24 XXX
study.
88346 TC A Immunofluorescent 0.00 1.23 1.00 NA NA 0.02 1.25 1.02 NA NA XXX
study.
88347 .......... A Immunofluorescent 0.86 1.17 0.99 NA NA 0.04 2.07 1.89 NA NA XXX
study.
88347 26 A Immunofluorescent 0.86 0.33 0.29 0.33 0.29 0.02 1.21 1.17 1.21 1.17 XXX
study.
88347 TC A Immunofluorescent 0.00 0.84 0.70 NA NA 0.02 0.86 0.72 NA NA XXX
study.
88348 .......... A Electron microscopy 1.51 9.91 8.05 NA NA 0.10 11.52 9.66 NA NA XXX
88348 26 A Electron microscopy 1.51 0.64 0.80 0.64 0.80 0.04 2.19 2.35 2.19 2.35 XXX
88348 TC A Electron microscopy 0.00 9.27 7.25 NA NA 0.06 9.33 7.31 NA NA XXX
88349 .......... A Scanning electron 0.76 7.58 6.10 NA NA 0.07 8.41 6.93 NA NA XXX
microscopy.
88349 26 A Scanning electron 0.76 0.33 0.46 0.33 0.46 0.02 1.11 1.24 1.11 1.24 XXX
microscopy.
88349 TC A Scanning electron 0.00 7.25 5.64 NA NA 0.05 7.30 5.69 NA NA XXX
microscopy.
88355 .......... A Analysis, skeletal 1.85 2.74 2.53 NA NA 0.10 4.69 4.48 NA NA XXX
muscle.
88355 26 A Analysis, skeletal 1.85 0.80 0.85 0.80 0.85 0.05 2.70 2.75 2.70 2.75 XXX
muscle.
88355 TC A Analysis, skeletal 0.00 1.94 1.68 NA NA 0.05 1.99 1.73 NA NA XXX
muscle.
88356 .......... A Analysis, nerve.... 3.02 4.05 3.76 NA NA 0.15 7.22 6.93 NA NA XXX
88356 26 A Analysis, nerve.... 3.02 1.27 1.33 1.27 1.33 0.09 4.38 4.44 4.38 4.44 XXX
88356 TC A Analysis, nerve.... 0.00 2.78 2.43 NA NA 0.06 2.84 2.49 NA NA XXX
88358 .......... A Analysis, tumor.... 2.82 2.17 2.26 NA NA 0.13 5.12 5.21 NA NA XXX
88358 26 A Analysis, tumor.... 2.82 1.22 1.23 1.22 1.23 0.07 4.11 4.12 4.11 4.12 XXX
88358 TC A Analysis, tumor.... 0.00 0.95 1.03 NA NA 0.06 1.01 1.09 NA NA XXX
88362 .......... A Nerve teasing 2.17 3.99 3.53 NA NA 0.12 6.28 5.82 NA NA XXX
preparations.
88362 26 A Nerve teasing 2.17 0.92 0.96 0.92 0.96 0.07 3.16 3.20 3.16 3.20 XXX
preparations.
88362 TC A Nerve teasing 0.00 3.07 2.57 NA NA 0.05 3.12 2.62 NA NA XXX
preparations.
88365 .......... A Tissue 0.93 2.17 1.84 NA NA 0.04 3.14 2.81 NA NA XXX
hybridization.
88365 26 A Tissue 0.93 0.39 0.40 0.39 0.40 0.02 1.34 1.35 1.34 1.35 XXX
hybridization.
88365 TC A Tissue 0.00 1.78 1.44 NA NA 0.02 1.80 1.46 NA NA XXX
hybridization.
88371 .......... X Protein, western 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blot tissue.
88371 26 A Protein, western 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 XXX
blot tissue.
88372 .......... X Protein analysis w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
88372 26 A Protein analysis w/ 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 XXX
probe.
88399 .......... C Surgical pathology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
88399 26 C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88399 TC C Surgical pathology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
89050 .......... X Body fluid cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
89051 .......... X Body fluid cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
89060 .......... X Exam,synovial fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crystals.
89060 26 A Exam,synovial fluid 0.37 0.17 0.18 0.16 0.18 0.01 0.55 0.56 0.54 0.56 XXX
crystals.
89100 .......... A Sample intestinal 0.60 1.37 1.14 0.22 0.28 0.02 1.99 1.76 0.84 0.90 XXX
contents.
89105 .......... A Sample intestinal 0.50 2.37 1.88 0.17 0.23 0.02 2.89 2.40 0.69 0.75 XXX
contents.
89125 .......... X Specimen fat stain. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89130 .......... A Sample stomach 0.45 1.59 1.30 0.14 0.22 0.02 2.06 1.77 0.61 0.69 XXX
contents.
89132 .......... A Sample stomach 0.19 1.59 1.25 0.07 0.11 0.01 1.79 1.45 0.27 0.31 XXX
contents.
89135 .......... A Sample stomach 0.79 1.82 1.52 0.25 0.35 0.03 2.64 2.34 1.07 1.17 XXX
contents.
89136 .......... A Sample stomach 0.21 1.77 1.39 0.08 0.12 0.01 1.99 1.61 0.30 0.34 XXX
contents.
89140 .......... A Sample stomach 0.94 1.91 1.65 0.34 0.48 0.04 2.89 2.63 1.32 1.46 XXX
contents.
89141 .......... A Sample stomach 0.85 2.95 2.41 0.34 0.45 0.03 3.83 3.29 1.22 1.33 XXX
contents.
89160 .......... X Exam feces for meat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fibers.
89190 .......... X Nasal smear for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eosinophils.
89250 .......... X Fertilization of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oocyte.
89251 .......... X Culture oocyte w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
embryos.
89252 .......... X Assist oocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fertilization.
89253 .......... X Embryo hatching.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89254 .......... X Oocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
89255 .......... X Prepare embryo for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfer.
89256 .......... X Prepare 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryopreserved
embryo.
89257 .......... X Sperm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
89258 .......... X Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
embryo.
89259 .......... X Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sperm.
89260 .......... X Sperm isolation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple.
89261 .......... X Sperm isolation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complex.
89264 .......... X Identify sperm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue.
89300 .......... X Semen analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89310 .......... X Semen analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89320 .......... X Semen analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89325 .......... X Sperm antibody test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89329 .......... X Sperm evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
89330 .......... X Evaluation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cervical mucus.
89350 .......... A Sputum specimen 0.00 0.41 0.41 NA NA 0.02 0.43 0.43 NA NA XXX
collection.
89355 .......... X Exam feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
starch.
89360 .......... A Collect sweat for 0.00 0.46 0.46 NA NA 0.02 0.48 0.48 NA NA XXX
test.
[[Page 44309]]
89365 .......... X Water load test.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89399 .......... C Pathology lab 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
89399 26 C Pathology lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
89399 TC C Pathology lab 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
90281 .......... I Human ig, im....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90283 .......... I Human ig, iv....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90287 .......... I Botulinum antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90288 .......... I Botulism ig, iv.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90291 .......... I Cmv ig, iv......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90296 .......... E Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
90371 .......... E Hep b ig, im....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90375 .......... E Rabies ig, im/sc... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90376 .......... E Rabies ig, heat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treated.
90378 .......... X Rsv ig, im......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90379 .......... E Rsv ig, iv......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90384 .......... I Rh ig, full-dose, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90385 .......... E Rh ig, minidose, im 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90386 .......... I Rh ig, iv.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90389 .......... E Tetanus ig, im..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90393 .......... E Vaccina ig, im..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90396 .......... E Varicella-zoster 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ig, im.
90399 .......... I Immune globulin.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90471 .......... X Immunization admin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90472 .......... X Immunization admin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each add.
90476 .......... E Adenovirus vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
type 4.
90477 .......... E Adenovirus vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
type 7.
90581 .......... E Anthrax vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90585 .......... E Bcg vaccine, percut 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90586 .......... E Bcg vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intravesical.
90592 .......... D Cholera vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90632 .......... E Hep a vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult im.
90633 .......... E Hep a vacc, ped/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol, 2 dose.
90634 .......... E Hep a vacc, ped/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol, 3 dose.
90636 .......... E Hep a/hep b vacc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult im.
90645 .......... E Hib vaccine, hboc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90646 .......... E Hib vaccine, prp-d, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90647 .......... E Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
omp, im.
90648 .......... E Hib vaccine, prp-t, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90657 .......... X Flu vaccine, 6-35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mo, im.
90658 .......... X Flu vaccine, 3 yrs, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90659 .......... X Flu vaccine, whole, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90660 .......... X Flu vaccine, nasal. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90665 .......... E Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90669 .......... N Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, ped.
90675 .......... E Rabies vaccine, im. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90676 .......... E Rabies vaccine, id. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90680 .......... E Rotovirus vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90690 .......... E Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90691 .......... E Typhoid vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90692 .......... E Typhoid vaccine, h- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
p, sc/id.
90693 .......... E Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
akd, sc.
90700 .......... E Dtap vaccine, im... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90701 .......... E Dtp vaccine, im.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90702 .......... E Dt vaccine, im..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90703 .......... E Tetanus vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90704 .......... E Mumps vaccine, sc.. 0.00 0.00 .00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90705 .......... E Measles vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90706 .......... E Rubella vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90707 .......... E Mmr vaccine, sc.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90708 .......... E Measles-rubella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90709 .......... E Rubella & mumps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90710 .......... E Mmrv vaccine, sc... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90712 .......... E Oral poliovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
90713 .......... E Poliovirus, ipv, sc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90716 .......... E Chicken pox 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90717 .......... E Yellow fever 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90718 .......... E Td vaccine, im..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90719 .......... E Diphtheria vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90720 .......... E Dtp/hib vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90721 .......... E Dtap/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90725 .......... E Cholera vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectable.
90727 .......... E Plague vaccine, im. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90732 .......... X Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, adult.
90733 .......... E Meningococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90735 .......... E Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90744 .......... X Hep b vaccine, ped/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol, im.
90745 .......... D Hepb vaccine, adol/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
risk, im.
90746 .......... X Hep b vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult, im.
90747 .......... X Hep b vaccine, ill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pat, im.
90748 .......... E Hep b/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90749 .......... E Vaccine toxoid..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90780 .......... A IV infusion 0.00 1.12 1.13 1.12 1.13 0.06 1.18 1.19 1.18 1.19 XXX
therapy, 1 hour.
[[Page 44310]]
90781 .......... A IV infusion, 0.00 0.57 0.57 0.57 0.57 0.03 0.60 0.60 0.60 0.60 ZZZ
additional hour.
90782 .......... T Injection, sc/im... 0.00 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 XXX
90783 .......... T Injection, ia...... 0.00 0.41 0.41 0.41 0.41 0.02 0.43 0.43 0.43 0.43 XXX
90784 .......... T Injection, iv...... 0.00 0.48 0.48 0.48 0.48 0.03 0.51 0.51 0.51 0.51 XXX
90788 .......... T Injection of 0.00 0.12 0.12 0.12 0.12 0.01 0.13 0.13 0.13 0.13 XXX
antibiotic.
90799 .......... C Ther/prophylactic/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dx inject.
90801 .......... A Psy dx interview... 2.80 1.09 1.00 0.91 0.87 0.07 3.96 3.87 3.78 3.74 XXX
90802 .......... A Intac psy dx 3.01 1.12 0.94 0.95 0.82 0.08 4.21 4.03 4.04 3.91 XXX
interview.
90804 .......... A Psytx, office, 20- 1.21 0.50 0.47 0.40 0.40 0.03 1.74 1.71 1.64 1.64 XXX
30 min.
90805 .......... A Psytx, off, 20-30 1.37 0.55 0.51 0.42 0.41 0.04 1.96 1.92 1.83 1.82 XXX
min w/e&m.
90806 .......... A Psytx, off, 45-50 1.86 0.74 0.70 0.64 0.63 0.05 2.65 2.61 2.55 2.54 XXX
min.
90807 .......... A Psytx, off, 45-50 2.02 0.74 0.70 0.63 0.62 0.05 2.81 2.77 2.70 2.69 XXX
min w/e&m.
90808 .......... A Psytx, office, 75- 2.79 1.08 1.10 0.97 1.01 0.07 3.94 3.96 3.83 3.87 XXX
80 min.
90809 .......... A Psytx, off, 75-80, 2.95 1.06 1.08 0.92 0.98 0.08 4.09 4.11 3.95 4.01 XXX
w/e&m.
90810 .......... A Intac psytx, off, 1.32 0.52 0.55 0.42 0.48 0.03 1.87 1.90 1.77 1.83 XXX
20-30 min.
90811 .......... A Intac psytx, 20-30, 1.48 0.58 0.60 0.46 0.51 0.04 2.10 2.12 1.98 2.03 XXX
w/e&m.
90812 .......... A Intac psytx, off, 1.97 0.81 0.77 0.67 0.66 0.05 2.83 2.79 2.69 2.68 XXX
45-50 min.
90813 .......... A Intac psytx, 45-50 2.13 0.80 0.76 0.66 0.66 0.05 2.98 2.94 2.84 2.84 XXX
min w/e&m.
90814 .......... A Intac psytx, off, 2.90 1.15 1.02 1.01 0.92 0.07 4.12 3.99 3.98 3.89 XXX
75-80 min.
90815 .......... A Intac psytx, 75-80 3.06 1.15 1.02 0.94 0.87 0.08 4.29 4.16 4.08 4.01 XXX
w/e&m.
90816 .......... A Psytx, hosp, 20-30 1.25 0.57 0.52 0.43 0.42 0.03 1.85 1.80 1.71 1.70 XXX
min.
90817 .......... A Psytx, hosp, 20-30 1.41 0.57 0.52 0.43 0.42 0.04 2.02 1.97 1.88 1.87 XXX
min w/e&m.
90818 .......... A Psytx, hosp, 45-50 1.89 0.79 0.74 0.65 0.64 0.05 2.73 2.68 2.59 2.58 XXX
min.
90819 .......... A Psytx, hosp, 45-50 2.05 0.78 0.73 0.63 0.62 0.05 2.88 2.83 2.73 2.72 XXX
min w/e&m.
90821 .......... A Psytx, hosp, 75-80 2.83 1.13 1.13 0.96 1.01 0.07 4.03 4.03 3.86 3.91 XXX
min.
90822 .......... A Psytx, hosp, 75-80 2.99 1.07 1.09 0.92 0.98 0.08 4.14 4.16 3.99 4.05 XXX
min w/e&m.
90823 .......... A Intac psytx, hosp, 1.36 0.65 0.65 0.44 0.49 0.03 2.04 2.04 1.83 1.88 XXX
20-30 min.
90824 .......... A Intac psytx, hsp 20- 1.52 0.64 0.64 0.47 0.51 0.04 2.20 2.20 2.03 2.07 XXX
30 w/e&m.
90826 .......... A Intac psytx, hosp, 2.01 0.90 0.84 0.70 0.69 0.05 2.96 2.90 2.76 2.75 XXX
45-50 min.
90827 .......... A Intac psytx, hsp 45- 2.16 0.85 0.80 0.66 0.66 0.06 3.07 3.02 2.88 2.88 XXX
50 w/e&m.
90828 .......... A Intac psytx, hosp, 2.94 1.25 1.10 1.04 0.94 0.08 4.27 4.12 4.06 3.96 XXX
75-80 min.
90829 .......... A Intac psytx, hsp 75- 3.10 1.14 1.02 0.96 0.88 0.08 4.32 4.20 4.14 4.06 XXX
80 w/e&m.
90845 .......... A Psychoanalysis..... 1.79 0.66 0.61 0.56 0.53 0.05 2.50 2.45 2.40 2.37 XXX
90846 .......... R Family psytx w/o 1.83 0.72 0.71 0.62 0.63 0.05 2.60 2.59 2.50 2.51 XXX
patient.
90847 .......... R Family psytx w/ 2.21 0.83 0.78 0.73 0.71 0.06 3.10 3.05 3.00 2.98 XXX
patient.
90849 .......... R Multiple family 0.59 0.31 0.30 0.21 0.23 0.02 0.92 0.91 0.82 0.84 XXX
group psytx.
90853 .......... A Group psychotherapy 0.59 0.33 0.32 0.20 0.22 0.02 0.94 0.93 0.81 0.83 XXX
90857 .......... A Intac group psytx.. 0.63 0.33 0.29 0.22 0.21 0.02 0.98 0.94 0.87 0.86 XXX
90862 .......... A Medication 0.95 0.40 0.40 0.29 0.32 0.02 1.37 1.37 1.26 1.29 XXX
management.
90865 .......... A Narcosynthesis..... 2.84 1.31 1.12 0.87 0.79 0.10 4.25 4.06 3.81 3.73 XXX
90870 .......... A Electroconvulsive 1.88 0.68 0.66 0.68 0.66 0.05 2.61 2.59 2.61 2.59 000
therapy.
90871 .......... A Electroconvulsive 2.72 NA NA 0.96 0.95 0.07 NA NA 3.75 3.74 000
therapy.
90875 .......... N Psychophysiological 1.20 0.82 0.82 0.48 0.48 0.03 2.05 2.05 1.71 1.71 XXX
therapy.
90876 .......... N Psychophysiological 1.90 1.09 1.09 0.75 0.75 0.05 3.04 3.04 2.70 2.70 XXX
therapy.
90880 .......... A Hypnotherapy....... 2.19 0.86 0.82 0.69 0.69 0.06 3.11 3.07 2.94 2.94 XXX
90882 .......... N Environmental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manipulation.
90885 .......... B Psy evaluation of 0.97 0.38 0.37 0.38 0.37 0.02 1.37 1.36 1.37 1.36 XXX
records.
90887 .......... B Consultation with 1.48 0.78 0.68 0.59 0.53 0.04 2.30 2.20 2.11 2.05 XXX
family.
90889 .......... B Preparation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
90899 .......... C Psychiatric service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
90901 .......... A Biofeedback train, 0.41 0.66 0.76 0.18 0.40 0.02 1.09 1.19 0.61 0.83 000
any meth.
90911 .......... A Biofeedback peri/ 0.89 0.74 0.86 0.37 0.59 0.05 1.68 1.80 1.31 1.53 000
uro/rectal.
90918 .......... A ESRD related 11.18 5.18 4.48 5.18 4.48 0.48 16.84 16.14 16.84 16.14 XXX
services, month.
90919 .......... A ESRD related 8.54 4.20 3.75 4.20 3.75 0.39 13.13 12.68 13.13 12.68 XXX
services, month.
90920 .......... A ESRD related 7.27 3.61 3.30 3.61 3.30 0.38 11.26 10.95 11.26 10.95 XXX
services, month.
90921 .......... A ESRD related 4.47 2.54 2.50 2.54 2.50 0.26 7.27 7.23 7.27 7.23 XXX
services, month.
90922 .......... A ESRD related 0.37 0.15 0.13 0.15 0.13 0.02 0.54 0.52 0.54 0.52 XXX
services, day.
90923 .......... A Esrd related 0.28 0.14 0.13 0.14 0.13 0.01 0.43 0.42 0.43 0.42 XXX
services, day.
90924 .......... A Esrd related 0.24 0.12 0.11 0.12 0.11 0.01 0.37 0.36 0.37 0.36 XXX
services, day.
90925 .......... A Esrd related 0.15 0.09 0.09 0.09 0.09 0.01 0.25 0.25 0.25 0.25 XXX
services, day.
90935 .......... A Hemodialysis, one 1.22 NA NA 0.73 0.91 0.07 NA NA 2.02 2.20 000
evaluation.
90937 .......... A Hemodialysis, 2.11 NA NA 1.04 1.41 0.11 NA NA 3.26 3.63 000
repeated eval.
90945 .......... A Dialysis, one 1.28 NA NA 0.76 0.92 0.08 NA NA 2.12 2.28 000
evaluation.
90947 .......... A Dialysis, repeated 2.16 NA NA 1.06 1.36 0.12 NA NA 3.34 3.64 000
eval.
90989 .......... X Dialysis training, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
90993 .......... X Dialysis training, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incompl.
90997 .......... A Hemoperfusion...... 1.84 NA NA 1.05 1.34 0.10 NA NA 2.99 3.28 000
90999 .......... C Dialysis procedure. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
91000 .......... A Esophageal 0.73 0.34 0.44 NA NA 0.03 1.10 1.20 NA NA 000
intubation.
91000 26 A Esophageal 0.73 0.26 0.36 0.26 0.36 0.02 1.01 1.11 1.01 1.11 000
intubation.
91000 TC A Esophageal 0.00 0.08 0.08 NA NA 0.01 0.09 0.09 NA NA 000
intubation.
91010 .......... A Esophagus motility 1.25 1.27 1.55 NA NA 0.09 2.61 2.89 NA NA 000
study.
91010 26 A Esophagus motility 1.25 0.44 0.71 0.44 0.71 0.04 1.73 2.00 1.73 2.00 000
study.
91010 TC A Esophagus motility 0.00 0.83 0.84 NA NA 0.05 0.88 0.89 NA NA 000
study.
91011 .......... A Esophagus motility 1.50 1.58 1.90 NA NA 0.10 3.18 3.50 NA NA 000
study.
91011 26 A Esophagus motility 1.50 0.54 0.85 0.54 0.85 0.05 2.09 2.40 2.09 2.40 000
study.
91011 TC A Esophagus motility 0.00 1.04 1.05 NA NA 0.05 1.09 1.10 NA NA 000
study.
91012 .......... A Esophagus motility 1.46 1.69 2.01 NA NA 0.12 3.27 3.59 NA NA 000
study.
91012 26 A Esophagus motility 1.46 0.53 0.84 0.53 0.84 0.06 2.05 2.36 2.05 2.36 000
study.
91012 TC A Esophagus motility 0.00 1.16 1.17 NA NA 0.06 1.22 1.23 NA NA 000
study.
91020 .......... A Gastric motility... 1.44 1.27 1.58 NA NA 0.11 2.82 3.13 NA NA 000
91020 26 A Gastric motility... 1.44 0.50 0.80 0.50 0.80 0.06 2.00 2.30 2.00 2.30 000
[[Page 44311]]
91020 TC A Gastric motility... 0.00 0.77 0.78 NA NA 0.05 0.82 0.83 NA NA 000
91030 .......... A Acid perfusion of 0.91 0.55 0.56 NA NA 0.05 1.51 1.52 NA NA 000
esophagus.
91030 26 A Acid perfusion of 0.91 0.33 0.34 0.33 0.34 0.03 1.27 1.28 1.27 1.28 000
esophagus.
91030 TC A Acid perfusion of 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA 000
esophagus.
91032 .......... A Esophagus, acid 1.21 1.18 1.42 NA NA 0.09 2.48 2.72 NA NA 000
reflux test.
91032 26 A Esophagus, acid 1.21 0.43 0.66 0.43 0.66 0.04 1.68 1.91 1.68 1.91 000
reflux test.
91032 TC A Esophagus, acid 0.00 0.75 0.76 NA NA 0.05 0.80 0.81 NA NA 000
reflux test.
91033 .......... A Prolonged acid 1.30 1.82 2.10 NA NA 0.14 3.26 3.54 NA NA 000
reflux test.
91033 26 A Prolonged acid 1.30 0.46 0.73 0.46 0.73 0.05 1.81 2.08 1.81 2.08 000
reflux test.
91033 TC A Prolonged acid 0.00 1.36 1.37 NA NA 0.09 1.45 1.46 NA NA 000
reflux test.
91052 .......... A Gastric analysis 0.79 0.62 0.69 NA NA 0.05 1.46 1.53 NA NA 000
test.
91052 26 A Gastric analysis 0.79 0.28 0.35 0.28 0.35 0.03 1.10 1.17 1.10 1.17 000
test.
91052 TC A Gastric analysis 0.00 0.34 0.34 NA NA 0.02 0.36 0.36 NA NA 000
test.
91055 .......... A Gastric intubation 0.94 0.58 0.65 NA NA 0.07 1.59 1.66 NA NA 000
for smear.
91055 26 A Gastric intubation 0.94 0.28 0.35 0.28 0.35 0.05 1.27 1.34 1.27 1.34 000
for smear.
91055 TC A Gastric intubation 0.00 0.30 0.30 NA NA 0.02 0.32 0.32 NA NA 000
for smear.
91060 .......... A Gastric saline load 0.45 0.37 0.47 NA NA 0.04 0.86 0.96 NA NA 000
test.
91060 26 A Gastric saline load 0.45 0.15 0.25 0.15 0.25 0.02 0.62 0.72 0.62 0.72 000
test.
91060 TC A Gastric saline load 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA 000
test.
91065 .......... A Breath hydrogen 0.20 0.43 0.47 NA NA 0.03 0.66 0.70 NA NA 000
test.
91065 26 A Breath hydrogen 0.20 0.07 0.11 0.07 0.11 0.01 0.28 0.32 0.28 0.32 000
test.
91065 TC A Breath hydrogen 0.00 0.36 0.36 NA NA 0.02 0.38 0.38 NA NA 000
test.
91100 .......... A Pass intestine 1.08 NA NA 0.39 0.45 0.07 NA NA 1.54 1.60 000
bleeding tube.
91105 .......... A Gastric intubation 0.37 NA NA 0.16 0.23 0.02 NA NA 0.55 0.62 000
treatment.
91122 .......... A Anal pressure 1.77 1.35 1.49 NA NA 0.18 3.30 3.44 NA NA 000
record.
91122 26 A Anal pressure 1.77 0.64 0.77 0.64 0.77 0.11 2.52 2.65 2.52 2.65 000
record.
91122 TC A Anal pressure 0.00 0.71 0.72 NA NA 0.07 0.78 0.79 NA NA 000
record.
91299 .......... C Gastroenterology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
91299 26 C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
91299 TC C Gastroenterology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
92002 .......... A Eye exam, new 0.88 1.11 0.97 0.34 0.39 0.03 2.02 1.88 1.25 1.30 XXX
patient.
92004 .......... A Eye exam, new 1.67 1.50 1.28 0.68 0.67 0.06 3.23 3.01 2.41 2.40 XXX
patient.
92012 .......... A Eye exam 0.67 1.07 0.92 0.30 0.35 0.02 1.76 1.61 0.99 1.04 XXX
established pat.
92014 .......... A Eye exam & 1.10 1.38 1.18 0.48 0.51 0.04 2.52 2.32 1.62 1.65 XXX
treatment.
92015 .......... N Refraction......... 0.38 1.40 1.14 0.15 0.20 0.01 1.79 1.53 0.54 0.59 XXX
92018 .......... A New eye exam & 1.51 NA NA 0.69 0.65 0.05 NA NA 2.25 2.21 XXX
treatment.
92019 .......... A Eye exam & 1.31 NA NA 0.58 0.56 0.05 NA NA 1.94 1.92 XXX
treatment.
92020 .......... A Special eye 0.37 0.70 0.60 0.17 0.21 0.01 1.08 0.98 0.55 0.59 XXX
evaluation.
92060 .......... A Special eye 0.69 1.24 1.04 NA NA 0.03 1.96 1.76 NA NA XXX
evaluation.
92060 26 A Special eye 0.69 0.29 0.28 0.29 0.28 0.02 1.00 0.99 1.00 0.99 XXX
evaluation.
92060 TC A Special eye 0.00 0.95 0.76 NA NA 0.01 0.96 0.77 NA NA XXX
evaluation.
92065 .......... A Orthoptic/pleoptic 0.37 0.77 0.68 NA NA 0.02 1.16 1.07 NA NA XXX
training.
92065 26 A Orthoptic/pleoptic 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 XXX
training.
92065 TC A Orthoptic/pleoptic 0.00 0.62 0.51 NA NA 0.01 0.63 0.52 NA NA XXX
training.
92070 .......... A Fitting of contact 0.70 1.04 1.11 0.34 0.58 0.02 1.76 1.83 1.06 1.30 XXX
lens.
92081 .......... A Visual field 0.36 1.34 1.10 NA NA 0.02 1.72 1.48 NA NA XXX
examination(s).
92081 26 A Visual field 0.36 0.16 0.17 0.16 0.17 0.01 0.53 0.54 0.53 0.54 XXX
examination(s).
92081 TC A Visual field 0.00 1.18 0.93 NA NA 0.01 1.19 0.94 NA NA XXX
examination(s).
92082 .......... A Visual field 0.44 1.32 1.12 NA NA 0.02 1.78 1.58 NA NA XXX
examination(s).
92082 26 A Visual field 0.44 0.20 0.23 0.20 0.23 0.01 0.65 0.68 0.65 0.68 XXX
examination(s).
92082 TC A Visual field 0.00 1.12 0.89 NA NA 0.01 1.13 0.90 NA NA XXX
examination(s).
92083 .......... A Visual field 0.50 1.09 1.04 NA NA 0.03 1.62 1.57 NA NA XXX
examination(s).
92083 26 A Visual field 0.50 0.23 0.32 0.23 0.32 0.02 0.75 0.84 0.75 0.84 XXX
examination(s).
92083 TC A Visual field 0.00 0.86 0.72 NA NA 0.01 0.87 0.73 NA NA XXX
examination(s).
92100 .......... A Serial tonometry 0.92 0.78 0.65 0.36 0.34 0.03 1.73 1.60 1.31 1.29 XXX
exam(s).
92120 .......... A Tonography & eye 0.81 0.76 0.66 0.31 0.32 0.03 1.60 1.50 1.15 1.16 XXX
evaluation.
92130 .......... A Water provocation 0.81 0.87 0.79 0.32 0.37 0.03 1.71 1.63 1.16 1.21 XXX
tonography.
92135 .......... A Opthalmic dx 0.35 1.02 1.02 NA NA 0.02 1.39 1.39 NA NA XXX
imaging.
92135 26 A Opthalmic dx 0.35 0.16 0.16 0.16 0.16 0.01 0.52 0.52 0.52 0.52 XXX
imaging.
92135 TC A Opthalmic dx 0.00 0.86 0.86 NA NA 0.01 0.87 0.87 NA NA XXX
imaging.
92140 .......... A Glaucoma 0.50 0.93 0.78 0.22 0.25 0.02 1.45 1.30 0.74 0.77 XXX
provocative tests.
92225 .......... A Special eye exam, 0.38 1.64 1.35 0.16 0.24 0.01 2.03 1.74 0.55 0.63 XXX
initial.
92226 .......... A Special eye exam, 0.33 1.72 1.40 0.15 0.22 0.01 2.06 1.74 0.49 0.56 XXX
subsequent.
92230 .......... A Eye exam with 0.60 1.26 1.13 0.21 0.35 0.02 1.88 1.75 0.83 0.97 XXX
photos.
92235 .......... A Eye exam with 0.81 2.08 1.99 NA NA 0.08 2.97 2.88 NA NA XXX
photos.
92235 26 A Eye exam with 0.81 0.39 0.45 0.39 0.45 0.03 1.23 1.29 1.23 1.29 XXX
photos.
92235 TC A Eye exam with 0.00 1.69 1.54 NA NA 0.05 1.74 1.59 NA NA XXX
photos.
92240 .......... A Icg angiography.... 1.10 2.72 2.47 NA NA 0.08 3.90 3.65 NA NA XXX
92240 26 A Icg angiography.... 1.10 0.53 0.56 0.53 0.56 0.03 1.66 1.69 1.66 1.69 XXX
92240 TC A Icg angiography.... 0.00 2.19 1.91 NA NA 0.05 2.24 1.96 NA NA XXX
92250 .......... A Eye exam with 0.44 1.73 1.41 NA NA 0.02 2.19 1.87 NA NA XXX
photos.
92250 26 A Eye exam with 0.44 0.20 0.22 0.20 0.22 0.01 0.65 0.67 0.65 0.67 XXX
photos.
92250 TC A Eye exam with 0.00 1.53 1.19 NA NA 0.01 1.54 1.20 NA NA XXX
photos.
92260 .......... A Ophthalmoscopy/ 0.20 0.21 0.31 0.09 0.22 0.01 0.42 0.52 0.30 0.43 XXX
dynamometry.
92265 .......... A Eye muscle 0.81 1.89 1.50 NA NA 0.05 2.75 2.36 NA NA XXX
evaluation.
92265 26 A Eye muscle 0.81 0.31 0.25 0.31 0.25 0.03 1.15 1.09 1.15 1.09 XXX
evaluation.
92265 TC A Eye muscle 0.00 1.58 1.25 NA NA 0.02 1.60 1.27 NA NA XXX
evaluation.
92270 .......... A Electro-oculography 0.81 1.37 1.22 NA NA 0.05 2.23 2.08 NA NA XXX
92270 26 A Electro-oculography 0.81 0.34 0.36 0.34 0.36 0.03 1.18 1.20 1.18 1.20 XXX
92270 TC A Electro-oculography 0.00 1.03 0.86 NA NA 0.02 1.05 0.88 NA NA XXX
92275 .......... A Electroretinography 1.01 1.12 1.09 NA NA 0.06 2.19 2.16 NA NA XXX
92275 26 A Electroretinography 1.01 0.44 0.47 0.44 0.47 0.04 1.49 1.52 1.49 1.52 XXX
[[Page 44312]]
92275 TC A Electroretinography 0.00 0.68 0.62 NA NA 0.02 0.70 0.64 NA NA XXX
92283 .......... A Color vision 0.17 0.86 0.73 NA NA 0.02 1.05 0.92 NA NA XXX
examination.
92283 26 A Color vision 0.17 0.08 0.11 0.08 0.11 0.01 0.26 0.29 0.26 0.29 XXX
examination.
92283 TC A Color vision 0.00 0.78 0.62 NA NA 0.01 0.79 0.63 NA NA XXX
examination.
92284 .......... A Dark adaptation eye 0.24 1.50 1.24 NA NA 0.02 1.76 1.50 NA NA XXX
exam.
92284 26 A Dark adaptation eye 0.24 0.09 0.14 0.09 0.14 0.01 0.34 0.39 0.34 0.39 XXX
exam.
92284 TC A Dark adaptation eye 0.00 1.41 1.10 NA NA 0.01 1.42 1.11 NA NA XXX
exam.
92285 .......... A Eye photography.... 0.20 1.90 1.51 NA NA 0.02 2.12 1.73 NA NA XXX
92285 26 A Eye photography.... 0.20 0.09 0.12 0.09 0.12 0.01 0.30 0.33 0.30 0.33 XXX
92285 TC A Eye photography.... 0.00 1.81 1.39 NA NA 0.01 1.82 1.40 NA NA XXX
92286 .......... A Internal eye 0.66 1.95 1.80 NA NA 0.04 2.65 2.50 NA NA XXX
photography.
92286 26 A Internal eye 0.66 0.31 0.46 0.31 0.46 0.02 0.99 1.14 0.99 1.14 XXX
photography.
92286 TC A Internal eye 0.00 1.64 1.34 NA NA 0.02 1.66 1.36 NA NA XXX
photography.
92287 .......... A Internal eye 0.81 1.84 1.79 0.36 0.68 0.03 2.68 2.63 1.20 1.52 XXX
photography.
92310 .......... N Contact lens 1.17 0.90 1.03 0.46 0.70 0.00 2.07 2.20 1.63 1.87 XXX
fitting.
92311 .......... A Contact lens 1.08 0.92 0.94 0.39 0.54 0.04 2.04 2.06 1.51 1.66 XXX
fitting.
92312 .......... A Contact lens 1.26 0.91 1.00 0.63 0.79 0.04 2.21 2.30 1.93 2.09 XXX
fitting.
92313 .......... A Contact lens 0.92 0.84 0.87 0.27 0.44 0.03 1.79 1.82 1.22 1.39 XXX
fitting.
92314 .......... N Prescription of 0.69 0.70 0.73 0.27 0.41 0.00 1.39 1.42 0.96 1.10 XXX
contact lens.
92315 .......... A Prescription of 0.45 0.63 0.65 0.18 0.32 0.02 1.10 1.12 0.65 0.79 XXX
contact lens.
92316 .......... A Prescription of 0.68 0.71 0.79 0.27 0.46 0.02 1.41 1.49 0.97 1.16 XXX
contact lens.
92317 .......... A Prescription of 0.45 0.79 0.70 0.18 0.24 0.01 1.25 1.16 0.64 0.70 XXX
contact lens.
92325 .......... A Modification of 0.00 0.30 0.33 0.12 0.19 0.01 0.31 0.34 0.13 0.20 XXX
contact lens.
92326 .......... A Replacement of 0.00 0.31 0.66 0.12 0.51 0.05 0.36 0.71 0.17 0.56 XXX
contact lens.
92330 .......... A Fitting of 1.08 0.75 0.87 0.28 0.52 0.04 1.87 1.99 1.40 1.64 XXX
artificial eye.
92335 .......... A Fitting of 0.45 0.73 1.08 0.18 0.67 0.02 1.20 1.55 0.65 1.14 XXX
artificial eye.
92340 .......... N Fitting of 0.37 0.52 0.51 0.15 0.23 0.00 0.89 0.88 0.52 0.60 XXX
spectacles.
92341 .......... N Fitting of 0.47 0.56 0.57 0.19 0.29 0.00 1.03 1.04 0.66 0.76 XXX
spectacles.
92342 .......... N Fitting of 0.53 0.58 0.60 0.21 0.32 0.00 1.11 1.13 0.74 0.85 XXX
spectacles.
92352 .......... B Special spectacles 0.37 0.52 0.47 0.15 0.20 0.01 0.90 0.85 0.53 0.58 XXX
fitting.
92353 .......... B Special spectacles 0.50 0.57 0.54 0.20 0.26 0.02 1.09 1.06 0.72 0.78 XXX
fitting.
92354 .......... B Special spectacles 0.00 0.43 2.61 0.16 2.41 0.08 0.51 2.69 0.24 2.49 XXX
fitting.
92355 .......... B Special spectacles 0.00 0.43 1.44 0.16 1.24 0.01 0.44 1.45 0.17 1.25 XXX
fitting.
92358 .......... B Eye prosthesis 0.00 0.28 0.46 0.10 0.33 0.04 0.32 0.50 0.14 0.37 XXX
service.
92370 .......... N Repair & adjust 0.32 0.41 0.41 0.13 0.20 0.00 0.73 0.73 0.45 0.52 XXX
spectacles.
92371 .......... B Repair & adjust 0.00 0.28 0.37 0.10 0.24 0.02 0.30 0.39 0.12 0.26 XXX
spectacles.
92390 .......... N Supply of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spectacles.
92391 .......... N Supply of contact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lenses.
92392 .......... I Supply of low 0.00 0.28 1.26 0.10 1.12 0.02 0.30 1.28 0.12 1.14 XXX
vision aids.
92393 .......... I Supply of 0.00 0.28 3.46 0.10 3.32 0.48 0.76 3.94 0.58 3.80 XXX
artificial eye.
92395 .......... I Supply of 0.00 0.28 0.57 0.10 0.43 0.08 0.36 0.65 0.18 0.51 XXX
spectacles.
92396 .......... I Supply of contact 0.00 0.28 0.81 0.10 0.67 0.06 0.34 0.87 0.16 0.73 XXX
lenses.
92499 .......... C Eye service or 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
92499 26 C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92499 TC C Eye service or 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
92502 .......... A Ear and throat 1.51 NA NA 1.16 1.18 0.05 NA NA 2.72 2.74 000
examination.
92504 .......... A Ear microscopy 0.18 0.81 0.68 0.09 0.14 0.01 1.00 0.87 0.28 0.33 XXX
examination.
92506 .......... A Speech/hearing 0.86 1.20 1.04 0.40 0.44 0.03 2.09 1.93 1.29 1.33 XXX
evaluation.
92507 .......... A Speech/hearing 0.52 1.11 0.92 0.25 0.28 0.02 1.65 1.46 0.79 0.82 XXX
therapy.
92508 .......... A Speech/hearing 0.26 0.94 0.76 0.15 0.16 0.01 1.21 1.03 0.42 0.43 XXX
therapy.
92510 .......... A Rehab for ear 1.50 1.59 1.56 0.65 0.86 0.05 3.14 3.11 2.20 2.41 XXX
implant.
