[Federal Register: August 9, 2002 (Volume 67, Number 154)] [Proposed Rules] [Page 52191-52240] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr09au02-38] [[pp. 52191-52240]] Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2003 Payment Rates; and Changes to Payment Suspension for Unfiled Cost Reports [[Continued from page 52190]] [[Page 52190]] 28305..................... T Incise/graft midfoot bones. 0056 22.94 $1,193.09 $405.81 $238.62 28306..................... T Incision of metatarsal..... 0056 22.94 $1,193.09 $405.81 $238.62 28307..................... T Incision of metatarsal..... 0056 22.94 $1,193.09 $405.81 $238.62 28308..................... T Incision of metatarsal..... 0056 22.94 $1,193.09 $405.81 $238.62 28309..................... T Incision of metatarsals.... 0056 22.94 $1,193.09 $405.81 $238.62 28310..................... T Revision of big toe........ 0055 18.28 $950.72 $355.34 $190.14 28312..................... T Revision of toe............ 0055 18.28 $950.72 $355.34 $190.14 28313..................... T Repair deformity of toe.... 0055 18.28 $950.72 $355.34 $190.14 28315..................... T Removal of sesamoid bone... 0055 18.28 $950.72 $355.34 $190.14 28320..................... T Repair of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 28322..................... T Repair of metatarsals...... 0056 22.94 $1,193.09 $405.81 $238.62 28340..................... T Resect enlarged toe tissue. 0055 18.28 $950.72 $355.34 $190.14 28341..................... T Resect enlarged toe........ 0055 18.28 $950.72 $355.34 $190.14 28344..................... T Repair extra toe(s)........ 0056 22.94 $1,193.09 $405.81 $238.62 28345..................... T Repair webbed toe(s)....... 0056 22.94 $1,193.09 $405.81 $238.62 28360..................... T Reconstruct cleft foot..... 0056 22.94 $1,193.09 $405.81 $238.62 28400..................... T Treatment of heel fracture. 0043 1.68 $87.38 ............ $17.48 28405..................... T Treatment of heel fracture. 0043 1.68 $87.38 ............ $17.48 28406..................... T Treatment of heel fracture. 0046 29.03 $1,509.82 $535.76 $301.96 28415..................... T Treat heel fracture........ 0046 29.03 $1,509.82 $535.76 $301.96 28420..................... T Treat/graft heel fracture.. 0046 29.03 $1,509.82 $535.76 $301.96 28430..................... T Treatment of ankle fracture 0043 1.68 $87.38 ............ $17.48 28435..................... T Treatment of ankle fracture 0043 1.68 $87.38 ............ $17.48 28436..................... T Treatment of ankle fracture 0046 29.03 $1,509.82 $535.76 $301.96 28445..................... T Treat ankle fracture....... 0046 29.03 $1,509.82 $535.76 $301.96 28450..................... T Treat midfoot fracture, 0043 1.68 $87.38 ............ $17.48 each. 28455..................... T Treat midfoot fracture, 0043 1.68 $87.38 ............ $17.48 each. 28456..................... T Treat midfoot fracture..... 0046 29.03 $1,509.82 $535.76 $301.96 28465..................... T Treat midfoot fracture, 0046 29.03 $1,509.82 $535.76 $301.96 each. 28470..................... T Treat metatarsal fracture.. 0043 1.68 $87.38 ............ $17.48 28475..................... T Treat metatarsal fracture.. 0043 1.68 $87.38 ............ $17.48 28476..................... T Treat metatarsal fracture.. 0046 29.03 $1,509.82 $535.76 $301.96 28485..................... T Treat metatarsal fracture.. 0046 29.03 $1,509.82 $535.76 $301.96 28490..................... T Treat big toe fracture..... 0043 1.68 $87.38 ............ $17.48 28495..................... T Treat big toe fracture..... 0043 1.68 $87.38 ............ $17.48 28496..................... T Treat big toe fracture..... 0046 29.03 $1,509.82 $535.76 $301.96 28505..................... T Treat big toe fracture..... 0046 29.03 $1,509.82 $535.76 $301.96 28510..................... T Treatment of toe fracture.. 0043 1.68 $87.38 ............ $17.48 28515..................... T Treatment of toe fracture.. 0043 1.68 $87.38 ............ $17.48 28525..................... T Treat toe fracture......... 0046 29.03 $1,509.82 $535.76 $301.96 28530..................... T Treat sesamoid bone 0043 1.68 $87.38 ............ $17.48 fracture. 28531..................... T Treat sesamoid bone 0046 29.03 $1,509.82 $535.76 $301.96 fracture. 28540..................... T Treat foot dislocation..... 0043 1.68 $87.38 ............ $17.48 28545..................... T Treat foot dislocation..... 0045 13.47 $700.56 $280.22 $140.11 28546..................... T Treat foot dislocation..... 0046 29.03 $1,509.82 $535.76 $301.96 28555..................... T Repair foot dislocation.... 0046 29.03 $1,509.82 $535.76 $301.96 28570..................... T Treat foot dislocation..... 0043 1.68 $87.38 ............ $17.48 28575..................... T Treat foot dislocation..... 0043 1.68 $87.38 ............ $17.48 28576..................... T Treat foot dislocation..... 0046 29.03 $1,509.82 $535.76 $301.96 28585..................... T Repair foot dislocation.... 0046 29.03 $1,509.82 $535.76 $301.96 28600..................... T Treat foot dislocation..... 0043 1.68 $87.38 ............ $17.48 28605..................... T Treat foot dislocation..... 0043 1.68 $87.38 ............ $17.48 28606..................... T Treat foot dislocation..... 0046 29.03 $1,509.82 $535.76 $301.96 28615..................... T Repair foot dislocation.... 0046 29.03 $1,509.82 $535.76 $301.96 28630..................... T Treat toe dislocation...... 0043 1.68 $87.38 ............ $17.48 28635..................... T Treat toe dislocation...... 0045 13.47 $700.56 $280.22 $140.11 28636..................... T Treat toe dislocation...... 0046 29.03 $1,509.82 $535.76 $301.96 28645..................... T Repair toe dislocation..... 0046 29.03 $1,509.82 $535.76 $301.96 28660..................... T Treat toe dislocation...... 0043 1.68 $87.38 ............ $17.48 28665..................... T Treat toe dislocation...... 0045 13.47 $700.56 $280.22 $140.11 28666..................... T Treat toe dislocation...... 0046 29.03 $1,509.82 $535.76 $301.96 28675..................... T Repair of toe dislocation.. 0046 29.03 $1,509.82 $535.76 $301.96 28705..................... T Fusion of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 28715..................... T Fusion of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 28725..................... T Fusion of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 28730..................... T Fusion of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 [[Page 52191]] 28735..................... T Fusion of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 28737..................... T Revision of foot bones..... 0055 18.28 $950.72 $355.34 $190.14 28740..................... T Fusion of foot bones....... 0056 22.94 $1,193.09 $405.81 $238.62 28750..................... T Fusion of big toe joint.... 0055 18.28 $950.72 $355.34 $190.14 28755..................... T Fusion of big toe joint.... 0055 18.28 $950.72 $355.34 $190.14 28760..................... T Fusion of big toe joint.... 0056 22.94 $1,193.09 $405.81 $238.62 28800..................... C Amputation of midfoot...... ............ ............ ............ ............ ............ 28805..................... C Amputation thru metatarsal. ............ ............ ............ ............ ............ 28810..................... T Amputation toe & metatarsal 0055 18.28 $950.72 $355.34 $190.14 28820..................... T Amputation of toe.......... 0055 18.28 $950.72 $355.34 $190.14 28825..................... T Partial amputation of toe.. 0055 18.28 $950.72 $355.34 $190.14 28899..................... T Foot/toes surgery procedure 0043 1.68 $87.38 ............ $17.48 29000..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29010..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29015..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29020..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29025..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29035..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29040..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29044..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29046..................... S Application of body cast... 0058 1.09 $56.69 $14.74 $11.34 29049..................... S Application of figure eight 0058 1.09 $56.69 $14.74 $11.34 29055..................... S Application of shoulder 0058 1.09 $56.69 $14.74 $11.34 cast. 29058..................... S Application of shoulder 0058 1.09 $56.69 $14.74 $11.34 cast. 29065..................... S Application of long arm 0058 1.09 $56.69 $14.74 $11.34 cast. 29075..................... S Application of forearm cast 0058 1.09 $56.69 $14.74 $11.34 29085..................... S Apply hand/wrist cast...... 0058 1.09 $56.69 $14.74 $11.34 29086..................... S Apply finger cast.......... 0058 1.09 $56.69 $14.74 $11.34 29105..................... S Apply long arm splint...... 0058 1.09 $56.69 $14.74 $11.34 29125..................... S Apply forearm splint....... 0058 1.09 $56.69 $14.74 $11.34 29126..................... S Apply forearm splint....... 0058 1.09 $56.69 $14.74 $11.34 29130..................... S Application of finger 0058 1.09 $56.69 $14.74 $11.34 splint. 29131..................... S Application of finger 0058 1.09 $56.69 $14.74 $11.34 splint. 29200..................... S Strapping of chest......... 0058 1.09 $56.69 $14.74 $11.34 29220..................... S Strapping of low back...... 0058 1.09 $56.69 $14.74 $11.34 29240..................... S Strapping of shoulder...... 0058 1.09 $56.69 $14.74 $11.34 29260..................... S Strapping of elbow or wrist 0058 1.09 $56.69 $14.74 $11.34 29280..................... S Strapping of hand or finger 0058 1.09 $56.69 $14.74 $11.34 29305..................... S Application of hip cast.... 0058 1.09 $56.69 $14.74 $11.34 29325..................... S Application of hip casts... 0058 1.09 $56.69 $14.74 $11.34 29345..................... S Application of long leg 0058 1.09 $56.69 $14.74 $11.34 cast. 29355..................... S Application of long leg 0058 1.09 $56.69 $14.74 $11.34 cast. 29358..................... S Apply long leg cast brace.. 0058 1.09 $56.69 $14.74 $11.34 29365..................... S Application of long leg 0058 1.09 $56.69 $14.74 $11.34 cast. 29405..................... S Apply short leg cast....... 0058 1.09 $56.69 $14.74 $11.34 29425..................... S Apply short leg cast....... 0058 1.09 $56.69 $14.74 $11.34 29435..................... S Apply short leg cast....... 0058 1.09 $56.69 $14.74 $11.34 29440..................... S Addition of walker to cast. 0058 1.09 $56.69 $14.74 $11.34 29445..................... S Apply rigid leg cast....... 0058 1.09 $56.69 $14.74 $11.34 29450..................... S Application of leg cast.... 0058 1.09 $56.69 $14.74 $11.34 29505..................... S Application, long leg 0058 1.09 $56.69 $14.74 $11.34 splint. 29515..................... S Application lower leg 0058 1.09 $56.69 $14.74 $11.34 splint. 29520..................... S Strapping of hip........... 0058 1.09 $56.69 $14.74 $11.34 29530..................... S Strapping of knee.......... 0058 1.09 $56.69 $14.74 $11.34 29540..................... S Strapping of ankle......... 0058 1.09 $56.69 $14.74 $11.34 29550..................... S Strapping of toes.......... 0058 1.09 $56.69 $14.74 $11.34 29580..................... S Application of paste boot.. 0058 1.09 $56.69 $14.74 $11.34 29590..................... S Application of foot splint. 0058 1.09 $56.69 $14.74 $11.34 29700..................... S Removal/revision of cast... 0058 1.09 $56.69 $14.74 $11.34 29705..................... S Removal/revision of cast... 0058 1.09 $56.69 $14.74 $11.34 29710..................... S Removal/revision of cast... 0058 1.09 $56.69 $14.74 $11.34 29715..................... S Removal/revision of cast... 0058 1.09 $56.69 $14.74 $11.34 29720..................... S Repair of body cast........ 0058 1.09 $56.69 $14.74 $11.34 29730..................... S Windowing of cast.......... 0058 1.09 $56.69 $14.74 $11.34 29740..................... S Wedging of cast............ 0058 1.09 $56.69 $14.74 $11.34 29750..................... S Wedging of clubfoot cast... 0058 1.09 $56.69 $14.74 $11.34 [[Page 52192]] 29799..................... S Casting/strapping procedure 0058 1.09 $56.69 $14.74 $11.34 29800..................... T Jaw arthroscopy/surgery.... 0041 27.58 $1,434.41 $580.06 $286.88 29804..................... T Jaw arthroscopy/surgery.... 0041 27.58 $1,434.41 $580.06 $286.88 29805..................... T Shoulder arthroscopy, dx... 0041 27.58 $1,434.41 $580.06 $286.88 29806..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29807..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29819..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29820..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29821..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29822..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29823..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29824..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29825..................... T Shoulder arthroscopy/ 0041 27.58 $1,434.41 $580.06 $286.88 surgery. 29826..................... T Shoulder arthroscopy/ 0042 43.24 $2,248.87 $804.74 $449.77 surgery. 29830..................... T Elbow arthroscopy.......... 0041 27.58 $1,434.41 $580.06 $286.88 29834..................... T Elbow arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29835..................... T Elbow arthroscopy/surgery.. 0042 43.24 $2,248.87 $804.74 $449.77 29836..................... T Elbow arthroscopy/surgery.. 0042 43.24 $2,248.87 $804.74 $449.77 29837..................... T Elbow arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29838..................... T Elbow arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29840..................... T Wrist arthroscopy.......... 0041 27.58 $1,434.41 $580.06 $286.88 29843..................... T Wrist arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29844..................... T Wrist arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29845..................... T Wrist arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29846..................... T Wrist arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29847..................... T Wrist arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29848..................... T Wrist endoscopy/surgery.... 0041 27.58 $1,434.41 $580.06 $286.88 29850..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29851..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29855..................... T Tibial arthroscopy/surgery. 0042 43.24 $2,248.87 $804.74 $449.77 29856..................... T Tibial arthroscopy/surgery. 0041 27.58 $1,434.41 $580.06 $286.88 29860..................... T Hip arthroscopy, dx........ 0041 27.58 $1,434.41 $580.06 $286.88 29861..................... T Hip arthroscopy/surgery.... 0041 27.58 $1,434.41 $580.06 $286.88 29862..................... T Hip arthroscopy/surgery.... 0042 43.24 $2,248.87 $804.74 $449.77 29863..................... T Hip arthroscopy/surgery.... 0042 43.24 $2,248.87 $804.74 $449.77 29870..................... T Knee arthroscopy, dx....... 0041 27.58 $1,434.41 $580.06 $286.88 29871..................... T Knee arthroscopy/drainage.. 0041 27.58 $1,434.41 $580.06 $286.88 29874..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29875..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29876..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29877..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29879..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29880..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29881..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29882..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29883..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29884..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29885..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29886..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29887..................... T Knee arthroscopy/surgery... 0041 27.58 $1,434.41 $580.06 $286.88 29888..................... T Knee arthroscopy/surgery... 0042 43.24 $2,248.87 $804.74 $449.77 29889..................... T Knee arthroscopy/surgery... 0042 43.24 $2,248.87 $804.74 $449.77 29891..................... T Ankle arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29892..................... T Ankle arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29893..................... T Scope, plantar fasciotomy.. 0055 18.28 $950.72 $355.34 $190.14 29894..................... T Ankle arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29895..................... T Ankle arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29897..................... T Ankle arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29898..................... T Ankle arthroscopy/surgery.. 0041 27.58 $1,434.41 $580.06 $286.88 29900..................... T Mcp joint arthroscopy, dx.. 0053 14.76 $767.65 $253.49 $153.53 29901..................... T Mcp joint arthroscopy, surg 0053 14.76 $767.65 $253.49 $153.53 29902..................... T Mcp joint arthroscopy, surg 0053 14.76 $767.65 $253.49 $153.53 29999..................... T Arthroscopy of joint....... 0041 27.58 $1,434.41 $580.06 $286.88 30000..................... T Drainage of nose lesion.... 0251 1.92 $99.86 ............ $19.97 30020..................... T Drainage of nose lesion.... 0251 1.92 $99.86 ............ $19.97 30100..................... T Intranasal biopsy.......... 0252 6.27 $326.10 $114.24 $65.22 [[Page 52193]] 30110..................... T Removal of nose polyp(s)... 0253 14.79 $769.21 $284.61 $153.84 30115..................... T Removal of nose polyp(s)... 0253 14.79 $769.21 $284.61 $153.84 30117..................... T Removal of intranasal 0253 14.79 $769.21 $284.61 $153.84 lesion. 30118..................... T Removal of intranasal 0254 21.89 $1,138.48 $352.93 $227.70 lesion. 30120..................... T Revision of nose........... 0253 14.79 $769.21 $284.61 $153.84 30124..................... T Removal of nose lesion..... 0252 6.27 $326.10 $114.24 $65.22 30125..................... T Removal of nose lesion..... 0256 35.51 $1,846.84 ............ $369.37 30130..................... T Removal of turbinate bones. 0253 14.79 $769.21 $284.61 $153.84 30140..................... T Removal of turbinate bones. 0254 21.89 $1,138.48 $352.93 $227.70 30150..................... T Partial removal of nose.... 0256 35.51 $1,846.84 ............ $369.37 30160..................... T Removal of nose............ 0256 35.51 $1,846.84 ............ $369.37 30200..................... T Injection treatment of nose 0253 14.79 $769.21 $284.61 $153.84 30210..................... T Nasal sinus therapy........ 0252 6.27 $326.10 $114.24 $65.22 30220..................... T Insert nasal septal button. 0252 6.27 $326.10 $114.24 $65.22 30300..................... X Remove nasal foreign body.. 0340 0.66 $34.33 ............ $6.87 30310..................... T Remove nasal foreign body.. 0253 14.79 $769.21 $284.61 $153.84 30320..................... T Remove nasal foreign body.. 0253 14.79 $769.21 $284.61 $153.84 30400..................... T Reconstruction of nose..... 0256 35.51 $1,846.84 ............ $369.37 30410..................... T Reconstruction of nose..... 0256 35.51 $1,846.84 ............ $369.37 30420..................... T Reconstruction of nose..... 0256 35.51 $1,846.84 ............ $369.37 30430..................... T Revision of nose........... 0254 21.89 $1,138.48 $352.93 $227.70 30435..................... T Revision of nose........... 0256 35.51 $1,846.84 ............ $369.37 30450..................... T Revision of nose........... 0256 35.51 $1,846.84 ............ $369.37 30460..................... T Revision of nose........... 0256 35.51 $1,846.84 ............ $369.37 30462..................... T Revision of nose........... 0256 35.51 $1,846.84 ............ $369.37 30465..................... T Repair nasal stenosis...... 0256 35.51 $1,846.84 ............ $369.37 30520..................... T Repair of nasal septum..... 0254 21.89 $1,138.48 $352.93 $227.70 30540..................... T Repair nasal defect........ 0256 35.51 $1,846.84 ............ $369.37 30545..................... T Repair nasal defect........ 0256 35.51 $1,846.84 ............ $369.37 30560..................... T Release of nasal adhesions. 0251 1.92 $99.86 ............ $19.97 30580..................... T Repair upper jaw fistula... 0256 35.51 $1,846.84 ............ $369.37 30600..................... T Repair mouth/nose fistula.. 0256 35.51 $1,846.84 ............ $369.37 30620..................... T Intranasal reconstruction.. 0256 35.51 $1,846.84 ............ $369.37 30630..................... T Repair nasal septum defect. 0254 21.89 $1,138.48 $352.93 $227.70 30801..................... T Cauterization, inner nose.. 0252 6.27 $326.10 $114.24 $65.22 30802..................... T Cauterization, inner nose.. 0253 14.79 $769.21 $284.61 $153.84 30901..................... T Control of nosebleed....... 0250 1.68 $87.38 $30.58 $17.48 30903..................... T Control of nosebleed....... 0250 1.68 $87.38 $30.58 $17.48 30905..................... T Control of nosebleed....... 0250 1.68 $87.38 $30.58 $17.48 30906..................... T Repeat control of nosebleed 0250 1.68 $87.38 $30.58 $17.48 30915..................... T Ligation, nasal sinus 0091 27.03 $1,405.80 $348.23 $281.16 artery. 30920..................... T Ligation, upper jaw artery. 0092 24.97 $1,298.66 $505.37 $259.73 30930..................... T Therapy, fracture of nose.. 0253 14.79 $769.21 $284.61 $153.84 30999..................... T Nasal surgery procedure.... 0251 1.92 $99.86 ............ $19.97 31000..................... T Irrigation, maxillary sinus 0251 1.92 $99.86 ............ $19.97 31002..................... T Irrigation, sphenoid sinus. 0252 6.27 $326.10 $114.24 $65.22 31020..................... T Exploration, maxillary 0254 21.89 $1,138.48 $352.93 $227.70 sinus. 31030..................... T Exploration, maxillary 0256 35.51 $1,846.84 ............ $369.37 sinus. 31032..................... T Explore sinus,remove polyps 0256 35.51 $1,846.84 ............ $369.37 31040..................... T Exploration behind upper 0254 21.89 $1,138.48 $352.93 $227.70 jaw. 31050..................... T Exploration, sphenoid sinus 0256 35.51 $1,846.84 ............ $369.37 31051..................... T Sphenoid sinus surgery..... 0256 35.51 $1,846.84 ............ $369.37 31070..................... T Exploration of frontal 0254 21.89 $1,138.48 $352.93 $227.70 sinus. 31075..................... T Exploration of frontal 0256 35.51 $1,846.84 ............ $369.37 sinus. 31080..................... T Removal of frontal sinus... 0256 35.51 $1,846.84 ............ $369.37 31081..................... T Removal of frontal sinus... 0256 35.51 $1,846.84 ............ $369.37 31084..................... T Removal of frontal sinus... 0256 35.51 $1,846.84 ............ $369.37 31085..................... T Removal of frontal sinus... 0256 35.51 $1,846.84 ............ $369.37 31086..................... T Removal of frontal sinus... 0256 35.51 $1,846.84 ............ $369.37 31087..................... T Removal of frontal sinus... 0256 35.51 $1,846.84 ............ $369.37 31090..................... T Exploration of sinuses..... 0256 35.51 $1,846.84 ............ $369.37 31200..................... T Removal of ethmoid sinus... 0256 35.51 $1,846.84 ............ $369.37 31201..................... T Removal of ethmoid sinus... 0256 35.51 $1,846.84 ............ $369.37 31205..................... T Removal of ethmoid sinus... 0256 35.51 $1,846.84 ............ $369.37 31225..................... C Removal of upper jaw....... ............ ............ ............ ............ ............ 31230..................... C Removal of upper jaw....... ............ ............ ............ ............ ............ [[Page 52194]] 31231..................... T Nasal endoscopy, dx........ 0071 1.01 $52.53 $14.18 $10.51 31233..................... T Nasal/sinus endoscopy, dx.. 0072 1.66 $86.33 $37.99 $17.27 31235..................... T Nasal/sinus endoscopy, dx.. 0074 12.84 $667.80 $295.70 $133.56 31237..................... T Nasal/sinus endoscopy, surg 0075 20.41 $1,061.50 $445.92 $212.30 31238..................... T Nasal/sinus endoscopy, surg 0074 12.84 $667.80 $295.70 $133.56 31239..................... T Nasal/sinus endoscopy, surg 0075 20.41 $1,061.50 $445.92 $212.30 31240..................... T Nasal/sinus endoscopy, surg 0074 12.84 $667.80 $295.70 $133.56 31254..................... T Revision of ethmoid sinus.. 0075 20.41 $1,061.50 $445.92 $212.30 31255..................... T Removal of ethmoid sinus... 0075 20.41 $1,061.50 $445.92 $212.30 31256..................... T Exploration maxillary sinus 0075 20.41 $1,061.50 $445.92 $212.30 31267..................... T Endoscopy, maxillary sinus. 0075 20.41 $1,061.50 $445.92 $212.30 31276..................... T Sinus endoscopy, surgical.. 0075 20.41 $1,061.50 $445.92 $212.30 31287..................... T Nasal/sinus endoscopy, surg 0075 20.41 $1,061.50 $445.92 $212.30 31288..................... T Nasal/sinus endoscopy, surg 0075 20.41 $1,061.50 $445.92 $212.30 31290..................... C Nasal/sinus endoscopy, surg ............ ............ ............ ............ ............ 31291..................... C Nasal/sinus endoscopy, surg ............ ............ ............ ............ ............ 31292..................... C Nasal/sinus endoscopy, surg ............ ............ ............ ............ ............ 31293..................... C Nasal/sinus endoscopy, surg ............ ............ ............ ............ ............ 31294..................... C Nasal/sinus endoscopy, surg ............ ............ ............ ............ ............ 31299..................... T Sinus surgery procedure.... 0252 6.27 $326.10 $114.24 $65.22 31300..................... T Removal of larynx lesion... 0256 35.51 $1,846.84 ............ $369.37 31320..................... T Diagnostic incision, larynx 0256 35.51 $1,846.84 ............ $369.37 31360..................... C Removal of larynx.......... ............ ............ ............ ............ ............ 31365..................... C Removal of larynx.......... ............ ............ ............ ............ ............ 31367..................... C Partial removal of larynx.. ............ ............ ............ ............ ............ 31368..................... C Partial removal of larynx.. ............ ............ ............ ............ ............ 31370..................... C Partial removal of larynx.. ............ ............ ............ ............ ............ 31375..................... C Partial removal of larynx.. ............ ............ ............ ............ ............ 31380..................... C Partial removal of larynx.. ............ ............ ............ ............ ............ 31382..................... C Partial removal of larynx.. ............ ............ ............ ............ ............ 31390..................... C Removal of larynx & pharynx ............ ............ ............ ............ ............ 31395..................... C Reconstruct larynx & ............ ............ ............ ............ ............ pharynx. 31400..................... T Revision of larynx......... 0256 35.51 $1,846.84 ............ $369.37 31420..................... T Removal of epiglottis...... 0256 35.51 $1,846.84 ............ $369.37 31500..................... S Insert emergency airway.... 0094 2.68 $139.38 $47.39 $27.88 31502..................... T Change of windpipe airway.. 0121 2.17 $112.86 $45.14 $22.57 31505..................... T Diagnostic laryngoscopy.... 0072 1.66 $86.33 $37.99 $17.27 31510..................... T Laryngoscopy with biopsy... 0074 12.84 $667.80 $295.70 $133.56 31511..................... T Remove foreign body, larynx 0072 1.66 $86.33 $37.99 $17.27 31512..................... T Removal of larynx lesion... 0074 12.84 $667.80 $295.70 $133.56 31513..................... T Injection into vocal cord.. 0072 1.66 $86.33 $37.99 $17.27 31515..................... T Laryngoscopy for aspiration 0074 12.84 $667.80 $295.70 $133.56 31520..................... T Diagnostic laryngoscopy.... 0072 1.66 $86.33 $37.99 $17.27 31525..................... T Diagnostic laryngoscopy.... 0074 12.84 $667.80 $295.70 $133.56 31526..................... T Diagnostic laryngoscopy.... 0075 20.41 $1,061.50 $445.92 $212.30 31527..................... T Laryngoscopy for treatment. 0075 20.41 $1,061.50 $445.92 $212.30 31528..................... T Laryngoscopy and dilation.. 0074 12.84 $667.80 $295.70 $133.56 31529..................... T Laryngoscopy and dilation.. 0074 12.84 $667.80 $295.70 $133.56 31530..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31531..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31535..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31536..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31540..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31541..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31560..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31561..................... T Operative laryngoscopy..... 0075 20.41 $1,061.50 $445.92 $212.30 31570..................... T Laryngoscopy with injection 0074 12.84 $667.80 $295.70 $133.56 31571..................... T Laryngoscopy with injection 0075 20.41 $1,061.50 $445.92 $212.30 31575..................... T Diagnostic laryngoscopy.... 0071 1.01 $52.53 $14.18 $10.51 31576..................... T Laryngoscopy with biopsy... 0075 20.41 $1,061.50 $445.92 $212.30 31577..................... T Remove foreign body, larynx 0073 3.63 $188.79 $74.14 $37.76 31578..................... T Removal of larynx lesion... 0075 20.41 $1,061.50 $445.92 $212.30 31579..................... T Diagnostic laryngoscopy.... 0073 3.63 $188.79 $74.14 $37.76 31580..................... T Revision of larynx......... 0256 35.51 $1,846.84 ............ $369.37 31582..................... T Revision of larynx......... 0256 35.51 $1,846.84 ............ $369.37 31584..................... C Treat larynx fracture...... ............ ............ ............ ............ ............ [[Page 52195]] 31585..................... T Treat larynx fracture...... 0253 14.79 $769.21 $284.61 $153.84 31586..................... T Treat larynx fracture...... 0256 35.51 $1,846.84 ............ $369.37 31587..................... C Revision of larynx......... ............ ............ ............ ............ ............ 31588..................... T Revision of larynx......... 0256 35.51 $1,846.84 ............ $369.37 31590..................... T Reinnervate larynx......... 0256 35.51 $1,846.84 ............ $369.37 31595..................... T Larynx nerve surgery....... 0256 35.51 $1,846.84 ............ $369.37 31599..................... T Larynx surgery procedure... 0254 21.89 $1,138.48 $352.93 $227.70 31600..................... T Incision of windpipe....... 0254 21.89 $1,138.48 $352.93 $227.70 31601..................... T Incision of windpipe....... 0254 21.89 $1,138.48 $352.93 $227.70 31603..................... T Incision of windpipe....... 0252 6.27 $326.10 $114.24 $65.22 31605..................... T Incision of windpipe....... 0253 14.79 $769.21 $284.61 $153.84 31610..................... T Incision of windpipe....... 0254 21.89 $1,138.48 $352.93 $227.70 31611..................... T Surgery/speech prosthesis.. 0254 21.89 $1,138.48 $352.93 $227.70 31612..................... T Puncture/clear windpipe.... 0254 21.89 $1,138.48 $352.93 $227.70 31613..................... T Repair windpipe opening.... 0254 21.89 $1,138.48 $352.93 $227.70 31614..................... T Repair windpipe opening.... 0256 35.51 $1,846.84 ............ $369.37 31615..................... T Visualization of windpipe.. 0076 9.30 $483.68 $189.92 $96.74 31622..................... T Dx bronchoscope/wash....... 0076 9.30 $483.68 $189.92 $96.74 31623..................... T Dx bronchoscope/brush...... 0076 9.30 $483.68 $189.92 $96.74 31624..................... T Dx bronchoscope/lavage..... 0076 9.30 $483.68 $189.92 $96.74 31625..................... T Bronchoscopy with biopsy... 0076 9.30 $483.68 $189.92 $96.74 31628..................... T Bronchoscopy with biopsy... 0076 9.30 $483.68 $189.92 $96.74 31629..................... T Bronchoscopy with biopsy... 0076 9.30 $483.68 $189.92 $96.74 31630..................... T Bronchoscopy with repair... 0076 9.30 $483.68 $189.92 $96.74 31631..................... T Bronchoscopy with dilation. 0076 9.30 $483.68 $189.92 $96.74 31635..................... T Remove foreign body, airway 0076 9.30 $483.68 $189.92 $96.74 31640..................... T Bronchoscopy & remove 0076 9.30 $483.68 $189.92 $96.74 lesion. 31641..................... T Bronchoscopy, treat 0076 9.30 $483.68 $189.92 $96.74 blockage. 31643..................... T Diag bronchoscope/catheter. 0076 9.30 $483.68 $189.92 $96.74 31645..................... T Bronchoscopy, clear airways 0076 9.30 $483.68 $189.92 $96.74 31646..................... T Bronchoscopy, reclear 0076 9.30 $483.68 $189.92 $96.74 airway. 31656..................... T Bronchoscopy, inj for xray. 0076 9.30 $483.68 $189.92 $96.74 31700..................... T Insertion of airway 0072 1.66 $86.33 $37.99 $17.27 catheter. 31708..................... N Instill airway contrast dye ............ ............ ............ ............ ............ 31710..................... N Insertion of airway ............ ............ ............ ............ ............ catheter. 31715..................... N Injection for bronchus x- ............ ............ ............ ............ ............ ray. 31717..................... T Bronchial brush biopsy..... 0073 3.63 $188.79 $74.14 $37.76 31720..................... T Clearance of airways....... 0072 1.66 $86.33 $37.99 $17.27 31725..................... C Clearance of airways....... ............ ............ ............ ............ ............ 31730..................... T Intro, windpipe wire/tube.. 0073 3.63 $188.79 $74.14 $37.76 31750..................... T Repair of windpipe......... 0256 35.51 $1,846.84 ............ $369.37 31755..................... T Repair of windpipe......... 0256 35.51 $1,846.84 ............ $369.37 31760..................... C Repair of windpipe......... ............ ............ ............ ............ ............ 31766..................... C Reconstruction of windpipe. ............ ............ ............ ............ ............ 31770..................... C Repair/graft of bronchus... ............ ............ ............ ............ ............ 31775..................... C Reconstruct bronchus....... ............ ............ ............ ............ ............ 31780..................... C Reconstruct windpipe....... ............ ............ ............ ............ ............ 31781..................... C Reconstruct windpipe....... ............ ............ ............ ............ ............ 31785..................... T Remove windpipe lesion..... 0254 21.89 $1,138.48 $352.93 $227.70 31786..................... C Remove windpipe lesion..... ............ ............ ............ ............ ............ 31800..................... C Repair of windpipe injury.. ............ ............ ............ ............ ............ 31805..................... C Repair of windpipe injury.. ............ ............ ............ ............ ............ 31820..................... T Closure of windpipe lesion. 0253 14.79 $769.21 $284.61 $153.84 31825..................... T Repair of windpipe defect.. 0254 21.89 $1,138.48 $352.93 $227.70 31830..................... T Revise windpipe scar....... 0254 21.89 $1,138.48 $352.93 $227.70 31899..................... T Airways surgical procedure. 0076 9.30 $483.68 $189.92 $96.74 32000..................... T Drainage of chest.......... 0070 3.30 $171.63 ............ $34.33 32002..................... T Treatment of collapsed lung 0070 3.30 $171.63 ............ $34.33 32005..................... T Treat lung lining 0070 3.30 $171.63 ............ $34.33 chemically. 32020..................... T Insertion of chest tube.... 0070 3.30 $171.63 ............ $34.33 32035..................... C Exploration of chest....... ............ ............ ............ ............ ............ 32036..................... C Exploration of chest....... ............ ............ ............ ............ ............ 32095..................... C Biopsy through chest wall.. ............ ............ ............ ............ ............ 32100..................... C Exploration/biopsy of chest ............ ............ ............ ............ ............ 32110..................... C Explore/repair chest....... ............ ............ ............ ............ ............ 32120..................... C Re-exploration of chest.... ............ ............ ............ ............ ............ [[Page 52196]] 32124..................... C Explore chest free ............ ............ ............ ............ ............ adhesions. 32140..................... C Removal of lung lesion(s).. ............ ............ ............ ............ ............ 32141..................... C Remove/treat lung lesions.. ............ ............ ............ ............ ............ 32150..................... C Removal of lung lesion(s).. ............ ............ ............ ............ ............ 32151..................... C Remove lung foreign body... ............ ............ ............ ............ ............ 32160..................... C Open chest heart massage... ............ ............ ............ ............ ............ 32200..................... C Drain, open, lung lesion... ............ ............ ............ ............ ............ 32201..................... T Drain, percut, lung lesion. 0070 3.30 $171.63 ............ $34.33 32215..................... C Treat chest lining......... ............ ............ ............ ............ ............ 32220..................... C Release of lung............ ............ ............ ............ ............ ............ 32225..................... C Partial release of lung.... ............ ............ ............ ............ ............ 32310..................... C Removal of chest lining.... ............ ............ ............ ............ ............ 32320..................... C Free/remove chest lining... ............ ............ ............ ............ ............ 32400..................... T Needle biopsy chest lining. 0005 3.02 $157.07 $69.11 $31.41 32402..................... C Open biopsy chest lining... ............ ............ ............ ............ ............ 32405..................... T Biopsy, lung or mediastinum 0685 4.47 $232.48 $102.29 $46.50 32420..................... T Puncture/clear lung........ 0070 3.30 $171.63 ............ $34.33 32440..................... C Removal of lung............ ............ ............ ............ ............ ............ 32442..................... C Sleeve pneumonectomy....... ............ ............ ............ ............ ............ 32445..................... C Removal of lung............ ............ ............ ............ ............ ............ 32480..................... C Partial removal of lung.... ............ ............ ............ ............ ............ 32482..................... C Bilobectomy................ ............ ............ ............ ............ ............ 32484..................... C Segmentectomy.............. ............ ............ ............ ............ ............ 32486..................... C Sleeve lobectomy........... ............ ............ ............ ............ ............ 32488..................... C Completion pneumonectomy... ............ ............ ............ ............ ............ 32491..................... C Lung volume reduction...... ............ ............ ............ ............ ............ 32500..................... C Partial removal of lung.... ............ ............ ............ ............ ............ 32501..................... C Repair bronchus add-on..... ............ ............ ............ ............ ............ 32520..................... C Remove lung & revise chest. ............ ............ ............ ............ ............ 32522..................... C Remove lung & revise chest. ............ ............ ............ ............ ............ 32525..................... C Remove lung & revise chest. ............ ............ ............ ............ ............ 32540..................... C Removal of lung lesion..... ............ ............ ............ ............ ............ 32601..................... T Thoracoscopy, diagnostic... 0069 29.51 $1,534.79 $591.64 $306.96 32602..................... T Thoracoscopy, diagnostic... 0069 29.51 $1,534.79 $591.64 $306.96 32603..................... T Thoracoscopy, diagnostic... 0069 29.51 $1,534.79 $591.64 $306.96 32604..................... T Thoracoscopy, diagnostic... 0069 29.51 $1,534.79 $591.64 $306.96 32605..................... T Thoracoscopy, diagnostic... 0069 29.51 $1,534.79 $591.64 $306.96 32606..................... T Thoracoscopy, diagnostic... 0069 29.51 $1,534.79 $591.64 $306.96 32650..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32651..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32652..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32653..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32654..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32655..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32656..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32657..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32658..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32659..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32660..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32661..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32662..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32663..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32664..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32665..................... C Thoracoscopy, surgical..... ............ ............ ............ ............ ............ 32800..................... C Repair lung hernia......... ............ ............ ............ ............ ............ 32810..................... C Close chest after drainage. ............ ............ ............ ............ ............ 32815..................... C Close bronchial fistula.... ............ ............ ............ ............ ............ 32820..................... C Reconstruct injured chest.. ............ ............ ............ ............ ............ 32850..................... C Donor pneumonectomy........ ............ ............ ............ ............ ............ 32851..................... C Lung transplant, single.... ............ ............ ............ ............ ............ 32852..................... C Lung transplant with bypass ............ ............ ............ ............ ............ 32853..................... C Lung transplant, double.... ............ ............ ............ ............ ............ 32854..................... C Lung transplant with bypass ............ ............ ............ ............ ............ 32900..................... C Removal of rib(s).......... ............ ............ ............ ............ ............ 32905..................... C Revise & repair chest wall. ............ ............ ............ ............ ............ 32906..................... C Revise & repair chest wall. ............ ............ ............ ............ ............ [[Page 52197]] 32940..................... C Revision of lung........... ............ ............ ............ ............ ............ 32960..................... T Therapeutic pneumothorax... 0070 3.30 $171.63 ............ $34.33 32997..................... C Total lung lavage.......... ............ ............ ............ ............ ............ 32999..................... T Chest surgery procedure.... 0070 3.30 $171.63 ............ $34.33 33010..................... T Drainage of heart sac...... 0070 3.30 $171.63 ............ $34.33 33011..................... T Repeat drainage of heart 0070 3.30 $171.63 ............ $34.33 sac. 33015..................... C Incision of heart sac...... ............ ............ ............ ............ ............ 33020..................... C Incision of heart sac...... ............ ............ ............ ............ ............ 33025..................... C Incision of heart sac...... ............ ............ ............ ............ ............ 33030..................... C Partial removal of heart ............ ............ ............ ............ ............ sac. 33031..................... C Partial removal of heart ............ ............ ............ ............ ............ sac. 33050..................... C Removal of heart sac lesion ............ ............ ............ ............ ............ 33120..................... C Removal of heart lesion.... ............ ............ ............ ............ ............ 33130..................... C Removal of heart lesion.... ............ ............ ............ ............ ............ 33140..................... C Heart revascularize (tmr).. ............ ............ ............ ............ ............ 33141..................... C Heart tmr w/other procedure ............ ............ ............ ............ ............ 33200..................... C Insertion of heart ............ ............ ............ ............ ............ pacemaker. 33201..................... C Insertion of heart ............ ............ ............ ............ ............ pacemaker. 33206..................... T Insertion of heart 0089 108.92 $5,664.82 $1,642.80 $1,132.96 pacemaker. 33207..................... T Insertion of heart 0089 108.92 $5,664.82 $1,642.80 $1,132.96 pacemaker. 33208..................... T Insertion of heart 0089 108.92 $5,664.82 $1,642.80 $1,132.96 pacemaker. 33210..................... T Insertion of heart 0106 29.23 $1,520.22 $410.46 $304.04 electrode. 33211..................... T Insertion of heart 0106 29.23 $1,520.22 $410.46 $304.04 electrode. 33212..................... T Insertion of pulse 0090 77.15 $4,012.49 $1,444.50 $802.50 generator. 33213..................... T Insertion of pulse 0090 77.15 $4,012.49 $1,444.50 $802.50 generator. 33214..................... T Upgrade of pacemaker system 0089 108.92 $5,664.82 $1,642.80 $1,132.96 33216..................... T Revise eltrd pacing-defib.. 0106 29.23 $1,520.22 $410.46 $304.04 33217..................... T Revise eltrd pacing-defib.. 0106 29.23 $1,520.22 $410.46 $304.04 33218..................... T Revise eltrd pacing-defib.. 0106 29.23 $1,520.22 $410.46 $304.04 33220..................... T Revise eltrd pacing-defib.. 0106 29.23 $1,520.22 $410.46 $304.04 33222..................... T Revise pocket, pacemaker... 0027 15.73 $818.10 $343.60 $163.62 33223..................... T Revise pocket, pacing-defib 0027 15.73 $818.10 $343.60 $163.62 33233..................... T Removal of pacemaker system 0105 19.14 $995.45 $370.40 $199.09 33234..................... T Removal of pacemaker system 0105 19.14 $995.45 $370.40 $199.09 33235..................... T Removal pacemaker electrode 0105 19.14 $995.45 $370.40 $199.09 33236..................... C Remove electrode/ ............ ............ ............ ............ ............ thoracotomy. 33237..................... C Remove electrode/ ............ ............ ............ ............ ............ thoracotomy. 33238..................... C Remove electrode/ ............ ............ ............ ............ ............ thoracotomy. 33240..................... T Insert pulse generator..... 0107 181.51 $9,440.15 $2,076.83 $1,888.03 33241..................... T Remove pulse generator..... 0105 19.14 $995.45 $370.40 $199.09 33243..................... C Remove eltrd/thoracotomy... ............ ............ ............ ............ ............ 33244..................... T Remove eltrd, transven..... 0105 19.14 $995.45 $370.40 $199.09 33245..................... C Insert epic eltrd pace- ............ ............ ............ ............ ............ defib. 33246..................... C Insert epic eltrd/generator ............ ............ ............ ............ ............ 33249..................... T Eltrd/insert pace-defib.... 0108 232.69 $12,101.97 ............ $2,420.39 33250..................... C Ablate heart dysrhythm ............ ............ ............ ............ ............ focus. 33251..................... C Ablate heart dysrhythm ............ ............ ............ ............ ............ focus. 33253..................... C Reconstruct atria.......... ............ ............ ............ ............ ............ 33261..................... C Ablate heart dysrhythm ............ ............ ............ ............ ............ focus. 33282..................... S Implant pat-active ht 0680 51.95 $2,701.87 ............ $540.37 record. 33284..................... T Remove pat-active ht record 0109 7.68 $399.43 $131.49 $79.89 33300..................... C Repair of heart wound...... ............ ............ ............ ............ ............ 33305..................... C Repair of heart wound...... ............ ............ ............ ............ ............ 33310..................... C Exploratory heart surgery.. ............ ............ ............ ............ ............ 33315..................... C Exploratory heart surgery.. ............ ............ ............ ............ ............ 33320..................... C Repair major blood ............ ............ ............ ............ ............ vessel(s). 33321..................... C Repair major vessel........ ............ ............ ............ ............ ............ 33322..................... C Repair major blood ............ ............ ............ ............ ............ vessel(s). 33330..................... C Insert major vessel graft.. ............ ............ ............ ............ ............ 33332..................... C Insert major vessel graft.. ............ ............ ............ ............ ............ 33335..................... C Insert major vessel graft.. ............ ............ ............ ............ ............ 33400..................... C Repair of aortic valve..... ............ ............ ............ ............ ............ 33401..................... C Valvuloplasty, open........ ............ ............ ............ ............ ............ 33403..................... C Valvuloplasty, w/cp bypass. ............ ............ ............ ............ ............ 33404..................... C Prepare heart-aorta conduit ............ ............ ............ ............ ............ 33405..................... C Replacement of aortic valve ............ ............ ............ ............ ............ [[Page 52198]] 33406..................... C Replacement of aortic valve ............ ............ ............ ............ ............ 33410..................... C Replacement of aortic valve ............ ............ ............ ............ ............ 33411..................... C Replacement of aortic valve ............ ............ ............ ............ ............ 33412..................... C Replacement of aortic valve ............ ............ ............ ............ ............ 33413..................... C Replacement of aortic valve ............ ............ ............ ............ ............ 33414..................... C Repair of aortic valve..... ............ ............ ............ ............ ............ 33415..................... C Revision, subvalvular ............ ............ ............ ............ ............ tissue. 33416..................... C Revise ventricle muscle.... ............ ............ ............ ............ ............ 33417..................... C Repair of aortic valve..... ............ ............ ............ ............ ............ 33420..................... C Revision of mitral valve... ............ ............ ............ ............ ............ 33422..................... C Revision of mitral valve... ............ ............ ............ ............ ............ 33425..................... C Repair of mitral valve..... ............ ............ ............ ............ ............ 33426..................... C Repair of mitral valve..... ............ ............ ............ ............ ............ 33427..................... C Repair of mitral valve..... ............ ............ ............ ............ ............ 33430..................... C Replacement of mitral valve ............ ............ ............ ............ ............ 33460..................... C Revision of tricuspid valve ............ ............ ............ ............ ............ 33463..................... C Valvuloplasty, tricuspid... ............ ............ ............ ............ ............ 33464..................... C Valvuloplasty, tricuspid... ............ ............ ............ ............ ............ 33465..................... C Replace tricuspid valve.... ............ ............ ............ ............ ............ 33468..................... C Revision of tricuspid valve ............ ............ ............ ............ ............ 33470..................... C Revision of pulmonary valve ............ ............ ............ ............ ............ 33471..................... C Valvotomy, pulmonary valve. ............ ............ ............ ............ ............ 33472..................... C Revision of pulmonary valve ............ ............ ............ ............ ............ 33474..................... C Revision of pulmonary valve ............ ............ ............ ............ ............ 33475..................... C Replacement, pulmonary ............ ............ ............ ............ ............ valve. 33476..................... C Revision of heart chamber.. ............ ............ ............ ............ ............ 33478..................... C Revision of heart chamber.. ............ ............ ............ ............ ............ 33496..................... C Repair, prosth valve clot.. ............ ............ ............ ............ ............ 33500..................... C Repair heart vessel fistula ............ ............ ............ ............ ............ 33501..................... C Repair heart vessel fistula ............ ............ ............ ............ ............ 33502..................... C Coronary artery correction. ............ ............ ............ ............ ............ 33503..................... C Coronary artery graft...... ............ ............ ............ ............ ............ 33504..................... C Coronary artery graft...... ............ ............ ............ ............ ............ 33505..................... C Repair artery w/tunnel..... ............ ............ ............ ............ ............ 33506..................... C Repair artery, ............ ............ ............ ............ ............ translocation. 33510..................... C CABG, vein, single......... ............ ............ ............ ............ ............ 33511..................... C CABG, vein, two............ ............ ............ ............ ............ ............ 33512..................... C CABG, vein, three.......... ............ ............ ............ ............ ............ 33513..................... C CABG, vein, four........... ............ ............ ............ ............ ............ 33514..................... C CABG, vein, five........... ............ ............ ............ ............ ............ 33516..................... C Cabg, vein, six or more.... ............ ............ ............ ............ ............ 33517..................... C CABG, artery-vein, single.. ............ ............ ............ ............ ............ 33518..................... C CABG, artery-vein, two..... ............ ............ ............ ............ ............ 33519..................... C CABG, artery-vein, three... ............ ............ ............ ............ ............ 33521..................... C CABG, artery-vein, four.... ............ ............ ............ ............ ............ 33522..................... C CABG, artery-vein, five.... ............ ............ ............ ............ ............ 33523..................... C Cabg, art-vein, six or more ............ ............ ............ ............ ............ 33530..................... C Coronary artery, bypass/ ............ ............ ............ ............ ............ reop. 33533..................... C CABG, arterial, single..... ............ ............ ............ ............ ............ 33534..................... C CABG, arterial, two........ ............ ............ ............ ............ ............ 33535..................... C CABG, arterial, three...... ............ ............ ............ ............ ............ 33536..................... C Cabg, arterial, four or ............ ............ ............ ............ ............ more. 33542..................... C Removal of heart lesion.... ............ ............ ............ ............ ............ 33545..................... C Repair of heart damage..... ............ ............ ............ ............ ............ 33572..................... C Open coronary ............ ............ ............ ............ ............ endarterectomy. 33600..................... C Closure of valve........... ............ ............ ............ ............ ............ 33602..................... C Closure of valve........... ............ ............ ............ ............ ............ 33606..................... C Anastomosis/artery-aorta... ............ ............ ............ ............ ............ 33608..................... C Repair anomaly w/conduit... ............ ............ ............ ............ ............ 33610..................... C Repair by enlargement...... ............ ............ ............ ............ ............ 33611..................... C Repair double ventricle.... ............ ............ ............ ............ ............ 33612..................... C Repair double ventricle.... ............ ............ ............ ............ ............ 33615..................... C Repair, modified fontan.... ............ ............ ............ ............ ............ 33617..................... C Repair single ventricle.... ............ ............ ............ ............ ............ 33619..................... C Repair single ventricle.... ............ ............ ............ ............ ............ 33641..................... C Repair heart septum defect. ............ ............ ............ ............ ............ [[Page 52199]] 33645..................... C Revision of heart veins.... ............ ............ ............ ............ ............ 33647..................... C Repair heart septum defects ............ ............ ............ ............ ............ 33660..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33665..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33670..................... C Repair of heart chambers... ............ ............ ............ ............ ............ 33681..................... C Repair heart septum defect. ............ ............ ............ ............ ............ 33684..................... C Repair heart septum defect. ............ ............ ............ ............ ............ 33688..................... C Repair heart septum defect. ............ ............ ............ ............ ............ 33690..................... C Reinforce pulmonary artery. ............ ............ ............ ............ ............ 33692..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33694..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33697..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33702..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33710..................... C Repair of heart defects.... ............ ............ ............ ............ ............ 33720..................... C Repair of heart defect..... ............ ............ ............ ............ ............ 33722..................... C Repair of heart defect..... ............ ............ ............ ............ ............ 33730..................... C Repair heart-vein defect(s) ............ ............ ............ ............ ............ 33732..................... C Repair heart-vein defect... ............ ............ ............ ............ ............ 33735..................... C Revision of heart chamber.. ............ ............ ............ ............ ............ 33736..................... C Revision of heart chamber.. ............ ............ ............ ............ ............ 33737..................... C Revision of heart chamber.. ............ ............ ............ ............ ............ 33750..................... C Major vessel shunt......... ............ ............ ............ ............ ............ 33755..................... C Major vessel shunt......... ............ ............ ............ ............ ............ 33762..................... C Major vessel shunt......... ............ ............ ............ ............ ............ 33764..................... C Major vessel shunt & graft. ............ ............ ............ ............ ............ 33766..................... C Major vessel shunt......... ............ ............ ............ ............ ............ 33767..................... C Major vessel shunt......... ............ ............ ............ ............ ............ 33770..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33771..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33774..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33775..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33776..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33777..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33778..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33779..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33780..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33781..................... C Repair great vessels defect ............ ............ ............ ............ ............ 33786..................... C Repair arterial trunk...... ............ ............ ............ ............ ............ 33788..................... C Revision of pulmonary ............ ............ ............ ............ ............ artery. 33800..................... C Aortic suspension.......... ............ ............ ............ ............ ............ 33802..................... C Repair vessel defect....... ............ ............ ............ ............ ............ 33803..................... C Repair vessel defect....... ............ ............ ............ ............ ............ 33813..................... C Repair septal defect....... ............ ............ ............ ............ ............ 33814..................... C Repair septal defect....... ............ ............ ............ ............ ............ 33820..................... C Revise major vessel........ ............ ............ ............ ............ ............ 33822..................... C Revise major vessel........ ............ ............ ............ ............ ............ 33824..................... C Revise major vessel........ ............ ............ ............ ............ ............ 33840..................... C Remove aorta constriction.. ............ ............ ............ ............ ............ 33845..................... C Remove aorta constriction.. ............ ............ ............ ............ ............ 33851..................... C Remove aorta constriction.. ............ ............ ............ ............ ............ 33852..................... C Repair septal defect....... ............ ............ ............ ............ ............ 33853..................... C Repair septal defect....... ............ ............ ............ ............ ............ 33860..................... C Ascending aortic graft..... ............ ............ ............ ............ ............ 33861..................... C Ascending aortic graft..... ............ ............ ............ ............ ............ 33863..................... C Ascending aortic graft..... ............ ............ ............ ............ ............ 33870..................... C Transverse aortic arch ............ ............ ............ ............ ............ graft. 33875..................... C Thoracic aortic graft...... ............ ............ ............ ............ ............ 33877..................... C Thoracoabdominal graft..... ............ ............ ............ ............ ............ 33910..................... C Remove lung artery emboli.. ............ ............ ............ ............ ............ 33915..................... C Remove lung artery emboli.. ............ ............ ............ ............ ............ 33916..................... C Surgery of great vessel.... ............ ............ ............ ............ ............ 33917..................... C Repair pulmonary artery.... ............ ............ ............ ............ ............ 33918..................... C Repair pulmonary atresia... ............ ............ ............ ............ ............ 33919..................... C Repair pulmonary atresia... ............ ............ ............ ............ ............ 33920..................... C Repair pulmonary atresia... ............ ............ ............ ............ ............ 33922..................... C Transect pulmonary artery.. ............ ............ ............ ............ ............ [[Page 52200]] 33924..................... C Remove pulmonary shunt..... ............ ............ ............ ............ ............ 33930..................... C Removal of donor heart/lung ............ ............ ............ ............ ............ 33935..................... C Transplantation, heart/lung ............ ............ ............ ............ ............ 33940..................... C Removal of donor heart..... ............ ............ ............ ............ ............ 33945..................... C Transplantation of heart... ............ ............ ............ ............ ............ 33960..................... C External circulation assist ............ ............ ............ ............ ............ 33961..................... C External circulation assist ............ ............ ............ ............ ............ 33967..................... C Insert ia percut device.... ............ ............ ............ ............ ............ 33968..................... C Remove aortic assist device ............ ............ ............ ............ ............ 33970..................... C Aortic circulation assist.. ............ ............ ............ ............ ............ 33971..................... C Aortic circulation assist.. ............ ............ ............ ............ ............ 33973..................... C Insert balloon device...... ............ ............ ............ ............ ............ 33974..................... C Remove intra-aortic balloon ............ ............ ............ ............ ............ 33975..................... C Implant ventricular device. ............ ............ ............ ............ ............ 33976..................... C Implant ventricular device. ............ ............ ............ ............ ............ 33977..................... C Remove ventricular device.. ............ ............ ............ ............ ............ 33978..................... C Remove ventricular device.. ............ ............ ............ ............ ............ 33979..................... C Insert intracorporeal ............ ............ ............ ............ ............ device. 33980..................... C Remove intracorporeal ............ ............ ............ ............ ............ device. 33999..................... T Cardiac surgery procedure.. 0070 3.30 $171.63 ............ $34.33 34001..................... C Removal of artery clot..... ............ ............ ............ ............ ............ 34051..................... C Removal of artery clot..... ............ ............ ............ ............ ............ 34101..................... T Removal of artery clot..... 0088 33.96 $1,766.23 $678.68 $353.25 34111..................... T Removal of arm artery clot. 0088 33.96 $1,766.23 $678.68 $353.25 34151..................... C Removal of artery clot..... ............ ............ ............ ............ ............ 34201..................... T Removal of artery clot..... 0088 33.96 $1,766.23 $678.68 $353.25 34203..................... T Removal of leg artery clot. 0088 33.96 $1,766.23 $678.68 $353.25 34401..................... C Removal of vein clot....... ............ ............ ............ ............ ............ 34421..................... T Removal of vein clot....... 0088 33.96 $1,766.23 $678.68 $353.25 34451..................... C Removal of vein clot....... ............ ............ ............ ............ ............ 34471..................... T Removal of vein clot....... 0088 33.96 $1,766.23 $678.68 $353.25 34490..................... T Removal of vein clot....... 0088 33.96 $1,766.23 $678.68 $353.25 34501..................... T Repair valve, femoral vein. 0088 33.96 $1,766.23 $678.68 $353.25 34502..................... C Reconstruct vena cava...... ............ ............ ............ ............ ............ 34510..................... T Transposition of vein valve 0088 33.96 $1,766.23 $678.68 $353.25 34520..................... T Cross-over vein graft...... 0088 33.96 $1,766.23 $678.68 $353.25 34530..................... T Leg vein fusion............ 0088 33.96 $1,766.23 $678.68 $353.25 34800..................... C Endovasc abdo repair w/tube ............ ............ ............ ............ ............ 34802..................... C Endovasc abdo repr w/device ............ ............ ............ ............ ............ 34804..................... C Endovasc abdo repr w/device ............ ............ ............ ............ ............ 34808..................... C Endovasc abdo occlud device ............ ............ ............ ............ ............ 34812..................... C Xpose for endoprosth, ............ ............ ............ ............ ............ aortic. 34813..................... C Xpose for endoprosth, ............ ............ ............ ............ ............ femorl. 34820..................... C Xpose for endoprosth, iliac ............ ............ ............ ............ ............ 34825..................... C Endovasc extend prosth, ............ ............ ............ ............ ............ init. 34826..................... C Endovasc exten prosth, addl ............ ............ ............ ............ ............ 34830..................... C Open aortic tube prosth ............ ............ ............ ............ ............ repr. 34831..................... C Open aortoiliac prosth repr ............ ............ ............ ............ ............ 34832..................... C Open aortofemor prosth repr ............ ............ ............ ............ ............ 35001..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35002..................... C Repair artery rupture, neck ............ ............ ............ ............ ............ 35005..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35011..................... T Repair defect of artery.... 0093 26.29 $1,367.32 $277.34 $273.46 35013..................... C Repair artery rupture, arm. ............ ............ ............ ............ ............ 35021..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35022..................... C Repair artery rupture, ............ ............ ............ ............ ............ chest. 35045..................... C Repair defect of arm artery ............ ............ ............ ............ ............ 35081..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35082..................... C Repair artery rupture, ............ ............ ............ ............ ............ aorta. 35091..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35092..................... C Repair artery rupture, ............ ............ ............ ............ ............ aorta. 35102..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35103..................... C Repair artery rupture, ............ ............ ............ ............ ............ groin. 35111..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35112..................... C Repair artery ............ ............ ............ ............ ............ rupture,spleen. 35121..................... C Repair defect of artery.... ............ ............ ............ ............ ............ [[Page 52201]] 35122..................... C Repair artery rupture, ............ ............ ............ ............ ............ belly. 35131..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35132..................... C Repair artery rupture, ............ ............ ............ ............ ............ groin. 35141..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35142..................... C Repair artery rupture, ............ ............ ............ ............ ............ thigh. 35151..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35152..................... C Repair artery rupture, knee ............ ............ ............ ............ ............ 35161..................... C Repair defect of artery.... ............ ............ ............ ............ ............ 35162..................... C Repair artery rupture...... ............ ............ ............ ............ ............ 35180..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35182..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35184..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35188..................... T Repair blood vessel lesion. 0088 33.96 $1,766.23 $678.68 $353.25 35189..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35190..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35201..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35206..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35207..................... T Repair blood vessel lesion. 0088 33.96 $1,766.23 $678.68 $353.25 35211..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35216..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35221..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35226..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35231..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35236..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35241..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35246..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35251..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35256..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35261..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35266..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35271..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35276..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35281..................... C Repair blood vessel lesion. ............ ............ ............ ............ ............ 35286..................... T Repair blood vessel lesion. 0093 26.29 $1,367.32 $277.34 $273.46 35301..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35311..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35321..................... T Rechanneling of artery..... 0093 26.29 $1,367.32 $277.34 $273.46 35331..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35341..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35351..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35355..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35361..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35363..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35371..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35372..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35381..................... C Rechanneling of artery..... ............ ............ ............ ............ ............ 35390..................... C Reoperation, carotid add-on ............ ............ ............ ............ ............ 35400..................... C Angioscopy................. ............ ............ ............ ............ ............ 35450..................... C Repair arterial blockage... ............ ............ ............ ............ ............ 35452..................... C Repair arterial blockage... ............ ............ ............ ............ ............ 35454..................... C Repair arterial blockage... ............ ............ ............ ............ ............ 35456..................... C Repair arterial blockage... ............ ............ ............ ............ ............ 35458..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35459..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35460..................... T Repair venous blockage..... 0081 22.69 $1,180.08 ............ $236.02 35470..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35471..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35472..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35473..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35474..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35475..................... T Repair arterial blockage... 0081 22.69 $1,180.08 ............ $236.02 35476..................... T Repair venous blockage..... 0081 22.69 $1,180.08 ............ $236.02 35480..................... C Atherectomy, open.......... ............ ............ ............ ............ ............ 35481..................... C Atherectomy, open.......... ............ ............ ............ ............ ............ 35482..................... C Atherectomy, open.......... ............ ............ ............ ............ ............ 35483..................... C Atherectomy, open.......... ............ ............ ............ ............ ............ [[Page 52202]] 35484..................... T Atherectomy, open.......... 0081 22.69 $1,180.08 ............ $236.02 35485..................... T Atherectomy, open.......... 0081 22.69 $1,180.08 ............ $236.02 35490..................... T Atherectomy, percutaneous.. 0081 22.69 $1,180.08 ............ $236.02 35491..................... T Atherectomy, percutaneous.. 0081 22.69 $1,180.08 ............ $236.02 35492..................... T Atherectomy, percutaneous.. 0081 22.69 $1,180.08 ............ $236.02 35493..................... T Atherectomy, percutaneous.. 0081 22.69 $1,180.08 ............ $236.02 35494..................... T Atherectomy, percutaneous.. 0081 22.69 $1,180.08 ............ $236.02 35495..................... T Atherectomy, percutaneous.. 0081 22.69 $1,180.08 ............ $236.02 35500..................... T Harvest vein for bypass.... 0081 22.69 $1,180.08 ............ $236.02 35501..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35506..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35507..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35508..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35509..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35511..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35515..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35516..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35518..