92511 .......... A Nasopharyngoscopy.. 0.84 1.04 1.01 0.42 0.55 0.03 1.91 1.88 1.29 1.42 000
92512 .......... A Nasal function 0.55 0.88 0.79 0.25 0.32 0.02 1.45 1.36 0.82 0.89 XXX
studies.
92516 .......... A Facial nerve 0.43 0.74 0.66 0.22 0.27 0.01 1.18 1.10 0.66 0.71 XXX
function test.
92520 .......... A Laryngeal function 0.76 0.51 0.53 0.43 0.47 0.03 1.30 1.32 1.22 1.26 XXX
studies.
92525 .......... A Oral function 1.50 1.76 1.60 0.74 0.83 0.05 3.31 3.15 2.29 2.38 XXX
evaluation.
92526 .......... A Oral function 0.55 1.39 1.17 0.21 0.29 0.02 1.96 1.74 0.78 0.86 XXX
therapy.
92531 .......... B Spontaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus study.
92532 .......... B Positional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus study.
92533 .......... B Caloric vestibular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
92534 .......... B Optokinetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus.
92541 .......... A Spontaneous 0.40 0.42 0.50 NA NA 0.03 0.85 0.93 NA NA XXX
nystagmus test.
92541 26 A Spontaneous 0.40 0.19 0.27 0.19 0.27 0.01 0.60 0.68 0.60 0.68 XXX
nystagmus test.
92541 TC A Spontaneous 0.00 0.23 0.23 NA NA 0.02 0.25 0.25 NA NA XXX
nystagmus test.
92542 .......... A Positional 0.33 0.42 0.48 NA NA 0.03 0.78 0.84 NA NA XXX
nystagmus test.
92542 26 A Positional 0.33 0.16 0.22 0.16 0.22 0.01 0.50 0.56 0.50 0.56 XXX
nystagmus test.
92542 TC A Positional 0.00 0.26 0.26 NA NA 0.02 0.28 0.28 NA NA XXX
nystagmus test.
92543 .......... A Caloric vestibular 0.10 0.16 0.18 NA NA 0.02 0.28 0.30 NA NA XXX
test.
92543 26 A Caloric vestibular 0.10 0.05 0.07 0.05 0.07 0.01 0.16 0.18 0.16 0.18 XXX
test.
92543 TC A Caloric vestibular 0.00 0.11 0.11 NA NA 0.01 0.12 0.12 NA NA XXX
test.
92544 .......... A Optokinetic 0.26 0.34 0.38 NA NA 0.03 0.63 0.67 NA NA XXX
nystagmus test.
92544 26 A Optokinetic 0.26 0.12 0.16 0.12 0.16 0.01 0.39 0.43 0.39 0.43 XXX
nystagmus test.
92544 TC A Optokinetic 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
nystagmus test.
92545 .......... A Oscillating 0.23 0.33 0.36 NA NA 0.03 0.59 0.62 NA NA XXX
tracking test.
92545 26 A Oscillating 0.23 0.11 0.14 0.11 0.14 0.01 0.35 0.38 0.35 0.38 XXX
tracking test.
92545 TC A Oscillating 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
tracking test.
92546 .......... A Sinusoidal 0.29 0.37 0.42 NA NA 0.03 0.69 0.74 NA NA XXX
rotational test.
92546 26 A Sinusoidal 0.29 0.13 0.18 0.13 0.18 0.01 0.43 0.48 0.43 0.48 XXX
rotational test.
92546 TC A Sinusoidal 0.00 0.24 0.24 NA NA 0.02 0.26 0.26 NA NA XXX
rotational test.
92547 .......... A Supplemental 0.00 0.57 0.57 NA NA 0.05 0.62 0.62 NA NA ZZZ
electrical test.
92548 .......... A Posturography...... 0.50 1.75 1.82 NA NA 0.13 2.38 2.45 NA NA XXX
92548 26 A Posturography...... 0.50 0.26 0.32 0.26 0.32 0.02 0.78 0.84 0.78 0.84 XXX
[[Page 44313]]
92548 TC A Posturography...... 0.00 1.49 1.50 NA NA 0.11 1.60 1.61 NA NA XXX
92551 .......... N Pure tone hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, air.
92552 .......... A Pure tone 0.00 0.45 0.45 NA NA 0.03 0.48 0.48 NA NA XXX
audiometry, air.
92553 .......... A Audiometry, air & 0.00 0.66 0.67 NA NA 0.05 0.71 0.72 NA NA XXX
bone.
92555 .......... A Speech threshold 0.00 0.38 0.38 NA NA 0.03 0.41 0.41 NA NA XXX
audiometry.
92556 .......... A Speech audiometry, 0.00 0.58 0.58 NA NA 0.05 0.63 0.63 NA NA XXX
complete.
92557 .......... A Comprehensive 0.00 1.20 1.21 NA NA 0.10 1.30 1.31 NA NA XXX
hearing test.
92559 .......... N Group audiometric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing.
92560 .......... N Bekesy audiometry, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
92561 .......... A Bekesy audiometry, 0.00 0.72 0.73 NA NA 0.05 0.77 0.78 NA NA XXX
diagnosis.
92562 .......... A Loudness balance 0.00 0.41 0.41 NA NA 0.03 0.44 0.44 NA NA XXX
test.
92563 .......... A Tone decay hearing 0.00 0.38 0.38 NA NA 0.03 0.41 0.41 NA NA XXX
test.
92564 .......... A Sisi hearing test.. 0.00 0.48 0.48 NA NA 0.04 0.52 0.52 NA NA XXX
92565 .......... A Stenger test, pure 0.00 0.40 0.40 NA NA 0.03 0.43 0.43 NA NA XXX
tone.
92567 .......... A Tympanometry....... 0.00 0.53 0.53 NA NA 0.05 0.58 0.58 NA NA XXX
92568 .......... A Acoustic reflex 0.00 0.38 0.38 NA NA 0.03 0.41 0.41 NA NA XXX
testing.
92569 .......... A Acoustic reflex 0.00 0.41 0.41 NA NA 0.03 0.44 0.44 NA NA XXX
decay test.
92571 .......... A Filtered speech 0.00 0.39 0.39 NA NA 0.03 0.42 0.42 NA NA XXX
hearing test.
92572 .......... A Staggered spondaic 0.00 0.09 0.09 NA NA 0.01 0.10 0.10 NA NA XXX
word test.
92573 .......... A Lombard test....... 0.00 0.35 0.35 NA NA 0.03 0.38 0.38 NA NA XXX
92575 .......... A Sensorineural 0.00 0.30 0.30 NA NA 0.02 0.32 0.32 NA NA XXX
acuity test.
92576 .......... A Synthetic sentence 0.00 0.45 0.45 NA NA 0.04 0.49 0.49 NA NA XXX
test.
92577 .......... A Stenger test, 0.00 0.72 0.73 NA NA 0.06 0.78 0.79 NA NA XXX
speech.
92579 .......... A Visual audiometry 0.00 0.73 0.74 NA NA 0.05 0.78 0.79 NA NA XXX
(vra).
92582 .......... A Conditioning play 0.00 0.73 0.74 NA NA 0.05 0.78 0.79 NA NA XXX
audiometry.
92583 .......... A Select picture 0.00 0.90 0.91 NA NA 0.07 0.97 0.98 NA NA XXX
audiometry.
92584 .......... A Electrocochleograph 0.00 2.50 2.52 NA NA 0.18 2.68 2.70 NA NA XXX
y.
92585 .......... A Auditory evoked 0.50 2.09 2.45 NA NA 0.14 2.73 3.09 NA NA XXX
potential.
92585 26 A Auditory evoked 0.50 0.22 0.57 0.22 0.57 0.02 0.74 1.09 0.74 1.09 XXX
potential.
92585 TC A Auditory evoked 0.00 1.87 1.88 NA NA 0.12 1.99 2.00 NA NA XXX
potential.
92587 .......... A Evoked auditory 0.13 1.38 1.41 NA NA 0.10 1.61 1.64 NA NA XXX
test.
92587 26 A Evoked auditory 0.13 0.06 0.08 0.06 0.08 0.01 0.20 0.22 0.20 0.22 XXX
test.
92587 TC A Evoked auditory 0.00 1.32 1.33 NA NA 0.09 1.41 1.42 NA NA XXX
test.
92588 .......... A Evoked auditory 0.36 1.65 1.70 NA NA 0.12 2.13 2.18 NA NA XXX
test.
92588 26 A Evoked auditory 0.36 0.16 0.20 0.16 0.20 0.01 0.53 0.57 0.53 0.57 XXX
test.
92588 TC A Evoked auditory 0.00 1.49 1.50 NA NA 0.11 1.60 1.61 NA NA XXX
test.
92589 .......... A Auditory function 0.00 0.54 0.54 NA NA 0.05 0.59 0.59 NA NA XXX
test(s).
92590 .......... N Hearing aid exam, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one ear.
92591 .......... N Hearing aid exam, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
both ears.
92592 .......... N Hearing aid check, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one ear.
92593 .......... N Hearing aid check, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
both ears.
92594 .......... N Electro hearng aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, one.
92595 .......... N Electro hearng aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tst, both.
92596 .......... A Ear protector 0.00 0.60 0.60 NA NA 0.05 0.65 0.65 NA NA XXX
evaluation.
92597 .......... A Oral speech device 1.35 1.48 1.39 0.73 0.82 0.04 2.87 2.78 2.12 2.21 XXX
eval.
92598 .......... A Modify oral speech 0.99 0.85 0.82 0.51 0.56 0.03 1.87 1.84 1.53 1.58 XXX
device.
92599 .......... C ENT procedure/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
service.
92599 26 C ENT procedure/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92599 TC C ENT procedure/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
service.
92950 .......... A Heart/lung 3.80 1.57 1.79 1.11 1.45 0.21 5.58 5.80 5.12 5.46 000
resuscitation cpr.
92953 .......... A Temporary external 0.23 NA NA 0.19 0.21 0.01 NA NA 0.43 0.45 000
pacing.
92960 .......... A Cardioversion 2.25 2.03 2.03 0.90 1.19 0.08 4.36 4.36 3.23 3.52 000
electric, ext.
92961 .......... A Cardioversion, 4.60 NA NA 1.92 1.92 0.31 NA NA 6.83 6.83 000
electric, int.
92970 .......... A Cardioassist, 3.52 NA NA 1.09 1.76 0.17 NA NA 4.78 5.45 000
internal.
92971 .......... A Cardioassist, 1.77 NA NA 0.89 0.97 0.06 NA NA 2.72 2.80 000
external.
92975 .......... A Dissolve clot, 7.25 NA NA 3.08 3.86 0.22 NA NA 10.55 11.33 000
heart vessel.
92977 .......... A Dissolve clot, 0.00 NA NA 8.14 8.19 0.39 NA NA 8.53 8.58 XXX
heart vessel.
92978 .......... A Intravasc us, heart 1.80 5.37 5.50 NA NA 0.27 7.44 7.57 NA NA ZZZ
add-on.
92978 26 A Intravasc us, heart 1.80 0.76 0.86 0.76 0.86 0.06 2.62 2.72 2.62 2.72 ZZZ
add-on.
92978 TC A Intravasc us, heart 0.00 4.61 4.64 NA NA 0.21 4.82 4.85 NA NA ZZZ
add-on.
92979 .......... A Intravasc us, heart 1.44 2.93 3.02 NA NA 0.15 4.52 4.61 NA NA ZZZ
add-on.
92979 26 A Intravasc us, heart 1.44 0.61 0.69 0.61 0.69 0.04 2.09 2.17 2.09 2.17 ZZZ
add-on.
92979 TC A Intravasc us, heart 0.00 2.32 2.33 NA NA 0.11 2.43 2.44 NA NA ZZZ
add-on.
92980 .......... A Insert 14.84 NA NA 6.33 9.18 0.02 NA NA 21.19 24.04 000
intracoronary
stent.
92981 .......... A Insert 4.17 NA NA 1.77 2.57 0.56 NA NA 6.50 7.30 ZZZ
intracoronary
stent.
92982 .......... A Coronary artery 10.98 NA NA 4.70 6.80 1.48 NA NA 17.16 19.26 000
dilation.
92984 .......... A Coronary artery 2.97 NA NA 1.26 1.83 0.40 NA NA 4.63 5.20 ZZZ
dilation.
92986 .......... A Revision of aortic 21.80 NA NA 10.87 11.42 2.82 NA NA 35.49 36.04 090
valve.
92987 .......... A Revision of mitral 22.70 NA NA 11.23 11.73 2.99 NA NA 36.92 37.42 090
valve.
92990 .......... A Revision of 17.34 NA NA 8.47 8.96 1.90 NA NA 27.71 28.20 090
pulmonary valve.
92992 .......... C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92993 .......... C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92995 .......... A Coronary 12.09 NA NA 5.16 7.48 1.63 NA NA 18.88 21.20 000
atherectomy.
92996 .......... A Coronary 3.26 NA NA 1.43 2.05 0.44 NA NA 5.13 5.75 ZZZ
atherectomy add-on.
92997 .......... A Pul art balloon 0.12 NA NA 5.12 7.42 1.45 NA NA 6.69 8.99 000
repr, percut.
92998 .......... A Pul art balloon 0.06 NA NA 2.48 2.89 0.73 NA NA 3.27 3.68 ZZZ
repr, percut.
93000 .......... A Electrocardiogram, 0.17 0.53 0.56 NA NA 0.03 0.73 0.76 NA NA XXX
complete.
93005 .......... A Electrocardiogram, 0.00 0.46 0.46 NA NA 0.02 0.48 0.48 NA NA XXX
tracing.
93010 .......... A Electrocardiogram 0.17 0.07 0.10 0.07 0.10 0.01 0.25 0.28 0.25 0.28 XXX
report.
93012 .......... A Transmission of ecg 0.00 2.39 2.40 NA NA 0.15 2.54 2.55 NA NA XXX
93014 .......... A Report on 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 XXX
transmitted ecg.
93015 .......... A Cardiovascular 0.75 2.00 2.13 NA NA 0.11 2.86 2.99 NA NA XXX
stress test.
[[Page 44314]]
93016 .......... A Cardiovascular 0.45 0.18 0.24 0.18 0.24 0.01 0.64 0.70 0.64 0.70 XXX
stress test.
93017 .......... A Cardiovascular 0.00 1.70 1.71 NA NA 0.09 1.79 1.80 NA NA XXX
stress test.
93018 .......... A Cardiovascular 0.30 0.12 0.18 0.12 0.18 0.01 0.43 0.49 0.43 0.49 XXX
stress test.
93024 .......... A Cardiac drug stress 1.17 1.61 1.85 NA NA 0.11 2.89 3.13 NA NA XXX
test.
93024 26 A Cardiac drug stress 1.17 0.48 0.71 0.48 0.71 0.04 1.69 1.92 1.69 1.92 XXX
test.
93024 TC A Cardiac drug stress 0.00 1.13 1.14 NA NA 0.07 1.20 1.21 NA NA XXX
test.
93040 .......... A Rhythm ECG with 0.16 0.20 0.22 NA NA 0.02 0.38 0.40 NA NA XXX
report.
93041 .......... A Rhythm ECG, tracing 0.00 0.15 0.15 NA NA 0.01 0.16 0.16 NA NA XXX
93042 .......... A Rhythm ECG, report. 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
93224 .......... A ECG monitor/report, 0.52 3.67 3.79 NA NA 0.21 4.40 4.52 NA NA XXX
24 hrs.
93225 .......... A ECG monitor/record, 0.00 1.25 1.26 NA NA 0.07 1.32 1.33 NA NA XXX
24 hrs.
93226 .......... A ECG monitor/report, 0.00 2.21 2.22 NA NA 0.12 2.33 2.34 NA NA XXX
24 hrs.
93227 .......... A ECG monitor/review, 0.52 0.21 0.31 0.21 0.31 0.02 0.75 0.85 0.75 0.85 XXX
24 hrs.
93230 .......... A ECG monitor/report, 0.52 3.94 4.06 NA NA 0.22 4.68 4.80 NA NA XXX
24 hrs.
93231 .......... A Ecg monitor/record, 0.00 1.53 1.54 NA NA 0.09 1.62 1.63 NA NA XXX
24 hrs.
93232 .......... A ECG monitor/report, 0.00 2.20 2.21 NA NA 0.11 2.31 2.32 NA NA XXX
24 hrs.
93233 .......... A ECG monitor/review, 0.52 0.21 0.31 0.21 0.31 0.02 0.75 0.85 0.75 0.85 XXX
24 hrs.
93235 .......... A ECG monitor/report, 0.45 2.83 2.94 NA NA 0.13 3.41 3.52 NA NA XXX
24 hrs.
93236 .......... A ECG monitor/report, 0.00 2.65 2.67 NA NA 0.12 2.77 2.79 NA NA XXX
24 hrs.
93237 .......... A ECG monitor/review, 0.45 0.18 0.27 0.18 0.27 0.01 0.64 0.73 0.64 0.73 XXX
24 hrs.
93268 .......... A ECG record/review.. 0.52 3.84 3.92 NA NA 0.24 4.60 4.68 NA NA XXX
93270 .......... A ECG recording...... 0.00 1.25 1.26 NA NA 0.07 1.32 1.33 NA NA XXX
93271 .......... A Ecg/monitoring and 0.00 2.39 2.40 NA NA 0.15 2.54 2.55 NA NA XXX
analysis.
93272 .......... A Ecg/ 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 XXX
review,interpret
only.
93278 .......... A ECG/signal-averaged 0.25 1.26 1.32 NA NA 0.10 1.61 1.67 NA NA XXX
93278 26 A ECG/signal-averaged 0.25 0.10 0.15 0.10 0.15 0.01 0.36 0.41 0.36 0.41 XXX
93278 TC A ECG/signal-averaged 0.00 1.16 1.17 NA NA 0.09 1.25 1.26 NA NA XXX
93303 .......... A Echo transthoracic. 1.30 4.40 4.57 NA NA 0.24 5.94 6.11 NA NA XXX
93303 26 A Echo transthoracic. 1.30 0.50 0.65 0.50 0.65 0.04 1.84 1.99 1.84 1.99 XXX
93303 TC A Echo transthoracic. 0.00 3.90 3.92 NA NA 0.20 4.10 4.12 NA NA XXX
93304 .......... A Echo transthoracic. 0.75 2.25 2.37 NA NA 0.13 3.13 3.25 NA NA XXX
93304 26 A Echo transthoracic. 0.75 0.29 0.40 0.29 0.40 0.02 1.06 1.17 1.06 1.17 XXX
93304 TC A Echo transthoracic. 0.00 1.96 1.97 NA NA 0.11 2.07 2.08 NA NA XXX
93307 .......... A Echo exam of heart. 0.92 4.28 4.48 NA NA 0.23 5.43 5.63 NA NA XXX
93307 26 A Echo exam of heart. 0.92 0.38 0.56 0.38 0.56 0.03 1.33 1.51 1.33 1.51 XXX
93307 TC A Echo exam of heart. 0.00 3.90 3.92 NA NA 0.20 4.10 4.12 NA NA XXX
93308 .......... A Echo exam of heart. 0.53 2.18 2.29 NA NA 0.13 2.84 2.95 NA NA XXX
93308 26 A Echo exam of heart. 0.53 0.22 0.32 0.22 0.32 0.02 0.77 0.87 0.77 0.87 XXX
93308 TC A Echo exam of heart. 0.00 1.96 1.97 NA NA 0.11 2.07 2.08 NA NA XXX
93312 .......... A Echo 2.20 4.69 4.86 NA NA 0.34 7.23 7.40 NA NA XXX
transesophageal.
93312 26 A Echo 2.20 0.87 1.02 0.87 1.02 0.09 3.16 3.31 3.16 3.31 XXX
transesophageal.
93312 TC A Echo 0.00 3.82 3.84 NA NA 0.25 4.07 4.09 NA NA XXX
transesophageal.
93313 .......... A Echo 0.95 5.13 4.03 0.23 0.36 0.05 6.13 5.03 1.23 1.36 XXX
transesophageal.
93314 .......... A Echo 1.25 4.32 4.40 NA NA 0.29 5.86 5.94 NA NA XXX
transesophageal.
93314 26 A Echo 1.25 0.50 0.56 0.50 0.56 0.04 1.79 1.85 1.79 1.85 XXX
transesophageal.
93314 TC A Echo 0.00 3.82 3.84 NA NA 0.25 4.07 4.09 NA NA XXX
transesophageal.
93315 .......... A Echo 2.78 4.90 5.02 NA NA 0.36 8.04 8.16 NA NA XXX
transesophageal.
93315 26 A Echo 2.78 1.08 1.18 1.08 1.18 0.11 3.97 4.07 3.97 4.07 XXX
transesophageal.
93315 TC A Echo 0.00 3.82 3.84 NA NA 0.25 4.07 4.09 NA NA XXX
transesophageal.
93316 .......... A Echo 0.95 1.66 1.43 0.28 0.39 0.05 2.66 2.43 1.28 1.39 XXX
transesophageal.
93317 .......... A Echo 1.83 4.54 4.56 NA NA 0.32 6.69 6.71 NA NA XXX
transesophageal.
93317 26 A Echo 1.83 0.72 0.72 0.72 0.72 0.07 2.62 2.62 2.62 2.62 XXX
transesophageal.
93317 TC A Echo 0.00 3.82 3.84 NA NA 0.25 4.07 4.09 NA NA XXX
transesophageal.
93320 .......... A Doppler echo exam, 0.38 1.89 1.98 NA NA 0.11 2.38 2.47 NA NA ZZZ
heart.
93320 26 A Doppler echo exam, 0.38 0.16 0.24 0.16 0.24 0.01 0.55 0.63 0.55 0.63 ZZZ
heart.
93320 TC A Doppler echo exam, 0.00 1.73 1.74 NA NA 0.10 1.83 1.84 NA NA ZZZ
heart.
93321 .......... A Doppler echo exam, 0.15 1.18 1.22 NA NA 0.08 1.41 1.45 NA NA ZZZ
heart.
93321 26 A Doppler echo exam, 0.15 0.06 0.09 0.06 0.09 0.01 0.22 0.25 0.22 0.25 ZZZ
heart.
93321 TC A Doppler echo exam, 0.00 1.12 1.13 NA NA 0.07 1.19 1.20 NA NA ZZZ
heart.
93325 .......... A Doppler color flow 0.07 2.96 2.98 NA NA 0.19 3.22 3.24 NA NA ZZZ
add-on.
93325 26 A Doppler color flow 0.07 0.03 0.03 0.03 0.03 0.01 0.11 0.11 0.11 0.11 ZZZ
add-on.
93325 TC A Doppler color flow 0.00 2.93 2.95 NA NA 0.18 3.11 3.13 NA NA ZZZ
add-on.
93350 .......... A Echo transthoracic. 0.78 2.10 2.26 NA NA 0.13 3.01 3.17 NA NA XXX
93350 26 A Echo transthoracic. 0.78 0.32 0.47 0.32 0.47 0.02 1.12 1.27 1.12 1.27 XXX
93350 TC A Echo transthoracic. 0.00 1.78 1.79 NA NA 0.11 1.89 1.90 NA NA XXX
93501 .......... A Right heart 3.02 17.58 18.46 NA NA 1.27 21.87 22.75 NA NA 000
catheterization.
93501 26 A Right heart 3.02 1.24 1.83 1.24 1.83 0.37 4.63 5.22 4.63 5.22 000
catheterization.
93501 TC A Right heart 0.00 16.34 16.63 NA NA 0.90 17.24 17.53 NA NA 000
catheterization.
93503 .......... A Insert/place heart 2.91 1.03 1.42 0.76 1.21 0.22 4.16 4.55 3.89 4.34 000
catheter.
93505 .......... A Biopsy of heart 4.38 3.74 4.15 NA NA 0.70 8.82 9.23 NA NA 000
lining.
93505 26 A Biopsy of heart 4.38 1.83 2.20 1.83 2.20 0.57 6.78 7.15 6.78 7.15 000
lining.
93505 TC A Biopsy of heart 0.00 1.91 1.95 NA NA 0.13 2.04 2.08 NA NA 000
lining.
93508 .......... A Cath placement, 4.10 13.90 14.44 NA NA 1.11 19.11 19.65 NA NA 000
angiography.
93508 26 A Cath placement, 4.10 1.72 2.05 1.72 2.05 0.55 6.37 6.70 6.37 6.70 000
angiography.
93508 TC A Cath placement, 0.00 12.18 12.39 NA NA 0.56 12.74 12.95 NA NA 000
angiography.
93510 .......... A Left heart 4.33 37.53 38.53 NA NA 2.55 44.41 45.41 NA NA 000
catheterization.
93510 26 A Left heart 4.33 1.83 2.20 1.83 2.20 0.58 6.74 7.11 6.74 7.11 000
catheterization.
93510 TC A Left heart 0.00 35.70 36.33 NA NA 1.97 37.67 38.30 NA NA 000
catheterization.
93511 .......... A Left heart 5.03 36.87 37.67 NA NA 2.59 44.49 45.29 NA NA 000
catheterization.
93511 26 A Left heart 5.03 2.12 2.30 2.12 2.30 0.68 7.83 8.01 7.83 8.01 000
catheterization.
93511 TC A Left heart 0.00 34.75 35.37 NA NA 1.91 36.66 37.28 NA NA 000
catheterization.
93514 .......... A Left heart 7.05 37.65 38.78 NA NA 2.87 47.57 48.70 NA NA 000
catheterization.
[[Page 44315]]
93514 26 A Left heart 7.05 2.90 3.41 2.90 3.41 0.96 10.91 11.42 10.91 11.42 000
catheterization.
93514 TC A Left heart 0.00 34.75 35.37 NA NA 1.91 36.66 37.28 NA NA 000
catheterization.
93524 .......... A Left heart 6.95 48.31 49.66 NA NA 3.45 58.71 60.06 NA NA 000
catheterization.
93524 26 A Left heart 6.95 2.91 3.45 2.91 3.45 0.95 10.81 11.35 10.81 11.35 000
catheterization.
93524 TC A Left heart 0.00 45.40 46.21 NA NA 2.50 47.90 48.71 NA NA 000
catheterization.
93526 .......... A Rt & Lt heart 5.99 49.17 50.85 NA NA 3.37 58.53 60.21 NA NA 000
catheters.
93526 26 A Rt & Lt heart 5.99 2.52 3.37 2.52 3.37 0.80 9.31 10.16 9.31 10.16 000
catheters.
93526 TC A Rt & Lt heart 0.00 46.65 47.48 NA NA 2.57 49.22 50.05 NA NA 000
catheters.
93527 .......... A Rt & Lt heart 7.28 48.47 50.45 NA NA 3.47 59.22 61.20 NA NA 000
catheters.
93527 26 A Rt & Lt heart 7.28 3.07 4.24 3.07 4.24 0.97 11.32 12.49 11.32 12.49 000
catheters.
93527 TC A Rt & Lt heart 0.00 45.40 46.21 NA NA 2.50 47.90 48.71 NA NA 000
catheters.
93528 .......... A Rt & Lt heart 0.09 49.24 50.29 NA NA 3.73 53.06 54.11 NA NA 000
catheters.
93528 26 A Rt & Lt heart 0.09 3.84 4.08 3.84 4.08 1.23 5.16 5.40 5.16 5.40 000
catheters.
93528 TC A Rt & Lt heart 0.00 45.40 46.21 NA NA 2.50 47.90 48.71 NA NA 000
catheters.
93529 .......... A Rt, Lt heart 4.80 47.32 48.45 NA NA 3.08 55.20 56.33 NA NA 000
catheterization.
93529 26 A Rt, Lt heart 4.80 1.92 2.24 1.92 2.24 0.58 7.30 7.62 7.30 7.62 000
catheterization.
93529 TC A Rt, Lt heart 0.00 45.40 46.21 NA NA 2.50 47.90 48.71 NA NA 000
catheterization.
93530 .......... A Rt heart cath, 4.23 18.00 18.86 NA NA 1.45 23.68 24.54 NA NA 000
congenital.
93530 26 A Rt heart cath, 4.23 1.66 2.23 1.66 2.23 0.55 6.44 7.01 6.44 7.01 000
congenital.
93530 TC A Rt heart cath, 0.00 16.34 16.63 NA NA 0.90 17.24 17.53 NA NA 000
congenital.
93531 .......... A R & l heart cath, 8.35 50.10 51.55 NA NA 3.70 62.15 63.60 NA NA 000
congenital.
93531 26 A R & l heart cath, 8.35 3.45 4.07 3.45 4.07 1.13 12.93 13.55 12.93 13.55 000
congenital.
93531 TC A R & l heart cath, 0.00 46.65 47.48 NA NA 2.57 49.22 50.05 NA NA 000
congenital.
93532 .......... A R & l heart cath, 0.10 49.31 51.08 NA NA 3.92 53.33 55.10 NA NA 000
congenital.
93532 26 A R & l heart cath, 0.10 3.91 4.87 3.91 4.87 1.42 5.43 6.39 5.43 6.39 000
congenital.
93532 TC A R & l heart cath, 0.00 45.40 46.21 NA NA 2.50 47.90 48.71 NA NA 000
congenital.
93533 .......... A R & l heart cath, 6.70 47.91 48.89 NA NA 3.40 58.01 58.99 NA NA 000
congenital.
93533 26 A R & l heart cath, 6.70 2.51 2.68 2.51 2.68 0.90 10.11 10.28 10.11 10.28 000
congenital.
93533 TC A R & l heart cath, 0.00 45.40 46.21 NA NA 2.50 47.90 48.71 NA NA 000
congenital.
93536 .......... A Insert circulation 4.85 NA NA 2.08 3.01 0.65 NA NA 7.58 8.51 000
assi.
93539 .......... A Injection, cardiac 0.40 0.74 0.80 0.17 0.37 0.01 1.15 1.21 0.58 0.78 000
cath.
93540 .......... A Injection, cardiac 0.43 0.77 0.82 0.18 0.38 0.01 1.21 1.26 0.62 0.82 000
cath.
93541 .......... A Injection for lung 0.29 NA NA 0.12 0.18 0.01 NA NA 0.42 0.48 000
angiogram.
93542 .......... A Injection for heart 0.29 NA NA 0.12 0.18 0.01 NA NA 0.42 0.48 000
x-rays.
93543 .......... A Injection for heart 0.29 0.49 0.52 0.12 0.25 0.01 0.79 0.82 0.42 0.55 000
x-rays.
93544 .......... A Injection for 0.25 0.47 0.51 0.11 0.24 0.01 0.73 0.77 0.37 0.50 000
aortography.
93545 .......... A Inject for coronary 0.40 0.76 0.69 0.17 0.25 0.01 1.17 1.10 0.58 0.66 000
x-rays.
93555 .......... A Imaging, cardiac 0.81 6.40 6.50 NA NA 0.32 7.53 7.63 NA NA XXX
cath.
93555 26 A Imaging, cardiac 0.81 0.34 0.33 0.34 0.33 0.03 1.18 1.17 1.18 1.17 XXX
cath.
93555 TC A Imaging, cardiac 0.00 6.06 6.17 NA NA 0.29 6.35 6.46 NA NA XXX
cath.
93556 .......... A Imaging, cardiac 0.83 9.91 10.12 NA NA 0.46 11.20 11.41 NA NA XXX
cath.
93556 26 A Imaging, cardiac 0.83 0.35 0.39 0.35 0.39 0.03 1.21 1.25 1.21 1.25 XXX
cath.
93556 TC A Imaging, cardiac 0.00 9.56 9.73 NA NA 0.43 9.99 10.16 NA NA XXX
cath.
93561 .......... A Cardiac output 0.50 0.69 0.81 NA NA 0.07 1.26 1.38 NA NA 000
measurement.
93561 26 A Cardiac output 0.50 0.17 0.28 0.17 0.28 0.02 0.69 0.80 0.69 0.80 000
measurement.
93561 TC A Cardiac output 0.00 0.52 0.53 NA NA 0.05 0.57 0.58 NA NA 000
measurement.
93562 .......... A Cardiac output 0.16 0.35 0.40 NA NA 0.04 0.55 0.60 NA NA 000
measurement.
93562 26 A Cardiac output 0.16 0.05 0.09 0.05 0.09 0.01 0.22 0.26 0.22 0.26 000
measurement.
93562 TC A Cardiac output 0.00 0.30 0.31 NA NA 0.03 0.33 0.34 NA NA 000
measurement.
93571 .......... A Heart flow reserve 1.80 5.33 5.36 NA NA 0.27 7.40 7.43 NA NA ZZZ
measure.
93571 26 A Heart flow reserve 1.80 0.71 0.71 0.71 0.71 0.06 2.57 2.57 2.57 2.57 ZZZ
measure.
93571 TC A Heart flow reserve 0.00 4.62 4.65 NA NA 0.21 4.83 4.86 NA NA ZZZ
measure.
93572 .......... A Heart flow reserve 1.44 5.19 5.22 NA NA 0.15 6.78 6.81 NA NA ZZZ
measure.
93572 26 A Heart flow reserve 1.44 0.57 0.57 0.57 0.57 0.04 2.05 2.05 2.05 2.05 ZZZ
measure.
93572 TC A Heart flow reserve 0.00 4.62 4.65 NA NA 0.11 4.73 4.76 NA NA ZZZ
measure.
93600 .......... A Bundle of His 2.12 2.87 3.29 NA NA 0.18 5.17 5.59 NA NA 000
recording.
93600 26 A Bundle of His 2.12 0.90 1.31 0.90 1.31 0.07 3.09 3.50 3.09 3.50 000
recording.
93600 TC A Bundle of His 0.00 1.97 1.98 NA NA 0.11 2.08 2.09 NA NA 000
recording.
93602 .......... A Intra-atrial 2.12 2.02 2.29 NA NA 0.15 4.29 4.56 NA NA 000
recording.
93602 26 A Intra-atrial 2.12 0.90 1.16 0.90 1.16 0.09 3.11 3.37 3.11 3.37 000
recording.
93602 TC A Intra-atrial 0.00 1.12 1.13 NA NA 0.06 1.18 1.19 NA NA 000
recording.
93603 .......... A Right ventricular 2.12 2.60 2.98 NA NA 0.18 4.90 5.28 NA NA 000
recording.
93603 26 A Right ventricular 2.12 0.90 1.27 0.90 1.27 0.09 3.11 3.48 3.11 3.48 000
recording.
93603 TC A Right ventricular 0.00 1.70 1.71 NA NA 0.09 1.79 1.80 NA NA 000
recording.
93607 .......... A Left ventricular 3.26 2.91 3.17 NA NA 0.19 6.36 6.62 NA NA 000
recording.
93607 26 A Left ventricular 3.26 1.40 1.65 1.40 1.65 0.10 4.76 5.01 4.76 5.01 000
recording.
93607 TC A Left ventricular 0.00 1.51 1.52 NA NA 0.09 1.60 1.61 NA NA 000
recording.
93609 .......... A Mapping of 10.07 6.99 6.99 NA NA 0.46 17.52 17.52 NA NA 000
tachycardia.
93609 26 A Mapping of 10.07 4.24 4.22 4.24 4.22 0.32 14.63 14.61 14.63 14.61 000
tachycardia.
93609 TC A Mapping of 0.00 2.75 2.77 NA NA 0.14 2.89 2.91 NA NA 000
tachycardia.
93610 .......... A Intra-atrial pacing 3.02 2.64 2.96 NA NA 0.19 5.85 6.17 NA NA 000
93610 26 A Intra-atrial pacing 3.02 1.27 1.58 1.27 1.58 0.11 4.40 4.71 4.40 4.71 000
93610 TC A Intra-atrial pacing 0.00 1.37 1.38 NA NA 0.08 1.45 1.46 NA NA 000
93612 .......... A Intraventricular 3.02 2.90 3.23 NA NA 0.21 6.13 6.46 NA NA 000
pacing.
93612 26 A Intraventricular 3.02 1.27 1.59 1.27 1.59 0.12 4.41 4.73 4.41 4.73 000
pacing.
93612 TC A Intraventricular 0.00 1.63 1.64 NA NA 0.09 1.72 1.73 NA NA 000
pacing.
93615 .......... A Esophageal 0.99 0.65 0.66 NA NA 0.08 1.72 1.73 NA NA 000
recording.
93615 26 A Esophageal 0.99 0.33 0.34 0.33 0.34 0.06 1.38 1.39 1.38 1.39 000
recording.
93615 TC A Esophageal 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA 000
recording.
93616 .......... A Esophageal 1.49 0.71 0.98 NA NA 0.10 2.30 2.57 NA NA 000
recording.
93616 26 A Esophageal 1.49 0.39 0.66 0.39 0.66 0.08 1.96 2.23 1.96 2.23 000
recording.
93616 TC A Esophageal 0.00 0.32 0.32 NA NA 0.02 0.34 0.34 NA NA 000
recording.
[[Page 44316]]
93618 .......... A Heart rhythm pacing 4.26 5.82 6.66 NA NA 0.33 10.41 11.25 NA NA 000
93618 26 A Heart rhythm pacing 4.26 1.81 2.63 1.81 2.63 0.12 6.19 7.01 6.19 7.01 000
93618 TC A Heart rhythm pacing 0.00 4.01 4.03 NA NA 0.21 4.22 4.24 NA NA 000
93619 .......... A Electrophysiology 7.32 10.90 12.36 NA NA 0.62 18.84 20.30 NA NA 000
evaluation.
93619 26 A Electrophysiology 7.32 3.11 4.52 3.11 4.52 0.22 10.65 12.06 10.65 12.06 000
evaluation.
93619 TC A Electrophysiology 0.00 7.79 7.84 NA NA 0.40 8.19 8.24 NA NA 000
evaluation.
93620 .......... A Electrophysiology 11.59 13.90 16.20 NA NA 0.79 26.28 28.58 NA NA 000
evaluation.
93620 26 A Electrophysiology 11.59 4.84 7.09 4.84 7.09 0.34 16.77 19.02 16.77 19.02 000
evaluation.
93620 TC A Electrophysiology 0.00 9.06 9.11 NA NA 0.45 9.51 9.56 NA NA 000
evaluation.
93621 .......... C Electrophysiology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA 000
evaluation.
93621 26 A Electrophysiology 12.66 5.37 7.81 5.37 7.81 0.41 18.44 20.88 18.44 20.88 000
evaluation.
93621 TC C Electrophysiology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA 000
evaluation.
93622 .......... C Electrophysiology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA 000
evaluation.
93622 26 A Electrophysiology 12.74 5.25 7.74 5.25 7.74 0.39 18.38 20.87 18.38 20.87 000
evaluation.
93622 TC C Electrophysiology 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA 000
evaluation.
93623 .......... C Stimulation, pacing 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA ZZZ
heart.
93623 26 A Stimulation, pacing 2.85 1.20 1.66 1.20 1.66 0.10 4.15 4.61 4.15 4.61 ZZZ
heart.
93623 TC C Stimulation, pacing 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA ZZZ
heart.
93624 .......... A Electrophysiologic 4.81 4.04 4.35 NA NA 0.26 9.11 9.42 NA NA 000
study.
93624 26 A Electrophysiologic 4.81 2.04 2.34 2.04 2.34 0.15 7.00 7.30 7.00 7.30 000
study.
93624 TC A Electrophysiologic 0.00 2.00 2.01 NA NA 0.11 2.11 2.12 NA NA 000
study.
93631 .......... A Heart pacing, 7.60 9.37 10.19 NA NA 0.95 17.92 18.74 NA NA 000
mapping.
93631 26 A Heart pacing, 7.60 3.15 3.93 3.15 3.93 0.42 11.17 11.95 11.17 11.95 000
mapping.
93631 TC A Heart pacing, 0.00 6.22 6.26 NA NA 0.53 6.75 6.79 NA NA 000
mapping.
93640 .......... A Evaluation heart 3.52 8.74 9.46 NA NA 0.47 12.73 13.45 NA NA 000
device.
93640 26 A Evaluation heart 3.52 1.49 2.17 1.49 2.17 0.11 5.12 5.80 5.12 5.80 000
device.
93640 TC A Evaluation heart 0.00 7.25 7.29 NA NA 0.36 7.61 7.65 NA NA 000
device.
93641 .......... A Electrophysiology 5.93 9.75 10.94 NA NA 0.54 16.22 17.41 NA NA 000
evaluation.
93641 26 A Electrophysiology 5.93 2.50 3.65 2.50 3.65 0.18 8.61 9.76 8.61 9.76 000
evaluation.
93641 TC A Electrophysiology 0.00 7.25 7.29 NA NA 0.36 7.61 7.65 NA NA 000
evaluation.
93642 .......... A Electrophysiology 4.89 9.26 10.26 NA NA 0.50 14.65 15.65 NA NA 000
evaluation.
93642 26 A Electrophysiology 4.89 2.01 2.97 2.01 2.97 0.14 7.04 8.00 7.04 8.00 000
evaluation.
93642 TC A Electrophysiology 0.00 7.25 7.29 NA NA 0.36 7.61 7.65 NA NA 000
evaluation.
93650 .......... A Ablate heart 10.51 NA NA 4.50 6.51 0.32 NA NA 15.33 17.34 000
dysrhythm focus.
93651 .......... A Ablate heart 16.25 NA NA 6.86 9.98 0.50 NA NA 23.61 26.73 000
dysrhythm focus.
93652 .......... A Ablate heart 17.68 NA NA 7.49 10.46 0.54 NA NA 25.71 28.68 000
dysrhythm focus.
93660 .......... A Tilt table 1.89 0.80 0.99 NA NA 0.06 2.75 2.94 NA NA 000
evaluation.
93660 26 A Tilt table 1.89 0.80 0.99 0.80 0.99 0.06 2.75 2.94 2.75 2.94 000
evaluation.
93660 TC C Tilt table 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA 000
evaluation.
93720 .......... A Total body 0.17 0.76 0.82 NA NA 0.06 0.99 1.05 NA NA XXX
plethysmography.
93721 .......... A Plethysmography 0.00 0.71 0.72 NA NA 0.05 0.76 0.77 NA NA XXX
tracing.
93722 .......... A Plethysmography 0.17 0.05 0.10 0.05 0.10 0.01 0.23 0.28 0.23 0.28 XXX
report.
93724 .......... A Analyze pacemaker 4.89 6.09 6.37 NA NA 0.35 11.33 11.61 NA NA 000
system.
93724 26 A Analyze pacemaker 4.89 2.08 2.34 2.08 2.34 0.14 7.11 7.37 7.11 7.37 000
system.
93724 TC A Analyze pacemaker 0.00 4.01 4.03 NA NA 0.21 4.22 4.24 NA NA 000
system.
93727 .......... A Analyze ilr system. 0.52 0.21 0.21 0.21 0.21 0.02 0.75 0.75 0.75 0.75 XXX
93731 .......... A Analyze pacemaker 0.45 0.69 0.73 NA NA 0.05 1.19 1.23 NA NA XXX
system.
93731 26 A Analyze pacemaker 0.45 0.19 0.23 0.19 0.23 0.02 0.66 0.70 0.66 0.70 XXX
system.
93731 TC A Analyze pacemaker 0.00 0.50 0.50 NA NA 0.03 0.53 0.53 NA NA XXX
system.
93732 .......... A Analyze pacemaker 0.92 0.90 0.92 NA NA 0.06 1.88 1.90 NA NA XXX
system.
93732 26 A Analyze pacemaker 0.92 0.38 0.40 0.38 0.40 0.03 1.33 1.35 1.33 1.35 XXX
system.
93732 TC A Analyze pacemaker 0.00 0.52 0.52 NA NA 0.03 0.55 0.55 NA NA XXX
system.
93733 .......... A Telephone analy, 0.17 0.80 0.85 NA NA 0.06 1.03 1.08 NA NA XXX
pacemaker.
93733 26 A Telephone analy, 0.17 0.07 0.11 0.07 0.11 0.01 0.25 0.29 0.25 0.29 XXX
pacemaker.
93733 TC A Telephone analy, 0.00 0.73 0.74 NA NA 0.05 0.78 0.79 NA NA XXX
pacemaker.
93734 .......... A Analyze pacemaker 0.38 0.51 0.56 NA NA 0.03 0.92 0.97 NA NA XXX
system.
93734 26 A Analyze pacemaker 0.38 0.16 0.21 0.16 0.21 0.01 0.55 0.60 0.55 0.60 XXX
system.
93734 TC A Analyze pacemaker 0.00 0.35 0.35 NA NA 0.02 0.37 0.37 NA NA XXX
system.
93735 .......... A Analyze pacemaker 0.74 0.76 0.80 NA NA 0.06 1.56 1.60 NA NA XXX
system.
93735 26 A Analyze pacemaker 0.74 0.31 0.35 0.31 0.35 0.03 1.08 1.12 1.08 1.12 XXX
system.
93735 TC A Analyze pacemaker 0.00 0.45 0.45 NA NA 0.03 0.48 0.48 NA NA XXX
system.
93736 .......... A Telephone analy, 0.15 0.71 0.74 NA NA 0.06 0.92 0.95 NA NA XXX
pacemaker.
93736 26 A Telephone analy, 0.15 0.07 0.10 0.07 0.10 0.01 0.23 0.26 0.23 0.26 XXX
pacemaker.
93736 TC A Telephone analy, 0.00 0.64 0.64 NA NA 0.05 0.69 0.69 NA NA XXX
pacemaker.
93737 .......... A Analyze cardio/ 0.45 0.69 0.72 NA NA 0.04 1.18 1.21 NA NA XXX
defibrillator.
93737 26 A Analyze cardio/ 0.45 0.19 0.22 0.19 0.22 0.01 0.65 0.68 0.65 0.68 XXX
defibrillator.
93737 TC A Analyze cardio/ 0.00 0.50 0.50 NA NA 0.03 0.53 0.53 NA NA XXX
defibrillator.
93738 .......... A Analyze cardio/ 0.92 0.91 0.92 NA NA 0.06 1.89 1.90 NA NA XXX
defibrillator.
93738 26 A Analyze cardio/ 0.92 0.39 0.40 0.39 0.40 0.03 1.34 1.35 1.34 1.35 XXX
defibrillator.
93738 TC A Analyze cardio/ 0.00 0.52 0.52 NA NA 0.03 0.55 0.55 NA NA XXX
defibrillator.
93740 .......... B Temperature 0.16 0.21 0.28 NA NA 0.02 0.39 0.46 NA NA XXX
gradient studies.
93740 26 B Temperature 0.16 0.05 0.12 0.05 0.12 0.01 0.22 0.29 0.22 0.29 XXX
gradient studies.
93740 TC B Temperature 0.00 0.16 0.16 NA NA 0.01 0.17 0.17 NA NA XXX
gradient studies.
93741 .......... A Analyze ht pace 0.64 1.16 1.17 NA NA 0.05 1.85 1.86 NA NA XXX
device sngl.
93741 26 A Analyze ht pace 0.64 0.25 0.25 0.25 0.25 0.02 0.91 0.91 0.91 0.91 XXX
device sngl.
93741 TC A Analyze ht pace 0.00 0.91 0.92 NA NA 0.03 0.94 0.95 NA NA XXX
device sngl.
93742 .......... A Analyze ht pace 0.73 1.54 1.55 NA NA 0.05 2.32 2.33 NA NA XXX
device sngl.
93742 26 A Analyze ht pace 0.73 0.29 0.29 0.29 0.29 0.02 1.04 1.04 1.04 1.04 XXX
device sngl.
93742 TC A Analyze ht pace 0.00 1.25 1.26 NA NA 0.03 1.28 1.29 NA NA XXX
device sngl.
93743 .......... A Analyze ht pace 0.83 1.24 1.25 NA NA 0.05 2.12 2.13 NA NA XXX
device dual.
93743 26 A Analyze ht pace 0.83 0.33 0.33 0.33 0.33 0.02 1.18 1.18 1.18 1.18 XXX
device dual.
93743 TC A Analyze ht pace 0.00 0.91 0.92 NA NA 0.03 0.94 0.95 NA NA XXX
device dual.
[[Page 44317]]
93744 .......... A Analyze ht pace 0.95 1.63 1.64 NA NA 0.05 2.63 2.64 NA NA XXX
device dual.
93744 26 A Analyze ht pace 0.95 0.38 0.38 0.38 0.38 0.02 1.35 1.35 1.35 1.35 XXX
device dual.
93744 TC A Analyze ht pace 0.00 1.25 1.26 NA NA 0.03 1.28 1.29 NA NA XXX
device dual.
93760 .......... N Cephalic thermogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93762 .......... N Peripheral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thermogram.
93770 .......... B Measure venous 0.16 0.08 0.11 NA NA 0.02 0.26 0.29 NA NA XXX
pressure.
93770 26 B Measure venous 0.16 0.05 0.08 0.05 0.08 0.01 0.22 0.25 0.22 0.25 XXX
pressure.
93770 TC B Measure venous 0.00 0.03 0.03 NA NA 0.01 0.04 0.04 NA NA XXX
pressure.
93784 .......... N Ambulatory BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitoring.
93786 .......... N Ambulatory BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording.
93788 .......... N Ambulatory BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
93790 .......... N Review/report BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording.
93797 .......... A Cardiac rehab...... 0.18 0.34 0.31 0.07 0.11 0.01 0.53 0.50 0.26 0.30 000
93798 .......... A Cardiac rehab/ 0.28 0.43 0.45 0.11 0.21 0.01 0.72 0.74 0.40 0.50 000
monitor.
93799 .......... C Cardiovascular 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
93799 26 C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93799 TC C Cardiovascular 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
93875 .......... A Extracranial study. 0.22 1.19 1.25 NA NA 0.10 1.51 1.57 NA NA XXX
93875 26 A Extracranial study. 0.22 0.08 0.13 0.08 0.13 0.01 0.31 0.36 0.31 0.36 XXX
93875 TC A Extracranial study. 0.00 1.11 1.12 NA NA 0.09 1.20 1.21 NA NA XXX
93880 .......... A Extracranial study. 0.60 3.98 4.05 NA NA 0.34 4.92 4.99 NA NA XXX
93880 26 A Extracranial study. 0.60 0.22 0.27 0.22 0.27 0.04 0.86 0.91 0.86 0.91 XXX
93880 TC A Extracranial study. 0.00 3.76 3.78 NA NA 0.30 4.06 4.08 NA NA XXX
93882 .......... A Extracranial study. 0.40 2.65 2.70 NA NA 0.22 3.27 3.32 NA NA XXX
93882 26 A Extracranial study. 0.40 0.15 0.18 0.15 0.18 0.03 0.58 0.61 0.58 0.61 XXX
93882 TC A Extracranial study. 0.00 2.50 2.52 NA NA 0.19 2.69 2.71 NA NA XXX
93886 .......... A Intracranial study. 0.94 4.64 4.69 NA NA 0.38 5.96 6.01 NA NA XXX
93886 26 A Intracranial study. 0.94 0.38 0.40 0.38 0.40 0.05 1.37 1.39 1.37 1.39 XXX
93886 TC A Intracranial study. 0.00 4.26 4.29 NA NA 0.33 4.59 4.62 NA NA XXX
93888 .......... A Intracranial study. 0.62 3.08 3.12 NA NA 0.27 3.97 4.01 NA NA XXX
93888 26 A Intracranial study. 0.62 0.24 0.26 0.24 0.26 0.04 0.90 0.92 0.90 0.92 XXX
93888 TC A Intracranial study. 0.00 2.84 2.86 NA NA 0.23 3.07 3.09 NA NA XXX
93922 .......... A Extremity study.... 0.25 1.25 1.31 NA NA 0.13 1.63 1.69 NA NA XXX
93922 26 A Extremity study.... 0.25 0.09 0.14 0.09 0.14 0.02 0.36 0.41 0.36 0.41 XXX
93922 TC A Extremity study.... 0.00 1.16 1.17 NA NA 0.11 1.27 1.28 NA NA XXX
93923 .......... A Extremity study.... 0.45 2.38 2.48 NA NA 0.23 3.06 3.16 NA NA XXX
93923 26 A Extremity study.... 0.45 0.17 0.26 0.17 0.26 0.04 0.66 0.75 0.66 0.75 XXX
93923 TC A Extremity study.... 0.00 2.21 2.22 NA NA 0.19 2.40 2.41 NA NA XXX
93924 .......... A Extremity study.... 0.50 2.57 2.70 NA NA 0.27 3.34 3.47 NA NA XXX
93924 26 A Extremity study.... 0.50 0.18 0.29 0.18 0.29 0.05 0.73 0.84 0.73 0.84 XXX
93924 TC A Extremity study.... 0.00 2.39 2.41 NA NA 0.22 2.61 2.63 NA NA XXX
93925 .......... A Lower extremity 0.58 3.99 4.06 NA NA 0.34 4.91 4.98 NA NA XXX
study.
93925 26 A Lower extremity 0.58 0.21 0.26 0.21 0.26 0.04 0.83 0.88 0.83 0.88 XXX
study.
93925 TC A Lower extremity 0.00 3.78 3.80 NA NA 0.30 4.08 4.10 NA NA XXX
study.
93926 .......... A Lower extremity 0.39 2.66 2.72 NA NA 0.23 3.28 3.34 NA NA XXX
study.
93926 26 A Lower extremity 0.39 0.14 0.18 0.14 0.18 0.03 0.56 0.60 0.56 0.60 XXX
study.
93926 TC A Lower extremity 0.00 2.52 2.54 NA NA 0.20 2.72 2.74 NA NA XXX
study.
93930 .......... A Upper extremity 0.46 4.19 4.27 NA NA 0.35 5.00 5.08 NA NA XXX
study.
93930 26 A Upper extremity 0.46 0.17 0.23 0.17 0.23 0.03 0.66 0.72 0.66 0.72 XXX
study.
93930 TC A Upper extremity 0.00 4.02 4.04 NA NA 0.32 4.34 4.36 NA NA XXX
study.
93931 .......... A Upper extremity 0.31 2.78 2.84 NA NA 0.23 3.32 3.38 NA NA XXX
study.
93931 26 A Upper extremity 0.31 0.11 0.15 0.11 0.15 0.02 0.44 0.48 0.44 0.48 XXX
study.
93931 TC A Upper extremity 0.00 2.67 2.69 NA NA 0.21 2.88 2.90 NA NA XXX
study.
93965 .......... A Extremity study.... 0.35 1.23 1.31 NA NA 0.12 1.70 1.78 NA NA XXX
93965 26 A Extremity study.... 0.35 0.13 0.20 0.13 0.20 0.02 0.50 0.57 0.50 0.57 XXX
93965 TC A Extremity study.... 0.00 1.10 1.11 NA NA 0.10 1.20 1.21 NA NA XXX
93970 .......... A Extremity study.... 0.68 4.42 4.50 NA NA 0.39 5.49 5.57 NA NA XXX
93970 26 A Extremity study.... 0.68 0.25 0.30 0.25 0.30 0.05 0.98 1.03 0.98 1.03 XXX
93970 TC A Extremity study.... 0.00 4.17 4.20 NA NA 0.34 4.51 4.54 NA NA XXX
93971 .......... A Extremity study.... 0.45 2.94 2.99 NA NA 0.26 3.65 3.70 NA NA XXX
93971 26 A Extremity study.... 0.45 0.16 0.19 0.16 0.19 0.03 0.64 0.67 0.64 0.67 XXX
93971 TC A Extremity study.... 0.00 2.78 2.80 NA NA 0.23 3.01 3.03 NA NA XXX
93975 .......... A Vascular study..... 1.80 5.39 5.38 NA NA 0.47 7.66 7.65 NA NA XXX
93975 26 A Vascular study..... 1.80 0.64 0.60 0.64 0.60 0.10 2.54 2.50 2.54 2.50 XXX
93975 TC A Vascular study..... 0.00 4.75 4.78 NA NA 0.37 5.12 5.15 NA NA XXX
93976 .......... A Vascular study..... 1.21 3.60 3.59 NA NA 0.32 5.13 5.12 NA NA XXX
93976 26 A Vascular study..... 1.21 0.43 0.40 0.43 0.40 0.06 1.70 1.67 1.70 1.67 XXX
93976 TC A Vascular study..... 0.00 3.17 3.19 NA NA 0.26 3.43 3.45 NA NA XXX
93978 .......... A Vascular study..... 0.65 4.13 4.20 NA NA 0.37 5.15 5.22 NA NA XXX
93978 26 A Vascular study..... 0.65 0.24 0.29 0.24 0.29 0.05 0.94 0.99 0.94 0.99 XXX
93978 TC A Vascular study..... 0.00 3.89 3.91 NA NA 0.32 4.21 4.23 NA NA XXX
93979 .......... A Vascular study..... 0.44 2.76 2.81 NA NA 0.24 3.44 3.49 NA NA XXX
93979 26 A Vascular study..... 0.44 0.17 0.20 0.17 0.20 0.03 0.64 0.67 0.64 0.67 XXX
93979 TC A Vascular study..... 0.00 2.59 2.61 NA NA 0.21 2.80 2.82 NA NA XXX
93980 .......... A Penile vascular 1.25 3.96 4.10 NA NA 0.37 5.58 5.72 NA NA XXX
study.
93980 26 A Penile vascular 1.25 0.43 0.55 0.43 0.55 0.08 1.76 1.88 1.76 1.88 XXX
study.
93980 TC A Penile vascular 0.00 3.53 3.55 NA NA 0.29 3.82 3.84 NA NA XXX
study.
93981 .......... A Penile vascular 0.44 3.40 3.49 NA NA 0.30 4.14 4.23 NA NA XXX
study.
93981 26 A Penile vascular 0.44 0.15 0.22 0.15 0.22 0.03 0.62 0.69 0.62 0.69 XXX
study.
93981 TC A Penile vascular 0.00 3.25 3.27 NA NA 0.27 3.52 3.54 NA NA XXX
study.
93990 .......... A Doppler flow 0.25 2.62 2.67 NA NA 0.21 3.08 3.13 NA NA XXX
testing.
93990 26 A Doppler flow 0.25 0.10 0.13 0.10 0.13 0.01 0.36 0.39 0.36 0.39 XXX
testing.
[[Page 44318]]
93990 TC A Doppler flow 0.00 2.52 2.54 NA NA 0.20 2.72 2.74 NA NA XXX
testing.
94010 .......... A Breathing capacity 0.17 0.47 0.53 NA NA 0.03 0.67 0.73 NA NA XXX
test.
94010 26 A Breathing capacity 0.17 0.05 0.11 0.05 0.11 0.01 0.23 0.29 0.23 0.29 XXX
test.
94010 TC A Breathing capacity 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
test.
94014 .......... A Patient recorded 0.52 0.83 0.78 NA NA 0.03 1.38 1.33 NA NA XXX
spirometry.
94015 .......... A Patient recorded 0.00 0.62 0.57 NA NA 0.01 0.63 0.58 NA NA XXX
spirometry.
94016 .......... A Review patient 0.52 0.21 0.21 0.21 0.21 0.02 0.75 0.75 0.75 0.75 XXX
spirometry.
94060 .......... A Evaluation of 0.31 1.04 1.12 NA NA 0.06 1.41 1.49 NA NA XXX
wheezing.
94060 26 A Evaluation of 0.31 0.09 0.16 0.09 0.16 0.01 0.41 0.48 0.41 0.48 XXX
wheezing.
94060 TC A Evaluation of 0.00 0.95 0.96 NA NA 0.05 1.00 1.01 NA NA XXX
wheezing.
94070 .......... A Evaluation of 0.60 1.66 1.73 NA NA 0.10 2.36 2.43 NA NA XXX
wheezing.
94070 26 A Evaluation of 0.60 0.18 0.24 0.18 0.24 0.02 0.80 0.86 0.80 0.86 XXX
wheezing.
94070 TC A Evaluation of 0.00 1.48 1.49 NA NA 0.08 1.56 1.57 NA NA XXX
wheezing.
94150 .......... B Vital capacity test 0.07 0.12 0.14 NA NA 0.02 0.21 0.23 NA NA XXX
94150 26 B Vital capacity test 0.07 0.03 0.05 0.03 0.05 0.01 0.11 0.13 0.11 0.13 XXX
94150 TC B Vital capacity test 0.00 0.09 0.09 NA NA 0.01 0.10 0.10 NA NA XXX
94200 .......... A Lung function test 0.11 0.28 0.31 NA NA 0.03 0.42 0.45 NA NA XXX
(MBC/MVV).
94200 26 A Lung function test 0.11 0.03 0.06 0.03 0.06 0.01 0.15 0.18 0.15 0.18 XXX
(MBC/MVV).
94200 TC A Lung function test 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX
(MBC/MVV).
94240 .......... A Residual lung 0.26 0.77 0.82 NA NA 0.05 1.08 1.13 NA NA XXX
capacity.
94240 26 A Residual lung 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX
capacity.
94240 TC A Residual lung 0.00 0.69 0.70 NA NA 0.04 0.73 0.74 NA NA XXX
capacity.
94250 .......... A Expired gas 0.11 0.17 0.20 NA NA 0.02 0.30 0.33 NA NA XXX
collection.
94250 26 A Expired gas 0.11 0.03 0.06 0.03 0.06 0.01 0.15 0.18 0.15 0.18 XXX
collection.
94250 TC A Expired gas 0.00 0.14 0.14 NA NA 0.01 0.15 0.15 NA NA XXX
collection.
94260 .......... A Thoracic gas volume 0.13 0.59 0.62 NA NA 0.04 0.76 0.79 NA NA XXX
94260 26 A Thoracic gas volume 0.13 0.04 0.07 0.04 0.07 0.01 0.18 0.21 0.18 0.21 XXX
94260 TC A Thoracic gas volume 0.00 0.55 0.55 NA NA 0.03 0.58 0.58 NA NA XXX
94350 .......... A Lung nitrogen 0.26 0.63 0.67 NA NA 0.04 0.93 0.97 NA NA XXX
washout curve.
94350 26 A Lung nitrogen 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX
washout curve.
94350 TC A Lung nitrogen 0.00 0.55 0.55 NA NA 0.03 0.58 0.58 NA NA XXX
washout curve.
94360 .......... A Measure airflow 0.26 1.06 1.10 NA NA 0.06 1.38 1.42 NA NA XXX
resistance.
94360 26 A Measure airflow 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 XXX
resistance.
94360 TC A Measure airflow 0.00 0.98 0.99 NA NA 0.05 1.03 1.04 NA NA XXX
resistance.
94370 .......... A Breath airway 0.26 0.35 0.37 NA NA 0.03 0.64 0.66 NA NA XXX
closing volume.
94370 26 A Breath airway 0.26 0.08 0.10 0.08 0.10 0.01 0.35 0.37 0.35 0.37 XXX
closing volume.
94370 TC A Breath airway 0.00 0.27 0.27 NA NA 0.02 0.29 0.29 NA NA XXX
closing volume.
94375 .......... A Respiratory flow 0.31 0.58 0.62 NA NA 0.03 0.92 0.96 NA NA XXX
volume loop.
94375 26 A Respiratory flow 0.31 0.09 0.13 0.09 0.13 0.01 0.41 0.45 0.41 0.45 XXX
volume loop.
94375 TC A Respiratory flow 0.00 0.49 0.49 NA NA 0.02 0.51 0.51 NA NA XXX
volume loop.
94400 .......... A CO2 breathing 0.40 0.45 0.55 NA NA 0.07 0.92 1.02 NA NA XXX
response curve.
94400 26 A CO2 breathing 0.40 0.13 0.23 0.13 0.23 0.02 0.55 0.65 0.55 0.65 XXX
response curve.
94400 TC A CO2 breathing 0.00 0.32 0.32 NA NA 0.05 0.37 0.37 NA NA XXX
response curve.
94450 .......... A Hypoxia response 0.40 0.52 0.55 NA NA 0.03 0.95 0.98 NA NA XXX
curve.
94450 26 A Hypoxia response 0.40 0.13 0.16 0.13 0.16 0.01 0.54 0.57 0.54 0.57 XXX
curve.
94450 TC A Hypoxia response 0.00 0.39 0.39 NA NA 0.02 0.41 0.41 NA NA XXX
curve.
94620 .......... A Pulmonary stress 0.64 1.64 1.79 NA NA 0.11 2.39 2.54 NA NA XXX
test/simple.
94620 26 A Pulmonary stress 0.64 0.20 0.34 0.20 0.34 0.03 0.87 1.01 0.87 1.01 XXX
test/simple.
94620 TC A Pulmonary stress 0.00 1.44 1.45 NA NA 0.08 1.52 1.53 NA NA XXX
test/simple.
94621 .......... A Pulm stress test/ 1.42 1.88 1.97 NA NA 0.11 3.41 3.50 NA NA XXX
complex.
94621 26 A Pulm stress test/ 1.42 0.44 0.52 0.44 0.52 0.03 1.89 1.97 1.89 1.97 XXX
complex.
94621 TC A Pulm stress test/ 0.00 1.44 1.45 NA NA 0.08 1.52 1.53 NA NA XXX
complex.
94640 .......... A Airway inhalation 0.00 0.59 0.55 0.19 0.25 0.02 0.61 0.57 0.21 0.27 XXX
treatment.
94642 .......... C Aerosol inhalation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
94650 .......... A Pressure breathing 0.00 0.56 0.52 0.18 0.24 0.02 0.58 0.54 0.20 0.26 XXX
(IPPB).
94651 .......... A Pressure breathing 0.00 0.51 0.48 0.17 0.23 0.02 0.53 0.50 0.19 0.25 XXX
(IPPB).
94652 .......... A Pressure breathing 0.00 0.60 0.56 0.19 0.25 0.06 0.66 0.62 0.25 0.31 XXX
(IPPB).
94656 .......... A Initial ventilator 1.22 NA NA 0.33 0.56 0.06 NA NA 1.61 1.84 XXX
mgmt.
94657 .......... A Continued 0.83 NA NA 0.25 0.36 0.03 NA NA 1.11 1.22 XXX
ventilator mgmt.
94660 .......... A Pos airway 0.76 0.57 0.62 0.23 0.37 0.03 1.36 1.41 1.02 1.16 XXX
pressure, CPAP.
94662 .......... A Neg press 0.76 NA NA 0.24 0.26 0.02 NA NA 1.02 1.04 XXX
ventilation, cnp.
94664 .......... A Aerosol or vapor 0.00 0.43 0.46 0.14 0.24 0.03 0.46 0.49 0.17 0.27 XXX
inhalations.
94665 .......... A Aerosol or vapor 0.00 0.46 0.47 0.15 0.24 0.04 0.50 0.51 0.19 0.28 XXX
inhalations.
94667 .......... A Chest wall 0.00 0.60 0.60 0.19 0.29 0.04 0.64 0.64 0.23 0.33 XXX
manipulation.
94668 .......... A Chest wall 0.00 0.59 0.54 0.18 0.23 0.02 0.61 0.56 0.20 0.25 XXX
manipulation.
94680 .......... A Exhaled air 0.26 0.61 0.67 NA NA 0.06 0.93 0.99 NA NA XXX
analysis, o2.
94680 26 A Exhaled air 0.26 0.09 0.15 0.09 0.15 0.01 0.36 0.42 0.36 0.42 XXX
analysis, o2.
94680 TC A Exhaled air 0.00 0.52 0.52 NA NA 0.05 0.57 0.57 NA NA XXX
analysis, o2.
94681 .......... A Exhaled air 0.20 1.46 1.52 NA NA 0.11 1.77 1.83 NA NA XXX
analysis, o2/co2.
94681 26 A Exhaled air 0.20 0.06 0.11 0.06 0.11 0.01 0.27 0.32 0.27 0.32 XXX
analysis, o2/co2.
94681 TC A Exhaled air 0.00 1.40 1.41 NA NA 0.10 1.50 1.51 NA NA XXX
analysis, o2/co2.
94690 .......... A Exhaled air 0.07 0.56 0.57 NA NA 0.04 0.67 0.68 NA NA XXX
analysis.
94690 26 A Exhaled air 0.07 0.02 0.03 0.02 0.03 0.01 0.10 0.11 0.10 0.11 XXX
analysis.
94690 TC A Exhaled air 0.00 0.54 0.54 NA NA 0.03 0.57 0.57 NA NA XXX
analysis.
94720 .......... A Monoxide diffusing 0.26 0.93 0.98 NA NA 0.06 1.25 1.30 NA NA XXX
capacity.
94720 26 A Monoxide diffusing 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX
capacity.
94720 TC A Monoxide diffusing 0.00 0.85 0.86 NA NA 0.05 0.90 0.91 NA NA XXX
capacity.
94725 .......... A Membrane diffusion 0.26 1.84 1.88 NA NA 0.11 2.21 2.25 NA NA XXX
capacity.
94725 26 A Membrane diffusion 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 XXX
capacity.
94725 TC A Membrane diffusion 0.00 1.76 1.77 NA NA 0.10 1.86 1.87 NA NA XXX
capacity.
94750 .......... A Pulmonary 0.23 0.66 0.71 NA NA 0.04 0.93 0.98 NA NA XXX
compliance study.
94750 26 A Pulmonary 0.23 0.07 0.12 0.07 0.12 0.01 0.31 0.36 0.31 0.36 XXX
compliance study.
[[Page 44319]]
94750 TC A Pulmonary 0.00 0.59 0.59 NA NA 0.03 0.62 0.62 NA NA XXX
compliance study.
94760 .......... T Measure blood 0.00 0.07 0.12 0.02 0.08 0.02 0.09 0.14 0.04 0.10 XXX
oxygen level.
94761 .......... T Measure blood 0.00 0.14 0.28 0.05 0.21 0.05 0.19 0.33 0.10 0.26 XXX
oxygen level.
94762 .......... A Measure blood 0.00 0.11 0.38 NA NA 0.08 0.19 0.46 NA NA XXX
oxygen level.
94770 .......... A Exhaled carbon 0.15 0.34 0.36 NA NA 0.07 0.56 0.58 NA NA XXX
dioxide test.
94770 26 A Exhaled carbon 0.15 0.04 0.06 0.04 0.06 0.01 0.20 0.22 0.20 0.22 XXX
dioxide test.
94770 TC A Exhaled carbon 0.00 0.30 0.30 NA NA 0.06 0.36 0.36 NA NA XXX
dioxide test.
94772 .......... C Breath recording, 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
infant.
94772 26 C Breath recording, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infant.
94772 TC C Breath recording, 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
infant.
94799 .......... C Pulmonary service/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
94799 26 C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
94799 TC C Pulmonary service/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
procedure.
95004 .......... A Allergy skin tests. 0.00 0.10 0.10 0.10 0.10 0.01 0.11 0.11 0.11 0.11 XXX
95010 .......... A Sensitivity skin 0.15 0.39 0.32 0.06 0.08 0.01 0.55 0.48 0.22 0.24 XXX
tests.
95015 .......... A Sensitivity skin 0.15 0.41 0.34 0.07 0.08 0.01 0.57 0.50 0.23 0.24 XXX
tests.
95024 .......... A Allergy skin tests. 0.00 0.15 0.15 0.15 0.15 0.01 0.16 0.16 0.16 0.16 XXX
95027 .......... A Skin end point 0.00 0.15 0.15 NA NA 0.01 0.16 0.16 NA NA XXX
titration.
95028 .......... A Allergy skin tests. 0.00 0.23 0.23 NA NA 0.01 0.24 0.24 NA NA XXX
95044 .......... A Allergy patch tests 0.00 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 XXX
95052 .......... A Photo patch test... 0.00 0.25 0.25 0.25 0.25 0.01 0.26 0.26 0.26 0.26 XXX
95056 .......... A Photosensitivity 0.00 0.18 0.18 0.18 0.18 0.01 0.19 0.19 0.19 0.19 XXX
tests.
95060 .......... A Eye allergy tests.. 0.00 0.35 0.35 NA NA 0.02 0.37 0.37 NA NA XXX
95065 .......... A Nose allergy test.. 0.00 0.21 0.21 NA NA 0.01 0.22 0.22 NA NA XXX
95070 .......... A Bronchial allergy 0.00 2.31 2.32 NA NA 0.02 2.33 2.34 NA NA XXX
tests.
95071 .......... A Bronchial allergy 0.00 2.95 2.97 NA NA 0.02 2.97 2.99 NA NA XXX
tests.
95075 .......... A Ingestion challenge 0.95 0.80 1.14 0.39 0.83 0.03 1.78 2.12 1.37 1.81 XXX
test.
95078 .......... A Provocative testing 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX
95115 .......... A Immunotherapy, one 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 000
injection.
95117 .......... A Immunotherapy 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 000
injections.
95120 .......... I Immunotherapy, one 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
95125 .......... I Immunotherapy, many 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigens.
95130 .......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venom.
95131 .......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95132 .......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95133 .......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95134 .......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95144 .......... A Antigen therapy 0.06 0.22 0.20 0.03 0.06 0.01 0.29 0.27 0.10 0.13 000
services.
95145 .......... A Antigen therapy 0.06 0.45 0.43 0.03 0.12 0.01 0.52 0.50 0.10 0.19 000
services.
95146 .......... A Antigen therapy 0.06 0.60 0.62 0.03 0.19 0.01 0.67 0.69 0.10 0.26 000
services.
95147 .......... A Antigen therapy 0.06 0.74 0.80 0.02 0.26 0.01 0.81 0.87 0.09 0.33 000
services.
95148 .......... A Antigen therapy 0.06 0.75 0.81 0.02 0.26 0.01 0.82 0.88 0.09 0.33 000
services.
95149 .......... A Antigen therapy 0.06 0.92 1.00 0.02 0.33 0.01 0.99 1.07 0.09 0.40 000
services.
95165 .......... A Antigen therapy 0.06 0.23 0.20 0.02 0.04 0.01 0.30 0.27 0.09 0.11 000
services.
95170 .......... A Antigen therapy 0.06 0.23 0.27 0.02 0.11 0.01 0.30 0.34 0.09 0.18 000
services.
95180 .......... A Rapid 2.01 1.50 1.16 0.87 0.69 0.06 3.57 3.23 2.94 2.76 000
desensitization.
95199 .......... C Allergy immunology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
services.
95805 .......... A Multiple sleep 1.88 9.74 8.80 NA NA 0.35 11.97 11.03 NA NA XXX
latency test.
95805 26 A Multiple sleep 1.88 0.66 0.65 0.66 0.65 0.06 2.60 2.59 2.60 2.59 XXX
latency test.
95805 TC A Multiple sleep 0.00 9.08 8.15 NA NA 0.29 9.37 8.44 NA NA XXX
latency test.
95806 .......... A Sleep study, 1.66 2.21 3.60 NA NA 0.32 4.19 5.58 NA NA XXX
unattended.
95806 26 A Sleep study, 1.66 0.53 1.06 0.53 1.06 0.05 2.24 2.77 2.24 2.77 XXX
unattended.
95806 TC A Sleep study, 0.00 1.68 2.54 NA NA 0.27 1.95 2.81 NA NA XXX
unattended.
95807 .......... A Sleep study, 1.66 7.01 7.47 NA NA 0.41 9.08 9.54 NA NA XXX
attended.
95807 26 A Sleep study, 1.66 0.53 0.90 0.53 0.90 0.05 2.24 2.61 2.24 2.61 XXX
attended.
95807 TC A Sleep study, 0.00 6.48 6.57 NA NA 0.36 6.84 6.93 NA NA XXX
attended.
95808 .......... A Polysomnography, 1- 2.65 10.89 10.55 NA NA 0.45 13.99 13.65 NA NA XXX
3.
95808 26 A Polysomnography, 1- 2.65 0.92 1.36 0.92 1.36 0.09 3.66 4.10 3.66 4.10 XXX
3.
95808 TC A Polysomnography, 1- 0.00 9.97 9.19 NA NA 0.36 10.33 9.55 NA NA XXX
3.
95810 .......... A Polysomnography, 4 3.53 17.47 15.48 NA NA 0.47 21.47 19.48 NA NA XXX
or more.
95810 26 A Polysomnography, 4 3.53 1.18 1.55 1.18 1.55 0.11 4.82 5.19 4.82 19 XXX
or more.
95810 TC A Polysomnography, 4 0.00 16.29 13.93 NA NA 0.36 16.65 14.29 NA NA XXX
or more.
95811 .......... A Polysomnography w/ 3.80 14.75 13.56 NA NA 0.49 19.04 17.85 NA NA XXX
cpap.
95811 26 A Polysomnography w/ 3.80 1.28 1.66 1.28 1.66 0.12 5.20 5.58 5.20 5.58 XXX
cpap.
95811 TC A Polysomnography w/ 0.00 13.47 11.90 NA NA 0.37 13.84 12.27 NA NA XXX
cpap.
95812 .......... A Electroencephalogra 1.08 3.00 2.75 NA NA 0.13 4.21 3.96 NA NA XXX
m (EEG).
95812 26 A Electroencephalogra 1.08 0.45 0.47 0.45 0.47 0.04 1.57 1.59 1.57 1.59 XXX
m (EEG).
95812 TC A Electroencephalogra 0.00 2.55 2.28 NA NA 0.09 2.64 2.37 NA NA XXX
m (EEG).
95813 .......... A Electroencephalogra 1.73 4.41 3.82 NA NA 0.16 6.30 5.71 NA NA XXX
m (EEG).
95813 26 A Electroencephalogra 1.73 0.72 0.68 0.72 0.68 0.07 2.52 2.48 2.52 2.48 XXX
m (EEG).
95813 TC A Electroencephalogra 0.00 3.69 3.14 NA NA 0.09 3.78 3.23 NA NA XXX
m (EEG).
95816 .......... A Electroencephalogra 1.08 3.06 2.71 NA NA 0.12 4.26 3.91 NA NA XXX
m (EEG).
95816 26 A Electroencephalogra 1.08 0.46 0.42 0.46 0.42 0.04 1.58 1.54 1.58 1.54 XXX
m (EEG).
95816 TC A Electroencephalogra 0.00 2.60 2.29 NA NA 0.08 2.68 2.37 NA NA XXX
m (EEG).
95819 .......... A Electroencephalogra 1.08 3.24 2.92 NA NA 0.12 4.44 4.12 NA NA XXX
m (EEG).
95819 26 A Electroencephalogra 1.08 0.46 0.48 0.46 0.48 0.04 1.58 1.60 1.58 1.60 XXX
m (EEG).
95819 TC A Electroencephalogra 0.00 2.78 2.44 NA NA 0.08 2.86 2.52 NA NA XXX
m (EEG).
95822 .......... A Sleep 1.08 2.07 2.18 NA NA 0.15 3.30 3.41 NA NA XXX
electroencephalogr
am.
95822 26 A Sleep 1.08 0.46 0.50 0.46 0.50 0.04 1.58 1.62 1.58 1.62 XXX
electroencephalogr
am.
95822 TC A Sleep 0.00 1.61 1.68 NA NA 0.11 1.72 1.79 NA NA XXX
electroencephalogr
am.
95824 .......... A Electroencephalogra 0.74 0.69 1.12 NA NA 0.05 1.48 1.91 NA NA XXX
phy.
95824 26 A Electroencephalogra 0.74 0.32 0.40 0.32 0.40 0.03 1.09 1.17 1.09 1.17 XXX
phy.
[[Page 44320]]
95824 TC A Electroencephalogra 0.00 0.37 0.72 NA NA 0.02 0.39 0.74 NA NA XXX
phy.
95827 .......... A Night 1.08 2.71 2.86 NA NA 0.16 3.95 4.10 NA NA XXX
electroencephalogr
am.
95827 26 A Night 1.08 0.39 0.53 0.39 0.53 0.04 1.51 1.65 1.51 1.65 XXX
electroencephalogr
am.