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35521..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35526..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35531..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35533..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35536..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35541..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35546..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35548..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35549..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35551..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35556..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35558..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35560..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35563..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35565..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35566..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35571..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35582..................... C Vein bypass graft.......... ............ ............ ............ ............ ............ 35583..................... C Vein bypass graft.......... ............ ............ ............ ............ ............ 35585..................... C Vein bypass graft.......... ............ ............ ............ ............ ............ 35587..................... C Vein bypass graft.......... ............ ............ ............ ............ ............ 35600..................... C Harvest artery for cabg.... ............ ............ ............ ............ ............ 35601..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35606..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35612..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35616..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35621..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35623..................... C Bypass graft, not vein..... ............ ............ ............ ............ ............ 35626..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35631..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35636..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35641..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35642..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35645..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35646..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35647..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35650..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35651..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35654..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35656..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35661..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35663..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35665..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35666..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35671..................... C Artery bypass graft........ ............ ............ ............ ............ ............ 35681..................... C Composite bypass graft..... ............ ............ ............ ............ ............ 35682..................... C Composite bypass graft..... ............ ............ ............ ............ ............ 35683..................... C Composite bypass graft..... ............ ............ ............ ............ ............ [[Page 52203]] 35685..................... T Bypass graft patency/patch. 0093 26.29 $1,367.32 $277.34 $273.46 35686..................... T Bypass graft/av fist 0093 26.29 $1,367.32 $277.34 $273.46 patency. 35691..................... C Arterial transposition..... ............ ............ ............ ............ ............ 35693..................... C Arterial transposition..... ............ ............ ............ ............ ............ 35694..................... C Arterial transposition..... ............ ............ ............ ............ ............ 35695..................... C Arterial transposition..... ............ ............ ............ ............ ............ 35700..................... C Reoperation, bypass graft.. ............ ............ ............ ............ ............ 35701..................... C Exploration, carotid artery ............ ............ ............ ............ ............ 35721..................... C Exploration, femoral artery ............ ............ ............ ............ ............ 35741..................... C Exploration popliteal ............ ............ ............ ............ ............ artery. 35761..................... T Exploration of artery/vein. 0115 23.48 $1,221.17 $439.62 $244.23 35800..................... C Explore neck vessels....... ............ ............ ............ ............ ............ 35820..................... C Explore chest vessels...... ............ ............ ............ ............ ............ 35840..................... C Explore abdominal vessels.. ............ ............ ............ ............ ............ 35860..................... T Explore limb vessels....... 0093 26.29 $1,367.32 $277.34 $273.46 35870..................... C Repair vessel graft defect. ............ ............ ............ ............ ............ 35875..................... T Removal of clot in graft... 0088 33.96 $1,766.23 $678.68 $353.25 35876..................... T Removal of clot in graft... 0088 33.96 $1,766.23 $678.68 $353.25 35879..................... T Revise graft w/vein........ 0088 33.96 $1,766.23 $678.68 $353.25 35881..................... T Revise graft w/vein........ 0088 33.96 $1,766.23 $678.68 $353.25 35901..................... C Excision, graft, neck...... ............ ............ ............ ............ ............ 35903..................... T Excision, graft, extremity. 0115 23.48 $1,221.17 $439.62 $244.23 35905..................... C Excision, graft, thorax.... ............ ............ ............ ............ ............ 35907..................... C Excision, graft, abdomen... ............ ............ ............ ............ ............ 36000..................... N Place needle in vein....... ............ ............ ............ ............ ............ 36002..................... S Pseudoaneurysm injection 0267 2.58 $134.18 $65.52 $26.84 trt. 36005..................... N Injection ext venography... ............ ............ ............ ............ ............ 36010..................... N Place catheter in vein..... ............ ............ ............ ............ ............ 36011..................... N Place catheter in vein..... ............ ............ ............ ............ ............ 36012..................... N Place catheter in vein..... ............ ............ ............ ............ ............ 36013..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36014..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36015..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36100..................... N Establish access to artery. ............ ............ ............ ............ ............ 36120..................... N Establish access to artery. ............ ............ ............ ............ ............ 36140..................... N Establish access to artery. ............ ............ ............ ............ ............ 36145..................... N Artery to vein shunt....... ............ ............ ............ ............ ............ 36160..................... N Establish access to aorta.. ............ ............ ............ ............ ............ 36200..................... N Place catheter in aorta.... ............ ............ ............ ............ ............ 36215..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36216..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36217..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36218..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36245..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36246..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36247..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36248..................... N Place catheter in artery... ............ ............ ............ ............ ............ 36260..................... T Insertion of infusion pump. 0119 25.88 $1,345.99 ............ $269.20 36261..................... T Revision of infusion pump.. 0124 23.47 $1,220.65 ............ $244.13 36262..................... T Removal of infusion pump... 0109 7.68 $399.43 $131.49 $79.89 36299..................... N Vessel injection procedure. ............ ............ ............ ............ ............ 36400..................... N Drawing blood.............. ............ ............ ............ ............ ............ 36405..................... N Drawing blood.............. ............ ............ ............ ............ ............ 36406..................... N Drawing blood.............. ............ ............ ............ ............ ............ 36410..................... N Drawing blood.............. ............ ............ ............ ............ ............ 36415..................... E Drawing blood.............. ............ ............ ............ ............ ............ 36420..................... T Establish access to vein... 0035 0.24 $12.48 $3.74 $2.50 36425..................... T Establish access to vein... 0035 0.24 $12.48 $3.74 $2.50 36430..................... S Blood transfusion service.. 0110 4.04 $210.12 ............ $42.02 36440..................... S Blood transfusion service.. 0110 4.04 $210.12 ............ $42.02 36450..................... S Exchange transfusion 0110 4.04 $210.12 ............ $42.02 service. 36455..................... S Exchange transfusion 0110 4.04 $210.12 ............ $42.02 service. 36460..................... S Transfusion service, fetal. 0110 4.04 $210.12 ............ $42.02 36468..................... T Injection(s), spider veins. 0098 1.90 $98.82 $20.88 $19.76 36469..................... T Injection(s), spider veins. 0098 1.90 $98.82 $20.88 $19.76 36470..................... T Injection therapy of vein.. 0098 1.90 $98.82 $20.88 $19.76 [[Page 52204]] 36471..................... T Injection therapy of veins. 0098 1.90 $98.82 $20.88 $19.76 36481..................... N Insertion of catheter, vein ............ ............ ............ ............ ............ 36488..................... T Insertion of catheter, vein 0032 7.14 $371.34 ............ $74.27 36489..................... T Insertion of catheter, vein 0032 7.14 $371.34 ............ $74.27 36490..................... T Insertion of catheter, vein 0032 7.14 $371.34 ............ $74.27 36491..................... T Insertion of catheter, vein 0032 7.14 $371.34 ............ $74.27 36493..................... X Repositioning of cvc....... 0187 4.19 $217.92 $94.96 $43.58 36500..................... N Insertion of catheter, vein ............ ............ ............ ............ ............ 36510..................... C Insertion of catheter, vein ............ ............ ............ ............ ............ 36520..................... S Plasma and/or cell exchange 0111 13.60 $707.32 $198.05 $141.46 36521..................... S Apheresis w/ adsorp/ 0112 39.40 $2,049.15 $612.47 $409.83 reinfuse. 36522..................... S Photopheresis.............. 0112 39.40 $2,049.15 $612.47 $409.83 36530..................... T Insertion of infusion pump. 0119 25.88 $1,345.99 ............ $269.20 36531..................... T Revision of infusion pump.. 0124 23.47 $1,220.65 ............ $244.13 36532..................... T Removal of infusion pump... 0109 7.68 $399.43 $131.49 $79.89 36533..................... T Insertion of access device. 0115 23.48 $1,221.17 $439.62 $244.23 36534..................... T Revision of access device.. 0109 7.68 $399.43 $131.49 $79.89 36535..................... T Removal of access device... 0109 7.68 $399.43 $131.49 $79.89 36540..................... N Collect blood venous device ............ ............ ............ ............ ............ 36550..................... T Declot vascular device..... 0677 2.80 $145.63 ............ $29.13 36600..................... N Withdrawal of arterial ............ ............ ............ ............ ............ blood. 36620..................... N Insertion catheter, artery. ............ ............ ............ ............ ............ 36625..................... N Insertion catheter, artery. ............ ............ ............ ............ ............ 36640..................... T Insertion catheter, artery. 0032 7.14 $371.34 ............ $74.27 36660..................... C Insertion catheter, artery. ............ ............ ............ ............ ............ 36680..................... T Insert needle, bone cavity. 0120 1.81 $94.14 $25.42 $18.83 36800..................... T Insertion of cannula....... 0115 23.48 $1,221.17 $439.62 $244.23 36810..................... T Insertion of cannula....... 0115 23.48 $1,221.17 $439.62 $244.23 36815..................... T Insertion of cannula....... 0115 23.48 $1,221.17 $439.62 $244.23 36819..................... T Av fusion/uppr arm vein.... 0088 33.96 $1,766.23 $678.68 $353.25 36820..................... T Av fusion/forearm vein..... 0088 33.96 $1,766.23 $678.68 $353.25 36821..................... T Av fusion direct any site.. 0088 33.96 $1,766.23 $678.68 $353.25 36822..................... C Insertion of cannula(s).... ............ ............ ............ ............ ............ 36823..................... C Insertion of cannula(s).... ............ ............ ............ ............ ............ 36825..................... T Artery-vein graft.......... 0088 33.96 $1,766.23 $678.68 $353.25 36830..................... T Artery-vein graft.......... 0088 33.96 $1,766.23 $678.68 $353.25 36831..................... T Open thrombect av fistula.. 0088 33.96 $1,766.23 $678.68 $353.25 36832..................... T Av fistula revision, open.. 0088 33.96 $1,766.23 $678.68 $353.25 36833..................... T Av fistula revision........ 0088 33.96 $1,766.23 $678.68 $353.25 36834..................... T Repair A-V aneurysm........ 0088 33.96 $1,766.23 $678.68 $353.25 36835..................... T Artery to vein shunt....... 0115 23.48 $1,221.17 $439.62 $244.23 36860..................... T External cannula declotting 0103 11.26 $585.62 $210.82 $117.12 36861..................... T Cannula declotting......... 0115 23.48 $1,221.17 $439.62 $244.23 36870..................... T Percut thrombect av fistula 0093 26.29 $1,367.32 $277.34 $273.46 37140..................... C Revision of circulation.... ............ ............ ............ ............ ............ 37145..................... C Revision of circulation.... ............ ............ ............ ............ ............ 37160..................... C Revision of circulation.... ............ ............ ............ ............ ............ 37180..................... C Revision of circulation.... ............ ............ ............ ............ ............ 37181..................... C Splice spleen/kidney veins. ............ ............ ............ ............ ............ 37195..................... C Thrombolytic therapy, ............ ............ ............ ............ ............ stroke. 37200..................... T Transcatheter biopsy....... 0685 4.47 $232.48 $102.29 $46.50 37201..................... T Transcatheter therapy 0676 4.62 $240.28 $64.88 $48.06 infuse. 37202..................... T Transcatheter therapy 0677 2.80 $145.63 ............ $29.13 infuse. 37203..................... T Transcatheter retrieval.... 0103 11.26 $585.62 $210.82 $117.12 37204..................... T Transcatheter occlusion.... 0115 23.48 $1,221.17 $439.62 $244.23 37205..................... T Transcatheter stent........ 0229 49.00 $2,548.44 $662.59 $509.69 37206..................... T Transcatheter stent add-on. 0229 49.00 $2,548.44 $662.59 $509.69 37207..................... T Transcatheter stent........ 0229 49.00 $2,548.44 $662.59 $509.69 37208..................... T Transcatheter stent add-on. 0229 49.00 $2,548.44 $662.59 $509.69 37209..................... T Exchange arterial catheter. 0103 11.26 $585.62 $210.82 $117.12 37250..................... S Iv us first vessel add-on.. 0670 14.78 $768.69 $276.73 $153.74 37251..................... S Iv us each add vessel add- 0670 14.78 $768.69 $276.73 $153.74 on. 37565..................... T Ligation of neck vein...... 0093 26.29 $1,367.32 $277.34 $273.46 37600..................... T Ligation of neck artery.... 0093 26.29 $1,367.32 $277.34 $273.46 37605..................... T Ligation of neck artery.... 0091 27.03 $1,405.80 $348.23 $281.16 37606..................... T Ligation of neck artery.... 0091 27.03 $1,405.80 $348.23 $281.16 [[Page 52205]] 37607..................... T Ligation of a-v fistula.... 0092 24.97 $1,298.66 $505.37 $259.73 37609..................... T Temporal artery procedure.. 0021 14.58 $758.29 $227.49 $151.66 37615..................... T Ligation of neck artery.... 0091 27.03 $1,405.80 $348.23 $281.16 37616..................... C Ligation of chest artery... ............ ............ ............ ............ ............ 37617..................... C Ligation of abdomen artery. ............ ............ ............ ............ ............ 37618..................... C Ligation of extremity ............ ............ ............ ............ ............ artery. 37620..................... T Revision of major vein..... 0091 27.03 $1,405.80 $348.23 $281.16 37650..................... T Revision of major vein..... 0091 27.03 $1,405.80 $348.23 $281.16 37660..................... C Revision of major vein..... ............ ............ ............ ............ ............ 37700..................... T Revise leg vein............ 0091 27.03 $1,405.80 $348.23 $281.16 37720..................... T Removal of leg vein........ 0092 24.97 $1,298.66 $505.37 $259.73 37730..................... T Removal of leg veins....... 0092 24.97 $1,298.66 $505.37 $259.73 37735..................... T Removal of leg veins/lesion 0092 24.97 $1,298.66 $505.37 $259.73 37760..................... T Revision of leg veins...... 0091 27.03 $1,405.80 $348.23 $281.16 37780..................... T Revision of leg vein....... 0091 27.03 $1,405.80 $348.23 $281.16 37785..................... T Revise secondary varicosity 0091 27.03 $1,405.80 $348.23 $281.16 37788..................... C Revascularization, penis... ............ ............ ............ ............ ............ 37790..................... T Penile venous occlusion.... 0181 29.88 $1,554.03 $621.82 $310.81 37799..................... T Vascular surgery procedure. 0035 0.24 $12.48 $3.74 $2.50 38100..................... C Removal of spleen, total... ............ ............ ............ ............ ............ 38101..................... C Removal of spleen, partial. ............ ............ ............ ............ ............ 38102..................... C Removal of spleen, total... ............ ............ ............ ............ ............ 38115..................... C Repair of ruptured spleen.. ............ ............ ............ ............ ............ 38120..................... T Laparoscopy, splenectomy... 0131 42.44 $2,207.26 $1,001.89 $441.45 38129..................... T Laparoscope proc, spleen... 0130 31.99 $1,663.77 $659.53 $332.75 38200..................... N Injection for spleen x-ray. ............ ............ ............ ............ ............ 38220..................... T Bone marrow aspiration..... 0003 1.24 $64.49 $27.08 $12.90 38221..................... T Bone marrow biopsy......... 0003 1.24 $64.49 $27.08 $12.90 38230..................... S Bone marrow collection..... 0123 4.86 $252.76 ............ $50.55 38231..................... S Stem cell collection....... 0111 13.60 $707.32 $198.05 $141.46 38240..................... S Bone marrow/stem transplant 0123 4.86 $252.76 ............ $50.55 38241..................... S Bone marrow/stem transplant 0123 4.86 $252.76 ............ $50.55 38300..................... T Drainage, lymph node lesion 0008 16.32 $848.79 ............ $169.76 38305..................... T Drainage, lymph node lesion 0008 16.32 $848.79 ............ $169.76 38308..................... T Incision of lymph channels. 0113 19.75 $1,027.18 ............ $205.44 38380..................... C Thoracic duct procedure.... ............ ............ ............ ............ ............ 38381..................... C Thoracic duct procedure.... ............ ............ ............ ............ ............ 38382..................... C Thoracic duct procedure.... ............ ............ ............ ............ ............ 38500..................... T Biopsy/removal, lymph nodes 0113 19.75 $1,027.18 ............ $205.44 38505..................... T Needle biopsy, lymph nodes. 0005 3.02 $157.07 $69.11 $31.41 38510..................... T Biopsy/removal, lymph nodes 0113 19.75 $1,027.18 ............ $205.44 38520..................... T Biopsy/removal, lymph nodes 0113 19.75 $1,027.18 ............ $205.44 38525..................... T Biopsy/removal, lymph nodes 0113 19.75 $1,027.18 ............ $205.44 38530..................... T Biopsy/removal, lymph nodes 0113 19.75 $1,027.18 ............ $205.44 38542..................... T Explore deep node(s), neck. 0114 37.55 $1,952.94 $507.76 $390.59 38550..................... T Removal, neck/armpit lesion 0113 19.75 $1,027.18 ............ $205.44 38555..................... T Removal, neck/armpit lesion 0113 19.75 $1,027.18 ............ $205.44 38562..................... C Removal, pelvic lymph nodes ............ ............ ............ ............ ............ 38564..................... C Removal, abdomen lymph ............ ............ ............ ............ ............ nodes. 38570..................... T Laparoscopy, lymph node 0131 42.44 $2,207.26 $1,001.89 $441.45 biop. 38571..................... T Laparoscopy, 0132 57.95 $3,013.92 $1,239.22 $602.78 lymphadenectomy. 38572..................... T Laparoscopy, 0131 42.44 $2,207.26 $1,001.89 $441.45 lymphadenectomy. 38589..................... T Laparoscope proc, lymphatic 0130 31.99 $1,663.77 $659.53 $332.75 38700..................... T Removal of lymph nodes, 0113 19.75 $1,027.18 ............ $205.44 neck. 38720..................... T Removal of lymph nodes, 0113 19.75 $1,027.18 ............ $205.44 neck. 38724..................... C Removal of lymph nodes, ............ ............ ............ ............ ............ neck. 38740..................... T Remove armpit lymph nodes.. 0114 37.55 $1,952.94 $507.76 $390.59 38745..................... T Remove armpit lymph nodes.. 0114 37.55 $1,952.94 $507.76 $390.59 38746..................... C Remove thoracic lymph nodes ............ ............ ............ ............ ............ 38747..................... C Remove abdominal lymph ............ ............ ............ ............ ............ nodes. 38760..................... T Remove groin lymph nodes... 0113 19.75 $1,027.18 ............ $205.44 38765..................... C Remove groin lymph nodes... ............ ............ ............ ............ ............ 38770..................... C Remove pelvis lymph nodes.. ............ ............ ............ ............ ............ 38780..................... C Remove abdomen lymph nodes. ............ ............ ............ ............ ............ 38790..................... N Inject for lymphatic x-ray. ............ ............ ............ ............ ............ 38792..................... N Identify sentinel node..... ............ ............ ............ ............ ............ [[Page 52206]] 38794..................... N Access thoracic lymph duct. ............ ............ ............ ............ ............ 38999..................... S Blood/lymph system 0110 4.04 $210.12 ............ $42.02 procedure. 39000..................... C Exploration of chest....... ............ ............ ............ ............ ............ 39010..................... C Exploration of chest....... ............ ............ ............ ............ ............ 39200..................... C Removal chest lesion....... ............ ............ ............ ............ ............ 39220..................... C Removal chest lesion....... ............ ............ ............ ............ ............ 39400..................... T Visualization of chest..... 0069 29.51 $1,534.79 $591.64 $306.96 39499..................... C Chest procedure............ ............ ............ ............ ............ ............ 39501..................... C Repair diaphragm laceration ............ ............ ............ ............ ............ 39502..................... C Repair paraesophageal ............ ............ ............ ............ ............ hernia. 39503..................... C Repair of diaphragm hernia. ............ ............ ............ ............ ............ 39520..................... C Repair of diaphragm hernia. ............ ............ ............ ............ ............ 39530..................... C Repair of diaphragm hernia. ............ ............ ............ ............ ............ 39531..................... C Repair of diaphragm hernia. ............ ............ ............ ............ ............ 39540..................... C Repair of diaphragm hernia. ............ ............ ............ ............ ............ 39541..................... C Repair of diaphragm hernia. ............ ............ ............ ............ ............ 39545..................... C Revision of diaphragm...... ............ ............ ............ ............ ............ 39560..................... C Resect diaphragm, simple... ............ ............ ............ ............ ............ 39561..................... C Resect diaphragm, complex.. ............ ............ ............ ............ ............ 39599..................... C Diaphragm surgery procedure ............ ............ ............ ............ ............ 40490..................... T Biopsy of lip.............. 0251 1.92 $99.86 ............ $19.97 40500..................... T Partial excision of lip.... 0253 14.79 $769.21 $284.61 $153.84 40510..................... T Partial excision of lip.... 0254 21.89 $1,138.48 $352.93 $227.70 40520..................... T Partial excision of lip.... 0253 14.79 $769.21 $284.61 $153.84 40525..................... T Reconstruct lip with flap.. 0254 21.89 $1,138.48 $352.93 $227.70 40527..................... T Reconstruct lip with flap.. 0254 21.89 $1,138.48 $352.93 $227.70 40530..................... T Partial removal of lip..... 0254 21.89 $1,138.48 $352.93 $227.70 40650..................... T Repair lip................. 0252 6.27 $326.10 $114.24 $65.22 40652..................... T Repair lip................. 0252 6.27 $326.10 $114.24 $65.22 40654..................... T Repair lip................. 0252 6.27 $326.10 $114.24 $65.22 40700..................... T Repair cleft lip/nasal..... 0256 35.51 $1,846.84 ............ $369.37 40701..................... T Repair cleft lip/nasal..... 0256 35.51 $1,846.84 ............ $369.37 40702..................... T Repair cleft lip/nasal..... 0256 35.51 $1,846.84 ............ $369.37 40720..................... T Repair cleft lip/nasal..... 0256 35.51 $1,846.84 ............ $369.37 40761..................... T Repair cleft lip/nasal..... 0256 35.51 $1,846.84 ............ $369.37 40799..................... T Lip surgery procedure...... 0253 14.79 $769.21 $284.61 $153.84 40800..................... T Drainage of mouth lesion... 0251 1.92 $99.86 ............ $19.97 40801..................... T Drainage of mouth lesion... 0252 6.27 $326.10 $114.24 $65.22 40804..................... X Removal, foreign body, 0340 0.66 $34.33 ............ $6.87 mouth. 40805..................... T Removal, foreign body, 0252 6.27 $326.10 $114.24 $65.22 mouth. 40806..................... T Incision of lip fold....... 0251 1.92 $99.86 ............ $19.97 40808..................... T Biopsy of mouth lesion..... 0251 1.92 $99.86 ............ $19.97 40810..................... T Excision of mouth lesion... 0253 14.79 $769.21 $284.61 $153.84 40812..................... T Excise/repair mouth lesion. 0253 14.79 $769.21 $284.61 $153.84 40814..................... T Excise/repair mouth lesion. 0253 14.79 $769.21 $284.61 $153.84 40816..................... T Excision of mouth lesion... 0254 21.89 $1,138.48 $352.93 $227.70 40818..................... T Excise oral mucosa for 0251 1.92 $99.86 ............ $19.97 graft. 40819..................... T Excise lip or cheek fold... 0252 6.27 $326.10 $114.24 $65.22 40820..................... T Treatment of mouth lesion.. 0253 14.79 $769.21 $284.61 $153.84 40830..................... T Repair mouth laceration.... 0251 1.92 $99.86 ............ $19.97 40831..................... T Repair mouth laceration.... 0252 6.27 $326.10 $114.24 $65.22 40840..................... T Reconstruction of mouth.... 0254 21.89 $1,138.48 $352.93 $227.70 40842..................... T Reconstruction of mouth.... 0254 21.89 $1,138.48 $352.93 $227.70 40843..................... T Reconstruction of mouth.... 0254 21.89 $1,138.48 $352.93 $227.70 40844..................... T Reconstruction of mouth.... 0256 35.51 $1,846.84 ............ $369.37 40845..................... T Reconstruction of mouth.... 0256 35.51 $1,846.84 ............ $369.37 40899..................... T Mouth surgery procedure.... 0252 6.27 $326.10 $114.24 $65.22 41000..................... T Drainage of mouth lesion... 0253 14.79 $769.21 $284.61 $153.84 41005..................... T Drainage of mouth lesion... 0251 1.92 $99.86 ............ $19.97 41006..................... T Drainage of mouth lesion... 0254 21.89 $1,138.48 $352.93 $227.70 41007..................... T Drainage of mouth lesion... 0253 14.79 $769.21 $284.61 $153.84 41008..................... T Drainage of mouth lesion... 0253 14.79 $769.21 $284.61 $153.84 41009..................... T Drainage of mouth lesion... 0251 1.92 $99.86 ............ $19.97 41010..................... T Incision of tongue fold.... 0253 14.79 $769.21 $284.61 $153.84 41015..................... T Drainage of mouth lesion... 0251 1.92 $99.86 ............ $19.97 41016..................... T Drainage of mouth lesion... 0252 6.27 $326.10 $114.24 $65.22 [[Page 52207]] 41017..................... T Drainage of mouth lesion... 0252 6.27 $326.10 $114.24 $65.22 41018..................... T Drainage of mouth lesion... 0252 6.27 $326.10 $114.24 $65.22 41100..................... T Biopsy of tongue........... 0252 6.27 $326.10 $114.24 $65.22 41105..................... T Biopsy of tongue........... 0253 14.79 $769.21 $284.61 $153.84 41108..................... T Biopsy of floor of mouth... 0252 6.27 $326.10 $114.24 $65.22 41110..................... T Excision of tongue lesion.. 0253 14.79 $769.21 $284.61 $153.84 41112..................... T Excision of tongue lesion.. 0253 14.79 $769.21 $284.61 $153.84 41113..................... T Excision of tongue lesion.. 0253 14.79 $769.21 $284.61 $153.84 41114..................... T Excision of tongue lesion.. 0254 21.89 $1,138.48 $352.93 $227.70 41115..................... T Excision of tongue fold.... 0252 6.27 $326.10 $114.24 $65.22 41116..................... T Excision of mouth lesion... 0253 14.79 $769.21 $284.61 $153.84 41120..................... T Partial removal of tongue.. 0254 21.89 $1,138.48 $352.93 $227.70 41130..................... C Partial removal of tongue.. ............ ............ ............ ............ ............ 41135..................... C Tongue and neck surgery.... ............ ............ ............ ............ ............ 41140..................... C Removal of tongue.......... ............ ............ ............ ............ ............ 41145..................... C Tongue removal, neck ............ ............ ............ ............ ............ surgery. 41150..................... C Tongue, mouth, jaw surgery. ............ ............ ............ ............ ............ 41153..................... C Tongue, mouth, neck surgery ............ ............ ............ ............ ............ 41155..................... C Tongue, jaw, & neck surgery ............ ............ ............ ............ ............ 41250..................... T Repair tongue laceration... 0251 1.92 $99.86 ............ $19.97 41251..................... T Repair tongue laceration... 0252 6.27 $326.10 $114.24 $65.22 41252..................... T Repair tongue laceration... 0252 6.27 $326.10 $114.24 $65.22 41500..................... T Fixation of tongue......... 0254 21.89 $1,138.48 $352.93 $227.70 41510..................... T Tongue to lip surgery...... 0253 14.79 $769.21 $284.61 $153.84 41520..................... T Reconstruction, tongue fold 0252 6.27 $326.10 $114.24 $65.22 41599..................... T Tongue and mouth surgery... 0251 1.92 $99.86 ............ $19.97 41800..................... T Drainage of gum lesion..... 0251 1.92 $99.86 ............ $19.97 41805..................... T Removal foreign body, gum.. 0254 21.89 $1,138.48 $352.93 $227.70 41806..................... T Removal foreign 0253 14.79 $769.21 $284.61 $153.84 body,jawbone. 41820..................... T Excision, gum, each 0252 6.27 $326.10 $114.24 $65.22 quadrant. 41821..................... T Excision of gum flap....... 0252 6.27 $326.10 $114.24 $65.22 41822..................... T Excision of gum lesion..... 0253 14.79 $769.21 $284.61 $153.84 41823..................... T Excision of gum lesion..... 0254 21.89 $1,138.48 $352.93 $227.70 41825..................... T Excision of gum lesion..... 0253 14.79 $769.21 $284.61 $153.84 41826..................... T Excision of gum lesion..... 0253 14.79 $769.21 $284.61 $153.84 41827..................... T Excision of gum lesion..... 0254 21.89 $1,138.48 $352.93 $227.70 41828..................... T Excision of gum lesion..... 0253 14.79 $769.21 $284.61 $153.84 41830..................... T Removal of gum tissue...... 0253 14.79 $769.21 $284.61 $153.84 41850..................... T Treatment of gum lesion.... 0253 14.79 $769.21 $284.61 $153.84 41870..................... T Gum graft.................. 0254 21.89 $1,138.48 $352.93 $227.70 41872..................... T Repair gum................. 0253 14.79 $769.21 $284.61 $153.84 41874..................... T Repair tooth socket........ 0254 21.89 $1,138.48 $352.93 $227.70 41899..................... T Dental surgery procedure... 0253 14.79 $769.21 $284.61 $153.84 42000..................... T Drainage mouth roof lesion. 0251 1.92 $99.86 ............ $19.97 42100..................... T Biopsy roof of mouth....... 0252 6.27 $326.10 $114.24 $65.22 42104..................... T Excision lesion, mouth roof 0253 14.79 $769.21 $284.61 $153.84 42106..................... T Excision lesion, mouth roof 0253 14.79 $769.21 $284.61 $153.84 42107..................... T Excision lesion, mouth roof 0254 21.89 $1,138.48 $352.93 $227.70 42120..................... T Remove palate/lesion....... 0256 35.51 $1,846.84 ............ $369.37 42140..................... T Excision of uvula.......... 0252 6.27 $326.10 $114.24 $65.22 42145..................... T Repair palate, pharynx/ 0254 21.89 $1,138.48 $352.93 $227.70 uvula. 42160..................... T Treatment mouth roof lesion 0253 14.79 $769.21 $284.61 $153.84 42180..................... T Repair palate.............. 0251 1.92 $99.86 ............ $19.97 42182..................... T Repair palate.............. 0256 35.51 $1,846.84 ............ $369.37 42200..................... T Reconstruct cleft palate... 0256 35.51 $1,846.84 ............ $369.37 42205..................... T Reconstruct cleft palate... 0256 35.51 $1,846.84 ............ $369.37 42210..................... T Reconstruct cleft palate... 0256 35.51 $1,846.84 ............ $369.37 42215..................... T Reconstruct cleft palate... 0256 35.51 $1,846.84 ............ $369.37 42220..................... T Reconstruct cleft palate... 0256 35.51 $1,846.84 ............ $369.37 42225..................... T Reconstruct cleft palate... 0256 35.51 $1,846.84 ............ $369.37 42226..................... T Lengthening of palate...... 0256 35.51 $1,846.84 ............ $369.37 42227..................... T Lengthening of palate...... 0256 35.51 $1,846.84 ............ $369.37 42235..................... T Repair palate.............. 0253 14.79 $769.21 $284.61 $153.84 42260..................... T Repair nose to lip fistula. 0254 21.89 $1,138.48 $352.93 $227.70 42280..................... T Preparation, palate mold... 0251 1.92 $99.86 ............ $19.97 42281..................... T Insertion, palate 0253 14.79 $769.21 $284.61 $153.84 prosthesis. [[Page 52208]] 42299..................... T Palate/uvula surgery....... 0251 1.92 $99.86 ............ $19.97 42300..................... T Drainage of salivary gland. 0253 14.79 $769.21 $284.61 $153.84 42305..................... T Drainage of salivary gland. 0253 14.79 $769.21 $284.61 $153.84 42310..................... T Drainage of salivary gland. 0251 1.92 $99.86 ............ $19.97 42320..................... T Drainage of salivary gland. 0251 1.92 $99.86 ............ $19.97 42325..................... T Create salivary cyst drain. 0251 1.92 $99.86 ............ $19.97 42326..................... T Create salivary cyst drain. 0252 6.27 $326.10 $114.24 $65.22 42330..................... T Removal of salivary stone.. 0253 14.79 $769.21 $284.61 $153.84 42335..................... T Removal of salivary stone.. 0253 14.79 $769.21 $284.61 $153.84 42340..................... T Removal of salivary stone.. 0253 14.79 $769.21 $284.61 $153.84 42400..................... T Biopsy of salivary gland... 0004 1.63 $84.77 $22.04 $16.95 42405..................... T Biopsy of salivary gland... 0253 14.79 $769.21 $284.61 $153.84 42408..................... T Excision of salivary cyst.. 0253 14.79 $769.21 $284.61 $153.84 42409..................... T Drainage of salivary cyst.. 0253 14.79 $769.21 $284.61 $153.84 42410..................... T Excise parotid gland/lesion 0256 35.51 $1,846.84 ............ $369.37 42415..................... T Excise parotid gland/lesion 0256 35.51 $1,846.84 ............ $369.37 42420..................... T Excise parotid gland/lesion 0256 35.51 $1,846.84 ............ $369.37 42425..................... T Excise parotid gland/lesion 0256 35.51 $1,846.84 ............ $369.37 42426..................... C Excise parotid gland/lesion ............ ............ ............ ............ ............ 42440..................... T Excise submaxillary gland.. 0256 35.51 $1,846.84 ............ $369.37 42450..................... T Excise sublingual gland.... 0254 21.89 $1,138.48 $352.93 $227.70 42500..................... T Repair salivary duct....... 0254 21.89 $1,138.48 $352.93 $227.70 42505..................... T Repair salivary duct....... 0256 35.51 $1,846.84 ............ $369.37 42507..................... T Parotid duct diversion..... 0256 35.51 $1,846.84 ............ $369.37 42508..................... T Parotid duct diversion..... 0256 35.51 $1,846.84 ............ $369.37 42509..................... T Parotid duct diversion..... 0256 35.51 $1,846.84 ............ $369.37 42510..................... T Parotid duct diversion..... 0256 35.51 $1,846.84 ............ $369.37 42550..................... N Injection for salivary x- ............ ............ ............ ............ ............ ray. 42600..................... T Closure of salivary fistula 0253 14.79 $769.21 $284.61 $153.84 42650..................... T Dilation of salivary duct.. 0252 6.27 $326.10 $114.24 $65.22 42660..................... T Dilation of salivary duct.. 0252 6.27 $326.10 $114.24 $65.22 42665..................... T Ligation of salivary duct.. 0254 21.89 $1,138.48 $352.93 $227.70 42699..................... T Salivary surgery procedure. 0253 14.79 $769.21 $284.61 $153.84 42700..................... T Drainage of tonsil abscess. 0251 1.92 $99.86 ............ $19.97 42720..................... T Drainage of throat abscess. 