95827 TC A Night 0.00 2.32 2.33 NA NA 0.12 2.44 2.45 NA NA XXX
electroencephalogr
am.
95829 .......... A Surgery 6.21 7.49 5.78 NA NA 0.26 13.96 12.25 NA NA XXX
electrocorticogram.
95829 26 A Surgery 6.21 2.48 1.98 2.48 1.98 0.24 8.93 8.43 8.93 8.43 XXX
electrocorticogram.
95829 TC A Surgery 0.00 5.01 3.80 NA NA 0.02 5.03 3.82 NA NA XXX
electrocorticogram.
95830 .......... A Insert electrodes 1.70 2.80 2.31 0.74 0.77 0.07 4.57 4.08 2.51 2.54 XXX
for EEG.
95831 .......... A Limb muscle 0.28 0.38 0.36 0.14 0.18 0.01 0.67 0.65 0.43 0.47 XXX
testing, manual.
95832 .......... A Hand muscle 0.29 0.33 0.32 0.14 0.17 0.01 0.63 0.62 0.44 0.47 XXX
testing, manual.
95833 .......... A Body muscle 0.47 0.49 0.47 0.23 0.28 0.02 0.98 0.96 0.72 0.77 XXX
testing, manual.
95834 .......... A Body muscle 0.60 0.58 0.60 0.29 0.38 0.02 1.20 1.22 0.91 1.00 XXX
testing, manual.
95851 .......... A Range of motion 0.16 0.43 0.39 0.08 0.13 0.01 0.60 0.56 0.25 0.30 XXX
measurements.
95852 .......... A Range of motion 0.11 0.36 0.31 0.06 0.09 0.01 0.48 0.43 0.18 0.21 XXX
measurements.
95857 .......... A Tensilon test...... 0.53 0.57 0.56 0.23 0.31 0.02 1.12 1.11 0.78 0.86 XXX
95858 .......... A Tensilon test & 1.56 1.07 1.08 NA NA 0.09 2.72 2.73 NA NA XXX
myogram.
95858 26 A Tensilon test & 1.56 0.67 0.68 0.67 0.68 0.06 2.29 2.30 2.29 2.30 XXX
myogram.
95858 TC A Tensilon test & 0.00 0.40 0.40 NA NA 0.03 0.43 0.43 NA NA XXX
myogram.
95860 .......... A Muscle test, one 0.96 0.81 0.90 NA NA 0.06 1.83 1.92 NA NA XXX
limb.
95860 26 A Muscle test, one 0.96 0.43 0.52 0.43 0.52 0.04 1.43 1.52 1.43 1.52 XXX
limb.
95860 TC A Muscle test, one 0.00 0.38 0.38 NA NA 0.02 0.40 0.40 NA NA XXX
limb.
95861 .......... A Muscle test, two 1.54 1.43 1.61 NA NA 0.11 3.08 3.26 NA NA XXX
limbs.
95861 26 A Muscle test, two 1.54 0.69 0.86 0.69 0.86 0.06 2.29 2.46 2.29 2.46 XXX
limbs.
95861 TC A Muscle test, two 0.00 0.74 0.75 NA NA 0.05 0.79 0.80 NA NA XXX
limbs.
95863 .......... A Muscle test, 3 1.87 1.76 1.95 NA NA 0.12 3.75 3.94 NA NA XXX
limbs.
95863 26 A Muscle test, 3 1.87 0.81 0.99 0.81 0.99 0.07 2.75 2.93 2.75 2.93 XXX
limbs.
95863 TC A Muscle test, 3 0.00 0.95 0.96 NA NA 0.05 1.00 1.01 NA NA XXX
limbs.
95864 .......... A Muscle test, 4 1.99 2.68 2.95 NA NA 0.18 4.85 5.12 NA NA XXX
limbs.
95864 26 A Muscle test, 4 1.99 0.88 1.14 0.88 1.14 0.08 2.95 3.21 2.95 3.21 XXX
limbs.
95864 TC A Muscle test, 4 0.00 1.80 1.81 NA NA 0.10 1.90 1.91 NA NA XXX
limbs.
95867 .......... A Muscle test, head 0.79 0.93 1.00 NA NA 0.06 1.78 1.85 NA NA XXX
or neck.
95867 26 A Muscle test, head 0.79 0.34 0.41 0.34 0.41 0.03 1.16 1.23 1.16 1.23 XXX
or neck.
95867 TC A Muscle test, head 0.00 0.59 0.59 NA NA 0.03 0.62 0.62 NA NA XXX
or neck.
95868 .......... A Muscle test, head 1.18 1.20 1.43 NA NA 0.09 2.47 2.70 NA NA XXX
or neck.
95868 26 A Muscle test, head 1.18 0.50 0.72 0.50 0.72 0.05 1.73 1.95 1.73 1.95 XXX
or neck.
95868 TC A Muscle test, head 0.00 0.70 0.71 NA NA 0.04 0.74 0.75 NA NA XXX
or neck.
95869 .......... A Muscle test, thor 0.37 0.38 0.43 NA NA 0.03 0.78 0.83 NA NA XXX
paraspinal.
95869 26 A Muscle test, thor 0.37 0.16 0.21 0.16 0.21 0.01 0.54 0.59 0.54 0.59 XXX
paraspinal.
95869 TC A Muscle test, thor 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
paraspinal.
95870 .......... A Muscle test, 0.37 0.38 0.43 NA NA 0.03 0.78 0.83 NA NA XXX
nonparaspinal.
95870 26 A Muscle test, 0.37 0.16 0.21 0.16 0.21 0.01 0.54 0.59 0.54 0.59 XXX
nonparaspinal.
95870 TC A Muscle test, 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
nonparaspinal.
95872 .......... A Muscle test, one 1.50 1.25 1.28 NA NA 0.10 2.85 2.88 NA NA XXX
fiber.
95872 26 A Muscle test, one 1.50 0.64 0.67 0.64 0.67 0.06 2.20 2.23 2.20 2.23 XXX
fiber.
95872 TC A Muscle test, one 0.00 0.61 0.61 NA NA 0.04 0.65 0.65 NA NA XXX
fiber.
95875 .......... A Limb exercise test. 1.34 1.25 1.10 NA NA 0.10 2.69 2.54 NA NA XXX
95875 26 A Limb exercise test. 1.34 0.57 0.49 0.57 0.49 0.05 1.96 1.88 1.96 1.88 XXX
95875 TC A Limb exercise test. 0.00 0.68 0.61 NA NA 0.05 0.73 0.66 NA NA XXX
95900 .......... A Motor nerve 0.42 0.47 0.52 NA NA 0.04 0.93 0.98 NA NA XXX
conduction test.
95900 26 A Motor nerve 0.42 0.19 0.24 0.19 0.24 0.02 0.63 0.68 0.63 0.68 XXX
conduction test.
95900 TC A Motor nerve 0.00 0.28 0.28 NA NA 0.02 0.30 0.30 NA NA XXX
conduction test.
95903 .......... A Motor nerve 0.60 0.51 0.54 NA NA 0.04 1.15 1.18 NA NA XXX
conduction test.
95903 26 A Motor nerve 0.60 0.26 0.29 0.26 0.29 0.02 0.88 0.91 0.88 0.91 XXX
conduction test.
95903 TC A Motor nerve 0.00 0.25 0.25 NA NA 0.02 0.27 0.27 NA NA XXX
conduction test.
95904 .......... A Sense/mixed n 0.34 0.37 0.43 NA NA 0.03 0.74 0.80 NA NA XXX
conduction tst.
95904 26 A Sense/mixed n 0.34 0.15 0.21 0.15 0.21 0.01 0.50 0.56 0.50 0.56 XXX
conduction tst.
95904 TC A Sense/mixed n 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
conduction tst.
95920 .......... A Intraop nerve test 2.11 2.26 2.42 NA NA 0.15 4.52 4.68 NA NA ZZZ
add-on.
95920 26 A Intraop nerve test 2.11 0.94 1.09 0.94 1.09 0.09 3.14 3.29 3.14 3.29 ZZZ
add-on.
95920 TC A Intraop nerve test 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA ZZZ
add-on.
95921 .......... A Autonomic nerv 0.90 0.71 0.72 NA NA 0.05 1.66 1.67 NA NA XXX
function test.
95921 26 A Autonomic nerv 0.90 0.33 0.34 0.33 0.34 0.03 1.26 1.27 1.26 1.27 XXX
function test.
95921 TC A Autonomic nerv 0.00 0.38 0.38 NA NA 0.02 0.40 0.40 NA NA XXX
function test.
95922 .......... A Autonomic nerv 0.96 0.78 0.77 NA NA 0.06 1.80 1.79 NA NA XXX
function test.
95922 26 A Autonomic nerv 0.96 0.40 0.39 0.40 0.39 0.04 1.40 1.39 1.40 1.39 XXX
function test.
95922 TC A Autonomic nerv 0.00 0.38 0.38 NA NA 0.02 0.40 0.40 NA NA XXX
function test.
95923 .......... A Autonomic nerv 0.90 2.84 2.31 NA NA 0.06 3.80 3.27 NA NA XXX
function test.
95923 26 A Autonomic nerv 0.90 0.38 0.37 0.38 0.37 0.04 1.32 1.31 1.32 1.31 XXX
function test.
95923 TC A Autonomic nerv 0.00 2.46 1.94 NA NA 0.02 2.48 1.96 NA NA XXX
function test.
95925 .......... A Somatosensory 0.54 1.15 1.28 NA NA 0.07 1.76 1.89 NA NA XXX
testing.
95925 26 A Somatosensory 0.54 0.23 0.35 0.23 0.35 0.02 0.79 0.91 0.79 0.91 XXX
testing.
95925 TC A Somatosensory 0.00 0.92 0.93 NA NA 0.05 0.97 0.98 NA NA XXX
testing.
95926 .......... A Somatosensory 0.54 1.16 1.28 NA NA 0.07 1.77 1.89 NA NA XXX
testing.
95926 26 A Somatosensory 0.54 0.24 0.35 0.24 0.35 0.02 0.80 0.91 0.80 0.91 XXX
testing.
95926 TC A Somatosensory 0.00 0.92 0.93 NA NA 0.05 0.97 0.98 NA NA XXX
testing.
95927 .......... A Somatosensory 0.54 1.18 1.30 NA NA 0.07 1.79 1.91 NA NA XXX
testing.
95927 26 A Somatosensory 0.54 0.26 0.37 0.26 0.37 0.02 0.82 0.93 0.82 0.93 XXX
testing.
95927 TC A Somatosensory 0.00 0.92 0.93 NA NA 0.05 0.97 0.98 NA NA XXX
testing.
95930 .......... A Visual evoked 0.35 0.94 0.93 NA NA 0.02 1.31 1.30 NA NA XXX
potential test.
95930 26 A Visual evoked 0.35 0.15 0.27 0.15 0.27 0.01 0.51 0.63 0.51 0.63 XXX
potential test.
95930 TC A Visual evoked 0.00 0.79 0.66 NA NA 0.01 0.80 0.67 NA NA XXX
potential test.
95933 .......... A Blink reflex test.. 0.59 1.02 1.11 NA NA 0.07 1.68 1.77 NA NA XXX
[[Page 44321]]
95933 26 A Blink reflex test.. 0.59 0.23 0.31 0.23 0.31 0.02 0.84 0.92 0.84 0.92 XXX
95933 TC A Blink reflex test.. 0.00 0.79 0.80 NA NA 0.05 0.84 0.85 NA NA XXX
95934 .......... A H-reflex test...... 0.51 0.45 0.49 NA NA 0.04 1.00 1.04 NA NA XXX
95934 26 A H-reflex test...... 0.51 0.23 0.27 0.23 0.27 0.02 0.76 0.80 0.76 0.80 XXX
95934 TC A H-reflex test...... 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
95936 .......... A H-reflex test...... 0.55 0.46 0.49 NA NA 0.04 1.05 1.08 NA NA XXX
95936 26 A H-reflex test...... 0.55 0.24 0.27 0.24 0.27 0.02 0.81 0.84 0.81 0.84 XXX
95936 TC A H-reflex test...... 0.00 0.22 0.22 NA NA 0.02 0.24 0.24 NA NA XXX
95937 .......... A Neuromuscular 0.65 0.60 0.66 NA NA 0.05 1.30 1.36 NA NA XXX
junction test.
95937 26 A Neuromuscular 0.65 0.26 0.32 0.26 0.32 0.03 0.94 1.00 0.94 1.00 XXX
junction test.
95937 TC A Neuromuscular 0.00 0.34 0.34 NA NA 0.02 0.36 0.36 NA NA XXX
junction test.
95950 .......... A Ambulatory eeg 1.51 3.47 4.57 NA NA 0.44 5.42 6.52 NA NA XXX
monitoring.
95950 26 A Ambulatory eeg 1.51 0.63 0.80 0.63 0.80 0.07 2.21 2.38 2.21 2.38 XXX
monitoring.
95950 TC A Ambulatory eeg 0.00 2.84 3.77 NA NA 0.37 3.21 4.14 NA NA XXX
monitoring.
95951 .......... A EEG monitoring/ 0.06 21.00 18.15 NA NA 0.63 21.69 18.84 NA NA XXX
videorecord.
95951 26 A EEG monitoring/ 0.06 2.55 2.32 2.55 2.32 0.24 2.85 2.62 2.85 2.62 XXX
videorecord.
95951 TC A EEG monitoring/ 0.00 18.45 15.83 NA NA 0.39 18.84 16.22 NA NA XXX
videorecord.
95953 .......... A EEG monitoring/ 3.08 7.70 7.74 NA NA 0.49 11.27 11.31 NA NA XXX
computer.
95953 26 A EEG monitoring/ 3.08 1.30 1.30 1.30 1.30 0.12 4.50 4.50 4.50 4.50 XXX
computer.
95953 TC A EEG monitoring/ 0.00 6.40 6.44 NA NA 0.37 6.77 6.81 NA NA XXX
computer.
95954 .......... A EEG monitoring/ 2.45 3.66 3.37 NA NA 0.15 6.26 5.97 NA NA XXX
giving drugs.
95954 26 A EEG monitoring/ 2.45 1.06 1.30 1.06 1.30 0.10 3.61 3.85 3.61 3.85 XXX
giving drugs.
95954 TC A EEG monitoring/ 0.00 2.60 2.07 NA NA 0.05 2.65 2.12 NA NA XXX
giving drugs.
95955 .......... A EEG during surgery. 1.01 2.35 2.55 NA NA 0.19 3.55 3.75 NA NA XXX
95955 26 A EEG during surgery. 1.01 0.37 0.56 0.37 0.56 0.05 1.43 1.62 1.43 1.62 XXX
95955 TC A EEG during surgery. 0.00 1.98 1.99 NA NA 0.14 2.12 2.13 NA NA XXX
95956 .......... A Eeg monitoring, 3.08 23.17 19.43 NA NA 0.49 26.74 23.00 NA NA XXX
cable/radio.
95956 26 A Eeg monitoring, 3.08 1.32 1.40 1.32 1.40 0.12 4.52 4.60 4.52 4.60 XXX
cable/radio.
95956 TC A Eeg monitoring, 0.00 21.85 18.03 NA NA 0.37 22.22 18.40 NA NA XXX
cable/radio.
95957 .......... A EEG digital 1.98 2.57 2.54 NA NA 0.18 4.73 4.70 NA NA XXX
analysis.
95957 26 A EEG digital 1.98 0.85 0.81 0.85 0.81 0.08 2.91 2.87 2.91 2.87 XXX
analysis.
95957 TC A EEG digital 0.00 1.72 1.73 NA NA 0.10 1.82 1.83 NA NA XXX
analysis.
95958 .......... A EEG monitoring/ 4.25 3.51 3.96 NA NA 0.27 8.03 8.48 NA NA XXX
function test.
95958 26 A EEG monitoring/ 4.25 1.75 2.19 1.75 2.19 0.16 6.16 6.60 6.16 6.60 XXX
function test.
95958 TC A EEG monitoring/ 0.00 1.76 1.77 NA NA 0.11 1.87 1.88 NA NA XXX
function test.
95961 .......... A Electrode 2.97 2.64 2.71 NA NA 0.17 5.78 5.85 NA NA XXX
stimulation, brain.
95961 26 A Electrode 2.97 1.32 1.38 1.32 1.38 0.11 4.40 4.46 4.40 4.46 XXX
stimulation, brain.
95961 TC A Electrode 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA XXX
stimulation, brain.
95962 .......... A Electrode stim, 3.21 2.72 2.77 NA NA 0.19 6.12 6.17 NA NA ZZZ
brain add-on.
95962 26 A Electrode stim, 3.21 1.40 1.44 1.40 1.44 0.13 4.74 4.78 4.74 4.78 ZZZ
brain add-on.
95962 TC A Electrode stim, 0.00 1.32 1.33 NA NA 0.06 1.38 1.39 NA NA ZZZ
brain add-on.
95970 .......... A Analyze neurostim, 0.45 0.15 0.15 0.13 0.13 0.03 0.63 0.63 0.61 0.61 XXX
no prog.
95971 .......... A Analyze neurostim, 0.78 0.28 0.28 0.23 0.23 0.05 1.11 1.11 1.06 1.06 XXX
simple.
95972 .......... A Analyze neurostim, 1.50 0.54 0.54 0.45 0.45 0.09 2.13 2.13 2.04 2.04 XXX
complex.
95973 .......... A Analyze neurostim, 0.92 0.33 0.33 0.28 0.28 0.06 1.31 1.31 1.26 1.26 ZZZ
complex.
95974 .......... A Cranial neurostim, 0.03 1.07 1.07 0.95 0.95 0.16 1.26 1.26 1.14 1.14 XXX
complex.
95975 .......... A Cranial neurostim, 1.70 0.62 0.62 0.58 0.58 0.09 2.41 2.41 2.37 2.37 ZZZ
complex.
95999 .......... C Neurological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
96100 .......... A Psychological 0.00 1.78 1.79 1.78 1.79 0.15 1.93 1.94 1.93 1.94 XXX
testing.
96105 .......... A Assessment of 0.00 1.78 1.79 1.78 1.79 0.15 1.93 1.94 1.93 1.94 XXX
aphasia.
96110 .......... C Developmental test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lim.
96111 .......... A Developmental test, 0.00 1.78 1.79 1.78 1.79 0.15 1.93 1.94 1.93 1.94 XXX
extend.
96115 .......... A Neurobehavior 0.00 1.78 1.79 1.78 1.79 0.15 1.93 1.94 1.93 1.94 XXX
status exam.
96117 .......... A Neuropsych test 0.00 1.78 1.79 1.78 1.79 0.15 1.93 1.94 1.93 1.94 XXX
battery.
96400 .......... A Chemotherapy, sc/im 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 XXX
96405 .......... A Intralesional chemo 0.52 1.72 1.39 0.24 0.28 0.02 2.26 1.93 0.78 0.82 000
admin.
96406 .......... A Intralesional chemo 0.80 2.20 1.80 0.26 0.35 0.02 3.02 2.62 1.08 1.17 000
admin.
96408 .......... A Chemotherapy, push 0.00 0.98 0.99 0.98 0.99 0.05 1.03 1.04 1.03 1.04 XXX
technique.
96410 .......... A Chemotherapy,infusi 0.00 1.56 1.57 1.56 1.57 0.07 1.63 1.64 1.63 1.64 XXX
on method.
96412 .......... A Chemo, infuse 0.00 1.16 1.17 1.16 1.17 0.06 1.22 1.23 1.22 1.23 ZZZ
method add-on.
96414 .......... A Chemo, infuse 0.00 1.35 1.36 1.35 1.36 0.07 1.42 1.43 1.42 1.43 XXX
method add-on.
96420 .......... A Chemotherapy, push 0.00 1.26 1.27 1.26 1.27 0.07 1.33 1.34 1.33 1.34 XXX
technique.
96422 .......... A Chemotherapy,infusi 0.00 1.24 1.25 1.24 1.25 0.07 1.31 1.32 1.31 1.32 XXX
on method.
96423 .......... A Chemo, infuse 0.00 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 ZZZ
method add-on.
96425 .......... A Chemotherapy,infusi 0.00 1.45 1.46 1.45 1.46 0.07 1.52 1.53 1.52 1.53 XXX
on method.
96440 .......... A Chemotherapy, 2.37 7.24 5.65 0.99 0.96 0.09 9.70 8.11 3.45 3.42 000
intracavitary.
96445 .......... A Chemotherapy, 2.20 7.39 5.81 0.97 0.99 0.07 9.66 8.08 3.24 3.26 000
intracavitary.
96450 .......... A Chemotherapy, into 1.89 5.81 4.59 0.89 0.90 0.06 7.76 6.54 2.84 2.85 000
CNS.
96520 .......... A Pump refilling, 0.00 0.90 0.91 0.90 0.91 0.05 0.95 0.96 0.95 0.96 XXX
maintenance.
96530 .......... A Pump refilling, 0.00 1.08 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 XXX
maintenance.
96542 .......... A Chemotherapy 1.42 3.54 2.95 0.54 0.70 0.04 5.00 4.41 2.00 2.16 XXX
injection.
96545 .......... B Provide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chemotherapy agent.
96549 .......... C Chemotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unspecified.
96570 .......... A Photodynamic tx, 30 1.10 0.73 0.73 0.44 0.44 0.28 2.11 2.11 1.82 1.82 ZZZ
min.
96571 .......... A Photodynamic tx, 0.55 0.31 0.31 0.22 0.22 0.28 1.14 1.14 1.05 1.05 ZZZ
addl 15 min.
96900 .......... A Ultraviolet light 0.00 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 XXX
therapy.
96902 .......... B Trichogram......... 0.41 0.23 0.25 0.16 0.20 0.01 0.65 0.67 0.58 0.62 XXX
96910 .......... A Photochemotherapy 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
with UV-B.
96912 .......... A Photochemotherapy 0.00 0.66 0.67 0.66 0.67 0.04 0.70 0.71 0.70 0.71 XXX
with UV-A.
96913 .......... A Photochemotherapy, 0.00 1.37 1.38 1.37 1.38 0.08 1.45 1.46 1.45 1.46 XXX
UV-A or B.
96999 .......... C Dermatological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
97001 .......... A Pt evaluation...... 1.20 0.80 0.70 0.51 0.48 0.05 2.05 1.95 1.76 1.73 XXX
[[Page 44322]]
97002 .......... A Pt re-evaluation... 0.60 0.44 0.34 0.24 0.19 0.02 1.06 0.96 0.86 0.81 XXX
97003 .......... A Ot evaluation...... 1.20 0.78 0.68 0.39 0.39 0.05 2.03 1.93 1.64 1.64 XXX
97004 .......... A Ot re-evaluation... 0.60 0.44 0.34 0.19 0.15 0.02 1.06 0.96 0.81 0.77 XXX
97010 .......... B Hot or cold packs 0.06 0.24 0.24 0.03 0.08 0.01 0.31 0.31 0.10 0.15 XXX
therapy.
97012 .......... A Mechanical traction 0.25 0.32 0.29 0.12 0.14 0.01 0.58 0.55 0.38 0.40 XXX
therapy.
97014 .......... A Electric 0.18 0.29 0.27 0.09 0.12 0.01 0.48 0.46 0.28 0.31 XXX
stimulation
therapy.
97016 .......... A Vasopneumatic 0.18 0.29 0.29 0.09 0.14 0.01 0.48 0.48 0.28 0.33 XXX
device therapy.
97018 .......... A Paraffin bath 0.06 0.22 0.23 0.03 0.09 0.01 0.29 0.30 0.10 0.16 XXX
therapy.
97020 .......... A Microwave therapy.. 0.06 0.24 0.24 0.03 0.08 0.01 0.31 0.31 0.10 0.15 XXX
97022 .......... A Whirlpool therapy.. 0.17 0.43 0.38 0.08 0.11 0.01 0.61 0.56 0.26 0.29 XXX
97024 .......... A Diathermy treatment 0.06 0.24 0.24 0.03 0.08 0.01 0.31 0.31 0.10 0.15 XXX
97026 .......... A Infrared therapy... 0.06 0.23 0.23 0.03 0.08 0.01 0.30 0.30 0.10 0.15 XXX
97028 .......... A Ultraviolet therapy 0.08 0.24 0.23 0.04 0.08 0.01 0.33 0.32 0.13 0.17 XXX
97032 .......... A Electrical 0.25 0.35 0.30 0.12 0.13 0.01 0.61 0.56 0.38 0.39 XXX
stimulation.
97033 .......... A Electric current 0.26 0.37 0.32 0.13 0.14 0.01 0.64 0.59 0.40 0.41 XXX
therapy.
97034 .......... A Contrast bath 0.21 0.33 0.28 0.10 0.10 0.01 0.55 0.50 0.32 0.32 XXX
therapy.
97035 .......... A Ultrasound therapy. 0.21 0.21 0.19 0.10 0.11 0.01 0.43 0.41 0.32 0.33 XXX
97036 .......... A Hydrotherapy....... 0.28 0.43 0.38 0.14 0.16 0.01 0.72 0.67 0.43 0.45 XXX
97039 .......... A Physical therapy 0.20 0.32 0.31 0.10 0.14 0.01 0.53 0.52 0.31 0.35 XXX
treatment.
97110 .......... A Therapeutic 0.45 0.32 0.28 0.22 0.20 0.02 0.79 0.75 0.69 0.67 XXX
exercises.
97112 .......... A Neuromuscular 0.45 0.43 0.36 0.22 0.20 0.02 0.90 0.83 0.69 0.67 XXX
reeducation.
97113 .......... A Aquatic therapy/ 0.44 0.44 0.39 0.22 0.22 0.02 0.90 0.85 0.68 0.68 XXX
exercises.
97116 .......... A Gait training 0.40 0.41 0.34 0.20 0.18 0.01 0.82 0.75 0.61 0.59 XXX
therapy.
97124 .......... A Massage therapy.... 0.35 0.38 0.32 0.17 0.16 0.01 0.74 0.68 0.53 0.52 XXX
97139 .......... A Physical medicine 0.21 0.31 0.28 0.10 0.12 0.01 0.53 0.50 0.32 0.34 XXX
procedure.
97140 .......... A Manual therapy..... 0.43 0.41 0.41 0.21 0.21 0.02 0.86 0.86 0.66 0.66 XXX
97150 .......... A Group therapeutic 0.27 0.34 0.31 0.13 0.15 0.02 0.63 0.60 0.42 0.44 XXX
procedures.
97504 .......... A Orthotic training.. 0.45 0.41 0.35 0.22 0.20 0.03 0.89 0.83 0.70 0.68 XXX
97520 .......... A Prosthetic training 0.45 0.43 0.36 0.22 0.21 0.02 0.90 0.83 0.69 0.68 XXX
97530 .......... A Therapeutic 0.44 0.30 0.27 0.22 0.21 0.02 0.76 0.73 0.68 0.67 XXX
activities.
97535 .......... A Self care mngment 0.45 0.43 0.37 0.22 0.21 0.02 0.90 0.84 0.69 0.68 XXX
training.
97537 .......... A Community/work 0.45 0.43 0.37 0.22 0.21 0.01 0.89 0.83 0.68 0.67 XXX
reintegration.
97542 .......... A Wheelchair mngment 0.25 0.33 0.29 0.12 0.14 0.01 0.59 0.55 0.38 0.40 XXX
training.
97545 .......... R Work hardening..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97546 .......... R Work hardening add- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
on.
97703 .......... A Prosthetic checkout 0.25 0.21 0.21 0.12 0.14 0.01 0.47 0.47 0.38 0.40 XXX
97750 .......... A Physical 0.45 0.35 0.33 0.22 0.23 0.02 0.82 0.80 0.69 0.70 XXX
performance test.
97770 .......... A Cognitive skills 0.44 0.38 0.36 0.22 0.24 0.01 0.83 0.81 0.67 0.69 XXX
development.
97780 .......... N Acupuncture w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stimul.
97781 .......... N Acupuncture w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stimul.
97799 .......... C Physical medicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
98925 .......... A Osteopathic 0.45 0.32 0.31 0.15 0.18 0.02 0.79 0.78 0.62 0.65 000
manipulation.
98926 .......... A Osteopathic 0.65 0.39 0.40 0.25 0.30 0.02 1.06 1.07 0.92 0.97 000
manipulation.
98927 .......... A Osteopathic 0.87 0.50 0.48 0.30 0.33 0.03 1.40 1.38 1.20 1.23 000
manipulation.
98928 .......... A Osteopathic 1.03 0.54 0.52 0.34 0.37 0.03 1.60 1.58 1.40 1.43 000
manipulation.
98929 .......... A Osteopathic 1.19 0.63 0.58 0.37 0.38 0.04 1.86 1.81 1.60 1.61 000
manipulation.
98940 .......... A Chiropractic 0.45 0.24 0.26 0.12 0.17 0.01 0.70 0.72 0.58 0.63 000
manipulation.
98941 .......... A Chiropractic 0.65 0.31 0.31 0.18 0.21 0.02 0.98 0.98 0.85 0.88 000
manipulation.
98942 .......... A Chiropractic 0.87 0.36 0.35 0.24 0.26 0.03 1.26 1.25 1.14 1.16 000
manipulation.
98943 .......... N Chiropractic 0.40 0.33 0.33 0.16 0.20 0.01 0.74 0.74 0.57 0.61 XXX
manipulation.
99000 .......... B Specimen handling.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99001 .......... B Specimen handling.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99002 .......... B Device handling.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99024 .......... B Postop follow-up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit.
99025 .......... B Initial surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
99050 .......... B Medical services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
after hrs.
99052 .......... B Medical services at 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
night.
99054 .......... B Medical servcs, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unusual hrs.
99056 .......... B Non-office medical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99058 .......... B Office emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care.
99070 .......... B Special supplies... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99071 .......... B Patient education 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
materials.
99075 .......... N Medical testimony.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 00 XXX
99078 .......... B Group health 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
education.
99080 .......... B Special reports or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
forms.
99082 .......... C Unusual physician 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
travel.
99090 .......... B Computer data 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
99100 .......... B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
service.
99116 .......... B Anesthesia with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
hypothermia.
99135 .......... B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
procedure.
99140 .......... B Emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
anesthesia.
99141 .......... B Sedation, iv/im or 0.80 1.69 1.49 0.32 0.47 0.05 2.54 2.34 1.17 1.32 XXX
inhalant.
99142 .......... B Sedation, oral/ 0.60 1.62 1.38 0.24 0.35 0.04 2.26 2.02 0.88 0.99 XXX
rectal/nasal.
99170 .......... A Anogenital exam, 1.75 1.75 1.75 0.69 0.69 0.11 3.61 3.61 2.55 2.55 000
child.
99173 .......... N Visual screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
99175 .......... A Induction of 0.00 1.41 1.42 1.41 1.42 0.08 1.49 1.50 1.49 1.50 XXX
vomiting.
99183 .......... A Hyperbaric oxygen 2.34 NA NA 0.74 1.01 0.12 NA NA 3.20 3.47 XXX
therapy.
99185 .......... A Regional 0.00 NA NA 0.65 0.65 0.03 NA NA 0.68 0.68 XXX
hypothermia.
99186 .......... A Total body 0.00 NA NA 1.80 1.81 0.38 NA NA 2.18 2.19 XXX
hypothermia.
99190 .......... X Special pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99191 .......... X Special pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99192 .......... X Special pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
[[Page 44323]]
99195 .......... A Phlebotomy......... 0.00 0.45 0.45 0.45 0.45 0.02 0.47 0.47 0.47 0.47 XXX
99199 .......... C Special service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc/report.
99201 .......... A Office/outpatient 0.45 0.75 0.68 0.16 0.24 0.02 1.22 1.15 0.63 0.71 XXX
visit, new.
99202 .......... A Office/outpatient 0.88 0.99 0.88 0.32 0.38 0.04 1.91 1.80 1.24 1.30 XXX
visit, new.
99203 .......... A Office/outpatient 1.34 1.30 1.14 0.49 0.53 0.07 2.71 2.55 1.90 1.94 XXX
visit, new.
99204 .......... A Office/outpatient 0.02 1.74 1.55 0.73 0.79 0.09 1.85 1.66 0.84 0.90 XXX
visit, new.
99205 .......... A Office/outpatient 2.67 1.92 1.70 0.94 0.97 0.11 4.70 4.48 3.72 3.75 XXX
visit, new.
99211 .......... A Office/outpatient 0.17 0.54 0.46 0.06 0.10 0.01 0.72 0.64 0.24 0.28 XXX
visit, est.
99212 .......... A Office/outpatient 0.45 0.60 0.54 0.16 0.21 0.02 1.07 1.01 0.63 0.68 XXX
visit, est.
99213 .......... A Office/outpatient 0.67 0.73 0.67 0.24 0.30 0.02 1.42 1.36 0.93 0.99 XXX
visit, est.
99214 .......... A Office/outpatient 1.10 0.97 0.88 0.40 0.46 0.04 2.11 2.02 1.54 1.60 XXX
visit, est.
99215 .......... A Office/outpatient 1.77 1.24 1.16 0.63 0.71 0.07 3.08 3.00 2.47 2.55 XXX
visit, est.
99217 .......... A Observation care 1.28 NA NA 0.44 0.47 0.05 NA NA 1.77 1.80 XXX
discharge.
99218 .......... A Observation care... 1.28 NA NA 0.44 0.52 0.05 NA NA 1.77 1.85 XXX
99219 .......... A Observation care... 2.14 NA NA 0.73 0.83 0.08 NA NA 2.95 3.05 XXX
99220 .......... A Observation care... 2.99 NA NA 1.03 1.08 0.11 NA NA 4.13 4.18 XXX
99221 .......... A Initial hospital 1.28 NA NA 0.46 0.53 0.05 NA NA 1.79 1.86 XXX
care.
99222 .......... A Initial hospital 2.14 NA NA 0.75 0.85 0.08 NA NA 2.97 3.07 XXX
care.
99223 .......... A Initial hospital 2.99 NA NA 1.04 1.09 0.11 NA NA 4.14 4.19 XXX
care.
99231 .......... A Subsequent hospital 0.64 NA NA 0.23 0.28 0.02 NA NA 0.89 0.94 XXX
care.
99232 .......... A Subsequent hospital 1.06 NA NA 0.37 0.40 0.04 NA NA 1.47 1.50 XXX
care.
99233 .......... A Subsequent hospital 1.51 NA NA 0.53 0.56 0.05 NA NA 2.09 2.12 XXX
care.
99234 .......... A Observ/hosp same 1.95 NA NA 0.89 0.85 0.10 NA NA 2.94 2.90 XXX
date.
99235 .......... A Observ/hosp same 2.81 NA NA 1.17 1.16 0.12 NA NA 4.10 4.09 XXX
date.
99236 .......... A Observ/hosp same 3.66 NA NA 1.47 1.41 0.14 NA NA 5.27 5.21 XXX
date.
99238 .......... A Hospital discharge 1.28 NA NA 0.44 0.47 0.04 NA NA 1.76 1.79 XXX
day.
99239 .......... A Hospital discharge 1.75 NA NA 0.61 0.60 0.06 NA NA 2.42 2.41 XXX
day.
99241 .......... A Office consultation 0.64 0.90 0.85 0.23 0.35 0.04 1.58 1.53 0.91 1.03 XXX
99242 .......... A Office consultation 1.29 1.28 1.17 0.48 0.57 0.08 2.65 2.54 1.85 1.94 XXX
99243 .......... A Office consultation 1.72 1.51 1.40 0.65 0.75 0.09 3.32 3.21 2.46 2.56 XXX
99244 .......... A Office consultation 2.58 1.95 1.80 0.94 1.04 0.11 4.64 4.49 3.63 3.73 XXX
99245 .......... A Office consultation 3.43 2.35 2.22 1.26 1.40 0.14 5.92 5.79 4.83 4.97 XXX
99251 .......... A Initial inpatient 0.66 NA NA 0.29 0.40 0.04 NA NA 0.99 1.10 XXX
consult.
99252 .......... A Initial inpatient 1.32 NA NA 0.56 0.63 0.08 NA NA 1.96 2.03 XXX
consult.
99253 .......... A Initial inpatient 1.82 NA NA 0.75 0.82 0.09 NA NA 2.66 2.73 XXX
consult.
99254 .......... A Initial inpatient 2.64 NA NA 1.05 1.11 0.11 NA NA 3.80 3.86 XXX
consult.
99255 .......... A Initial inpatient 3.65 NA NA 1.42 1.49 0.15 NA NA 5.22 5.29 XXX
consult.
99261 .......... A Follow-up inpatient 0.42 NA NA 0.20 0.24 0.02 NA NA 0.64 0.68 XXX
consult.
99262 .......... A Follow-up inpatient 0.85 NA NA 0.36 0.40 0.03 NA NA 1.24 1.28 XXX
consult.
99263 .......... A Follow-up inpatient 1.27 NA NA 0.51 0.57 0.05 NA NA 1.83 1.89 XXX
consult.
99271 .......... A Confirmatory 0.45 0.60 0.61 0.20 0.31 0.02 1.07 1.08 0.67 0.78 XXX
consultation.
99272 .......... A Confirmatory 0.84 0.83 0.82 0.36 0.46 0.05 1.72 1.71 1.25 1.35 XXX
consultation.
99273 .......... A Confirmatory 1.19 1.02 1.04 0.50 0.65 0.07 2.28 2.30 1.76 1.91 XXX
consultation.
99274 .......... A Confirmatory 1.73 1.33 1.33 0.71 0.86 0.09 3.15 3.15 2.53 2.68 XXX
consultation.
99275 .......... A Confirmatory 2.31 1.58 1.66 0.88 1.13 0.10 3.99 4.07 3.29 3.54 XXX
consultation.
99281 .......... A Emergency dept 0.33 NA NA 0.09 0.14 0.02 NA NA 0.44 0.49 XXX
visit.
99282 .......... A Emergency dept 0.55 NA NA 0.15 0.22 0.03 NA NA 0.73 0.80 XXX
visit.
99283 .......... A Emergency dept 1.24 NA NA 0.32 0.37 0.08 NA NA 1.64 1.69 XXX
visit.
99284 .......... A Emergency dept 1.95 NA NA 0.49 0.56 0.12 NA NA 2.56 2.63 XXX
visit.
99285 .......... A Emergency dept 3.06 NA NA 0.74 0.86 0.19 NA NA 3.99 4.11 XXX
visit.
99288 .......... B Direct advanced 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
life support.
99291 .......... A Critical care, 0.04 1.39 1.43 1.17 1.27 0.14 1.57 1.61 1.35 1.45 XXX
first hour.
99292 .......... A Critical care, addl 0.02 0.76 0.74 0.58 0.61 0.08 0.86 0.84 0.68 0.71 ZZZ
30 min.
99295 .......... A Neonatal critical 0.16 NA NA 4.93 5.08 0.62 NA NA 5.71 5.86 XXX
care.
99296 .......... A Neonatal critical 0.08 NA NA 2.64 2.65 0.24 NA NA 2.96 2.97 XXX
care.
99297 .......... A Neonatal critical 0.04 NA NA 1.36 1.35 0.11 NA NA 1.51 1.50 XXX
care.
99298 .......... A Neonatal critical 2.75 NA NA 0.94 0.94 0.09 NA NA 3.78 3.78 XXX
care.
99301 .......... A Nursing facility 1.20 NA NA 0.41 0.43 0.04 NA NA 1.65 1.67 XXX
care.
99302 .......... A Nursing facility 1.61 NA NA 0.55 0.55 0.06 NA NA 2.22 2.22 XXX
care.
99303 .......... A Nursing facility 2.01 NA NA 0.67 0.76 0.07 NA NA 2.75 2.84 XXX
care.
99311 .......... A Nursing fac care, 0.60 NA NA 0.20 0.24 0.02 NA NA 0.82 0.86 XXX
subseq.
99312 .......... A Nursing fac care, 0.01 NA NA 0.33 0.36 0.03 NA NA 0.37 0.40 XXX
subseq.
99313 .......... A Nursing fac care, 1.42 NA NA 0.48 0.49 0.05 NA NA 1.95 1.96 XXX
subseq.
99315 .......... A Nursing fac 1.13 NA NA 0.38 0.42 0.04 NA NA 1.55 1.59 XXX
discharge day.
99316 .......... A Nursing fac 1.50 NA NA 0.52 0.53 0.05 NA NA 2.07 2.08 XXX
discharge day.
99321 .......... A Rest home visit, 0.71 0.41 0.41 0.32 0.34 0.03 1.15 1.15 1.06 1.08 XXX
new patient.
99322 .......... A Rest home visit, 1.01 0.64 0.62 0.44 0.47 0.04 1.69 1.67 1.49 1.52 XXX
new patient.
99323 .......... A Rest home visit, 1.28 0.84 0.83 0.53 0.60 0.05 2.17 2.16 1.86 1.93 XXX
new patient.
99331 .......... A Rest home visit, 0.60 0.43 0.40 0.30 0.30 0.02 1.05 1.02 0.92 0.92 XXX
est pat.
99332 .......... A Rest home visit, 0.80 0.53 0.50 0.37 0.38 0.03 1.36 1.33 1.20 1.21 XXX
est pat.
99333 .......... A Rest home visit, 0.01 0.65 0.61 0.44 0.45 0.03 0.69 0.65 0.48 0.49 XXX
est pat.
99341 .......... A Home visit, new 1.01 0.52 0.54 0.48 0.51 0.04 1.57 1.59 1.53 1.56 XXX
patient.
99342 .......... A Home visit, new 1.52 0.79 0.76 0.59 0.61 0.06 2.37 2.34 2.17 2.19 XXX
patient.
99343 .......... A Home visit, new 2.27 1.20 1.11 0.89 0.88 0.08 3.55 3.46 3.24 3.23 XXX
patient.
99344 .......... A Home visit, new 3.03 1.47 1.33 1.09 1.05 0.10 4.60 4.46 4.22 4.18 XXX
patient.
99345 .......... A Home visit, new 3.79 1.74 1.54 1.32 1.22 0.12 5.65 5.45 5.23 5.13 XXX
patient.
99347 .......... A Home visit, est 0.76 0.45 0.46 0.35 0.39 0.03 1.24 1.25 1.14 1.18 XXX
patient.
99348 .......... A Home visit, est 1.26 0.67 0.65 0.52 0.54 0.04 1.97 1.95 1.82 1.84 XXX
patient.
99349 .......... A Home visit, est 2.02 0.99 0.91 0.79 0.76 0.07 3.08 3.00 2.88 2.85 XXX
patient.
99350 .......... A Home visit, est 3.03 1.35 1.22 1.11 1.04 0.10 4.48 4.35 4.24 4.17 XXX
patient.
99354 .......... A Prolonged service, 1.77 1.28 1.17 0.61 0.66 0.06 3.11 3.00 2.44 2.49 ZZZ
office.
99355 .......... A Prolonged service, 1.77 1.14 1.06 0.58 0.64 0.06 2.97 2.89 2.41 2.47 ZZZ
office.
[[Page 44324]]
99356 .......... A Prolonged service, 1.71 NA NA 0.59 0.67 0.06 NA NA 2.36 2.44 ZZZ
inpatient.
99357 .......... A Prolonged service, 1.71 NA NA 0.61 0.69 0.07 NA NA 2.39 2.47 ZZZ
inpatient.
99358 .......... B Prolonged serv, w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
contact.
99359 .......... B Prolonged serv, w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
contact.
99360 .......... X Physician standby 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99361 .......... B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conference.
99362 .......... B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conference.
99371 .......... B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99372 .......... B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99373 .......... B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99374 .......... B Home health care 1.10 1.28 1.10 0.44 0.47 0.04 2.42 2.24 1.58 1.61 XXX
supervision.
99375 .......... N Home health care 1.73 1.30 0.93 0.60 0.58 0.06 3.09 2.72 2.39 2.37 XXX
supervision.
99377 .......... B Hospice care 1.10 1.29 1.11 0.44 0.47 0.04 2.43 2.25 1.58 1.61 XXX
supervision.
99378 .......... N Hospice care 1.73 1.50 1.03 0.58 0.57 0.06 3.29 2.82 2.37 2.36 XXX
supervision.
99379 .......... B Nursing fac care 1.10 1.27 1.09 0.44 0.47 0.04 2.41 2.23 1.58 1.61 XXX
supervision.
99380 .......... B Nursing fac care 1.73 1.54 1.29 0.69 0.66 0.06 3.33 3.08 2.48 2.45 XXX
supervision.
99381 .......... N Prev visit, new, 1.19 1.33 1.33 0.47 0.69 0.18 2.70 2.70 1.84 2.06 XXX
infant.
99382 .......... N Prev visit, new, 1.36 1.37 1.41 0.54 0.79 0.04 2.77 2.81 1.94 2.19 XXX
age 1-4.
99383 .......... N Prev visit, new, 1.36 1.31 1.37 0.54 0.79 0.04 2.71 2.77 1.94 2.19 XXX
age 5-11.
99384 .......... N Prev visit, new, 1.53 1.38 1.47 0.61 0.89 0.05 2.96 3.05 2.19 2.47 XXX
age 12-17.
99385 .......... N Prev visit, new, 1.53 1.38 1.42 0.61 0.84 0.05 2.96 3.00 2.19 2.42 XXX
age 18-39.
99386 .......... N Prev visit, new, 1.88 1.56 1.64 0.75 1.03 0.06 3.50 3.58 2.69 2.97 XXX
age 40-64.
99387 .......... N Prev visit, new, 65 2.06 1.69 1.78 0.82 1.13 0.06 3.81 3.90 2.94 3.25 XXX
& over.
99391 .......... N Prev visit, est, 1.02 0.91 0.97 0.40 0.59 0.15 2.08 2.14 1.57 1.76 XXX
infant.
99392 .......... N Prev visit, est, 1.19 0.98 1.07 0.47 0.69 0.04 2.21 2.30 1.70 1.92 XXX
age 1-4.
99393 .......... N Prev visit, est, 1.19 0.96 1.05 0.47 0.69 0.04 2.19 2.28 1.70 1.92 XXX
age 5-11.
99394 .......... N Prev visit, est, 1.36 1.04 1.16 0.54 0.79 0.04 2.44 2.56 1.94 2.19 XXX
age 12-17.
99395 .......... N Prev visit, est, 1.36 1.06 1.14 0.54 0.75 0.04 2.46 2.54 1.94 2.15 XXX
age 18-39.
99396 .......... N Prev visit, est, 1.53 1.15 1.24 0.61 0.84 0.05 2.73 2.82 2.19 2.42 XXX
age 40-64.
99397 .......... N Prev visit, est, 65 1.71 1.25 1.36 0.68 0.93 0.05 3.01 3.12 2.44 2.69 XXX
& over.
99401 .......... N Preventive 0.48 0.54 0.53 0.19 0.27 0.01 1.03 1.02 0.68 0.76 XXX
counseling, indiv.
99402 .......... N Preventive 0.98 0.78 0.83 0.39 0.54 0.03 1.79 1.84 1.40 1.55 XXX
counseling, indiv.
99403 .......... N Preventive 1.46 1.01 1.12 0.58 0.80 0.04 2.51 2.62 2.08 2.30 XXX
counseling, indiv.
99404 .......... N Preventive 1.95 1.24 1.41 0.77 1.06 0.05 3.24 3.41 2.77 3.06 XXX
counseling, indiv.
99411 .......... N Preventive 0.15 0.16 0.16 0.06 0.08 0.01 0.32 0.32 0.22 0.24 XXX
counseling, group.
99412 .......... N Preventive 0.25 0.22 0.23 0.10 0.14 0.01 0.48 0.49 0.36 0.40 XXX
counseling, group.
99420 .......... N Health risk 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assessment test.
99429 .......... N Unlisted preventive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
99431 .......... A Initial care, 1.17 NA NA 0.39 0.62 0.04 NA NA 1.60 1.83 XXX
normal newborn.
99432 .......... A Newborn care, not 1.26 0.73 0.90 0.40 0.66 0.04 2.03 2.20 1.70 1.96 XXX
in hosp.
99433 .......... A Normal newborn care/ 0.62 NA NA 0.22 0.34 0.02 NA NA 0.86 0.98 XXX
hospital.
99435 .......... A Newborn discharge 1.50 NA NA 0.50 0.80 0.05 NA NA 2.05 2.35 XXX
day hosp.
99436 .......... A Attendance, birth.. 1.50 0.48 0.78 0.48 0.78 0.05 2.03 2.33 2.03 2.33 XXX
99440 .......... A Newborn 2.93 NA NA 0.97 1.55 0.09 NA NA 3.99 4.57 XXX
resuscitation.
99450 .......... N Life/disability 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
99455 .......... R Disability 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
99456 .......... R Disability 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
99499 .......... C Unlisted e&m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A0021 .......... I Outside state 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ambulance serv.
A0030 .......... X Air ambulance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A0040 .......... X Helicopter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ambulance service.
A0050 .......... X Water amb service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emergency.
A0080 .......... I Noninterest escort 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in non er.
A0090 .......... I Interest escort in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non er.
A0100 .......... I Nonemergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport taxi.
A0110 .......... I Nonemergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport bus.
A0120 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mini-bus.
A0130 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wheelch van.
A0140 .......... I Nonemergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport air.
A0160 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
case worker.
A0170 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parking fees.
A0180 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lodgng recip.
A0190 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meals recip.
A0200 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lodgng escrt.
A0210 .......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meals escort.
A0225 .......... X Neonatal emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport.
A0300 .......... X Ambulance basic non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emer all.
A0302 .......... X Ambulance basic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emergeny all.
A0304 .......... X Amb adv non-er no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0306 .......... X Amb adv non-er spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0308 .......... X Amb adv er no spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0310 .......... X Amb adv er spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0320 .......... X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0322 .......... X Amb basic emerg + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0324 .......... X Adv non-er serv sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0326 .......... X Adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mile.
A0328 .......... X Adv er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0330 .......... X Adv er spec serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mile.
A0340 .......... X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0342 .......... X Ambul basic emer + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0344 .......... X Amb adv non-er no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv +mile.
A0346 .......... X Amb adv non-er serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
+ mile.
[[Page 44325]]
A0348 .......... X Adv emer no spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv + mile.
A0350 .......... X Adv emer spec serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
+ mileage.
A0360 .......... X Basic non-er sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile & supp.
A0362 .......... X Basic emer sep mile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& supply.
A0364 .......... X Adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mi&su.
A0366 .......... X Adv non-er serv sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mil&supp.
A0368 .......... X Adv er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile&supp.
A0370 .......... X Adv er spec serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mi&supp.
A0380 .......... X Basic life support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0382 .......... X Basic support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
routine suppls.
A0384 .......... X Bls defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0390 .......... X Advanced life 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
support mileag.
A0392 .......... X Als defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0394 .......... X Als IV drug therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0396 .......... X Als esophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intub suppls.
A0398 .......... X Als routine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disposble suppls.
A0420 .......... X Ambulance waiting 1/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 hr.
A0422 .......... X Ambulance 02 life 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sustaining.
A0424 .......... X Extra ambulance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attendant.
A0888 .......... N Noncovered 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ambulance mileage.
A0999 .......... X Unlisted ambulance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A4206 .......... I 1 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4207 .......... I 2 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4208 .......... I 3 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4209 .......... I 5+ CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4210 .......... N Nonneedle injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
A4211 .......... P Supp for self-adm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injections.
A4212 .......... P Non coring needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or stylet.
A4213 .......... I 20+ CC syringe only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4214 .......... P 30 CC sterile water/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saline.
A4215 .......... I Sterile needle..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4220 .......... P Infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
refill kit.
A4221 .......... X Maint drug infus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath per wk.
A4222 .......... X Drug infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4230 .......... X Infus insulin pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non needl.
A4231 .......... X Infusion insulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pump needle.
A4232 .......... X Syringe w/needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insulin 3cc.
A4244 .......... I Alcohol or peroxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per pint.
A4245 .......... I Alcohol wipes per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
box.
A4246 .......... I Betadine/phisohex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4247 .......... I Betadine/iodine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
swabs/wipes.
A4250 .......... N Urine reagent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strips/tablets.
A4253 .......... P Blood glucose/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reagent strips.
A4254 .......... X Battery for glucose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitor.
A4255 .......... X Glucose monitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platforms.
A4256 .......... P Calibrator solution/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chips.
A4258 .......... P Lancet device each. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4259 .......... P Lancets per box.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4260 .......... N Levonorgestrel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
A4261 .......... N Cervical cap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contraceptive.
A4262 .......... B Temporary tear duct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plug.
A4263 .......... A Permanent tear duct 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX
plug.
A4265 .......... P Paraffin........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4270 .......... B Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endoscope sheath.
A4280 .......... X Brst prsths adhsv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attchmnt.
A4300 .......... A Cath impl vasc 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX
access portal.
A4301 .......... P Implantable access 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syst perc.
A4305 .......... P Drug delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system >=50 ML.
A4306 .......... P Drug delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system =5 ML.
A4310 .......... P Insert tray w/o bag/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath.
A4311 .......... P Catheter w/o bag 2- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way latex.
A4312 .......... P Cath w/o bag 2-way 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
silicone.
A4313 .......... P Catheter w/bag 3- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way.
A4314 .......... P Cath w/drainage 2- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way latex.
A4315 .......... P Cath w/drainage 2- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way silcne.
A4316 .......... P Cath w/drainage 3- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way.
A4320 .......... P Irrigation tray.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4321 .......... X Cath therapeutic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
irrig agent.
A4322 .......... P Irrigation syringe. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4323 .......... P Saline irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4326 .......... P Male external 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4327 .......... P Fem urinary collect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dev cup.
A4328 .......... P Fem urinary collect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch.
A4329 .......... P External catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
start set.
A4330 .......... P Stool collection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch.
A4335 .......... P Incontinence supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4338 .......... P Indwelling catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
latex.
A4340 .......... P Indwelling catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
special.
A4344 .......... P Cath indw foley 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way silicn.
A4346 .......... P Cath indw foley 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way.
A4347 .......... P Male external 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4351 .......... P Straight tip urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
[[Page 44326]]
A4352 .......... P Coude tip urinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4353 .......... X Intermittent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urinary cath.
A4354 .......... P Cath insertion tray 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/bag.
A4355 .......... P Bladder irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4356 .......... P Ext ureth clmp or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compr dvc.
A4357 .......... P Bedside drainage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bag.
A4358 .......... P Urinary leg bag.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4359 .......... P Urinary suspensory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o leg b.
A4361 .......... P Ostomy face plate.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4362 .......... P Solid skin barrier. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4363 .......... D Liquid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4364 .......... P Ostomy/cath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adhesive.
A4365 .......... X Ostomy adhesive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
remover wipe.
A4367 .......... P Ostomy belt........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4368 .......... X Ostomy filter...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4369 .......... X Skin barrier liquid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per oz.
A4370 .......... X Skin barrier paste 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per oz.
A4371 .......... X Skin barrier powder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per oz.
A4372 .......... X Skin barrier solid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4x4 equiv.
A4373 .......... X Skin barrier with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flange.
A4374 .......... X Skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extended wear.
A4375 .......... X Drainable plastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pch w fcpl.
A4376 .......... X Drainable rubber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pch w fcplt.
A4377 .......... X Drainable plstic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pch w/o fp.
A4378 .......... X Drainable rubber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pch w/o fp.
A4379 .......... X Urinary plastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch w fcpl.
A4380 .......... X Urinary rubber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch w fcplt.
A4381 .......... X Urinary plastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch w/o fp.
A4382 .......... X Urinary hvy plstc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pch w/o fp.
A4383 .......... X Urinary rubber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch w/o fp.
A4384 .......... X Ostomy faceplt/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
silicone ring.
A4385 .......... X Ost skn barrier sld 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ext wear.
A4386 .......... X Ost skn barrier w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flng ex wr.
A4387 .......... X Ost clsd pouch w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
att st barr.
A4388 .......... X Drainable pch w ex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wear barr.
A4389 .......... X Drainable pch w st 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wear barr.
A4390 .......... X Drainable pch ex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wear convex.
A4391 .......... X Urinary pouch w ex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wear barr.
A4392 .......... X Urinary pouch w st 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wear barr.
A4393 .......... X Urine pch w ex wear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bar conv.
A4394 .......... X Ostomy pouch liq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
deodorant.
A4395 .......... X Ostomy pouch solid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
deodorant.
A4397 .......... P Irrigation supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sleeve.
A4398 .......... P Ostomy irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bag.
A4399 .......... P Ostomy irrig cone/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath w brs.
A4400 .......... P Ostomy irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
set.
A4402 .......... P Lubricant per ounce 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4404 .......... P Ostomy ring each... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4421 .......... P Ostomy supply misc. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4454 .......... P Tape all types all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sizes.
A4455 .......... P Adhesive remover 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per ounce.
A4460 .......... P Elastic compression 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bandage.
A4462 .......... X Abdmnl drssng 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
holder/binder.
A4465 .......... P Non-elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extremity binder.
A4470 .......... P Gravlee jet washer. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4480 .......... P Vabra aspirator.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4481 .......... X Tracheostoma filter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4483 .......... X Moisture exchanger. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4490 .......... N Above knee surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4495 .......... N Thigh length surg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4500 .......... N Below knee surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4510 .......... N Full length surg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4550 .......... A Surgical trays..... 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX
A4554 .......... N Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
underpads.
A4556 .......... P Electrodes, pair... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4557 .......... P Lead wires, pair... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4558 .......... P Conductive paste or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gel.
A4560 .......... X Pessary............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4565 .......... X Slings............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4570 .......... X Splint............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4572 .......... X Rib belt........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4575 .......... N Hyperbaric o2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chamber disps.
A4580 .......... X Cast supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(plaster).
A4590 .......... X Special casting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
material.
A4595 .......... X TENS suppl 2 lead 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per month.
A4611 .......... X Heavy duty battery. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4612 .......... X Battery cables..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4613 .......... X Battery charger.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4614 .......... X Hand-held PEFR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meter.
A4615 .......... X Cannula nasal...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4616 .......... X Tubing (oxygen) per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
foot.
A4617 .......... X Mouth piece........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 44327]]
A4618 .......... X Breathing circuits. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4619 .......... X Face tent.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4620 .......... X Variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentration mask.
A4621 .......... X Tracheotomy mask or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collar.
A4622 .......... X Tracheostomy or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
larngectomy.
A4623 .......... X Tracheostomy inner 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cannula.
A4624 .......... X Tracheal suction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tube.
A4625 .......... X Trach care kit for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
new trach.
A4626 .......... X Tracheostomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cleaning brush.
A4627 .......... N Spacer bag/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reservoir.
A4628 .......... X Oropharyngeal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suction cath.
A4629 .......... X Tracheostomy care 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
A4630 .......... X Repl bat t.e.n.s. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
own by pt.
A4631 .......... X Wheelchair battery. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4635 .......... X Underarm crutch pad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4636 .......... X Handgrip for cane 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
etc.
A4637 .......... X Repl tip cane/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crutch/walker.
A4640 .......... X Alternating 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure pad.
A4641 .......... E Diagnostic imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
A4642 .......... E Satumomab pendetide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per dose.
A4643 .......... E High dose contrast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MRI.
A4644 .......... E Contrast 100-199 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MGs iodine.
A4645 .......... E Contrast 200-299 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MGs iodine.
A4646 .......... E Contrast 300-399 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MGs iodine.
A4647 .......... B Supp- paramagnetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contr mat.
A4649 .......... P Surgical supplies.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4650 .......... X Supp esrd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
centrifuge.
A4655 .......... X Esrd syringe/needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4660 .......... X Esrd blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
A4663 .......... X Esrd blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cuff.
A4670 .......... N Auto blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitor.
A4680 .......... X Activated carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filters.
A4690 .......... X Dialyzers.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4700 .......... X Standard dialysate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4705 .......... X Bicarb dialysate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4712 .......... X Sterile water...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4714 .......... X Treated water for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis.
A4730 .......... X Fistula cannulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
set dial.
A4735 .......... X Local/topical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthetics.
A4740 .......... X Esrd shunt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
accessory.
A4750 .......... X Arterial or venous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4755 .......... X Arterial and venous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4760 .......... X Standard testing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4765 .......... X Dialysate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentrate.
A4770 .......... X Blood testing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4771 .......... X Blood clotting time 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tube.
A4772 .......... X Dextrostick/glucose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strips.
A4773 .......... X Hemostix........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4774 .......... X Ammonia test paper. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4780 .......... X Esrd sterilizing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
A4790 .......... X Esrd cleansing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agents.
A4800 .......... X Heparin/antidote 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis.
A4820 .......... X Supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemodialysis kit.
A4850 .......... X Rubber tipped 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemostats.
A4860 .......... X Disposable catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
caps.
A4870 .......... X Plumbing/electrical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
work.
A4880 .......... X Water storage tanks 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4890 .......... R Contracts/repair/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maintenance.
A4900 .......... X Capd supply kit.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4901 .......... X Ccpd supply kit.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4905 .......... X Ipd supply kit..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4910 .......... X Esrd nonmedical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4912 .......... X Gomco drain bottle. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4913 .......... X Esrd supply........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4914 .......... X Preparation kit.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4918 .......... X Venous pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clamp.
A4919 .......... X Supp dialysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialyzer holde.
A4920 .......... X Harvard pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clamp.
A4921 .......... X Measuring cylinder. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4927 .......... X Gloves............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5051 .......... P Pouch clsd w barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attached.
A5052 .......... P Clsd ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o barr.
A5053 .......... P Clsd ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5054 .......... P Clsd ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flange.
A5055 .......... P Stoma cap.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5061 .......... P Pouch drainable w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier at.
A5062 .......... P Drnble ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o barr.
A5063 .......... P Drain ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/flange.
A5064 .......... I Drain ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/fceplte.
A5065 .......... I Drain ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
on fcplte.
A5071 .......... P Urinary pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier.
A5072 .......... P Urinary pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier.
[[Page 44328]]
A5073 .......... P Urinary pouch on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barr w/flng.
A5074 .......... I Urinary pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5075 .......... I Urinary pouch on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5081 .......... P Continent stoma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plug.
A5082 .......... P Continent stoma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A5093 .......... P Ostomy accessory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
convex inse.
A5102 .......... P Bedside drain btl w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wo tube.
A5105 .......... P Urinary suspensory. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5112 .......... P Urinary leg bag.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5113 .......... P Latex leg strap.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5114 .......... P Foam/fabric leg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strap.
A5119 .......... P Skin barrier wipes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
box pr 50.
A5121 .......... P Solid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
6x6.
A5122 .......... P Solid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
8x8.
A5123 .......... P Skin barrier with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flange.
A5126 .......... P Disk/foam pad +or- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adhesive.
A5131 .......... P Appliance cleaner.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5149 .......... P Incontinence/ostomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supply.
A5200 .......... X Percutaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter anchor.
A5500 .......... X Diab shoe for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
density insert.
A5501 .......... X Diabetic custom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
molded shoe.
A5502 .......... X Diabetic shoe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
density insert.
A5503 .......... X Diabetic shoe w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
roller/rockr.
A5504 .......... X Diabetic shoe with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wedge.
A5505 .......... X Diab shoe w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metatarsal bar.
A5506 .......... X Diabetic shoe w/off 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
set heel.
A5507 .......... X Modification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diabetic shoe.
A5508 .......... X Diabetic deluxe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shoe.
A6020 .......... P Collagen wound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dressing.
A6025 .......... I Silicone gel sheet, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each.
A6154 .......... P Wound pouch each... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6196 .......... P Alginate dressing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
=16 sq in.
A6197 .......... P Alginate drsg >16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
=48 sq in.
A6198 .......... P alginate dressing > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 sq in.
A6199 .......... P Alginate drsg wound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler.
A6200 .......... X Compos drsg =16 no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6201 .......... X Compos drsg >16=48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no bdr.
A6202 .......... X Compos drsg >48 no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6203 .......... P Composite drsg = 16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6204 .......... P Composite drsg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16=48 sq in.
A6205 .......... P Composite drsg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6206 .......... P Contact layer = 16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6207 .......... P Contact layer >16= 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 sq in.
A6208 .......... P Contact layer > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6209 .......... P Foam drsg =16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o bdr.
A6210 .......... P Foam drg >16=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o b.
A6211 .......... P Foam drg > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o brdr.
A6212 .......... P Foam drg =16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/border.
A6213 .......... P Foam drg >16=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6214 .......... P Foam drg > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/border.
A6215 .......... P Foam dressing wound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler.
A6216 .......... P Non-sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze=16 sq in.
A6217 .......... P Non-sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze16
=48 sq.
A6218 .......... P Non-sterile gauze > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 sq in.
A6219 .......... P Gauze = 16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6220 .......... P Gauze >16 =48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/bordr.
A6221 .......... P Gauze > 48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6222 .......... P Gauze =16 in no w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal w/o b.
A6223 .......... P Gauze >16=48 no w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal w/o b.
A6224 .......... P Gauze > 48 in no w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal w/o b.
A6228 .......... P Gauze = 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water/sal.
A6229 .......... P Gauze >16=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
watr/sal.
A6230 .......... P Gauze > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water/salne.
A6234 .......... P Hydrocolld drg =16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o bdr.
A6235 .......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16=48 w/o b.
A6236 .......... P Hydrocolld drg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o b.
A6237 .......... P Hydrocolld drg =16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6238 .......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16=48 w/bdr.
A6239 .......... P Hydrocolld drg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6240 .......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler paste.
A6241 .......... P Hydrocolloid drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler dry.
A6242 .......... P Hydrogel drg =16 in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o bdr.
A6243 .......... P Hydrogel drg >16=48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o bdr.
A6244 .......... P Hydrogel drg >48 in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o bdr.
A6245 .......... P Hydrogel drg = 16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6246 .......... P Hydrogel drg >16=48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/b.
A6247 .......... P Hydrogel drg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/b.
A6248 .......... P Hydrogel drsg gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler.
A6250 .......... P Skin seal protect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
moisturizr.
A6251 .......... P Absorpt drg =16 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o b.
A6252 .......... P Absorpt drg >16 =48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o bdr.
A6253 .......... P Absorpt drg > 48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o b.
[[Page 44329]]
A6254 .......... P Absorpt drg =16 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6255 .......... P Absorpt drg >16=48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6256 .......... P Absorpt drg > 48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6257 .......... P Transparent film = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
16 sq in.
A6258 .......... P Transparent film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16=48 in.
A6259 .......... P Transparent film > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 sq in.
A6260 .......... P Wound cleanser any 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
type/size.
A6261 .......... P Wound filler gel/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
paste /oz.
A6262 .......... P Wound filler dry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
form / gram.
A6263 .......... P Non-sterile elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze/yd.
A6264 .......... P Non-sterile no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elastic gauze.
A6265 .......... P Tape per 18 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inches.
A6266 .......... P Impreg gauze no h20/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal/yard.
A6402 .......... P Sterile gauze = 16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6403 .......... P Sterile gauze16 = 48 sq
in.
A6404 .......... P Sterile gauze > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6405 .......... P Sterile elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze /yd.
A6406 .......... P Sterile non-elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze/yd.
A7000 .......... X Disposable canister 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for pump.
A7001 .......... X Nondisposable pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
canister.
A7002 .......... X Tubing used w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suction pump.
A7003 .......... X Nebulizer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
administration set.
A7004 .......... X Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nebulizer sml vol.
A7005 .......... X Nondisposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nebulizer set.
A7006 .......... X Filtered nebulizer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
admin set.
A7007 .......... X Lg vol nebulizer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disposable.
A7008 .......... X Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nebulizer prefill.
A7009 .......... X Nebulizer reservoir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bottle.
A7010 .......... X Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
corrugated tubing.
A7011 .......... X Nondispos 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
corrugated tubing.
A7012 .......... X Nebulizer water 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collec devic.
A7013 .......... X Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compressor filter.
A7014 .......... X Compressor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nondispos filter.
A7015 .......... X Aerosol mask used w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nebulize.
A7016 .......... X Nebulizer dome & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mouthpiece.
A7017 .......... X Nebulizer not used 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w oxygen.
A9150 .......... E Misc/exper non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prescript dru.
A9160 .......... N Podiatrist non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
covered servi.
A9170 .......... N Chiropractor non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
covered ser.
A9190 .......... N Misc/expe personal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
comfort i.
A9270 .......... N Non-covered item or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A9300 .......... N Exercise equipment. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A9500 .......... E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sestamibi.
A9502 .......... X Technetium TC99M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tetrofosmin.
A9503 .......... E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medronate.
A9504 .......... X Technetium tc 99m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
apcitide.
A9505 .......... E Thallous chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
TL 201/mci.
A9507 .......... X Indium/111 capromab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pendetid.
A9600 .......... X Strontium-89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
A9605 .......... X Samarium sm153 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lexidronamm.
A9900 .......... X Supply/accessory/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A9901 .......... X Delivery/set up/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispensing.
D0120 .......... N Periodic oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
D0140 .......... N Limit oral eval 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
problm focus.
D0150 .......... R Comprehensve oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
evaluation.
D0160 .......... N Extensv oral eval 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob focus.
D0170 .......... N Re-eval,est 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pt,problem focus.
D0210 .......... I Intraor complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
film series.
D0220 .......... I Intraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
periapical first f.
D0230 .......... I Intraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
periapical ea add.
D0240 .......... R Intraoral occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
film.
D0250 .......... R Extraoral first 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
film.
D0260 .......... R Extraoral ea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
additional film.
D0270 .......... R Dental bitewing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
single film.
D0272 .......... R Dental bitewings 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
two films.
D0274 .......... R Dental bitewings 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
four films.
D0277 .......... R Vert bitewings-sev 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to eight.
D0290 .......... I Dental film skull/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bon.
D0310 .......... I Dental saliography. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0320 .......... I Dental tmj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
arthrogram incl i.
D0321 .......... I Dental other tmj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
films.
D0322 .......... I Dental tomographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
survey.
D0330 .......... I Dental panoramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
film.
D0340 .......... I Dental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cephalometric film.
D0350 .......... I Oral/facial images. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0415 .......... N Bacteriologic study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0425 .......... N Caries 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
susceptibility
test.
D0460 .......... R Pulp vitality test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D0470 .......... N Diagnostic casts... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0471 .......... D Diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
photographs.
D0472 .......... R Gross exam, prep & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
D0473 .......... R Micro exam, prep & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
[[Page 44330]]
D0474 .......... R Micro w exam of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surg margins.
D0480 .......... R Cytopath smear prep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& report.
D0501 .......... R Histopathologic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
examinations.
D0502 .......... R Other oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
pathology procedu.
D0999 .......... R Unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
diagnostic proce.
D1110 .......... N Dental prophylaxis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult.
D1120 .......... N Dental prophylaxis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
child.
D1201 .......... N Topical fluor w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy child.
D1203 .......... N Topical fluor w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy chi.
D1204 .......... N Topical fluor w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy adu.
D1205 .......... N Topical fluoride w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy a.
D1310 .......... N Nutri counsel- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
control caries.
D1320 .......... N Tobacco counseling. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1330 .......... N Oral hygiene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
instruction.
D1351 .......... N Dental sealant per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tooth.
D1510 .......... R Space maintainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
fxd unilat.
D1515 .......... R Fixed bilat space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D1520 .......... R Remove unilat space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintain.
D1525 .......... R Remove bilat space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintain.
D1550 .......... R Recement space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D2110 .......... N Amalgam one surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2120 .......... N Amalgam two 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces primary.
D2130 .......... N Amalgam three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces prima.
D2131 .......... N Amalgam four/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf prima.
D2140 .......... N Amalgam one surface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanen.
D2150 .......... N Amalgam two 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces permane.
D2160 .......... N Amalgam three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces perma.
D2161 .......... N Amalgam 4 or surfaces
perm.
D2210 .......... D Silcate cement per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
restorat.
D2330 .......... N Resin one surface- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2331 .......... N Resin two surfaces- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2332 .......... N Resin three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces-anterio.
D2335 .......... N Resin 4/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf or w incis an.
D2336 .......... N Composite resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2337 .......... N Compo resin crown 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ant-perm.
D2380 .......... N Resin one surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster primar.
D2381 .......... N Resin two surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster primar.
D2382 .......... N Resin three/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf post p.
D2385 .......... N Resin one surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster perman.
D2386 .......... N Resin two surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster perman.
D2387 .......... N Resin three/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf post p.
D2388 .......... N Resin four/more, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post perm.
D2410 .......... N Dental gold foil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one surface.
D2420 .......... N Dental gold foil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
two surface.
D2430 .......... N Dental gold foil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
three surfa.
D2510 .......... N Dental inlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metalic 1 surf.
D2520 .......... N Dental inlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic 2 surf.
D2530 .......... N Dental inlay metl 3/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
more sur.
D2542 .......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic 2 surf.
D2543 .......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic 3 surf.
D2544 .......... N Dental onlay metl 4/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
more sur.
D2610 .......... N Inlay porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic 1 su.
D2620 .......... N Inlay porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic 2 su.
D2630 .......... N Dental onlay porc 3/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
more sur.
D2642 .......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelin 2 surf.
D2643 .......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelin 3 surf.
D2644 .......... N Dental onlay porc 4/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
more sur.
D2650 .......... N Inlay composite/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin one su.
D2651 .......... N Inlay composite/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin two su.
D2652 .......... N Dental inlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3/mre sur.
D2662 .......... N Dental onlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 surface.
D2663 .......... N Dental onlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3 surface.
D2664 .......... N Dental onlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4/mre sur.
D2710 .......... N Crown resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
laboratory.
D2720 .......... N Crown resin w/ high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble me.
D2721 .......... N Crown resin w/ base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D2722 .......... N Crown resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D2740 .......... N Crown porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic subs.
D2750 .......... N Crown porcelain w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
h noble m.
D2751 .......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fused base m.
D2752 .......... N Crown porcelain w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble met.
D2780 .......... N Crown 3/4 cast hi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble met.
D2781 .......... N Crown 3/4 cast base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D2782 .......... N Crown 3/4 cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D2783 .......... N Crown 3/4 porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic.
D2790 .......... N Crown full cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble m.
D2791 .......... N Crown full cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D2792 .......... N Crown full cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D2799 .......... N Provisional crown.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2810 .......... D Crown 3/4 cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic.
D2910 .......... N Dental recement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inlay.
D2920 .......... N Dental recement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
[[Page 44331]]
D2930 .......... N Prefab stnlss steel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crwn pri.
D2931 .......... N Prefab stnlss steel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown pe.
D2932 .......... N Prefabricated resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2933 .......... N Prefab stainless 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
steel crown.
D2940 .......... N Dental sedative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filling.
D2950 .......... N Core build-up incl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
any pins.
D2951 .......... N Tooth pin retention 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2952 .......... N Post and core cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
+ crown.
D2953 .......... N Each addtnl cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post.
D2954 .......... N Prefab post/core + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2955 .......... N Post removal....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2957 .......... N Each addtnl prefab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post.
D2960 .......... N Laminate labial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
veneer.
D2961 .......... N Lab labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin.
D2962 .......... N Lab labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelain.
D2970 .......... R Temporary-fractured 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tooth.
D2980 .......... N Crown repair....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2999 .......... R Dental unspec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
restorative pr.
D3110 .......... N Pulp cap direct.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3120 .......... N Pulp cap indirect.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3220 .......... N Therapeutic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pulpotomy.
D3221 .......... N Gross pulpal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
debridement.
D3230 .......... N Pulpal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior prim.
D3240 .......... N Pulpal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
posterior pri.
D3310 .......... N Anterior........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3320 .......... N Root canal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 canals.
D3330 .......... N Root canal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3 canals.
D3331 .......... N Non-surg tx root 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
canal obs.
D3332 .......... N Incomplete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endodontic tx.
D3333 .......... N Internal root 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
repair.
D3346 .......... N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D3347 .......... N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicuspid.
D3348 .......... N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
molar.
D3351 .......... N Apexification/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recalc initial.
D3352 .......... N Apexification/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recalc interim.
D3353 .......... N Apexification/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recalc final.
D3410 .......... N Apicoect/perirad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surg anter.
D3421 .......... N Root surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicuspid.
D3425 .......... N Root surgery molar. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3426 .......... N Root surgery ea add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
root.
D3430 .......... N Retrograde filling. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3450 .......... N Root amputation.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3460 .......... R Endodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
endosseous implan.
D3470 .......... N Intentional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
replantation.
D3910 .......... N Isolation-tooth w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rubb dam.
D3920 .......... N Tooth splitting.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3950 .......... N Canal prep/fitting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
of dowel.
D3960 .......... D Bleaching of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
discolored toot.
D3999 .......... R Endodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
D4210 .......... I Gingivectomy/plasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per quad.
D4211 .......... I Gingivectomy/plasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per toot.
D4220 .......... N Gingival curettage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per quadr.
D4240 .......... N Gingival flap proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/ planin.
D4245 .......... N Apically positioned 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flap.
D4249 .......... N Crown lengthen hard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue.
D4250 .......... D Mucogingival surg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
per quadra.
D4260 .......... R Osseous surgery per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
quadrant.
D4263 .......... R Bone replce graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
first site.
D4264 .......... R Bone replce graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
each add.
D4266 .......... N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resorble.
D4267 .......... N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonresorb.
D4268 .......... R Surgical revision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
D4270 .......... R Pedicle soft tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
graft pr.
D4271 .......... R Free soft tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
graft proc.
D4273 .......... R Subepithelial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tissue graft.
D4274 .......... N Distal/proximal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wedge proc.
D4320 .......... N Provision splnt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intracoronal.
D4321 .......... N Provisional splint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extracoro.
D4341 .......... N Periodontal scaling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& root.
D4355 .......... R Full mouth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
debridement.
D4381 .......... R Localized chemo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
delivery.
D4910 .......... N Periodontal maint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedures.
D4920 .......... N Unscheduled 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dressing change.
D4999 .......... N Unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
periodontal proc.
D5110 .......... N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillary.
D5120 .......... N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D5130 .......... N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillary.
D5140 .......... N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D5211 .......... N Dentures maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part resin.
D5212 .......... N Dentures mand part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin.
D5213 .......... N Dentures maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part metal.
D5214 .......... N Dentures mandibl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part metal.
[[Page 44332]]
D5281 .......... N Removable partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture.
D5410 .......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt maxil.
D5411 .......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt mand.
D5421 .......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part maxill.
D5422 .......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part mandbl.
D5510 .......... N Dentur repr broken 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compl bas.
D5520 .......... N Replace denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
teeth complt.
D5610 .......... N Dentures repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin base.
D5620 .......... N Rep part denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast frame.
D5630 .......... N Rep partial denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clasp.
D5640 .......... N Replace part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture teeth.
D5650 .......... N Add tooth to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial denture.
D5660 .......... N Add clasp to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial denture.
D5710 .......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt maxil.
D5711 .......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt mand.
D5720 .......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part maxill.
D5721 .......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part mandbl.
D5730 .......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil ch.
D5731 .......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand chr.
D5740 .......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil chr.
D5741 .......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand chr.
D5750 .......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
max lab.
D5751 .......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand lab.
D5760 .......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil lab.
D5761 .......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand lab.
D5810 .......... N Denture interm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt maxill.
D5811 .......... N Denture interm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt mandbl.
D5820 .......... N Denture interm part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxill.
D5821 .......... N Denture interm part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandbl.
D5850 .......... N Denture tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conditn maxill.
D5851 .......... N Denture tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condtin mandbl.
D5860 .......... N Overdenture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
D5861 .......... N Overdenture partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5862 .......... N Precision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attachment.