0253 14.79 $769.21 $284.61 $153.84 42725..................... T Drainage of throat abscess. 0256 35.51 $1,846.84 ............ $369.37 42800..................... T Biopsy of throat........... 0252 6.27 $326.10 $114.24 $65.22 42802..................... T Biopsy of throat........... 0253 14.79 $769.21 $284.61 $153.84 42804..................... T Biopsy of upper nose/throat 0253 14.79 $769.21 $284.61 $153.84 42806..................... T Biopsy of upper nose/throat 0254 21.89 $1,138.48 $352.93 $227.70 42808..................... T Excise pharynx lesion...... 0253 14.79 $769.21 $284.61 $153.84 42809..................... X Remove pharynx foreign body 0340 0.66 $34.33 ............ $6.87 42810..................... T Excision of neck cyst...... 0254 21.89 $1,138.48 $352.93 $227.70 42815..................... T Excision of neck cyst...... 0256 35.51 $1,846.84 ............ $369.37 42820..................... T Remove tonsils and adenoids 0258 21.15 $1,099.99 $437.25 $220.00 42821..................... T Remove tonsils and adenoids 0258 21.15 $1,099.99 $437.25 $220.00 42825..................... T Removal of tonsils......... 0258 21.15 $1,099.99 $437.25 $220.00 42826..................... T Removal of tonsils......... 0258 21.15 $1,099.99 $437.25 $220.00 42830..................... T Removal of adenoids........ 0258 21.15 $1,099.99 $437.25 $220.00 42831..................... T Removal of adenoids........ 0258 21.15 $1,099.99 $437.25 $220.00 42835..................... T Removal of adenoids........ 0258 21.15 $1,099.99 $437.25 $220.00 42836..................... T Removal of adenoids........ 0258 21.15 $1,099.99 $437.25 $220.00 42842..................... T Extensive surgery of throat 0254 21.89 $1,138.48 $352.93 $227.70 42844..................... T Extensive surgery of throat 0256 35.51 $1,846.84 ............ $369.37 42845..................... C Extensive surgery of throat ............ ............ ............ ............ ............ 42860..................... T Excision of tonsil tags.... 0258 21.15 $1,099.99 $437.25 $220.00 42870..................... T Excision of lingual tonsil. 0258 21.15 $1,099.99 $437.25 $220.00 42890..................... T Partial removal of pharynx. 0256 35.51 $1,846.84 ............ $369.37 42892..................... T Revision of pharyngeal 0256 35.51 $1,846.84 ............ $369.37 walls. 42894..................... C Revision of pharyngeal ............ ............ ............ ............ ............ walls. 42900..................... T Repair throat wound........ 0252 6.27 $326.10 $114.24 $65.22 42950..................... T Reconstruction of throat... 0254 21.89 $1,138.48 $352.93 $227.70 42953..................... C Repair throat, esophagus... ............ ............ ............ ............ ............ 42955..................... T Surgical opening of throat. 0254 21.89 $1,138.48 $352.93 $227.70 42960..................... T Control throat bleeding.... 0250 1.68 $87.38 $30.58 $17.48 42961..................... C Control throat bleeding.... ............ ............ ............ ............ ............ [[Page 52209]] 42962..................... T Control throat bleeding.... 0256 35.51 $1,846.84 ............ $369.37 42970..................... T Control nose/throat 0250 1.68 $87.38 $30.58 $17.48 bleeding. 42971..................... C Control nose/throat ............ ............ ............ ............ ............ bleeding. 42972..................... T Control nose/throat 0253 14.79 $769.21 $284.61 $153.84 bleeding. 42999..................... T Throat surgery procedure... 0252 6.27 $326.10 $114.24 $65.22 43020..................... T Incision of esophagus...... 0252 6.27 $326.10 $114.24 $65.22 43030..................... T Throat muscle surgery...... 0253 14.79 $769.21 $284.61 $153.84 43045..................... C Incision of esophagus...... ............ ............ ............ ............ ............ 43100..................... C Excision of esophagus ............ ............ ............ ............ ............ lesion. 43101..................... C Excision of esophagus ............ ............ ............ ............ ............ lesion. 43107..................... C Removal of esophagus....... ............ ............ ............ ............ ............ 43108..................... C Removal of esophagus....... ............ ............ ............ ............ ............ 43112..................... C Removal of esophagus....... ............ ............ ............ ............ ............ 43113..................... C Removal of esophagus....... ............ ............ ............ ............ ............ 43116..................... C Partial removal of ............ ............ ............ ............ ............ esophagus. 43117..................... C Partial removal of ............ ............ ............ ............ ............ esophagus. 43118..................... C Partial removal of ............ ............ ............ ............ ............ esophagus. 43121..................... C Partial removal of ............ ............ ............ ............ ............ esophagus. 43122..................... C Parital removal of ............ ............ ............ ............ ............ esophagus. 43123..................... C Partial removal of ............ ............ ............ ............ ............ esophagus. 43124..................... C Removal of esophagus....... ............ ............ ............ ............ ............ 43130..................... T Removal of esophagus pouch. 0254 21.89 $1,138.48 $352.93 $227.70 43135..................... C Removal of esophagus pouch. ............ ............ ............ ............ ............ 43200..................... T Esophagus endoscopy........ 0141 7.82 $406.71 $150.48 $81.34 43202..................... T Esophagus endoscopy, biopsy 0141 7.82 $406.71 $150.48 $81.34 43204..................... T Esophagus endoscopy & 0141 7.82 $406.71 $150.48 $81.34 inject. 43205..................... T Esophagus endoscopy/ 0141 7.82 $406.71 $150.48 $81.34 ligation. 43215..................... T Esophagus endoscopy........ 0141 7.82 $406.71 $150.48 $81.34 43216..................... T Esophagus endoscopy/lesion. 0141 7.82 $406.71 $150.48 $81.34 43217..................... T Esophagus endoscopy........ 0141 7.82 $406.71 $150.48 $81.34 43219..................... T Esophagus endoscopy........ 0141 7.82 $406.71 $150.48 $81.34 43220..................... T Esoph endoscopy, dilation.. 0141 7.82 $406.71 $150.48 $81.34 43226..................... T Esoph endoscopy, dilation.. 0141 7.82 $406.71 $150.48 $81.34 43227..................... T Esoph endoscopy, repair.... 0141 7.82 $406.71 $150.48 $81.34 43228..................... T Esoph endoscopy, ablation.. 0141 7.82 $406.71 $150.48 $81.34 43231..................... T Esoph endoscopy w/us exam.. 0141 7.82 $406.71 $150.48 $81.34 43232..................... T Esoph endoscopy w/us fn bx. 0141 7.82 $406.71 $150.48 $81.34 43234..................... T Upper GI endoscopy, exam... 0141 7.82 $406.71 $150.48 $81.34 43235..................... T Uppr gi endoscopy, 0141 7.82 $406.71 $150.48 $81.34 diagnosis. 43239..................... T Upper GI endoscopy, biopsy. 0141 7.82 $406.71 $150.48 $81.34 43240..................... T Esoph endoscope w/drain 0141 7.82 $406.71 $150.48 $81.34 cyst. 43241..................... T Upper GI endoscopy with 0141 7.82 $406.71 $150.48 $81.34 tube. 43242..................... T Uppr gi endoscopy w/us fn 0141 7.82 $406.71 $150.48 $81.34 bx. 43243..................... T Upper gi endoscopy & inject 0141 7.82 $406.71 $150.48 $81.34 43244..................... T Upper GI endoscopy/ligation 0141 7.82 $406.71 $150.48 $81.34 43245..................... T Operative upper GI 0141 7.82 $406.71 $150.48 $81.34 endoscopy. 43246..................... T Place gastrostomy tube..... 0141 7.82 $406.71 $150.48 $81.34 43247..................... T Operative upper GI 0141 7.82 $406.71 $150.48 $81.34 endoscopy. 43248..................... T Uppr gi endoscopy/guide 0141 7.82 $406.71 $150.48 $81.34 wire. 43249..................... T Esoph endoscopy, dilation.. 0141 7.82 $406.71 $150.48 $81.34 43250..................... T Upper GI endoscopy/tumor... 0141 7.82 $406.71 $150.48 $81.34 43251..................... T Operative upper GI 0141 7.82 $406.71 $150.48 $81.34 endoscopy. 43255..................... T Operative upper GI 0141 7.82 $406.71 $150.48 $81.34 endoscopy. 43256..................... T Uppr gi endoscopy w stent.. 0141 7.82 $406.71 $150.48 $81.34 43258..................... T Operative upper GI 0141 7.82 $406.71 $150.48 $81.34 endoscopy. 43259..................... T Endoscopic ultrasound exam. 0141 7.82 $406.71 $150.48 $81.34 43260..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43261..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43262..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43263..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43264..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43265..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43267..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43268..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43269..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43271..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. [[Page 52210]] 43272..................... T Endo 0151 18.23 $948.12 $245.46 $189.62 cholangiopancreatograph. 43280..................... T Laparoscopy, fundoplasty... 0132 57.95 $3,013.92 $1,239.22 $602.78 43289..................... T Laparoscope proc, esoph.... 0130 31.99 $1,663.77 $659.53 $332.75 43300..................... C Repair of esophagus........ ............ ............ ............ ............ ............ 43305..................... C Repair esophagus and ............ ............ ............ ............ ............ fistula. 43310..................... C Repair of esophagus........ ............ ............ ............ ............ ............ 43312..................... C Repair esophagus and ............ ............ ............ ............ ............ fistula. 43313..................... C Esophagoplasty congential.. ............ ............ ............ ............ ............ 43314..................... C Tracheo-esophagoplasty cong ............ ............ ............ ............ ............ 43320..................... C Fuse esophagus & stomach... ............ ............ ............ ............ ............ 43324..................... C Revise esophagus & stomach. ............ ............ ............ ............ ............ 43325..................... C Revise esophagus & stomach. ............ ............ ............ ............ ............ 43326..................... C Revise esophagus & stomach. ............ ............ ............ ............ ............ 43330..................... C Repair of esophagus........ ............ ............ ............ ............ ............ 43331..................... C Repair of esophagus........ ............ ............ ............ ............ ............ 43340..................... C Fuse esophagus & intestine. ............ ............ ............ ............ ............ 43341..................... C Fuse esophagus & intestine. ............ ............ ............ ............ ............ 43350..................... C Surgical opening, esophagus ............ ............ ............ ............ ............ 43351..................... C Surgical opening, esophagus ............ ............ ............ ............ ............ 43352..................... C Surgical opening, esophagus ............ ............ ............ ............ ............ 43360..................... C Gastrointestinal repair.... ............ ............ ............ ............ ............ 43361..................... C Gastrointestinal repair.... ............ ............ ............ ............ ............ 43400..................... C Ligate esophagus veins..... ............ ............ ............ ............ ............ 43401..................... C Esophagus surgery for veins ............ ............ ............ ............ ............ 43405..................... C Ligate/staple esophagus.... ............ ............ ............ ............ ............ 43410..................... C Repair esophagus wound..... ............ ............ ............ ............ ............ 43415..................... C Repair esophagus wound..... ............ ............ ............ ............ ............ 43420..................... C Repair esophagus opening... ............ ............ ............ ............ ............ 43425..................... C Repair esophagus opening... ............ ............ ............ ............ ............ 43450..................... T Dilate esophagus........... 0140 5.84 $303.73 $107.24 $60.75 43453..................... T Dilate esophagus........... 0140 5.84 $303.73 $107.24 $60.75 43456..................... T Dilate esophagus........... 0140 5.84 $303.73 $107.24 $60.75 43458..................... T Dilate esophagus........... 0140 5.84 $303.73 $107.24 $60.75 43460..................... C Pressure treatment ............ ............ ............ ............ ............ esophagus. 43496..................... C Free jejunum flap, ............ ............ ............ ............ ............ microvasc. 43499..................... T Esophagus surgery procedure 0141 7.82 $406.71 $150.48 $81.34 43500..................... C Surgical opening of stomach ............ ............ ............ ............ ............ 43501..................... C Surgical repair of stomach. ............ ............ ............ ............ ............ 43502..................... C Surgical repair of stomach. ............ ............ ............ ............ ............ 43510..................... C Surgical opening of stomach ............ ............ ............ ............ ............ 43520..................... C Incision of pyloric muscle. ............ ............ ............ ............ ............ 43600..................... T Biopsy of stomach.......... 0141 7.82 $406.71 $150.48 $81.34 43605..................... C Biopsy of stomach.......... ............ ............ ............ ............ ............ 43610..................... C Excision of stomach lesion. ............ ............ ............ ............ ............ 43611..................... C Excision of stomach lesion. ............ ............ ............ ............ ............ 43620..................... C Removal of stomach......... ............ ............ ............ ............ ............ 43621..................... C Removal of stomach......... ............ ............ ............ ............ ............ 43622..................... C Removal of stomach......... ............ ............ ............ ............ ............ 43631..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43632..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43633..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43634..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43635..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43638..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43639..................... C Removal of stomach, partial ............ ............ ............ ............ ............ 43640..................... C Vagotomy & pylorus repair.. ............ ............ ............ ............ ............ 43641..................... C Vagotomy & pylorus repair.. ............ ............ ............ ............ ............ 43651..................... T Laparoscopy, vagus nerve... 0132 57.95 $3,013.92 $1,239.22 $602.78 43652..................... T Laparoscopy, vagus nerve... 0132 57.95 $3,013.92 $1,239.22 $602.78 43653..................... T Laparoscopy, gastrostomy... 0131 42.44 $2,207.26 $1,001.89 $441.45 43659..................... T Laparoscope proc, stom..... 0130 31.99 $1,663.77 $659.53 $332.75 43750..................... T Place gastrostomy tube..... 0141 7.82 $406.71 $150.48 $81.34 43752..................... E Nasal/orogastric w/stent... ............ ............ ............ ............ ............ 43760..................... T Change gastrostomy tube.... 0121 2.17 $112.86 $45.14 $22.57 43761..................... T Reposition gastrostomy tube 0121 2.17 $112.86 $45.14 $22.57 43800..................... C Reconstruction of pylorus.. ............ ............ ............ ............ ............ [[Page 52211]] 43810..................... C Fusion of stomach and bowel ............ ............ ............ ............ ............ 43820..................... C Fusion of stomach and bowel ............ ............ ............ ............ ............ 43825..................... C Fusion of stomach and bowel ............ ............ ............ ............ ............ 43830..................... T Place gastrostomy tube..... 0141 7.82 $406.71 $150.48 $81.34 43831..................... T Place gastrostomy tube..... 0141 7.82 $406.71 $150.48 $81.34 43832..................... C Place gastrostomy tube..... ............ ............ ............ ............ ............ 43840..................... C Repair of stomach lesion... ............ ............ ............ ............ ............ 43842..................... C Gastroplasty for obesity... ............ ............ ............ ............ ............ 43843..................... C Gastroplasty for obesity... ............ ............ ............ ............ ............ 43846..................... C Gastric bypass for obesity. ............ ............ ............ ............ ............ 43847..................... C Gastric bypass for obesity. ............ ............ ............ ............ ............ 43848..................... C Revision gastroplasty...... ............ ............ ............ ............ ............ 43850..................... C Revise stomach-bowel fusion ............ ............ ............ ............ ............ 43855..................... C Revise stomach-bowel fusion ............ ............ ............ ............ ............ 43860..................... C Revise stomach-bowel fusion ............ ............ ............ ............ ............ 43865..................... C Revise stomach-bowel fusion ............ ............ ............ ............ ............ 43870..................... T Repair stomach opening..... 0141 7.82 $406.71 $150.48 $81.34 43880..................... C Repair stomach-bowel ............ ............ ............ ............ ............ fistula. 43999..................... T Stomach surgery procedure.. 0141 7.82 $406.71 $150.48 $81.34 44005..................... C Freeing of bowel adhesion.. ............ ............ ............ ............ ............ 44010..................... C Incision of small bowel.... ............ ............ ............ ............ ............ 44015..................... C Insert needle cath bowel... ............ ............ ............ ............ ............ 44020..................... C Explore small intestine.... ............ ............ ............ ............ ............ 44021..................... C Decompress small bowel..... ............ ............ ............ ............ ............ 44025..................... C Incision of large bowel.... ............ ............ ............ ............ ............ 44050..................... C Reduce bowel obstruction... ............ ............ ............ ............ ............ 44055..................... C Correct malrotation of ............ ............ ............ ............ ............ bowel. 44100..................... T Biopsy of bowel............ 0141 7.82 $406.71 $150.48 $81.34 44110..................... C Excise intestine lesion(s). ............ ............ ............ ............ ............ 44111..................... C Excision of bowel lesion(s) ............ ............ ............ ............ ............ 44120..................... C Removal of small intestine. ............ ............ ............ ............ ............ 44121..................... C Removal of small intestine. ............ ............ ............ ............ ............ 44125..................... C Removal of small intestine. ............ ............ ............ ............ ............ 44126..................... C Enterectomy w/taper, cong.. ............ ............ ............ ............ ............ 44127..................... C Enterectomy w/o taper, cong ............ ............ ............ ............ ............ 44128..................... C Enterectomy cong, add-on... ............ ............ ............ ............ ............ 44130..................... C Bowel to bowel fusion...... ............ ............ ............ ............ ............ 44132..................... C Enterectomy, cadaver donor. ............ ............ ............ ............ ............ 44133..................... C Enterectomy, live donor.... ............ ............ ............ ............ ............ 44135..................... C Intestine transplnt, ............ ............ ............ ............ ............ cadaver. 44136..................... C Intestine transplant, live. ............ ............ ............ ............ ............ 44139..................... C Mobilization of colon...... ............ ............ ............ ............ ............ 44140..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44141..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44143..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44144..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44145..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44146..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44147..................... C Partial removal of colon... ............ ............ ............ ............ ............ 44150..................... C Removal of colon........... ............ ............ ............ ............ ............ 44151..................... C Removal of colon/ileostomy. ............ ............ ............ ............ ............ 44152..................... C Removal of colon/ileostomy. ............ ............ ............ ............ ............ 44153..................... C Removal of colon/ileostomy. ............ ............ ............ ............ ............ 44155..................... C Removal of colon/ileostomy. ............ ............ ............ ............ ............ 44156..................... C Removal of colon/ileostomy. ............ ............ ............ ............ ............ 44160..................... C Removal of colon........... ............ ............ ............ ............ ............ 44200..................... T Laparoscopy, enterolysis... 0131 42.44 $2,207.26 $1,001.89 $441.45 44201..................... T Laparoscopy, jejunostomy... 0131 42.44 $2,207.26 $1,001.89 $441.45 44202..................... C Lap resect s/intestine ............ ............ ............ ............ ............ singl. 44203..................... C Lap resect s/intestine, ............ ............ ............ ............ ............ addl. 44204..................... C Laparo partial colectomy... ............ ............ ............ ............ ............ 44205..................... C Lap colectomy part w/ileum. ............ ............ ............ ............ ............ 44209..................... T Laparoscope proc, intestine 0130 31.99 $1,663.77 $659.53 $332.75 44300..................... C Open bowel to skin......... ............ ............ ............ ............ ............ 44310..................... C Ileostomy/jejunostomy...... ............ ............ ............ ............ ............ 44312..................... T Revision of ileostomy...... 0027 15.73 $818.10 $343.60 $163.62 [[Page 52212]] 44314..................... C Revision of ileostomy...... ............ ............ ............ ............ ............ 44316..................... C Devise bowel pouch......... ............ ............ ............ ............ ............ 44320..................... C Colostomy.................. ............ ............ ............ ............ ............ 44322..................... C Colostomy with biopsies.... ............ ............ ............ ............ ............ 44340..................... T Revision of colostomy...... 0027 15.73 $818.10 $343.60 $163.62 44345..................... C Revision of colostomy...... ............ ............ ............ ............ ............ 44346..................... C Revision of colostomy...... ............ ............ ............ ............ ............ 44360..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44361..................... T Small bowel endoscopy/ 0142 8.21 $426.99 $152.78 $85.40 biopsy. 44363..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44364..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44365..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44366..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44369..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44370..................... T Small bowel endoscopy/stent 0142 8.21 $426.99 $152.78 $85.40 44372..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44373..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44376..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44377..................... T Small bowel endoscopy/ 0142 8.21 $426.99 $152.78 $85.40 biopsy. 44378..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44379..................... T S bowel endoscope w/stent.. 0142 8.21 $426.99 $152.78 $85.40 44380..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44382..................... T Small bowel endoscopy...... 0142 8.21 $426.99 $152.78 $85.40 44383..................... T Ileoscopy w/stent.......... 0142 8.21 $426.99 $152.78 $85.40 44385..................... T Endoscopy of bowel pouch... 0143 8.37 $435.32 $186.06 $87.06 44386..................... T Endoscopy, bowel pouch/biop 0143 8.37 $435.32 $186.06 $87.06 44388..................... T Colon endoscopy............ 0143 8.37 $435.32 $186.06 $87.06 44389..................... T Colonoscopy with biopsy.... 0143 8.37 $435.32 $186.06 $87.06 44390..................... T Colonoscopy for foreign 0143 8.37 $435.32 $186.06 $87.06 body. 44391..................... T Colonoscopy for bleeding... 0143 8.37 $435.32 $186.06 $87.06 44392..................... T Colonoscopy & polypectomy.. 0143 8.37 $435.32 $186.06 $87.06 44393..................... T Colonoscopy, lesion removal 0143 8.37 $435.32 $186.06 $87.06 44394..................... T Colonoscopy w/snare........ 0143 8.37 $435.32 $186.06 $87.06 44397..................... T Colonoscopy w stent........ 0143 8.37 $435.32 $186.06 $87.06 44500..................... T Intro, gastrointestinal 0121 2.17 $112.86 $45.14 $22.57 tube. 44602..................... C Suture, small intestine.... ............ ............ ............ ............ ............ 44603..................... C Suture, small intestine.... ............ ............ ............ ............ ............ 44604..................... C Suture, large intestine.... ............ ............ ............ ............ ............ 44605..................... C Repair of bowel lesion..... ............ ............ ............ ............ ............ 44615..................... C Intestinal stricturoplasty. ............ ............ ............ ............ ............ 44620..................... C Repair bowel opening....... ............ ............ ............ ............ ............ 44625..................... C Repair bowel opening....... ............ ............ ............ ............ ............ 44626..................... C Repair bowel opening....... ............ ............ ............ ............ ............ 44640..................... C Repair bowel-skin fistula.. ............ ............ ............ ............ ............ 44650..................... C Repair bowel fistula....... ............ ............ ............ ............ ............ 44660..................... C Repair bowel-bladder ............ ............ ............ ............ ............ fistula. 44661..................... C Repair bowel-bladder ............ ............ ............ ............ ............ fistula. 44680..................... C Surgical revision, ............ ............ ............ ............ ............ intestine. 44700..................... C Suspend bowel w/prosthesis. ............ ............ ............ ............ ............ 44799..................... T Intestine surgery procedure 0142 8.21 $426.99 $152.78 $85.40 44800..................... C Excision of bowel pouch.... ............ ............ ............ ............ ............ 44820..................... C Excision of mesentery ............ ............ ............ ............ ............ lesion. 44850..................... C Repair of mesentery........ ............ ............ ............ ............ ............ 44899..................... C Bowel surgery procedure.... ............ ............ ............ ............ ............ 44900..................... C Drain app abscess, open.... ............ ............ ............ ............ ............ 44901..................... C Drain app abscess, percut.. ............ ............ ............ ............ ............ 44950..................... C Appendectomy............... ............ ............ ............ ............ ............ 44955..................... C Appendectomy add-on........ ............ ............ ............ ............ ............ 44960..................... C Appendectomy............... ............ ............ ............ ............ ............ 44970..................... T Laparoscopy, appendectomy.. 0130 31.99 $1,663.77 $659.53 $332.75 44979..................... T Laparoscope proc, app...... 0130 31.99 $1,663.77 $659.53 $332.75 45000..................... T Drainage of pelvic abscess. 0149 16.91 $879.47 $293.06 $175.89 45005..................... T Drainage of rectal abscess. 0148 3.61 $187.75 $67.59 $37.55 45020..................... T Drainage of rectal abscess. 0149 16.91 $879.47 $293.06 $175.89 45100..................... T Biopsy of rectum........... 0149 16.91 $879.47 $293.06 $175.89 45108..................... T Removal of anorectal lesion 0150 22.02 $1,145.24 $437.12 $229.05 [[Page 52213]] 45110..................... C Removal of rectum.......... ............ ............ ............ ............ ............ 45111..................... C Partial removal of rectum.. ............ ............ ............ ............ ............ 45112..................... C Removal of rectum.......... ............ ............ ............ ............ ............ 45113..................... C Partial proctectomy........ ............ ............ ............ ............ ............ 45114..................... C Partial removal of rectum.. ............ ............ ............ ............ ............ 45116..................... C Partial removal of rectum.. ............ ............ ............ ............ ............ 45119..................... C Remove rectum w/reservoir.. ............ ............ ............ ............ ............ 45120..................... C Removal of rectum.......... ............ ............ ............ ............ ............ 45121..................... C Removal of rectum and colon ............ ............ ............ ............ ............ 45123..................... C Partial proctectomy........ ............ ............ ............ ............ ............ 45126..................... C Pelvic exenteration........ ............ ............ ............ ............ ............ 45130..................... C Excision of rectal prolapse ............ ............ ............ ............ ............ 45135..................... C Excision of rectal prolapse ............ ............ ............ ............ ............ 45136..................... C Excise ileoanal reservoir.. ............ ............ ............ ............ ............ 45150..................... T Excision of rectal 0150 22.02 $1,145.24 $437.12 $229.05 stricture. 45160..................... T Excision of rectal lesion.. 0150 22.02 $1,145.24 $437.12 $229.05 45170..................... T Excision of rectal lesion.. 0150 22.02 $1,145.24 $437.12 $229.05 45190..................... T Destruction, rectal tumor.. 0150 22.02 $1,145.24 $437.12 $229.05 45300..................... T Proctosigmoidoscopy dx..... 0146 3.47 $180.47 $64.40 $36.09 45303..................... T Proctosigmoidoscopy dilate. 0146 3.47 $180.47 $64.40 $36.09 45305..................... T Protosigmoidoscopy w/bx.... 0146 3.47 $180.47 $64.40 $36.09 45307..................... T Protosigmoidoscopy fb...... 0146 3.47 $180.47 $64.40 $36.09 45308..................... T Protosigmoidoscopy removal. 0147 7.30 $379.67 $83.53 $75.93 45309..................... T Protosigmoidoscopy removal. 0147 7.30 $379.67 $83.53 $75.93 45315..................... T Protosigmoidoscopy removal. 0147 7.30 $379.67 $83.53 $75.93 45317..................... T Protosigmoidoscopy bleed... 0146 3.47 $180.47 $64.40 $36.09 45320..................... T Protosigmoidoscopy ablate.. 0147 7.30 $379.67 $83.53 $75.93 45321..................... T Protosigmoidoscopy volvul.. 0147 7.30 $379.67 $83.53 $75.93 45327..................... T Proctosigmoidoscopy w/stent 0147 7.30 $379.67 $83.53 $75.93 45330..................... T Diagnostic sigmoidoscopy... 0146 3.47 $180.47 $64.40 $36.09 45331..................... T Sigmoidoscopy and biopsy... 0146 3.47 $180.47 $64.40 $36.09 45332..................... T Sigmoidoscopy w/fb removal. 0146 3.47 $180.47 $64.40 $36.09 45333..................... T Sigmoidoscopy & polypectomy 0147 7.30 $379.67 $83.53 $75.93 45334..................... T Sigmoidoscopy for bleeding. 0147 7.30 $379.67 $83.53 $75.93 45337..................... T Sigmoidoscopy & decompress. 0147 7.30 $379.67 $83.53 $75.93 45338..................... T Sigmoidoscpy w/tumr remove. 0147 7.30 $379.67 $83.53 $75.93 45339..................... T Sigmoidoscopy w/ablate tumr 0147 7.30 $379.67 $83.53 $75.93 45341..................... T Sigmoidoscopy w/ultrasound. 0147 7.30 $379.67 $83.53 $75.93 45342..................... T Sigmoidoscopy w/us guide bx 0147 7.30 $379.67 $83.53 $75.93 45345..................... T Sigmodoscopy w/stent....... 0147 7.30 $379.67 $83.53 $75.93 45355..................... T Surgical colonoscopy....... 0143 8.37 $435.32 $186.06 $87.06 45378..................... T Diagnostic colonoscopy..... 0143 8.37 $435.32 $186.06 $87.06 45379..................... T Colonoscopy w/fb removal... 0143 8.37 $435.32 $186.06 $87.06 45380..................... T Colonoscopy and biopsy..... 0143 8.37 $435.32 $186.06 $87.06 45382..................... T Colonoscopy/control 0143 8.37 $435.32 $186.06 $87.06 bleeding. 45383..................... T Lesion removal colonoscopy. 0143 8.37 $435.32 $186.06 $87.06 45384..................... T Lesion remove colonoscopy.. 0143 8.37 $435.32 $186.06 $87.06 45385..................... T Lesion removal colonoscopy. 0143 8.37 $435.32 $186.06 $87.06 45387..................... T Colonoscopy w/stent........ 0143 8.37 $435.32 $186.06 $87.06 45500..................... T Repair of rectum........... 0150 22.02 $1,145.24 $437.12 $229.05 45505..................... T Repair of rectum........... 0150 22.02 $1,145.24 $437.12 $229.05 45520..................... T Treatment of rectal 0098 1.90 $98.82 $20.88 $19.76 prolapse. 45540..................... C Correct rectal prolapse.... ............ ............ ............ ............ ............ 45541..................... C Correct rectal prolapse.... ............ ............ ............ ............ ............ 45550..................... C Repair rectum/remove ............ ............ ............ ............ ............ sigmoid. 45560..................... T Repair of rectocele........ 0150 22.02 $1,145.24 $437.12 $229.05 45562..................... C Exploration/repair of ............ ............ ............ ............ ............ rectum. 45563..................... C Exploration/repair of ............ ............ ............ ............ ............ rectum. 45800..................... C Repair rect/bladder fistula ............ ............ ............ ............ ............ 45805..................... C Repair fistula w/colostomy. ............ ............ ............ ............ ............ 45820..................... C Repair rectourethral ............ ............ ............ ............ ............ fistula. 45825..................... C Repair fistula w/colostomy. ............ ............ ............ ............ ............ 45900..................... T Reduction of rectal 0148 3.61 $187.75 $67.59 $37.55 prolapse. 45905..................... T Dilation of anal sphincter. 0149 16.91 $879.47 $293.06 $175.89 45910..................... T Dilation of rectal 0149 16.91 $879.47 $293.06 $175.89 narrowing. 45915..................... T Remove rectal obstruction.. 0148 3.61 $187.75 $67.59 $37.55 [[Page 52214]] 45999..................... T Rectum surgery procedure... 0148 3.61 $187.75 $67.59 $37.55 46020..................... T Placement of seton......... 0148 3.61 $187.75 $67.59 $37.55 46030..................... T Removal of rectal marker... 0148 3.61 $187.75 $67.59 $37.55 46040..................... T Incision of rectal abscess. 0155 10.05 $522.69 $188.17 $104.54 46045..................... T Incision of rectal abscess. 0150 22.02 $1,145.24 $437.12 $229.05 46050..................... T Incision of anal abscess... 0155 10.05 $522.69 $188.17 $104.54 46060..................... T Incision of rectal abscess. 0150 22.02 $1,145.24 $437.12 $229.05 46070..................... T Incision of anal septum.... 0155 10.05 $522.69 $188.17 $104.54 46080..................... T Incision of anal sphincter. 0149 16.91 $879.47 $293.06 $175.89 46083..................... T Incise external hemorrhoid. 0148 3.61 $187.75 $67.59 $37.55 46200..................... T Removal of anal fissure.... 0150 22.02 $1,145.24 $437.12 $229.05 46210..................... T Removal of anal crypt...... 0149 16.91 $879.47 $293.06 $175.89 46211..................... T Removal of anal crypts..... 0150 22.02 $1,145.24 $437.12 $229.05 46220..................... T Removal of anal tab........ 0149 16.91 $879.47 $293.06 $175.89 46221..................... T Ligation of hemorrhoid(s).. 0148 3.61 $187.75 $67.59 $37.55 46230..................... T Removal of anal tabs....... 0149 16.91 $879.47 $293.06 $175.89 46250..................... T Hemorrhoidectomy........... 0150 22.02 $1,145.24 $437.12 $229.05 46255..................... T Hemorrhoidectomy........... 0150 22.02 $1,145.24 $437.12 $229.05 46257..................... T Remove hemorrhoids & 0150 22.02 $1,145.24 $437.12 $229.05 fissure. 46258..................... T Remove hemorrhoids & 0150 22.02 $1,145.24 $437.12 $229.05 fistula. 46260..................... T Hemorrhoidectomy........... 0150 22.02 $1,145.24 $437.12 $229.05 46261..................... T Remove hemorrhoids & 0150 22.02 $1,145.24 $437.12 $229.05 fissure. 46262..................... T Remove hemorrhoids & 0150 22.02 $1,145.24 $437.12 $229.05 fistula. 46270..................... T Removal of anal fistula.... 0150 22.02 $1,145.24 $437.12 $229.05 46275..................... T Removal of anal fistula.... 0150 22.02 $1,145.24 $437.12 $229.05 46280..................... T Removal of anal fistula.... 0150 22.02 $1,145.24 $437.12 $229.05 46285..................... T Removal of anal fistula.... 0150 22.02 $1,145.24 $437.12 $229.05 46288..................... T Repair anal fistula........ 0150 22.02 $1,145.24 $437.12 $229.05 46320..................... T Removal of hemorrhoid clot. 0148 3.61 $187.75 $67.59 $37.55 46500..................... T Injection into 0155 10.05 $522.69 $188.17 $104.54 hemorrhoid(s). 46600..................... X Diagnostic anoscopy........ 0340 0.66 $34.33 ............ $6.87 46604..................... T Anoscopy and dilation...... 0147 7.30 $379.67 $83.53 $75.93 46606..................... T Anoscopy and biopsy........ 