D5867 .......... N Replacement of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
precision att.
D5875 .......... N Prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
modification.
D5899 .......... N Removable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthodontic proc.
D5911 .......... R Facial moulage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
sectional.
D5912 .......... R Facial moulage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
complete.
D5913 .......... I Nasal prosthesis... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5914 .......... I Auricular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5915 .......... I Orbital prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5916 .......... I Ocular prosthesis.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5919 .......... I Facial prosthesis.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5922 .......... I Nasal septal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5923 .......... I Ocular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interim.
D5924 .......... I Cranial prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5925 .......... I Facial augmentation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D5926 .......... I Replacement nasal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5927 .......... I Auricular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
replacement.
D5928 .......... I Orbital replacement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5929 .......... I Facial replacement. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5931 .......... I Surgical obturator. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5932 .......... I Postsurgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
obturator.
D5933 .......... I Refitting of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
obturator.
D5934 .......... I Mandibular flange 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5935 .......... I Mandibular denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosth.
D5936 .......... I Temp obturator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5937 .......... I Trismus appliance.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5951 .......... R Feeding aid........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5952 .......... I Pediatric speech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
D5953 .......... I Adult speech aid... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5954 .......... I Superimposed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5955 .......... I Palatal lift 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5958 .......... I Intraoral con def 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inter plt.
D5959 .......... I Intraoral con def 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mod palat.
D5960 .......... I Modify speech aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5982 .......... I Surgical stent..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5983 .......... R Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
applicator.
D5984 .......... R Radiation shield... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5985 .......... R Radiation cone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
locator.
D5986 .......... N Fluoride applicator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5987 .......... R Commissure splint.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5988 .......... I Surgical splint.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5999 .......... I Maxillofacial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D6010 .......... I Odontics endosteal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D6020 .......... I Odontics abutment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placement.
D6040 .......... I Odontics eposteal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D6050 .......... I Odontics 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transosteal implnt.
D6055 .......... I Implant connecting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bar.
D6056 .......... N Prefabricated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
abutment.
D6057 .......... N Custom abutment.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 44333]]
D6058 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D6059 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6060 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6061 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6062 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6063 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6064 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6065 .......... N Implant supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D6066 .......... N Implant supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6067 .......... N Implant supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mtl crown.
D6068 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6069 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6070 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6071 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6072 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6073 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6074 .......... N Abutment supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6075 .......... N Implant supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6076 .......... N Implant supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6077 .......... N Implant supported 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6078 .......... N Implnt/abut suprtd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixd dent.
D6079 .......... N Implnt/abut suprtd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixd dent.
D6080 .......... I Implant maintenance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6090 .......... I Repair implant..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6095 .......... I Odontics repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
abutment.
D6100 .......... I Removal of implant. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6199 .......... I Implant procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6210 .......... N Prosthodont high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6211 .......... N Bridge base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast.
D6212 .......... N Bridge noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast.
D6240 .......... N Bridge porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble.
D6241 .......... N Bridge porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D6242 .......... N Bridge porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nobel metal.
D6245 .......... N Bridge porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic.
D6250 .......... N Bridge resin w/high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble.
D6251 .......... N Bridge resin base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6252 .......... N Bridge resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6519 .......... N Inlay/onlay porce/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic.
D6520 .......... N Dental retainer two 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D6530 .......... N Retainer metallic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3+ surface.
D6543 .......... N Dental retainr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
onlay 3 surf.
D6544 .......... N Dental retainr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
onlay 4/more.
D6545 .......... N Dental retainr cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metl.
D6548 .......... N Porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6720 .......... N Retain crown resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w hi nble.
D6721 .......... N Crown resin w/base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6722 .......... N Crown resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6740 .......... N Crown porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic.
D6750 .......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble.
D6751 .......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D6752 .......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6780 .......... N Crown 3/4 high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6781 .......... N Crown 3/4 cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
based metal.
D6782 .......... N Crown 3/4 cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6783 .......... N Crown 3/4 porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic.
D6790 .......... N Crown full high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6791 .......... N Crown full base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal cast.
D6792 .......... N Crown full noble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal cast.
D6920 .......... R Dental connector 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bar.
D6930 .......... N Dental recement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bridge.
D6940 .......... N Stress breaker..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6950 .......... N Precision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attachment.
D6970 .......... N Post & core plus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6971 .......... N Cast post bridge 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6972 .......... N Prefab post & core 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plus reta.
D6973 .......... N Core build up for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6975 .......... N Coping metal....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6976 .......... N Each addtnl cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post.
D6977 .......... N Each addtl prefab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post.
D6980 .......... N Bridge repair...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6999 .......... N Fixed prosthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc.
D7110 .......... R Oral surgery single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tooth.
D7120 .......... R Each add tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
extraction.
D7130 .......... R Tooth root removal. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7210 .......... R Rem imp tooth w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
mucoper flp.
D7220 .......... R Impact tooth remov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
soft tiss.
D7230 .......... R Impact tooth remov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
part bony.
D7240 .......... R Impact tooth remov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
comp bony.
D7241 .......... R Impact tooth rem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bony w/comp.
D7250 .......... R Tooth root removal. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7260 .......... R Oral antral fistula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
closure.
D7270 .......... N Tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reimplantation.
[[Page 44334]]
D7272 .......... N Tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplantation.
D7280 .......... N Exposure impact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tooth orthod.
D7281 .......... N Exposure tooth aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eruption.
D7285 .......... I Biopsy of oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue hard.
D7286 .......... I Biopsy of oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue soft.
D7290 .......... N Repositioning of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
teeth.
D7291 .......... R Transseptal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
fiberotomy.
D7310 .......... I Alveoplasty w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraction.
D7320 .......... I Alveoplasty w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraction.
D7340 .......... I Vestibuloplasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ridge extens.
D7350 .......... I Vestibuloplasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exten graft.
D7410 .......... I Rad exc lesion up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25 cm.
D7420 .......... I Lesion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25 cm.
D7430 .......... I Exc benign tumor to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25 cm.
D7431 .......... I Benign tumor exc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25
cm.
D7440 .......... I Malig tumor exc to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25 cm.
D7441 .......... I Malig tumor 1.25 cm.
D7450 .......... I Rem odontogen cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25cm.
D7451 .......... I Rem odontogen cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25
cm.
D7460 .......... I Rem nonodonto cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25cm.
D7461 .......... I Rem nonodonto cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25
cm.
D7465 .......... I Lesion destruction. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7470 .......... D Rem exostosis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla/mandib.
D7471 .......... I Rem exostosis any 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
site.
D7480 .......... I Partial ostectomy.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7490 .......... I Mandible resection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7510 .......... I I&d absc intraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
soft tiss.
D7520 .......... I I&d abscess 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraoral.
D7530 .......... I Removal fb skin/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
areolar tiss.
D7540 .......... I Removal of fb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reaction.
D7550 .......... I Removal of sloughed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
off bone.
D7560 .......... I Maxillary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sinusotomy.
D7610 .......... I Maxilla open reduct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple.
D7620 .......... I Clsd reduct simpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla fx.
D7630 .......... I Open red simpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible fx.
D7640 .......... I Clsd red simpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible fx.
D7650 .......... I Open red simp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygom fx.
D7660 .......... I Clsd red simp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygom fx.
D7670 .......... I Closd rductn splint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alveolus.
D7680 .......... I Reduct simple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bone fx.
D7710 .......... I Maxilla open reduct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compound.
D7720 .......... I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla fx.
D7730 .......... I Open reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandble fx.
D7740 .......... I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandble fx.
D7750 .......... I Open red comp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygma fx.
D7760 .......... I Clsd red comp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygma fx.
D7770 .......... I Open reduc compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alveolus fx.
D7780 .......... I Reduct compnd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bone fx.
D7810 .......... I Tmj open reduct- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dislocation.
D7820 .......... I Closed tmp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manipulation.
D7830 .......... I Tmj manipulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
under anest.
D7840 .......... I Removal of tmj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condyle.
D7850 .......... I Tmj meniscectomy... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7852 .......... I Tmj repair of joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc.
D7854 .......... I Tmj excisn of joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
membrane.
D7856 .......... I Tmj cutting of a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
muscle.
D7858 .......... I Tmj reconstruction. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7860 .......... I Tmj cutting into 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
joint.
D7865 .......... I Tmj reshaping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
components.
D7870 .......... I Tmj aspiration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
joint fluid.
D7871 .......... N Lysis + lavage w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheters.
D7872 .......... I Tmj diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
arthroscopy.
D7873 .......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lysis adhesn.
D7874 .......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc reposit.
D7875 .......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
synovectomy.
D7876 .......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
discectomy.
D7877 .......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
debridement.
D7880 .......... I Occlusal orthotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance.
D7899 .......... I Tmj unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
D7910 .......... I Dent sutur recent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wnd to 5cm.
D7911 .......... I Dental suture wound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 5 cm.
D7912 .......... I Suture complicate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wnd 5
cm.
D7920 .......... I Dental skin graft.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7940 .......... R Reshaping bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
orthognathic.
D7941 .......... I Bone cutting ramus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
closed.
D7942 .......... D Bone cutting ramus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
open.
D7943 .......... I Cutting ramus open 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/graft.
D7944 .......... I Bone cutting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
segmented.
D7945 .......... I Bone cutting body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D7946 .......... I Reconstruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla total.
D7947 .......... I Reconstruct maxilla 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
segment.
D7948 .......... I Reconstruct midface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no graft.
[[Page 44335]]
D7949 .......... I Reconstruct midface 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/graft.
D7950 .......... I Mandible graft..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7955 .......... I Repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillofacial
defects.
D7960 .......... I Frenulectomy/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frenulotomy.
D7970 .......... I Excision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hyperplastic
tissue.
D7971 .......... I Excision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pericoronal
gingiva.
D7980 .......... I Sialolithotomy..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7981 .......... I Excision of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
salivary gland.
D7982 .......... I Sialodochoplasty... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7983 .......... I Closure of salivary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fistula.
D7990 .......... I Emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tracheotomy.
D7991 .......... I Dental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coronoidectomy.
D7995 .......... I Synthetic graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bones.
D7996 .......... I Implant mandible 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for augment.
D7997 .......... N Appliance removal.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7999 .......... I Oral surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
D8010 .......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D8020 .......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transition.
D8030 .......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adolescent.
D8040 .......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult.
D8050 .......... N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D8060 .......... N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transitn.
D8070 .......... N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transition.
D8080 .......... N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adolescent.
D8090 .......... N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult.
D8210 .......... N Orthodontic rem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance tx.
D8220 .......... N Fixed appliance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy habt.
D8660 .......... N Preorthodontic tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit.
D8670 .......... N Periodic orthodontc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx visit.
D8680 .......... N Orthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retention.
D8690 .......... N Orthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
D8691 .......... N Repair ortho 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance.
D8692 .......... N Replacement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D8999 .......... N Orthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
D9110 .......... R Tx dental pain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
minor proc.
D9210 .......... I Dent anesthesia w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surgery.
D9211 .......... I Regional block 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthesia.
D9212 .......... I Trigeminal block 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthesia.
D9215 .......... I Local anesthesia... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9220 .......... I General anesthesia. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9221 .......... I General anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ea ad 15m.
D9230 .......... R Analgesia.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9240 .......... D Intravenous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sedation.
D9241 .......... I Intravenous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sedation.
D9242 .......... I IV sedation ea ad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
30 m.
D9248 .......... R Sedation (non-iv).. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9310 .......... I Dental consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9410 .......... I Dental house call.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9420 .......... I Hospital call...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9430 .......... I Office visit during 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hours.
D9440 .......... I Office visit after 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hours.
D9610 .......... I Dent therapeutic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug inject.
D9630 .......... R Other drugs/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
medicaments.
D9910 .......... N Dent appl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
desensitizing med.
D9911 .......... N Appl desensitizing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin.
D9920 .......... N Behavior management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9930 .......... R Treatment of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
complications.
D9940 .......... R Dental occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
guard.
D9941 .......... N Fabrication 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
athletic guard.
D9950 .......... R Occlusion analysis. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9951 .......... R Limited occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adjustment.
D9952 .......... R Complete occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adjustment.
D9970 .......... N Enamel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
microabrasion.
D9971 .......... N Odontoplasty 1-2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
teeth.
D9972 .......... N Extrnl bleaching 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per arch.
D9973 .......... N Extrnl bleaching 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per tooth.
D9974 .......... N Intrnl bleaching 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per tooth.
D9999 .......... I Adjunctive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
G0001 .......... X Drawing blood for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen.
G0002 .......... A Temporary urinary 0.50 3.05 2.48 0.16 0.31 0.03 3.58 3.01 0.69 0.84 000
catheter.
G0004 .......... A ECG transm phys 0.52 7.53 7.64 NA NA 0.46 8.51 8.62 NA NA XXX
review & int.
G0005 .......... A ECG 24 hour 0.00 1.25 1.26 NA NA 0.07 1.32 1.33 NA NA XXX
recording.
G0006 .......... A ECG transmission & 0.00 6.08 6.12 NA NA 0.37 6.45 6.49 NA NA XXX
analysis.
G0007 .......... A ECG phy review & 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 XXX
interpret.
G0008 .......... X Admin influenza 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
virus vac.
G0009 .......... X Admin pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0010 .......... X Admin hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0015 .......... A Post symptom ECG 0.00 6.08 6.12 NA NA 0.37 6.45 6.49 NA NA XXX
tracing.
G0016 .......... A Post symptom ECG md 0.52 0.26 0.30 0.26 0.30 0.02 0.80 0.84 0.80 0.84 XXX
review.
G0025 .......... A Collagen skin test 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 XXX
kit.
G0026 .......... X Fecal leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
G0027 .......... X Semen analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 44336]]
G0030 .......... C PET imaging prev 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
PET single.
G0030 26 A PET imaging prev 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
PET single.
G0030 TC C PET imaging prev 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
PET single.
G0031 .......... C PET imaging prev 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
PET multple.
G0031 26 A PET imaging prev 1.87 0.70 0.70 0.70 0.70 0.07 2.64 2.64 2.64 2.64 XXX
PET multple.
G0031 TC C PET imaging prev 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
PET multple.
G0032 .......... C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78464 singl.
G0032 26 A PET follow SPECT 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
78464 singl.
G0032 TC C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78464 singl.
G0033 .......... C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78464 mult.
G0033 26 A PET follow SPECT 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
78464 mult.
G0033 TC C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78464 mult.
G0034 .......... C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
76865 singl.
G0034 26 A PET follow SPECT 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
76865 singl.
G0034 TC C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
76865 singl.
G0035 .......... C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78465 mult.
G0035 26 A PET follow SPECT 1.87 0.70 0.70 0.70 0.70 0.07 2.64 2.64 2.64 2.64 XXX
78465 mult.
G0035 TC C PET follow SPECT 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
78465 mult.
G0036 .......... C PET follow cornry 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
angio sing.
G0036 26 A PET follow cornry 1.50 0.52 0.52 0.52 0.52 0.06 2.08 2.08 2.08 2.08 XXX
angio sing.
G0036 TC C PET follow cornry 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
angio sing.
G0037 .......... C PET follow cornry 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
angio mult.
G0037 26 A PET follow cornry 1.87 0.70 0.70 0.70 0.70 0.07 2.64 2.64 2.64 2.64 XXX
angio mult.
G0037 TC C PET follow cornry 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
angio mult.
G0038 .......... C PET follow myocard 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
perf sing.
G0038 26 A PET follow myocard 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
perf sing.
G0038 TC C PET follow myocard 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
perf sing.
G0039 .......... C PET follow myocard 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
perf mult.
G0039 26 A PET follow myocard 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
perf mult.
G0039 TC C PET follow myocard 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
perf mult.
G0040 .......... C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
echo singl.
G0040 26 A PET follow stress 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
echo singl.
G0040 TC C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
echo singl.
G0041 .......... C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
echo mult.
G0041 26 A PET follow stress 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
echo mult.
G0041 TC C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
echo mult.
G0042 .......... C PET follow 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ventriculogm sing.
G0042 26 A PET follow 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
ventriculogm sing.
G0042 TC C PET follow 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ventriculogm sing.
G0043 .......... C PET follow 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ventriculogm mult.
G0043 26 A PET follow 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
ventriculogm mult.
G0043 TC C PET follow 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ventriculogm mult.
G0044 .......... C PET following rest 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG singl.
G0044 26 A PET following rest 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
ECG singl.
G0044 TC C PET following rest 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG singl.
G0045 .......... C PET following rest 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG mult.
G0045 26 A PET following rest 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
ECG mult.
G0045 TC C PET following rest 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG mult.
G0046 .......... C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG singl.
G0046 26 A PET follow stress 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
ECG singl.
G0046 TC C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG singl.
G0047 .......... C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG mult.
G0047 26 A PET follow stress 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
ECG mult.
G0047 TC C PET follow stress 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ECG mult.
G0050 .......... A Residual urine by 0.00 0.86 0.87 NA NA 0.04 0.90 0.91 NA NA XXX
ultrasound.
G0101 .......... A CA screen;pelvic/ 0.45 0.59 0.52 0.17 0.20 0.02 1.06 0.99 0.64 0.67 XXX
breast exam.
G0102 .......... A Prostate ca 0.17 0.54 0.46 0.06 0.10 0.01 0.72 0.64 0.24 0.28 XXX
screening; dre.
G0103 .......... X Psa, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
G0104 .......... A CA screen;flexi 0.96 1.68 1.59 0.42 0.65 0.07 2.71 2.62 1.45 1.68 000
sigmoidscope.
G0105 .......... A Colorectal scrn; hi 3.70 5.39 5.16 1.63 2.34 0.26 9.35 9.12 5.59 6.30 000
risk ind.
G0106 .......... A Colon CA 0.99 2.60 2.65 NA NA 0.15 3.74 3.79 NA NA XXX
screen;barium
enema.
G0106 26 A Colon CA 0.99 0.34 0.38 0.34 0.38 0.04 1.37 1.41 1.37 1.41 XXX
screen;barium
enema.
G0106 TC A Colon CA 0.00 2.26 2.27 NA NA 0.11 2.37 2.38 NA NA XXX
screen;barium
enema.
G0107 .......... X CA screen; fecal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood test.
G0108 .......... A Diab manage trn per 0.00 1.64 1.64 1.64 1.64 0.01 1.65 1.65 1.65 1.65 XXX
indiv.
G0109 .......... A Diab manage trn ind/ 0.00 0.96 0.96 0.96 0.96 0.01 0.97 0.97 0.97 0.97 XXX
group.
G0110 .......... R Nett pulm-rehab 0.90 0.66 0.57 0.36 0.34 0.03 1.59 1.50 1.29 1.27 XXX
educ; ind.
G0111 .......... R Nett pulm-rehab 0.27 0.27 0.26 0.14 0.16 0.01 0.55 0.54 0.42 0.44 XXX
educ; group.
G0112 .......... R Nett;nutrition 1.72 1.36 1.28 0.68 0.77 0.07 3.15 3.07 2.47 2.56 XXX
guid, initial.
G0113 .......... R Nett;nutrition 1.29 0.95 0.92 0.41 0.52 0.05 2.29 2.26 1.75 1.86 XXX
guid,subseqnt.
G0114 .......... R Nett; psychosocial 1.20 0.49 0.46 0.37 0.37 0.03 1.72 1.69 1.60 1.60 XXX
consult.
G0115 .......... R Nett; psychological 1.20 0.52 0.49 0.48 0.46 0.03 1.75 1.72 1.71 1.69 XXX
testing.
G0116 .......... R Nett; psychosocial 1.11 0.60 0.55 0.33 0.34 0.03 1.74 1.69 1.47 1.48 XXX
counsel.
G0120 .......... A Colon ca scrn; 0.99 2.60 2.65 NA NA 0.15 3.74 3.79 NA NA XXX
barium enema.
G0120 26 A Colon ca scrn; 0.99 0.34 0.38 0.34 0.38 0.04 1.37 1.41 1.37 1.41 XXX
barium enema.
G0120 TC A Colon ca scrn; 0.00 2.26 2.27 NA NA 0.11 2.37 2.38 NA NA XXX
barium enema.
G0121 .......... N Colon ca scrn not 3.70 6.16 5.74 1.47 2.22 0.13 9.99 9.57 5.30 6.05 XXX
hi rsk ind.
G0122 .......... N Colon ca scrn; 0.99 2.65 2.69 NA NA 0.15 3.79 3.83 NA NA XXX
barium enema.
G0122 26 N Colon ca scrn; 0.99 0.39 0.42 0.39 0.42 0.04 1.42 1.45 1.42 1.45 XXX
barium enema.
G0122 TC N Colon ca scrn; 0.00 2.26 2.27 NA NA 0.11 2.37 2.38 NA NA XXX
barium enema.
G0123 .......... X Screen cerv/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thin layer.
G0124 .......... A Screen c/v thin 0.42 0.19 0.23 0.19 0.23 0.01 0.62 0.66 0.62 0.66 XXX
layer by MD.
[[Page 44337]]
G0125 .......... A Lung image (PET)... 1.50 56.15 56.15 NA NA 2.06 59.71 59.71 NA NA XXX
G0125 26 A Lung image (PET)... 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
G0125 TC A Lung image (PET)... 0.00 55.63 55.63 NA NA 2.01 57.64 57.64 NA NA XXX
G0126 .......... A Lung image (PET) 1.87 56.33 56.33 NA NA 2.07 60.27 60.27 NA NA XXX
staging.
G0126 26 A Lung image (PET) 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 XXX
staging.
G0126 TC A Lung image (PET) 0.00 55.63 55.63 NA NA 2.01 57.64 57.64 NA NA XXX
staging.
G0127 .......... R Trim nail(s)....... 0.11 0.48 0.43 0.04 0.10 0.01 0.60 0.55 0.16 0.22 000
G0128 .......... R CORF skilled 0.08 0.03 0.03 0.03 0.03 0.01 0.12 0.12 0.12 0.12 XXX
nursing service.
G0130 .......... A Single energy x-ray 0.22 0.90 0.90 NA NA 0.05 1.17 1.17 NA NA XXX
study.
G0130 26 A Single energy x-ray 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 XXX
study.
G0130 TC A Single energy x-ray 0.00 0.79 0.79 NA NA 0.04 0.83 0.83 NA NA XXX
study.
G0131 .......... A CT scan, bone 0.25 3.18 3.18 NA NA 0.14 3.57 3.57 NA NA XXX
density study.
G0131 26 A CT scan, bone 0.25 0.13 0.13 0.13 0.13 0.01 0.39 0.39 0.39 0.39 XXX
density study.
G0131 TC A CT scan, bone 0.00 3.05 3.05 NA NA 0.13 3.18 3.18 NA NA XXX
density study.
G0132 .......... A CT scan, bone 0.22 0.90 0.90 NA NA 0.05 1.17 1.17 NA NA XXX
density study.
G0132 26 A CT scan, bone 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 XXX
density study.
G0132 TC A CT scan, bone 0.00 0.79 0.79 NA NA 0.04 0.83 0.83 NA NA XXX
density study.
G0141 .......... A Scr c/v 0.42 0.19 0.23 0.19 0.23 0.01 0.62 0.66 0.62 0.66 XXX
cyto,autosys and
md.
G0143 .......... X Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,res
cr.
G0144 .......... X Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,res
cr.
G0145 .......... X Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,res
cr.
G0147 .......... X Scr c/v cyto, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated sys.
G0148 .......... X Scr c/v cyto, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
autosys, rescr.
G0159 .......... C Perc declot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis graft.
G0160 .......... C Cryo. ablation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prostate.
G0161 .......... C Echo guide for cryo 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
probes.
G0161 26 C Echo guide for cryo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probes.
G0161 TC C Echo guide for cryo 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
probes.
G0163 .......... A Pet for rec of 1.50 56.22 56.22 NA NA 2.06 59.78 59.78 NA NA XXX
colorectal ca.
G0163 26 A Pet for rec of 1.50 0.59 0.59 0.59 0.59 0.05 2.14 2.14 2.14 2.14 XXX
colorectal ca.
G0163 TC A Pet for rec of 0.00 55.63 55.63 NA NA 2.01 57.64 57.64 NA NA XXX
colorectal ca.
G0164 .......... A Pet for lymphoma 1.87 56.37 56.37 NA NA 2.06 60.30 60.30 NA NA XXX
staging.
G0164 26 A Pet for lymphoma 1.87 0.74 0.74 0.74 0.74 0.05 2.66 2.66 2.66 2.66 XXX
staging.
G0164 TC A Pet for lymphoma 0.00 55.63 55.63 NA NA 2.01 57.64 57.64 NA NA XXX
staging.
G0165 .......... A Pet,rec of melanoma/ 1.50 56.22 56.22 NA NA 2.06 59.78 59.78 NA NA XXX
met ca.
G0165 26 A Pet,rec of melanoma/ 1.50 0.59 0.59 0.59 0.59 0.05 2.14 2.14 2.14 2.14 XXX
met ca.
G0165 TC A Pet,rec of melanoma/ 0.00 55.63 55.63 NA NA 2.01 57.64 57.64 NA NA XXX
met ca.
G0166 .......... A Extrnl 0.07 4.11 4.11 0.03 0.03 0.01 4.19 4.19 0.11 0.11 XXX
counterpulse, per
tx.
G0167 .......... C Hyperbaric oz tx;no 0.00 NA NA 0.71 0.72 0.00 NA NA 0.71 0.72 XXX
md reqrd.
G0168 .......... A Wound closure by 0.45 1.86 1.86 0.26 0.26 0.02 2.33 2.33 0.73 0.73 010
adhesive.
G0169 .......... A Removal tissue; no 0.50 0.56 0.56 0.56 0.56 0.04 1.10 1.10 1.10 1.10 XXX
anesthsia.
G0170 .......... A Skin biograft...... 1.50 2.29 2.29 0.99 0.99 0.39 4.18 4.18 2.88 2.88 010
G0171 .......... A Skin biograft add- 0.38 0.30 0.30 0.15 0.15 0.39 1.07 1.07 0.92 0.92 ZZZ
on.
Gxxx1 .......... A Home health care 1.73 1.31 1.12 0.61 0.60 0.06 3.10 2.91 2.40 2.39 XXX
supervision.
Gxxx2 .......... A Hospice care 1.73 1.55 1.30 0.58 0.57 0.06 3.34 3.09 2.37 2.36 XXX
supervision.
Gxxx3 .......... A Initial cert, home 0.67 1.10 1.10 0.27 0.27 0.06 1.83 1.83 1.00 1.00 XXX
health.
Gxxx4 .......... A Recertification, 0.45 1.00 1.00 0.18 0.18 0.06 1.51 1.51 0.69 0.69 XXX
home health.
Gxxx5 .......... A Treatment of 13.13 9.93 9.93 9.10 9.10 0.52 23.58 23.58 22.75 22.75 090
choroid lesion.
Gxxx6 .......... A Ocular 0.55 34.59 34.59 0.27 0.27 0.52 35.66 35.66 1.34 1.34 XXX
phototherapy, iv
incl.
Gxxx7 .......... A Ocular 0.28 0.24 0.24 0.14 0.14 0.52 1.04 1.04 0.94 0.94 ZZZ
phototherapy, iv
incl.
J0120 .......... E Tetracyclin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0130 .......... E Abciximab injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0150 .......... E Injection adenosine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
6 MG.
J0151 .......... E Adenosine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0170 .......... E Adrenalin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
epinephrin inject.
J0190 .......... E Inj biperiden 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactate/5 mg.
J0200 .......... E Alatrofloxacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate.
J0205 .......... E Alglucerase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0207 .......... E Amifostine......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0210 .......... E Methyldopate hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0256 .......... E Alpha 1 proteinase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor.
J0270 .......... E Alprostadil for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0275 .......... E Alprostadil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urethral suppos.
J0280 .......... E Aminophyllin 250 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0285 .......... E Amphotericin B..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0286 .......... E Amphotericin B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipid complex.
J0290 .......... E Ampicillin 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0295 .......... E Ampicillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1.5 gm.
J0300 .......... E Amobarbital 125 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0330 .......... E Succinycholine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride inj.
J0340 .......... E Nandrolon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenpropionate inj.
J0350 .......... E Injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anistreplase 30 u.
J0360 .......... E Hydralazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0380 .......... E Inj metaraminol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bitartrate.
J0390 .......... E Chloroquine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0395 .......... E Arbutamine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0400 .......... E Inj trimethaphan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
camsylate.
J0456 .......... E Azithromycin....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0460 .......... E Atropine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0470 .......... E Dimecaprol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0475 .......... E Baclofen 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0476 .......... E Baclofen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intrathecal trial.
[[Page 44338]]
J0500 .......... E Dicyclomine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0510 .......... E Benzquinamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0515 .......... E Inj benztropine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate.
J0520 .......... E Bethanechol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride inject.
J0530 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0540 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0550 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0560 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0570 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0580 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0585 .......... E Botulinum toxin a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per unit.
J0590 .......... E Ethylnorepinephrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl inj.
J0600 .......... E Edetate calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disodium inj.
J0610 .......... E Calcium gluconate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0620 .......... E Calcium glycer & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lact/10 ML.
J0630 .......... E Calcitonin salmon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0635 .......... E Calcitriol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0640 .......... E Leucovorin calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0670 .......... E Inj mepivacaine HCL/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10 ml.
J0690 .......... E Cefazolin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0694 .......... E Cefoxitin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0695 .......... E Cefonocid sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0696 .......... E Ceftriaxone sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0697 .......... E Sterile cefuroxime 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0698 .......... E Cefotaxime sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0702 .......... E Betamethasone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acet&sod phosp.
J0704 .......... E Betamethasone sod 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosp/4 MG.
J0710 .......... E Cephapirin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0713 .......... E Inj ceftazidime per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 mg.
J0715 .......... E Ceftizoxime sodium / 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 MG.
J0720 .......... E Chloramphenicol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium injec.
J0725 .......... E Chorionic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gonadotropin/1000u.
J0730 .......... E Chlorpheniramin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J0735 .......... E Clonidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J0740 .......... E Cidofovir injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0743 .......... E Cilastatin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0745 .......... E Inj codeine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphate /30 MG.
J0760 .......... E Colchicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0770 .......... E Colistimethate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J0780 .......... E Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0800 .......... E Corticotropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0810 .......... E Cortisone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0835 .......... E Inj cosyntropin per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0.25 MG.
J0850 .......... E Cytomegalovirus imm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IV /vial.
J0895 .......... E Deferoxamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate inj.
J0900 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enanthate inj.
J0945 .......... E Brompheniramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J0970 .......... E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1000 .......... E Depo-estradiol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionate inj.
J1020 .......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20 MG inj.
J1030 .......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
40 MG inj.
J1040 .......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80 MG inj.
J1050 .......... E Medroxyprogesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1055 .......... N Medrxyprogester 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate inj.
J1060 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionate 1 ML.
J1070 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionat 100 MG.
J1080 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionat 200 MG.
J1090 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionate 50 MG.
J1095 .......... E Inj dexamethasone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate.
J1100 .......... E Dexamethasone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium phos.
J1110 .......... E Inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydroergotamine
mesylt.
J1120 .......... E Acetazolamid sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectio.
J1160 .......... E Digoxin injection.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1165 .......... E Phenytoin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1170 .......... E Hydromorphone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1180 .......... E Dyphylline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1190 .......... E Dexrazoxane HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1200 .......... E Diphenhydramine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectio.
J1205 .......... E Chlorothiazide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J1212 .......... E Dimethyl sulfoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50% 50 ML.
J1230 .......... E Methadone injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1240 .......... E Dimenhydrinate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1245 .......... E Dipyridamole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1250 .......... E Inj dobutamine HCL/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250 mg.
J1260 .......... E Dolasetron mesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1320 .......... E Amitriptyline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1325 .......... E Epoprostenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1327 .......... E Eptifibatide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1330 .......... E Ergonovine maleate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1362 .......... E Erythromycin glucep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
/ 250 MG.
J1364 .......... E Erythro 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactobionate /500
MG.
J1380 .......... E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10 MG inj.
[[Page 44339]]
J1390 .......... E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20 MG inj.
J1410 .......... E Inj estrogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conjugate 25 MG.
J1435 .......... E Injection estrone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1 MG.
J1436 .......... E Etidronate disodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1438 .......... E Etanercept 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1440 .......... E Filgrastim 300 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J1441 .......... E Filgrastim 480 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1450 .......... E Fluconazole........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1455 .......... E Foscarnet sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1460 .......... E Gamma globulin 1 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1470 .......... E Gamma globulin 2 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1480 .......... E Gamma globulin 3 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1490 .......... E Gamma globulin 4 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1500 .......... E Gamma globulin 5 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1510 .......... E Gamma globulin 6 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1520 .......... E Gamma globulin 7 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1530 .......... E Gamma globulin 8 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1540 .......... E Gamma globulin 9 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1550 .......... E Gamma globulin 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1560 .......... E Gamma globulin 10 CC inj.
J1561 .......... E Immune globulin 500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J1562 .......... E Immune globulin 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gms.
J1565 .......... E RSV-ivig........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1570 .......... E Ganciclovir sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1580 .......... E Garamycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gentamicin inj.
J1600 .......... E Gold sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thiomaleate inj.
J1610 .......... E Glucagon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride/1 MG.
J1620 .......... E Gonadorelin hydroch/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100 mcg.
J1626 .......... E Granisetron HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1630 .......... E Haloperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1631 .......... E Haloperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate inj.
J1642 .......... E Inj heparin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 10 u.
J1644 .......... E Inj heparin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1000u.
J1645 .......... E Dalteparin sodium.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1650 .......... E Inj enoxaparin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium.
J1670 .......... E Tetanus immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin inj.
J1690 .......... E Prednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tebutate inj.
J1700 .......... E Hydrocortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate inj.
J1710 .......... E Hydrocortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium ph inj.
J1720 .......... E Hydrocortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium succ i.
J1730 .......... E Diazoxide injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1739 .......... E Hydroxyprogesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cap 125.
J1741 .......... E Hydroxyprogesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cap 250.
J1742 .......... E Ibutilide fumarate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1745 .......... E Infliximab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1750 .......... E Iron dextran....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1760 .......... D Iron dextran 2 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 .00 0.00 0.00 XXX
inj.
J1770 .......... D Iron dextran 5 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1780 .......... D Iron dextran 10 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1785 .......... E Injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imiglucerase /unit.
J1790 .......... E Droperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1800 .......... E Propranolol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1810 .......... E Droperidol/fentanyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1820 .......... E Insulin injection.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1825 .......... E Interferon beta-1a. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1830 .......... E Interferon beta-1b / 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.25 MG.
J1840 .......... E Kanamycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 MG inj.
J1850 .......... E Kanamycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
75 MG inj.
J1885 .......... E Ketorolac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tromethamine inj.
J1890 .......... E Cephalothin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1910 .......... E Kutapressin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1930 .......... E Propiomazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1940 .......... E Furosemide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1950 .......... E Leuprolide acetate / 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3.75 MG.
J1955 .......... E Inj levocarnitine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1 gm.
J1956 .......... E Levofloxacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1960 .......... E Levorphanol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tartrate inj.
J1970 .......... E Methotrimeprazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1980 .......... E Hyoscyamine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1990 .......... E Chlordiazepoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2000 .......... E Lidocaine injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2010 .......... E Lincomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2060 .......... E Lorazepam injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2150 .......... E Mannitol injection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2175 .......... E Meperidine hydrochl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
/100 MG.
J2180 .......... E Meperidine/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
promethazine inj.
J2210 .......... E Methylergonovin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J2240 .......... E Metocurine iodide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2250 .......... E Inj midazolam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2260 .......... E Inj milrinone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactate / 5 ML.
J2270 .......... E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2271 .......... E Morphine so4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection 100mg.
[[Page 44340]]
J2275 .......... E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2300 .......... E Inj nalbuphine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2310 .......... E Inj naloxone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2320 .......... E Nandrolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 50 MG.
J2321 .......... E Nandrolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 100 MG.
J2322 .......... E Nandrolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 200 MG.
J2330 .......... E Thiothixene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2350 .......... E Niacinamide/niacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2352 .......... E Octreotide acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2355 .......... E Oprelvekin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2360 .......... E Orphenadrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2370 .......... E Phenylephrine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2400 .......... E Chloroprocaine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2405 .......... E Ondansetron hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2410 .......... E Oxymorphone hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2430 .......... E Pamidronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disodium /30 MG.
J2440 .......... E Papaverin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2460 .......... E Oxytetracycline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2480 .......... E Hydrochlorides of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
opium inj.
J2500 .......... E Paricalcitol....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2510 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procaine inj.
J2512 .......... E Inj pentagastrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 2 ML.
J2515 .......... E Pentobarbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J2540 .......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
potassium inj.
J2543 .......... E Piperacillin/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tazobactam.
J2545 .......... E Pentamidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
isethionte/300mg.
J2550 .......... E Promethazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2560 .......... E Phenobarbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J2590 .......... E Oxytocin injection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2597 .......... E Inj desmopressin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate.
J2640 .......... E Prednisolone sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ph inj.
J2650 .......... E Prednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate inj.
J2670 .......... E Totazoline hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2675 .......... E Inj progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 50 MG.
J2680 .......... E Fluphenazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 25 MG.
J2690 .......... E Procainamide hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2700 .......... E Oxacillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J2710 .......... E Neostigmine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methylslfte inj.
J2720 .......... E Inj protamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate/10 MG.
J2725 .......... E Inj protirelin per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250 mcg.
J2730 .......... E Pralidoxime 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride inj.
J2760 .......... E Phentolaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate inj.
J2765 .......... E Metoclopramide hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2780 .......... E Ranitidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride inj.
J2790 .......... E Rho d immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin inj.
J2792 .......... E Rho(D) immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin h, sd.
J2800 .......... E Methocarbamol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2810 .......... E Inj theophylline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 40 MG.
J2820 .......... E Sargramostim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2860 .......... E Secobarbital sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2910 .......... E Aurothioglucose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J2912 .......... E Sodium chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2920 .......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2930 .......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2950 .......... E Promazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J2970 .......... E Methicillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2994 .......... E Reteplase double 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bolus.
J2995 .......... E Inj streptokinase / 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250000 IU.
J2996 .......... E Alteplase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant inj.
J3000 .......... E Streptomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3010 .......... E Fentanyl citrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3030 .......... E Sumatriptan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
succinate / 6 MG.
J3070 .......... E Pentazocine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3080 .......... E Chlorprothixene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3105 .......... E Terbutaline sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3120 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enanthate inj.
J3130 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enanthate inj.
J3140 .......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suspension inj.
J3150 .......... E Testosteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
propionate inj.
J3230 .......... E Chlorpromazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3240 .......... E Thyrotropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3245 .......... E Tirofiban 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J3250 .......... E Trimethobenzamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl inj.
J3260 .......... E Tobramycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3265 .......... E Injection torsemide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10 mg/ml.
J3270 .......... E Imipramine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3280 .......... E Thiethylperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J3301 .......... E Triamcinolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetonide inj.
J3302 .......... E Triamcinolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diacetate inj.
J3303 .......... E Triamcinolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hexacetonl inj.
J3305 .......... E Inj trimetrexate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucoronate.
J3310 .......... E Perphenazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
[[Page 44341]]
J3320 .......... E Spectinomycn di-hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3350 .......... E Urea injection..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3360 .......... E Diazepam injection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3364 .......... E Urokinase 5000 IU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3365 .......... E Urokinase 250,000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IU inj.
J3370 .......... R Vancomycin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3390 .......... E Methoxamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3400 .......... E Triflupromazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3410 .......... E Hydroxyzine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3420 .......... E Vitamin b12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3430 .......... E Vitamin k 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phytonadione inj.
J3450 .......... E Mephentermine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate inj.
J3470 .......... E Hyaluronidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3475 .......... E Inj magnesium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
J3480 .......... E Inj potassium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
J3490 .......... E Drugs unclassified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3520 .......... N Edetate disodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 150 mg.
J3530 .......... E Nasal vaccine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhalation.
J3535 .......... N Metered dose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhaler drug.
J3570 .......... N Laetrile amygdalin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vit B17.
J7030 .......... E Normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution infus.
J7040 .......... E Normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution infus.
J7042 .......... E 5% dextrose/normal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saline.
J7050 .......... E Normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution infus.
J7051 .......... E Sterile saline/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water.
J7060 .......... E 5% dextrose/water.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7070 .......... E D5w infusion....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7100 .......... E Dextran 40 infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7110 .......... E Dextran 75 infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7120 .......... E Ringers lactate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infusion.
J7130 .......... E Hypertonic saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
J7190 .......... X Factor viii........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7191 .......... X Factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(porcine).
J7192 .......... X Factor viii 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
J7194 .......... X Factor ix complex.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7196 .......... D Othr hemophilia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clot factors.
J7197 .......... X Antithrombin iii 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7198 .......... E Anti-inhibitor..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7199 .......... E Hemophilia clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
factor noc.
J7300 .......... N Intraut copper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contraceptive.
J7310 .......... E Ganciclovir long 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
act implant.
J7315 .......... E Sodium hyaluronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7320 .......... E Hylan G-F 20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7500 .......... X Azathioprine oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50mg.
J7501 .......... X Azathioprine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral.
J7502 .......... E Cyclosporine oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100 mg.
J7503 .......... D Cyclosporine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral.
J7504 .......... X Lymphocyte immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin.
J7505 .......... X Monoclonal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
J7506 .......... X Prednisone oral.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7507 .......... E Tacrolimus oral per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1 MG.
J7508 .......... E Tacrolimus oral per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
5 MG.
J7509 .......... X Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
J7510 .......... X Prednisolone oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 5 mg.
J7513 .......... E Daclizumab, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral.
J7515 .......... E Cyclosporine oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25 mg.
J7516 .......... E Cyclosporin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral 250mg.
J7517 .......... E Mycophenolate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mofetil oral.
J7599 .......... X Immunosuppressive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug noc.
J7608 .......... E Acetylcysteine inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7610 .......... E Acetylcysteine 10% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7615 .......... E Acetylcysteine 20% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7618 .......... E Albuterol inh sol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
con.
J7619 .......... E Albuterol inh sol u 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
d.
J7620 .......... E Albuterol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.083%/ml.
J7625 .......... E Albuterol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.5% inj.
J7627 .......... E Bitolterolmesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhal sol.
J7628 .......... E Bitolterol mes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhal sol con.
J7629 .......... E Bitolterol mes inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7630 .......... E Cromolyn sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J7631 .......... E Cromolyn sodium inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7635 .......... E Atropine inhal sol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
con.
J7636 .......... E Atropine inhal sol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit dose.
J7637 .......... E Dexamethasone inhal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol con.
J7638 .......... E Dexamethasone inhal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7639 .......... E Dornase alpha inhal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7640 .......... E Epinephrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7642 .......... E Glycopyrrolate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhal sol con.
J7643 .......... E Glycopyrrolate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhal sol u d.
J7644 .......... E Ipratropium brom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inh sol u d.
J7645 .......... E Ipratropium bromide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.02%/ml.
J7648 .......... E Isoetharine hcl inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol con.
[[Page 44342]]
J7649 .......... E Isoetharine hcl inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7650 .......... E Isoetharine hcl .1% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7651 .......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.125% inj.
J7652 .......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.167% inj.
J7653 .......... E Isoetharine hcl .2%/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7654 .......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.25% inj.
J7655 .......... E Isoetharine hcl 1% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7658 .......... E Isoproterenolhcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inh sol con.
J7659 .......... E Isoproterenol hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inh sol ud.
J7660 .......... E Isoproterenol hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.5% inj.
J7665 .......... E Isoproterenol hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1% inj.
J7668 .......... E Metaproterenol inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol con.
J7669 .......... E Metaproterenol inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7670 .......... E Metaproterenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate .4%.
J7672 .......... E Metaproterenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate .6%.
J7675 .......... E Metaproterenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate 5%.
J7680 .......... E Terbutaline so4 inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol con.
J7681 .......... E Terbutaline so4 inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7682 .......... E Tobramycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhalation sol.
J7683 .......... E Triamcinolone inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol con.
J7684 .......... E Triamcinolone inh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol u d.
J7699 .......... E Inhalation solution 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for DME.
J7799 .......... E Non-inhalation drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for DME.
J8499 .......... N Oral prescrip drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non chemo.
J8510 .......... E Oral busulfan...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J8520 .......... E Capecitabine, oral, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
150 mg.
J8521 .......... E Capecitabine, oral, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 mg.
J8530 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral 25 MG.
J8560 .......... E Etoposide oral 50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J8600 .......... E Melphalan oral 2 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J8610 .......... E Methotrexate oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.5 MG.
J8999 .......... E Oral prescription 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug chemo.
J9000 .......... E Doxorubic hcl 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vl chemo.
J9001 .......... E Doxorubicin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
liposome inj.
J9015 .......... E Aldesleukin/single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
use vial.
J9020 .......... E Asparaginase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9031 .......... E Bcg live 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intravesical vac.
J9040 .......... E Bleomycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9045 .......... E Carboplatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9050 .......... E Carmus bischl nitro 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9060 .......... E Cisplatin 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9062 .......... E Cisplatin 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9065 .......... E Inj cladribine per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1 MG.
J9070 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100 MG inj.
J9080 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
200 MG inj.
J9090 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 MG inj.
J9091 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.0 grm inj.
J9092 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.0 grm inj.
J9093 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9094 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9095 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9096 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9097 .......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9100 .......... E Cytarabine hcl 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG inj.
J9110 .......... E Cytarabine hcl 500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG inj.
J9120 .......... E Dactinomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
actinomycin d.
J9130 .......... E Dacarbazine 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9140 .......... E Dacarbazine 200 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9150 .......... E Daunorubicin....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9151 .......... E Daunorubicin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
citrate liposom.
J9165 .......... E Diethylstilbestrol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9170 .......... E Docetaxel.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9181 .......... E Etoposide 10 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9182 .......... E Etoposide 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9185 .......... E Fludarabine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphate inj.
J9190 .......... E Fluorouracil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9200 .......... E Floxuridine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9201 .......... E Gemcitabine HCl.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9202 .......... E Goserelin acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
J9206 .......... E Irinotecan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9208 .......... E Ifosfomide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9209 .......... E Mesna injection.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9211 .......... E Idarubicin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9212 .......... E Interferon alfacon- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.
J9213 .......... E Interferon alfa-2a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9214 .......... E Interferon alfa-2b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9215 .......... E Interferon alfa-n3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9216 .......... E Interferon gamma 1- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
b inj.
J9217 .......... E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suspnsion.
J9218 .......... E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9230 .......... E Mechlorethamine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9245 .......... E Inj melphalan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochl 50 MG.
[[Page 44343]]
J9250 .......... E Methotrexate sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9260 .......... E Methotrexate sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9265 .......... E Paclitaxel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9266 .......... E Pegaspargase/singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose vial.
J9268 .......... E Pentostatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9270 .......... E Plicamycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(mithramycin) inj.
J9280 .......... E Mitomycin 5 MG inj. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9290 .......... E Mitomycin 20 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9291 .......... E Mitomycin 40 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9293 .......... E Mitoxantrone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochl / 5 MG.
J9310 .......... E Rituximab cancer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
J9320 .......... E Streptozocin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9340 .......... E Thiotepa injection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9350 .......... E Topotecan.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9355 .......... E Trastuzumab........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9357 .......... E Valrubicin, 200 mg. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9360 .......... E Vinblastine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9370 .......... E Vincristine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1 MG inj.
J9375 .......... E Vincristine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 MG inj.
J9380 .......... E Vincristine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
5 MG inj.
J9390 .......... E Vinorelbine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tartrate/10 mg.
J9600 .......... E Porfimer sodium.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9999 .......... E Chemotherapy drug.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0064 .......... A Visit for drug 0.37 0.24 0.23 0.12 0.14 0.01 0.62 0.61 0.50 0.52 XXX
monitoring.
M0075 .......... N Cellular therapy... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0076 .......... N Prolotherapy....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0100 .......... N Intragastric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hypothermia.
M0300 .......... N IV chelationtherapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0301 .......... N Fabric wrapping of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aneurysm.
M0302 TC A Assessment of 0.00 0.81 0.81 NA NA 0.02 0.83 0.83 NA NA XXX
cardiac output.
P2028 .......... X Cephalin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
floculation test.
P2029 .......... X Congo red blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
P2031 .......... N Hair analysis...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P2033 .......... X Blood thymol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
turbidity.
P2038 .......... X Blood mucoprotein.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P3000 .......... X Screen pap by tech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w md supv.
P3001 .......... A Screening pap smear 0.42 0.19 0.23 0.19 0.23 0.01 0.62 0.66 0.62 0.66 XXX
by phys.
P7001 .......... I Culture bacterial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine.
P9010 .......... E Whole blood for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfusion.
P9011 .......... E Blood split unit... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9012 .......... E Cryoprecipitate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each unit.
P9013 .......... E Unit/s blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fibrinogen.
P9016 .......... E Leukocyte poor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood, unit.
P9017 .......... E One donor fresh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frozn plasma.
P9018 .......... E Plasma protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fract, unit.
P9019 .......... E Platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentrate unit.
P9020 .......... E Plaelet rich plasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9021 .......... E Red blood cells 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9022 .......... E Washed red blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells unit.
P9023 .......... X Frozen plasma, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pooled, sd.
P9603 .......... X One-way allow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prorated miles.
P9604 .......... X One-way allow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prorated trip.
P9612 .......... X Catheterize for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine spec.
P9615 .......... X Urine specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collect mult.
Q0034 .......... X Admin of influenza 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
Q0035 .......... A Cardiokymography... 0.17 0.46 0.48 NA NA 0.03 0.66 0.68 NA NA XXX
Q0035 26 A Cardiokymography... 0.17 0.07 0.09 0.07 0.09 0.01 0.25 0.27 0.25 0.27 XXX
Q0035 TC A Cardiokymography... 0.00 0.39 0.39 NA NA 0.02 0.41 0.41 NA NA XXX
Q0068 .......... D Extracorpeal 1.67 4.42 3.66 0.98 1.08 0.11 6.20 5.44 2.76 2.86 000
plasmapheresis.
Q0091 .......... A Obtaining screen 0.37 0.54 0.48 0.14 0.18 0.01 0.92 0.86 0.52 0.56 XXX
pap smear.
Q0092 .......... A Set up port xray 0.00 0.32 0.32 NA NA 0.01 0.33 0.33 NA NA XXX
equipment.
Q0111 .......... X Wet mounts/ w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preparations.
Q0112 .......... X Potassium hydroxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preps.
Q0113 .......... X Pinworm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examinations.
Q0114 .......... X Fern test.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0115 .......... X Post-coital mucous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
Q0132 .......... D Dispensing fee DME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
neb drug.
Q0136 .......... X Non esrd epoetin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alpha inj.
Q0144 .......... N Azithromycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydrate, oral.
Q0156 .......... X Human albumin 5%... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0157 .......... X Human albumin 25%.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0160 .......... X Factor IX non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
Q0161 .......... X Factor IX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
Q0163 .......... X Diphenhydramine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50mg.
Q0164 .......... X Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate 5mg.
Q0165 .......... X Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate10mg.
Q0166 .......... X Granisetron HCl 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg oral.
Q0167 .......... X Dronabinol 2.5mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0168 .......... X Dronabinol 5mg oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0169 .......... X Promethazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
12.5mg oral.
Q0170 .......... X Promethazine HCl 25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg oral.
Q0171 .......... X Chlorpromazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10mg oral.
[[Page 44344]]
Q0172 .......... X Chlorpromazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25mg oral.
Q0173 .......... X Trimethobenzamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
HCl 250mg.
Q0174 .......... X Thiethylperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate10mg.
Q0175 .......... X Perphenazine 4mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0176 .......... X Perphenazine 8mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0177 .......... X Hydroxyzine pamoate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25mg.
Q0178 .......... X Hydroxyzine pamoate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50mg.
Q0179 .......... X Ondansetron HCl 8mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0180 .......... X Dolasetron mesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0181 .......... X Unspecified oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anti-emetic.
Q0183 .......... X Nonmetabolic active 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue.
Q0184 .......... X Metabolically 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
active tissue.
Q0185 .......... X Metabolic active D/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E tissue.
Q0186 .......... X Paramedic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intercept, rural.
Q0187 .......... E Factor viia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
Q1001 .......... X Ntiol category 1... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q1002 .......... X Ntiol category 2... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q1003 .......... X Ntiol category 3... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q1004 .......... X Ntiol category 4... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q1005 .......... X Ntiol category 5... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9920 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20.
Q9921 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
21.
Q9922 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
22.
Q9923 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
23.
Q9924 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
24.
Q9925 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25.
Q9926 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
26.
Q9927 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
27.
Q9928 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
28.
Q9929 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
29.
Q9930 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
30.
Q9931 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
31.
Q9932 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
32.
Q9933 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
33.
Q9934 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
34.
Q9935 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
35.
Q9936 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
36.
Q9937 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
37.
Q9938 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
38.
Q9939 .......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
39.
Q9940 .......... E Epoetin with hct >= 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
40.
R0070 .......... C Transport portable 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
x-ray.
R0075 .......... C Transport port x- 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
ray multipl.
R0076 .......... B Transport portable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
EKG.
S0009 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
butorphanol tartr.
S0010 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
somatrem, 5 mg.
S0011 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
somatropin, 5 mg.
S0012 .......... I Butorphanol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tartrate, nasal.
S0014 .......... I Tacrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride, 10
mg.
S0016 .......... I Injection, amikacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
S0017 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aminocaproic acid.
S0020 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bupivicaine hydro.
S0021 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceftoperazone sod.
S0023 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cimetidine hydroc.
S0024 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ciprofloxacin.
S0028 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
famotidine, 20 mg.
S0029 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluconazole.
S0030 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metronidazole.
S0032 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nafcillin sodium.
S0034 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ofloxacin, 400 mg.
S0039 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfamethoxazole.
S0040 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ticarcillin disod.
S0071 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acyclovir sodium.
S0072 .......... I Injection, amikacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
S0073 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aztreonam, 500 mg.
S0074 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cefotetan disodiu.
S0077 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clindamycin phosp.
S0078 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fosphenytoin sodi.
S0080 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pentamidine iseth.
S0081 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
piperacillin sodi.
S0090 .......... I Sildenafil citrate, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25 mg.
S0096 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
itraconazole, 200.
S0097 .......... I Injection, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ibutilide fumarat.
S0098 .......... I Injection, sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ferric glu.
S0601 .......... I Screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proctoscopy.
S0605 .......... I Digital rectal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination,.
S0610 .......... I Annual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gynecological
examina.
S0612 .......... I Annual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gynecological
examina.
S0620 .......... I Routine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ophthalmological
exa.
S0621 .......... I Routine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ophthalmological
exa.
S0800 .......... I Laser in situ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
keratomileusis.
S0810 .......... I Photorefractive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
keratectomy.
[[Page 44345]]
S2050 .......... I Donor enterectomy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with prep.
S2052 .......... I Transplantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
small int.
S2053 .......... I Transplantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
small int.
S2054 .......... I Transplantation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multivisc.
S2055 .......... I Harvesting of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multivis.
S2109 .......... I Autologous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chondrocyte trans.
S2190 .......... I Subcutaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implantation of.
S2204 .......... I Transmyocardial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
laser revasc.
S2205 .......... I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct co.
S2206 .......... I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct co.
S2207 .......... I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct co.
S2208 .......... I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct co.
S2209 .......... I Minimally invasive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct co.
S2210 .......... I Cryosurgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablation (in si.
S2300 .......... I Arthroscopy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shoulder, surgi.
S2350 .......... I Diskectomy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior, with d.
S2351 .......... I Diskectomy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior, with d.
S3645 .......... I HIV-1 antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing of or.
S3650 .......... I Saliva test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone level;.
S3652 .......... I Saliva test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone level;.
S8035 .......... I Magnetic source 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imaging.
S8040 .......... I Topographic brain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mapping.
S8048 .......... I Isolated limb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perfusion.
S8049 .......... I Intraoperative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radiation the.
S8060 .......... I Supply of contrast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
material.
S8092 .......... I Electron beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
computed tomog.
S8095 .......... I Wig (for medically- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
induced h.
S8096 .......... I Portable peak flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meter.
S8110 .......... I Peak expiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flow rate (p.
S8200 .......... I Chest compression 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vest.
S8205 .......... I Chest compression 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system gen.
S8260 .......... I Oral orthotic for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
S8300 .......... I Sacral nerve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stimulation tes.
S8950 .......... I Complex lymphedema 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy,.
S9001 .......... I Home uterine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitor with or.
S9022 .......... I Digital subtraction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
angiogra.
S9023 .......... I Xenon regional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cerebral bloo.
S9024 .......... I Paranasal sinus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ultrasound.
S9033 .......... I Gait analysis...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
S9055 .......... I Procuren or other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
growth fac.
S9056 .......... I Coma stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per diem.
S9075 .......... I Smoking cessation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
S9085 .......... I Meniscal allograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplan.
S9090 .......... I Vertebral axial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decompressio.
S9122 .......... I Home health aide or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
certifie.
S9123 .......... I Nursing care, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
the home; b.
S9124 .......... I Nursing care, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
the home; b.
S9125 .......... I Respite care, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
the home, p.
S9126 .......... I Hospice care, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
the home, p.
S9127 .......... I Social work visit, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in the ho.
S9128 .......... I Speech therapy, in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
the home,.
S9129 .......... I Occupational 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy, in the.
S9140 .......... I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Program,.
S9141 .......... I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Program,.
S9455 .......... I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Program,.
S9460 .......... I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Program,.
S9465 .......... I Diabetic Management 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Program,.
S9470 .......... I Nutritional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
counseling, diet.
S9472 .......... I Cardiac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rehabilitation
progr.
S9473 .......... I Pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rehabilitation pro.
S9474 .......... I Enterostomal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy by a re.
S9475 .......... I Ambulatory setting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
substance.
S9480 .......... I Intensive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
outpatient psychia.
S9485 .......... I Crisis intervention 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mental h.
S9524 .......... I Nursing services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
related to.
S9527 .......... I Insertion of a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
peripherally.
S9528 .......... I Insertion of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
midline central.
S9543 .......... I Administration of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medication.
S9990 .......... I Services provided 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
as part of.
S9991 .......... I Services provided 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
as part of.
S9992 .......... I Transportation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
costs to and.
S9994 .......... I Lodging costs (e.g. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hotel ch.
S9996 .......... I Meals for clinical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trial par.
S9999 .......... I Sales tax.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2020 .......... X Vision svcs frames 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
purchases.
V2025 .......... N Eyeglasses delux 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frames.
V2100 .......... X Lens spher single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plano 4.00.
V2101 .......... X Single visn sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.12-7.00.
V2102 .......... X Singl visn sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.12-20.00.
V2103 .......... X Spherocylindr 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
12-2.00d.
V2104 .......... X Spherocylindr 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.12-4d.
V2105 .......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/4.25-6d.
[[Page 44346]]
V2106 .......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/6.00d.
V2107 .......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/12-2d.
V2108 .......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/2.12-4d.
V2109 .......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/4.25-6d.
V2110 .......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/over 6d.
V2111 .......... X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.25-2.25.
V2112 .......... X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.25-4d.
V2113 .......... X Spherocylindr 7.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-6d.
V2114 .......... X Spherocylinder over 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
12.00d.
V2115 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2116 .......... X Nonaspheric lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2117 .......... X Aspheric lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2118 .......... X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
V2199 .......... X Lens single vision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
not oth c.
V2200 .......... X Lens spher bifoc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plano 4.00d.
V2201 .......... X Lens sphere bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.12-7.0.
V2202 .......... X Lens sphere bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.12-20..
V2203 .......... X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/.1.
V2204 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/2.1.
V2205 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/4.2.
V2206 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/ove.
V2207 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7d/..
V2208 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/2..
V2209 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/4..
V2210 .......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/ov.
V2211 .......... X Lens sphcy bifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/.25-.
V2212 .......... X Lens sphcyl bifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/2.2.
V2213 .......... X Lens sphcyl bifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/4.2.
V2214 .......... X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 12..
V2215 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2216 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonaspheric.
V2217 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aspheric bif.
V2218 .......... X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2219 .......... X Lens bifocal seg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
width over.
V2220 .......... X Lens bifocal add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 3.25d.
V2299 .......... X Lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
speciality.
V2300 .......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.00d.
V2301 .......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.12-7..
V2302 .......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 7.12-20.
V2303 .......... X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.0/.12-.
V2304 .......... X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.0/2.25.
V2305 .......... X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.0/4.25.
V2306 .......... X Lens sphcyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.00/6.
V2307 .......... X Lens sphcy trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/..
V2308 .......... X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/2..
V2309 .......... X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/4..
V2310 .......... X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/6.
V2311 .......... X Lens sphc trifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/.25-.
V2312 .......... X Lens sphc trifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/2.25.
V2313 .......... X Lens sphc trifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/4.25.
V2314 .......... X Lens sphcyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal over 12.
V2315 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal.
V2316 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonaspheric.
V2317 .......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aspheric tri.
V2318 .......... X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal.
V2319 .......... X Lens trifocal seg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
width
28.
V2320 .......... X Lens trifocal add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 3.25d.
V2399 .......... X Lens trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
speciality.
V2410 .......... X Lens variab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity sing.
V2430 .......... X Lens variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity bi.
V2499 .......... X Variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity lens.
V2500 .......... X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spherical.
V2501 .......... X Cntct lens pmma- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
toric/prism.
V2502 .......... X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2503 .......... X Cntct lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
color vision.
V2510 .......... X Cntct gas permeable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sphericl.
V2511 .......... X Cntct toric prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ballast.
V2512 .......... X Cntct lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permbl bifocl.
V2513 .......... X Contact lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extended wear.
V2520 .......... P Contact lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophilic.
V2521 .......... X Cntct lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophilic toric.
V2522 .......... X Cntct lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophil bifocl.
V2523 .......... X Cntct lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophil extend.
V2530 .......... X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impermeable.
V2531 .......... X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permeable.
V2599 .......... X Contact lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other type.
V2600 .......... X Hand held low 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vision aids.
V2610 .......... X Single lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spectacle mount.
V2615 .......... X Telescop/othr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compound lens.
V2623 .......... X Plastic eye prosth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
custom.
V2624 .......... X Polishing artifical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eye.
V2625 .......... X Enlargemnt of eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
[[Page 44347]]
V2626 .......... X Reduction of eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
V2627 .......... X Scleral cover shell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2628 .......... X Fabrication & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fitting.
V2629 .......... X Prosthetic eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other type.
V2630 .......... X Anter chamber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intraocul lens.
V2631 .......... X Iris support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intraoclr lens.
V2632 .......... X Post chmbr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intraocular lens.
V2700 .......... X Balance lens....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2710 .......... X Glass/plastic slab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
off prism.
V2715 .......... X Prism lens/es...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2718 .......... X Fresnell prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
press-on lens.
V2730 .......... X Special base curve. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2740 .......... X Rose tint plastic.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2741 .......... X Non-rose tint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plastic.
V2742 .......... X Rose tint glass.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2743 .......... X Non-rose tint glass 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2744 .......... X Tint photochromatic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens/es.
V2750 .......... X Anti-reflective 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coating.
V2755 .......... X UV lens/es......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2760 .......... X Scratch resistant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coating.
V2770 .......... X Occluder lens/es... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2780 .......... X Oversize lens/es... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2781 .......... X Progressive lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per lens.
V2785 .......... X Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
processing.
V2799 .......... X Miscellaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vision service.
V5008 .......... N Hearing screening.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5010 .......... N Assessment for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5011 .......... N Hearing aid fitting/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
checking.
V5014 .......... N Hearing aid repair/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
modifying.
V5020 .......... N Conformity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
V5030 .......... N Body-worn hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid air.
V5040 .......... N Body-worn hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid bone.
V5050 .......... N Body-worn hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid in ear.
V5060 .......... N Behind ear hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5070 .......... N Glasses air 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conduction.
V5080 .......... N Glasses bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conduction.
V5090 .......... N Hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispensing fee.
V5100 .......... N Body-worn bilat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5110 .......... N Hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispensing fee.
V5120 .......... N Body-worn binaur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5130 .......... N In ear binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5140 .......... N Behind ear binaur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing ai.
V5150 .......... N Glasses binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5160 .......... N Dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
binaural.
V5170 .......... N Within ear cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5180 .......... N Behind ear cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5190 .......... N Glasses cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5200 .......... N Cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispens fee.
V5210 .......... N In ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5220 .......... N Behind ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing ai.
V5230 .......... N Glasses bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5240 .......... N Dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicros.
V5299 .......... R Hearing service.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5336 .......... N Repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
communication
device.
V5362 .......... R Speech screening... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5363 .......... R Language screening. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5364 .......... R Dysphagia screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Federal Register / Vol. 65, No. 137 / Monday, July 17, 2000 /
Proposed Rules
[[Page 44348]]
Addendum C.--Clinical Staff Times for Selected Codes
----------------------------------------------------------------------------------------------------------------
Additional
Procedure Additional Procedure time
code Type of staff time included code Type of staff included
(minutes) (minutes)
----------------------------------------------------------------------------------------------------------------
11000 RN/LPN/MA/Tech............. 3 29085 RN......................... 15
11011 RN/MA...................... 3 29085 RN/LPN..................... 3
11012 RN/MA...................... 3 29105 RN......................... 15
11040 RN/LPN/MA/Tech............. 3 29105 RN/LPN..................... 3
11041 RN/LPN/MA/Tech............. 3 29125 RN......................... 15
11042 RN/LPN/MA/Tech............. 3 29125 RN/LPN..................... 3
11055 RN/LPN/MA/Tech............. 3 29126 RN......................... 15
11056 RN/LPN/MA/Tech............. 3 29130 RN......................... 15
11057 RN/LPN/MA/Tech............. 3 29130 RN/LPN..................... 3
11305 RN/MA...................... 3 29131 RN......................... 15
11740 RN/LPN/MA/Tech............. 2 29200 RN......................... 15
11921 RN/MA...................... 2 29200 RN/LPN..................... 3
11950 RN/MA...................... 2 29220 RN......................... 15
15775 RN/MA...................... 2 29220 RN/LPN..................... 3
15851 RN/MA...................... 3 29240 RN......................... 15
15852 RN/MA...................... 3 29240 RN/LPN..................... 3
16000 RN/LPN/MA/Tech............. 3 29260 RN......................... 15
16010 RN/LPN/MA/Tech............. 3 29260 RN/LPN..................... 3
16015 RN/LPN/MA/Tech............. 3 29280 RN......................... 15
16020 RN/LPN/MA/Tech............. 3 29280 RN/LPN..................... 3
16025 RN/LPN/MA/Tech............. 3 29305 RN......................... 15
16030 RN/MA...................... 10 29325 RN......................... 15
17250 RN/LPN/MA/Tech............. 3 29345 RN......................... 15
20200 RN/MA...................... 3 29345 RN/LPN..................... 3
20205 RN/MA...................... 3 29355 RN......................... 15
20220 RN......................... 25 29355 RN/LPN..................... 3
20225 RN......................... 25 29358 RN......................... 15
20610 RN......................... 20 29365 RN......................... 15
20660 RN......................... 15 29365 RN/LPN..................... 3
20950 RN......................... 25 29405 RN......................... 15
29000 RN......................... 15 29405 RN/LPN..................... 3
29010 RN......................... 15 29425 RN......................... 15
29015 RN......................... 15 29425 RN/LPN..................... 3
29020 RN......................... 15 29435 RN......................... 15
29025 RN......................... 15 29440 RN......................... 15
29035 RN......................... 15 29440 RN/LPN..................... 3
29040 RN......................... 15 29445 RN......................... 15
29044 RN......................... 15 29450 RN......................... 15
29046 RN......................... 15 29505 RN......................... 15
29049 RN......................... 15 29515 RN......................... 15
29055 RN......................... 15 29520 RN......................... 15
29058 RN......................... 15 29520 RN/LPN..................... 3
29065 RN......................... 15 29530 RN......................... 15
29065 RN/LPN..................... 3 29530 RN/LPN..................... 3
29075 RN......................... 15 29540 RN......................... 15
29075 RN/LPN..................... 3 29540 RN/LPN..................... 3
29550 RN......................... 15 31561 RN/LPN/MA.................. 10
29550 RN/LPN..................... 3 31570 RN/LPN/MA.................. 10
29580 RN......................... 15 31571 RN/LPN/MA.................. 10
29580 RN/LPN..................... 3 31575 RN/LPN/MA.................. 5
29590 RN......................... 15 31612 RN......................... 5
29700 RN......................... 15 31615 RN......................... 20
29700 RN/LPN..................... 3 31622 RN......................... 20
29705 RN......................... 15 31623 RN......................... 20
29705 RN/LPN..................... 3 31624 RN......................... 20
29710 RN......................... 15 31625 RN......................... 20
29715 RN......................... 15 31628 RN......................... 20
29720 RN......................... 15 31629 RN......................... 20
29730 RN......................... 15 31630 RN......................... 30
29730 RN/LPN..................... 3 31631 RN......................... 30
29740 RN......................... 15 31635 RN......................... 30
29740 RN/LPN..................... 3 31640 RN......................... 30
29750 RN......................... 15 31641 RN......................... 30
30901 RN/LPN/MA.................. 10 31643 RN......................... 20
30903 RN/LPN/MA.................. 10 31645 RN......................... 20
30905 RN/LPN/MA.................. 10 31646 RN......................... 20
30906 RN/LPN/MA.................. 10 31656 RN......................... 20
31240 RN/LPN/MA.................. 10 31700 RN......................... 20
31254 RN/LPN/MA.................. 10 31708 RN/LPN/MA.................. 10
31255 RN/LPN/MA.................. 10 31710 RN......................... 20
[[Page 44349]]
31256 RN/LPN/MA.................. 10 31715 RN......................... 20
31267 RN/LPN/MA.................. 10 31717 RN......................... 20
31276 RN/LPN/MA.................. 10 31730 RN......................... 10
31287 RN/LPN/MA.................. 10 32002 RN......................... 10
31288 RN/LPN/MA.................. 10 32005 RN......................... 10
31500 RN/LPN/MA.................. 10 32020 RN......................... 10
31505 RN/LPN/MA.................. 10 32420 RN......................... 10
31513 RN/LPN/MA.................. 10 32960 RN......................... 10
31515 RN/LPN/MA.................. 10 33010 RN......................... 10
31520 RN/LPN/MA.................. 10 33011 RN......................... 10
31525 RN/LPN/MA.................. 10 36481 RN......................... 25
31526 RN/LPN/MA.................. 10 36488 RN......................... 25
31527 RN/LPN/MA.................. 10 36489 RN......................... 25
31528 RN/LPN/MA.................. 10 36490 RN......................... 25
31529 RN/LPN/MA.................. 10 36491 RN......................... 25
31530 RN/LPN/MA.................. 10 36493 RN......................... 25
31531 RN/LPN/MA.................. 10 36510 RN......................... 25
31535 RN/LPN/MA.................. 10 36520 RN......................... 25
31536 RN/LPN/MA.................. 10 36521 RN......................... 25
31540 RN/LPN/MA.................. 10 36522 RN......................... 25
31541 RN/LPN/MA.................. 10 36680 RN......................... 10
31560 RN/LPN/MA.................. 10 40806 RN/LPN/MA.................. 10
42660 RN/LPN/MA.................. 10 43761 RN/LPN/MA.................. 10
43200 RN/LPN/MA.................. 45 44100 RN/LPN/MA.................. 45
43202 RN/LPN/MA.................. 45 44360 RN/LPN/MA.................. 55
43204 RN/LPN/MA.................. 40 44361 RN/LPN/MA.................. 55
43205 RN/LPN/MA.................. 40 44363 RN/LPN/MA.................. 55
43215 RN/LPN/MA.................. 25 44364 RN/LPN/MA.................. 55
43216 RN/LPN/MA.................. 40 44365 RN/LPN/MA.................. 55
43217 RN/LPN/MA.................. 40 44366 RN/LPN/MA.................. 55
43219 RN/LPN/MA.................. 40 44369 RN/LPN/MA.................. 55
43220 RN/LPN/MA.................. 40 44372 RN/LPN/MA.................. 55
43226 RN/LPN/MA.................. 40 44373 RN/LPN/MA.................. 55
43227 RN/LPN/MA.................. 40 44376 RN/LPN/MA.................. 55
43228 RN/LPN/MA.................. 40 44377 RN/LPN/MA.................. 55
43234 RN/LPN/MA.................. 45 44378 RN/LPN/MA.................. 55
43235 RN/LPN/MA.................. 45 44380 RN/LPN/MA.................. 55
43239 RN/LPN/MA.................. 45 44382 RN/LPN/MA.................. 55
43241 RN/LPN/MA.................. 40 44385 RN/LPN/MA.................. 55
43243 RN/LPN/MA.................. 40 44386 RN/LPN/MA.................. 55
43244 RN/LPN/MA.................. 40 44388 RN/LPN/MA.................. 55
43245 RN/LPN/MA.................. 40 44389 RN/LPN/MA.................. 55
43246 RN/LPN/MA.................. 33 44390 RN/LPN/MA.................. 55
43247 RN/LPN/MA.................. 40 44391 RN/LPN/MA.................. 25
43248 RN/LPN/MA.................. 40 44392 RN/LPN/MA.................. 55
43249 RN/LPN/MA.................. 40 44393 RN/LPN/MA.................. 55
43250 RN/LPN/MA.................. 40 44394 RN/LPN/MA.................. 55
43251 RN/LPN/MA.................. 40 44500 RN/LPN/MA.................. 15
43255 RN/LPN/MA.................. 25 45300 RN/LPN/MA.................. 15
43258 RN/LPN/MA.................. 40 45303 RN/LPN/MA.................. 15
43259 RN/LPN/MA.................. 55 45305 RN/LPN/MA.................. 15
43260 RN/LPN/MA.................. 38 45307 RN/LPN/MA.................. 15
43261 RN/LPN/MA.................. 38 45308 RN/LPN/MA.................. 15
43262 RN/LPN/MA.................. 38 45309 RN/LPN/MA.................. 15
43263 RN/LPN/MA.................. 38 45315 RN/LPN/MA.................. 15
43264 RN/LPN/MA.................. 38 45317 RN/LPN/MA.................. 15
43265 RN/LPN/MA.................. 38 45320 RN/LPN/MA.................. 15
43267 RN/LPN/MA.................. 38 45321 RN/LPN/MA.................. 15
43268 RN/LPN/MA.................. 38 45330 RN/LPN/MA.................. 15
43269 RN/LPN/MA.................. 38 45331 RN/LPN/MA.................. 15
43271 RN/LPN/MA.................. 38 45332 RN/LPN/MA.................. 15
43272 RN/LPN/MA.................. 38 45333 RN/LPN/MA.................. 15
43450 RN/LPN/MA.................. 15 45334 RN/LPN/MA.................. 15
43453 RN/LPN/MA.................. 15 45337 RN/LPN/MA.................. 15
43456 RN/LPN/MA.................. 15 45338 RN/LPN/MA.................. 15
43458 RN/LPN/MA.................. 15 45339 RN/LPN/MA.................. 15
43600 RN/LPN/MA.................. 45 45378 RN/LPN/MA.................. 55
43760 RN/LPN/MA.................. 10 45379 RN/LPN/MA.................. 55
45380 RN/LPN/MA.................. 55 57100 RN/MA...................... 5
45382 RN/LPN/MA.................. 25 57400 RN/MA...................... 5
[[Page 44350]]
45383 RN/LPN/MA.................. 55 57410 RN/MA...................... 5
45384 RN/LPN/MA.................. 55 57500 RN/MA...................... 5
45385 RN/LPN/MA.................. 55 57800 RN/MA...................... 5
47552 RN/LPN/MA.................. 38 58555 RN/MA...................... 13
47553 RN/LPN/MA.................. 38 58558 RN/MA...................... 13
47554 RN/LPN/MA.................. 38 58559 RN/MA...................... 13
47555 RN/LPN/MA.................. 38 58560 RN/MA...................... 13
47556 RN/LPN/MA.................. 38 58561 RN/MA...................... 13
47561 RN......................... 18 58562 RN/MA...................... 13
49080 RN......................... 10 58563 RN/MA...................... 13
49081 RN......................... 10 58970 Medical Assistant.......... 10
49400 RN......................... 10 58970 RN......................... 30
49423 RN......................... 10 59012 RN......................... 25
49424 RN......................... 10 59030 RN......................... 25
49427 RN......................... 10 59300 RN/MA...................... 5
50021 RN......................... 60 59320 RN/MA...................... 5
50396 RN......................... 10 59325 RN/MA...................... 5
50686 RN......................... 10 59350 RN/MA...................... 10
51700 RN......................... 5 59871 RN/MA...................... 3
51726 RN......................... 10 61000 RN/LPN/MA.................. 16
51772 RN......................... 15 61001 RN/LPN/MA.................. 14
51784 RN......................... 15 61020 RN/LPN/MA.................. 13
51785 RN......................... 15 61026 RN/LPN/MA.................. 14
51792 RN......................... 10 61050 RN/LPN/MA.................. 20
51795 RN......................... 10 61055 RN/LPN/MA.................. 20
51797 RN......................... 15 61070 RN/LPN/MA.................. 10
53020 RN......................... 10 61107 RN/LPN/MA.................. 20
53025 RN......................... 10 61210 RN/LPN/MA.................. 20
53200 RN......................... 10 62268 RN/LPN/MA.................. 20
53600 RN......................... 15 62270 RN......................... 5
53601 RN......................... 15 62272 RN......................... 5
53660 RN......................... 15 62273 RN/LPN/MA.................. 12
53670 RN......................... 5 62284 RN/LPN/MA.................. 20
54100 RN......................... 15 62290 RN/LPN/MA.................. 20
54220 RN......................... 30 62291 RN/LPN/MA.................. 20
54231 RN......................... 15 63610 RN/LPN/MA.................. 20
54240 RN......................... 15 90870 RN......................... 40
54250 RN......................... 15 90871 RN......................... 40
54450 RN......................... 15 90935 RN......................... 45
55300 RN......................... 30 90937 RN......................... 45
55870 RN......................... 15 90945 RN......................... 45
56605 RN/MA...................... 5 90947 RN......................... 45
56720 RN/MA...................... 5 90997 RN......................... 45
57020 RN/MA...................... 5 91000 RN/LPN/MA.................. 15
91010 RN/LPN/MA.................. 15
91011 RN/LPN/MA.................. 15
91012 RN/LPN/MA.................. 15
91020 RN/LPN/MA.................. 15
91030 RN/LPN/MA.................. 15
91032 RN/LPN/MA.................. 15
91033 RN/LPN/MA.................. 15
91052 RN/LPN/MA.................. 15
91055 RN/LPN/MA.................. 15
91060 RN/LPN/MA.................. 15
91065 RN/LPN/MA.................. 15
91100 RN/LPN/MA.................. 15
91105 RN/LPN/MA.................. 10
92950 RN/LPN..................... 12
92953 RN/LPN..................... 12
92971 RN/LPN..................... 12
96440 RN/OCN..................... 10
96445 RN/OCN..................... 10
96450 RN/OCN..................... 10
G0104 RN/LPN/MA.................. 15
G0105 RN/LPN/MA.................. 55
Q0068 RN......................... 25
----------------------------------------------------------------------------------------------------------------
[[Page 44351]]
Addendum D.--Comparison of 1999 and Proposed 2002 Office Rent Index by Fee Schedule Area
[In descending order of difference]
----------------------------------------------------------------------------------------------------------------
Office rent
index Percentage
Carrier Locality Fee schedule area ------------------ Difference difference
2000 2002
----------------------------------------------------------------------------------------------------------------
31140 05 SAN FRANCISCO, CA......................... 1.629 2.174 0.545 33.5
31140 06 SAN MATEO, CA............................. 1.629 2.174 0.545 33.5
31140 09 SANTA CLARA, CA........................... 1.548 1.949 0.401 25.9
31140 03 MARIN/NAPA/SOLANO, CA..................... 1.346 1.647 0.301 22.4
00900 11 DALLAS, TX................................ 1.005 1.196 0.191 19.0
00910 09 UTAH...................................... 0.827 0.978 0.151 18.3
31143 99 REST OF MASSACHUSETTS..................... 1.170 1.308 0.138 11.8
00824 01 COLORADO.................................. 0.956 1.066 0.110 11.5
00835 01 PORTLAND, OR.............................. 1.006 1.120 0.114 11.3
00740 02 METROPOLITAN KANSAS CITY, MO.............. 828 0.916 0.088 10.6
00511 01 ATLANTA, GA............................... 1.034 1.136 0.102 9.9
31143 01 METROPOLITAN BOSTON....................... 1.369 1.504 0.135 9.9
31140 07 OAKLAND/BERKLEY, CA....................... 1.339 1.470 0.131 9.8
00953 01 DETROIT, MI............................... 0.971 1.045 0.074 7.6
05535 00 NORTH CAROLINA............................ 0.817 0.869 0.052 6.4
16360 00 OHIO...................................... 0.812 0.863 0.051 6.3
00655 00 NEBRASKA.................................. 0.770 0.817 0.047 6.1
00900 28 FORT WORTH, TX............................ 0.921 0.977 0.056 6.1
00836 02 SEATTLE (KING CNTY), WA................... 1.162 1.232 0.070 6.0
05440 35 TENNESSEE................................. 0.758 0.800 0.042 5.5
00820 02 SOUTH DAKOTA.............................. 0.809 0.853 0.044 5.4
00952 99 REST OF ILLINOIS.......................... 0.756 0.797 0.041 5.4
00820 01 NORTH DAKOTA.............................. 0.761 0.800 0.039 5.1
00630 00 INDIANA................................... 0.806 0.847 0.041 5.1
10240 00 MINNESOTA................................. 0.896 0.940 0.044 4.9
00832 00 ARIZONA................................... 0.955 1.000 0.045 4.7
00805 99 REST OF NEW JERSEY........................ 1.261 1.312 0.051 4.0
16510 16 WEST VIRGINIA............................. 0.659 0.685 0.026 3.9
00825 21 WYOMING................................... 0.769 0.799 0.030 3.9
00880 01 SOUTH CAROLINA............................ 0.795 0.825 0.030 3.8
00902 01 DELAWARE.................................. 1.013 1.051 0.038 3.8
00751 01 MONTANA................................... 0.766 0.794 0.028 3.7
00834 00 NEVADA.................................... 1.078 1.117 0.039 3.6
00510 00 ALABAMA................................... 0.713 0.738 0.025 3.5
00650 00 KANSAS *.................................. 0.772 0.793 0.021 2.7
00740 04 KANSAS *.................................. 0.772 0.793 0.021 2.7
00803 02 NYC SUBURBS/LONG I., NY................... 1.535 1.573 0.038 2.5
31145 50 VERMONT................................... 0.980 1.004 0.024 2.4
00953 99 REST OF MICHIGAN.......................... 0.829 0.848 0.019 2.3
00865 99 REST OF PENNSYLVANIA...................... 0.826 0.844 0.018 2.2
00900 09 BRAZORIA, TX.............................. 1.001 1.018 0.017 1.7
00740 99 REST OF MISSOURI *........................ 0.651 0.662 0.011 1.7
00523 99 REST OF MISSOURI *........................ 0.651 0.662 0.011 1.7
00522 00 OKLAHOMA.................................. 0.713 0.725 0.012 1.7
00900 18 HOUSTON, TX............................... 0.972 0.988 0.016 1.6
00590 99 REST OF FLORIDA........................... 0.936 0.951 0.015 1.6
00900 15 GALVESTON, TX............................. 0.910 0.924 0.014 1.5
00951 00 WISCONSIN................................. 0.854 0.866 0.012 1.4
00865 01 METROPOLITAN PHILADELPHIA, PA............. 1.162 1.178 0.016 1.4
10490 00 VIRGINIA.................................. 0.881 0.892 0.011 1.2
00826 00 IOWA...................................... 0.778 0.785 0.007 0.9
00523 01 METROPOLITAN ST. LOUIS, MO................ 0.807 0.814 0.007 0.9
00520 13 ARKANSAS.................................. 0.698 0.704 0.006 0.9
00511 99 REST OF GEORGIA........................... 0.765 0.771 0.006 0.8
00952 16 CHICAGO, IL............................... 1.207 1.216 0.009 0.7
00952 15 SUBURBAN CHICAGO, IL...................... 1.207 1.216 0.009 0.7
00528 01 NEW ORLEANS, LA........................... 0.826 0.832 0.006 0.7
00952 12 EAST ST. LOUIS, IL........................ 0.787 0.792 0.005 0.6
00835 99 REST OF OREGON............................ 0.896 0.901 0.005 0.6
00900 99 REST OF TEXAS............................. 0.791 0.795 0.004 0.5
00903 01 DC + MD/VA SUBURBS........................ 1.335 1.341 0.006 0.4
00660 00 KENTUCKY.................................. 0.719 0.721 0.002 0.3
00836 99 REST OF WASHINGTON........................ 0.957 0.958 0.001 0.1
00900 20 BEAUMONT, TX.............................. 0.758 0.758 ............ 0.0
10250 00 MISSISSIPPI............................... 0.690 0.690 ............ 0.0
00901 01 BALTIMORE/SURR. CNTYS, MD................. 1.027 1.026 (0.001) -0.1
31144 40 NEW HAMPSHIRE............................. 1.091 1.089 (0.002) -0.2
00900 31 AUSTIN, TX................................ 1.118 1.111 (0.007) -0.6
00521 05 NEW MEXICO................................ 0.844 0.837 (0.007) -0.8
[[Page 44352]]
00528 99 REST OF LOUISIANA......................... 0.721 0.715 (0.006) -0.8
00805 01 NORTHERN NJ............................... 1.415 1.399 (0.016) -1.1
00870 01 RHODE ISLAND.............................. 1.111 1.098 (0.013) -1.2
05130 00 IDAHO..................................... 0.801 0.791 (0.010) -1.2
00831 01 ALASKA.................................... 1.265 1.249 (0.016) -1.3
02050 99 REST OF CALIFORNIA *...................... 1.068 1.050 (0.018) -1.7
31140 99 REST OF CALIFORNIA *...................... 1.068 1.050 (0.018) -1.7
00590 03 FORT LAUDERDALE, FL....................... 1.114 1.090 (0.024) -2.2
00901 99 REST OF MARYLAND.......................... 1.020 0.995 (0.025) -2.5
02050 17 VENTURA, CA............................... 1.329 1.294 (0.035) -2.6
31142 99 REST OF MAINE............................. 0.827 0.801 (0.026) -3.1
02050 26 ANAHEIM/SANTA ANA, CA..................... 1.474 1.422 (0.052) -3.5
00803 01 MANHATTAN, NY............................. 1.808 1.744 (0.064) -3.5
14330 04 QUEENS, NY................................ 1.466 1.414 (0.052) -3.5
00801 99 REST OF NEW YORK.......................... 0.909 0.875 (0.034) -3.7
00973 50 VIRGIN ISLANDS............................ 1.309 1.260 (0.049) -3.7
00973 20 PUERTO RICO............................... 0.715 0.688 (0.027) -3.8
00803 03 POUGHKPSIE/N NYC SUBURBS, NY.............. 1.305 1.254 (0.051) -3.9
10230 00 CONNECTICUT............................... 1.283 1.215 (0.068) -5.3
00590 04 MIAMI, FL................................. 1.232 1.139 (0.093) -7.5
31142 03 SOUTHERN MAINE............................ 1.119 1.009 (0.110) -9.8
00833 01 HAWAII/GUAM............................... 1.639 1.389 (0.250) -15.3
02050 18 LOS ANGELES, CA........................... 1.466 1.223 (0.243) -16.6
----------------------------------------------------------------------------------------------------------------
Notes:
*--Indicates multiple carriers for this Fee Schedule Area.