0147 7.30 $379.67 $83.53 $75.93 46608..................... T Anoscopy/ remove for body.. 0147 7.30 $379.67 $83.53 $75.93 46610..................... T Anoscopy/remove lesion..... 0147 7.30 $379.67 $83.53 $75.93 46611..................... T Anoscopy................... 0147 7.30 $379.67 $83.53 $75.93 46612..................... T Anoscopy/ remove lesions... 0147 7.30 $379.67 $83.53 $75.93 46614..................... T Anoscopy/control bleeding.. 0147 7.30 $379.67 $83.53 $75.93 46615..................... T Anoscopy................... 0147 7.30 $379.67 $83.53 $75.93 46700..................... T Repair of anal stricture... 0150 22.02 $1,145.24 $437.12 $229.05 46705..................... C Repair of anal stricture... ............ ............ ............ ............ ............ 46715..................... C Repair of anovaginal ............ ............ ............ ............ ............ fistula. 46716..................... C Repair of anovaginal ............ ............ ............ ............ ............ fistula. 46730..................... C Construction of absent anus ............ ............ ............ ............ ............ 46735..................... C Construction of absent anus ............ ............ ............ ............ ............ 46740..................... C Construction of absent anus ............ ............ ............ ............ ............ 46742..................... C Repair of imperforated anus ............ ............ ............ ............ ............ 46744..................... C Repair of cloacal anomaly.. ............ ............ ............ ............ ............ 46746..................... C Repair of cloacal anomaly.. ............ ............ ............ ............ ............ 46748..................... C Repair of cloacal anomaly.. ............ ............ ............ ............ ............ 46750..................... T Repair of anal sphincter... 0150 22.02 $1,145.24 $437.12 $229.05 46751..................... C Repair of anal sphincter... ............ ............ ............ ............ ............ 46753..................... T Reconstruction of anus..... 0150 22.02 $1,145.24 $437.12 $229.05 46754..................... T Removal of suture from anus 0149 16.91 $879.47 $293.06 $175.89 46760..................... T Repair of anal sphincter... 0150 22.02 $1,145.24 $437.12 $229.05 46761..................... T Repair of anal sphincter... 0150 22.02 $1,145.24 $437.12 $229.05 46762..................... T Implant artificial 0150 22.02 $1,145.24 $437.12 $229.05 sphincter. 46900..................... T Destruction, anal lesion(s) 0016 2.57 $133.66 $56.14 $26.73 46910..................... T Destruction, anal lesion(s) 0017 16.46 $856.07 $227.84 $171.21 46916..................... T Cryosurgery, anal lesion(s) 0013 1.10 $57.21 $14.30 $11.44 46917..................... T Laser surgery, anal lesions 0695 19.65 $1,021.98 $266.59 $204.40 46922..................... T Excision of anal lesion(s). 0695 19.65 $1,021.98 $266.59 $204.40 46924..................... T Destruction, anal lesion(s) 0695 19.65 $1,021.98 $266.59 $204.40 46934..................... T Destruction of hemorrhoids. 0155 10.05 $522.69 $188.17 $104.54 46935..................... T Destruction of hemorrhoids. 0155 10.05 $522.69 $188.17 $104.54 46936..................... T Destruction of hemorrhoids. 0149 16.91 $879.47 $293.06 $175.89 [[Page 52215]] 46937..................... T Cryotherapy of rectal 0149 16.91 $879.47 $293.06 $175.89 lesion. 46938..................... T Cryotherapy of rectal 0150 22.02 $1,145.24 $437.12 $229.05 lesion. 46940..................... T Treatment of anal fissure.. 0149 16.91 $879.47 $293.06 $175.89 46942..................... T Treatment of anal fissure.. 0148 3.61 $187.75 $67.59 $37.55 46945..................... T Ligation of hemorrhoids.... 0155 10.05 $522.69 $188.17 $104.54 46946..................... T Ligation of hemorrhoids.... 0155 10.05 $522.69 $188.17 $104.54 46999..................... T Anus surgery procedure..... 0148 3.61 $187.75 $67.59 $37.55 47000..................... T Needle biopsy of liver..... 0685 4.47 $232.48 $102.29 $46.50 47001..................... N Needle biopsy, liver add-on ............ ............ ............ ............ ............ 47010..................... C Open drainage, liver lesion ............ ............ ............ ............ ............ 47011..................... T Percut drain, liver lesion. 0005 3.02 $157.07 $69.11 $31.41 47015..................... C Inject/aspirate liver cyst. ............ ............ ............ ............ ............ 47100..................... C Wedge biopsy of liver...... ............ ............ ............ ............ ............ 47120..................... C Partial removal of liver... ............ ............ ............ ............ ............ 47122..................... C Extensive removal of liver. ............ ............ ............ ............ ............ 47125..................... C Partial removal of liver... ............ ............ ............ ............ ............ 47130..................... C Partial removal of liver... ............ ............ ............ ............ ............ 47133..................... C Removal of donor liver..... ............ ............ ............ ............ ............ 47134..................... C Partial removal, donor ............ ............ ............ ............ ............ liver. 47135..................... C Transplantation of liver... ............ ............ ............ ............ ............ 47136..................... C Transplantation of liver... ............ ............ ............ ............ ............ 47300..................... C Surgery for liver lesion... ............ ............ ............ ............ ............ 47350..................... C Repair liver wound......... ............ ............ ............ ............ ............ 47360..................... C Repair liver wound......... ............ ............ ............ ............ ............ 47361..................... C Repair liver wound......... ............ ............ ............ ............ ............ 47362..................... C Repair liver wound......... ............ ............ ............ ............ ............ 47370..................... T Laparo ablate liver tumor 0130 31.99 $1,663.77 $659.53 $332.75 rf. 47371..................... T Laparo ablate liver cryosug 0130 31.99 $1,663.77 $659.53 $332.75 47379..................... T Laparoscope procedure, 0130 31.99 $1,663.77 $659.53 $332.75 liver. 47380..................... C Open ablate liver tumor rf. ............ ............ ............ ............ ............ 47381..................... C Open ablate liver tumor ............ ............ ............ ............ ............ cryo. 47382..................... T Percut ablate liver rf..... 0980 ............ $1,875.00 ............ $375.00 47399..................... T Liver surgery procedure.... 0005 3.02 $157.07 $69.11 $31.41 47400..................... C Incision of liver duct..... ............ ............ ............ ............ ............ 47420..................... C Incision of bile duct...... ............ ............ ............ ............ ............ 47425..................... C Incision of bile duct...... ............ ............ ............ ............ ............ 47460..................... C Incise bile duct sphincter. ............ ............ ............ ............ ............ 47480..................... C Incision of gallbladder.... ............ ............ ............ ............ ............ 47490..................... T Incision of gallbladder.... 0152 6.18 $321.42 $80.36 $64.28 47500..................... N Injection for liver x-rays. ............ ............ ............ ............ ............ 47505..................... N Injection for liver x-rays. ............ ............ ............ ............ ............ 47510..................... T Insert catheter, bile duct. 0152 6.18 $321.42 $80.36 $64.28 47511..................... T Insert bile duct drain..... 0152 6.18 $321.42 $80.36 $64.28 47525..................... T Change bile duct catheter.. 0122 3.89 $202.32 $46.53 $40.46 47530..................... T Revise/reinsert bile tube.. 0121 2.17 $112.86 $45.14 $22.57 47550..................... C Bile duct endoscopy add-on. ............ ............ ............ ............ ............ 47552..................... T Biliary endoscopy thru skin 0152 6.18 $321.42 $80.36 $64.28 47553..................... T Biliary endoscopy thru skin 0152 6.18 $321.42 $80.36 $64.28 47554..................... T Biliary endoscopy thru skin 0152 6.18 $321.42 $80.36 $64.28 47555..................... T Biliary endoscopy thru skin 0152 6.18 $321.42 $80.36 $64.28 47556..................... T Biliary endoscopy thru skin 0152 6.18 $321.42 $80.36 $64.28 47560..................... T Laparoscopy w/cholangio.... 0130 31.99 $1,663.77 $659.53 $332.75 47561..................... T Laparo w/cholangio/biopsy.. 0130 31.99 $1,663.77 $659.53 $332.75 47562..................... T Laparoscopic 0131 42.44 $2,207.26 $1,001.89 $441.45 cholecystectomy. 47563..................... T Laparo cholecystectomy/ 0131 42.44 $2,207.26 $1,001.89 $441.45 graph. 47564..................... T Laparo cholecystectomy/ 0131 42.44 $2,207.26 $1,001.89 $441.45 explr. 47570..................... C Laparo ............ ............ ............ ............ ............ cholecystoenterostomy. 47579..................... T Laparoscope proc, biliary.. 0130 31.99 $1,663.77 $659.53 $332.75 47600..................... C Removal of gallbladder..... ............ ............ ............ ............ ............ 47605..................... C Removal of gallbladder..... ............ ............ ............ ............ ............ 47610..................... C Removal of gallbladder..... ............ ............ ............ ............ ............ 47612..................... C Removal of gallbladder..... ............ ............ ............ ............ ............ 47620..................... C Removal of gallbladder..... ............ ............ ............ ............ ............ 47630..................... T Remove bile duct stone..... 0152 6.18 $321.42 $80.36 $64.28 47700..................... C Exploration of bile ducts.. ............ ............ ............ ............ ............ 47701..................... C Bile duct revision......... ............ ............ ............ ............ ............ [[Page 52216]] 47711..................... C Excision of bile duct tumor ............ ............ ............ ............ ............ 47712..................... C Excision of bile duct tumor ............ ............ ............ ............ ............ 47715..................... C Excision of bile duct cyst. ............ ............ ............ ............ ............ 47716..................... C Fusion of bile duct cyst... ............ ............ ............ ............ ............ 47720..................... C Fuse gallbladder & bowel... ............ ............ ............ ............ ............ 47721..................... C Fuse upper gi structures... ............ ............ ............ ............ ............ 47740..................... C Fuse gallbladder & bowel... ............ ............ ............ ............ ............ 47741..................... C Fuse gallbladder & bowel... ............ ............ ............ ............ ............ 47760..................... C Fuse bile ducts and bowel.. ............ ............ ............ ............ ............ 47765..................... C Fuse liver ducts & bowel... ............ ............ ............ ............ ............ 47780..................... C Fuse bile ducts and bowel.. ............ ............ ............ ............ ............ 47785..................... C Fuse bile ducts and bowel.. ............ ............ ............ ............ ............ 47800..................... C Reconstruction of bile ............ ............ ............ ............ ............ ducts. 47801..................... C Placement, bile duct ............ ............ ............ ............ ............ support. 47802..................... C Fuse liver duct & intestine ............ ............ ............ ............ ............ 47900..................... C Suture bile duct injury.... ............ ............ ............ ............ ............ 47999..................... T Bile tract surgery 0152 6.18 $321.42 $80.36 $64.28 procedure. 48000..................... C Drainage of abdomen........ ............ ............ ............ ............ ............ 48001..................... C Placement of drain, ............ ............ ............ ............ ............ pancreas. 48005..................... C Resect/debride pancreas.... ............ ............ ............ ............ ............ 48020..................... C Removal of pancreatic stone ............ ............ ............ ............ ............ 48100..................... C Biopsy of pancreas, open... ............ ............ ............ ............ ............ 48102..................... T Needle biopsy, pancreas.... 0685 4.47 $232.48 $102.29 $46.50 48120..................... C Removal of pancreas lesion. ............ ............ ............ ............ ............ 48140..................... C Partial removal of pancreas ............ ............ ............ ............ ............ 48145..................... C Partial removal of pancreas ............ ............ ............ ............ ............ 48146..................... C Pancreatectomy............. ............ ............ ............ ............ ............ 48148..................... C Removal of pancreatic duct. ............ ............ ............ ............ ............ 48150..................... C Partial removal of pancreas ............ ............ ............ ............ ............ 48152..................... C Pancreatectomy............. ............ ............ ............ ............ ............ 48153..................... C Pancreatectomy............. ............ ............ ............ ............ ............ 48154..................... C Pancreatectomy............. ............ ............ ............ ............ ............ 48155..................... C Removal of pancreas........ ............ ............ ............ ............ ............ 48160..................... E Pancreas removal/transplant ............ ............ ............ ............ ............ 48180..................... C Fuse pancreas and bowel.... ............ ............ ............ ............ ............ 48400..................... C Injection, intraop add-on.. ............ ............ ............ ............ ............ 48500..................... C Surgery of pancreatic cyst. ............ ............ ............ ............ ............ 48510..................... C Drain pancreatic pseudocyst ............ ............ ............ ............ ............ 48511..................... T Drain pancreatic pseudocyst 0005 3.02 $157.07 $69.11 $31.41 48520..................... C Fuse pancreas cyst and ............ ............ ............ ............ ............ bowel. 48540..................... C Fuse pancreas cyst and ............ ............ ............ ............ ............ bowel. 48545..................... C Pancreatorrhaphy........... ............ ............ ............ ............ ............ 48547..................... C Duodenal exclusion......... ............ ............ ............ ............ ............ 48550..................... E Donor pancreatectomy....... ............ ............ ............ ............ ............ 48554..................... E Transpl allograft pancreas. ............ ............ ............ ............ ............ 48556..................... C Removal, allograft pancreas ............ ............ ............ ............ ............ 48999..................... T Pancreas surgery procedure. 0005 3.02 $157.07 $69.11 $31.41 49000..................... C Exploration of abdomen..... ............ ............ ............ ............ ............ 49002..................... C Reopening of abdomen....... ............ ............ ............ ............ ............ 49010..................... C Exploration behind abdomen. ............ ............ ............ ............ ............ 49020..................... C Drain abdominal abscess.... ............ ............ ............ ............ ............ 49021..................... C Drain abdominal abscess.... ............ ............ ............ ............ ............ 49040..................... C Drain, open, abdom abscess. ............ ............ ............ ............ ............ 49041..................... C Drain, percut, abdom ............ ............ ............ ............ ............ abscess. 49060..................... C Drain, open, retrop abscess ............ ............ ............ ............ ............ 49061..................... C Drain, percut, retroper ............ ............ ............ ............ ............ absc. 49062..................... C Drain to peritoneal cavity. ............ ............ ............ ............ ............ 49080..................... T Puncture, peritoneal cavity 0070 3.30 $171.63 ............ $34.33 49081..................... T Removal of abdominal fluid. 0070 3.30 $171.63 ............ $34.33 49085..................... T Remove abdomen foreign body 0153 25.99 $1,351.71 $540.68 $270.34 49180..................... T Biopsy, abdominal mass..... 0685 4.47 $232.48 $102.29 $46.50 49200..................... T Removal of abdominal lesion 0130 31.99 $1,663.77 $659.53 $332.75 49201..................... C Removal of abdominal lesion ............ ............ ............ ............ ............ 49215..................... C Excise sacral spine tumor.. ............ ............ ............ ............ ............ 49220..................... C Multiple surgery, abdomen.. ............ ............ ............ ............ ............ 49250..................... T Excision of umbilicus...... 0153 25.99 $1,351.71 $540.68 $270.34 [[Page 52217]] 49255..................... C Removal of omentum......... ............ ............ ............ ............ ............ 49320..................... T Diag laparo separate proc.. 0130 31.99 $1,663.77 $659.53 $332.75 49321..................... T Laparoscopy, biopsy........ 0130 31.99 $1,663.77 $659.53 $332.75 49322..................... T Laparoscopy, aspiration.... 0130 31.99 $1,663.77 $659.53 $332.75 49323..................... T Laparo drain lymphocele.... 0130 31.99 $1,663.77 $659.53 $332.75 49329..................... T Laparo proc, abdm/per/oment 0130 31.99 $1,663.77 $659.53 $332.75 49400..................... N Air injection into abdomen. ............ ............ ............ ............ ............ 49420..................... T Insert abdominal drain..... 0153 25.99 $1,351.71 $540.68 $270.34 49421..................... T Insert abdominal drain..... 0153 25.99 $1,351.71 $540.68 $270.34 49422..................... T Remove perm cannula/ 0105 19.14 $995.45 $370.40 $199.09 catheter. 49423..................... T Exchange drainage catheter. 0152 6.18 $321.42 $80.36 $64.28 49424..................... N Assess cyst, contrast ............ ............ ............ ............ ............ inject. 49425..................... C Insert abdomen-venous drain ............ ............ ............ ............ ............ 49426..................... T Revise abdomen-venous shunt 0153 25.99 $1,351.71 $540.68 $270.34 49427..................... N Injection, abdominal shunt. ............ ............ ............ ............ ............ 49428..................... C Ligation of shunt.......... ............ ............ ............ ............ ............ 49429..................... T Removal of shunt........... 0105 19.14 $995.45 $370.40 $199.09 49491..................... T Repairing hern premie reduc 0154 26.98 $1,403.20 $491.12 $280.64 49492..................... T Rpr ing hern premie, 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49495..................... T Rpr ing hernia baby, reduc. 0154 26.98 $1,403.20 $491.12 $280.64 49496..................... T Rpr ing hernia baby, 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49500..................... T Rpr ing hernia, init, 0154 26.98 $1,403.20 $491.12 $280.64 reduce. 49501..................... T Rpr ing hernia, init 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49505..................... T Rpr i/hern init reduc>5 yr. 0154 26.98 $1,403.20 $491.12 $280.64 49507..................... T Rpr i/hern init block>5 yr. 0154 26.98 $1,403.20 $491.12 $280.64 49520..................... T Rerepair ing hernia, reduce 0154 26.98 $1,403.20 $491.12 $280.64 49521..................... T Rerepair ing hernia, 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49525..................... T Repair ing hernia, sliding. 0154 26.98 $1,403.20 $491.12 $280.64 49540..................... T Repair lumbar hernia....... 0154 26.98 $1,403.20 $491.12 $280.64 49550..................... T Rpr fem hernia, init, 0154 26.98 $1,403.20 $491.12 $280.64 reduce. 49553..................... T Rpr fem hernia, init 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49555..................... T Rerepair fem hernia, reduce 0154 26.98 $1,403.20 $491.12 $280.64 49557..................... T Rerepair fem hernia, 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49560..................... T Rpr ventral hern init, 0154 26.98 $1,403.20 $491.12 $280.64 reduc. 49561..................... T Rpr ventral hern init, 0154 26.98 $1,403.20 $491.12 $280.64 block. 49565..................... T Rerepair ventrl hern, 0154 26.98 $1,403.20 $491.12 $280.64 reduce. 49566..................... T Rerepair ventrl hern, block 0154 26.98 $1,403.20 $491.12 $280.64 49568..................... T Hernia repair w/mesh....... 0154 26.98 $1,403.20 $491.12 $280.64 49570..................... T Rpr epigastric hern, reduce 0154 26.98 $1,403.20 $491.12 $280.64 49572..................... T Rpr epigastric hern, 0154 26.98 $1,403.20 $491.12 $280.64 blocked. 49580..................... T Rpr umbil hern, reduc 5 yr. 0154 26.98 $1,403.20 $491.12 $280.64 49582..................... T Rpr umbil hern, block 5 yr 0154 26.98 $1,403.20 $491.12 $280.64 49585..................... T Rpr umbil hern, reduc > 5 0154 26.98 $1,403.20 $491.12 $280.64 yr. 49587..................... T Rpr umbil hern, block > 5 0154 26.98 $1,403.20 $491.12 $280.64 yr. 49590..................... T Repair spigelian hernia.... 0154 26.98 $1,403.20 $491.12 $280.64 49600..................... T Repair umbilical lesion.... 0154 26.98 $1,403.20 $491.12 $280.64 49605..................... C Repair umbilical lesion.... ............ ............ ............ ............ ............ 49606..................... C Repair umbilical lesion.... ............ ............ ............ ............ ............ 49610..................... C Repair umbilical lesion.... ............ ............ ............ ............ ............ 49611..................... C Repair umbilical lesion.... ............ ............ ............ ............ ............ 49650..................... T Laparo hernia repair 0131 42.44 $2,207.26 $1,001.89 $441.45 initial. 49651..................... T Laparo hernia repair recur. 0131 42.44 $2,207.26 $1,001.89 $441.45 49659..................... T Laparo proc, hernia repair. 0131 42.44 $2,207.26 $1,001.89 $441.45 49900..................... C Repair of abdominal wall... ............ ............ ............ ............ ............ 49905..................... C Omental flap............... ............ ............ ............ ............ ............ 49906..................... C Free omental flap, ............ ............ ............ ............ ............ microvasc. 49999..................... T Abdomen surgery procedure.. 0153 25.99 $1,351.71 $540.68 $270.34 50010..................... C Exploration of kidney...... ............ ............ ............ ............ ............ 50020..................... C Renal abscess, open drain.. ............ ............ ............ ............ ............ 50021..................... T Renal abscess, percut drain 0005 3.02 $157.07 $69.11 $31.41 50040..................... C Drainage of kidney......... ............ ............ ............ ............ ............ 50045..................... C Exploration of kidney...... ............ ............ ............ ............ ............ 50060..................... C Removal of kidney stone.... ............ ............ ............ ............ ............ 50065..................... C Incision of kidney......... ............ ............ ............ ............ ............ 50070..................... C Incision of kidney......... ............ ............ ............ ............ ............ 50075..................... C Removal of kidney stone.... ............ ............ ............ ............ ............ [[Page 52218]] 50080..................... T Removal of kidney stone.... 0163 24.77 $1,288.26 ............ $257.65 50081..................... T Removal of kidney stone.... 0163 24.77 $1,288.26 ............ $257.65 50100..................... C Revise kidney blood vessels ............ ............ ............ ............ ............ 50120..................... C Exploration of kidney...... ............ ............ ............ ............ ............ 50125..................... C Explore and drain kidney... ............ ............ ............ ............ ............ 50130..................... C Removal of kidney stone.... ............ ............ ............ ............ ............ 50135..................... C Exploration of kidney...... ............ ............ ............ ............ ............ 50200..................... T Biopsy of kidney........... 0685 4.47 $232.48 $102.29 $46.50 50205..................... C Biopsy of kidney........... ............ ............ ............ ............ ............ 50220..................... C Remove kidney, open........ ............ ............ ............ ............ ............ 50225..................... C Removal kidney open, ............ ............ ............ ............ ............ complex. 50230..................... C Removal kidney open, ............ ............ ............ ............ ............ radical. 50234..................... C Removal of kidney & ureter. ............ ............ ............ ............ ............ 50236..................... C Removal of kidney & ureter. ............ ............ ............ ............ ............ 50240..................... C Partial removal of kidney.. ............ ............ ............ ............ ............ 50280..................... C Removal of kidney lesion... ............ ............ ............ ............ ............ 50290..................... C Removal of kidney lesion... ............ ............ ............ ............ ............ 50300..................... C Removal of donor kidney.... ............ ............ ............ ............ ............ 50320..................... C Removal of donor kidney.... ............ ............ ............ ............ ............ 50340..................... C Removal of kidney.......... ............ ............ ............ ............ ............ 50360..................... C Transplantation of kidney.. ............ ............ ............ ............ ............ 50365..................... C Transplantation of kidney.. ............ ............ ............ ............ ............ 50370..................... C Remove transplanted kidney. ............ ............ ............ ............ ............ 50380..................... C Reimplantation of kidney... ............ ............ ............ ............ ............ 50390..................... T Drainage of kidney lesion.. 0685 4.47 $232.48 $102.29 $46.50 50392..................... T Insert kidney drain........ 0161 16.03 $833.70 $249.36 $166.74 50393..................... T Insert ureteral tube....... 0161 16.03 $833.70 $249.36 $166.74 50394..................... N Injection for kidney x-ray. ............ ............ ............ ............ ............ 50395..................... T Create passage to kidney... 0161 16.03 $833.70 $249.36 $166.74 50396..................... T Measure kidney pressure.... 0164 1.18 $61.37 $18.41 $12.27 50398..................... T Change kidney tube......... 0122 3.89 $202.32 $46.53 $40.46 50400..................... C Revision of kidney/ureter.. ............ ............ ............ ............ ............ 50405..................... C Revision of kidney/ureter.. ............ ............ ............ ............ ............ 50500..................... C Repair of kidney wound..... ............ ............ ............ ............ ............ 50520..................... C Close kidney-skin fistula.. ............ ............ ............ ............ ............ 50525..................... C Repair renal-abdomen ............ ............ ............ ............ ............ fistula. 50526..................... C Repair renal-abdomen ............ ............ ............ ............ ............ fistula. 50540..................... C Revision of horseshoe ............ ............ ............ ............ ............ kidney. 50541..................... T Laparo ablate renal cyst... 0130 31.99 $1,663.77 $659.53 $332.75 50544..................... T Laparoscopy, pyeloplasty... 0130 31.99 $1,663.77 $659.53 $332.75 50545..................... C Laparo radical nephrectomy. ............ ............ ............ ............ ............ 50546..................... C Laparoscopic nephrectomy... ............ ............ ............ ............ ............ 50547..................... C Laparo removal donor kidney ............ ............ ............ ............ ............ 50548..................... C Laparo remove k/ureter..... ............ ............ ............ ............ ............ 50549..................... T Laparoscope proc, renal.... 0130 31.99 $1,663.77 $659.53 $332.75 50551..................... T Kidney endoscopy........... 0160 6.44 $334.94 $105.06 $66.99 50553..................... T Kidney endoscopy........... 0161 16.03 $833.70 $249.36 $166.74 50555..................... T Kidney endoscopy & biopsy.. 0160 6.44 $334.94 $105.06 $66.99 50557..................... T Kidney endoscopy & 0162 21.50 $1,118.19 ............ $223.64 treatment. 50559..................... T Renal endoscopy/radiotracer 0160 6.44 $334.94 $105.06 $66.99 50561..................... T Kidney endoscopy & 0161 16.03 $833.70 $249.36 $166.74 treatment. 50570..................... C Kidney endoscopy........... ............ ............ ............ ............ ............ 50572..................... C Kidney endoscopy........... ............ ............ ............ ............ ............ 50574..................... C Kidney endoscopy & biopsy.. ............ ............ ............ ............ ............ 50575..................... C Kidney endoscopy........... ............ ............ ............ ............ ............ 50576..................... C Kidney endoscopy & ............ ............ ............ ............ ............ treatment. 50578..................... C Renal endoscopy/radiotracer ............ ............ ............ ............ ............ 50580..................... C Kidney endoscopy & ............ ............ ............ ............ ............ treatment. 50590..................... T Fragmenting of kidney stone 0169 46.44 $2,415.30 $1,115.69 $483.06 50600..................... C Exploration of ureter...... ............ ............ ............ ............ ............ 50605..................... C Insert ureteral support.... ............ ............ ............ ............ ............ 50610..................... C Removal of ureter stone.... ............ ............ ............ ............ ............ 50620..................... C Removal of ureter stone.... ............ ............ ............ ............ ............ 50630..................... C Removal of ureter stone.... ............ ............ ............ ............ ............ 50650..................... C Removal of ureter.......... ............ ............ ............ ............ ............ 50660..................... C Removal of ureter.......... ............ ............ ............ ............ ............ [[Page 52219]] 50684..................... N Injection for ureter x-ray. ............ ............ ............ ............ ............ 50686..................... T Measure ureter pressure.... 0164 1.18 $61.37 $18.41 $12.27 50688..................... T Change of ureter tube...... 0121 2.17 $112.86 $45.14 $22.57 50690..................... N Injection for ureter x-ray. ............ ............ ............ ............ ............ 50700..................... C Revision of ureter......... ............ ............ ............ ............ ............ 50715..................... C Release of ureter.......... ............ ............ ............ ............ ............ 50722..................... C Release of ureter.......... ............ ............ ............ ............ ............ 50725..................... C Release/revise ureter...... ............ ............ ............ ............ ............ 50727..................... C Revise ureter.............. ............ ............ ............ ............ ............ 50728..................... C Revise ureter.............. ............ ............ ............ ............ ............ 50740..................... C Fusion of ureter & kidney.. ............ ............ ............ ............ ............ 50750..................... C Fusion of ureter & kidney.. ............ ............ ............ ............ ............ 50760..................... C Fusion of ureters.......... ............ ............ ............ ............ ............ 50770..................... C Splicing of ureters........ ............ ............ ............ ............ ............ 50780..................... C Reimplant ureter in bladder ............ ............ ............ ............ ............ 50782..................... C Reimplant ureter in bladder ............ ............ ............ ............ ............ 50783..................... C Reimplant ureter in bladder ............ ............ ............ ............ ............ 50785..................... C Reimplant ureter in bladder ............ ............ ............ ............ ............ 50800..................... C Implant ureter in bowel.... ............ ............ ............ ............ ............ 50810..................... C Fusion of ureter & bowel... ............ ............ ............ ............ ............ 50815..................... C Urine shunt to intestine... ............ ............ ............ ............ ............ 50820..................... C Construct bowel bladder.... ............ ............ ............ ............ ............ 50825..................... C Construct bowel bladder.... ............ ............ ............ ............ ............ 50830..................... C Revise urine flow.......... ............ ............ ............ ............ ............ 50840..................... C Replace ureter by bowel.... ............ ............ ............ ............ ............ 50845..................... C Appendico-vesicostomy...... ............ ............ ............ ............ ............ 50860..................... C Transplant ureter to skin.. ............ ............ ............ ............ ............ 50900..................... C Repair of ureter........... ............ ............ ............ ............ ............ 50920..................... C Closure ureter/skin fistula ............ ............ ............ ............ ............ 50930..................... C Closure ureter/bowel ............ ............ ............ ............ ............ fistula. 50940..................... C Release of ureter.......... ............ ............ ............ ............ ............ 50945..................... T Laparoscopy 0131 42.44 $2,207.26 $1,001.89 $441.45 ureterolithotomy. 50947..................... T Laparo new ureter/bladder.. 0131 42.44 $2,207.26 $1,001.89 $441.45 50948..................... T Laparo new ureter/bladder.. 0131 42.44 $2,207.26 $1,001.89 $441.45 50949..................... T Laparoscope proc, ureter... 0130 31.99 $1,663.77 $659.53 $332.75 50951..................... T Endoscopy of ureter........ 0160 6.44 $334.94 $105.06 $66.99 50953..................... T Endoscopy of ureter........ 0160 6.44 $334.94 $105.06 $66.99 50955..................... T Ureter endoscopy & biopsy.. 0161 16.03 $833.70 $249.36 $166.74 50957..................... T Ureter endoscopy & 0161 16.03 $833.70 $249.36 $166.74 treatment. 50959..................... T Ureter endoscopy & tracer.. 0161 16.03 $833.70 $249.36 $166.74 50961..................... T Ureter endoscopy & 0161 16.03 $833.70 $249.36 $166.74 treatment. 50970..................... T Ureter endoscopy........... 0160 6.44 $334.94 $105.06 $66.99 50972..................... T Ureter endoscopy & catheter 0160 6.44 $334.94 $105.06 $66.99 50974..................... T Ureter endoscopy & biopsy.. 0161 16.03 $833.70 $249.36 $166.74 50976..................... T Ureter endoscopy & 0161 16.03 $833.70 $249.36 $166.74 treatment. 50978..................... T Ureter endoscopy & tracer.. 0161 16.03 $833.70 $249.36 $166.74 50980..................... T Ureter endoscopy & 0161 16.03 $833.70 $249.36 $166.74 treatment. 51000..................... T Drainage of bladder........ 0165 12.62 $656.35 ............ $131.27 51005..................... T Drainage of bladder........ 0164 1.18 $61.37 $18.41 $12.27 51010..................... T Drainage of bladder........ 0165 12.62 $656.35 ............ $131.27 51020..................... T Incise & treat bladder..... 0162 21.50 $1,118.19 ............ $223.64 51030..................... T Incise & treat bladder..... 0162 21.50 $1,118.19 ............ $223.64 51040..................... T Incise & drain bladder..... 0162 21.50 $1,118.19 ............ $223.64 51045..................... T Incise bladder/drain ureter 0160 6.44 $334.94 $105.06 $66.99 51050..................... T Removal of bladder stone... 0162 21.50 $1,118.19 ............ $223.64 51060..................... C Removal of ureter stone.... ............ ............ ............ ............ ............ 51065..................... T Remove ureter calculus..... 0162 21.50 $1,118.19 ............ $223.64 51080..................... T Drainage of bladder abscess 0007 9.44 $490.96 $103.10 $98.19 51500..................... T Removal of bladder cyst.... 0154 26.98 $1,403.20 $491.12 $280.64 51520..................... T Removal of bladder lesion.. 0162 21.50 $1,118.19 ............ $223.64 51525..................... C Removal of bladder lesion.. ............ ............ ............ ............ ............ 51530..................... C Removal of bladder lesion.. ............ ............ ............ ............ ............ 51535..................... C Repair of ureter lesion.... ............ ............ ............ ............ ............ 51550..................... C Partial removal of bladder. ............ ............ ............ ............ ............ 51555..................... C Partial removal of bladder. ............ ............ ............ ............ ............ 51565..................... C Revise bladder & ureter(s). ............ ............ ............ ............ ............ [[Page 52220]] 51570..................... C Removal of bladder......... ............ ............ ............ ............ ............ 51575..................... C Removal of bladder & nodes. ............ ............ ............ ............ ............ 51580..................... C Remove bladder/revise tract ............ ............ ............ ............ ............ 51585..................... C Removal of bladder & nodes. ............ ............ ............ ............ ............ 51590..................... C Remove bladder/revise tract ............ ............ ............ ............ ............ 51595..................... C Remove bladder/revise tract ............ ............ ............ ............ ............ 51596..................... C Remove bladder/create pouch ............ ............ ............ ............ ............ 51597..................... C Removal of pelvic ............ ............ ............ ............ ............ structures. 51600..................... N Injection for bladder x-ray ............ ............ ............ ............ ............ 51605..................... N Preparation for bladder ............ ............ ............ ............ ............ xray. 51610..................... N Injection for bladder x-ray ............ ............ ............ ............ ............ 51700..................... T Irrigation of bladder...... 0164 1.18 $61.37 $18.41 $12.27 51705..................... T Change of bladder tube..... 0121 2.17 $112.86 $45.14 $22.57 51710..................... T Change of bladder tube..... 0121 2.17 $112.86 $45.14 $22.57 51715..................... T Endoscopic injection/ 0167 27.15 $1,412.04 $555.84 $282.41 implant. 51720..................... T Treatment of bladder lesion 0156 3.10 $161.23 $48.37 $32.25 51725..................... T Simple cystometrogram...... 0156 3.10 $161.23 $48.37 $32.25 51726..................... T Complex cystometrogram..... 0156 3.10 $161.23 $48.37 $32.25 51736..................... T Urine flow measurement..... 0164 1.18 $61.37 $18.41 $12.27 51741..................... T Electro-uroflowmetry, first 0164 1.18 $61.37 $18.41 $12.27 51772..................... T Urethra pressure profile... 0164 1.18 $61.37 $18.41 $12.27 51784..................... T Anal/urinary muscle study.. 0164 1.18 $61.37 $18.41 $12.27 51785..................... T Anal/urinary muscle study.. 0164 1.18 $61.37 $18.41 $12.27 51792..................... T Urinary reflex study....... 0164 1.18 $61.37 $18.41 $12.27 51795..................... T Urine voiding pressure 0164 1.18 $61.37 $18.41 $12.27 study. 51797..................... T Intraabdominal pressure 0164 1.18 $61.37 $18.41 $12.27 test. 51800..................... C Revision of bladder/urethra ............ ............ ............ ............ ............ 51820..................... C Revision of urinary tract.. ............ ............ ............ ............ ............ 51840..................... C Attach bladder/urethra..... ............ ............ ............ ............ ............ 51841..................... C Attach bladder/urethra..... ............ ............ ............ ............ ............ 51845..................... C Repair bladder neck........ ............ ............ ............ ............ ............ 51860..................... C Repair of bladder wound.... ............ ............ ............ ............ ............ 51865..................... C Repair of bladder wound.... ............ ............ ............ ............ ............ 51880..................... T Repair of bladder opening.. 0162 21.50 $1,118.19 ............ $223.64 51900..................... C Repair bladder/vagina ............ ............ ............ ............ ............ lesion. 51920..................... C Close bladder-uterus ............ ............ ............ ............ ............ fistula. 51925..................... C Hysterectomy/bladder repair ............ ............ ............ ............ ............ 51940..................... C Correction of bladder ............ ............ ............ ............ ............ defect. 51960..................... C Revision of bladder & bowel ............ ............ ............ ............ ............ 51980..................... C Construct bladder opening.. ............ ............ ............ ............ ............ 51990..................... T Laparo urethral suspension. 0131 42.44 $2,207.26 $1,001.89 $441.45 51992..................... T Laparo sling operation..... 0132 57.95 $3,013.92 $1,239.22 $602.78 52000..................... T Cystoscopy................. 0160 6.44 $334.94 $105.06 $66.99 52001..................... T Cystoscopy, removal of 0160 6.44 $334.94 $105.06 $66.99 clots. 52005..................... T Cystoscopy & ureter 0161 16.03 $833.70 $249.36 $166.74 catheter. 52007..................... T Cystoscopy and biopsy...... 0161 16.03 $833.70 $249.36 $166.74 52010..................... T Cystoscopy & duct catheter. 0160 6.44 $334.94 $105.06 $66.99 52204..................... T Cystoscopy................. 0161 16.03 $833.70 $249.36 $166.74 52214..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52224..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52234..................... T Cystoscopy and treatment... 0163 24.77 $1,288.26 ............ $257.65 52235..................... T Cystoscopy and treatment... 0163 24.77 $1,288.26 ............ $257.65 52240..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52250..................... T Cystoscopy and radiotracer. 0162 21.50 $1,118.19 ............ $223.64 52260..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52265..................... T Cystoscopy and treatment... 0160 6.44 $334.94 $105.06 $66.99 52270..................... T Cystoscopy & revise urethra 0161 16.03 $833.70 $249.36 $166.74 52275..................... T Cystoscopy & revise urethra 0161 16.03 $833.70 $249.36 $166.74 52276..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52277..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52281..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52282..................... T Cystoscopy, implant stent.. 0163 24.77 $1,288.26 ............ $257.65 52283..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52285..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52290..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52300..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 [[Page 52221]] 52301..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52305..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52310..................... T Cystoscopy and treatment... 0160 6.44 $334.94 $105.06 $66.99 52315..................... T Cystoscopy and treatment... 0161 16.03 $833.70 $249.36 $166.74 52317..................... T Remove bladder stone....... 0162 21.50 $1,118.19 ............ $223.64 52318..................... T Remove bladder stone....... 0162 21.50 $1,118.19 ............ $223.64 52320..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52325..................... T Cystoscopy, stone removal.. 0162 21.50 $1,118.19 ............ $223.64 52327..................... T Cystoscopy, inject material 0162 21.50 $1,118.19 ............ $223.64 52330..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52332..................... T Cystoscopy and treatment... 0162 21.50 $1,118.19 ............ $223.64 52334..................... T Create passage to kidney... 0162 21.50 $1,118.19 ............ $223.64 52341..................... T Cysto w/ureter stricture tx 0162 21.50 $1,118.19 ............ $223.64 52342..................... T Cysto w/up stricture tx.... 0162 21.50 $1,118.19 ............ $223.64 52343..................... T Cysto w/renal stricture tx. 0162 21.50 $1,118.19 ............ $223.64 52344..................... T Cysto/uretero, stone remove 0162 21.50 $1,118.19 ............ $223.64 52345..................... T Cysto/uretero w/up 0162 21.50 $1,118.19 ............ $223.64 stricture. 52346..................... T Cystouretero w/renal strict 0162 21.50 $1,118.19 ............ $223.64 52347..................... T Cystoscopy, resect ducts... 0160 6.44 $334.94 $105.06 $66.99 52351..................... T Cystouretro & or pyeloscope 0160 6.44 $334.94 $105.06 $66.99 52352..................... T Cystouretro w/stone remove. 0162 21.50 $1,118.19 ............ $223.64 52353..................... T Cystouretero w/lithotripsy. 0163 24.77 $1,288.26 ............ $257.65 52354..................... T Cystouretero w/biopsy...... 0162 21.50 $1,118.19 ............ $223.64 52355..................... T Cystouretero w/excise tumor 0162 21.50 $1,118.19 ............ $223.64 52400..................... T Cystouretero w/congen repr. 0162 21.50 $1,118.19 ............ $223.64 52450..................... T Incision of prostate....... 0162 21.50 $1,118.19 ............ $223.64 52500..................... T Revision of bladder neck... 0162 21.50 $1,118.19 ............ $223.64 52510..................... T Dilation prostatic urethra. 0161 16.03 $833.70 $249.36 $166.74 52601..................... T Prostatectomy (TURP)....... 0163 24.77 $1,288.26 ............ $257.65 52606..................... T Control postop bleeding.... 0162 21.50 $1,118.19 ............ $223.64 52612..................... T Prostatectomy, first stage. 0163 24.77 $1,288.26 ............ $257.65 52614..................... T Prostatectomy, second stage 0163 24.77 $1,288.26 ............ $257.65 52620..................... T Remove residual prostate... 0163 24.77 $1,288.26 ............ $257.65 52630..................... T Remove prostate regrowth... 0163 24.77 $1,288.26 ............ $257.65 52640..................... T Relieve bladder contracture 0162 21.50 $1,118.19 ............ $223.64 52647..................... T Laser surgery of prostate.. 0163 24.77 $1,288.26 ............ $257.65 52648..................... T Laser surgery of prostate.. 0163 24.77 $1,288.26 ............ $257.65 52700..................... T Drainage of prostate 0162 21.50 $1,118.19 ............ $223.64 abscess. 53000..................... T Incision of urethra........ 0166 15.63 $812.90 $218.73 $162.58 53010..................... T Incision of urethra........ 0166 15.63 $812.90 $218.73 $162.58 53020..................... T Incision of urethra........ 0166 15.63 $812.90 $218.73 $162.58 53025..................... T Incision of urethra........ 0166 15.63 $812.90 $218.73 $162.58 53040..................... T Drainage of urethra abscess 0166 15.63 $812.90 $218.73 $162.58 53060..................... T Drainage of urethra abscess 0166 15.63 $812.90 $218.73 $162.58 53080..................... T Drainage of urinary leakage 0166 15.63 $812.90 $218.73 $162.58 53085..................... C Drainage of urinary leakage ............ ............ ............ ............ ............ 53200..................... T Biopsy of urethra.......... 0166 15.63 $812.90 $218.73 $162.58 53210..................... T Removal of urethra......... 0168 24.10 $1,253.42 $405.60 $250.68 53215..................... T Removal of urethra......... 0168 24.10 $1,253.42 $405.60 $250.68 53220..................... T Treatment of urethra lesion 0168 24.10 $1,253.42 $405.60 $250.68 53230..................... T Removal of urethra lesion.. 0168 24.10 $1,253.42 $405.60 $250.68 53235..................... T Removal of urethra lesion.. 0168 24.10 $1,253.42 $405.60 $250.68 53240..................... T Surgery for urethra pouch.. 0168 24.10 $1,253.42 $405.60 $250.68 53250..................... T Removal of urethra gland... 0166 15.63 $812.90 $218.73 $162.58 53260..................... T Treatment of urethra lesion 0166 15.63 $812.90 $218.73 $162.58 53265..................... T Treatment of urethra lesion 0166 15.63 $812.90 $218.73 $162.58 53270..................... T Removal of urethra gland... 0167 27.15 $1,412.04 $555.84 $282.41 53275..................... T Repair of urethra defect... 0166 15.63 $812.90 $218.73 $162.58 53400..................... T Revise urethra, stage 1.... 0168 24.10 $1,253.42 $405.60 $250.68 53405..................... T Revise urethra, stage 2.... 0168 24.10 $1,253.42 $405.60 $250.68 53410..................... T Reconstruction of urethra.. 0168 24.10 $1,253.42 $405.60 $250.68 53415..................... C Reconstruction of urethra.. ............ ............ ............ ............ ............ 53420..................... T Reconstruct urethra, stage 0168 24.10 $1,253.42 $405.60 $250.68 1. 53425..................... T Reconstruct urethra, stage 0168 24.10 $1,253.42 $405.60 $250.68 2. 53430..................... T Reconstruction of urethra.. 0168 24.10 $1,253.42 $405.60 $250.68 53431..................... T Reconstruct urethra/bladder 0168 24.10 $1,253.42 $405.60 $250.68 [[Page 52222]] 53440..................... T Correct bladder function... 0179 81.28 $4,227.29 $1,817.73 $845.46 53442..................... T Remove perineal prosthesis. 0166 15.63 $812.90 $218.73 $162.58 53444..................... T Insert tandem cuff......... 0179 81.28 $4,227.29 $1,817.73 $845.46 53445..................... T Insert uro/ves nck 0179 81.28 $4,227.29 $1,817.73 $845.46 sphincter. 53446..................... T Remove uro sphincter....... 0168 24.10 $1,253.42 $405.60 $250.68 53447..................... T Remove/replace ur sphincter 0179 81.28 $4,227.29 $1,817.73 $845.46 53448..................... C Remov/replc ur sphinctr ............ ............ ............ ............ ............ comp. 53449..................... T Repair uro sphincter....... 0168 24.10 $1,253.42 $405.60 $250.68 53450..................... T Revision of urethra........ 0168 24.10 $1,253.42 $405.60 $250.68 53460..................... T Revision of urethra........ 0168 24.10 $1,253.42 $405.60 $250.68 53502..................... T Repair of urethra injury... 0166 15.63 $812.90 $218.73 $162.58 53505..................... T Repair of urethra injury... 0167 27.15 $1,412.04 $555.84 $282.41 53510..................... T Repair of urethra injury... 0166 15.63 $812.90 $218.73 $162.58 53515..................... T Repair of urethra injury... 0168 24.10 $1,253.42 $405.60 $250.68 53520..................... T Repair of urethra defect... 0168 24.10 $1,253.42 $405.60 $250.68 53600..................... T Dilate urethra stricture... 0156 3.10 $161.23 $48.37 $32.25 53601..................... T Dilate urethra stricture... 0164 1.18 $61.37 $18.41 $12.27 53605..................... T Dilate urethra stricture... 0161 16.03 $833.70 $249.36 $166.74 53620..................... T Dilate urethra stricture... 0165 12.62 $656.35 ............ $131.27 53621..................... T Dilate urethra stricture... 0164 1.18 $61.37 $18.41 $12.27 53660..................... T Dilation of urethra........ 0164 1.18 $61.37 $18.41 $12.27 53661..................... T Dilation of urethra........ 0164 1.18 $61.37 $18.41 $12.27 53665..................... T Dilation of urethra........ 0166 15.63 $812.90 $218.73 $162.58 53670..................... N Insert urinary catheter.... ............ ............ ............ ............ ............ 53675..................... T Insert urinary catheter.... 0164 1.18 $61.37 $18.41 $12.27 53850..................... T Prostatic microwave 0675 51.57 $2,682.10 ............ $536.42 thermotx. 53852..................... T Prostatic rf thermotx...... 0675 51.57 $2,682.10 ............ $536.42 53853..................... T Prostatic water thermother. 0977 ............ $1,125.00 ............ $225.00 53899..................... T Urology surgery procedure.. 0164 1.18 $61.37 $18.41 $12.27 54000..................... T Slitting of prepuce........ 0166 15.63 $812.90 $218.73 $162.58 54001..................... T Slitting of prepuce........ 0166 15.63 $812.90 $218.73 $162.58 54015..................... T Drain penis lesion......... 0007 9.44 $490.96 $103.10 $98.19 54050..................... T Destruction, penis 0013 1.10 $57.21 $14.30 $11.44 lesion(s). 54055..................... T Destruction, penis 0017 16.46 $856.07 $227.84 $171.21 lesion(s). 54056..................... T Cryosurgery, penis 0012 0.76 $39.53 $10.67 $7.91 lesion(s). 54057..................... T Laser surg, penis lesion(s) 0017 16.46 $856.07 $227.84 $171.21 54060..................... T Excision of penis lesion(s) 0017 16.46 $856.07 $227.84 $171.21 54065..................... T Destruction, penis 0695 19.65 $1,021.98 $266.59 $204.40 lesion(s). 54100..................... T Biopsy of penis............ 0021 14.58 $758.29 $227.49 $151.66 54105..................... T Biopsy of penis............ 0022 18.10 $941.36 $367.13 $188.27 54110..................... T Treatment of penis lesion.. 0181 29.88 $1,554.03 $621.82 $310.81 54111..................... T Treat penis lesion, graft.. 0181 29.88 $1,554.03 $621.82 $310.81 54112..................... T Treat penis lesion, graft.. 0181 29.88 $1,554.03 $621.82 $310.81 54115..................... T Treatment of penis lesion.. 0008 16.32 $848.79 ............ $169.76 54120..................... T Partial removal of penis... 0181 29.88 $1,554.03 $621.82 $310.81 54125..................... C Removal of penis........... ............ ............ ............ ............ ............ 54130..................... C Remove penis & nodes....... ............ ............ ............ ............ ............ 54135..................... C Remove penis & nodes....... ............ ............ ............ ............ ............ 54150..................... T Circumcision............... 0180 18.95 $985.57 $304.87 $197.11 54152..................... T Circumcision............... 0180 18.95 $985.57 $304.87 $197.11 54160..................... T Circumcision............... 0180 18.95 $985.57 $304.87 $197.11 54161..................... T Circumcision............... 0180 18.95 $985.57 $304.87 $197.11 54162..................... T Lysis penil circumcis 0180 18.95 $985.57 $304.87 $197.11 lesion. 54163..................... T Repair of circumcision..... 0180 18.95 $985.57 $304.87 $197.11 54164..................... T Frenulotomy of penis....... 0180 18.95 $985.57 $304.87 $197.11 54200..................... T Treatment of penis lesion.. 0156 3.10 $161.23 $48.37 $32.25 54205..................... T Treatment of penis lesion.. 0181 29.88 $1,554.03 $621.82 $310.81 54220..................... T Treatment of penis lesion.. 0156 3.10 $161.23 $48.37 $32.25 54230..................... N Prepare penis study........ ............ ............ ............ ............ ............ 54231..................... T Dynamic cavernosometry..... 0165 12.62 $656.35 ............ $131.27 54235..................... T Penile injection........... 0164 1.18 $61.37 $18.41 $12.27 54240..................... T Penis study................ 0164 1.18 $61.37 $18.41 $12.27 54250..................... T Penis study................ 0165 12.62 $656.35 ............ $131.27 54300..................... T Revision of penis.......... 0181 29.88 $1,554.03 $621.82 $310.81 54304..................... T Revision of penis.......... 0181 29.88 $1,554.03 $621.82 $310.81 54308..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 [[Page 52223]] 54312..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 54316..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 54318..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 54322..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 54324..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 54326..................... T Reconstruction of urethra.. 0181 29.88 $1,554.03 $621.82 $310.81 54328..................... T Revise penis/urethra....... 0181 29.88 $1,554.03 $621.82 $310.81 54332..................... C Revise penis/urethra....... ............ ............ ............ ............ ............ 54336..................... C Revise penis/urethra....... ............ ............ ............ ............ ............ 54340..................... T Secondary urethral surgery. 0181 29.88 $1,554.03 $621.82 $310.81 54344..................... T Secondary urethral surgery. 0181 29.88 $1,554.03 $621.82 $310.81 54348..................... T Secondary urethral surgery. 0181 29.88 $1,554.03 $621.82 $310.81 54352..................... T Reconstruct urethra/penis.. 0181 29.88 $1,554.03 $621.82 $310.81 54360..................... T Penis plastic surgery...... 0181 29.88 $1,554.03 $621.82 $310.81 54380..................... T Repair penis............... 0181 29.88 $1,554.03 $621.82 $310.81 54385..................... T Repair penis............... 0181 29.88 $1,554.03 $621.82 $310.81 54390..................... C Repair penis and bladder... ............ ............ ............ ............ ............ 54400..................... T Insert semi-rigid 0182 83.80 $4,358.35 $1,438.26 $871.67 prosthesis. 54401..................... T Insert self-contd 0182 83.80 $4,358.35 $1,438.26 $871.67 prosthesis. 54405..................... T Insert multi-comp penis 0182 83.80 $4,358.35 $1,438.26 $871.67 pros. 54406..................... T Remove multi-comp penis 0181 29.88 $1,554.03 $621.82 $310.81 pros. 54408..................... T Repair multi-comp penis 0181 29.88 $1,554.03 $621.82 $310.81 pros. 54410..................... T Remove/replace penis prosth 0182 83.80 $4,358.35 $1,438.26 $871.67 54411..................... C Remv/replc penis pros, comp ............ ............ ............ ............ ............ 54415..................... T Remove self-contd penis 0181 29.88 $1,554.03 $621.82 $310.81 pros. 54416..................... T Remv/repl penis contain 0182 83.80 $4,358.35 $1,438.26 $871.67 pros. 54417..................... C Remv/replc penis pros, ............ ............ ............ ............ ............ compl. 54420..................... T Revision of penis.......... 0181 29.88 $1,554.03 $621.82 $310.81 54430..................... C Revision of penis.......... ............ ............ ............ ............ ............ 54435..................... T Revision of penis.......... 0181 29.88 $1,554.03 $621.82 $310.81 54440..................... T Repair of penis............ 0181 29.88 $1,554.03 $621.82 $310.81 54450..................... T Preputial stretching....... 0156 3.10 $161.23 $48.37 $32.25 54500..................... T Biopsy of testis........... 0005 3.02 $157.07 $69.11 $31.41 54505..................... T Biopsy of testis........... 0183 22.19 $1,154.08 $448.94 $230.82 54512..................... T Excise lesion testis....... 0183 22.19 $1,154.08 $448.94 $230.82 54520..................... T Removal of testis.......... 0183 22.19 $1,154.08 $448.94 $230.82 54522..................... T Orchiectomy, partial....... 0183 22.19 $1,154.08 $448.94 $230.82 54530..................... T Removal of testis.......... 0154 26.98 $1,403.20 $491.12 $280.64 54535..................... C Extensive testis surgery... ............ ............ ............ ............ ............ 54550..................... T Exploration for testis..... 0154 26.98 $1,403.20 $491.12 $280.64 54560..................... C Exploration for testis..... ............ ............ ............ ............ ............ 54600..................... T Reduce testis torsion...... 0183 22.19 $1,154.08 $448.94 $230.82 54620..................... T Suspension of testis....... 0183 22.19 $1,154.08 $448.94 $230.82 54640..................... T Suspension of testis....... 0154 26.98 $1,403.20 $491.12 $280.64 54650..................... C Orchiopexy (Fowler- ............ ............ ............ ............ ............ Stephens). 54660..................... T Revision of testis......... 0183 22.19 $1,154.08 $448.94 $230.82 54670..................... T Repair testis injury....... 0183 22.19 $1,154.08 $448.94 $230.82 54680..................... T Relocation of testis(es)... 0183 22.19 $1,154.08 $448.94 $230.82 54690..................... T Laparoscopy, orchiectomy... 0131 42.44 $2,207.26 $1,001.89 $441.45 54692..................... T Laparoscopy, orchiopexy.... 0132 57.95 $3,013.92 $1,239.22 $602.78 54699..................... T Laparoscope proc, testis... 0130 31.99 $1,663.77 $659.53 $332.75 54700..................... T Drainage of scrotum........ 0183 22.19 $1,154.08 $448.94 $230.82 54800..................... T Biopsy of epididymis....... 0004 1.63 $84.77 $22.04 $16.95 54820..................... T Exploration of epididymis.. 0183 22.19 $1,154.08 $448.94 $230.82 54830..................... T Remove epididymis lesion... 0183 22.19 $1,154.08 $448.94 $230.82 54840..................... T Remove epididymis lesion... 0183 22.19 $1,154.08 $448.94 $230.82 54860..................... T Removal of epididymis...... 0183 22.19 $1,154.08 $448.94 $230.82 54861..................... T Removal of epididymis...... 0183 22.19 $1,154.08 $448.94 $230.82 54900..................... T Fusion of spermatic ducts.. 0183 22.19 $1,154.08 $448.94 $230.82 54901..................... T Fusion of spermatic ducts.. 0183 22.19 $1,154.08 $448.94 $230.82 55000..................... T Drainage of hydrocele...... 0004 1.63 $84.77 $22.04 $16.95 55040..................... T Removal of hydrocele....... 0154 26.98 $1,403.20 $491.12 $280.64 55041..................... T Removal of hydroceles...... 0154 26.98 $1,403.20 $491.12 $280.64 55060..................... T Repair of hydrocele........ 0183 22.19 $1,154.08 $448.94 $230.82 55100..................... T Drainage of scrotum abscess 0007 9.44 $490.96 $103.10 $98.19 55110..................... T Explore scrotum............ 0183 22.19 $1,154.08 $448.94 $230.82 [[Page 52224]] 55120..................... T Removal of scrotum lesion.. 0183 22.19 $1,154.08 $448.94 $230.82 55150..................... T Removal of scrotum......... 0183 22.19 $1,154.08 $448.94 $230.82 55175..................... T Revision of scrotum........ 0183 22.19 $1,154.08 $448.94 $230.82 55180..................... T Revision of scrotum........ 0183 22.19 $1,154.08 $448.94 $230.82 55200..................... T Incision of sperm duct..... 0183 22.19 $1,154.08 $448.94 $230.82 55250..................... T Removal of sperm duct(s)... 0183 22.19 $1,154.08 $448.94 $230.82 55300..................... N Prepare, sperm duct x-ray.. ............ ............ ............ ............ ............ 55400..................... T Repair of sperm duct....... 0183 22.19 $1,154.08 $448.94 $230.82 55450..................... T Ligation of sperm duct..... 0183 22.19 $1,154.08 $448.94 $230.82 55500..................... T Removal of hydrocele....... 0183 22.19 $1,154.08 $448.94 $230.82 55520..................... T Removal of sperm cord 0183 22.19 $1,154.08 $448.94 $230.82 lesion. 55530..................... T Revise spermatic cord veins 0183 22.19 $1,154.08 $448.94 $230.82 55535..................... T Revise spermatic cord veins 0154 26.98 $1,403.20 $491.12 $280.64 55540..................... T Revise hernia & sperm veins 0154 26.98 $1,403.20 $491.12 $280.64 55550..................... T Laparo ligate spermatic 0131 42.44 $2,207.26 $1,001.89 $441.45 vein. 55559..................... T Laparo proc, spermatic cord 0130 31.99 $1,663.77 $659.53 $332.75 55600..................... C Incise sperm duct pouch.... ............ ............ ............ ............ ............ 55605..................... C Incise sperm duct pouch.... ............ ............ ............ ............ ............ 55650..................... C Remove sperm duct pouch.... ............ ............ ............ ............ ............ 55680..................... T Remove sperm pouch lesion.. 0183 22.19 $1,154.08 $448.94 $230.82 55700..................... T Biopsy of prostate......... 0184 3.66 $190.35 $95.18 $38.07 55705..................... T Biopsy of prostate......... 0184 3.66 $190.35 $95.18 $38.07 55720..................... T Drainage of prostate 0162 21.50 $1,118.19 ............ $223.64 abscess. 55725..................... T Drainage of prostate 0162 21.50 $1,118.19 ............ $223.64 abscess. 55801..................... C Removal of prostate........ ............ ............ ............ ............ ............ 55810..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55812..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55815..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55821..................... C Removal of prostate........ ............ ............ ............ ............ ............ 55831..................... C Removal of prostate........ ............ ............ ............ ............ ............ 55840..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55842..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55845..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55859..................... T Percut/needle insert, pros. 0163 24.77 $1,288.26 ............ $257.65 55860..................... T Surgical exposure, prostate 0165 12.62 $656.35 ............ $131.27 55862..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55865..................... C Extensive prostate surgery. ............ ............ ............ ............ ............ 55870..................... T Electroejaculation......... 0197 1.19 $61.89 $24.76 $12.38 55873..................... T Cryoablate prostate........ 0674 69.25 $3,601.62 ............ $720.32 55899..................... T Genital surgery procedure.. 0164 1.18 $61.37 $18.41 $12.27 55970..................... E Sex transformation, M to F. ............ ............ ............ ............ ............ 55980..................... E Sex transformation, F to M. ............ ............ ............ ............ ............ 56405..................... T I & D of vulva/perineum.... 0192 2.94 $152.91 $42.81 $30.58 56420..................... T Drainage of gland abscess.. 0192 2.94 $152.91 $42.81 $30.58 56440..................... T Surgery for vulva lesion... 0194 18.88 $981.93 $397.84 $196.39 56441..................... T Lysis of labial lesion(s).. 0193 14.57 $757.77 $171.13 $151.55 56501..................... T Destroy, vulva lesions, 0017 16.46 $856.07 $227.84 $171.21 simp. 56515..................... T Destroy vulva lesion/s 0695 19.65 $1,021.98 $266.59 $204.40 compl. 56605..................... T Biopsy of vulva/perineum... 0019 3.94 $204.92 $75.82 $40.98 56606..................... T Biopsy of vulva/perineum... 0019 3.94 $204.92 $75.82 $40.98 56620..................... T Partial removal of vulva... 0195 24.37 $1,267.46 $483.80 $253.49 56625..................... T Complete removal of vulva.. 0195 24.37 $1,267.46 $483.80 $253.49 56630..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56631..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56632..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56633..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56634..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56637..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56640..................... C Extensive vulva surgery.... ............ ............ ............ ............ ............ 56700..................... T Partial removal of hymen... 0194 18.88 $981.93 $397.84 $196.39 56720..................... T Incision of hymen.......... 0193 14.57 $757.77 $171.13 $151.55 56740..................... T Remove vagina gland lesion. 0194 18.88 $981.93 $397.84 $196.39 56800..................... T Repair of vagina........... 0194 18.88 $981.93 $397.84 $196.39 56805..................... T Repair clitoris............ 0194 18.88 $981.93 $397.84 $196.39 56810..................... T Repair of perineum......... 0194 18.88 $981.93 $397.84 $196.39 57000..................... T Exploration of vagina...... 0194 18.88 $981.93 $397.84 $196.39 [[Page 52225]] 57010..................... T Drainage of pelvic abscess. 0194 18.88 $981.93 $397.84 $196.39 57020..................... T Drainage of pelvic fluid... 0192 2.94 $152.91 $42.81 $30.58 57022..................... T I & d vaginal hematoma, pp. 0007 9.44 $490.96 $103.10 $98.19 57023..................... T I & d vag hematoma, non-ob. 0007 9.44 $490.96 $103.10 $98.19 57061..................... T Destroy vag lesions, simple 0194 18.88 $981.93 $397.84 $196.39 57065..................... T Destroy vag lesions, 0194 18.88 $981.93 $397.84 $196.39 complex. 57100..................... T Biopsy of vagina........... 0192 2.94 $152.91 $42.81 $30.58 57105..................... T Biopsy of vagina........... 0194 18.88 $981.93 $397.84 $196.39 57106..................... T Remove vagina wall, partial 0194 18.88 $981.93 $397.84 $196.39 57107..................... T Remove vagina tissue, part. 0195 24.37 $1,267.46 $483.80 $253.49 57109..................... T Vaginectomy partial w/nodes 0202 39.09 $2,033.03 $996.18 $406.61 57110..................... C Remove vagina wall, ............ ............ ............ ............ ............ complete. 57111..................... C Remove vagina tissue, compl ............ ............ ............ ............ ............ 57112..................... C Vaginectomy w/nodes, compl. ............ ............ ............ ............ ............ 57120..................... T Closure of vagina.......... 0194 18.88 $981.93 $397.84 $196.39 57130..................... T Remove vagina lesion....... 0194 18.88 $981.93 $397.84 $196.39 57135..................... T Remove vagina lesion....... 0194 18.88 $981.93 $397.84 $196.39 57150..................... T Treat vagina infection..... 0191 0.22 $11.44 $3.32 $2.29 57155..................... T Insert uteri tandems/ovoids 0192 2.94 $152.91 $42.81 $30.58 57160..................... T Insert pessary/other device 0188 1.12 $58.25 $11.95 $11.65 57170..................... T Fitting of diaphragm/cap... 0191 0.22 $11.44 $3.32 $2.29 57180..................... T Treat vaginal bleeding..... 0192 2.94 $152.91 $42.81 $30.58 57200..................... T Repair of vagina........... 0194 18.88 $981.93 $397.84 $196.39 57210..................... T Repair vagina/perineum..... 0194 18.88 $981.93 $397.84 $196.39 57220..................... T Revision of urethra........ 0195 24.37 $1,267.46 $483.80 $253.49 57230..................... T Repair of urethral lesion.. 0194 18.88 $981.93 $397.84 $196.39 57240..................... T Repair bladder & vagina.... 0195 24.37 $1,267.46 $483.80 $253.49 57250..................... T Repair rectum & vagina..... 0195 24.37 $1,267.46 $483.80 $253.49 57260..................... T Repair of vagina........... 0195 24.37 $1,267.46 $483.80 $253.49 57265..................... T Extensive repair of vagina. 0195 24.37 $1,267.46 $483.80 $253.49 57268..................... T Repair of bowel bulge...... 0195 24.37 $1,267.46 $483.80 $253.49 57270..................... C Repair of bowel pouch...... ............ ............ ............ ............ ............ 57280..................... C Suspension of vagina....... ............ ............ ............ ............ ............ 57282..................... C Repair of vaginal prolapse. ............ ............ ............ ............ ............ 57284..................... T Repair paravaginal defect.. 0195 24.37 $1,267.46 $483.80 $253.49 57287..................... T Revise/remove sling repair. 0202 39.09 $2,033.03 $996.18 $406.61 57288..................... T Repair bladder defect...... 0202 39.09 $2,033.03 $996.18 $406.61 57289..................... T Repair bladder & vagina.... 0195 24.37 $1,267.46 $483.80 $253.49 57291..................... T Construction of vagina..... 0195 24.37 $1,267.46 $483.80 $253.49 57292..................... C Construct vagina with graft ............ ............ ............ ............ ............ 57300..................... T Repair rectum-vagina 0195 24.37 $1,267.46 $483.80 $253.49 fistula. 57305..................... C Repair rectum-vagina ............ ............ ............ ............ ............ fistula. 57307..................... C Fistula repair & colostomy. ............ ............ ............ ............ ............ 57308..................... C Fistula repair, transperine ............ ............ ............ ............ ............ 57310..................... T Repair urethrovaginal 0195 24.37 $1,267.46 $483.80 $253.49 lesion. 57311..................... C Repair urethrovaginal ............ ............ ............ ............ ............ lesion. 57320..................... T Repair bladder-vagina 0195 24.37 $1,267.46 $483.80 $253.49 lesion. 57330..................... T Repair bladder-vagina 0195 24.37 $1,267.46 $483.80 $253.49 lesion. 57335..................... C Repair vagina.............. ............ ............ ............ ............ ............ 57400..................... T Dilation of vagina......... 0194 18.88 $981.93 $397.84 $196.39 57410..................... T Pelvic examination......... 0194 18.88 $981.93 $397.84 $196.39 57415..................... T Remove vaginal foreign body 0194 18.88 $981.93 $397.84 $196.39 57452..................... T Examination of vagina...... 0189 1.63 $84.77 $18.60 $16.95 57454..................... T Vagina examination & biopsy 0192 2.94 $152.91 $42.81 $30.58 57460..................... T Cervix excision............ 0193 14.57 $757.77 $171.13 $151.55 57500..................... T Biopsy of cervix........... 0192 2.94 $152.91 $42.81 $30.58 57505..................... T Endocervical curettage..... 0192 2.94 $152.91 $42.81 $30.58 57510..................... T Cauterization of cervix.... 0193 14.57 $757.77 $171.13 $151.55 57511..................... T Cryocautery of cervix...... 0189 1.63 $84.77 $18.60 $16.95 57513..................... T Laser surgery of cervix.... 0193 14.57 $757.77 $171.13 $151.55 57520..................... T Conization of cervix....... 0194 18.88 $981.93 $397.84 $196.39 57522..................... T Conization of cervix....... 0195 24.37 $1,267.46 $483.80 $253.49 57530..................... T Removal of cervix.......... 0195 24.37 $1,267.46 $483.80 $253.49 57531..................... C Removal of cervix, radical. ............ ............ ............ ............ ............ 57540..................... C Removal of residual cervix. ............ ............ ............ ............ ............ 57545..................... C Remove cervix/repair pelvis ............ ............ ............ ............ ............ [[Page 52226]] 57550..................... T Removal of residual cervix. 0195 24.37 $1,267.46 $483.80 $253.49 57555..................... T Remove cervix/repair vagina 0195 24.37 $1,267.46 $483.80 $253.49 57556..................... T Remove cervix, repair bowel 0195 24.37 $1,267.46 $483.80 $253.49 57700..................... T Revision of cervix......... 0194 18.88 $981.93 $397.84 $196.39 57720..................... T Revision of cervix......... 0194 18.88 $981.93 $397.84 $196.39 57800..................... T Dilation of cervical canal. 0192 2.94 $152.91 $42.81 $30.58 57820..................... T D & c of residual cervix... 0196 16.32 $848.79 $338.23 $169.76 58100..................... T Biopsy of uterus lining.... 0188 1.12 $58.25 $11.95 $11.65 58120..................... T Dilation and curettage..... 0196 16.32 $848.79 $338.23 $169.76 58140..................... C Removal of uterus lesion... ............ ............ ............ ............ ............ 58145..................... T Removal of uterus lesion... 0195 24.37 $1,267.46 $483.80 $253.49 58150..................... C Total hysterectomy......... ............ ............ ............ ............ ............ 58152..................... C Total hysterectomy......... ............ ............ ............ ............ ............ 58180..................... C Partial hysterectomy....... ............ ............ ............ ............ ............ 58200..................... C Extensive hysterectomy..... ............ ............ ............ ............ ............ 58210..................... C Extensive hysterectomy..... ............ ............ ............ ............ ............ 58240..................... C Removal of pelvis contents. ............ ............ ............ ............ ............ 58260..................... C Vaginal hysterectomy....... ............ ............ ............ ............ ............ 58262..................... C Vaginal hysterectomy....... ............ ............ ............ ............ ............ 58263..................... C Vaginal hysterectomy....... ............ ............ ............ ............ ............ 58267..................... C Hysterectomy & vagina ............ ............ ............ ............ ............ repair. 58270..................... C Hysterectomy & vagina ............ ............ ............ ............ ............ repair. 58275..................... C Hysterectomy/revise vagina. ............ ............ ............ ............ ............ 58280..................... C Hysterectomy/revise vagina. ............ ............ ............ ............ ............ 58285..................... C Extensive hysterectomy..... ............ ............ ............ ............ ............ 