Neither Office Rent Index reflects budget neutrality adjusting.
Addendum E.--Comparison of 1999 and Proposed 2002 Malpractice GPCIs by Fee Schedule Area
[Sorted by percentage difference]
----------------------------------------------------------------------------------------------------------------
Percentage
Carrier Locality Fee schedule area 2000 2002 Difference difference
----------------------------------------------------------------------------------------------------------------
00825 21 WYOMING................................... 0.705 1.003 0.298 42.27
00521 05 NEW MEXICO................................ 0.716 0.900 0.184 25.70
16510 16 WEST VIRGINIA............................. 1.106 1.375 0.269 24.32
00865 99 REST OF PENNSYLVANIA...................... 0.637 0.772 0.135 21.19
00834 00 NEVADA.................................... 0.997 1.206 0.209 20.96
00952 15 SUBURBAN CHICAGO, IL...................... 1.365 1.641 0.276 20.22
05535 00 NORTH CAROLINA............................ 0.497 0.594 0.097 19.52
00630 00 INDIANA................................... 0.408 0.480 0.072 17.65
00865 01 METROPOLITAN PHILADELPHIA, PA............. 1.207 1.410 0.203 16.82
00952 99 REST OF ILLINOIS.......................... 0.990 1.155 0.165 16.67
00952 12 EAST ST. LOUIS, IL........................ 1.487 1.687 0.200 13.45
02050 26 ANAHEIM/SANTA ANA, CA..................... 0.846 0.953 0.107 12.65
02050 18 LOS ANGELES, CA........................... 0.846 0.953 0.107 12.65
00951 00 WISCONSIN................................. 0.841 0.937 0.096 11.41
00528 01 NEW ORLEANS, LA........................... 1.153 1.280 0.127 11.01
31143 01 METROPOLITAN BOSTON....................... 0.713 0.782 0.069 9.68
31143 99 REST OF MASSACHUSETTS..................... 0.713 0.782 0.069 9.68
00900 99 REST OF TEXAS............................. 0.871 0.954 0.083 9.53
02050 17 VENTURA, CA............................... 0.717 0.781 0.064 8.93
00660 00 KENTUCKY.................................. 0.807 0.875 0.068 8.43
00910 09 UTAH...................................... 0.594 0.643 0.049 8.25
00805 01 NORTHERN NJ............................... 0.795 0.858 0.063 7.92
00805 99 REST OF NEW JERSEY........................ 0.795 0.858 0.063 7.92
10250 00 MISSISSIPPI............................... 0.721 0.777 0.056 7.77
00590 04 MIAMI, FL................................. 2.350 2.523 0.173 7.36
05440 35 TENNESSEE................................. 0.552 0.591 0.039 7.07
02050 99 REST OF CALIFORNIA *...................... 0.698 0.746 0.048 6.88
31140 99 REST OF CALIFORNIA *...................... 0.698 0.746 0.048 6.88
00836 99 REST OF WASHINGTON........................ 0.742 0.786 0.044 5.93
00836 02 SEATTLE (KING CNTY), WA................... 0.742 0.786 0.044 5.93
00952 16 CHICAGO, IL............................... 1.693 1.793 0.100 5.91
00824 01 COLORADO.................................. 0.795 0.838 0.043 5.41
00590 03 FORT LAUDERDALE, FL....................... 1.783 1.873 0.090 5.05
00528 99 REST OF LOUISIANA......................... 1.031 1.071 0.040 3.88
31140 03 MARIN/NAPA/SOLANO, CA..................... 0.667 0.686 0.019 2.85
[[Page 44353]]
31140 07 OAKLAND/BERKLEY, CA....................... 0.667 0.686 0.019 2.85
31140 05 SAN FRANCISCO, CA......................... 0.667 0.686 0.019 2.85
31140 06 SAN MATEO, CA............................. 0.667 0.686 0.019 2.85
14330 04 QUEENS, NY................................ 1.839 1.867 0.028 1.52
00900 31 AUSTIN, TX................................ 0.849 0.857 0.008 0.94
00803 02 NYC SUBURBS/LONG I., NY................... 1.932 1.948 0.016 0.83
00803 01 MANHATTAN, NY............................. 1.654 1.664 0.010 0.60
00820 01 NORTH DAKOTA.............................. 0.656 0.656 ............ 0.00
00900 11 DALLAS, TX................................ 0.930 0.929 (0.001) -0.11
00900 28 FORT WORTH, TX............................ 0.930 0.929 (0.001) -0.11
00880 01 SOUTH CAROLINA............................ 0.280 0.278 (0.002) -0.71
00751 01 MONTANA................................... 0.732 0.725 (0.007) -0.96
00522 00 OKLAHOMA.................................. 0.451 0.443 (0.008) -1.77
31145 50 VERMONT................................... 0.548 0.538 (0.010) -1.82
00511 01 ATLANTA, GA............................... 0.951 0.933 (0.018) -1.89
00511 99 REST OF GEORGIA........................... 0.951 0.933 (0.018) -1.89
00973 50 VIRGIN ISLANDS............................ 1.032 1.000 (0.032) -3.10
00655 00 NEBRASKA.................................. 0.443 0.429 (0.014) -3.16
00900 20 BEAUMONT, TX.............................. 1.386 1.335 (0.051) -3.68
00900 09 BRAZORIA, TX.............................. 1.386 1.335 (0.051) -3.68
00900 15 GALVESTON, TX............................. 1.386 1.335 (0.051) -3.68
00801 99 REST OF NEW YORK.......................... 0.793 0.762 (0.031) -3.91
00803 03 POUGHKPSIE/N NYC SUBURBS, NY.............. 1.326 1.272 (0.054) -4.07
31140 09 SANTA CLARA, CA........................... 0.667 0.638 (0.029) -4.35
00590 99 REST OF FLORIDA........................... 1.327 1.262 (0.065) -4.90
00900 18 HOUSTON, TX............................... 1.418 1.333 (0.085) -5.99
31142 99 REST OF MAINE............................. 0.708 0.665 (0.043) -6.07
31142 03 SOUTHERN MAINE............................ 0.708 0.665 (0.043) -6.07
00832 00 ARIZONA................................... 1.189 1.109 (0.080) -6.73
00820 02 SOUTH DAKOTA.............................. 0.435 0.405 (0.030) -6.90
00510 00 ALABAMA................................... 0.876 0.805 (0.071) -8.11
00826 00 IOWA...................................... 0.648 0.595 (0.053) -8.18
10230 00 CONNECTICUT............................... 1.052 0.964 (0.088) -8.37
10490 00 VIRGINIA.................................. 0.557 0.499 (0.058) -10.41
00901 99 REST OF MARYLAND.......................... 0.866 0.772 (0.094) -10.85
00953 01 DETROIT, MI............................... 3.069 2.732 (0.337) -10.98
10240 00 MINNESOTA................................. 0.507 0.451 (0.056) -11.05
16360 00 OHIO...................................... 1.074 0.955 (0.119) -11.08
00903 01 DC + MD/VA SUBURBS........................ 1.032 0.907 (0.125) -12.11
05130 00 IDAHO..................................... 0.566 0.496 (0.070) -12.37
00833 01 HAWAII/GUAM............................... 0.954 0.832 (0.122) -12.79
00953 99 REST OF MICHIGAN.......................... 1.828 1.568 (0.260) -14.22
00650 00 KANSAS *.................................. 0.890 0.754 (0.136) -15.28
00740 04 KANSAS *.................................. 0.890 0.754 (0.136) -15.28
00520 13 ARKANSAS.................................. 0.403 0.339 (0.064) -15.88
00901 01 BALTIMORE/SURR. CNTYS, MD................. 1.098 0.914 (0.184) -16.76
00902 01 DELAWARE.................................. 0.860 0.710 (0.150) -17.44
31144 40 NEW HAMPSHIRE............................. 1.013 0.823 (0.190) -18.76
00831 01 ALASKA.................................... 1.533 1.220 (0.313) -20.42
00973 20 PUERTO RICO............................... 0.359 0.274 (0.085) -23.68
00835 01 PORTLAND, OR.............................. 0.587 0.435 (0.152) -25.89
00835 99 REST OF OREGON............................ 0.587 0.435 (0.152) -25.89
00870 01 RHODE ISLAND.............................. 1.189 0.881 (0.308) -25.90
00740 02 METROPOLITAN KANSAS CITY, MO.............. 1.196 0.844 (0.352) -29.43
00523 01 METROPOLITAN ST. LOUIS, MO................ 1.198 0.844 (0.354) -29.55
00740 99 REST OF MISSOURI *........................ 1.165 0.791 (0.374) -32.10
00523 99 REST OF MISSOURI *........................ 1.165 0.791 (0.374) -32.10
----------------------------------------------------------------------------------------------------------------
Notes:
*--Indicates multiple carriers for this Fee Schedule Area.
1999 Malpractice GPCIs have been budget neutrality adjusted.
The 2002 MGPCIs have NOT been budget neutrality adjusted.
Addendum F.--2002 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice
No. No. Locality name Work expense Malpractice
----------------------------------------------------------------------------------------------------------------
00510 00 ALABAMA......................................... 0.978 0.870 0.807
00831 01 ALASKA.......................................... 1.064 1.172 1.223
[[Page 44354]]
00832 00 ARIZONA......................................... 0.994 0.978 1.111
00520 13 ARKANSAS........................................ 0.953 0.847 0.340
02050 26 ANAHEIM/SANTA ANA, CA........................... 1.037 1.184 0.955
02050 18 LOS ANGELES, CA................................. 1.056 1.139 0.955
31140 03 MARIN/NAPA/SOLANO, CA........................... 1.015 1.248 0.687
31140 07 OAKLAND/BERKELEY, CA............................ 1.041 1.235 0.687
31140 05 SAN FRANCISCO, CA............................... 1.068 1.458 0.687
31140 06 SAN MATEO, CA................................... 1.048 1.432 0.687
31140 09 SANTA CLARA, CA................................. 1.063 1.380 0.639
02050 17 VENTURA, CA..................................... 1.028 1.125 0.783
02050 99 REST OF CALIFORNIA *............................ 1.007 1.034 0.748
31140 99 REST OF CALIFORNIA *............................ 1.007 1.034 0.748
00824 01 COLORADO........................................ 0.985 0.992 0.840
10230 00 CONNECTICUT..................................... 1.050 1.156 0.966
00902 01 DELAWARE........................................ 1.019 1.035 0.712
00903 01 DC + MD/VA SUBURBS.............................. 1.050 1.166 0.909
00590 03 FORT LAUDERDALE, FL............................. 0.996 1.018 1.877
00590 04 MIAMI, FL....................................... 1.015 1.052 2.528
00590 99 REST OF FLORIDA................................. 0.975 0.946 1.265
00511 01 ATLANTA, GA..................................... 1.006 1.059 0.935
00511 99 REST OF GEORGIA................................. 0.970 0.892 0.935
00833 01 HAWAII/GUAM..................................... 0.997 1.124 0.834
05130 00 IDAHO........................................... 0.960 0.881 0.497
00952 16 CHICAGO, IL..................................... 1.028 1.092 1.797
00952 12 EAST ST. LOUIS, IL.............................. 0.988 0.924 1.691
00952 15 SUBURBAN CHICAGO, IL............................ 1.006 1.071 1.645
00952 99 REST OF ILLINOIS................................ 0.964 0.889 1.157
00630 00 INDIANA......................................... 0.981 0.922 0.481
00826 00 IOWA............................................ 0.959 0.876 0.596
00650 00 KANSAS *........................................ 0.963 0.895 0.756
00740 04 KANSAS *........................................ 0.963 0.895 0.749
00660 00 KENTUCKY........................................ 0.970 0.866 0.877
00528 01 NEW ORLEANS, LA................................. 0.998 0.945 1.283
00528 99 REST OF LOUISIANA............................... 0.968 0.870 1.073
31142 03 SOUTHERN MAINE.................................. 0.979 0.999 0.666
31142 99 REST OF MAINE................................... 0.961 0.910 0.666
00901 01 BALTIMORE/SURR. CNTYS, MD....................... 1.021 1.038 0.916
00901 99 REST OF MARYLAND................................ 0.984 0.972 0.774
31143 01 METROPOLITAN BOSTON............................. 1.041 1.239 0.784
31143 99 REST OF MASSACHUSETTS........................... 1.010 1.129 0.784
00953 01 DETROIT, MI..................................... 1.043 1.038 2.738
00953 99 REST OF MICHIGAN................................ 0.997 0.938 1.571
10240 00 MINNESOTA....................................... 0.990 0.974 0.452
10250 00 MISSISSIPPI..................................... 0.957 0.837 0.779
00740 02 METROPOLITAN KANSAS CITY, MO.................... 0.988 0.967 0.846
00523 01 METROPOLITAN ST. LOUIS, MO...................... 0.994 0.938 0.846
00740 99 REST OF MISSOURI *.............................. 0.946 0.825 0.793
00523 99 REST OF MISSOURI *.............................. 0.946 0.825 0.793
00751 01 MONTANA......................................... 0.950 0.876 0.727
00655 00 NEBRASKA........................................ 0.948 0.877 0.430
00834 00 NEVADA.......................................... 1.005 1.039 1.209
31144 40 NEW HAMPSHIRE................................... 0.986 1.030 0.825
00805 01 NORTHERN NJ..................................... 1.058 1.193 0.860
00805 99 REST OF NEW JERSEY.............................. 1.029 1.110 0.860
00521 05 NEW MEXICO...................................... 0.973 0.900 0.902
00803 01 MANHATTAN, NY................................... 1.094 1.351 1.668
00803 02 NYC SUBURBS/LONG I., NY......................... 1.068 1.251 1.952
00803 03 POUGHKPSIE/N NYC SUBURBS, NY.................... 1.011 1.075 1.275
14330 04 QUEENS, NY...................................... 1.058 1.228 1.871
00801 99 REST OF NEW YORK................................ 0.998 0.944 0.764
05535 00 NORTH CAROLINA.................................. 0.970 0.931 0.595
00820 01 NORTH DAKOTA.................................... 0.950 0.880 0.657
16360 00 OHIO............................................ 0.988 0.944 0.957
00522 00 OKLAHOMA........................................ 0.968 0.876 0.444
00835 01 PORTLAND, OR.................................... 0.996 1.049 0.436
00835 99 REST OF OREGON.................................. 0.961 0.933 0.436
00865 01 METROPOLITAN PHILADELPHIA, PA................... 1.023 1.092 1.413
00865 99 REST OF PENNSYLVANIA............................ 0.989 0.929 0.774
00973 20 PUERTO RICO..................................... 0.881 0.712 0.275
00870 01 RHODE ISLAND.................................... 1.017 1.065 0.883
00880 01 SOUTH CAROLINA.................................. 0.974 0.904 0.279
[[Page 44355]]
00820 02 SOUTH DAKOTA.................................... 0.935 0.878 0.406
05440 35 TENNESSEE....................................... 0.975 0.900 0.592
00900 31 AUSTIN, TX...................................... 0.986 0.996 0.859
00900 20 BEAUMONT, TX.................................... 0.992 0.890 1.338
00900 09 BRAZORIA, TX.................................... 0.992 0.978 1.338
00900 11 DALLAS, TX...................................... 1.010 1.065 0.931
00900 28 FORT WORTH, TX.................................. 0.987 0.981 0.931
00900 15 GALVESTON, TX................................... 0.988 0.969 1.338
00900 18 HOUSTON, TX..................................... 1.020 1.007 1.336
00900 99 REST OF TEXAS................................... 0.966 0.880 0.956
00910 09 UTAH............................................ 0.976 0.941 0.644
31145 50 VERMONT......................................... 0.973 0.986 0.539
00973 50 VIRGIN ISLANDS.................................. 0.965 1.023 1.002
10490 00 VIRGINIA........................................ 0.984 0.938 0.500
00836 02 SEATTLE (KING CNTY), WA......................... 1.005 1.100 0.788
00836 99 REST OF WASHINGTON.............................. 0.981 0.972 0.788
16510 16 WEST VIRGINIA................................... 0.963 0.850 1.378
00951 00 WISCONSIN....................................... 0.981 0.929 0.939
00825 21 WYOMING......................................... 0.967 0.895 1.005
----------------------------------------------------------------------------------------------------------------
* Payment locality is serviced by two carriers.
Note: Work GPCI is the \1/4\ work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs
rescaled by the following factors for budget netrality: Work = 0.99699; Practice Expense = 0.99235;
Malpractice Expense = 1.00215.
Addendum G.--2001 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice
No. No. Locality name Work expense Malpractice
----------------------------------------------------------------------------------------------------------------
00510 00 ALABAMA......................................... 0.978 0.871 0.841
00831 01 ALASKA.......................................... 1.063 1.172 1.378
00832 00 ARIZONA......................................... 0.994 0.975 1.150
00520 13 ARKANSAS........................................ 0.953 0.851 0.371
02050 26 ANAHEIM/SANTA ANA, CA........................... 1.036 1.187 0.901
02050 18 LOS ANGELES, CA................................. 1.055 1.169 0.901
31140 03 MARIN/NAPA/SOLANO, CA........................... 1.014 1.205 0.677
31140 07 OAKLAND/BERKELEY, CA............................ 1.040 1.216 0.677
31140 05 SAN FRANCISCO, CA............................... 1.067 1.378 0.677
31140 06 SAN MATEO, CA................................... 1.047 1.353 0.677
31140 09 SANTA CLARA, CA................................. 1.062 1.321 0.653
02050 17 VENTURA, CA..................................... 1.027 1.128 0.750
02050 99 REST OF CALIFORNIA *............................ 1.007 1.039 0.723
31140 99 REST OF CALIFORNIA *............................ 1.007 1.039 0.723
00824 01 COLORADO........................................ 0.986 0.981 0.817
10230 00 CONNECTICUT..................................... 1.049 1.164 1.009
00902 01 DELAWARE........................................ 1.019 1.032 0.786
00903 01 DC + MD/VA SUBURBS.............................. 1.050 1.164 0.970
00590 03 FORT LAUDERDALE, FL............................. 0.996 1.022 1.830
00590 04 MIAMI, FL....................................... 1.015 1.064 2.439
00590 99 REST OF FLORIDA................................. 0.975 0.947 1.296
00511 01 ATLANTA, GA..................................... 1.006 1.046 0.943
00511 99 REST OF GEORGIA................................. 0.970 0.896 0.943
00833 01 HAWAII/GUAM..................................... 0.997 1.154 0.894
05130 00 IDAHO........................................... 0.960 0.887 0.532
00952 16 CHICAGO, IL..................................... 1.027 1.090 1.745
00952 12 EAST ST. LOUIS, IL.............................. 0.988 0.927 1.589
00952 15 SUBURBAN CHICAGO, IL............................ 1.006 1.069 1.505
00952 99 REST OF ILLINOIS................................ 0.964 0.888 1.074
00630 00 INDIANA......................................... 0.981 0.919 0.445
00826 00 IOWA............................................ 0.959 0.879 0.622
00650 00 KANSAS *........................................ 0.963 0.897 0.823
00740 04 KANSAS *........................................ 0.963 0.897 0.819
00660 00 KENTUCKY........................................ 0.970 0.870 0.842
00528 01 NEW ORLEANS, LA................................. 0.998 0.947 1.218
00528 99 REST OF LOUISIANA............................... 0.969 0.876 1.052
31142 03 SOUTHERN MAINE.................................. 0.979 1.015 0.687
31142 99 REST OF MAINE................................... 0.961 0.917 0.687
00901 01 BALTIMORE/SURR. CNTYS, MD....................... 1.020 1.038 1.007
00901 99 REST OF MARYLAND................................ 0.985 0.979 0.820
31143 01 METROPOLITAN BOSTON............................. 1.040 1.218 0.748
31143 99 REST OF MASSACHUSETTS........................... 1.010 1.111 0.748
[[Page 44356]]
00953 01 DETROIT, MI..................................... 1.042 1.030 2.903
00953 99 REST OF MICHIGAN................................ 0.996 0.938 1.700
10240 00 MINNESOTA....................................... 0.990 0.971 0.479
10250 00 MISSISSIPPI..................................... 0.957 0.841 0.750
00740 02 METROPOLITAN KANSAS CITY, MO.................... 0.988 0.958 1.021
00523 01 METROPOLITAN ST. LOUIS, MO...................... 0.994 0.940 1.022
00740 99 REST OF MISSOURI *.............................. 0.946 0.826 0.979
00523 99 REST OF MISSOURI *.............................. 0.946 0.826 0.979
00751 01 MONTANA......................................... 0.951 0.877 0.729
00655 00 NEBRASKA........................................ 0.949 0.875 0.436
00834 00 NEVADA.......................................... 1.005 1.035 1.103
31144 40 NEW HAMPSHIRE................................... 0.987 1.032 0.919
00805 01 NORTHERN NJ..................................... 1.057 1.192 0.827
00805 99 REST OF NEW JERSEY.............................. 1.028 1.102 0.827
00521 05 NEW MEXICO...................................... 0.973 0.905 0.809
00803 01 MANHATTAN, NY................................... 1.093 1.352 1.661
00803 02 NYC SUBURBS/LONG I., NY......................... 1.067 1.242 1.942
00803 03 POUGHKPSIE/N NYC SUBURBS, NY.................... 1.010 1.079 1.300
14330 04 QUEENS, NY...................................... 1.057 1.231 1.855
00801 99 REST OF NEW YORK................................ 0.998 0.951 0.778
05535 00 NORTH CAROLINA.................................. 0.970 0.927 0.546
00820 01 NORTH DAKOTA.................................... 0.950 0.879 0.657
16360 00 OHIO............................................ 0.989 0.941 1.016
00522 00 OKLAHOMA........................................ 0.969 0.879 0.447
00835 01 PORTLAND, OR.................................... 0.996 1.035 0.511
00835 99 REST OF OREGON.................................. 0.961 0.935 0.511
00865 01 METROPOLITAN PHILADELPHIA, PA................... 1.023 1.090 1.310
00865 99 REST OF PENNSYLVANIA............................ 0.989 0.930 0.705
00973 20 PUERTO RICO..................................... 0.882 0.720 0.317
00870 01 RHODE ISLAND.................................... 1.017 1.067 1.036
00880 01 SOUTH CAROLINA.................................. 0.975 0.905 0.279
00820 02 SOUTH DAKOTA.................................... 0.935 0.876 0.420
05440 35 TENNESSEE....................................... 0.975 0.900 0.572
00900 31 AUSTIN, TX...................................... 0.986 0.998 0.854
00900 20 BEAUMONT, TX.................................... 0.992 0.895 1.362
00900 09 BRAZORIA, TX.................................... 0.992 0.978 1.362
00900 11 DALLAS, TX...................................... 1.010 1.040 0.930
00900 28 FORT WORTH, TX.................................. 0.987 0.976 0.930
00900 15 GALVESTON, TX................................... 0.988 0.969 1.362
00900 18 HOUSTON, TX..................................... 1.020 1.007 1.377
00900 99 REST OF TEXAS................................... 0.966 0.884 0.914
00910 09 UTAH............................................ 0.977 0.925 0.619
31145 50 VERMONT......................................... 0.973 0.985 0.544
00973 50 VIRGIN ISLANDS.................................. 0.965 1.029 1.017
10490 00 VIRGINIA........................................ 0.985 0.939 0.529
00836 02 SEATTLE (KING CNTY), WA......................... 1.005 1.090 0.765
00836 99 REST OF WASHINGTON.............................. 0.982 0.974 0.765
16510 16 WEST VIRGINIA................................... 0.963 0.852 1.242
00951 00 WISCONSIN....................................... 0.981 0.931 0.890
00825 21 WYOMING......................................... 0.967 0.895 0.855
----------------------------------------------------------------------------------------------------------------
* Payment locality is serviced by two carriers.
Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs
rescaled by the following factors for budget neutrality: Work = 0.99699; Practice Expense = 0.99235;
Malpractice Expense = 1.00215.
Addendum H.--Proposed 2002 Versus 1999 Geographic Adjustment Factors (GAF)
[In descending order of difference]
----------------------------------------------------------------------------------------------------------------
Percent
Locality 1999 GAF 2002 GAF Difference difference
----------------------------------------------------------------------------------------------------------------
SAN MATEO, CA........................................... 1.122 1.199 0.077 6.89
SAN FRANCISCO, CA....................................... 1.143 1.221 0.078 6.84
SANTA CLARA, CA......................................... 1.125 1.184 0.059 5.28
MARIN/NAPA/SOLANO, CA................................... 1.058 1.104 0.046 4.33
METROPOLITAN BOSTON..................................... 1.088 1.117 0.029 2.64
OAKLAND/BERKELEY, CA.................................... 1.086 1.113 0.027 2.46
REST OF MASSACHUSETTS................................... 1.030 1.053 0.023 2.24
DALLAS, TX.............................................. 1.009 1.031 0.022 2.19
UTAH.................................................... 0.931 0.951 0.020 2.10
SEATTLE (KING CNTY), WA................................. 1.023 1.038 0.015 1.48
[[Page 44357]]
INDIANA................................................. 0.927 0.941 0.014 1.46
NORTH CAROLINA.......................................... 0.928 0.942 0.014 1.46
WYOMING................................................. 0.925 0.938 0.013 1.36
PORTLAND, OR............................................ 0.987 1.000 0.013 1.35
REST OF NEW JERSEY...................................... 1.044 1.058 0.014 1.34
COLORADO................................................ 0.971 0.983 0.012 1.27
ATLANTA, GA............................................. 1.015 1.026 0.011 1.10
SOUTH CAROLINA.......................................... 0.913 0.923 0.010 1.06
NEVADA.................................................. 1.016 1.026 0.010 1.00
SOUTH DAKOTA............................................ 0.886 0.895 0.009 0.99
MINNESOTA............................................... 0.957 0.966 0.009 0.99
REST OF PENNSYLVANIA.................................... 0.948 0.956 0.008 0.89
NORTHERN NJ............................................. 1.099 1.109 0.010 0.89
VERMONT................................................. 0.957 0.965 0.008 0.88
NEBRASKA................................................ 0.894 0.902 0.008 0.87
TENNESSEE............................................... 0.924 0.932 0.008 0.82
VENTURA, CA............................................. 1.055 1.062 0.007 0.66
NORTH DAKOTA............................................ 0.906 0.912 0.006 0.63
ANAHEIM/SANTA ANA, CA................................... 1.090 1.097 0.007 0.63
REST OF ILLINOIS........................................ 0.933 0.939 0.006 0.60
SUBURBAN CHICAGO, IL.................................... 1.048 1.054 0.006 0.57
METROPOLITAN PHILADELPHIA, PA........................... 1.059 1.065 0.006 0.56
FORT WORTH, TX.......................................... 0.978 0.983 0.005 0.55
OKLAHOMA................................................ 0.908 0.913 0.005 0.52
NEW MEXICO.............................................. 0.935 0.940 0.005 0.49
WEST VIRGINIA........................................... 0.925 0.929 0.004 0.39
VIRGINIA................................................ 0.946 0.950 0.004 0.37
REST OF WASHINGTON...................................... 0.968 0.971 0.003 0.35
REST OF CALIFORNIA...................................... 1.007 1.010 0.003 0.32
ARKANSAS................................................ 0.886 0.889 0.003 0.32
WISCONSIN............................................... 0.955 0.957 0.002 0.26
MONTANA................................................. 0.910 0.912 0.002 0.19
AUSTIN, TX.............................................. 0.985 0.986 0.001 0.14
DELAWARE................................................ 1.015 1.016 0.001 0.12
MISSISSIPPI............................................. 0.900 0.901 0.001 0.08
IOWA.................................................... 0.912 0.913 0.001 0.08
KENTUCKY................................................ 0.923 0.924 0.001 0.07
REST OF TEXAS........................................... 0.929 0.930 0.001 0.07
DC + MD/VA SUBURBS...................................... 1.095 1.095 -0.000 -0.02
IDAHO................................................... 0.913 0.912 -0.001 -0.14
REST OF OREGON.......................................... 0.934 0.933 -0.001 -0.15
NEW ORLEANS, LA......................................... 0.986 0.984 -0.002 -0.17
ARIZONA................................................. 0.994 0.991 -0.003 -0.27
NYC SUBURBS/LONG I., NY................................. 1.177 1.173 -0.004 -0.30
ALABAMA................................................. 0.930 0.927 -0.003 -0.36
REST OF MAINE........................................... 0.934 0.931 -0.003 -0.36
CHICAGO, IL............................................. 1.084 1.080 -0.004 -0.38
OHIO.................................................... 0.973 0.968 -0.005 -0.47
MANHATTAN, NY........................................... 1.227 1.221 -0.006 -0.47
REST OF GEORGIA......................................... 0.940 0.936 -0.004 -0.47
PUERTO RICO............................................. 0.794 0.790 -0.004 -0.47
BALTIMORE/SURR. CNTYS, MD............................... 1.031 1.025 -0.006 -0.57
VIRGIN ISLANDS.......................................... 0.997 0.991 -0.006 -0.57
EAST ST. LOUIS, IL...................................... 0.989 0.983 -0.006 -0.57
REST OF NEW YORK........................................ 0.973 0.967 -0.006 -0.57
KANSAS.................................................. 0.933 0.928 -0.005 -0.58
CONNECTICUT............................................. 1.100 1.093 -0.007 -0.65
REST OF LOUISIANA....................................... 0.936 0.930 -0.006 -0.68
BRAZORIA, TX............................................ 1.005 0.997 -0.008 -0.77
METROPOLITAN KANSAS CITY, MO............................ 0.982 0.974 -0.008 -0.77
REST OF MARYLAND........................................ 0.980 0.972 -0.008 -0.77
HOUSTON, TX............................................. 1.034 1.025 -0.009 -0.86
NEW HAMPSHIRE........................................... 1.008 0.999 -0.009 -0.86
GALVESTON, TX........................................... 1.000 0.991 -0.009 -0.87
REST OF FLORIDA......................................... 0.981 0.972 -0.009 -0.88
POUGHKPSIE/N NYC SUBURBS, NY............................ 1.056 1.046 -0.010 -0.94
SOUTHERN MAINE.......................................... 0.987 0.977 -0.010 -0.97
QUEENS, NY.............................................. 1.167 1.156 -0.011 -0.98
FORT LAUDERDALE, FL..................................... 1.046 1.033 -0.013 -1.23
RHODE ISLAND............................................ 1.047 1.033 -0.014 -1.33
[[Page 44358]]
BEAUMONT, TX............................................ 0.973 0.959 -0.014 -1.39
ALASKA.................................................. 1.131 1.115 -0.016 -1.44
LOS ANGELES, CA......................................... 1.104 1.088 -0.016 -1.46
METROPOLITAN ST. LOUIS, MO.............................. 0.983 0.965 -0.018 -1.79
REST OF MISSOURI........................................ 0.908 0.890 -0.018 -2.00
REST OF MICHIGAN........................................ 1.013 0.990 -0.023 -2.24
MIAMI, FL............................................... 1.105 1.079 -0.026 -2.36
HAWAII/GUAM............................................. 1.072 1.046 -0.026 -2.42
DETROIT, MI............................................. 1.131 1.095 -0.036 -3.20
----------------------------------------------------------------------------------------------------------------
[FR Doc. 00-17830 Filed 7-14-00; 8:45 am]
BILLING CODE 4120-01-P