58300..................... E Insert intrauterine device. ............ ............ ............ ............ ............ 58301..................... T Remove intrauterine device. 0189 1.63 $84.77 $18.60 $16.95 58321..................... T Artificial insemination.... 0197 1.19 $61.89 $24.76 $12.38 58322..................... T Artificial insemination.... 0197 1.19 $61.89 $24.76 $12.38 58323..................... T Sperm washing.............. 0197 1.19 $61.89 $24.76 $12.38 58340..................... N Catheter for hysterography. ............ ............ ............ ............ ............ 58345..................... T Reopen fallopian tube...... 0194 18.88 $981.93 $397.84 $196.39 58346..................... T Insert heyman uteri capsule 0192 2.94 $152.91 $42.81 $30.58 58350..................... T Reopen fallopian tube...... 0194 18.88 $981.93 $397.84 $196.39 58353..................... T Endometr ablate, thermal... 0193 14.57 $757.77 $171.13 $151.55 58400..................... C Suspension of uterus....... ............ ............ ............ ............ ............ 58410..................... C Suspension of uterus....... ............ ............ ............ ............ ............ 58520..................... C Repair of ruptured uterus.. ............ ............ ............ ............ ............ 58540..................... C Revision of uterus......... ............ ............ ............ ............ ............ 58550..................... T Laparo-asst vag 0132 57.95 $3,013.92 $1,239.22 $602.78 hysterectomy. 58551..................... T Laparoscopy, remove myoma.. 0131 42.44 $2,207.26 $1,001.89 $441.45 58555..................... T Hysteroscopy, dx, sep proc. 0194 18.88 $981.93 $397.84 $196.39 58558..................... T Hysteroscopy, biopsy....... 0190 20.06 $1,043.30 $424.28 $208.66 58559..................... T Hysteroscopy, lysis........ 0190 20.06 $1,043.30 $424.28 $208.66 58560..................... T Hysteroscopy, resect septum 0190 20.06 $1,043.30 $424.28 $208.66 58561..................... T Hysteroscopy, remove myoma. 0190 20.06 $1,043.30 $424.28 $208.66 58562..................... T Hysteroscopy, remove fb.... 0190 20.06 $1,043.30 $424.28 $208.66 58563..................... T Hysteroscopy, ablation..... 0190 20.06 $1,043.30 $424.28 $208.66 58578..................... T Laparo proc, uterus........ 0190 20.06 $1,043.30 $424.28 $208.66 58579..................... T Hysteroscope procedure..... 0190 20.06 $1,043.30 $424.28 $208.66 58600..................... T Division of fallopian tube. 0194 18.88 $981.93 $397.84 $196.39 58605..................... C Division of fallopian tube. ............ ............ ............ ............ ............ 58611..................... C Ligate oviduct(s) add-on... ............ ............ ............ ............ ............ 58615..................... T Occlude fallopian tube(s).. 0194 18.88 $981.93 $397.84 $196.39 58660..................... T Laparoscopy, lysis......... 0131 42.44 $2,207.26 $1,001.89 $441.45 58661..................... T Laparoscopy, remove adnexa. 0131 42.44 $2,207.26 $1,001.89 $441.45 58662..................... T Laparoscopy, excise lesions 0131 42.44 $2,207.26 $1,001.89 $441.45 58670..................... T Laparoscopy, tubal cautery. 0131 42.44 $2,207.26 $1,001.89 $441.45 58671..................... T Laparoscopy, tubal block... 0131 42.44 $2,207.26 $1,001.89 $441.45 58672..................... T Laparoscopy, fimbrioplasty. 0131 42.44 $2,207.26 $1,001.89 $441.45 58673..................... T Laparoscopy, salpingostomy. 0131 42.44 $2,207.26 $1,001.89 $441.45 58679..................... T Laparo proc, oviduct-ovary. 0130 31.99 $1,663.77 $659.53 $332.75 58700..................... C Removal of fallopian tube.. ............ ............ ............ ............ ............ 58720..................... C Removal of ovary/tube(s)... ............ ............ ............ ............ ............ 58740..................... C Revise fallopian tube(s)... ............ ............ ............ ............ ............ 58750..................... C Repair oviduct............. ............ ............ ............ ............ ............ [[Page 52227]] 58752..................... C Revise ovarian tube(s)..... ............ ............ ............ ............ ............ 58760..................... C Remove tubal obstruction... ............ ............ ............ ............ ............ 58770..................... C Create new tubal opening... ............ ............ ............ ............ ............ 58800..................... T Drainage of ovarian cyst(s) 0195 24.37 $1,267.46 $483.80 $253.49 58805..................... C Drainage of ovarian cyst(s) ............ ............ ............ ............ ............ 58820..................... T Drain ovary abscess, open.. 0195 24.37 $1,267.46 $483.80 $253.49 58822..................... C Drain ovary abscess, percut ............ ............ ............ ............ ............ 58823..................... T Drain pelvic abscess, 0193 14.57 $757.77 $171.13 $151.55 percut. 58825..................... C Transposition, ovary(s).... ............ ............ ............ ............ ............ 58900..................... T Biopsy of ovary(s)......... 0195 24.37 $1,267.46 $483.80 $253.49 58920..................... T Partial removal of ovary(s) 0202 39.09 $2,033.03 $996.18 $406.61 58925..................... T Removal of ovarian cyst(s). 0202 39.09 $2,033.03 $996.18 $406.61 58940..................... C Removal of ovary(s)........ ............ ............ ............ ............ ............ 58943..................... C Removal of ovary(s)........ ............ ............ ............ ............ ............ 58950..................... C Resect ovarian malignancy.. ............ ............ ............ ............ ............ 58951..................... C Resect ovarian malignancy.. ............ ............ ............ ............ ............ 58952..................... C Resect ovarian malignancy.. ............ ............ ............ ............ ............ 58953..................... C Tah, rad dissect for debulk ............ ............ ............ ............ ............ 58954..................... C Tah rad debulk/lymph remove ............ ............ ............ ............ ............ 58960..................... C Exploration of abdomen..... ............ ............ ............ ............ ............ 58970..................... T Retrieval of oocyte........ 0194 18.88 $981.93 $397.84 $196.39 58974..................... T Transfer of embryo......... 0197 1.19 $61.89 $24.76 $12.38 58976..................... T Transfer of embryo......... 0197 1.19 $61.89 $24.76 $12.38 58999..................... T Genital surgery procedure.. 0191 0.22 $11.44 $3.32 $2.29 59000..................... T Amniocentesis, diagnostic.. 0198 1.33 $69.17 $32.92 $13.83 59001..................... T Amniocentesis, therapeutic. 0198 1.33 $69.17 $32.92 $13.83 59012..................... T Fetal cord 0198 1.33 $69.17 $32.92 $13.83 puncture,prenatal. 59015..................... T Chorion biopsy............. 0198 1.33 $69.17 $32.92 $13.83 59020..................... T Fetal contract stress test. 0198 1.33 $69.17 $32.92 $13.83 59025..................... T Fetal non-stress test...... 0198 1.33 $69.17 $32.92 $13.83 59030..................... T Fetal scalp blood sample... 0198 1.33 $69.17 $32.92 $13.83 59050..................... E Fetal monitor w/report..... ............ ............ ............ ............ ............ 59051..................... E Fetal monitor/interpret ............ ............ ............ ............ ............ only. 59100..................... C Remove uterus lesion....... ............ ............ ............ ............ ............ 59120..................... C Treat ectopic pregnancy.... ............ ............ ............ ............ ............ 59121..................... C Treat ectopic pregnancy.... ............ ............ ............ ............ ............ 59130..................... C Treat ectopic pregnancy.... ............ ............ ............ ............ ............ 59135..................... C Treat ectopic pregnancy.... ............ ............ ............ ............ ............ 59136..................... C Treat ectopic pregnancy.... ............ ............ ............ ............ ............ 59140..................... C Treat ectopic pregnancy.... ............ ............ ............ ............ ............ 59150..................... T Treat ectopic pregnancy.... 0131 42.44 $2,207.26 $1,001.89 $441.45 59151..................... T Treat ectopic pregnancy.... 0131 42.44 $2,207.26 $1,001.89 $441.45 59160..................... T D & c after delivery....... 0196 16.32 $848.79 $338.23 $169.76 59200..................... T Insert cervical dilator.... 0189 1.63 $84.77 $18.60 $16.95 59300..................... T Episiotomy or vaginal 0193 14.57 $757.77 $171.13 $151.55 repair. 59320..................... T Revision of cervix......... 0194 18.88 $981.93 $397.84 $196.39 59325..................... C Revision of cervix......... ............ ............ ............ ............ ............ 59350..................... C Repair of uterus........... ............ ............ ............ ............ ............ 59400..................... E Obstetrical care........... ............ ............ ............ ............ ............ 59409..................... T Obstetrical care........... 0199 5.69 $295.93 $72.98 $59.19 59410..................... E Obstetrical care........... ............ ............ ............ ............ ............ 59412..................... T Antepartum manipulation.... 0199 5.69 $295.93 $72.98 $59.19 59414..................... T Deliver placenta........... 0199 5.69 $295.93 $72.98 $59.19 59425..................... E Antepartum care only....... ............ ............ ............ ............ ............ 59426..................... E Antepartum care only....... ............ ............ ............ ............ ............ 59430..................... E Care after delivery........ ............ ............ ............ ............ ............ 59510..................... E Cesarean delivery.......... ............ ............ ............ ............ ............ 59514..................... C Cesarean delivery only..... ............ ............ ............ ............ ............ 59515..................... E Cesarean delivery.......... ............ ............ ............ ............ ............ 59525..................... C Remove uterus after ............ ............ ............ ............ ............ cesarean. 59610..................... E Vbac delivery.............. ............ ............ ............ ............ ............ 59612..................... T Vbac delivery only......... 0199 5.69 $295.93 $72.98 $59.19 59614..................... E Vbac care after delivery... ............ ............ ............ ............ ............ 59618..................... E Attempted vbac delivery.... ............ ............ ............ ............ ............ 59620..................... C Attempted vbac delivery ............ ............ ............ ............ ............ only. 59622..................... E Attempted vbac after care.. ............ ............ ............ ............ ............ [[Page 52228]] 59812..................... T Treatment of miscarriage... 0201 15.84 $823.82 $329.65 $164.76 59820..................... T Care of miscarriage........ 0201 15.84 $823.82 $329.65 $164.76 59821..................... T Treatment of miscarriage... 0201 15.84 $823.82 $329.65 $164.76 59830..................... C Treat uterus infection..... ............ ............ ............ ............ ............ 59840..................... T Abortion................... 0200 14.49 $753.61 $307.83 $150.72 59841..................... T Abortion................... 0200 14.49 $753.61 $307.83 $150.72 59850..................... C Abortion................... ............ ............ ............ ............ ............ 59851..................... C Abortion................... ............ ............ ............ ............ ............ 59852..................... C Abortion................... ............ ............ ............ ............ ............ 59855..................... C Abortion................... ............ ............ ............ ............ ............ 59856..................... C Abortion................... ............ ............ ............ ............ ............ 59857..................... C Abortion................... ............ ............ ............ ............ ............ 59866..................... T Abortion (mpr)............. 0198 1.33 $69.17 $32.92 $13.83 59870..................... T Evacuate mole of uterus.... 0201 15.84 $823.82 $329.65 $164.76 59871..................... T Remove cerclage suture..... 0194 18.88 $981.93 $397.84 $196.39 59898..................... T Laparo proc, ob care/ 0130 31.99 $1,663.77 $659.53 $332.75 deliver. 59899..................... T Maternity care procedure... 0198 1.33 $69.17 $32.92 $13.83 60000..................... T Drain thyroid/tongue cyst.. 0252 6.27 $326.10 $114.24 $65.22 60001..................... T Aspirate/inject thyriod 0004 1.63 $84.77 $22.04 $16.95 cyst. 60100..................... T Biopsy of thyroid.......... 0004 1.63 $84.77 $22.04 $16.95 60200..................... T Remove thyroid lesion...... 0114 37.55 $1,952.94 $507.76 $390.59 60210..................... T Partial thyroid excision... 0114 37.55 $1,952.94 $507.76 $390.59 60212..................... T Parital thyroid excision... 0114 37.55 $1,952.94 $507.76 $390.59 60220..................... T Partial removal of thyroid. 0114 37.55 $1,952.94 $507.76 $390.59 60225..................... T Partial removal of thyroid. 0114 37.55 $1,952.94 $507.76 $390.59 60240..................... T Removal of thyroid......... 0114 37.55 $1,952.94 $507.76 $390.59 60252..................... T Removal of thyroid......... 0256 35.51 $1,846.84 ............ $369.37 60254..................... C Extensive thyroid surgery.. ............ ............ ............ ............ ............ 60260..................... T Repeat thyroid surgery..... 0256 35.51 $1,846.84 ............ $369.37 60270..................... C Removal of thyroid......... ............ ............ ............ ............ ............ 60271..................... C Removal of thyroid......... ............ ............ ............ ............ ............ 60280..................... T Remove thyroid duct lesion. 0114 37.55 $1,952.94 $507.76 $390.59 60281..................... T Remove thyroid duct lesion. 0114 37.55 $1,952.94 $507.76 $390.59 60500..................... T Explore parathyroid glands. 0256 35.51 $1,846.84 ............ $369.37 60502..................... C Re-explore parathyroids.... ............ ............ ............ ............ ............ 60505..................... C Explore parathyroid glands. ............ ............ ............ ............ ............ 60512..................... T Autotransplant parathyroid. 0022 18.10 $941.36 $367.13 $188.27 60520..................... C Removal of thymus gland.... ............ ............ ............ ............ ............ 60521..................... C Removal of thymus gland.... ............ ............ ............ ............ ............ 60522..................... C Removal of thymus gland.... ............ ............ ............ ............ ............ 60540..................... C Explore adrenal gland...... ............ ............ ............ ............ ............ 60545..................... C Explore adrenal gland...... ............ ............ ............ ............ ............ 60600..................... C Remove carotid body lesion. ............ ............ ............ ............ ............ 60605..................... C Remove carotid body lesion. ............ ............ ............ ............ ............ 60650..................... C Laparoscopy adrenalectomy.. ............ ............ ............ ............ ............ 60659..................... T Laparo proc, endocrine..... 0130 31.99 $1,663.77 $659.53 $332.75 60699..................... T Endocrine surgery procedure 0114 37.55 $1,952.94 $507.76 $390.59 61000..................... T Remove cranial cavity fluid 0212 3.53 $183.59 $84.45 $36.72 61001..................... T Remove cranial cavity fluid 0212 3.53 $183.59 $84.45 $36.72 61020..................... T Remove brain cavity fluid.. 0212 3.53 $183.59 $84.45 $36.72 61026..................... T Injection into brain canal. 0212 3.53 $183.59 $84.45 $36.72 61050..................... T Remove brain canal fluid... 0212 3.53 $183.59 $84.45 $36.72 61055..................... T Injection into brain canal. 0212 3.53 $183.59 $84.45 $36.72 61070..................... T Brain canal shunt procedure 0212 3.53 $183.59 $84.45 $36.72 61105..................... C Twist drill hole........... ............ ............ ............ ............ ............ 61107..................... C Drill skull for ............ ............ ............ ............ ............ implantation. 61108..................... C Drill skull for drainage... ............ ............ ............ ............ ............ 61120..................... C Burr hole for puncture..... ............ ............ ............ ............ ............ 61140..................... C Pierce skull for biopsy.... ............ ............ ............ ............ ............ 61150..................... C Pierce skull for drainage.. ............ ............ ............ ............ ............ 61151..................... C Pierce skull for drainage.. ............ ............ ............ ............ ............ 61154..................... C Pierce skull & remove clot. ............ ............ ............ ............ ............ 61156..................... C Pierce skull for drainage.. ............ ............ ............ ............ ............ 61210..................... C Pierce skull, implant ............ ............ ............ ............ ............ device. 61215..................... T Insert brain-fluid device.. 0224 39.14 $2,035.63 $453.41 $407.13 61250..................... C Pierce skull & explore..... ............ ............ ............ ............ ............ [[Page 52229]] 61253..................... C Pierce skull & explore..... ............ ............ ............ ............ ............ 61304..................... C Open skull for exploration. ............ ............ ............ ............ ............ 61305..................... C Open skull for exploration. ............ ............ ............ ............ ............ 61312..................... C Open skull for drainage.... ............ ............ ............ ............ ............ 61313..................... C Open skull for drainage.... ............ ............ ............ ............ ............ 61314..................... C Open skull for drainage.... ............ ............ ............ ............ ............ 61315..................... C Open skull for drainage.... ............ ............ ............ ............ ............ 61320..................... C Open skull for drainage.... ............ ............ ............ ............ ............ 61321..................... C Open skull for drainage.... ............ ............ ............ ............ ............ 61330..................... T Decompress eye socket...... 0256 35.51 $1,846.84 ............ $369.37 61332..................... C Explore/biopsy eye socket.. ............ ............ ............ ............ ............ 61333..................... C Explore orbit/remove lesion ............ ............ ............ ............ ............ 61334..................... C Explore orbit/remove object ............ ............ ............ ............ ............ 61340..................... C Relieve cranial pressure... ............ ............ ............ ............ ............ 61343..................... C Incise skull (press relief) ............ ............ ............ ............ ............ 61345..................... C Relieve cranial pressure... ............ ............ ............ ............ ............ 61440..................... C Incise skull for surgery... ............ ............ ............ ............ ............ 61450..................... C Incise skull for surgery... ............ ............ ............ ............ ............ 61458..................... C Incise skull for brain ............ ............ ............ ............ ............ wound. 61460..................... C Incise skull for surgery... ............ ............ ............ ............ ............ 61470..................... C Incise skull for surgery... ............ ............ ............ ............ ............ 61480..................... C Incise skull for surgery... ............ ............ ............ ............ ............ 61490..................... C Incise skull for surgery... ............ ............ ............ ............ ............ 61500..................... C Removal of skull lesion.... ............ ............ ............ ............ ............ 61501..................... C Remove infected skull bone. ............ ............ ............ ............ ............ 61510..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61512..................... C Remove brain lining lesion. ............ ............ ............ ............ ............ 61514..................... C Removal of brain abscess... ............ ............ ............ ............ ............ 61516..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61518..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61519..................... C Remove brain lining lesion. ............ ............ ............ ............ ............ 61520..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61521..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61522..................... C Removal of brain abscess... ............ ............ ............ ............ ............ 61524..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61526..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61530..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61531..................... C Implant brain electrodes... ............ ............ ............ ............ ............ 61533..................... C Implant brain electrodes... ............ ............ ............ ............ ............ 61534..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61535..................... C Remove brain electrodes.... ............ ............ ............ ............ ............ 61536..................... C Removal of brain lesion.... ............ ............ ............ ............ ............ 61538..................... C Removal of brain tissue.... ............ ............ ............ ............ ............ 61539..................... C Removal of brain tissue.... ............ ............ ............ ............ ............ 61541..................... C Incision of brain tissue... ............ ............ ............ ............ ............ 61542..................... C Removal of brain tissue.... ............ ............ ............ ............ ............ 61543..................... C Removal of brain tissue.... ............ ............ ............ ............ ............ 61544..................... C Remove & treat brain lesion ............ ............ ............ ............ ............ 61545..................... C Excision of brain tumor.... ............ ............ ............ ............ ............ 61546..................... C Removal of pituitary gland. ............ ............ ............ ............ ............ 61548..................... C Removal of pituitary gland. ............ ............ ............ ............ ............ 61550..................... C Release of skull seams..... ............ ............ ............ ............ ............ 61552..................... C Release of skull seams..... ............ ............ ............ ............ ............ 61556..................... C Incise skull/sutures....... ............ ............ ............ ............ ............ 61557..................... C Incise skull/sutures....... ............ ............ ............ ............ ............ 61558..................... C Excision of skull/sutures.. ............ ............ ............ ............ ............ 61559..................... C Excision of skull/sutures.. ............ ............ ............ ............ ............ 61563..................... C Excision of skull tumor.... ............ ............ ............ ............ ............ 61564..................... C Excision of skull tumor.... ............ ............ ............ ............ ............ 61570..................... C Remove foreign body, brain. ............ ............ ............ ............ ............ 61571..................... C Incise skull for brain ............ ............ ............ ............ ............ wound. 61575..................... C Skull base/brainstem ............ ............ ............ ............ ............ surgery. 61576..................... C Skull base/brainstem ............ ............ ............ ............ ............ surgery. 61580..................... C Craniofacial approach, ............ ............ ............ ............ ............ skull. 61581..................... C Craniofacial approach, ............ ............ ............ ............ ............ skull. 61582..................... C Craniofacial approach, ............ ............ ............ ............ ............ skull. [[Page 52230]] 61583..................... C Craniofacial approach, ............ ............ ............ ............ ............ skull. 61584..................... C Orbitocranial approach/ ............ ............ ............ ............ ............ skull. 61585..................... C Orbitocranial approach/ ............ ............ ............ ............ ............ skull. 61586..................... C Resect nasopharynx, skull.. ............ ............ ............ ............ ............ 61590..................... C Infratemporal approach/ ............ ............ ............ ............ ............ skull. 61591..................... C Infratemporal approach/ ............ ............ ............ ............ ............ skull. 61592..................... C Orbitocranial approach/ ............ ............ ............ ............ ............ skull. 61595..................... C Transtemporal approach/ ............ ............ ............ ............ ............ skull. 61596..................... C Transcochlear approach/ ............ ............ ............ ............ ............ skull. 61597..................... C Transcondylar approach/ ............ ............ ............ ............ ............ skull. 61598..................... C Transpetrosal approach/ ............ ............ ............ ............ ............ skull. 61600..................... C Resect/excise cranial ............ ............ ............ ............ ............ lesion. 61601..................... C Resect/excise cranial ............ ............ ............ ............ ............ lesion. 61605..................... C Resect/excise cranial ............ ............ ............ ............ ............ lesion. 61606..................... C Resect/excise cranial ............ ............ ............ ............ ............ lesion. 61607..................... C Resect/excise cranial ............ ............ ............ ............ ............ lesion. 61608..................... C Resect/excise cranial ............ ............ ............ ............ ............ lesion. 61609..................... C Transect artery, sinus..... ............ ............ ............ ............ ............ 61610..................... C Transect artery, sinus..... ............ ............ ............ ............ ............ 61611..................... C Transect artery, sinus..... ............ ............ ............ ............ ............ 61612..................... C Transect artery, sinus..... ............ ............ ............ ............ ............ 61613..................... C Remove aneurysm, sinus..... ............ ............ ............ ............ ............ 61615..................... C Resect/excise lesion, skull ............ ............ ............ ............ ............ 61616..................... C Resect/excise lesion, skull ............ ............ ............ ............ ............ 61618..................... C Repair dura................ ............ ............ ............ ............ ............ 61619..................... C Repair dura................ ............ ............ ............ ............ ............ 61624..................... C Occlusion/embolization cath ............ ............ ............ ............ ............ 61626..................... T Occlusion/embolization cath 0081 22.69 $1,180.08 ............ $236.02 61680..................... C Intracranial vessel surgery ............ ............ ............ ............ ............ 61682..................... C Intracranial vessel surgery ............ ............ ............ ............ ............ 61684..................... C Intracranial vessel surgery ............ ............ ............ ............ ............ 61686..................... C Intracranial vessel surgery ............ ............ ............ ............ ............ 61690..................... C Intracranial vessel surgery ............ ............ ............ ............ ............ 61692..................... C Intracranial vessel surgery ............ ............ ............ ............ ............ 61697..................... C Brain aneurysm repr, complx ............ ............ ............ ............ ............ 61698..................... C Brain aneurysm repr, complx ............ ............ ............ ............ ............ 61700..................... C Brain aneurysm repr , ............ ............ ............ ............ ............ simple. 61702..................... C Inner skull vessel surgery. ............ ............ ............ ............ ............ 61703..................... C Clamp neck artery.......... ............ ............ ............ ............ ............ 61705..................... C Revise circulation to head. ............ ............ ............ ............ ............ 61708..................... C Revise circulation to head. ............ ............ ............ ............ ............ 61710..................... C Revise circulation to head. ............ ............ ............ ............ ............ 61711..................... C Fusion of skull arteries... ............ ............ ............ ............ ............ 61720..................... C Incise skull/brain surgery. ............ ............ ............ ............ ............ 61735..................... C Incise skull/brain surgery. ............ ............ ............ ............ ............ 61750..................... C Incise skull/brain biopsy.. ............ ............ ............ ............ ............ 61751..................... C Brain biopsy w/ ct/mr guide ............ ............ ............ ............ ............ 61760..................... C Implant brain electrodes... ............ ............ ............ ............ ............ 61770..................... C Incise skull for treatment. ............ ............ ............ ............ ............ 61790..................... T Treat trigeminal nerve..... 0220 16.66 $866.47 ............ $173.29 61791..................... T Treat trigeminal tract..... 0204 2.13 $110.78 $42.10 $22.16 61793..................... E Focus radiation beam....... ............ ............ ............ ............ ............ 61795..................... S Brain surgery using 0302 10.17 $528.93 $200.99 $105.79 computer. 61850..................... C Implant neuroelectrodes.... ............ ............ ............ ............ ............ 61860..................... C Implant neuroelectrodes.... ............ ............ ............ ............ ............ 61862..................... C Implant neurostimul, ............ ............ ............ ............ ............ subcort. 61870..................... C Implant neuroelectrodes.... ............ ............ ............ ............ ............ 61875..................... C Implant neuroelectrodes.... ............ ............ ............ ............ ............ 61880..................... T Revise/remove 0687 19.50 $1,014.18 $466.52 $202.84 neuroelectrode. 61885..................... T Implant neurostim one array 0222 140.56 $7,310.39 ............ $1,462.08 61886..................... T Implant neurostim arrays... 0222 140.56 $7,310.39 ............ $1,462.08 61888..................... T Revise/remove neuroreceiver 0688 30.58 $1,590.44 $779.32 $318.09 62000..................... C Treat skull fracture....... ............ ............ ............ ............ ............ 62005..................... C Treat skull fracture....... ............ ............ ............ ............ ............ 62010..................... C Treatment of head injury... ............ ............ ............ ............ ............ 62100..................... C Repair brain fluid leakage. ............ ............ ............ ............ ............ [[Page 52231]] 62115..................... C Reduction of skull defect.. ............ ............ ............ ............ ............ 62116..................... C Reduction of skull defect.. ............ ............ ............ ............ ............ 62117..................... C Reduction of skull defect.. ............ ............ ............ ............ ............ 62120..................... C Repair skull cavity lesion. ............ ............ ............ ............ ............ 62121..................... C Incise skull repair........ ............ ............ ............ ............ ............ 62140..................... C Repair of skull defect..... ............ ............ ............ ............ ............ 62141..................... C Repair of skull defect..... ............ ............ ............ ............ ............ 62142..................... C Remove skull plate/flap.... ............ ............ ............ ............ ............ 62143..................... C Replace skull plate/flap... ............ ............ ............ ............ ............ 62145..................... C Repair of skull & brain.... ............ ............ ............ ............ ............ 62146..................... C Repair of skull with graft. ............ ............ ............ ............ ............ 62147..................... C Repair of skull with graft. ............ ............ ............ ............ ............ 62180..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62190..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62192..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62194..................... T Replace/irrigate catheter.. 0121 2.17 $112.86 $45.14 $22.57 62200..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62201..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62220..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62223..................... C Establish brain cavity ............ ............ ............ ............ ............ shunt. 62225..................... T Replace/irrigate catheter.. 0121 2.17 $112.86 $45.14 $22.57 62230..................... T Replace/revise brain shunt. 0224 39.14 $2,035.63 $453.41 $407.13 62252..................... S Csf shunt reprogram........ 0691 3.14 $163.31 $89.02 $32.66 62256..................... C Remove brain cavity shunt.. ............ ............ ............ ............ ............ 62258..................... C Replace brain cavity shunt. ............ ............ ............ ............ ............ 62263..................... T Lysis epidural adhesions... 0203 10.96 $570.02 $256.51 $114.00 62268..................... T Drain spinal cord cyst..... 0212 3.53 $183.59 $84.45 $36.72 62269..................... T Needle biopsy, spinal cord. 0005 3.02 $157.07 $69.11 $31.41 62270..................... T Spinal fluid tap, 0206 4.89 $254.32 $75.55 $50.86 diagnostic. 62272..................... T Drain cerebro spinal fluid. 0206 4.89 $254.32 $75.55 $50.86 62273..................... T Treat epidural spine lesion 0206 4.89 $254.32 $75.55 $50.86 62280..................... T Treat spinal cord lesion... 0207 5.97 $310.49 $123.69 $62.10 62281..................... T Treat spinal cord lesion... 0207 5.97 $310.49 $123.69 $62.10 62282..................... T Treat spinal canal lesion.. 0207 5.97 $310.49 $123.69 $62.10 62284..................... N Injection for myelogram.... ............ ............ ............ ............ ............ 62287..................... T Percutaneous diskectomy.... 0220 16.66 $866.47 ............ $173.29 62290..................... N Inject for spine disk x-ray ............ ............ ............ ............ ............ 62291..................... N Inject for spine disk x-ray ............ ............ ............ ............ ............ 62292..................... T Injection into disk lesion. 0212 3.53 $183.59 $84.45 $36.72 62294..................... T Injection into spinal 0212 3.53 $183.59 $84.45 $36.72 artery. 62310..................... T Inject spine c/t........... 0206 4.89 $254.32 $75.55 $50.86 62311..................... T Inject spine l/s (cd)...... 0206 4.89 $254.32 $75.55 $50.86 62318..................... T Inject spine w/cath, c/t... 0206 4.89 $254.32 $75.55 $50.86 62319..................... T Inject spine w/cath l/s 0206 4.89 $254.32 $75.55 $50.86 (cd). 62350..................... T Implant spinal canal cath.. 0223 20.30 $1,055.78 ............ $211.16 62351..................... T Implant spinal canal cath.. 0208 39.95 $2,077.76 ............ $415.55 62355..................... T Remove spinal canal 0203 10.96 $570.02 $256.51 $114.00 catheter. 62360..................... T Insert spine infusion 0226 44.20 $2,298.80 ............ $459.76 device. 62361..................... T Implant spine infusion pump 0227 128.03 $6,658.71 ............ $1,331.74 62362..................... T Implant spine infusion pump 0227 128.03 $6,658.71 ............ $1,331.74 62365..................... T Remove spine infusion 0203 10.96 $570.02 $256.51 $114.00 device. 62367..................... S Analyze spine infusion pump 0691 3.14 $163.31 $89.02 $32.66 62368..................... S Analyze spine infusion pump 0691 3.14 $163.31 $89.02 $32.66 63001..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63003..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63005..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63011..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63012..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63015..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63016..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63017..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63020..................... T Neck spine disk surgery.... 0208 39.95 $2,077.76 ............ $415.55 63030..................... T Low back disk surgery...... 0208 39.95 $2,077.76 ............ $415.55 63035..................... T Spinal disk surgery add-on. 0208 39.95 $2,077.76 ............ $415.55 63040..................... T Laminotomy, single cervical 0208 39.95 $2,077.76 ............ $415.55 63042..................... T Laminotomy, single lumbar.. 0208 39.95 $2,077.76 ............ $415.55 [[Page 52232]] 63043..................... C Laminotomy, addl cervical.. ............ ............ ............ ............ ............ 63044..................... C Laminotomy, addl lumbar.... ............ ............ ............ ............ ............ 63045..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63046..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63047..................... T Removal of spinal lamina... 0208 39.95 $2,077.76 ............ $415.55 63048..................... T Remove spinal lamina add-on 0208 39.95 $2,077.76 ............ $415.55 63055..................... T Decompress spinal cord..... 0208 39.95 $2,077.76 ............ $415.55 63056..................... T Decompress spinal cord..... 0208 39.95 $2,077.76 ............ $415.55 63057..................... T Decompress spine cord add- 0208 39.95 $2,077.76 ............ $415.55 on. 63064..................... T Decompress spinal cord..... 0208 39.95 $2,077.76 ............ $415.55 63066..................... T Decompress spine cord add- 0208 39.95 $2,077.76 ............ $415.55 on. 63075..................... C Neck spine disk surgery.... ............ ............ ............ ............ ............ 63076..................... C Neck spine disk surgery.... ............ ............ ............ ............ ............ 63077..................... C Spine disk surgery, thorax. ............ ............ ............ ............ ............ 63078..................... C Spine disk surgery, thorax. ............ ............ ............ ............ ............ 63081..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63082..................... C Remove vertebral body add- ............ ............ ............ ............ ............ on. 63085..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63086..................... C Remove vertebral body add- ............ ............ ............ ............ ............ on. 63087..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63088..................... C Remove vertebral body add- ............ ............ ............ ............ ............ on. 63090..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63091..................... C Remove vertebral body add- ............ ............ ............ ............ ............ on. 63170..................... C Incise spinal cord tract(s) ............ ............ ............ ............ ............ 63172..................... C Drainage of spinal cyst.... ............ ............ ............ ............ ............ 63173..................... C Drainage of spinal cyst.... ............ ............ ............ ............ ............ 63180..................... C Revise spinal cord ............ ............ ............ ............ ............ ligaments. 63182..................... C Revise spinal cord ............ ............ ............ ............ ............ ligaments. 63185..................... C Incise spinal column/nerves ............ ............ ............ ............ ............ 63190..................... C Incise spinal column/nerves ............ ............ ............ ............ ............ 63191..................... C Incise spinal column/nerves ............ ............ ............ ............ ............ 63194..................... C Incise spinal column & cord ............ ............ ............ ............ ............ 63195..................... C Incise spinal column & cord ............ ............ ............ ............ ............ 63196..................... C Incise spinal column & cord ............ ............ ............ ............ ............ 63197..................... C Incise spinal column & cord ............ ............ ............ ............ ............ 63198..................... C Incise spinal column & cord ............ ............ ............ ............ ............ 63199..................... C Incise spinal column & cord ............ ............ ............ ............ ............ 63200..................... C Release of spinal cord..... ............ ............ ............ ............ ............ 63250..................... C Revise spinal cord vessels. ............ ............ ............ ............ ............ 63251..................... C Revise spinal cord vessels. ............ ............ ............ ............ ............ 63252..................... C Revise spinal cord vessels. ............ ............ ............ ............ ............ 63265..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63266..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63267..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63268..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63270..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63271..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63272..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63273..................... C Excise intraspinal lesion.. ............ ............ ............ ............ ............ 63275..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63276..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63277..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63278..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63280..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63281..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63282..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63283..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63285..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63286..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63287..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63290..................... C Biopsy/excise spinal tumor. ............ ............ ............ ............ ............ 63300..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63301..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63302..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63303..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63304..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ [[Page 52233]] 63305..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63306..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63307..................... C Removal of vertebral body.. ............ ............ ............ ............ ............ 63308..................... C Remove vertebral body add- ............ ............ ............ ............ ............ on. 63600..................... T Remove spinal cord lesion.. 0220 16.66 $866.47 ............ $173.29 63610..................... T Stimulation of spinal cord. 0220 16.66 $866.47 ............ $173.29 63615..................... T Remove lesion of spinal 0220 16.66 $866.47 ............ $173.29 cord. 63650..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 63655..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 63660..................... T Revise/remove 0687 19.50 $1,014.18 $466.52 $202.84 neuroelectrode. 63685..................... T Implant neuroreceiver...... 0222 140.56 $7,310.39 ............ $1,462.08 63688..................... T Revise/remove neuroreceiver 0688 30.58 $1,590.44 $779.32 $318.09 63700..................... C Repair of spinal herniation ............ ............ ............ ............ ............ 63702..................... C Repair of spinal herniation ............ ............ ............ ............ ............ 63704..................... C Repair of spinal herniation ............ ............ ............ ............ ............ 63706..................... C Repair of spinal herniation ............ ............ ............ ............ ............ 63707..................... C Repair spinal fluid leakage ............ ............ ............ ............ ............ 63709..................... C Repair spinal fluid leakage ............ ............ ............ ............ ............ 63710..................... C Graft repair of spine ............ ............ ............ ............ ............ defect. 63740..................... C Install spinal shunt....... ............ ............ ............ ............ ............ 63741..................... T Install spinal shunt....... 0228 55.05 $2,863.10 $696.46 $572.62 63744..................... T Revision of spinal shunt... 0228 55.05 $2,863.10 $696.46 $572.62 63746..................... T Removal of spinal shunt.... 0109 7.68 $399.43 $131.49 $79.89 64400..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64402..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64405..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64408..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64410..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64412..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64413..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64415..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64417..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64418..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64420..................... T Injection for nerve block.. 0207 5.97 $310.49 $123.69 $62.10 64421..................... T Injection for nerve block.. 0207 5.97 $310.49 $123.69 $62.10 64425..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64430..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64435..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64445..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64450..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64470..................... T Inj paravertebral c/t...... 0207 5.97 $310.49 $123.69 $62.10 64472..................... T Inj paravertebral c/t add- 0207 5.97 $310.49 $123.69 $62.10 on. 64475..................... T Inj paravertebral l/s...... 0207 5.97 $310.49 $123.69 $62.10 64476..................... T Inj paravertebral l/s add- 0207 5.97 $310.49 $123.69 $62.10 on. 64479..................... T Inj foramen epidural c/t... 0207 5.97 $310.49 $123.69 $62.10 64480..................... T Inj foramen epidural add-on 0207 5.97 $310.49 $123.69 $62.10 64483..................... T Inj foramen epidural l/s... 0207 5.97 $310.49 $123.69 $62.10 64484..................... T Inj foramen epidural add-on 0207 5.97 $310.49 $123.69 $62.10 64505..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64508..................... T Injection for nerve block.. 0204 2.13 $110.78 $42.10 $22.16 64510..................... T Injection for nerve block.. 0207 5.97 $310.49 $123.69 $62.10 64520..................... T Injection for nerve block.. 0207 5.97 $310.49 $123.69 $62.10 64530..................... T Injection for nerve block.. 0207 5.97 $310.49 $123.69 $62.10 64550..................... A Apply neurostimulator...... ............ ............ ............ ............ ............ 64553..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64555..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64560..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64561..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64565..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64573..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64575..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64577..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64580..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64581..................... T Implant neuroelectrodes.... 0225 44.47 $2,312.84 ............ $462.57 64585..................... T Revise/remove 0687 19.50 $1,014.18 $466.52 $202.84 neuroelectrode. 64590..................... T Implant neuroreceiver...... 0222 140.56 $7,310.39 ............ $1,462.08 [[Page 52234]] 64595..................... T Revise/remove neuroreceiver 0688 30.58 $1,590.44 $779.32 $318.09 64600..................... T Injection treatment of 0203 10.96 $570.02 $256.51 $114.00 nerve. 64605..................... T Injection treatment of 0203 10.96 $570.02 $256.51 $114.00 nerve. 64610..................... T Injection treatment of 0203 10.96 $570.02 $256.51 $114.00 nerve. 64612..................... T Destroy nerve, face muscle. 0204 2.13 $110.78 $42.10 $22.16 64613..................... T Destroy nerve, spine muscle 0204 2.13 $110.78 $42.10 $22.16 64614..................... T Destroy nerve, extrem musc. 0204 2.13 $110.78 $42.10 $22.16 64620..................... T Injection treatment of 0203 10.96 $570.02 $256.51 $114.00 nerve. 64622..................... T Destr paravertebrl nerve l/ 0203 10.96 $570.02 $256.51 $114.00 s. 64623..................... T Destr paravertebral n add- 0203 10.96 $570.02 $256.51 $114.00 on. 64626..................... T Destr paravertebrl nerve c/ 0203 10.96 $570.02 $256.51 $114.00 t. 64627..................... T Destr paravertebral n add- 0203 10.96 $570.02 $256.51 $114.00 on. 64630..................... T Injection treatment of 0207 5.97 $310.49 $123.69 $62.10 nerve. 64640..................... T Injection treatment of 0207 5.97 $310.49 $123.69 $62.10 nerve. 64680..................... T Injection treatment of 0203 10.96 $570.02 $256.51 $114.00 nerve. 64702..................... T Revise finger/toe nerve.... 0220 16.66 $866.47 ............ $173.29 64704..................... T Revise hand/foot nerve..... 0220 16.66 $866.47 ............ $173.29 64708..................... T Revise arm/leg nerve....... 0220 16.66 $866.47 ............ $173.29 64712..................... T Revision of sciatic nerve.. 0220 16.66 $866.47 ............ $173.29 64713..................... T Revision of arm nerve(s)... 0220 16.66 $866.47 ............ $173.29 64714..................... T Revise low back nerve(s)... 0220 16.66 $866.47 ............ $173.29 64716..................... T Revision of cranial nerve.. 0220 16.66 $866.47 ............ $173.29 64718..................... T Revise ulnar nerve at elbow 0220 16.66 $866.47 ............ $173.29 64719..................... T Revise ulnar nerve at wrist 0220 16.66 $866.47 ............ $173.29 64721..................... T Carpal tunnel surgery...... 0220 16.66 $866.47 ............ $173.29 64722..................... T Relieve pressure on 0220 16.66 $866.47 ............ $173.29 nerve(s). 64726..................... T Release foot/toe nerve..... 0220 16.66 $866.47 ............ $173.29 64727..................... T Internal nerve revision.... 0220 16.66 $866.47 ............ $173.29 64732..................... T Incision of brow nerve..... 0220 16.66 $866.47 ............ $173.29 64734..................... T Incision of cheek nerve.... 0220 16.66 $866.47 ............ $173.29 64736..................... T Incision of chin nerve..... 0220 16.66 $866.47 ............ $173.29 64738..................... T Incision of jaw nerve...... 0220 16.66 $866.47 ............ $173.29 64740..................... T Incision of tongue nerve... 0220 16.66 $866.47 ............ $173.29 64742..................... T Incision of facial nerve... 0220 16.66 $866.47 ............ $173.29 64744..................... T Incise nerve, back of head. 0220 16.66 $866.47 ............ $173.29 64746..................... T Incise diaphragm nerve..... 0220 16.66 $866.47 ............ $173.29 64752..................... C Incision of vagus nerve.... ............ ............ ............ ............ ............ 64755..................... C Incision of stomach nerves. ............ ............ ............ ............ ............ 64760..................... C Incision of vagus nerve.... ............ ............ ............ ............ ............ 64761..................... T Incision of pelvis nerve... 0220 16.66 $866.47 ............ $173.29 64763..................... C Incise hip/thigh nerve..... ............ ............ ............ ............ ............ 64766..................... C Incise hip/thigh nerve..... ............ ............ ............ ............ ............ 64771..................... T Sever cranial nerve........ 0220 16.66 $866.47 ............ $173.29 64772..................... T Incision of spinal nerve... 0220 16.66 $866.47 ............ $173.29 64774..................... T Remove skin nerve lesion... 0220 16.66 $866.47 ............ $173.29 64776..................... T Remove digit nerve lesion.. 0220 16.66 $866.47 ............ $173.29 64778..................... T Digit nerve surgery add-on. 0220 16.66 $866.47 ............ $173.29 64782..................... T Remove limb nerve lesion... 0220 16.66 $866.47 ............ $173.29 64783..................... T Limb nerve surgery add-on.. 0220 16.66 $866.47 ............ $173.29 64784..................... T Remove nerve lesion........ 0220 16.66 $866.47 ............ $173.29 64786..................... T Remove sciatic nerve lesion 0221 25.35 $1,318.43 $463.62 $263.69 64787..................... T Implant nerve end.......... 0220 16.66 $866.47 ............ $173.29 64788..................... T Remove skin nerve lesion... 0220 16.66 $866.47 ............ $173.29 64790..................... T Removal of nerve lesion.... 0220 16.66 $866.47 ............ $173.29 64792..................... T Removal of nerve lesion.... 0221 25.35 $1,318.43 $463.62 $263.69 64795..................... T Biopsy of nerve............ 0220 16.66 $866.47 ............ $173.29 64802..................... T Remove sympathetic nerves.. 0220 16.66 $866.47 ............ $173.29 64804..................... C Remove sympathetic nerves.. ............ ............ ............ ............ ............ 64809..................... C Remove sympathetic nerves.. ............ ............ ............ ............ ............ 64818..................... C Remove sympathetic nerves.. ............ ............ ............ ............ ............ 64820..................... T Remove sympathetic nerves.. 0220 16.66 $866.47 ............ $173.29 64821..................... T Remove sympathetic nerves.. 0054 23.50 $1,222.21 $472.33 $244.44 64822..................... T Remove sympathetic nerves.. 0054 23.50 $1,222.21 $472.33 $244.44 64823..................... T Remove sympathetic nerves.. 0054 23.50 $1,222.21 $472.33 $244.44 64831..................... T Repair of digit nerve...... 0221 25.35 $1,318.43 $463.62 $263.69 64832..................... T Repair nerve add-on........ 0221 25.35 $1,318.43 $463.62 $263.69 [[Page 52235]] 64834..................... T Repair of hand or foot 0221 25.35 $1,318.43 $463.62 $263.69 nerve. 64835..................... T Repair of hand or foot 0221 25.35 $1,318.43 $463.62 $263.69 nerve. 64836..................... T Repair of hand or foot 0221 25.35 $1,318.43 $463.62 $263.69 nerve. 64837..................... T Repair nerve add-on........ 0221 25.35 $1,318.43 $463.62 $263.69 64840..................... T Repair of leg nerve........ 0221 25.35 $1,318.43 $463.62 $263.69 64856..................... T Repair/transpose nerve..... 0221 25.35 $1,318.43 $463.62 $263.69 64857..................... T Repair arm/leg nerve....... 0221 25.35 $1,318.43 $463.62 $263.69 64858..................... T Repair sciatic nerve....... 0221 25.35 $1,318.43 $463.62 $263.69 64859..................... T Nerve surgery.............. 0221 25.35 $1,318.43 $463.62 $263.69 64861..................... T Repair of arm nerves....... 0221 25.35 $1,318.43 $463.62 $263.69 64862..................... T Repair of low back nerves.. 0221 25.35 $1,318.43 $463.62 $263.69 64864..................... T Repair of facial nerve..... 0221 25.35 $1,318.43 $463.62 $263.69 64865..................... T Repair of facial nerve..... 0221 25.35 $1,318.43 $463.62 $263.69 64866..................... C Fusion of facial/other ............ ............ ............ ............ ............ nerve. 64868..................... C Fusion of facial/other ............ ............ ............ ............ ............ nerve. 64870..................... T Fusion of facial/other 0221 25.35 $1,318.43 $463.62 $263.69 nerve. 64872..................... T Subsequent repair of nerve. 0221 25.35 $1,318.43 $463.62 $263.69 64874..................... T Repair & revise nerve add- 0221 25.35 $1,318.43 $463.62 $263.69 on. 64876..................... T Repair nerve/shorten bone.. 0221 25.35 $1,318.43 $463.62 $263.69 64885..................... T Nerve graft, head or neck.. 0221 25.35 $1,318.43 $463.62 $263.69 64886..................... T Nerve graft, head or neck.. 0221 25.35 $1,318.43 $463.62 $263.69 64890..................... T Nerve graft, hand or foot.. 0221 25.35 $1,318.43 $463.62 $263.69 64891..................... T Nerve graft, hand or foot.. 0221 25.35 $1,318.43 $463.62 $263.69 64892..................... T Nerve graft, arm or leg.... 0221 25.35 $1,318.43 $463.62 $263.69 64893..................... T Nerve graft, arm or leg.... 0221 25.35 $1,318.43 $463.62 $263.69 64895..................... T Nerve graft, hand or foot.. 0221 25.35 $1,318.43 $463.62 $263.69 64896..................... T Nerve graft, hand or foot.. 0221 25.35 $1,318.43 $463.62 $263.69 64897..................... T Nerve graft, arm or leg.... 0221 25.35 $1,318.43 $463.62 $263.69 64898..................... T Nerve graft, arm or leg.... 0221 25.35 $1,318.43 $463.62 $263.69 64901..................... T Nerve graft add-on......... 0221 25.35 $1,318.43 $463.62 $263.69 64902..................... T Nerve graft add-on......... 0221 25.35 $1,318.43 $463.62 $263.69 64905..................... T Nerve pedicle transfer..... 0221 25.35 $1,318.43 $463.62 $263.69 64907..................... T Nerve pedicle transfer..... 0221 25.35 $1,318.43 $463.62 $263.69 64999..................... T Nervous system surgery..... 0204 2.13 $110.78 $42.10 $22.16 65091..................... T Revise eye................. 0242 28.87 $1,501.50 $597.36 $300.30 65093..................... T Revise eye with implant.... 0241 21.89 $1,138.48 $384.47 $227.70 65101..................... T Removal of eye............. 0242 28.87 $1,501.50 $597.36 $300.30 65103..................... T Remove eye/insert implant.. 0242 28.87 $1,501.50 $597.36 $300.30 65105..................... T Remove eye/attach implant.. 0242 28.87 $1,501.50 $597.36 $300.30 65110..................... T Removal of eye............. 0242 28.87 $1,501.50 $597.36 $300.30 65112..................... T Remove eye/revise socket... 0242 28.87 $1,501.50 $597.36 $300.30 65114..................... T Remove eye/revise socket... 0242 28.87 $1,501.50 $597.36 $300.30 65125..................... T Revise ocular implant...... 0240 16.99 $883.63 $315.31 $176.73 65130..................... T Insert ocular implant...... 0241 21.89 $1,138.48 $384.47 $227.70 65135..................... T Insert ocular implant...... 0241 21.89 $1,138.48 $384.47 $227.70 65140..................... T Attach ocular implant...... 0242 28.87 $1,501.50 $597.36 $300.30 65150..................... T Revise ocular implant...... 0241 21.89 $1,138.48 $384.47 $227.70 65155..................... T Reinsert ocular implant.... 0242 28.87 $1,501.50 $597.36 $300.30 65175..................... T Removal of ocular implant.. 0240 16.99 $883.63 $315.31 $176.73 65205..................... S Remove foreign body from 0698 1.01 $52.53 $20.49 $10.51 eye. 65210..................... S Remove foreign body from 0231 2.24 $116.50 $52.43 $23.30 eye. 65220..................... S Remove foreign body from 0231 2.24 $116.50 $52.43 $23.30 eye. 65222..................... S Remove foreign body from 0231 2.24 $116.50 $52.43 $23.30 eye. 65235..................... T Remove foreign body from 0233 13.43 $698.48 $266.33 $139.70 eye. 65260..................... T Remove foreign body from 0236 20.62 $1,072.43 ............ $214.49 eye. 65265..................... T Remove foreign body from 0236 20.62 $1,072.43 ............ $214.49 eye. 65270..................... T Repair of eye wound........ 0240 16.99 $883.63 $315.31 $176.73 65272..................... T Repair of eye wound........ 0233 13.43 $698.48 $266.33 $139.70 65273..................... C Repair of eye wound........ ............ ............ ............ ............ ............ 65275..................... T Repair of eye wound........ 0233 13.43 $698.48 $266.33 $139.70 65280..................... T Repair of eye wound........ 0234 21.45 $1,115.59 $535.48 $223.12 65285..................... T Repair of eye wound........ 0234 21.45 $1,115.59 $535.48 $223.12 65286..................... T Repair of eye wound........ 0233 13.43 $698.48 $266.33 $139.70 65290..................... T Repair of eye socket wound. 0243 20.94 $1,089.07 $431.39 $217.81 65400..................... T Removal of eye lesion...... 0233 13.43 $698.48 $266.33 $139.70 65410..................... T Biopsy of cornea........... 0233 13.43 $698.48 $266.33 $139.70 [[Page 52236]] 65420..................... T Removal of eye lesion...... 0233 13.43 $698.48 $266.33 $139.70 65426..................... T Removal of eye lesion...... 0234 21.45 $1,115.59 $535.48 $223.12 65430..................... S Corneal smear.............. 0230 0.78 $40.57 $15.82 $8.11 65435..................... T Curette/treat cornea....... 0239 6.91 $359.38 $115.94 $71.88 65436..................... T Curette/treat cornea....... 0233 13.43 $698.48 $266.33 $139.70 65450..................... S Treatment of corneal lesion 0231 2.24 $116.50 $52.43 $23.30 65600..................... T Revision of cornea......... 0240 16.99 $883.63 $315.31 $176.73 65710..................... T Corneal transplant......... 0244 38.14 $1,983.62 $851.42 $396.72 65730..................... T Corneal transplant......... 0244 38.14 $1,983.62 $851.42 $396.72 65750..................... T Corneal transplant......... 0244 38.14 $1,983.62 $851.42 $396.72 65755..................... T Corneal transplant......... 0244 38.14 $1,983.62 $851.42 $396.72 65760..................... E Revision of cornea......... ............ ............ ............ ............ ............ 65765..................... E Revision of cornea......... ............ ............ ............ ............ ............ 65767..................... E Corneal tissue transplant.. ............ ............ ............ ............ ............ 65770..................... T Revise cornea with implant. 0244 38.14 $1,983.62 $851.42 $396.72 65771..................... E Radial keratotomy.......... ............ ............ ............ ............ ............ 65772..................... T Correction of astigmatism.. 0233 13.43 $698.48 $266.33 $139.70 65775..................... T Correction of astigmatism.. 0233 13.43 $698.48 $266.33 $139.70 65800..................... T Drainage of eye............ 0233 13.43 $698.48 $266.33 $139.70 65805..................... T Drainage of eye............ 0233 13.43 $698.48 $266.33 $139.70 65810..................... T Drainage of eye............ 0234 21.45 $1,115.59 $535.48 $223.12 65815..................... T Drainage of eye............ 0234 21.45 $1,115.59 $535.48 $223.12 65820..................... T Relieve inner eye pressure. 0232 4.91 $255.36 $112.36 $51.07 65850..................... T Incision of eye............ 0234 21.45 $1,115.59 $535.48 $223.12 65855..................... T Laser surgery of eye....... 0247 4.97 $258.48 $108.56 $51.70 65860..................... T Incise inner eye adhesions. 0247 4.97 $258.48 $108.56 $51.70 65865..................... T Incise inner eye adhesions. 0233 13.43 $698.48 $266.33 $139.70 65870..................... T Incise inner eye adhesions. 0234 21.45 $1,115.59 $535.48 $223.12 65875..................... T Incise inner eye adhesions. 0234 21.45 $1,115.59 $535.48 $223.12 65880..................... T Incise inner eye adhesions. 0233 13.43 $698.48 $266.33 $139.70 65900..................... T Remove eye lesion.......... 0233 13.43 $698.48 $266.33 $139.70 65920..................... T Remove implant of eye...... 0233 13.43 $698.48 $266.33 $139.70 65930..................... T Remove blood clot from eye. 0234 21.45 $1,115.59 $535.48 $223.12 66020..................... T Injection treatment of eye. 0233 13.43 $698.48 $266.33 $139.70 66030..................... T Injection treatment of eye. 0233 13.43 $698.48 $266.33 $139.70 66130..................... T Remove eye lesion.......... 0234 21.45 $1,115.59 $535.48 $223.12 66150..................... T Glaucoma surgery........... 0233 13.43 $698.48 $266.33 $139.70 66155..................... T Glaucoma surgery........... 0234 21.45 $1,115.59 $535.48 $223.12 66160..................... T Glaucoma surgery........... 0234 21.45 $1,115.59 $535.48 $223.12 66165..................... T Glaucoma surgery........... 0234 21.45 $1,115.59 $535.48 $223.12 66170..................... T Glaucoma surgery........... 0234 21.45 $1,115.59 $535.48 $223.12 66172..................... T Incision of eye............ 0673 27.47 $1,428.69 $685.77 $285.74 66180..................... T Implant eye shunt.......... 0673 27.47 $1,428.69 $685.77 $285.74 66185..................... T Revise eye shunt........... 0673 27.47 $1,428.69 $685.77 $285.74 66220..................... T Repair eye lesion.......... 0236 20.62 $1,072.43 ............ $214.49 66225..................... T Repair/graft eye lesion.... 0673 27.47 $1,428.69 $685.77 $285.74 66250..................... T Follow-up surgery of eye... 0233 13.43 $698.48 $266.33 $139.70 66500..................... T Incision of iris........... 0232 4.91 $255.36 $112.36 $51.07 66505..................... T Incision of iris........... 0232 4.91 $255.36 $112.36 $51.07 66600..................... T Remove iris and lesion..... 0233 13.43 $698.48 $266.33 $139.70 66605..................... T Removal of iris............ 0234 21.45 $1,115.59 $535.48 $223.12 66625..................... T Removal of iris............ 0233 13.43 $698.48 $266.33 $139.70 66630..................... T Removal of iris............ 0233 13.43 $698.48 $266.33 $139.70 66635..................... T Removal of iris............ 0234 21.45 $1,115.59 $535.48 $223.12 66680..................... T Repair iris & ciliary body. 0234 21.45 $1,115.59 $535.48 $223.12 66682..................... T Repair iris & ciliary body. 0234 21.45 $1,115.59 $535.48 $223.12 66700..................... T Destruction, ciliary body.. 0233 13.43 $698.48 $266.33 $139.70 66710..................... T Destruction, ciliary body.. 0233 13.43 $698.48 $266.33 $139.70 66720..................... T Destruction, ciliary body.. 0233 13.43 $698.48 $266.33 $139.70 66740..................... T Destruction, ciliary body.. 0233 13.43 $698.48 $266.33 $139.70 66761..................... T Revision of iris........... 0247 4.97 $258.48 $108.56 $51.70 66762..................... T Revision of iris........... 0247 4.97 $258.48 $108.56 $51.70 66770..................... T Removal of inner eye lesion 0247 4.97 $258.48 $108.56 $51.70 66820..................... T Incision, secondary 0232 4.91 $255.36 $112.36 $51.07 cataract. 66821..................... T After cataract laser 0247 4.97 $258.48 $108.56 $51.70 surgery. 66825..................... T Reposition intraocular lens 0234 21.45 $1,115.59 $535.48 $223.12 [[Page 52237]] 66830..................... T Removal of lens lesion..... 0232 4.91 $255.36 $112.36 $51.07 66840..................... T Removal of lens material... 0245 14.39 $748.41 $251.21 $149.68 66850..................... T Removal of lens material... 0249 27.75 $1,443.25 $524.67 $288.65 66852..................... T Removal of lens material... 0249 27.75 $1,443.25 $524.67 $288.65 66920..................... T Extraction of lens......... 0249 27.75 $1,443.25 $524.67 $288.65 66930..................... T Extraction of lens......... 0249 27.75 $1,443.25 $524.67 $288.65 66940..................... T Extraction of lens......... 0245 14.39 $748.41 $251.21 $149.68 66982..................... T Cataract surgery, complex.. 0246 23.59 $1,226.89 $495.96 $245.38 66983..................... T Cataract surg w/iol, 1 0246 23.59 $1,226.89 $495.96 $245.38 stage. 66984..................... T Cataract surg w/iol, i 0246 23.59 $1,226.89 $495.96 $245.38 stage. 66985..................... T Insert lens prosthesis..... 0246 23.59 $1,226.89 $495.96 $245.38 66986..................... T Exchange lens prosthesis... 0246 23.59 $1,226.89 $495.96 $245.38 66999..................... T Eye surgery procedure...... 0232 4.91 $255.36 $112.36 $51.07 67005..................... T Partial removal of eye 0237 35.09 $1,825.00 $818.54 $365.00 fluid. 67010..................... T Partial removal of eye 0237 35.09 $1,825.00 $818.54 $365.00 fluid. 67015..................... T Release of eye fluid....... 0237 35.09 $1,825.00 $818.54 $365.00 67025..................... T Replace eye fluid.......... 0236 20.62 $1,072.43 ............ $214.49 67027..................... T Implant eye drug system.... 0237 35.09 $1,825.00 $818.54 $365.00 67028..................... T Injection eye drug......... 0235 5.62 $292.29 $81.84 $58.46 67030..................... T Incise inner eye strands... 0236 20.62 $1,072.43 ............ $214.49 67031..................... T Laser surgery, eye strands. 0247 4.97 $258.48 $108.56 $51.70 67036..................... T Removal of inner eye fluid. 0237 35.09 $1,825.00 $818.54 $365.00 67038..................... T Strip retinal membrane..... 0237 35.09 $1,825.00 $818.54 $365.00 67039..................... T Laser treatment of retina.. 0237 35.09 $1,825.00 $818.54 $365.00 67040..................... T Laser treatment of retina.. 0672 39.95 $2,077.76 $1,038.88 $415.55 67101..................... T Repair detached retina..... 0235 5.62 $292.29 $81.84 $58.46 67105..................... T Repair detached retina..... 0248 4.44 $230.92 $96.99 $46.18 67107..................... T Repair detached retina..... 0672 39.95 $2,077.76 $1,038.88 $415.55 67108..................... T Repair detached retina..... 0672 39.95 $2,077.76 $1,038.88 $415.55 67110..................... T Repair detached retina..... 0235 5.62 $292.29 $81.84 $58.46 67112..................... T Rerepair detached retina... 0672 39.95 $2,077.76 $1,038.88 $415.55 67115..................... T Release encircling material 0236 20.62 $1,072.43 ............ $214.49 67120..................... T Remove eye implant material 0236 20.62 $1,072.43 ............ $214.49 67121..................... T Remove eye implant material 0237 35.09 $1,825.00 $818.54 $365.00 67141..................... T Treatment of retina........ 0235 5.62 $292.29 $81.84 $58.46 67145..................... T Treatment of retina........ 0248 4.44 $230.92 $96.99 $46.18 67208..................... T Treatment of retinal lesion 0235 5.62 $292.29 $81.84 $58.46 67210..................... T Treatment of retinal lesion 0248 4.44 $230.92 $96.99 $46.18 67218..................... T Treatment of retinal lesion 0236 20.62 $1,072.43 ............ $214.49 67220..................... T Treatment of choroid lesion 0235 5.62 $292.29 $81.84 $58.46 67221..................... T Ocular photodynamic ther... 0235 5.62 $292.29 $81.84 $58.46 67225..................... T Eye photodynamic ther add- 0235 5.62 $292.29 $81.84 $58.46 on. 67227..................... T Treatment of retinal lesion 0235 5.62 $292.29 $81.84 $58.46 67228..................... T Treatment of retinal lesion 0248 4.44 $230.92 $96.99 $46.18 67250..................... T Reinforce eye wall......... 0240 16.99 $883.63 $315.31 $176.73 67255..................... T Reinforce/graft eye wall... 0237 35.09 $1,825.00 $818.54 $365.00 67299..................... T Eye surgery procedure...... 0235 5.62 $292.29 $81.84 $58.46 67311..................... T Revise eye muscle.......... 0243 20.94 $1,089.07 $431.39 $217.81 67312..................... T Revise two eye muscles..... 0243 20.94 $1,089.07 $431.39 $217.81 67314..................... T Revise eye muscle.......... 0243 20.94 $1,089.07 $431.39 $217.81 67316..................... T Revise two eye muscles..... 0243 20.94 $1,089.07 $431.39 $217.81 67318..................... T Revise eye muscle(s)....... 0243 20.94 $1,089.07 $431.39 $217.81 67320..................... T Revise eye muscle(s) add-on 0243 20.94 $1,089.07 $431.39 $217.81 67331..................... T Eye surgery follow-up add- 0243 20.94 $1,089.07 $431.39 $217.81 on. 67332..................... T Rerevise eye muscles add-on 0243 20.94 $1,089.07 $431.39 $217.81 67334..................... T Revise eye muscle w/suture. 0243 20.94 $1,089.07 $431.39 $217.81 67335..................... T Eye suture during surgery.. 0243 20.94 $1,089.07 $431.39 $217.81 67340..................... T Revise eye muscle add-on... 0243 20.94 $1,089.07 $431.39 $217.81 67343..................... T Release eye tissue......... 0243 20.94 $1,089.07 $431.39 $217.81 67345..................... T Destroy nerve of eye muscle 0238 3.04 $158.11 $58.96 $31.62 67350..................... T Biopsy eye muscle.......... 0699 2.37 $123.26 $55.47 $24.65 67399..................... T Eye muscle surgery 0243 20.94 $1,089.07 $431.39 $217.81 procedure. 67400..................... T Explore/biopsy eye socket.. 0241 21.89 $1,138.48 $384.47 $227.70 67405..................... T Explore/drain eye socket... 0241 21.89 $1,138.48 $384.47 $227.70 67412..................... T Explore/treat eye socket... 0241 21.89 $1,138.48 $384.47 $227.70 67413..................... T Explore/treat eye socket... 0241 21.89 $1,138.48 $384.47 $227.70 [[Page 52238]] 67414..................... T Explr/decompress eye socket 0242 28.87 $1,501.50 $597.36 $300.30 67415..................... T Aspiration, orbital 0239 6.91 $359.38 $115.94 $71.88 contents. 67420..................... T Explore/treat eye socket... 0242 28.87 $1,501.50 $597.36 $300.30 67430..................... T Explore/treat eye socket... 0242 28.87 $1,501.50 $597.36 $300.30 67440..................... T Explore/drain eye socket... 0242 28.87 $1,501.50 $597.36 $300.30 67445..................... T Explr/decompress eye socket 0242 28.87 $1,501.50 $597.36 $300.30 67450..................... T Explore/biopsy eye socket.. 0242 28.87 $1,501.50 $597.36 $300.30 67500..................... S Inject/treat eye socket.... 0231 2.24 $116.50 $52.43 $23.30 67505..................... T Inject/treat eye socket.... 0238 3.04 $158.11 $58.96 $31.62 67515..................... T Inject/treat eye socket.... 0239 6.91 $359.38 $115.94 $71.88 67550..................... T Insert eye socket implant.. 0242 28.87 $1,501.50 $597.36 $300.30 67560..................... T Revise eye socket implant.. 0241 21.89 $1,138.48 $384.47 $227.70 67570..................... T Decompress optic nerve..... 0242 28.87 $1,501.50 $597.36 $300.30 67599..................... T Orbit surgery procedure.... 0239 6.91 $359.38 $115.94 $71.88 67700..................... T Drainage of eyelid abscess. 0238 3.04 $158.11 $58.96 $31.62 67710..................... T Incision of eyelid......... 0239 6.91 $359.38 $115.94 $71.88 67715..................... T Incision of eyelid fold.... 0240 16.99 $883.63 $315.31 $176.73 67800..................... T Remove eyelid lesion....... 0238 3.04 $158.11 $58.96 $31.62 67801..................... T Remove eyelid lesions...... 0239 6.91 $359.38 $115.94 $71.88 67805..................... T Remove eyelid lesions...... 0238 3.04 $158.11 $58.96 $31.62 67808..................... T Remove eyelid lesion(s).... 0240 16.99 $883.63 $315.31 $176.73 67810..................... T Biopsy of eyelid........... 0238 3.04 $158.11 $58.96 $31.62 67820..................... S Revise eyelashes........... 0230 0.78 $40.57 $15.82 $8.11 67825..................... T Revise eyelashes........... 0238 3.04 $158.11 $58.96 $31.62 67830..................... T Revise eyelashes........... 0239 6.91 $359.38 $115.94 $71.88 67835..................... T Revise eyelashes........... 0240 16.99 $883.63 $315.31 $176.73 67840..................... T Remove eyelid lesion....... 0239 6.91 $359.38 $115.94 $71.88 67850..................... T Treat eyelid lesion........ 0239 6.91 $359.38 $115.94 $71.88 67875..................... T Closure of eyelid by suture 0239 6.91 $359.38 $115.94 $71.88 67880..................... T Revision of eyelid......... 0233 13.43 $698.48 $266.33 $139.70 67882..................... T Revision of eyelid......... 0240 16.99 $883.63 $315.31 $176.73 67900..................... T Repair brow defect......... 0240 16.99 $883.63 $315.31 $176.73 67901..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67902..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67903..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67904..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67906..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67908..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67909..................... T Revise eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67911..................... T Revise eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67914..................... T Repair eyelid defect....... 0240 16.99 $883.63 $315.31 $176.73 67915..................... T Repair eyelid defect....... 0239 6.91 $359.38 $115.94 $71.88 67916..................... T Repair eyelid defect....... 0240 16.
